HomeMy WebLinkAbout22-5445TAMPA, FL 33607
Phone: (813) 574-5700
E 1513 SQ FT ****AS
Mechanical Plan Review Fee
Par.145*cW
Fire Wall/Smoke Wall Inspection
SIF I percent Fee
Electrical Permit Fee
Sewer Connection Residential Fee
Transportation Impact Fee - City
Transportation Impact Fee
Mechanical Permit Fee
#J
City of Zlephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
BNR-005445-2022
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 12/28/2022
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Class of Work: Townhome
Building Valuation: $235,800.00
Electrical Valuation: $35,370.00
Mechanical Valuation: $16,506.00
Plumbing Valuation: $23,580.00
Total Valuation: $311,256.00
Total Fees: $13,735.43
Amount Paid: $13,735A3
Date Paid: 12/28/2022 4:08:01 PM
38115 Fallstone Way 15 26 21 0230 00000 0850
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$0.00 Plumbing Permit Fee
$157.90
$769.56 Plumbing Valuation Fee
$0.00
$15.00 Public Safety Impact Fee -Admin
$26.35
$3153 Electrical Plan Review Fee
MOO
$216.85 Address Fee
$30.00
$2,090.00 Building Permit Fee
$1,219.00
$34,80 Water Connection Residential Fee
$1,010.00
$3,44520 School Impact Fee - Single Family
$3,353.00
$122.53 Building Plan Review Fee
$180.00
$732.71 Driveway Fee
$45.00
$254.00
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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.
GC�NTRAGi{7R SIGNATURE
............
1AIi
813-780-0020 City Of Zephyrhills Permit Application
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 4301 W Bay Scout Blvd, Ste. 600, Tampa, FL 336Q7 Owner Phone Number
Fee Simple Titleholder Name N/A Owner Rhone Number
Fee Simple Titleholder Address NIA
JOB ADDRESS 138115 Fallstone Way LOT # 00�
SUBDIVISION Townes at Autumn Palm PARCEL ID# 1�-2--21-0230-00000®0$50
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED P
NEW CiNSTR � ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION �/ BLOCK FRAME STEEL
DESCRIPTION OF WORK Multi -family / Screen Enclosure / Fence
U/R SF
BUILDING SIZE 196 SO FOOTAGE 1513 HEIGHT 2
BUILDING 235800 _ VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ 35370
PLUMBING $ 23580��
MECHANICAL $ 16506
GAS 10 ROOFING
FINISHED FLOOR ELEVATIONS E=
PROGRESS ENERGY W.R.E.C.
AMP SERVICE
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY = OTHER
FLOOD ZONE AREA YES Do
BUILDER ;" F� COMPANY
" - ermr Hoe,
SIGNATUREREGISTERED LY LC
R[ �Y/
4301, Boy S-C ut Blvd Suite 600 Tampa, FL 33607 CGC1518166
Address License #�
ELECTRICIAN s COMPANY dmonson Electric, Inc,
SIGNATURE 1REGISTERED Y i N FEE CURRE Y! N
Address
"License� f # EC13005408
�
PLUMBER COMPANY c3y0ilet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y! N FEE CURRE� Y 1 N
Address ,�� License # CFC042998 �——��
MECHANICAL COMPANY Bytnet Plumbing, Heating Inc
SIGNATURE° REGISTERED Y/ N FEE euRREn Y t N
Address License # CAC058062 _---��
OTHER / COMPANY Ksterling Quality Roofing, Inc
SIGNATURE f REGISTERED Y/ N FEE CURREt Y/ N
Address License # CCC057991�
i111�111�I111l��I�9�IRIIII1111/IIIII#III�III�IIIIII�III�I1��1111111
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
119MIUMITITIM akyja "OT agagn J�g
VAM
FLORIDA JURAT (F.S. 117-03)
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
10/14/2022 by Christopher Smith
Who or
as identification.
—Notary Public
Commission No. GG 296057
Stephanie Farmer
Name
0*" Fetavy 15, 2023
kodad 11vu Tmy F* Wiwoo
CONTRACTOR�,—�---���.
Subscribed and sworn to (or affirmed) before me this
10114/2022 _by Christopher Smith
Wha isJare personally known to me or has/have produced
as identification.
Stephanie Farmer
—;P-
-Notary Public
DESCRIP£fON:I PIT 19 Bb 1LWNE1A AUTUMN PALMS,
ACCOR J NE TO THE o At V F 2! OF RECO RDER IN PtATBOOM a9.
PAGf,6 11 114, OF T TI I UFA K RECORDS OI FASCO COUNTY.
FLor DA
NOTES:
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SITE PLAN
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CURVE DATA )P)
CURVE RADIUS
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9 173 23'
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- 38 H,
1708 Water Oak Drive
Tarpon Springs, Florida
Phone: (727)-831-1990
Flo nda PLS 712 M)g m ai Leom
LB# 8183
Q
Initial Pont Land Surveying, LLC,
Scale: 1 " = 20'
0 20 40 60
LEGEND: t.) ITZ"rut j"ItY —OR u,a"Ittett PI.P1 ,IT. 11.1 peen
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OPOSEDELEVA110NSAND iYI�E '"'PROPOSED DRAINAGE FLOW 2TTh--h al pr trt d Survey g, LLC a[ihc tlT slC lahan
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GRADING SHOW IiEREO M AKEN ;OU 00)=PROPOSED GRADE 2)T- k h pp tl lro t r. t_N
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2" OAIC
NOTE CONSTttU(_(ION� COf�SUL (�P.A.', PI20V DI D1 CI ENT' E0000 CX-S.IN66RAUE hd h tl q tl. tl l
CRADNC PLANS A.EILV TO4S11 ERENCED I I,TH-ESS-GRESSIUE&'JE 3)2 tl 11, tl h i'' I k. f
fAVEMNAIAL ION( t AMP. JEAN �LE�END g 90I tl p2_ Y
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Permit No.
Date Permitted
rudderName/Owner Name ntr !
biu, Ak��
Classification/Type of Use
TRANSPORTATION IMP FEE Rate; 5q� Ft Unit:
Exempt 0 Yes 0 No How Determined
Impact Fee Amount Zone N. T:
SCHOOL 1 P FED
Account (i 56) Single -Family Detached House Amount
(0) Mobile Home
(05) Other Residential
(13) Collection Fee
Exempt Yes = No How Determined-
PARK
Land Account Land Credit Land Total
Recreation Account Recreation Credit
Recreation Total
Zone Total Amount
Exempt =Yes No How Determined
LIBRARY FEE
Land Account Land Credit Land Taal
Facility Account
Facility Credit
Facility Taal
Exempt Yes
No How Determined
Total Amount
RESOURCE FED ERU
Total Amount
Prepared By Checked By
NO CERTIFI OF =CCUPANY W�ILLOE ZSSUED OR FINAL INSPECTION
I)ERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND RECEIPTED FOR BY A CENTRAL eERMITTING OFFICE OF PASCO COUNTY
ACKNOWLEDGEMENT BELOW DOES NOT IMPLY ACCEPTANCE OF CONCURRENCE, BUT SIMPLY REECEIPT OF A ve COPY OF
PLACING THIS
ASSESSMENT i, ONE PAYMENT SAME.
DATE RECEIVED BY
RECEIPT NO DATE BY
))S740 Oe,
IV
30 --o
v! rt U A I_R r V i ,...'phi S, A 3 S �
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 38115 Fallstone Way
Parcel Tax ID: 15-26-21-0230-00000-0850
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.
M
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, IN
Private Provider: DER A ANNE KLAHR
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/ SN4615)
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
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 in uirn reNardinp the competence of the licensed or certific il Ali "— I M*1MT"4mmtr w-w
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:
of 5 years subsequent to the performance of building code inspection services.
(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.
By:_ . ... . ......
(signature)
Print
itsAuthoriza Arignt
Address:_ZQD_NW_I_Q7 h ft-Aye
Miami, FL 33172
Telephone
No. 813-574-5700
Corporation
Before me, this 22ND day of
MAY 20_22,
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,
I 011ILPIP 11
M
(signature)
Print
Name:
Its:
Address;
Telephone
No.:
WMM=t
Before me, this day
Of 120—,
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 Notaur Print Name —ASHLEE CALLAHAN
Notary Public Stamp:
"Z
ASHLEE CAILAHAN
Commission Expires: s idotaryPublic - State of Fjotida
G6 244456
NOVEMBER 30, 2022 1 Wrylm EXPV05 NOV 30, 2022
NOVO Notary
..........
Page 2 of 2
VR//\
VIRTUAL REVIEW ASSISI
Private Provider
Plan Compliance Affidavit
Private Provider Finn: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU 1967
Address: 747 Southwest 21d Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: Iuc l virtu alrevie wass ist.com
Address(s): 38115 Fallstone 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
and holds the appropriate license or certificate:
Name: Debra Anne Klahr
Plan Sheets: 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,LI,SN, SNI,S3,S4,S5,S6,ST,SS,Dl,WP, PAI,0,PAL 1,PAI,2,
PAI.3,PAI.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 tome or having produced as identification
and who being fully sworn and cautioned, state that the
fore oing is true and correct to the best of his/her knowledge or belief.
gnature of Notary Print Name
Notary Public: NOTARY STAMP BELOW My
q
commission expires:
#
"s
1
IQ—COMMERCIALIQ—COMMERCIAL BUILDING SERVICES DIVISION SIDENTIAL
BUILDING PERMIT DATA SHEET
FIRE MARSHAL #01
Required Permits
DATE: 10/18/2022
EXAMINER: Debra Klahr PX230(
-
` :. f
JYnal �I III1�
;?Plumbing
Inspection
n Mechanical
� n
v
E]L
I I
Electrical f7u�.II
mp
�..
t Roof
Gas
I
D Medical Gas
El Fire Sprinklers
El On :. PipingFire
Line■
Irrigation f.
Potable Rackilow Assembly
Fire Line Backtiow Preventer
IrrigationEJ
El Walk-in Cooler
E] Refrigeration
Hood
III
r.. :Grease
EJ Trap�I
T e Construction: V"B
Risk Category: Occupancy Load
aancy Classification:
Owoactory
Assembly usiness Day Care/Educational
k3aardous Institutional []:Mercantile
Residential -�
®;Storage [� Utility
Building Use: Sin le FOMIIY
/ Alteration bevel I Level 2 [� Level 3
New Construction ❑ Interior Finish El Interior Remodel ® Exterior Remodel E] Addition ® Revision
Overall Size.
Number of Stories: Total Sq. Ft.:
15-4 X 63
2 1965
Living Area:
Covered. Area: # of Bedrooms: 2
1513
452
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof Type: ] Shingle
QTile ❑ Built-up ® Metal (j Other S uares: 13
Zoning:
Wi orne Debris: Energy Code:
®:Inside Outside 40-2020
Flood Zone: X
Base Flood Elevation:
Finnish Floor Elevation:
Hydrostatic Vents'
Yes
No
Sq. Ft. Enclosed Space Below BITE:
# of Vents:
Size of Vents:
Total Sqo In, Permanent Openings
'] Central A/C
[KPleat Pump E] Window A/C
El Gas A/C
❑ Gas Heat ❑ Electric Heat
On Site Piping
Sanitary Suer Storm Seaver Catch Basins
Notable Water Underground Fire Line
Setbacks
Front Rear Left Right
® Asper Approved Site Dian
Comments: