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Home My WebLink About20-1201 D ' Q F or+�r�rj City of Zephyrhills PERMIT NUMBER 5335 Eighth Street Zephyrhills, FL 33542 BNR-001201-2020 Phone: (813)780-0020 . Fax: (813)780-0021 Issue Date: 01/28/2021 Permit Type: Building New (Residential) Property Number Street Address 35 25 210140 00800 0210 7870 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:$104,000.00 TAMPA,FL 33637 Electrical Valuation:$6,800.00 Phone: (813)549-1968 Mechanical Valuation:$4,500.00 Plumbing Valuation:$7,000.00 Total Valuation:$122,300.00 Total Fees:$18,358.00358.00 Amount Paid:$18,358.00 Date Paid:1/28/2021 2:01:42PM Project Description . CONSTRUCT SINGLE FAMILY 1,478 SQ FT-ZEPHYR LAKES Application Fees Public Safety Impact Fee-Admin $26.35 Plumbing Plan Review Fee $37.50 Address Fee $30.00 Plumbing Permit Fee $75.00 Mechanical Permit Fee $62.50 Building Permit Fee $550.00 Driveway Fee $45.00 3/4 Water Meter Fee(Cale) $473.78 Public Safety Impact Fee-Police $254.00 Electrical Permit Fee $74.00 Sewer Connection Residential Fee $2,090.00 Transportation Impact Fee-City $36.32 SIF 1 percent Fee $83.28 Park Impact Fee-Single Family/Townhome $769.56 School Impact Fee $8,328.00 Water Connection Residential Fee $1,010.00 Building Plan Review Fee $275.00 Mechanical Plan Review Fee $31.25 Transportation Impact Fee $3,595.68 Irrigation 3/4 Meter(Cale) $473.78 Electrical Plan Review Fee $37.00 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. D alQ9L4,)&� CONTRACTOR SIGNATURE PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER INVOICE (INV-00002, 535) ,FOR CITY OFIZEPHYRRILLS BILLING CONTACT DAVID GLIDE 'S D R HORTON INC , 12602 TELECOM DR TAMPA, FL 33637 INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION INV-00002535 01/26/2021 01/26/2021 Due NONE REFERENCE NUMBER FEE NAME TOTAL BNR-001201-2020 3/4 Water Meter Fee(Calc) $473.78 Address Fee $30.00 Building Permit Fee $550.00 Building Plan Review Fee $275.00 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 $62.50 Mechanical Plan Review Fee $31.25 Park Impact Fee-Single Family/Townhome $769.56 Plumbing Permit Fee $75.00 Plumbing Plan Review Fee $37.50 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 7870 Broad Pointe Drive Zephyrhills, FLORIDA 33541 SUB TOTAL $18,358.00 REMITTANCE INFORMATION TOTAL $18,358.00 City of Zephyrhills 5335 8th Street Zephyrhills, FL 33542 January 26,2021 --_�-a-5335 8th Street,Zephyrhills,FL 33542 Page 1 of 1 D Q d �I L 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. .21 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. -7. All property markers shall be uncovered and-maiked at time.of first-inspection. 8: All A.D.A. requirerrients 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.0 12.Water heaters shall:comply with section P607.3 of the F:B.C. 13. Foundation supports for A/C units shall be raisedat 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 in accordance with R308.4 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 underp— ndpluinbing and electric. 21 All 2016 N E.C. Codes will be enforced. T 23. Tamper-Resistant Receptacles in accordance with 406.11 of the„2016 N.E:C 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 followin Piping.31; inch (1.9.1 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 enerjy cacis shall be with permit at all times 27. Copy of final.insulation report shall be provided with permit before rInal . 28 No fence,pool onscreen enclosure .is issued with this.permit' F.F.E.-Finished Floor Elevation F.B.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) c PASCO COUNTY, FLORIDA R F_ Permit No. Date Permitted - Builder Name/Owner Name _le 62�i Control W " County Parcel No.�c5_,?�21 &�6 Q L3r�d d SubDly: Address/Locatlon 78 7 Z Classification/Type,of UsQ Cq TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 4 WA — Exempt n Yes No How determined Impact Fee Amount ZAwk-L Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single-Family Detached House Amount $ d,,„ i (057) Mobile Home i (056) Other Residential 23) Collection Fee Exempt dYei..ONo How Determined PARKS AND RECREATION FEE- Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone TOTAL AMOUNT $ '17e Exempt Yes No How Determined 4 LIBRARY FEE Land Accounf Land Credit Land Total Facility Account Facility Credit Facility Total Exempt ❑Yes ❑ No How Determined Total Amou� RESOURCE FEE ERU TOTAL AMOUNT Prepared By Checked By NO CERTIFICATE OF OCCUPANCY WILL.BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOtINTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY AcI iowledgement below does not imply acceptance of concurrence,but simply recelpt of a copy of this form,placing the building permit owner.on notice of this assessment and the conditions of payment for same. DATE RECEIVED BY RECEIPT NO. DATE BY PLOT PLAN DESCRIPTION:(AS FURNISHED) LOT 21, 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. LOT 20 BLOCK 8 Pct Ez N6 IS89*25'08"E- 111 4.45K, tag V D&AE it+ P16 1 5.5!-- — --——————— z 0 1" 30' C Sc Ol E 0 b 7 COVERENTRY D OPOSED PR OD L0 aw-H 0 15 30 4 4EWB FREEPORT A C4 25. n 0 59 a 4,044 FINISHED FLOOR, M -89.40 ELEVATION c) 0 _j F4 0<,< ODLai z 50.owcr 04 L MW 50.6 - -----E W 3ZA ad - co cn 0 39.0', 0 a IN NC975-Or Lo 25.00' 1 N69*25'08"W 114.53't DD i:l IX10 +" I LOT 22 BLOCK 8 ON LOT CALCULATIONS LOT = 5,724 SQ. Fr. LIVING AREA = 1,498 SO. Fr. GARAGE — 385 SO. FT. ENTRY = 17 SO. FL LANAI = 0 SO. Fr. PATIO = 80 SO. Fr. DRIVEWAY = 408 SO. n A/C PAD = 12 so, FT. WALKWAY — 24 SO. FT. PREPARED FOR: IMPERVIOUS = 42% = 2424 SO. FL SOD — 3,300 SO. FT. OFF LOT CALCULATIONS RIGHT OF WAY = 637 SO. FT. DRIVE APRON = 152 SO. FT. BUILDING SETBACKS PUBLIC S/W = 250 SO. FT. FRONT: 20' SOD = 235 SO. FT. GARAGE. 25' TOTALS REAR: 15' AREA = 6,361 SO. FT. SIDE. 5' DRIVEWAY = 560 SO. Fr. SIDE STREET. 15' SIDEWALK — 274 SO. Fr. SOD = 3.535 SO. FT. NOTES: 1. PROPOSED ELEVATIONS SHOWN HEREON ARE BASED ON THE APPROVED ENGINEERING PLANS PREPARE BY HAMILTON ENGINEERING & SURVEYINGD LEGEND: 2. ELEVATIONS ARE BASED ON NAVD 1988 BUILDING SMACK 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 PRC 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 PER PLAT THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES CONCRETE CALCULATED ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF A/C AIR CONDITIONER PLAT BOOK THE PROPOSED STRUCTURE. THE CONTRACTOR AND/OR PGS PAGES OWNER ARE REQUIRED TO VERIFY ALL SETBACKS, BUILDING S/w SIDEWALK SO.Fr. SQUARE FEET (A) PER AFFIDAVIT F.E.M.A. FEDERAL EMERGENCY MANAGEMENT AGENCY DIMENSIONS, AND LAYOUT SHOWN HEREON PRIOR TO ANY FLR.M FLOOD INSURANCE RATE MAP CONSTRUCTION. NAVD' NORTH AMERICAN VERTICAL DATUM O&AE DRAINAGE&ACCESS EASEMENT(PUBLIC) THIS IS NOT SURVEY- DE DRAINAGE EASEMENT(PUBLIC) UE UTILITY EASEMENT(PUBLIC) THIS IS A PLOT PLAN ONLY WA WALL&LANDSCAPE EASENT(PRIVATE) FLOOD NOTE: I HAVE EXAMINED THE F.I.R.M.MAP NO.1210100293F, SURVEYOR NOTES: DATED 09,�20 1. THE SURVEYOR HAS NOT ABSTRACTED THE J1014.AND FOUND THE SUBJECT PROPERTY APPEARS To UE IN ZONE X LkREPS DETERMINED TO BE OUTSIDE THE 0,2X ANNUAL LAND SHOWN HEREON FOR EASEMENTS, RIGHT E CHANCE FLOODP N PER LOMR CASE NO.20-04-2472A DAM OF WAY, RESTRICTIONS OF RECORD WHICH 05-14-2020.1HE SURVEYOR MAKES 61%MATION.PLEASE CONTACT,THE NO GUARANTEESTHE ABOVE MAY AFFECT THE TITLE OR USE OF THE LAND. CATION. FOR 1 2. NO UNDERGROUND IMPROVEMENTS HAVE BEEN BEARING BASIS: LOCATED EXCEPT AS SHOWN. BEARINGS SHOWN HEREON ARE BASED ON THE CEN7ERUNE OF BROAD A5flA 3. NOT VALID WITHOUT THE AUTHENTIC POINTE DRIVE BEING NOOZV52"F�PER PLAT. ELECTRONIC SIGNATURE AND THE AUTHENTIC ELECTRONIC SEAL OF A FLORIDA LICENSED (FIELD DATE:) REVISED: I—=F;Z I CAN SURVEYOR AND MAPPER. SCALE, I"—30 FEET S LJ F::;,b\/E='Y I "C3, Digitally signed by James W Boleman o=AMERICANSURVEMG& APPROVED Br. is a MAPPING INC. sera ��MAPPING,INC.cn=lames W CERTIFICATION OF AUTHORIZATION NUMBER LE106393 A �l BoIernan, JOB NO. 190901 LOT 21.BLOCK 8 3191 MAGUIRE BOULEVARD, SUITE 200 emaif=Jbogeman@asmcorporate.confM ORLANDO. FLORIDA 32803 Date,.20"0_'o-'9I0_W:S3-"w THE DRAWN BY, DSB (407)428-7979 Ad..Acrobat rsion:114.23 FIRM PLOT PLAN 10 5 202o Jc WWW.AMERICANSURVEYlNGANDMAPPING.COM JAMES W. BOLEMAN PSM# 6485 DATE' ' '--- LIty of Zeohvrh\lls Permit Application Fax-813780-0021 Building Department Date Received F_ Z-(" Phone Contact for Permitting Owners— Name 7—Owner Phone Number Fee Simple T�ehu\uurNamo �wovrpbpne�umho� Fee Simple Titleholder Address JOB ADouBaa mn SUBDIVISION Io# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED wowcomrm F7 8DD8\[r F---1 S\GN F—� F--\ DEMOLISH INSTALL [_] REPAIR PROPOSED USE �--) GFR �—\ COMM �--1 OTHER TYPE DFCONSTRUCTION BLOCK �—1 FRAME �--� STEEL F--� DESCRIPTION opWORK BUILDING SIZE HEIGHT . . �—��UiLD|N� �—� VALUATION OF TOTAL CONSTRUCTION �—�ELECTR\C�L AMP �--} PROGRESS �—1 YY.R.E.C. �� | |PLUMB|NG = K�ECHAN|�AL f EGHAN|O�LlNGT�LLAT!ON . F--loAa L�� ROOFING �—� � SPECIALTY OTHER {THER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BVlLoBm C OMPANY ` SIGNATURE ns� �smsu REGISTEREDFEsounREx L N Address ELECTRICIAN COMPANY SIGNATURE neamrseso ` pEtconnsN — �--�—�---- Address PLUMBER F COMPANY SIGNATURE nso/msnso . Address Licenoo# MECHANICAL COMPANY SIGNATURE F nsa/STEnso uudrma OTHER COMPANY SIGNATURE neo|��so '�— YIN —1 FEE CURREN x ddmua Licnnno# I cc RESIDENTIAL Attach(3)Plot P\ano;'(2)sets of Building Plans;(1)set nf Energy Forms;R-O4Y Permit for new construction, Minimum ten(1O)working days after submittal date. Required onsihn.Construction P|an.s,Shamnwater Plans v/Slit Fence Installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects _} �Y. COMMERCIAL A��ohpq complete oo�nfB�|ding Plans plus oLde So��Pa�a�(1)set ofEna�yF��o.F-Oparmit for new construction. Minimum ten(10)working days after submittal date. Required onmite.Construction Plans,Stormwater Plans vlSi|t Fence installed, Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(l)sets nf Engineered P|itna. °°°+PROPERTY SURVEY required for all NEW construction. ' Fill out application completely. Owner&Contracior sign back of application,notarized If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) � Agent(for the contractor)or Power ufAbomo�(for the o*ner)would be someone��ihn�adzed|eUor� �from same OVER THE COUNTER PERMITTING (copy ofoon��otmquired) Renoofsifshingles Severs Service Upgrades A/C Fanuna(P|nt/Sumey/Footago) . Driveways-Not over Counter ifon public madvays.,needuROW / . ' ` ^ ` NOTICE OFDEED 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: |f the owner has hired o 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 n?ay 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 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 an indication that heie not pnopedy]|cenoed and is not entitled to permitting privileges in Pasco County. / TRANSPORTATION IMPACTIUTILITIES 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 bui|dinge, as specified in Pasco County Ordinance nunnber89-07 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 Foea'ond Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve o certificate of occupancy or final power.release, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountvVVater/Sevver Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION L|ENLAW (Chapter?13, Florida Statutes, oeamnendad): If valuation mf work ia $2'6OO.00ormore, | certify that |, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" pnapmnsd by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someoneother than the "owner", | certify that | have obtained a copy of the above described document and promise in good faith to deliver|tto the"ovvner"prior tocommencement, CONTRACTOR'S/OWNER'S 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 conotnuoUon, 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 commenced prior to issuance of permit and that all work will be performed to meet standards of all \swvG regulating construction, County and City codes, zoning nagu|ntioOa. and land development regulations in the jurisdiction. | also certify that \ understand that the regulations of other government agencies may apply tothe intended work, *nd that it is rnyreapons|bilU»toideOt�«vvhatacUona | must take tube |ncompliance. Such agencies include but are not|innitadto: - Department ofEnvironmental Protection-Cypress Bayhende, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management [}iatr|ot-0/eUa. Cypress Beyhaodo, Wetland 4«eoa, Altering Watercourses. ' - Army Corps ofEnQineers+8e8VmaUs. Docks, Navigable Waterways. - Department of Health & Rehabilitative Servicee/Environmental Health Unit-VVo||a, Wastewater Treatment, Septic Tanks. - U8 Environmental Protection Agency-Asbestos abatement. - Federal Aviation Author|tv'RVnweyg. | understand that the following restrictions apply to the use offill: ' - Use of fill \s not allowed in Flood Zone"\y'unless expressly permitted. - If the fill 0abaha| is to be used in Flood Zone "Af, it is understood that a drainage plan addressing 8 "oonnpensmUng volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill ODsdeha| is to be used in Rood Zone "A" in connection with a permitted building using stem wall construction, | 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 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 \ am the AGENT FOR THE C80NEF1' | promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to nunnrnenCing construction, | understand that separate permit may be required for electrical Vvork, p|urnbing, signs, vvo||e, pools, air oonditioning, geo' or other installations not specifically included in the application. A permit |aoUed shall be construed to be e license to pnooeed.with the work and not as authority to violate, cancel, e|hyr, or set aside any provisions of the technical'codem, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction oferrors 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 nnmOthe of permit ieaUance, 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 m«\tinQ, from the Building [)ffida| for a period not to exceed ninety O) days and will demonstrate justifiable cau�se for the extension, If work ceases for ninety(90) consecutive days, the job is considered abandoned. . WARNING TO OWNER: YOUR FAILURE TO RECORD A NO��E 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. OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affl.�Ued)bqfore 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 known to me or has/have produced as identification. as identification. Notary Public NotaryPubNo Commission No. Commission No. Name of Notary typed,printed or stamped �i_ame of Notary typed,printed or stamped Public,Stat Ze Of Florid,' 813-780.0020 City of Zephyrhills Permit Application Fax-813.780.00; Building Department Date t'teceived Phone Contact for Permitting .. ... ... Owner's.Name Owner Phone Number ` t Owner's Address Owner Phone Number �! Owner Phone Number. JOB ADDRESS' ..LOT# SUBDIVISION Parr— hGy' .0 PARCEL ID#E (OBTAINED{EROi.RRORERI'=Y.TAX,FIQTiOt)-. "WORK PROPOSED ' NBW CONSTR ADDJAtzT � SIGN rDEMOLISH' R INSTALL8 REPAIR PROPOSED USE. SFR �_] COMM OTHER TYRE OF CONSTRUCTION 0 BLOCK Q FRAME STEEL Q -DESCRIPTION OF WORK .BUILDING SIZE .1 SIiFOOTAGE+= ••HEIGiiT j =BUILDING $ VALUATION OF'TOTAL CONSTRUCTION' i ' =.ELECTRICAL J$ � AMP'SERVICE Q DUKE ENERGY' [� W.R.E.C. . =PLUMBING $` =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS 0 ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS '•Fia30D:20NE'AR5A =YES . NO .r BUILDER COMPANY SIGNATURE '' REGISTERED Y/ N FEE CURREN•. Y•/'N Address License# F _ I ELECTRICIAN, COMPANY SIGNATURE REGISTERS ' Y/':N 1*1 FEE CORREA Address . Llciahse#4 I PLUMBER COMPANY rr.W r-, SIGNATURE REGISTERED. - Y 7:N' 'I FEE CURREN Address License.# MEGHANI.CAL .r,' COMPANI' a. SIGNATURE REGISTERED Y/ N I FEE CURREN Y PN.J. Address OTHER COMPANY SIGNATURE REGISSTERED `Y%.•h(•,,,.;: FEECURREN• -Address License# T _ , .,,. RESIDENTIAL r n or Attach{2}=P(ot Pi'an ;,(2`se#s of°Baiidirlg i?lars.;. i),s'et.of EnexgyrFrizs;'Rfi0=1AI RerrriltYfbew=construction,, TMifiiinum ten:(70)Workirtg:tlays after subrfttsl tl4 to egUired brtsite;`Gansircctioti'Pians,8tdrmrraeyr Plans:+ !Silt Fence installed, Sanitary:Facilities k1.;.dumpster.,Site Wdrkl.Permit�for-tabdivisionsllarge•prdjects" COMMERCIAL Attach(2).+complete,sets-gf,,Butldin9-Planseplus a,L-Ife;§afety,Page;'(1:)'.set oflEnergyFerms.R-CrW Permit fdr-new construction. Minimum ten(1g)workingydaysjafte,,,submiIttal,dato..F�.. .,1rq!,cnsite;Construction,Planst;StormwaterPlans�w/Silt'Fencesinstalled, Sanitary Fadille6i&1 durripater.`Site'Work Permit for a(i'new projects.All'oommercial.requirements must most compliance SIGN PERMIT Attach(9)„sets.af]wngtP,@ered;'Plans: ****PROl#l!RTY Sj)'AV91Y'required for all'NEW cb6struction. Directions: Fill out application completely. Owner&:Contractor sign.back of.;a�pplication,notarized 'If over'yigd6,a Notice bf'Commertcement is re4uired. (A!C upgrades coves$7500) *' Agent(for the contractor)or Power,of•Attorney,(for•the owner).would be someonewith notarized-letter from-owner authorizing same OVERTHECOUNTER=P..Ei,MMIT ING • (copy.;of•coritract.required) Reroofs if stiingies Sewers Service Upgrades,AX Fences(Plot/Survey/Footage) Driveways-Not over Counter If on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this perm.-it-may be subject to"deed"restriction's" which may be more restrictive than County,regulations. The undersigned.assumes res-ponsibilityfor compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND-CONTRACTOR RESPIONSIBILITIESr 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 regulationg. If the contractor is not licensed°as required bylaw, 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 IMPACTIUTILITIES IMPACT ANDAESOU*RCE 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,-th8t-subh -fees, as maybe due, will be identified at the time of permitting. It is further understood,that Triansportation.Impact-Fees:and Resource Recovery Fees must be paid-prior to receiving a "certificate of.occupancy" or final•power release.. Itthe 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-perrnit issuance In accordance with applicable-Pasco County-ordinances. CONSTRUCTION-LIEN LAW(Chapter 7.11,•Florlda Statutes-, as amended): If valuation of work is $2,5.00.00 or more, I certify that 1, the applicant, have Uden-provided with a-copy of the '!Plorlda'Construction-Lien Law—Homeowner's Protection Guide" prepared by,the -the Florldb Department of Agriculture-and:Consumer. ffairs. If-the.-applicentis someone other than the"owner", I certify that.1 have obtained a copy of the-above-described document and prom-Ise in good faith to deliver it to the"owner".prior to commencement. CONTRACTOR'SIOVYN,-,gFV.S'AFFIDAVIT: 1*.certify that,all the information in this,application Js accurate.and that all.-work will be done in corn pliance With all applicable laws regulating construction;"zoning and1aryd-development., Application is hereby made to -obtain a permit to,do work-arid instalkiti6n '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 Is', 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'be,in compliance. Such agencies include but are not limited to: Department of Environmental Protedtion-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,WaterMastewater Treatment. Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas., Altering Watercourses. Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. Department of -.Health &::Rehabilltative Services/Environmental Health Unit=Wells, Wastewater Treatment, Septic Tanks. US.Environmental;Pro.tiact.iort%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 W"uhles6-expressly permitted. If the fill material is to be used in Flood Zone W, it is 'Understood-that a drainage plan addressing a "compensating volurhe".will be submitted at time of,permitting,-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 goad falth 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 fssued'shall be construed to be a license to proceed with the work and not as authority to-violate, canceli4ter, or set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the Building Official from-thereafter requiring a correctlon•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.afterlhe 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:IMPR0VEMr=NTS TO*YOUR-PROPERTY..IFYWINTeND TO'Q9TAIN FINANOINO,-CONSULT WITH-YOUWLENDER.,OR AN ATTOP.NtY'ReFORE RE-CO.RDIN.G...YO.UR aO',riCE-OF-COMmrz.NCF-M.-E-NT. 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 J)y 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