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Fin City of Zephyrhills NOW PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BNR-001069-2020
Phone: (813)780-0020
Fax: (813)780-0021
Issue Date: 12/31/2020
Permit Type: Building New (Residential)
h°$ ��Propeity�Number =} � _ Street�AcldressA, ��
35 25 21 0150 01500 0140 1 7917 Broad Pointe Dr
Owner liifocmat on. Permit lnformaton Contractor Inform ation
Name: D R HORTON Permit Type:Building New(Residential) Contractor: D R HORTON INC
Class of Work:SFR Construct
Address: 12602 Telecom Dr Building Valuation:$104,000.00
TAMPA,FL 33637 Electrical Valuation:$6,800.00
Phone: (813)549-1968 Mechanical Valuation:$4,800.00 `
Plumbing Valuation:$7,200.00
Total Valuation:$122,800.00 I
Total Fees:$18,361.75
Amount Paid:$18,361.75
Date Paid:12/31/2020 10:54:30AM
P°roj ct icripfion
CONSTRUCT SINGLE FAMILY 1,848 SQ FT-ZEPHYR LAKES
Mechanical Permit Fee $64.00 School Impact Fee $8,328.00
Water Connection Residential Fee $1,010.00 Building Plan Review Fee $275.00
Mechanical Plan Review Fee $32.00 Sewer Connection Residential Fee $2,090.00
Electrical Plan Review Fee $37.00 Park Impact Fee-Single Family/Townhome $769.56
Plumbing Permit Fee $76.00 Electrical Permit Fee $74.00
Building Permit Fee $550.00 Transportation Impact Fee $3,595.68
Public Safety Impact Fee-Admin $26.35 SIF 1 percent Fee $83.28
Address Fee $30.00 Driveway Fee $45.00
3/4 Water Meter Fee(Calc) $473.78 Transportation Impact Fee-City $36.32
Plumbing Plan Review Fee $38.00 Public Safety Impact Fee-Police $254.00
Irrigation 3/4 Meter(Calc) $473.78
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner:Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications add fee Must Accompany Application.All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
0 �� M
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
' w
PASCO COUNTY, FLORIDA_
Permit No. A
Date Permitted
Builder Name/Owner Name Control#•
County Parcel No. a Z f Q16-66e�SbO1S./�a SubDiv:Address/Location 7 t-?`7 •6-ZLa-dj 1 :.
Classlflcadon/Type of Usg
TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: /
Exempt ❑Yes Q No /How Determined
Impact Fee Amount_$.- 5 b32 Zone No. TAZ:
SCHOOL IMPACT FEE
Account (058) Single-Farrilly Detached House Amount $ 44-6 Z
(057) Mobile Home
(058) Other.Residentlal
23). Collection Fee
Exempt d Yes. Q No How Determined
PARKS:AND RECREATION FEE-
Land Account Land Credit Land.Total
Recreadon Account Recreation Credit Recreation Total
Zone _ TOTAL AMOUNT
Exempt Yes O No How Determined
LIBRARY FEE
Land Account Land-Credit Land Total
Facility Account Faculty Credit Facility Total
Exempt Yes C]L,No How Determined Total Amount
RESOURCE FEE ERU
TOTAL AMOUNT
Prepared By Checked By
-NO CERTIFICATE OF OCCUPANCY WILE.131545SUE0.011 FINAL-INSPECTION
PERFORMED UNTIL THE;TOTAL.AMOQNTS'LISTWHAVE
REIE~N,.PAID AND;
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY
Wticirowladgement betow.doeanot Impty acceptance of concurrence;but simply►reoelpt of a copjr,of,thls form,pW&g
the twtlding pemdt owner on notl�of thla assessment end tlie_condW.ns of payment foi same.'
DATE RECEIVED BY
RECEIPT NO. DATE BY
0_
T � o
4�Z
t
Single Family Dwelling
Plan Review Comments
1. F.F.E..shall be a minimum of 8"above the road elevation and an engineered site plan.
2. Lots shall:be graded t' .comply with R401:3 of the F.B.C.,
3:- . Compaction test required if 24"-or more-of fill_dirt is brought in at any one place.
4: Tie iri survey required before pouring.concrete.
5: Driveways require a R.O.M.use permit: All 4 sides.of driveway-thru the sidewalk shall have
expansion matenal.
6. All setbacks shall be met.
.7.. All property:markers shall be uncovered and marked_ attime:of first inspection.
8:: All A.D.A.requirements shall be met:
9. No electric,plumbing;mechanical,or framing shall.be:covered without an inspection.and .
approval first:
10.. All Garages shall comply with section R302.6 of the F.B.C. (Fi're Separation):
11. Appliances.shall notbe installed in alocation-where subject to:mechanical,damage unless
protected-by:approved barriers. M303,4 of the F:B.0
.12..Water heaters shall comply with section P607.3 of the F.B.C.
13:Foundation supports for A/C units shall.be raised at least 3" above finished grade. M1308.:1. .
14. Return air in-all bedrooms. F.B.C.. M1620;4
15. Smoke detectors.are to be installed in accordance with R313.1 of the F.B.C.
16:All glazing requirements are to be'iri accordance:with R308.4 of the RB.C:
17. All means.of egress are to:be in accordance with RM I of the F.B.C. :
18. "Green gypsum board"shall not be used as 4 backer in showers or tubs. R702.4:2 F.B.C. ;
19. Combinatiori-type AFCI,breakers are required at all locations requiring an AFCI.type breaker.
20. Carbon monoxide_alarms will be"required in new construction that uses fossil-burning heating.
or appliances or an attached garage. They shall be installed in accordance with the F.B.C.
21. All plumbing,mechanical; and electrical shall be separate:from unit to unit: This includes all
underground:plumbing and electric.
22. All 2016 N.E.C. Codes will be enforced:
23. Tamper- Resistant.Receptacles in accordance with 406.11 0fthe 2016 N.E.0
24. In accordance with the Land Development Code,lots.shall.be*sodded'before final at least 10
feet around the structure.
25: R403.5.3Hot water'pipe insulation.
'Insulation for hot.water pipe With'a minimum therma_I-resistance (R.-Value) of.R-3 shall.be applied to the
foil Win
9:.
Pi p' g-/in 3 ..
. inch (19:1 mm)and larger in nominal diameter.
Piping serving more than one dwelling-unit.
Piping located_outside the conditioned space-..
Piping from the water heater to a distribution manifold:.
Piping.located under a floor slab.
Buried in piping,
Supply and return piping in recirculation systems other than demand recirculation systems.
25: Blower door test shall be pro'Aded before C.O:
26 A cony of the energy eacls shall be with permit at all times
27. Copy of iinalinsulation report shall-be provided with pern:it'before fnal-
28. Na fence, pool or screen enclosure :is issued with this.permit
F.F.E.-Finished Floor Elevation
F.B.C- Florida Building Code 6'h Edition
R.O.W.-Right of Way
A.D.A.-Americans with Disabilities Act N.E.C.-National Electric Code(2016)
CITY OF " " BUILDING
ZEPHYRHILLSNOTICE DEPARTMENT
OF ADDITION OR CORRECTION
. • NOT REMOVE
ADDRESS_ DATE PERMIT#
&6W ofl'4t /Z��
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be m de before the job
will be accepted.
It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth
or other material,until the proper inspector has had ample time to approve 780-0020 F R I NSP.-ECTION
the installation.
OFFICE HOURS 8:00 AM -4:30 PM MON.-FRI. INSPECTOR
INVOICE1111
• ' CITY OF
BILLING CONTACT I
DAVID GUDE
D R HORTON INC
12602 TELECOM DR
TAMPA, FL 33637
i
INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION
INV-00002359 12/31/2020 12/31/2020 Due NONE
REFERENCE NUMBER FEE NAME TOTAL
BNR-001065-2020 3/4 Water Meter Fee(Calc) $473.78
Address Fee $30.00
Building Permit Fee $555.00
Building Plan Review Fee $277.50
Driveway Fee $45.00
Electrical Permit Fee $75.00
Electrical Plan Review Fee $37.50
Irrigation 3/4 Meter(Calc) $473.78
Mechanical Permit Fee $65.00
Mechanical Plan Review Fee $32.50
Park Impact Fee-Single Family/Townhome $769.56
Plumbing Permit Fee $77.50
Plumbing Plan Review Fee $38.75
Public Safety Impact Fee-Admin $26.35
Public Safety Impact Fee-Police $254.00
School Impact Fee $8,328.00
Sewer Connection Residential Fee $2,090.00
SIF 1 percent Fee $83.28
Transportation Impact Fee $3,595.68
Transportation Impact Fee-City $36.32
Water Connection Residential Fee $1,010.00
7929 Broad Pointe Dr Zephyrhills, FL 33542 SUB TOTAL $18,374.50
REMITTANCE INFORMATION TOTAL $18,374.50
City of Zephyrhills
5335 8th Street
Zephyrhills, FL 33542
December 31,2020 5335 8th Street,Zephyrhills,FL 33542 Page 1 of 1
City of ZeohV[h\\\s Permit Application F����OO�CEdi�O
Building Department
Date Received Permitting
Phone Contact for
Owner's Name V1% Owner Phone Num' ber
Owner's Address :a,3S Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR F7 ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
BUILDING SIZE SQ FOOTAGE HEIGHT _
[--lBU|U]\NG VALUATION oF TOTAL CONSTRUCTION
=ELECTR\{AL AMP SERVICE �--1 PROGRESS ENERGY �—� YY.R.E.C,
=PLUMB\NG m�
� 0 n�
F--l�ECM&N|�/� lb 0 MECHANICAL
`--� n '
=GAG F/� ROOFING_ [—� SPECIALTY OTHER
OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YEG NO
BUILDER COMP/NY
SIGNATURE neG/oTsnso L_Yl N_J rEEcuxmE* L_l��L_]
Auun,sa License#
ELECTRICIAN ooMpxmr
SIGNATURE nso/mrsRso L'I I NLI ' pssnupmex ��_�
Address License*
PLUMBER cou0P/Nr(
SIGNATURE o nsoISrEnEo L_Y/ \ FsEnunRex L]��_J
.
Address �vanna#
;I-
MECHANICAL COMPANY
alG04TURE nEo/mrsnso ` �_\ 1'�_1 rItEcunnE^« I Y2NL_J
Address License#
OTHER COMP ANY
SIGNATURE nso/oreoso L_Y/_N_J pEscuene^ LY2NL�1
1 cc
Address Licanoe#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R'O-M/Permit for new construction,
Minimum ten(1D)working days after submittal date. Required onsite,Construction Pla��Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 81dumpster;Site Work Permit for subdivisions/large projects __) � ' 'COMMERCIAL Ab �ach(2)nomp|ohon� ufB�|dingP|anop�oaLheOo��Page;(1)netofEnorgyFonna.F-0�VPen��forn�*con�moUon.
Minimum ten(10)working days after submittal date. Required onaiha.Construction Plans,Gto P|aoavl qUt Fence installed,
Sanitary Faci|itiasG1dumhstec Site Work Permit for all new projects.All commercial naquihamants must meet compliance
SIGN PERMIT Attach(2)sets nf Engineered P|kns.
°^**PROPEFTY SURVEY required for all NEW construction. '
Fill out application completely.
Ovnor&Contracior sign back of application,notarized
If over*2s0V^a Notice of Commencement iarequired. (AIC upgrades over*T5D0 .
� Agent(for the contractor)or Power of Attorne�(for the owner)would be someone With notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING, (copy of contract required)
Rnmofsifshingles Sewers Service Upgrades A/C Fnnms(P\ot(Gumey/FootaQe)
-
Driveways-Not over Counter ifon public madvays.oeedsROW '
!
NOTICE [jF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" '
which may ba more restrictive'than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors
'to undertake work, they may be required to be |ioonaod in accordance with state and local regulations. If the
contractor |� not licensed as.required by |ovv, both the owner and contract be cited for a nnied�nnaanorviolation
under state law. �the owner or intended contractor are uncertain as to what |�uena\ng 'requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing.Section at 727-847-
8009. Furthermore, if the owner has hired n contractor or contractors, he is advised to have thb contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be on indication that he is notproperiy]|consod and is not entitled to permitting privileges in Pasco
County. /
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing bui|dinQo, or expansion of existing bui|dingn, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also underatanda, that such feee, as may be due' will be identified at the time of
permitting. It in further understood that Transportation Impact Feea'and Resource Recovery Fees must be paid prior to
receiving 8 "certificate of occupancy" or final power release, lf the project doeenotiOvo|veocertificcteofoccupenoyor
final power.release, the fees must be paid prior to ponn(t issuance. FUrtherrnora, if paaom (}ountyVVaterlSovver Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes,aoommended1: if valuation ofwork ia$2.5OO.00ormore, \
certify that |, the appUoant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someoneutherthoOthe°ovvne�, \ cerUfvthod \ hav8obto|nodeoopyoftheabovedeamibeddocurneDtandprorn|oeingoodfa\thto
deliver|tto the"ovvner" prior tocommencement.
CC>NTRACTOF!S/OWNER'SAFFIQAV}T: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable |avva regulating conmtruc[imn, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. | certify that no work or installation has
conornaOuod prior to issuance of permit and that ail work will be performed to meet standards of all \avva regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. | also
certify that I understand that the regulations of other g6vernment agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection-Cypress Beyheode, VVo8ond Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management Distriot-We||a, Cypress Bayhaada, Wetland Areaa, Altering
Watercourses.
' - Army Corps ofEDg|neera'8eavva|\s' Docks, Navigable Waterways.
- Department of Health & Rehabilitative San/ioeo/EnvinonrOeDto| Health UnU-WoUa, Wastewater Treatment,
Septic Tanks.
- U8 Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authodty-Runvvays.
| understand that the following restrictions apply to the use of fill: '
- Use of fill im not allowed (n Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone 'YY', it is understood that g drainage plan addressing a
"ooOnpaDeeting volume" will be submitted at time of permitting which is prepared by o professional engineer
licensed by the State ofFlorida.
- If the fill material is to be used in Flood Zone 'N' in connection with a parOOU1ad building using stem vva}|
conotruotion, i certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, | certify that use of such f||l will. not adversely affect adjacent
properties. If Use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit |oeuad under the attached permit application, for lots less than one /1\
acre which are elevated by fill, an engineered drainage plan |srequired.
If | am the AGENT FOR THE CD&/NEFl, | promise in good faith to inform the Owner of the permitting conditions set forth in
this affidavit prior to commencing construction. | understand that a separate permit may be required for a|ecthm3| vvork,
p\u[nbing, signs, wells, pools, air conditioning, gae, or other installations not specifically included in the application. A
perrn|t |aauedoha|| beconatruadtobea |ioensetoproceedwiththevvorkandnotaoauthoritytovio|ate' oanoe|. a|tar. or
eetoa1deanyproviaioDsnfthetoohnica|bodes. no[ahoUiosuanoeof@pannitprevBnttha8uUdiDgOfficiu\fro[nthereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the vvod< authorized by such permit is commenced within-six months of permit iaeuenm*, or if work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (80) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90) consecutive days, the job is considered abandoned.
.
WARNING TO OWNER: YOUR FAILURE TO RECORD ANOTlCE OF COMMENCEMENT MAY RESULT lNYOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.003
- -
OWNER OR AGENT— coNTaxoTo Subscribed and sworn to(or afl`lgied)bRfore me this Subscribed and sworn to(or affirmed)before me this
Who islare personally known to me or has/have produced Who is/are personally knov�n to me or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
1020 �
813-780-0020 City of Zephyrhilis Permit Application Fax 813-780.002
f Building Department
Date Received Phone Contact for Permitting
,'M". ... ... ..IXIM
...
Ownee .Name Owner Phone Number
,Owner's Address Owner Phone Number
Owner Phone Number
s
JOB ADDRESS" LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROiZPikGP.ERT¢'TA)CA5,TJCEj1.
..WORK PROPOSED NEW-CONSTR ADD/ALT �� SIGN Q Q ' DEMOLISH'
R INSTALL 8 kEPAIR
PROPOSED USE. SFR Q COMM OTHER
TIYPE OF CONSTRUCTION BLOCK Q FRAME STEEL Q
•DESCRIPTION Of.WORK
BUILDING SIZE SQ-FOOTAGE,= .HEIGHT •�
! =BUILDING $ VALUATION OF'TOTAL CONSTRUCTION'
=1:l:ECTRICAL $ AMP'SERVICE Q DUKE ENERGY' W.R.E.C.
=FLUMBlNG � .•.—�� . • ,
=MECHANICAL �$— VALUATION OF MECHANICAL INSTALLATION
=GAS LQ ROOFING Q SPEgAjY OTHER
FINISHED FLOOR ELEVATIONS •.FLO;OD:ZONE'AREA =YES . NO
'r ;;
BUILDER COMPANY
SIGNATURE '' REGISTERED Y/ N FEE CURREN
Addres''s License#
ELECTRICIAN- COMPANY
SIGNATURE REGISTERED' Y/'�N FEE CURREA
Address . License# 1
PLUMBER COMPANY 'S
SIGNATURE -M^.� ....-. ,REGISTERED. FEE'GURREA
Address License.# r'
MECHANICAL •r,' :COMPANY
SIGNATURE' REGISTERED Y/ N FEE CURREP
Address
OTHER CQM,PANY
SIGNATURE R1201STERED 'YI.N,<.n,•' FEE,CU(RR�EN'•�'
Address .License
+ 4 7.. _
RESIDENTIAL Attach'-(2}=Plot Rlan ;.(2)°se#s of Sullditg_!?IarTs;.�1y set,ofJ=rietgyarrns;'R;0=1N Penxjit far nsw:canstruction,,
=Mlrii sum ten=( A). +orking at6 daysaftei�su`bmlyttai'3 J;,RegU"ir'ed 6neite, 6M c`Conhoh Plans,8>�orrriwater Piahs w%gilt Fence installed,
Sanitary.Faclllties kl1,dumpster;,Site Wdr'k.4Permit=f6rsitbdivi'sions/large•prdjbots
COMMERCIAL Attach(2)pomplete,setsof.,Builditlg•Plans plus••agLife;,$afety.;Page;(1)'set'of,Energy-,Forms.R-O=W Permitfdr:new construction.
Minimum ten(10);w.grking0dat-x&af#ersuV,,.Ittai•date.,I3.equ;r6,,d pnsite;Construction.P!ans�;Stamzwater,Pians.*•w/Silt'Fence•instaile'd,
Sanitary Faciliries&1 durn;pA�.Site'Worli Pernt[ffcr ail new projects.All�commerciai,requiremants must meet compliance
SIGN PERMIT Attach(A) Engippered:"Plans'.
****PROPERTY E.U'06Y.'required for all'NEW construction.
Directions:
Fill out application completely.
Owner•&.:Contractor sign.back of,.Application,notarized
If over$2860,a Notice isf'Commer)cement is required. (A/C upgrades over$7500)
`* Agent(for the contractor,)or.Power of.Attorney,(for•the owner).would 6e someone=with notarized-letter from-owner authorizing same
OVERTHECOU,NTER=PERMITTING • (cgpy.;of,contractrequVed)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs,ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permsit-may be subject to "deed"restriction's"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND- CONTRACTOR RESPONSIBILITIES." If the own-or has hired a contractor or
contractors to undertake work, they may be required to be licensed in-accordance with...state and local regulations. 'if the
contractor is not licensed as required by law, both the owner and contractor:may be cited for a-misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Divisl6n—Licensing Section-at 727-847-
8009. Furthermore, if the owner has. hired a contractor-or contractors., he- is advised to. have the contractor(s) sign
portions of the "contractor Block" of this,application for which they will be responsible. If you, as the.owner sign as the
contractor, that may be an indication that he is not properly licensed and Is not entitled.to-permitting-privileges in Pasco
County,
TRANSPORTATION IMPACT/UTILITIES IMPACT AND:RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees,may apply tcr the.construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also..understands�,-th8t-,subh-fees, as maybe due, will be identified at the time of
permitting. It is further understood,that Transportation.Impact-Fees and Resource Recovery Fees must be paid.prior to
receiving a "certificate of occupancy" or final-power release. If-the pr6ject does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. -Furthermore,-if Pasco County Water/Sewer Impact
fees are due, they-must be paid prior to.perrnit issuance in accordance with applicable.Pasco County,ordinances.
CONSTRUCTION.LIEN LAW(Chapter 7.1.3,-Florid8 Statutes; as amended): If valuation of work is$2,500.00 or more, I
certify that 1, the applicant, have been-provided with a-copy of the 'Florida,Construction-Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture-and:Consumer.Affairs. If-the.applicant is someone
other than the"owner", I certify that.1 have obtained a copy of the-above described document and promise in good faith to
deliver it to the"owner'!.prior to commencement.
*
CONTP,ACTOFVSIOVYNER'S-AFFIDAVIT: Lcertify that,all the inform tion in this.application.is accurate and that all.-work
will be done in compliance with all applicable laws regulating construction,''zonirfg andland development... Application is
hereby made to -obtain a permit to,do work, and installdti6n 'as indicated, I certify that no work or• installation has
commenced prior to issuance of a'permit and that all work will be,performed to meet standards of all laws regulating
construction, County and 'City,code st, zoning-regulations, and'land--development regulations in the jurisdiction. I also
certify. that I understand that the regulations of other.government agencies may apply to the intended work, and that if is
my responsibility to identify what actions I must-take to'bein compliancib. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterMastewater Treatment.
- Southwest Florida Water Management Dlstrlct-Wells, Cypress Bayheads, Wetland Areas., Altering
Watercourses,
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of -.Health &:-,keFabilitative S-ervices/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US.Environmental:Pro.tigctlat-ikAgency-Asbestos.abatement.
- Federal Aviation Authority-Runways.I understand.that'the following restrictions-app!y.to-the-use of fill:
Use of fill is not allowed in Flood Zone"W unlos§-expressly permitted.'
If the fill material is to be used in Flood Zone 'W', it is understood-that a drainage plan addressing a
"compensating volume"-will be submitted at time of•permit-ting:whioh is prepared by a professional engineer
licensed by the.State of Florida,
If the fill material is to be used.,in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill•material is to be used in any area, I certify that use .of such.fill will not adversely affect• adjacent
properties. If use of fill is found to adversely affect adjacent:properties, the,owner may be cited for violating
the conditions of the building permit issued under-the attached permit-application, for lots less than one (1)
acre which are elevated,by fill,an engineered drainage plan Is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform-the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the-application. A
permit issued*shall be construed to be a license to proceed with the work and not as authority to-violate,*cancel.,..alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from-thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every-permit issued shall become.invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work•authorized-by
the permit is suspended or abandoned for-a period of six (6) months.after.the time thevork is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for-ninety(9CY)consecutive days, the job is considered abandoned.
WARNING TO.OWNER: YOUR FAILURE TO RECORD-A NOTICE-OF COMMENCEMENT MAY RESULT'INYOUR
PAYING TWICE FOR.IMPROVEM5NTS TO-YOUR-PROPERTY.. iF'YouANT-tNDT`O'O0TA1N FINANCING,CONSULT
WITKYOURLENOSROR AN ATTORN15Y R8C0."RDING,..YOUWROT 110E.OF-COMM SN-CEMENT.
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
by by
Who islare-5e—rsonally known to me or has/have produced Who is/are personally.known to me or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
_A,
PLOT PLAN
DESCRIPTION:(AS FURNISHED) ;
LOT 14, BLOCK 15, ZEPHYR LAKES SUBDIVISION PHASE 2D
AS RECORDED IN PLAT BOOK 82, PAGE(S) 62-64, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
ON LOT CALCULATIONS
LOT = 5,750 SO. FT.
LIVING AREA = 1.402 SO. FT.
GARAGE - 424 SO. FT.
ENTRY = 16 SO. FT.
LANAI = 0 SO. FT.
PATIO = 80 SO. FT.
DRIVEWAY = 408 SO. FT.
A/C PAD - 12 SO. FT.
WALKWAY = 27 SO. FT.
IMPERVIOUS = 41%
= 2369 SO. FT.
SOD = 3,381 S0. FT. a
OFF LOT CALCULATIONS
RIGHT OF WAY = 650 SO. FT. $
DRIVE APRON = 152 SO. FT. z
PUBLIC S/W - 250 SO. FT. 1° = 30'
SOD = 248 SO. FT. GRAPHIC SCALE
TOTALS 0 15 30
AREA = 6.400 SO. FT.
DRIVEWAY = 560 SO. FT.
SIDEWALK = 277 SO. FT.
SOD = 3,629 SO. FT. Pc�
LOT 13 I ml z%
BLOCK 15 I
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40.8'- - -° •— - - 7 - -O 25.5
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aaWa a Z 40.8'_ — — — 48.r—. 25.5J I z 0_r*x S
N 'o rd I Icg M.
�'N89'25'08"W 115.00' 0�
I I�
LOT 15
BLOCK 15
PREPARED FOR:
D'RHDRION' FT�
P06tLtC7-t,�16d�C
BUILDING SETBACKS
FRONT: 20'
GARAGE: 25'
REAR: 15'
SIDE: 5'
SIDE STREET. 15'
NOTES: LEGEND:
1. PROPOSED ELEVATIONS SHOWN HEREON ARE —•—•— BUILDING SETBACK LINE PI POINT OF INTERSECTION
BASED ON THE APPROVED ENGINEERING PLANS __ PC POINT of CURVATURE
PREPARED BY HAMILTON ENGINEERING d1 CENTERLINE PT POINT OF TANGENCY
SURVEYING INC. —--— RIGHT OF WAY LINE RP RADIUS POINT
PRC POINT OF REVERSE CURVATURE
2. ELEVATIONS ARE BASED ON NAVD 1980 PROPOSED ELEVATION PCP PERMANENT CONTROL POINT
DATUM. TYP TYPICAL
PROPOSED DRAINAGE FLOW CS CONCRETE SLAB
THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES ':sr:..'a CONCRETE (P) PER PLAT(0) CALCULATED
ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF A/C AIR CONDITIONER PET PLAT Boat
THE PROPOSED STRUCTURE. THE CONTRACTOR AND/OR PGS PAGES
OWNER ARE REQUIRED TO VERIFY ALL SETBACKS, BUILDING S/W SIDEWALK SO. FT. SQUARE FEET
DIMENSIONS, AND LAYOUT SHOWN HEREON PRIOR TO ANY F.EM.A. FEDERAL EMERGENCY MANAGEMENT AGENCY
CONSTRUCTION. F.I.R.M. FLOOD INSURANCE RATE MAP
NAVD NORTH AMERICAN VERTICAL DATUM
DRAINAGE&UTILITY EAS
THIS IS NOT A SURVEY oe'E DRAINAGE EASEMENT EMENT
THIS IS A PLOT PLAN ONLY UE UTIUTY EASEMENT
FLOOD NOTE: SURVEYOR NOTES:
I HAVE EXAMINED THE F.I.R.M. MAP NO.1210fCO293F. DATED 1. THE SURVEYOR HAS NOT ABSTRACTED THE
09/2612014.AND FOUND THE SUBJECT PROPERTY APPEARS TO UE IN LAND SHOWN HEREON FOR EASEMENTS, RIGHT
ZONE Alf.DENOTES AREAS DETERMINED TO BE SPECIAL FLOOD HAZARD OF WAY, RESTRICTIONS OF RECORD WHICH
AREAS SUBJECT TO INUNDATION BY THE 1%ANNUAL CHANCE FLOOD MAY AFFECT THE TITLE OR USE OF THE LAND.
EVENT,BASE FLOOD ELEVATIONS DETERMINED TO BE 55.1.THE SURVEYOR
MAKES NO GUARANTEES AS TO THE ABOVE INFORMATION.PLEASE 2 NO UNDERGROUND IMPROVEMENTS HAVE BEEN
CONTACT THE LOCAL F.EM.A AGENT FOR VERIFICATION. .CA710N. LOCATED EXCEPT AS SHOWN.
BEARING-BASIS: A5["
BEARINGS SHOWN HEREON ARE BASED ON THE CENTERUNE OF BROAD 3. NOT VALID WITHOUT THE AUTHENTIC
POINTE DRIVE BEING SO03V5YW.PER PLAT BOOK ad.PAGE 27. ELECTRONIC SIGNATURE AND THE AUTHENTIC
ELECTRONIC REVISED: AMERICAN SURVEYING SURVEYOR ANDAMAPPA�FLORIDA LICENSED
(FIELD DATE:) ,
& MAPPING INC. ;;w,y,�a.p Digic=US igned hylamesWBol,
SCALE: 1" 30 FEET N"tlg5� -AMERICAN 51UfldVEYINGfl&MAPPING,
• 1 "aueu
APPROVED Br JET ' ' • INC.N=lames W Boleman,
' • •i n a email=jboleman@asmcorporate.com
200831 LOT 14.BLOCK . . rs°m Date:2020.09.03 16:45:46-04'00' FOR
JOB NO. 15 3191 Maguire Bfvd,Suite 200.Orlando,FL 32803 dq °s' Adobe Acrobat version:11.0.23 FlR1
DRAWN BY: DSB 407-426-7979 PSM JAMES W. BOLEMAN 6485 DATE
PLOT PLAN 09-02-20 JCM ameiicansurve in andma in .cem #