HomeMy WebLinkAbout22-458011 MirT
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M
Address: 4600 W Cypress St
TAMPA, FL 33607
Phone: (813) 574-5743
on
43M
ow
BN
Issue Date: 09/06/2022
?Permit Type: 6uilding Rew (residential)
Class of Work: New Construction
Building Valuation: $312,600.00
Electrical Valuation: $46,890.00
Mechanical Valuation: $21,882,00
Plumbing Valuation: $31,260.00
Total Valuation: $412,632.00
Total Fees: $19,404.06
Amount Paid: $19,40406
Date Pai& 9/6/2022 10:05:04AM
1 � 1 52111
MW
LLC-OWNER
V
Sewer Connection Residential Fee
$2,090.00 School Impact Fee - Single Family
$8,32&00
Public Safety Impact Fee -Admin
$26.35 Address Fee
$30.00
Admin Fee / (Provider Service)
$180.00 Water Connection Residential Fee
$1,010m
3/4 Water Meter Fee (Cale)
$732.71 Building Permit Fee
$1,60100
Park Impact Fee - Single Family/Townhome
$769.56 SIF 1 percent Fee
U3.28
Driveway Fee
$45,00 Transportation Impact Fee - City
$36.32
Plumbing Permit Fee
$19630 Mechanical Permit Fee
$149A1
Transportation Impact Fee
$3,595.68 Public Safety Impact Fee -Police
$254.00
Electrical Permit Fee
$274,45
0, 1 i I M I IN
accordance with City Codes nd ordinances. N6,OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
L/ 4
I CONTRACTOR SIGNATURE PE IT OFFICE
n ft r%r%
PERM1 9- 0k ff- ECTION
'%-.*ALL FOR INSPECTION .8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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
CAL HEARTHSTONE LOT OPTION POOL 03 L P
Owner Phone Number
813.574.5700
Owner's Address
3975 Park CA 91302
Owner Phone Number
Fee Simple Titleholder Name
Owner Phone Number
Fee Simple Titleholder Address
NlA
JOB ADDRESS
%IBILOT
#
SUBDIVISION tt
PARCEL to#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTR ADD/ALT
SIGN DEMOLISH
INSTALL E�] REPAIR
PROPOSED USE SFR COMM
OTHER
TYPE OF CONSTRUCTION BLOCK FRAME
STEEL
DESCRIPTION OF WORK Single Family Residence I Pool 1 Screen Enclosure i Fence
/R SF
BUILDING SIZE E� SO FOOTAGE HEIGHT
6 *') 312600 ---------------- BUILDING VALUATION OF TOTAL CONSTRUCTION
6 11
L ----------- J
ELECTRICAL - 46890 PROGRESS ENERGY W.R.E.C.
1AMP SERVICE
L--------------------------- J
PLUMBING E�
0 MECHANICAL E� VALUATION OF MECHANICAL INSTALLATION
=GAS 10 ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES I NO
Lermar Homes, LLC
BUILDER COMPANY Ei����R Y/N SIGNATURE REGISTERED Y/ N FEE CURREN
Address 14301 W Boy,kout Blvd Suite 600 Tampa, FT., 33607 License #
ELECTRICIAN COMPANY Edmonson Electric, Inc.
SIGNATURE REGISTERED Y/ IN FEE CURREN Y/N
Address License #
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Lnc g��
SIGNATURE REGISTERED Y/ N FEE CURREN Ly
LN
Address License#
MECHA141CAL COMPANY Bayonet Plumbing, Heating & AC,
SIGNATURE REGISTERED ����FEECURR����
EN
Address License#
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
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.
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
T (FS, 117
OWNER OR AGENT
Subscribed and sworn o (or affirmed) before me this
,21,112022 by Christopher Smith
Who !dare ers�own to me or-h��
as identification.
Notary Public
Commission No. GG 296057
Subscribed and sworn to (or affirmed) before me this
1-111022 by Christopher Smith
Who is/areersonally known to me or has/have produced
as identification.
Notary Public
v
0
m
\/R/\
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 6357 Beverly Hills brive
Parcel Tax ID: ASiBOTT SQUARE 1B
Services to be provided: Plans Review X
LMM�
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 Finn: VIRTUAL REVIEW ASSIST, INC.
Private Provider: DEBRA ANNE KLAHR
Address: 747 SW 2ND AVE- SUITE 170,301,357,& 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/ 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:
M
Please use appropriate notary block.
SMOTIMUNK632M
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
_IENNARBQMEa,U_Q
Print Corporation Name
By:..�.a-�-
(signature)
Print
Name: Christopher Smith
Its: Authorized A ent
Address :_ZQD_hjV � 07th P�Ve�
Mami FL 33172
i� —
Telephone
is 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.
532MME
Print Partnership Name
MM
(signature)
Print
Name:
Its:
Em
M
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 ofNot E Qn PrintName ASHLEE CALLAHAN
Notary Public Stamp:
ASH4 CALLAHAN
pub,�j� j� State of Norid
Commission Expires: omm js k S#G6144456
'or. -
NOVEMBER 30, 2022 UP NOV
dt thrOLSh t.4600W
VR/\
VIRTUAL REVIEW ASSIST
Private Provider
Plan Compliance Affidavit
Private Provider Finn: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU1967
Address: 747 Southwest 2,d Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: !ucy@,virtualreviewassist.com
Prqject: New SFR LOT 9 BLK 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 a] I 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,STSS,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 Examiner
License #: PX2300
Signature of Reviewer:
SWORN AND SUBSCRIBED before me by DebraAnne K]ahr
being perso,±IIXKLown to me or having produced as identification
and who being fully sworn and cautioned, state that the
to go' g is true an 10 to le best of his/her knowledge or belief.
'Signature 1 ,11k 9 - t
of Notary Print Namc"����
Notary Public: NOTARY STAMP BELOW My
commission;expires:
ASHLEE CALL0414
Notary Public,\ SOW tf gilfidl
xpiros NOY '10
r4atj6njuo-,_iiy Mon,
I
COMMERCIAL BUILDING SERVICES DIVISION VRESIDENTIAL
BUILDING PERMIT DATA SHEET
TRACKING# lot 9 Block 14 FIRE MARSHAL #01 - NIA DATE: 6/11/2022
FOLIO # EXAMINER: Debra Klahr PX230(
Re aired ire K
Vfj�7����
Building V Plumbing ech�anical Electrical Amp
ttns ec ion EEI Inspection On Ins ection OnI El Ins ection �Qnl
as
0_1R0_of El Gas El Medical Gas El Fire Sprinklers
rl lria tnm
Ej On Site Piping El Fire Line [:1 Irrigation El Fire Alarm
El Potable Backilow Assembly Fire Line Backfiaw Preventer Ej Irrigation Backflow Assembly E] Demolition
El Walk-in Cooler El Refrigeration El Hood El Ansul
1:3 Fence/Wall Grease Trap E] Other El Other
Buddin D t
Type Construction: Risk Category: Occupancy L oad
Fri —
Day Care/ d ca ional
an Classification: Assembly E=� Business
C s cy Hazardous E= Institutional EEII,:,M,ratile
OgFactory Residential 'Storage E =j Utility
Building Use: Single Family Residence Alteration Level I IQ Level 2 luLevel 3
46New Construction El Interior Finish El Interior Remodel Exterior Remodel El Addition El Revision
Overall Size: Number of Stories: Total Sq. Ft,:
25' x 62' 2 2605
Living Area:
2073 532 Covered Area: # of Bedrooms: 4
# of Baths: 25
Cost per square foot: Estimated Value:
Roof e: Shin le Tile Built-u Metal t er Squares: 117
Zoning: I orne Debris: E! Energy Code: TInsi 405-2020
de 'Outside
Flood Zone: X Base Flood Elevation: Finish Floor Elevation:
Hydrostatic Vents? QYes No Sq. Ft. Encloied -Space- below BEE:
# of Vents: Size of Vents: Total Sq. Inc Permanent Openings
Central A/C Heat Pump
eat Electric Heat
On Site Piping
Sanity er Storm Sewer Catch Basins
Potable Water Underground Fire Line
Setbacks
Front Rear Left Right
As per Approved Site Plan
Comments:
MCIBOTWUrLETT9, BLOCK IRLABBOTTSOLARF PHASE FlL _
ACCORDING TO THE PLAT ",,RE€3F, RECORDED IN PLAT BOOK_,_.
i PAGE .— OF THE PURILIC RECORDS OF PASCO COUNTY, FLORIDA.
ALL ELEVATIONS REFERENCED
TO NORTH AMERICAN
VERnCAL DATUM OF 1980
FNAVD 88)
Visit SITE FLAN Prepared Re and Certifier.€ i sC I
LOT 29
BLOCK 14
LOT 28
BLOCK 14
ie
Q
F`
LOT 27
BLOCK 14
LOT -_t _._.SQ. FT.
LIVING AREA =-2W—,.SO, FT.
PORCH ,._...,SCL FT.
GARAGE - SC}. FT,
COVERED LANAI � SQ. FTPATI_
PGT�?�F
AREA S _ SQ. T.
--NSA_-SO, FT,
COA C.!DRIVE SQ.FT,
A/C 6 CONIC PAD "_W_SQ, FT.
SIDEWALK _...�.y`�._..,_....SC.T. F'T,
LOT SOD SQ, FT,
R/W SOD SL2. FT.
LCJTOCCUPIED +`
AREA TO IRRIGATE , %
PROPOSED:
MINIMUM FLOOR ELEVATIONS:
LIVING AREA; 108,17L
GARAGE AREA
ELEVATIONS REFERENCED TO
NORTH. AMERICAN VERTICAL.
DATUM OF I988
T
26 k
LOT 9
BLOCK 14
0
3.2X3.2 ,
SITE N
(EAST A SORVEYi
LOT V
BLOCK 14
N 89-51 40` E IPi 110,30 JPk
PROPOSED ENTRY
IT 2 STORY RESIDENCE
PLAN 2074
FLEV'A`
GARAGE#.
IN 11036;P
7ET..
LOT 10
BLOCK 14
BMW
H
TYJ- TOP OF WALL
BWA BASE OFWALL
Z" OAK
^° 10,00FLIFRICUTiLTYEASEMENT
LEGEND:
„,. •..-..1iii-m PROPOSED DRAINAGE, FLOW
(00 001 - PROPOSED GRADE
E-OU 00 - EXISTING GRADE
PC ¢
i
i
w
SEC 4, TWP, 26 S, RNG 21 E.
PASCO COUNTY, FLORIDA
(ABBOTT SQUARE)
4
Scare: i = 20
PROPOSED ELEVATIONS AND GRADING
SHOWN HEREON ARE TAKEN FORM THE
ENGINEERING PLANS OF
'ABBOTT SQUARE RESIDENTIAL'. PREPARED
APPARENT FLOOD HAZARD ZONE `K C" MMUNITY NO 120235 $Y WRA PRC1VlCiEt} BY CLIENT
SURVEYASSREVATSClNS (MAP NUMBER I2101C,?299F) EFFECTIVE DATE 09t26,20i4
A ARcs£N6ui RY €}fro ih4 NVFRI Fc POINT EXCuth iiil•PtCJR„ LEGEND
hC AFT CDN4itri?3ivEia `}. '�RtxNAt>E iA.+..mEw Us I C£Niifid $:24'xN£S Ci KPN Ana' QAR4X vFD CIBYF 3ji+?iG RANGE 'a VAY FE"iCt'
Ak JS.GalumpeNce hi, ELEVATION LE .ANONC.APt U,990NNO f R OIN1.ANIN ONTR.:LM N7 E } .3;. ..�i
talk RACE, ROOD VLWATQN EEE RZS eAt ttt OF �"1x j{
eC tsa604I>nAr. ciearr ilk B.Wt"4:FaGVNL.FVRYtCeN F Pl3tJt [C}t'bFARC,4r RV fYdt Uh W:AY
8M #tfNi"h`&iMN &kb f A4ENicN7 'S ttt@N3Eta 4?JRi+lYc'u: Ht YAW% PtnS^FFNCE
C. z,UR4R , SIC c?N .. «v.LL
{C CA CtAAIkS' F:Z FLN£ "ChrK IFYRE tvu ASt#RED A CEbt S'n`WTEHSE("?"+{?N iNdo $LY NNi AA+t i7.SR L
F"t+i Lk1M7 C�'+NCi2CT: riff NO CORNER
SEC Over
PK FN'%tKti HAtt3N MI -VT
jj
t tGN Lone riff NO f4NtNDv"Y G^"Dta a t2UPERtY M t thAth UNK`rEM.t:
' 'i3f CNA'k?1NKFFa#C j{ 444-t167,.Y-^--3E�---�w-
C< C'R2R,K:AT!`t?N,ETA. �f' FIR FCT�.hW"NONR E cam
)bvreni (PIX OssrO 8L NUNX TC* OPOF,Yod I3€'Niti M.SRK
' f-FOU FOUND
€kali 1MCIALRECORCSf rPM POW1 OR taNw.AE#Y'M[NF Pep Vodv BANK
COWr iACW,I 44rI)s- YtrND PEN d7.i'Sfr L2 of,l%3Y Ct3RL�iS ikCF R'AWrCND+iNE UE £iWRLCM -� RJISa['J IM-----
C^ Coftdr`kA% Irk }Lat�Yv'G7 OPEN A1Pt '.F} P,.AT lit •3�i71h'; L1£Rk fY5t CU44'E trk"^1`4..=YEALT,'MEN` k`G?V£'kEG _.,,__ _
. s: AN .F"€'HttsUk!??,NCP:i_1 lPF. I P!3-P'J4i tiOC3K PRhiv FEhM444F?.'ii'ke£k?`N(#'it9CtRt.UifN VP^4+INYi P'eNi;E
�JC1BLi5m IT's MO ss SUIMY003 COMMICAM 1708 acattr Oak Does
1.) Current title inform vt€da t on the subject property Banner Been. Thu certifies e described 'Tarpon Springs, Florida
Dace nt Sate Pkut 3-l`."<Z fu ashod to initial Paint Land Surveying, t.LC..at the Fine of Das , - B {({(
property 1 iaonand Phone 172Y,�#33f-.9q0 1
DVIG:AS"i.9-8I4-SITE lUThiSITE issk p roeds °<k c Ice For rroridaptS7123dgcata(ix
2.L"k'r+is sketch was prepared vvittstwi the benefit of a one search su y Nis f Land LB# 8183
No instruments of €eccu`d Nall Cung rawtrery ap, eaAeconts nr S xtrs h
2 j
`Fite rigFaVo€-way were fumahed to the undersigned, unless ot€aerobvPse, 5 A RFrInutr� C VA z
prawn tit7$ shown hereon ca, Iron 7. F)o a. `te
3.1 PONd.w` vesi lo, and 004M similar raFFIS shown hereon i+n— taker p
tGhecked by..tH from engine+*rsng plans and are subject to survey )
i #JNS1i' WkS al Tras S€TE PLAN d aes r dt reflect nor del vmine owns ns itc,
S I This SITE PLAN is subject to matters shown on the Plat of
'ABBOTT 5CIUARR PHASE i I -`
G) Drmenstornshown hersen are in fast and deTcrnak portions aRQF EY R
00
7.) Conowror and owner anc to venN A setbacxs, buikivag CT oS 83 �
denensions, and Kryout shown hemon Was' eb any t0or tru , N t,t7 THE 0
and Immediately advise initial point Land Surveyrhg,LLC of any SIG �` P!
d atesn from Information shaven hen Failure to dos so will to
at users sole risk. LtCEN4 � � iE Initial PQiiii Land SuivCyfrtg, LLC.
LOT GRADING TYPE -A
PROPOSED PACs ELEVATION - 107,50
FRONT SET BACK - 20
SIDE SET BACK *- TS
SIDE SET BACK iCORNER LOT) a, I5`
REAR SETBACK `15
TYPE 'A'
FF:114.57
PL, D: 11
TY P E
FF-107.97
PAD:107.30
-107.42 106.05
RETAINING WALL #5 493 LF
TYPE'A'
o -108.07 o FF
PAD:107.40 _4
�BW:107.27 105.90
PE IA I
TYPE A -"5 SD4 Z
FF:1�o .1
rom P087
®
10 So
PAD107-SO
Permit No. llfzl
Date Permitted
L
Builder Name/Owner Name . 0,e :
Control
County Parcel No: ( t eta
Address/Location
hSubDiv:
Classification/Type of Use
TRANSPORTATION IMPACT FEE Rate:
q, Ft Unit:
Exempt 0 Yes ED No Hoye Determined
Impact Fie Amount Zone No. TZ.
SCHOOL IMPACT FEE
�
Account (05E) Single -Family Detached House
Amount $ C�
(057) Mobile Hone
(058) Other Residential
(123) Collection Fee
Exempt =Yes = No blow Determined -
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 FE
Land Account Land Credit
land Total
Facility Account Facility Credit
Facility Total
Exempt Yes No How Determined
Total ;Amount -
RESOURCE FEE
ERLI
Total Amount
PERFORMED UNTILTH T `rAL AMOUNTS LISTED HAVE
BEEN PAID AND RECEI TE0 FOR BY A CENTRAL ERMITTIN 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