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HomeMy WebLinkAbout22-48935335 Eighth Street -p Phone:s i it ! 780-0021 / �7 dl t it'\ .y {lt w;, t}; f .\ _.. \ C 1. \.'zy..l ,) ,:9 t +i•2}l\1,; -..:\ \1{ S i { { �2 k 4 ,y� ppp � �t•.::1 '1�'v--. dTZ � t 3y ` �.'st{ T5 tyyM �i{ \ 3�'�;. `{\�.j\4t �.`: ., : }'i ,:',. l�S`\' .}:� l S. hk��.)1 {t'i: ktc\"tig, �s ft,,��;'...E �\ Ta-z>o;\`Y.•.. �, S+� tcui\\i �r :tS1. \ti,`; .?:i',\.. \ll;LrT1 .. 'Al`e M1\`1§`.i?.eyti'., 3. �;*w.0 f, ,.$.•v. tt,.at. tti 3.'i 1T,�`' <�1''m.`} .;3Z1§Z` 38190 Fallstone Way 15 26 210030 08100 0010 \ {; iM.,f: .Uf G \ t\{� T }vx \, ° t '.., t\, i'}fy -\, Name: LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC Class of Work: Townhome Address: 4600 W Cypress St 200 Building Valuation: $232,680.00 TAMPA, FL 33607 Electrical Valuation: $34,902.00 Phone: (813) 574-5700 Mechanical Valuation: $16,287.60' Plumbing Valuation: $23,268.00 Total Valuation: $307,137.60 Total Fees: $14,447.55 ( �� Amount Paid: $14,447.55 Date Paid: 10/13/2022 7:39:34AM ,3 {.. .. l {\ `}. \ 1 .\ S f-"'1•,i `lE , { \ "'1`iY � 1\ ... t.\ 1'i )C '{, 'r•`;v'1C,1 4h. '.x) l \ � �� e,, CONSTRUCT TOWNHOME 1541 SQ FT TAP \ .if 11 1 \".,b S.� Nil: ,.1 ... \, ^,.. l4 T 1, t Y -.. . \}.. f t I1\ },. "s \\ \ \ t .. ,.. '.... mil', \ �,, i �' 1 a .. Mechanical Permit Fee $121 A4 Public Safety Impact Fee -Admin $26.35 School Impact Fee - Single Family $3,353.00 Transportation Impact Fee $3,445.20 Sewer Connection Residential Fee $2,090.00 3/4 Water Meter Residential Connection Fee $732.71 SIF 1 percent Fee $33.53 Admin Fee / (Provider Service) $180.00 Public Safety Impact Fee -Police $254.00 Building Permit Fee $1,203.40 Fire Wall/Smoke Wall Inspection $15.00 Driveway Fee $45.00 Plumbing Permit Fee $156.34 Park Impact Fee - Single Family/Townhome $769.56 Electrical Permit Fee $214.51 Irrigation 3/4 Meter $732.71 Address Fee $30.00 Water Connection Residential Fee $1,010.00 Transportation Impact Fee - City $34.80 RINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c) the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection, whichever is greater, for each subsequent reinspection. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit required from other governmental entities such as water management, state agencies or federal agencies. Complete Plans, accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. _Klik L (,j 1A t CONTRACTOR SIGNATURE PE IT OFFICE PERMIT r EXPIRES r; i MONTHS WITHOUT APPROVED r•, • 1 CALL r INSPECTION - 8 HOUR NOTICEREQUIRED PROTECT r CARD r rs 813-780-0020 Building Department ( x Fax-813-780-0021 Date Received Phone Contact for Permitting 908 ) 770 7763 1 1 1 1 1 1 1 1 1 1 1 1 1 Owner's Name Lennar Homes, LLC Owner Phone Number 813.574.5700 Owner's Address 4301 W Boy Scout Blvd, Ste. 600, Tampa, FL 33607 Owner Phone Number Fee Simple Titleholder Name IN/A Owner Phone Number _ Fee Simple Titleholder Address N/A JOB ADDRESS 38190 Fallstone Way LOT # 0047 wnes at Autumn Palm PARCEL ID# 15-26-21-0030-08100-0010 SUBDIVISION LTO (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED 11./ ii NEW CONSTR ADD/ALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK Multi -family J Screen Enclosure / Fence BUILDING SIZE ( U/R SF 1939 SQ FOOTAGE 1541 HEIGHT 2$' L V BUILDING $ 232680 VALUATION OF TOTAL CONSTRUCTION _J Y ELECTRICAL $ 34902 PROGRESS ENERGY W.R.E.C. 3 AMP SERVICE [� PLUMBING $ 23268 � (MECHANICAL $ (6287 6 VALUATION OF MECHANICAL INSTALLATION =GAS 10 ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS �e_ s® �� FLOOD ZONE AREA YES Do BUILDER COMPANY Lennar Homes, LLC SIGNATURE REGISTERED Y / N FEE C U - R - REN Y / N Address 4 1 W Boy>out Blvd Suite 600 Tampa, FL 33607 License # CGCI518166 ELECTRICIAN COMPANY Edmonson Electric, Inc. SIGNATURE REGISTERED LLLN_j FEE CURREN Y / N Address License # I EC13005408 PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN Address - License # FCFC042998 MECHANICAL COMPANY Bayonet Plumbinq, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address License # ( CAC058062 OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address License # 1 CCC057991 1 1 1 1 1 1 1 l I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 1 1 1! 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 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 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 to^doed^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 work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by |ow, both the owner and contractor may be cited for 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- 80O8 Furthermone, if the owner has hired a contractor o/ cmntnaotorn, 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 contnector, that may bean indication that he ianot properly |io*nood and isnot entitled io 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 (othe construction of new bui|dingo, change of use in existing bui|dingo, or expansion of existing bui|dings, as specified in Pasco County Ordinance nunnber8S-O7 and 90-07. as amended. The undersigned also undorstandu, that such fees, as may be due, will be identified atthe time of permitting. U 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 r*|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, asanmended)� |fvaluation ofwork iu$2.50O.UOormore, | certify that |. the app|icant, have been provided with o 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", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it\othe ''ownor^prior tocommencement, CONTRACTOR^S/OVVNER'SAFF|OAlUT: | certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating oonn(ruoLion, zoning and land development, Application is hereby made to obtain o 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 |mwn regulating nonntmction. County and City oodeo, zoning regulations, and land development regulations in the jurisdiction. | also certify that | understand that the regulations ofother government agencies may apply buthe intended work, and that it is my responsibility to identify what actions | must take tu be in compliance. Such agencies include but are not limited to: - Department ofEnvironmental Protection -Cypress Bayheedo, Wetland Areas and Environmentally Sensitive Lands, VVaien[WashewoherTreatment. - Southwest Florida Water Management Diotriot-VVe||u, Cypress Beyheudo, Wetland Araas, Altering Watercourses. Army Corps ofEnginoem-S*evva||n. Docka, Navigable Waterways, Department of Health & Rehabilitative Semioes/Environmental Health Unit-VVe||n, Wastewater Treatment, Septic Tanks, - USEnvironmental Protection Agency -Asbestos abatement. - Federal Aviation Authority'Runwaye. | understand that the following restrictions apply tothe use nffill: Use of fill is not allowed in Flood Zone ^V~ unless expressly permitted. If the fill material is to be used in Flood Zone ^A^, it is understood that a drainage plan addressing m "compensating vo|ume^wiU be submitted at time of permitting which is prepared by o professional engineer licensed bythe State nfFlorida. - If the fill material is to be used in Flood Zone ^A^ in connection with a permitted building using abam wall construction, | certify that fill will be used only 0ofill 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 properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots |eeu 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 hehh 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 work, p|umbing, uigna, weUa, poo|u, air ronditioning, gae, or other installations not specifically included in the application. A permit issued ahoU be construed to be license to proceed with the work and not aaauthority toviolate, oonuei alter, o/ 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 isnuanoe, 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 abandoned. FLORIDA xunAT(r.s.nr.03) OWNER OR AGENT Subscribed and swc , c r affirmed) before me this 7/2W2022 by Christopher Smith as identification. -Notary Public Commission No. ss296057 Stephanie Farmer CONTRACTOR Subscribed and sworn to (or affirmed) before me this 712812022 bv Christopher Smith Who is/are personally known to me mhas/have produced as identification. Commission No. GG 296057 Stephanie Farmer Name of N MIPWIEfAMER -Notary Public R W/ 15 MPH SIGN 82.86 C=mc 14+00 F.F.EL. = 84.20 'S' INLET S-7 ` - — ;a 82.21 :�_j rL 'S'INLET S-8---,, �1111111110. i 82.89 13+00 (P-7) , 81.5 - DESCRIPTION: LOT(SJ 47-54, TOWNES AT AUTUMN PALMS, SEC, IS, TWP. 26 S, RNG 21 E. ACCORDING 70 THE PLAT THEREOF, RECORDED IN PINT BOOK PASCO COUNTY, FLORIDA SITE P1_/--S{ V 1708 Water Oak Drive PAGES)_ OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORID*. TS Florida (TOWNES AT AUTUMN PALMS) (NOTA SURVEYS Tarpon Springs, S, g _ DROADWAYTRACT"C Phone: (727)-831-1990 5Q'wID FloridaPL57123@gmail.com "CITY OF ZEPHYRHILLS 6ASIS OF BEARING �1- {,' •—; oil �`�� 1/E/U/D EASEMEN'� 89 834 W (P) 44( 63 IP ei Lgi 818PScale: - II �z o _— v ig33Ei)-x 'e ,-•16` _^R�- ti` •�273 - 'tb �• = 273 :s- Q � Ci20 LI � . 50' 1489 842 F IPJ w T h LU e i C21 tII.00 (p� ,; I800 P)18.00 (P� 18 0 �P� II7 (P) k 20 rq tl a pf J , iso ^* I c g Initial Point Land Surveying, LLC. { LEGEND :. t 13 100 10.0 100 100 Too, 100' t00 i LOT I7027 SO. FT. �' 11 3" 11 3 11.3 ix i 11 3 I i 3 i l 11 3 113 SURFACE TYPE FENCES LIVING AREA 5336 SOFT. „^: � ,- nwnn NUM(^N(r ENTRY 184 _ SQ FT. R,868 SOFT mX la w .y .V/w ,, I00 vcolvc PATIdCOVERED LANAI NA -SO. FT. o ,0 aZ ti a W 0 p N AsrhA;.r _ __._rr'v IF (I GARAGE i8�k8 SO, FT. 100 i POOL AREA NA SO. FT ti 70 < / 9 < 6.7 6.7 -c 6 7 6 < 6.7 7.0 Ila,cH <v r �, CONC. DRIVE Z430_SO. FT. N A/C & CONIC PAD 30 SO. FT. °� a 47 LOT LOT LOT LOT LOT LOT LOT LOT ornrN1w<S Nce SIDEWALK 324 SO. FT, v w LOT o 48 PROPOSED '� SI 52 53 b 54 ( SS snNo�oraT -� SIDE YARD SWALE NA SO, FL 4 I` ❑ Z STORY u�i I (Svr2I I1Ao >owl Ia CONSERVATION AREA -_NA__ SO.FT. F > o w -. - ATTACHED_.144-8" w__. } o �-(ovl 2lo LhP LPP LOT OCCUPIED 68 R/o As d RESIDENCES AREA TO IRRIGATE 32 0`�° o /o - UNITB UNIT-C v UNIT-B UNILA LEGEND. � UNIT UNIT-C UNIT-C (/NIT-C - " 1532 1516 1624 1624 1624 1624 1516 1532 s, --�-- PROPOSED DRAINAGE f LOW IOO.00I °• PROPOSED GRADE NOTES: E-0000= EXISTINGGRADE - 2 OAK LOT GRADING TYPE = N/A 183 18.0 18.0 180 1 18.0' 180 1 180 I8.3' = 70' INGRESS EGRESS/U.E & D.E PROPOSED PAD ELEVATION - N/A 100...o LANAI ANA ANA LANA (AN LAN i LANAI LANAI co APPARENT' FLOOD HAZARD "ZONE. "X" COMMUNITY NO. 120235 - -100 - (MAP NUMBER 12 101 C-0452C] EFFECTIVE DATE. 09/26/2014 FRONT SET BACC = 15' •I E+l I, - _ SURVEYOR'S NOTES: SIDESETBACK - t0' _o n I �n d ©n ry (j n O D a _o 2jThEto hnly iaf prepared P c>dwthout �g>benefit tofatnit c•been y I D ) ) property had not is as REAR SETBACK ` 20" o ri r 1 nfurnisheds site plan search No ALL WALKS 3.0 UNLESS NOTED instruments of record reflecting ownership, easements or rights of -way ALL A/C 32'x 3.2' 20 were furnished to the undersigned, unless otherwise shown hereon. X Z .30 P 1II.00' P I8.00` P 18.00' IP 18,00' P 18,00" P 18.00 P 28.33' P _ _ a) Roads, walks, and other similar items shown hereon were taken from __ I, E'U/D = INGRESS EGRESS/ N 8 58"42' E I P k,'82 j T82 SO engineering plans and a e subject resurvey UTILITY/ ITY, DRAINAGE ESM T TRACT "1024 5/ / 4 ) this site plan does not reflect nor determine ownership. LANDSCAPE BUFFER SOUTHERLY LINE OF TRACT 96 5) Th s site plan is subject to matters shown on the PKIL of ZEPfiYR -------._------------------r--------------------- --- ---------- G 55 COURT PB 1, P CURVE RADIUS ARC LENGTH CI-IORD LENG7Fi CHORD BEARING DELTA ANGLE PROPOSED: 6.) Dimensions shown hereon are to feet and dedmal portions [hereof. CZO 69.00 i 9 9I 19.84 S 71 °OU53` E I6°31'S8' LOWEST FLOOR ELEVATIONS_ 7.) Contractor and owner are to verify all setbacks, building dimensions, NOTE: CONSTRUCTION CZ t 6900 12 82 I L80 S 84°42 09 t 1038 35 LIVING AREA :84.20 and layout shown hereon prior to any construction, and immediately GRADING PLANS GARAGE AREA. N/A advise Initial shown hereon Surveying, to do f any will from HAVE MINIMAL LINE BEARING DISTANCE .__ __ ELEVATIONS REFERENCED TO users sole risk. GRADING ELEVATION L� S 89'S834"' W S26 ALL ELEVATIONS REFERENCED PROPOSED ELEVATIONS AND TYPE NORTH AMERICAN VERTICAL DATUM OF INFORMATION 1988 SUR� �!S ltt�!�7�. TE V RTTICARDATUMEiOFA1988 FORM THE ENGINEERING PLANSOFMASER'( 10.85 - NATIONAL GEODETIC VERTICAL This certifies thatthat s h eo�rf •7t s •d property was made NAVD 88 CONSULTING P A PROVIDED BY CLIENT DATUM Of° I979 SURVEY ABBREVATiOMS � � under my supe is pl A� tl�ptg andards of Practice For A,< AIR (ONnn10ceI InI nlln wv uvrm 1( "OINT(IF (uaV1 IRI ac(Oeo Drawn ey:CWC (Party Chlef: lH REVISIONS. surveys as sit y � urveyors in Chapter A AIIIMNUM IN(E. DI n12AINrOf" Ail M(Nt _B 11 NY I1911W SS ( f iMAN(Ni(ONIR(I. I"Olm 2N1RANG' 51-17.Q5t J 3, I�1�I�r��e Code, pursuant to I TAs"rlc1G) ':AN01 nOR"I✓ IVA*oN I )LVS'11 ootlS POw (c,..eOUFMINi N'S zA IOADS^nar Checked By lH JOB05560 Section 47202FFforiK, star,S AM 9FN(r'MAR.( O-110E. <) RAVtf.1N? S Sf !)St1INF vfl`i ( AG": Q'Se Il("I Ol IT SIT, FSMI fAlsoul e AAn AIM ()N`OFIN 2C1(.1()N "ISICtION ei s Date:2022.0t2Q (y� qq��l�t �. IrI cT-Nno I.( r"N<fa)RNra NCI No (ORlNnOUND I< rAIu.KAt(N sN&o-s(iNA iNI,( SI(Irin, les Date of Ste Plan:07-08-ZZ CWC TAIL OF a <ruTSl w": '(M^rourvn coNa/rT": MON nmr.Nr Ncr N(u oarvrrzr<xlNo roH-rowT o=lirc,iNNwn sia SrI I/r uzoN aoo tin ales Jeff M. Bartley � N \ (II (HAIrl-KIIN(t. 11-101114111 1111 O/A O\/I RAII 1(( POINTOF(()MMIN(TMINT 1SPA If:MPORARYMN<.I-i MARK DWG', L47-54-TATAP-SITE DWG fLORIDA PROFES. ESSU((�P'VV�')'i I\ �CrRLS07123 I_B1,8183 (eir C OF"U"A I I n Nil PIP" III IOUNI)IN-1.11 Of1W ()\/I RI{I.AI) WIoa) 1(I POINT ON I INI 1OR-IOP OF RANI( (ONC (((ON(N II N&D OOUNO('ry PI)IS OR fIP.. 2M P(`N I Or RL I fl SN(I MC)Nll^A N( IWP-10-11111' This SITE Plan Prepared fnrand Certified To: D—"--- �NATURF AND SEA-- IF 011, Ill )�I (nI a[-(oeos cFM ffR ANf NT lml euavF NOTOFAD OR%I h i t7i2�lGNATURE AND SEAL )t In hr rAsemeNT Lennar Homes (� yyJJ (/S CON, PriI IT All '�FOUNL) INC i�r)P,!'F PB IAt 30(iK U1-PUBL,C U( 'YI ASt M�_M OFA FLORN..Wt�,_�FMCV Y' YOR AND MAPPER r / R/\ Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 38190 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. 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: Private Provider: VIRTUAL REVIEW ASSIST, INC. Address: 747 SW 2ND AVE- SUITE 170,301,357,4 358, GAINESVILLE, FL 32601 Telephone: 813-376-3088 Fax: N/A Email Address (Optional): deb@virtualreviewassist.com 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 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. (signature) Print Name: Address: Telephone Please use appropriate notary block. Individual Before me, this day of 20_, personally appeared who executed the foregoing instrument, and acknowledged before me that same was executed for the purposes therein expressed, Corporation LENNAR HOMES, LLC Print Corporation Name By:� .. ...... . . . ... ... .... (signature) Print Name: Christopher Smith its: Authorized Agent Address: 700 NW 107thAve — Miami , FL 33172 Corporation Beforeme,this 22ND 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. Personally known X ;or Produced identication_ Type of identification produced Partnership Print Partnership Name M (signature) Print Name: Its: Address: Telephone No.: 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 Not Print Name ASHLEE CALLAHAN Notary Public Stamp: Commission Expires: ASHLEE CALLAHAN QWy pubjj� � Slate of Fiarlda '..;U GG 244496 N®v 10, 2022 NOVEMBER 30, 2022 YCOrTIM. E%PV05 N5tjonDt Notary Alan, Page 2 of 2 V-R/\ VIRTUAL REVIEW ASSIST Private Provider Plan Compliance Affidavit Private Provider Finn: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU1967 Address: 747 Southwest 2,d Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: -hqc ' walreviewassist,com _y�CUir, Project: New SFR Address(s): 38190,38194,38198,38202,38206,38210,38214,38218 Fallstone 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 affiant, 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,'1,4,5,6,7,8,9,10,11,12,13,14,15,16,LI,SN,SNI,S3,S4,S5,S6,SS,ST,D1,WP, PAI.0,PAI.1,PAI.2,PAI.3,SHI.0,SHI.1,SHI.2,SHI.3,SHI.4,SHI.5 Florida License/Registration/Certification 9(s) and description: FS468 Certified Standard Plans Examiner License 4: 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 cautioned, state that the fo going is true d orrect to the best of his/her knowledge or belief. SigWature of Notary" Print Name Notary Public: NOTARY STAMP BELOW My commission expires: At � 'CAI, h Not,ry �',ubjc. - SL'ItEl C), F:a r',r'-,mn„ior � GG �'4,1-156 � s Nov '3 0 . 2 u 22 thra,'gh COMMERCIAL BUILDING SERVICES DIVISION 'RESIDENTIAL BUILDING PERMIT DATA SHEET TRACKING # FOLIO # 3 8190 Fa I Isto ne Way Required Permits DATE: 8-9-2022 EXAMINER: Debra Klahr PX230( Building ❑ Lnspeqi2n Onl. V Plumbing ❑Ls Lection Only IV Mechanical ❑ Ls2ection Only IV Electrical Amp ❑ Inspection Only Roof ❑ Gas M Medical Gas E] Fire Sprinklers ❑ On Site Piping ❑ Fire Line ❑ Irrigation ❑ Fire Alarm ❑ Potable Backflow Assembly El Fire Line Backflow Preventer ❑ Irrigation Backflow Assembly F-1 Demolition El Walk-in Cooler E] Refrigeration El Hood El Ansul F-1 Fence/Wall E] Grease Trap El Other E] Other Type Construction: Risk Category: Occupancy Load Oancy "a"sification: V,Factory E= Residential Assembly mess Care/Educational u Hazardous nsst �mional E� Pkeyrcantile PE�i"Storage E:= El Ut lity Building Use: Single Family Alteration [E-1 Level I [E7 Level 2 Level 3 New Construction F'j Interior Finish ❑ Interior Remodel El Exterior Remodel R Addition ❑ Revision Overall Size: 18-4 x 63 Number of Stories: 2 Total Sq. Ft.: 1939 Living Area: 1541 Covered Area: 398 # of Bedrooms: 2 — # of Baths: 2.5 Cost per square foot: - Estimated Value: Roof Type: Shinle L F�Tiie Ej Built-up E] metal F1 Other Squares: 13 Zoning: Wi orne Debris: E] Inside Outside Energy Code: 405-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? rQ Yes V, �No Sq. Ft. Enclosed Space Below BFE: of Vents: Size of Vents: --Total Sq. In. Permanent Openings FX_] Central A/C El Gas A/C Z Heat Pump 0 Window A/C 0 Gas Heat 0 Electric Heat Mu= - Sanitary Sewer Storm Sewer Catch Basins Potable Water Under round Fire Line ms= Front Rear Left Right As per Approved Site Plan Comments: Permit No. �Kgp Date Permitted Builder Name/Owner Name G'e�.. Control # County Parcel No. 0(2a IUD /)0) 0 SubDiv:WW14 )V 1,414f Address/Location '3 6 Classification/Type of Use TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: Exempt 0 Yes r--j No How Determined Impact Fee Amount S Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single -Family Detached House Amount $ 33(5�,6,-) (057) Mobile Home (058) Other Residential (123) Collection Fee Exempt =Yes = No How Determined_ PARKSAND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone Total Amount $ Exempt =Yes = No How Determined �:r0 Land Account Land Credit Land Total Facility Account Facility Credit _ Facility Total Exempt = Yes No How Determined Total Amount RESOURCE FEE ERU Total Amount Checked By V 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