HomeMy WebLinkAbout20-1099 City of Zephyrhilis IIIIIIIIIIIISERRMUNNNIV19E
4
5335 Eighth Street
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Zephyrhills, FL 33542 BNR-001099-2020
Phone: (813)780-0020 Fax: (813) 780-0021 Issue Date: 12/22/2020
Permit Type: Building New (ResidentialProperty Number Street Address
2820 Lytton Hall Drive
0
Nil 0 0 0 0.%-n-e-0 I wnf or mat t.1 =1111111106, 5itilfff5rimatioRn Contractor Information
Name: LENNAR HOMES LLC Permit Type:Building New(Residential) Contractor: LENNAR HOMES LLC
Class of Work:SFR Construct
Address: 4600 W Cypress St 200 Building Valuation:$225,863.25
TAMPA,FL 33607 Electrical Valuation:$33,879.49
Phone: (813)574-5700 Mechanical Valuation:$15,810.43
Plumbing Valuation:$22,586.33
Total Valuation:$298,139.50
Total Fees:$19,203.01
Amount Paid:$19,203.01
Date Paid:12/22/2020 8:35:31AM
Project Description
CONSTRUCT SINGLE FAMILY 2,005 SQ FT-HIDDEN RIVER
Application Fees
Transportation Impact Fee $3,595.68 Driveway Fee $45.00
School Impact Fee $8,328.00 Park Impact Fee-Single Familyfrownhome $769.56
Mechanical Permit Fee $119.05 3/4 Water Meter Fee(Calc) $473.78
Mechanical Plan Review Fee $59.52 Building Permit Fee $1,159.32
Electrical Plan Review Fee $104.70 Public Safety Impact Fee-Police $254.00
Address Fee $30.00 Sewer Connection Residential Fee $2,090.00
Transportation Impact Fee-City $36.32 Water Connection Residential Fee $1,010.00
SIF I percent Fee $83.28 Plumbing Plan Review Fee $76.46
Plumbing Permit Fee $152.93 Public Safety Impact Fee-Admin $26.35
Electrical Permit Fee $209.40 Building Plan Review Fee $579.66
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.
h_a7 a 16)W*V-*r.
RE PE f IT OFFICEf)
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
INVOICE1111 1
FOR OF •
BILLING CONTACT '
STEVE SMITH
LENNAR HOMES LLC
4600 W CYPRESS ST
TAMPA, FL 33607
INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION
INV-00002038 12/08/2020 12/08/2020 Due NONE
REFERENCE NUMBER FEE NAME TOTAL
BNR-001099-2020 3/4 Water Meter Fee(Calc) $473.78
Address Fee $30.00
Building Permit Fee $1,159.32
Building Plan Review Fee $579.66
Driveway Fee $45.00
Electrical Permit Fee $209.40
Electrical Plan Review Fee $104.70
Mechanical Permit Fee $119.05
Mechanical Plan Review Fee $59.52
Park Impact Fee-Single Family/Townhome $769.56
Plumbing Permit Fee $152.93
Plumbing Plan Review Fee $76.46
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
2820 Lytton Hall Drive Zephyrhills, FLORIDA 33540 SUB TOTAL $19,203.01
REMITTANCE INFORMATION TOTAL $19,203.01
City of Zephyrhills
5335 8th Street
Zephyrhills, FL 33542
December 08,2020 5335 8th Street,Zephyrhills,FL 33542 Page 1 of 1
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received I Phone Contact for Permitting 813 363 __ 2891
rrrrn-rr - - -- -- rn-I� --
Owner's Name Lennar Homes,LLC Owner Phone Number 813.574.5700
Owner's Address 1
4600 W.Cypress St.Ste.200,Tampa,FL 33607 Owner Phone Number
Fee Simple Titleholder Name I N/A Owner Phone Number
Fee Simple Titleholder Address N/A
JOB ADDRESS 2820 Lytton Hall Drive LOT# 0173
SUBDIVISION Hidden River Phase 2 PARCEL ID# 25-26-21-0110-00000-1730
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED II*/ II NEW CONSTR e ADD/ALT = SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM = OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK Single Family Residence/Pool/Screen Enclosure/Fence
BUILDING SIZE U/R SF 2005 SQ FOOTAGE 1555 HEIGHT 1 Story
1"ITI"'1"rIT TI"ITITrI"'ITlTITr
��✓ BUILDING $ $225,863.25 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ $33,879.49 ® PROGRESSENERGY = W.R.E.C.
AMP SERVICE
PLUMBING $ $22,586.33
MECHANICAL $ $15,810.43 VALUATION OF MECHANICAL INSTALLATION
=GAS W1 ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS F D ZONE AREA =YES �JO
11/6 �'-'�--0-- 4- uu��FI--F•F�I�f�f�l-�1�1��1--��1�
BUILDER COMPANY I
Lennar Homes,LLC
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address 4600 W.Cypress St.Ste.200,Tampa,FL 1)667 License# I CGC1518166
ELECTRICIAN Z-1 COMPANY =Edmonson Electric, Inc.
SIGNATURE REGISTERED Y/ N FEE CURREN
Address 1034 Skipper Road,Tampa, FL 33613 License# EC13005408
PLUMBER COMPANY Bayonet Plumbing, Heating &AC, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address P.O. Box 5308, Bayonet, FL 3467 5308 License# I CFC042998
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE n REGISTERED Y/ N FEE CURREN Y/N
Address P.O. Box 5308, Bayonet, FL 34674-5 A08 License# I CAC058062
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N
Address 4211 Shoal Line Blvd, Spring il, FL 34607 License# 1 CCC057991
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
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 permit may be subject to"deed" restrictions"
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 owner 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 Division—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 to 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, that such fees, as may be 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 project 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 permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I
certify that I, 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 I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation 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 codes, 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 it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agqncy-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which 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 the work 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(90)consecutive days, the job is considered abandoned.
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 T BTAIN FINANCING, CONSULT
WITH YOUR LENDER O A TTORNEY BEFORE RECORDING YOUR NOTIC MMENCEMENT.
FLORIDA JURAT(F.S. 117.0
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or a e me this Subscribed and sworn to(or a i efore me this
LO-lJ(:L-GU by Ashlee Callahan zs-opt-zo by Ashlee Call n
Who is/are personally known to me or hasihave predUGe4 Who is/are personally known to me or
as identification. as identification.
Notary Public Notary Public
Commission No. HH 000460 Commission No. HH 000460
Elissa M.Holleran Elissa M.Holleran
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
,qI ELISSAM,HOLLERAN +� ELISSAM,HOLLERAN
k: ,
Commission#HH 000480 .r ,.Commission#HH 000460
Expires June 0,2024 �o=Expires June 0,2024
„OP. Bonded 11uu Trey Fein Insurance 600.385-7010 4,,cg Bonded Tin Troy Fain Insurance 000.H5.7019
t
D
'Q
W , �
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 to comply with R401:3 of the F.B.C.
I Compaction test required if 24"or more of fill dirt is brought in at any one place.
4: Tie in survey required before pouring concrete:
5. Driveways require a R.O.W.use permit: All 4 sides of driveway thru Ilie sidewalk shall have
expansion material.
6. All setbacks shall be met.
7. All property markers shall be uncovered.and marked at time 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. (Fire-Separation).:
1.1. Appliances_shall not be installed in a location.where subject.to mechanical damage unless
protected by approved barriers. M303.4 of the F:B:C
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. M1308A.
14. Return air in all bedrooms: F.B.C. M1620.4
1.5. Smoke detectors are t go'be installed in accordance with R313.1 of the F.B.C.
..
16. All fazing requirements are to be in accordance with R308A of the F.B:C:
17. All means of egress are to be in accordance with R311 of the F.B.C.'
18. "Green gypsum board"shall riot be used as a backer in showers or tubs. R702.4:2 R&C
19. Combination-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.
21 All 2016 N.E.C. Codes will be enforced:
23, Tamper-Resistant Receptacles in accordance with 406A I of the 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.. R403.5.31HIot water pipe insulation
Insulation for hot orate_ r pipe with a minimum thermal resistance (R-..value) of R-3 shall be applied to the
following:
Piping-1.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.Slower door test shall be provided before C.O.
26.A copy of the enemy.cacls shall be with krniit at all times
27. Copy of final insulation report shall be provided with permit before final
28. No fence,pool or screeg-enclosure Is issued wit IMS 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)
PASCO COUNTY, FLORIDA
Permit No.
t Date Permitted
'Builder Name/OwnecName e s k4C— Control#' "
County Parcel No. 7,5 ?.6. -WOO
1 ./� SubDiv:Address/Location
Classificadon/Type of Us@
TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 24! C ,
Exempt ❑1(es. 0 No How Determined
Impact Fee Amount $, 31 3a, Zone No. TAZ:
SCHOOL IMPACT FEE'
Account (056) Singie-Family Rotached House Amount $ Z
(057) Mobile;Home '
(058) Other-Residential
123) Collection Fee
Exempt a Yes. Q No How Determined
PARKS'ANDRECREATiON FEE.
Larid,Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone _ TOTAL AMOUNT $.7 k�: Z
Exempt Yes. 0'No How Determined
LIBRARY.FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt ❑Yes (]:No How Determined Total Amount
.RESOURCE,FEE ERU
TOTAL AMOUNT
Prepared By F Checked By
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUE.la„OR:FINAL,INSPECTION
PERFORMED UNTILTHETOTAL./tMOt�NTSLISTED HAVE
BEl*N:PAID,;AND
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE•OF'PASCO COUNTY
Acki(owledgement below does not Imply acceptance of concurrence;but simply.rocelpt of•a�copy of this form;placing
the bulldinp permit owner•on notice of this'asseseinent end the:ooridwon's of payment for same.
DATE RECEIVED BY
RECEIPT NO. DATE BY
Q
jstill, City of Zephyrhills PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-001717-2021
Phone: (813)780-0020
Fax: (813)780-0021
Issue Date: 03/18/2021
Permit Type: Building General (Residential)
Property Number Street Address
26 26 21 0110 00000 1730 2820 Lytton Hall Drive
Owner Information Permit Information Contractor Information
Name: LENNAR HOMES LLC Permit Type:Building General(Residential) Contractor: HENDERSON IRRIGATION
Class of Work:Irrigation INC
Address: 4600 W Cypress St 200 Building Valuation:
TAMPA,FL 33607 Electrical Valuation:
Phone: (813)574-5700 Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$0.00
Total Fees:$648.78
Amount Paid:$648.78
Date Paid:3/18/2021 9:10:02AM
Project Description
INSTALLATION IRRIGATION METER
Application Fees
Irrigation 3/4 Meter $473.78 Irrigation Connect Fee $175.00
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.
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received l� M
-1-F-rrl-f-l-i- Phone Contact for Permitting 31
Owner's Name bcnnav mlw(�s Owner Phone Number
Owner's Address Owner Phone Number
Fee Simple Titleholder Name F Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT#
SUBDIVISION l k\ PARCEL ID# W- 01` D 1 1 " WOOD 1
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK YY T 1 AQ1I
BUILDING SIZE I I SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY
r0 W.R.E.C.
E)6PLUMBING Is
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO `
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y!N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY _�ndCVSW I G+
SIGNATURE REGISTERED Y/ N FEE CURREN N
Address I ?)� Ichem License# I U55-
MECHANICAL COMPANY
SIGNATURE F REGISTERED Y/ N FEE CURREN
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItIII
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
*'**PROPERTY SURVEY required for all NEW construction.
. . . . . . . . . . . .
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
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 permit may be subject to"deed" restrictions"
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 owner 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 Division—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 to 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, that such fees, as may be 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 project 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 permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I
certify that I, 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 I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation 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 codes, 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 it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone'V" unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which 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 the work 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(90) consecutive days, the job is considered abandoned.
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.
FLORIDA JURAT(F.S. 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 is/are personally 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