HomeMy WebLinkAbout21-2704M
BNR-002704-2021
Issue Date: 09/16/2021
Permit Ty e: Building
New (Residential)
8272 Wheat Stone Dr 26 25 21 0150 00200 0210
I N1 k IN
I
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: $106,000.00
TAMPA, FL 33637
Electrical Valuation: $7,000.00
Phone: (813) 549-1968
Mechanical Valuation: $4,500,00
/A
Plumbing Valuation: $7,200,00
Total Valuation: $124,700.00
Total Fees: $18,376.00
Amount Paid: $18,376.00
Date Paid: 9/16/2021 2:08:11PM
V-2112111"', , 11 1 �11111' I'll
12011 MIME
gg
1. ''M
CONSTRUCT SINGLE FAMILY 2,739 SQ FT ZL
Electrical Plan Review Fee
$37,50 Irrigation 3/4 Meter (Ca1c)
$473.78
3/4 Water Meter Fee (Calc)
$473,78 Plumbing Plan Review Fee
$38.00
Electrical Permit Fee
$75.00 Mechanical Permit Fee
$62.50
Building Permit Fee
$560.00 School Impact Fee
$8,328.00
Sewer Connection Residential Fee
$2,090.00 Park Impact Fee - Single Family/Townhome
$769.56
Public Safety Impact Fee -Police
$254.00 Transportation Impact Fee - City
$36.32
Water Connection Residential Fee
$1,010.00 Transportation Impact Fee
$3,595.68
Plumbing Permit Fee
$76.00 Building Plan Review Fee
$280.00
SIF 1 percent Fee
$83.28 Public Safety Impact Fee -Admin
$26.35
Address Fee
$30,00 Driveway Fee
$45.00
Mechanical Plan Review Fee
$31,25
f eve Iffil0m,'"f fie�li
acc rdance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUP
CONTRACTOR SIGNATURE
I 0:u.2 =--- 1 al,
NO 0 MR.-O
, NiR WN-l"
INVOICE NUMBER
INVOICE DATE
INVOICE DUE DATE
INVOICE STATUS
INVOICE DESCRIPTION
Invoiced, Past Due
8NR-002704-2021 3/4Water Meter Fee (Calc)
Address Fee
Building Permit Fee
Building Plan Review Fee
Driveway Fee
Electrical Permit Fee
Electrical Plan Review Fee
Irrigation 3/4 K8ete/(Cm|n)
Mechanical Permit Fee
Mechanical Plan Review Fee
Park Impact Fee ' Single Fami|y/Tmwnhome
Plumbing Permit Fee
Plumbing Plan Review Fee
Public Safety Impact Fee `Admin
Public Safety |mpoctFee-Po|ice
School Impact Fee
Sewer Connection Residential Fee
6|F 1 percent Fee
Transportation Impact Fee
Transportation Impact Fee City
| Water Connection Residential Fee
REMITTANCE INFORMATION
City ofZephyrhUa
53358thStreet
Zmphyrh|||u.FL33542
Geptember15. 2021 5335OmStreet, 2ophyrhUls. FL33542 Page 1 of
i
�ASCO COUNTY, FLORIDA
}
1
® Permit No. l
Date Pe Itted
-Sunder Name/Owner Name U Control #
County Parcel No, 2- ,Sid 0()z as 0-1/0 SubDiv:
Address/Lccaiicn
I
/ i
Clessificationtiype of Usp t
l e �G 9
i
TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit:
Exempt ® Ves ®No How Determined
Impact Fee Amount b Zone No. T
S�Ff��L IMP.��'T FEE
Account (056) Single -Family Detached House Amount $
(057) Mobile Home
(056) Other Residential
i23) Collection Fee
Exempt [ Yes ® No How Determined
t
i
P K$ AND RE�i�EATI�IV FEE
Land Account Land Credit Land Total
Recreation Account
Recreation Credit Recreation Total
Zone TOTAL AMOUNT $ g
I
Exempt Yes No How Determined
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt Yes No How Determined
Taal Amount � k
I�ES�II��E FiEE TOTAL AMOUNT EFitI
Prepared By
Chocked t eyNO F
I
CERTIFICATEF CY WILL BE ISSUED 1 INSPECTION
PERFORMEDL THE TT AMOUNTS LISTED
OWN, PAID AND CEI T FORBY A CENTRAL PERMITTING FFIC PASCO COUNTY
AcknOWi nt below not Imply acceptance of concurrence, but
Permit owner on r dce of this secs nt and the conditions io payment for same, Piauin
SATE RECEIVED Sy
RECEIPT NO, DATE BY
813-:180-0020 City of Zephyrhilis Permit Application Fax-81
Building Department
Date Received Phone Contact for Permitting dsbeauchaine@drhorton' con
IE N:x %& -a A"s r", *'W: a ; T x V W W's , 3K3KX
Owner's Name Mih&n Tile Owner Phone Numb
Owners Address 1 12602 Telecom Drive, Tampa, FL 33637 Owner Phone Number
Fee Simple Titleholder Name `}o cy-) Owner Phone Number
Fee Simple Titleholder Address I
lAbbott Park (Zephyr Lakes)I
WORK PROPOSED 777
PROPOSED USE
TYPE OF CONSTRUCTION F71
NEW CONSTRE
ADDIALT
INSTALL
REPAIR
SFR
Comm
BLOCK
FRAME
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN DEMOLISH
=BUILDING VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL
=MECHANICAL
LM GAS ROOFING =
AMP SERVICE PROGRESS ENERGY W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY DR Horton, Inc
Dorton,
SIGNATURE REGISTERED E� EY, r=N, FEE CURREN
Address 12602 Telecom Drive, Tampa FL 33637 1 License #
ELECTRICIAN COMPANY I Strada Electric
SIGNATURE I e I REGISTERED [- YIN --J----FEE -CURREN � �N
Address 13400 St Johns Pkwy, Sanford, FL 32771 License # I EC13003715
PLUMBER COMPANY Northwest Plumbing
SIGNATURE REGISTERED FEE CURREN
Address [6310 Mableton Pkwy, St 1000, Mableton, GA 30126 License# I CFC142713 7_�
MECHANICAL W I COMPANY Progressive Air Systems
SIGNATURE Cl/ REGISTERED L_YLNj FEE CURREN
Address 7130 Meighan Ct, New Port PUchey, FL 34652 License #
OTHER COMPANY Brad McDonald Roofing
SIGNATURE REGISTERED YIN FEE CURREN LILN _j-
Address 7143 Sit 54, New Fort Richey, FL 34653 License # I CC1325833
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
"**'PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
— J
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways..needs ROW
813-780*020 City VfZephvrhiUsPermit Application pmx-813-780-0021
Building Department
NOTICE OF DEED RESTRICTIONS: The undersigned understands is permit may be subject to "deed" restrictions' which may be more restrict*
than County regulations, The undersigned assumes responsibility for compliance with any applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they
may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and
contractor may be cited for a misdemeanor Violation under state law, If the.owner or intended contractor are uncertain as to what, licensing requirements
may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensinq 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" ofthis
application for which they will be responsible. ff you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in Pasco County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use In existing buildings, or
expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that
such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery
Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final
power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior
to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that 1, the applicant,
have been provided with a copy of the "Florida Construction Lien Law --Homeowners Protection Guide" prepared by the Florida Department of
Agriculture and Consumer Affairs. If the applicant is someone other then 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.
CONTRACTOWSIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with
all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as
indicated. I certify that no work or installation has commenced prior to issuance of a pennit and that all work will be performed to meet standards ofall
laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I
understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I
must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection -Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District -Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps ofEnginear*-SeawaUa.Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Und-Wa||a^ VVeutemvatar Treatment,
Septic Tanks,
- USEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation /\uthudty-Runways.
| understand that the following restrictions apply /othe use uffill:
- Use offill isnot allowed inFlood Zone "V'unless expressly permitted.
- If the fi|| material in to be used in Flood Zone "A', it is understood that drainage plan addressing a
^companaating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed bythe State ofFlorida.
- |fthe fill material is to be used in Flood Zone ''A" in connection with e permitted building using stem wall
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. | certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent pnopertiea, 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 byfill, anengineered drainage plan isrequired.
|f|amthe AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to
commencingnamucti | understandth t a separate permit may be imdfor electrical work, plumbing signs, wens, pools, airconditioning, gas, or
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
FLORIDA JURAT (F.S. 11 7Z)F
OWNER OR AGENT CONTRACTOR
!Svft�sc�ed and sworn to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this
Who Islare personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. as identification.
Notary Public Notary Public
Co ssion No. Commission No.
Name of Notary typed, printed or stamped Rafni-d-Notary typed, printed or stamped
1, RRE, shall be a nunin-ium of 8" above the road elevation and an engineered site plan,
2, Lots shall be graded to cornply with R4013 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 marked 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.
M 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 sut�ject to mechanical datnage unless
protected by approved baniers, 4303.4 of the F,B,C
12, 'Y'Vater heaters shall comply with section P6073 of the RB.C,
13. Foundation supports for A/C UllitS shall be raised at least 3" above finished grade. M 1308,1
14, Return air in all bedrooms. FRC, M 1620.4
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.
19. ("o-mbination-type AFCI breakers are required at all locations requinng an AM 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 FRC
21, All plumbing, mechanical, and electrical shall be separate from unit to unit. This includes all
underground plumbing and electric,
21 All 2016 N.E.C, Codes will be enforced,
23, Tamper- Resistant Receptacles in accordance with 406.11 of the 2016 N.E,("
24. In accordance with the Land Development Code, lots shall be sodded before final at least 10
fiat 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 V. 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 11 dines.
27. i rynit be i).re MaL
28.
F.F.E.-Finished Floor Elevation
F.B.C- Florida Building Code 6h 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 21, BLOCK 2, ZEPHYR LAKES SUBDIVISION PHASES 1B AND 1C
AS RECORDED IN PLAT BOOK 84, PAGE(S) 85-90, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
a
S89'08'25"E
4 25.00' .�
.r
W ^ Q
O
EC o
InZ
Z'x
ON LOT CALCULATIONS
LOT
= 6,251
SQ.
FT.
LIVING AREA
= 2,034
SO.
FT.
GARAGE
= 458
SQ.
FT.
ENTRY
= 28
SQ.
FT.
LANAI
= 218
SQ.
FT.
PATIO
= 0
SQ.
FT.
DRIVEWAY
= 440
SO,
FT.
A/C PAD
= 12
SQ,
FT.
WALKWAY
= 46
SQ.
FT.
IMPERVIOUS
= 52%
= 3236
SQ,
FT.
SOD
= 3,015
SQ.
FT.
OFF LOT CALCULATIONS
RIGHT OF WAY
= 650
SQ.
FT.
DRIVE APRON
= 152
SQ.
FT.
PUBLIC S/W
= 250
SQ.
FT.
SOD
= 248
SQ,
FT,
TOTALS
AREA
= 6,901
SQ.
FT.
DRIVEWAY
= 592
SQ.
FT.
SIDEWALK
= 296
SQ.
FT.
SOD
= 3,263
SQ.
FT.
N N
N �
O OJ
J D7
i as
$6 S89*08'25"E
* STAGGERED FRONT SETBACK=
25' FRONT THEN 27' FRONT,
ON 27' FRONT- REAR SETBACK CAN
CAN BE REDUCED TO 13'
NOTES:
1. PROPOSED ELEVATIONS SHOWN HEREON ARE
BASED ON THE APPROVED ENGINEERING PLANS
PREPARED BY HAMILTON ENGINEERING &
SURVEYING INC..
2. ELEVATIONS ARE BASED ON NAVD 1988
DATUM.
3. FOR ALL LOTS WHERE SIDE -YARD SETBACKS
ARE LESS THAN 7.50 FEET, A MINIMUM 5.00
FOOT WIDE DRAINAGE & ACCESS EASEMENT IS
HEREBY CREATED ON ALL SIDE LOT LINES,
UNLESS OTHERWISE NOTED.
THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES
ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF
THE PROPOSED STRUCTURE. THE CONTRACTOR AND/OR
OWNER ARE REQUIRED TO VERIFY ALL SETBACKS, BUILDING
DIMENSIONS, AND LAYOUT SHOWN HEREON PRIOR TO ANY
CONSTRUCTION.
THIS IS NOT A SURVEY
_ THIS IS A PLOT PLAN ONLY
FLOOD NOTE: I HAVE EXAMINED THE F.I.R.M. MAP NO.
12101CO293F, DATED 09/26/2014, AND FOUND THE SUBJECT PROPERT'
APPEARS TO LIE IN ZONE "X", AREAS DETERMINED TO BE OUTSIDE THE
0.2% ANNUAL CHANCE FLOODPLAIN, DATED 09/26/2014. THE SURVEYOI
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 WHEAT
STONE DRIVE BEING N00'51'35"E, PER PLAT.
(FIELD DATE:) REVISED'
SCALE: 1" = 30 FEET
APPROVED BY: JB
911394 1 DT 21 Rl (Ir'K 9
JOB NO.
DRAWN BY: RMB
5' D&AE
or
59.B'
it
ow
11U
PROPOSED
�
A4D8 DELRAY "E"
11 8' a
FINISHED FLOOR
ELEVATION=89.20'
0.00'
70.0'
5' D&AE
N89®08'25"W
N Y
U
00
J GO
n
— —
BUILDING SETBACK LINE
— —
CENTERLINE
— — —
RIGHT OF WAY LINE
ePROPOSED
ELEVATION
PROPOSED DRAINAGE FLOW
CONCRETE
A/C
AIR CONDITIONER
S/W
SIDEWALK
7
a
c
z
1" = 30,
GRAPHIC SCALE
0 15 30
W>
aWzo
--27.5'010®
1W9j125.03'
¢
Li
Of
W<
N .iWK Z8,N:N
<: N
U:HnY
Ma
o w. N Y wl
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m I- C) vai
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t- CO
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27.5'
V)
W a
125.03'
CL
gti?
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o
` ►
r j; • r
INE
DILIGENCE SERIVICES'
"'Nol?"pF MERICAN SURVEYING & MAPPING, INC.:
•t
PI POINT OF INTERSECTION
PC POINT OF CURVATURE
PT POINT OF TANGENCY
RP RADIUS POINT
PRO POINT OF REVERSE CURVATURE
PCP PERMANENT CONTROL POINT
TYP TYPICAL
CS CONCRETE SLAB
(P) PER PLAT
(C) CALCULATED
PB PLAT BOOK
PGS PAGES
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
D&UE DRAINAGE & UTILITY EASEMENT
D&AE DRAINAGE & ACCESS EASEMENT
DE DRAINAGE EASEMENT
UE PUBLIC UTILITY EASEMENT
SUKVtYUK NU I Lb:
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 AUTHENTIC
ELECTRONIC SIGNATURE AND THE AUTHENTIC
ELECTRONIC SEAL OF A FLORIDA LICENSED
SURVEYOR AND MAPPER.
,upttmnunuan, Digitally signed by James W Boleman
vtt ^^rb m DN:c US,st=Florida,l-Orlando,
X.
P. J A >M•; o-AMERICAN SURVEYING &
MAPPING, INC., —James W
Boleman,
oe; Tine o'er: email-Jboleman@.s orporate.com FOR
•' . Date: 2021.06,1410:59:44-0900' THE
AB�ra nN as, Adobe Acrobat version: t t 0.23 FIRM
JAMES W. BOLEMAN PSM# 6485 DATE
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
SET 2 Building Department
Date Received Phone Contact for Permittirng dsb aue aine@dI°hortoii COIII
Owner's Name nrtnn Tne Owner Phone Number 813 549-196_8
Owner's Address 1 12602 Telecom Drive, Tampa, FL 33637 Owner Phone Number
Fee Simple Titleholder Name 1 7 Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS E LOT #
SUBDIVISION Abbott Park (Zephyr Lakes)) PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM 1�l OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL 0
DESCRIPTION OF WORK
See Sheet 1
BUILDING SIZE SQ FOOTAGE Iforthisinfo I HEIGHT
See N/ BUILDING $ N/A VALUATION OF TOTAL CONSTRUCTION
Sheet I
far all values ?d/A ELECTRICAL
mm
N/A MECHANICAL
$ N/A
$ N/A
$ N/A
AMP SERVICE PROGRESS ENERGY
VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS See Sheet I for this info FLOOD .ZONE AREA =YES NO
[� W.R.E.C.
BUILDER COMPANY
SIGNATURE ! REGISTERED Y 1 N FEE CURREN Y I N
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y I N FEE CURREN Y/ N
Address License #
PLUMBER COMPANY Lawn Medic Landscaping & Irrigation
SIGNATURE REGISTERED Y / N FEE CURREN Y) N
Address 4827 Beauchamp Rd, Plant City, FL 33563 SCC131152084
MECHANICAL COMPANY
SIGNATURE REGISTERED YIN FEE CURREN Y I N
Address
OTHER COMPANY
SIGNATURE REGISTERED Y / N FEE CURREN
Address I License #
T T g, 9 WXgX T 9, W. .Ir 9:9 WXAL T .-CWX,. . ' : .TXX_* , XAFX! X,WW—..T, gAF.T.-T.yg: : ; . . . T. 1
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 Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms, R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w) Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
'PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement Is required. (A/C upgrades over $7500)
" Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways..needs ROW
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
NOTICE OF DEED RESTRICTIONS: The undersigned understands thatthis permit may be subjectto 'deed" restrictions' which may be more restrictive
than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they
may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and
contractor may be cited for a misdemeanor violation under state law. If theowner 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 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 9M7, as amended. The undersigned also understands, that
such fees, as may be due, Vill be identified at the time of permitting. It Is further understood that Transportation Impact Fees and Resource Recovery
Fees must be paid prior to receiving a "certificate of occupancy" or final power release, If the project does not involve a certificate of occupancy or final
power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior
to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that 1, the applicant,
have been provided with a copy of the "Florida Construction Lien Law —Homeowners Protection Guide" prepared by the Florida Department of
Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described
document and promise in good faith to deliver it to the "owner' prior to commencement.
CONTRACTOR'SJOWNER'S AFFIDAVIT: I certify that all the information In this application is accurate and that all work will be done in compliance with
all applicable laws regulating construction, zoning and land development, Application is hereby made to obtain a permit to do work and installation as
indicated. I certify that no work or Installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all
laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I
understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I
must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection -Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District -Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers -Seawalls, Docks. Navigable Waterways.
- Deportment of Health & Rehabilitative Services/Environmental Health Unh4Na|ls, Wastewater Treatment.
Septic Tanks.
- UGEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation Authority+Runwmys.
| understand that the following restrictions apply mthe use offill:
- Use offill \snot allowed inFlood Zone ''\runless expressly permitted.
- |fthe fill material is to be used in Flood Zone 'A`. it is understood that drainage plan addressing a
~ommpenaoting volume" will be submitted ottime ofpermitting which is prepared by o professional engineer
licensed bythe State ofFlorida.
- If the fi|| material is to be used in Flood Zone ^'Af in connection with a permitted building using stem vvoU
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. | 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 app|ication, for lots less than one (1)
acre which are elevated by fill, i d drainage planis required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to
commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or
other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as
authority to Violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from
thereafter requiring a correction of errors in plans, construction or violations of any codes, Every permit issued shall become invalid unless the work
authorized by such permit is commenced vAthin 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 (9D) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered
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
OWNER OR AGENT C.-O CONTRACTOR
PSu scri ed and sworn to (or affirmed) before me this Subscribed and sworn to (or affirrned) before me this
hosi"llia-rielp—ersonally known to me or has/have produced Who is/are personally known to me or —has/have-produced
—as identification. -as identification.
00 Notary Public
Name of Notary ty5—ed-, _p__ni_ntedor stamped
Commission
Ka —me of-Koitary typed, printed or stamped
Notary Public
09/1712021 09:48 AM Rcpt: 2353030 Rec: 10.00 DS: 0.00 IT: 0.00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
Permit No,
Parcel ID No AO-015-eol- r*)j <10-
NOTICE OF COMMENC'EMENT
State of County of
THE UNDERSIGNED hereby gives
the following Information Is Provided notice that Improvement VAII be Made to certain real PropertyIn this Notice Of Commencement , and In accordance with Chapter 713, Florida Statutes,
Description of Property. Parcel Identification No. IF,
Street Address;
2. General Description of Improvement
3. Owner Information or Lessee Information If the Lessee contracted for the Improvement,
Name Of Fee Simple Titleholder
Address
4. Contractor
lir)alnn
51 Surety:
WE
RIMPJEI-��33637
-EL—
State
FL
City State
Address
Amount of Bond: city State
6. Lender. NJA Telephone No.:
Name
Address .
Lender's Telephone No., Cif State
7, Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided
Section 713,'13(l)(a)(7), Florida Statutes: b 'y
ncivir-I ('-,1 1,4-
Address �amDa 336
Telephone Number of Designated Person: 813-740-0720 CEty State
8, in addition to himself, the owner designates Of
to receive a.copy of the I-lenor's Notice as provided in �eGtlon 7-13,13(t)(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 COMMENCEMERt MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION, IF' YOU INTEND TO 013TAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT,
Under penalty of pedury, I declare that I have read the forego! f corn s commencement and that the facts stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO