HomeMy WebLinkAbout22-5424City 1
5335 Eighth Street
j
ephyrhills, FL 352BNR-00542
Phone: (313) 730-0020
Issue E
Fax.-(8f3) 730-0021
ate'
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04 26 210150 0200 0220 3639 Garden Wall Way
e \l z v z v v v Name: LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLB
Mass of Work: Townhome
Address: 4600 W Cypress St 200 Building Valuation: $250,320.00 �
TAMPA, FL 33607 �
Electrical Valuation: $37,548.00
Phone: {813} 574-5700
Mechanical Valuation: $7,522.40 (�
Plumbing Valuation: $25,032.00
Total Valuation: $320,422.40
Total Fees: $13,781.26
Amount Paid: $13,781.26 f w�
Date Paid: 1/23/2023 2:56:57PM
CONSTRUCT TOWNHOME 1634 SQ FT **AS
Transportation impact Fee - City $34,80 Public Safety Impact Fee Police $254.00
3t4 Water Meter Residential Connection Fee $732.71 Fire Wall/Smoke Wall Inspection $15,00
Electrical Permit Fee $227.74 Electrical Plan Review Fee $0.00
Plumbing Valuation Fee $0.00 Building Permit Fee $1,291.60
Mechanical Permit Fee $77.61 Address Fee $30.00
Building Plan Review Fee $180.00 Plumbing Permit Fee $165.16
SiF 1 percent Fee $33.53 School Impact Fee - Single Family $3,353.00
Sewer Connection Residential Fee $2,090.00 Public Safety Impact Fee -Alin $26.35
Water Connection Residential Fee $1,0%00 Driveway Fee $45..00
Park Impact Fee - Single Family{Townhome $769.56 Transportation Impact Fee $3,445.20
Mechanical Plan Review Fee $0.00
IN p °ION FEES: (c) With respect to Rei spection fees will comply with Florida Statute 553.80(2)( ) 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 ether 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 year paying twice for
improvements to year 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 OCCUPANCYF C.O.
NO OCCUPANCY BEFORE C.O.
CONTRAC O�SIGNATU�RE PtIT OFFICE
PERMIT
EXPIRES«.INSPECTION
e; * HOUR NOTICE REQUIRED
PROTECT,
813-7800020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting 908 770 __ 7763
10he POOL
03-L P
�813_574�57�00�L
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Nu�mber
Owner's Address 23975 Park CA 91302 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
I N/A
JOB ADDRESS
li
LOT #
SUBDIVISION Abbott CUare PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTR ADDIALT
SIGN DEMOLISH
INSTALL REPAIR
8
PROPOSED USE SFR COMM
OTHER
TYPE OF CONSTRUCTION BLOCK FRAME
STEEL
DESCRIPTION OF WORK
EM.1t,:f:.-,Iy �/Scr-n Enclosure /Fence
BUILDING SIZE
SO FOOTAGE
HEIGHT
BUILDING
r250320
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
PROGRESS ENERGY W.R.E,C.
AMP SERVICE
PLUMBING
0 MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
GAS
ROOFING 0
r t
SPECIALTY =
OTHER
FINISHED FLOOR ELEVATIONS
FLOOD ZONE AREA DYES Do
BUILDER
COMPANY
Lennar I lornes, 11C
E���F
�DURREN���
SIGNATURE
REGISTERED
L_Ll NEE YIN
Address 4301 W Bov
it Blvd State 600Tarnpa, FL 33607
License # I CCC 151816( '
ELECTRICIAN
COMPANY
Edmonson Electric, Inc.
SIGNATURE
REGISTERED
Y/ N FEE CURREN YIN
Address
License#
PLUMBER
COMPANY
Bayonet Plumbing, Heating & AC, Inc
SIGNATURE
REGISTERED
Address
License# CFC042998
MECHANICAL
COMPANY
Bayonet Plumbing, Heating & AC, Inc
SIGNATURE
- W---
REGISTERED
Y/ N FEE CURREN YIN
Address
License #
OTHER
COMPANY
C Sterling Quality Roofing, Inc
SIGNATURE
REGISTERED
NC
Address
License If
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 wt 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 If 0) working days after submittal date. Required onsite, Construction Plans, Storrnwater 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 $2600, a Notice of Commencement is required, (AIC 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)
Remote if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways needs ROW
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, Weiland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Southwest Florida 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 OR AGENT CONTRACTOR
Subscribed and sworn o (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this
by Christopher Smith by Christopher Smith
Who is/are personally known to me or4as4iavo-prQduG" Who isfare personally known to me or has/have produced
as identification. as identification.
7- Notary Public Notary Public
Commission No. GG 296057 Commission No. GG 296057
Stephanie Farmer Stephanie Farmer
Name Name ofNto NM:j
Arm%
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E*WF$bMW1$,203
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DESCRIPTION: LOTS 19-24, BLOCK 23, ABBOTT SQUARE PHASE I B,
SITE PLAN
SEC, 4, TWA 26 S, RING 21 E.
ACCORDING TO THE PLATTHEREOF, RECORDED IN PLAT BOOK 89,
PASCO COUNTY, FLORIDA
PAGEPa57-62, OF THE PUBLIC RECORDS OF PASCO COUNTY,
FLORIDA.
(NOT A SURVEY)
(ABBOTT SQUARE)
LOT F I.
his SITE PLAN Prepared for and Certified To
_SOL
LIVING AREA = 4010 SQ. FT,
Lennar Homes
ENTRY = 476 SO, FT
GARAGE =:_I_356 SQ. FT.
COVERED LANAI - 652 SO. FT,
PATIO = NA SO. FT.
POOL AREA =_IS[A___SOE FT.
CONIC. DRIVE -N200 SO, FT.
Scale' III= 20'
A/C & CONC PAD = 54 S(CL FT.
SIDEWALK = 272 SO. FT.
SIDE YARD SWALE =NA SO, FT.
CONSERVATION AREA =--NA—SQ. FT.
LOT OCCUPIED = 64 %
AREA TO IRRIGATE = 36 _%
TRACT 13-7"
ICED) PARKING AREA AND OPEN SPACE
- N 89-48 04' E (P) 121F68 (P)
-----------
q\ 28,34 (P)
T 1 IS TRf 9, is,00 let I 1-8 00 P) T
2834 ?P) ,,Q /
er
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T
1 10,0'
10,0'
UNPLATTED al
0
0
-zG
10.01
18.3,
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IfFor
180'
18,0
1 18.3
UNIT -A
UNIT-C
z UNIT-C
UNIT-C
UNIT-C
I UNIT -A
1532
z
1624
1624
z 1624
PROPOSED
c 1624
PROPOSED
ZI 1532
PROPOSED
PROPOSED
2STOPY
PROPOSED
2STORY
ATTACHED
PROPOSED
2STORY
ATTACHED
2STORY
ATTACHED
2STORY
ATTACHED
v
-
2 STORY
ATTACHED
ATTACHED
RESIDENCE
a RESIDENCE
vRESIDENCE
v RESIDENCE
RESIDENCE
A
-EE RESIDENCE
LOT 24 11
W
LOT 23
LOT22
a,
LOT21
g LOT20
T19,
di
3
BLOCK 23 6
BLOCK 23
BLOCK 23 lo
3 BLOCK 23
-
'BLOCK 23
-o LOCK23
BLOCK
ENTRY 13tT ENTRY I ENTRY 113' ENTRY 1 1 ENTRY
--77-
6
IN 89-48 04- E FR U`
2,22 JP)
2834 PT
273'
Z8 LOT 18
BLOCK 23
10.0
6.7 7 /6,7
113 11.3 1.3
ITTBUT 'CE
lao", I,j IEBFET I 10.0'
F III
1 .1800 ip) �28 34 IF) 3qg
E-48'04- W (P) 128,68 (P) s 5CONC WALK
GARDEN WALL WAY
TRACT "A T1
(CDD) RIGHT-OF-WAY
NOTE: ENTRY WALKS ARE 3.0 CONC
PROPOSED:
NOTES:
C/S-A/C UNITS ARE 3 2X3,2
i ALL ELEVATIONS REFERENCED
MINIMUM FLOOR ELEVATIONS:
TO NORTH AMERICAN
LIVING AREA: 97.67'
LOT GRADING TYPE -A
2" OAK
VERTICAL DATUM OF 1988
1
GARAGE AREA:
PROPOSED PAD ELEVATION
,, 97,00 10.00 PUBLIC UTILITY EASEMENT
(NAVD 88)
ELEVATIONS REFERENCED TO
FRONT SETBACK - 20
LEGEND:
NORTH AMERICAN VERTICAL
SIDE SETBACK ;, T5
: PROPOSED DRAINAGE FLOW
PROPOSED ELEVATIONS AND GRADING
DATUM OF 1988
SIDE SET BACK CORNER LOT)
- 10 11)(1001 7, PROPOSED GRADE
SHOWN HEREON ARE TAKEN FORM THE I
REAR SETBACK � 15
1 1
ENGINEERING PLANS OF
E-00.00= EXISTING GRADE
ABBOTT SOUARE RESIDENTIAL', PREPARED
APPARENT FLOOD HAZARD ZONE: X COMMUNITY NO. 120235
BY WRAP PROVIDED BY CLIENT
SURVEY ABBREVATIONS
(MAP NUMBER 12101 C-0289-F) EFFECTIVE DATE: 09/26/20 14
AI-ARCLENGNI
ID) - DEED
N—PsVERT
PC -POINT OF CURVE
is) -R-CORD
LEGEND
A/C-ASLECONDLEONER
AC-,F1u.NUEIFtN'E
D F- DRAINAGE EASEMENT
Ji -LLCENSED RIPENESS
IRX - PONT OF COMPOUND CURVE
RED -,EIANGF
ELNULF-INCE
CONC
LEE � FASS FLOOD I LEESEEIGN
EL 01 FLEV - E - VAEON
POP.. EDGE 0
!- F - LANDSCAPE EASEMENT
LEE - LOWEST FLOOR UE—TION
PCP- PERMANENT CCC,7, SOL PONT
Ura
PTA- POOL EOPd-,
REES - RAIL ROAD SPIKE
R/W - KG1,T Of WAY
PM_FDN. MARK TC
C - c11R\`E
END I - EASE ME
TO: - FENCE CORNER
S - LICENSED SURVEYOR
MEASURED
P6, - PA0
T OF INTER ECTION
POFNf
SEC - SECTION
SN&D �SET NAIL AND FNSX
WOOD PENCE
ASPHALT
M
- CAE CUIoST D
HOE-FOUNDCONCRETE
MES - METERED END SL SUCRE
PX -PA I<NlKPt ON
I ASLICE
,C-1
C"N'
MONUMORT
NCF -NO CORNER FOS NO
I -PROPERF-YUNE
SRN SET 112- RON ROD L84 8183
CI AID END D_NCT
I
FE11
L, � Lorne �ION FEEL
' QLA - OVERALL
1108 - POINT OF 9FONERNIG
TIED - T EMPORARY 91 NC H MARK
CMP-CORINEGAIrDSPE TAL
D
H11 FOUND ONRO11
OF1W-OVLRECADWMLCI
POC - POINT OF COMMENCTMEN7
T08 - TOP OF 9ANP
A C,=�,,,,
ON&D - FOU'RDNAL, & DSK
O.R.-OFFECALRECORDS
POL-POINTONLINE
TWI TOWNSI
N UNINUM FENCE
CONCRETE SLAB
'a "
�N':1=1012FEEIPLIE
(PI -PLAT
- PEAT BOOK
PRC - POINT Or REVERSE CURVE
FLM- ERWNFMRFFERENCEMONUMEN1
LE F - UTILITY EASEMENT
.11"In
CSt-ILEARS[Gl TRIANGLE UYLIENCE
I I vt I ��El
JOB IY5738 SURVEYOR'S NOTES: SURVEYOR'$ CERTIFICATE 1708 Water Oak Drive
I-) Current title information on the subject property had not been ]END rectifies that ske il%% he hereon described Tarpon Springs, Florida
r 74ip -831-1990
Date of Site Plan: 7-13-22 furnished to initial Point Land Surveying, ELF, at the time of this prop 6, en,Pslon and Phone: (727)
2W6 AS PH I IS L 19 ?q BL23 SITE -SITE PLAN meet t act,ce for FloridaPLS71230q gmaiix
2.) This Sketch was prepared without the benefit of a title search. surveyso �,40rltw�bag d of Land HER 8183
No instruments of record reflecting ownership, easements or
Laid
File: rights -of were furnished to the undersigned, unless otherwise Ad;� r I a
shown hereon. 'r, "', �eeubn 147 yv 9e, all
Own by DJB
3.) Roads, walks, and other similar items Shown hereon were taker Statu
Checked by:JH from engineering plans and are subject to survey. Da F8.1
determine ownership. H ey,,T, 1 FOU
REVISIONS 4.) This SITE PLAN does not reflect For dete
5,) This SITE PLAN is subject to matters shown on the Plat of -"r 'P, 'FLO K
ABBOTT SQUARE PHASE I B'
Jeff M H
6.) Dimensions shown hereon are in feet and decimal portions P AND
thereof. FLORlDE
7,) Con ractor and owner are to verify all setbacks, building MAPPER NO. IAS0411
..... .. . ........
dimensions, and layout shown hereon prior to any construction, NOT VALID WITHOUT THE ORIGINAL
and immediately advise initial Point Land Surveying, LLC, of any SIGNATURE AND SEAL OF A FLORIDA
deviation from information shown hereon. Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC.
at users sole risk.
iii
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VIRTOAL 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: IqL :,yet,,Mirllillreviewassist.com
Project: New SFT
Address(s): 36359 Garden Wall Way
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 afflant, 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
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Ex iner
License #: PX2300
Signature of Reviewer:
SWORN AND SUBSCRIBED before rne''�y Debra Anne Klahr
being personally known to me or having produced as identification
— and who being fully sworn and cautioned, state that the
foregoing is e correct to the best of his/her knowledge or belief.
/
Signature Print AN XP—Y
LUCEROK114G
MYC0MMJS$J0t4#HH3i0M39W0
2"20
EXMREVJU
v I RI UAL HEVI EW ASSIST
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: V
1151'11i)'- i VVi!!1�1!1JMi'1!!'
Parcel Tax ID:04-26-21-0150-02300-0220
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 REVIEWASSIST
Private Provider: DEBRA ANNE KLAHR
Address: 747 SW 2ND AVENUE - SUITES 1
Telephone: 813-376-3088 Fax: N/A
Email Address (Optional): deb@virtualreviewassist.com
Florida License, Registration or Certificate #: (LIC # BU 1967 / 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.
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.:
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
ekpressod.
t is
11 11 ITH " ,
w��inYY
''
(signaturo)
print
N.,: Christopher Smith
its: AuthbriZed Agent
Miami. FL 33172
Telephone
No. 813-574-5700
Corporation
Before me, this 22ND day of
MAY 20 2-2
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
M
(signature)
Print
Name:
Its:
Address:
M
XSEEW.
Before me, this day
Of 20—,
pers-6nally 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 U;,or Produced identi cation�— Type of identification produced
Signature of Notar Print Name, ASHLEE CALLAHAN
NotaryPublic Stamp:
ASHl EE MLA I0
ry PUWIC?� Wte of Nonda
Commission Expires: t4ota I I N G6 244456
co�lm SSW,
"I 'Dry1m. N
NOV EMBER 30, 2022
W Dup t4ationt
Page 2 of 2
COERRBUILDING SERVICES DIVISION Of"RESIDENTIAL
BUILDING PERMIT DATA SHEET
TRACKING #
F-41
Required Permits
Building
VI'lumbing
YMechanical
mp
Electrical AII
Ej In�pecfion Only
El Inspection Only
El -Ins ection t)-7
)n On�y
Medical Gas
E] FiII' re SprIIIIiI inklers
Ej On Site Piping
Ej Fire Line
EJ Irrigation
E] Fire IIV Alarm
�,tOie �ackfiow Assembly
Fire Line Backflow Preventer
E] Irrigation Backflow Assembly
E] Demolition
El Walk-in Cooler
:PE1 Refrigc�ration
E] Hood
D Ansul
El Grease Trap
El Other
Other
nlqrlffmF,
_Ty p e Construction:V-
11 Risk category: Category: Occupancy Load _IB
ancy Classification: Assembly E= Day Care/Educational
ow�
E] �Mereantile
Tactory Hazardous E= nal E=
'Residential Storage E=
... . .. .... . ....
5=� Building Use: 5ingle Family townhouse Alteration Level I Level 2 Level 3
VNew Construction F1 Interior Finish DInterior Remodel E] Exterior Remodel E] Addition Ej Revision
Overall Size: Number of Stories: Total Sq. FL:
18 x 63 2 2086
Living Area: 1634 Covered Area: 452 # of Bedrooms: 3
# of Baths: 2,5
Cost per square foot: Estimated Value:
Roo�e, 9 Shin le Tile El Built-up El Metal El Other . S uares�.--f3
Wis: —
Zoning: orne Debris: Energy Code:
r[EdTli' Inside Outside 405-2020
Flood Zone: X Base Flood Elevation: Finish Floor Elevation:
Hydrostatic Vents? jff,,"',--Ve--s—W, No Sq, Ft. Enclosed Space Below BFE:
# of Vents: Size of Vents: Total Sq. in. Permanent Openings
Central A/C Heat Pump Window A/C
El Gas A/C El Gas Heat D Electric Heat
On Site Piping
Sarrita Sewer Storm Sewer Catch Basins
Potable Water Underground Fire Line
ml�
Front Rear Left Right
Asper Approved Site Plan
Comments:
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Permit NO,
Date PerrItte
Builder Narnvner Name
Cl
County Parcel No.
ubv:
Address/Location ' t
Classification/Type of Use
TRANSPORTATION IMPACT FEE Rate:
Sq. Ft Unit:
Exempt o Yes 0 No How [determined
Impact Fee Amount � Zane NO. TAZ.
SCHOOL IMPACT FEE
Account (0 6) Single -Family Detached House
Amount
(057) Mobile Home
(058) Other Residential
(1 3) Collection Fee
Exempt = Yes = No How Determined -
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account - Recreation Credit Recreation Total
z
Zone Total ,Ara aunt
Exempt =Yes = No How Determined
LIBRARY FEE
Land Account Land Credit Lased Taal
Facility Account Facility Credit Facility Total
Exempt 11Yes No How Determined Total Arnoun �
RESOURCE FEE ERtI
Prepared By Checked By
NO CERTIFICATE OF OCCUPANY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND RECEIPTED FOR RN A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
ACKNOWLEDGEMENT BELOW DOES NOT IMPLY ACCEPTANCE OF CONCURRENCE, OUT SIMPLY REECEIPT OF A COPY OF THIS
FORM, PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CC«N[)MONS OF PAYMENT FOR SAME.
RM
RECEIPT NO DATE 4Y