HomeMy WebLinkAbout22-5204a � NOW
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Issue Date: 11/15/2w
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 Lennar Homes, LLC Owner Phone Number 813.574.5700
Owner's Address F4301 W Boy Scout Blvd Ste 600 Tampa, FL 33607 Owner Phone Number
Fee Simple Titleholder Name [ ' Owner Phone Number
Fee Simple Titleholder Address I N/A
JOB ADDRESS 16731 Ripple Pond Loop LOT #
SUBDIVISION Abbott Square Phase 1 PARCEL ID# 04-26-21-0140-00100-0990
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED N1W CONITRH ADDIALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR 0 COMM 0 OTHER
TYPE OF CONSTRUCTION BLOCK FRAME 0 STEEL
DESCRIPTION OF WORK Single Family Residence / Paol /Screen finclosure 1 Fence
BUILDING SIZE [ U/R SF 1=763 SQFOOTAGE [14Q0 HEIGHT 1 Story
LyrjBUILDING $ $198,601.95 VALUATION OF TOTAL CONSTRUCTION
0 ELECTRICAL PROGRESSENERGY W.R.E,C.
1'$29,790.29
r71 AMP SERVICE
1.0IPLUMBING
MECHANICAL VALUATION F MECHANICAL INSTALLATION
IL $ $1390214 1,
= GAS Z ROOFING F-] SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 0 YES Do
BUILDER
SIGNATURE
Address
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
Address
OTHER
SIGNATURE
Address
I I I I I I I I
COMPANY
REGISTERED
14301 W Boy Scout Blvd Suite 600 Tampa, FL 33607
COMPANY
REGISTERED
11034 Skipper Road, Tampa, FL 33613
COMPANY
REGISTERED
P.O. Box 5308, Bayonet, FL 34674-5308
COMPANY
REGISTERED
Ho Bax Bayonet, FL 34674-=530=8
COMPANY
REGISTERED
14211 Shoal Line Blvd, Spring Hill, FL 34607 1
Lennar Homes, LLC
L_Y_L N _J FEE CURREN
License #
Edmonson Electric, Inc.
L_y L NJ FEE CURREN L_Y_L N J
License # EC13005408
Bayonet Plumbing, Heating & AC, Inc
Y/ N FEE CURREN Y/N
License# I CFC042998
... ... ..... ......
Bayonet Plumbing, Heating Inc
License #Fc—AC058062
Ec Sterling Quality Roofing, Inc
L_Y 1 N FEE CURREN L YN
_
License # FC—CC057991
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 subdivisionsllarge 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 clumpater. 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
A
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more 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 a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division —Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, 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
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting 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 to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, 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, as amended): If valuation of work is $2,500.00 or more, I
certify that 1, the applicant, 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 it to the "owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
Department of Environmental Protection -Cypress Bayheads, Welland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
SouthwestFlorida Water Management District -Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers -Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit -Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency -Asbestos abatement.
Federal Aviation Authority -Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone W" unless 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 of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, 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 issuance, 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 a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
OWNER ORAGENT
Subscribed and sworn o (or affirmed) before me this
1-7-22 by Christopher Smith
Who is/are personally known to me or#a&4;�ad
as identification.
�,_j_��-_--Notary Public
Commission No. GG 296057
Subscribed and sworn to (or affirmed) before me this
10722_1by Christopher Smith
Who is/are personally known to me or has/have produced
as identification.
Z42. �i_ Notary Public
Commission No. GG 296057
Stephanie Farmer Stephanie Farmer
NamegMName ofN
ST&WIEWMER STEPHWEFAVER
W 2W
'E EVJ*sFsbmvy15,2023
*W FOWNY 15, 20
RRF BMW Thft TMY falift b"" IV" DO TMY I* bow" $04*70%
0
............
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Project Name:
rwfm� l
Services to be provided:
\/-RA
F T U A L R E 'V :� E
v 1 . - EW ASSIST
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
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.
the fee
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 KLAHP
Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
Telephone:
URBY1,191i M:
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 minim -am
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 LLQ
Print Corporation Name
By:11111 (signaturIII'ie)
Print
Name: Christopher Smith
its: Authorized Aaent
Address: 700 NW 107tb Ave
Miami, FL 33172
Telephone
No. 813-574-5700
Corporation
Before me, this 22ND day of
MAY ID22,
personally appeared
Of
Lennar Homes, LLQ_ 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.
0=1
Print Partnership Name
M_
(signature)
Print
Name:
Its:
Address:
Telephone
No.:
Partnership
Before me, this day
of 20_
personally appeared
p artner/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 ofNotar
" � n � Q C � PrintName—ASHLE.E CALLAHAN
Notary Public Stamp: ASHLEE CALL N
lic? State of Ftorida
Commission Ex Tres: Notary pubs
GG 244456
Expl(ei NOV 10, 2022
NOVEMBER 30, 2022
008 L'Nrol-'5h Natlonml Notary All!!
1'39`7
[—COMMERCIAL BUILDING SERVICES DIVISION
BUILDING PERMIT DATA SHEET
TRACKING991FIREMARSHAL#01-
FOLIO #
I,Ww4-_
Building•
ection 0n1v El pme
lumb mg
On Only
echanical
ction On
I F-1 nsaL��
lectrical
El kmectian oniv
■
__iZdical Gas
El
I F-1 Fire Sprinklers
On Site.Piping
L-i irrigation
Fire Alarm
El Potable Rackflow Assembly
E:1 Fire Line Backflow Preventer
0 Irrigation Backflow Assembly
El Demolition
1 D Walk-in Cooler
Hood
Ansul
EEI�ot�her���
11URTIFROPM-11W
_DML�gonstrucfiou:
Risk Category:
isk Cat�egoiT.
OF�ancy Classification:
ac
I 'Y
Assembly E=
Hazardous E=■Mercantile
ay Careffiducational
nal E=
i R stiodental
Storage E=
Building Use:
Alteration IWLevel I JLJI Level 2 IEJ Level 3
)qNew Construction Interior Finish Interior Remodel El Exterior Remodel E3 Addition E] Revision
Overall Size:
ng Area.
Covered Area:
Cost per square foot:
Estimated Value:
, ul t�
it
Metal■Other Sou s:
saw
i orne Debris:
[:]'Inside
&*but -de
Flood Zone:
—Base Flood Elevation: Finish Floor Elevation:
Hydrostatic ents? [:],Yes
Its?
No
Sq. Ft. Enclosed Space B - BFR-
# Vents:
1 o__f
in, S q. In. Permanent openings
LK.[_1:4�eutral VC
Gas A/C
at Pump Window A/C
��Ga's
_ Heat
0 Electric Heat
On Site P1'1)1n
—Sanity ry Sewer Storm Sewer Catch Basins
. Potable Water Linde Mround Fire Line
�, I
Rear Left
As per Approved Site Plan
LIM
Private Provider Firm: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU 1967
Address: 747 Southwest 2" Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email, lug, virtualreviewas&ist,com
Project: TOWNHOUSE - 6 -UNITS
Address(s): 6727,6731,6735,6743,6747,6751 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 affiam, 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,i,,6,7,8,9,10,10.1,10.2,L-1,FP-1,SN,SN1,S3i\4,S4M,S5,S5,l,$6,STSS,D-1,\\T,
PAI.0,P1kl.l, PAI..2,PAI.3,SHIO,Sfil,I,SHI.2,SHI.3,SH,1.4,SHI.5
Florida Licetise/Registi-atioti/Cei-tification #s) and description:
FS468 Certified Standard Plans Examiner
License *': PX2300
.
Sic, nature of'Reviewer:
SWORN, AND SUBSCRIBED before me by Debra Anne Klahr
being personally known to me X or having produced as identification
and who being fully sworn and cautioned, state that the
foregoing is true and comet to the best of histlier knowledge or belief.
_A41ce 6ah,'Wer
Signature of Notary
Notary Public: NOTARY STAMP BELOW My
commission expires:
0MAIFTWI Im
Print Name
nil,
Ln 0)
Ln...........
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1
° Permit No.
Date Permitted
Builder Name/Owner Name Control #
County Parcel No. I j " C� (� SubDly:
Address/Location___�,��/_rd
Classification/Type of Use
1, *
Rate: Sq. Ft Unit:
Exempt 0 Yes i-i No How Determined
Impact Fee Amount S_ __ 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 $ `
Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
ExemptED Yes No How Determined Total Amount
RESOURCE FEE ERU
R
Prepared BY �a;C7
P 0 g Checked By
NERTIFI DF OCCUPANY i►WILL BE ISSUED OR FINAL INSPECTION
PERFORMED LENTIL 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.
DATE
RECEIPT NO
Am
M