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5335Eighth Street
ZephvrhiUs.FL33542
Phone: (813)78O-UU28
Issue Date: 09/13/2022
LM ME
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: $221,357.25
Electrical Valuation: $33,203.59
Plumbing Valuation: $22,135.73
Total Valuation: $292,191.58
Total Fees: $13,640.12
Amount Paid: $13,640.12
Date Paid: 9/13/2022 10:46:14AM
Mechanical P;rmit Fee
$117.48 Park Impact Fee - Single Family/Townhome $769.56
Transportation Impact Fee
$3,445.20 Mechanical Plan Review Fee $4500
3/4 Water Meter Residential Connection Fee $732.71 Transportation Impact Fee - City $34,80
Plumbing Permit Fee
$150.68 Building Permit Fee $1,146.79
Address Fee
$30.00 Fire Wall/Smoke Wall Inspection $15.00
Public Safety Impact Fee -Admin
$26.35 School Impact Fee - Single Family $3,353.00
Public Safety Impact Fee -Police
$254.00 Electrical Permit Fee $206.02
Plumbing Valuation Fee
$45.00 Building Plan Review Fee $45.00
SIF 1 percent Fee
$33.53 Water Connection Residential Fee $1,010.00
Electrical Plan Review Fee
$45.00 Driveway Fee $45.00
Sewer Connection Residential Fee
$2,090.00
REINSPECTNON FEES: (c) With respect to Reinspection fees will comply with Florida Statute U8
local government shall impose a fee mffour times the amount mfthe fee imposed for the initial inspection or
first reinspection,whichever is greater,for h 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 aawater management, state agencies orfederal agencies.
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
1A 16 ) �4-
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED 11%SPECTIOR
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting �( 908 770 -_ 7763
1 1 1 1 1 1 1 1 1 1 1 1 I I I I I I I I
Owner's Name Lermar Homes, LLC Owner Phone Number 813,574.5700
Owner's Address 1 4301 W Boy Scout Blvd Ste 600 Tampa, FL 33607 Owner Phone Number
Fee Simple Titleholder Name N/A Owner Phone Number
Fee Simple Titleholder Address N/A
JOB ADDRESS 4827 Foliage Road LOT # 10050
SUBDIVISION Zephyr Court I PARCEL to# [15::-:2:6:-2:1:-0220-00000-0500
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRF--] ADD/ALT SIGN DEMOLISH
PINSTALL 0 REPAIR
PROPOSED USE 0 SFR 0 COMM OTHER
TYPE OF CONSTRUCTION 11D BLOCK � FRAME STEEL F_
DESCRIPTION OF WORK SingleFamily Residence Pool / Screen Enclosure / Fence
BUILDING SIZE I UIR SF 196�5 SQ FOOTAGE1513 HEIGHT 2 Story
--- rr-r-rr-I I I I I I I I I I I I
�BUILDING $ $221,357 25 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL 1$ $33,203.59 AMP SERVICE PROGRESS ENERGY FXJ W.R.E.C.
IPLUMBING $ $22,135.73
L,�JMECHANICAL VALUATION OF MECHANICAL INSTALLATION
= GAS 10 ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA El YES Do
.4.. . . . . . 1..1 1 1 1 1 - . . . . . . . . . . . . . . . . . . . . . . . . .
BUILDER COMPANY I Lermar Homes, LLC
SIGNATURE REGISTERED LLLN J FEE CURREN I Y/N
33607ampa, 1,
Address 0 TFLicerse# I CGC1518166
ELECTRICIAN COMPANY iProven Electrical Concepts, LLC
SIGNATURE A/ REGISTERED Y/ N J FEE CURREN LZI N__J
Address 1576 Golden Owl Loop, Land 0 Lakes, FL 34638y License# EC13009068
F
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE - REGISTERED Y/ N FEE CURREN LILN _J
Address P.O. B5308, Bayonet, FL 34674-530License # =CFCO42998
MECHANICAL COMPANY
Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN
Address P.O. Box 08, Bayonet, F04674-5308 License # I CAC058062
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED LLL _J FEE CURREN L11N J
Address [4:21:1 Shoal Line fflvd, Spring Hill, FL 34607 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 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
NOTICE 0FDEED RESTRICTIONS: The undersigned understands that this permit may besubject 0o^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 work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed an required by |aw, both the owner and contractor may be cited fora 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 iocontact the Pasco County Building Inspection Division —Licensing Section at727-847-
8OOA. Furthermoro, 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 ovvno/ sign as the
contractor, 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|dingo, change of
use in existing bui|dingn, or expansion of existing buiNings, as specified in Pasco County Ordinance number80-O7 and
90-07. as amended. The undersigned also understands, that such feeo, as may be dua, will be identified atthe time nf
permitting. It iafurther understood that Transportation Impact Foou and Resource Recovery Fees must be paid prior to
receiving a "certificate nfoccupancy" 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): Uvaluation ofwork in$2.50U.00ormore, |
certify that |, the app|ioant, 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 ^mwnar^. | certify that | have obtained o copy of the above described document and promise in good faith to
deliver it tothe ''mwner''prior tocommencement.
CONTRACTOR'S/OVVNER'S/4FF|OAy|T: 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 mode to obtain a pomoi\ to do work and installation an indicated. | certify that no work o/ installation has
commenced prior to issuance of permit and that all work will be podonnod to meet standards of all laws regulating
oonotmoUon. County and City codea, zoning regulations, and land development regulations in the jurisdiction. | also
certify that | understand that the regulations ofother government agencies may apply to the intended work, and that it is
myresponsibility toidentify what actions |must take 0obeincompliance. Such agencies include but are not limited to:
Department ofEnvironmental Protection -Cypress Bayhoedo, Welland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management Diehio\-VVe||u, Cypress Bayheado, Welland A/eau, Altering
VVa\urooumoa.
- Army Corps ofEngineers-Seavva||s.Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-VVe||a, VVaatevvuier Treetmsnt,
Septic Tanks.
USEnvironmental Protection Agency -Asbestos abatement.
Federal Aviation Authority-Runvvays.
| understand that the following restrictions apply tothe use offill:
- Use offill iunot allowed inFlood Zone ^V^unless expressly permitted.
- If the @| moV:ho| is to be used in Flood Zone ^A^, it is understood that a drainage plan addressing a
"compensating volume" will be submitted attime nfpermitting which in prepared by professional engineer
licensed by the State o/Florida.
- If the DU material is to be used in Flood Zone ^A" in connection with a permitted building using stem wall
construction, | certify that fill will be used only Vofill the area within the stem wall.
- If fill muVohu| in to be used in any area, | certify that use of such 0| will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent propertiea, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |ena than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If | am the AGENT FOR THE OWNER, | promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. | understand that separate permit may be required for electrical wmrk,
p|umbing, oignn, vveUo, pools, air conditioning, Quo, o/other installations not specifically included in the application. A
permit issued shall be construed to be license to proceed with the work and not onauthority toviolate, omnoo|, e|0ar, 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 in commenced within six months of ponni1 issuanoe, 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 r*questod, in writing, from the Building Official fora period not to exceed ninety(Q0) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
FLORIDA JunAr(Fo 117o3
OWNER OR AGENT 4
Subscribed and sworn to (or affirmed) 6ekge-me this
vz)-Iv'dY-/-/- by Ashlee Callahan
yy���nally known to me or har,�h@VS PFGd61G0d
— as identification.
—Notary Public
Commission No. HH 000460
ElimaM.Holleran
Name of Notary typed, printed or stamped
EUSSAM, =HOLLERAN
Expires June 6, 2024
CONTRACTOR I TA
Subscribed and sworn to (or )ft&n1W) before me this
Who is/are personally known to meorhasihav
as identification.
Notary Public
Commission No. ATH 000460
BissaM.Holleran
Name of Notary typed, printed or stamped
0460
Expires June 6, 2024
, =411-161,
R
C�f
Permit No. 71
i
Date Permitted —�
Builder Name/Owner Name Control #
County Parcel No. �JJrr 07- SubDiv:
Address/Location
Classification/Type of Use
TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: ®.41543
Exempt 0
YesEl No F How Determined
Impact Fee Amount S TOO Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount $ �t?
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt =Yes = No How Determined_
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone Total Amount $ 76�,`
MR M . Determined
mmmmmmmK
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
ExemptEl Yes No How Determined Total Amount
RESOURCE FEE ERU
Total Amount
Prepared By—, Checked By
NO CERTIFICATE OF OCCUPANY WILL BE ISSUED.
AMOUNTSPERFORMED UNTIL THE TOTAL
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.
DATE RECEIVED BY
RECEIPT NO DATE BY
DESCRIPTION. LOT(S) 49-56, LEAFSIDE
TOWNHOME PLAT, ACCORDING TO THE PLAT
THEREOF, RECORDED IN PLAT BOOK 88,
PAGE(S)97-98, OF THE PUBLIC RECORDS OF
PASCO COUNTY, FLORIDA.
NOTES:
LOT GRADING TYPE = N/A
PROPOSED PAD ELEVATION = N/A
FRONT SET BACK = 15'
SIDE SET BACK = 10'
15FROM INTERIOR ROADWAY OR PARKING AREA
10' FEET FROM EDGE OF A RECREATION AMENITY
10' FROM EDGE OF A STORM WATER
RETENTION/DETENTION AREA
REAR SETBACK = 20'
LOT
= 14901
SO. FT.
LIVING AREA
= 5336
SQ. FT.
ENTRY
= 672
SO. FT.
GARAGE
= 1648
SO. FT,
COVERED LANAI
= 868
SO. FT.
PATIO
= NA
SO. FT.
POOL AREA
= NA
SO. FT.
CONC. DRIVE
= 2400
SO. FT.
A/C & CONC PAD
= 80
SO. FT.
SIDEWALK
= 324
SO. FT.
SIDE YARD SWALE
= NA
SO. FT.
CONSERVATION AREA
= NA
SO. FT.
LOT OCCUPIED
= 77
%
AREA TO IRRIGATE
= 23
0/
I
� I
I -
I
I
I
( I
SITE PLAN
(NOT A SURVEY) ROADWAY TRACT '°
(38.00' PRIVATE R.Q.W.)
I
I
I I
I I
I
- TRACT "F" COMMON AREA
I
� (PRIVATE) •,�, .
4�p 4
BLDG p >
( 9.0' ONLINE S 89°58'50" E (P) 103.00' (P) } ern 1 <
F�-
I
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20.0'
�O•
QA/C
1.1, - A/C
1*1
A/C
o UJ
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( kLL
w
SEC. 15, TWP. 26 S, RNG 21 E.
PASCO COUNTY, FLORIDA z I 0-
---------
Q I v
]ZEPHYR COURT) Ln
L, I
O w 1 p
Q
o Z e.
- A/C
N O I wEl
NOTE: CONSTRUCTION U o � I U ----__
GRADING PLANS ;; 0 j c c A/C
HAVE MINIMAL m I a -
GRADING/ELEVATION -F � o ao
INFORMATION Z a-
i co
CL
N( ---------
WESTERLY BOUNDARY
I
LINE OF TRACT 19
LEGEND: I o Q
I �
- -= PROPOSED DRAINAGE FLOW i _ F
(00,00) = PROPOSED GRADE i-------_--
I
E-00.00 = EXISTING GRADE
I
= 10' INGRESS EGRESS/U.E & D.E o a
A/C
= Z" OAK I ------- � -
I
I I
PROPOSED ELEVATIONS AND TYPE Q A/C
GRADING SHOWN HEREON ARE TAKEN N
FORM THE ENGINEERING PLANS OF "MASER I :I -
CONSULTING P.A. ", PROVIDED BY CLIENT I N 20.0'
39.7'
v 1 s
�F
• �•
r;
o -
2 .0'
x
UNIT -A
ENTRY 17.3
1532
LOT SG
S 89°58'50" E (P)
103.00' (P)
---- ---
57 0'
c
UNIT-B
LOT SS
b
1516
ENTRY 17.3'
10.0'
S 89°58'50" E P
103.00' P 14.7'
C
UNIT-C
I LOT S4
b
1624
ENTRY ITT
a
^
#
S 89°58'50" E P
103.00' P 14.7'
-
UNIT-C
'
20.0
1624
LOT S3 ENTRY 17.3'
• o
S 89°58'rW E P
PROPOSED
(103 00' P
° I' , .:co
_ d l • ,
I i ) 2 STORY
57.0' ATTACHED
RESIDENCES
UNIT-C LOT 52 ENTRY
1624 17.3'
3 9.7v
S 89°58'50" E (P) 103.00' (P) 9,
63' 0" -
UNIT C ENTRY 17.3'
1624 LOT 51
5TO'
S 89°58'50" E IPI 103.00' (P
UNIT-B
1516 1 LOT S
57.0'
S 89°58'50" E (P) 103.1
UNIT -A T 49
1532
39.7' o
17.3'
N a 0
� o
0
0
10.0' Z
,0
I Q ra
E02
�n
I �r
9.0' /8p 7O 10 N 89°59'27" W (P) 103.00(PI 1 011
SOUTHWEST CORNER -� r-
a LINE BEARING DISTANCE o
OF TRACT 19 0 10' LANDSCAPE BUFFER L1 IN 00°61'10" E P 6.59' P
PROPOSED: I
LOWEST FLOOR ELEVATIONS:
�---------------------------- ----------------------------i-
LIVING AREA: 81.55' I I I
GARAGE AREA: i LOT 12 ; LOT 1 1
ELEVATIONS REFERENCED TO I I CHALFONT VILLAS PLAT II (
NORTH AMERICAN VERTICAL DATUM OF' 1988 I PLAT BOOK 31, PAGE 69-70 ,
+0.85' = NATIONAL GEODETIC VERTICAL DATUM OF 1929 Prepared for and Certified To:
LOT 10
LENNAR HOMES APPARENT FLOOD HAZARD ZONE: "X" COMMUNITY NO. 120235
SURVEY ABBREVATIONS (MAP NUMBER 12 10 1 C-0452-F) EFFECTIVE DATE: 09/26/2014
A) = ARC LENGTH (D) = DEED FIWF = HOG WIRE FENCE PC = POINT OF CURVE (R) = RECORD LEGEND
A/C = AIR CONDITIONER D.E= DRAINAGE EASEMENT INV = INVERT PCC = POINT OF COMPOUND CURVE RNCi = RANGE .-.� VINYL FENCE
'S.�%:�,�,%: e'� n
AT = ALUMINUM FENCE FL OR ELEV - ELEVATION LB =LICENSED BUISNESS PCP = PERMANENT CONTROL POINT �i�A;:xz �S -
RRS =RAIL ROAD SPIKE CONC
BEE - BASE FLOOD ELEVATION EOP = EDGE OF PAVEMENT I_FE = LOWEST FLOOR ELEVATION P/E = POOL EQUIPMENT R/W = RIGHT OF WAY
BM - BENCH MARK FSM'T = EASEMENT IS = LICENSED SURVEYOR PG = PAGE SEC = SECTION WOOD FENCE
C -CURVE F/C = FENCE CORNER (M) = MEASURED PI = POINT OF INTERSECTION SN&D = SET NAIL AND DISK = ASPHALT --- -
(C) = CALCULATED FCM = FOUND CONCRETE MES = MITERED END SECTION PK =PARKER KALON LB#8183 CHAIN LINK FENCE
T CENTERLINE MONUMENT NCF = NO CORNER FOUND It= PROPERTY LINE SIR = SET 1/2" IRON ROD LB# 8183
C F = CHAIN LINK FENCE HP = FOUND IRON PIPE C/A = OVERALL POB = POINT OF BEGINNING TBM = TEMPORARY BENCH MARK BRICK ---- -x------------*-------
CMP = CORRUGATED METAL. PIPE FIR = FOUND IRON ROD OHW = OVERHEAD WIREIS) POC = POINT OF COMMENCTMENT TOR = TOP OF BANK
COL. = COLUMN FN&D = FOUND NAIL & DISK O.R. = OFFICIAL RECORDS POL = POINT ON LINE TWP = TOWNSHIP ALUMINUM FENCE
CONC = CONCRETE FOP FOUND OPEN PIPE (P) =PLAT PRC= POINT OFREVERSE CURVE U.E= UTILITY EASEMENT �=COVERED
C/S = CONCRETE SLAB EPP = FOUND PINCHED PIPE PB = PLAT BOOK PRM = PERMANENT REFERENCE MONUMENT VF = VINYL. FENCE ___ __
JOB #4602 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 17Q8 Water Oak Drive "SEE
Date of Site Plan: 1.) Current title information on the subject property had not been This certifies tha �fl1he hereon described Tarpon Springs, Florida P P " e9.
furnished to Initial Point Land Surveying, LLC. at the time of this property wl� u r Wppervision and Phone: (727)-831-1990
DWG File: site plan meets th c P r % ractice for FloridaPLS7123@gmail.com
File: v
2.) This sketch was prepared without the benefit of a title search. s e r of Land # 8183
Y �tU,'
No instruments of record reflecting ownership, easements or ly sign S
�OF
Drawn by: rights -of -way were furnished to the undersigned, unless lori i tr t v o
otherwise shown hereon. urs ant Section 47Zr L o Har le
Checked by: P � y
3.) Roads, walks, and other similar items shown hereon were at S 17 '-
REVISIONS taken from engineering plans and are subject to survey. "� [fat, ��, � 22.® .26
REVISED SOUTH
4.) This site plan does not reflect nor determine ownership. ` /�a:
BOUNDARY LINE 1 Q° S -04 Q
5.) This site plan is subject to matters shown on the Plat of r 1�9YA tT IS
8-26 22 "LEAFSIDE TOWNHOME PLAT" Jeff M �yf zL.
6.) Dimensions shown hereon are in feet and decimal portions FLORIDA {FE Oil �1OR AND
thereof. MAPPER NO.t3111�>t=%3
7.) Contractor and owner are to verify all setbacks, building
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 oD
deviation from information shown hereon. Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC.
at user's sole risk.
V 4-
'-\DA
VIRTUAL
I R FUAL REVIEW ASSIST
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name:
Parcel Tax ID: 04-26-21-000-00300-0000
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 I the fee
owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services
indicated above.
Private Provider: DEBRAANNEKLAHR
Address: 747 SW 2ND AVENUE - SUITES 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 # 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.
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
Corporation
Partnership
LENNAR HOMES,S LLC
Print Corporation Name
Print Partnership Name
By:.p�---=~'
By:
(signature)
(signature)
(signature)
Print
Name:
Print
Name: Christopher Smith
Print
Name:
Address:
Its: Authorized Agent
Its:
Address: 700 NW 107th Ave
Address:
Telephone
Miami FL 33172
No.:
Telephone
Telephone
No. 813-574-5700
No.:
Please use appropriate notary block.
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
Individual
Corporation
Partnership
Before me, this day of
Before me, this 22N® day of
Before me, this day
20_, personally
MAY , 20 22,
of , 20_,
appeared
personally appeared
personally appeared
who executed the foregoing instrument,
of
and acknowledged before me that same
Lennar Homes LLC a
partner/agent on behalf of
was executed for the purposes therein
corporation, on
expressed.
behalf of the state corporation, who
a partnership, who executed the
executed the foregoing instrument and
foregoing instrument and
acknowledged before me that same was
acknowledged before me that same
executed for the purposes therein
was executed for the purposes therein
expressed.
expressed.
Personally known x ;or Produced identi
cation Type of identification produced
Signature ofNotar L
Print Name ASHLEE
CALLAHAN
Notary Public Stamp:
xry •: ASHLEE CALLAHAN
Commission Expires:' Notary Public• State of Florida
Go ��missior. A GG 244456
NOVEMBER30, 2022"� yCoT,m.Nov ao,zo
22
ldd through Natlonal Notary Assn,
Page 2 of 2
Private Provider
Private Provider Firm: 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: lucy@virtualreviewassist.com
Project: New SFT 8 unit
Address(s): 4821,4827,4831,4835,4839,4843,4847,4851 Foliage Road
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: 1,2,3,4,5,6,7,8,9,10,11,12,13,15,16,LI,SN,SNI,S3,S4,S5,S6,ST,SS,D1,WP,PAI.0,PA1.1,PAI.2,
PAI.3,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 b
being personally known to me-.�®r having produceasidentification
i and who being fully sworn and cautioned, state that the
for ' o' is true and co t t s/her knowledge or belief.
o' is t r '0
OTCO
;irgalTatiure oXNrr Not k, Print Name
Notary Public: NOTARY STAMP BELOW My
..... ..... ,
ASHLEE CALLAHAN
commission expires:
Notary Public - State of. F!orida
Commission' GG 244456
My Comm. Expires Noy 30, 2622
Bonded through Nationai Notary Assr.
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