HomeMy WebLinkAbout21-3078City of Zephyrhills
5335 Eighth Street
y .<
zephyrhills, FL 33542 BNR-003078-2021
Phone: (813) 780-0020
Fax: (813) 780-0021 Issue Date: 12/14/2021
Permit Building NewResidential)
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7535 Broad Pointe Dr 35 25 21 0180 01100 018
NONE.
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Name: D R HORTON INC Permit Type: Building New (Residential) Contractor: DR HORTON
Class of Work: SFR Construct
Address: 12602 Telecom Dr Building Valuation: $105,000.00
TAMPA, FL 33637 Electrical Valuation: $7,000.00
Phone: (813) 549-1968 Mechanical Valuation: $5,000.00 <��f
Plumbing Valuation: $7,500.00 1.
Total Valuation: $124,500.00
Total Fees: $18,389.50
Amount Paid: $18,389.50 "
Date Paid: 12/14/2021 1:25:43PM �
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tr..,;.�,. „�ty�.. .�<..,a�tiyti ., ltit � rse?S \;;`1.�`ifi a'a<.-k�, �,
CONSTRUCT SINGLE FAMILY 2302 SQ FT ZL
'• -. $i7� .:l a 1. sl .r... \ \. a \. i ^.7.. 'Sa\.) lt. r, .`(\.. }„z ,..., !t 2`.. �.! Public Safety Impact Fee -Admin $26.35 Transportation Impact Fee - City $36.32
Electrical Plan Review Fee $37.50 Irrigation 314 Meter (Cale) $473.78
Sewer Connection Residential Fee $2,090.00 Public Safety Impact Fee -Police $254.00
School Impact Fee - Single Family $8,328.00 Electrical Permit Fee $75.00
Water Connection Residential Fee $1,010.00 Building Plan Review Fee $282.50
Mechanical Permit Fee $65,00 Address Fee
$30.00
Driveway Fee $45.00 Plumbing Permit Fee $77,50
3/4 Water Meter Fee (Cale) $473.78 Building Permit Fee $565.00
Transportation Impact Fee $3,595.68 Mechanical Plan Review Fee $32.50
Plumbing Plan Review Fee $38.75 Park Impact Fee - Single Family/Townhome $769.56
SIF 1 percent Fee $83.28
EINECTI FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c) the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection, whichever is greater, for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owners Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications add fee Must Accompany Application. All work shall be erformed in
t • • ••Ordinances.• M ! C.O.
OCCUPANCY BEFORE C.O.
II
i
PERMIT
` M EXPIRES
1Ni • MONTHS WITHOUT 1:: •
OVED INSPECTION
r w •, ._'
.. , . 0.101171
01 -18-2022 11:49 AM
1.8 Verify grounding system Pass, Present at time of inspection
associated with rebar, i.e., ufer
ground
Grounding system
0 1 - 18IVI -2022 11:49 AM
-Inspection Result
Inspection Result: Pass
Inspection Feedback No issues
Inspe
�M
1.6 Verify vertical plumbing
locations and isolation pipe
chases at penetrations
Vertical Plumbing and chase
location I
67. �1411491TJI
0 1 - 18-2022 11:48 AM
Pass, Meets criteria at the time of inspection
0 1 - 18-2022 11:48 AM
1.7 Verify existence of vapor Pass, Meets criteria at the time of inspection
barrier
0 1 - 18-2022 11:47 AM
1 A Ve slab reinforcing wire, ■ Meets criteria at the time of inspection
lairs and slab for ", size
and location
Reinforcing wire and dowels
mmmmmrll� �77177 I �
i1i
I�Z
01-18-2022 11:47 AM
1.3 Verify reinforcing steel size & Pass, Meets criteria at the time of inspection
placement in footing excavation
Reinforcing steel size (with r�
Micrometer)and placement & M
f
plans
TWIT" K
} ,;
Page 2 of 6
Date Submitted: O1-18-2U22O8:OOPM
ks
'
0148-202211:45AN !
i
- -'
PASCO COUNTY, FLORIDA
Permit No.
Date Permitted---7,- " —
Bwilder Name/Owner Name Control
County Parcel No. V:
Address/Location
Classification/Type of Use S)
TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit:
Exempt El Ves []No How Determined
Impact Fee Amount e Zone No. TAZ:
WC—H-0-0 _L1 M—P—A CWT REME —
Account (056) Single -Family Detached House Amount $
(057) Mobile Home
(058) Other Residential
23) Collection Fee
Exempt 6 Yes E] No How Determined
A "At
CREAT16 FEE
q�
Land Account Land Credit — Land Total
Recreation Account Recreation Credit
Recreation Total
one TOTAL AMOUNT
L
Exempt Yes E] No How Determined
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt Yes No How Determined Total Amount
TOTAL AMOUNT
Prepared By Checked By
knowledgement below does not imply acceptance of concurrence, but sl 0
MR t t
recaln'l 44liaw"',
Wfildt'11,2MIN, I �K
RECEIVED_S_Y___--
RECEIPT NO - -------- . DATE BY
23, Tamper- Resistant Receptacles in accordance with 400,11 of the 2016 N,E,('
24, In accordance o,ith the Land Development Code, lots .ball be sodded before final W least 10
fe,et around the structurc,
25, R403,531-iot water pipe insulation
Insulation for hot water pipe with a minimum thermal resistance (R-valt.je) of R-3 shall be applied to the
following:
Piping I., inch (19,1 mm) and larger in norninal diameter,
Piping serving more than one dwelling unit,
Piping located outside the conditioned space,
Piping from the water her to a distribution manifold,
Piping located under a floor slab.
Buries 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. It' tint e,%,,.
2 ith wrinit befisre� finaL
2 this etwift.
F.F.E.-Finished Floor Elevation
F.B.C- Florida Building Code 6"' Edition
R.O.W.-Right of Way
A.D.A.- Americans with Disabilities Act N.E.C.- National Electric Code (2016)
I , F,EE shall be at miriiinurn M8- above the road elevatimi and an engineered site plan.
2, Lots shall be graded to cornply with R401,3 ofthe F.B.C,
3, Conip action test reqUired if 24- or rnore of fill dial is brought in at ariv one place,
4, Tie in survey reqUired be'rore pouring concrete.
5. Drivewzvys require a R.O.W, use perrnit, All 4 sides of driveway thru the sidewalk shall have
expansion riiaterial,
6All setbacks shall be met.
7, All property, niarkers shall be uncovered and marked at time of first inspection,
8, All A,D,A, requirements shall be ina,
9, No electric, PIUMbIng, niechanical, or fraintrig shall be covered without an inspection and
approval first,
10, All Garages sliall comply with section R30.2,6 ofthe F,B,C. (F'Ire Separation),
I I . Appliances shall not be installed in as location where subJect to mechanical damage undess
protected by approved barriers, N,1303A of the FB,C
12, Water heaters shall coniply with section P6073 of F`,B,C,
13, Foundation supports for A/C units shall be raised at least 3" above finished grade. M 13081
14. Return air in all bedrooms, EB.C. M 1620A
15, Smoke detectors are to be installed in accordaricc with R313.1 ofthe F. B,C
16, All glazing requirements tire to be in accordance with R308A of the FRCI
17, All tnearis ofe,,,ress are to be in accordance with R311 of the FB,C',
18. "Green gv sum board" shall not be used as a bac
ker in shoNvers or tubs, R702.4.2 FBXII'.
- - P
19, Conibiriation-type AFCI breakers are required at all locations re(JUiring an AFCI type breaker.
M. Carbon inotioxidc alarnis will be reqaired in new corkstruction that uses fossil-burnin heating
or appliances (it, an attached garage, They shall be installed in accordance with the FBX.-
21, All PILIMbing, tnechanical, and electrical shall be separate Itrom unit to L-111it. This includes all
underground pluinbing and electric.
22, All 2016 N.E,C, Codes will Inc entorced,
PLOT PLAN
DESCRIPTION:(AS FURNISHED)
LOT 18, 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.
LOT 16 I
LOT 15
LOT 14
BLOCK 11
BLOCK 11
BLOCK 11
�z
GRAPHIC SICALE
S89'53'26"E 50.00--4
6 15
30
. . . . . .
1-0
LOT 18
0
5,750 SO. FT
0
L0
DRAINAGE TYPE A
/C
5.2' 5.2'
ON LOT CALCULATIONS
.
287' "0 Cowk
LOT = 5,750
SQ. FT.
LANAf "
LIVING AREA = 1,828
SQ. FT.
11.0,
GARAGE = 430
SQ. FT.
39.67' -
ENTRY = 16
SQ. FT,
LANAI = 813
SQ. FT.
PATIO = 0
SQ. FT.
LOT 17
PROPOSED
PRCAU
LOT 19
DRIVEWAY = 440
SQ. FT.
BLOCK 11
4EBB -"C"
BLOCK 11
A/C PAD = 12
SO. FT.
FINISHED FLOOR
WALKWAY = 28
SQ. FT.
ELEVATION-94.40'
IMPERVIOUS = 49%
= 2842
SO. FT.
SOD = 2,908
SQ. FT.
(0
OFF LOT CALCULATIONS
0
0
RIGHT OF WAY = 650
SQ. FT.
0
COVERED
DR APRON = 152
DRIVE
SQ, FT.
0
ENTRY
0
PUBLIC S/W = 250
SQ. FT.
z
ILI)
SOD = 248
SQ. FT.
5.2' 1 21.3 14.0"
- 52
TOTALS
:,—
16 0,
AREA - 6,400
SQ. FT,
DRIVEWAY = 592
SO. FT,
p RIVE
SIDEWALK = 278
SO. FT.
" U)
SOD = 3,156
SQ. FT.
--- - - - - - - - -
Of
Ld
91R I
10' UE
>
OIAJ
iz 0
(-)<
Z'
=0
it
Z=
lowIn
CENTERUNIWAY'
RIGHT OF 134.94'
180.00'
N8953'26"W
314.94'
(REFERENCE BEARING)
PREPARED FOR:
BROAD POINTE DRIVE
TRACT "A"
DA-HOWN'",
50' WIDE PRIVATE RIGHT OF WAY
BUILDING SETBACKS
FRONT., 22'
GARAGE: 27'
REAR: 13,
SIDE: 5'
SIDE STREET: 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 NAVID 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 PROPERT,
APPEARS TO UE 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.
IBEARING BASIS:
BEARINGS SHOWN HEREON ARE BASED ON THE CENTERLINE OF BROAD
POINTS DRIVE BEING 1,189-53'26-W, PER PLAT. I
(FIELD DATE:)
SCALE' 1" = 30 FEET
APPROVED BY: JB
JOB NO 210733 LOT 18, BLOCK 11
DRAWN BY. RSB
LEGEND:
BUILDING SETBACK LINE
CENTERLINE
RIGHT OF WAY LINE
PROPOSED ELEVATION
PROPOSED DRAINAGE FLOW
CONCRETE
A/C
AIR CONDITIONER
S/W
SIDEWALK
A M,Ott
N 'V_IR,
+�tAPCP
--
PI POINT OF INTERSECTION
PC POINT OF CURVATURE
PT POINT OF TANGENCY
RP RADIUS POINT
PRC POINT OF REVERSE CURVATURE
POP 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
DE DRAINAGE EASEMENT
UE UTILITY EASEMENT (PUBLIC)
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,
oo'essl1'7"'Iill b, Dbitilly signed by J—es Be]—
"0" "n % DN -US,—Fi.nda, 1=0,1s-d.
A11.1b-S—pymg&M,p;srg.
-P,,f,ssionl L-1 S—eyor,
—M.— B.1—n,
e FOR
yf "'g Date 2021.09.21 08.2847 W' -04THE
Adobe Acrobat e, sio,', : 1A23 FIRM
JAMES W. BOLEMAN PSM# 6485 DATE
Fmx�1n�oU�mz�
81o���o� City of |�P�m�Aooic8�oD
Building Department
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to �ed"restrictions" which may be moremmrictive
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 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 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 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.
CONTRACTO RIS/OWN ERIS 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.
- Department of Health & Rehabilitative Services/Environmental Health Unit40eUe, Wastewater Treatment,
Septic Tanks.
' UGEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation Authority-Runwmyu.
| understand that the following restrictions apply tuthe use vffill:
- Use offill ienot allowed inFlood Zone Wpunless expressly permitted.
- If the fill material is to be used in Flood Zone "A^, it is understood that o drainage plan addressing o
"compensating volume" will be submitted at time of permitting which is prepared by professional engineer
licensed bythe State ofFlorida.
' If the fill material is to be used in Flood Zone "/4^ in connection with m permitted building using stem we||
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 admamek' affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, engineered drainage |an iarequired.
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.| understandthat a separate permit may Uorequired fo,a|ectrina|vmrx plumbing, mgns wells, pools,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 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 wdting, 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 AGE CONTRACTO
sw
b d d m�®r�n7t ( affirmed) before mAhis Subscribed and sworn to (or affirmed) before me this
Who is/are personally known to me or has/have produced Who islare personally known to me or has/have produced
as identification. as identification.
Name 6-Notary typed, printed or stamped
HEATHER
'
0umWWOm#GGV4540$
ExphmMay a2024
'vp*�
Commission
Name of Notary typed, printed or stamped
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
)ate Received MMoyes@drhorton.com
Phone Contact for Permitting I
at was saaaa
:)wner's Name DR Horton Inc Owner Phone Number 813-549-1968
Dwner's Address 1 12602 Telecom Drive; Tampa, FL 33637 Owner Phone Number
:ee Simple Titleholder Name ISarne Owner Phone Number F -
:7ee Simple Titleholder Address I
JOB ADDRESS I I LOT #
3UBDIVISION Abbott Park (Zephyr Lakes) PARCEL I D#
(OBTAINED FROM PROPERTY TAX NOTICE)
NORK PROPOSED NEW CONSTR E ADDIALT SIGN DEMOLISH INSTALL REPAIR
PROPOSED USE SFR COMM OTHER F_
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK I
BUILDING SIZE SQ FOOTAGE HEIGHT
NIA BUILDING $ N/A VALUATION OF TOTAL CONSTRUCTION
[EEELECTRICAL 1$ N/A AMP SERVICE PROGRESS ENERGY W.R.E.C.
N/A PLUMBING $ N/A I
[EE]MECHANICAL $ NIA VALUATION OF MECHANICAL INSTALLATION
N/A GAS ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED LILIN J FEE CURREN Y/N
Address License #
ELECTRICIAN COMPANY I
SIGNATURE REGISTERED I Y/N J FEE CURREN Y/N
Address License #
rl
PLUMBER ( COMPANY Lawn Medic Landscape & Irrigation
SIGNATURE REGISTERED Y/N FEE CURREN Ly N
Address 4827 Beauchamp Rol; Plant City, FL 33563 License# SCC131152084
MECHANICAL COMPANY
SIGNATURE REGISTERED L_y LN J FEE CURREN [_YLWJ
Address License
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y I
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 wl 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 Zephvrhi|lsPermit Application ��13-780-0021
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 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 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 "cerlificate 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,appli cable 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'S/OWNER'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, Wbtland Areas, Altering
Watercourses.
' Army Corps of Engineers -Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unb4NeUn, Wastewater Treatment,
Septic Tanks.
- US Environmental pnotmotionAgenny+Aobestoo abatement.
- Federal Aviation Authority -Runways.
| understand that the following restrictions apply tothe use o,fill:
' Use of fill is not allowed in Flood Zone Wp unless expressly permitted.
' If the fill material is to be used in Flood Zone �", it is understood that adrainege plan addressing e
^compenoeting volume" will be submitted at time ofpermitting which is prepared by 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 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 fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent propertieo, 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)
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 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 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
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSU
OWNER OR AGENT
Subscribed and sworn tv(or affirmed) before mnthis
Who is/are personally known to me or has/have produced Who isfare personally known to me or has/have produced
as identification. —as identification.
Notary Public
Commission No.— &_
Name of Notary typed, printed or stamped
40 pill
HEATHER MUNDT
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Oummbmho#GG 905409
Expires May 3,2024
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SoMedmmBud* NOWY $K*O*
Commission No
Name of Notary typed, printed or stamped
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
I -
Date Received Phone Contact for Permitting I MMoyes@drhorton.com
Ats vistas i
Owner's Name DR Horton Inc Owner Phone Number 1813-549-1968
Owner's Address 12602 Telecom Drive; Tampa, FL 33637 Owner Phone Number
Fee Simple Titleholder Name I Same Owner Phone Number
Fee Simple Titleholder Address
4696 Iwo 4
I
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR F_I ADD/ALT SIGN DEMOLISH
e
INSTALL F__] REPAIR
PROPOSED USE SFR 0 COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK New Single Family Residence LJ Beds, Baths, Story
BUILDING SIZE SQ FOOTAGE HEIGHT
WL ML ML k E IL IL %_1L JL JL AL 'L-JL IL L k JL 'L
[=BUILDING LI
VALUATION OF TOTAL CONSTRUCTION
U:4.1 -_ i
®ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C.
=PLUMBING 1$
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO r . .....
BUILDER COMPANY DR Horton, Inc
SIGNATURE REGISTERED Y/N FEE CURREN YIN
Address F12602 Telecom Drive; Tampa, FL 33637 1 , License # [CBC�69062
ELECTRICIAN COMPANY Ktrada Electric
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Sanford, FL 32771
Address License# EC13003715
PLUMBER COMPANY Northwest Plumbing
SIGNATURE r REGISTERED Y/N FEE CURREN Y/N
Address 6310 Mabelton PVNY, St 1000; Mableton, GA 30126 i License# I CFC1427137
MECHANICAL COMPANY Progressive Air Systems
SIGNATURE REGISTERED Y/N FEE CURREN YIN
Address 7130 Meighan Ct-, New Port Richey, FL 34652 License # I CAc633669
OTHER COMPANY Brad McDonald Roofing
SIGNATURE AA REGISTERED I Y/N FEE CURREN L11 N__J
Address 7143 SR 54; New Port Richey, FL 34653 License# I CC1325833
still a gags 1122111112 all IIIIIII a a its. 11111111122 all 1114211111 Islas I still
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-OW 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.
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