HomeMy WebLinkAbout22-4165City of Zephyrhills
tj17911.1
5335 Eighth Street
Zephyrhills, FL 33542
BNR-004165-2022
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 09/12/2022
Permit e: Building NewSi n i l
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36690 Garden Wall Way 04 26 21 0150 01000 0180
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Name: LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC
Class of Work: SFR Construct
Address: 4600 W Cypress St 200
TAMPA, FL 33607
Phone: (813)574-5700
CONSTRUCT SALES OFFICE /MODEL
Address Fee
Park Impact Fee - Single Family/Townhome
3/4 Water Meter Fee (Cale)
Building Permit Fee
Transportation Impact Fee - City
School Impact Fee - Single Family
Plumbing Permit Fee
Sewer Connection Residential Fee
Mechanical Plan Review Fee
Drivewav Fee
Building Valuation: $267,205.80
Electrical Valuation: $40,080.87
Mechanical Valuation: $18,704.41
Plumbing Valuation: $26,720.58
Total Valuation: $352,711.66
Total Fees: $19,104.45
Amount Paid: $19,104.45
Date Paid: 9/8/2022 11:26:48AM
$30.00 Electrical Permit Fee
$240.40
$769.56 Water Connection Residential Fee
$1,010.00
$732.71 Transportation Impact Fee
$3,595.68
$1,376.03 Electrical Plan Review Fee
$45.00
$36.32 Building Plan Review Fee
$45.00
$8,328.00 Mechanical Permit Fee
$133.52
$173.60 Public Safety Impact Fee -Police
$254.00
$2,090,00 SIF 1 percent Fee
$83.28
$45.00 Public Safety Impact Fee -Admin
$26.35
$45.00 Plumbing Plan Review Fee
$45.00
REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.84(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.
+ ♦ • • • s •1111:7111•11 11 1 1 ill I I A + • r - i•
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.
/ f F
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIOK
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-730-0020 City of Zephyrhills Permit Application Fax-813-780-0021
BuildirIg DepartMent
Date Received IPhone Contact for Permitting JL-L
Owner's Name Lennar Homes, Llk, C
Owner's Address �301 W Boy Scout Blvd Ste 600 Tampa, FL33607 C
Fee Simple Titleholder Name LN/A C
�-9-08 770 7763
vner Phone Number 813.574.5700
veer Phone Number
uner Phone Number
Fee Simple Titleholder Address L/A
JOB ADDRESS 0 Cmy-k"A, GO CLf I wak LOT # 10 1 =8
SUBDIVISION Abbott Square�t h=asel PARCELID# 000-00300-002 1__
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
9
NEW CONSTR
ADD/ALT SIGN DEMOLISH
INSTALL
H
REPAIR
PROPOSED USE SFR
COMM OTHER
TYPE OF CONSTRUCTION BLOCK
FRAME STEEL
DESCRIPTION OF WORK
Single Family Residence / pool / Screen enclosure / Fence
BUILDING SIZE C�____�
2372 SCI FOOTAGE [j�� HEIGHT 1 1 Story
r-r"r"I—v I 1 1111 T-r-1
BUILDING $ $267,205M VALUATION OF TOTAL CONSTRUCTION -7
ELECTRICAL J ] 1 $40,080.87
171 PLUMBING
Ll�i 10 $26,720.58
)MECHANICAL L��J $ $18,704A1
GAS Lj/j ROOFING
FINISHED FLOOR ELEVATIONS E=
BUILDER
SIGNATURE
Address
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
Address
OTHER
SIGNATURE
Address
1111111
RESIDENTIAL
PROGRESS ENERGY W. R. E. C.
AMP SERVICE
,1v ",k
VALUATION OF MECHANICAL INSTALLATION
ibw -C,\
SPECIALTY OTHER C1, A
FLOOD ZONE AREA
COMPANY
REGISTERED
14301 W Boy Scout Blvd Suite 600 Tampa, Ft. 33607 1
COMPANY
REGISTERED
121SWOM
COMPANY
REGISTERED
P.O. Box 5308, Bayonet, FL 34674-5308
COMPANY
REGISTERED
P.O. Box 5308, Bayonet, FL 34674-5308 =
COMPANY
REGISTERED
14211 Shoal Line Blvd, Spring Hill, FL 34607 1
I I I I I I I I I I I I I I I I I I I I I I I I I I I I I
DYES Do
Lermar Homes, LLC
/ N FEE CURREN LYLN_j
License# I CGC1518166
glEdmonson Electric, Inc. Ey=_
Y/ N FEE CURREN
License# I EC 13005408
Bayonet Plumbing, Heating & AC, Inc
Y/ N I FEE CURREN L_Y_LN_j
License# I CFC042998
Bayonet Plumbing, Heating & AC, Inc
LILN J FEE CURREN Lj± N _J
License# [LA �58062
C Sterling Quality Roofing, Inc
Y/ N FEE CURREN I Y/N
License# 1 CCC057991
1111111111111111111111111111
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
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
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 th,:� this permit may be subject to "deed" restrictions"
which may bwmore 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 vvork, they may be required to be licensed in accordance with state and local regulations. if the
contractor is not licensed as required by |avv, both the owner and contractor may be cited fora misdemeanor violation
under state |uvv. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised tncontact 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
oontnaotor, 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 (othe construction of new bui|dingo, change of
use in existing bui|dingo, or expansion of existing bui|dings, as specified in Pasco County Ordinance number 89-07 and
90-07. as amended. The undoroiQned also understandu, that such haee, 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 ra|eose, 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 (Chapter7i3. Florida Statutes, as amended): If valuation of work is $2.500.00 or more, |
certify that |, the app|icant, 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 o copy of the above described document and promise in 0uud faith to
deliver it tothe ''nwnar^prior tocommencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application isaccurate and that all work
will be done in compliance with all applicable laws regulating onns1ruotion, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. | certify that no work or inotu||obnn has
commenced prior to issuance of permit and that all work will be performed to meat standards of all laws regulating
oonytruc1ion. County and City oodea, zoning regulations, and land development regulations in the jurisdiction. | also
certify that | understand that the regulations ofother government agencies may apply tothe intended vvork, and that it is
myresponsibility toidentify what actions | must take tobeincompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection -Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, VVator8WaatewatarTraatment.
- Southwest Florida Water Management [)iahict-VVm||e. Cypress Bayheady, Wetland Ar*ay, Altering
Watercourses.
- Army Corps ofEngineero-Saavvo||o.Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit'VVo||n, Wastewater Treatment,
Septic Tanks.
- USEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation Authority -Runways.
| understand that the following restrictions apply tothe use offill:
' Use offill ianot allowed inFlood Zone ''V~unless expressly permitted.
' If the DU material is to be used in Flood Zone ^A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted attime ofpermitting which is prepared by professional engineer
licensed bythe State ofFlorida.
- |fthe fill material into be used in Flood Zone ^A" in connection with a permitted building using stem wall
construction, | certify that fill will be used only to fill the area within the stem vvo||.
- 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 propertiex, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |*so than one (1)
acre which are elevated byfill, anengineered drainage plan isrequired.
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 tncommencing construction. | understand that separate permit may berequired for electrical vvork,
p|umbing, oigna, vveUa, poo|a, air conditioning, gas, orother installations not specifically included in the application. A
permit issued shall be construed to be license to proceed with the work and not aeauthority boviolate, oanne|, a|Ver, 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 in commenced within six months of permit ineuonce, 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 raqueoted, in writing, from the Building Official for o period not tnexceed ninety (8U)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
Subscribed and sworn to (or affirmed) before me this
Who is/are pers�nafy known to me or
as identification.
Commission No. llII000460
E]isvo&4. Holleran
Name of Notary typed, printed or stamped
4 CommWIon # HH 000460
Expires June 6,2024
9"Waymm:
CONTRACTOR
Svuoonbod and sworn to (or affirmed) before me this
Who is/are personally me or
as identification.
Commission No. II1I000460
8fissa M.BoUmm
Name of Notary typed, printed or stamped
Expires June 6, 2024
( 9,,M::J
813-780-0020 City of Zephyrhills Permit Application Fax 10-7a0-n021
Building Department
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may uesubject m"deed" restrictions" which may ocmore restrictive
than County regulations. The undersigned assumes responsibility ns.
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 o,the "contractor Block" o/m|x
application for which they will ue 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 mpermitting privileges inPasco 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 uopaid 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 bopaid 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 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 mdeliver xmthe ^mwnor"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 |ohereby made wobtain apermit muowork 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 |
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 mue|ncompliance. Such agencies include but are not limited to:
- Department mfEnvironmental Protection -Cypress Bayheade. Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Southwest Florida Water Management District -Wells, Cypress Bayheeda, Wetland Arees, Altering
Watercourses.
- Army Corps ofEnQineere-Seavva||o.Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Uni1-Wa||e, Wastewater Treatment.
Septic Tanks.
- UGEnvironmental Protection Agency -Asbestos abatement.
' Federal Aviation Authority-Runwmyn.
| understand that the oonovwnorestrictions apply mthe use o,fill:
- Use of fill ianot allowed inFlood Zone ^V~unless expressly permitted.
- If the fill material is to be used in Flood Zone "A^, it is understood that o drainage plan addressing a
^componaating volume" will be submitted o\time ofpermitting 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 a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
' If fill material is to be used in any area, | certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent propertieo, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots 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. | 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 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 acorrection merrors m plans,construction nrviolations o,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 v,six (o)months after the time the work iocommenced. Anextension may uerequested, inwriting, from the Building Official for aperiod 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
Subscribed and sw_Qr ffi
52 22 by Christy
_Llho is/are personally known to me or has/have produced
Notary Puliko
Ashlee Callahan
Name of Notary typed, printed or stamped
P "I"
�
Notary Public - State of Florida
Ey
MY Comm. Expires Nov 30, 2022
Bon ded through National Notary Assn,
Subscribed and sworlo gor&ffirMed) before me this
Wju4�is/are personally known to me or has/have produced
as identification.
-Notary Public
Commission No. GG 244456
Ashlee Callahan
Name of Notary typed, printed or stamped
Notay Pub
Notary Public - State of Florida
Tif
My Comm. Expires Nov 30, 2022
5,,d,d through National Notary Assn.
L_=.-
4
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PASCO COUNTY� FLORIDA
Permit No.
Date Perrnitted
Builder Name/Owner Name Control #
County Parcel No. (9q- 2 11 b7)( tSubDiv:
AddrasslLocation
Classifloationrrype of Usq yt,," i t- fatm vi
TRANSPORTATION IMPACT FEE Rate:
Sq. Ft Unit:
Exempt Ves Cj No How Determined
Impact Fee Amount Zone No. TAZ:
House
Amount T 2-b
Account (056) Single -Family D ' etachad
e
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt 0 Yes C] No How Determined
Land Account Land Credit —
Land Total
Recreation Account Recreation Credit
Recreation Total
Zone TOTAL AMOUNT , s —7 0, 5,6
Exempt Yes No How Determined
LIBRARY FEE
Land Account Land Credit
Land Total
Facility Account Facility Credit
_ Facility Total
Exempt 0 Yes No How Determined
Total Amount':16�
RESOURCE FEE
ERUI
TOTAL AMOUNT
Prepared By Chocked By
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOQNTS LISTED HAVE
SEEK PAID AND
RECEIPTED FOR *BY A CENTRAL PERMITTING OFFICE -OF PASCO COUNTY
Acknowledgement below does not imply acceptance of oonowronce, but Simply recalpt of- a copy of this form, placing
the bWWlr.kg permit owns; on notice of this assessment and the conditions of payment for same.
DATE —RECEIVED �BY
RECEIPT NO. DATE BY
W
TW:101.12
103.12-
03.17
1 15
TW-102.72
TW:104.20
BWA0141
OEM L,711`4-
TYPEW
FF:101.07
PAD:100.40
16
TW-100.62
�TW:10102
BWAM28
17
ii
DESCRIPTION; LOT 18, BLOCK 10, ABBOTT SQUARE PHASE I B. SITE PLAN SEC 4, TWP, 26 S, RNG 21 E.
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK _ PASCO COUNTY, FLORIDA
PAGE __ OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA, (NOT A SURVEY)
TT Cd ARE
ALL ELEVATIONS REFERENCED
70 NORTH AMERICAN
VERTICAL DATUM OF 1988
fNAVD 88l
his SITE PLAN Prepared for and Certified To 1
Lenhar Homes
LOT
-351z—SO FT
UVING AREA
SQ. FT
PORCH
FT
GARAGE
-_Aj6_SO FT
COVERED LANAI
-_N/&_SCf FT
PATIO
-__SO. FT
POOL AREA
-_NZ8_SCL FT
CONC. DRIVE
-_!i1Q sa' FT
A/C & CONIC PAD
=_Z_SO FT
SIDEWALK
--29--50 F7
LOT SOD
=_NEA__SOE FT
R/W SOD
jjA—SO FT
LOT OCCUPIED
--19—%
CURVE DATA (P)
C91 17500 49 T EE490, -------- -T6-06WFSIE12E7T N —89'0302' E N�LL .. L_130 24L__
- 'VP"4
IF 1 GriT - OV
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GARVI
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Scale: Y' = 20'
196 3,n
5 CONC WALK
3
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tit
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EW'Ry
sY
Fit O'OEED S�
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OBESIDENDE
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ELEV pt
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GARAGE
'is
LOT 19
LOT 18 BLOCK 10
BLOCK 10
LOT 17
I,
BLOCK 10
40 0
--------------
ORTIO
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TRACT'B_51
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TRACT'B-4'
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I AND iNCF AREA OPEN S�IACL
'9"'91
AREA IRRIGATE -,6_L_ K, NOTES: TW R TOP OF WALL
PROPOSED: LOT GRADING TYPE - A BWm BASE OF WALL
MINIMUM FLOOR ELEVATIONS: PROPOSED PAL) ELEVATION - 98 10 LEGEND:
LIVING AREA: 98.77' FRONT SET BACK - 20 - PROPOSED CRAJNAGE FLOW
GARAGE AREA: SIDE SET BACK - 7 5 =,001 - PROPOSED GRADE ------
ELEVATIONS REFERENCED TO PROPOSED ELEVATIONS AND GRADING
NORTH AMERICAN VERTICAL
SIDE SET BACK ICCERNER LOT; - 15 E-00,00 - EXISTING GRADE SHOWN HEREON ENGIARE TAKEN FORM THE
G
DATUM OF 1988 REAR SETBACK - 15 APED TT SQUARE RENEEPINSIPLANS OF
DENTIAL, PREPARED
APPARENTFLOODHAZARD ZONE _X CC>MMUNP`IY NO, 120235 BY'WRA'PROVIDED BY CLIENT
SURVEY ABBREVATIONS ?MAP NUMBER 12 10 IC-028941 EFFECTIVE DATE 09 26 2014
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JOB #5201 SURVEYOWS NOTES' SIJ=%MIFICATE f 7de W re, 00, DoVK
formation on the subject property had not been 1 a
n descloed Tarpon Springs, Flood,
Fl-t,;.f sit, plan 3-9-211 C 10 ",'a This e
El� loinlull"w"". 1.111"IfEcant LandSurvcying, U-C at Rao and 9;
SITE PLAN P-P Phone, f727j-831-19 '7
DWG,AS-L 1 88 1 0yNT in I Ce for HondaPLS71234qm
2.) This sketch was prepared without the benefit of a title search 1 lot Land LBO 8183
No instruments of record reflecting ownership, easements or eo it
ter
51_I Ed ash
`'le-rights-ci(-way were furnished to the underskined, Notes, othe_"'��se
FI Edo Pop
— shown here_ t'a OR
Draw,, by DLJE3 crSirctsoh47 7, n ate
— 3.) Seems, walks, and other similar stems shown hereon were take
::necked byJH from engineering plans and are sapart to survey.
C PLAN one, not reflect No, determine FnE,,h,p
TMSIONS This SFTE PLAN is subject to matters shown on the Plot of 4
-ABBOTT SQUARE PHASE 18'
6,' D,,,n',00, shown hereon are in 1,1 and decimal porlaa rttDa
thereof. PRO URVEY
74 Contractor and owner are to verify ail setbacks- building LS 8183
rE
dimensions, and layout shown hereon phD.Oritio
prior any N Di
and immediately advise initial Point Land Surveying LLC of any SIG
deviation from Information smasar hereon- Failure to do $0 will be LICENSE 2 ER Initial Point Land Surveying, LI.C.
at user i 09I
V-RA
VIR 1 Uikl- REVHEW ASSIST
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
WWWWRI-eff3mus "WWOMAR
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 , the fee
owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services
indicated above.
Private Provider Firm: VIRTUAL REVIEW ASSIST, INC..
Private Provider:
•
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
(signature)
Print
Name:
Address:
Telephone
No.:
Please use appropriate notary block.
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
LENNAR HOMES, LLC
Print Corporation Name
By:, . . . . . .......
(signature)
Print
Name: Christopher Smith
its: Authorized Ardent
Address: 700 NW 107th Ave
Miami, FL 33172
Telephone
No. 813-574-5700
Corporation
Before me, this 22ND day of
MAY -,2o22,
personally appeared
IM
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 identication- Type of identification produced
UM=
Print Partnership Name
0
(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, Print Name ASHLEE CALLAHAN
k
Notary Public Stamp:
ASHLEE CALLAHAN
Commission Expires: Notary pL:bljc . State of Florida
GG 244456
42
NOVEMBER 30, 2022 Ay COMm. ExP!(05 Nov 30, 2022
Bonded. t h r oush Nations; Notary Assn,
Page 2 of 2
Private Provider
Plan Compliance Affidavit
Private Provider Firm: 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: Lucy-gvirtualreviewassist.com
Project: New SFR
Address(s): 36690 Olde Homestead Drive
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,1,2,3.1,3.2,FI,4,5,6,7,8,SN,SNI,S3,S4,S5,,SS,Dl,,VvT,PAI.0,PAI.1,PAI.2,
PAI.3,SHI.0,SHI.1,SHI.2,SHI.3,SHI.4,SHI.5
Florida License/Registration/Certification 4(s) and description:
FS468 Certified Standard Plans Examiner
License 9: PX2300
Signature of Reviewer:
SWORN AND SUBSCRIBED before me by V)710 OrCA UCI�A�
being personally known t or having produced as identification
and who being fully sworn and cautioned, state that the
f eg true is g a Rd,c rect to the best of his/her knowledge or belief.
i a e of NoPrint Name
commissi e'VITES:
St��e of Flbnd,
W- Commissi
r,(- " GG 244456
MY Comm. Exoires Nov 30, 2022
Bordea through National Notary Assn,
p7=
TRACKING r l
FOLIO
{ • ..quir R ,
1��
i &
EXAMINER:
^:i .w ail.
Building
F ] Inspection Only
JZPlumbing
❑ Inspection Only
echanical
El Inspection Only
lectrical Amp
❑ Inspection Onl
oof
0 Gas
❑ Medical Gas
0 Fire Sprinklers
El On Site Piping
❑ Fire Line
❑ Irrigation
❑ Fire Alarm
❑ Potable Baekiiow Assembly
❑ Fire Line flackflow Preventer
El Irrigation flackflow Assembly
❑ Demolition
❑ Falk -in Cooler
❑ Refrigeration
❑ Hood
❑ Ansul
❑ Fence/Wall
❑ Grease Trap
❑ Other
❑ Other
" .
T e Construction:
1
Risk Category:
Occupancy Load
O an, Classification: Assembly Business �--�°- y Care/Educational
Factory Hazardous E� nstitutionat =� PO�ercantile
Residential QStorage �� aO Utility
Building Use: O - /" f CIE/ Alteration Level I=Leve12 Level 3
/New Construction ❑Interior Finish (� Interior Remodel ❑Exterior Remodel ElAddition [I Revision
Overall Size:
� X & _�
Number of Stories:
'Total Sq. Ft.:
Living Are
Covered Area-
# of Bedrooms:
# of Baths:
Cost per squa a foot:
Estimated Value:
Roof Type: ZLShingle ❑Tile 0 Built-up ❑ Metal ❑ Other Squares:
Zoning:
Wi orne Debris:
0 nside KO—utside
Energy Code:
Flood Zone:
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents?
IET Yes o
Sq. Ft. Enclosed Space Below BFE:
# of Vents: Size of Vents..
'Total Sq. In. Permanent Openings
antral JC 214ieat Pump ❑ Window A/C
Gas A1C ❑ Gas heat ❑ Electric Heat
"
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
l
Front Rear Left Right
As per Approved Site Plan
^ p�
Com ants: / r-- - J� 9/ s
g 8