HomeMy WebLinkAbout21-2712a
MUMOSTS-M _:m R U
Address: 12602 Telecom Dr
TAMPA, FL 33637
(CONSTRUCT SINGLE FAMILY 3,167 SQ FT SIL
Plumbing Permit Fee
Public Safety Impact Fee -Admin
Transportation Impact Fee - City
Building Plan Review Fee
Plumbing Plan Review Fee
School Impact Fee
Mechanical Permit Fee
City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
BNR-002712-2021
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 09/09/2021
Permit Type: Building Rew (ResiTe_n57
Class of Work: SFR Construct
Building Valuation: $140,000.00
Electrical Valuation: $7,000.00
Mechanical Valuation: $6,000.00
Plumbing Valuation: $8,000.00
Total Valuation: $161,000.00
Total Fees: $14,600.69
Amount Paid: $14,600,69
Date Paid: 9/9/2021 2:03:56PM
$80,00 Address Fee
$30,00
$26.35 Electrical Plan Review Fee
$37,50
$36,32 Mechanical Plan Review Fee
$35.00
$365,00 SIF 1 percent Fee
$83,28
$40.00 Driveway Fee
$45.00
$8,328.00 Transportation Impact Fee
$3,5WI68
$70.00 Electrical Permit Fee
$75.00
VW56 Public Safety Impact Fee -Police
$254.00
$730.00
1111! 1111111111
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Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
( ",
P N
CONTRACTOR SIGNATURE
PE If IT OFFICV
W4 N"T 1112 W14:1 1 V *;I
PASCO COUNTY, FLORIDA
Permit No, 2 If
_13-uider Name/Owner Name Date Permltted�—
Control #
County Parcel No. SubD!v:
600
Address/Locaflon (a (46bk- A [I,
Classificationfrype of Use
TRANSPORTATION IMPACT FEE
Sq. Ft Unit:
Exempt ElVes
No How Determined
Impact Fee Amount
AL34-6-37- Zone No,
_ TAZ:
Account (056)
Single -Family Detached House Amount $
(057)
Mobile Home
(058)
Other Residential
123)
Collection Fee
Exempt dyes
[]No How Determined
Land Account
Land Credit — Lend Total
Recreation Account
_ recreation Credit _
recreation dotal
Zone
TOTAL AMOUNT
Exempt El Yes
E] No How Determined
Land Accourif
Land Credit
Land Total
Facility Account
— Facility Credit
Facility Total
Exempt [I yes
[]No How Determined _
Total Amount
TOTAL AMOUNT
Prepared By
C�hecked By
)dgement below does not Imply acceptance of concurrence
"UW
jjjEeM1114.
_TA_T_E___—
RECEIPT NO. DATE BY
QtY of Zephyrhills Permit Appilcatior,
Building Department
FaX-813-780-0021
Date Received
7Owner`s Name
Owner's Address
H�E
'Fee Simple Titleholder Name
Fee Simple Titleholder Address
fhone Contact f O�56
����ermittin,q 1(.
JOB ADDRESS T, I I I ---
SUBDIVISION
WORK PROPOSED NEW CONSTR
0 INSTALL
M
PROPOSED USE SFR
TYPE-- OF CONSTRUCTION BLOCK
DESCRIPTION OF WORK
BUILDING SIZE
9Q FOOTAGE
=BUILDING
=ELECTRICAL
=PLUMBING
[=MECHANICAL
GAS
ROOFING
FINISHED FLOOR ELEVATIONS
PARCEL ID#
ADD/ALT
REPAIR
Comm
FRAME
Owner Phone Number 1 �`
3� Owner Phone Number
Owner Phone Number
LOT #
(OBTAINED FROM PRTY-TAX NOTICE}
(0 ST R OPE
SIGN DEMOLISH
OTHER
STEEL
HEIGHT
A
VALUATION OF TOTAL CONSTRUCTION A A A
AMP SERVICE PROGRESS ENERGY W,R.E,C.
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY = OTHER
FLOOD ZONE AREA =YES
NO
BUILDER
SIGNATURE COMPANY
Address 1� con, REGISTERED N' FE CURRE Y/N
-�'LECTRICIAN License #C
SIGNATURE COMPANY
REGISTERED Y/ N C
Address FEE CURREN Y / N
'LUMBER License 3
3IGNATURE L",� JO COMPANY
Address REGISTERED Y/ N FEE CURB N /N
MECHANICAL License# C
iIGNATURE COMPANY he , -1
REGISTERED Y,
Address 5- 07 /'N FEE CURREN Y/N
C-�
)THER License # C43 3 6 5
1GNATURE 5 -
COMPANY
Address REGISTERED Y/ FEE CURREN
License #- :>
ESIDENTIAL Attach (2) Plot Plans; (2) sets Of Building Plans; 0-1) set of Energy Forms; R-0-
Minimum ten (110) working days after submittal W Permit for now construction,
OMMERCIAL Sanitary Facilities & I dumpster;,Sit, I date. Required onsite, Construction Plans,
Attach (2) Work Permit for subdivisions/large projects
complete sets of Building Plans Plus a Life Stcrmwater Plans W/ Slit Fence installed,
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/ Slit Fence installed,
Sanitary Facilities & I dumOster Site Work Permit for all now Projects. All commercial requirements must -me
IGN PERMIT Attach (2) sets of Engineered Pl:ans.
--Pnce
**** PROPERTY ,SURVEY, requiredet compliance
"v for all NEW construction.
Irections:
Fill out application completely.
0 .) 0
Owner & Contractor sign back Of application, notarized
If Over $2500, a Notice Of Commencement is required. (A/C Upgrades over $750o)
Agent (for the contractor) Or Power of Attorney (for the owner) Would be someone With not
V�ER THE COUNTER PERMITTING letter from owner authorizing same
'roofs if shingles Sewers (copy Of contract required)
Service Upgrades A/C Fences (PIOt/SurveY/Footag6).,,-.,,,
Driveways -Not over Counter if on Public roadways..needs ROW
NOTICE DFDEED RESTRICTIONS: The undersigned understands that this permit may besubject to^deed"restrictions" '
which may bemore 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-contraotor 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 \avv, both the owner and contractor may be cited for o 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 tocontact the Pasco County Building Inspection D|v|e|on--Lioeneing.Section cd727-847-
8OOS. Furthermore, if the owner has hired a contractor or contreotora, 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 beaO indication that heia notproper|y.|iceDeed 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 bu||d|nga, as specified in Pasco County Ordinance number 89-07 and
90-07' as amended. The undersigned also underatands, that such fees, as may be due, will be identified sdthe time of
permitting. It is further -understood that Transportation Impact Fees'and Resource Recovery Fees must be paid prior to
receiving m "oertifioate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final powerre|eaoa. the fees must be paid prior to permit issuance. Fu[tharrnore, if Pasco County VVaterlBevver 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, onornended): If valuation ofwork is$2.5OO.OUormore, \
certify that |, the applicant, have been provided with o copy of the "Florida Construction Lien Law —Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and [}OnSu0en 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 ittothe "ovvner''prior tocommencement,
CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information inthis application is accurate and that all work
will be done in compliance with all applicable |swvn regulating conntruotion, zoning and land development, Application |o
hereby made to obtain a permit to do work and installation as indicated. \ certify that no work or installation has
commenced prior to iaGu8Ocg of 8 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 'uriediotion. \ also
certify that | 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 ofEnvironmental Protection -Cypress Bayheada' Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-We|)o� Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers -Seawalls, Docks, Navigable Waterways.
' Department of Health & Rehabilitative Services/Environmental Health Unit -Wells, Wastewater Treatment,
Septic Tanks, �
- UGEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation Author\tv-Runvvoyo.
\ understand that the following restrictions 'app|yto theuse of fill:
- Use offiU is not allowed in Flood Zone ''\y' unless expressly permitted.
- )fthe fill material is to be used in Flood Zone "/Y', it is understood that a drainage plan addressing a
"oo0pene@ting vOkJOOe"wiU be submitted at time of permitting vvh|oh is prepared by 8 professional engineer
licensed bythe State ofFlorida.
- 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. | certify that use Of such fill will not adversely affect adjacent
properties. if use of fill is found to adversely affect adjacent properties, the OVvOer may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |eao than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If | am the AGENT FOR THE OVV0EF{, ! promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction, | understand that a separate permit may be required for electrical work,
plumbing, signs, vve||s. puOlS' air oOndit\OniDg, gas` or other iOSb5i|@t\oOs not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not aoauthority to vio|ote, oance|, 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 within nix months of permit issuanoe, or if work authorized by
the permit is suspended or abandoned fpr a period of six (6) months after the time the work is commenced. An extension
may be requested, in vvrit|ng, from the Building Official for 8 period not to exceed ninety /00\ days and will demonstrate
justifiable cause for the extension. |fvvorkoeoseoforninety(QO)coneecutivedaya'the'obiaooneideredabandoned.
FLORDAJU (F,S
OWNER OR AGENT CONTRACTOR
9 Su scribed an*d sworn to (or afflrr;Sd);befor� mg this Subscribed and sworn to (or affirmed) ,
Name ofNotary typed, printed or stamoed Name ofNotary typed, printed or stamped
F- --~
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1. EF.E. shall be a Tninimuni of 8" above the road elevation and an engineered site plan,
2, Lots shall be graded to cornpIv with R4013 of the F,B,C,
3, Compaction test reqUired if 24" or niore of fill dirt is brought ill 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 niarkers shall be uncovered and marked at tirrie of first inspection.
8, All A.D,A. requirements shall be niet,
9, No electric, plumbing, mechanical, or franning shall be covered without an inspection and
approval first.
10, All Garages shall comply with section R302.6 of the RB.C. (Fire Separation),
11, Appliances shall not be installed in as location where sut1ject to rnechanical dainage unless
protected by approved barriers,, M303A of the F,,B,('
12, NVater heaters shall comply with section P607.3 of the F.B,C.
13. Foundation supports for A/C units shall be raised at least 3" above finished grade, M1308.1
14. Return air in all bedrooms. F.B,C, M 1620.4
15. Smoke detectors are to be installed in accordance with R313,1 ofthe F.B,C.
1 6,, All glazing requirements are to be in accordance with R308.4 of the F.B,C,
IT All nneans of egress are to be in accordance with 1 311 of the F.B,C,
18,, "Green gypswn board"' sball not be used as as backer in showers or tubs,, R702A.2 F,B,C
19, Conibination-type AF(A breakers are required at all locations requiring an AFCI type breaker.
20- Carbon monoxide alart'ns 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 RB,C
21, All plumbing, mechanical, arid electrical shall be separate trorn unit to unit, This includes all
underground plumbing and electric,
22. All 016 N.E.C. Codes will be enforced,
23. Tamper- Resistant Receptacles in accordance with 06.11 of the 2016 N.E,,('
24. In accordance witb the Land Developryient Code, lots shall be sodded before final at least 10
feet around the structure,
25, R403.5,31-iot water pipe imsulation
Insulation for hot water pipe with a minimum thermal resistance (R-value) of R-3 shall be applied to the
following,
Piping V. inch (1 91 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 Linder 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 times.
27. x Terr before flnaL,
28.
F.F.E.-Finished Floor Elevation
F.B.C® Florida Building Code 6th 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 16, BLOCK 10, SILVERADO RANCH SUBDIVISION PHASE 5B
AS RECORDED IN PLAT BOOK 81, PAGE(S) 69-73, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
ON LOT CALCULATIONS
LOT
= 7,475
SO, FT.
LIVING AREA
= 2,372
SQ. FT.
GARAGE
= 531
SQ. FT.
ENTRY
= 50
SQ. FT.
LANAI
= 207
SQ. FT.
PATIO
= 0
SQ. FT.
DRIVEWAY
= 545
SQ. FT.
A/C PAD
= 9
SQ. FT.
WALKWAY
= 26
SQ. FT.
IMPERVIOUS
= 50%
= 3740
SO. FT.
SOD
= 3,735
SO. FT.
OFF LOT CALCULATIONS
RIGHT OF WAY
= 1138
SQ. FT.
DRIVE APRON
= 344
SQ. FT.
PUBLIC S/W
= 325
SQ. FT.
SOD
= 469
SQ. FT.
TOTALS
AREA
= 8,613
SQ. FT.
DRIVEWAY
= 889
SO, FT.
SIDEWALK
= 351
SQ. FT.
SOD
= 4,204
SQ. FT.
T
f0
\ \ ry • Q; cry�rFp
/ .,��
Y 'a,
w
70,
(fF� is
PREPARED FOR: To FAp,�y Fos oS ,R, R/`�
fin'
BUILDING SETBACKS
FRONT: 20'
REAR: 15° PC
SIDE: 7.5' LEGEND:
SIDE STREET: 20'
8S•
NOTES: — BUILDING SETBACK LINE
CENTERLINE
1. ELEVATIONS SHOWN ARE PER LOT GRADING RIGHT OF WAY LINE
PLANS PROVIDED BY THE CLIENT.
2. ELEVATIONS ARE BASED ON NAVD 1988 PROPOSED ELEVATION
DATUM' PROPOSED DRAINAGE FLOW
THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES
CONCRETE
ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF
THE PROPOSED HOUSE. REFER TO HOUSE PLAN AND
A/C AIR CONDITIONER
OPTION LIST FOR CONSTRUCTION. ALL BUILDING SET BACK
S/w SIDEWALK
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
1 HAVE EXAMINED THE F.LR.M. MAP NO, 12101CO269F,
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 FLQODPLAIN. 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 COBBLE
BLISS STREET BEING N52'05'12"W, PER PLAT AFFIDAVIT (OFFICIAL
RECORDS BOOK 10084, PAGE 1472).
(FIELD DATE) REVISED:
SCALE. 1" = 30 FEET
APPROVED BY. JB
200646 LOT 16 BLOCK
.JOB NO. 10
DRAWN BY: DSB .............. .,» ,.. .,...,. •..,
A5hA
SUFRVF-YIN0
c&CM APPING INC.
CERTIFICATION OF AUTHORIZATION NUMBER LB#6393
3191 MAGUIRE BOULEVARD, SUITE 200
ORLANDO, FLORIDA 32803
(407) 426-7979
WWW.AMERICANSURVEYINGANDMAPPING. COM
a
F
0
z
1"=30'
GRAPHIC SCALE
0 15 30
PI POINT OF INTERSECTION
PC POINT OF CURVATURE
PT POINT OF TANGENCY
RP RADIUS POINT
PRC POINT OF REVERSE CURVATURE
PCC POINT OF COMPOUND CURVATURE
TYP TYPICAL
CS CONCRETE SLAB
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
NGVO NATONAL GEODETIC VERTICAL DATUM
D&UE DRAINAGE & UTILITY EASEMENT
POE PRIVATE DRAINAGE EASEMENT
PUE PUBLIC UTILITY EASEMENT
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.
��r�a1)hYitiU,b9ei�� DigRa!y signed by JamesW Boeman
1 40
DN:c=US,st=Flo,lda•=C,lando,
`e'� =AMERICAN SURVEYING&
p" MAPPING, NC,cn James W
.-' Y-!Boleman
ematlyboeman@asmcorporate.com FOR
Date: 202 1 .07.26 10:49:06 -04'00' THE
v�sPd/UI"I liIIxnn��Adobe Acrobat version: 11.0.23 FIRM
JAMES W. BOLEMAN PSM## 6485 DATE
INSTR# 2021197715 OR SK 10440 PG 49 page i of 1
09117=21 11:02 AM Root 2353097 Rec: 10.00 DS: 0= IT: 0.00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
Permit No. Parcel ID No (00
NOTICE OF COMMENCEMENT
State of county of. PaacO
THE UNDERSIGNED hereby gives notice that Improvementwill be made to certain real Props*, and In accordance with Chapter713, Florida Statutes,
the following Information is Provided In this Notice of commencamert1. C, f
Description Of Property- Parcel Identification Nc, 49,f to(
Street Address;
General Description ofImprovement N
3. Omer Information or Lessee Information If the Lessee contracted for the Improvement
Name
_EL_
Address
Interest In Property-, f State
Name Of Fee simple Titleholder:
Address tatty State
4. Contractor. _UJI-HDiton. Inc
Contractors Telephone No,:
S. surety:
-Name
Address
City
Amount of Bond: Telephone No.: state
6. Lender., i
Name
Address
Lender's Telephone No.:
G�' Stale
7, Persons Within the State of Florida designated by the Owner upon Whom notices or other documents may be served as provided
Seeflon-713.13(i)(a)(7), Florida Statutes:
by
AdAdarmesss��es- JaMp,-L 33637
CRY State
Telephone Number of Designated Person:
B. In addition to hiroftff, the owner designates of
to receive a.copy of the Lienor's Notice as provided In Section Fladda 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 oonstruollon and final payment to the
contractor, but will be one year from tho4sta of recording unless a different date Is specified):
Under penalty of ps&_ry, I declare that I have read the foregoing once commencement and that the facts stated therein are true to the best
of my knowledge and belief,
STATE OF FLORIDA
COUNTY OF PASCO .1 7C..e. or �Lsse. AAh.,Lmd Sig Owner or Lessee
offloerMirector/Partner/Manager
-Assistant Secretarv/D.R. Horton. Inc
Stgnatoyz TillefOltoe -
The foregoing Instrument was acknowledged before me this day 26:_)J-by _� 0
as (type of authority, e.g, .111cer, trustee, ttorney In fact) for
EQftW'1r1Q_ (nameof p �mnof whom i "ment was Uectfteld).
Personally Known N P_R Produced Identification Ej Notary ftnatu
Type of Identification Produced Name (Print)
Notary Public State of Florida
Michelle Moyes
MY 00mnftlOn HH W6697
WMS 12MI=4
Flu
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