HomeMy WebLinkAbout21-2587City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542 BNR-002587-2021
Phone: (813) 780-0020
Fax: (813) 780-0021 Issue Date: 08/31/2021
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32 25 21 0050 01600 0130 35996 Morse Willow Ct
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Name: D R HORTON INC
Permit Type: Building New (Residential)
Contractor: D R HORTON INC
Class of Work: SFR Construct
Address: 12602 Telecom Dr
Building Valuation: $160,000.00a
'
TAMPA, FL 33637Electrical
Valuation: $8,200.00
"'N
Phone: (813) 549-1968
Mechanical Valuation: $6,000.00
Plumbing Valuation: $9,500.00
( `
Total Valuation: $183,700.00
Total Fees: $14,770.94
Amount Paid: $14,770.94
Date Paid: 8/31/2021 2:07:17PM
zn..e'?
CONSTRUCT SINGLE FAMILY 3,713 SQ FT
�.......... ��
'�.a ak,... k, x.�°��.€`..'x1*�4�3t wad, �.,%r.`',isr ,. �; �,: r, iW:.>€ tra2�_�Yty %,:#, t�kz ��.3;'t�:€;z.'tt``,r: `.. ti1LrAL at{�,:,4" "a?a•.t �r�Y> �xJ�ir,.
Transportation Impact Fee $3,595,68 Building Permit Fee $830.00
Plumbing Permit Fee $87.50 Electrical Plan Review Fee $40.50
Building Plan Review Fee $415.00 School Impact Fee $8,328.00
Public Safety Impact Fee -Police $254.00 Plumbing Plan Review Fee $43.75
Mechanical Permit Fee $70.00 Public Safety Impact Fee -Admin $26.35
Electrical Permit Fee $81.00 Address Fee $30.00
SIF 1 percent Fee $83.28 Park Impact Fee - Single Family/Townhome $769.56
Driveway Fee $45.00 Mechanical Plan Review Fee $35.00
Transportation Impact Fee - City $36.32
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accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE c.6.
NO OCCUPANCY BEFORE C.O.
_.
CONTRACTOR SIGNATURE
PEfIT OFFICE()
i ,..-• r •
-S
INSTR#2021176031 OR BK PG Page 1 of 1
08/19/2021 07:39 AM Rcpt: 2341503 Rec: 10.00 DS: 0,00 IT: 0A0
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
Permit No,
Parcel ID Not\
NOTICE OF COMMENCEMENT
State of Florida Count
---�•--------•- Y of. —LDS GO
THE UNDERSIGNED hereby gives notice that improvement w ll be made to certain real property, and In accordance with Chapter 713, Florida Statutes,
the following Information Is provided In this Notice of Commencement:
1. Description of Property; Parcel Identification No. , ry+k, i(
Street Address; �' 1p 1 �' LiaitiSl .1 it s' a-�leitS EL
z• General Description of Improvement NOW Sin le Famii RO.Sidence
3. Owner Information or Lessee Information if the Lessee contracted for the improvement:
Name
Ada ess 2 Talr�rr}m 17r9�r Tm
33637 Ems_
City
Interest inProperty. _EQQ Slrpnj�
State
Name of Fee Simple Titleholder:
(If different from Owner listed above)
Address
city
4. Contractor: D.R Hoi-�Qn Ine
State
126Q2 TaI e m Drive
Address —TamRE
336.�3�' FL
Contractor's Telephone No.: City
State
5. Surety;
Name
Address Amount of Bond: City StateTelephone No,:
5, Lender: N/A,
Name
,
Address City State
Lender's Telephone No.;
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713,13(1)(a)(7), Florida.Statutes:
�0_ T i om Drj r� Address Tampa _ 33637 FL
�
Telephone Number of Designated Person: 813-740-9720 city State
3. In addition to himself, the owner designates -i
Of
to receive a copy of the Lienor's Notice as provrded in Section 713.13(1.)(b), Florida Statutes.
Telephone Number of Person or Entity Designated by Owner:
9. Expiration date of Notice of Commencement (the expiration date may not be before the completion of construction and final payment to the
contractor, but will be one year from the date of recording unless a different date is specified):
WARNING• TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713 PART 1, SECTION 713,13, FLORIDA STATUTES, AND CAN
RESULT iN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION, IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, i declare that i have read the foregoing oboe f commencement and that the facts stated therein are true to the best
of my knowledge and belief,
STATE OF FLORIDA
COUNTY OF PA5C0
Sig ature a Owner or Lessee, or Owners or Lessee's Authorized
Officer/Director/Partner/Manager
Assistant SecretarvLD R HQ > ion. inc.._._._
Signatory's Title/Office
The foregoing instrument was acknowledged before me this A--Jday of $6dkiir,20ajby �t r•��h
as _ f�SS.iStant SGCr2ta (type of authority, e.g., officer, trustee, in fact) for
D------R- On n --- (name of pay on ?haalllt of whom instrument was executed).
Personally Known OR Produced identification Cl Notary Signature. i
Type of identification Produced Name (Print)
r
Notary Public State of Florida
® Michelle Moyes
My Commission HH 066397
Expires 12/21/2024
wpdatalbcslnoticecommencement pc053048
PASCO COUNTY, FLORIDA
Permit No. 75 1 1 1
Date Permltt4e�34�
Builder Name/Owner Name Control #
County Parcel No, SubDiv:
Address/Location J�'v -/ / /,N /Y / k
TRANSPORTATION IMPACT FEE � Rate:
Sq Ft Unit: �13
Exempt El Yes
No How Determined
Impact Fee Amount A2413 Zone No.
_--I—
TAZ:
SCHOOLIMPACTFEE
Account (056)
Single -Family Detached House
Amount $ Illy
(057)
Mobile Home
(058)
Other Residential
23)
Collection Fee
Exempt dyes
No How Determined
1`11 IFEE-
Land Account
Land Credit _
LandTotal
Recreation Account
_. Recreation Credit
Recreation Total
Zone
TOTAL AMOUNT 4tzl
Exempt Yes
[]NO HOW Determined
Land Account'
Land Credit
Land Tote . I
Facility Account ---
Facility Credit
Facility Total
Exempt El Yes
[]No How Determined
Total Amount
TOTAL AMOUNT
RU
g=
YOF OCCUPANCY WILL BE I
X 0
Acknowledgement below does not ImPIY acceptance of concurrence, but simply receipt of a copy of this fban placing
the building permit Owner, on Miles Of this assessment and the conditions 4 Payment for same. In
RECEIPT NO. DATE BY
City of Zephyrhilis Permit Application
Building Department
Fax-8'13-780-0021
Date Received
ate 70wner's Name
Owner's Address
'Fee Simple Titleholder Name
Fee Simple Titleholder Address
Phone Contact for
n_q 1
Owner Phone Number I — "C' ,
3�`L Owner Phone Number
Owner Phone Number
JOB ADDRESS
FROM SUBDIVISIONLOT #
PARCEL ID#
WORK PROPOSED (OBTAINED FROM PROPERTY TAX NOTICE)
NEW CO NSTR ADD/ALT
PROPOSED USE
INSTALL E REPAIR SIGN 0DEMOLISH
TYPE OF CONSTRUCTION L --- J SFR 'Comm
BLOCK FRAME
DESCRIPTION OF WORK
BUILDING SIZE
Lm:_ SQ FOOTAGE
=BUILDING
=ELECTRICAL
9V �401
=PLUMBING
=MECHANICAL
GAS
ROOFING
FINISHED FLOOR ELEVATIONS
LA!�F_ �176
OTHER L
STEEL
HEIGHT
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE PROGRESS ENERGY
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY OTHER
FLOOD ZONE AREA =YES NO
W.R,E,C.
BUILDER
SIGNATURE COMPANY
Address REGISTERED Y/ N FE CURRIE Y/N
ELECTRICIAN License # C 7�,
SIGNATURE COMPANY rEF E
Address REGIS- RED Y/ N FEE CURREN Y N
PLUMBER License 3
SIGNATURE COMPANY
Address REGISTERED Y N FEE CURR IN /NpR
3362
MECHANICAL License
SIGNATURE COMPANY
Address C-� REGISTERED VN FEE CURREN Y/N
DTHER I License # 33 !6�
31GNATURE COMPANY
REGISTERED Y/
Address FEE CURREN Y/N
13
License
ZE . SIDENTIAL Attach (2) Plot Plans; (2) sets Of Building PIE I I I I I I I I I I I I
plans; set of Energy Forms; R-O-W permit for new construction,
Mi nimurn ten 0 0) Working days after submittal date. Required onsite, Construction Plans, Rrmwater Plans W/ Slit Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large
'OMMERCIAL Attach (2) Complete sets of Building Plans Plus a Life Safety Page; (1) projects
set of Energy Forms-O-W Permit for new
Minimum ten (10) working days after submittal date. Required onsite, Construction
Sanitary Facilities & I dumoster, Site Work per construction.
;IGN PERMIT Attach (2) sets of Engineered Plans, . All commercial requirements must -me '
Permit for all new projects Plans, StOrmwater Plans w/ Silt Fence installed,
****PROPERTY SURVEY required for all NEW construction, et compliance
)ireotions:
Fill out application completely.
Owner & Contractor sign back
If over $2,900, a Notice Of application, notarized
OfCOmmencementisrequired, (AIC someone
50THE COUNTER PERMAgent (for the contractor) Or Power OfAttorney (forthe owner) Would be
erOOfs if shingles PERMITTING (00PY Of contract required) with notarized letter from owner authorizing same
Sewers Service Upgrades A/C Fences (PlOt/Survey/pootage'),
Driveways -Not over Counter if on Public roadways. -needs ROW
NOTICE (]FDEED 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 restriot|ono.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired aoontraotor 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 \ovv, both the owner and contractor m�y be cited for 8 misdemeanor violation
under state law. If the ovvna[ 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 @ C0ltr80tUr 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 bean indication that hnia notpropurly]icenaed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY EThe 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 buUd|nga, as apeoified in Pasco County Ordinance number 88-07 and
90-07` as amended. The undersigned also undyrstanda, that such feed, as may be Uue, will be identified atthe time of
permitting. It is further lunderstood that Transportation Impact Fees'and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupaDcy" or final power [8\eoo8. If the project does not involve a certificate of occupancy or
final power. release, the fees must be paid prior to permit ieauence. FurOlermore, if Pasco CountyVVatedGevver Impact
fees are due, they rnuet'bepaid prior topermit issuance inaccordance with applicable PeouoCountyord\nanoeo.
CONSTRUCTION LIEN LAW (Chapter 713,Florida Statutes, aearoended\: \fvaluation ofwork ie$2.50O.DOormore, \
certify that |, the app|ioont, have been provided with a copy of the "Florida Construction Lien Law--Ho0eovvn8r'n
Protection GUide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is SOrOeOD8
other than the "owner", |uertify that i h8ve obtained a copy of the above described document and prDrn|oe in good faith to
deliver |ttothe "ovVDer"prior tocommencement,
CONTRACTUR'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 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
commenced prior to issuance of permit and that all work will be performed to meet standards of all l8vVS regulating
construction, County and City codes, ZoD|Og r8gU|@t\oDe. and |oDd development regulations in the jurisdiction. | also
certify that | understand that the regulations of other government agencies may apply tothe intended work, a 'Od that it is
0yresponsibility toident�vv vhat8ct(DDoI OOusttake tob8|DcOrOpiiGnC8. Such agencies iDclUd�but are not||rOit8dto:
- Department ofEnvironmental Protection -Cypress Bayheado,Wetland Areas and Environmentally Sensitive
Londe. VVater8WaetevvaterTraotrnent.
- Southwest Florida Water Management District -Wells, Cypress Boyheads, Wetland /\reoa' Altering
Watercourses.
- Army Corps ofEngineera-SeavvaDa.Docks, Navigable Waterways.
- Department of Health & Rehabilitative SerVioea/EDviroOmental Health Unit -Wells, Wastewater Treatment,
Septic Tanks, `
- US Environmental Protection Agency -Asbestos abatement.
- Federal Aviation Authority-Runvvaya.
I understand that the following restrictions 'apply tOthe use of fill:
- Use offill \onot allowed \nFlood Zone "\'' unless expressly permitted.
- |fthe fill material is to be used in Flood Zone 'y\", it is understood that o drainage plan addressing a
''compensating vObJ0e" 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 "/Y' in connection with a permitted building using stem vva\|
construction, | certify that fill will be used only tofill 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 8dv8[o8|y affect adjacent properties, the'owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |eso than one (1)
acre which are elevated byf|U.aDengineered drainage plan isrequired.
If | am the AGENT FOR THE OWNER, | 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 VV8Tk,
p|U0biDg, sigOS, wells, poolG, air coOdition|ng, g8S` or other installations not specifically included in the 8ppi|C8t|UO. A
permit issued shall be construed to be a license to proceed with the work and not as authority to vio|ote, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiringaoorrectiODoferrora|OplainS'ooO8truct|OnorViOi8tioOSOfaOycodes. Every permit issued shall become invalid
Un|8os the work authorized by such permit is OOnl0enCed within six 0DDthS Of permit issuance, Or if work authorized by
the permit issuspended orabandoned fqr aperiod ofsix (6) months after the time the work iecommenced, An extension
may be requeeted, in writing, from the Building Official for a period not to exceed ninety (QO) days and will demonstrate
'justifiable cause for the extension, If work ceases for ninety (90) consecutive days, the job is considered abandoned,
FLDRIDAJU (F.S
OWN�~~� CONTRACTOR
Notary P
ublic
Alld— W-C�- 0
Commission No. Commission
Name ofNotary typed, printed or stamoed Name ofNotary typed, printed or stamped
Michelle Moyes
� �m�A My Comm ~~~' �
���'�' �
0
I FFF, shall be a rninin-runi ot'8" above the road elevation and an engineered sits; plan,
2, Lots shall be graded to comply with R4013 of the FB,C,
3, Compaction test required if 24"oriore of fill dirt is brought in at any one, place,
4, Tie in survey required bef'ore POL11-ing concrete.
5, Driveways require as R,(),W� rise permill, All 4 sides ol"driveway thru the sidewalk shall have
expansion rnaterial,
6, All setbacks sliall be met,
7, All properly markers shall be uncovered and unarked at tinie offirst inspection,
8, All AD.A. requirements sliall be inet,
9, No electric, plumbing, rviecharrical, or framing shall be covered without an inspection arid
approval first,
10, Afl Garages sliall cornply with section R302,6 of the F.13,C, ff"ire Separation).
I I Appliances shall not be installed in as location where subJect to inechanical darnage unless
protected by approved barriers. M303.4 of the FB.0
12Water heaters shall cornply with section P607-3 o f the F B �C,
13, FOLIndation supports fora, AX units shall be raised at least 3" above finislied grade, M 130& 1
14. Return air in all bedroonis, FB,C, M 1620A
15, Smoke detectors ,are; to be installed in accordance with R3 13, 1 of FM,C,
to, All glazing requirements are to be in accordance with R308A of the FB,C,
17, All rneans ofegress are to be in accordance with R31 I I ofthe F.B,C,
18, "G,,reen I)YPSLIm board"' shall riot be used as as backer in showers 01ALIbs. R702,4,2 FB,C,
19, Combination -type AFCI breaker's ai-e required at all locations requiring ail AFCI type breaker,
20, Carbon monoxide alarnis will be required in new construction that Lkses' fa) $Sil-burning heating
or appliances or, ari attached garage, They shall be installed in accordance with the FB,(,",
21, All plutribing, tricehanical, and electrical shall be separate from unit to unit- 'I"Iris includes all
underground PILIFribing and clectric,
a. All 2016 N,F-C, Codes will be etiforced,
a
R
23, Tanlper- Resistant Receptacles in accordance, with 406,11 ofthe 22016 N,E,('
24, In accordance with the Land Development Code, lots shall be sodde(] before final at least 10
feet around the stnxture,
25. R403,53Hot water pipe insulation
Insulation for hot water pipe with a arinimurn thermal resistance (R-value) of R-3 shall be applied to the
following:
Piping 1,, inch (1 9A ryini) and larger in nominal diameter.
Piping serving more than one dwelling unit,
Piping located outside the conditioned space,
Pipinq from the water heater to a distribution r-nanifold
Piping located under a floor slab.
Buried in piping,
Supply and return piping in recirCUlation systems other than dernarid recirculation systems,
25. Blower door test shall be provided before C.O�,
2& 11 dines.
h
2Z .SlRi :LiLi iL�b are,,f
28. No hmee imol or screen enclosure is ikwied vvith thhvFermit�
F.F.E.-Finished Floor Elevation
F.B,C- Florida Building Code 6"' 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 13, BLOCK 16, SILVERADO RANCH SUBDIVISION PHASES 10B AND 11C
AS RECORDED IN PLAT BOOK 82, PAGE(S) 72 — 75, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
ON LOT CALCULATIONS
LOT
= 9,521
SQ.
FT.
LIVING AREA
= 2,836
SQ.
FT.
GARAGE
= 619
SQ.
FT.
ENTRY
= 65
SQ.
FT.
LANAI
= 193
SQ.
FT.
PATIO
= 0
SQ.
FT.
DRIVEWAY
= 685
SQ.
FT.
A/C PAD
= 9
SQ.
FT.
WALKWAY
= 23
SQ.
FT.
IMPERVIOUS
= 47%
= 4430
SQ.
FT.
SOD
= 5,091
SO.
FT.
OFF LOT CALCULATIONS
RIGHT OF WAY
= 991
SQ.
FT.
DRIVE APRON
= 359
SQ.
FT.
PUBLIC S/W
= 299
SO.
FT.
SOD
= 333
SQ.
FT.
TOTALS
AREA
= 10,512
SQ.
FT.
DRIVEWAY
= 1,044
SQ.
FT.
SIDEWALK
= 322
SQ.
FT.
SOD
= 5,424
SQ.
FT.
(REFERENCE BEARING)
�N89'S8'S8"W
PI
�<13
N
z I
aW
�
O
hS
Pn
ibE.
RP
3
co
abN�
N
•p
N
RP
MORSE WILLOW COURT
TRACT D
PRIVATE RIGHT OF WAY WIDTH VARIES
. 4R. �
h,..,
BUILDING SETBACKS
FRONT: 22'
REAR: 13'
SIDE: 5' (50' LOTS)
7.5' (55' & 60' WIDTH LOTS)
SIDE STREET: 15'
1. ELEVATIONS SHOWN ARE PER LOT GRADING
PLANS PROVIDED BY THE CLIENT.
2. ELEVATIONS ARE BASED ON NAVD 1988
DATUM.
Line Table
Line #
Direction
Length
Lt
N00'09'24'E
24.p8'
Curve Table
Curve III
Length
Radius
Delta
Chord Bearing
Chord
C7
21.42'
1 67.00'
1819'08"
NOW00'10"W
21.33'
C2
16,04'
1 67.00'
13'43'00"
N07'00'54"E
16='
THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES
ONLY, THIS IS NOT INTENDED FOR THE CONSTRUCTION OF
THE PROPOSED HOUSE. REFER TO HOUSE PLAN AND
OPTION LIST FOR CONSTRUCTION. ALL BUILDING SET BACK
LINES SHOWN HEREON IS PER DATA FURNISHED BY CLIENT
AND IS FOR INFORMATIONAL PURPOSES ONLY.
THIS IS NOT A SURVEY
THIS IS A PLOT PLAN ONLY
I HAVE EXAMINED THE F.I.R.M. MAP NO, 12101CO2B8F,
DATED SEPTEMBER 26, 2014, AND FOUND THE SUBJECT PROPERTY
APPEARS TO LIE IN ZONE "X", AREAS DETERMINED TO BE OUTSIDE THE
0.2% ANNUAL CHANCE FLOODPLAtN. THE SURVEYOR MAKES NO
GUARANTEES AS TO THE ABOVE INFORMATION. PLEASE CONTACT THE
LOCAL F.E.M.A. AGENT FOR VERIFICATION.
BEARING BASIS:
BEARINGS SHOWN HEREON ARE BASED ON THE CENTERLINE OF MORSE
WILLOW COURT BEING N89'58'58"W, PER PLAT.
(FIELD DATE -)
SCALE: 1" A 30 FEET
APPROVED BY: JB
'7nnRA.R 1nT IA RI(H:K I
JOB NO,
DRAWN BY; DSB
SOT 12
6LOCK 16
a
z
1"=30'
GRAPHIC SCALE
0 15 30
57
"N,
34.0'
00
24.p'
64.0'
r�
„i
a i
in
rnz a
—�
0
n.
22.5'
. 10.0,"no
N
n
PROPOSED
CiIN
Q
2795 - CAMDEN
M
.z
t— w
p
'I
w FINISHED
2 y o ELEVATION-129.30'
<
r
g
Z
C7
U
Kj
I
(
'
a' rf N
oY
O
L0
75.00'
(J)
'2s
N89'50'36"W
131.88'
9�
(NON —RADIAL)
ryco
LOT 14
i
BLOCK 16
LEGEND:
— —
BUILDING SETBACK LINE PI
POINT OF INTERSECTION
PC
POINT OF CURVATURE
—
CENTERLINE PT
POINT OF TANGENCY
— — —
RIGHT OF WAY LINE RP
PRC
RADIUS POINT
POINT OF REVERSE CURVATURE
PROPOSED ELEVATION PCC
POINT OF COMPOUND CURVATURE
TYP
TYPICAL
PROPOSED DRAINAGE FLOW CS
CONCRETE SLAB
CONCRETE (C
)
PER PLAT
CALCULATED
A/C
AIR CONDITIONER PB
PGS
PLAT BOOK
PAGES
S/W
SIDEWALK SQ. FT,
SQUARE FEET
F.E.M.A.
FEDERAL EMERGENCY MANAGEMENT AGENCY
F.I.R.M.
FLOOD INSURANCE RATE MAP
NAVD
NORTH AMERICAN VERTICAL DATUM
NGVD
NATIONAL GEODETIC VERTICAL DATUM
D&UE
DRAINAGE & UTILITY EASEMENT
D&AE
DRAINAGE & ACCESS EASEMENT
PDE
PRIVATE DRAINAGE EASEMENT
RUE
PUSUC UTILITY EASEMENT
A5M
S L.J R V E ')`1 N 0
c&CM APPING INC.
CERTIFICATION OF AUTHORIZATION NUMBER LB#6393
3191 MAGUIRE BOULEVARD, SUITE 200
ORLANDO, FLORIDA 32803
(407) 426-7979
WWW.AMERICANSURVEYINGANDMAPPIN G.COM
SURVEYOR NOTES:
1. THE SURVEYOR HAS NOT ABSTRACTED THE
LAND SHOWN HEREON FOR EASEMENTS, RIGHT
OF WAY, RESTRICTIONS OF RECORD WHICH
MAY AFFECT THE TITLE OR USE OF THE LAND.
2. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
LOCATED EXCEPT AS SHOWN.
3. NOT VALID WITHOUT THE SIGNATURE AND
THE ORIGINAL RAISED SEAL OF A FLORIDA
LICENSED SURVEYOR AND MAPPER.
1eunupoe000
1h
da, doeman
vt�i
DN U5 st Gfo
:eyy
—AMERICAN SURVEYING&
t�
f—�-----
MAPPING, .NC.,—JamesW
901eman
�.
mail—Ibateman@asmcorporatecom FOR
Date. 2021.07.2610:45:47 0400 THE
Adobe A —bat version_ 1 L0.23 FIRM
JAMES W. BOLEMAN PSM# 6485 DATE
-rtc City of Zephyrhilis Permit Appkaton FAXr613-780-W'21
ow"ar's Name
Owner Phone Number
ocerees Addross
Owner Phone Number
Fee Simple `ristallvid s r Name
Fee Simple TRteho ,r Address
408 AVORE33`
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WORK PROPOSED
PNEk#L4NSTR
;'NSTA
fit£-gMAL"
REPAIR'
SIGN EFE1A FaP
PROPOSED use
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'TYPE OF CONSTRUCTION
BLOCK K
E';2rit£AE
STEEL
091SCRIPTION OF WORK
:.. li.r*if`A SIZE
FOOT
ii
9UILDIN
S
VALUATION
OF t,0TAL CONSTRUCTION
fAMP SERVCE
PROGRESS ENERGY � W RE C,
SAS
rc,-X*-iNG
SPR71ACrY
Of,- Pe
FINISHED FLICIOR ELEVATIONS
FL.QQ0 ZONE AREA
`r"ES h
SIGNATURE
COMPANY
YI=t! FECtRR
Address
E„lGei?S8
ELECTRICIANCOMPANY
SIGNATURE
REGISTERED
Y( EaCrRREa# Yt
AmIress
PLUMISCR
COMPANY
SIGNATVAR
Address
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MOCHMICAL COMPANY
SIGNATUREREt�GizE3e1� qY fq�!„ SEE CtFtBREN 1.,..,�,.� � �.
A rear
dd
License #
TIER COMPANY
SIONATURE REGMERED Y J In rERGURREN T Y ! N
Address
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RkstuaNUAit. Ait sch ( s vV Trans, (Z)sets of zfutiaing Hians, 0 i set at triergy ram; H* U> vv lermit ror new rrnarcuc ar,
MirnmItm ten (10) working dayS after subm t4tai date. Required onstte, Constrd
$anrlR et P16s. Stcrn wR er Plans wt R Fencer installed,
COMMnitsit, Facilities E t dump$IV Site Yftcrk permit for fsttadr�s gn urge prcimr#s
ER A4Yan {} complete seta of Building Plans Talus a tare Safety Page, (1) set of Enetegy Fonts, R-04V Permit for new construction,
14111TU tt tan 00) oreng days rafter submittal date Required onmrs, Constrict on Prom, Stormnoter Plane V 6jit;zenc, Installed,
Senrtaty FaoiRties, & t dumpsisq, Sits Work Perioft for all new iroter ts. Aii cornintirejej nequvemetts must meet COMPI n Si ll PERMIT Attach f2) sets of Engveered Pons.ce
"PROPERTY S lRVEI' required for al! Nit itorittvcf,^n
caa a t a to s g oSty
ref Contralaii, aiign back ofappitcatcn, raranzed
R ac r , a E of fts rat Fs regtai€ed. (AIC upgrades over TSOO)
=at { or #rye tro t r} or Pod V rat%0410tr tip" Yt1L Onvner) u0uid to R¢anciome £sith no€arraad leftaar from sonar authorartng so
me
OVER THIN COUNTER PRAMITTINO (copy of contract foquired)
R aroots if %lifo Etas Fsaii em serwos uptilmdcs Ne F-encea (P oUSutveyfFootage)
DrIV Not OV01 Ckounter !9 on gub"'C rusitsoaaini neeneels Rovit
W ,._
NOTICE OF WED RESTRICTIONS: T undeNgned understands that this permit may be subject to "d d re ctions
it#s.t+ its r lac: tx vie ic. 4is.iivw 1s1,211C,S,sutap a giureuicu€+..M. itsra c+s +v+,: Oar 3n waxti a`R aas;i -.ate iaaa }rarxewv+er'ree ,r < a.,ea„ eawiai«.a. _ .e x,P
applicable deed'resftlions,
UNUCEN CONTRACTORS ND CONTRACTOR RESPONSIBIL17E ; It the owner has hired 9 contractor Or
contmotom to undertake work, they may be irequired tea be ficensed in acoordance with state and local regulations, If t
he
contractor is not licensed as required by law, both the owner and contractor may be cited for a ricisdenvanor viotabon
under state lour, If the owner or intended contractor are uncertain as to what licensing requiromerft may apply for the
intended worie, they are advised to contact the Pasco County Building Ens ion livisio icensing Section at 7 7- 7-
800 , FurtherMore, if the owner has hired a contractor or contractors, he is advised to have the w ntractcrisj sign
portions of the 'contractor Block° of this application for whch they yvill be resporwitile, ifyou,asistheownersignasthe
contractor, that rmy be an indication that he is not property Ircensed and is not entitW4 to permittings privileges in Paswo
Coun.
1 RANSFOR I A1 ION 61i FX; I IU 1 I t 1 Ito t iM; I ANU KtbUUKkotv T : Ills UnGeisi ne under wit
trial Transportation impact Ferns and Recourse Recovery Fees nay apply to the construction of new buildings, change of
use in exl tin oulidings, or expansion of existing duildings, as specified In P8900 County Ordiname number W07 and
7, as amended, The undersigned also understands, that such fees, as may be due, Wit toe alentift c! at the time of
permitting, It is further understood that Transportation Impact Fees and Resource, ReAGovery Fees must be paEd prior to
receiving a *ter iloete of occupancy" or final power release, If the project does not involve a certificate Of occupancy Of
final power releAse, the fees must be paid prior to permit issuance, Furthermre, if Pasco County Vilater/Sewer impact
fees are drip, they roust be paid prior to permit issuance in accordance vAth applicable Pasco County ordinances,
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amrnide ): if valuation of wank is $2,500,00 or more, l
certify that 1, the applicant, have been provided with a copy of the "Fiorlda Construction Lien La tiomeowners
Protection Guide' prepared by the Florida Department of Agriculture and Consumer ,Affairs. It the applicant is someone
,mthc; atoll the "dawn; e i r, f that 1 haavc obto,ncd a --op,' of the ",abo c do cri cd dorrurricrit and promise In good faith to
deliver It to the " nei" prior to commencement.
CONTRACTOR'StOWNER'SAFFIDAVIT: l certify that all the Information in this appflcaton is accurate and that all work
will be done in compliance with ali 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 pdor to issuance of a permit and that all work will be perkirtned to meet standards of all laws regulating
construction, County and City wdes, zoning regulations, and land development regulations In the jurisdiction. l also
certify that l unftoratand that the regulations of rather government agencies may apply to the intended work, and that it is
my responsibility to ideritiry what actions I must toffs to be in compliance. Such agencies include tank are not limited Ica:
Departrmrri rat Etwironmeritat Protecton-cypreas Baybeeds, vVettand Ames a.nd Envi n nt lty Senoftive
f PMA WaterWastawatprT at ,nt
aouthsr a4 Florida Water Management District-W00s, y : ytieads, 'Nethind Auras, Aftering
fflaitertiourses-
ArMy Corps of Entilneer's-Seewalls, Docks, Navigable Wastermys,
Department of Health 8 Rehabilitative eruioes/ nvironsr ental Health tank -Wells, Wastewater Treatment,
Septic Tanks.
US;Fnvirsen ntal Protection Agency -Asbestos abatement,
Federal tAviaWn Authrotty-Runways.
I under@and that the following restrictions apply to the use of fill•.
Use of fill is not allowed in Flood Zone `W unless expressly permitted.
It the fill material is to be used in Flood Zone "A", it Is understood that a drainage plan addressing a
F'+*+ke+,..Qn 2t!nn , e4!! he is—t x--rf4Pa•_d at titre n5 pearraj t— aarhin4r i* si—rxarasx4 Vw tx rawrBoaa�winrami sxe'4rrEn�aaar
14,^. a e St lodd
n� ee`,� thy. tG w':f � t.+ce.
If the Pill material Is to be used in Rood Zone 'A" in connection with a permitted building using stem wall
construction, l certify that fill will be used only to fill the area within the stern wail,
If ill material is to be used in any area, I certify that use of such flit will not adveniely affect adjacent
properties, If use of rill is found to adversely affect adjacent properties, the fawner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than o (1)
sCM which are elevated by fill, an engineered drainage plan 1s required.
if I am the AGONT FOR THE OWNER, I prornise In good tafth to inform the owner of the pernstRing conditions set forth in
this affidavit prior to commencing constniction. I undemstand that a sepanata permit rray be requirecl far electrical
plumbing, signs, wells, pools, air conditioning, gas, or rather Installations not specifically included in the application. A
}.tit kCk E X,t6:b1 +'#i SY$i3 4tC 4V249i,i G�4 A4, U6 4S u4s�ktcic. 11.v g,ft WYtie,+:.t,+s, va , + x xap a a as
set aside any provisions of the technical codes, ry shall issuance f a penyd
prevent i $Buil&V Official from thibfeafter
requiring a correction of errors in pia.; , construction or violations of any codes- Every perroft issued Mail become invalid
unless the work authorized by such permit is commenced r ithm six rrionths of pennit Issuance, or It rk authorized by
the permit is saspended or abandoned for a period of six (6) montris after the time the want is tv.mrnonced, An carte fan
may be req ed, in writing, from the Building Official for a period not to exceed ninety () days and will derrionstrate
justifiable cause for the extension, if work ceases for ninety () consecrative days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING FOR IMPROVEMENTS TO YOUR PROPERTY. 1F YOU E TT TO T 1 FINANCING, f3G T
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