HomeMy WebLinkAbout22-5399City of Zephyrhills
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5335 Eighth Street
Zephyrhills, FL 33542
- 0 9-20 2
Phone: (313) 70-0020
Fax: (313) 730-0021
Issue gate: 12t28l2022
Permnt\ 1 'Residential
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04 26 210150 0100 0030 6417 Ten Acre Court
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Name: LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential) Contractor: L NN,AR HOMES LLC
Class of Work: SFR Construct
Address: 4600 W Cypress St 200 wilding Valuation: $361,920.00
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TAMPA, FL 33607 Electrical Valuation: $54,288.00
Phone: (813) 574-5700
Mechanical Valuation: $2,334.40 `ji ,,..1k,r
Plumbing Valuation: $36,192.00 i
Total Valuation: $477,734.40
Total Fees: $20,462.28 0 .
Amount Paid: $20,462.28
Coate Paid. 12/28/2022 4,08:01PM
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CONSTRUCT SINGLE FAMILY 2580 Sty FT .......*AS
Water Connection Residential Fee $1,010.00 Park Impact Fee - Single Family/Townhome $769.56
Transportation Impact Fee - City $36.32 Mechanical Plan Review Fee $0.00
Sewer Connection Residential Fee $2,090.00 Public Safety Impact Fee -Admin $26.35
Plumbing Plan Review Fee $0.00 Address Fee $30.00
SIF 1 percent Fee $8128 Electrical Permit Fee $311.44
Electrical Plan Review Fee $0.00 Transportation Impact Fee $3,595,68
Mechanical Permit Fee $16&67 Building Plan Review Fee $180.00
Irrigation 3/4 Meter (Cale) $732.71 Public Safety Impact Fee -Police $254.00
Driveway Fee $45.00 Building Permit Fee $1,849.60
School Impact Fee - Single Family $8,328.00 Plumbing Permit Fee $220.96
314 Water Meter Fee (Cale) $732.71
R INSPECTION 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 reinspectiona
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 ice 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 BEFORE C.O.
` F 1
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CONTRACTOR SIGNATURE
PE IT OFFICE
813-780-0020 City Of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received 908 770 7763
Phone Contact for PerrnittinCCyy
1 1 i 1 i 1 i 1
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813.574.5700
Owner's Address 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number
Fee Simple Titleholder Name N/A Owner Phone Number�._a_rv.
Fee Simple Titleholder Address N/A
�O� ADDRESS 6417 Ten Acre Court LOT #1203
SUBDIVISION Abbott C�uare� PARCEL ID# 04:26-21m0150m01200m0030
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED . NEW CONSTR ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK Single Family Residence / Pool / Screen Enclosure / Fence
BUILDING SIZE U/R SF 3016 SO FOOTAGE 2660 HEIGHT
BUILDING 361920 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ 542$$
AMP SERVICE
PLUMBING $ 36192
MECHANICAL $ 25334 q4
OAS ROOFINGYJ
—!�
FINISHED FLOOR ELEVATIONS
M PROGRESS ENERGY = W.R,E.C.
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY OTHER
FLOOD ZONE AREA t_JYES Do
BUILDER COMPANY
SIGNATURE REGISTERED
Address 4301 W Bay Scoot Blvd Suite 600 Tampa, FL 33607
ELECTRICIAN ' COMPANY
SIGNATURE REGISTERED
PLUMBER COMPANY
SIGNATURE REGISTERED
►m
MECHANICAL COMPANY
SIGNATURE REGISTERED
OTHER COMPANY
SIGNATURE e k REGISTERED
Address
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) se 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 $7500)
Lennar Homes, LLC
I Y/ N I FEE CURREN L Y 1 N
License # CC CC1518,66
Edmon�son Electric, Inc. Y/ N
License # I EC13005408
Bayonet Plumbing, Heating & AC, Inc
Y / N FEE CURREN L11 N
License # �FC04299$
[Bayonet Plumbing, Heating & AG, Inc
Y I N FEE CURREN Y/ N
License# I CAC058062�
Sterling Q�FEECURR�EN���
Y / N
License #CG057991
i i i i i i i i i i i i i i i i i i i i i i i l i l i i
— 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 yNd 10 " ITITJ t1a I Ivi I a MITI: 4 & I a IL I & 211,1111 a arrra.1 a W OMMUN0
7.
OWNER OR AGENT
Subscribed and sworn oi (or affirmed) before me this
813/2022 by Christopher Smith
Who islare personals known to me or 44a4s4ba��
as identification.
Notary Public
Commission No. GG 296057
CONTRACTOR-,
Subscribed and sworn to (or affirmed) before me this
W312022 -by Christopher Smith
WhojsJare personally known to me or has/have produced
as identification.
o Notary Public
Permit No.
�
Date Permitted "7.
Builder Name/Owner N /4'- Control
Count} Parcel No. � � �. Utz L� ubDiu;
Address/Location
tUse
f
t
Classification/Type
TRANSPORTATION IMPACT FEE Rate, Sq. Ft unit:
Exempt o Yes No low Determined
Impact Fee Amount Zone No. TAZ.
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount S
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt . Yes = No Flea Determined_
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zane Total Amount
Exempt =Yes . = No Flow Determined
UBRARYFEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt Yes No Flow Determined Total Amount
RESOURCE FEE ERU
Prepared By :. Checked By
i
NO CERTIFI TE OF CiBPANY WILL RE ISStUED OR FINAL INSPECTION
PERFORMED UNnL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND REEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
ACKNOWLEDGEMENT BELOW ES 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 DATE BY
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 6417 Ten Acre Court
Parcel Tax ID: 04-26-21-0150-01200-0030
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,
Mimallpmnff
mom
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 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 mininium insurance requirements for such personnel, but I
understand that I may require more insurance to protect any interests. By executing this form, I acknowledge that I
have made inquiry regarding the competence of the licensed or certified personnel and the level oftheir 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 1
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
r
review for fire code, land use, environmental or other codes,
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.
7OIBMI
(signature)
Print
Name:
Address:
M
Please use appropriate notary block.
Individual
Before me, thus day of
20_, personally
appeared
who executed the foregoing instrument,
and acknowledged before me that same
was executed for the purposes therein
expressed.
Corporation
-1ENNAREQME5,.!LC-
Print Corporation Name
B
Telephone
No. 813-574-5700
Corporation
Before me, this 22ND day of
MAY 20 22,
personally appeared
of
LennaE 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.
ME=
Print Partnership Name
By:_
(signature)
Print
Name:
Its:
Address:
Telephone
No.:
WMM=
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 knownIX ;or "Produced identi cation — Type of identification produced
Signature, of Notar, Print Name ASHLEE CALLAHAN
. . . . . . . . . . . . ...........
Notary Public Stamp:
. . . . . . . 5 ASHLEE CALLAHAN
Notary public 1, State of Ftorida
Commission Expires: )r. 0 G6 244456
NOVEMBER 30, 2022 COTtIm A WV05 NOv 30,2022
tarot h Na(10W Notify Asa!
.................. ...............
\/"RA
VIRTUAL REVIEW ASSIST
Private Provider
Plan Compliance Affidavit
Private Provider Finn: 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: y
I c iLtvrtualreviewassist,com
. 9 1--1i-------
Address(s): 6417 Ten Acre Court
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. 1,A6.2,SNO,SNI,S3,S4,S5,S6,SS,ST,VvTI.O,PAI,O,PAI. 1,PAI .2,PAI.3,PA 1.4,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 Debra Anne Klahr
being personally known to me — or having produced as identification
and who being fully sworn and cautioned, state that the
fo egomg is true and, correct to, the best of his/her knowledge or belief.
Signature of Notary -Tint Nance
Notary Public: NOTARY STAMP BELOW My
commission expires:
ASHLEE CALLAHAN
Notary Public State of Ftorida
Ell"I'm
mT.jssjon - GG 244456
10 2022
cowin, My r- -
Bonded throu�h NUc, r"'! N"Ola�y A�sn.
COMMERCIAL BUILDING SERVICES DIVISION Of", RESIDENTIAL
BUILDING PERMIT DATA SHEET
TRACKING #
FOLIO # 6417 Ten Acre Court
FIRE MARSHAL #01 -
i
IVBuilding VPlumbing
Ej Ins action Onl El inspection Only
tZRoof (:[G:::as:=
VMechanical
El Ins action ,
[:1 Medical Gas
WElectrical Amp
]Ins action C)nl
0 Fire Sprinklers
1:1 On Site Piping Ej Fire Line
E] Irrigation
E] Fire Alarm
E] Potable Backflow Assembly ❑ Fire Line Backflow Preventer
Irrigation Backilow Assembly
El Demolition
El Walk-in Cooler Refrigeration
Hood
EJ Ansul
E] Fence all E] Grease Trap
E] Other
Ej Other
T e Construction. V-B
Risk Category: Occupancy Load
s
an Clasification:
cy =
OVFa tory E
Assembly business== Day Care/Educational
—
'HazardousE= Institutional E 'Mercantile
Resirlmnal
'Storage®'LTtiliry
Building Use: Sirs le FaMily—/
Alteration EJ,,'Level 2 Level 3
QfNew Construction E] Interior Finish E3 Interior Remodel Exterior Remodel El Addition El Revision
Overall Size:
Number of Stories: Total Sq. Ft.:
30 x 52-8
2 3016
Living Area:
Covered Area:
# of Bedrooms: 6
2580
436
# of Baths: 3
Cost per square foot:
Estimated Value:
Shin le� Roof jMe:�j �Sh
Tile E] Built-up Meto�I�E] Other Squares: 'I I
Zoning:
Wi orne Debris: Energy Code: 405-2020
Q�Inside _k,,Outside
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents? E];Yes —;�,No
Sq. Ft. Enclosed Space Below BFE:
# of Vents:
Size of Vents:
Total Sq. In. Permanent Openings
Central A/C
—0 —
Heat Pump Window A/C
Gas A/C
Gas Heat E] Electric Heat
Salina Sewer
Storm Sewer Catch Basins
..
Potable Water
Under round Fire Line
91=
Front Rear Left Right
Asper Approved Site Plan
Comments: