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HomeMy WebLinkAbout23-5803I I'A 1,! CONTRACTOR SIGNATURE City of Zephyrhilis jj) 5335 Eighth Street Zephyrhills, FL 33542 BNR-005803-2023 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 03/09/2023 ?«,©w Plans, Specifications add fee Must Accompany ApplicatAll work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. PEfWOFFICV THOUT APPROVED INSPECTION 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permittin 908 770 7763 Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813,574.5700 Owner's Address 1 23975 Park Sorrento, Ste. 220. Calabasas, CA 91302 Owner Phone Number Fee Simple Titleholder Name I N/A Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 6904 Ripple Pond Loop LOT # SUBDIVISION Abbott Square PARCEL ID# 04-26-21-0140-00100-0320 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED P NEW CONSTR F__] ADD/ALT INSTALL REPAIR SIGN DEMOLISH PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL DESCRIPTION OF WORK Multi -family 1 Screen Enclosure / Fence I U/R SF 1763 1400 BUILDING SIZE SQ FOOTAGE HEIGHT BUILDING $ 211560 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL rw ------------------ 7 31734 PROGRESS ENERGY W,R.E�C. AMP SERVICE PLUMBING r21156 -�s MECHANICAL $ 14809.2 VALUATION OF MECHANICAL INSTALLATION GAS 0 ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS E= FLOOD ZONE AREA --- I Li YES Do Li Lc inar I Ionics, 1, 'C BUILDER COMPANY SIGNATURE REGISTERED L_12_N_j FEE CURREN Y/N Address 4301 'A',oy Scout vd Suite 600 Tampa, FL 33607 C GC, 151816 6 License # ELECTRICIAN COMPANY !Edmonson Electric, Inc. _. SIGNATURE REGISTERED Yi N FEE CURREN �( �NL Address 7 Licerse# JEC13005408 PLUMBER COMPANY Bayonet Plumbing, Heating C,Inc SIGNATURE REGISTERED Address License# [:C:F::C0:4:2::9:9�8� MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y/ N FEE CURREN LILN_j Address r License # I CAC058062 OTHER COMPANY [C Sterling Quality Roofing, Inc SIGNATURE REGISTERED L_Y / N FEE CURREN [_ILN_j Address Lrcense# CCC057991 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, Starmwater Plans w/ Silt Fence installed, Sanitary Facilities & I clumpster, Site Work Permit for subdivisionstlarge projects COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Pennit 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. (AJC 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 (PloUSurvey/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 IMPACTIUTILITIES 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, Wetland 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 ORAGENT Subscribed and sworn r6 (or affirmed) before me this _L1111111 by Christopher Smith Who is/are personally known to me or as identification. Notary Public Commission No. GG 296057 Subscribed and sworn to (or affirmed) before me 1,111— by Christopher Smith__ Commission No. GG 296057 or has/have produced as identification. Stephanie Farmer Stephanie Farmer Name Name NameofNNM:j ­1 MV%V4E FAP" ­10" ST041AIM FARMER f"g-N't CIVIVIISOM 9 00 2W cmmw E*M FatiMMY A 20 ' V E*m Febm" 15, 20 �5P Notary Public Permit No, ate erm Lte Builder Name/Owner Name Control County Parcel No. Address/Location Classification/Type of Lise TRANSPORTATION IMPACT FEE Rate: Sq, Ft Unit: Exempt o Yes ED No Flora+ Determined Impact Fee Amount _ * Zone No. TAZ:- SCHOOL IMPACT FEE Account (056) Single -Family Detached House Amount $ ° (057) Mobile Home (OS8) Other Residential (123) Collection Fee Exempt =Yes = No How Determined_ PARRS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone Total Amount S Exempt =Yes =No Flow Determined Land Account Land Credit Land Total Facility Account Facility Credit Facility Total ExemptED Yes No How Determined Total Amount RESOURCE FEE ERU Total Amount Prepared Bya.. Checked 6y im- NO CERTIFICATE OF OCCUPANY WILL RE ISSUED OR FINAL INSPECTION 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. X M U A [ R' E v :F A S "', I " 11 Notice to Building Official of Use of Private Provider Effective January 20, 2003 6904 Ripple Pond Loop Parcel Tax ID: 04-26-21-0140-00100-0320 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. no= 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: DEBPA 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 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 penult 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; enviroamental or other codes. The following attachments, are provided as required: 1. Qualification statements ' and/or resurnes 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 servicrs. :(signature) print Address�' Plean, use appropriate notary block. STATE OF FLORIDA COUNTY OF HILLSBOROUGH LINE= Beforemf--, this day of 20., personally appeared who executed the foregoing inst-ument, and acknowledged before me that same was executed for the purposes therein C'Prp Dration LENNAR %WOMES, LLC Print CoiporationNama print Nhme: Christopher Srrith its: Authorized Agent Address: 00 NW 107th -L-Ave Miami, FL 33172 Telephone, No. AM 3-574-5700 Corporation Befomm,,thi, 22ND day of -MA-Y, 20 22 personally appeared, Of ones LLC a ,,_..corporation, on behalf of the State GOTPoTad0n, who executed the foregoing instrument and aclauowled&Dd before me that same was executed for the purposes therein expressed. Print Partnership Name By:, (signature) print Name: Its: Address: Telephone No.: Partnership Bdomme, this day of personally appeared p zatner/agent on behalf of a partnership, who exe,.cutod the foregoing instrument and aolmowledged before me, that same Personally knoAu X or- Produotdidertitcation Typo of idtatifica'tion produced S i at� I � of Not n6-PrintName ASHLEE CALLAHAN M NotaxyPublic Stamp: ASHU CALLA"M MISSI# tits 295980 MYCOMON Cot mission expires: EXPIRES' 30,2026 ❑' COMMERCIAL BUILDING SERVICES DIVISION BUILDING PERMIT DATA SHEET FIRE MARSHAL #Ol Required hermits ,VRESIDENTIAL DATE: 1-16-2023 EXAMINER: [?ebrea Klahr PX230C wilding ❑ Inspection Only Roof plumbing ❑ Ins )ection Onl ❑ Gas F IVMechanical ❑Ins section Onl ❑ Medical Gas VElectrical Amp ❑ Inspection Onl ❑ Eire Sprinklers ❑ On Site Piping ❑ Fire Line ❑ Irrigation ❑ Fire Alarm ❑ Potable Backflow Assembly ❑ Fire Line Backfloww Preventer ❑ Irrigation Back#loaw Assembly ❑ Demolition ❑ Walk-in Cooler ❑ Refrigeration ❑ hood ❑ Ansul ❑ FencelWall ❑ Grease Trap ❑ Other ❑ Other 'T e Construction: V-B Risk Category: Occupancy Load Orkupancy Classification: [� Assembly ❑Business ❑,Day Care/Educational P❑.Factory❑,Hazardous ®®l ❑, Institutional ;❑ Mercantile Residential El Storage ❑ Utility Building Use: Single Family townhouse / Alteration ❑ Level I ❑ Level 2 ,❑'Level 3 Netiv Construction ❑ Interior Finish ❑ Interior Remodel ❑ Exterior Remodel ❑ Addition ❑ Revision Overall Size: Number of Stories: 'Total Sq. FL: 26-3 x 71 1 1763 Living Area: Covered Area.: # of Bedrooms: 2 1400 363 # of Baths: 2 Cost per square foot: Estimated Value: Roof Type: ®Shinle ❑Tile ❑ Builtau ❑ Fetal ❑Other S uares: 19 Zoning: Wita.€Iborne Debris: [ ] Inside Outside Energy Code: 405-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? ❑' Yes No Sq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: 'Total Sq. In. Permanent Openings Central SIC ® heat Pump ❑ Window A/C ❑ Gas A/C ❑ Gas Heat ❑ Electric Beat Storm Sewer Underaround Fire Line Setbacks Front Rear heft _ Right Asper Approved Site Plan Comments: VR/\ VIRTUAL REVIEW ASSIST Private Provider Plan Compliance Affidavit Private Provider Finn: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU1967 Address: 747 Southwest 2,d Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: l� vines viewassist.com Project: New SFT Address(s): 6898,6904,6908,6912,6916,6924 lUpple 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 petforin plans review pursuant to Section 553.791, Florida Statute and holds the appropriate license or certificate: Name: Debra Anne Klahr Plan Sheets: 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16, LI, SN, SNI,S3,S4,S5,S6, ST,SS,Dl,Wl`,PAI.0,PAI.l, PAI.2,PAI.3,PAI.4, SHI.0,SHI.1,SHI.2,SHI,3,SHI.4,SHI.5 Florida License/Registration/Certification 4(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 oreg i g is true and correct to the best of his/her knowledge or belief. v igna e of Notary Print Name Not Public: NOTARY STAMP BELOW My commission expires: Q 49& ASHLEE CALLAHAN W COMMISSION# HH 295980 EXPIRES: November 30,2026