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Home My WebLink About22-4826Permit Type: Buildin New M 101'E Name: LENNAR HOMES WNER Address: 4600 W Cypress St 200 TAMPA, FL 33607 Phone: (813) 574-5700 CONSTRUCT TOWNHOME 1513 SO FT LT Mechanical Permit Fee Electrical Permit Fee Park Impact Fee - Single Family/Townhome Building Permit Fee Irrigation 3/4 Meter Transportation Impact Fee - City Transportation Impact Fee Driveway Fee SIF 1 percent Fee City of Zephyrhilis 5335 Eighth Street 11111" 4, IN Zephyrhills, FL 33542 BNR-004826-2022 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 09/26/2022 ro= Permit Type: Building New (Residential) Class of Work: Townhome Building Valuation: $221,357.25 Electrical Valuation: $33,203.59 Mechanical Valuation: $15,495.01 Plumbing Valuation: $22,135.73 Total Valuation: $292,191.58 Total Fees: $14,346.48 Amount Paid: $14,346.48 Date Paid: 9/26/2022 4:47:17PM 37681 Leafside Ln 15 26 21 0220 00000 0310 Contractor: LENNAR HOMES LLC $117.48 Admin Fee / (Provider Service ) $180.00 $206.02 Public Safety Impact Fee -Police $254.00 $769.56 School Impact Fee - Single Family $3,353.00 $1,146.79 3/4 Water Meter Residential Connection Fee $732.71 $732.71 Sewer Connection Residential Fee $2,090.00 $34.80 Fire Wall/Smoke Wall Inspection $15.00 $3,445.20 Address Fee $30.00 $45.00 Plumbing Permit Fee $150.68 $33.53 Water Connection Residential Fee $1,010.00 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 ME1111741 111MICIPF I III III I I I �� A �' �, �� 23131•�� 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. ;NATURE PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER I 813-780-0020 City of Zephyrhills Permit Ap lication Fax-813-780-0021 Building Department 1I S L4 Date Received Phone Contact for Permitting 908 908 908 770 -_ 7763 I IN BE Kill I I I I I I I I=-- Owner's Name Lermar Homes, LT.(, Owner Phone Number 81-3 574.5700 1 4301 W Boy Scout Blvd Ste 600 Tampa, FL 33607 Owner's Address Owner Phone Number Fee Simple Titleholder Name I N/A Owner Phone Number Fee Simple Titleholder Address 37681 Leafside Lane JOB ADDRESS LOT # Zephyr Court- 15-26-21-0220-00000-0310 SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED P NEW CONSTR8 ADD/ALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK F__1 FRAME STEEL DESCRIPTION OF WORK Single Family Residence Pool / Screen Enclosure / Fence 65 1 ry [1� BUILDING SIZE SQ FOOTAGE HEIGHT . . . . . . . . . . . . . 0 BUILDING $ 1 VALUATION OF TOTAL CONSTRUCTION $221,357_25 1 ELECTRICAL 1$ $33,203.59 AMP SERVICE PROGRESS ENERGY ® W.R.E.C. PLUMBING $ $22,135.73 /Ur - MECHANICAL ._o VALUATION OF MECHANICAL INSTALLATION 15 -1i =GAS ROOFING F__] SPECIALTY OTHER OU FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 0YES Do 11 1 11 . . . . . . BUILDER COMPANY Lennar Homes,LLC SIGNATURE REGISTERED LLLN_j FEE CURREN L N Address 14301 Ik Boy Scout Blvd Suite 600 Tampa, FT. 33607 License# I CGC1518166 ELECTRICIAN �� COMPANYProven Electrical Concepts, LLC SIGNATURE REGISTERED FEE CURREN Address 5728 GoldenOwl Loop, Land 0 Lakes, FL 34638y License # EC13009068 I PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN Y/N Address P.O. Box5308, Bayonet, FL 34674-5308 License # CFC042998 MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE E REGISTERED Y/ N FEE CURREN Ey= Address P.O. Box 5308,)3ayonet, FL 34674-5308 License # CAC058062 OTHER COMPANY C SterlingQuality Roofing, Inc SIGNATURE REGISTERED L_ILNFEE CURREN Address 4211 Shoal Line Blvd, Spring Hill, FL 34607 License # 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 wl 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. 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 N^deed^restrictions" which may bomore 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 oon\naohom to undertake wnrk, 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 contractor may becited fora misdemeanor violation under state law. U the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised 10contact the Pasco County Building Inspection Division —Licensing Section ai727-847- 8OOQ. Furthermoro, if the owner has hired e contractor or oontmotors, 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 ha is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION |K0PAClJUT|UT|ES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply \othe construction of new bui|dinga, change of use in existing bui|dingo, or expansion of existing bui|dinAu, as specified in Pasco County Ordinance numbmr8B-O7 and 90-07. as amended. The undersigned also underotonda, that such feeo, as may be due, will be identified at the time of permitting, It |afurther 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 o/ final power re|euao, the fees must be paid prior to permit issuance. Furthermore, if Pasco Coun\yVVa(er/Sevvor 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, as amended): Uvaluation ofwork is$2.5O0.00ormore, | 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 ''owner''. | certify that | have obtained a copy of the above described document and promise in good faith to deliver ithuthe ''owner''prior tocommencement. CONTRACTC}R'S/OVVNER`SAFF|OAV|T: | certify that all the information in this application ioaccurate and that all work will be done in compliance with all applicable laws regulating onnsiruoUon, zoning and land development. Application is hereby made to obtain u permit to do work and installation as indicated. | certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating oonutrucUon. County and City oodoa, 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 tobaincompliance. Such agencies include but are not limited to: Department ofEnvironmental Protection -Cypress Bayhoods, Welland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management Dietrici'VV*||a, Cypress Buyhaads, VVet|ond Araaa, Altering VVake/oouruon. - Army Corps of Engineers -Seawalls, Oookm. Navigable Waterways. - Department of Health & Rehabilitative 3owioeo/Environmental Health Unit-VVm||a, Wastewater Treatment, Septic Tanks. - USEnvironmental Protection Agency -Asbestos abatement. - Federal Aviation Authority-Runwayo. | understand that the following restrictions apply tmthe use offiU� Use offill ianot allowed inFlood Zone ^V^unless expressly permitted. - If the U|| material is to be used in Flood Zone ''A'', it is understood that a drainage plan addressing a 11oompenaaUng volume" will be submitted ottime ofpermitting which is prepared by professional engineer licensed by the State ofFlorida. - If the 0|| material is to be used in Flood Zone ''A" in connection with a permitted building using obam vva|| construction, | certify that fill will be used only \ofill the area within the stem wall. If fill muhohu| is to be used in any area, | certify that use of such 0| will not adversely affari adjacent properties. If use of fill is found to adversely affect adjacent properUeo. the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots |aos than one (1) acre which are elevated byfill, anengineered drainage plan iorequired. If am the AGENT FOR THE OWNER, | promise in good faith to inform the owner nfthe permitting conditions set forth in this affidavit prior to commencing construction. | understand that separate permit may be required for electrical mmrk, p|umbing, signs, wells, poo|s, air conditioning, gau, 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 huviolate, canno|, o|kar, 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 iscommenced within six months ofpermit issuance, orifwork 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 requasted, in writing, from the Building Official fora period not 0oexceed ninety (00)days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. FLORIDA JUnAr��.117. 'I his Subscribed and sworn to (or afri f;;6�tefore me t U0_1V1dy-/-/- by Ashlee Callahan Who is/are personally�nown to me or as identification. Notary Public Commission No. HH 000460 Elissa M.DvUman Name of Notary typed, printed or stamped 'LLERAN: Expires June 6,2024 Subscribed and sworn to V» Commission No. BB0OU46U 5lissa M. Holleran ) before me this Name of Notary typed, printed or stamped Expires June 6, 2024 no 71 Permit No. --� ; Date Permitted Builder Name/Owner Name Control # County Parcel No. ' G�� Q / �&)(V Q c SubDiv: /G1` 1 Address/Location U ?( iG , Classification/Type of Use TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: t f Exempt Yes No How Determined Impact Fee Amount S` 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 $ `. Exempt =Yes =No Haw Determined �M Land Account Land Credit Land Total Facility Account Facility Credit Facility Total ExemptEJ Yes No How Determined Total Amount RESOURCE FEE ERU Total Amount Prepared By Checked By O 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. PNO RECEIPT NO DATE BY DESCRIPTION: LOT(S) 25-32, LEAFSIDE TOWNHOME PLAT, ACCORDING SEC. 15, TWP. 26 S, RNG 21 E. TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 88, PAGE(S)97-98, OF PASCO COUNTY, FLORIDA THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. (ZEPHYR COURT) LOT 1 1 ® THE NORTHERLY BOUNDARY BLOCK 5 N------------- ---------------------------- (( LINE OF TRACT 19 o TRACT "E" LANDSCAPE BUFFER SITE PLAN (NOT A SURVEY) I GAR DEN STREET (50' PUBLIC R.O.W.) I --PER PB. 3_PG103 ----------�- (PRIVATE) S 89°58'50" E (P) 164.67' (P) 7' LANDSCAPE BUFFER -------- 28.33' (P) T 18.00' (P) I 18.00' (P) I 18.00' (P) I 18.00' i I s I v 15.0' 15' D.E (P) 20.0' I I l y v I n - - -- - ALL ELETIONS REFERENCED �i�! i i I TVA O NORTH AMERICAN �� VERTICAL DATUM OF 1988 \`� 10.0' c (NAVD 88) o 0 0 nj PROPOSED ELEVATIONS AND TYPE GRADING SHOWN HEREON ARE TAKEN c FORM THE ENGINEERING PLANS OF "MASER'', ", C CONSULTING P.A. PROVIDED BY CLIENT 0 O LOT = 16961 SO. FT. LIVING AREA = 5336 SQ. FT. �1 ENTRY = 672 SQ. FT. 0�o \ GARAGE = 1848 SO. FT. -1 COVERED LANAI = 868 SQ. FT. W PATIO = NA SQ. FT. POOL AREA = NA SO. FT. CONC. DRIVE = 2400 SQ. FT. A/C & CONC PAD = 80 SQ. FT. SIDEWALK = 324 SO. FT. SIDE YARD SWALE = NA SQ. FT. CONSERVATION AREA = NA SO. FT. LOT OCCUPIED = 68 % AREA TO IRRIGATE = 32 % /80.3Z/ � el LANAI LANAI LANAI 18.3' 18.0' 18.0' UNIT -A UNIT-B UNIT-C 1532 1516 1624 I I `LANAI 18.0' PRO 2� ATTi RES11 UNIT-C 1624 ul -144'-8`-0 LOT 29 GARDEN COURT PLAT BOOK 3, PAGE 103 LOT 9 BLOCK 6 -------------------------- 18.UU (P) 18.UU (P) 28.33' (P) I I I I ! I I I I I D I D I y 20.0' E _ _n j n E n LANAI AN 18.0' 1 1 &0' HED NCES 10.0' AN \LANAI a 15' -7.5' 18.0 18.3 ` 1 UNIT-C UNIT-C UNIT-B UNIT -A 1624 LU 1624 1516 1532 V � LOT 28 LOT 27 o y LOT 2P LOT 25 rn 6.7' rn -3 6.7' 6.7' Z M 6 7' 6.7' m L 9 Z Z 7.0' < a IF - II I= fk- l80 9 j/ 0 1 1.3' lo.o , 10.0 , 10.0 :. i o°io.o .' P f I ••� - _. II !° t.Y II I I. a. `w' p, tJ _ _ 28 33 Y' r18 00 P 18 00' P 18 0` P I '18 00' I i 8 0 P P ^ 8 I 0' P 2 3 P 4o NOTES- N 58'50" W (P) 164.67' (P) LOT GRADING TYPE = N/A :27.3`a: q 16' 27.3' Y16'° 27.3- y PROPOSED PAD ELEVATION = N/A FRONT SET BACK = 15' 19,0' SIDE SET BACK = 10' 15' FROM INTERIOR ROADWAY OR PARKING AREA 10' FEET FROM EDGE OF A RECREATION AMENITY 10' 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 I Party Chief AT = ALUMINUM FENCE D.E= DRAINAGE EASEMENT LB =LICENSED BUISNESS PCP PERMANENT CONTROL POINT RNG = RANGE Chked By' JH JOB #4731 BFE = BASE FLOOD ELEVATION EL OR ELEV = ELEVATION LIFE = 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 NCF = NO CORNER FOUND POP = POINT F BEGINNING O G G SIR = SET i Z" IRON ROD LB# 8183 / CLF = CHAIN LINK FENCE FIP = FOUND IRON PIPE o/A = OVERALL PoC = POINT OF COMMEN TMENT TBM = TEMPORARY BENCH MARK DWG:LZS-3Z-ZEPHYR-SITE CMP = CORRUGATED METAL PIPE FIR = FOUND IRON ROD OH\X/ = OVERHEAD WIRE(S) 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 P.U.E = PUBLIC UTILITY EASEMENT 1708 Water Oak Drive Tarponi # Florida Phone-i Florida PLS 712 3 ggmail.com f • f 51 00900911 1 01' Initial Point Land Surveying, LLC. LEGEND SURFACE TYPE FENCES 1.: !=CONC ALUMINUM FENCE = ASPHALT VINYL FENCE LJ Lr BRICK WOOD FENCE - SAND/DIRT CHAIN LINK FENCE = = COVERED OVERHEAD POWER - OHP OHP LEGEND- _ i- ►= PROPOSED DRAINAGE FLOW (00.00) = PROPOSED GRADE E-00.00 = EXISTING GRADE - Z OAK = 10' INGRESS EGRESS/U.E & D.E APPARENT FLOOD HAZARD ZONE: "X" COMMUNITY NO. 120235 (MAP NUMBER 12 10 1 C-0452-F) EFFECTIVE DATE: 09/26/2014 SURVEYOR'S NOTES: 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$ .9 REVISIONS: "'"' 5J-17.051 throug(�5J-1 .053, FII REMOVED BUFFER Section 7 7 1 t to Sr EASEMENT REAR PROPERTY 8-26-22 p Jeff M. HartleyJ� m FLORIDA PROFESSI R\F4 NOT VALID W-1 OF A FLOR04ff "�I r ` groper was made Practice for yors in Chapter dmint ia I ode, pursuant to Etate:2 22.P.26 10:34:4¢00' C1 Date �P&D I E LS#7123 LB#8183 Q�CR17� NATURE AND SEAL SEAL OR AND MAPPER \/-R/\ w`1R l UAL ;Evi v": ASSIST Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 37681 LEAFSIDE LANE 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: DEBRA ANNE KLAHR Address: 747 SW 2ND AVENUE - SUITES 170 301 357 & 35$ GAINESVILLE FL. 32601 Telephone: 813-376-30$$ 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 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: I . Qualification statements and/or resumes of the private provider and all duly authorized representatives. 2. Proof of insurance for professional and comprehensive liability in the amount of $1 million per occurrence relating to all services performed as a private provider, including tail coverage for a minimum of 5 years subsequent to the performance of building code inspection services. Individual (signature) Print Name: Address: Telephone 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 Partnership LENNAR HOMES, LLC Print Corporation Name Print Partnership Name By: By: (signature) (signature) Print Print Name: Christopher Smith Name: its: Authorized Agent Its: Address: 700 NW 107th Ave Address: Miami, FL 33172 Telephone Telephone No, 813-574-5700 No.: Corporation 22ND Before me, thisj, day of MAY -,2o22, personally appeared M Lenna[ 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 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 Notary— Print Name ASHLEE CALLAHAN Notary Public Stamp: Commission Expires: T ASHLEE CALLAHA Notary Pub4- State 0 torida NOVEMBER 30, 2022 �' 07 GG 24406 Ay CarTim. Explf®s Nov 10, 2022 -B th= Assn, ond Page 2 of 2 11 Wp�� DATE: EXAMINER: u- g 7)9P—lumbing Inspection Only I Inspection Only echanical insxection On Electrical _Amp El ALspection Only NO W0, W"! El Fire Sprinklers t] On Site Piping IMIMI El Potable Backilow Assembly F1 Fire Line Backflow Preventer Irrigation Backilow Assembly — -- --------- Demolition - El Refrigeration ■ lott is i Grease Trap Risk Category: Occupancy Load l�� ancy Classification: Tactory 0 ResidentialEK= Assembly E::� E. Care/Educational E3 _V Hazardous nal Mercantile IStorage i Bulding Use: C7 Alteration Level I Level 3 ID Level 2 Interior Remodel Addition Revision New Construction ED Interior Finish El Exterior Remodel W Corm Number of StoIII p ries: I T z Covered Area: it Cost per square foot: Estimated Value: Roof Tjpe: Tile am Metal Other Squares: I "Al Xr, X 44'' ------- W [3,Jn VOutside i Energy Code: B4, 11 r1 M Base Flood Elevation: Finish Floor Elevation: I Hydrostatic Vents?—JE] Yes Sq. Ft. Enclosed Space Below BFE: IN 11 1 Total Sq. In. Permanent Openings Central A/C Gas A/C Heat Pump El Window A/C RasHeat E3 Electric Heat 1 �'1!4 torm ewer Catch Basins Potable Water i Underground Fire Line VR/\ VIRTUAL REVIEW ASSIST Private Provider Private Provider Firm: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU 1 %7 Address: 747 Southwest 21 Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: Lucy @virtua�lreviewa�ssist.coMm 71=1 MIN" MUNNNINNIMNIOWN0.51 W-1 i MITTMPM-1, 1 are in compliance with the Florida Building Code and all local amendments to the Florida Building Code by the following afflant, who is duly authorized to perform plans review pursuant to Section 553.791, Florida Statute and holds the appropriate license or certificate: =Aftfflff�'�� Florida LicenwJRegistmtion/Certification #(s) and description: FS468 Certified Standard Plans Examiner License #: PX2300 Signature of Reviewer: SWORN AND SUBSCRIBED before me by Debra Anne Klahr being personally known to me or having produced as identification and who being fully sworn and cautioneed, state thut tibe-- f regoing is true and correct to the best of his/her knowledge or belief. 's h f a of Notary Print ame ASHLEE CALLAHAN Notary Public - State of Florida Commission # GG 244456 My Comm. Expires Nov 30, 2022 Bonded through National Notary ASsr,