HomeMy WebLinkAbout22-4180City e r ill Y.
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5335 Eighth Street
Zephyrhills, FL 33542 BiNR-004180-2022
Phone: (813) 780-0020
Fax: (813) 780-0021 Issue Date: 09/13/2022
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4831 Foliage Rd 15 26 21 0220 00000 0510
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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: $35,248.197
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: 9113/2022 10:46:14AM
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CONSTRUCT 1.
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TOWNHOME 1,634 SQ FT AS
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School Impact Fee - Single Family $3,353.00 Plumbing Permit Fee $157.49
Transportation Impact Fee - City $34.80 3/4 Water Meter Residential Connection Fee $732.71
Mechanical Plan Review Fee $45.00 Plumbing Valuation Fee $45.00
Electrical Plan Review Fee $45.00 Transportation Impact Fee $3,445.20
Fire Wall/Smoke Wall Inspection $15.00 Park Impact Fee - Single Family/Townhome $769.56
SIF 1 percent Fee $33.53 Building Permit Fee $1,214.94
Driveway Fee $45.00 Building Plan Review Fee $45.00
Address Fee $30.00 Sewer Connection Residential Fee $2,090.00
Public Safety Impact Fee -Police $254.00 Electrical Permit Fee $216.24
Water Connection Residential Fee $1,010.00 Public Safety Impact Fee -Admin $26.35
Mechanical Permit Fee $122.25
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.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your 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 OCCUPANCY BEFORE C.O.
OCCUPANCYNO F C.Q.
f
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHSWITHOUT P ED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECTCARD 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
Owner's Name
Lennar Homes, LLC
Owner Phone Number
813.574.5700
4301 W Boy Scout Blvd Ste 600 Tampa, Ft. 33607
Owner's Address
Owner Phone Number
Fee Simple Titleholder Name
Owner Phone Number
Fee Simple Titleholder Address
N/A
4831 Foliage Road
0051
JOB ADDRESS
LOT #
Zephyr Court
15-26-21-0220-00000-0510-
SUBDIVISION
PARCEL to#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
PINSTALL
NEW CONSTRF--]
ADD/ALT
SIGN DEMOLISH
F—] REPAIR
PROPOSED USE 0
SFR
COMM
OTHER
TYPE OF CONSTRUCTION 10
BLOCK
FRAME
STEEL
DESCRIPTION OF WORK
I Single Family Residence / Pool / Screen Enclosure / Fence
BUILDING SIZE I U/R SF 2086 SQ FOOTAGE1634 HEIGHT 12 Story
BUILDING $ $234,987.90 VALUATION OF TOTAL CONSTRUCTION ''1;7t 4N,P3
IV I ELECTRICAL 1$ $35,248.19 AMP SERVICE PROGRESS ENERGY EK] W.R.E.C.
r__71
bO PLUMBING $ $23,498.79
MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS IZI ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES Do
BUILDER COMPANY Lcnnar Homes, 1,1,C
SIGNATURE REGISTERED ------FEE CURREN
Address 4_34�PW Boy Scout Blvd Suite 600 Tampa, F1, 33607 1 License #
ELECTRICIAN COMPANY Proven Electrical Concepts, LLC=
SIGNATURE REGISTERED I Y/ N J FEE CURREN [�=N
Address =5728601den Owl Loop, Land 0 Lakes, FL 34638y License # I EC 13009068
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED / N FEE CURREN7 Y / N I
Address P.O. Box A08, Bayonet, FL 34674-5308 License# I CFC042998
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE = REGISTERED Y/ N FEE CURREN L_Y �N
Address P.O. Box 53080', Bayo pet, FL 34674-5308 License # I CAC058062
i
OTHER COMPANY [CC Sterling Quality Roofing, Inc
SIGNATURE REGISTERED FEE CURREN Y/N
Address 4211 S)Cal Line Blvd, Spring Hill, FL 346=07 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 <]FDEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may bomore 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 |ono| regulations. If the
contractor is not licensed as required by |uw, 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 iocontact the Pasco County Building Inspection Division —Licensing Section at727-847-
8000. Fudhe/more, if the owner has hired a contractor o/ nontmctors, 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
oont/aotor, that may be an indication that he in 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 io the construction of new bui|dinQa, change of
use in existing bui|dings, or expansion of existing bui|dinga, as specified in Pasco County Ordinance number 89'07 and
90-07. as amended. The undersigned also underotando, that such fees, an may be du*, will be identified otthe time of
permitting. It iofurther understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate ofoccupancy" or final power re|auea. 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 CountyVVaVer/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 nfwork io$2.5OU.00nrmore, |
certify that |, the app|icant, have been provided with o 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 a copy of the above described document and promise in good faith to
deliver ittothe ''own*r^prior \ocommencement.
C[>NTRACTOR^S/OVVNER'S&FF|OAV|T: | certify that all the information in this application iaaccurate and that all work
will be done in compliance with all applicable laws regulating oonotruction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation an 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 laws regulating
construction, County and City oodea, 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 wmrk, and that it in
myresponsibility toidentify what actions | must take 0obeincompliance. Such agencies include but are not limited to:
Department ofEnvironmental Protection -Cypress Bayheada, Welland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida VVahyr Management Dieihot-VVaUs. Cypress 0ayheada, Weiland Areao, Altering
Watercourses.
- Army Corps of Engineers -Seawalls, Oooka. Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-VVeUu, VVaahawaha/ Tneatmont,
Septic Tanks.
USEnvironmental Protection Agency -Asbestos abatement.
Federal Aviation Authority-Runwmys.
| understand that the following restrictions apply \othe use offill:
Use offill ianot allowed inFlood Zone ^\runless expressly permitted.
U the fill mu1eho| is to be used in Flood Zone ^A^, it is understood that o drainage plan addressing a
^oompenaaUng volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed bythe State ofFlorida.
If the 0U mo0aha| is to be used in Flood Zone ^A" in connection with a permitted building using stem vvaU
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. | certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent p/operties, 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 | am the AGENT FOR THE OWNER, | promise in good faith to inform the owner of the permitting conditions met forth in
this affidavit prior to commencing construction. | understand that separate permit may be required for electrical work,
p|umbing, signs, wells, poo|a, air conditioning, gaa, orother installations not specifically included in the application, A
permit issued shall be construed N be a license to proceed with the work and not ooauthority toviolate, manoe|, a|tur, or
set aside any provisions of the technical oudea, nor shall issuance of 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 ieouanoa, 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 n*quostad, in writing, from the Building Official for a period not hnexceed ninety (0O)days and will d*mona1mha
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 aff,,m%*-efore me -this
by Ashlee Callahan
Who is/are personally known to me or
mentification
Notary Public
Commission No
ElioM.Dolleran
Name of Notary typed, printed or stamped
4��Bori4ed Inn Troy Fain Insurara 800,386.700
1.11 El
s lee Callahan
Who is/are personally
known to me or
as identification.
Commission No.
r1ri 000460
Elissa M.Wolloan
Name of Notary typed, printed or stamped
Expires June 6,2024 �]
Permit No.
Date Permitted
Builder Name/Owner Name Control #
County Parcel No. SubDiv:4'6&z'�—:a�'
Address./Location q,53 Ad Ll
Classification/Type of Use //W/ I na ff)
TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: 41
34
Exempt [:]Yes D No How Determined
Impact Fee Amoun t Zone No. TAZ:—
SCHOOL IMPACT FEE
Account (056) Single-Farrilly Detached House Amount $ 33,66 - -5j
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt =Yes = No How Determined_
LandAccount
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 Total
Fadlity Account
Facility Credit
Facility Total
Exempt Yes
No How Determined
Total Amount
RESOURCE FEE
ERU
M
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 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.
RM
RECEIVED BY
NECEIPT NO DATE 2"
DESCRIPTION: LOT(S) 49-56, LEAFSIDE I
TOWNHOME PLAT, ACCORDING TO THE PLAT SITE
PLAN
THEREOF, RECORDED IN PLAT BOOK 88, (NOT A SURVEY) (t TRACT '°
PAGE(S)97-98, OF THE PUBLIC RECORDS OF I
PASCO COUNTY, FLORIDA- 1 L- - - - - re - -
NOTES: i (38.00' PRIVATE R.O.W.)
I
LOT GRADING TYPE = N/A
PROPOSED PAD ELEVATION = N/A
I I -
FRONT SET BACK = 15'
SIDE SET BACK = 10' =
15FROM INTERIOR ROADWAY OR PARKING AREA-
10' FEET FROM EDGE OF A RECREATION AMENITY ( TRACT „F„ COMMON AREA I Q1
IU FROM EDGE OF A STORM WATER I PRIVATE
RETENTION/DETENTION AREA �c4�
REAR SETBACK = 20' I BLDG �5/`
9.0' ONLtNE S 89°58'50- E (P) 103.00' (P) 1 m 1 .0' i
I-F --
I---20.0' 6.0' 39.7'
ji
sr �°
LOT = 14901 SO. FT. I q ? - 2 .o'
LIVING AREA = 5336 SQ. FUNIT-A ENTRY ITT L
ENTRY = 672 SO, FT. i C)6 \�� > 1532 LOT 6
SQ. FT. � A/C
_
GARAGE = 1848
I m ° • COVERED LANAI = 868 SO. FT. I ------- F1 S 89°58'50" E (P) 103.00' (P) <CD
PATIO = NA SQ. FT. i A/C n 57.0'
POOL AREA = NA I
SQ. FT. I e: UNIT-B LOT 55
CONC. DRIVE = 2400 SQ. FT. I o 1516
Z ENTRY 17.3'
A/C & CONC PAD = 80 SO. FT. i Y
SIDEWALK = 324 SO. FT.
S 89-58-50' E P 103.00' P y 14.7' SIDE YARD SWALE - NA SQ. FT. 1 ------
57.0'
_
CONSERVATION AREA = NA SQ. FT. j
LOT OCCUPIED = 77 % a A/C °
AREA TO IRRIGATE = 23 % UNIT-C LOT 54
LU > 1624 ENTRY 17.3' Q
w
SEC. 15, TWP. 26 S, RNG 21 E. I co -----__-- S 89°58'50" E P 103.00' P IE��20.0'
- I * _ Q 1
PASCO COUNTY, FLORIDA z i a- 39 7, a,- --- i ___ O
(ZEPHYR COURT) Q Ln i n UNIT-C y FQ w Z o z 1624 L T 5,3 ENTRY 17.3' ' E:� a
11 I �r C6 D p d�
o a I_ c CL
A/C PROPOSED � ® a
~ O A I F- w 57.0' 103.00' (P) Z STORY e Q o
NOTE: CONSTRUCTION U v O I Q o - �� S $9°58'S0" E P
ATTACHED -- --- Q w ® rn
GRADING PLANS ") O I CV - - A/C El RESIDENCES o o C
HAVE MINIMAL co o
UNIT-C ENTRY
GRADING/ELEVATION g o o Z It LOT 5 00 o
INFORMATION y 1624 d 17.3' - a
10.0 0
�]
a. v
UJ N I 39.7'71
..
WESTERLY BOUNDARY - ____----_ 103.00' (P)
1
I n_ 63' 0"
LINE OF TRACT 19
o ' UNIT-C ENTRY ITT _o
LEGEND- I Q > 1624 T 511
-- PROPOSED DRAINAGE FLOW I Lo A/C 57�0'
00,00 PROPOSED GRADE i S 89°58'50" E P 103.00' P
39.7' 4.7' I
E-00.00 = EXISTING GRADEUNIT-a y
= 10' INGRESS EGRESS/U.E & D.E a z 15168 LOT 5Q1 ITT I o
ra co
I
I A/C
= 2" OAK i El 57.0'
S 89°58'50" E (P) 103.00' (P)
PROPOSED ELEVATIONS AND TYPE A/C I m
GRADING SHOWN HEREON ARE TAKEN N d z UNIT -A LOT 49 1
c }, 1532 17.3' 20.0'
FORM THE ENGINEERING PLANS OF "MASER I �r
CONSULTING P.A. ", PROVIDED BY CLIENT `" 20.0' v o
6.0' 39.7' 6. 0,
9.0'&ego ° N 84"592()
7" W P 103.00' (P)
SOUTHWEST CORNER
OF TRACT 19 1 0 10' LANDSCAPE BUFFER LINE BEARING DISTANCE o
PROPOSED: o L1 N00°O1'10"E P 6.59' P o
�----------------r----------------------------r --------------------
LOWEST FLOOR ELEVATIONS: ------------
1 1 I
LIVING AREA: 81.55'
GARAGE AREA: i LOT 12 j LOT 1 1 j LOT 10
ELEVATIONS REFERENCED TO i i CHALFONT VILLAS PLAT If
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:
LENNAR HOMES APPARENT FLOOD HAZARD ZONE: "X" COMMUNITY NO. 120235
SURVEY ABBREVATIONS I
(MAP NUMBER 12 10 1 C-0452-F) EFFECTIVE DATE: 09/26/2014
A ARC
D DEED HWF=H WIRE FENCE PC OF CURVE -
! t I HOG c la)=REcoRD LEGEND
A/C - AIR CONDITIONER or- DRAINAGE EASEMENT INV - INVERT PC C = POINT OF COMPOUND CURVE RNG = RANGE ; ;5 "%i='`•` _ VINYL FENCE
EL OR ELEV = ELEVATION LB =LICENSED BUISNESS PCP PERMANENT CONTROL POINT ' `�' - CON AL =ALUMINUM FENCE - - - RRS RAIL ROAD SPIKE ';�'+.�?.","'t
BEE = BASE FLOOD ELEVATION EOP = EDGE OF PAVEMENT LEE = LOWEST FLOOR ELEVATION P/E = POOL EQUIPMENT R/W = RIGHT OF WAY
BM - BENCH MARK ESM'T - EASEMENT LS = LICENSED SURVEYOR PG = PAGE WOOD FENCE
C = CURVE SEC = SECTION
F/C -FENCE CORNER (M) =MEASURED PI = POINT OF INTERSECTION SN&D =SET NAIL AND DISK = ASPHALT
(C) = CALCULATED FCM = FOUND CONCREIF MES = MITERED END SECTION PK -PARKER KALON LB#8183 CHAIN (-INK FENCE
k = CENTERLINE MONUMENT NCF = NO CORNER FOUND R = PROPERTY LINE SIR = SET 1/2" IRON ROD L.B# 8183
CH' = CHAIN LINK FENCE FIP - FOUND IRON PIPE O/A = OVERALL POB = POINT OF BEGINNING TBM = TEMPORARY BENCH MARK = BRICK >E------------
CMP = CORRUGATED METAL PIPE FIR = FOUND IRON ROD OHW = OVERHEAD WIRE(S) POC = POINT OF COMMENCTMENT TOB =TOP OF BANK
COL = COLUMN FN&D = FOUND NAIL & DISK O.R. -OFF ]CIAT. RECORDS POT = POINT ON LINE TWP =TOWNSHIP ALUMINUM FENCE
CONC = CONCRETE FOP = FOUND OPEN PIPE (P) - PLAT PRC = POINT OF REVERSE CURVE HE = UTILITY EASEMENT � = COVERED
C/S = CONCRETE SLAB EPP = FOUND PINCHED PIPE PE = PLAT BOOK F RM = PERMANENT REFERENCE MONUMENT VF = VINYL FENCE
JOB #4602 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive
Date of Site Plan: 1•) Current title information on the subject property had not been This certifies thattj WJhe hereon described Tarpon Springs, Florida
furnished to Initial Point Land Surveying, LLC. at the time of this property w A
�. u r t�ppervisionand Phone:(727)-831-1990 a<;,�r• a,,e
DWG File: site plan meets th q i�f w c rat! ractice for FloridaPLS71 123@gmaii.com iWP.l s. iWP.IS
2.) This sketch was prepared without the benefit of a title search. s ve r of and # 8183 0 , I W RG 1 E o
File: y'
No instruments of record reflecting ownership, easements or S 1'7 Y�/ SI(�jl �
Drawn by: rights -of -way were furnished to the undersigned, unless tort Mi tr t v of
otherwise shown hereon. urs ant Section 47Z., , o Har le
Checked b p %f
Y 3.) Roads, walks, and other similar items shown hereon were s- "
at REVISIONS taken from engineeringbat, 41- 22.® .26
engineering plans and are subject to survey.
REVISED SOUTH 4.) This site plan does not reflect nor determine ownership. F ��` „ sF
BOUNDARY LINE r 1 �' 6Jr -04 0 ; ��
5.) This site plan Is subject to matters shown on the Plat of A , t
-26-22 "LEAFSIDE TOWNHOME PLAT"
$
6.) Dimensions shown hereon are in feet and decimal portions Jeff M. p p�e ,,tt��
thereof. M O PIEDR N % OR AND �.l
T.) 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'�
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.
\/RA
V ' R! UAL 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 553.79 1(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, INC
Private Provider:
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 govemment,,Ke 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 pen -nit 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.
STATE OF FLORIDA
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
expressed.
Corporation
LENNAR HOMES, LLC
Print Corporation Name
By:
(signature)
Print
Name: Christopher Smith
its: Authorized Anent
Address: 700 NW 10 th Ave
Miami. FL 33172
Telephone
No. 813-574-5700
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.
Personally known X ;or Produced identi cation_ Type of identification produced
Partnership
Print Partnership Name
By:
(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.
Signature of Not � Print Name
I M�a�m ASHLEE CALLAHAN
Notary Public Stamp:
ASH�EE =�CALLAHAN
ry State
0 1.
at ,
'b f Florida
Notary pubijc . State of F
445 6
Commission Expires: i GG 244456
C"TIM 'P 05 No" 30, 20
AM -1
N OVEM B ER 30, 2022 Ay CorTM E%PI�05 Nov 30, 1022
in,
-Zonded,throqh fq,atlOnOl Notary Min,
Page 2 of 2
Private Provider
Plan Comgliance 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: lucvavii-tualreviewassist.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,SH1.0,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 b D'4xn (4-1o'Y)(
being personally known to me or having pr'o—ddce(ras !identification
- i and who being fully sworn and cautioned, state that the
for oT c is true and co t t his/her knowledge or belief.
0
b OA&H 0/5
iggh'ature'of Notary P I rint Name vAhan
Notary Public: NOTARY STAMP BELOW My
...........
a 7 -
ASHLEE CALLAHAN
commission expires:
Notary Public -State of Florida
Commission # GG 244456
My Comm. Expires Nov 30, 2022
Bonded throughr.
National Notary Ass
160 V 40r:l-
BUILDING SERVICES DIVISIO
BIJIIDX,TG PEWIT D:i
ME
FIRE MARSHAL #01 -
Reauired Permits
DATE:
EXAMINER:
ff, Building
spection Only
'Plumbing41
Ins- ection On
echanical
Inspection Only■
Cal
Inspection Oni
y_
410
Ej Fire Sprinklers
El On Site Piping
Potable Backfiow Assembly
Fire Line Rackflow Preventer
Irrigation Back1low Assembly ii
El Demolition
E] Walk-in d IiAler
ii El Refrigeration
[:]Grease Trap
Occupancy Load-
acto
09 ney Classificat
ResidentialEr=
Ry Careffiducational
==E3ercantile
A
r_—
Building Use: Alteration Level 1 10 Level 2 [E] Level 3
VfNew Construction M Interior Finish F1 Interior Remodel Fj Exterior Remodel El Addition El Revision
Number of Stories:
WITT y Z
Covered Area:
Cost per square foot:
Estimated Value:
orne Debris:
Inside Outside
�i Energy Code:
S
—1
Hydrostatic Vents?
Sq, itEnclosW Space Below BFE:
# of Vents:
Size of Vents:
Total Sq. In- Permanent Openings
CentCIAIC
!EGas Z
eat Pump El Window A/C
Q Gas Beat El Electric Heat
Storm Sewer Catch Basins
I Potable Water
Underground FIre Line