HomeMy WebLinkAbout22-4172. . . . . . . . . . . . . . . . . .
City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542 BNR-004172-2022
Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 07/20/2022
6389 Beverly Hills Dr 04 26 21 0000 00300 0000
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
Building Valuation: $254,814.30
TAMPA, FL 33607
Electrical Valuation: $38,222.15
Phone: (813) 574-5700
Mechanical Valuation: $17,837.00
Plumbing Valuation: $25,481.43
Total Valuation: $336,354.88
Total Fees: $19,022.67
Amount Paid: $19,022.67
Date Paid: 7/20/2022 12:57:06PM
. Sal
"N ti . . ..... .
CONSTRUCT SINGLE FAMILY 1,764 SQ FT AS
9 "'5
VGA —
Transportation Impact Fee - City
$3632 Transportation Impact Fee $3,595.68
Park Impact Fee - Single Family/Townhome
$769.56 3/4 Water Meter Fee (Cale) $732.71
School Impact Fee - Single Family
$8,328.00 Public Safety Impact Fee -Admin $26.35
SIF 1 percent Fee
$83.28 Public Safety Impact Fee -Police $254.00
Building Plan Review Fee
$45,00 Electrical Plan Review Fee $45.00
Driveway Fee
$45.00 Electrical Permit Fee $231.11
Mechanical Plan Review Fee
$45.00 Plumbing Permit Fee $167.41
Plumbing Plan Review Fee
$45.00 Mechanical Permit Fee $129.18
Water Connection Residential Fee
$1,010.00 Building Permit Fee $1,314.07
Sewer Connection Residential Fee
$2,090.00 Address Fee $30.00
entities such as water management, state agencies or federal agencies.
!I 1111111FITS 1 11151111! IF 1111 11 11 1
MIT I 111=11•F 112111 1•11! 11
23131��.
Complete Plans, Speccations 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.
PE?AlT OFFICEt) N
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
112111 11r;
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting 908 770 7763
1 1 1 1 1 1 1 1 1 1 1 1 1 JLJLJLJL_t_J_J_A 1 1 1 1 1 1 1 1 1 1 1 11 1 1 1 1 1 1 1 1 1 1 1 a I I I I
Owner's Name Lennar Homes, LLC Owner Phone Number 813.574.5700
Owner's Address 1 4301 W Boy Scout Blvd Ste 600 Tampa, FL 33607 Owner Phone Number F
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address LN/A
I
JOB ADDRESS 6389 Beverly Hills Drive LOT # 1405
SUBDIVISION Abbott Square Phase 1 PARCEL ID# 1 04-26-21 -0000-00300-0000
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSEDf NEW CONSTRF--1 ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK O FRAME STEEL
DESCRIPTION OF WORK SinglelilyRcsidence / Pool / Screen Enclosure Fence
BUILDING SIZE I U/R SF 2262 SQ FOOTAGE1764 HEIGHT 12 Story
-TF-r7r�l r-1 9 R I
BUILDING $254,814.30 VALUATION OF TOTAL CONSTRUCTION
F-71
IJ JELECTRICAL 1$ PROGRESS ENERGY W.R.E.C.
$38,222 =15 AMP SERVICE
R / IPLUMBING $
OLi 1 $25,481,43
1 MECHANICAL 1 T8 37 =00 VALUATION OF MECHANICAL INSTALLATION
GAS KJ ROOFING SPECIALTY OTHER
L
FINISHED FLOOR ELEVATIONS E= FLOOD ZONE AREA 0 YES Do
BUILDER COMPANY Lennar Homes, LLC
SIGNATURE REGISTERED LIL N FEE CURREN LN =
Address 1430 - I �Joy Scout Blvd Suite 600 Tampa, Fl, 33607 License# I CGC1518166
ELECTRICIAN COMPANY Edmonson Electric, Inc.
SIGNATURE REGISTERED LLL N FEE CURREN Y/N
Address 1 1034 Skip Road, Tampa, FL 33613 License# I EC1 3005408
PLUMBER COMPANY 1Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED L_y I_ NJ FEE CURREN L N
Address L 34674-5308 License #
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED I Y/ N_J FEE CURREN [�Y / N
Address P.O. Box 5308, lbyo t, FL 34674-5308 License# I CAC058062
OTHER COMPANY FC Sterling Quality Roofing, Inc
SIGNATURE REGISTERED E= FEE CURREN LY / N
Address 14211 Shoal Line 4d, Spring Hill, FL 34:6=07= License # Fc cCO57991
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 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 |avv, both the owner and contractor may be cited fora misdemeanor violation
under state |ovv. 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 rontractoro, 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
conirootor, that may bean indication that he in 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 bui|dingo, change of
use in existing bui|dings, or expansion of existing bui|dingu, an specified in Pasco County Ordinance number 80-07 and
90-07. as amended. The undersigned also understands, that such feao, as may be dun, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must he 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|ooae, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are dua, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances,
CONSTRUCTION LIEN LAW (Chapter 713.Florida Statutes, moanmended): |fvaluation ofwork ia$2.5O0U0ormore, |
certify that |, the upp|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 ithothe "owner''prior tocommencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating oonetruction, 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 a permit and that all work will be performed to meat standards of all |ovvs regulating
cnnatruction. County and City oodea, 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 vvork, 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 of Environmental Protection -Cypress 0oyheada, Wetland Areas and Environmentally Sensitive
Lands, VVater/WastmwaterTreatment.
' Southwest Florida Water Management Dimtrict-VVe||e, Cypress Bayheads, Wetland Areay, Altering
Watercourses.
- Army Corps ofEngineers'Seavva||o. Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-VVe||a, VVomtevvabar Treatment.
Septic Tanks.
- US Environmental Protection Agency -Asbestos abatement.
' Federal Aviation Authority -Runways.
| understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone ^V" unless expressly permitted.
- If the h|| material is to be used in Flood Zone ''A^, it is understood that a drainage plan addressing a
^oompenauUng volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State ofFlorida.
- If the fill material is to be used in Flood Zone ''A^ in connection with o permitted building using stem vva||
construction, | certify that fill will be used only to fill the area within the stem vvaU
- If fill material in 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 pnopedion, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |eae than one (1)
acre which are elevated by fill, an engineered drainage plan in 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 vvork,
p|umbing, siQnm, vveUa, poo|s, air conditioning, 0as, 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 esauthority to viV|oba, canoe|, alter, or
set aside any provisions of the technical oodam, nor shall issuance of permit prevent the Building Official from thereafter
requiring o correction of errors in p|ans, 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 iasuanoe, or if work authorized by
the permit is suspended or abandoned for e period of six (6) months after the time the work is commenced. An extension
may be requeated, in vvridnA, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work m*auea for ninety (90)oonaooudve dayo, the job is considered abandoned.
OWNER CRAGENT
Who i sonally known to me Subscribed and sworn to (or affirmed) before me this
as identification.
111111swam
Commission No. IlIl000460
Name of Notary typed, printed or stamped
g0 ELISSAM. HOLLERAN
w4t,,Expires June 6,2024
W BoWW TWu Troy Fain Insurance $004W70110
aynew M:1
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
Who is/are personally known to me 10-May-22 -by Ashlee Callahan
as identification.
Commission wo Il}I000460
Ekos`&{.Holleran
Name of Notary typed, printed or stamped
Expires June 6,2024
"M
ry Public
813-780-0020 City of ZephyrhiUsPermit Application Fax-813-780-0021
Building Department
NOTICE opDEED RESTRICTIONS: The undersigned understands that this permit may besubject m"deed"restrictions" which may bemore restrictive
than County regulations.The undersigned assumes responsibility 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 o,the "contractor Block" o,m|n
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 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, asmay oedue, will ue|uannnouat moomov,ponn|um0xiomnxe,vnuommouma/T,anopv�axun|mpamFees and nexvu�e Roonoe�
m Fees must uevapnn to receiving "certificate n/vouvpenov^o,nna|po~o,re|oaoe. nthe project does not involve acertificate moccupancy o,final
power release, the fees must uopaid prior mpermit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior
mpermit issuance maccordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that 1, the applicant,
have been pmwueu with a copy of the "Florida ovnmmnoun Lien Lo.+-Hvmovwmem rmmouon euiuo^ 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
mu|uut°u 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 anonn|*n may apply mthe intended wm,x, and that it in my responsibility to identify what actions |
must take muomcompliance. Such agencies include but are not limited to:
' Department ofEnvironmental Protection -Cypress Bayheade. Wetland Areas and Environmentally Sensitive
Lands, VVatec/WaatewaterTnaetmont.
- Southwest Florida Water Management Dinbid-VVeUa, Cypress Bayheada, Wetland Areao, Altering
Watercourses.
- Army Corps ofEngineam-S*awa||a.Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit-VVe||e, Wastewater Trentmen(,
Septic Tanks.
USEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation Authority -Runways.
| understand that the following restrictions apply mthe use v,fill:
' Use offill ianot allowed inFlood Zone ^V~unless expressly permitted.
' If the fill material in to be used in Flood Zone "4^, it is understood that a drainage plan addressing o
"compensating volume" will be submitted at time of permitting which is prepared by professional engineer
licensed bythe State ofFlorida.
' If the DU 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 in found to adversely affect adjacent pnopertiea, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |eae 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 inthis affidavit prior m
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 mviolate, cancel, alter, n,set aside any provisions o,the technical codes, nor shall issuance ofopermit 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 (s)months after the time the work |ocommenced. Anextension may uorequested, mwriting, from the Building Official for aperiod not m
exceed ninety (oo)days and will demonstrate justifiable cause for the extension. xwork ceases for ninety (oo)consecutive days, the job inconsidered
abandoned.
WARNING TOOWNER: YOUR FAILURE TO RECORD /\ NOTICE OF COMMENCEMENT MAY RESULT |N YOUR
Ashlee Callahan
Name of Notary typed, printed or stamped
Notary typed, printed or stamped
Notary Pc ic - State �,f JFk)rida
ss
Permit No. Z//
" Date Permitted t j-----
Builder Name/Owner Name Control #
County Parcel No. ` , 2-1 Q b 0� 00 0 SubDiv: �
Address/Location 8
Classification/Type of Use 6
TRANSPORTATION IMPACT FEE Rate: U Sq. Ft Unit:
Exempt Yes 0 No How Determined
Impact Fee Amount S f Zone No. TAZ:
SCHOOL IMPACT FEEj �f /
Account (056) Single -Family Detached House Amount $
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt Yes = No How Determined_
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone Total Amount $7
Exempt =Yes =No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt Yes No How Determined Total Amount
RESOURCE FEE ERU
Total Amount
.. •.ii�.rChecked By
k
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
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.
DATE RECEIVED BY
RECEIPT NO DATE _ BY
TYPE
FF:108.97
- - ---------- � 109.19
TYPEW
FF:111.07
7C—
C
- II,01-UcJr 11,1111111111C)U11111 PHASE 18,
PAGEr NG TO THEPLAT THEREOF, RECORDED IN PLAT BOOK
_ OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA
ALL ELEVATIONS REFERENCED
TO NORTH AMERICAN
VERTICAL DATUM OF ! 988
INAVD B&
hisSITEPtAN �Prepared�sor and Certified To
ri Lenar Homes
LOT 33
BLOCK 14
LOT 32
BLOCK 14
-------- it
LOT 31 OR'
BLOCK 14
LOT
--AJU--SQ FT
LIVING AREA
-3-2il-50, FT
PORCH
--k2__SQ FT
GARAGE
=-IZI—SO FT
COVERED LANA!
--k.Q,—SO FT
PATIO
--N„A---SO FT
POOL AREA
-_NIA_SQ. FT.
CONIC DRIVE
FT
A/C IS, CONC PAD
FT,
SIDEWALK
FT
LOT SOD
FT
RI/W SOD
FT
LOT OCCUPIED
%
N
SITE PLAN
(NOT A SURVEY:
LOT
BLOCK 14
IV 87,53 07,
42. 3 2 - I - 6-2-
C, ISA, C
361
LOT 5
BLOCK 14 LAN
AS 1
11030 ;P}
CONIC
333
, r�7
PROPOSED
1.
2 STORY RESIDENCE
PLAN 1763
ENTRY 14 7
ELEV 81
GARAGE
54 -0'
N 87,53 07' SIC �P, 110 3'd :P:
LOT 6
BLOCK 14
- 2- OAK
1000PUBUCU-iLITYEASEMENT
SEC, 4, TWP. 26 S. RISES 21 E,
PASCO COUNTY, FLORIDA
(ABBOTT SQUARE)
Scale: 1 20'
AREA TO IRRIGATE
NOTES:
LEGEND:
PROPOSED:
L07 GRADING TYPE - A
PROPOSED DRAINAGE Fr -OS/
MINIMUM FLOOR ELEVATIONS:
PROPOSED PAD ELEVATION - 108 40
100,00i <PROPOSED GRADE
LIVING AREA. 109.07'
FRONT SET BACK - 20
E-00 00 EXISING GRADE
GARAGE AREA:
SIDE SET BACK - 7 5
ELEVATIONS REFERENCED TO PROPOSED ELEVATIONS AND GRADING
SIDE SET BACK ICORNER LOT; - 15 SHOWN HEREON ARE TAKEN FORM THE
NORTH AMERICAN VERTICAL ENGINEERING PLANS OF
DATUM OF 1988 REAR SETBACK - 15 ABBQ TT SQUARE RESIDENTIAL', PREPARED
APPARENT FLOOD HAZARD ZONE 'X COMMUNITY NO 120235 BY -WRA'PROVIDED BY CLIENT
SURVEY ABBREVATIONS i ;MAP NUMBER 12 IDIC-0289-F) EFFECTIVE DATE 09 26,2014
A, - ARC LENGTk Nv - �NIYRT PC - POINT 01 CURT Is! - RECORI LEGEND 4,,_FhYcJ
q�C- IR CONDITIONE,� DE- DRANA(f MOAFni P11 IOINT 01 (OMPKYAND CORW RN G -RANG!,
111M.- FUNU f1oRh,IV41EVZiON ' I i, E -ANDSCAPE CASEMENT, NF rFRvCANrNT COWIN),' r(YN, RRC - RIL ROAD old IONC
WE S&V FLOOr F-FO-ON SOP - EDCf 01 PAVEMENT L E-,OWOTF�OORE,HNTtON PP", - K)CN, FOUIPsel,i- iCVV 11CM7 OF WA"
8. 8EN- NARK 190 EAS&MhoT is-C1NsFD1Uic/r1CW IIG � INA SEC s"C"" WOOD-ENU
"LN", AN Oil &IPOA�
CORNER (Nr - MEASURE) N - PONF 0� NIERIECT.Or, sri&i) - V7 IN-
E �N 'UNr tBW33 1-11,ele FENCE
1-C 'Mee MoNUNII 000NCREn at -FARKMI KNOI
IC} NO CORNER IWN'- I -ROPERTYUN} ,
N p[F WINNING B.: VYHMARI(
N RON ROD OOW -OVER,-itA--WreVY T%,: 'u-tres,OF K-Cs
P- IIt ol"pia
., "R. CF 'YI 'i
POY - raN7 OF COMMEWTIM,
KAr O01IND NA L &DeA OR P01 lr"NT ON LINE %FP - T COV NO Ill ""N"' .....
c,� - , ceicecis AN, I U F, -JrL;71 EASEMECO :,�.Itlrir OPIN 1111 Oi -PlAr IRC - Parn OF REVERSE CURVE 'N ) est ';:;; ' NUK18411 W-11olFENCI 11N111 -11111 '1 - 1", 00"
JOB #5171 SURVEYORIs NOTES. SURVEY RIPIFICATE 1708 Water Oak Drive
,5— 1.� Current title Information on the subject property had riot been This cerbijis con described Tarpon Springs,
Date of Site Ida� 3_7,_22 This C Florida
hrriehed to initial Point Land Survoying, U-C at the Vule of this 11-11�1 am "44Ak j,on and Phone 1727)-831-19901
�wGm,5-s�,4yiTE SITE PLAN 11 1 1 Fwr,daPLS7123C"rPafl
2,) This sketch was prepared without the benefit of a title search
s 0 (on Land LS# 8183
No instruments of record reflecting ownership, easements or th ugh
rights—y were famished to the underagned, unless Otherwise eye, ff
File Ke, rat
shown hereon rsu IT: t ectio, 4 27, Florida ate
-D!'—"-d !!y_GJ_R 3L) Read-,, walks, and ocher vari0ar items Shown hereon were take :;t,
Checked by JH from engineering plans and are subject to sursey.
'REVISIONS 4.) This SITE PLAN does not reflect nor determine ownership
St This SITE PLAN is subject to matters shown on the. Plot of
Z13
ABBOTT SQUARE PHASE IS' ow
6.) Dimensions shown hereon are in feet and d, etley oat *a
`thereof' ot"al Ford PROF RVEYO 3
7.} Setbacks.
- LS 83
, Contractor and owner are to verify a k, liciodurt, -\11 dimensions, and layout shown hereon prior to any corstru; N R
and immediately advise initial Point Land Surveying, LLC of any 51 N 6SUIRV OV I ks,
deviation from Information shown hereon. Failure to do so will be LICENSE I Initial Point Land Surveying L-C.
at user's sole nNIC
v R-1 UAL REVIEW ASSIS1
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: — 6389 Beverly Hills Drive Zephyrhills, FL 33541
Parcel Tax ID:04-26-21-0000-00300-0000
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) ).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:
RUT MIM91611010MMKIM H I
MMMTMNM�s ii
Email Address (Optional): deb@virtualreviewassist.com
Fax: N/A
Florida License, Registration or Certificate 4: (LIC # BU 1967 / 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 permit 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
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 Aqent
Address: ZOO NW 107th Ave
Miami, FL 33172
Telephone
No. 813-574-5700
Corporation
Before me, thus 22ND day of
MAY -,2o22,
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 identication— Type of identification produced
Partnership
Print Partnership Name
By:
(signature)
Print
Name:
Its:
Address:
Telephone
No.:
Partnership
Before me, this day
of 120—,
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'U 0 �aLn— Print Name ASHLEE CALLAHAN
Notary Public Stamp:
A HLEE CALLAHAN
• State of F[orida
Commission Expires: Notary PublIc
t4f CMG 244456
NOVEMBER 30, 2022 NOV 10, 2022
AY Co"Im. Expi�(15 I
Bonded t ' hroush NWOMNotary AsM I
Page 2 of 2
Private Provider
Plan Conigliance Affidavit
Private Provider Firm: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU 1967
Address: 747 Southwest 21 Avenue
Gainesville, Fl, 32601
Phone: 813-391-2959
Email: Itic-v�.,I&virtualreviewassist.com
Project: New SFR
Address(s): 6389 Beverly Hills 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,1.1,1.2,2.1,2.2,3,4,5,6.1,6.2,7,SN,SNI,S3,S4,S5,S6,ST,SS,D1,D2,WPI,PAI.0,PA1.1,PAI.2,
PAI.3,SHI.0,SHI.1,SHI.2,SHI.3,SHI.4,SHI.5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans aminer
License 9: PX2300
Signature of Reviewer: a/t/`m— e;
SWORN AND SUBSCRIBED before me by
being personally known to me---\,J or having produced as identification
and who being fully sworn and cautioned, state that the
for oin is true and correct Tile besVf his/her knowledge or belief.
f�,W�J (rA� t:7k1V
Signature of Notary Print Name
Notary Public: NOTARY STAMP BELOW My
ASHLEE CALLAHAN
Expires Nov 30, 2022
Bonded through National Notary A�-,r-' M
commission expires: Notary Public - State of Florida
Commission
GG 244456
My Comm,
COMMERCIAL BUILDING SERVICES DIVISION
BUILDING PERMIT DATA SHEET
TRACKING# 0'7:��21 1041RE MARSHAL #01 -
FOLIO # i
/,, � 3 9 A /is dboe Reauired Permits
DATE:
EXAMINER:
Building �
Lns2eelion Only ion
M111.
1" ! , i $ E,
N XEMMIII�X
Mechanical
El LiLspection On�y
mp
lectrical `ill
Ellig
Roof
Medical Gas
Fire Sprinklers
El On Site Piping
El irrigation
El Fire Alarm
Potable Backflow Assembly
El Fire Line Backflow Preventer
Irrigation Back1low Assembly
El Demolition
El Walk-in Cooler
E] Refrigeration
D Fence/Wall
E] Grease Trap
L - =4 -- I �11
Type Construction:
L L\11
Risk Category:
Load
0 mpancy Classification:
ZLF,,ct.,y
oResidential E:�=
Assembly
Hazardous E=
rn Storage
Business 1V Care/Educational
n't. .
ubonal ❑ 1�\/,,Yrcantile
!
E3 Utility
❑
Building Use: Sr—lz Alteration Level 1 11:1 Level 2 [E] Level 3
New Construction El Interior Finish E] Interior Remodel ❑ Exterior Remodel r-1 Addition E3 Revision
Overall Size: f
Number of Stories:
ZI
Total Sq. Ft.:
Living Area: j '7&
Covered Area:
# of Bedrooms:
# of Baths:
Cost per square foot:
Estimated Value:
RoofType: Shin le
E]Tile t-R
Metal F] Other Squares:
Zoning:
W i
ldborne Debris:
M, Inside
FE-1 Outside
Energy Code:
Flood Zone: '7<
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents?
IETV-es 4D-Ro—
I Sq. Ft. Enclosed Space Below BFE:
# of Vents:
Size ofVents: ==Total
Sq. In. Permanent Openings
Central A/C
El Gas A/C
Z)Pleat Pump El Window A/C
D Gas Heat [j Electric Heat
�, I
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
Front Rear Left
Fight
per Approved Site Plan