HomeMy WebLinkAbout22-4154City of Zephyrhills
p
5335 Eighth Street
Zephyrhills, FL 33542
BNR-004154-2022
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 07/19/2022
36539 Garden Wall Way 04 26 210000 02400 0030
Name: LENNAR HOMES LLC-OWNER
Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC
Class of Work: Townhome
Address: 4600 W Cypress St 200
Building Valuation: $234,987.90
TAMPA, FL 33607
Electrical Valuation: $35,248.19
Phone: (813) 574-5700
Mechanical Valuation: $16,449.15
Plumbing Valuation: $23,498.79
Total Valuation: $310,184.03
Total Fees: $13,730.07
Amount Paid: $13,730.07
Date Paid: 9/8/2022 11:26:48AM
i A '
41 �l
=k
ON
CONSTRUCT TOWNHOME 1,634 SQ FT AS
Building Plan Review Fee
$45.00 Plumbing Valuation Fee $45.00
Mechanical Plan Review Fee
$45.00 Electrical Plan Review Fee $45.00
Fire Wall/Smoke Wall Inspection
$15.00 Water Connection Residential Fee $1,010.00
Public Safety Impact Fee -Police
$254.00 314 Water Meter Residential Connection Fee $732.71
Public Safety Impact Fee -Admin
$26.35 SIF 1 percent Fee $33.53
Transportation Impact Fee - City
$34.80 School Impact Fee - Single Family $3,353.00
Sewer Connection Residential Fee
$2,090.00 Transportation Impact Fee $3,445.20
Plumbing Permit Fee
$157.49 Address Fee $30.00
Driveway Fee
$45.00 Building Permit Fee $1,214.94
Electrical Permit Fee
$216.24 Mechanical Permit Fee $122.25
Park Impact Fee - Single Family[Townhome
$769.56
REINSPECTION 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 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 other governmental
entities such as water management, state agencies or federal agencies.
rvLii orrar. -itr i irch r• },Ili
•=11=111fl SIT! 111IT1111 il'l!!Il:lilll,:I:Iill!ll!�llil:liI 111 NINNY!! i gqi 1 1!111111 11111 �11
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
`' CONTRA TOR SIGNATURE
ZME
PEVMIT OFFICE()
ITHOUT APPROVED INSPECTION
ttel J� AVA71 14
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
Owner's Name I Lennar Homes, LLC
Phone Contact for Permitti
Owner's Address 1 4301 W Boy Scout Blvd Suite 600'Fampa, FL 33607
Fee Simple Titleholder Name I N/A
813 ) 363 2891
Owner Phone Number 1 813.574.5700
Owner Phone Number F_
Owner Phone Number I I
Fee Simple Titleholder Address I N/A
136539 Oe. lcle+fo���
2403
JOB ADDRESS
LOT #
Abbott Square Phase 1 04-26-21-0000-02400-0030
SUBDIVISION PARCELID#
(OBTAINED
FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRF--] ADD/ALT SIGN
P
DEMOLISH
INSTALL REPAIR
PROPOSED USE u Y u SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK L Single Family Residence / Pool / Screen Enclosure / Fence
BUILDING SIZE [ HLRIF 2086 SQ FOOTAGE HEIGHT
2 Story =1
LVJ/ BUILDING VALUATION OF TOTAL CONSTRUCTION
$234,987.92- $4, 0-5
F-1-1
IyJELECTRICAL
[X:] PROGRESS ENERGY W.R.E.C.
AMP SERVICE
I ff
IPLUMBING
$23,498.79
MECHANICAL
$ $16,449.15
VALUATION OF MECHANICAL INSTALLATION
GAS
Z
ROOFING SPECIALTY
OTHER
FINISHED FLOOR ELEVATIONS
FLOOD ZONE AREA 0 YES Do
BUILDER1
COMPANY
................
Lermar Homes, LLC
SIGNATURE
REGISTERED
Y/ IN FEE CURREN
Address
14301 W
I
Scout Blvd Suite 600 Tampa, FL 33607
License #
I CGC1518166
ELECTRICIAN
COMPANY
Edmonson Electric, Inc.
SIGNATURE
REGISTERED
Y/ N FEE CURREN
Address
11034 Skipper Road, Tampa, FL 33613
License #
PLUMBER
COMPANY
Bayonet Plumbing, Heating & AC, Inc
SIGNATURE
N
REGISTERED
FEE CURREN [�=N
Address
P.O. 134x
5308, Bayonet, FL 34674-5308
License #
MECHANICAL
COMPANY
Bayonet Plumbing, Heating & AC, Inc
SIGNATURE
REGISTERED
[_y2_N_j FEE CURREN Y=
Address P.O. Bo5308, Bayonet, FL 34674-5308 1 License # I CAC058062
OTHER il COMPANY Fc sterling Quality Roofing, Inc
SIGNATURE REGISTERED FEE CURREN Y/N
Address 421 =lShoal Line Blvd, Spring Hill, FL 3460=7 License #
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 NN/ 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 clumpster. 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
NOTICE OFDEED RESTRICTIONS: The undersigned understands that this permit may besubject k/^deed^restrictions"
which may bemore 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 u contractor or
contractors to undertake wmrk, they may be required to be licensed in accordance with state and |ooe| regulations, If the
contractor is not licensed as required by |am/, both the owner and contractor may be cited for 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 oontractory, he is advised to have the contractor(e) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
coniractor, that may bean 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 tothe construction of new bui|dinga, change of
use in existing bui|dingo, or expansion of existing bui|dinga, as specified in Pasco County Ordinance number 89-07 and
90-07. as amended, The undersigned also undenstanda, that such feex, as may be due, will be identified atthe time of
permi(hng It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate ofoccupancy" or final power ne|aoao. If the project does not involve e certificate of occupancy or
final power n*|eaoe, the fees must be paid prior to permit issuance. Furthermore, if Pasco CnuntyVVatar/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 ie$2.5OO.00ormore, |
certify that |, the app|ivant, 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", | certify that | have obtained o copy of the above described document and promise in good faith to
deliver ittothe ^mwne/'prior tocommencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating conetrucdon, zoning and land development. Application is
hereby mode to obtain o permit to do work and installation as indicated. | certify that no work or installation has
commenced prior to issuance of permit and that all work will be performed to meet standards of all |avve regulating
oonstruoiion. County and City codea, zoning regulations, and land development regulations in the jurisdiction. | also
certify that | understand that the regulations of other government agencies may apply to the intended work, and that it is
myresponsibility toidentify what actions | must take tobeincompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection -Cypress Bayheeda, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment,
Southwest Florida Water Management Diatriut-VVe||a, Cypress Bayheada, Wetland Ax*eo, Altering
Watercourses.
- Army Corps ofEngineero-Saawa||o.Docks, Navigable Waterways.
' Department of Health & Rehabilitative Semicea/Environmental Health Unit-VVe||e, Wastewater Treatment
Septic Tanks.
USEnvironmental Protection Agency -Asbestos abatement.
Federal Aviation Authority -Runways,
| understand that the following restrictions apply tothe use offill:
- Use offill ionot allowed inFlood Zone Wrunless expressly permitted.
If the fill material is to be used in Flood Zone ''/\^, it is understood that e drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by e professional engineer
licensed bythe State ofFlorida.
If the fill material is to be used in Flood Zone ''A" in connection with a permitted building using stem vva||
construction, | certify that fill will be used only tofill the area within the stem wall.
If fill material is to be used in any area. | certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent propertiao, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |eey than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If | am the AGENT FOR THE [)VVNER. | promise in good faith to inform the owner ofthe permitting conditions set forth in
this affidavit prior to commencing construction, | understand that a separate permit may be required for electrical wmrk,
p|umbing, aigna, weUa, poo|o, air conditioning, gau, orother installations not specifically included inthe application. A
permit issued eheU be construed to be a license to proceed with the work and not aaauthority to violate, mance|, aKer, 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 iaauanua, 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 fore period not toexceed ninety (00) 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
Subscribed and sworn to (or a2ffi7,r d fore me this
,4,=rby AshleeCallaha
Who is/are personally known to me, or
— as identification.
Notary Public
Name of Notary typed, printed or stamped
9 V, EUSSAM. HOLLERAN
0:J
Who is/are personally known to me or
as identification.
Elissa M. Holleran
Name of Notary typed, printed or stamped
M:J
PASCO COUNTY, FLORIDA,
Permit No. 41t 1,51V
Date PermItt6d__`___a_�_7_
Builder Name/Owner Name Alwr— A�� Control
County Parcel No. &-D SubDIv:
ENV =___ =.-
TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 44 WE —
Exempt' 0 Ves E] No How Determined
Impact Fee Amount $,' 3 Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount $—I 5,f
(057) Mobile Home
(058) Other Residential
123) Collection Fee
Exempt d Yes [] No How Determined
PARKS AND RECREATION FEE -
Land Account Land Credit Land Total
amz�s
0
xe [] Yes E] No How Determined
Recreation Total
s
LIBRARY FEE
Land Accounf Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt 0 Yes []No How Determined Total Amount
RESOURCEFEE ERU
TOTAL AMOUNT
Prepared By Checked By
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOIJNTS LISTED HAVE
BEEN. PAID AND
RECEIPTED FORDY A CENTRAL PERMITTING OFFICE. OF PASCO COUNTY
Acknowledgement below does not Imply acceptance of concurrence, but simply receipt of copy of this form, placing
the building permit owner on notice of this assessment and the conditions of payment for same.
RECEIPT NO. — DATE . BY
00
0
H
VESCRIVISIONt LOTS 14, ABBOTT SQUARE PHASE IS. ACCORDING
TO THE PLAT THEREOF, RECORDED iN PLAT BOOK PAGE OF SITE PLAN SEC, 4, TWR 26 S. RNG 21 E.
THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA IN07 A SURVEY: PASCO COUNTY, FLORIDA
(ABBOTT SQUARE)
ALL ELEVATIONS REFERENCED
TO NORTH AMERICAN
VERTICAL DATUM OF 1988
'NAVD S&
- - ---------
Scale: 1" 20'
TRACT 'EL7
1CDDl PARKING AREA AND OPEN SPACE
------ 0 N 89'48 04 41P; 9266 If,
I 1.- 011 1-3 1 Ia.00 i-I 28 3,1 1`
3,2 X3C 13 2 X3,2 3,2 X3 2 1,12 X12
A,C A, C AC AC 0
J,1-100
o ISO 173 173 17 UY0 Q.
<O
OFF 4 LOT 3 LOT 2 LOT I
LOCK 24 X BLOCK 24 11,, BLOCK 24; BLOCK 24
72-8-
IMP,
P, I..o10aE sz U
IL Ae I 53 1, V-AN IVN IsIII:
LOTS EIry n F, - Eu,V--- IF\
--ut F ,eseeE t
BLOCK 24
70 6 7 6,7 70
iT
TOO
'6 3 IS il
IS - -77-1
1 0 ISIS 1
r.
71 ro
OP 1,131,
LOT FT 5 CONIC WALK 'SS9'4SO4-W,PI SISM3 W- ------ L,
LIVING AREA -_2bjZ-_SCL FT
PORCH 27� 27 7
GARAGE FT
COVERED LANAI -_436----,SCL FIT -E
PATIO -_N/jA __SO, FT BA 15 OF BEARING
POOL AREA FT NSF9'4SO4'E;P,
CONIC, DRIVE FL — - — - — -- — - — - — - - — - — --- - — - — - --- — ---- — - — - —
A,iC & CONIC PAD =_JQ _SO, FT
SIDEWALK -ja6 GA
FT. RDEN WALL WAY
LOT SOD TRACT -A'
R,,W SOD _NiSA _SC) FT FT (CCD) RIGHT-OF,WAY
LOT OCCUPIED - - -12—Or 2' OAK
AREA TO IRRIGATE
1000 PUBLIC UTUYEASEMENT
PROPOSED, NOTES. NOTE ENTRY WALKS ARE 3 CONCRETE
MINIMUM FLOOR LOT GRADING aS C S-A, 'C UNITS ARE 3 2 X3 2
ELEVATIONS1 1 1,67 cROPOSED PAD ELEVATION - 1 1 1 00 INTERIOR I.ANAr WALLS ARE 0 7 C ONCRETE
LIVING AREA. LEGEND:
GARAGE AREA. IRFKNT SET BACK - 20 PROPOSED DRANAGE FLOW
ELEVATIONS REFERENCED TO SIDE SET BACK- 7 5 ;00 001 = PROPOSE D GRADE PROPOSED ELEVATIONS AND GRADING
NORTH AMERICAN VERTICAL SIDE SET BACK (CORNER LOTj - 10 SHOWN HEREON ARE TAKEN FORM, THE
DATUM OF 1988 E-00 00 - EXISTING GRADE ENGINEERING PLANS OF
PEAR SETBACK - 15 'ABBOTT SQUARE RESIDENTIAL, -RFPARED
APPARENT FLOOD HAZARD ZONE 'VOCRAMONT"Y NO 120235 BY -WRA' PROVIDED BY CDENT
SURVEYABHREVATIONS fMAP NUMBER 12 10 1 C-0289-Fl EFFECTIVE DATE 09,26,2014
AW,MC- P; - DEED A - rilloeV LEGEND
seV, � in,16, I D or, rPI1 - Pl—ro C.-R. -N1 -g — -1v, or ----- --
Rn TO' - Y)Vf 01 IFFILVeNI
91, FAVI WMEFI� - 5L, Ii IF -.d, (KiewN Fill
'FiVe, iscow Fre, r � CKI wr. SEC � 'Ec"U,
INFiPLI33
-
30I-�T
eMin-"'r .11--EEDEW O-QN 11 VsVPeN-
IF- llNul. "�NQ CORIE--FE) So IF".In sl& rs
-1-1 JNIIJOII
F
Rr ODI INMeor, lilf ILIA-0VERki 1 we - 110i . (11 Kr-,I-N1, nrie-T-FoYre,rvdc.raILK 1 'r. l D � ,1Wk ik ......DIsY 'IA111RD1 PO PNE OP,•Meats
als-
'ON,--cAfZO
AIIII XNII TNe"11 1,1 Irc o"or ir�cri'LI 17Y FK"of
PPI*11IN-I1"WHIDn" N'-"AT I001 Pon-IRWIF.7AIHFNKf M01IIIA1 IF VINK1ENCY
JOB #5 r 22 SURVEYORS NOTES: SU�#t@Y IFICATE 1708 Writer Oak IS—
DateotSinrPHI, 34-2 1,) Current title erfis"abon or, the subject property had not been The At 0 descIlleco Tapon Springs, Florida
furr,aht,dtotnrnetPoiritLafidS�iivey�ng, UC on and Phone 17,17)-831-1990
1114.; E I N or ra,
1W, I A, E I n, the cable Stan e to, FrondaPL-S 2123,Agrreeilc
TKI�kerrr was benefit of a Title search eys f land LBO 8 183
prepared without tile peric A
No instruments of record reflecting ownership, easements or apte J-17ml�
File rights -of -way were furnished to the underm9ned. unless othemise Honda Aiumtaplrat el
7
I Section 472 7, Flo to
D— by DJS t 3L) Randy, walks, and mhe-Pria, items snows hereon wert, take
'Eh -Rod --y-1- from ang—nog plans and are I.Bjelt to 1.11ey
Rmsiois 4,� This SITE PLAN does not reflect nor domroline owre'smie
6. This SITE P,.AN,, subject rcimatters shown on the Plot of
`ABBOTT SQUARE PHASE IA` 6'1
omensions shown her arc� in feet and decimal pence, SURVEY
thereof. Do
LS#?
I T.)Cont-oce-cocaner are to verify ail sedyarko, b.,JdFnq
dimensions, and layout shown hereon prior to any cor"I"ItIol, N
and immediately advise initial Point Land SUIlrynti, LLC of any SIGN A
tni.a.t,ionfrom ihformabor shown hereon, Failure to do so will be UCENSED PER Initial Point Lind Surveying, LLC,
Project Name:
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
36539 Garden Wall Way
Parcel Tax ID: ABBOTT 5QUAPE PHASE 113 PB — PG5 — BLOCK 24 LOT I
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.
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:
Private Provider:
.4,41dress: 747 SW 2N[) AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
Telephone: 813-376-3088
Email Address (Optional):
deb@virtualreviewassist.com
Fax: N/A
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 minimum
of 5 years subsequent to the performance of building code inspection services.
Individual
(signature)
Print
Name:
Address:
Telephone
No.:
Please use appropriate notary block.
111161400101
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. LLC
Print Corporation Name
By:
(signature)
Print
N.,,-. Christopher Smith
its: Authorized Anent
Address: -ZQQ_hjW 107t Ave�
Mia-ni, FL 33172
Corporation
Before me, this 22ND day of
MAY —2o22,
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.
Partnership
Print Partnership Name
1-2
(signature)
Print
Name:
Its
Address:
Telephone
No,:
Partnership
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 known X ;or Produced ion_ Type of identification produced
Signature of NotaPrint U , J'�Am ASHLEE CALLAHAN
Notary Public Stamp:
ASHLEE CALLAHAN
Commission Expires: Notary pubjj� � State of Florida
conimlssior. 0 Qu 444456
NOVEMBER 30, 2022 r 022
Exp!fQ5 Novo, 2
Nations; NOWY AM,
Page 2 of 2
1�1 A
Private Provider
Plan Compliance Affidavit
Private Provider Firm: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU1967
Address: 747 Southwest 2nd Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: lucy�7a,,virtualreviewassist.com
Project: New SFT 4 unit
Address(s): 36535,36539,36543,36547 1Mft-es Tad"
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 Kuhr
Plan Sheets: 1,2,3,4,5,6,7,8,9,10,11,12,13,15,16,:LI,SN,SNI,S3,S4,S5,S6,ST,SS,DI,WP,PAI.0,PAl.1,PA1.2,
PA1.3,SH1.0,SHI.1,SH1.2,SH1.3,SH1.4,SH1.5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans xaminer
License #: PX2300
Signature of Reviewer:
�WORN AND SUBSCRIBED Wore me by �r
being personally known to mV.X or having produced as identification
and who being fully sworn and cautioned, state that the
for g ' g is true and orre t to the best of his/her knowledge or belief.
. V
Signature of Notary Print Name
Notary Public: NOTARY STAMP BELOW My
=through
SHLEE CALLAHAN
Public - State of Florida
mission # GG 244456
commission expires:
m. Expires Nov 30, 2022gh National Notary Assn.
4/0
9r:1-
BUILDING SERVICES DIVISIO
'Tt f it,
TRACKING # 2 FIRE MARSHAL #n I - I DATE;
EXAMINE FOLIO # R:
Required I'Lits
FPuilding
F] Inspection Only
I Whimbing
El Inspection
echanica
El Inspection On
lectrical Amp
[EED] ection Only
Fire Sprinklers
El On Site ng
D Potable Backfflow Assemb
Fire Line Backflow Preventer
Emma] M-gr#
E] Demolition
i El Walk-in Cooler
El Refrigeration
0 Fence/Wall
I El Grease Trap
Risk Category:
Occupancy Load
0 ancy Classification: Assembly y Care/Educational
!Factory E----= Hazardous E= nal �c reantile
Residential IStorage
[E—]Level 3 Building Use: Alteration
IuLevel I [E]Level 2
O�Tew Construction D Interior Finish E] Interior Remodel El Exterior Remodel 0 Addition E] Revision
'4umber of Stories:
Total Sq. Ft.:
Living Area:
Covered Area:
# of Bedrooms:
Cost per square foot:
Estimated Value:
4— 0 —th e r Squ es:
Il�il; rl�ll �.,�
nside----
10j■Wipaorne Debde ris:
Outsi
Energy Cod e: qo
I
Flood Zone:
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents?
q- t. ne os ace e ow
# of Vents:
Size of Vents:
Total Sq. in. Permanent Openings
WFL Central A/C �*Heat Pump El Window A/C X Central A/C JUL
U■Gas A/C [I Gas Heat El Electric Heat
Sanity g Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
Setbacks
Front Rear Left Right
As per Approved Site Plan
Comments:
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