HomeMy WebLinkAbout22-4184.lTy of Zephyrhilis
11,11-1
5335 Eighth Street
Zephyrhills, FL 33542 BNR-004184-2022
Phone: (813) 780-0020
Fax: (813) 780-0021 Issue Date: 09/13/2022
4847 Foliage Rd 15 26 21 0220 00000 0550
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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: $221,357.25
TAMPA, FL 33607
Electrical Valuation: $33,203.59
Phone: (813) 574-5700
Mechanical Valuation: $15,495.01
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Plumbing Valuation: $22,135.73
Total Valuation: $292,191.58
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Total Fees: $13,671.02
Amount Paid: $13,671.02
Date Paid: 9/13/2022 10:57:51AM
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CONSTRUCT TOW\g`NHOME 1,513 SQ FT AS
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Electrical Plan Review Fee
$45.00 Fire Wall/Smoke Wall Inspection $15.00
Water Connection Residential Fee
$1,010.00 Driveway Fee $45.00
Building Permit Fee
$1,146.79 Mechanical Permit Fee $117,48
School Impact Fee - Single Family
$3,353.00 Sewer Connection Residential Fee $2,090.00
Electrical Permit Fee
$206.02 Plumbing Valuation Fee $45.00
Address Fee
$30.00 Transportation Impact Fee - City $34.80
Transportation Impact Fee
$3,445.20 Public Safety Impact Fee -Police $254.00
Public Safety Impact Fee -Admin
$26.35 Park Impact Fee - Single Family/Townhome $7%56
Building Plan Review Fee
$45.00 Mechanical Plan Review Fee $45.00
3/4 Water Meter Residential Connection Fee
$732.71 Electrical Valuation Fee $30.90
SIF 1 percent Fee
$33.53 Plumbing Permit Fee $150.68
REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c) the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection, whichever is greater, for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
• •: • •. •I i• • • I I I i I• I i I I • •111 1111• .. r. • . • ►..
Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in
accordance with Cit• • and Ordinances.NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY
A
,t
CONTRACTOR5IGNATURE
1 NO�iil _...
0FR
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received =908 770 7763
Phone Contact for Permitting
L
813 5=74.5700'
Owner's Name LCrma, Homes, LLC Owner Phone Number
Owner's Address 4301 W Boy Scout Blvd Ste 600'fampa, FL 33607 Owner Phone Number
Fee Simple Titleholder Name I N/A Owner Phone Number
Fee Simple Titleholder Address N/A
JOB ADDRESSFoliage Road LOT # 0055
SUBDIVISION Zephyr Court PARCEL to# 1 15-26-21-0220-00000-0550
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRF—] ADD/ALT SIGN DEMOLISH
P INSTALL REPAIR
PROPOSED USE 0 SFR COMM OTHER
TYPE OF CONSTRUCTION 0 BLOCK a FRAME STEEL
DESCRIPTION OF WORK Single Family Residence / Pool / Screen Enclosure / Fence
BUILDING SIZE 65 1 SO FOOTAGE1513 HEIGHT 12 Story
m
d /I
BUILDING VALUATION OF TOTAL CONSTRUCTION
F__71
ELECTRICAL 1$ $33,203,59 1 AMP SERVICE PROGRESS ENERGY W.R.E.C.
I / IPLUMBING LYJ L!L2,13 5,73 �
VALUATION OF MECHANICAL INSTALLATION
II J MECHANICAL �
=GAS =71�,49�5.01 Yi ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA El YES Do
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BUILDER COMPANY I Lermar Homes, 11C.
SIGNATURE REGISTERED Y/ N FEE CURREN L_Z
LN
Address 301 W Boy Scout Blvd Suite 600 Tampa, Fl, 33607 License# I CGC1518166
ELECTRICIAN COMPANY I Proven Electrical Concepts, LLC
SIGNATURE REGISTERED YT _-N FEE CURREN
A
Address 5728 Golden Owl Loop, Land 0 Lakes, FL 34638y License# I EC1 3009068
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED LYL/ N FEE CURREN L11 N__J
1 4
Address P.O. Boi(5308, Bayonet, FL 34674-5308 License# FCFC042998
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN LY / N
Address P.O. Box 53k,"Bayonet, FL 34674-5308 License # I CAC058062
OTHER COMPANY Quality Roofing, Inc
SIGNATURE REGISTERED L_y LNJ FEE CURREN Y/N
Address 14211 Shoal O�e Blvd, Spring Hill, FL 34607 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 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.
III 1 4 111 11 111 •1
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 OF DEED S: The undersigned understands that this permit may bosubject ho^de*d^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 e contractor or
contractors to undertake vvork, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by |avv, 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 vvork, they are advised to contact the Pasco County Building Inspection Division —Licensing Section at727'847-
80OQ. FuAharmoro, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
oontraotor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply tothe construction of new bui|dinAs, change of
use in existing bui|dinga, or expansion of existing bui|dingo, as specified in Pasco County Ordinance numbor8Q'O7 and
90-87. as amended. The undersigned also underotonds, that such feen, as may be due, will be identified a(the time of
permitting. It iofurther 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. if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713'Florida Statutes, asmmanded): |fvaluation ofwork ia$2.500.O0nrmore, |
certify that |, the app|ioant, have been provided with a copy of the "Florida Construction Lien Law —Homeowner's
Protection Cuide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the ''mwnor^. | certify that | have obtained a copy of the above described document and promise in good faith to
deliver ittothe ^owner^prior tocommencement.
CONTFACTOF1'S/<]VVNER'SAFRDAV|T: I certify that all the information in this application is accurate and that all work
will bedone in compliance with all applicable laws regulating oonstrudion, zoning and land development. Application is
hereby made to obtain o 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
ouns8uction. County and City oodas, 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 work, and that it is
myresponsibility toidentify what actions |must take Vobeincompliance. Such agencies include but are not limited Vz�
Department ofEnvironmental Protection -Cypress Bayheado, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management 0sirioi-VVe||e, Cypress Dayheada, Weiland Areaa, Altering
Watercourses.
Army Corps ofEngineera-Seowo||n.Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-VVe||x, Wastewater Treatment,
Septic Tanks.
- USEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation Authority-Runwayo.
| understand that the following restrictions apply to the use of fill:
- Use offill isnot allowed inFlood Zone ^V~unless expressly permitted.
If the @| maha/iu| is to be used in Flood Zone ^A^, it is understood that a drainage plan addressing a
^uompenaahng volume" will be submitted at time ofpermitting which is prepared by professional engineer
licensed bythe State ofFlorida.
- If the 5U material is to be used in Flood Zone ^A" in connection with a permitted building using stem wall
construction, | certify that fill will be used only tofill the area within the stem wall.
If 0| 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 pnopertiey, the owner may be cited for violating
the conditions of the building permit |ouuad under the attached permit application, for lots |euu than one (1)
acre which are elevated byfill, nnengineered drainage plan iorequired.
If | um the AGENT FOR THE OWNER, | promise in good faith to inform the owner ofthe permitting conditions set forth in
this affidavit prior to commencing construction. | understand that separate permit may be required for electrical vvork,
p|umbing, signs, wells, poo|n, air conditioning, gua, nrother installations not specifically included in the application. A
permit issued shall be construed to be a license N proceed with the work and not as authority to vidoVa, oonoo|, aUar, or
set aside any provisions of the technical oodeo, nor shall iaouenoo 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 isnuun*a, 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 requeabyd, in vvh1ing, from the Building Official for a period not to exceed ninety (88) 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 [I
Subscribed and sworn to (or affirrrl�ore me this
,u0-1v1dY-1-1- by Ashlee Callahan
Who- onally known to me or - as identification.
Commission No. HH 000460
HissoM. Holleran
Name of Notary typed, printed or stamped
Expires June 6,2024
Subscribed and sworfi to (or affirmed) before me this
05-May-22 by Ashlee Callahan
Who is/are personally known to me or
as identification.
��Notary Public
Commission No. HH 000460
Blissa M. Holleran
Name of Notary typed, printed or stamped
VP BondodThmTroyiFilnlnourafa=800,AW70io
Permit No.
Date Permitted .7
Builder Name/Owner Name Control #—
County Parcel No. 157 2,& 0 2—',7 0 L—MbDiv:
Address/Location 2-1(9� 7 i�)Iiabr N
Classification/Type of Use
TRANSPORTATION IMPACT FEE
Rate: Sq. Ft Unit: 1,57l5
ExemptE:] Yes No 3il How Determined -
Impact Fee Amount 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
Land Account
Land Credit
Land Total
Recreation Account
Recreation Credit
Recreation Total
Zone
Total Amount $ 76 (2, 0�
Exempt =Yes
No How Determined
LIBRARY FEE
Land Account
Land Credit
Land Total
Facility Account
Facility Credit
Facility Total
Exempt F1 Yes
No How Determined
Total Amount
RESOURCE FEE ERU
Total Amount
Prepared By / We' 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.
DATE
RECEIPT NO DATE
RECEIVED BY
BY
DESCRIPTION: LOT(S) 49-56, LEAFSIDE I �'��
TOWNHOME PLAT, ACCORDING TO THE PLAT
PLAN
THEREOF, RECORDED IN PLAT BOOK 88, (NOT A SURVEY) ROADWAY TRACT "A"
PAGE(S)97-98, OF THE PUBLIC RECORDS OF I
PASCO COUNTY, FLORIDA. L - - - - - -- - -
NOTES: (38.00' PRIVATE R.O.W.)
LOT GRADING TYPE = N/A I 1
I I I PROPOSED PAD ELEVATION = N/A I _N
FRONT SET BACK = 15' i i I II
SIDE SET BACK = 10' A
15FROM INTERIOR ROADWAY OR PARKING AREA
atli 10' FEET FROM EDGE OF A RECREATION AMENITY I ---- TRACT "F" COMMONAREA • � '
10' FROM EDGE OF A STORM WATER ( (PRIVATE)
RETENTION/DETENTION AREA
BLDG >
REAR SETBACK = 20' ONLINE
1 9.0' S 89°58'50" E (P) 103.00' (P) s� f rn 1 '0' 1
F--- 6.0'
I 20.0' 39.7' V ---
LOT = 14901 SO. FT. I 2 .0'
LIVING AREA = 5336 SO, FT. n ��� UNIT -A ENTRY 17.3' Q
ENTRY = 672 SQ. FT. w if A/C A 1532 6 " 'in I
GARAGE = 1848 SQ. FT. ) _ Q - `0
COVERED LANAI = 868 SQ. FT. I F-1 S 89°58'50" E (P) 103.00' (P) -�' -
PATIO = NA SQ. FT. i A/C 57.0' ---- -- I
POOL AREA = NA SO. FT. I e UNIT-B o ,
CONC. DRIVE = 2400 SQ. FT. I o 1516 T 55 c6
A/C & CONC PAD = 80 SQ. FT. i 0 D ENTRY 17.3' _- 1
SIDEWALK = 324 SQ, FT. I 10 0 I
y 14.7'
SIDE YARD SWALE = NA SQ. FT. I _______ -- S 89"58'50" E P 103.00' P
CONSERVATION AREA = NA SQ. FT. I 57.0
LOT OCCUPIED = 77 % i A/C Q
AREA TO IRRIGATE = 23 % I UNIT-C LOT 54 'o I
I w 0 0 y 1624 ENTRY 17.3'
w
SEC. 15, TWP. 26 S, RNG 21 E. I °o
------ S 89°58'50" E P 103.00' P y 14.7'
--- ---------
PASCO COUNTY, FLORIDA z iCLi 39.7' O
(ZEPHYR COURT) i V 20.0' a �,
w LT 53 ENTRY 17.3'Q 16Z4
eCL 10
v0 ) gd Y o� `j c
o >_ I , A/C PROPOSED w ® o
N O •- ) F------- S 89°58'50" E (P) 103.00' (P) 2 STORY E Q o
NOTE: CONSTRUCTION Q 0 O Q o 57.0 i ATTACHED ------- Q w Q
00
GRADING PLANS - p °
v O I A/C RESIDENCES _ 1
HAVE MINIMAL � CO f p y UNIT-C °P ENTRY GRADING/ELEVATION T~ I o b Z ;t LOT 5$ 06 0
CL I p o >; 3 D 1624 It 17.3' o
INFORMATION r Q I co 0
Z v -s 10.0 z
I 1
Nf 39.7' 147---e--------
WESTERLY BOUNDARYI-_--_---_ S 89°58'50" E (P) I103.00(P) c
LINE OF TRACT 19 63' o" I
o z UNIT-C ENTRY 17.3' '-p
LEGEND- 1 p � > 1624 LOT 51 � p
1 _ /
►-= PROPOSED DRAINAGE FLOW 1 „-) 540'
°58'50" S 89 E +PI `103.00' P
(00.00) = PROPOSED GRADE I ------ C-- ------
1 39.7' 1 � 14.7' I
E-00.00 = EXISTING GRADE a_
_ UN
)0' INGRESS EGRESS/U.E & D.E o D 15116E T 50 173 o
I q co
1
= 2" OAK 57.0' ---- - A__
S 89°58'50" E (P) 103.00' (P)
PROPOSED ELEVATIONS AND TYPE A/C m
GRADING SHOWN HEREON ARE TAKEN 1 N € z UNIT -A LOT 49 1
c 1532 17.3' 20.0'
FORM THE ENGINEERING PLANS OF "MASER j d -
CONSULTING P.A. ", PROVIDED BY CLIENT n 20.0' p
' 6.a 39.7'
1 9.0' pg0 , N89°59'27" W (P) 103.00' (P) �' �a ----------------
SOUTHWEST CORNER
f o LINE BEARING DISTANCE b
OF TRACT 19 1 10' LANDSCAPE BUFFER
PROPOSED: i o L1 N 00°O1'10" E (P 6.59' P o
�$----------------------------r----------------------------I ---------------------
I -
LOWEST FLOOR ELEVATIONS: 1 1
LIVING AREA: 81.55' I I I
GARAGE AREA: j LOT 12 j LOT 1 1 j LOT 10
ELEVATIONS REFERENCED TO i CHALFONT VILLAS PLAT 11
NORTH AMERICAN VERTICAL DATUM OF' 1988 I PLAT BOOK 31, PAGE 69-70 1
+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 (MAP NUMBER 12 10 1 C-0452-F) EFFECTIVE DATE: 09/26/2014
A = ARC LENGTH - - - - - P -
1 D rDEED HWF HOG WIRE FENCE C POINT OF CURVE
RNG- RECORD LEGEND VINYL FENCE
A/C =AIR CONDITIONER D.Ei- DRAINAGE EASEMENT INV INVERT PC C POINT OF COMPOUND CURVE IZNG =RANGE y •,S'�+�'� °'
'•"'�' CONC
AF =ALUMINUM FENCE EL OR ELEV ELEVATION LB =LICENSED BUISNESS PCP PERMANENT CONTROL POINT RRS =RAIL ROAD SPIKE '�L«'t. `"'�
BEE = BASE FLOOD ELEVATION FOP = EDGE OF PAVEMENT LEE = LOWEST FLOOR ELEVATION PIE = POOL EQUIPMENT R/W = RIGHT OF WAY WOOD FENCE
BM = BENCH MARK ESM'T = EASEMENT LS = LICENSED SURVEYOR PG = PAGE SEC - SECTION
C = CURV
= E 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 I(ALON LB#8183 CHAIN LINK FENCE
CENTERLINE MONUMENT NCF = NO CORNER FOUND It= PROPERTY LINE SIR =SET 1/2" IRON ROD LB# 8183
CLF = CHAIN LINK FENCE FIP = FOUND IRON PIPE O/A = OVERALL POB = POINT OF BEGINNING TBM = TEMPORARY BENCH MARK = BRICK--
CMP = CORRUGATED METAL. PIPE FIR = FOUND IRON ROD OHW = OVERHEAD WIRES) POC = POINT OF COMMENCTMENT TOB = TOP OF BANK
COL - COLUMN FN&D = FOUND NAIL & DISK O.R. = OFFICIAL RECORDS POE = POINT ON LINE TWP = TOWNSHIP ALUMINUM FENCE
CONC = CONCRETE FOP = FOUND OPEN PIPE (P) = PLAT PRC = POINT OF REVERSE CURVE U.E = UTILITY EASEMENT = 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, Florida
Date of Site Plan: ,��"4,i PF
furnished to Initial Point Land Surveying, LLC. at the time of this property w t?�a u r hyppervision and Phone: (727)-831-1990
DWG File: site plan meets thcr rid eft ractice for FloridaPLS7123@gmaiLcom W
'i Rc�IW 1161L e 2.) This sketch was prepared without the benefit of a title search. s ve r of Gand # 8183 0
File: Y!'
No instruments of record reflecting ownership, easements or S ty sign
Drawn by: rights -of -way were furnished to the undersigned, unless lorii tr tiv o
otherwise shown hereon. urs ant Section 47ZT 7 o Hari -ley
Checked by: P >v
3.) Roads, walks, and other similar items shown hereon were at -a iDot, � }22.0 .26
REVISIONS taken from engineering plans and are subject to survey.
REVISED SOUTH 4. This site Ian does not reflect nor determine ownership. F I is �,
BOUNDARY LINE ) P P Ity 15r -04 6T Ogg,� ,��5•) This site plan is subject to matters shown on the Plat of �� � i 4
s ., it
8 26 22 "LEAFSIDE TOWNHOME PLAT" Jeff M. r pate J�
6.) Dimensions shown hereon are in feet and decimal portions Jeff M.FLORI{ t4�1 1� Pe AND
thereof. MAPPER NO. t#lhiQ4% 3
7.) Contractor and owner are to verify all setbacks, building
dimensions, and layout shown hereon prior to any construction, NOT VALID WITHOUT THE ORIGINAL
and immediately advise Initial Point Land Surveying, LLC. of any SIGNATURE AND SEAL OF A FLORIDA
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.
Project Name:
M►b
\/RA
V!RIUAL REVIEW ASSIST
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
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: DEBRA ANNE KLAHR
Address: 747 SW 2ND AVENUE - SUITES 170 301 357 & 358 GAINESVILLE FL. 32601
Fax: N/A
Email Address (Optional): deb@virtualreviewassist.com
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 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.
11 -mm 7 M,
(signature)
Print
Name:
Address:
Telephone
No.:
Please use appropriate notary block.
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 1 Wth Ave
Miami, FL 33172
Telephone
No. 813-574-5700
Corporation 22ND
Before me, thisi, 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
I -A
(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�(A � 0� Print Name ASHLEE CALLAHAN
y I � M
Notary Public Stamp:
ASHLEE CALLAHAN da
State
Florida Notary nubile. State of F
Commission Expires:
C0111ml$$i0r. N GG 244456
Comm.
EP, v 30 1022
'�AU "0 , ,
; -'K� V AY Conim. EXPV05 Nov 30, 2022
NOVEMBER 30, 2022 ,prr!e t , Notary
�Sn
OL
a' NoLary Assn,
'tonded throush Natlon
Page 2 of 2
Private Provider
I? avit,
Private Provider Finn: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU1967
Address: 747 Southwest 2,d Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: lqgyavirtualreviewassistco.m
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 Klabr
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,PA1.2,
PAI.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 b Dlp�xn V,(Q,h(
being personally known to me or h av in'g' produce cras"identification
i and who being fully sworn and cautioned, state that the
for is true and co -rr Oct t is/her knowledge or belief.
VA f a
glirnature'of Not 0 Print Name
P4111, ASHLEE CALLAHAN
Notary Public
commission expires: State of Florida
Commission # GG 244456
"2
My Comm. Expires Nov 30, 2022
Bonded through Nationai Notary A, ssr..
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ID/V el#11fi
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3RAC1MG;9 / V- � 055FIRE MARSHAL #01 - (16
FOLIO #
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DATE:
H,XAMINER:
chanical 11
Inspection Only
ect:n1Amp
Ln �cfion
El Potable Backilow Assembly
M
I I T M-11, 1 5 10, ti -11MI—P
lUiiisk Category-
d
Occupanc�I���Ii�i+;�l.
Racy ffication:
1actory
op:
FDay Care/Educational
_V
Mercantile
Building Use: Alteration Vi Level I IF] Level 2 Iff Level 3
New Construction Interior Finish El Interior Remodel El Exterior Remodel Addition El Revision
-Mu—niber of Storier� MI—.
W
'J" It
1V T
Cost per square foot:
ail
ebris:
Outside
I Energy Code:
84,17, =411KA 171, Im
Finish Moor Elevation:
_!!,mis
I ky—dr�s—tzt!cv,;atsf--IoYeS f"p
No
J
Sq. Ft. Enclosed Space Below BFE:
El Window A/C
El Electric Heat
WTUTM,
wer Catch Basins
7-- ----
Underground Fire Line