HomeMy WebLinkAbout22-4919City#
5335 Eighth Street
Zephyrhills, FL 33542BNR-004919-2022
Phone: (813) 780-0020
Fax: (813) 780-0021
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Issue Date: 10/13/2022
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7054 Ripple Pond Lp 04 26 21 0140 00100 0700
Name: LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC
Class of Work: Townhome
Address: 4600 W Cypress St 200 Building Valuation: $257,760.00 1
TAMPA, FL 33607 Electrical Valuation: $38,664.00
Phone: (813) 574-5700
Mechanical Valuation: $18,043.20
Plumbing Valuation: $25,776.00
Total Valuation: $340,243.20
Total Fees: $13,880.37
Amount Paid: $13,880.37 "
Date Paid: 10/13/2022 7:39:34AM
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CONSTRUCT TOWNHOME 1666 SQ FT AS
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Water Connection Residential Fee $1,010.00 Driveway Fee $45.00
Public Safety Impact Fee -Police $254.00 Sewer Connection Residential Fee $2,090.00
Public Safety Impact Fee -Admin $26.35 Mechanical Plan Review Fee $45.00
Building Plan Review Fee $45.00 Address Fee $30.00
Plumbing Permit Fee $168.88 Plumbing Valuation Fee $45.00
Mechanical Permit Fee $130.22 Electrical Permit Fee $233.32
3/4 Water Meter Residential Connection Fee $732.71 SIF 1 percent Fee $33.53
Park Impact Fee - Single FamilylTownhome $769.56 Transportation Impact Fee $3,445.20
Building Permit Fee $1,328.80 Transportation Impact Fee - City $34.80
Electrical Plan Review Fee $45.00 Fire Wall/Smoke Wall Inspection $15.00
School Impact Fee - Single Family $3,353.00
REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80(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 reinspection.
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 Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY C.O.
CO TRACTORS NAT E PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL 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
1 1 1 1 1 1 1 111 11111 1 1
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number =813574.57700
Owner's Address 1 23975 Park Sorrento, Ste, 220, Calabasas, CA 91302 Owner Phone Number �! m
Fee Simple Titleholder Name I N/A Owner Phone Number
Fee Simple Titleholder Address I
N/A
JOB ADDRESS 7054 Ripple Pond Loop LOT # I A070
SUBDIVISION Abbott Square PARCEL ID# 1 04-26-21-0140-00100-0700
P
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE uY u SFR 0 COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL 0
DESCRIPTION OF WORK Multi -family / Screen Enclosure / Fence
BUILDING SIZE U/R IF 2148 SQ FOOTAGE 1666 HEIGHT 28
BUILDING $ 25776C VALUATION OF TOTAL CONSTRUCTION
1-71
ELECTRICAL $ 38664 AMP SERVICE PROGRESS ENERGY a W.R.E.C.
IJ
V PLUMBING $ 25776
0MECHANICAL $ 18043.2 VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES Do
BUILDER COMPANY Lennar H mes, LLC
SIGNATURE REGISTERED Y / N FEE CURREN Y ( N
Address 430 Boy Scout Biv ite 600 Tampa, FL 33607 License # CGClal8166
ELECTRICIAN COMPANY Edmonson Electric, Inc.
SIGNATURE REGISTERED Y / N FEE CURREN
Address License # EC13005408
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN
Address License # CFC042998
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN
Address License # CAC058062
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # CCC057991
I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
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 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
NOTICE C}FDEED RESTRICTIONS: 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 e contractor or
contractors to undertake wmrk. they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by |ax, both the owner and contractor may be cited fora misdemeanor violation
under state |ovv. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised (ucontact the Pasco County Building Inspection Division —Licensing Section at727-847-
8OOA Furthermore, if the owner has hired a contractor or ountnactora, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
oontraotor, that may baan indication that he in not properly licensed and iynot entitled iopermitting 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 of new bui|dingu, change of
use in existing bui|dingo, or expansion of existing bui|dingo, as specified in Pasco County Ordinance number89-O7 and
00-07. as amended. The undersigned also underetands, that such fees, as may be due, will be identified etthe time of
permitting, It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving o "certificate of occupancy" or final power release, If the project does not involve a certificate of occupancy or
final power re|eaae, 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, asmnnended): |fvaluation ofwork ia$2.500O0n/more, |
certify that |, the opp|ioant, 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 ittothe ''mwner^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 conatmotinn, zoning and land development. Application is
hereby made to obtain o 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
nonstruciion. County and City oodoo, zoning regulations, and land development regulations in the jurisdiction. | also
certify that | understand that the regulations ofother government agencies may apply tothe intended wonk, and that it is
myresponsibility toidentify what actions | must take tobeincompliance. Such agencies include but are not limited to�
- Department ofEnvironmental Protection -Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lando. VVebanWaotowabarTreatment,
- Smuthvv*m( Florida Water Management Diatriot-VVe||a, Cypress Bayheada, Wetland Aveaa, Altering
Watercourses.
- Army Corps of Engineers -Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit'VVe||o, Wastewater Treatment,
Septic Tanks.
- USEnvironmental Protection Agency -Asbestos abatement.
Federal Aviation Authnrity'Runwayo.
| understand that the following restrictions apply tothe use offill:
- Use o[fill isnot allowed inFlood Zone Wrunless expressly permitted.
- If the fill material is to be used in Flood Zone ^A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time ofpermitting which is prepared by a professional engineer
licensed bythe State nfFlorida.
- If the fill material is to be used in Flood Zone ^A" in connection with e permitted building using stem wall
construction, | certify that fill will be used only hofill the area within the stem wall.
- K 0| mutaho| 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 propertieo, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for |cdm |eoa than one (1)
acre which are elevated by fill, an engineered drainage plan in required.
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 to commencing construction. | understand that a separate permit may be required for electrical wurh,
p|umbing, aigna, weUo, puo|n, air oondidoning, gou, or other installations not specifically included in the application. A
pannh issued shall be construed to be license to proceed with the work and not aaauthority tuviolate, oanmai alter, or
set 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 ieouonoe, 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 e period not to exceed ninety (SO) days and will demonstrate
justifiable cause for the extension, If work ceases for ninety (90) consecutive days, the job is considered abandoned.
oA JonxrVr.o.1n.o8
Subscribed and sworn to (or affirmed) before me this
81312022 by Christopher Smith
Who is/are personally known to me or has�have PF9d61G
as identification.
Notary Public
Commission No. (G 296057
Stephanie Farmer
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
802022 by Christopher Smith
or has/have produced
as identification.
-Notary Public
Commission No. GG 296057
Stephanie Farmer
DESCRIPTION. LOTS 69-72, 61-OCK 1, ABBO N SOCIARE PHASE LA, SITE E PLAN SEC. 11, TWP. 25 S. RNG 21 F.
ACCOREANG TO THE PLAT THEREOF-_ RFOORDE) IN FIAT BOOK
PAGE _, OF THE PUBLIC RECORDS OF, PASC O COLWTY_ FLORIDA iNOTA SURVEY] PASCO COUNTY„ FLORIDA
(ABBOTT SOUARE)
PROPOSH) FLEVA I IONS AND GRADING� VE DATA TA ��'�
SHOWN HEREON ARE OAKEN FORM FHE CURVE..... RADIUS _.. ARC LENGTH CHORD LEFIGTH CHORD' BEARING DELTA ANGLE i
ENGINEERING PLANS OFC32 320 CH? 7933 29 B2 S 4 t SW 38 F 5 350O
'AfltiQ iF SeTUARE RESIDENTIAL', PRE PAREDC33 31011 7001 2UaI S& S2122 E ? 350t7
FAYWRA PROVIDED BY CLIENT
7-3-5— 3260U 2(SQL- 1 ,061 559`St 22 E�� 335 QQ
32QOtt' 29.83' 29t?2 St4'2F 406 ... 52028
I hB SITE PLAN F= epat ed for and Ci, ,Nf ITO. Seale: 1 = 20
Lennar Horner
ALL ELEVATlpNS REFER€NCEU �\
TO NORTH AI I RICAN
VERTICAL DATUM OF 1988
(NAVD 88)
LOT 10965 SQ.F1
LIVING AREA _2866 SCO.FT. ;tS:'..
X
ENTRY 220 SC1 FT. `�'30'/
GARAGE SO Fi.
COVERED LANAI 374 S(7. FT. ` y A
,Y 1 \„ dS4 T ir-
PATIO? �_ NA -----SO, T 6)lgG36t ��• 'Cr
POOL AREA a_ NA SO Ff. _ ,A
CONC. DRIVE a 844 _SO FT. -
AJC & CONIC PAD 36 SC1 FT
SIDEWALK s540, _SQ FT. { `�
SIDE YARD SWREE NA SO. Fi'.
_ l�
CONSERVATION AREA __NA. SO- FT.
LOT OccuPrEL>
AREA TO IRRIGATE 45
LOT 68
b , D
BLOCK
AN,�S
4
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r
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4 Goa t �I` a
4
IN lS6
911
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NOTES, w �s A LOT 73
v T
LOT GRADING TYPE FE``r� CT /� °r� t a BLOCK t
PROPOSED PAD ELEVATION � 103 90 `��w��
FROM"SET BACK ^ 24a`'o'Rs
SIDE SET BACK - 15
SIDE SE I BACK tCORNER LO) F 15 ,p C
vy
2
REAR SETBACK Q 15
r` f.
PROPOSED T
MINIMUM FLOOR ELEVATIONS c (� 6 2` OAK
LIVING AREA 104.57
Icoo PLtBL;C i;rllfry EASERven!T
GARAGE AREA:
ELEVATIONS REFERENCED TO NO� ,'RF� ARE a 7
LEGEND:
NORTH AMERICAN VERTICAL ENrtY WALKS ARE VARIOUS
t43tiT7-fS _.r-. s aROPt?SED DRAINAGE F? CTW
DATUM OF 1988
APPARENT FLOOD HAZARD ZONE. `XCON!"UN3iY NIO 120235 (00 00) ` rROPOSM (,RAF)F
SURVEYABBt'EVATIONS (MA.'RiUtcABER L2t0tC-0Z&9-f) EFFECTIVE ITArECJ4"2bf2GI4 F-OOOQnEXS TINGGRADE
1 ax to f Ix ID Ir<Im f �� LEGEND - _._..._
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A -A N! N F r 4 t t} C- N l RFt t3f. 1 < INI
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A1\ —Al 1) (' C'5t t 'Al, a�Ntlt4Se .nA�t'HA,fI
-f t t of, C tfk>E CF %1, 6k8 - 1q
f�N fR MF A Nl 9!h y�£ Jtk£ri �t ECt It 4'= E is k R H+l NiNK i�^r<E
A VE Rh •' P NIf ,i oN I R:E E t - (L.t Rt?CH. ( •{V K -
(I loA I
JNC (N Ft[( tNI I 11111f I NAII£ fL E L Nf k=Nfp-� C4-t NRitCA. !'f ^(ht'i('f SI 1 P M 111 of RF f IA EFIT1N (" (:t QEArIIAW 1111N11
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JOB #541 Z SURVEYORS NOTES SUR ea, CATE I l08 Waw, Oak Drive
Li Current title inforotation on the subiect property had not been It"s ce,ttf '1f t z de....bed s a poi SLxir1<3s, Pkrrida
pate at Sae f et 4-77 21 kanished to Initiai Point Land Surucying, iLC at the three of this p.opc a a and hora< (72 t) t3? F I490
DWC, A'tf,a11111 St1F SITE PLAN gte ieS rda (cu FrcndaPLS7 t23.rgmaitco jjj LC ---- --{ 2.1 This sketch was prepared w4ha h tt e benefrtct I tigt sea ch s¢.rr�g+s a f da f>arr Land LB# P 183
No 1 utrurnents o(rtt e d etecbnej ow ership case rents c Sa�'eyef In pEE•� ('Qia cs h
Piie� _ .__... nght of way were f rm!shed tc tr e unde!s greet unkess crL§erwtse 1,t5 , F ,Ja to I�trat ve. Coc
show h coon. to Section 472 027, Florida St to
Drawn by: DJB 3.) Roads walks and otl e I s mica t o s h w t etea r were take
Checked by from engv eedrag plans and goCStdbtecY to snrveg.
R StEYI ONS 4.1 Th s S TE PLAN does net trfiect o 3 to o e awt erst p.
m00
`,, ; '
6.1 Th!> 41Tk PLAN 1s erUjreI [c aCh tters own on the Plat of
"ABBOTT KODARE PHASE to Der s
£`
8.1 EJ meruicxres shown t ereort are in feet and deCrrrrai partrans
the of 7123 L3#8[ 6t 'GEES .�1 FY v
�
7.) C xatrac i< art wr e tofy all setb.a ks holding _._.
k dimens ns aId 1 y x t hetwt ! ereon Frio to a y can P ro 1 fSt ?T
and rredv s atety adInft"'t P.,"t Land Su eyr g UC of any _. SIT. TU__ .... �a, ay. &'"...... _-_.
de,tm No from inwhereon fo at!cve shown Fa!(ure to do so wall be LTCENSED SDR !Yt 'PPER Initial Point LAnd Surveying. LLC
w I sec s sole risk.
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AWA—IM40
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\/-RA
v : Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name:
Parcel Tax ID: 04-26-21-0140-00100-0700
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.
I 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 Firm: VIRTUAL REVIEW ASSIST, INC.
Private Provider: DEBRA ANNE KLAHR
Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
Telephone:
Email Address (Optional): deb@virtualreviewassist.com
Fax: N/A
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.
Individual
(signature)
Print
Name:
Address:
Telephone
No.:
Please use appropriate notary block.
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
s
By:
(signature)
Print
Name: Christopher Smith
Its: Authorized Aqent
Address: 700 NW 107th Ave
Miami, FL 33172
Partnership
Print Partnership Name
M
(signature)
Print
Name:
Address:
Telephone Telephone
No. 813-574-5700 No.:
Corporation Partnership
Before me, this 22ND day of Before me, this day
MAY 20 22, of 20_,
personally appeared ' personally appeared
0
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
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.
al�Signature ofNotar Print Name ASHLEE CALLA] -BAN
Notary Public Stamp:
ASHLEE CALLAHAN
t sowy pubUi State of F(orlda
Commission Expires: �04. Cammt�siac# GG 144456
NOVEMBER 30, 2022 WI ��` �COMM. ExPI(OS Hav 10, 2 22
d.throush.�et�onalNotAryA�sn.
Page 2 of 2
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: lucygvirtualreviewassist.com
Project: New SFR
Address(s): 7050,7054,7058,7064 Ripple Pond Loop
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: 1,2,3,4,5,6,7,8,9,9.1,9.2,10,10,11,12,13,14,15,14.1,16,L-1,L-2,
SN,SNI,S3M,S4M,S5,S6,SS,ST,D1,D2,WP,PAI.0,PAI.1,PAI.2,PAI.3,SHI.0,SHI.1,SHI.2,SHI.3,SHI.4,SH1.5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Ex finer
License 9: 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
ore i ing s tru best of his/her knowledge or belief.
i
s e of Notary Print Name
Notary Public: NOTARY STAMP BELOW My
commission expires:
ASHLEF CALLAHAN
'L� D11C - sta! E, c ol 1c,
Naary
Cc-,Imjtisior � GG 2411—s,
30 22
m,4 Comm, Expill, NO'
I t h r mgh NO,CIT'f
Aa
LIMP
TRACKING #
FOLIO # 7054 Ripple Pond Loop
FIRE MARSHAL #01 -
Required Permits
DATE: 8-9-2022
Building
[:1 Inspection Only
IV Plumbing
❑ Inspection Only
Mechanical
El Ins ection Only
r-7
Vi Electrical Amp
El Ins eetion Only
Roof
Medical Gas
❑ Fire Sprinklers
El On Site Piping
E] Fire Line
❑ Irrigation
❑ Fire Alarm
❑ Potable Backflow Assembly
F-1 Fire Line Backflow Preventer
❑ Irrigation Backflow Assembly
E] Demolition
❑ Walk-in Cooler
[I Refrigeration
0 Hood
El Ansul
❑ Fence/Wall
R Grease Trap
El Other
❑ Other
WMMI'm
Type Construction:
I
Risk Category:
� Occupancy Load
OV,ancyCClassification:
Factory
Residential
ess Day Care/Educational
IAssembly Business
'Hazardous Institutional Mercantile
rStorage ❑ FUtilny
Building Use: Single Family Alteration ❑ Level I [E-1 Level 2 [E-1 Level 3
iGew Construction ❑ Interior Finish Ej Interior Remodel E] Exterior Remodel F1 Addition El Revision
Overall Size:
20 x 58
Number of Stories:
2
Total Sq. Ft.:
2148
Living Area: 1666
Covered Area: 482
# of Bedrooms: 3
# of Baths: 2.5
Cost per square foot:
FEstimated Value:
Roof Type: Z Shingle
E]Tile --❑ Built-up El Metal El Other Squares: 17
Zoning:
rne Debris:
4 Wi Oolnside Outside
Energy Code: 405-2020
Flood Zone: X Base Flood Elevation: Finish Floor Elevation:
Hydrostatic Vents? JQYes V, No Sq. Ft. Enclosed Space Below BFE:
# of Vents:
1. In. Permanent Openings
9 Central A/C
El Gas A/C
9 Heat Pump El Window A/C
E] Gas Heat 0 Electric Heat
Sanita!:y Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
Setbacks
Front Rear Left Right
21 As per Approved Site Plan
Comments:
Permit No.
Date Permitted/
Name/OwnerBuilder Lit 1Control
County k. / .r
Classification/Type of Use
Rate: Sq. Ft Unit:
Exempt Yes No How Determined
Impact Fee Amount
S iL & Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056)
Single -Family Detached House Amount $
(057)
Mobile Home
(058)
Other Residential
(123)
Collection Fee
Exempt =Yes
= No How Determined -
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone Total Amount $
Exempt =Yes
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt Yes No How Determined Total Amount
RESOURCE FEE ERU
Total Amount
s. -.
Elm
Checked By
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID 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 ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME.
,W*
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BY