HomeMy WebLinkAbout22-48965335 Eighth Street
Permit Type: Building
d. N
ew (Residential)
382UuFaUmonoWay 152o21oO3OO81U0001O
Name: LENNARHOMES LLC-OxmwEn Permit Type: Building New (noaidonUaV
I Class of Work: Townhome
Address: 4600 WCypress St 200
CONSTRUCT TOwNHOMs163wGQpTTAP
Building Permit Fee
Driveway Fee
Transportation Impact Fee
Sewer Connection Residential Fee
Electrical Permit Fee
xuminFee / (Provider Service
}
awWater Meter Residential Connection Fee
Fire Wall/Smoke Wall Inspection
Mechanical Permit Fee
Building Valuation: $250.320.UO
Electrical Valuation: $37.548.08
Mechanical Vemotiun:mr,522.4U
Plumbing Valuation: $25.032.00
Total Valuation: $33o,422/0
Total Fees: *13,83120
Amount Paid: $13.83128
Date Paid: 10n3/2022 7:3934AM
$1,291.60 School Impact Fnr-Single Family
$3,353.00
$45I0 8|F 1 percent Fen
$33.53
%3,44520 Public Safety Impact Fee -Admm
$20.35
$2.080D0 Transportation Impact Fee 'City
*3*.80
$227.7* Park Impact Fee - Single Fumi|vxmwnonme
$769�56
$100.00 Water Connection Residential Fee
$1.010.00
$73271 Plumbing Permit Fee
$185.16
$15.00 Public Safety Impact Fee -Police
$254.00
$127.61 Address Fee
$30.00
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.
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.
ONTRACTOR SIGNATURE
FIE IT OFFICE
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting 908 770 7763_____�
Owner's Name Lennar Homes, LLC Owner Phone Number ' =813574.-5700'
Owner's Address 4301 W Boy Scout Blvd, Ste. 600, Tampa, FL 33607 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address I— N/A
JOB ADDRESS 138202 Fallstone Way LOT # 10050
SUBDIVISION Townes atA�ut�� 115-26-21-0030-08100-0010
Lne� PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR 8 ADID/ALT SIGN DEMOLISH
V] INSTALL REPAIR
PROPOSED USE 0 SFR COMM OTHER
TYPE OF CONSTRUCTION 0 BLOCK FRAME STEEL
DESCRIPTION OF WORK Multi -family / Screen Enclosure / Fence
BUILDING SIZE SQ FOOTAGE DHEIGHT
BUILDING $ 250320 VALUATION OF TOTAL CONSTRUCTION
r-71 ELECTRICAL PROGRESS ENERGY W. R. E. C.
L10 ::1 AMP SERVICE
F-71 PLUMBING /t
25032
1/10 1
0 MECHANICAL $ 17522.L VALUATION OF MECHANICAL INSTALLATION
=GAS W] ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA El YES Do
Lennar Homes, LLC
[
BUILDER
COMPANY
L
SIGNATURE
REGISTERED
14-A 1 W Boy Scout Blvd Suite 600 Tampa, F1, 33607
I CGC1518166
Address
License#
ELECTRICIAN
COMPANY
Edmonscin Electric, Inc.
SIGNATURE
REGISTERED
Y/ N I FEE CURREN
Address
I
License #
PLUMBER
COMPANY
Bayonet Plumbing, Heating & AC, Inc
SIGNATURE
REGISTERED
YI_N_j FEE CURREN E:Y=
Address
License # I CFC042998
MECHANICAL
COMPANY
Bayonet Plumbing, Heating & AC, Inc
SIGNATURE
REGISTERED
L_ZLN_j FEE CURREN-
Address
License # EAC580=62
OTHER
COMPANY
C Sterling Quality Roofing, Inc
SIGNATURE
REGISTERED
Y/ N FEE CURREN I Y/N
Add
I
License # 1 CCC057991
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 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 I
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.
4 114 1 111111111111111111 11111111 1 11111 1111 11 11 11 _4 1 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 OFDEED RESTRICTIONS: The undersigned understands that this permit may besubject tn^doad^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 hocontact the Pasco County Building Inspection Division —Licensing Section et727-847'
8009. Furthennore, if the owner has hired a contractor or contneotom, 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 an the
oontnador, that may bean indication that he ionot properly licensed and ionot entitled topermitting 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 ofnew buildings, change of
use in existing bui|dingu, or expansion of existing bui|dingu, as specified in Pasco County Ordinance number88-O7 and
90-07. as amended. The undersigned also understands, that such fees, as may be due, will be identified atthe time of
permitting, It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power no|eeoe. If the project does not involve e certificate of occupancy or
final power re|oone, 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, as amended): If valuation ofwork io$2.5O0UOormore, |
certify that |, the app|ioant, 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'. | certify that | have obtained e copy of the above described document and promise in good faith to
deliver ittothe ''ownar''prior tocommencement.
C(]NTRACTOR'S/OVVNER'S/\FF|DAV|T: | certify that all the information inthis application ioaccurate and that all work
will be done in compliance with all applicable laws regulating oonatruo|ion, 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 iaauonma of permit and that all work will be performed to meet standards of all laws regulating
oonntruotion. County and City coden, zoning regulations, and land development regulations in the jurisdiction. | also
certify that ! understand that the regulations nfother government agencies may apply to the intended vvork, and that it is
myresponsibility toidentify what actions | must take toboincompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection -Cypress Boyheado, Wetland Areas and Environmentally Sensitive
Lands, VVotec8NaatewaterTnaetment.
- Southwest Florida Water Management Oiotriot-VVa||u, Cypress Buyheedu, Wetland Anaee, Altering
Watercourses.
- Army Corps ufEnQin*ore-8eawo||o.Docks, Navigable Waterways.
- Department of Health & Rehabilitative Gemicea/Envirnnmental Health Unit-VVe||o, VVoetevvoimr Troatment,
Septic Tanks.
U8Environmental Protection Agency -Asbestos abatement.
' Federal Aviation Authority'Runwaya.
| understand that the following restrictions apply tothe use offill:
Use offill ienot allowed inFlood Zone ^trunless expressly permitted.
' If the fill material is to be used in Flood Zone ^A^, it is understood that a drainage plan addressing o
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State ufFlorida.
- If the fill material is to be used in Flood Zone ''A" in connection with a permitted building using stem wall
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 in found to adversely affect adjacent propertioa, 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, on 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 to commencing construction. | understand that m separate permit may be required for electrical work,
p|umbing, aiQns, waUa, poo|u, air condhimning, goa, or other installations not specifically included in the application, A
permit issued pheU be construed to be license to proceed with the work and not esauthority toviolate, oence|, alter, or
met aside any provisions of the technical codea, nor shall issuance of 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 panni( is commenced within six months of permit iosuence, 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 requootod, 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.
FLORIDA JunAT(r.o.nr.u)
Subscribed and sworn to (or affirmed) before me this
71?8/2022 by Christopher Smith
Whois/are personally known to me or'
as identification,
Notary Public
Commission No. Gszysns7
Stephanie Farmer
Subscribed and sworn to (or am before
7/28/2022 by Christopher Smith
Who is/are personally known to me or has/have produced
as identification.
Notary Public
Commission No. ms29oos7
Stephanie Farmer
-,q=k
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law==
m
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FORNEW-WE
81.5 -
DESCRIPTION: LOTS) 47-54, TOWNES AT AUTUMN PALMS,
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK ,
PAGE(SL_ OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA,,.
LOT
17027 SO FT".
LIVING AREA
5336
SO _ FT_
ENTRY
672
SQ. IT
GARAGE
- 1848
SO Fr
COVERED LANAI
- 868
SO, FT.
PATIO
NA_
SQ. FI.
POOL. AREA
= NA
SQ. FT.
CONC. DRIVE
2430
SQ FT
c
A/C & CONC PAD
80
SO FT.
m
SIDEWALK
324
SQ FT'_
v w
SIDE YARD SWALE
NA,
SQ. FT.
C 2
CONSERVATION AREA
NA
—%
SO- FT
F- >
LOT OCCUPIED
68 .-0,
a
AREA TO IRRIGATE
= 32
1 a,
1 �. tI11
100'
11.3' ii3"
100 w w
Z __.. 0" m
O
a
47 LOT
LOT o 48
NOTES:
LOT GRADING TYPE -- N/A
PROPOSED PAD ELEVATION -- N/A 100
FRONT SET BACK = IS
SIDE SET BACK 10"
REAR SETBACK -20'
ALL WALKS 3.0 UNLESS NOTED
ALL A/C 3.2'Is3.2" /g'-2p/ X
v UNrr-A UNfr-8
1532 516
18.31 180
SEC, 15, I WP, Z6 S, RNCr L I L.
PASCO COUNTY, FLORIDA SITE PLAN
(TOWNES AT AUTUMN PALMS) (NOT A SURVEY)
ROADWAY TRACT' C
__" WIDE R/W— _ _ .�
CITY OF ZEPHYRHILLS 11iASIS OF BEARING j
t/E/U/D EASEMENT &9'SB34- W (P) 446 63" (P) ', , ; ', , ' ,,
-
"- 273 >
9.0.NEET58"42 EIP(
-
27
i' 1800(PI P
.., f 1800 PJ T 18.00IP)
I
18 0 P) �., I
28.33'(P) 1
f
k-/8LZ
3/
too' too �' ( o 00 1u.,100
-�
i7.3' 113 I IEr iL3
114'
�
iL3'
0 _
z
O
a
O
0
,y]
< 67
a
6.7- <
67
6T <
6.T 70'
oN
LOT
LOT
LOT
LOT
LOT LOT
SLOT
0 49
2 PROPOSED
50
51
-w 52
53 0 54
..a 55
Z STORY
.-ATTACHED
--. ---_.
144'-II
RESIDENCES
Is
..
UNIT-C
v UNIT-C
UNIT-C
UNIT-C
UNIT-B UNIT -A
q
1624
1624
1624
1624
1516 1532
18.0"
18.0'
18.0
18.0'
18.0" 18.3
D
o p i n i n
1 I
D
ri ri n
I i I I I o
I 1 I I I
I ElJ)D- INGRESS EGRESS;
UTILITY/ DRAINAGE ESMT TRACT "r 1 I 10 24, L&2.Jg/ al50/
B "or'o"
LANDSCAPE BUFFER SOUTHERLY LINE OF TRACT 96
CURVE RADIUS ARC LENGTH CHORD LENGTH CHORD BEARING DELTA ANGLE PB 1, PG 55 PROPOSED:
CZO__ 6200 19.91 19.84 S71`0653"E _ i6"3158" LOWEST FLOOR ELEVATIONS:
NOTE' CONSTRUCTION -C21 69.00 -- ! 2.82 ""'_...__._. 12.80 ---�-- S 84'4209" E 10`3835"'—�--- LIVING AREA :84.20'
GRADING PLANS GARAGE AREA: N/A
HAVE MINIMA)_ LINE BEARING DISTANCE -__ __. _ _ ELEVATIONS REFERENCED TO
GRADING/ELEVATION L1 _ S 89'5834" W -_ 5_Z6 _ ALL. ELEVATIONS RFFERENCFD PROPOSED EtEVATIONS AND TYPE NORTH AMERICAN VERTICAL. DATUM OF
INFORMATION TO NOR7"H AMERICAN GRADING SHOWN HEREON ARE TAKEN 1988
VERTICAL DATUM OF 1988 FORM THE ENGINEERING PLANS OF "MASER.. 10.85' --= NATIONAL GEODETIC VERTICAL,
SURVEY ABBREVATIONS (NAVD 88) CONSULTING P A , PROVIDED BY CLIENT I DATUM OF 1929
A/( All coNOlrloNn; --- IS
Dl l.I - - INv Ni --- ---- P( � rover of f!lave IRI R¢ Om) Drawn By CWC Party Chief: Jf f REVISIONS:
AI N UMINUM I f N(f 0 t 011AINAGI 1 AS1 M1 NT ! 5 1 (f all [) F�UISN[ SS I (1 -Pf WANT I CON irrC POINT Rho � tANGt CNP<ked B JH JOB X5560
eIr vsc FLOODIIFVARON II o2rlry I NATION irl �owrs-r(ooe�l=va�I"N r I x)-TOUPMfNr Ras n aou)sPl'I Y
I'M HI NCH MART( t,)P-I OGE OI'AV(Mr NI I.S CI NSFI)SI)rYVf Y()Ir f( III 'If R/W I(HI01WAY ._._._.. _.._-_.—_.__.........
( CIIAlI f SMI,IASf Mf NI IM MI ASIIRI () PI ION O(INII RSf (:'ION Sr< Sf<r,ON
File
1(I (l+,I.INIfD C FINCk II -NI MIS- Nil01111 i IIIINDN < APOIN HA1 Ill
IN&Idl, St i NPo.AND OSK lEl I, Date Of Sit2 Plan 07-08-22 CWC
f(M (OUNU (ONC RI:it'. M0N11MiNI NI -N()CO(iNr.R'Ot1ND PO'3 POINI OI f3 GINNING SIR S( l"IRON R0D1(;n A183
(I( (VAIN I -in Ff N(1_ fl' IOtINUIRONPI'( 0/A-ON RA I. PO(- POIN T 01( OMMI NC TIN N I 1[3M IMPORARv111NCHMARI( DWG'.147-r;4—T@AP_SITE , DWG
( MP (CIRRUGAT. 1) l AL "VI fill III N-01201) Ot Jf (1'✓t (tNEAI) WIRES °O POIM ON hF i()3 o ( BANK
(o ( oI uMN f NSI1 roUNL NA & Ins ( I'll 011111/d cf MRIIs r R( POINT or +l vrav "Fla ( "Ftwl u>WNn)IP This SITE Plan Prepared for and Certified To:
(0N( -I on'
"111 IOP fOUNII)IINIII jr) I—, Poll 11MANINIar11R-0 MONUMFNT III U IIIIIYIASLMINI Leona, HOme.S
<IS II In"I 111—, ' I OUN)IN(11 n'1PE I'll0A'90011 U( 11l Ili 11il I I'Y I All ME.NI
1708 Water Oak Drive
Tarpon Springs, Florida
Phone: i727I-831-1990
FloridaPLS7123@gmaii.com
LB# 8183 11
Q �
Scale: t " = 20'
Initial Point Land Surveying, LLC.
LEGEND
SURFACE TYPE FENCES
-- CONC 1i Fr -NC --
ASP4A1', IINYI ' I N('
_pip( WO01MNU
SAND/[)I;31 — (.1-tANI N-LN(l
X
(OV(R'D OIIIHI All POU/IR
0HP HHP
LEGEND:
-- /—= PROPOSED DRAINAGE FLOW
(00 00) = PROPOSED GRADE
E-00.00 -= EXISTING GRADE - 2' OAK
10 INGRESS EGRESS/U_E & D_E
APPARENT FLOOD HAZARD ZONE: 'X" COMMUNITY NO. i 3
(MAP NUMBER 12101 C-0452-F) EFFECTIVE DATE 09/26/2014
SURVEYOR'S NOTES: !
i) Current otie eforn on on the-lifect 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 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 Piat of ZEPHYR
COURT"
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, I_I_C. of any deviation from
information shown hereon Failure to do so will be at user's sole risk.
SUR 'S TE
This certifies that IF, Q th (sere �s If property was made
under my zfeervisib�T !Standards of Practice for
surveys as yiryurveyors in Chapter
5J-17,051 J- 3 1 t� c Code, pursuant to
Section 472.02ZFloriEa Stat, e11
Date:2022.0t2$
Jeff M. Hartley � N I /- 4 � Date
FI.ORIDA PROFES LSUI APf=,P �§11 I.,S#7123 LB#8183_
NOT VA' � �^ - GNAT( RE AN SEA rID 7j FfiE-67F t J _ D L
OF f 1's'W' R N MAPPER
A LORfih�,��t+KM�`i��o AND MA e
VRAv R T UAL L R E "V i i- " A S S I S T
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name:
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.
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- DEBPZA ANNE KLAHR
Address: 747 SW 2N1) AVE- SUITE 170,301,357,& 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 hi I it in 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
Corporation
LENNAR HOMES. LLC
Print Corporation Name
By:,
(signature)
(signature)
Print
Name:
Print
Name: Christopher Smith
Address:
its: Authorized Agent
Address: 700 NW 1 OZtb-Av—e
Telephone
Miami, FL 33172
Telephone
No. 813-574-5700
Please use appropriate notary block.
HZG���
Individual
Corporation
Before me, this day of
Before me, this 22ND day of
, 20_, personally
MAY 20_22,
appeared
personally appeared
who executed the foregoing instrument,
of
and acknowledged before me that same
Lennar Homes, LLC a
was executed for the purposes therein
corporation, on
expressed.
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 identif cation_ Type of identification produced
Partnership
Print Partnership Name
Wt
(signature)
Print
Name:
Its:
Address:
Telephone
No.:
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.
Signature of Not
aly—u Print Name ASHLEE CALLAHAN
Notary Public Stamp: o"
ASHi.EE CALLAW
Commission Expires: Notary publlG- State of Florida
Cornmissior, g G6244456
NOVEMBER 30, 2022
IN I rV Assn,
Page 2 of 2
VR/\
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 n' Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: 1-ucvavirtualreviewassist.com
Project: New SFR
Address(s): 38190,38194,38198,38202,38206,38210,38214,38218Fallstone 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: 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,LI,SN,SNI,S3,S4,S5,S6,SS,ST,D1,WP,
PAI.0,PA1.1,PAI,2,PAI.3,SHI.0,SHI.1,SHI.2,SHI.3,SHI.4,SHI.5
Florida License/Registration/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 cautioned, state that the
e d correct to the best of his/her knowledge or belief.
for,;, s true
� ffafo Pfttju
SiJ'Atore of Notary Print Name
Notary Public: NOTARY STAMP BELOW My
commission expires: x.
S 10 GG 2,',
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COMMERCIAL BUILDING SERVICES DIVISION VRESIDENTIAL
BUILDING PERMIT DATA SHEET
FIRE MARSHAL #01 -
Required Permits
DATE: 8-9-2022
EXAMINER: Debra Klahr VX230(
Building
[I Inspection Only
Plumbing
0 Inspection Only
IV Mechanical
0 Inspection Onl.
IV Electrical Amp
F1 Lnspection Onl
Roof
❑ Gas
E] Medical Gas
El Fire Sprinklers
M On Site Piping
❑ Fire Line
[:1 Irrigation
F1 Fire Alarm
❑ Potable Backflow Assembly
❑ Fire Line Backflow Preventer
E] Irrigation Backflow Assembly
0 Demolition
F1 Walk-in Cooler
F-1 Refrigeration
E] Hood
0 Ansul
❑ Fence/Wall
F-1 Grease Trap
E] Other
El Other
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Type Construction:
I
Risk Category:
� Occupancy Load
OVan Classification:
c CYC
Fa tory
Residential
Assembly Business EDay Care/Educational
'Hazardous E__ Institutional❑
Mercantile
Storage E== ❑ - ity
r Fouul
Building Use: Sinqle Family Alteration FffLevel I FffLevel 2 JE]Level 3
46 New Construction ❑ Interior Finish ❑ Interior Remodel Ej Exterior Remodel El Addition ❑ Revision
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: E] Shingle
ElTile �Built�-up Ll Metal El Other Squares: 14
Zoning:
Wi6V111 orne Debris:
E�Inside Outside
Energy Code: 405-2020
Flood Zone: X Base Flood Elevation: Finish Floor Elevation:
YNo Sq. Ft. Enclosed Space Below BFE:
Hydrostatic Vents? res I
# of Vents:
Size of Vents:
Total Sq. In. Permanent Openings
IR Central A/C
El Gas A/C
9 Heat Pump 0 Window A/C
0 Gas Heat 0 Electric Heat
NO=
Sanita!y Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
Setbacks
Front Rear Left Right
As per Approved Site Plan
Comments:
Permit No.
_-. Date Permitted —Z - Z2,
Builder Name/Owner Name t'�GR r^ Control #
County Parcel No. 2 i 003 D ®Aj D 0 00/ b SubDiv ' 1 'A
Address/Location z=j2 45e
Classification/Type of Usefl01 /-
TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: IP
Exempt ED Yes 0
No How Determined
Impact Fee Amount S ' (3 Zone No. TAZ:
SCHOOL IMPACT FEE Account (056) Single -Family Detached House Amount $ 33A�- 6
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt = Yes = No How Determined_
i RECREATION FEE
Land Accoutt Land Credit
Recreation Account
Zone
Exempt =Yes =No
Recreation Credit
How Determined
Recreation,.
rt
Total. yr*
LIBRARY FEE
Land Account Land Credit Land Totai
Facility Credit
Exempt Yes No How Determined
Facility Total
Total Amount
RESOURCE FEE ERU
Total Amount
Prepared By 'ri U 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.
DATE
RECEIPT NO DATE
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