HomeMy WebLinkAbout22-4880City f Zephyrhills
5335 Eighth Street`.
Zephyrhills, FL 33542BNR-004880-2022
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 10l04/2022
Permit e: Buildin New (Residential
.t..
\
{�
"�i} ,c.?. `; s ..b
., sssa ,.
38176 Fallstone Way 15 26 21 0230 00000 0430
Name: LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC
Class of Work: Townhome
Address: 4600 W Cypress St 200
TAMPA, FL 33607
Phone: (813)574-5700
CONSTRUCT TOWNHOME 1634 SO FT TAP
Electrical Permit Fee
Sewer Connection Residential Fee
Fire Wall/Smoke Wall Inspection
Transportation Impact Fee - City
Water Connection Residential Fee
Park Impact Fee - Single Family/Townhome
Building Permit Fee
Plumbing Permit Fee
Public Safety Impact Fee -Police
Mechanical Permit Fee
Building Valuation: $250,320.00
Electrical Valuation: $37,548.00
Mechanical Valuation: $17,522.40
Plumbing Valuation: $25,032.00
Total Valuation: $330,422.40
Total Fees: $14,563.97
Amount Paid: $14,563.97
Date Paid: 10/4/2022 3:49:22PM
$227.74 Irrigation 3/4 Meter
$732.71
$2,090.00 Transportation Impact Fee
$3,445.20
$15.00 Address Fee
$30.00
$34.80 314 Water Meter Residential Connection Fee
$732.71
$1,010.00 Public Safety Impact Fee -Admin
$26.35
$769.56 School Impact Fee - Single Family
$3,353.00
$1,291.60 Driveway Fee
$45.00
$165.16 Admin Fee / (Provider Service }
$180.00
$254.00 SIF 1 percent Fee
$33.53
$127.61
REINSPECTI N 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.
Complete Plans, Specificationsf• fee Must AccompanyApplication. •, • be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
i
J f`
1 l�l
CONTRACTOR SIGNATURE
MY A
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting 908 770 -_ 7763
ILLC
te
Owner's Name Lennar Homes, 777:�= Owner Phone Number 700
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 N/A
JOB ADDRESS E
38176 Fallsto ne Way LOT # 0043SUBDIVISION Townes at Autumn Palm PARCEL ID# 15-26-21-0030-08100-0010
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR B ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK Multi -family Screen Enclosure / Fence
BUILDING SIZE "R 'F 2086 SQ FOOTAGE 1634 HEIGHT 128'
BUILDING L250320 VALUATION OF TOTAL CONSTRUCTION
1-71 ELECTRICAL V-1 [X:] PROGRESS ENERGY W. R. E, C. 37=548 AMP SERVICE
PLUMBING
WMECHANICAL VALUATION OF MECHANICAL INSTALLATION
1 17522
=GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 0YES Do
..................................
BUILDER COMPANY L.ennar Homes, L1,C
SIGNATURE REGISTERED L_LLNj FEE CURREN LILN _J
14ff0I W Boy Scout Blvd Suite 600 Tampa, FT, 33607
Address License # [CC 1 5=1 8166
ELECTRICIAN COMPANY =Edmonson Electric, Inc.
SIGNATURE REGISTERED Y/ N J FEE CURREN
Address License # I EC 13005408
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N J
F=C042998
Address License #E
MECHANICAL COMPANY Bayonet Plumbing, Heating & A(
SIGNATURE REGISTERED Y/ N FEE CURREN 1=
Address I License # I CAC058062
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED L FEE CURREN
Address 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 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.
II - 1 1 1 1 1 1 6 11 1
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500)
— Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways..needs ROW
NOTICE OF DEED 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
oontnechzm 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 |aw, both the owner and contractor may be cited for e 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'
8009, Furthermore, if the owner has hired a contractor or contraoturm, 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
uontnacto/, 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 bui|dinge, change of
use in existing bui|dinga, or expansion of existing bui|dingy, as specified in Pasco County Ordinance numbmr8Q-O7 and
90-07. as amended. The undersigned also underotmndo, that such feea, as may be due, will be identified atthe time of
permitting. It in further understood that Transportation Impact Fm*n and Resource Recovery Fees must be paid prior to
receiving a "certificate ofoccupancy" or final power release. If the project does not involve e certificate of occupancy or
final power re|eaae, 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, maannended): |fvaluation ofwork iu$2.5OO.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 o copy of the above described document and promise in good faith to
deliver i(tothe ''mmnor^prior iocommencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application in aoourobs and that all work
will be dune in compliance with all applicable laws regulating conotmotion, 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 |nwo regulating
oonstruoUon. County and City oodea, zoning regulations, and land development regulations in the jurisdiction. | also
certify that | understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions | must take tobe in compliance. Such agencies include but are not limited to:
- Department ufEnvironmental Protection -Cypress Bayheada, VVeUandAreas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management Distriot-VVe||e, Cypress Boyheade, Wetland Areao, Altering
Watercourses.
Army Corps of Engineers -Seawalls, Duoko. Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-VVa||a, VVaatevvo\er Treatment,
Septic Tanks.
- USEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation Authority-Runwayn
| understand that the following restrictions apply tothe use offill:
- Use offill ianot allowed inFlood Zone ^\runless 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 of permitting which is prepared by a professional engineer
licensed bythe State ofFlorida.
- If the fill material is to be used in Flood Zone ''A^ in connection with a permitted building using stem wm||
construction, I 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. If use of fill is found to adversely affect adjacent propertiee, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for |o(a less than one (1)
acre which are elevated byfill, anengineered drainage plan isrequired.
If | am the AGENT FOR THE OWNER, | promise in good faith to inform the owner ofthe permitting conditions set forth in
this affidavit prior to commencing construction. | understand that a separate permit may be required for electrical work,
p|umbing, aigns, weUe, poo|n, air nonditioning, gaa, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not an authority to vio|aha, 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 ioouance, 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 requestod, in writing, from the Building Official for a period not toexceed 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 AGEN
Subscribed and sworn fo- (or affirmed) before me this
7/28/2022 by Christopher Smith
as identification.
Public
Commission No. ssasaosr
Stephanie Farmer
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
712W2022 by Christopher Smith
Who is/are personally known to me. or has/have produced
as identification.
Notary Public
Commission No. sszyeosr
Stephanie Farmer
DESCRIPTION: LOTS) 39-46, TOWNES AT AUTUMN PALMS,
SEC. 1 5,LW 26 S, RNG Z_ 1 E
1 7QB Water Oak Drive
ACCORDING TO THE PLAT THEREOF, RECORDED
IN PLAT BOOK 8
Is
PASCO f8OUNTY,
FLORIDA
�„) `
PAGES OF]HE PUBLIC RECORDS
(! S OF PASCO COUNTY,
FLORIDA. .S
;t1
1
(TOWNES AT AUTUMN PALMS)
i
r
Tarpon Springs, Florida
P
"
Izs.o' (P)
Phone: f 727j-831-1990
N89`5G08'
W;P) 10498 P
�� _
_
v'
w
ALt ELEVATIONS REFERENCED
T f�' 7t
'.o
ooQ
a
FloridaPLS7123@ mail.com
g
TO NORTH AMERICAN
S�I E t !J"tN
o,
VERTICAL I
0
N
LB# 818 3
(NAND 88J
(NO1 A SURVEY)
—
_
LOT
o
39
z0 0
PROPOSED ELEVATIONS AND TYPE
Z
>�
M
ro UNITA
ENTRY 17.3
GRADING
1537
1157.0'
"
E ERP GPLANSBOF MASER
FORMCON
.�-
JI
(C
Q:
INGIN Y
I,�
^
m
a o in
o
0
a
Scale: 1" = ZO'
_
z"oA1<
- o a o
`° in °j
— — —
o
o
Z
o
LOT
ENTRY
ENTRY 1 7 3
a
ZE 0 D
0
40
��
q
z u
w W
Initial Point Land Surveying, LLC.
�z
se9�,,eI fr, 'os�9 fPl
14.7
- ti - .
3=
C ¢
a a�> Lu
LEGEND --
PROPOSED:
57.0'
_...._— ---FENCES
LOWEST FLOOR Et vATlo vs
Q
LOT
o
..:
o w
SURFACE
uVING AaFa 8500
GARAGE AREA NA
m `�
o N Mo
- c CJ
a-
Y;
41
ENTRY 173' o
20 0 `g I
o
o ®
O 7
O ®®j
(TYPE
A.UM NIM fN<f
ELEVATIONS REFERENCED TO
O
IN24C
-
_ ... ,.
in
o
--
so
o m �I
,,
, , z
NORTHAMERICANVERTICALDATUMOF
vz
189-16081
"'
-'
V
'A9'HAL' I IC
1988
- -
IP}I(YsA(ill
t4.7'
_ _T_Vun
-_
+085= NATIONALGEODETICVERTICAL s C
) 1
397 1
n. ."
1
DATUM OF 1929
LL
°-
LOTUNIT C
-\
�
ZO
- 0
IRrz1cK a rxro< I I N
\ -
U- °-
� -
6-
�
Z
�
1624
ENTRY 173
oiAmil IurNas
LOT 18679 SQ F
0 Z �
T
o
�
1
,,.` _r
LIVING AREA SO FT
c _
y-
O � ^' W
r
PROPOSED o
&3
5
T= `� c -�
M N
57.0'
2SCORY
_
II,
N
(0V(PI ) OVF 9f IA11 P(1WfR
I
_
672 — ^
ENTRY 67z SO FT.
¢
U
\
s e9 sUN r n1 10`' J71PI
ArrACHLD
N
BHP OHP
GARAGE 848
aEs1DENces o
ry
I
-.... __.
COVERED LANAI SO. FT.
LU
-
o LOT
u624
ENTRY
LEGEND'
NA
PATIO NA ,_SO -FT.
m Q
Z �"
m.
z
CO 43 tG24 v
..
r-ZO � -
i
,
----�,,...--: PROPOSED DRAINAGE FLOW
POOL AREA NA SO. FT,
C
`
°
PROPOSED
CONIC- DRIVE 1971 5Q. FT-
-- `� o
�0000) GRADE
PAD
A/C & CONC _ SO. FT
.._SO,
W o
i as ar
�o
f�}719/L63
T
,
TING GRADE -2 OA!<
FA10INGRT
32
SIDEI,C/ALI< 324
c ^
_-
...�
-
0
_
'
'
- R
/U
RESS CGRESS, UE & D.E
INGRESS
SIDE YARD SWALE NA
FT.
�Q
o LOTSUNIr
ENTRY 173
; z78 ..0 <A`(1',,,
FLOOD HAZARD ZONE 'X" COMMUNITY NO. 12023
(MRP NUMBER 1210 rC 0452 FJ EFFECTIVE DATE 09/ZG/2014
T - -
CONSERVATION AREA NA _SO- FT.
o `
- 44) Il))4 ,.) (
'
LOT OCCUPIED 59 _ o/rz
AREA TO IRRIGATE 41
-- v/o
.
_
-�
s _ f'I BE,57I�"1
57 0'
2b2
o
\
SURVEYOR'S NOTES:
N
0 0 0 0
\
397 !
_
�147 -"3
-..
��
Current on subjectproperty e
NOTES:
10 0 0 0 0 �n
�
�
^
EN fK-K'-`�y'�^�
� 'I
�)
furnished to Initial Point Land Sun rveying, tme oftthis to
ttitle site
" " `�
b
LOT N
I
T.i This sketch was prepared widaoutt�cbenefitthf
LOT' GRADING TYPE = N/A
- _
-
c
Z
o 6B
173
._
i`a
Instruments of record reflecting ownership, easements or rights -of way L
PROPOSED PAD ELEVATION : N/A
;w
45 I
") o
d'
,iT�.
were furnished to the undersigned, unless otherwise shown hereon.
FRONT SET BACK IS
3.) Roads walks, and other similar Itemsshown hereon were taken from
_
1570.
-_ :�
_
rngl Peering plans andam subject to survey.
SIDE SET BACK - 10'
U W V ll lJ �
V
�
s a9'S6 10 l t &9 w
; CZ3
�,,
d) This site plan does not reflect nor determine ownership.
'
%
o
0.0�
.,
5.) This site plan Is subject to matters shown on the Plat of ZEPHYR
-
REAR SETBACK 20
�
UNIT
C79�
COURT
ALL WALKS 3 0 UNLESS NOTED
D
m LOT 153J
173
_
:-f
6.) Dimensions shown hereon are in feet and decimal portions thereof
ar
-
-
46
7.) Contractor and owner are to verity all setbacks, building dimensions,
ALL A/C 3-2"x 3-7
(>.0'
0
LOT
and layout shown hereon prior to any construction and immediately
I) F/U/D = INGRESS EGRESS/
23.4.
-..-
39 7
¢i
'`PF
47
advise Initial Point Land Surveying,f C of an deviation from
y
b
UTILITY/ DRAINAGE ESMT
o t
,1
�N-FQF
4
?`
&",
mformati on shown hereon Tature to do so will beat userssole risk-
'.o
kQa0
�
^a0
SURV 1'fkf,%,AE
PRIVATE
TRAU 8" S 89°56 OII E
PARK
fP) 134
>I' IP)
'The
SURVEY ABBREVATIONS1
certifie that '�SkL[c=t {hc 'rrty was made
u der my sYme (gr i7ards of Practice for
A< IRICMI Owe fai-or 11,
- rr r)r rustMENT
N INvael
rti (f res ll IF)BNl cs
IC Peral rcueVI
c 'Issas Ni(ON•R0
POINT
frzl Ia(Oan
RNC, iANOE
Drawn By DJB
Party ChieF. JH
REVISIONS
3b
urvcys as Tt t�.�i6 da�r$1@�brs in Chapter
5J-17.051 sr ugrf75J- 03 F'ar`ir t� C ,pursuanAE
m,)"ANAU �.e t to
Che<kcd B JH
Y
JOB NS>99
Au1MINUM Ncr:
Ir1 - nest H 00F)n iVATION r oRnly tuVmON rrr OWEnrro0RFIWATION
I/r '001IOUI MENI
Ric uII eOAIVKI
Sertion47 t >ta " „
nM-ni NCI-iM1M 2K LOP�—IOf 'PVf M(:NT
S ENZ I)SIiRVTY<l,R
f A (;I
R/tX/ I <} I i Or WAY
- p
) 15:58:02 rlLd o
CNN
-- -
File
-- -
(. CURVE f SMI i ASF MI Ni
$
(C :AI C. i.Iih'l.D 11<FFI f: CORN)l
<1NIllioE Icrd r(xlNO ceN(at rP rnnNUlmrNl
(M Mt Act IR(D
MifS N CR'NtiS (.)ION
NcNO CORN' euNo
I (J N OF IN RS <.`:()N
I fARKrR <AL)N
r I Io.Nl of ltleNNIN<;
SF( S C'ON
SN&D ,S I/NAIL.N 11. nIS'(f31
s;a ii rr raoNlOn.na
IAA
al 11
�
'' _._ .__.___ ..._. ._..._..._
Jeff M. Hartley `� STATE OP Q - Date
Date of Site Plan :7-8-ZZ DJB
(t ( TAN LINK IN(( I'�In,INI) ONPPI.
(01RICC,A It TAI. PIP) WI,`011Nt)RONROJ
<)/A <)Vf RAI I.
<li{�/ ;)(/(IEHFAt)WIRt
(C DINT or (oMMt N[lnn[:.N
P()t 01,1 ONIrs
r8M rI NPORARvseNo-
Ton IOIOIRANI(
MASK
DWG.L39-4G T"&,AP- SITE.DWG
-----------
FLORIDA PROFESS %).vS IRE71;98WAND. P,{�7? I Zl7123 I-BlIS 183
(N 11)
( (n . (011IMN I Nh1) 1 OUNE) ro I e Dili(
(ONC 101(fe If O MOUND ,!,I P I .
(/s CON(le IYAB P- FOUND Pvc It D I'lrt
�
1), ., of r (AE. RI C oei)s
III Al
PR 1,I7901a
r, ^o NT or I v 24E (.la✓E;
I' RM , PI RMANf Ni It I F IF
'UI Puou(u^)IY(AB?YNE
N(1_ MONUAB
rw oa ns nP
W Or f rl - FA$EMFNr
7his SITE Pian Prepared
Lennar Hormel
for and Certified 70:
a_—....--...
NOT VALID W7ii 7 EOft(4 ,�R',NATURE AND SEAL.
OEA FLOR �I. ffiyiY OR AND MAPPER
v R I U A L RE V; E W A S'S 1 S I
: Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 38175-fALLSTONE WAY
Parcel Tax ID: 15-26-21-0030-08100-0010
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.
REMEMMUM
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: DEBPA ANNE KLAHR
Telephone: 813-376-3089.
Email Address (Optional): deb@virtualreviewassist,com
Fax: N/A
Florida License, Registration or Certificate #: (LIC # BU1967/ PX2300/ BN4615)
I have elected to use one or more private providers to provide building code plans review and/or inspection
services on the building that is the subject of the enclosed permit application, as authorized by s. 553.791, Florida
Statutes, I understand that the local building official may not review the plans submitted or perform the required
building inspections to determine compliance with the applicable codes, except to the extent specified in said law.
Instead, plans review and/or required building inspections will be performed by licensed or certified personnel
identified in the application. The law requires minimum insurance requirements for such personnel, but I
understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I
have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance
and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harinless 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:
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 Aaent
Address: NO NW 107thAve
Miami, FL 33172
Telephone
No. 813-574-5700
Corporation i� 22ND
Before me, this day of
MAY 2o 2_2
personally appeared
of
Lennar Homes, LLC a
corporation, on
behalf of the state corporation, who
executed the foregoing instrument and
acknowledged before me that same was
executed for the purposes therein
expressed.
Personally known X ;or Produced identi cation_ Type of identification produced
Partnership
Print Partnership Name
By:
(signature)
Print
Name:
Its:
Address:
Telephone
No.:
Partnership
Before me, this day
Of 20—,
personally appeared
p artner/agent on behalf of
a partnership, who executed the
foregoing instrument and
acknowledged before me that same
was executed for the purposes therein
expressed.
Signature. of Notar 4% J, (X�on Print Name ASHLEE CALLAHAN
Notary Public Stamp:
rV-1 ASHLEE CALLAW
Notary publt� State of Ftorida
Commission Expires:
4- GG 244456
NOVEMBER 30, 2022 11 0004 A, COTTIM. EXPI(Q5 Nov 30, 2022
-:"�Ofkaed thr�uSh Nntlonbl Notary, A--,
Page 2 of 2
V-R/\
VIRTUAL REVIEW ASSIST
Private Provider
Plan Compliance Affidavit
Private Provider Firm: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU1967
Address: 747 Southwest 2,d Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: lucvavirtualreviewassist.com
Project: New SF1'
Address(s): 38156,38162,38168,38172,38176,38180,38184,38188Fallstone Way
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 atfiant, who is duly authorized to perform plans review pursuant to Section
553.791, Florida Statute and holds the appropriate license or certificate:
Name: Debra Anne Klahr
Plan Sheets: 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,LI,SN,SNI,S3,S4,S5,S6,SS,ST,D1,WP,
PAI.0,PAI. 1,PAI.2,PA 1.3,SHI.0,SHI. 1,SHI .2,SHI.3,SHIA,SHI.5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300 A /
Signature of Reviewer:
SWORN AND SUBSCRIBED before me by Debra Anne Klahr
being personally known tame --or having produced as identification
and who being fully sworn and cautioned, state that the
rr fo going is true an 3 ct to the best of his/her knowledge or belief.
s I
"'.- --- - - ---- --- -- - e
;ignat�ureof Notary Print Name
Notary Public: NOTARY STAMP BELOW My
ASH-EE CA,N
commission expires:
( ti �x -OMM-Sioi" �� GG 24,4456 res Nov 30, -022
M 1v Comi 4
c ccd t h r
TRACKING #
FOLIO# 38176 Fallstone Wgy
FIRE MARSHAL #01 -
Required Permits
DATE: 8-8-2022
EXAMINER: Debra Klahr VX230(
Building
0 jnjsjection Only
V Plumbing
❑ Inspection Only
Mechanical
El Ins ection Only
V Electrical —Amp
0 Inspection 0n12
Roof
El Gas
L_
❑ Medical Gas
El Fire Sprinklers
E:1 On Site Piping
E] Fire Line
E] Irrigation
[I Fire Alarm
El Potable Backflow Assembly
EJ Fire Line Backilow Preventer
E] Irrigation Backilow Assembly
F-1 Demolition
El Walk-in Cooler
[:1 Refrigeration
D Hood
El Ansul
El Fence/Wall
E:1 Grease Trap
r_1 Other
El Other
[E�_ =
Type Construction:
I V_B
I
Risk Category:
Occupancy Load
OVancyCla sification:
Factory
Residential
"Assembly BusinessDay Care/Educational
Hazardous 'ttional EMercantile
PStorage Utiliry
Building Use: Single Family Alteration Level 1 11:1 Level 2 JEI Level 3
Z
Rev' 1
jfl New Construction ❑ Interior Finish ❑ Interior Remodel El Exterior Remodel F Addition is on
Overall Size:
18 x 63
Number of Stories:
2
Total Sq. Ft.:
2086
Living Area: 1634
Covered Area: 452
# of Bedrooms: 3
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof Type: 21 Shingle
E]Tile 0 Built-up El Metal EJ Other Squares: 14
Zoning:
Wirorne Debris:
nside Outside
Energy Code: 405-2020
Flood Zone: X Base Flood Elevation: Finish Floor Elevation:
Hydrostatic Vents? r yes No Sq. Ft. Enclosed Space Below BFE:
# of Vents:
Size of Vents:
I Total Sq. In. Permanent Openings
9 Central A/C
El Gas A/C
FX_j Heat Pump D Window A/C
El Gas Heat El Electric Heat
SanitaKy Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
M=
Front Rear Left Right
21 As per Approved Site Plan
Comments:
1
Permit No. C>C
Date Permitted ® 7
Builder Name/Owner Name /
Control #
County Parcel No. 15 26 2-1 DD3g6/00
004/) SubDiv: 1V--�
Address/Location '3 (6 1 C
Classification/Type of Use
TRANSPORTATION IMPACT FEE Rate:
Sq. Ft Unit:
Exempt Yes No How Determined
Impact Fee Amount S Zone No. TAZ:
SCHOOL IMPACT FEE
33
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 $ 76 i,
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 FEE
ERU
Total Amount
Prepared By Checked By
NO CERTI ATE OF OCCUPANY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
ACKNOWLEDGEMENT BELOW DOES NOT IMPLY ACCEPTANCE OF CONCURRENCE, BUT SIMPLY REECEIPT OF A COPY OF THIS
FORM, PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME.
DATE RECEIVED BY
RECEIPT NO DATE __ __ ____ __ BY