HomeMy WebLinkAbout22-4575City of Zlephyrhills
5335 eighth Street
ephyrhlls, FL 33542
Phone: (813) 780-000
Fax. (13) 780-0021
MW
(Residential)
Yqrr
NR-004575-2022
Issue Date. 09/06/2022
NER
Phone:!
Mechanical Valuation:!
Plumbing • Al
Total• 00.80
TotalAt
i 'Amount • '► ,132.40
IN
bate ! i !`
5M
CONSTRUCT SINGLE FAMILY 1764 SQ FT AS
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CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION IREQUIRED
813-780-0020
a �
Building Department
Date Received
Phone Contact for Permitting t �08 770 __ 7763
Owner's Name
CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813.574.5700
23975 Park Sorrento, Ste. 220, Calaoasas, CA 0130-
Owner's Address Owner Phone Number
Fee Simple Titleholder Name N/A Owner Phone Number
Fee Simple Titleholder Address N/A
JOB ,ADDRESS 6 �v�rly illy rIVO LOTS 11408
bcatt ur t4--21-t15(J-Ci140-00
SUBDIVISION � PARCEL ID
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR � ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION 10 BLOCK E FRAME STEEL
DESCRIPTION OF LURK single family Residence / Pool l Screen Enclosure I Fence
Ulf SF '
BUILDING SIZE SQ FOOTAGE 1764 HEIGHT
BUILDING --
271440 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ PROGRESS ENERGY W.R.E.C.
40716 AMP SERVICE
-------------------------- J
PLUMBING 27144
-��
MECHANICAL E��
R..� VALUATION OF MECHANICAL INSTALLATION
GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA Li YES Do
SUNDER COMPANY
Homes, LLC
SIGNATURE REGISTERED Y / N FEE CURRENY / N
01 W Boy Sco vd Suite 600 'Pampa, FL 33607 CCit 151� 166
Address License # ��.�..�... _._.�..._._
ELECTRICIAN COMPANY gEdmonso;nElectric, Inc.
SIGNATURE REGISTERED Y / N FEE CURREN
Address Licensed 3t?48
PLUMBER COMPANY gayonet Iumbin , Heating AC, Lnc
SIGNATURE REGISTERED Y/ N FEE CURREN Y l N
Address License #�EOS
MECHANICAL COMPANY Bayonet Plumbing, Footing & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address I License #
OTHER COMPANY gC�S�terling uality Roofing, Inc
SIGNATURE REGISTERED? FEE CURREN Y 1 N
Address License #��
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit fornewconstruction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wl Silt Fence installed,.
Sanitary Facilities & 1dumpster;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 $2 00, a Notice of commencement is required. (A/C upgrades over $7600)
* 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
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Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name:
6365 Beverly Hills Drive
Marcel Tax III: ABBOTT S t1 RE 18
Services to be provided: flans Review X Inspections
Mote`. If thenoticeapplies 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 9 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 BASSIST, INC.
Private Provider: DESPA ANNE KLAH
Telephone: 1 - 76-3 8 Fax: NIA
Email Address (Optional): deb@virtualreviewassist.com
Florida License, Registration or Certificate #: (LIC # Bt11 67/ PX23 0/ 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. 553.71, 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 1 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.
1. Qualification statements and/or resumes ofthe ,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 coverage for a minimum
of S years subsequent to the 'performance of building code inspection services.
Individual Corporation Partnership
LFNNAREQMEa LL
Print Corporation Name Print Partnershdp Name
By:
(signature) (signature) (signature)
Print Print Print
Name: Name: Chri to her Smith Name:
Address: its: Authori d A ' rat its:
Address: 700 NN8 1 D7th Ve Address:
Telephone Mjan1 i FL 33172
No:
Please use appropriate notary block.
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
Individual
Before roe; this day of
20.__, personally
appeared
who executed the foregoing instrument,
and acknowledged before me that same
was executed for the purposes therein
expressed.
Telephone Telephone
No, 13-574-5700 No.:
f
B cfore 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 ; or Produced identi cation Type of identification produced
Signature ofNot Print Name A HL F CALLAHAN
Notary Public Stamp;
x ASHCEE CALLAHAN
N tary puhli(« State of Florida
Commission Expires: b
��
Gar7missior # GG 244456
Nov 1012022
NOVEMBER'30, 2022 ��� ��Gorta�� t%PvQ5
�a�;t�eak�h�sttt�naENOt�ry'A��n,
Page 2 of 2
VR/\
VIRTUAL RVIEW ASSIST
Private Provider
Plan Compliance Affidavit
Private Provider Finn: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU1967
Address: 747 Southwest 2nd Avenue
Gainesville, Fl, 32601
Phone: 813-391-2959
Email: Lucy@ .virtualreviewassist.com
Project: New SFR LOT 8 BLIP 14
Address(s):
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
flan Sheets. CS,1.1,1,2,2.1,2.2,3,4,5,6.1,6.2,7,SN,SNI,S3,S4,S5,S6,STSSD1,D2,WPI,PAI.0,PAl.1,PAI,2,
PAI.3,SHI.0,SHI.1,SHI.2,SHI.3,SHI.4,SILL
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300
Signature of Reviewer:
SWORN AND SUBSCRIBED before me by DebraAnneKlahr
being personallyknown to me or having produced as identification
and who being fully sworn and cautioned, state that the
ego' g is true and correct to the best of his/her knowledge or belief
/ AL,"
Si u e otary Prmt Name
Not Public: NOTARY STAMP BELOW My
commission expires:
NotW,y
i,� liov 2 2 My con"Ir'' X
Bonded through National Nof Assn,
[—COMMERCIAL
BUILDING SERVICES DIVISION
RESIDENTIAL
BUILDING PERMIT DATA SHEET
TRACKING # lot 8 Block 14
FIRE MARSHAL #01 - NIA
DATE: 6/11/2022
FOLIO #
EXAMINER: Debra Klahr PX230(
Required
Permits
Building
Plu- bing
Mechanical
Electrical — Amp
El inspectioOn n
Ej Inspection 0n1v
Inetion Q�nl s e�
Ins ection O�nl p
0--RO—of
:[E:11
EJ Medical Gas
E:1 Fire Sprinklers
El On Site Piping
Ej Fire Line
EJ Irrigation
El Fire Alarm
El Potable Backflow Assembly
El Fire Line Backilow Preventer
............
Irrigation Rackilow Assembly
EJ Demolition
El Walk-in Cooler
Refrigeration
®flood
El Ausul
El Fence all
El Grease Trap
[:] Other
El Other
Buildine fete
T e Construction: V-8
Risk Category: Occupancy Load_
m la
2 'y C ss
'f"act OVIRe'ld[Lia,
Assembly D FDay Care/Educational
Hazardous E= nal ercantile
0""
'Storage
E=
Building Use: Single Family Residence /Alteration Level I Level 2 0111"Level 3
46New Construction El Interior Finish El Interior Remodel Exterior Remodel Addition Revision
Overall Size:
Number of Stories:
Total Sq. Ft.:
25' x 54'
2
2265
Living Area: 1764
Covered Area: 501
# of Bedrooms: 4
# of Baths: 2b
Cost per square foot:
ate Value:
Roof Type: ijngle
_,,Estimated
—Other,'
OTile Built-up Metal Other Squares: 14
Zoning:
WirdTnside utside orne Debris:
[;Inside
J I
Energy Code:
405-2020
Flood Zone: X
Base Flood Eleva�flon: Finish Floor Elevation:
�l
Hydrostatic Vents? Yes
No closed Space Below BFE:
SilEnclosed
Ft. En clos
Sq. Ft. En
# of Vents:
Size of Vents:
jTotal �Sq. In. Permanent Openings
—0 Central —A/C
9 Heat Pump Window A/C
.EIGas -A/C
Ej Gas Heat K—lectric -Heat
mom
I Sanitary Sewer I Storm Sewer Catch Basins
[±,otable Water I UndeEground Fire Line
Setbacks
Front Rear Left Right
As per Approved Site Plan
Comments:
W50
''M
11,111,111,111, ........... "'M
V
" ' `.
Li{�M1
Permit No.
Date Permitted
Builder Name/Owner Name P1 Control #.
County Parcel No. ubDly;
Address/location r .
Classification/Type of Use �
TRANSPORTATION IMPACT PEE Rate: Sq. Ft Unit:
r Exempt o Yes 0 No Now Determined
z
Impact Fee Amount 36 Zone No, TAZ,
SCHOOL IMPACT TEE
Account (056) Single -Family Detached Mouse Amount $
(057) Mobile Nome
(058) Other Residential
j
(128) Collection Fee
Exempt =Yes = No Now Determined,
PARKS AND RECREATION FEE
Land Account Land Credit" Land Total
Recreation Account Recreation Credit
Recreation Total
Zone
Total Amount S "`
Exempt Yes No Now Determined
4`
LIBRARY FEE
Land Account Land Credit
Land Total
Facility Account Facility Credit
Facility Total
Exempt Yes No Nola+ Determined
Total Amount
RESOURCE FEE
ERU
Total Amount
Prepared By r Checked By
NO CERTIFICATE OF OCCUPANY WILL RE ISSUED OR FINAL INSPECTION-
PERFORMED UNTILTHETOTAL AMOUNTS LISTED HAVE
BEEN RAID 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 ASSESSMENTAND THE CONDITIONS OF PAYMENT FOR SAME
DATE
RECEIVED' BY
RECEIPT NO DATE
BY
PAGE __ OF THE PUBLIC RECORDS OF PASCO Cot
'r-zLELEVATIONSREFERENCED
TO NORTH AMPRICAN
? VERTICAL DATUM OF 1988
waNAl/C} 8,4 1
. is SITE. PLAN PreFeVoCf for and Certiaed To:
Leaner Homes
T 30 4-
`"3.
LOT
BLOCK 14
BLOCK L
32X32'
SITE PLAN
(NOT A SURVEY)
LOT
BLOCK 1
At 89.514€ ' E F7 t I
PRE)POSED
2STORY RESIDENCE
PLAN 1763
FLEV °A' Ei
GARAGE R
SEC. 4, TWP. 26 S. RING 21 E.
PASCO COUNTY, FLORIDA
1A88OTi SOUARE1
Scale: I 0'
S Cio' }8'20' F Us
24.34'nf
is
ZS PO iP? ...,, Pen
I N 89'5i'r40, E Las
nj
25Pj
i
"
n
a
to09
F�
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1e
t
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toa
si
(
� ,T
�,t CONC 272'I WAO
{
0,2 LOT 20Nt9°5s4oE(PFrio3orP a°`.. i 7
�
LOT 9
BLOCK 14 BLOCK 14
1 #
LOT
a SCE. FT.
LIVINGAt2FA
.,_,SO. FT.
PORCH
w.aS(, FT.
GARAGE
FT
COVERED LANAI
__SCL FT.
PATIO
_ SCE. FT.
POOL AREA
iSdA SCE. FT
CONE, DRIVE
�3155_ ZE Fi.
A/C & CONIC PAD
-:I ,.... SGL FT.
SIDEWALK
5t i. FT. 'FOP
LOT SOCI
. u = a r WALL
SC2. FT.
( i ,,V SOD
r � ,.�...St2. FTBut = BASF OF WALL
LOT OCCUPIED
of 0 = 2- OAK
l AREA TO IRRIGATE
- . RY
m 10,00 RURUC UfiLITY EASEMENT
} PROPOSED:
NOTES: LEGEND:
MINIMUM FLOOR
ELEVATIONS: d C T GRAD PE
LIVING AREA. 1 t 8,07'
� . PROPOSED 6FQ DRAINAGE FLOW
CxARRC,xE AREA:
VA
PROPOSEDPALS ELEVATION ^^ 307.40` tiiG tHij '" PROPOSE GRADE
FRONT SF.'f RACK m: 20'
ELEVATIONS REFERENCED TO F-c±q.oCt - Fx;S77NG GRADE
_
NORTH AMERICAN VERTICAL SIDE SET BACK w ; S
PROPOSED ELEVATIONS AND GRADING
I DATUM OF 1988
SOE SET BACK,CCSRNER LOT) -l6E
SHOWN HEREON ARE TAKEN FORM, THE 1
REAR SETBACK - 15
ENGINEERING PLANS OF
'ABBOTT SOCIARE RESIDENT1Ai, PREPARED
APPARENTFLOOD HAZARD ZONEt `k COMMtiititTY NO, 1202.35
8Y'lYJF2A" PRO\hDEQ BY CLIENT,
SURVEY.:A REVATICINS (MA- NUMBER 12101C-02891,F) EFFECTIVE DATE 09 26/2014 �
_a^__
Ap RRt4.ri'
ih} L�[ETt t(+f tMt€C7 PCPOINT OF CURVY (le»RECC 5
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ti."�t.�tWMC� "cre
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j G}i CdutiiRC1251.Rft
• .e imC A1.'iX±.1Rr l,V
lia, wrIN F3(sAN NPE R3 -PLA' `tit Or JaV1&T, WHi4 ar UTIUR ASPAII ?
tfi', tCktN!)NNCt3: t`}P,PE P$"`PVIi Qt.rCJK }+hN PEY.'tAAtJFM. kEfFRE+Je,{; Md'AtiUMtN W.,oniprect
-€:C?`.'t_NEU _.,,._ .. '. ..._..._......._
1,10895)74
jEkvt9otSzt><9f 3- -i2..
5t>i a9i 1V# 5 ICAYR
i.j Current Live in€ornmeort on the subject property had not be rn This ee `� ciesctstre.
turn}shedto(nekaTt Point L ndSurve in LLC at the time of this
Surveying, pro d Who and
SITE PLAN
1708 Water Oak Drive
T arponSprings,Honda
Phone (72714GI-1990 .a
ItNto{
2.1 This sketch was prep mo3 without the benePtt of s title search. I Ry f land
FlondaPLS71ZaOSiniari.tanv
L8# 8 nrS
No instruments of record tef€ecting ownership, aase"An rs or s t ,aptepr�5�. E U9
iF}IE'
..al
rights -way were furnished to the undersigned unless otturrvou ,i7 .5 IOt"f
i iit'.YWn by j3,
1
shown Poison, (tit t4 Ceiion 472 C27. Floe Sta
g
.
8.} Roads, walks• and other similar nerm Shown hereon were to S
from
;Checked lACJ€{
5it'#A
engtnearing plans and are subject to survey.
4.) This SITE Ni-AN does not reflect nor determine ownership
B,}Tnis SITE PLAN is subject to matters shown on the Plat of
"A8n6OTT SOLIARE` PHASE IS' � � Q -
6.) en'tore, shown hereon are in feet and deceisai portion&
4smi
Pile, RVE �
thereof
Cr L i
j
1,S Contractor and owner are to verify all setbacks, building
'
di nensicns, and layout shown herews prior to any: construe p
and imiredialsey advise ON if Point Land Surveying. Lt . of any SIG A
deviation from informatron shown Pwrear Polluters dicSo WiR be UCFNSt ER
Initial Point Land Surveying, LLC. I
at uic`r S sofa risk