HomeMy WebLinkAbout22-4182City of Zepm"ymmwmmms
5335Eighth Gtneot
ZephyrhiUa.FL33542
Phone: (813)78O-0O2O
Issue Date: 09/13/2022
!Building New (Residential)
Iol, 21�
RI, 11111111
Name: LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential)
Class of Work: Townhome
Address: 4600 WCypmss Sto00
CONSTRUCT TOWwnOMs1,6x SO FT
Building Valuation: $234.987.90
Electrical xaluodun:n35,2x81S
Mechanical Valuation: $1M,44915
Plumbing Valuation: *23.49nJS
Total Valuation: $310.184.03
Total Fees: $1373017
Amount Paid: $18^730.87
Date Paid: Sn3/2Oc2 10:46:14AM
Contractor: LENNARHOMES LUC
=
Mechanical Permit Fee
$122.25 Fire Wall/Smoke Wall Inspection
o15.00
Building Permit Fee
81.214.94Flumbing Permit Fee
*15748
Electrical Permit Fee
$216.24 Address Fee
$30.00
Transportation Impact Fee
$8.44520 Public Safety Impact Fee `xdmin
$26.35
Plumbing Valuation Fee
$4580 Sewer Connection Residential Fee
$2.880.00
Public Safety Impact Fee -Police
$254�00 Driveway Fee
*45o0
S|F1 percent Fee
$33.53 School Impact Fee ' Single Family
$3.353.00
TmnoportaUun|mpamFee-City
$34.80 3/4Water Meter Residential Connection Fee
$732.71
Mechanical Plan Review Fee
$45.00 Water Connection Residential Fee
$1.810.00
Building Plan Review Fee
**o»o Park Impact Fee - Single pamily/Townxomo
$769.50
Electrical Plan Review Fee
$45.80
REUNSPECTION FEES: (c)VVith respect to Reinmpectom fees will comply with Florida Statute
local government shall| fee mffour i the of the fee imposed for initial i
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.
CONTRACTOR SIGNATURE
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting 1( 908 770 __ 7763
1 1 1 1 1 1 1 1 111 1111111111-jr--I[
Owner's Name Lermar Homes, I'l.c. Owner Phone Number 813.574. 5700
-)uL Blvd Ste 600 Tampa, FL 33607
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address N/A
JOB ADDRESS 4839 Foliage Road LOT # 0053
SUBDIVISION Zephyr Court PARCEL ID# 15-26-21-0220-00000-0530
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRF--] ADD/ALT SIGN DEMOLISH
P INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK F__1 FRAME STEEL
DESCRIPTION OF WORK Single Family Residence I Pool / Screen Enclosure / Fence
BUILDING SIZE I U/R IF 208=6 SQ FOOTAGE1634 HEIGHT 12 Story
BUILDING $ $234,987M VALUATION OF TOTAL CONSTRUCTION
F-711
U10 ELECTRICAL $ $35,248.19
0 PLUMBING $ $23,498.79
MECHANICAL 1 $ $16,449.15
GAS 10 ROOFING
FINISHED FLOOR ELEVATIONS I
PROGRESS ENERGY [X] W. R. E, C.
AMP SERVICE
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY = OTHER
FLOOD ZONE AREA 11 YES Do
BUILDER COMPANY I Lermar Homes, LLC
SIGNATURE REGISTERED Y/ N FEE CURREN L11 N__J
Address 14301 W Boy Scout Blvd Suite 600 Tampa, Fl, 33607 License# EGIC1518166
ELECTRICIAN COMPANY -Proven Electrical Concepts, ILLC
SIGNATURE REGISTERED LY2NFEE FCTU _RRE NJ::Y / N
Address 5728 Golden Owl Loop, Land 0 Lakes, FL 34638y License# I EC13009068
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED L_Z_L N_J FEE CURREN L N
Address =PO Box 5308, Bayonet, FL 34674-5308 License# I CFC042998
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN
Address P.O. Box 5308,Bayonet, FL 34674-5308 License #
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED / N FEE CURREN I Y/N
Address 1 4211 S oal Line Blvd, Spring Hill, FL 34607 License # 1 CCC057991
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms, R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, 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 & I 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 C)FDEED RESTRICTIONS: The undersigned understands that this permit may besubject Vo^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 as required by law, both the owner and contractor may be cited fora misdemeanor violation
undo/ state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised tocontact the Pasco County Building Inspection Division —Licensing Soohmn at727-847-
8O0O. Furthermoru, if the owner has hired o contractor or oontnac1ora, 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
con1rao1or, that may bean indication that he is not properly licensed and in 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|dingu, change of
use in existing bui|dinga, or expansion of existing bui|dingo, as specified in Pasco County Ordinance number8A'O7 and
90-07. as amended. The undersigned also underaiando, that such feoa, as may be due, will be identified at the time of
permitting. U iafurther understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore. 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, aearnended): |fvaluation ofwork is$2.5OO.00ormore, |
certify that |, the app|ioon(, have been provided with u 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 it tothe ^ovvner^prior tocommencement.
C<]NTRACTQR'S/OVVNER'SAFF|OAV|T: | certify that all the information in this application ieaccurate and that all work
will be done in compliance with all applicable |owa regulating oone1ruction, zoning and land development. Application in
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 |ovvs regulating
construction, County and City oudoy, zoning regulations, and land development regulations in the jurisdiction. | also
certify that | understand that the regulations ofother government agencies may apply to the intended vvork, and that it in
myresponsibility toidentify what actions |must take \obeincompliance. Such agencies include but are not limited to:
Department ofEnvironmental Protection -Cypress 8ayheeds, Welland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida VVahar Management Diatriot-VVaUm, Cypress Bayheedn, VVoUond Ar*as, Altering
Watercourses.
Army Corps ofEnAinuoro-Seawa||o. Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-VVe||o, Wastewater Treatment,
Septic Tanks.
- USEnvironmental Protection Agency -Asbestos abatement.
Federal Aviation Authority -Runways.
| understand that the following restrictions apply 0othe use offill:
Use offill innot allowed inFlood Zone ^V^unless expressly permitted.
If the UU material is to be used in Flood Zone ^A^, it is understood that a drainage plan addressing a
^oompensadny volume" will be submitted attime nfpermitting which is prepared by professional engineer
licensed bythe State ofFlorida.
If the 0| material is to be used in Flood Zone ^A^ in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material in to be used in any area, | certify that use of such fill will not adversely affect adjacent
properties. If use of fill in found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |eyu than one (1)
acre which are elevated byfill, unengineered 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 u separate permit may be required for electrical wmrk,
p|umbing, aigna, nm||n, pon|s, air conditioning, gus, orother installations not specifically included in the application. A
permit issued shall be construed to be e license to proceed with the work and not as authority to vio|aV*, oanoe|, a|8ar, 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 iomuonoe, 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 vaqueoted, in writing, from the Building Official for a period not to exceed ninety (0O)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 swom Tto(or affirm d) b re me this
U0_1V1dY-1-z by Ashlee Callahan
Who is/are personally known to me or
as identification.
Notary Public
Commission No. HH 000460
BlismM.Holleran
Name of Notary typed, printed or stamped
Expires June 6, 2024
CONTRACTOR I
Subscribed and sworn tj-(or affirmed) before me this
Who is/are personally kno vn to me or hasihave PFE)Elu6e4
as identification.
Notary Public
No DH000460
Elissa M.Bollemo
Name of Notary typed, printed or stamped
Expires June 6, 2024
a_
{1ki4 Permit i
Date Permitted I/, -
Builder
Control
Classification/Type of Use
TRANSPORTATION IMPACT FEE
Rate: Sq. Ft Unit:, %
Exempt Yes 0 Nog f How Determined
Impact Fee Amount $ �3 `i D Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount $ 31 J 8�, S 3
(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 $ 7691- 5-
i • E- ..i.....
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt Yes No How Determined Total Amount�
RESOURCE FEE ERU
Total Amount
Prepared .�Checked By
NO CERTIFICATE OF OCCUPANY WILL BE ISSUED OR i
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.
RNO
RECEIPT NO DATE BY
T
I SITE PLAN
TOWNHOME PPLATT,, ACCORDING O THE PLAT
THEREOF, RECORDED IN PLAT BOOK 88,
(NOT A SURVEY)
L-
ROADWAYTRACT
'°
PAGE(S)97-98, OF THE PUBLIC RECORDS OF
I
PASCO COUNTY, FLORIDA. I
- - -
- -9� -
-
-
NOTES;
I
(38.0U PRIVATE R.O.W.)
LOT GRADING TYPE = N/A
I
i
PROPOSED PAD ELEVATION = N/A
FRONT SET BACK = 15'
SIDE SET BACK = 10' C •
..
r
- `i..
15'FROM INTERIOR ROADWAY OR PARKING AREA i
10' FEET FROM EDGE OF A RECREATION AMENITY
TRACT
„F„ COMMON AREA
41
10' FROM EDGE OF A STORM WATER
(/
-��-
(PRIVATE)
I
V
RETENTION/DETENTION AREA
480
1
BLDG
S
REAR SETBACK = 20' I
9.0'
ONLINE
'
�
S 89°58'S0" E (P) 103.00' (P)
rn
�-F m
1 .0'
I
I---
I
20.0'
6.0'
39.7'
LOT = 14901 SQ. FT. i
E
o
y._ z .0 x .I
LIVING AREA = 5336 SQ. FT. j
m
z'
UNIT A ENTRY 17.3'
, `
ENTRY = 67Z SO. FT.
CD
O��\
\b A/C
Y
1532 L SG
,
M `
GARAGE = 1848 SO. FT. i
!v3
COVERED LANAI = 868 SQ. FT. i
______
S 89°58'50" E (P) 103.00' (P)
--- --
PATIO = NA SQ. FT. �
(
57.0'
c
I
POOL AREA = NA SO. FT. 1
CONC. DRIVE = 2400 SO. FT I
A/C
UNIT-B T 55
1516
o .
, o
o
3
z
ENTRY 17.3'
° q
A/C & CONC PAD = 80 SO. FT. i
C6
D
10.0^
SIDEWALK = 324 SQ. FT
I
SIDE YARD SWALE = NA SQ. FT. i
S 89°58'50" E P 103.00' P V 14.7'
---------- < •
°
CONSERVATION AREA = NA SO. FT.
57.0
LOT OCCUPIED = 77 % I
1
E7
A/C
_
AREA TO IRRIGATE = 23 % I
c
c
UNIT-C LOT 54
ENTRY
o
-
I
UJ
y
1624 17.3'
00
_
I * n
SEC. 15, TWP. Z6 S, RNG Z 1 E. i
°a
S 89°58'S0" E P ''P03.00' P 14.7'
V
PASCO COUNTY, FLORIDA z i
Q
39.7'
(ZEPHYR COURT) „ i
Q
n
UNIT-C V
1 20 0 c
}
rLU
-
O w I
Z c*
0
1624 L T S3 ENTRY 17.3'
(.
UO 1
o Z
�b
A/C
>
PROPOSED
`�
't''C
I 0
`co
®
Q
O = I
- -
-
------ ❑
S 89°58'50" 5 (P) 1103.00' (P) 2 STORY
__ -
�(
o
NOTE: CONSTRUCTION UU U YO
GRADING PLANS
Q Q
ATTACHED
RESIDENCES
_-
w
F Vn O I
HAVE MINIMAL J m I
~ I
o
E
o
A/C
UNIT-C L T ENTRY
o
1
GRADING/ELEVATION =
`s I
ca00
o
a
1624 d 173'
o
c
INFORMATION S CL i
o
co
o
7 "
c
10.0' Z
N i
_
--------
39.7' V714.7'
---•--------
I
WESTERLY BOUNDARY 1
S 89°58'SO" E (P) 103.00' (P) G
-.
I
LINE OF TRACT 19
63'-0"
>t
LEGEND.- I
o
q
z
UNIT-C ENTRY 17.3'
1624LOT51
Q
"
I
,CD
PROPOSED DRAINAGE FLOW i
A/C „
57 0'
S 89°58S0" E P 103.00' P
�_�.
(0000) = PROPOSED GRADE
-____--
39.7 14.7`
_
E-00.00 = EXISTING GRADE
c
UNIT-e
°o
= 10' INGRESS EGRESS/U.E & D.E
o
1516E ra0 ITT
I
1
A/C
I
2" OAK
--®----
1
S 89°58'50" E (P) 103.00' (P)
-
r
A/C
(
PROPOSED ELEVATIONS AND TYPE j
Q
UNIT -A
.,
1
GRADING SHOWN HEREON ARE TAKEN
v
C3
Z
T 49
1532 17.3'
20.0 l* A
FORM THE ENGINEERING PLANS OF 'MASER
CONSULTING P.A. ", PROVIDED BY CLIENT 1 20.0' o o
L6. 39.7' 6. L
I 9.0' /8040 ° N 89"5927" W (P) 103.00' (PJ \$� 71 I
SOUTHWEST CORNER Ir 9. -- -------0----------
OF TRACT 19 1 q IU LANDSCAPE BUFFER LINE BEARING DISTANCE o
PROPOSED: i Q L l N 00°0 P' 10" E 1 6
�9--------------
--------------r---------------------------- r ---------------------
LOWEST FLOOR ELEVATIONS: 1 1
LIVING AREA: 81.55' I 1 I I
GARAGE AREA: i LOT 12 j LOT P 1 j LOT 10
1 I ELEVATIONS REFERENCED TO I I CHALFONT VILLAS PLAT II I
NORTH AMERICAN VERTICAL DATUM OF' 1988 1 PLAT BOOK 31, PAGE 69-70
+0.85' = NATIONAL GEODETIC VERTICAL DATUM OF 1929
LENNAR HOMES APPARENT FLOOD HAZARD ZONE: "X" COMMUNITY NO. 120235
SURVEY ABBREVATIONS I
(MAP NUMBER 12101C-0452-F) EFFECTIVE DATE: 09/26/2014
Al ARC LENGTH (DI -
DEED HWF IIOG WIRE FENCE PC POINT OF CURVE IRK=RECORD LEGEND �.-
A/C AIR CONDITIONER D E= DRAINAGE EASEMENT INV INVL RT PCC= POINT OF COMPOUND CURVE RNG = RANGE .�s;':;1:^, r,. VINYL FENCE
AF =
ALUMINUM FENCE EL OR ELEV = ELEVATION LB =LIC E NSFD E3LJISNESS PCP - PERMANENTCONTROL. RRS RAIL ROAD SPIKE POINT n n
= +.;ar+� <�.q CONC
ELF = BASE FLOOD ELEVATION EOP = EDGE OF PAVEMENT LFE LOWEST FLOOR ELEVATION P/E = POOL EOUIPMENT R/W = RIGHT OF WAY
BM - BENCH MARK ESM'T = EASEMENT LS = 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 -- --
IC ( = CALCULATED FCM = FOUND CONK RF IT MES = MITERED END SECTION PK -PARKER KALON LB#8183 CHAIN LINK FENCE
4 CENTERLINE MONUMENT NCF - NO CORNER FOUND R PROPERTY LINE SIR -SET 112' IRON ROD LB# 8183
C F = CHAIN LINK FENCE FIP = FOUND IRON PIPE C/A = OVERALL LOB = POINT OF BEGINNING TBM = TEMPORARY BENCH MARK �� = BRICK --- K
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. = OFFICIAL RECORDS POI- = POINT ON LINE TWP = TOWNSHIP ALUMINUM FENCE
CONC = CONCRETE FOP = FOUND OPEN PIPE (P) = PLAT PRC POINT OF REVERSE CURVE U F = UTIl_I I Y FASEMEN I = COVERED
C/S -CONCRETE SLAB FPP =FOUND PINCHED PIPE PB =PLAT BOOK PRM =PERMANENT REFERENCE MONUMENT VF =VINYL FENCE
JOB #4602 SURVEYOR'S NOTES- SURVEYOR'S CERTIFICATE 1708 Water Oak Drive
1.) Current title information on the subject property had not been This certifies tha he hereon described Tarpon Springs,
Date of Site Plan: `t�,�J�i}fjFlorida
p
furnished to Initial Point Land Surveying, LLC. at the time of this property w .'ti�a u r tyt pervision and Phone: (727)-831-1990 ° I '
DWG File: site plan meets th c l rid tit ractice for FloridaPLS7123@gmaii-com ,ww 1 ,w"I
File:
2.) This sketch was prepared without the benefit of a title search. SLfVe f r r of .and # 8183
Y �'
No instruments of record reflecting ownership, easements or S iy sign
Drawn by: rights -of -way were furnished to the undersigned, unless lori 1 tr t v
otherwise shown hereon. urs ant Section 47Z, - o Harile
Checked b P i %�
Y� 3.) Roads, walks, and other similar items shown hereon were at SO ! `- "
REVISIONS taken from engineering plans and are subject to survey. 1 pat, 22.Q .26
REVISED SOUTH 4.) This site plan does not reflect nor determine ownership. F
BOUNDARY LINE �1 O• .65r -O4 O �\
5.) This site plan is subject to matters shown on the Plat of A
8-26-22 "LEAFSIDE TOWNHOME PLAT" Jeff M
thereof. 3� • - ��-x�
Dimensions shown hereon are in feet and decimal portions FLORIDA FE �1� 61 1f�1 OR AND Q
thereof-7.) Contractor and owner are to verify all setbacks, building MAPPER NO. %4J,kJA 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
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.
\/R/\
yIRFUAE REVIEW ASSIST
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 4839 FOLIAGE RD
. _ _+I�I��:IIs7�i71►Z��[iZ1T�ii1��I1T17�7
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 , 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: DEBRA ANNE KLAHR
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 1 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 HQMES. LLC
Print Corporation Name
By:
(signature)
(signature)
Print
Name:
Print
Name: Christopher Smith
Address:
its: Authorized Agent
Address: -7DD--NW 107th Rye�
Telephone
Miami, FL 33172
No.:
Telephone
No. 813-574-5700
Please use appropriate notary block.
STATE OF FLORIDA
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, thisj, 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
T'T— I
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 Notary�Ll � M � �M— Print Name ASHLEE CALLAHAN
Notary Public Stamp:
ASHLEE CAL�L�A�H�AN
orida
Commission Expires: State Of Ft
c I"' ' GG 444
Notary "L
O'i(ei Nov30f 2022
Notary Public
Commi5sior. w GG 244456
M 'P
m
ls� EN National, Notary Assn,
NOVEMBER 30, 2022 Ay Cory1m, ExPleei NOY 30f 2022
throuSh N�tlonal, Notary Ailsm,
Private Provider
Private Provider Firm: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU 1967
Address: 747 Southwest 2" Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: lucy@virtuatreviewassist.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 afflant, 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,PA1.0,PAl,I,PAI.2,
PA1.3,SHI.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 by, Dlo�xn
being personally known to me or having 'produce (ras'identification
and who being fully sworn and cautioned, state that the
for o* is true and c his/her knowledge or belief.
01-A tat)
i gan ature of trNotary Print Name
Notary Public: NOTARY STAMP BELOW My
P9,91" ASHLEE CALLAHAN
commission expires: Notary Public - State of Florida
A Commission # GG 244456
My Comm. Expires Nov 30, 2022
Bonded through Nationai Notary As-sn.
li=-
/(00/
10 BUILDING SERVICES DMSJj
---
IL
TRACKING # FIREMARSHAL#01-
FOLIO #
Required Permits
S ction Only
e c h . I amca yr
L)!speclion On
lectrical Amp
LpsSection On!X
la, r4ir -1 MI-7,11,11, v
El Fire Sprinklers
D Potable Backflow Assembly
El Fire Line Backilow Preventer
Irrigation Backilow Assembly
r f, ��rtn
F] Grease Trap■,.
f.
.� i P
Occupancy Load
ancy Classification:
"FactryIII
KIesidentialEF==
09 o
1=
j - y Careffiducational
nal == R"reantile
Covered Area:
10. 11
Cost per square foot:
Estimated Value:
WinorneDebris-
Inside
Outside
Energy Code:
11 fl, 411 111
1 Base Flood Elevation:
Finish Floor Elevation:
Hydrosfttic Vents? VYes I
Sq. Ft. Enclosed Space Below BFE:
Central A/C
Gas A/C
Beat PUMP
71 Gas Heat
Window A/C
El Electric Heat
13 1 =17
�__Swrm
Sewer Catch Basins
Underground Fire Line