HomeMy WebLinkAbout21-3335BNR-003335-2021
Issue Date: 01/18/2022
Permit Type: Building New (Residential)
26 25 21 0150 00300 0230 38384 Springhead Ln
Name: D R HORTON Permit Type: Building New (Residential) iContractor: DR HORTON
Class of Work: SFR Construct
Address: 12602 Telecom Dr Building Valuation: $106,000.00
TAMPA, FL 33637 Electrical Valuation: $7,000.00
4e
Phone: (813) 549-1968 Mechanical Valuation: $4,500.00
Plumbing Valuation: $7,200,00
Total Valuation: $124,700.00
Total Fees: $18,391 �00
Amount Paid: $18,391 �00
Date Paid: 1/18/2022 10:58:21AM
CONSTRUCT SINGLE FAMILY 2,739 SQ FT ZL
Electrical Permit Fee $75.00
'Transportation Impact Fee $3,595.68 Park Impact Fee - Single Family/Townhome $769,56
School Impact Fee - Single Family $8,328.00 SIF I percent Fee $83.28
Transportation Impact Fee - City $36.32 Driveway Fee $45.00
Mechanical Permit Fee $62.50 Mechanical Plan Review Fee $31.25
Public Safety Impact Fee -Police $254.00 Water Connection Residential Fee 1,010.00
3/4 Water Meter Fee (Cale) $473.78 Irrigation 3/4 Meter (Cale) $473.78
Plumbing Permit Fee $76.00 Address Fee $30.00
I Building Plan Review Fee $285�00 Building Permit Fee $570.00
Sewer Connection Residential Fee $2,090.00 Electrical Plan Review Fee $37.50
Plumbing Plan Review Fee $38.00
REINSPECTION 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 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 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 OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE PEJAIT OFFICE()
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
jl FPASCO COUNTY, LORIDA
Permit No.
Date Permitted
Builder Na; O y Control
CountyNo.
dd :. n
Classification/Type 0 r
TRANSPORTATION IMPACT FEE Rate: Sq,FtUnIt-. �2��
Exempt*
i' uy,. No How Determined
Impact Fee AmountA•:..
VC-1466-L IMPACT FEE
Account06_ Detached +Amount
k
► Mobile Home
(056) Other Residential
���lectlon Fee
No How Determined
PARKS AND RECREATION FEE
Land Account Land edit Land Total
Recreation Account Recreation Credit Recreation Total
Zone TOTAL AMOUNT
Exempt Yes No Flow Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt Yes No How Determined Total Amount
F RU
TOTAL AMOUNT
;Prepared y c Chocked y
NO CERTIFICATE OF OCCUF CY WILL BE ISSUED FINAL INSPECTION
PERFORMEDL THE TOTAL UNT° LISTED HAVE
SON, PAID AND
RECEIPTED FOR BY A CENTRALPERMITTING OFFIC PASCO COUNTY
RECEIPT NO. DATE BY
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received MMoyes@drhorton.com
Phone Contact for Permitting
salts&
Owner's Name DR Horton Inc Owner Phone Number 813-5a49-1968
Owner's Address 2602 Telecom Drive; Tampa, FL 33337 Owner Phone Number
Fee Simple Titleholder Name Same Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 3 ~€ `i ,i'4,C4 E),.'i LOT#.:.� j
34
SUBDIVISION Abbott mark PARCEL ID# 2 �F� A 1 CC �' ` �'
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONSTR 8 ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK New Single Family Residence - 7"l Beds, 2a Baths, I Story Homel
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING L-0
Gcb VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE PROGRESS ENERGY ,, W.R.E.C.
t
=PLUMBING is
elq
=MECHANICAL $ L VALUATION OF MECHANICAL INSTALLATION T
=GAS ROOFING SPECIALTY 1 OTHER
FINISHED FLOOR ELEVATIONS E --- FLOOD ZONE AREA =YES NO
BUILDER COMPANY DR Horton, Inc
SIGNATURE REGISTERED Y t N FEE CURREN Y/ N
Address 12602 Telecom Drive; Tampa, FL 33637 License # CBC039062
ELECTRICIAN '0116COMPANY Strada Electric
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address 3400 St Johns Pkwy; Sanford, FL 32771 License # EC13003715
PLUMBER COMPANY Northwest Plumbing
SIGNATURE REGISTERED Y / N FEE CURREN
®_
Address 6310 Mabelton P y, St 1000; Mableton, GA 30126 License # CFC1427137
MECHANICAL COMPANY Progressive Air Systems
SIGNATURE REGISTERED Y / N J FEE,CURREN LILN
Address 7130 Meighan Ct; New Port Richey, FL 34652 License # CAC033669��
OTHER COMPANY Brad McDonald Roofing
SIGNATURE REGISTERED Y / N FEE CURREN Y ( N
Address 7143 SR 54; New ort 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 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. a
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*020 City ofZephyrhU|aPermit Application Fox-813-780-0021
Building Department
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may Uamore restrictive
than County regulations.The assumes responsibility for compliance with any applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: Ifthe owner has hired acontractor nrcontractors tnundertake 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 tocontact the Pasco County Building Inspection Division —Licensing Section at72r-a47-aune
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions ofthe "contractor Block" oftms
application for which they will beresponsible. |fyou, aothe owner sign uathe contractor, that may boenindication that xeionot properly licensed and is
not entitled mpermitting privileges mPasco 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, aamay bedue, will ueidentified ot the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery
Fees must uopaid prior to receiving "certificate moccupancy" u,nna|powerre|ea,o.|rmnpnojectuooxnntinvo|^=auomfioamnrocoupanuyo nno|
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
mpermit issuance maccordance 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 acopy o the "Florida Construction Lien Law —Homeowner's Protection Guide" prepared by the Florida Department m
Agriculture and Consumer Affairs. |fthe applicant |euomonncnthortUmntoo 'nwno/'. | certify that | have obtained ocopy ufthe above described
document and promise in good faith tndeliver it tnthe ^owner'prior to commencement.
cowTRAnnJn.o/OVVNeproAFnowv|T |ort|fy that allthinformation in this n tiis accurateand that all workwill u done in compliancewith
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 ofEnvironmental Protection -Cypress Beyheads. Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management Dietriot-WeUn, Cypress Bayheade, VVbt|and Areas, Altering
Watercourses.
Army Corps of Engineers -Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit4We||o, Wastewater Treatment.
Septic Tanks.
- USEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation /\uthor|ty-Runways.
| understand that the following restrictions apply ,nthe use nffill:
- Use offill iunot allowed inFlood Zone "\y'unless expressly permitted.
- If the fill material is to be used in Flood Zone ''A', it is understood that a drainage plan addressing e
"compensating volume" will be submitted at time of permitting which is prepared by professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone ''A" in connection with e permitted building using stem vva||
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 propertiea, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |aoa than one (1)
acre which are elevatedb fill, i d drainageplania 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 YO111JJ
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUI
CONTRACTOR
Subscribed and sworn tn(or affirmed) before mathis
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. as identification.
cvlje� Notary Public
Commission No.
Name of Notary typed, printed or stamped
HEATHER MUNDT
�'00
Commis*iom#GG 94540
Expires May 3, 2024
,�u�o�
"admwmUd*wwKYowmvn
Commission
Name of Notary typed, printed or stamped
otary Public
PLOT PLAN
DESCRIPTION:(AS FURNISHED)
LOT 23, BLOCK 3, ZEPHYR LAKES SUBDIVISION PHASES 1B AND 1C
AS RECORDED IN PLAT BOOK 84, PAGE(S) 85-90, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
Curve Table
Curve #
Length
Radius
Delta
Chord Bearing
Chord
G9 _
-46.97'
305.00'
8'49'24"
N82°57'18-E
46.92'
C2
66.22'
430A0'
8'49'24"
N82°57'18"E
66.15'
C3
236.20"
280.00'
48'20'00"
N69'32'00"E
229,26'
C4
30.95'
1 280.00'
6'20'00"
S89-28-00"E
30.93'
C5
205.25
280.00'
42'00'00"
N66°22'00"E
200.69'
ON LOT CALCULATIONS
LOT
= 7,074
SQ.
FT.
LIVING AREA
= 2,034
SQ.
FT.
GARAGE
= 459
SQ.
FT.
ENTRY
= 28
SQ.
FT.
LANAI
= 218
SQ.
FT.
SLAB
= 24
SQ.
FT.
DRIVEWAY
= 443
SQ.
FT.
A/C PAD
= 12
SQ.
FT.
WALKWAY
= 31
SQ.
FT.
IMPERVIOUS
= 46%
= 3249
SO.
FT.
SOD
= 3,825
SQ.
FT.
OFF LOT CALCULATIONS
RIGHT OF WAY
= 598
SQ.
FT,
DRIVE APRON
= 152
SQ.
FT.
PUBLIC S/W
= 233
SQ.
FT.
SOD
= 213
SQ.
FT,
TOTALS
AREA
= 7,672
SQ.
FT.
DRIVEWAY
= 595
SQ,
FT.
SIDEWALK
= 264
SQ.
FT.
SOD
= 4,038
SO.
FT.
PREPARED FOR
kP R Mk :i s!'
it ,
FRONT:
20'*
GARAGE:
27'
REAR:
13'*
SIDE:
5'
SIDE STREET:
15'
* STAGGERED FRONT SETBACK=
25' FRONT THEN 27' FRONT,
ON 27' FRONT— REAR SETBACK CAN
CAN BE REDUCED TO 13'
NOTES:
1. PROPOSED ELEVATIONS SHOWN HEREON ARE
BASED ON THE APPROVED ENGINEERING PLANS
PREPARED BY HAMILTON ENGINEERING &
SURVEYING INC..
2. ELEVATIONS ARE BASED ON NAVD 1988
DATUM.
THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES
ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF
THE PROPOSED HOUSE.. REFER TO HOUSE PLAN AND
OPTION LIST FOR CONSTRUCTION. ALL BUILDING SET BACK
LINES SHOWN HEREON IS PER DATA FURNISHED BY CLIENT
AND IS FOR INFORMATIONAL PURPOSES ONLY.
THIS IS NOT A SURVEY
THIS IS A PLOT PLAN ONLY
FLOOD NOTE:
I HAVE EXAMINED THE NAM. MAP NO, 12101CO293F, DATED 09/26/2014,
AND FOUND THE SUBJECT PROPERTY APPEARS TO LIE IN ZONE AE ,
DENOTES AREAS
FLOOD HAZARD AREAS
O INUNDATION YT1% SPECIAL
CHANCE OOD BASE
BEARING BASIS:
BEARINGS SHOWN HEREON ARE BASED ON THE WESTERLY LINE OF LOT
23 BLOCK 3 BEING N0238'00"W, PER PLAT.
(FIELD DATE_)
SOAVE: 1" - 30 FEET
APPROVED BY: JB
210324 LOT 23, BLOCK 3
JOB NO,
DRAWN BY; RMB
zl
TRA PS
50' WIDE PRIVATE RIGHT OF WAY f+�
z
%CPC C3 — `�P ! RAPHIC SGAI
Lam"" --�--'4 RIGHT OF WAY
0 15 30
1
0
N N
w �+
C1
as
— 10'UE
A, 1
I •
DRI`�
1
5.8'
21.3'
1
z
O'COVERED
I
11
N
CO
I
4.7 ENTRY
11
N V
I
1
1
-P+
®
z
1
1
PROPOSED v,
DELRAY AFINISRED �
1
1
1
LOT 22
Q I
4 o
A4D8 FLOOR
E EVATION873
1 Qs
1
BLOCK 3
AI
Rt
1
h
j39.6T
11 U
I
1 C
N
23.3'
11
(7T
0w
I
m COVERED'
LANAI
1
2.
d
11
i .2'
1
A/C
i
to i
LOT 23.
J
r a—
BLOCK 3
11
g
ss
I
71074 SQ- FT 3-
TYPE 8
DRAINAGE
m
42
ZepHyR LAKES
SUB, 2A �28PH& 4AS
PG 37
PB 80,
— —
BUILDING SETBACK LINE
— — —'—
CENTERLINE
— — —
RIGHT OF WAY LINE
PROPOSED ELEVATION
PROPOSED DRAINAGE FLOW
CONCRETE
A/C
AIR CONDITIONER
S/W
SIDEWALK
a..Wt %4 yyy� yy
3�43
LpCK
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) PER PLAT
(C) CALCULATED
PB PLAT BOOK
PGS PAGES
SO. 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 DRANAGE & UTILITY EASEMENT
D&AE DRAINAGE & ACCESS EASEMENT
DE DRAINAGE EASEMENT
UE PUBLIC UTILITY EASEMENT
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.
Digitally signed by James Boleman
c DN:c US,st4l,aWa,l Orlando,
o—American Surveying &Mapping,
—Professional Land Surveyor,
on —James Boleman,
a� email=jboteman@asmcorporate.com FOR
Date 2027;11 A414:45:03-0Aw THE
„,.. Adobe Acrobat version: 11.0.23 FIRM
JAMES W. BOLEMAN PSM# 6485 DATE
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
ite, Received
Phone Contact for Permitting
MMoyes@drhorton.com
Nner's Name
DR Horton Inc
Owner Phone Numbe7�68
uvner°s Address
2602 TeleCOm Drive; Tampa, FL 33637
Owner Phone Number
:e Simple Titleholder Name Same
Owner Phone Number
.e Simple Titleholder Address
OB ADDRESS
LOT #
JBDIVISION Abbott Park (Zephyr Lakes) PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
`ORK PROPOSED
NEW CONSTR ADDIALT
SIGN DEMOLISH
e
INSTALL REPAIR
ROPOSED USE SFR COMM
OTHER
�PE OF CONSTRUCTION BLOCK FRAME
STEEL
ESCRIPTION OF WORK
UILDING SIZE SQ FOOTAGE = HEIGHT
NIA BUILDING $ N/A VALUATION OF TOTAL CONSTRUCTION
NIA ELECTRICAL $ N/A AMP SERVICE PROGRESS ENERGY W.R.E.C.
NIA PLUMBING $ N/A -�
N/A MECHANICAL $ NIA VALUATION OF MECHANICAL INSTALLATION
NIA GAS 0 ROOFING SPECIALTY = OTHER
iNISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
UILDER COMPANY
IGNATURE REGISTERED YIN FEE CURREN Y / N
Address License #
LECTRICIAN COMPANY
IGNATURE REGISTERED Y/ N FEE CURREN Y IN
Address I License # I
LUMBER �� COMPANY Lawn MGCiIC Landscape & Irrigation
IGNATURE a REGISTERED Y/ N FEE CURREN Y/ N
Address 4827 Beauchamp Rd; Plant City, FL 33563 License # I SCC131152084
IECHANICAL COMPANY
IGNATURE I REGISTERED YIN FEE CURREN Y / N
Address License #
ITHER COMPANY
IGNATURE REGISTERED Y/ N FEE CURREN Y I N
Address License #
tESEDENTIAL 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
:OMMERCIAL 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
;IGN PERMIT Attach (2) sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
r?
Iirections:
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
)VER THE COUNTER PERMITTING (copy of contract required)
:eroofs 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|kaPermit Application Fa»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 licensinq 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 WaterfSewer Impact fees are due, they must be paid prior
to pen -nit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): lfvaluation ofwork is $2,500.00 or more, I certify that 1, the applicant,
have been provided with a copy of the "Florida Constructon 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 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 W1onogemard Diethot-WeUa, Cypress Beyheada' Wetland Areas, Altering
Watercourses.
' Army Corps ofEnginaera-Seavvo||m^Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit -Wells, N/ootevvoter Treatment,
Septic Tanks.
' U8Environmental Protection Agency -Asbestos abatement.
- Federal Aviation Authority-Runvvaya.
| understand that the following eatrimionoapply mthe use uffill:
- Use offill isnot allowed inFlood Zone ''\y'unless expressly permitted.
- If the fill material is to be used in Flood Zone ^A^, it is understood that a drainage plan addressing o
compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
' If the fill material is to be used in Flood Zone "A" in connection with o permitted building using stem wall
construction, | certify that fill will be used only lofill the area within the stem wall.
- If fill material is to be used in any area, l certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent propartiea, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |eee than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
|f|omthe AGENT FOR THE OWNER, | promise ingood faith toinform the owner ofthe permitting conditions set forth inthis affidavit prior to
commencing construction. | understand that a separateit may be required for | ctri| work, plumbing,signs, vm||o 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 ifwork 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
1211111,911.1
OWNER OR AGENT— d
Subscribed and sworn t ( affirmed) beforam�his Subscribed and sworn to (or affirmed) before me this
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.
PENN 7=
w.310m
Name of Notary typed, printed or stamped
HEATHER MUNDT
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CxnmisWu #GG$m640$
Expires May 3,2024
�up�,
SOMWmm8*0t NoUnwrvicu
Commission
Name of Notary typed, printed or stamped
3
III
I , RRE, shall be as mininium of 8" above the road elevation and an engimeerc-d site plan,
2, Lots shall be graded to comply with R401,3 of the F.B.C,
3.
( onipaction test reqUired it' 24" or more of fill dirt is broug,"it, in at any one place,
4, Tic in survey required beflore pouring concrete.
5,, Driveways require as R.0,.rase pernnit, All 4 sides of driveway thru the sidewalk shall have
expansion material,
6, All setbacks sliall be met,
T All property markers shall be uncovered and niarked at time of first inspection.
S', All A,D,A. require-inents shall be met,
9. No electric, plumbing, mechanical, or framing shall be covered without an inspection and
approval first,,
10, All Garages shall counply with section R302,6 of the RB.C. (Fire Separation),
11, Appikaxices shall not be installed in a location where SUbject to mechanical da,111age Unless
protected by approved barriers. M303A of the RB,C
12, A/ater heaters shall comply with section P607.3 of the F.K.C,
1-3. Foundation Stab cams l'or A/C units shall be raised at least 3" above finished I rade, M 13W 1
14, Retum air in all bedroonis. B,C. M 1620A
15, Smoke detectors are to be installed in accordance with R313,1 of the F,B,C,
W All glazing requirements are to be in accordance with R308A of the RB,C,
17, All rneans of egress are to Inc in accordance kvith R311 of the F.B.C,
18, "Green gypsum board" shall riot be used as a backer in showers or tubs, R702,4.2 RB.0
19, Combination-tyl)e AFCI breakers are required at all locations requiring an AFC I type breaker.
20. Carbon monoxide alarryis will be required in new constrUCtion that uses fossil-buming hearing
or appliances or an attached garage. They, shall be installed in accordance with the F.B.C,
21, All p1wribing, mechanical, and electrical shall be separate from ,trait to unit. This includes all
underground plumbing and electric,
21 All 2016 N,E,C. Codes will be enforced,
0
23. Tamper- Resistant Receptacles in accordance with 406,11 of the 2016 N,E,C
24. In accordance with the L,and Development Code, lots sball be sodded before firial at least 10
feet around the structure,
25, 1 403,5.31-lot water pipe insulation
Insulation for hot water pipe with a minimum thermal resistance (R-value) of R-3 shall be applied to the
following,
Pipinn ,,/., inch (19,1 mm) and larger in nominal diameter,
Piping senting more than one dwelling unit.
Piping located outside the conditioned space.
Piping from the water heater to a distribution manifiold.
Piping located under a floor slab.
Buried in piping,
Supply and return piping in recirculation systerns other than demand recirculation systems,
25. Blower door test shall lie provided before C.0,
2& all timcm
2 7? ermit before finaL
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)