HomeMy WebLinkAbout22-4460City of Zephyrhilis
\ A
�\`S ���y�
5335 Eighth Street
t x t \1
ephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue sate: 07/24/2022
Permit i (Residential
M
lumn
6486 Bar S Bar Trl 04 26 21 0140 01300 0140
,
\. .
,.,;;,>,
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: $264,840,15
TAMPA, FL 33607 Electrical Valuation: $39,726.02€
Phone: (813) 574-5700 mechanical Valuation: $18,538.81
Plumbing Valuation: $26,484.02
Total Valuation: $349,589,00
Total Fees: $19,088.84
Amount Paid: $19,088.84
®ate Paid: 9/12/2022 4:08:41 PM
CONSTRUCT SINGLE FAMILY 1,870 Sty FT
School Impact Fee - Single Family $8,328.00 3/4 Water meter Fee (Calc) $732.71
Electrical Permit Fee $238.63 Transportation Impact Fee $3,595.68
Transportation Impact Fee - City $36.32 Admin Fee (Provider Service ) $45.00
Sewer Connection Residential Fee $2,090.00 Admin Fee (Provider Service ) $45.00
Admin Fee (Provider Service ) $45.00 Mechanical Permit Fee $132.69
Admin Fee (Provider Service ) $45.00 Public Safety Impact Fee -Police $254.00
Address Fee $30,00 Driveway Fee $45,00
Water Connection Residential Fee $1,010.00 SIF 1 percent Fee $83,28
Public Safety Impact Fee -Admin $26.35 Building Permit Fee $1,364.20
Park Impact Fee -Single Family/Townhome $769.56 Plumbing Permit Fee $172.42
REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 653.80(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 reinspectiona
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,
"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 with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in
accordance with City Odes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
TRACTOR SIGNATURE PE IT OFFICE
INSPECTIONPERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED
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 Lermar 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
Fee Simple Titleholder Name L, LT/A Owner Phone Number F
Fee Simple Titleholder Address N/A
JOB ADDRESS 6486 Bar S Bar Trail LOT o
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
61 (
WORK PROPOSED NEW CONSTRF--] �ADD/ALT SIGN DEMOLISH o
INSTALL REPAIR
PROPOSED USE f SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK E:] FRAME STEEL
DESCRIPTION OF WORK Single Family Residence I Pool / Screen Enclosure / Fence
BUILDING SIZE ����W�2351 SQ FOOTAGE HEIGHT �__--__�
Br r_r"T_"r"r1V_r_r_r1rmr1T_r1T" 7"T_r1r1T_r_T_T r1r_r_T_r_r_rr1r1T_r11T_
IU,LD,NG
$264,840,15 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C.
PLUMBING
$26,484.02
4
MECHANICAL 7
�
VALUATION OF MECHANICAL 1W
1" $18,538.81 1 :s
L---------------------------- i 11A I
GAS 0 ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES 11 0 Ell
1 9 4
I cnnar H o mes, LLC
BUILDER COMPANY
SIGNATURE REGISTERED Y 1 N FEE CURREN
Address 4301'W Boy Scout Blvd Suite 600 Tampa, F1, 33607 License# I CGC1518166
ELECTRICIAN FFCOMPANY Edmonson Electric, Inc.
SIGNATURE REGISTERED Y/ IN FEE CURREN Y/N
Address License# I EC'l 3005408
PLUMBER COMPANY�c�yGPI'fiPlumbing, Heating & AC, Inc
SIGNATURE REGISTERED
Address RO, Box 5 08, Bayqdk FL 34674-5308 License #
MECHANICAL COMPANY et Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED
Address P.O. Box 530 /8ayonet, FL 34674-5308 License # CAC058062
OTHER COMPANY 'C Sterling Quality Roofing, Inc
FEE CURREN
K��� LX_l �N SIGNATURE REGISTERED Y/ N
Address [ 4211 Sh al Line Blvd, Spring Hill, FL 34607 License # 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 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 clumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
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 OF DEED S: 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 o 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 for misdemeanor violation
under state |ovv, If the owner or intended contractor are uncertain as to who( 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 onntreotora, he is advised to have the contractor(s) sign
portions of the ''contractor B|ock^ of this application for which they will be responsible. If you, as the owner sign as the
oontrao(or, that may been 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 tothe construction ofnew buildings, change of
use in existing bui|dinQs, or expansion of existing bui|dinAe, as specified in Pasco County Ordinance number 88-07 and
90-07. as amended. The undersigned also underatandm, that such feea, 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 ofoccupancy" 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 QountyVVater/Sevver 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 ie$2.5O0.00ormore, |
certify that |' 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 ''ovvner''. | certify that | have obtained a copy of the above described document and promise in good faith to
deliver ittothe "nwner''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 nonstruction, 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 laws regulating
construction, County and City codes, 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 I must take to be in compliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection -Cypress Bayheada, Welland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District -Wells, Cypress Bayheeda, Wetland Arees, Altering
Watercourses.
- Army Corps ofEngineers-Seovva||s. Docks, Navigable Waterways,
- Department of Health & Rehabilitative Services/Environmental Health Unit -Wells, Wastewater Treatment,
Septic Tanks.
- USEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation Authnrity-Runvvaya
| understand that the following restrictions apply (othe use offill:
- Use offill isnot allowed inFlood Zone ^Vrunless expressly permitted.
- If the 0| material is to be used in Flood Zone ^/Y', it is understood that a drainage plan addressing a
'�oompeneating volume" will be submitted attime ofpermitting which is prepared by professional engineer
licensed bythe State ofFlorida.
- If the fill material is to be used in Flood Zone ^A' in connection with a permitted building using stem vvaU
construction, | certify that fill will be used only to fill the area within the ekam 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 effeoi adjacent propertieo, the owner may be cited for violating
the conditions ofthe building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated byfill, anengineered drainage plan iorequired.
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 tocommencing construction. | understand that separate permit may be required for electrical vvork,
p|umbing, aigno, vveUs, pon|m. air conditioning, Qos, orother installations not specifically included in the application. A
permit issued shall be construed to be o license to proceed with the work and not as authority toviolate, canoa|, o|ter, or
set aside any provisions of the technical codes, nor shall issuance of permit prevent the Building Official from thereafter
requiring a correction of errors in p|ana, 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 iasuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for o period not to exceed ninety (0Q)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
OWNER OR
Subscribed and sworn to (or affirmed) before me this
Who
m
as identification.
ry Public
Commission No, II11000460
0issxM.Holleran
Name of Notary typed, printed or stamped
Expires June 6, 2024
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
Who is/are personally known to me m
as identification.
Commission No. 11D000400
Qbsa M.Dollerau
Name of Notary typed, printed or stamped
oELISSA K HOLLERAN
Expires June 6, 2024
813-780-0020 City of ZephyrhiUSPermit Application Fax-813-780-0021
Building Department
NOTICE OFDEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed"
than County regulations, The undersigned assumes responsibility for compliance with any applicable deed restrictions,
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they
may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and
contractor may be cited for a misdemeanor violation under state law, If the owner or intended contractor are uncertain as to what licensing requirements
may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division —Licensing Section at 727-847- 8009
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" ofthis
application for which they will be responsible, If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in Pasco County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or
expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that
such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery
Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final
power release, the fees must be paid prior to permit issuance, Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior
to permit issuance in accordance with applicable Pasco County ordinances,
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that 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 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 Mi I be done in compliance with
all applicable laws regulating construction, zoning and land development, Application is hereby made to obtain a permit to do work and installation as
indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all
laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction, I also certify that I
understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I
must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection -Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treabnerd.
- Southwest Florida VVaharManagement O|sthct-VVeUa, Cypress Bayhemde, Wetland Aneam, Altering
Watercourses,
- Army Corps ofEnQineem-SeavvmUm.Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-VVeUo, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency -Asbestos abatement.
- Federal Aviation Authority -Runways.
| understand that the following restrictions apply mthe use oyfill:
- Use offill ianot allowed inFlood Zone "V''unless expressly permitted,
- If the fill material is to be used in Flood Zone "A''. it is understood that m drainage plan addressing a
.,compensating volume" will be submitted attime ofpermitting which is prepared by professional engineer
licensed bythe State ofFlorida.
- If the fill material is to be used in Flood Zone "A° in connection with a permitted building using stem 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 fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent proped|em, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |eam than one (1)
acre which are elevated byfill, anengineered drainage plan |mrequired.
|f/amthe AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to
commencing construction, I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or
other installations not specifically included in the application, A permit issued shall be construed to be a license to proceed with the work and not as
authority toviolate, cancel, alter, nrset 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 fora
period orsix (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to
exceed ninety (VD)days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered
abandoned.
FLORIDA JURATVpS,11,03
OWNER OR AG
Notary Public - State of Florida
My Comm. Expires Nov 30, 2022
Bonded through National Notary Assn.
Subscribed and sworl, gor&ffirmed) before me this
v5.20.22 _by
VbQ�is/are personally known to me or has/have produced
as identification.
Notary Public
Commission No. GG 244456
Ashlee Callahan
My Comm. Expires Nov 30, 2022
Bonded
through National Notary Assn,
Address/Location c
Classification/Type f ll q e-
Sq Ft Unit: Z.�LY
TRANSPORTATION IMPACT FEE Rate;
Exempt Ves Fier Determlned
Impact Fee Amount Zone No.
T
L i AT F
Account (05) Single -Family Detached House Amount
(0 ) Mobile Home
(05$) Other Residential
3, Collection Fee
dyes
Exempt 0 No How Determined
Land Account Land Credit Land Toil
scristion Account Recreation Credit
Recreation Total
Zone TOTAL AMOUNT
Exempt Y How Determined
i
Land Account Land Credit
Land Total
Facility Account Facility Credit
Facility Total
Exempt Yes Oar Determined
Total Amount
F
ERU
TOTAL AMOUNT
PreparedBy r�. Chocked Sy
Wes not Imply acceptance of concurranq% but simply racolpt
e:. this form, placing
o for same.
SATE
RECEIPT NO. DATE I BY
�,. v
v ' R1 UAL REVIEW ASSIST
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
01� rhills, 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.
1— 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: DEBFAA ANNEKLAHR
Address: 747 SW 2ND AVENUE - SUITES 1
Telephone: 813-376-3088 Fax: N/A
Florida License, Registration or Certificate #: (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.
(signature)
Print
Name:
Address:
Please use appropriate notary block.
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
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
Namej;h ith �rlsto her S�rn
Its: Authorized A ent
Address: _ZQDNWj Q7th Aire
Miami, EL 33172
Telephone
No. 813-574-5700
Corporation
Before me, this 22ND day of
-MA-Y-, 20 22,
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 identi cation_ Type of identification produced
OMMMM
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 Notar Print Narne ASHLEE CALLAHAN
Notary Public Stamp:
ASHLEE CALLAHAN
Commission Expires: Florida
NotarY Pub4. State of
Cant lssfpr: GG 244456
NOVEMBER 30, 2022,Comm, Expi(e5 Noy 30, 2022
oo�6dthroqh'NWVD,! Notary Ai,sn,
e -7
[—COMMERCIAL BUILDING SERVICES DIVISION �RESIDENTIAL
BUILDING PERMIT DATA SHEET
TRACKING # I Gam% � FIRE MARSHAL # 1 - DATE: 1`.
FOLIO # �11�__, / EXAMINER:
c a- S // "W Ise aired Pe its
uildin Plumbing Nehan cal Electrical Amp
El leas ection OnI El Ins ection Opt El Inspection O'niv El Ins ection OnI
oof ❑ Gas 0 Medical as Ej Fire Sprinklers
[� n Site Piping EJ Fire Line El Irrigation Fire Alarm
E Notable Backflow Assembly 0 Fire Line Backilow Preveaeter Irrigation ltacktlow Assembly El Demolition
Walk -ire Cooler 0 Refrigeration El Hood El Ausul
El Fence/Wall E] Grease "Trap E] Other El Other
B 'Iding Data
T` e nstruetior, i2isl category f3ccupancyLoad
CI ° aney Classification Assembly Business Day Care/Educational
Facto
r3 �...� hazardous �� Institutional :Mercantile
residential ❑`Storage �_ �[ `utility
Building Use: � / Alteration Level I IuLevel2 Level3
7-1�ew Construction El Interior Finish ® Interior Remodel ®Exterior Remodel El Addition El Revision
Overall Size: Number of Stories: 'Total Sq. L"t.:
Living Area: Covered Area: ## ofBedrooms:
# nI° Laths:
Cost per square foot: Estimated Value:
Roof T e: in le (Nile Butli-u lvlctal Culler S uares:
Zoning: Wl o e Debris: Energy Code: ~ r�
r0 Inside utside
Flood Zone: Base Flood -Elevation: FinishFloor Elevation:
Hydrostatic Vents? E Yes No Sqa Fte Enclose Space elow I3F'E:
# of Verbs, Size of Vents: Total Sq ln, Permanent Openings
tr°al AIC jHeat Pump " [�] Window —A/C
has AI as heal El Electric heat
On Site Ili in
Sanitary Serer Stier°.. Sewer Catch Basins
Potable Water Underground Fire Leine
1
l � 1
li
1i
Private
Provider
.r
Plan Compliance Affidavit
Private Provider Firm: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU1967
Address: 747 Southwest 2,d Avenue
Gainesville, Ff, 32601
Phone: 813-39I-295
Email: l j r t-t�t lr view ssist.com
Project: New SFR
Address(s): 6486 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
53,791, Florida Statute and holds the appropriate license or certificate:
Dame: Debra Anne Klahr
flan Sheets: CS,AI,A.2,A3,A4,AS,A6,A7,SNO,SN1,S3,S4, 5,S6,S ,ST,SI I,Sl2,PA I.0,PAi.1,PAi.2,
PAI.3 SILO,SIB(I.I,SHI.2,SI-II.3,SHI.4,SIHI.5, I.0
Florida License/Registration/Certification #(s) and description
FS468 Certified Standard Plans Examiner
License #: PX2300 w
MI2 22
Signature of Reviewer
SWORN AND SUBSCRIBED before me by
being personally known to ,'~ or having produced as identification
and who being fully sworn and cautioned, state that the
regei is true and rr ct to the best of his/her knowledge or belief.
g
i nature o N0otaryPrint Name
Notary Public: NOTARY STAMP BELOW My
commission expires: Em
CA LAHAN- State ; rfor9damm, EXP# 2 0 56nnsl N€�ta it?22
rY ASsn,
Ewa, Ran I.DeSantis, Governor Julie 1. Brown, Secretary/
�a, dbpr
rSTATE OF FLORIDA
!'
41
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
BUILDING CODE AD tols"TRATORS & INSPECTOR
THE 5T ] 5' I I E'RTIFIED UNDER THE
PRO V IS S � L STATUTES
,'
�
.,
616 YARDARM,I
/C�
~
LICE "I NUM ER: 8N46'15
EXPIRATION DAT ' , 0'OEMl3ER 30,2023
Always verify licenses online at MyFl€DridaLicense,cor
FEB] FRI
®
Do not alter this document in any form.
This is your license. It is unlawful for anyone other than the licensee to use this 'document.
m
771''
City of Zephyrhilis
5335 8TH ST
ZEPHYRHILLS FL 33542
,mnl= I Virtual Review Assist, Inc.
.............. .......... .... . . . . .... '' '',
Contact Us
Need Help?
Start a live chat online or call us at
(866) 467-8730.
We're here weekdays from 8:00 AM to
8:00 PM ET.
Enclosed please find a Certificate Of Insurance for the above referenced Policyholder. Please contact us if you have any
questions or concerns.
Sincerely,
Your Hartford Service Team
XT1411111
DATE (MM7DD/YYYY)
LIABILITYCERTIFICATE OF 05/16/2022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE
ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed, It SUBROGATIONIS WAIVED,
subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does
not confer rights to the certificate holder in lieu of such endorsement(s),
PRODUCER CONTACT NAME:
MARSH & MCLENNAN AGENCY LLC PHONE (} 727 447-6481 FAX
(727) 449-1267
21228496
PO BOX 6090 (AtC, Na, Ext): (A c, No):
CLEARWATER FL 33758 E-MAIL ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC#
INSURERA: Hartford Underwriters Insurance Company 30104
INSURED INSURER B : Hartford Casualty Insurance Company 29424
VIRTUAL REVIEW ASSIST, INC. INSURERC:
747 SW 2ND AVE STE 357-358 INSURER D .
GAINESVILLE FL 32601-6284
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATE D.NOTWITHSTAND ING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE
TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
_TN SR TYPE OF INSURANCE ADDL 5UBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
LTR INSR D MMIDDIYYYY MM(DDlY YYY
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2,000,000
CLAIMS -MADE OCCUR DAMAGE TO RENTED $1,000,000
PREMISE Ea aocurrence
X General Liability MED EXP (Any one person) $10,000
A 21 SBM AS1AC5 05/06/2022 05/06/2023 PERSONAL & ADV INJURY $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000
X POLICY 1 I PRO" I I LOC PRODUCTS - COMP/OPAGG $4,000,000
I_J JECT L_,_!
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE -LIMIT $2,000,000
Ea accident
ANY AUTO BODILY INJURY (Per person)
ALL OWNED SCHEDULED
A AUTOS AUTOS 21 SBM AS1AC5 05/06/2022 05/06/2023 BODILY INJURY (Per accident)
HIRED NON -OWNED PROPERTY DAMAGE
X AUTOS 'X AUTOS (Per accident)
UMBRELLA LIAR X OCCUR EACH OCCURRENCE $3,000,000
EXCESS LIAR CLAIMS -
A MADE T21 SBM AS1AC5 05/06/2022 05/06/2023 AGGREGATE $3,000,000
DED RETENTION $ 10,000
WORKERS COMPENSATION X PER OTH-
AND EMPLOYERS' LIABILITY STATUTE ER
ANY YIN E.L. EACH ACCIDENT $1,000,000
B PROPRIETOR/PARTNER/EXECUTIVE N/A 21 WECASIB04 05/06/2022 05/06/2023
OFFICER/MEMBER EXCLUDED? E.L. DISEASE -EA EMPLOYEE $1,000,000
(Mandatory in NH)
If yes, describe under E.L. DISEASE -POLICY LIMIT $1,000,000
DESCRIPTION OF OPERATIONS below
A Data Breach -Defense & Liab 21 SBM AS1AC5 05l0612022 05/06J2023 Limit $10Q,000
Covg
DESCRIPTION OFOPERA110NS! LOCATIONS /VfwHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
Those usual to the Insured's Operations.
City of Zephyrhills SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
5335 8TH ST BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
ZEPHYRHILLS FL 33542 IN ACCORDANCE WITH THE POLICY PRdVISIONB.
AUTHORIZED REPRESENTATIVE
C? 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
DIESCRIMON. LOT 14, BLOCK 13, ABBOTT SQUARE PHASE I A.
ACCORDING TO THE PLAT THEREOF, RECORDED IN FLAT BOOK
PAGE OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA
ALL ELEVAPONS REFERENCED
TO NORTH AMERICAN
VERTICAL DATUM OF 1988
NAVD SEF
Phi
s SITE PLAN Prepared far and Cedified To.
Lennar Homes
SITE PLAN
�NCH A SURVEY!
SEC, 4, TWR 26 S, RNG 21 E.
PASCO COUNTY, FLORIDA
(ABBOTT SOUARF)
Scale, 1 = 20'
R: I
LOT 15
8
BLOCK 13
LOT 4
/so BLOCK 13
. .........
----------
9
11?2 �011, It CX3,5
Cl�&-A,C
C` �A,
PROPO
46 1
a.
TO
�in
0 i<�
2 STORYSIESIDENCE
LTioPLAN
LOT 14
-- - ----------------
187? PATIO
EL'V A�
BLOC K 13
6L, LOT 5
C�ARAGE L
i� BLOCK 13
3 CONC
'
WALK e
2 2
22
25,0 "PI
"Z
46,1
I a A,
S 87,53 07, z;FN I I 0.3o ?PiI
----------
sgLl
NA
LOT 13
LOT 6
BLOCK 13
i BLOCK 13
IN
LOT --A20—SO, FT
LIVING AREA -,jSC_5Q, FT,
P C
PORCH -_16--SO, FT,
GARAGE -A9.3--SO, FT
COVERED LANAI --hi/A—SiCL FT,
.
RATIO -,Le—SCL FT
POOL AREA --N_/&—SOJT
CONC. DRPST --,3,e-1—S0, FT
AOZ & CONC PAD FT
SIDEWALK FT
LOT SOD -_Nj&—SCL FT
= T OAK
R/W SOD gyp.FT.
LOTOCCUPIED --jj— Se
1000 PURUCUTIWYEASkMENT
AREA TO IRRIGATE A
NOTES:
PROPOSED:
LOT GRADING TYPE' A
MINIMUM FLOOR ELEVATIONS:
PROPOSED PAD ELEVATION 95.10
LEGEND:
LIVING AREA: 95,77'
FRONT SET BACK - 20
PROPOSED DR&NAGE FLOW
GARAGE AREA:
SIDE SET BACK � 7 5
ELEVATIONS REFERENCED TO 100,00) PROPOSED GRADE PROPOSED ELEVATIONS AND GRADING
SIDE SET BACK (CORDER LOTj -15 E-00,00 SAWING GRADE SHOWN HEREON ARE TAKEN FORM THE
NORTH AMEPOCAN VERTICAL ENGINEERRRG PLANS OF
DATUM OF 1988 REAR SETBACK - 15 'ABSO77 SQUARE RESIDENTIAL-, PREPARED
APPARENT FLOOD HAZARD ZONE:'X- COMMUNiTY NO, 12OZ35 BY 'WRA'PROVOED BY CLIENT
SURVEY ASBREl7ATIIONS iIMAP NUMBER 12 IOIC-OZ89-F; EFFECTIVE DATE, 09 26, 201 4 ----------
31 A - nOiNT C* CURA Al-aki.,1NI �7- 7 LEGEND ONN IUNU
'ANAG RNG ^ RAN(Ne
AIC -AtP , I I DREK 1, EA11WINT �N.V . "ISUIVASS rC PONT OF COMPOurin C"RVI
or - ALUMINUMFEN(t, 11, OR &EV, ELO/ArC, L E - LANDSCAPE EASEMEATI AP - TORMANENT (,ONTRrX Piahl
KA, Red, EOP� [Do! OF PAVEMENT LF -iCAPATrLNONLrtVAKON r't - had' Nouirkion PRS - RN� PCIADAIKE
RM SENCH MAYN o VIA, - PKINT ,X WAY
ESMT - OAS MEm LS - UCENVO ViSOPYOR TV - FAA, F V, C I, ON ArOODHAICI
ajAAP �M -MR Pi INNNT-0411-11i.ri SAO) - Vr NAR AND DAN
- CASUnV, �D PC M - FOUND C ONCIATE 'Z - NNE'R'27ND .01.1 A -iAP%6R KALON LEolinU
"adelm
MONUMENT NCT - NO COPPER i'OUND, I -NAXeR1`T1;NE Siq -,R I ROD W. 8 1 &1
�! P� : rCo�'�NN't)) i PON I ME OIA - CIVER&I, PD8-POtW0FNGNdNG Ties - I FMPONAPY RENO, MARK
Cai-CORRONAP,U)METALMS -OwqrWAD - POINT OF C0MN%NCTN*,NT i ------
�a _ Cw OkiWIRE's TOO- TOPOF WYM
, Oran RoN ROD KX 'ON( fh6D-10` NO RAIL A DoX OR - COPDX RLOORM KX - POiW ONJNE KIA-TOWNN.it' &OMO41 11N11
pent N N`NN `rE
�cv c (0 -N.Ar' PIC - NCNm 01 RU/06L CU ri I'- UIRITY i, AAsArN'
ro,
JOB #5120 SURVEYOWS NoyELS: 1708 Water Oak Drive
57dt� of -Ste POW-3- ject To ity Z —Z t) Current title infOr"NottOn Or' the , P Pe Y on descr,bea TaTon Springs, Honda
Point Land Sdraerisq, LLC, a, the furnished to finivat pro toand Phone r 17271-83 1990
DSIVAS-L 14-813-SITE SITE PLAN the cable Start n I cearr i FloridaRLS71239"9ma Rx
2,) This sketch was prepared without the benefit of
No instruments of record reflectinq ownership, eaYan�pxih Uind LB# 8183
ngion-of-way, were furnished IN the undersigned, a
shown hereon.
Drawn by Dis 33 Roads, walks, and other similar items shown hereon were sake is -------- I-
heckad by-J� from engineering plans and are subject to Survey
ie—vtsioim- 4.) The Sit E PLAN owes not rofieirt not determine rANTIeront, Aw
iLt This SITE PLAN is subpa to inatters shown on the Plat of gz
AA`
'ABBOTT SQUARE PHASE IA'
6L1 Detrondon, shown hereon are ,h minand d,,,,mzl owelmn, a
thereof 712 #81
1P} Contractor and owner are to VeOfy ati setbacks, b a it)
dimensions, and layout shown hereon prild, toony CanStYucr. E N Lipp"
and Immediately advise Ohial Point Land Surveying Lk.C. of any SI , 0 RKA
deviation from information shown hereon, Faikee ro do so set! be i LICENSBD PPEIR t Initial Point Land Surveying, LLC,
at fixers sok, risk I
" -AD �File N�&IR"IfR1111C
SEE SHEET C207
MATCH LINE
Al"
12
13
14
is
LD
7
L--Jf
RP @ 3,64%
mm
-ij
U 9, T71 al r,
18 19-1
x
Ul
Ln
BLOCK13--
5 4 'J
-v 2 1
i> .411
I Z, :�j A _
>
�w L. rnk
I P"
4r,
lie w to
` - 24" RCP @ 0-30%