HomeMy WebLinkAbout22-4151����mm����u0��mx��`~N� Of 0
��o�� ��n a�°�m_nu]�mmnumms
6335Eighth StreetRal
ZeohvrhUka.FL33542
Phone: (813)780-OU20 Issue Date:
Name: LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential)
Class of Work: SFR Construct
Address: 4O80VVCypress G/200
CONSTRUCT SINGLE FAMILY u,215DuFTAz
Plumbing Permit Fee
Driveway Fee
Mechanical Permit Fee
Address Fee
Sewer Connection Residential Fee
Building Plan Review Fee
Park Impact Fee ' Single Fami|y/Tnwnxnmn
S|F 1 percent Fee
Transportation Impact Fee
Public Safety Impact Fee -Police
Building Valuation: $2S7.840.6o
Electrical Valuation: $44876.99
Mechanical Valuation: $20.849.26
Plumbing Valuation: *2eJ84.66
Total Valuation: s393.157.51
Total Fees: o1V,5r3.97
Amount pmm $18,573.97
Date Paid: 7/20/2022 12:57:06PM
6494Bar SBar TdU42O210000 013000150
Contractor: LENNARHOMES LLC
$188.92 Electrical Plan Review Fee
*45{0 Electrical Permit Fee
$14425 Plumbing Plan Review Fee
o30,00 Mechanical Plan Review Fee
$2.080D0 Building Permit Fee
$45.00 Water Connection Residential Fee
*789.56 Public Safety Impact Fee -Admm
$8328 TransportaUon|mpactFam-C|ty
$3,595.68 School Impact Fee - Single Family
$254.00
$4500
$45.00
$45.00
$1,529.23
$1'O10/0
$26.35
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.
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
isim 1:1 :4 is]
a a - F.: 6#0 #b 0 Am I We 10 W
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
Owner's Name I Lennar Homes, 11C
Phone Contact for Permitti
Owner's Address 1 4301 W Boy Scout Blvd Suite 600 Tampa, FL 33607
Fee Simple Titleholder Name I N/A
813 363 2891
Owner Phone Number 81 3.574.5700
Owner Phone Number
Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 6494 Bar S Bar Trail LOT # 1315
SUBDIVISION Abbott Square Phase 1 PARCEL to# 1 04-26-21-0000-01300-0150
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN DEMOLISH
P INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK [Single Family Residence / Pool / Screen Enclosure l Fence
BUILDING SIZE =U/R SF 2644 SQ FOOTAGE2215 HEIGHT 12 Story
. . . . . . . . . . . . . . .
BUILDING $
$297,846.60 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ $44,676.99
PLUMBING LT,784 66
MECHANICAL 1 $ $20,849.26
GAS 10 ROOFING
FINISHED FLOOR ELEVATIONS E
M PROGRESS ENERGY [D] W. R. E. C.
AMP SERVICE
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY = OTHER
FLOOD ZONE AREA El YES Do
q
BUILDER COMPANY 1,ennar Homes, LIC
SIGNATURE REGISTERED Y/ N FEE CURREN
Address 14301 W Boy Scout Blvd Suite 600 Tampa, FL 33607 License # 1 CGC,1518166
ELECTRICIAN f. COMPANY lEdmonson Electric, Inc.
REGISTERED Y/ N FEE CURREN SIGNATURE L=
Address 1 4 Skipper Road, Tampa, FL 33613 License #
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE I REGISTERED Y/ N FEE CURREN LLLN_j
Address P.O. Box 908, Bayonet, FL 34674-=5308 License# I CFC042998
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN
Address P.O, Box 5308, Bayonet, FL 34674-5308 License #
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address 14211 Shoal Line fvd��Spring Hill, �34607� License# 1 CCC057991
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 clumpster; 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.
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
NOTICE OFDEED RESTRICTIONS: The undersigned understands that this permit may besubject to^daed^restrictions"
which may bemore restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions. `
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired m 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 |nw, both the owner and contractor may be cited for a misdemeanor violation
under ateba 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 at727-D47-
8OUQ Furthennona, if the owner has hired a contractor or oontractom, 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
oontneo(nr, that may bean indication that he is not properly licensed and is not entitled topermitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery F*aa may apply Lothe construction ofnew buildings, change of
use in existing bui|dingn, or expansion of existing bui|dingo, as specified in Pasco County Ordinance number8Q-O7 and
90-07. as amended. The undersigned also underatando, that such feea, as may be due, will be identified atthe time of
permitting It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate ofoccupancy" or final power release. If the project does not involve a certificate of occupancy or
final power re|aeoe, the fees must be paid prior to permit issuance. Furthermore, if Pasco Coun1yVVaimr/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, asamended): |fvaluation ofwork ia$2.5O000ormore, |
certify that |, the app|ioant, 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'. | certify that | have obtained a copy of the above described document and promise in good faith to
deliver ittothe ''ownar''prior tucommencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application iuaccurate and that all work
will be done in compliance with all applicable laws regulating constmotiun, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. | certify that no work or installation has
commenced prior to issuance of permit and that all work will be performed to meet standards of all |owa regulating
oona1ruuUon. County and City codea, zoning regulations, and land development regulations in the jurisdiction. | also
certify that | understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions | must take to be in compliance. Such agencies include but are not limited to:
Department ofEnvironmental Protection -Cypress Bayheadu, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District -Wells, Cypress Beyheado, Wetland Areas, Altering
Watercourses.
- Army Corps ofEngineera-Seovvo||a.Docks, Navigable Waterways.
- Deportment of Health & Rehabilitative Semicea/Environmental Health Unit-VVe||o, Wastewater Trea(ment,
Septic Tanks.
USEnvironmental Protection Agency -Asbestos abatement.
Federal Aviation Authority -Runways
| understand that the following restrictions apply tothe use offill:
Use offill ionot allowed inFlood Zone ^V~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 ofpermitting which is prepared by professional engineer
licensed by the State ofFlorida.
- If the fill material is to be used in Flood Zone ''A^ in connection with e permitted building using stem vvaU
construction, | certify that fill will be used only tofill the area within the stem wall.
If fill material is to be used in any area, | certify that use of such 5U 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 |utu |eao than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If | am the AGENT FOR THE OWNER, | promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. | understand that a separate permit may be required for electrical vvo/k,
p|umbing, aignu, vveUe, pon|u, air conditioning, gae, or other installations not specifically included in the application. A
permit issued shall be construed tobea license to proceed with the work and not aoauthority toviolate, ounue|, e|ter, 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 iuyuanoe, o/ 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 naquooted, in w/idng, 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.
OWNER OR AGENT "I
Subscribed and sworn to (or affirmed) 6`ekre__me this
by AshiceCallahan
Who onally known to me or
as identification.
Commission No. HH 000460
Bio,uM. DvDoom
Name of Notary typed, printed or stamped
Expires June 6,2024
441
9"M:J
CONTRACTOR If /Af
Subscribed and sworn to V-tmed) before me this
Who is/are persoaalyl known to me or has/have PF8EIHe-'
as identification.
Notary Public
Commission No. HH 000460
£lismM.Holleran
Name of Notary typed, printed or stamped
Expires June 6, 2024
PMW~":]
e13-780-0020 City of Zephyrhills Permit Application Fa» 1a-7n0-»021
Building Department
NOTICE opDEED RESTRICTIONS: The undersigned understands that this permit may besubject m"doeu restrictions" which may uemore restrictive
than County | The undersigned mmumo |m| 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 urthe "contractor Block" v/mis
application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he|onot properly licensed and |o
not entitled topermitting privileges mPasco County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply mthe construction mnew buildings, change muse mexisting buildings, o,
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
mpermit issuance maccordance with applicable Pasco County ordinances,
CONSTRUCTION LIEN LAW (Chapter r1o.Florida Statutes, as amonuvd>:nvaluation o,work |n*z.nononvrmurecertify fymmth
e om,
have been provided with ucopy mthe ^nm "Florida Construction Li
en Pr
otection m'
|onooaprepa,ouuymoF|o,mmo*p*rtmentof
Agriculture and Consumer Affairs. nthe applicant wsomeone other than the ^ownar. | certify that | have obtained acopy v/the above described
document and promise in good faith mdeliver nmthe ''uwn°/'prior mcommencement.
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, Cand City codes, zoning regulations, and land development regulations mthe jurisdiction. |also certify that |
understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I
must take mma|ocompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection -Cypress 8oyheods. Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management Diatrict-Wm||s, Cypress Bayheads, Wetland Areao, Altering
Watercourses,
- Army Corps ofEngineera'Smmwa||a.Docks, Navigable Waterways.
' Department of Health & Rehabilitative Services/Environmental Health Unit-VVeUa, Wastewater Treatment,
Septic Tanks.
- USEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation Authority-Runvvaya.
| understand that the following restrictions apply mthe use mfill:
' Use offill isnot allowed inFlood Zone Wrunless 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 attime nfpermitting which is prepared by a professional engineer
licensed bythe State ofFlorida.
- If the fill material is to be used in Flood Zone ^A" in connection with e permitted building using stem wall
construction, | certify that fill will be used only tofill the area within the stem wall.
- If fill material is to be used in any area, | certify that use of such fill will not adversely affect adjacent
properties. If use of fill in 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 |p(n |eaa 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 mthe application. Apermit issued shall uoconstrued touealicense mproceed with the work and not ao
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 o|six (o)months after the time the work |vcommenced. Anextension may uerequested, mwriting, from the Building Official for aperiod not m
exceed ninety (vo)days and will demonstrate justifiable cause for the extension. nwork ceases for ninety (Vo)consecutive days, the job |nconsidered
abandoned.
WARNING TOOWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT |NYOUR
PAYING TWICE FOR IMPROVEMENTS TC)YOUR PROPERTY. |FYOU INTEND TOOBTAIN FINANCING, CONSULT
FLORIDA JunxT(r.S.11r.02) ^
Rod &w~f
OWNER onAGENT
CONTRACTOR
Subscribed and sw_or efore me this
go �or affirmed) b
Subscribed and swornlio guffirmed) before me this
_4�ho is/are personally known to me or has/have produced
VU9 is/are personally known to me or has/have produced
as identification.
as identification.
Notary Public
LL G
Notary Public
Ashlee Callahan
Name of Notary typed, printed or stamped
Ashlee Callahan
Name of Notary typed, printed or stamped
ASHLEE CALLAHAN
Notary Public - State of Florida
My Comm. Expires Noy 30, 2022
Bonded through National Notary Assn,
Notary Public - State of Florida
My Comm. Expires Nov 30, 2022
Bonded through National Notary Assn.
bco4nN-
0
Builder Name/Owner Name
County Parcel No.
Address/Location
Permit No.
Date Permitted Z'
lzkAa,r- Control #
, & 2n(o 00 0 SubDiv-
('941 141 , nv /
Classification/Type of Use
TRANSPORTATION IMPACT FEE
Rate:
Sq. Ft Unit: "7//—/15
Exempt 0 Yes El No How Determined
Impact Fee Amount S 637— Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt = Yes = No How Determined
PARKS AND RECREATION FEE
Land Account
Land Credit
Land Total
Recreation Account
Recreation Credit
Recreation Total
Total Amount $- -76
Zone
Exempt =Yes
= No How Determined
LIBRARY FEE
Land Account
Land Credit
Land Total
Facility Account
_
Facility Credit
Facility Total
Exempt F7 Yes
No How Determined
Total Amount
RESOURCE FEE ERU
Total Amount
Prepared By
BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
ACKNOWLEDGEMENT BELOW DOES NOT IMPLY ACCEPTANCE OF CONCURRENCE, BUT SIMPLY REECEIPT OF A COPY OF THIS
FORM, PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME.
NMI
RECEIVED BY
BY
DESCRIPTION: LOT 15, BLOCK 13, ABBOTT SQUARE PHASE I A.
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK
PAGE OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA
ALL ELEVATIONS REFERENCED
TO NORTH AMERICAN
VERTICAL DATUM OF 1988 1 NAVDISIN
LOT
--AYW—SQ FT
UVING AREA
__33D__SQ FT
POR(H
GARAGE
-_AaL_SQ, FT
COVERED LANAI
FT
PATIO
FT
POOL AREA
= djr,_SO FT
CONC DRIVE
FT
AF`C & CONC PAD
FT
SIDEWALK
_�__SO FT
LOT SOD
ET
R/W SOD
FT
LOT OCCUPIED
se
AN
S CONCZL
WALK
202
`P
is
SC
to
SITE PLAN SEC, 4, TWP, 26 S, RING 21 E.
J140T A SURVEYj PASCO COUNTY, FLORIDA
[ABBOTT SQUARE}
Scale: 1 R 20'
LOT 16
BLOCK 13
LOT 3
87'53 07 E 1Pj 11030IPi fsTBLOCK 13
----------
--------------------
413
35X3S 44 E
C , 'S-A C e4
ENTRY PROPOSED
'ST
STORY
I ORY RESIDENCE
P PLA� Is
LAN2216Is LOT 15 LOT 4
ELFV 8, PATIO BLOCK 13 ;,y BLOCK 13
' 'A
1AC , R
46 -0,
460
S 87'53 07'[?P� 1 10 30 'P,
LOT14 LOT
BLOCK 13 BLOCK 13
AREA TO IRRIGATE i Pt, NOTES:
PROPOSED i Or GRADING TYPE , A
MINIMUM FLOOR ELEVATIONS: PROPOSED PAD ELEVATION- 95.20 LEGEND:
LIVING AREA: 95,87' FRONT SET BACK = 20 PROPOSED DRAINAGE FLOW
GARAGE AREA: SIDE SET BACK - 7 5 0000, PROPOSED GRADE PROPOSED ELEVATIONS AND GRADING
ELEVATIONS REFERENCED TO SIDE SET BACK (CORNER LOTj! 5 E-00 00 EXISTING GRADE SHOWN HEREON ARE TAKEN FORM THE
NORTH AMERICAN VERTICAL ENGINEERING PLANS OF
DATUM OF 1988 REAR SETBACK � 15 'ABBOTT SOLEARE RESIDENTIAL, PREPARED
APPARENT FLOOD HAZARD ZONE XCOMMUNFFY NO 120235 BYWRA PROVIDED BY CLIENT
SURVEY ASSREVATIONS MAP NUMBER 12101 C-0289-O EFFECTIVE DATE09126,2014 --- ----- - ---
A; z'j - ITCED - R , DR" LEGEND
11 I.NN"us! I I
co EF I, IBIS RAI RON) lr�lf _____Cj Eall ust ujV � Li-cv—o' I-ANDSCA'Y FsSENK" Inci Pill, ""1" 7,1 1
4EE1P-1D11P1V1KVNI EFF i OWES S"=Y�ULVAION Z� � -0, 1Q1V.ENT YAV R10,11 oF wfir "N
an, ERE101 tNS'D Ec I JICMi
-nPCECDiFRER I.i � — IN&D - WE — -D EFIss,
=ft"'Th` Nel Yth ",IARREE,1101
NCI 111 'CoNFR FOUNt' 11 q0ti L8.8183
Ilw � U'NIFE)EFEirE BE YAPI
CIF I-ENK-ENU, kT`E)1 EF
I C—EECKAIED 1IFT& 111' INCIECIN FZV "I o:.I ICEN'01 I.NEWNEC-EN', 108 - IQ, Q—1
FNI &DUEEDNDill .11."RR!` RIC 1. "'o,uez nV. - 7 01119-41p
'N, RNVEN
A! N Ea� I., YN,� Ru-,ENcE W.UMNI, vI, 1INY1 FENCE
KK
JOB #512! SURVIEVOWS NOTES: sun Y_Q IRTIFICATE 170B Water Oak Drive
i.) Current title kim—avon on the 5.1steCt property had hot been The 11 il e gcrva, describe Tarpon Springs, Honda
Date of Saopeoi 33-22 euhlehlrdtdmm� Land Surveying, LLC at the time of this or c' e Phone i7271-831 1990 �-z: z:
SITE PLAN Point
; o _NEwT and
theycure fo, FlorelaPTS 7123SUgmazi CENE!
DWO 1 SIT,
2L) This sketch was prepam d without the benefit of a title search
Of Land LERI 8 183
NonslIumeras ofni—d I ehmnrig owners ER easements ul IF i ter 5 11 r
1,ghtt'hway were (n—ehed to the hddqheot uhioss oth-1 5J- 05,y Fit I Is" e ode,
SJ`PTF,n hereon, p a S 027, h St
Drawn by: _DJB 3.) Roads, walks, and other similar items she-, hereon cle, to S t
Checked byjH from engineering plans and asubject to survey
REVISIONS 4.)ThEs SITE PLAN d.,Nnot ,,flP,t h—d.ton-ne ownership r ,,) This SITE PLAN,, subject to matters shown on the Plat f _122
-AIIII01 SQUARE PHASE I A'
6.) Dimensions he— in--i are iE feel and irec-all po I. m,haNEsaCtns and awnerare to verify all setbacks. s V 8.
bExERP 0 Lit L #
dimensions, and layout shown hereon prior to any construction
EE and immediate y Advise NBW Point Lands loyng, LLC of any Sly,. IDA
deviation from �nformavcsn shown hereon, Failure to do so var be L CEN PIPER Initial Point Land Surveying, LLC.
I
3
77
r §Y�
�S
i
93.9
102,47
il�z,$ Tw
It
I
\/R/\
'v ' R 1 UAL REVIEW ASSIST
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 6494 Bar S Bar Trail Zephyrhills, FL 33541
Services to be provided: Plans Review X
Inspections
Note: If the notice applies to either private plan review or private inspection services the Building
Official may require, at his or her discretion, the private provider be used for both services pursuant to
Section 553.791(2) Florida Statute.
I Steve Smith I the fee
owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services
indicated above.
Private Provider:
Address: 747 SW 2ND AVENUE - SUITES 170, 301, 357 & 358, GAINESVILLE, FL. 32601
Telephone: 813-376-3088 Fax: N/A
Email Address (Optional): deb@virtualreviewassist.com
Florida License, Registration or Certificate #: (LIC # BU1967 / PX2300 / BN4615)
I have elected to use one or more private providers to provide building code plans review and/or inspection
services on the building that is the subject of the enclosed permit application, as authorized by s. 553.791, Florida
Statutes. I understand that the local building official may not review the plans submitted or perform the required
building inspections to determine compliance with the applicable codes, except to the extent specified in said law.
Instead, plans review and/or required building inspections will be performed by licensed or certified personnel
identified in the application. The law requires minimum insurance requirements for such personnel, but I
understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I
have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance
and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harmless the
local government, the local building official, and their building code enforcement personnel from any and all
claims arising from my use of these licensed or certified personnel to perform building code inspection services
with respect to the building that is the subject of the enclosed pen -nit application.
I understand the Building Official retains authority to review plans, make required inspections, and enforce the
applicable codes within his or her charge pursuant to the standards established by s. 553.791, Florida Statutes, If I
make any changes to the listed private providers or the services to be provided by those private providers, I shall,
within I business day after any change, update this notice to reflect such changes. The building plans review and/or
inspection services provided by the private provider is limited to building code compliance and does not include
review for fire code, land use, environmental or other codes.
The following attachments are provided as required:
1. Qualification statements and/or resumes of the private provider and all duly authorized representatives.
2. Proof of insurance for professional and comprehensive liability in the amount of $1 million per
occurrence relating to all services performed as a private provider, including tail coverage for a minimum
of 5 years subsequent to the performance of building code inspection services.
Individual
Corporation
LENNAR -HOMESLLC
Print Corporation Name
By:
(signature)
(signature)
Print
Name:
Print
Name: Christopher Smith
Address:
its: Authorized Aqent
Address: 700 NW 1 01th -Ave
Telephone
Miami, FL 33172
No.:
Telephone
No. 813-574-5700
Please use appropriate notary block.
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
Individual
Before me, this day of
1 20_, personally
appeared
who executed the foregoing instrument,
and acknowledged before me that same
was executed for the purposes therein
expressed.
Corporation
Before me, this 22ND day of
MAY 12o22,
personally appeared
of
Lennar Homes, LLC a
corporation, on
behalf of the state corporation, who
executed the foregoing instrument and
acknowledged before me that same was
executed for the purposes therein
expressed.
Personally known X ;or Produced ideuti ion_ Type of identification produced
Partnership
Print Partnership Name
By:
(signature)
Print
Name:
Its:
Address:
Telephone
No.:
Partnership
Before me, this day
of 20
personally appeared
partner/agent on behalf of
a partnership, who executed the
foregoing instrument and
acknowledged before me that same
was executed for the purposes therein
expressed.
Signature of Notary�LL , al�cA�m Print Name ASHLEE CALLAHAN
Notary Public Stamp:
ASHLEE CALLAHAN
State of Florida
Notary PubU -
Commission Expires: t-�, COMIMIs5ior, N GG 244456
"K
NOVEMBER 30, 2022 corTIM. E�kpl(es Now 30, 2022
5f' '— Bonded, through N5(jona; Notary AsM
Page 2 of 2
Private Provider
V-1an ComL)fianee Affidavit
Private Provider Finn: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU 1967
Address: 747 Southwest 2 d Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: 1q rtualreviewassist,corn
Project: New SFR
Address(s): 6494 Bar S Bar Trail
I hereby certify that to the best of my knowledge and belief the plans submitted were reviewed for and
are in compliance with the Florida Building Code and all local amendments to the Florida Building
Code by the following affiant, who is duly authorized to perform plans review pursuant to Section
553.791, Florida Statute and holds the appropriate license or certificate:
Name: Debra Anne Klahr
Plan Sheets: CS,A1,A2,A3,A4,A4.1,A5,A6,A6.1,SNO,SNI,S3,S4,S5,S6,SS,ST,SII,SI2,PA1.0,PAI.1,PA1.2,
PAI.3,SHI.0,SHI.1,SHI.2,SHI,3,SH1.4,SH1.5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300
Signature of Reviewer:
SWORN AND SUBSCRIBED before me by [)Pb(Ct,&yAL LA&L MAY
being personally known to me or having produced as identification
and who being fully sworn and cautioned, state that the
(foregoing is true and c?rrec t t the best of his/her knowledge or belief.
rd\,
attire of Not Print Name
Notary Public: NOTARY STAMP BELOW My
ASHLEE CALLAHAN
Notary Public - State of Florida
commission expires:
Commission # GG 244456
o My Comm. Expires Nov 30, 2022
Bonded through National Notary Assn,
Fi5COMMERCIAL BUILDING SERVICES DIVISION
BUILDING PERMIT DATA SHEET
TRACIUNG # 16WO -76, 1�15 FIRE MARSHAL #01 -
FOLIO # — IY
..6qiq 7&,--sgor-ll�z Required Pe its
III
DATE:
EXAMINER:
mmm
Building
Inspection Only
/1AP lumb g
ElInspection Onk
/Z��-Iechanical
0 LEection Only
-PlElectrical Amp
Medical Gas
F ire Sprinklers
El On Site Pipin 9
El Fire Line
- - - - -
I El Irrigation
El Potable Baekflow Assembly
-- —1
ED Fire Line BackflIiliilriow Prevenr
F Irrigation Backflow Assembly
Ell, Demol ition
Walk-in Cooler
Ej Refrigeration
E E 5 rITITI,
Grease Trap
wn�-' .
j1pe Construction:
L—W= Risk Category:
Occupancy Load
Classification: Assembly usiness Care/Educational
s E= y ancy Cla' �sti
OFFactory Hazardous !utional == FO�ercantile We Storage tilit
, idential E= PE3 y
Building Use: t Alteration ®`Level 2
ID Level I ID Level 3
XNew Construction Ej Interior Finish E] Interior Remodel ❑ Exterior Remodel n Addition E3 Revision
Overall Size:
Z16
Number of Stories:
Total Sq. Ft.:
Living Area:
?#
111 111
Covered Area: S
-
of Bedrooms:
# of Baths:
Cost per square foot:
Estimated Value:
Roof Type:
Shin le Tile [j Built-up El Metal Other Squares:
Zoning:
Flood Zone: X
Wir
!orne Debris:
Inside Outside
Base Flood Elevation:
Energy ode:
Finish Floor Elevation:
Hydrostatic Vents?
jo Yes No
Sq. Ft. Enclosed Space Below BFE:
# of Vents:
Size of Vents:
Total Sq. In. Permanent Openings
Central A/C Heat Pum
Beatp M Wi dow A/C
ff AJC FiGas Heat -EJ Electric Heat
Sanity !j Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
NE