HomeMy WebLinkAbout21-2705t
+
• �ti �., III 'i ! ., i i
Issue
Permit
« Type: Building New
r •
•+. + ••
Sonnet38296 • • Ave 35 25 21 0180 01100 • «0
! r • r • ! • •
• R HORTON Type: w e Ill I I )_ Contractor: ID �ORTON � III MC
Class �• • ! Construct
Valuation:Address: 12602 Telecom Dr Building Valuation: $110,000.00
1 Electrical . 0•+0
••i Valuation:Mechanical 0+ {0
Plumbing .' • a 0•000
Total .. • 000+0
Paid:Total Fees: $18,423,25
Amount
r..:ePaid:
CONSTRUCT
FAMILY
� 8 8
Park Impact Fee - Single Familyrrownhome
$76956$36.32
ImpactPublic Safety •• `0 Driveway Fee $45.00
Permit;Mechanical Plan Review Fee $35.00 Plumbing Permit Fee $80.00
Building Plan Review Fee $29000 Address Fee $30.00
Mechanical
irrigation
• t 1 00 3/4 Water Meter Fee Public
•. • • 00
Water • • • - O00 Connection�-•� 09000
Building • 00 SIF I percent Fee
• • .:
respectREINSPECTION FEES: (c) With r Reinspection fees will comply• •. Statute 553.80(2)(c)
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,r" each • •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 -•,., agencies or federalagencies.
"Warning to owner: Your failure torecord .:noticeof commencement. your payingtwice for
OCCUPANCYimprovements 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 BEFORE C.O.
+ CONTRACTOR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL
: ;! r INSPECTION i r NOTICE REQUIRED
PROTECT
p CARD FROM
WEATHER
PLOT PLAN
DESCRIPTION:(AS FURNISHED)
LOT 16, BLOCK 11, ZEPHYR LAKES SUBDIVISION PHASE 4B
AS RECORDED IN PLAT BOOK 85, PAGE(S) 126-128, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
a
0
z
1"=30'
GRAPHIC SCALE
0 15 30
Line Table
Line #
Direction
Length
Lt
S89'53'26"E
37.92'
Curve Table
Curve #
Length
FR.di.;T
Delta
Chord Bearing
I Chord
Ct
1 39.25`
i 25.00'
89-57'02"
1 N45-08.03"E
1 35.34'
SONNET LANDING AVENUE
TRACT "A"
50' WIDE PRIVATE RIGHT OF WAY
I (REFERENCE BEARING)
P
_ S89'53'26"E 308.72' — h PCP
— CENTERLINE OF 87.88 — —�— 220.84'
RIGHT OF WAY w
N
DRAINAGE INLET I � n
NOT FIELDI LOCATED z
ON LOT CALCULATIONS
LOT
= 7,111
SO. FT.
LIVING AREA
= 907
SQ. FT.
GARAGE
= 453
SQ. FT.
ENTRY
= 64
SQ. FT.
LANAI
= 0
SQ. FT.
PA110
= 80
SQ. FT.
DRIVEWAY
= 408
SQ, FT.
W
Q
W
��
Q
I
3
,� o
� Iz�
�o
wa
n_
� Lid I
�
0
FRONT: 20'
GARAGE: 25'
REAR: 15'
SI D E: 5'
SIDE STREET: 15'
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.
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 PROPERTI
APPEARS TO LIE IN ZONE "X", AREAS DETERMINED TO BE SPECIAL
FLOOD HAZARD AREAS SUBJECT TO INUNDATION BY THE 1% ANNUAL
CHANCE FLOOD EVENT.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 SONNET
LANDING' AVENUE BEING S89'53'26"E. PER PLAT.
(FIELD DATE:) REVISED:
SCALE: 1" ® 30 FEET
APPROVED BY: JB —
LOB NO. 210733 LOT 16, BLOCK 11
DRAWN BY: DSB
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.
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 PROPERTI
APPEARS TO LIE IN ZONE "X", AREAS DETERMINED TO BE SPECIAL
FLOOD HAZARD AREAS SUBJECT TO INUNDATION BY THE 1% ANNUAL
CHANCE FLOOD EVENT.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 SONNET
LANDING' AVENUE BEING S89'53'26"E. PER PLAT.
(FIELD DATE:) REVISED:
SCALE: 1" ® 30 FEET
APPROVED BY: JB —
LOB NO. 210733 LOT 16, BLOCK 11
DRAWN BY: DSB
��. 10'
O
/ io c`nv DRIVE- N
Q
O
l 21.7' ^ „
I I �
a
j
i I —COVERED
�0 R ENTRY
o=lro (
M
"
LOT 15
� � C.j
N
BLOCK 11
o g ICN
i
w via o
O W
= F
>CD
aLLW
o "
I
0
L1
I I 29.67'
M
I
PATIO'
I
D
I 10.0'
D
i LOT 16
9
a BLOCK 11
g°
7,111 SO. FT n
I DRAINAGE TYPE A
1
I
o�x
S, N89'53'26"W 63.00'
I
I
i
LOT 17
LOT 18
BLOCK 11
BLOCK 11
— —
BUILDING SETBACK LINE
—
CENTERLINE
— — —
RIGHT OF WAY LINE
PROPOSED ELEVATION
PROPOSED DRAINAGE FLOW
CONCRETE
A/C
AIR CONDITIONER
S/W
SIDEWALK',
nil
tANt1 V41kAPpNN ira<
PI POINT OF INTERSECTION
PC POINT OF CURVATURE
PT PONT OF TANGENCY
RP RADIUS POINT
PRC POINT OF REVERSE CURVATURE
PCP PERMANENT CONTROL POINT
TYP TYPICAL
OS CONCRETE SLAB
(P) PER PLAT
PBC CALCULATED
PLAT BOOK
PGS PAGES
SQ. FT. SQUARE FEET
F.E.M.A. FEDERAL EMERGENCY MANAGEMENT AGENCY
F.I. R.M. FLOOD INSURANCE RATE MAP
NAVO NORTH AMERICAN VERTICAL DATUM
D&UE DRAINAGE & UTILITY EASEMENT
DE DRANAGE EASEMENT
UE UTILITY EASEMENT (PUBLIC
D&AE DRAINAGE & ACCESS EAS MENT
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 AUTHENTIC
ELECTRONIC SIGNATURE AND THE AUTHENTIC
ELECTRONIC SEAL OF A FLORIDA LICENSED
SURVEYOR AND MAPPER.
k
+ Dig t ilysignedPyJ V,Bole—
"Sol
�x Y DDN S t i d O d
I� isj AMRICAN SURVEYING&MAPPING.
INC.,W B
IN $ yag a 0bal p t . oT FOR
`� Date: 2021.08.0918:57:18 -OA 00 THE
FIRM
JAMES W. BOLEMAN PSM# 6485 DATE
INVOICE NUMBER
INVOICE DATE
INVOICE DUE DATE
III
INVOICE STATUS
INVOICE DESCRIPTION
INV-00004678
09/14/2021
09/14/2021
Invoiced, Past Due
REFERENCE NUMBER
FEE NAME
TOTAL
BNR-002705-2021
3/4 Water Meter Fee (Calc)
$473.78
Address Fee
$30.00
Building Permit Fee
$580.00
Building Plan Review Fee
$290.00
Driveway Fee
$45,00
Electrical Permit Fee
$75.00
Electrical Plan Review Fee
$37.50
Irrigation 3/4 Meter (Calc)
$473.78
Mechanical Permit Fee
$70.00
Mechanical Plan Review Fee
$35.00
Park Impact Fee - Single Family[Townhome
$769.56
Plumbing Permit Fee
$80.00
Plumbing Plan Review Fee
$40.00
Public Safety Impact Fee -Admin
$26.35
Public Safety Impact Fee -Police
$254.00
School Impact Fee
$8,328.00
Sewer Connection Residential Fee
$2,090,00
SIF 1 percent Fee
$83.28
Transportation Impact Fee
$3,595.68
Transportation Impact Fee - City
$36.32
Water Connection Residential Fee
$1,010.00
38296 Sonnet Landing Ave 35 25 21 0180 01100 0160 Zephyrhills, FL SUBTOTAL
$18,423.25
33540
REMITTANCE INFORMATION
City of Zephyrhills
5335 8th Street
Zephyrhills, FL 33542
September 15, 2021 5335 8th Street, Zephyrhills, FL 33542 Page 1 of 1
W
'41
SCO COUNTYs FLORIDA—
Permit No.
Date Permitted A��_
Builder Name/Owner Nam4b 14� , I
LEIL�n2_ Control #
County Parcel No.35 2-5- -7
�ubDlv:
Address/Location
TRANSPORTATION IMPACT FEE Rate:
Sq Ft Unit:
Exempt El Ves 0 No How Determined
Impact Fee Amount 3 &�2_-
Zone No.
TAZ:
Account (056) Single -Family Detached House
Amount $
(057) Mobile Home
(068) Other Residential
23) Collection Fee
Exempt 6 Yes No How Determined
I _E
Land Account Land Credit —
Land Total
Recreation Account — Recreation Credit
Recreation Total
Zone TOTAL AMOUNT $
Exempt El Yes D No How Determined
Land Account Land Credit
Land Total
Facility Account — Facility Credit
Facility Total
Exempt El Yes E] No How Determined Total Amount -6--
AMOUR—CE
TOTAL AMOUNT -------------
23=1
Chocked By
"k0knowl"g."Ont below do" not knPlY acceptance of concurrence bu
EBMIM Ao,
RECEIPT NC. — DATE BY
81'3-78D-0020 City of Zephyrhills Permit Application Fax7-81
Building Department
1'ate Re ved Phone Contact for Pen-nitfing
wrier Phone Number Lg �-549�4968��
Owners Address I-1-2-6-02--Telecom Drive, Tampa, FL 33637Owner Phone Number
L
e Owner Phone Number
Fee Simple Titleholder Nam
Fee Simple Titleholder Address
JOB ADDRESS 1!a2!JLg 50y%n&- Jg1la! rw,_ R-tx- 2C4oh4rhiIIS"I AM40 I LOT# 11to lit I
SUBDIVISION lAbbott Park
(Zephyr Lakes) ]
— PARCELID#S
WORK PROPOSED
NEW CONSTR
ADDIALT
INSTALL 8
REPAIR
PROPOSED USE
E�,
SFR
Comm
TYPE OF CONSTRUCTION
BLOCK
FRAME
DESCRIPTION OF WORK
cv-A i f--,
T ao'-- L V, QJ
BUILDING SIZE
So FOOTAGE
=BUILDING
$
b 1) Do
=ELECTRICAL
$
C>
=PLUMBING
$
C) o o
=MECHANICAL
$ ---
000
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN DEMOLISH
lemn
HEIGHT I I
VALUATION OF TOTAL CONSTRUCTION
[Terry
1
AMP SERVICE PROGRESS ENERGY
VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER 7 ompANy I DR Horton, Inc
SIGNATURE
REGISTERED YIN _J FEE CURREN L_Z LN _J
Address 12602 Telecom Drive, Tampa FL 33637 License # I QBQ039062,
ELECTRICIAN COMPANY Strada Electric
-
SIGNATURE REGISTERED YIN FEE CURREN
Address 3400 St Johns Pkwy, Sanford, FL 32771 License # I EC13003715
PLUMBER COMPANY Northwest Plumbing
SIGNATURE REGISTERED YIN FEE CURREN
Address 6310 Mableton Pkwy, St 1000, Mableton, GA M126 License #
MECHANICAL COMPANY [�P�rOrOSsive Air Systems
SIGNATURE REGISTERED L_YIN _J FEE CURREN [_YLN_j
Address =0 Meighan Ct, New Port Richey, FL 34652 License # Ji
OTHER COMPANY I Brad McDonald Roofing
SIGNATURE REGISTERED YIN I - FEE CURREN [_Y I N_j--
Address 7LI43 SR 54, New Port Richey, FL 34653 License #
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date, Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
' *PROPERTY SURVEY required for all NEW construction.
11104-44 44*4ft
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�80-0020 City of ZeohvrhiUs Permit Application Fax-813-780-0021
Building Department
NOTICE OF DEED RESTRICTIONS: The undersigned understands thatthis pennit may be subjectto "deed" remdctmns"which may be more restrictive
than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restfictions.
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 Divisior�--Llicensing 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. lf you, as the owner sign as the contractor, that may be an indication that he is not propefly licensed and is
not entitled to permitting pdvileges 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 pdor 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 pen -nit issuance, Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid pdor
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 —Homeowner's Protection Guide" prepared by the Flodda Department of
Agdculture and Consumer Affairs. If the applicant is someone other then the "owner, I certify that I have obtained a copy of the above descdbed
document and promise in good faith to deliver it to the "owner" pdor 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 pdor 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 ofEng|naors-GeawaUs.Docks, Navigable Waterways.
' Department of Health & Rehabilitative Services/Environmental Health Unit -Wells, Wastewater Treatment,
Septic Tanks.
- UQEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation Authohty+Runwaya,
| understand that the following reomwjcmaapply mthe use offin:
- Use offill is not allowed in Flood Zone ^V~ unless expressly permitted.
- If the fi|| material is to be used in Flood Zone "N', it is understood that a drainage plan addressing a
^ compensating volume" will be submitted ettime ofpermitting which is prepared by o professional engineer
licensed bythe State ofF|ohda.
- If the fi|| material is to be used in Flood Zone ''A" in connection with a permitted building using stem vvaU
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 fi|| will not adversely affect adjacent
properties. If use of fill is found to adversely effect adjacent pnopertiea, the owner may be cited for violating
the conditions of the building permit issued under the attached permit app|icabon, for lots )eam than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
|f|amthe AGENT FOR THE OWNER, | promise ingood faith toinform the owner ofthe permitting conditions set forth inthis affivavmpdnrm
commencing construction. | understand+hot a separate permit may be required for electfical workplumbing, signs, *onsnpo|o air conditioning, gas, or
other installations not specifically included in the applicafion. 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
authoitzed by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a
per*iod of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to
exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (91)) consecutive days, the job is considered
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERI[T. It- U41 fill tINIL) I Q
OWNER OR AGENT CONTRACTOR
Sub�c�bqd and sworn to (or affirmed) before me this Subscdbed 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 hasihave produced
as identification. as identification.
Notary Public
4COission No._
Name of Notary typed—, —prinfed or staffip_Cd
MY 00mmission
Commission
Name of Notary typed, printed or stamped
Notary Publi*
81' 780-0020 City of Zephyrhilis Permit Application Fax 813-780-0021
SET 2 Building Department
Date Received Phone Contact for Permitting dsbeauchaiane@ rhortOra com
Owner's Name Owner Phone Number 813-544-19b
Owner's Address 1 12602 Telecom Drive, Tampa, FL 33637 Owner Phone Number � I
Fee Simple Titleholder Name L Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS L LOT #
SUBDIVISION Abbott Park
(Zephyr fakes) '
PARCEL tD#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTR
ADD/ALT
SIGN DEMOLISH
INSTALL 8
REPAIR
PROPOSED USE
SFR
COMM
OTHER
TYPE OF CONSTRUCTION
BLOCK
FRAME
STEEL
DESCRIPTION OF WORK
See Sheet I
BUILDING SIZE SQ FOOTAGE, tar this inifo HEIGHT
See NIA BUILDING $ N/A VALUATION OF TOTAL CONSTRUCTION
Sheet I
for
Values /A
ValNELECTRICAL
Value $ N/A AMP SERVICE PROGRESS ENERGY W.R.E.C.
PLUMBING $ N/A
N1A MECHANICAL $ N/A
=GAS ROOFING 0
FINISHED FLOOR ELEVATIONS See Sheet I for this info
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY � � OTHER
FLOOD ZONE AREA DYES NO
BUILDER COMPANY
SIGNATURE ( REGISTERED Y j N FEE CURREN Y( N
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED YIN FEE CURREN Y I N
Address License #
PLUMBER COMPANY Lawn Medic Landscaping aft Irrigation
SIGNATURE REGISTERED Y j N FEE CURREN LY/ N
Address 4827 �eancham Rd, Plant City, FL 33563 SCC13115208-4WV��
MECHANICAL COMPANY
SIGNATURE REGISTERED YIN FEE CURREN
Address
OTHER COMPANY
SIGNATURE REGI$TERED Y/ N FEE CURREN
Address License #�
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 pax-813-780-0021
Building Department
NOTICE OF DEED RESTRICTIONS: The undersigned understands thatthis pennit may be subjeatto "deed" restrictions" which may be morem#rictive
than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they
may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and
contractor may be cited for a misdemeanor violation under state law, If the ' owner or intended contractor are uncertain as to what, licensing requirements
may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division —Licensing Section at 727-847- 8009.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" ofthis
application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in Pasco County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or
expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 9U7, 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 —Homeowner's Protection Guide" prepared by the Florida Department of
Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described
document and promise in good faith to deliver it to the "owner" prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliancewith
at[ 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, Oooka. Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit -Wells, Wastewater Treatment,
Septic Tanks.
- USEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation Authority+Runwaya.
/ understand that the following restrictions apply mthe use offill:
- Use offill isnot allowed inFlood Zone ^Vunless expressly permitted.
- If the fi|| material is to be used in Flood Zone ^/f. it is understood that a drainage plan addressing a
°oompensating vo|ume^ will be submitted at time of permitting which is prepared by a professional engineer
licensed bythe State ofFlorida,
- If the fill material is to be used in Flood Zone ^A" in connection with a permitted building using stem vvoU
construction, | certify that fill will beused only tofiUthe 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 propeTties' the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |eoa than one (1)
whichacre are elevated by fi|| engineered drainage | is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to
commencing construction. / understandmt a separate permit mayuerequired for electrical work, plumbing, / wells, pools, conditioning, 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 7�bF
CONTRACTO
OWNER OR AGENT
Su crib d and sworn to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this
by Deanne Beauchaine b
Who Islare personalty 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
Cc ission No. Commission No.
Name of Notary typed, printed or stamped Name of - ll typed, printed or stamped
F.F.E. shall be a inininium of 8"' above the road elevation and an engineered site plan,
2, Lots shall be graded to comply Nvith 1 01,3 of the F.B.C,
3, Compaction test required if 24'> or niore, ot' t"ill dirt is brought in at any one place.
4Tie in survey required before pourhag concrete,
5, Driveways require a R.0,W. use perailt, All 4 sides ofdriveway thm the side walk shall have
expansion rnatertal.
6. All setbacks shall be met,
7, All propertv markcrs shall be uncovered and marked at tirne of` first inspection,
8, All A,D,A. requirements shall be met,
9, No electric, plumbing, niechanical, or framing sliall be covered WithOUt an inspection and
approval first,
10, All Garages shall comply with section R302,6 of the F,B,C, (Fire Separation),
11, Appliances shall not be installed in as location where subject to mechanical damage unless
protected by approved batTiers. M303.4 of the F,B,C
12, Water heaters shall comply with section P6073 of the RB,C,
13. Foundation supports for A/C L1,11its shall be raised at least 3" above finished grade. M 1308,1
14Return air in all bedroorns, 1-,',B,( M 1 620A
15, Stnoke detectors are to be installed in accordance with R3 IM of the EB,C
16, All glazing requirements are to be in accordance with R308A of the KBX',
IT All means ofegress are to be in accordance with 1311 of the F,B,(,',
18, "Green gypsum board" shall not be used cis as backer in showers or tubs, R702A.2 F,B,(-"
19,, Combination -type AAA breakers are required at all locations requiring an APTI type breaker,
20, Carbon morioxide alarryis will be reqUired in neNv construction that uses fossil -burning heating
or appliances or an attached garage, They shall be installed in accordance with the RB.C.
21, All plumbing, mechanical, and electrical shall be separate frorn unit to unit, This includes all
underground plumbing and electric,
22a All 2016 NEC. Codes will be enforced,
23,'Taniper- 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
feet around the structure.
25. R403,5,3Hot water pipe insulation
Insulation for hot water pipe with a minimum thermal resistance (R-value) of R-3 shall be applied to the
following:
Piping,/, inch (19,1 mm) and larger in nominal diameter,
Piping serving more, than one dwelling unit.
Piping located outside the conditioned spaoe.
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 all tinter.
217 1. evinit before flnaL
2&
F.F.E.-Finished Floor Elevation
F.B,C- Florida Building Code 6b Edition
R.O.W.-Right of Way
A.D.A.- Americans with Disabilities Act N.E.C.- National Electric Code (2016)
INVOICE NUMBER
IN OICE DATE
INVOICE DUE DATE
INVOICE STATUS
INVOICE DESCRIPTION
REFERENCE NUMBER
FEE NAME
TOTAL
BNR-002707-2021
3/4 Water Meter Fee (Ca1c)
$47338
Address Fee
$30.00
Building Permit Fee
$620.00
Building Plan Review Fee
$310.00
Driveway Fee
$4500
Electrical Permit Fee
$77.50
Electrical Plan Review Fee
$38.75
Irrigation 3/4 Meter (Ca1c)
$47378
Mechanical Permit Fee
$72.50
Mechanical Plan Review Fee
$36.25
Park Impact Fee - Single Family/Townhome
$769.56
Plumbing Permit Fee
$82ZO
Plumbing Plan Review Fee
$4125
Public Safety Impact Fee -Admin
$26.35
Public Safety Impact Fee -Police
$254.00
School Impact Fee
$8,32&00
Sewer Connection Residential Fee
$2,09&00
Transportation Impact Fee
$3,595.68
Transportation Impact Fee - City
$3632
Water Connection Residential Fee
$1,010.00
City ofZephyr ills
WCO COUNTY, FLORIDA
Permit No. Z�, -7
Date Permlttej�
Builder Name/Owner Name Control #
County Parcel No. 352-5 2_1 b 7() t5t fubDIv:
ZA
Address/Location 7 -Z?6 Du'�
9��=
TRANSPORTATION IMPACT FEE Rate:
Sq-FtUnit:1311s:�
Exempt' Ves
E] No How Determined
Impact Fee Amount
$'3b5o Zone No, TAZ:
Account (056)
Single -Family Detached House
Amount $
(057)
Mobile Home
(056)
Other Residential
23)
Collection Fee
Exempt Yes
No How Determined
Flii E-
Land Account
Land Credit -
Land Total
Recreation Account
Recreation Credit
_ Recreation Total
Zone
TOTAL AMOUNT A-7-(OZI
Exempt Yes
[) No How Determined
Land Account
Land Credit
Land Total
Facility Account
- Facility Credit
Facility Total
Exempt 0 Yes No How Determined Total Amount���
TOTAL AMOUNT -----------
Prepared By �6 Chocked BY
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
009K PAID AND
RECEIPTED FOR13Y A CENTRAL PERMITTING OFFICE. OF PASCO COUNTY
,Acknowledgement below does not imply acceptance Of concurrence, but WmP1Y 180010 Ofa paymenpt coof this fo
I , . the building Permit owner. on notice of this 886888ment and the conditions of for same,rm, placing
RECEIPT NC. . DATE BY
81 �48D-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received dsbeauchaine@drhortoii co
Phone Contact for Permitthng I
mast** AVIUM
Ji
My I -Mil
JOB ADDRESS
SUBDIVISION
IVI# .ff1(AWk#1%L4-
lAbbott Park (Zephyr Lakes) I
NEW CONSTR
ADDIALT
INSTALL
8
REPAIR
SFR
Comm
BLOCK
FRAME
=ELECTRICAL
$
=PLUMBING
CIO
=MECHANICAL
$
I ce
= GAS ROOFING =
FINISHED FLOOR ELEVATIONS �9 16L]
M
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN DEMOLISH
OTHER
STEEL
HEIGHT
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE PROGRESS ENERGY W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY = OTHER
FLOOD ZONE AREA =YES NO
BUILDER COMPANY DR Horton, Inc
SIGNATURE REGISTERED L_Y_LN _J FEE CURREN
Address 12602 Telecom Drive, Tampa FL 33637 License #
ELECTRICIAN COMPANY Strada Electric
SIGNATURE REGISTERED YIN FEE CURREN
Address 13400 St Johns Pkwy, Sanford, FL 32771 License # [ EC13QQ3715®
PLUMBER COMPANY Northwest Plumbing
SIGNATURE REGISTERED L_Y_LN _J FEE CURREN
Address 6310 Mableton Pkwy, St 1000, Mableton, G:A::3:01:26:License# I CFC1427137
MECHANICAL COMPANY I Progressive Air Systems
SIGNATURE C-1-1 REGISTERED I Y/N I FEE CURREN
Address 7130 Meighan Ct, New Port Richey, FL 34652 License # CAC033669
OTHER COMPANY [_IB!!radMcDonald Roofing
Y/N
SIGNATURE L REGISTERED Y/N FEE CURREN Y/N
Address 17143 SR 54, New Port 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 subdivislons/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 wl Silt Fence Installed,
Sanitary Facilities & I dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans,
****PROPERTY SURVEY required for all NEW construction.
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 (PlotiSurvey/Footage)
Driveways -Not over Counter If on public roadways..needs ROW
813-780-0020 City DfZephvrhi|kaPermit Application Fa»-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 the i 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 Se�tlon 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. 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 eAsting 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 Proteofion 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.
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 permit and that all work Vill 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, WaterNVastewater Treatment.
- Southwest Florida Water Management District -Wells, Cypress Bmyhaeda, Welland Armes, Altering
Watercourses.
- Army Corps ofEnQineors-Beawo||s.Docks, Navigable Waterways.
- Deportment of Health & Rehabilitative Services/Environmental Health UnM-Wal|a, Wastewater Treatment,
Septic Tanks.
- USEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation Authurity-Runwmya.
| understand that the following restrictions apply tothe use offiU:
- Use offill is not allowed in Flood Zone Wrunless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
^compenooting volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed bythe State ofFlorida.
- If the fill material is to be used in Flood Zone ''A" in connection with a permitted building using obam 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, | certify that use of such fi|| will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent propediea, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |ean than one (1)
acre which are elevated by fi||, an engineered doi age plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to
commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or
other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as
authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from
thereafter requiring a correction of errors in plans, construction or violations of any codes, Every perrnit issued shall become invalid unless the work
authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a
period of six (6) months after the time the work is commenced, An extension may be requested, in writing, from the Building Official for a period not to
exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered
tuftc��&4ed and sworn to (or affirmed) before me this
Who Is/are personally known to me or has/have produced
—as ideniffication.
�.Notary Public
e14
4Coission No. —
Name of Notary typed, printed or stamped
t4owtv Public stoma of Florids
lvpv 1212112024
I 9,w
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
Who is/are personally known to me or has/have produced
as identification.
Commission
Name of Notary typed, printed or stamped
�
� �
Public
R
Ha
I EEL, shall be as nirtilmum of" 8" above the road elevation and an engineered site plan,
2 Lots shall be graded to comply with 1 401.3 of the F,B.C,
3, Compaction test required if "24" or niore of fill dirt is brought in at ativ one place,
4, 'Fie in survey required bef'ore pouring Concrete,
5, Driveways requirc as R,O,W. use pert -nit. All 4 sides ot'driveway thru the sidewalk shall have
expansion material,
6, All setbacks shall be niet.
All property niarkers shall be uncovered and marked at tinic of first inspech011,
8, All AD,A, requirements shall be mcl,
9, No electric, plumbing, mechanical, or firaining shall be covered withiout an inspection and
approval first,
M All Garages shall comply with sectlori R302,6 of the FRC, (Fire Separation).
11, Appliances shall not be installed in as location kvhere subject to rnechanical damage urdess
protected by approved barriers, M303A of the 1-,,B,('
12, Water heaters shall compily with section P607.3 of the, ERC,
13, Foundation supports fir A/C UrlitS sliall be raised al least 3" above finished grade, M 11W 1
14, Return air in all bedrooms, F. FIX,', M 1 620A
15, Smoke detectors are to be installed in accordance with R3 11,1 of the F, 13,(',
16, All glazing requirements are to be M accordance with R308.4 of the F,B,C,
17, All means ofegress are tar be M accordance with R3 I I o F the E B,C,
18, "Green, gypsum board" shall not be used as as backer in showers or tubs, R702,4,2 F,B,C.
19, Combiriation-type AFCI breakers are reqUired at all locations requiring all AFC1 type breaker,
10, Carbon monoxide alan'tis will be required in new construction that uses fossil -burning heating
or, appliances or an attached garage, they sliall be Installed in accordance with tire 17%B,C,
21, Alt plumbing, meclianical, and elecirical shall be seferrale firom unit to unit. This includes all
underr,V "ound phumbing and electric,
21 All 2016 N,F.C. Codes will be enfiorcvd.
M
23), 't"(ainper- Resistant Re.ceptacles in accordance with 406,11 of the 2016 N,E,('
24, In accordance with the Land Development Code, lots shall be sodded before firial at least 10
feet around the structure,
25, R403,5,Hot water pipe insulation
Insulation for hot water pipe with a minirnUM thermal resistance (R-value) of R-3 shall be applied to the
following:
Piping 4, inch (19,1 mm) and larger in nominal diameter,
Piping serving snore than one dwelling strut.
Piping located outside the conditioned space,
Piping frorn the water heater to a distribution manifold
Piping located under a floor slab.
Buried in piping.
Suppy and return piping in recirculation systems other than demand recirculation systems,
25. Blower door test shall be provided before C.O.
26. 1/ dines.
2 Z 1 ernift befi)re finaL
28. this ermit.
F.F.E.-Finished Floor Elevation
F.B.C- Florida Building Code 6 Ih Edition
R.O.W.-Right of Way
A.D.A.- Americans with Disabilities Act N.E.C.- National Electric Code (2016)
813780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
SHEETZ Building Department
Low
1260Z Telecom Drive, Tampa FL 33637 -
ii 21
Fee Simple Titleholder Address
LOT #
JOB ADDRESS
SUBDIVISION Abbott Park (Zephyr Lakes)
PARCEL ID#[
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTR
ADD/ALT
SIGN DEMOLISH
El INSTALL LJ
REPAIR
PROPOSED USE
SFR
COMM
OTHER
TYPE OF CONSTRUCTION
BLOCK
FRAME
STEEL
DESCRIPTION OF WORK
See Sh--t 17
BUILDING SIZE
SQ FOOTAGE, JL.Ithis fnfoj
HEIGHT
Set NIA BUILDING
$ NIA
I Ll
VALUATION OF TOTAL CONSTRUCTION
Sheet I
"' a' N/A ELECTRICAL
Values
AMP SERVICE
PROGRESS ENERGY W,R.E.C.
1$ N
/A
E—U]PLUMBING
$
N/A
N/A MECHANICAL
$
VALUATION OF MECHANICAL
INSTALLATION
N/A
=GAS
0 ROOFING
SPECIALTY =
OTHER
FINISHED FLOOR ELEVATIONS See Sheet I for this afo FLOOD ZONE AREA =YES NO
BUILDER COMPANY [_
SIGNATURE REGISTERED YIN �_ FEE CURREN
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y / N
Address License #
PLUMBER COMPANY Lawn Medic Landscaping& Irrigation--]
SIGNATUREREGISTERED YIN FEE CURREN L _ILN
Address 14827 Beauchamp Rd, Plant City, FL 33563 SCC131152084
MECHANICAL COMPANY
SIGNATURE REGISTERED
Address
OTHER COMPANY
SIGNATURE REGISTERED YIN I FEE CURREN L_LLN N
Address License #
V X, WAX Jr WSAIX"Ir 11.9-11"IrAr SIX 4UWAw 1:111, SAIX JUX W. WIF VW-.!W*-XxX:x*_1[,x1x jr,WX 91V 1XT, WArl
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 & I 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 wl Silt Fence installed,
Sanitary Facilities & I dumpster. Site Work Permit for all new projects, All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
'PROPERTY SURVEY required for all NEW construction.
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 ofZephvrhi|lsPermit Application Fax-813-780-0021
Building Department
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions' which may be more restrictive
than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they
may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and
contractor may be cited for a misdemeanor violation under state law. If the ' owner or intended contractor are uncertain as to what. licensing requirements
may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division —Licensing Seotion at 727-847- 8009.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this
application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in Pasco County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use In existing buildings, or
expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that
such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery
Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final
power release, the fees must be paid prior to permit issuance, Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior
to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that 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.
CONTRACTOR'SIOWNER'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, Wetiand Areas and Environmentally Sensitive
Lands, WaterNVastewater Treatment.
- Southwest Florida Water Management District -Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps ofEngine ers-Soavvo||m. Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit -Wells, Wastewater Treatment,
Septic Tanks.
- UGEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation Authodty-Runwaya.
/ understand that the following restrictions apply tothe use o«fio'
' Use offill isnot allowed inFlood Zone ^\runless expressly permitted.
- If the fill material is to be used in Flood Zone 'K, it is understood that a drainage plan addressing a
^uompenaut|ng volume" will be submitted at time of permitting which is prepared by o professional engineer
licensed bythe State ofFlorida.
- If the fill material is to be used in Flood Zone ^Af in connection with a permitted building using stem vvoK
construction, i 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 propertiea, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior m
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 perrnit issued shall become invalid unless the work
authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a
period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to
exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered
OWNER OR AGENT f
Wbc,li b d
rnd sworn to (or affirmed) before me this
W W 'J"L
o Isfare'personally known to me or hasthave produced
as identification.
Notary Public
Co issionNo
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
Who is/are personally known to me or has/have produced
as identification.
Commission
Fa —me of Notary typed, printed or stamped
am
PLOT PLAN
DESCRIPTION:(AS FURNISHED)
LOT 12, BLOCK 9, ZEPHYR LAKES SUBDIVISION PHASE 2C
AS RECORDED IN PLAT BOOK 84, PAGE(S) 91-93, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
4
Ld
V
T1
(y<�w
>0>
C)<FY
_j
C] Q
-!
V) Q
0
In
PC
N
N
Z I
q W
m �
be
U be
wb
0
w ''- I S89'S0'28"E
w 25,00'
Iq
1q
N
CP
_ BO__P__
PLAT UNDARY
BUILDING SETBACKS
FRONT: 20'*
GARAGE: 25'
REAR: 15'*
SIDE: 5'
SIDE STREET: 15'
* STAGGERED FRONT GARAGE SETBACK
25' FRONT THEN 27' FRONT,
ON 27' FRONT- REAR SETBACK
IS REDUCED TO 13'
' 42.57' f
O
I
PROPOSED
HAYDEN
4.0' or
. 20' W� 4EH— K' a;
FINISHED FLOOR
` P
Z
0 °'ELEVATION=89.50'
i.. V
25.5'-
4 .7'
„`�� 5' D&AE
\8�
S89*50'59"E
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 AND
ACCESS EASEMENT IS REQUIRED PER PASCO
COUNTY LAND DEVELOPMENT CODE.
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 !.S APLOT PLAN ONLY
FLOOD NOTE: I HAVE EXAMINED THE F.I.R,M. MAP NO.
12101CO293F, DATED 09/26/2014, AND FOUND THE SUBJECT PROPERTY
APPEARS TO LIE IN ZONE "X", AREAS DETERMINED TO BE OUTSIDE THE
0.2% ANNUAL CHANCE FLOQDPLAIN. 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 SAIL
CLOVER LANE BEING NOW09'32"E, PER PLAT.
(FIELD DATE:) REVISED:
SCALE 1" - 30 FEET
APPROVED BY: JB
JOB NO 210506 LOT 12, BLOCK 9
DRAWN BY; DSB
LOT 13
BLOCK 9
ON LOT CALCULATIONS
LOT
= 5,750
SQ. FT.
LIVING AREA
= 1,104
SQ. FT.
GARAGE
= 437
SO. FT.
ENTRY
= 111
SO, FT.
LANAI
= 0
SQ, FT.
PATIO
= 80
SQ. FT.
DRIVEWAY
= 408
SQ. FT.
A/C PAD
= 12
SQ, FT.
WALKWAY
= 30
SQ. FT.
IMPERVIOUS
= 38%
= 2182
SQ. FT.
SOD
= 3,568
SO. FT,
OFF LOT CALCULATIONS
RIGHT OF WAY
= 650
SQ. FT.
DRIVE APRON
= 152
SO, FT.
PUBLIC S/W
= 250
SO. FT.
SOD
= 248
SQ. FT,
TOTALS
AREA
= 6,400
SQ. FT.
DRIVEWAY
= 560
SQ, FT,
SIDEWALK
= 280
SO. FT.
SOD
= 3,816
SQ, FT.
a
z
GRAPHIC SCALE
0 15 30
115.00`
4$.
p
0"o
F-
0�
�;'¢`f
F-0]Q
41 W
L0
U'm
o
N I W
0
a
a
,,.,. X
(
0
U NCO
F-
Q ®M.INZ
n <
K tN QT
r
<
.C%
W 4 LL
Q
N
4$.$'o
CO
115.00'
— —
BUILDING SETBACK LINE
—"—' —
CENTERLINE
— — —
RIGHT OF WAY LINE
PROPOSED ELEVATION
PROPOSED DRAINAGE FLOW
CONCRETE
m
4 • ! �%
MAPPING, INC.
NATIONAL D#J
A Dltt'txlCkN OFAMIERICAN SUOVEYIING & MAPPIM INC..'
A/C AIR CONDITIONER
S/W SIDEWALK
PI POINT OF INTERSECTION
PC POINT OF CURVATURE
PT POINT OF TANGENCY
RP RADIUS POINT
PRC POINT OF REVERSE CURVATURE
PCP PERMANENT CONTROL POINT
TYP TYPICAL
CS CONCRETE SLAB
(P) PEPLAT
C) CALCULATED
P8 PLAT BOOK
PGS PAGES
SO. FT. SQUARE FEET
F.E.M.A. FEDERAL EMERGENCY MANAGEMENT AGENCY
FJ.R.M. FLOOD INSURANCE RATE MAP
NAVD NORTH AMERICAN VERTICAL DATUM
D&UE DRAINAGE & UTILITY EASEMENT
D&AE DRAINAGE & ACCESS EASEMENT
DE PUBLIC DRAINAGE EASEMENT
UE PUBLIC UTILITY EASEMENT
LWE LANDSCAPE/WALL EASEMENT (PRIVATE)
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 AUTHENTIC
ELECTRONIC SIGNATURE AND THE AUTHENTIC
ELECTRONIC SEAL OF A FLORIDA LICENSED
SURVEYOR AND MAPPER.
�uunnon upWp
qa � 4r Dig t Ily 'g d by lames W Boleman
DN c US t FI 'da Orlando,
o=AMERICANSURVEYING&
MAPPING INC la nes W Boleman,
¢N ema l jb l Aasmcorporate com FOR
Date 2021.070712:1147 0400 THE
^AdMfi pmnnnnn '` Adobe Acrobat version; 1LU3 FIRM
JAMES W. BOLEMAN PSM# 6485 DATE