HomeMy WebLinkAbout22-4181Nome: uEwwAKHOMES LLC-O8mNER
Address: 4608vvCypress St200
CONSTRUCT rOvvmwOMe1.034SQFTxS
Electrical Plan Review Fee
Fire Wall/Smoke Wall Inspection
Plumbing Permit Fee
Address Fee
Park Impact Fee Sing|eFamily/Townxomv
School Impact Fee ' Single Family
Transportation Impact Fee - City
Building Permit Fee
Driveway Fee
3/4Water Meter Residential Connection Fee
Water Connection Residential Fee
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5335Bghth Street
Zephyrhi|ka, FL33542
Phone: (813)78O-OO20
Issue Date: 09/13/2022
Permit Type: Building New (Residential)
Class ofWork: Townhome
Building Valuation: $234.987IN
Electrical Valuation: $35.248.1e
Mechanical Valuation: $18,449.15
Plumbing Valuation: *23,498Je
Total Valuation: $310.184.03
Total Fees: $13.730.07
Amount Pmw`$13,7a8.07
Date Paid: 9/13/2022 10:46:14AM
�
$45{0Plumbing Valuation Fee
$45.00
$15.00 Building Plan Review Fee
$45.00
$157»e Public Safety Impact Fee -Police
$254.00
$30D0 Public Safety Impact Fee `Admin
$2635
$709a8 S|F 1 percent Fee
$3153
$3.353.00 Transportation Impact Fee
$3.445.20
$3480 Sewer Connection Residential Fee
$3.090.00
$1.214.84 Electrical Permit Fee
*21024
$45o0 Mechanical Plan Review Fee
$45.08
$732/1 Mechanical Permit Fee
*122.25
REINSPECTION FEES: (c)VVith respect to Reinspection fees will comply with Florida Statute 55380(2)
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 submwqumntma|nspeotion'
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 auwater management, state agencies orfederal agencies.
Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER I
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, 1,,I-,C Owner Phone Number 813.574.5700
Owner's Address Scout Blvd Ste 600 Tampa, FL 33607 Owner Phone Number
Fee Simple Titleholder Name I N/A Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 14835 Foliage Road LOT # 0052
SUBDIVISION Zephyr Court PARCEL to# 15-26-21-0220-00000-0520
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRe ADD/ALT SIGN DEMOLISH
PINSTALL REPAIR
PROPOSED USE 0 SFR [:�:] COMM OTHER
TYPE OF CONSTRUCTION 0 BLOCK F-1 FRAME STEEL
DESCRIPTION OF WORK Single Family Residence Pool / Screen Enclosure / Fence
BUILDING SIZE _1'/R SF 2086 SQ FOOTAGE1634 HEIGHT 12 Story
rr. . . . . . . . . . . . . .
BUILDING $
$234,987.90 VALUATION OF TOTAL CONSTRUCTION '31 0/1 sy? 03
1 JELECTRICALPROGRESS ENERGY W.R.E,C.
$35,248 � 1 =9 [X] AMP SERVICE
PLUMBING �,498 �79�
0 MECHANICAL $ $16,449.15 VALUATION OF MECHANICAL INSTALLATION
GAS r__71 ROOFING SPECIALTY OTHER
i
FINISHED FLOOR ELEVATIONSYFLOOD ZONE AREA DYES Do
BUILDER I IV COMPANY
SIGNATURE REGISTERED
Address 4340IBoy Scout Blvd Suite 600 Tampa, Fl. 33607
ELECTRICIAN
COMPANY
SIGNATURE
REGISTERED
Address
5728 Go den Owl Loop, Land 0 Lakes, FL 34638y1
PLUMBER
COMPANY
SIGNATURE
REGISTERED
Address
P.Q. Box3, Bayonet, FL 34674-5308
MECHANICAL
COMPANY
SIGNATURE
REGISTERED
Address
P.O. BA 5308,,Bayonet, FL 34674-5308
OTHER COMPANY
SIGNATURE REGISTERED
Address [4211 Shoal Yine Blvd, Spring Hill, FL 34607
Lermar Homes, LLC
Y/ N FEE CURREN
License# [EE -5 1 8=1 66
[Proven Electrical Concepts, LLC
L_ILN J FEE CURREN I YIN
License# I EC13009068
Bayonet Plumbing, Heating & AC, Inc
LILN J FEE CURREN L�y =N
License #FcF642998
Bayonet Plumbing, Heating & AC, Inc
L.y ( N FEE CURREN T:Y=
License # I CAC058062
C Sterling Quality Roofing, Inc
I Y/ N I FEE CURREN L=
License # Fc cCO57991
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 wl 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 basubject \o^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
nontxeokom to undertake work, they may be required to be licensed in accordance with state and |oou| regulations, If the
contractor is not licensed as required by |ow, both the owner and contractor may be cited fora misdemeanor violation
under state law. If the owner or intended contractor are uncertain an to what licensing requirements may apply for the
intended work, they are advised iocontact the Pasco County Building Inspection Divioion--Licensing Section at727-847-
80OO. Furthermore, if the owner has hired a contractor or oontractora, he is advised to have the oonkeo\ur(o) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
nontraotor, that may bean indication that he is not properly licensed and ienot entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact F000 and Recourse Recovery Fees may apply to the construction of new bui|dinAa, change of
use in existing bui|dingn, or expansion of existing bui|dings, as specified in Pasco County Ordinance number80-07 and
90'07. as amended. The undersigned also understanda, that such feee, as may be due, will be identified atthe time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate ofoccupancy" 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, ifPasco 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): |fvaluation ofwork ia$2.5OO.00ormore, |
certify that |, the epp|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 in someone
other than the ''nwner''. | certify that | have obtained a copy of the above described document and promise in good faith to
deliver ittothe ^ovvner''prior tocommencement.
CONTRACTOR'S/OVVNER'BAFF|DAV|T: | certify that all the information in this application iaaccurate and that all work
will be done in compliance with all applicable laws regulating oonotrudion, zoning and land development. Application is
hereby made to obtain a 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 laws regulating
oonsiruoUon. County and City oodea, 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 toboincompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection -Cypress Bayheado, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Southwest Florida Water Management Distrio(-VVo||s, Cypress 8ayhouda, Wetland Areou, Altering
Watercourses.
Army Corps ofEngineero-Seuwa||s.Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-VVo||s, Wastewater Treatment,
Septic Tanks.
' USEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation Auihori\y-Runwayo
| understand that the following restrictions apply Vzthe use offill:
- Use offill isnot allowed inFlood Zone ^V^unless expressly permitted.
- If the fill material is to be used in Flood Zone ^A^, it is understood that a drainage plan addressing a
^c*mpannaUng volume" will be submitted attime ofpermitting which is prepared by professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood 2bno ^A" in connection with u permitted building using stem wall
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. U use of fill is found to adversely affect adjacent pvupertiaa, 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 byfill, anengineered drainage plan iarequired.
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, uiQna, we||», pon|a, air conditioning, gas, orother installations not specifically included in the application. A
permit issued ehuU be construed to be a license to proceed with the work and not as authority to vio|ato, oanoa|, a|her, 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 ieauanoo, 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*queated, in writing, from the Building Official for a period not h/exceed ninety (A8)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
FLORIDA JuxxT(r.S117.08
OWNER OR AGENT � f
Subscribed and sworn to (or affir�,�kefore me this
y����nally known to me or haSihaVG PFE)GIUG
as identification.
��Notary Public
Commission No. HH 000460
ElissaY&Dollemo
Name of Notary typed, printed or stamped
L 460
U0 IJ
oig
Subscribed and sworn to N( affirmed) before me this
05-,M�y-22 by Ashle� Callahan
Who is/are personally known to me or hasihave pFedwee4
as identification.
Notary Public
Commission No. HH 000460
Dlissa M.Bollerao
Name of Notary typed, printed or stamped
ELISSA M. H - OLLER:A:
simince 60:
DESCRIPTIO.
49-56, LE
TOWNHO NLATT,, ACCORDING TOITDHE PLAT I SITE PLAN
THEREOF, RECORDED IN PLAT BOOK 88, (NOT A SURVEY) ROADWAYT T „ „
PAGE(S)97-98, OF THE PUBLIC RECORDS OF I
PASCO COUNTY, FLORIDA. I I L- - - - - - - ri - -
NOTES- I (38.0U PRIVATE R.O.W.) I
LOT GRADING TYPE = N/A
I I
I I ( -
PROPOSED PAD ELEVATION = N/A I 0
FRONT SET BACK = 15'
SIDE SET BACK = 10'
� 9
r
15FROM INTERIOR ROADWAY OR PARKING---
10' FEET FROM EDGE OF A RECREATION AMENITY - TRACT „F" COMMON AREA I Q1
I UFROM EDGE OF A STORM WATER (PRIVATE) ) ( U
lJ
RETENTION/DETENTION AREA
BLDG
REAR SETBACK = 20' j 9.0' ONLINE S 89°58'50" E (P) 103.00' (P)
ham- _
I 20.0' 6.0' 39.7' d D
LOT = 14901 SO. FT. i { " 2 .0 * '
LIVING AREA = 5336 SQ. FT. UNIT -A ENTRY 17.3'
ENTRY = 672 _SQ. FT. \�� A/C 1532 L T )
GARAGE = 1848 SQ. FT. I _ I "
COVERED LANAI = 868 SQ. FT. __J S 89°58'S0" E (P) 103.00' (P)
I
PATIO = NA SO. FT. i ---- A/C ) 57.0'
I
POOL AREA = NA SQ. FT. I e UNIT-B " o
CONC. DRIVE = 2400 T 0
SQ. FT. I o 1516 ENTRY 17.3' c0
A/C & CONC PAD = 80 _SO. FT. i > "
SIDEWALK = 324 SO. FT. I
SIDE YARD SWALE = NA SQ. FT. i S 89°58'50" E P 103.00' P y 14.7
CONSERVATION AREA = NA SQ. FT. �� 57.0'
LOT OCCUPIED = 77 0 I e A/C
AREA TO IRRIGATE = 23 % I UNIT-C T 4 o
j w oo y 1624 ENTRY 17.3' " mo !�
w m
w c
SEC. 15, TWP. 26 S, RING 21 E. I c S 89'58'50" E P !103.00' P 14.7' _ I O
--------- ----------
PASCO COUNTY, FLORIDA Z I Q Q 39.7
(ZEPHYR COURT) i n UNIT- V 20 0' c F
O w i Z �r o 1624 LOT3 ENTRY 17.3' . °° �� Q
o Z I A/C PROPOSED o
N O
NOTE: CONSTRUCTION u -'O Y i v W------- S $9°5$'50" E (P) 103.00' (P) 2 STORY -- fb
o
57.0' ATTACHED ___ _-- �00
GRADING PLANS c N O I c c A/C I RESIDENCES (' ` _
HAVE MINIMAL --J m I co
�+ UNIT-C ENTRY
GRADING/ELEVATION c I o0 00 Z 1624 LOT 5 ITT co o
INFORMATION I of D -
10.0' Z 1 w
N --------- 39,7 y _____ __ _
WESTERLY BOUNDARY i S 89°58 50" E (P) 103.00' (P) P- - _ !
LINE OF TRACT 19 c 163' 0" f - I '� r
o �' UNIT-C ENTRY 17.3' -b
LEGEND: I z 16z4 LOT 51 00
PROPOSED DRAINAGE FLOW i A/C 57�0'
rl S 89°58'50" E 1P .103.00' P w®u Ia
100.00) = PROPOSED GRADE --------_ 39.7'
E-00.00 = EXISTING GRADE o
UNIT
= I U INGRESS EGRESS/U.E & D.E o D 1516E LOT I T
I 06 -
- A/CI�
-_---- S 89°58'50" E (P) 103.00' (P)
PROPOSED ELEVATIONS AND TYPE j A/C M
GRADING SHOWN HEREON ARE TAKEN I N £v3 z UNIT -A LOT 49
c y 1532 ITT e 20.0 "
FORM THE ENGINEERING PLANS OF "MASER I d
CONSULTING P.A. ", PROVIDED BY CLIENT I N 20.0' o o
21
I 9.0' 18 .10 , N 89°59'27" W (P) 103.00' (P) �' \P'4� "
SOUTHWEST CORNER r ___ ___-j-_-__---
OF TRACT 19 I o 10' LANDSCAPE BUFFER LINE IBEARiNG I DISTANCE o
PROPOSED: L 1 N 00°01' 10" E P 6.59' P)
LOWEST FLOOR ELEVATIONS:
$---------------------------r----------------------------I ---------------------
I I 1-
LIVING AREA: 81.55' I I I
GARAGE AREA: i LOT 12 j LOT 11 j LOT) 0
ELEVATIONS REFERENCED TO I I CHALFONT VILLAS PLAT 11 I
NORTH AMERICAN VERTICAL DATUM OF' 1988 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 12 101 C-0452-F) EFFECTIVE DATE: 09/26/2014
AI = ARCLENGTH ENGTH (DI = DE::ED HWF - HOG WIRE FENCE PC = POINT OF CURVE (R) = RECORD LEGEND
A/C = AIR CONDITIONER D.E= DRAINAGE EASEMEM- INV -= INVERT PCC - POINT OF COMPOUND CURVE RNG =RANGE ,:;: - VINYL FENCE
'�
AF = ALUMINUM PENCE EL OR ELEV = ELEVATION LB =LICENSED BUISNESS PCP - PERMANENT CONIROL POINT RRS RAIL ROAD SPIKE
a f i;{ CONC n t1
-
BEE = BASE FLOOD ELEVATION EOP - EDGE OF PAVEMENT LEE - LOWEST FLOOR ELEVATION P/F = POOL EQUIPMENT R/W = RIGHT OF WAY WOOD FENCE
BM = BENCH MARK ESM r = EASEMENT LS = ICENSED SURVEYOR PG = PAGE SEC = SECTION _ _
C - CURVE F/C - FENCE CORNER M - MEASURED PI - POINT OF INTERSECTION ASPHALT
1 I SN&D =SET NAIL AND DISK
IC) = CALCULATED FCM = FOUND CONCRETE MES = MITERED END SECTION PK =PARKER KALON LLB#8183 1/2 CHAIN l INK FENCE
RNER
CMP -CORRUGATED METAL PIPE MONUMENT UND IRON ROD OHW -OVERHEAD WIRE SD) POC -= POINNT OF COMMENC I MENT TOB - TOP TEMPORARYOF IRON ROD LB# 8183
IRON PIPE C/A � BENCH MARK �--� = BRICK --- x ------ x -----
- -BFlNK '..
COL =COLUMN FN&D = POUND NAIL & DISK O.R. = OFFICIAL RECORDS POE = POINT ON LINE TWP =TOWNSHIP ALUMINUM FENCE
CONIC = CONCRETE FOP = FOUND OPEN PIPE (PI = PLAT PRC = POINT OF REVERSE CURVE I U E _ UTILITY EASEMENT = COVERED
C/S = CONCRETE St AB FPP - FOUND PINCHED PIPE PB = PLAT BOOK FIRM PERMANENT REFERENCE MONUMENT VF = VINYL FENCE
JOB #4602 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive eE
1.) Current title information on the subject property had not been This certifies tha he hereon described Tarpon Springs, Florida v PS e9
Date of Site Plan: ,,k ff1� P m
furnished to Initial Point Land Surveying, LLC. at the time of this property w�st't�a u r t �p?ervision and Phone: (727)-831-1990 W '" R "
DWG File: site plan meets th qc( r�tl �f3 ractice for FloridaPLS71 Z3@gmail.com W 2Ci f e
2. This sketch was prepared without the benefit of a title search. ` 'a E 1 W (, t E� o
P P s ve r of Gand # S l 83 a
File: No instruments of record reflecting ownership, easements or S y` signed
Drawn by: rights -of -way were furnished to the undersigned, unless Lorii tr iv
otherwise shown hereon. urs ant Section 472t 2 o Har le
Checked by: P „ y
3.) Roads, walks, and other similar items shown hereon were at Si7 ®a 22.® .6
REVISIONS taken from engineering plans and are subject to survey. '
REVISED SOUTH 4.) This site plan does not reflect nor determine ownership. F S,l l
BOUNDARY LINE 5. This site Ian is subject to matters shown on the Plat oflltyA1 �� ' '5 -04 0� �'
P J l�
8-26-2Z "LEAFSIDE TOWNHOME PLAT"
6.) Dimensions shown hereon are in feet and decimal portions Jeff RIft�r �/ �� e
thereof. FLOIDAFEW60�J1�1?OR AND
7.) Contractor and owner are to verify all setbacks, building MAPPER NO. tI"ilk2eA® 3
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 e'er
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.
Permit No.
rlat. D-1++.A
Builder Name/Owner Name Control #
County Parcel No. /,57 2fg Z / 022-0 SubDiv: 466okL-*��I�
Address/Location q(535--Q16?Ct6 A61
Classification/Type of Use
TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit:
Exempt [:]Yes E] Note How Determined
Impact Fee Amount L Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount$
(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 $ 760, 5-6
EMWYes = No How Determineii
W!"M
Land Account Land Credit Land Total
Facility Account _ Facility Credit Facility Total
Exempt 0 Yes No How Determined Total Amount
RESOURCE FEE ERU
Total Amount
Prepared By '�Mz wloku�-/ Checked By
NO CERTIFICATE OF OCCUPANY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED H"E
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
\/R/\
v R 1 UAL�-
REVIW ASSISI
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
I
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 Firm: VIRTUAL REVIEW ASSIST INC.
Private Provider:
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
LENNAR HOMES. LLC
Print Corporation Name
By:
(signature)
(signature)
Print
Name:
Print
Name:_�hristo her Smith�
Address:
its: Authorized Agent
Address: 700 NW 107th Ave
Telephone
Miami, FL 33172
No.:
Telephone
No. 813-574-5700
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 22ND
Before me, thisi, day of
MA-Y-, 20 22,
personally appeared
M
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 Notar� I � M � a, Ln— Print Name ASHLEE CALLAHAN
HA
Notary Public Stamp:
ASHLEE �CALLAHAN
S"
'c ate of F'o'ida
-4-1
Commission Expires: state of Florida
'S�or i GG 244456
I g'��-' Notary Pubilc
GG 244456
Cal Nov30 2
NOVEMBER 30, 2022 \11�1 M&I NO" 30,2022
Ay CorTM E�
Notary Assn,
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Page 2 of 2
Private Provider
. . . . . . . . . . .
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: 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,O,PA1.1,PAI.2,
PAI.3,SHI.0,SHI.1,SHI.2,SHI.3,SH1.4,SHI.5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300
Signature of Reviewer: Z-211eZL
SWORN AND SUBSCRIBED before me bv- DIP[XD (
being personally known to me or having '-- produ'cecras'identification
and who being fully sworn and cautioned, state that the
for o' is true and corn
c best of his/her knowledge or belief
VA [at)
for
of Notary Print Name
• commission expires: p9e"-, ASHLEE CALLAHAN
A Notary Public State ofF!Qrjda
Commission rt GG 244456
My Comm, Expires Nov 30, 2022
Bonded through National Notary Assn.
--'
DATE:
EXAMINER:
WEB "11 ing
In ection Only
66ing
ecdon
echanical
�nLecdon Only
lectric2l Amp
A
Fire Sprinklers
11 [j On Site Piping
101,5TTURM"M
D Potable Backfiow Assembly
Mre Line Bacliflow Preventer
F1 Irrigation Dackflow Assembly
Walk-in f ooler
W
Baum
El Grease Trap
Occupancy Load
ancy Classification: 0 KrI I, acory
-'ResidentiaIEK��
y cCanarteil/eEducational
FaD
ErE—]Level 3 Building Use: Alteration 1Level I FE]Level 2
I V!AJew Construction El Interior Finish Inteaior Remodel Exterior Remodel Addition El Revision
Number of Stories:
I T ii F I I
Covered Area:
1, IT
Cost per square fooi;.
Estimated Value:
Other Squares:
Zoning:
I Wiftorne
Debris:
'Inside Outside
nergy Code:
qoS -�o'OD
-..-od Elevation:
Finish Floor Elevation:
Hydrostatic Vents? JEIYes I
Sq. Ft. Enclosed Space Below BFE:
Total Sq. In. Permanent Openings
AjC
Gas A/C
--7�H—eat Pump E I 'Wind aw XJZ
[I Gas Beat D Electric Heat
Sanitary Sewer
Storm Sewer Catch Basins
Underground Fire Line
Rear Left
As per Approved Site Plan
•
Right