HomeMy WebLinkAbout22-4647mffl���
Address: 4600 W Cypress St 200
TAMPA, FL 33607
�19�,
Building Permit Fee
Electrical Permit Fee
Transportation Impact Fee
SIF 1 percent Fee
Public Safety Impact Fee -Admi
Admin Fee / (Provider Service
Drivewav Fee
City of Ziephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
BNR-004647-2022
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date:
91
Class of Work: New Construction
Building Valuation: $282,120.00
Electrical Valuation: $42,318.00
Mechanical Valuation: $19,748.40
Plumbing Valuation: $28,212.00
Total Valuation: $372,398.40
Total Fees: $19,202.89
Amount Paid: $19,202.89
Date Paid: 918/2022 7:01:01AM
. ... .. .....
11111.
" . ..... . . . .. . . . ;'__
$1,450.60 Sewer Connection Residential Fee
$2,090.00
$251 .59 Plumbing Permit Fee
$181.06
$3,595.68 Mechanical Permit Fee
$138.74
$83.28 Address Fee
$30.00
$1,010.00 Transportation Impact Fee - City
$36.32
$8,328.00 3/4 Water Meter Fee (Cale)
$732.71
$2635 Public Safety Impact Fee -Police
$254.00
$180.00 Park Impact Fee - Single Family/Townhome
$769.56
$45.00
111,11111111117 111111 119 Rill III IilliIllIl!I:lIIlIll 11 1111 111 11111 1 111 1
I I I I MIR I! II 1111!111!11 !111 111 1 111 1
accordance with City Codes and Ordina�ces. N6'OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CON CTOR SIGNATURE
FIE IT OFFICE
Ail
813-780-0020 City of Zephyrhills Permit Application
Building Department
Date Received :== Phone Contact for Pet -miffing 908 770 -_ 7763
III I I I I I C3�11�11�11= I I 'Z�� Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813.574.5700
Owner's Address 23975 Park CA 91302 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
NIA
JOB ADDRESS
[6356 Beverly Hills Drive
LOT # 1229
SUBDIVISION Abbott Square
PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
q
NEW CONSTR
ADD/ALT SIGN DEMOLISH
INSTALL
REPAIR
PROPOSED USE SFR
COMM OTHER
TYPE OF CONSTRUCTION f BLOCK
FRAME STEEL
@W1 0WR MSF I Single Family Residence / Pool / Screen Enclosure / Fence
BUILDING
ELECTRICAL
PLUMBING
r2$2120
L42318
28212
0 MECHANICAL 1$ 19748,4 1
L--------------------------- i
GAS 10 ROOFING
FINISHED FLOOR ELEVATIONS =
VALUATION OF TOTAL CONSTRUCTION
EK] PROGRESS ENERGY W.R,E,C.
AMP SERVICE
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY = OTHER
FLOOD ZONE AREA DYES Do
Lennar Hornes, LLC
BUILDER COMPANY Ei���U Y/N
SIGNATURE REGISTERED Y/ N FEE CU�RREN
4361 W Boy Scout Blvd Suite 600 T arnpa, FL 33607
Address License #
ELECTRICIAN COMPANY [�Edmonson Electric, Inc.
SIGNATURE REGISTERED Y 1 N FEE CURREN LIIN__j
Address License#
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y 1 N FEE CURRE< ILN _J
Address License # CFC042998
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License #
OTHER COMPANY KCS��terling Quality Roofing, Inc
SIGNATURE REGISTERED FEE CURREN LILN_j
Address 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 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)
— 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
1 LTM Ig, ItUtTITI Lag ZI a
OWNER OR AGENT 0—
Subscribed and sworn (oraffirmed)before me this
_a1112111 by GMristopher Smith
Who is/are personally known to me or
as identification.
Notary Public
Commission No. GC., 295057
Subscribed and sworn to (or affirmed) before me this
_L11121111 by
Who is/are ersonall known to me or has/have produced
as identification.
Commission No, GG 296057
Notary Public
u9
VR-' UAL REVEW ASSt,1,,T
Notice to Building Official of
Use of Private Provider
Eff6etive January 20, 2003
Project Name: 6356 Beverly Hills brive
Parcel Tax ID: ABBOTT SQUARE 1B
Services to be provided: Plans Review X
ME=
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: DE RA ANNE KLAHP
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 deterniine 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 indeninify, 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:
Telephone
No.:
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
LENNARBHQ0MMES LLC
Print Corporation Name
By:
(signature)
Print
its: Authorized-Aggnt
Address: _ZQDNV 1 O7 �hAve�
MiIami, FL 33172
__-
Telephone
No, 813-574-5700
Corporation
Before me, this 22ND day of
MAY -,2022,
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.
Print Partnership Name
0
(signature)
Print
Name:
Its:
Address:
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 of Notar �rh �Qn Print Name ASHLEE CALLAHAN
Notary Public Stamp:
ASH*LLLAEE C HAN
Al
Notary pubU'� State of Florida
Commission Expires: C)njmls%jor#G
Nd 2v43404,52NOVEMBER 30, 2022 'ACOMM E%Plr05o6
022
m6ithroush Natrona; NOWYAm,
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 2,d Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: IILLy,(4tA,,,Li�iLiLtireviewassist.wilt
WMIMIMMM
Address(s): Lot 29 Block 12/Abbott Sq
off Sq
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
Plan Sheets: CS,Al,A2,A3,A4,A5,A6,A7, SN0,SNI,S3,S4,S5,S6, SS, ST,SI 1,S12
PAI .0,PAI . I,PA I .2,PAI.3,SHI.0,SHI. I,SHI.2,SHL3,SHl.4,SH1 .5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300
Signature of Reviewer:
SWORN AND SUBSCRIBED before me by Debra Anne Klahr
being personally known to me or having produced as identification
and who being fully sworn and cautioned, state that the
going is true d orrect to the best of his/her knowledge or belief.
ignVature of Notary kinieamC
IMMUMIMAN
commission expires:
M, I I!
CALL
N51 otary PL,5�i, 'j, ri
M"
Bonded N"t Noz""'.
COMMERCIAL
TRACKING# lot 29 Block 12 At
FOLIO #
BUILDING SERVICES DIVISION
BUILDING PERMIT DATA SHEET
FIRE MARSHAL #01 -
Building
Plumbing
Mechanical
Electrical Amp
El Ins action O'nI
,Einspection Oni
- E
_!E1 Inspection Only
:Roof
[:] Gas
E] Medical Gas
El Fire Sprinklers
El On Site Piping
E] Fire Line
[:] Irrigation
E] Fire Alarm
El Potable BackfIoNv Assembly
Ej Fire Line Rackflow Preventer
Irrigation Backilow Assembly
El Demolition
El Walk-in Cooler
El Refrigeration
E] Hood
El Ansul
El Fence all El Grease Trap E] Other El Other
Building Data
jype_�nstruction:
Risk Category:...
Occupancy Load
an sification:
Cy C"3"
OV',,Factory E=
Assembly Business Day Care/Educational
HazardousE= tmio E] Mercantile r'nt, nal E==
Residential
O.Storage Utility
Building Use: Sig le Family
Alteration ILevel I [E—]Level 2 El -Level 3 Q" F
,Wf New Construction ] Interior
Finish Q Interior Remodel El Exterior Remodel E] Addition E] Revision
Overall Size:
Number of Stories: Total Sq. Ft.:
30 x 42
2 2351
Living Area: 1870
Covered Area: 481 # of Bedrooms: 4
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roo T e: X ma e
But t-up 0 Metal Other uares: _j4_
Zoning:
Wi orne Debris:
rQE]"Inside Outside
Energy Code:
405-2020
Flood Zone: X
Base Flood Elevation: Finish Floor Elevation:
Hydrostatic Vents? Y�es�:Ko
Sq. Ft. Enclosed Space Below BFE:
# of Vents:
Size of Vents: Total Sq. In. Permanent Openings
R Central A/C
—0 —
EXI Heat Pump Window A/C
eat Electric Heat
On Site Piping
Sanita Sewer Storm Sewer Catch Basins
Potable Water Underground Fire Line
Front Rear Left Right
FZI As per Approved Site Plan
11M
I
PASC` COUNTY,
, Y
Permit No.
y {tDate Permite
BuilderControl #
County Parcel No. SubDiv.
i�r S; ` iF;s
MMMMMIUM
TRANSPORTATION IMPACT FEE • Rate: q.Ft Unit*
Exempt How Determined
Impact Fee Amount _ Zone No. T ;
Account (056) Single -Family D ' stached House Amount $
(57) Mobile Home
(068) Other Residential
# d23) Collection Fee
Exempt
Yes 0 How Determined
PARKS AND RECREATIONF
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone TOTAL AMOUNT
Exempt Yes o How Determined,
LIBRARY FEE
Land Account' Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt Yes o How DeterminedTotal Amount
lJ RU
TOTAL AMOUNT
Pre arre y G V Checked By
NO CERTIFICATEF OCCUAANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMEDUNTIL THETOTAL UNT LISTED HAVE
MEN PAID AND
RECEIPTED FORBY A CENTRAL PERMITTINGOFFICE- F PASCO COUNTY
Acknowledgement below does not Imply acceptance of concurrence, but simply receipt of a copy of this form, placing
the b Permit o ec on notice of this assessment and the conditions of payment for some,
ATE RI Y
RECEIPTNO. DATE By
.9 106.23
TYPE 'A
FF:107.97
PAD-107.30
51 f BW: 107.42 106.05
RETAINING WALL #5 493 L
TYPE 'A'
oo FF:108.07
PAD:107.40
173,*BW:107.27 105.90
TYPE 'A'
FF:108.67
PAD:108.00
FOUND 4 X
104.20
106.13� CC107.47
14 \-.If f \ I T E
MONUMENT NO I D."
1. 1 2'E"
TYPE B1
SD4-34
-�Mj 10
=FF:107.47
PAD: 106.80
0 0
-27'- 18" RCP
lob 04
1 1
T YPE V
FF: 107.67
PAD:107.00
106
............ I L
0106.97
FEN CE
1. 4'S
DESCOPT11W, LOT 29, BLOCK 12, ABBOTT SQUARE PHASE T 8, SITE PLAN SEC, 4, TBRR 26 S. RN G 21 1
ACCORDING TO THE PLATTERREOP, RECORDED IN PLAT 80OK,__,
PAGE — OF THE PUBLIC RECORDS OF PASCO COUNTY, PLOPIDA (NOT A SURVEY) PASCO COUNrY, FLORIDA
(ABBOTT SQUARE)
ALL ELEVATisONS REFERENCED
TO NORTH AMERICAN
VERTICAL DATUM OF 1988
iNAVD ISIR I
TII1 �ANFnsl 1.for arelColieft.To:
1
_l�
en',
" Hanes I
EITE-
LOT 30
BLOCK 12
0 4g,
P, "S" S 89'5 1 40'W 10 13200 IN
42 v
QCAIC
PROPOSED LOT 12
2 STORY RESIDENCE, BLOCK 12
�2 PLAN 1871 PATLOT29
ELEV'S' i 6, 51 SLOCK 12
GARAGE L
4s
3 CONIC ENTRY
SCRILIK
20,2 37,7 698
LOT 13
0
il BLOCK 12
f#9'5 14trAl JPJ 32,00 rP) I
01
0`R1
LOT 28
BLOCK 12
may
LOT -_52SQ ITT
LIVING AREA -.2Ba_S0_ FT
PORCH --.38--SO FT
GARAGE FT
COVERED LANAI -_N4&_,SCL FT
RATIO .-Le--so, FT
POOL AREA -_NL&_SCL FT
CONIC, DRIVE �J_49_SO- FT
Tom AVC & CONIC PAD -._L7_SCr FT,
SIDEWALK FT
1000PEA ILCUTtUTYEASEMENT LOT SOD FT,
NOTES: R/o/ SOD --N4&—SQ FT
LEGEND: LOT OCCUPIED %
PROPOSED: LOT GRADING TYPE -8 �- 'PROPOSED DRAINAGE FLOSIC AREA TO IRRIGATE YS
MINIMUM FLOOR ELEVATIONS: PROPOSPID PAD ELEVATION 106,80 TOO LCO - PROPOSED GRADE
LIVING AREA; 107,47' FRONT SET BACK - 20 E-00,00 - EXISTING GRADE
GARAGE AREA., SIDE SET BACK - 7 5 PROPOSED E11VATIONS AND GRADPRG
ELEVATIONS REFERENCED TO SIDE SET BACK (CORNER LOT! -10 Cr4CRVN HEREON ARE TAKEN FORM THE
NORTH AMERICAN VERTICAL REAR SETBACK - 15' ENSPNILERING PLANS OF
DATUM OF 1988 'A8807 SQUARE RESOENICAL' PREPARED
APPARENT FLOODHAZAA)ZOAN, WCOMMUNITYNO 1.10235 9Y'FVPA'Fsv0VlDCD BY CLIFICIT
MAP NUMBER 12 10FCA289LO FFPCCTiVt UP— �
iriv - RvTR PC - iKPV` OF Curve 7.1 q _111W LEGEND
WC, - KAWP, 'X OUIVAIs i -CC PANT :A CCIWOUNTD, CUIAT,
L f, - LANDSCAN, E ASOOPNI I iKF, -isPeswist wunm K"ol So, -ViCk, WAPVTKI UWE -
VC- LiAVEST FLOOR 611VATKA 1 R/T - KXX MXAMEW - R�l OF WAI WTOCI 1ENCE
,S - USTNA-0 PJAVY00 1 PC, -RAGE A - SKY' � ON,
iml - MEAU'RED 1 R - PONT 0rYSTMV,0N APO -SET NM AND DriK ME'. MoCRU) can SECTiON 1 PX -11ARXER inr CiN i$"ras NtL � No is 'W"I'Z", ,
ink
01A - ovie I 1ONT0F%G9NNWG 0=32
(Aor-OKERLWAD IRqo TOR - TOv Or RAN
OR -OFROAO :;=,'NLk`W oss?'"L. �Lier, Aspmck
v , P
,,f .Re,
Zc "0"', or"a"'T
(V CC 01"Tr �'Aa r0i' FOUNDOAN rips in - RAT PR C KORNT 0` seVEWA rSa'Al OX - rPsjTY tMEMEN1 COWA D
FN`-FCeffiPnviv`.JCDMi`t, P8 = ,AIWas PR M E leasto NT REY Or WT W_ uw,
eo N,].Yl I ViNo FENCI
LLI ! L-II 07 U SYon's CownpliCATS 1708 Water Oak Drive
ate ofstus 3-70-22 Li Current title information or) the Subject property had not Live TNs sort III Aes pror hereon descubar Tarpon Springs, Honda
_furnshedd, IratoRi Point Land Surveying, LLCR the time of this pro pervision and Phone, [727j,831,1970
SITE PLAN me ft4MANe ar"Ce to" Pforid,,PLS71 Z309mml soon
Z)This sketch was Fimpaired without Ore toRrieft ofa tale search
No instruments of record reflecting ownership, easements or S C 7 of Land qq We $183
right"Knoky seem furnished to the underogred, siniess othenvise 1 7 a in IV 0
shown hereon. "Ch 02, n 4 St"
&) Roads, walks, and otheromitar items shonar hereon were tak S
necked byJH from NNineering plans and am subject to Survey
4) This SITE PLAN does hot reflect no, Oesernine oosniAYhqV
6:) This SITE PLAN is subject to matters shown on the Plat of
'ABBOTT SOUARE PHASE !8'
C) Dimensions shown hereon am in feetand decimal portions Na I
merner, DA R U
1,) Contractor and owner at(- to verify al setbacks, harking 0 83 00
dimensions, and Slyout shown hwesin Poor to any taTstuNt WITHOUT THE
and immedefrelya6vae Initial Point Lan dSur ey of a
�TOII�M!ofdm`dtksn shown hereon, Failureso unit Initial Point Land Surveying, LLB.