HomeMy WebLinkAbout22-3554nt r } Ira
City of Zephyrhills
5335 Eighth Street zjvt
Zephyrhills, FIL 33542
Phone: (813) 730-0020
Fax: (013) 780-0021 Issue Date: 0212212022
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26 25 210150 00400 0040 38335 Springhead Ln
Name: D R HORTON Permit Type: Building New (Residential) Contractor: DR HORTON
Class of Work: SFR Construct
Address: 12602 Telecom Dr Building Valuation; $104,000.00 fr
TAMPA, FL 33637
Electrical Valuation: $6,800.00
Mechanical Valuation: $4,800.00
Phone; (813) 196-8
Plumbing Valuation: $7,200.00
Total Valuation; $122,800.00
Total Fees: $18,376.75
Amount Paid: $18,376.75
Date Paid: 2/22/2022 10:24:51AM
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,�v `•t.1 . „�: £,t<, t l} tt}„ate t? , �, � ��,���r>> ,'a�\,'v t,J4 ..fiat., , �i ,,,�>, y1t ,, v `�`��r�i.z�, �,�*i A � x`��a.�,� �� ti. tz,t� ,�.v.ce�.z`}aab
CONSTRUCT SINGLE FAMILY 2,011 SQ FT ZL
, ,., .,., ,. ':t:. „_ `: z.. ro \ " l \.. ,'" t .., }.. .`\'s s. i r1 . ..4 t \.z•t.. 1 1. � �,. s
.�'� ,§S„ �`,'.�\\�`,;.'����„1"z�';`ri..<,..f`',\,\f�\}tA�litt\,�"„��itt. .k<L.. ``,1,�,�it ,�'.��i .3 ��A �'\Q;'r �.\`�i,•,�,>,1 �,� ��t �t ,ts Es.,;;35'.< `tr.fs�, s»�„,`,�\'\�;\,. �`,.�`...,t`s .\��`S;r'.
Electrical Plan Review Fee $37.00 Plumbing Permit Fee $76.00
Irrigation 314 Meter (Cale) $473.78 Transportation Impact Fee $3,595.68
Building Permit Fee $560.00 School Impact Fee - Single Family $8,328.00
Driveway Fee $45.00 Sewer Connection Residential Fee $2,090.00
Electrical Permit Fee $74.00 Address Fee $30.00
SIF 1 percent Fee $83.28 Mechanical Permit Fee $64.00
Water Connection Residential Fee $1,010,00 Plumbing Plan Review Fee $38.00
Public Safety Impact Fed -Admin $26.35 Mechanical Plan Review Fee $32,00
Park Impact Fee - Single FamiiytTownhome $769,56 Building Plan Review Fee $280.00
3/4 Water Meter Fee (Cale) $473.78 Transportation Impact Fee - City $36.32
Public Safety Impact Fee -Police $254.00
REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 3.8(2)(c) the
local government shall impose a fee of four tunes the amount of the fee imposed for the initial inspection or
first reinspection, whichever is greater, for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in
accordance <♦ Ordinances. NO OCCUPANCYBEFORE
kl
TRACTOR SIGNATURE
PE IT OFFICE
ITHOUT APPROVED INSPECTION
wli
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
r x 4:7
Phone Contact for Permitting
MMoyes@drharton,com
1
a a a It a 9 a a 1
1111.6 .1:
,
Owner's Name
DR Horton Inc
Owner Phone Number
813-549-1968
Owner's Address
Ll 2602 Telecom Drive; Tampa, FL 33637
Owner Phone Number
Fee Simple Titleholder Name
Owner Phone Number E===
Fee Simple Titleholder Address
JOB ADDRESS
0,
LOT #
Abbott Park
2 " 1, ,
L
SUBDIVISION
PARCEL I D#aN
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH
H INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK New Single Family Residence Beds, 2- Baths, Story
BUILDING SIZE [_ I SQ FOOTAGE [�� HEIGHT I i
=BUILDING E� VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL n4K::1 AMP SERVICE PROGRESS ENERGY W.
=PLUMBING i$ 0 =6
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY DR Horton, Inc
SIGNATURE REGISTERED L Y I N
Address 12602 Telecom Drive; Tampa, FL 33637 License #
ELECTRICIAN 005 COMPANY Strada NElectric
SIGNATURE 1;4 REGISTERED
Address 3400 St Johns Pk y; Sanford, FL 32771 License #I EC13003715
PLUMBER COMPANY Northwest Plumbing
(-U r" ��Y / N��FEE.IR.R�EN Y �/N
SIGNATURE REGISTERED
Address F6310 Mabelton P St �1000; �Mableton, GA 30126 License #I CFC 1427137
MECHANICAL COMPANY FP r —ogressive Air Systems
SIGNATURE REGISTERED I_Y1 N FEECURREN Y / N I
Address ?713�0M�eighanCt; New Port Richey, FL 34652 License # 3669
OTHER COMPANY Brad McDon2aLid Roofing
SIGNATURE 0,1 REGISTERED Y/N FEE Roofing
Y/N
Address 7143 SIR 54; New Port Richey, FL 34653 License # ICC1325833
1111421411131411112114-11 1.111-12194 vigil 1114411114111191111
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 wf 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 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.
q
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
813-780e020 City of ZephyrhiUSPermit Application pa:-818-788-0021
Building Department
NOTICE OFDEED RESTRICTIONS: The undersigned
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 "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 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 ofEnvironmental Protection -Cypress Boyheodm' Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management Diatriot-We||s, Cypress Beyheode. VVbt|and /\reoa' Altering
Watercourses,
- Army Corps of Engineers -Seawalls, Docks, Navigable Waterways,
' Department of Health & Rehabilitative Services/Environmental Health Unit-VVe||o, Wastewater Treatment,
Septic Tanks.
- U8Environmental Protection Agency -Asbestos abatement,
- Federal Aviation Author|ty-Runvvaye.
| understand that the following restrictions apply tothe use offill:
- Use uffill ianot allowed ioFlood Zone "\y'unless expressly permitted.
- If the f||| material is to be used in Flood Zone "A'", it is understood that a drainage plan addressing a
'`compeneeting 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 ^\4" in connection with e 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 |ena than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
n|amthe AGENT FOR THE OWNER, promise ingood faith minform the owner nfthe permitting conditions set forth |nthis affidavit prior to
commencing construction. | understand that aseparate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or
other installations not specifically included in the application. A pen -nit 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 ofpermit issuance, or if work authorized by the permit is suspended or abandonedfor
period of six (0) months after the time the work is commenced. An umonoiun may be mquook*¢ in writing, from the Building Offinie| fore period not to
exceed ninety (8o)days and will demonstrate jvoUfiob|mcause for the extension. |fwork ceases for ninety (0o)consecutive days, the job |aconsidered
abandoned.
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, CONSUI
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed) before mothis
��ho islare personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. -as identification.
Notary Public
Name of Notary typed, printed or stamped
Commission
Name of Notary typed, printed or stamped
otary Public
Single Family Dwelling
Phui Anview Comments
I . FAM, Ml he of, 8" above the roocl cdleva"k[ion "un sitec", P11h,"'u,
I Ints shedl he tVadexl U, conqAy with RAOL3 ofTe FAW
1 UnWamimni ws'4requzhired, if 24or ii-iorc offill dirt is b1,c)Ugtn Oni "o, irti,y plha,,,c�c,
4. 'Tic in survey rtxIuired befinve paaurri,;-,g
5. F)Hveways requirea, RJYA", 1USe POOHL AH 4 sides of d6veway Uuu dw OWN rhall hayt,
n-katcrial,
6, Ac ,loll setlo�ks shall bernict,
7. All orroperty makers shOl toe unmmood ai,,,rl tv,,arked at firne 10"First hnqectiorn,
8, AJI A11A, stic"dH !,',)a met,
9No clecti-ic, pbunribirag, rneclurnical- or karev tig shM1 1w ctweral w4hna an impown and
approval first,
10, All Garages OW c(nqAy with Won R3016 of Ote 1,13,C, (1,im Sepairafion),
11. Appikiwes shMl nm be Owlied ir,\', ia tcic„',,tfio'iWhoc SWIM4 oo triech"',-,inical daorw,p,,,),e kii-dess
t 4 tire by approve��,J ts-inicxs N N,411,103,4 ( ' F 8 C'
12, 'Alder heaters stud! conjAy vvik, sectiorj fl()07,3 oftlhw FJ,3,',,C,
13, Fouridation supports; Or A/C unk, sl,11114art Ire raised at Rom 3" aNne fbiAed gmdm M 1 308A
4, Rd`urn rdr 6-t all .mead w',oins, FB,C,, M 162(14
15, W&C detec""mrs ",xi-e AntOled in accordance with. R3 ].r, I ofllw
16, All rccltdrements are to, bw in accoordarwe with Pt, 3t,18,4 offfiw lFB1
17, AH urvans of egress inte 1"-w in, "ccorclaince with. R,"I I I ofthkc F'H,(,"
18, -('-3'aro,�Crx g)j)SMn1 Wan!" shOl not be tosed as a Imcker in om,, nabsR702A2 FRC,
19. (Doi nbi nahi\)ni - iyfo,,,,Al,"(71 bre,",,kers are rujOud tilt all locadons reqttiiririg an AI type N eikef
20, adarins will be rcqWred in ncw conMwAn Heir uses WKhmning hcMWt,',,\
1W at Tliwnic'c�s on" itin, 'The,'y, sR,oall be in amMance math the IM C,
ni n I � All ph-i Jhirq,), mrid Zhadl bt', at 2'aa rr. S,unit to umnik, 11[1�6,s, in',Wdts ad,1111
22. All Mit) N„ P, Code.c, will be
I
1111'-�' 4' '' I "k,"," I 1 0 1' t he 2 0 16 NJ-
2 3, 'hi,-uuper- IR,es',ustaynt Recept a c I Mu'tx I I "Clt! W It I 4K
24, hn v1'a,ncc Mth, flhe Lzind ("'odc, loaks �4hall lie sodded helficm-c final at le"ist 10
f'001 airok.u,'W the siruclhux"e.
25, R403,5,311ol wah.-,'r' pipe ir4sulafion
lnsud�'-"ifion for hot Water pipe with a z,r'qNrnun'i drierrnal resistance (R-value) oAR-3 shall be appliedi to the
1`01110wing:
pipinq iknch .mt) and, lan,, Onal � 11 �er in noia ,,, Oarnete,,..
Pipir-q ser�,dng nrwire, tlihan, one dwelli.,-T. ur�r[
Piping located outskille the corditioned space,
l","iping from the iirateE heat r to a disbribidion imanit' Id,
Piping located under a floor slab,
Buried ifn pirfln,,.,g
Supply aind retUrn pEping in rtidrcxnabon systerns other than, ciernand ri'.,ici,,cuihfian systenns,
25, Blower door ites', �,',',hafl be provided before,, C.O,
26, A cog qtgLt,he eavis shalk" be wtvhirft gerindt at a.11 tii'nzes,
2 1'
1Q oe nnu 11."s, r""n4ha",ed wi.0h, ne'rinit beli'm, IL—g- im 1';11 11 E"-"
28, JNt) hience. nool or enc-/'(.'�sifre,, i's issiied nu""rh '64"'�s
F.F.E.-Finished Floor Elevation
F.B.C- Florida Building Code 61h Edition
R.O.W.-Right of Way
A.D.A.- Americans with Disabilities Act N.E.C.- National Electric Code (2016)
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
ite Received Jjj one �Contaot Contact Permuting
mner's Name MMoyes@drhortan.com
Owner Phone Number 813-549-1968
Nner's Address FL 33637 Owner Phone Number
.e Simple Titleholder Named Owner Phone Number ���
,e Simple Titleholder Address
DS ADDRESS LOT
LIBDIVISION tt(Lakes) PARCEL ID#t
(OBTAINED FROM PROPERTY TAX NVI71CF)
IORK PROPOSED
NEW CONSTR
ADD/ALT SIGN DEMOLISH
INSTALL
REPAIR
ROPOSED USE
SFR
COMM OTHER
YPE OF CONSTRUCTION
BLOCK
FRAME STEEL
ESCRIPTION OF WORK
,UILDING SIZE SO FOOTAGE = HEIGHT
[NE]BUILDJNG VALUATION OF TOTAL CONSTRUCTION
NIA ELECTRICAL 1$ N/A AMP SERVICE PROGRESS ENERGY W.R.E,C.
[NtA]PLUMBING
FN /A
[EE]MECHANICAL LN/A VALUATION OF MECHANICAL INSTALLATION
NIA GAS ROOFING SPECIALTY = OTHER
NISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
IUILDER COMPANY E
1GNATURE REGISTERED ;;;;FEE I�URREN
Address License #E=:====
1ECTRICIAN COMPANY E
;IGNATURE REGISTERED YIN FEE �CURREN YIN
Address License #E===:=
ILUMBER COMPANY
Lawn Medic Landscape & Irrigation
;IGNATURE REGISTERED YIN FEE CURREN LK I N
Address 4827 Beauchamp Rd; Plant City, FL 33563 License# [_9=CC:13=11=520:8=4
IIEGHANICAL COMPANY E
;IGNATURE REGISTERED YIN FEE �CURREN
Address License#
)THER COMPANY (k
'IGNATURE REGISTERED Y/N FEE CURREN /N'
Address yF License #
ZESIDENTIAL 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
'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 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.
)irections:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (AIC 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)
2eroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways..needs ROW
813-780-0020 City of Zephyrhills Permit Application Fax-813�80-0021
Building Department
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may b "deed^restrictions" whbh may be more restrictive
than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: ff the owner has hired a contractor or contractors +a 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, 11 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 under tands
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 $2,50MO 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 'ewner'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 pen -nit 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. 1 also certify that I
understand that the regulations of other government agencies may apply to the intended work, and that it is mv responsibility to identify what actions 1
must take to be in compliance. Such agencies include but are not limited to:
Department of Environmental ProteGtion-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, VVatenAlVaohewatorTreatment.
� Southwest Florida Water Management 0ethot-WeUa, Cypress Bayheodm, 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.
- USEnvironmental Protection Agency -Asbestos abatement.
' Federal Aviation /\uthority-Runwayo,
| understand that the following restrictions apply tothe use nffill:
- Use of -fill is not a||uvved in Flood Zone Wp unless expressly permitted.
- If the fill material is to be used in Flood Zone "A'", it is understood that a drainage plan addressing a
''oompensating 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 a permitted building using stem wo||
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 ocUooent properties' the owner 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,
|f|amthe AGENT FOR THE OVVNER, ipromise ingood faith tuinform the owner ofthe permitting conditions set forth inthis afflidovitprior to
commencing construction. |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 onnutmod 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 preventthe Building Offioia|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 within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a
period r six (n) 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
abandoned.
WARNING TO OWNER. YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
OWNER OR
Pis/
au�c�eds��omto�ra��od)b�o�me#`�ompemnnallyxnowntomonrhanmmeproduceu Who is/are personally known tomonrhas/have produced
as identification, as identification.
/11
4*ek otary Public
Com mission No.
HEATHER MUNDT
{onml6slm #GG$45409
Exores May 3,2024
-'urno'
60nMm*8*Rtwwry8vmn
Commission No
Name of Notary typed, printed or stamped
Builder Name/Owner Name
County Parcel No.
Address/Location
Classification/Type of Us()
TRANSPORTATION IMPACT FEE
Control
SubDiv:
Rate: q,Ft Unit: '�6�
Exempt [3 Yes [3 No How Determined
Impact Fee Amount Zone No. - TAZ:
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone TOTAL AMOUNT '0Z
Exempt C] Yes C] No How Determined
UBRARY FEE
Land Account Land Credit Land Total
Facility Account _ Facility Credit Facility Total
Exempt []Yes Na[:]How Determined - Total Amount
ERU
TOTAL AMOUNT
Prepared By Chocked By
NO CERTIFICATE OF OCCUPANCY WILL OM ISSUOO OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE'
SIM PAID AN6
RECEIPTED FOR'BY A CENTRAL PERMITTING OFFICE, OF PASCO COUNTY
I, I I I i"FIF-All 54111-J&
-BA�TE
REPEIPT NO. - DATt BY
RECEIVED �13Y
PLOT PLAN
CDF CRIPTION:(AS FURNISHED)
LOT 4, BLOCK 4, ZEPHYR LAKES SUBDIVISION PHASES 1B AND 1C
AS RECORDED IN PLAT BOOK 84, PACE(S) 85-90, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
(CITY OF ZEPHYR HILLS)
DRAINAGE AAREp (PRIVATE)
DRAINAGE EASEMENT (PUBLIC)
— .
6a1 $00"E 50. 0a
LOT 4
_
BLOCK 4
n 6,250 M FT T- i
DRAINAGE TypE B
\
f
A/C
10.2'
15.3' b :.CO. ED'. ID2'
f
r4.s j C�
CO(
29.66`
f C-4
LOT 3
f f
BLOCK 4
f
LOT 5
"'
BLOCK 4
j
qb
t�
ao�f
CO f��r
ENTRY 4.a°
F9
C
"lqb
i
1f 2
4
� 'rs0°
1n . DRIVE 00
1O' UE
W 180 — —
R' I �Q 00
� I
L PI 190.00' i CE'N
W w 1 254.62` R tlJNE OF
444.62'rW I--Q OF WAY PC
EA IN '" "--^--- —
(REFERENCE BEARING)
PREPARE[ FOR:
Y
BUILDING SETBACKS
FRONT,
20'*
GARAGE:
25'
REAR:
15'*
SIDE:
5°
SIDE STREET:
15'
SPRINCHEAD LANE
50, TIDE PRIVATETRIGHT OF WAY
* 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: € HAVE EXAMINED THE F.LR,M. MAP NO, 12101CO293F, DAM
09/2.612D14, AND FOUND THE SUMCT PROPERTY APPEARS TO UE PARTIALLY (..
ZONE A° & W. ZONE XW, AREAS DETERMINED TO BE OUTSIDE THE D.
ANNUAL CHANCE ft0OOPLAI,L Z E 'A;E D TES AR MINED TO BE
SPECIAL FL HAZARDAREAS SO CT `t0 INUNDATION BY THE 1% ANNUAL
CHANCE FL T. BAD S DETERMINED TO BE SY. THE
STIR N NO CYlARANFL AT#ON
AS TO THE ABOVE INFORMATION. PLEASE
CONTACT THE LOCAL RE.MAR, AGENT FOR VERIFICATION.
BEARING BASIS:
BEARINGS SHOWN HEREON ARE BASED ON THE CENTERUNE OF
SPRINGHEAD LANE BEING N8618°00"W, PER PLAT.
(FIELD DATE:)
SCALE: I'° — 30 FEET
APPROVED BY: JB
JOB NO, 210324 LOT A BLOCK 4
DRAWN BY, RMB
BUILDING SETBACK LINE
CENTERUNE
— --
RIGHT OF WAY LINE
Y
PROPOSED ELEVATION
PROPOSED DRAINAGE FLOW
CONCRETE
A/C
AIR CONDITIONER
S/W
SIDEWALK
AMERICAN SURVEYING
& MAPPING, INC.
T.191 Maguire ON,!, Suite 200, Orlando, FL 32803
07-426 7979
ON LOT CALCULATIONS
LOT
= 6,250
SO. FT.
LIVING AREA
= 1,504
SO. FT,
GARAGE
= 390
SQ. FT.
ENTRY
= 31
SQ, FT.
LANAI
= 86
SQ. FT.
PATIO
= 0
SQ. FT.
DRIVEWAY
= 408
SQ. FT.
A/C PAD
= 12
SQ. FT.
WALKWAY
= 59
SQ, FT.
IMPERVIOUS
= 40%
= 2490
SQ. FT.
SOD
= 3,760
SQ, FM
OFF LOT CALCULATIONS
RIGHT OF WAY
= 650
SQ. FT,
DRIVE APRON
= 152
SQ. FT.
PUBLIC S/W
= 250
SQ. FT,
SOD
= 248
SO. FT.
TOTALS
AREA
= 6,900
SQ. FT.
DRIVEWAY
= 560
SQ. FT.
SIDEWALK
= 309
SQ. FT.
SOD
= 4,008
SO. FT.
PI
POINT OF INTERSECTION
PC
POINT OF CURVATURE
PT
POINT OF TANGENCY
RP
RADIUS POINT
PRC
POINT OF REVERSE CURVATURE
PCP
PERMANENT CONTROL POINT
TYF
TYPICAL
CS
CONCRETE SLAB
(P)
PER PLAT
(C)
ALCULATED
PB
PLAT BOOK
PGS
PAGES
SQ, FT,
SQUARE FEET
F.E.M.A.
FEDERAL EMERGENCY MANAGEMENT AGENCY
F.I.R.PR.
FLOOD INSURANCE RATE MAP
NAVY)
NORTH AMERICAN VERTICAL DATUM
D&UE
DRAINAGE & UTILITY 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 MAP�,,F,%sigmdbyDamasWilliam
M -
DN:c-us t=Fb.wag A Wp
Ame F Nc Surveying&Mapfn9,
yn� — fs b al Land Suroeyar,
w cr.J.- W Iliam &a -n,
��c emai(-jGWeinan®asm<uepwate.<om FOR
.. Date: 2921.12.29193229-05VO THE
Ad bl A—batven1-11.0.23 FIRM
JAMES W. EOLEMAN PSM## 6485 DATE
PERMIT APPLICATION
DRIVEWAY PERMIT APPLICATION
CONSTRUCTION WITHIN PUBLIC RIGHT-OF-WAY
All information must be filled -in completely
City of Zephyrhills
5335 8ffi Street, Zephyrhills, FL 33542
Telephone 813,780.0000 Fax 813.780,0005
PROJECTIJOB SITE. -
Unit #:
Parcel --
PROPERTY OWNER
Address: 1-=760,9'T-r� Unit:
0 1,50. 00400. 0 0?4 0 Phone, J5-e Fax-.
CONTRACTOR.,
Company: . yj Y-, Ham* ra — J---
Name: cv ,
Contractor's License Mail.
Phone: 'J
Cell: Fax:
ARCHITECT/ ENGINEER;
I -n e: A' & --Vf7 Ej, --Firm —Name:
State License t:
ice*<A%r- c,"f-S -t- t,
Phone: 011C-1-
Descrintion of Protect
Fax:
YPE R1 F r
Z55 6 LENGTH OF DRIVEWAY'
CULVERTS NEEDED
�WAY
RESIDENTIAL DRIVEWAY
Q�WIDTH OF DRIVEWAY
REINFORCED CONCRETE
-R
COMMERCIAL DRIVEWAY
R.O.W. EXCAVATION
CORRUGATED MATERIAL
PUBLIC ACCESS DRIVE -WAY
----.DEPTH ----LINEAR FEET
PDX CULVERT
OTHER (EXPLAIN)____
CONSTRUCTION NIATERfAL
CURB CUT REQUIRED
---PHALT
NO
_L:�:CONCPETF
--YES
-NO
_NoTICS To APf�LTCANP If actual work exceeds scope of this description, additional permits or drawings
will be requiredx
UT X1:800,4j24770 ILITY L�OCARQNS R IREI�-.- CALL BEFORE YOU DIG:
Page :1 of 3
UTILITIES LOCATE CONFIRMATION NUMBER -
PROVIDE SKETCIA 1N THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS
APPLICATION.
AFFIDAVIT: Application is hereby made to obtain a permit to do work and installations as indicated, I certify that all foregoing
information is accurate and that all work will comply with all applicable codes, I understand these codes shall take precedence over all
approved construction documents, and issuance of this permit is verification that I will notify the property owner of Florida Lien Law
req, F.S. 713.
The issuance of this permit does not ensure compliance with deed restrictions and I understand that additional deed
restrictions may apply to this property.
All work shall comply with the current Florida Building Code, Public Works Design Manual and FDOT Design
Standards (if applicable). (Public Works Design Manual online link: www,ci,zephyrhills,fl.us/public_works.asp)
APPLICATION. IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT
TECHNICIAN OR NOTARY PUBLIC,
NOTE, The City of Zephyrhills is not responsible for maintenance or repairs of driveways. Driveways shall not after
interfere with existing stormwater treatment and I or conveyance.
PROPERTY OWNERS: By signing this application: I certify that I have read and understand the owner/builder disclosure
statement._(�_(please initial)
Applicant Print Name 7 pp i c CiSignaturen t _ Date
Permit Technician Signature (or) Notary Signature Date
Applicant is personally known to me oi- produced as identification.
(type of identification)
PERMIT APPLICATION
OFFICE USE ONLY
PpOLIC 'Wo' =4' USE OINLY
Concrete (min.
Y
N
Asphalt Base (min, 6)
Y
N
Asphalt (min. 1112'}
Y
N
Length (min, 19�
Y
N
Width (101 min — 20" max)
Y
N
Existing sidewalk.
Y
N
New sidewalk.
Y
N
Expansion material required.
Y
N
--------------- -
Contiguous parking pad.
Y
N
Triangular flare (3W x 71)
Y
N
Visibility triangle o.k.?
y
N
Side setback (Y min. R.O.W.)--
Y
N
Plan Review Fee