HomeMy WebLinkAbout22-4577A i W Cypress St 200
TAMPA,
Phone: (813) i
MM
Valuation:Class of Work: New Construction
Building Siii
Electrical Valuation: i
PlumbingMechanical Valuation: $23,973.60
a A. i
Total Fees: $19,601.27
Amount Paid: $19,60117
Date Paid: i, s+ y
#issue Date: 09/06/2022
Building Permit Fee $1,752 40 Driveway Fee $45.00
AddressPublic
Water Connection Residential Fee i Public Safety Impact#
Mechanical Permit Fee $159.87 Park Impact Fee - Single + t
A i
.00 Transportation Impact Fee - City $X32
ctrical P- # i ii
## # . « SchoolS i
Water Meter Fee (Calc) $732,71
• y _ y y. • wyi # y .a• .y . y
accordanceComplete Plans, Specifications add fee Must Accompany Application. All work shall be performed in
u and Ordinances. NO OCCuPANcyBEFORE C.O
O OCCUPANCY
y! 1 BEFORE
,ei''
At
CON C SIGNATURE PE IT OFFICE
PERMIT EXPIRES I, 6 MONTHS WITHOUT APPROVED INSPECTION
INSPECTIONCALL FOR - 8 HOUR NOTICEREQUIRED
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
Phone Contact for Permitting 908 770 __ 7763
1 0 1 it 1 MM
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813,574.5700
Owner's Address 23975 Park GA 91302 Owner Phone Number
Fee Simple Titleholder Name N/A Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 624
LOT # 25
SUBDIVISIONtt
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
FRAME STEEL
DESCRIPTION OF WORK � Single Family Residence /Pool 1 Screen Enclosure 1 Fence
BUILDING SIZE SO FOOTAGE HEIGHT
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
1- 23973.6
L--------------------------- i
=GAS 10 ROOFING
FINISHED FLOOR ELEVATIONS
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE M PROGRESS ENERGY = W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY = OTHER
FLOOD ZONE AREA DYES Do
COMPANY L,,,,, I'lornes, LLC
REGISTERED I Y f iv i FEE CURREN
Address 43 W Boy `1 S , cotit,Wd Suite 600 Tampa, FIL 33607 License # EEEt���
g��n ;so ;n
ELECTRICIAN COMPANY Edmonson Electric, Inc.
SIGNATURE REGISTERED FEE CURREN
Address License#
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED [B�� FEE CURREN L_LLN
Address License#
M ECHAP41CAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License #
OTHER COMPANY C Sterling Quality Roofing, Inc
FEE CURREN
91�� L_�� �N
SIGNATURE REGISTERED YIN
Address License #
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 & I 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,
_61r;, k ns:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2600, 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
I VIVIlig Italy,71
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
.�11111111 by __Christopher Smith
Whqjslare ersonali known to me or #agthave-produi
as identification.
Notary Public
Commission No, GG 296057
Stephanie Farmer
Name
SV"IE fARM
E*M f *MMY 16, 20
Subscribed and sworn to (or affirmed) before me this
81312022 by Christo her Smith
Who is/are personally known to me or has/have produced
as identification.
Notary Public
Commission No. GG 296057
Stephanie Farmer
irM
...........
Permit No.
Date Permitted ,
Builder Name/Owner Name Control
j
County Parcel No. SubDiv: ,.
Address/Location < cs
Classification/Type of Use
TRANSPORTATION IMPACT FEE Rate; Sq. Ft Unit
Exempt ,El Yes No How Determined
Impact Fee Amount S Zone No. TAZ:
; SCHO L IMPACT FEE /
Account (056) Single -Family Detached House Amount $ l e
(0 7) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt Yes ED No How Determined
z PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone Total Amount $� �
Exempt Yes No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt DYes No How Determined -Total Amount
RESOURCE FEE ERU
Total Amount
Prepared 'By Checked 3y
NO CERTIFICATE OF OCCUPANY WILL RE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS'LISTE HAVE
BEEN PAID AND RECEIPTTD 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
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: — 6324 Beverly Hills brive
Parcel Tax ID: 04-26-21-0000-00300-0000
Services vices to be provided: Plans Review X
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.
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: DEBPA ANNE KLAHP
Address: 747 SW 2ND AVE- SUITE 170,301,357,3t 358, GAINESVILLE, FL 32601
Telephone: 813-376-3088 Fax: N/A
Email Address (Optional): deb@virtualreviewassist.com
Florida License, Registration or Certificate #: (LIC # BU1967/ PX2300/ SN4615)
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 perforni 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
have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance
and ani 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 pennit 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:
I . 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.
Mumm
(signature)
Print
Name:
Address:
Telephone
No.:
STATE OF FLORIDA
COUNTY OF -HILL SBOROUGH
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
JENNAR-H���
Print Corporation Name
By::71�
(signature)
Print
Name: Christ9pher Smith
its: Authorized ent
Address :17 00 Q0NMjaZthAy-e—
Miami FL 33172
Telephone
No. 813-574-5700
Corporation
Beforerne,this 22ND day of
MAY 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.
Z=
Print Partnership Name
M3
(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 ofNc)tl :M�, �fin Print Name —ASHLEE CA—LLAHAN
el el 4.,I
el
Notary Public Stamp:
Ui A CALLAHAN
Commission Expires: jqutary Pu 1 r1da
con) I
jor # GAS 244456
2022
NOVEMBER 30,2022 So" 30,
thrmsh NBUOW NOIA
VR/\
VIRTUAL REVIEW ASSIST
Private Provider
Plan Compliance Affidavit
Private Provider Firm: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU 1967
Address: 747 Southwest 211 Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: pcylu Cy yJ tu,.
- &eviexvqssist,com
Project: New SFR
Address(s): 6324 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 alfiant, who is duly authorized to perform plans review pursuant to Section
553.791, Florida Statute and holds the appropriate license or certificate:
Plan Sheets: CS,A1,A2,A3,A4,A5,A6,A7,SN0,SNI,S3,S4,S5,S6,SS, ST,SI LS12,WPI.0,
PAI.0,PAI.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 Examiner
License #: PX2300
Signature of Reviewer:
—7�77
SWORN AND SUBSCRIBED before me by Debra Anne Klahr
being personally knowno me or having produced as identification
— ----- and who being fully sworn and cautioned, state that the
d correct 4eoing is true . to the best of his/her knowledge or belief.
JV
igna ure of is
Print—Name
Notary Public: NOTARY STAMP BELOW My
commission expires:
vn
ASHLEE CALLAHAN
Notary Public - State of Florida
Commission # GG 244456
ow,
My Comm. Expires Nov 30, 2022
Bonded through National Notary A—,
COMMERCIAL BUILDING SERVICES DIVISION VIRESIDENTIAL
BUILDING PERMIT DATA SHEET
TRACKING #
FOLIO# 6324 Bev-pply Hi 11--q
Required Permits
Plumbing
Mechanical
IV Electrical -Amp 1
LEJ1 Ins ection On
. ........ p
Inspection Oni
F-1 Insnectio--
Ej Medical Gas
Ej Fire Sprinklers
El On Site Piping
[j Irrigation
El Fire Alarm
Potable Backflow Assembly
Fire Line Backflow Preventer
E] Irrigation Backflow Assembly
Demolition
El Walk-in Cooler
Refrigeration
------------
E:1 G�=rease Trap
T eConstruction: IV-B Risk Category: Occupancy Load
ancy Classification: ',Assembly Busmess Day Care/Educational
Factory Hazardous nst mional Mercantile
Residential Storage E�Utility
Building Use: -Single Fatni-ly I Alteration IQLevel I 11:1'1,evel 2 [DILevel 3
New Construction E] Interior Finish Interior Remodel ] Exterior Remodel El Addition D Revision
Overall Size: Number of Stories: Total Sq. FL:
30 X 58 2 2854
Living Area: 2389 Covered Area: 465 # of Bedrooms: 5
# of Baths: 2.5
Cost per square foot: :=Estim=atedValue:
Roof e: Me ®Shin e ❑Ti e D Built-up Metal EJ Other S uares: 21
Zoning: W' orne Debris: Energy Code: 405-2020
Inside Outside
Flood Zone: X Base Flood Elevation: Finish Floor Elevation:
Hydrostatic Ventsy5'es �No Vents:
Ft. Enclosed Space Below BFE:
To IS Inc
of Vents: Size of Vents. Total Sq. . Permanent Openings
0 Central A/C EX Heat Pump El Window A/C
El Gas A/C E] Gas Heat El Electric Heat
inn Site P, in � Storm S 0
Sanitary Sewer m Sewer Catch Ba'sins
Rear Left Right
As per Approved Site Plan
mom%=
DMCMMON, LOT 25, SLCCK 12, ASOOIT ROUARE PHASE 19,
ACCORDING TO THE PLAT THEREOF, RECORDED INPLAT BOOK
PAGE..._„., OF THE PUBLIC; RECORDS OF PASCO COURllY FLORIDA.
...-ALL ELEVATIONS REFERENCED
TO NORTH. AMERICAN
VERTICAL DATUM OF 1988
(NAND 88
his SITE PLAN Prepared for and Certified To i
Lentrar HtTenC`s
S
S
t
t , • �
LOT 26
I "
BLOCK 12 dy
01
250 P( '�
S f
wn
81q
..,...
JS O�
1B T9�
3
w
c a cPROPOSED
t'
<
^
STORY RESIDENCE
PAN 2382
ce r~
Is
j.. 60.
t `� „ ENTRY
ELEF/W
GARAGE L
XD
wA: x
2t�4'
E
SIRPI
��se
L O 24
LOCK 92
Eq
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'
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PROPOSED:
MINIMUM FLOOR ELEVATfONS:
LIVING AREA:lOT97`
GARAGE AREA:
ELEVATIONS REFERENCED TO
NORTH AMERICAN VERTICAL
DATUM OF 1988
now
I+ Ps LOT 25
BLOCK 12
a
RAVO
4 0 X5,7
40' W P) 132OR Lin
- a"" OAK
* - 10,00 PUBLIC UTILITY EASEMENT
SEC. 4. TWR 26 S, RNG 21 E.
PASCO COUNTY, FLORIDA
DASSO T SQUARE)
Sole. 3' = C
O
LOCH
w;
rr
t1
LOT
* SC}, FT,
LIVING AREA
,SG, FT,
PORCH
FT
GARAGE
- 50, FT.
COVERED LANAI
�t ......SGi. FT_
PATIO
--ZL,.—Sq. FT..
POOL AREA
_SCi. FT.
CCTNC DRIVE
` Iili SCT. FT,
+AVC S CONIC PAD
g ,._,_ ,-SC F FT.
SIDEWALK
� 3 _ _SLJ.FT.
LOTSOD
.--SC L FT.
R/W SOD
. C`M___SCL FT,
LOT OCCUPIED
.. _ 1C
AREA TOIRRIGATE
._ ._v.. at
PROPOSED ELEVATiOMS AND GRAVING
SHC3WN HEREON ARE TAKEN OyRM THE
ENGINEERING PLANS OF '
`ABBOTT SCJLIARE RESIDENTIAL`, PREPARED
Y APPARENT FLOOD HAZARD ZONE_ `X` P. COMMUNNO, t E0a35 By Wi.A'?RC?V('TED Br C1 6NT
SURVEY ABBREVAT1Ci1�S � (MAP NUMBER t%IS) 3C�028A Fl EFFECTIVE DATE: 09,'2E'2014
A na< cNrrsi cri-_�._._..
iris' -NVFQT Ac - POINI as Cush-Ia;- ACTve.- LE_GCNC
PC: POINT Of ftCx#'tfiPCC>RJYt4L-As, CONSMONFR tIflwlCPED PKANNESSFNatfE.hJ..Jy Lt.F..N.._Ck
A - ALUMINUM Must, F. Mr LIEV tkxvAWE- I.ANTACAS kAiW W NsP PANsh"CLINTKA PCAW IMP -RAs WAD a`Wt
,CONC.0-0_
_.-
WT-PAS ICee, V1VAT, N. Fc°- FMFO PAUInvis! VF LOWEST PnA)RL FVAeC1N F,.+E Fktt F�5U1IMhEt3. Vie -rrGH OF PA., !¢
HMYWFDCPIMARK (YMV WANT NT L5-UCNSH)NUkVEKOR PG PACE a {3h W?t?It FE'Vt.?':
C +.
tcvLt*Tais"- tiA'lhttUiN�Rk'-'fEtKt Fa+FCXNdE)i`L>Nl�[,
� \$n!tiii?CUGe2 tCFRfC MTES@t P SN OF effesSN SNfC-iEih4t.ANi}SA
{A-Jss"D LS-OUNDC7NfFE F MES .)Rtnk PK Y XJ
CFMk&.Nk McNUIWAi NCP NO x -PROPPI'yF YR-SETI R}NROD H----- CHAIN OW iRest
Y !FtlA OVERALL F�H PUh Ofl fieNR4;3M-- kiiZAvYSENCFMARKF'
n`. . £tC M 10UNDIRON Ron fAtU 014RHEAD WiPtua P(.t POINT OF COMPRINtTNAE,NT * - "Cap OF Four
c.fi
"K,- tRUM1W 'Tr1aCLTC' 'a POUND NA h N OR. CSFYtt>ALIRCPRUS PQ POINT .tiles W -T iC ithie '-"�;� ','ON,NUin ENLF
cAKC? "<UN4kErE 5t.AA Z1°TMf Ck1NGtJ7 Fh Ri71 {;1 SAT rk( POINT OF REVERSE (RiT LIZ- UTt1T✓ P. ASSfAC;NT x�rViiAFt'
.Pt+w FOUND PINCHED PIKE Pic - PEAT lKsoR Ph'Pot-'='RR*X&NEN- r&FEWNCE AiONUMEN !'f`=diN'tYFFN(f �.. .._._....., h d...-,......._..
'&Z- AAR t` F ,Y+R • .
D8 #ri?7k >Rl7 .t"C91R`5 i "P S: 5#,i 1708 Water Oak OrNe . ....
I j Current clue inform scion On the SUMIN t property had riot been This e Tt r i desinased Tarpon Springs, Florida
at esfSirePkrrr.3.21`22 P-
fiamished to tnh}ai Point Carsd Surveyng, LLC, at the time of this pm k and Phone I727j-931 �t9g0
1WCx AS-L2rBI2.SlTE SITE F't,eiRl r
at €h Ere- r r for Moridafe,S71230gr»Nt}.r:om
-^ ILI TPAS Sketch was prepared tAAYhoor the hermit of a title starch. ys . th and No LIIN 8183
No instrumen¢s of record reflecting ownership, easements or Yee, t apt#� 6S "O h
,: mm "SR" -cif way were tarnished to the undersigned, uniess othiewue 1.17 3. Fkinda dr�S" era#ire C J
lrewn b Dja shown her•e'v e. a O Sectron 472.02C FAndga S to
y' 1.) Roads, walks, and other uteHLar Items shown hereon were take
harked fmJH from engineering plans and are sublet; to survey_ .�
j�j$-IOWS 4,)1 Fus SPITE PLAN dues nut reC( t nor deteande oNun rato
B,y This SITE PLAN is subject to matters shown on the Plat of
ARROTT SOLIARE PHASE IS'
ts, tDintthereof,oTtions shown hereon Art, 3n fact nilltat }soreiarss t � VEam
st}
OF Y
7,]t Contractorand owner arc to verily all setbacks, bu}idiny t t F73 23 LIRI I
dllrcrerss+ohs. and layout shown hereon prim tex.aray tonsKuetxoh. Nt?T 4
and hriPnediatcty advise ftnuat Point Land Surveying, LLC of any, Sl IN A t w r
? deviation from InP4mxitton ShOwn hereon. P,aifore to do $0 Pali be Lt ENC3 SU PIPER � iCYlCW Point Land SUrVE'yIng, LLC.
ate ar e'Ab, risk _
LOT GRADING TYPE, - 8
PROPOSED PAD ELEVATION - 107,30'
FROW SET BACK - 20
SIDE SET BACK- 7.5+
SIDE SET BACK YOCRNA RLOTj - IA
REAR SETBACK - IS
LEGEND:
_ . PROPOSED DRAINAGE FLOW
100 PSI- PRVP(MEs GRACE
&LIQ00 - EXISTING GRADE
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