HomeMy WebLinkAbout20-1197 v
FF Ifni 0,10H City Of ZephyrhiliS PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BNR-001197-2020
Phone: (813)780-0020 Issue Date: 01/28/2021
Fax: (813)780-0021
•
Permit Type: Building New (Residential)
Property Number Street Address
35 25 21 0140 00800 0170 7918 Broad Pointe Drive
Owner Information Permit Information Contractor Information
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:$107,000.00
TAMPA,FL 33637 Electrical Valuation:$6,800.00
Phone: (813)549-1968 Mechanical Valuation:$4,800.00
Plumbing Valuation:$7,200.00
Total Valuation:$125,800.00 W17
Total Fees:$18,384.25 ref
Amount Paid:$18,384.25
Date Paid:1/28/2021 2:01:42PM
Project Description
CONSTRUCT SINGLE FAMILY 1,672 SID FT-ZEPHYR LAKES
Application Fees
Water Connection Residential Fee $1,010.00 School Impact Fee $8,328.00
Building Permit Fee $565.00 Electrical Permit Fee $74.00
Public Safety Impact Fee-Admin $26.35 Public Safety Impact Fee-Police $254.00
Plumbing Permit Fee $76.00 Plumbing Plan Review Fee $38.00
SIF 1 percent Fee $83.28 Electrical Plan Review Fee $37.00
3/4 Water Meter Fee(Cale) $473.78 Address Fee $30.00
Mechanical Permit Fee $64.00 Building Plan Review Fee $282.50
Driveway Fee $45.00 Sewer Connection Residential Fee $2,090.00
Transportation Impact Fee-City $36.32 Mechanical Plan Review Fee $32.00
Transportation Impact Fee $3,595.68 Irrigation 3/4 Meter(Cale) $473.78
Park Impact Fee-Single Family/Townhome $769.56
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
CITY OF " " BUILDING
ZEPHYRHILLSNOTICE DEPARTMENT
OF ADDITION OR CORRECTION
D • NOT REMOVE
ADDRESS DATE f PERMIT#
&04A/ d ?el
//
THIS JOB HAS NOT BEEN COMPLETED. The following additions or Corr ctions shall be made 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 FOR RE-INSPECTION
the installation.
OFFICE HOURS 8:00 AM-4:30 PM MON.-FRI. INSPECTOR
INVOIGE1111
FOR OF
BILLING CONTACT
i
DAVID GLIDE
D R HORTON INC
12602 TELECOM DR
TAMPA, FL 33637
INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION
INV-00002532 01/26/2021 01/26/2021 Due NONE
REFERENCE NUMBER FEE NAME TOTAL
BNR-001197-2020 3/4 Water Meter Fee(Calc) $473.78
Address Fee $30.00
Building Permit Fee $565.00
Building Plan Review Fee $282.50
Driveway Fee $45.00
Electrical Permit Fee $74.00
Electrical Plan Review Fee $37.00
Irrigation 3/4 Meter(Calc) $473.78
Mechanical Permit Fee $64.00
Mechanical Plan Review Fee $32.00
Park Impact Fee-Single Family/Townhome $769.56
Plumbing Permit Fee $76.00
Plumbing Plan Review Fee $38.00
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
7918 Broad Pointe Drive Zephyrhills, FLORIDA 33541 SUB TOTAL $18,384.25
REMITTANCE INFORMATION TOTAL $18,384.25
City of Zephyrhills
5335 8th Street
Zephyrhills, FL 33542
January 26,2021 �� � J ������ 5335 8th Street,Zephyrhills,FL 33542 Page 1 of 1
� PASCO COUNTY, FLORIDA
_ Permit No.
p { Date Permitted /2-2- 2a2b
-Builder Name/Owner Name b i� 4T(�1 Control t "
County Parcel No. -?�,� 2 5 ?—r 40 9�O 0(76SubDIV: Iq
AddresslLocation !X
i
ClassificatiorvType of UsQ gMa le-
TRANSPORTATION IMPACT FEE) Rate: Sq.Ft Unit:
Exempt ❑Yes [] No How Determined
r.
Impact Fee Amount k32. A Zone No. TAZ:
z
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House Amount $ mil/, 2
(0157) Mobile Home
( (056) Other Residential
123), Collection Fee
Exempt [�]Yes. O Nb How Determined
PARKS AND RECREATION FEE-
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone TOTAL AMOUNT $
Exempt ❑Yes ❑No How Determined`
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Faculty Credit Facility Total
Exempt ❑Yes [] No How Determined Total Amount .,
RESOURCE FEE ERU
TOTAL AMOUNT
Prepared By Checked By
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE.
BEEN PAID AND
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY
Acknowledgement below does not Imply acceptance of concurrence,but simply receipt of•a copy of We form,placing ~
the building penult owner-on notice of We assessment and the conditions of payment for some.
DATE RECEIVED BY
RECEIPT NO. DATE BY
Y
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.
3. 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 the sidewalk shall have
expansion material.
6. All setbacks shall be met.
1. All piroperfy 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)..
.
11. Appliances shall not be installed in a location where'subiect to mechanical damage unless
protected by'approved barriers. M303;4 of the F.B.0
12. Waterheaters 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 f nislied 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 requirement s 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 not be used as a backer in showers or tubs. R702.4.2 F.B.C. .
10. 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.
22. All 2016 N.E.C. Codes will be enforced.
23 Tamper- Resistant Receptacles in accordance with 406.11 ofthe-,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 thermal resistance (R-value) of R-3 shall be applied to the
following: .
Piping.l.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 provided before C.O:
26. A copy of the-enemy.cacls'shall be with permit at all times
27. Copu of finatihsukdowreoort shall be provided with permit before fnab
28. No fence,pool or screen enclosure. is-issued Vith this permit±
F.F.E.-Finished Floor Elevation
RB.C-.Florida Building Code 6t'Edition
R.O.W.-Right of Way
A.D.A.-Americans with Disabilities Act N.E.C.-National Electric Code(2016)
PLOT PLAN
DESCRIPTION:(AS FURNISHED)
LOT 17, BLOCK 8, ZEPHYR LAKES SUBDIVISION PHASES 1A, 2A, 2B, AND 4A
AS RECORDED IN PLAT BOOK 80, PAGE(S) 37-48, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
Pc I LOT 16 �
I BLOCK 8
10�� ego
S89'25 08.,E 114.06'
iz
O I PROPOSED �r Q w GRAPHIC SCALE
o I iC !ri c 0.7' 470'% 4EAB IA c -$ .` n o041 m cW 0 15 30
FINISHED FLOOR 8.0' C7a611 .28.3' . COVERED ELEVA110N�B9.90' m F- I th y
F- N y`f: �:•.. ENTRY e� 0 Jlc z Q ()
Q w -- I OL
5'D&AE
m o W
In 2 LOo-rleensa6�w N89'25'08"W 114.14' e N
m N I ��
I O
I~ I LOT 18
BLOCK 8
PI1
ON LOT CALCULATIONS
LOT = 5,705 SQ. FT.
LIVING AREA = 1,672 SQ. FT.
GARAGE = 432 SQ. FT.
ENTRY = 38 SQ• FT.
LANAI = 96 SO. Fr.
PATIO = 0 SO. FT.
DRIVEWAY = 432 SQ. FT.
A/C PAD = 12 SQ. FT.
WALKWAY " = 28 SO. FT.
PREPARED FOR: IMPERVIOUS = 48%
= 2710 SO. FT.
lI.R.NOKRIN* OFF = 2,995 SQ. Fr.
`` OFF LOT CALCULATIONS
RIGHT OF WAY = 650 SO. FT.
DRIVE APRON = 152 SQ. FT.
BUILDING SETBACKS PUBLIC S/W = 250 SO. FT.
SOD = 248 SO. FT.
FRONT: 22' TOTALS
GARAGE: 27' AREA = 6.355 SQ. FT.
REAR: 13' DRIVEWAY = 584 SQ. Fr.
SIDE: 5' SIDEWALK = 278 SO. FT.
SIDE STREET: 15' SOD = 3,243 SO. FT.
NOTES:
1. PROPOSED ELEVATIONS SHOWN HEREON ARE
BASED ON THE APPROVED ENGINEERING PLANS
PREPARED BY HAMILTON ENGINEERING k SURVEYING INC LEGEND:
..
2. ELEVATIONS ARE BASED ON NAVD 1988 —•—•— BUILDING SETBACK LINE PI POINT OF INTERSECTION
DATUM. PC POINT OF CURVATURE
3. FOR ALL LOTS WHERE SIDE-YARD —-— CENTERUNE PT POINT OF TANGENCY
SETBACKS ARE LESS THAN 7.50 FEET, A —--— RIGHT OF WAY LINE RP RADIUS POINT
PRO POINT OF REVERSE CURVATURE
MINIMUM 5.00 FOOT WIDE DRAINAGE AND PROPOSED ELEVATION PCP PERMANENT CONTROL POINT
ACCESS EASEMENT IS REQUIRED PER PASCO TYP TYPICAL
COUNTY LAND DEVELOPMENT CODE. PROPOSED DRAINAGE FLOW CS CONCRETE SLAB
(P) PER PLAT
THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES ` CONCRETE (C) CALCULATED
ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF A/C AIR CONDITIONER PB PLAT BOOK
THE PROPOSED STRUCTURE. THE CONTRACTOR AND/OR S/W SIDEWALK SO FT• gq(U�FEET
OWNER ARE REQUIRED TO VERIFY ALL SETBACKS, BUILDING (A) PER AFFIDAVIT F.EM.A. FEDERAL EMERGENCY MANAGEMENT AGENCY
DIMENSIONS, AND LAYOUT SHOWN HEREON PRIOR TO ANY F.I.R.M: FLOOD INSURANCE RATE MAP
CONSTRUCTION. NAVD .NORTH AMERICAN VERTICAL DATUM
DA:AE DRAINAGE At ACCESS EASEMENT(PUBLIC)
THIS IS NOT A SURVEY DE DRAINAGE EASEMENT(PUBLIC)
uE UTILITY EASEMENT(PUBLIC)
THIS IS A PLOT PLAN ONLY WLE WALL do LANDSCAPE EASENT(PRIVATE)
FLOOD NOTE: SURVEYOR NOTES:
I HAVE EXAMINED THE F.I.R.M.MAP No.1210100293F, 1. THE SURVEYOR HAS NOT ABSTRACTED THE
DATED 09/26/2014,AND FOUND THE SUBJECT PROPERTY APPEARS To LAND SHOWN HEREON FOR EASEMENTS, RIGHT
UE IN ZONE x' AREAS DETERMINED TO BE OUTSIDE THE 0.2E ANNUAL OF WAY, RESTRICTIONS OF RECORD WHICH
05--4-2020.7HPE SURVEYORR MAKES No GUAAwo-w�i DATED H ABOVE MAY AFFECT THE TITLE OR USE OF THE LAND.
INFORMATION.PLEASE CONTACT THE LOCAL REM.A.AGENT FOR
VERIFICATION. 2. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
LOCATED EXCEPT AS SHOWN.
BEARING BASIS:
BEARINGS SHOWN HEREON ARE BASED ON THE CENTERUNE OF BROAD A5hA 3. NOT VALID WITHOUT THE AUTHENTIC
POINTE DRIVE BEING NOO'34'52'E,PER PLAT. ELECTRONIC SIGNATURE AND THE AUTHENTIC
A M E FR 1 CA N ELECTRONIC SEAL OF A FLORIDA LICENSED
REVISED SURVEYOR AND MAPPER.
(FIELD DATE:) SURVEY 1 N G Digit ally signed by James W Boleman
1'— 30 FEET eO
SCALE: Q� �,'+o• A'•'•;, DN:c=US,st=Florida,l=Orlando,
Sc M A P P I N G INC. s o=AMER]CAN SURVEYING&MAPPING,
•�`LS2fAf
APPROVED BY: `9 INC,
cn=James W Boleman,
. .---1--
CERTIFICATION OF AUIHOR17ATION NUMBER LB#6393 %1 tiN�. emaiy-boleman@asmcorporate.comFOR
3191 MAGUIRE BOULEVARD, SUITE 200 # Date:2020.10.191033U2-04'00' THE
JOB NO. 190901 LOT 17. BLOCK 8 ORLANDO. FLORIDA 32803 � ;- Adobe Acrobat version:11.023 FIRM
DRAWN BY: DSB
(407) 426-7979 DATE
PLOT PLAN 10 15 2020 JG WWW.AMERICANSURVEYINGANDMAPPING.COM JAMES W. BOLEMAN PSM# 6485
city of Zephyrhi'lls Pemit Application Fax 813-780-0021
Building Department
Date Received F- Phone Contact for Permitting JA-SbeaL�),6 ttxm dr-�,,Or+m-C-0
.1 1 1 1 a 1 1 1 1 1 A I I
Owners Name j�y-6-A n c- Owner Phone Number
Owner's Address lMccc)t—T-kAmm 1! ' M001fi-3S 7'Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS XL hifls ft-:33"1 LOT#
j 1
SUBDIVISION Da ivki��,4AR El.ID# LS- 7-1 6)Tb W2C)C� 6 1 2�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH
INSTALL 8 REPAIR
PROPOSED USE SFR Q COMM OTHER
TYPE OF CONSTRUCTION E:2— BLOCK 0 FRAME STEEL
DESCRIPTION OF WORK
NJ
BUILDING SIZE F- SQFOOTAGE[��P LZZtf4 HEIGHT
. . . . . . . . . .
=BUILDING VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C.
[PLUMBING
=MECHANI*CAL ' 1 VALUATION OF MECHANICAL INSTALLATION 1 H. 0"6 c)
GAS F71 ROOFING 0 SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
o7l'
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
- - - - - - - - - - - - - -
BUILDER COMPANY 02L*n f nc
SIGNATURE REGISTERED FEE CURREN
Address
License C42 2
ELECTRICIAN COMPANY (--drc-4-4e - I
SIGNATURE REGISTERED W 'I' FEE CURREN I Y/N I
Address Ax 2kl&y SO4A3 License# I�C,D o 6
PLUMBER % COMPANY J)D t:: RJUMtIC�$
SIGNATURE REGISTERED Y/ N I 'FEETCURREN L.]2N_J
Address r�-,t /Om im� a License#F—cFn4z:?- )3T
MECHANICAL COMPANY 0�� '\P,
SIGNATURE REGISTERED V/'N FEE CURREN\JY L N Address 75710 L I -3?qUUu-3 License# Z� US 33
OTHER COMPANY Irtla !H C 16folcl (�6(s�-Qs
SIGNATURE REGISTERED F FEE CURREN I Y/N —1
Address 1--+18 kkt� PA+&AW License# I co'
111011 11 -1141 111 [ 1 ] 111111 111 111 111 111 111111
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 wl Slit Fence installed,
Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy F6iis.R-0-W"Perm' 'It for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/qIlt Pence Installed,
Sanitary Facilities&I 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.
. . . . . . . . . . . . . . . . . . . . . . . . . . . ■ ■ ■ ■ . . . . . . I . . . . . .
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 Attomey(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 OFDEED 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: |f the owner has hired a contractor or
contractors
*to undertake vvork. they rnaybe required tVbe licensed io accordance vvithstate and local regulations, If the
contractor.\� not licensed as.required by |aw, both the owner and contractor may be cited for a misdemeanor violation
understate law. If the owner or intended contractor are uncertain as to whef |ioena|Dg requiramentm 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 controotorG, he is advised to have the contractor(s) sign
portions of the "contractor B\ocK' 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 prop erly,l icens ed and is not entitled to permitting privileges in Pasco
County. '
TRANSPORTATION lKOPACUD77|JT\EG 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\d}ngs, or expansion of existing buildings, as specified in Pasco County Ordinance number 80-07 and
00-07. as amended. The undersigned also undenotonde, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Foes and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. |f the project doesnotirwolveocerbficoteofoccupancyor
final povver release, the fees must be pa|d'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 UENLAVV (Chapter 713, Florida Statutes, as amended): If valuation of work|s $2'5OO.O0ormore, \
certify that |, 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 itto the"owner"prior tocommencement.
CONTRACTOR'S/OWNERIS AFFIDAVIT: | 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. | certify that no work or installation has
cunonOanoed prior to issuance of permit and that all work will be performed to meet standards of all \avvm 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 go vernment 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 Bayhaods, VYnd|and Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water K8enogennant Distriot4NeUa, Cypress Bayheads, VYeUand Areas, Altering
Watercourses. '
- Army Corps ofEng(nnena-8eovvaUn, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Servioea/Envinonmental Health Unit4We||o, Wastewater Treatment,
Septic Tanks.
- U8 Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authodb+RuDvvnyG.
| understand that the following restrictions apply ha the use Offill: '
- Use of fill \a not allowed |n Flood Zone W' unless expressly permitted.
- If the fill O0ataha\ is to be used in Flood Zone "A', it is understood that a drainage plan addressing a
"co0penaatiOg volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State[fFlorida.
- If the fill material is to be used in Flood Zone "Y' in connection with u permitted building using stem vva||
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 ofh*ot adjacent
properties. if use of fill is found to adversely affect adjacent propadiea, the owner may be cited for violating
the conditions ofthebu||diOg permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, on engineered drainage plan |erequired.
\f ) 8Cothe 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, | understand that separate permit may be required for electrical vvorh,
plumbing, oigns, vveUs, poo|a, air conditioning, gas, or other installations not specifically included in the application. A
permit issued ahoU be construed to be a license to proceed,wiUh the work and not as authority to vio|ote, oonoa|, e|[er, or
set aside any provisions of the tachnica|bodes' no[ shall issuance ofepernnit prevent the Building Official frorD thereafter
requ|hngacornao�onof errors in plans, uonotnuoUonor violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within-six nnmOthu of permit iaauenoa, 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 rmqueotad, in writing, from the Building Official for o period not to exceed ninety /SO\ 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 NOT|�E OF COMMENCEMENT MAY RESULT IN YOUR
- CONSULT _
W&H Y61.ilk LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
OWNER umAGENT Cum/x*C/v
Subscribed and sworn to(or aff' ped)bQf re, me this Subscribed and sworn to(or affirmed)before me this
Who is/are personally known to me or has/have produced Who is/are personally kno%hn to me or has/have produced
as identification, as identificabon.
otary Public Notarypublio
Commission No. Commission No.
813-780.0020 City of Zephyrhills Permit Application Fax-813-780-00;
Building Department
i Date fZec®ived Phone Contact for Permittin
Ownees.Name Owner Phone Number
Owner's Address Owner Phone Number
�^ Owner Phone Number.
JOB ADDRESS' LOT#
SUBDIVISION � � � � � .PARCEL ID#
(0BTAINEV4:R0MYRR0PE5TI'TAXZ.tl[CE)•:
•WO.RK-PROPOSED NEW C0NSTR ADD/ALT [� SIGN [� ''DEMOLISH'
e INSTALL 8 REPAIR
PROPOSED USE. Q SFR COMM OTHER
TYPE OF CONSTRUCTION Q BLOOK FRAME [_� STEEL =
-DESCRIPTION OF.WORK
BUILDING SIZE SIiFOOTAGE== ''HEIGHT ,
=BUILDING $ VALUATION OF•TOTAL CONSTRUCTION'
' =I' L'ECTRICAL •$ AMP'SERViCE Q DUKE ENERGY' 0 W.R.E.C.
=PLUMBING $` --��-�—� • '
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING SPECIA!_TY [� OTHER
FINISHED FLOOR ELEVATIONS r •%FLQW.ZONE•AREA AYES . NO
•�.o i Y
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y•/'N
Address License#
ELECTRICIAN. COMPANY
SIGNATURE REGISTERED 'Y l'!N 1*1 FEE CURREN
Address . 'License#
PLUMBER COMPANY Lo r-�
SIGNATURE •REGISTERED' Y7:N' FEE-CURREN
Address License.#
MECHANICAL ..;' COMPANY �.
SIGNATURE` REGISTERED Y/ N FEE CURREN Y!'N• '
Address License,#..- • ._._.
OTHER COMPANY
SIGNATURE REQ10TER>:D Y'/.•ia,:,•: ,,. FEE CU(RR�EN�•
-Address Licensery# (... i
r• •r .;' 'h
RESIDENTIAL Attach{2}=Piot':Pians;,(2)`setsaf'iuiidir�g:P.lar�s.;,.1�'.set.ofErieCgordns;'R-O=Vii'Renriikfor
new=construction,,,
=Miiaimum:ten:(�t0)viiorking`.days afkekrstibm�fttaltilste 'Rei uiretl ons1te;'1bdnst,6tG, Plia, .'S�orm4afer Plans-_' Silt Fence installed,
San)tary:FAcilities 8r 1adumpsteri•.,Sife Wdck:Permit�for'sUbd!visions/large�prdjects
COMMERCIAL Attach(2)complete,sets-of.;Building'Plans,plus•arLlf�.$;pf,ery'pige;(1:j.set'aftEnergyForms-R-0=W Perr it for.•new construction.
Minimum ten(1t 1, 'eking,cays;a�ftensubmlttaI atQ..F(equ;r.,ed,?pnslte;Construction,Pianst=Stormwater.Plans.'•w/Slit'Fence••installed,
Sanitary Fa61166s&1 dunipster,S!!:`6' r' Perintf for ail•new projects.Aq•commeroial.requirements must meet compliance
SIGN PERMIT Attach(2)sets.af)=ngineered,Plans:
****PROPERTY S,�'F2VEY•'regUlf&for all'NEW construction.-
-..�:<.
Directions:
Fill out application completely.
Owner,&:Contractor sign.back of,,a�pplication,notarized
If over$25tli),a Notice of:Comm®ncement is requ'sred. (A/C upgrades over$7500)
** Agent(for the contractor,)or.Power.of•Attorney;(for the owner}.would be someon&with notarized-letter from-owner authorizing same
OVER'THE COUNTERM151IMITfING (capy;of-contract•required)
Reroofs if sfiingies Sewers Service Upgrades-A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
- a
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 arty
applicable deed restrictions.
UNLICENSED CONTRACTORS AND- CONTRACTOR RESPONSIBIL':ITIES.• 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
understate 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 coritractor(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 IMPACTlUTILITIES 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 Tiransp'ortation.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:permitissuance in accordancewith applicable.Pasco County ordinances.
CONSTRUCTION.LIEN LAW(Chapter 71.3,-Florida Statutes, as amended): If valuation of work is$2,.5.00.00 or more; I
certify that 1, the applicant, have keen provided with a-copy of the "Florid'a•Construction-Lien Law—Homeowner's
Protection Guide prepared by the Florida Department of Agriculture-and.Consumer.Affairs. If-the. 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/OWNiER'S'AFF.[DAVIT: I.certify that.ell the information in this.application-is accurate and that all.-work
will be done in compliance with all applicable laws regulating'construction,"zoning and1and, development.: Application is
hereby made to obtain a permit to,do work-arid installation as indicated: I certify that no work or.installation has
commenced prior to issuance of afpermit and that all work will be.performed to meet standards of all laws regulating
construction, County and 'City-codes', zoning-regulations, and'landdevelopment 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 &•'-Reha'bilitative Services/Environmental Health Unit=Wells, Wastewater Treatment,
Septic Tanks.
- US.Environmental!Protectian�Agency-Asbestos•abatement.
Federal Aviation Authority Runways.
I understand•that'the following restrictions_applyto•the•use of fill:
- Use of fill.is not-allowed in Flood Zone W"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 voluriie"'will be submitted at time of.permitting:which -is prepared by a professional engineer
licensed by the.State of Florida. 1
- If the fill material is to be u:sed.;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 yin
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;•.after, 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 FORJMPROVEME'NTS TO-YOUR-PROPERTY..IF'YW.lNT.END"r0'OB'TAIN FINANCING, CONSULT
WITH YOUk LEN.D.ER.OR AN ATTORNEY"BEFORE RECORDING..YQUR�NO LCE.OF COIVt.MENC>=M.ENT- - - —
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 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
. PASCO COUNTY Receipt Date: 06/24/2021
PASCBUILDING CONSTRUCTION SERVICES Receipt Number: 2053218
8731 Citizens Drive
COUNTY FLORIDA Suite 230
OPEN SPACES.VIBRANT PLACES. New Port Richey,FL 34654
727-847-8126
** NOT A PERMIT **
Paid By Check# CC Auth# Cashier ID Workstation
Check 1316291 RRICHTER BCCCP53L
Fee Description Amount Paid
Impact Fee Residential Solid Waste Single Family 35.26
lTotal Payments: $35.26
Pavor Address Phone
DR Horton
Comments:
City of Zephryhills-Solid Waste
7918 Broad Pointe Dr
35 25 210140 00800 0170
I
While you will be paying your bill with Pasco county Building Construction Services,the full amount of the credit card or a-check fees,NOT shown above,is collected by First
I
Billing payment services.
+i
I
I
I�
i
1
E
i
myreportslreports//production/PASCO/CustomerReceipt vlffpt Print Date: 06/24/2021 Page 1 of 1 !�
i
f
I