HomeMy WebLinkAbout22-4185City of Ze—yrhill s
5335Eighth Street
Zephvrhi|ky.FL33542
Phone: (813)78U-O020
Issue Date: 09/13/2022
MOON
20
Name: LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential)
Class of Work: Townhome
Address: 460WCypress St 200
CONSTRUCT Tovvw*Vme1.n41SQFTxS
Building Valuation: $218,4zV.35
Electrical Valuation: $32.70425
Mechanical Valuation: $15.289.98
Plumbing Valuation: $21.842D4
Total Valuation: $288.32542
Total Fees: m3,38312
Amount paW:$13.39312
Date Paid: 9U3/2022 10*0:14AM
Contractor: LENNARHOMES LLO
Fire Wall/Smoke Wall Inspection
$1510 SIF1 percent Fee
$33.53
Park Impact Fee -Single Family/Townhome
$769.56 Electrical Plan Review Fee
$45.00
Public Safety Impact Fee -Admm
$28.35 Gower Connection Residential Fee
*2.090.00
School Impact Fee - Single Family
$3.353.00 Mechanical Permit Fee
$11045
Public Safety Impact Fee -Admm
$28,35 Address Fee
$30.00
Transportation Impact Fee
*3.44520 Driveway Fee
*45�00
3/4Water Meter Residential Connection Fee
$732J1 Water Connection Residential Fee
$1.010.00
Building Permit Fee
$1.132.14 Plumbing Valuation Fee
$45,00
Building Plan Review Fee
$45.00 Electrical Permit Fee
$203.82
Transportation Impact Fee City
$34.80 Plumbing Permit Fee
$149.21
Mechanical Plan Review Fee
$45.00
REINSPECTIONFEES: (c)yVith respect toReimspeptonfees will comply with Florida Statute 0(2)
local government shall impose afee mffour times the amount mf the fee imposed for the initial inspection or
first re|mspec±ipn, whichever is greater, for each submequmntmeinspectiom.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such eswater management, state agencies orfederal agencies.
Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
CONTRACTORSIGNATURE
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received 908 770 7763
Phone Contact for Permitting _-A
I I I I I I I I I I I I I I I I I I II I I I 11� 1 a a I Owner's Name Lermar Homes, LLC Owner Phone Number 813.574.5700
Owner's Address 1 4301 W Boy Scout Blvd Ste 600 Tampa, FL 33607 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 14851 Foliage Road LOT # 0056
SUBDIVISION Zephyr Court PARCEL ID# 1 15-26-21-0220-00000-0560
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRF--] ADDIALT SIGN DEMOLISH
INSTALL D REPAIR
PROPOSED USE u v u SFR F__] COMM OTHER I
TYPE OF CONSTRUCTION BLOCK [=] FRAME STEEL
DESCRIPTION OF WORK SingleFamily Residence / Pool / Screen Fnclosure / Fence
BUILDING SIZE SQ FOOTAGE [1� HEIGHT rY
. . I I I I I I I I I I I
BUILDING VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL 1$ $32,76425 AMP SERVICE PROGRESS ENERGY FX� W.R.E.C.
PLUMBING $ $21,842.84
0 MECHANICAL $ $15,289.98 VALUATION OF MECHANICAL INSTALLATION cps
GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES Do
I I III II II .................
BUILDER COMPANY Lermar Homes, LLC
SIGNATURE REGISTERED Y/ N FEE CURREN L11 N
Address
01 W Boy Scout Blvd Suite 600 Tampa, FT, 33607 License# CGC 1518166
ELECTRICIAN COMPANY Proven Electrical Concepts, LLC
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address 5728 Golden Owl Loop, Land 0 Lakes FL 34638y License # I EC 13009068
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y/ N J FEE CURREN TY/N
Address P.O. Box 30 3, Bayonet, FL 34674-5308 License # I CFC042998
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address P.O. Box 534Bayonet, FL 34674-5308 License# I CAC058062
OTHER COMPANY I C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN EyZK:J
Address 14211 SVoal 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 & 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 C)FDEED RESTRICTIONS: The undersigned understands that this permit may be subject to "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 a contractor or
uon1mcb/m to undertake work, they may be required to be |ioonood in accordance with state and local regulations. If the
contractor is not licensed as required by |aw, 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 800Uon at727-847-
80UQ. Furthermnra, if the owner has hired a contractor orcontractors, 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
contractor, 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 Foou may apply tothe construction ofnew buildings, change of
use in existing bui|dingu, or expansion of existing bui|dings, as specified in Pasco County Ordinance number 88-07 and
00'07. as amended. The undersigned also understands, that such fees, as may be due. will be identified at the time of
permitting. It isfurther 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 ra|eaoe, 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, aeammended): |fvaluation ofwork is$2.5UO.0Oormore, |
certify that |, the app|iount, have been provided with a copy of the "Florida Construction Lion Law —Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the ''wwner''. | certify that | have obtained a copy of the above described document and promise in good faith to
deliver it tothe ^uvvnur^prior 1ocommencement.
CDNTRACTOR'S/C)VVNER`S&PF|OAV|T� | certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating cona\ruoUon, 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
construction, County and City oodos, 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 wnrk, and that it is
myresponsibility toidentify what actions | must take tobeincompliance. Such agencies include but are not limited to:
Department ofEnvironmental Protection -Cypress Bayhoady, Welland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District -Wells, Cypress Bayheods, Welland Areao, Altering
Watercourses.
- Army Corps ofEnginmero-Seawa||s. Dnoka. Navigable Waterways.
' Department of Health & Rehabilitative Services/Environmental Health Unit-VV*||s, Wastewater Treoiment,
Septic Tanks.
USEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation Au{ho/i\y-Runvvaya
| understand that the following restrictions apply tothe use offi||�
- Use offill isnot allowed inFlood Zone ^V^unless expressly permitted.
U the 0| material is to be used in Flood Zone ^A^, it is understood that a drainage plan addressing a
^oompennaUng volume" will be submitted attime ofpermitting which is prepared by o professional engineer
licensed bythe State ofFlorida.
- If the fill material is to be used in Flood Zone ^A" in connection with u permitted building using aham wall
construction, | certify that fill will be used only Nfill the area within the stem wall.
- If fill material is to be used in any area, | certify that use of such N| will not adversely mff*d adjacent
properties. If use of fill is found to adversely affect adjacent proporties, 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 by fill, an engineered drainage plan is required.
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 tocommencing construction. | understand that separate permit may b* required for electrical work,
p|umbing, eigna, wmUo, poo|u, air conditioning, gan, orother installations not specifically included in the application. A
permit issued ohoU be construed to be o license to proceed with the work and not as authority to vicdoh*, canoe|, a|\er, 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
un|uoo the work authorized by such permit is commenced within six months of permit iaauanoo, o/ 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 roquoaV*d, in writing, from the Building Official fora period not to exceed ninety (00) 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—N
Subscribed and sworn to (or alfia:ned) before me this
UD-lv'dY-/-/- by Ashlee Callahan
���nally known to me or
as identification,
Notary Public
8issuM.Holleran
Name of Notary typed, printed or stamped
ti- Expires June 6,2024
CONTRACT 2
Subscribed a�l to (or affirmed) before me this
05-M.y-22 —by _Ashlee Callahan
Who is/are personally known to me or hasihave pFedLieed
—as identification.
Notary Public
�ommi�ssion No�.HH �O0046�0
Elissa M. Holleran
Name of Notary typed, printed or stamped
We, I,$, 0:03W170,9
Permit No. 2
Date Permitted v !�
Builder Name/Owner Name r- Control #
County Parcel No. 1 s5 =& 2j 02- 6® SubDiv: T�
Address/location
Classification/Type of Use 10�044AVIe--
TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit:
Exempt Yes F--j No How Determined
Impact Fee Amount! S L J Zone No. TAZ:
SCHOOL IMPACT FEE
5-3
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 $
!
LIBRARY FEE
Land Account
Facility Account
Exempt Yes No
«•i •
Facility Total
Total Amount
RESOURCE FEE ERU
Total Amount
Prepared By Checked By
NO C RTIFICAA•FOCCUPANY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTALi ! HAVE
BEEN • AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
ACKNOWLEDGEMENT i.. DOES NOTOF •.. OF •" OF
FORM, PLACING BUILDINGOWNER ON i i..THIS
A• THE CONDITIONSOF •. SAME.
FST-1w
RECEIVED BY
RECEIPT NO DATE 6Y
DESCRIPTION. 49-56,
TOWNHOMEE PLATT,, ACCORDING TOITDHE 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. L - - - - - --rL - -
NOTES: (38.00' PRIVATE R.Q.W.)
LOT GRADING TYPE = N/A
I I
PROPOSED PAD ELEVATION = N/A I ( " O
fV
FRONT SET BACK = 15'
I 1 I II
I .
SIDE SET BACK = 10'
15FROM INTERIOR ROADWAY OR PARKING AREA t--=-- 1=-
10' FEET FROM EDGE OF A RECREATION AMENITY TRACT „F" COMMON AREA I aJ
1U FROM EDGE OF A STORM WATER ,•. (PRIVATE)
RETENTION/DETENTION AREA i ( BLDG 1d0 o I !!}
REAR SETBACK = 20' 9.0' ONLINE S 89°58'50" E (P) 103.00' (P) i r' 1 Q.0, I
I 20.0' 6.0 39.7'jiV "
LOT = 14901 SO. FT. i 2 .d'
LIVING AREA = 5336 SQ. FT. rr) 00\ UNIT -A ENTRY ITT � e
ENTRY = 67Z SQ. FT. EO \ A/C D 1532 LOT 56
GARAGE = 1848 SO. FT. I C3 f `v' d
COVERED LANAI = 868 SO, FT. -_-__-- F� S 89°58'50" E (P) 103.00' (P)
PATIO = NA SQ. FT. I 57.0' --CL " I
POOL AREA = NA I A/C "
SQ. FT. I a UNIT-B LOT 55 0
CONC. DRIVE = 2400 SO, FT. I b 1516 .3�. co
Q Z ENTRY 17'
A/C & CONC PAD = 80 SO. FT. 1> -
SIDEWALK = 3Z4 SQ. FT.
SIDE YARD SWALE = NA SO. FT. i-------- S 89°58'50" E P 103.00' P
CONSERVATION AREA = NA SQ. FT. 57.0' --_f
LOT OCCUPIED = 77 % I A/C
UNIT-C LOT 54 I
AREA TO IRRIGATE = Z3 % i s o I o
I LU 1624 ENTRY ITT - " 00 � a
I
w ao
SEC. 15, TWP, 26 S, RNG 21 E. S 89"S8'S0" E P '103.ad' P v :::�l4.7' * " V
UJ-------------------- , V
PASCO COUNTY, FLORIDA i ¢ c 39.7' c Q
ZEPHYR COURTS Ln i �a UNIT C v 200 c �. UJ
O LU I 2!Cr o 1624 LOT 53 ENTRY 17.3' Q
v
c0 -
o 2!I e A/C PROPOSED CL
is o
N C)
0 t ❑ S 89°58'50" E (P) 103.00' (P) 2 STORY
NOTE: CONSTRUCTION v�C 0 O i o------- 57.0' ATTACHED --- --- e w (a °j
GRADING PLANS O I A C RESIDENCES (` o M
HAVE MINIMAL i m I o / co o^ I
GRADING/ELEVATION o 00 UNIT- LOT � �' SZ ENTRYl 7 3 � D
INFORMATION >
c a c a 10LU
.0' Z
N I ------ ---39.7' 771477
------
WESTERLY BOUNDARY ; s B9°58'So" E (P) ;to3.0a' (P)
LINE OF TRACT 19 E 63' a" -
Z UNITC b aLEGEND: ENTRY ITT
1624 i
I LC1T51 .
I 0
PROPOSED DRAINAGE FLOW I A/C
57 0'
S 89°58'S0' E (P Ild3 0d' P
i'0U.U0) = r'NOFrUSEU (2kl�Uf -- ---- 39.7' 4.7' ----
E-00.00 = EXISTING GRADE Q
= ld' INGRESS EGRESS/U.E & D.E o Z UN15I}6B 17.3' "" °o
y T SO
Lo
A/C m I
= 2" OAK I El
57.0'
I -_----- S 89°58'50" E (P) 103.00' (P) e -
I "Q
PROPOSED ELEVATIONS AND TYPE A/C I "
GRADING SHOWN HEREON ARE TAKEN I iv C3 Z UNIT A T 49 ". I
y 1532 ITT 20.0' "
FORM THE ENGINEERING PLANS OF "MASER j
CONSULTING P.A. ", PROVIDED BY CLIENT 20.0' o
6.a' 39.7' 6 1 d'
I 9.0' N 89-59'27" W (P) 103.00' (P) \�0 -'
---------
SOUTHWEST CORNER �'
--
OF TRACT 19 o LINE BEARING DISTANCE
l0' LANDSCAPE BUFFER
PROPOSED: j � L1 N00°Ot'10"E
$ ------------°---------------°--r---------------------------I- -----------------
LOWEST FLOOR ELEVATIONS: I I I ®®®
LIVING AREA: 81.55'
GARAGE AREA: j LOT 12 j LOT 1 1 j LOT 10
ELEVATIONS REFERENCED TO I I CHALFONT VILLAS PLAT 11 I
NORTH AMERICAN VERTICAL DATUM OF' 1988 I PLAT BOOK 31, PAGE 69-70 I
+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 12101G-0452-F) EFFECTIVE DATE: 09/26/2014
A) = ARC LENGTH ID) = DEED HWF = HOG WIRE FENCE PC - POINT OF CURVE (R) = RECORD LEGEND
A/C = AIR C ONDITIONER D E DRAINAGE EASEMENT INV = INVERT PCC = POINT OF COMPOUND CURVE RNG = RANGE ,� r >q;;, o, VINYL FENCE
AF = ALUMINUM FENCE EL OR F I F V = ELEVATION I_B--ILCENSED BUISNESS PCP = PERMANENT CONTROL POINT RRS - RAIL ROAD SPIKE CONC
BEE = BASE FLOOD ELEVATION EOP = EDGE OF PAVEMENT LFE = LOWEST FLOOR ELEVATION P/E = POOL EQUIPMENT 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
(C) = CALCULATED FCM = FOUND CONC RE IF MF-S MITERED END SECTION PK =PARKER KALON FB#8183
ti = CENTERLINE MONUMENT NCF = NO CORNER FOUND R = PROPERTY LINE SIR =SET 1/2" IRON ROD LB# 8183 CHAIN LINK FENCE
CUE = CHAIN LINK FENCE. FIP = FOUND IRON PIPE O/A = OVERALL. POB = POINT OF BEGINNING TBM = TEMPORARY BENCH MARK = BRICK ------ K-------->�--- ------
CMP = CORRUGATED METAL PIPE FIR = FOUND IRON ROD OHW = OVERHEAD WIREIS) POC = POINT OF COMMENCTMENT TOB =TOP OF BANK
COT =COLUMN FN&D=FOUND NAIL &DISK O.R. = OFFICIAL RECORDS POL=POINT ON LINE TWP= TOWNS[ IP -
ALUMINUM FENCE
CONC = CONCRETE
FOP =FOUND OPEN PIPE (f') =PLAT PRC = POINT OF REVERSE CURVE U.E -UTILITY EASEMENT =COVERED
C/S =CONCRETE SLAB FPP =FOUND ('INCHED PIPE PB = PLAT BOOK FIRM =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: `�� �f`t p
furnished to Initial Point Land Surveying, LLC. at the time of this property w stlia u r 1 by ervision and Phone: (727)-831-1990 e WP IN W I"
,,PP RGiW 2GI(
DWG File: site plan meets th c f i 70 ractice for FloridaPLS7123@gmail.com W
y TWPIS WP.'S
2.) This sketch was prepared without the benefit Of a title search. S ve r of and # 8183 o aC W 1(I o
File: No instruments of record reflecting ownership, easements or S Y„ y sign,. � <�'IF
Drawn by rights -of -way were furnished to the undersigned, unless Ion Wi tro�t(v�
otherwise shown hereon. urs ant Section 472.G'Al vl �tL Har ley
Checked by: p .
3.) Roads, walks, and other similar items shown hereon were at I i fit, �.® .26
REVISIONS taken from engineering plans and are subject to survey. 4
REVISED SOUTH 4.) This site plan does not reflect nor determine ownership. F � `�*`t� ��%
BOUNDARY LINE 1 ® .675 -®4 O
5.) This site plan is subject to matters shown on the Plat of ! �� , , Ts
8-26-22 'LEAFSIDE TOWNHOME PLAT" ♦ " �, < ;�
6.) Dimensions shown hereon are in feet and decimal portions Jeff M. e
FLORIDA NItFE t4L�1 1 OR AND Q
thereof. %WR N
7.) Contractor and owner are to verify all setbacks, building MAPPE0. 44, 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 ei>®
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.
V- /\
vi R IUAL REVIEW ASSIST
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 4851 FOLIAGE PD
Parcel Tax ID: 04-26-21-000-003ill
9
Services to be provided: Plans Review X Inspections
Note: If the notice applies to either private plan review or private inspection services the Building
t,
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 Finn: VIRTUAL REVIEW ASSIST, INC.
Private Provider:
Address:
Telephone
RM-93F.Mme
Email Address (Optional): deb@virtualreviewassist.com
RIM '. ITiI
Fax: N/A
Florida License, Registration or Certificate 4: (SIC # 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 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.
11TIMMI
(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 1Q7th Ave
Miami, FL 33172
Telephone
No. 813-574-5700
Corporation
Beforeme,this 22ND day of
MAY -12o22'
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 identication_ Type of identification produced
Partnership
Print Partnership Name
By:
(signature)
Print
Name:
Its:
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 NotaPrint Name ASHLEE CALLAHAN
Notary Public Stamp:
SHLEE CALLAHAN
0 1 Z" A Florida
f
Commission Expires: Notary Pubic - State Of
GG 244456
NOVEMBER 30, 2022 Comm. Eapjeej Nov 10, 2022
`tofkdad throqh N300W Notary Assn,
Page 2 of 2
Private Provider
Private Provider Firm: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU1967
Address: 747 Southwest 2111 Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: lugy@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:
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,
PA1.3,SHI.0,SHI.1,SHI.2,SHI.3,SHI.4,SHI.5
Florida License/Registration/Certification 4(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300 //
Signature of Reviewer:
SWORN AND SUBSCRIBED before me by_
being personally known to me or having pio`ddceras'identification
d and who being fully sworn and cautioned, state that the
for ' o' is true and com;ct to t4 best of his/her knowledge or belief
SlXature'of Notary Print Name
.............
Y P9"""' 14
ASHLEE CALLAHAN
commission expires: "A' Notary Public - State of Florida
Commission I GG 244456
My Comm. Expires Nov 30, 2022
Bonded through Nationai Notary Assn.
E.71�=W�7
DATE:
EXAMINER:
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WON- I
Potable Back1low Assembly
Wallt-in Cooler
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Care•ducational
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Alteration Level 3
Building Use: SEE FiLevel I ID Level 2
P(New C/.Y l io rInterior Finisb El Interior Remodel El Exterior Remodel El Addon 0 Revision
Cost per square foot:
-1 f+TAT Werm, =11
P
Wllrorne
Debris:
,hside
ide
1 717
F-Aid—r—osWIeVtints ?
Sq. Ft. Enclosed Space Below BFE:
Total Sq. In. Permanent Ovenino
Window A/C
El Electric nest
501vari'MITIMM In
Storm Sewer Catch Basins
------- ------
Underuround Fire Line
Front Rear Left Right
AAs per Approved Site Plan