HomeMy WebLinkAbout22-4183City of Zephyrhills .110 -M
5335 Eighth Street
Zephyrhills, FL 33542 BNR-004183-2022
Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 09/13/2022
Permit Type: Buildin New Residential
4843 Foliage Rd 15 26 21 0220 00000 0540
0
Name: LENNAR HOMES ILLC-OWNER Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC
I Class of Work: Townhome
Address: 4600 W Cypress St 200
Building Valuation: $234,987.90
TAMPA, FL 33607
Electrical Valuation: $35,248.19
Phone: (813) 574-5700
Mechanical Valuation: $16,449.15 JIL
�c �
Plumbing Valuation: $23,498.79
Total Valuation: $310,184,03
Total Fees: $13,730.07
Amount Paid: $13,730.07
Date Paid: 9/13/2022 10:46:14AM
CONSTRUCT TOWNHOME 1,634 SQ FT AS
Electrical Permit Fee $216.24 Transportation Impact Fee - City $34.80
Address Fee $30.00 Building Plan Review Fee $45.00
Electrical Plan Review Fee $45.00 Driveway Fee $45.00
Sewer Connection Residential Fee $2,090.00 School Impact Fee - Single Family $3,353.00
Mechanical Plan Review Fee $45.00 Plumbing Permit Fee $157.49
3/4 Water Meter Residential Connection Fee $732.71 Public Safety Impact Fee -Admin $26.35
Public Safety Impact Fee -Police $254.00 Fire Wall/Smoke Wall Inspection $15.00
Transportation Impact Fee $3,445.20 Plumbing Valuation Fee $45.00
Water Connection Residential Fee $1,010.00 Building Permit Fee $1,214.94
Mechanical Permit Fee $122.25 SIF 1 percent Fee $33.53
L Park Impact Fee - Single Family/Townhome $769.56
REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c) the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection, whichever is greater, for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
"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.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE PEJAIT-OFFICE
f
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
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
Owner's Name Lennar Homes, LLC Owner Phone Number 813.574.5700
Owner's Address 4301 W Boy Scout Blvd Ste 600'1'ampa, Fl, 33607 Owner Phone Number
Fee Simple Titleholder Name I N/A Owner Phone Number
Fee Simple Titleholder Address N/A
JOB ADDRESS 4843 Foliage Road LOT # 0054
Zephyr Court
SUBDIVISION F PARCEL to# 1 15-26-21-0220-00000-0540
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRF--] ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK Single Family Residence Pool / Screen Enclosure / Fence
BUILDING SIZE [_U �SF20 SQ FOOTAGE1634 HEIGHT
rr-r-.
BUILDING $ $234,987_90 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL 1$ $35,248A9 1 AMP SERVICE PROGRESS ENERGY [X] W, R. E, C.
PLUMBING
$ $23,498.79
0 MECHANICAL VALUATION OF MECHANICAL INSTALLATION
OCAS Lj/j ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA E]YES Do
...........
BUILDER COMPANY [ Lermar Homes, LLC
SIGNATURE REGISTERED Y/ N FEE CURREN Y /N
Address 14301 W Boy Scout Blvd Suite 600 Tampa, Fl, 33607 License# I CGCA 518166
ELECTRICIAN COMPANY Proven Electrical Concepts, LLC
� �N FEE CURREN Y/N SIGNATURE REGISTERED L ft�
Address 5728 Golden Owl Loop, Land 0 Lakes, FL 3463891 License# 1EC13 09068
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN LILN J
Address P.O. B45308, Bayonet, FL 34674-5308 License # I CFC042998
MECHANICAL COMPANY BayonetPlumbing, Heating & AC, Inc
SIGNATURE REGISTERED YIN
_L_j FEE CURREN L_LLN J
Address P.Q. Box 53 Bayonet, FL 34674-5308 License# I CAC058062
OTHER COMPANY Sterling Quality Roofing, Inc
SIGNATURE — REGISTERED L_IL_N_j FEE CURREN L_y
LN_J
Address 4211 Shoal Line B 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 & 1 clumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500)
- Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways,.needs ROW
NOTICE OFDEED RESTRICTIONS: The undersigned understands that this permit may besubject kz^dmed^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 a contractor or
contractors to undertake work, they may be required to be licensed in accordance with atok* and |ouo| regulations. If the
contractor is not licensed as required by law, 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 to contact the Pasco County Building Inspection Divi sion—Licen sing Section at 727-847-
8009. Furtharmore, if the owner has hired a contractor or contmctoru, 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
oonkootor, that may bean indication that he iunot 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 \othe construction of new bui|dinga, change of
use in existing bui|dinge, o/ expansion of existing bui|dinga, as specified in Pasco County Ordinance number8Q'07 and
90-07. as amended. The undersigned also understonds, that such feos, as may be du*, will be identified at the 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 release. If the project does not involve o certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore. if Pasco CountyVVatar/Sower Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 718. Florida Statutes, esamnemded): |fvaluation ofwork io$2.50O.00ormore, |
certify that |, the app|icant, have been provided with a copy of the "Florida Construction Lien Law —Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver i\\othe ^mwner'prior iocommencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information inthis application in accurate and that all work
will be done in compliance with all applicable laws regulating oonutnuodon, zoning and land development. Application in
hereby made to obtain a permit to do work and installation as indicated. | certify that no work o/ installation has
commenced prior to issuance of permit and that all work will be performed to meet standards of all laws regulating
oonotmction. County and City oodao, 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 hzbeincompliance. Such agencies include but are not limited bz�
Department ofEnvironmental Protection -Cypress Buyhoadu, Welland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Southwest Florida Water Management Oiothot-VVeUe, Cypress Bayheads, Welland Annau, Altering
Watercourses.
- Army Corps ofEngineem-SeewoUo.Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Hou|ih Unit-VVeUa, Wastewater Treatmont,
Septic Tanks.
USEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation Au\hority-Runwaya
| understand that the following restrictions apply tothe use offill:
- Use offill ianot allowed inFlood Zone ^V^unless expressly permitted.
If the OU material is to be used in Flood Zone ^A^, it in understood that a drainage plan addressing a
^compenmaUng volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed bythe State ofFlorida.
If the hU 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 @| material is 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 offeo\ adjacent prupertieo, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |eoo than one (1)
acre which are elevated byfill, anengineered drainage plan isrequired.
U | 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 work,
p|umbing, signs, wells, poo|a, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to vio|ate, canmel, aher, 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 isouance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (AU)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
Subscribed and sworn to (or AdWied) before me this
u0-1v1dy-/-/- by Ashlee Callahan
�nally known to me or haS�haV6 PFOC16IG
as identification.
Notary Public
Commission No. RB00046U
Elissa M. Holleran
Name of Notary typed, printed or stamped
011,111
Expires June =6,2024
Commission No. HH 000460
Subscribed and Cworn to (or affirmed) before me this
Who is/are personally known to me or4--h
as identification.
8bmM.Holleran
Name of Notary typed, printed or stamped
%Expires June 6, 2024
sN`11 Bor" TIn Troy Fein Insumm 600,386-709
Permit No. Z// 1�3
Date Permitted V/ —15—
Builder Name/Owner Name Control
County Parcel No. _ '4y���s 2-6 21 Ono u I
Address/Location !�6q3 FUidqe- M
Classification/Type of Use
TRANSPORTATION IMPACT FEE
Sq. Ft Unit:
Exempt El Yes 0 No How Determined
Impact Fee Amount S 34 boa Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount $ 53
(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 $-2,(eg- S-6—
I
Exempt =Yes = No How Determine-&
"".1"
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 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.
701MI
RM
RECEIVED BY
BY
DESCRIPTION:
OWNHO E PPLATT,, ACCORDING TO
THE PLAT I SITE PLAN
THEREOF, RECORDED IN PLAT BOOK 88, (NOT A SURVEY) ROADWAY TRACT '°
PAGE(S)97-98, OF THE PUBLIC RECORDS OF ( I
PASCO COUNTY, FLORIDA. I L- - - - - - - -- It - -
NOTES. ( I (38.00' PRIVATE R.O.W.)
I
LOT GRADING TYPE = N/A
I I
PROPOSED PAD ELEVATION = N/A ( N
FRONT SET BACK = 15'
SIDE SET BACK = 10'
15FROM INTERIOR ROADWAY OR PARKING AREA I l ----
10' FEET FROM EDGE OF A RECREATION AMENITY M I TRACT "F" COMMON AREA I �3
10' FROM EDGE OF A STORM WATER (PRIVATE) V
RETENTION/DETENTION AREA �6p o
BLDG .>
REAR SETBACK = 20' ONLINE _
I 9.p' � S 89°58'S0" E (P) 103.00' (P) s�'i- �'
F- 6.0`
I 20.0' 39.7'jlV Imo;
LOT = 14901 SQ, FT. i e } 0 2 .0'
LIVING AREA - _ 5336SQ. FT. i iM }Q� UNIT -A ENTRY 17.3 c
ENTRY = 672 SQ. FT. w \4i� A/C > 1532 LOT 56 m
GARAGE = 1848__SQ. FT. I r.3 } M
COVERED LANAI = 868 SQ. FT. ______ (=� S 89°58'50" E (P) 103.00' (P) - --- `o
PATIO = NA SO. FT. I �: 57.0'
POOL AREA = NA SQ. FT. j n_ A/C UNIT-B LOT 55 00
CONC. DRIVE = Z400 SQ. FT. I o 1516 �. � .
,
o Q z ENTRY 17.3' o-
A/C & CONC PAD = 80 SO. FT. I D 10.0
SIDEWALK = 324 SO, FT. v
SIDE YARD SWALE = NA SO. FT. I ---__---_ S 89°58'S0" E P 103.09 P 14.7' ___
CONSERVATION AREA = NA SQ. FT. i El 57.0 _ _
LOT OCCUPIED = 77 % I n A/C °=
AREA TO IRRIGATE = 23 % c o UNIT-C LOT 54 0
I w 1624 o ENTRY 17.3'
U_ D
-
2
SEC. 15, TWP. 26 S, RNG 21 E. I coS 89°58'50" E P 103.00' P y::::�4.7'tJ
PASCO COUNTY, FLORIDA z i Q 39.7 c
(ZEPHYR COURT) Q Ln i ^ UNIT-C V _ za.a' c ~
Q w I o z 162.4 LOT 3 ENTRY 17.3' I.
vl7 I g� � >_ ov`i .`y► is
c A/C PROPOSED ® a
�- I w------- S 89°58'50" E (P) 103.00' (P) 2 STORY _ a o
NOTE: CONSTRUCTION O O I Q o 57.0' ATTACHED w
GRADING PLANS U O I A/C RESIDENCES (` o 0.
HAVE MINIMAL UNIT C CP ENTRY o
GRADING/ELEVATION S H I o b z e+ LOT 5 9 o
INFORMATION I o o Q 1624 d 17.3 co 'N
zc j z c 10.0 Z
N I --------- 39.7' y I
WESTERLY BOUNDARYV ' S 89°58'50° E (P) ;103.00' (P)--__-___--
LINE OF TRACT 19
b z UNIT-C ENTRY 17.3'--
LEGEND. > 1624 LOT S1 }
PROPOSED DRAINAGE FLOW i A/C �-1 \ 57 0'
(00.00) = PROPOSED GRADE I -------= S 89°58'50" F P 103.00' Pi }
39.7' 1 c
E-00.00 = EXISTING GRADE iy -- E
UNIT
= 1a' INGRESS EGRESS/U.E & D.E o z 15168 ra LOT 17.3' o
= 2" OAK ----A c'r 57.0' ---- --
S 89°58'50" E (P) 103.00' (P)
PROPOSED ELEVATIONS AND TYPE j a A/C ( m °
GRADING SHOWN HEREON ARE TAKEN I N i�3 z UNIT A LOT 49
I y,
FORM THE ENGINEERING PLANS OF "MASER I Cc 1532 i 7.3'r
CONSULTING P.A. ", PROVIDED BY CLIENT 20.0' " o --
s sF
--
--
6.0' 39.7' 0
�5\^
9.0' /80'I0 � N 89"59'27" W (P) 103.00' (P) \$0 '
SOUTHWEST CORNER - r- __-i ___----------
OF TRACT 1 9 I IU LANDSCAPE BUFFER LINE BEARING DISTANCE o
LI N00°al'10"E P 6.59' P
PROPOSED: I
LOWEST FLOOR ELEVATIONS: ---------------------------r---------------------------_r ---------------------
I I I
LIVING AREA: 81.55'
GARAGE AREA: I LOT 12 j LOT 1 1 j LOT 10
ELEVATIONS REFERENCED TO i CHALFONT VILLAS PLAT If
NORTH AMERICAN VERTICAL DATUM OF' 1988 1 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
AI= ARC LENGTH (D(=DEED HWF=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 RNG = RANGE L!% :;t;> a. VINYL FENCE
AF =ALUMINUM FENCE EL OR ELEV = ELEVATION LB �LICENSED BUISNESS PCP =PERMANENT CONTROL POINT RRS =RAIL ROAD SPIKE CONC
'.
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 ITS = 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
ti CENTERLINE MONUMENT NCF = NO CORNER FOUND R = PROPERTY LINE SIR = SET 1/2" IRON ROD LB# 8183
CLF =CHAIN LINK FENCE FIR = FOUND IRON PIPE O/A , OVERALL POB = POINT OF BEGINNING TBM =TEMPORARY BENCH MARK = BRICK - x -- --X---
CMP = CORRUGATED METAL PIPE FIR = FOUND IRON ROD OHW = OVERHEAD WIRE(S) POC = POINT OF COMMENCiMENT TOB =TOP OF BANK
COL=COLUMN FN&D= FOUND NAIL&DISK O.R. = OFFICIAL RECORDS POL=POINT ON LINE TWP=TOWNSHIP At FENCE
CONC CONCRETE FOP = FOUND OPEN PIPE (P) = PLAT PRC = POINT OF REVERSE CURVE LLE = UTILITY EASEMENT �= COVERED
C/S = CONCREFE 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, Florida P P N e s
Date of Site Plan: N`�iri� P
furnished to Initial Point Land Surveying, LLC. at the time of this property w 1'1�`a u r ervision and Phone: (727)-831-1990 = �W"w'"lil;' l
DWG File: site plan meets th c �a, ractice for FloridaPLS7123@gmaii.com
2. This sketch was prepared without the benefit of a title search. ®
P P s ve �(t4! � r of hand # 8183 �
File: No instruments of record reflecting ownership, easements or S y" ty signed
Drawn by: rights -of -way were furnished to the undersigned, unless I o r iiiii �i' tratjv,
otherwise shown hereon. urs ant Section 472,t2o Hartley
Checked by: P i „
3.) Roads, walks, and other similar items shown hereon were at SZ3 L
REVISIONS taken from engineering plans and are subject to survey. S Dat(D322.® ,26
REVISED SOUTH 4, This site fan does not reflect nor determine ownership.i � �3�� :.E �" �m
BOUNDARY LINE ) P t1gy,10,
,� C! 'Q4O 3 '5.) This site plan is subject to matters shown on the Plat of
8 26 22 "LEAFSIDE TOWNHOME PLAT" Jeff
thereof. Dimensions shown hereon are in feet and decimal portions FLORIDA FE �MOCJIi10OR AND
thereof. t I
7.) Contractor and owner are to verify all setbacks, building MAPPENO.41ki-A" 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 GNATURE AND SEAL OF A FLORIDAdeviation from information shown hereon. Failure to do so will beCENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC.
at user's sole risk.
VIRTUAL 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 , 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: DESRA ANNE KLAHR
Address: 747 SW 2ND AVENUE - SUITES 170 301 357 & 358 GAINESVILLE FL. 32601
•
Email Address (Optional): deb@virtualreviewassist.com
Fax: N/A
Florida License, Registration or Certificate #: (LIC # BU1967 / PX2300 / BN4615)
I have elected to use one or more private providers to provide building code plans review and/or inspection
services on the building that is the subject of the enclosed permit application, as authorized by s. 553.791, Florida
Statutes. I understand that the local building official may not review the plans submitted or perform the required
building inspections to determine compliance with the applicable codes, except to the extent specified in said law.
Instead, plans review and/or required building inspections will be performed by licensed or certified personnel
identified in the application. The law requires minimum insurance requirements for such personnel, but I
understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I
have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance
and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harmless the
local government, the local building official, and their building code enforcement personnel from any and all
claims arising from my use of these licensed or certified personnel to perform building code inspection services
with respect to the building that is the subject of enclosed permit application.
I understand the Building Official retains authority to review plans, make required inspections, and enforce the
applicable codes within his or her charge pursuant to the standards established by s. 553.791, Florida Statutes. If I
make any changes to the listed private providers or the services to be provided by those private providers, I shall,
within I business day after any change, update this notice to reflect such changes. The building plans review and/or
inspection services provided by the private provider is limited to building code compliance and does not include
review for fire code, land use, environmental or other codes.
The following attachments are provided as required:
1. Qualification statements and/or resumes of the private provider and all duly authorized representatives.
2. Proof of insurance for professional and comprehensive liability in the amount of $1 million per
occurrence relating to all services performed as a private provider, including tail coverage for a minimum
of 5 years subsequent to the performance of building code inspection services.
Individual
(signature)
Print
Name:
Address:
Telephone
No.:
Please use appropriate notary block.
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 Agent
Address:-700 NW 107th Ave
Miami, FL 33172
Telephone
No. 813-574-5700
Corporation 22ND
Before me, thijs, 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
0
(signature)
Print
Name:
Address:
Telephone
No.:
Partnership
Before me, this day
of 1 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 M�A�o
'f)_ Print Name ASHLEE CALLAHAN
Notary Public Stamp: ASHLEE CALLAHAN
� � �;8pu' Nc)tary public. State of Florida
Commission Expires: A or. 9 GG 244456
U Conlmlssl
NOVEMBER 30, 2022 'S Ay COMM, Expl(es Nov 30, 2022
`tonded throuSh National NoLAry Am,
Page 2 of 2
Private Provider
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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,SH1.5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300
Signature of Reviewer:
SWORN AND SUBSCRIBED before me b DIP
or having proddcecras'identification
being personally known to me
i and who being fully sworn and cautioned, state that the
for l'—;— is true and cT ct to th best of his/her knowledge or belief.
6& 01-A
V I -fY C41 IJ O'0
SlXature'of Notary Print Name - I
ASHLEE CALLAHAN
commission expires: Notary Public - State of Florida
Commission # GG 244456
My Comm. Expires Nov 30, 2022
Bonded through National Notary AsSn,.
W -RO-0 7
TRACKING#/2
FOLIO #
A? V q01-1-
BUILDING SERVICES DIVISIO,
i I IRJ I I A 1 "11 i Lffi ft7l Owl a Uri) W1_ J'Alk, yft�_W, I J1
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Required Ptrmits
DATE -
EXAMINER:
,tea chanical
nspection
_-Qnly
etrical AmIII p
�tion �0."l
ii 111.
ire Sprinklers
0 Potable Backflow Assembi
Fire Line Backilow Preventer
E] Irrigation Bacirflow Assembl Y
Lj Demolition
in Cooler
pwalk7 -
Refrigeration
�E=
A _,J
I a 77 1, II
Grease Trap
MIT ju,
W
Occupancy Load
0ancy Classification: Y Car ducational W_
Tactory ai
9O�ercan M
F
'Residential E3
Building Use: Alteration IELevel I Fo Level 2 Level 3
1 ;fit New Construction El Interior Finish n Interior Remodel El Exterior Remodel Addition Revision
Number II of Stories:
M
Covered Area*
# of Bedrooms:
Cost per square foot:
Fistimated Value:
ally, M-03111
W9
.�
Wrorne Debris:
r_1
[j Inside Outside
Energy Code:
q0S _fooD
Flood Zone:
Base Flood Elevation:
I 1 I T I _ff
ydrostatic ts?
Yes h!
Sq. Ft. Enclosed Space Below BFE:
#of Vents;
Size of Vents:
Total Sq. In. Perm2nent Openings
RCentral AIC f!!�Heat Pump X Window A/C
G I Gas Heat Electric Heat
Storm Sewer Catch Basins
Potable Water
Und erground Fire Line