HomeMy WebLinkAbout22-4311a
I
Address: 4600 W Cypress St 200
TAMPA, FL 33607
Phone: (813) 574-5700
CONSTRUCT TOWNHOME 1,634 SQ FT
Transportation Impact Fee - City
Electrical Permit Fee
Park Impact Fee - Single Family/Townhome
Driveway Fee
Public Safety Impact Fee -Admin
Plumbing Permit Fee
Address Fee
Fire Wall/Smoke Wall Inspection
3/4 Water Meter Residential Connection Fee
Mechanical Permit Fee
City of Zephyrhilis
5335 Eighth Street
Zephyrhills, FL 33542
BNR-004311-2022
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 10/04/2022
W-7=-P1R#r;W;Wrt - MM
Class of Work: Townhome
Building Valuation: $234,987.90
Electrical Valuation: $35,248.19
Mechanical Valuation: $16,449.15
Plumbing Valuation: $23,498.79
Total Valuation: $310,184.03
Total Fees: $14,462.78
Amount Paid: $14,462.78
Date Paid: 10/4/2022 4:35:07PM
Contractor: LENNAR HOMES LLC
$34,80 School Impact Fee - Single Family
$3,35100
$21624 Water Connection Residential Fee
$1,10%00
$769.56 Admin Fee / (Provider Service
$180.00
$45.00 Building Permit Fee
$1,214.94
$26,35 IF 1 percent Fee
$33.53
$157A9 Public Safety Impact Fee -Police
$254.00
$30.00 Sewer Connection Residential Fee
$2,090.00
$15.00 Transportation Impact Fee
$3,445.20
$732.71 Irrigation 3/4 Meter
$732.71
$122.25
I 1 9, 1 1111 � F I I I I: I I I III I I I
MMMI=i=l�
Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed ir
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONT OTOR SIGNATURE PE VT OFFICE[)
W_
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO101
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER I
I
I
V-RA
VIRTUAL
IR iUAL REVIEW ASSISI
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 37721 LEAFSIDE LANE
Parcel Tax ID: 04-26-21-000-00300-0000
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) 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.
VIRTUAL REVIETT A
Private Provider: DEBRA ANNE KLAHR
Address: 747 SW 2ND AVENUE - SUITES 1
Telephone: 813-376-3088 Fax: N/A
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 $1 million per
occurrence relating to all services performed as a private provider, including tail coverage for a minimum
of 5 years subsequent to the performance of building code inspection services.
am�
(signature)
Print
Name:
Address:
Telephone
No.:
Please use appropriate notary block.
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
Individual
Before rue, this day of
20_, personally
appeared
who executed the foregoing instrument,
and acknowledged before me that same
was executed for the purposes therein
expressed.
Corporation
LENNARBQME5 LLC
Print Corporation Name
By:
(signature)
Print
Its: Authorized Aa ent
Address: 100_M1/ 107$h AVU�
Miami, FL 33172
Telephone
No. 813-574-5700
Corporation
Beforeme,this 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.
Partnership
Print Partnership Name
M
(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.
Personally known X ;or Produced identi cation Type of identification produced
Signature of Notar Uj_ Print Name ASHLEE CALLAHAN
Notary Public Stamp:
ow, At"NASHLEE CALLAHAN
Notary pubi1c. State of Florida
Commission Expires: �A, 0, G6 244456
NOVEMBER 30, 2022 �WOYO,*P' Ay Catum, E%PieO Nov �0, 2022
�, tonaiut throuSh NnMnal Notary Air,
Private Provider
Plan Compliance 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: Luc virtualreviewassist.com
Project: New SFT 8 unit
Address(s): 37711,37717,37721,37725,37729,37733,37737,37741 Leafside Lane
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 atfiant, who is duly authorized to perform plans review pursuant to Section
553.791, Florida Statute and holds the appropriate license or certificate:
Name: Debra. rtne Klahr
Plan Sheets. 1,2,3,4,5,6,7,8,9,10,11,12,13,15,16,LI,SN,SNI,S3,S4,S5,S6,ST,SS,D1,WP,PAI.0,PA1.1,PAI.2,
PAI.3,SHI.0,SH1.1,SHI.2,SHI.3,SHI.4,SHI.5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300
Signature of Reviewer:
SWORN AND SUBSCRIBED before me by
being personally known to me or having produced as identification
- and who being fully sworn and cautioned, state that the
for go' is true and correct to the best of his/her knowledge or belief.
0
ry
g2nat;ure of No Notary Print Name
Not Public: NOTARY STAMP BELOW My
ASHLEE CALLAHAN
Notary Public - State of Florida
commission expires:
Commission # GG 244456
My Comm, Expires Nov 30, 2022
Bonded through National Notary Am,-
[—COMMERCIAL BUILDING SERVICES DIVISIN NRESIDENTIAL
BUILDING PERMIT DATA SKEET
TRACKING #/ FIREMARSHAL#01- 5;/Z0f1,a-,),?
FOLIO # g EXAMINER: �
e uire P mils
rril ira I�lrrrrrtain echa rical lectri +al imp
Ins eetion Onl Elinspection oni El inspection 0n1 Ins ection 0n1
Roo [I Gas [l Medical Gas El Fire Sprinklers
El On Site Piping D Fire Line [l Irrigation El Fire Alarm
Potable Backflow Assembly [ Fire Lire Backilow Preventer E] Irrigation Dackflow Assembly ElDemolition
El Walk-in Cooler [] Refrigeration El Hood Ansul
D Fen all El Grease Trap El Other El Other
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting 908 770 __ 7763
Owner's Name 7IL-e7nnar 7HoiTie7s,LI,7COwner Phone Number 813.574.5700
Owner's Address 1 4301 W Boy Scout Blvd Ste 600 Tampa, F1, 33607 Owner Phone Number
Fee Simple Titleholder Name F N/A Owner Phone Number
Fee Simple Titleholder Address NIA
JOB ADDRESS FLeafside Lan 0006
LOT #
SUBDIVISION Zephyr Court PARCEL to#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRF—I ADD/ALT SIGN DEMOLISH
PINSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK E::] FRAME STEEL
DESCRIPTION OF WORK Single Family Residence Pool / Screen Enclosure / Fence
BUILDING SIZE SQ FOOTAGE [163� HEIGHT 2 story
1r11r17_r1T_T_r11
BUILDING' $ $234,987.90 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
PLUMBING
10
L_$35,248.19
$23,498,79
0 MECHANICAL VALUATION OF MECHANICAL INSTALLATION
$116,449A5 2,f.
=GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 11 IYES [_20
BUILDER COMPANY L,nnar Homes, LLC
SIGNATURE REGISTERED FEE CURREN Y/N
Address 14301 Boy Scout Blvd Suite 600 Tampa, Fl, 33607 License #
LC L�_ FEE C5URRE1
ELECTRICIAN COMPANY Proven Electrical Concepts, LLC
SIGNATURE REGISTERED YIN _J FEE CURR -EN--T:Y=
Address 5728 Gold OWi Loop, Land O Lakes, FL 34638Y License # FEC13009068
CO Bayonet Plumbing, Heating & AC, Inc
REGISTERED Y/ N FEE CURREN L1
PLUMBER COMPANY
SIGNATURE F _LN_j
Address License #
MECHANICAL COMPANY [13a�yone;t;Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED FEE CURREN Ly _/ N
Address License #
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED K�� Quality
CU�RREN����
Ad
_,�pring Hill, FL 34607 4:21:1 Shoal Line Blvd, License # [O�579�91
Address E
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 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
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)
AMP SERVICE
PROGRESSENERGY
[X] W. R. E. C.
** 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 OF DEED : The undersigned understands that this permit may be subject to "deed" 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 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 |aw, both the owner and contractor may be cited fora misdemeanor violation
under state |evv. 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 at727-847-
800B. Furthermore, if the owner has hired a contractor or oontrectnro, 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, an the owner sign as the
uun<raotur, that may bean indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new bui|d|nge, change of
use in existing bui|dinga, or expansion of existing bui|dingm, as specified in Pasco County Ordinance number88-U7 and
90-87. as amended. The undersigned also undenstanda, that such feea, as may be due, will be identified otthe 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|easo, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVater/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713' Florida Statutes, as amended): |fvaluation ofwork iu$2.50D.00 or more, |
certify that |, the app||cant, have been provided with a copy of the "Florida Construction Lien Law —Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver ii(othe ''owner^prior tocommencement.
CONTRACTOR'S/OWNER^SAFF|DAVIT: | certify that all the information in this application iaaccurate and that all work
will badone in compliance with all applicable |owo regulating conatruoUon, zoning and land development. Application is
hereby made to obtain o 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 |mwm regulating
ounmtruodon. County and 0|y oodee, zoning regulations, and land development magu|oUona in the jurisdiction. ! also
certify that | understand that the regulations ofother 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 Bayheada, Weiland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management Oiathc(4NeUo, Cypress Bayheado, Weiland Areuo, Altering
Watercourses.
- Army Corps ofEngineem-Semwa||o.Docks, Navigable Waterways.
- Deportment of Health & Rehabilitative Semicao/Envinonmental Health Unit-VVeUs, Wastewater Treatment,
Septic Tanks.
- U8Environmental Protection Agency -Asbestos abatement.
- Federal Aviation Authodty+Runvvayo,
| understand that the following restrictions apply tothe use uffill:
Use offill ionot allowed inFlood Zone ^V^unless expressly permitted.
- If the DU mmhaha| is to be used in Flood Zone "4^, it is understood that o drainage plan addressing a
^oompeneaUng volume" will be submitted at time of permitting which is prepared by u professional engineer
licensed bythe State ofFlorida.
- If the fill material is to be used in Flood Zone ''4^ in connection with a permitted building using stem wm||
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 @| will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properbeu, 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, on engineered drainage plan is required.
If am the AGENT FOR THE OWNER. | promise in good faith to inform the owner mfthe permitting conditions set forth in
this affidavit prior to commencing construction. | understand that separate permit may be required for electrical vvork,
p|umbing, oigns, vveUs, pou|a, air conditioning, ges, orother installations not specifically included in the application. A
permit issued shall be construed to be e Ao*noe to proceed with the work and not as authority toviolate, oence|, a|ber, 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 iacommenced within six months ofpermit issuance, orifwork authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
maybe naqueahed, in writing, from the Building Official for e period not Wexceed ninety (QO)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
,T<F.S. il 17
OWNER OR AGENT
)r before me this
by A,,,Iilce Ca ahan
VVI).,s/are personally known to me or -h��
as identification.
Commission � No.—IJIIO0O4G0
EliwuM.Doll,mu
Name of Notary typed, printed or stamped
Expires June 6, 2024
Subscribed and sworn Ato( rm.d) before me this
28-Ap,22 by Ashlee Callahan
---as identification.
Notary Public
Elissa M. Holleran
Name of Notary typed, printed or stamped
'WH" 9 ELISSA K HOLLERAN
%Cominursion#HH000460
Expires June 6, 2024
M:J
eP Ot
eq n w
ASCO COUNTY, FLORIDA.,
Permit No,
Date Permitted Z
0.Euild r Name/Owner Name Control #
County Parcel No, / 1 00 Q 150 D SubDiv,
Address/Location 5712j t o I.Lo
Classification/Type of ids
TRANSPORTATION IMPACT FEE Rate; Sq. Ft Chit:
Exempt es No How Determined
Impact Fee Amount ( Zone No. 1
SCHOOL IMPACT FEE
Account (056) Single -Family 0'stashed house Amount
(0 7) Mobile Home
(056) Other Residential
23) Collection w:
Exempt 6 Yes (3 No How Determined
Land Account
Recreation Account Recreation Credit Recreation `total
zone TOTAL AMOUNT /
Exempt Ye How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Ac nt Faculty Credit Facility Total
Exempt Yes No How Determined Total Amount
!! E F E U
TOTAL AMOUNT
Chocked By
18' D HAVE
_ffE_C_E EY
RECEIPT NO, DATE BY