The URL can be used to link to this page

Home My WebLink About22-494926 25 21 0140 00300 0520 1111196-1112.04T210610M Mil Address: 12602 Telecom Dr TAMPA, FL 33637 Phone: (813) 549-1968 CONSTRUCT SINGLE FAMILY 2739 SQ FT ZL School Impact Fee - Single Family Mechanical Plan Review Fee Electrical Permit Fee Public Safety Impact Fee -Police Irrigation 3/4 Meter (Calc) Public Safety Impact Fee -Admin Water Connection Residential Fee Building Permit Fee Transportation Impact Fee Driveway Fee Park Impact Fee - Single Family/Townhome City of Zephyrhills st 5335 Eighth Street Zephyrhills, FL 33542 BNR-004949-2022 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 11/01/2022 Permit Type: Building New (Residential) Class of Work: SFR Construct Building Valuation: $106,000.00 Electrical Valuation: $7,000.00 Mechanical Valuation: $4,500.00 Plumbing Valuation: $7,200.00 Total Valuation: $124,700.00 Total Fees: $18,908.86 Amount Paid: $18,908.86 Date Paid: 11/1/2022 12:11:24PM 8075 Wheat Stone Drive 01 $8,328.00 Plumbing Plan Review Fee $38.00 $31,25 Address Fee $30.00 $75.00 SIF 1 percent Fee $83.28 $254.00 Mechanical Permit Fee $62.50 $73271 Plumbing Permit Fee $76.00 $26.35 3/4 Water Meter Fee (Cale) $732.71 $1,010.00 Sewer Connection Residential Fee $2,090.00 $570.00 Transportation Impact Fee - City $36,32 $3,595.68 Building Plan Review Fee $285.00 $45.00 Electrical Plan Review Fee $37.50 $769.56 lilt I e V 4�e ell entities such as water management, state agencies or federal agencies. 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. -7 CONTRACTOR SIGNATURE PEPT OFFICIEU 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department A f / e Received MMoyes@drhorton.com ,i U Phone Contact for Permitting 'J It 111 -1 a 11 mer's Name ORHon Inc Owner Phone Number 813-649-1968 ,nor's Address [I 2�02 Telecom Drive; Tampa, FL 33637 Owner Phone Number Simple Titleholder Name Same Owner Phone Number a Simple Titleholder Address F_ BADDRESS LOT# IBDIVISION Abbott Park (Zephyr Lakes) PARCEL (08TAINED FROM PROPERTY TAX NOTICE) DRK PROPOSED NEW CONSTRE ADDIALT u SIGN Q DEMOLISH INSTALL REPAIR "OPOSED USE SFR COMM OTHER 'PE OF CONSTRUCTION 0 BLOCK FRAME STEEL ;SCRIPTION OF WORK C'V'_ JILDING SIZE SQ FOOTAGE HEIGHT N/A BUILDING $ N/A VALUATION OF TOTAL CONSTRUCTION N/A ELECTRICAL N/AAMP SERVICE PROGRESS ENERGY W.R.E.C. FN—/A-] PLUMBING $ N/A N/A MECHANICAL $ NIA VALUATION OF MECHANICAL INSTALLATION [N!h] GAS ROOFING SPECIALTY = OTHER NISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO UILDER COMPANY IGNATURE REGISTERED YIN FEE CURREN Address License# LECTRICIAN COMPANY IGNATURE REGISTERED YIN FEE CURREN Address License *# F_ LUMBER COMPANY Lawn Medic Landscape & Irrigation IGNATURE REGISTERED I YIN FEE CURREN 4827 Beauchamp Rd; Plant City, FL 33563 Address License# =19CC131152084 [ECHANICAL COMPANY IGNATURE I REGISTERED YIN FEE CURREN Address License # ,THER COMPANY IGNATURE REGISTERED Y/N FEE CURREN Ly N L__J Address J 14 License s s 2 W 1 1. sells , W4 slat lugumaoull, outages is&s 141111 1., ;ESIDENTIAL 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 wif Silt Fence installed, Sanitary Facilities & I dumpster; Site Work Permit for subdlvisfons/large projects :OMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-C-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 & I 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, )irections: 7.% 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) k 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 OfZephVrhiUaPermit Application Fa»-813-780-0021 Building Department NOTICE OFDEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restnctive than County ��m�r�� with e��r� UNLICENSED 'CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: |f the owner has hired a contractor or contractors to undertake work, they may berequired tobelicensed inaccordance 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 at 727-847- 8009. Furthermore, ifthe owner has h|reco ntractor aus,haisadvised tohave the (4 portions vfthi s application for which they wlill be responsible. If you, as the owner gign as the contractor, that may be an indication that he is not properly licensed and is not entitled topermitting privileges |nPasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Trart^d Impact FoondRounumvRvunweryFeesmayvpp|y/otheonnotmct|onofne*bui|dingo change vfuse |nexisting 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 aue, they must be paid prior to permit issuance In accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (C�anter 713, Florida Statutes, as amended): If valuation of work. i, $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 then the "owner", I certify that I have obtained a copy of the above described document and promise In good faith to deliver it to the "owner"prior to commencement. CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information In this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or Installation has commenced prior to issuance of a permit and that all work will be performed to meet standards ol 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 tubo|ncompliance. Such agencies include but are not limited to: - Department ofEnvironmental Protection -Cypress Bayhgadn. Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. � Southwest Florida Water Management District -Wells, Cypress 8ayheada, VVot|ond Anaaa, Altering Watercourses. - Army Corps of Engineers -Seawalls, Docks, Navigable Waterways. ' Department of Health & Rehabilitative Services/Environmental Health Unit-VVe||a, Wastewater Treatment. Septic Tanks. - USEnvironmental Protection Agency -Asbestos abatement, ' Federal Aviation Aothority`Ruovvoyo. | understand that the following restrictions apply tuthe use offill: ' Use offill ienot allowed inFlood Zone "V^unless expressly permitted. ' If the fill me+eriml is to be used in Flood Zone "A", it is understood that o drainage plan addressing a 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 ''A" in connection with a permitted building using stem xm|| 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 ocUeoent pnopertiee, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots |aas than one (1) acre which are elevated byfill, eOengineered drainage plan iurequired. 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, | understand that useparate permit may be requiredfn |mctA | work, plumbing,i Upools,lr conditioning, gun 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 wlill 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 YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT OWNER OR AGEV_rWdi1j11�,/4ff_ Subscribed and sworn to(or affirmed) before methisWho 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 title it I kl�wim_ Name of Notary typed, printed or stamped HEATHER MUNDT Cmml6sion #g854540$ ExomMay3,2024 'vu�*n- R0r&dmmS*ww*Wymr** Commission Name of Notary typed, printed or stamped PASCO COUNTY, FLORIDA Permit No. yy Permitted - k BuilderControl County Parcel, 7 #. ♦ 1f , N�iT.TT�IzT TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: Exempt Vas No How Determined ImpactFseAmount 503ZO Zone No. T SCHOOL IP T FEE Account (0) Single -Family Detached House Amount $ (07) Mobile Horne (056) Other Residential 12) Collection Fee Exempt Yes No How Determined t P 'Ti F Lend Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone TOTAL AMOUNT Sfo Exempt Yes No How Determined LIBRARY FEE Land Account Lend Credit Lend Total Facility A unt Facility Credit Facility Totes Exempt El Yes Ej No plow Determined Total Amount RED®UFtCE FEE ERU TOTAL AMOUNT i i Prepared By Checked By NO CERTIFICATE OF OCCUPANCY WILL BE ISSUEDI INSPECTION UNTILPERFORMED TME TOTAL UT HAVE OREN, PAID AND RECEIPTED FOR BY A CENTRALI FFIG PASCO COUNTY AcWwwledooment below not Imply acceptance of concurrence, but simply receipt of'a copy of this form, piacinp the bulldlro permit owner, on notice of We assessment and the conditions of payment for same, DATE REC 1V E—DWY RECEIPT NO. DATE BY PLOT PLAN DESCRIPTION:(AS FURNISHED) LOT 52, BLOCK 3, ZEPHYR LAKES SUBDIVISION PHASES 1A, 2A, 213, AND 4A AS RECORDED IN PLAT BOOK 80, PAGE(S) 37-48, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. (CITY OF ZEPHYR HILLS) LOT 53 BLOCK 3 DRAINAGERAGT B _ DRAINAGE EASEMENT AREA P (PATE) C,2 BLOCK - i 7,322 SQ. FT ! �RAtNAGt �E B »-1 • LIVERED'LANAI 39.67' BD a i w A4PROPOSED g D 0� I in FINISHED FLOOLRAY R II ELEVATION g 40 ENTED,\ 4.7' LOT 51 r BLOCK 3 C "—PROPOSED P INLET [/ t — _ 'V NOT FIELD LOCATED Y C4 I C_ /� CENTERLINE OF OF WAY C3 PI V1HEAT STOVER — _ 50' WIDE p TRACT H t�RIVE IVATE RIGHT OF WAY >� PREPARED FOR: Q s BUILDING SFTBAGKS tV ON LOT CALCULATIONS FRONT: 22'* GARAGE: 27' REAR: 13'* SIDE: 5' SIDE STREET: 15' NOTES: 1. PROPOSED ELEVATIONS SHOWN HEREON ARE BASED ON THE APPROVED ENGINEERING PLANS PREPARED BY HAMILTON ENGINEERING & SURVEYING INC.. 2. ELEVATIONS ARE BASED ON NAVD 1988 DATUM. THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF THE PROPOSED 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 F.I.R.M. MAP NO. 12101CO293F, DATED 09/26/2014, AND FOUND THE SUBJECT PROPERTT APPEARS TO LIE IN ZONE "X", AREAS DETERMINED TO BE OUTSIDE THE 0.2% ANNUAL CHANCE FLOODPLAIN PER LOMR CASE NO. 20-04-2472A DATED 05-14-2020. THE SURVEYOR MAKES NO GUARANTEES AS TO THE ABOVE INFORMATION. PLEASE CONTACT THE LOCAL F.E.M.A. AGENT FOR VERIFICATION. BEARING BASIS: BEARINGS SHOWN HEREON ARE BASED ON THE WESTERLY LINE OF LOT 52 BLOCK 3 BEING N07'19'48"E, PER PLAT. (FIELD DATE:) REVISED: SCALE: 1' = 30 FEET APPROVED BY: JB 19ogol L.OT 62, ®LQCK 3 JOB NO, DRAWN BY: RM@ _. __ _......_ .__ ......... .._ LOT = 7,322 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 = 440 SQ. FT. A/C PAD = 12 SQ. FT. WALKWAY = 31 SQ. FT. IMPERVIOUS = 44% = 3246 SQ. FT. SOD = 4,076 SQ. FT. OFF LOT CALCULATIONS RIGHT OF WAY = 712 SQ. FT. DRIVE APRON = 152 SQ. FT. PUBLIC S/W = 275 SQ. FT. SOD = 285 SQ. FT. TOTALS AREA = 8,034 SQ. FT. DRIVEWAY = 592 SQ. FT. SIDEWALK = 306 SQ. FT. SOD = 4,361 SQ. FT. z a 1" = 30, GRAPHIC SCALE 0 15 30 Curve Table Curve # Length Radius Delta Chord Bearing Chord Ci 55.04' 1211.00' 2'36'14" N81'22'05'W 55.03' C2 6118' 1337.00' 237'19" N81'21'33"W 61.18' C3 201.49' 1186.00' 9'44'O2' N85'07'59'W 201.25' C4 151.73' 1186.00' 7*19*48' N86'20'06'W 151.62' C5 49.76' 9186,00'N81'28'05"W 1 49.76' LEGEND: — — BUILDING SETBACK LINE — CENTERUNE — — — RIGHT OF WAY LINE PROPOSED ELEVATION PROPOSED DRAINAGE FLOW CONCRETE A/C AIR CONDITIONER S/W SIDEWALK PI POINT OF INTERSECTION PC POINT OF CURVATURE PT POINT OF TANGENCY RP RADIUS POINT PRC POINT OF REVERSE CURVATURE PCP PERMANENT CONTROL POINT TYP TYPICAL CS CONCRETE SLAB (P) PER PLAT (C) CALCULATED PB PLAT BOOK PGS PAGES SQ. FT, SQUARE FEET F.E.M.A. FEDERAL EMERGENCY MANAGEMENT AGENCY F.LR.M. FLOOD INSURANCE RATE MAP NAVD NORTH AMERICAN VERTICAL DATUM D&UE DRAINAGE & 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 lames William n t N:c=US. sFfbddt I=Utarrcla. a American Surveying &Mapping, 0—professianal Land Surveyor, ar-James William Boleman, FOR emait4bolemenip—C"""t— THE Wte:302209.07162153-09W FIRM JAMES W. BOLEMAN PSM# 6485 DATE 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date / Received r MMoyes@drhorton.com v Phone Contact for Permitting It it, i a A'S is a a ic -AL—Ax 2.1 A AL Owner's Name DR Horton Inc Owner Phone Number 813-549-1968 Owner's Address 1 12602 Telecom Drive; Tampa, FL 33637 Owner Phone Number Fee Simple Titleholder Name ISame T Owner Phone Number Fee Simple Titleholder Address I I I JOB ADDRESS k:> V) a.— LOT # SUBDIVISION Abbott Park PARCEL I (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CDNSTRF7 ADD/ALT SIGN DEMOLISH e INSTALL REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK New Single Family Residence Beds, Baths, I Story Homd BUILDING SIZE SO FOOTAGE HEIGHT =BUILDING Ll VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL = AMP SERVICE PROGRESS ENERGY W.R.E.C. 06 U =PLUMBING =MECHANICAL VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS go= FLOOD ZONE AREA =YES NO BUILDER' COMPANY DR Horton, Inc SIGNATURE REGISTERED Y/N I FEE CURREN L= Address 12602 Telecom Drive; Tampa, FL 33637 License #I CBC039062 ELECTRICIAN COMPANY Strada :ric SIGNATURE 4"v REGISTERED Y/N J FEE CURREN L_y LN I Address 3400 St Johns Pkwy,� Sanford, FL 32771 License # EC1 3003715 PLUMBER COMPANY Northwest Plumbing SIGNATURE REGISTERED Y/N FEE CURREN L�Y 1 N Address Pvmy, St 1000; Mableton, GA 30126 1 License #I CFC1427137 MECHANICAL COMPANY Progressive Air Systems SIGNATURE REGISTERED Y/N FEE,CUR REN Address7130 ihan Ct; New Port Richey, FL 34652 L I cens a # I bAt633669 OTHER I COMPANY Brad McDonald Roofing SIGNATURE AA_ REGISTERED Y/N FEE CURREN Y/N Address7143 SR Richey, FL 34653 License# I CC1325833 as all falls I 1111111112111121 all 9192 1 Islas v.ttivallill 12111111#121 glass a 19 Its III 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 & 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 clumpster. 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. Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement Is required. (A/C upgrades over $7500) — Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) Driveways -Not over Counter if on public roadways..needs ROW 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-002,1 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" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, 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 a❑encies 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 Unit -Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency -Asbestos abatement. - Federal Aviation Authority -Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone W" unless expressly permitted, - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "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 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, I certify that use of such fill will not adversely 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, [or lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior 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 abandoned. WITH YQUE LENUER OR AN ATTQRNEX UEFOSERECORDING Y• Ni QE 90MMENCEMENT, FLORIDA JURAT SubiscrLbed and sworfftd(or affirmed) before mefthis °" ` Subscribed and sworn to (or affirmed) before me this by Michelle Moyes by 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. (� (� tN�otary Public Commission No. " 7 g54Ij D Name of Notary typed, printed or stamped p�er,� HFATHERMUNDT �ogrR Commission # GO 945409 * * 1j&",,"IF Expires May 3, 2024 Bonded ThMBudlik S Commission No Name of Notary typed, printed or stamped Notary Public