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HomeMy WebLinkAbout22-4825����x ����\� ��m�&�~00 "�m� �� � s J� .�m ���m_mm.�mm" om 5335EigNh Street Zephyrhi|ks, FL33542 Phone: (813)78O-0O20 Issue Date: 09/26/2022 Permit T Me: Buildinc New (Residential) 21 Name: LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential) Class of Work: Townhome Address: 40OOVvCypress St2O0 CONSTRUCT T0WwHOME1634 SIDFT[[ S|p1 percent Fee Building Permit Fee Address Fee Public Safety Impact Fee -Adm|n Water Connection Residential Fee School Impact Fee-Ging|nFami|y Mechanical Permit Fee Irrigation 3/4 Mom, Transportation Impact Fee 'City Transportation Impact Fee Building Valuation: $234,987.90 Electrical Valuation: $35,24D19 Mechanical Valuabon:$1o,44e1n Plumbing Valuation: $23,488.r9 Total Valuation: $310.1n4.O3 Total Fees: $14,482J8 Amount Paid: $14�62.78 Date Paid: 9/26/2022 4:47:17PM $3353 Fire Wall/Smoke Wall Inspection $15l0 $1.214.94 Park Impact raa-Gingle Fanxly/Townxomo *768.56 *30.00 Public Safety Impact Fee -Police $254.00 $26.35 Electrical Permit Fee $21024 *1.010.00 Driveway Fee $4e.00 $3.353.00 AdminFee / (Provider Service > $180.00 $122.25 Sewer Connection Residential Fee $2.090.00 $732.71 x/4Water Meter Residential Connection Fee *732.71 $34.80 Plumbing Permit Fee $157.49 $3,445.20 REUNSPECTION FEES: (c)VVith respect to Reinspection foes will comply with Florida Statute /2 local government shall| fee offour / the amount mfthe fee imposed fwrtheinitial i Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. 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 A lication 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 Tampa, FL 33607 Owner Phone Number Fee Simple Titleholder Name N/A Owner Phone Number Fee Simple Titleholder Address NIA JOB ADDRESS 37685 Leafside Lane LOT # 0030 SUBDIVISION Zephyr Court PARCEL ID# 15-26-21-0220-00000-0300 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN 0 DEMOLISH P INSTALL REPAIR PROPOSED USE u v u SFR E:] COMM L� OTHER TYPE OF CONSTRUCTION 10 BLOCK 0 FRAME STEEL O DESCRIPTION OF WORK I Single family Residence / Pool / Screen Enclosure / Fence BUILDING SIZE U/R SF 2086 SQ FOOTAGE 1634 HEIGHT 2 Story r'rTrrrl'rrrTr'7'T'-ITrT_r1r_ —t—m 1"Yt�me ... mrm# r7Trrr'Immr—r BUILDING $ $234,987.90 VALUATION OF TOTAL CONSTRUCTION tl { `l !.1 (ELECTRICAL $ $35,248.19 -� � • t AMP SERVICE PLUMBING $ $23,498.799 ® PROGRESS ENERGY ® W.R.E.C. t MECHANICAL $ $16,449.15 VALUATION OF MECHANICAL INSTALLATION M, . =GAS I �/ I ROOFING SPECIALTY OTHER °a FINISHED FLOOR ELEVATIONS • FLOOD ZONE AREA 11YES Do 1--i— . . . BUILDER COMPANY Lennar Homes, LLC SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address 430 W Boy Scout Blvd Suite 600 Tampa, FL 33607 License # CGC 1518166 ELECTRICIAN COMPANY Proven Electrical Concepts, LLC SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address 5728 Golden Owl Loop, Land O Lakes, FL 34638y License # I EC13009068 _l PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN Address P.O. Box 308, Bayonet, FL 34674-5308 License # l CFC042998 MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address P.O. Box 5308, Ba onet, FL 34674-5308 License # CAC058062 OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE REGISTERED LY / N FEE CURREN Y / N Address 4211 Shoal Line Blvd, Spring Hill, FL 34607 License # 1 CCC057991 111111111111i1I11111111111111111111111111111111111111illllllld11111 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 V/ork 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 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 contractors to undertake wmnk, they may be required to be licensed 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 work, they are advised tocontact the Pasco County Building Inspection Division —Licensing Section at727-847- 8U00. Furthermnre, 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 ounirau1or, 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 to the construction of new buildings, change of use in existing bui|dings, or expansion of existing bui|dingu, as specified in Pasco County Ordinance number 80'87 and 80-07. as amended. The undersigned also undernianda, that such feea, as may be due, will be identified atthe time of permitting. It iafurther understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVuter/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, oaamended): |fvaluation ofwork io$2.50O.0Oormore, | certify that |, the upp|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 "owner", | certify that | have obtained a copy of the above described document and promise in good faith to deliver ittothe ^ownar''prior (ocommencement. CONTRACT{]R'E/OVVNER'SAFF|DAV|T: | certify that all the information in this application is accurate and that all work will be done in compliance with all applicable |ovva regulating conskuotinn, zoning and land development. Application is 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 oonatrucUon. County and City oudes, 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 tobeincompliance. Such agencies include but are not limited to: - Department ofEnvironmental Protection -Cypress Bayheadx, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. Southwest Florida Water Management Dinbioi-VVo||u, Cypress Bayheado, Weiland A/eus, Altering VVo(omouraoa. Army Corps ofEnginmero-Seowa||n.Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-VVe||s, Wastewater Treatment. Septic Tanks. - USEnvironmental Protection Agency -Asbestos abatement. - Federal Aviation Authority-Runweys. | understand that the following restrictions apply 0uthe use offill: - Use offill ianot allowed inFlood Zone ^V^unless expressly permitted. If the N| maha/io| is to be used in Flood Zone ^A^, it is understood that a drainage plan addressing u ^compenouting volume" will be submitted attime ofpermitting which is prepared by professional engineer licensed bythe State ofFlorida. - If the 0| moie/io| is to be used in Flood Zone ^A" in connection with o permitted building using stem wall construction, | certify that fill will be used only Uofill 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. If use of fill is found to adversely affect adjacent propediea, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If | am the AGENT FOR THE OWNER, | promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior hocommencing construction. | understand that separate permit may be required for electrical work, p|umbing, signa, vveUo, poo|n, air conditioning, gam, orother 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|ab*, manoe|, a|k*r, 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 1aouanoe, 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 nequesb*d, in writing, from the Building Official for period not to exceed ninety(Q0) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. FLORIDA JumAT(F�. 117o3 OWNER OR AGENT f Who is/are personally known o Subscribed and sworn to (or affirrned� �®r me �this as mentification Notary Public Commission No. HH 000460 DlissaM.Holleran Name of Notary typed, printed or stamped An Bor" Thm Troy Fain tnautara $00.3W70J9 I I'll I I IN:= Subscribed and sworn to (or affirmed) before me this ��-May-22 by AsB,e Callahan o, as identification. Notary Public Commission No. HH 000460 Elissa M.Bnllemo Name of Notary typed, printed or stamped Ile Bonded Thm Troy Fain Instance 600-US-7019 Permit No.e Date Permitted 17 Builder Name/Owner Name Control # County Parcel No. % IQ - DOZO SubDivd� Address/Location 37455 Classification/Type of Use)n d f TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: Exempt D Yes No How Determined Impact Fee Amount S ` Zone No. TAZ: SCHOOL IMPACT FEE yy Account (056) Single -Family Detached House Amount $ 3 66 •cam~'--- (057) Mobile Home (058) Other Residential (123) Collection Fee Exempt Yes = No How Determined - PARKS • CreditLand Account Land • Total Recreation Account Recreation Credit Recreation Total Zone Total Amount $ 70/` 1JP Exempt =Yes No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account _ _ Facility Credit Facility Total ® Exempt Yes No How Determined ) Total Amount . RESOURCE Prepared By (fm 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. RECEIPT NO DATE BY DESCRIPTION: LOT(S) 25-32, LEAFSIDE TOWNHOME PLAT, ACCORDING SEC. 15, TWP. 26 S, RNG 21 E. SITE PLAN TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 88, PAGE(S)97-98, OF PASCO COUNTY, FLORIDA NOT A SURVEY ( ) I THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. I GARDEN COURT (ZEPHYR COURT) GARDEN STREET I PLAT BOOK 3, PAGE 103 I � THE NORTHERLY BOUNDARY LOT 11 I BLOCI<5 I (50'PUB(JCR.O.W.) 3_PG I LOT 9 I BLOCI<6 - N ------ -PER LINE OF TRACT 19 _ I TRACT "E" LANDSCAPE BUFFER ------- - ---------- ----------------------------- _({ 7.0 (PRIVATE) S 89-58'S0" E (P) 164.67` (P) 7 LANDSCAPE BUFFER �--------- 28.33' (P) 18.00' (P) T 18.00' (P) T 18.00' (P) T 18.00' (F) 18.00' (P) 18.00' (P) 28.33' (P) X ----- /8 J OO/ j 15.0' . 15' D.E (P) I I I I I 20.0'i 1 i 20.0' ALL ELEVATIONS REFERENCED r) Irn____ l� - -1 - - Q I n I I n 1 �- ��� �- TO NORTH AMERICAN VERTICAL DATUM OF 1988 \`b 10.0' (NAVD 88) c b O m PROPOSED ELEVATIONS AND TYPE GRADING SHOWN HEREON ARE TAKEN c FORM THE ENGINEERING PLANS OF "MASER', ", CONSULTING P.A. PROVIDED BY CLIENT 0 O LOT = 16961 SO. FT. LIVING AREA = 5336 SQ. FT. ri ENTRY = 672 SO. FT. 0 GARAGE = 1848 SO. FT. " 1 COVERED LANAI = 868 SQ. FT. W PATIO = NA SQ. FT. POOL AREA = NA SQ FT _4NAI LANAI LAN/ 18.3' 18.0' 1 18.0, UNIT -A UNIT-B UNIT-C 1532 1516 1624 w w V y u b LOT 32 o LOT 31 LOT 30 a 18.0' PRO 2S ATT) RESIE UNIT-C 1624 Ln 144'-8" o "Coxyz7 LANAI -ED 18.0' RY 1ED ICES UNIT-- 1624 w v X00* 10.0' AN I N LANAII 15- D E (P) 18.0' 1 18.0 18.3' UNIT-C UNIT-B UNIT -A 1624 1516 1532 w V LOT 27 b LOT 26 L T 2 I Z 6.7' 6.7' Z 4 l 0.0, CONC. DRIVE = 2400 SO. FT.LU v A/C & CONC PAD = 80 SO. FT " u SIDEWALK = 324 SO. FT. � • / 67 m m 7.0' Z ti iu w 0.0'--1 1 SIDE YARD SWALE = NA SO. FT. �: 11.1 1 i 3 100 1 1.3 10.a'•' f ' 1 1.3 0 1 i 3 1oa I 1 1.3 1 1 3 loon 1 1.3 °ioo' CONSERVATION AREA = NA SQ. FT. lo0 , i L A ( I LOT OCCUPIED = 68 /o ,:; .I ' 1 I I p ` i I I AREA TO IRRIGATE - /o _ - _ - I I' T.: 1 • I a p� x� 180�>/ eI is . I ci I P + 18"18.0 0`P. 2 3' P2833' NOTES- r:: `,� <• . . � s ISI 58'S0" W (P) 164.67' (P) • ,. ;:'. ,. . < LOT GRADING TYPE = N/A _ . ° .......�=� PROPOSED PAD ELEVATION = N/A FRONT SET BACK = 15' 19 0' SIDE SET BACK = 10' 15' FROM INTERIOR ROADWAY OR PARKING AREA I O' FEET FROM EDGE OF A RECREATION AMENITY I O' FROM EDGE OF A STORM WATER RETENTION/DETENTION AREA REAR SETBACK = 20' ALL WALKS 3.0' UNLESS NOTED = 10' INGRESS EGRESS/UTILITY DRAINAGE EASEMENT (38.00` PRIVATE R.O.W.) PROPOSED: LOWEST FLOOR ELEVATIONS: LIVING AREA: 81.80' GARAGE AREA: ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 +0.85' = NATIONAL GEODETIC VERTICAL DATUM OF 1929 A/C =AIR CONDITIONER (D)=DEED INV=INVERT PC=POINT OF CURVE (R)- RECORD Drawn By:CWC Party Chief AF =ALUMINUM FENCE D.E= DRAINAGE EASEMENT LB =LICENSED BUISNESS PCP = PERMANENT CONIROL POINT RNG _ RANGE " CheC ked By: JH JOB #4731 BEE = BASE FLOOD ELEVATION EL OR ELFV = ELEVATION L FE = LOWEST FLOOR ELEVATION P/E = POOL EQUIPMENT RRS = RAIL ROAD SPIKE BM = BENCH MARK EOP = EDGE OF PAVEMENT LS = LICENSED SURVEYOR PG = PAGE R/W = RIGHT OF WAY File: C = CURVE ESM'T = EASEMENT (M) = MEASURED PI = POINT OF INTERSECTION SEC = SECTION (C) = CALCULATED F/C = FENCE CORNER MES = MITERED END SECTION PK =PARKER KALON SN&D = SET NAIL AND DISK LB#8183 Date Of Site Plan: 1 2-13-2 1 4 = CENTERLINE FCM = FOUND CONCRETE MONUMENT NICE = NO CORNER FOUND POB = POINT OF BEGINNING SIR = SET 1/2' IRON ROD LB# 8183 CLF = CHAIN LINK FENCE FIR = FOUND IRON PIPE C/A = OVERALL POC = POINT OF COMMENCTMENT TBM -TEMPORARY BENCH MARK DWG:L25 32-ZEPHYR-SITE CMP = CORRUGATED METAL PIPE FIR = FOUND IRON ROD OHW = OVERHEAD WIREIS) POT = POINT ON LINE TOB = TOP OF BANK COL -COLUMN FN&D = FOUND NAIL & DISK O.R. = OFFICIAL RECORDS PRC POINT OF REVERSE CURVE TWP = TOWNSHIP This SITE Plan Prepared for and Certified To: CONC = CONCRETE FOP = FOUND OPEN PIPE (P) PLAT PRM '= PERMANENT REFERENCE MONUMENT U.E = UTILITY EASEMENT Lennar Homes C/S = CONCRETE SLAB FPP = FOUND PINCHED PIPE PB = PLAT BOOK P1LE = PUBLIC UTILITY EASEMENT ii Water Oak Drive Tarpon• •s, Florida Phone-(727)-831-1990 FloridaPLS71239•mail.com 0. s i W°.IN YW", 2G.I.W fWP.1S `WP , GI W 2G t 0 I 01.11 Initial Point Land Surveying, LLC. LEGEND SURFACE TYPE FENCES - CONC ALUMINUM FENCE = ASPHALT VINYL FENCE r� r� = BRICK _ WOOD FENCE SAND/DIRT CHAIN LINK FENCE COVERED OVERHEAD POWER OHP - GHP LEGEND. - PROPOSED DRAINAGE FLOW (00.00) = PROPOSED GRADE E-00.00 = EXISTING GRADE = 2" OAK = I O' INGRESS EGRESS/U.E & D.E APPARENT FLOOD HAZARD ZONE: "X" COMMUNITY NO. 120235 (MAP NUMBER 12101C-0452-F) EFFECTIVE DATE: 09/26/2014 1.) Current title information on the subject property had not been furnished to Initial Point Land Surveying, LLC at the time of this site plan 2.) This sketch was prepared without the benefit of a title search. No instruments of record reflecting ownership, easements or rights -of --way were furnished to the undersigned, unless otherwise shown hereon. 3.) Roads, walks, and other similar items shown hereon were taken from engineering plans and are subject to survey. 4.) This site plan does not reflect nor determine ownership. 5.) This site plan is subject to matters shown on the Plat of "LEAFSIDE TOWNHOME PLAT" 6.) Dimensions shown hereon are in feet and decimal portions thereof. 7.) Contractor and owner are to verify all setbacks, building dimensions, and layout shown hereon prior to any construction, and immediately advise Initial Point Land Surveying, LLC. of any deviation from information shown hereon. Failure to do so will be at user's sole risk. This certifies that under m$ Z REVISIONS: if YV 5J 17.051 througlSJ I .053, FI is dml REMOVED BUFFER Section 7 7 t to StatuDate: EASEMENT REAR PROPERTY 10:34 8-26-22 Z O Jeff M. Hartley FLORIDA PROFESSI RtF1D NOT VALID Wl11 f/ (�d/1 OF A FLORIC7�N ��� R ✓ was made 1 Practice for rs In Chapter e, pursuant to go = Date LS#7123 LB#8183 NATURE AND SEAL R AND MAPPER Project Name: VIRTUAL I R I UAL REVIEW ASSIST Notice to Building Official of Use of Private Provider Effective January 20, 2003 2913MMUSIM Parcel Tax ID: 04-26-21-0000-00300-0000 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: Address: 747 SW 2ND AVENUE - SUITES 170, 301, 357 & 358, GAINESVILLE, FL. 32601 1 Telephone Email Address (Optional): deb@virtualreviewassist.com Fax: N/A Florida License, Registration or Certificate #: (LIC # BU 1967 / PX2300 / BN4615) I have elected to use one or more private providers to provide building code plans review and/or inspection services on the building that is the subject of the enclosed permit application, as authorized by s. 553.791, Florida Statutes. I understand that the local building official may not review the plans submitted or perform the required building inspections to determine compliance with the applicable codes, except to the extent specified in said law. Instead, plans review and/or required building inspections will be performed by licensed or certified personnel identified in the application. The law requires minimum insurance requirements for such personnel, but I understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harmless the local government, the local building official, and their building code enforcement personnel from any and all claims arising from my use of these licensed or certified personnel to perform building code inspection services with respect to the building that is the subject of the enclosed permit application. I understand the Building Official retains authority to review plans, make required inspections, and enforce the applicable codes within his or her charge pursuant to the standards established by s. 553.791, Florida Statutes. If I make any changes to the listed private providers or the services to be provided by those private providers, I shall, within 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: Telephone No.: Please use appropriate notary block. 57�1 �" �W 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 1.2 (signature) Print Name: Christopher Smith its: Authorized Agent Address: 700 NW 107th Ave Miami, FL 33172 Telephone No. 813-574-5700 Corporation i, 22ND Before me, this 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. Partnership Print Partnership Name -0 (signature) Print Name: Its: Address: Telephone Partnership Before me, this day of 120—, 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 or Produced identication_ Type of identification produced Signature of Notar 1L Print Name _ ASHLEE CALLAHAN Notary Public Stamp: ASME CALLAHAN Notary pubgState of F[orlda � Commission Expires: i- U420 Cqjjjmj$5j0r. p CGG 244456 m NOVEMBER 30, 2022 W 0 Coqjm. Expl(ej Nov 30, 2022 d '�.d thrm National Notary AM, ,Bon1jh"- 11 Jill, 164P � 44. BUILDING SERVICES DIVISION BUILDING PERMIT DATA SHEET TRACKING # OFIRE MARSHAL #01 - FOLIO # / :U4615 Required Pvmits DATE: EXAMINER:IlllP7 Building ection On Pluirbi;g —,12SNechanical Inspection Oniy- Inspection Only lectrical Amp ction.Only El Medical Gas E] Fire Sprinklers On Site Piping El Irrigation I EJ Fire Alarm D Potable Baekflow Assembly F]Fire Line Backflow Preventer Irrigation Backflow Assembly Demolition Walk-in ooler El Refrigeration Grease Trap Ul= =111-1 Constr 06M Risk Category: Mg Occupancy Load mpancy lassification: El Factory X!�esidentia][E� ay Care/Educational I i • R nal 0 Mercantile E=-= Building Use: Alteration Iff Level I Iff Level 2 ■ Level 3 O�Tew Construction El Interior Finish F Interior Remodel E] Exterior Remodel E] Addition E] Revision ota q. # of Bedroom MANAM,013 WITIN —1, WE Metal■ibtbteer S�uares. W 01II w d orne Debris: TE tide rEj, Outside EnerLwv Code: il tloS Flood Zone: M Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? 10,'—Tes V14• Sq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: .4 Total Sq. In. Permanent Openings � Central FGasA/C 4!9-Heat Pump El Window A/C 11 Gas Heat El Electric Heat Sanitary Sewer Storm Seer Catch Basins Potable Water Underground Fire Line IE= VR/ \ VIRTUAL REVIEW ASSIST Private Provider PI-A-4 ci'�m-rljpaeeA'J' avit Private Provider Firm: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU1967 Address: 747 Southwest 211d Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: Luc alreviewa�ssistxoM y�� m Project: TOWNHOUSE .a UNITS are in compliance wi the Florida Building Code and all local amendments to the Florida Building Code by the following afflant, who is duly authorized to perfarm plans review pursuant to Section 553.791, Florida Statute and holds the appropriate license or certificate: Name: Debra Anne Klahr FS468 Certified Standard Plans Exan-Iiner License #: PX2300 Signature of Reviewer: SWORN AND SUBSCRIBED before me by Debra Anne Y-lahr being personally known to me or having produced as idencation and who being fully sworn and cautioned, state that the fi regoing is true and correct to the best of histber knowledge or belief Wature of Notary Prmt �a�me Notary Public: NOTARY STAMP BELOW My ASHLEE CALLAHAN Notary Fo\^\/>e \\/ 244460Mires Nov 30, Z 22 Bonded throuional Notary Assn,