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Home My WebLink About22-4271WITH73110 Address: 4600 W Cypress St 200 TAMPA, FL 33607 Phone: (813) 574-5700 Class of Work: S R Construct Building Valuation: $211,444.05 Electrical Valuation: $31,416.61 Mechanical Valuation: $14,801.08 Plumbing Valuation: $21,144.41 Total Valuation: $278,806.15 Total Fees: $18,73493 Amount Paid: $18,734.93 Date Paid: 9/20/2022 12:11:22PM 2 Issue Date: 09/20/2022 ilk f IN i" ....... . Sewer Connection Residential Fee $2,090.00 314 Water Meter Fee (Cale) $732.71 Public Safety Impact Fee -Police $254.00 Park Impact Fee - Single Family/Townhome $769.56 Building Plan Review Fee $45,00 SIF 1 percent Fee $83.28 Driveway Fee $45.00 Plumbing Plan Review Fee $45.00 Electrical Plan Review Fee $45,00 Transportation Impact Fee $3,595.68 Transportation Impact Fee - City $36.32 Water Connection Residential Fee $1,010.00 Building Permit Fee $1,097,22 Public Safety Impact Fee -Admin $26.35 Electrical Permit Fee $197.08 Mechanical Plan Review Fee $45.00 Mechanical Permit Fee $114.01 Address Fee $30.00 Plumbing Permit Fee $145.72 School Impact Fee - Single Family $8,328.00 I I •�� OF =1 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. CONT lli CTOR SIGNATURE 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received �8 770 776 Phone Contact for Permitting 908 770 7763 1 1 1 1 1 1 1 1 0�11�� I I I I ':� 0 r 813 5 Ll Owner's Name Lennar flomes, 11C Owner Phone Number 813374 5700 Owner's Address F:30:1 �WBoy Scout Blvd Ste 6�00Tarn�raFl, �33607 Owner Phone Number Fee Simple Titleholder Name I N/A Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS [6478 Bar S Bar Trail LOT # 131 SUBDIVISION Abbott Square Phase 1 PARCEL ID# [0:4:_�26_21 �_0000�_0030�0_0000�� (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 Famil�r Residence I Pool I Screen Enclosure /Bence BUILDING SIZE [_I� �SF �1877�� SO FOOTAGE HEIGHT BUILDING 1- $211,444.05 VALUATION OF TOTAL CONSTRUCTION 0 ELECTRICAL 1$ $31,716.6L� AMP SERVICE PROGRESS ENERGY W.R.E.C. 0 PLUMBING $ $21,144A 7 0 MECHANICAL $�,801 �O8 VALUATION OF MECHANICAL INSTALLATION . ............ ..r. GAS 10 ROOFING O SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES Do BUILDER COMPANY T Lcnnar Homes, LLC FEE CURREN SIGNATURE REGISTERED _YLN_j Address 1 01 W Boy 6-6—tit Blvd Suite 600 Tampa, E]1=3601 License # I CGC1518166 ELECTRICIAN COMPANY�drnonson Electric, Inc. SIGNATURE REGISTERED Address 4 Skipper RoaOTa�� IM pa, FL 33613 License# VL --------- --- PLUMBER COMPANY Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Address P.O. Box,5308, Say et FL 34674-5308 License # CFC042998 Bayonet Plumbing, Heating & AC, Inc MECHANICAL F COMPANY SIGNATURE _J REGISTERED ��Y / N� Plumbing, Heating �Y/ N Address P.&_B_0X08,-Bayonet, FL 34674-5308 License # CAC058062 OTHER ly I COMPANY c sterling �uality Roofing, Inc F SIGNATURE REGISTERED FEE MURRFN Y/N Shoal Line BlvdSpring HillFL 34607 License # Address 421 , , L 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 clumpster; 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 OF DEED RESTRICTIONS: Theundermignedunderahandsthctthispermdmmybesubjeutto^doed^reotiubons^ which may be more 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 o contractor or contractors to undertake work, they may be required to be licensed in accordance with state and |oom| regulations. If the contractor is not licensed as required by |evv, both the owner and contractor may be cited for a misdemeanor violation under state |evv, 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 Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contraotors, 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 oontractor, 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|dings, change of use in existing bui|dinge, or expansion of existing bu||dingo, as specified in Pasco County Ordinance number80-O7 and 90-07. as amended. The undersigned also undorstando, that such fees, as may be due' will be identified aithe time of permitting. It is further 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 CountyVVater/Sevvmr Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter713. Florida Statutes, as amended): If valuation of work is $2.500.00 or more. | certify that |, the app|ioant, have been provided with a copy of the "Florida Construction Lien Law —Homeowner's Protection Guide^ prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the ''uvvner^. | certify that | have obtained m copy of the above described document and promise in good faith to deliver ittothe ''nwner''prior tocommencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application imaccurate and that all work will be done incompliance with all applicable |avve regulating conotruotion, 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 conatruodon. County and City uodea, zoning regulations, and land development regulations in the jurisdiction, | also certify that ! understand that the regulations ofother government agencies may apply to the intended mxork, and that it is myresponsibility toidentify what actions | must take tobeincompliance. Such agencies include but are not limited to: - Department ofEnvironmental Protection -Cy press Bayheads, Weiland Areas and Environmentally Sensitive Lands, VVater8WastewaterTreetment. - Southwest Florida Water Management Qiotriot-VVe||o, Cypress Buyheads, VVet|ond Areoa, Altering Watercourses. - Army Corps ofEngineers'Seavva||n. Docks, Navigable Waterways. - Deportment of Health & Rehabilitative Services/Environmental Health Unit-VVe||o, Wastewater Treatment. Septic Tanks. - USEnvironmental Protection Agency -Asbestos abatement. - Federal Aviation Authority-Runwaya. | understand that the following restrictions apply (othe use offill: - Use offill ianot allowed inFlood Zone Wrunless expressly permitted. - If the fill material is to be used in Flood Zone ''A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time ofpermitting which is prepared bye professional engineer licensed bythe State ofFlorida, - If the fill material is to be used in Flood Zone ''/Y' in connection with a permitted building using stem vve|| construction, | certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, | certify that use of such fill will not adversely affect adjacent properties. U use of fill is found to adversely affect adjacent prnpartiva, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one acre which are elevated by fill, an engineered drainage plan in required. If | am the AGENT FOR THE OWNER, i promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. | understand that a separate permit may be required for electrical vvork, p|umbing, aignm, vveUo, poo|s, air oonditioning, gmm, or other 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 toviolate, manoe|, a|ter, or set aside any provisions ofthe technical codes, nor shall issuance cf apermit 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 issuance, or if work authorized by theperm|1issuapendedorabondonedfVraperiodnfoix(G)monthaafterthatimethevvorkimnonnmenred. An extension may be nequested, in writing, from the Building Official for a period not to exceed ninety (90)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 Who is/are nersonally known to me Subscribed and sworn to (or affirmed) before me this as identification, Commission No. 1111000460 Name of Notary typed, printed or stamped Expires June 6,2024 CONTRACTOR Subscribed and sworn to (or affirmed) before me this 10-M.y-22 by Ashlee Callahan Who is/are m as identification. Commission mn [[H000460 Elissa M.DoDeran Name of Notary typed, printed or stamped `1 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more 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 state and local regulations. If the contractor is not licensed as required by law, both the owner and WIMIRIM W1. W. A*.$, 1, 4 191011 N.V. W I Mir 41 W-11 Fl. W11 W.M. IMM1111"I will 7w V all - not entitled to permitting privileges in Pasco County. lit rZ H02191=471-n 16=0-wa W-M. other installations not specifically included in the application. A pen -nit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, 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 issuance, 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 (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered a.4iandoned. 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 11E I I in FLORID7 JUR4,T (F.S. 117 03 OWNER OR AGENT ow CONTRACTOR_.��... Subscribed and svWro&or affirmed) before me this Subscribed and sworn to or&iirtned V) before me this a2Q2?_by ) 5.20.22 b a risty _V_ho is/are personally known to me or has/have produced t4l;IA?�is/are personally known to me or has/have produced as identification. as identification. Notary Public Notary Public Commission No. GG 244456 Commission No. GG 244456 Ashlee Callahan Name of Notary typed, printed or stamped Rv i ASHLEE CALLAHAN Notary Public - State of Florida Co -mission # GG 2444. 6 t Comm6 My ', EXP - 30 1�022 mrs's NOV r}u :bed through hahonal Notary Assn I.... Ashlee Callahan Name of Notary typed, printed or stamped ASHLEE CAL LAHAN Notary Public - State of Florida Commission # GG 244456 My Comm. Expires Nov 30, 2022 Bonded through National Notary Assn, Permit No. Date Permitted Builder Name/Owner Name Control County Parcel No. U111la- SubDiv: Address/Location TRANSPORTATIO Exempt 0 Yes No 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 - PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone Total Amount $ Exempt =Yes = No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt 0 Yes L-j No How Determined Total Amount RESOURCE FEE ERU Total Amount DATE RECEIVED BY RECEIPT NO DATE BY Permit Nca, l 'f Date Permitted Jf Builder Name/Owner Name � Control # County Parcel No. °p C� Subiv: Address/Location %i b Classification/Type of use Si to TRANSPORTATION IPACT FEE Rate: Sq. Ft Unit: Exempt Yes ED No Wow 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_ PARKS AND RECREATION FEE Land Account land Credit land Total Recreation Account Recreation Credit Recreation Total Zone Total Amount $— , s Exempt =Yes No How Determined Land Account land Credit land Total Facility Account Facility Credit Facility Total Exempt Yes No How Determined Total Amount® RESOURCE FEE ERU Total Amount ►} RM IM w, i ., "PL ' II95 P� 26 FF,5 a DTP A FF 9 77 �. Ps f P ` � FF: . 7 L" t� TYPE `` W9 —92.65 FF96. 95,52 92,92 1..,,. r. FAQ . r ,3 FFt 4„, 71 i�Al 9 :. TYPE ', '�� J 3F. .5 «,.90 .� r iF I '_° 74 94.,63 rw F , ' 97,38 96,28 Ty 7o, �� DESCM11"IFIOW. L07 13, BLOCK 13, ABBOTT SQUARE PHASE I A, SITE PLAN SEC, 4, TA/P, 26 S. RNG 21 E. ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK,_., PAGE __ OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA (NOT A SURVEY) PASCO COUNTY, FLORIDA (ABBOTT SCIUARE) ALL ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 oVAVD 88) htS SETS PLAN Prepared for and Certified roo Lorimar Horries, Scale.- 1 20' LOT 14 BLOCK 13 LOT 5 BLOCK 13 ----------- 2 65 01 , M PROPOSED LOT 13 8 II STORY RESIDENCE LOCK B13 110I a PLAN 1450 G� LOT 6 go, ELEV'A' GARAGE 4- 2,2 R, iR BLOCK I. Ct NC i ! j PATIO 0 ENT LK 4 ENTRY 29,Z . ..... S 87'53'07'f ip) 7---------- AN, LOT 12 LOT 7 BLOCK 13 BLOCK 13 IH LOT —SCL FT LIVING AREA -_LJJa__ SO FT. PORCH --L9— FT GARAGE __1az_SCL FT 6P'C COVERED LANAI -_ III ,&_SO, FT PATIO FT POOL AREA -_N4&_S0, FT CONK. DRIVE =--32.3 -_SO FT A/C & CONIC PAD -J2_,_,9CL F7 SIDEWALK --ZQ---SQ- FT, LOT SOD ._hDA_SC]L FT R/W SOL) -_L Lk__SQ, FT 2- OAK LOT OCCUPIED YS 10 00 PUBLIC UT ILITY EASERSESIT AREA TO IRRIGATE % INCITES: PROPOSED: LOT GRADING TYPE - A MINIMUM FLOOR ELEVATIONS: PROPOSED PAD ELEVATION - 95, 10 LEGEND: LIVING AREA: 95,77 FRONT SET BACK - 20 PROPOSED DRAINAGE FLOW GARAGE AREA: SIDE SET BACK - T5 100,00) - PROPOSED GRADE PROPOSED ELEVATIONS AND GRADING ELEVATIONS REFERENCED TO SIDE SET BACK 1CORNER LOT) - 15 E-00 00 - EXISTRING GRADE SHOWN HEREON ARE TAKEN FORM THE NORTH AMERICAN VERTICAL ENG41SEERING PLANS OF DATUM OF 1988 REAR SETBACK - 15 'ASSOITSOUARERESIDENTIAL'.PREPARED APPARENT FLOOD HAZARD ZONE WCOMMUNITY NO, t 20235 BY -WRA' PROVIDED BY CLWNT SURVEY ABEIREVATIONS RALPP NUMBER T 2 TOIC-0289-F; EFFECTIVE DATE 09, 26� 2014 ,k—ARCLENGIn I') I - 0 6 E o Ra, - Wvrllin PC - POINT OF CrM,' -a OR) LEGEND ,VC ARCONDITTONER DE-CPPVNANEEAP,h*Nr Ie -LiCENSED 13,11SNEPS PC( - POINT a' COMKXrre) CURY'r ice, - RAK'-" e - ALUMINUM TEret, EL OR CIEV � I'LEVATTON Lc - LANDSCAPE EANIMPAr, t1C P - NoMANENT CON'lRo, PORAr RRS - RARL WAD SPIRE ------- -, �! t'�" OFT ^ RARE FVRXC LLEVAIPON F', jj;6E OF PAVEMENT I PC • LIAVEM N.001I 11tVATION Pit - POOL EmATME. t R,W -RiGHT Ca WAY �ih '11-BENCH.Airs EW'T - CASEMENT N - U"ENSVP SUIRAYOP PC, - RAGE ',A C - VCTION WOOCIFFNICK P, � CUPVC 1"c-NNckC0PNFR NI - ReASLIKED IT,- Plaot OF Pal,�WCTION WAD - St I NNIL oD DIA - UAC'AAVD CCU - FAJND CoNCREIF MRS - IS WRED L, NIT a CT�ON PK �PARIQA IaP CIN COVERLINI, CHNN ��'Nn IF, WE Ci N40NLMVNT NCF - NO CORNO FOUND I - PROPIERITuric, SIR- LFT �/2'PRON ROD k10 ir 183 I - CNAN Ulo PENCE P., NV� TWO - TEMPOPAR, 8'W"i, NVNX or 0NNNTA1lPff C/A - (VAlea-L to 8 - P (Y IN LIP %'GF NNI PC, ne's 7 CiFW �C(OR%ATED MFTA� NR-P0uCJDrcoNR00 014W - (,YVtiPaIAD IWRI, ISI Kx - Powao, comie're Clam, X'R zCatNJ� t1NL Rl"M FrA OR -(PoCiALPECORDS POL - RaW No UTS TRVP - TITIPIANP A„Lrisll 11FV1 C6 - CONCAIE VAR TO) - NAT PAC P(PNI(elevr U r - Irkil' 4AWMEN, IV - PERMANENT C -CLEA �VW TRIANGLE ARM RUPPENCENTINOWNT VF-VINNJENCE JOB #51 is, su"Veyons Noyest $011VEYOBITS CgR'nV#CA'rf 1708 Water ON( Drun, 1.) Current title inforreatkin on the subject property had not been Thiscontifie eteo eon descrTarpon Sprogs, Honda R�ld _Nflee nan '!±2_2 furnished to initial Point Land Surveying, LLC at the time of this prop U r ran and Phone j727)-831-1990 2wGAs4.i3,ai3,OTg SITE PLAN I mee, Ce for FrorgQPLS7I23Cwqrnadx 2.) This sketch was Prepared Without the benefit of a title, search. SU a s e Land LEI# EN 83 No Notrurneras of record reftecbra; ownership, easements or r 'Ile rights -of -way were fumish( ad to the undersigned, unless Otherwise 4V171 N A C Dra i by', DJB Shown Preen t ento F1 In ,) Sports walks, and rather surtilar iterch shown hereon were take s Checked byJH from engineering plans and are subject to Survey, 4) This SITE PLAN does not reflect refleThe deterraNte ownershrp, iRVISIONS 8,) This SITE PLAN is subject to Traders shown on the Plat of 'ABBOTT SCIUARF PHASE I A' ie Date 6.) Dimensions shown hereon are in feet no der "Pal portion a PR FA thereof, ' 7.) Contractor and owner are to verify all #BNE3dVS) dimensions, and layout shown hereon priorrearryconstruct, N CITY and irramechately advise Initial Point Land Surveying, LLC, of any SIG 0 devlatlan from information shown hereon Failure to do so wilt be UCENS Initial Point Land Surveying, LLC, \rRA v 1 R I UAL REVIEW ASSIST Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 6478 Bar S B 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. Steve Smith , the fee owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services indicated above. ,j, VIRTUAL REVIEW ASSIST, I \JC. Private Provider: DEBRA ANNE KLAHR Address: 747 SW 2ND AVENUE - SUITES 1 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.mav reaurre more insurance to i rotect mi interests, 6 executini this form, I acknowledie that I HaVC 11MUC MqUlly 1Vgd14M1g LIM Q0111PULCHUC U1 L11C IIUCIINt�U U1 I.XIL111VU PUPS01111CI UHU L11C 1CVV1 01 Mull- HINMUIIL�V' 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 ersonnel from any and all P 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. uffuui (signature) Print Name: Address: Telephone No.: Please use appropriate notary block. STATE OF FLORIDA COUNTYOF 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 HOMESLLC Print Corporation Name (signature) Print Name; ��lristi� her �rY19ti1 its: Authorized Agent Address: _Z0Q_b[NALjDjjjaAVe Miami, FL 33172 Telephone No, 813-574-5700 Corporation Before me, 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. WMMMM Print Partnership Name La (signature) Print Name: Its: Telephone No.: WMMMM 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. Personally known. X U;or Produced identi cation- I Type of identification produced Signature of Notar PrintNarne —ASHLEE CALLAHAN Notary Public Stamp: ksHGEE C "I ALLAHAN state of Fiorida Notary PAU Commission Expires: A; tA G 244456 NOVEMBER 30, 2022 AV COMM. EYO(05 NOY 1 0,2022 ,jon�sdjh='%� Nntjonfj 'Notary Assn, Private'' Provider Firm. Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BUI967 Address: 747 Southwest 2" d Avenue Gainesville, FL 32601 Phone: 13-391-2959 Email: 14cy-a),NJq ssisUom Project: New SFR Address(s): 6478 Bar S Bar Frail' I hereby certify that to the best of my knowledge and beliefthe Mans 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 553.79 1, Florida Statute and holds the appropriate license or certificate: Name: Debra Anne Klahr Plan Sheets. CS,A1,A2,A3,A4,A5,Ab,A7,SNO,SN1,S3,S4,S5,S6,SS,ST,SIi,S12,PA1.0,PAI.1,PA1:2, PAI.,SHI.0,SHI, I,SH1 .2,SHI .3,SHI.4,SHl.5,WPI.0 Florida License/Registration/Certification #(s) and description: FS468 Certified Standard PlansExaminer License#: PX2300 t F r Signature of Reviewer: SWORN AND SUBSCRIBED before me y De being personally known to me or having produced as identification and who being fully sworn and cautioned, state that the foregoing is true and correct to the best of his/her knowledge or belief, Signature of Notary Print Name Notary Public: NOTARY STAMP BELOW M mo CALLAHAN State of Floridacommission ex ires:pn 4 GG 244A56pires Nav ad, 2022tional notary Assn. 1COMMERCIAL BUILDING SERVICES DIVISION S DENT AL BUILDING PERMIT DATA SHEET TRACKING # FIRE MARSHAL #ill. - DATE: FOLIO # EXAMINER: � e aired Permits uildi g lumbing chanic l lectri al Amp Inspection OnI ins eetion nI Iris ecdon OnI Ins ectiorz c�rrl oof El Gas Cj Medical Gas El Fire Sprinklers El On Site Piping El Fire Line El Irrigation El Fire Alarm' El Potable `Backflow Assembly El Fire Lime Baeknow Preventer Irrigation Hackflow Assembly El Demolition [`Walk-in Cooler Refrigeration D Mood El Ansul Fence/Wall Grease Trap D Other El Other Buildina Data i odst ctiai : Risk Category: Occupancy Load 0 w2pancy Classification: Assembly = usiness ay Care/Educational 'Factory Hazardous ardour rnstztutional [] Merc tilt �.,xs _ ,R.esidential PEI,"'Storage �w.,= tiliity Building Use: t Alteration Level I rEj Level 2 EI Level 3 New Construction El interior Finish El interior Remodel El Exterior Remodel EJ Addition El Revision Overall Size:,, Number of Stories: "dotal Ft„ Li ng Area: Covered Area: # of Bedrooms: # of Baths: Cost per square foot: EstimatedValue: Roof e: Shin`le DBuilt--u Other Scares: Zoning: ,; i orneDebris: Energy Code:, Inside "Outside Flood rte. Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? Yes o S b Ft. Enclosed Space Reba I3EE # of Vents: Size of Vents: 'Total Sq. In. Permanent Openings entr l A/C Heat Pump El Window A/ D Gas A/C n Gas Heat 0 Electric heat Can Site PhAn Sanitary Suer Storm Suer Catch Basins Potable Water finder ro rttl Fire I lne Setbacks Front Rear Left Right Asper Approved Site Plan Comments: 'Re f... S4r'Sil