HomeMy WebLinkAbout22-5099Permit Type: Building New (Residential)
al
6845 Ripple Pond Lp 04 26 21 0140 00100 0790
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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: $211,560.00
TAMPA, FL 33607 Electrical Valuation: $31,734.00
Phone: (813) 574-5700 Mechanical Valuation: $14,809.20
Plumbing Valuation: $21,156.00
Total Valuation: $279,259.20
Total Fees: $13,295.10
Amount Paid: $13,295.10
Date Paid: 12/6/2022 11:23:26AM
7
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7g N107
E1L 12.
CONSTRUCT TOWNHOME 1400 SO FT
Driveway Fee $45.00 Building Plan Review Fee $180.00
Electrical Plan Review Fee $0,00 3/4 Water Meter Residential Connection Fee $732,71
Plumbing Permit Fee $145,78 SIF 1 percent Fee $3153
Mechanical Permit Fee $114.05 Plumbing Valuation Fee $0.00
Water Connection Residential Fee $1,010.00 Address Fee $X00
Electrical Permit Fee $198.67 Mechanical Plan Review Fee $0.00
Transportation Impact Fee $3,445.20 Sewer Connection Residential Fee $2,090.00
Building Permit Fee $1,097.80 Park Impact Fee - Single Family/Townhome $769.56
School Impact Fee - Single Family $3,353.00 Transportation Impact Fee - City $34,80
Fire Wall/Smoke Wall Inspection $15.00
REINSPECTION FEES: (c) With respect to einspection 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.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
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.
�TRA Tt�R SIGNATURE PE r IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
Phone Contact for Permitting 908 770 7763
1 1 1 1 1 1 1 1 I I 1 1 1
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813.574.5700
Owner's Address 1 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number
T
Fee Simple Titleholder Name N/A Owner Phone Number
Fee Simple Titleholder Address
N/A
JOB ADDRESS
6845 Ripple Pond Loop
LOT # A079
SUBDIVISION Abbott Square PARCEL ID#
04-26-21-0140-00100-0790
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTR 8 ADD/ALT
INSTALL REPAIR
SIGN DEMOLISH
PROPOSED USE
SFR COMM
OTHER
TYPE OF CONSTRUCTION
BLOCK FRAME
STEEL
DESCRIPTION OF WORK
Multi -family / Screen Enclosure / Fence
BUILDING SIDE U/x sF 1763� sGt FOOTAGE F400
HEIGHT 18°.__
BUILDING $ 211560 VALUATION OF TOTAL CONSTRUCTION qq
ELECTRICAL $ 31734 AMP SERVICE PROGRESS ENERGY W.R.E.C.
PLUMBING $ 21156 v_
MECHANICAL $ 14809 2 VALUATION OF MECHANICAL INSTALLATION
GAS W1 ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS E=
FLOOD ZONE AREA Li YES DO
BUILDER � COMPANY Lennar Homes, LLC
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address 1430YW Boy Scout Blvd Suite 600 Tampa, FL 33607 License # I CGC1518166
ELECTRICIAN COMPANY Edmonson Electric, Inc.
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # I EC13005408
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # CFC042998� T�
MECHANICAL COMPANY bayonet Plumbing�Heat�ing& AC, Inc
SIGNATURE REGISTEREDY / N FEE CUR
Address License # CAC058062��`
OTHER COMPANY C Starling Quality Roofing, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # CCC057991
s�t�tt�a��o�tas������t�t��wiaaatwl�aae�a�sowoo'osAass�w�i�aasaewt�tt
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. (AiC 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 (Plat/Survey/Footage)
Driveways -Not over Counter if on public roadways..needs ROW
NOTICE OFDEED RESTRICTIONS: The undersigned understands that this permit may be subject 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 m 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 |avv, 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-
8O0B Furthennore, if the owner has hired a contractor or contnautom, 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
rontractor, that may boen indication that he is not properly licensed and ionot 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 tothe construction ofnew buildings, change of
use in existing bui|dinga, or expansion of existing bui|dings, as specified in Pasco County Ordinance number8S-O7 and
00-07. as amended. The undersigned also undenotondo, that such feee, as may be due, will be identified otthe time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate ofoccupancy" or final power release. If the project does not involve m certificate of occupancy or
final power ne|eaoe, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVoter/Gewer 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, aeummeoded): |fvaluation ofwork ia$2.SO0.00ormore, |
certify that |, the opp|icent, 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", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver ittothe ^mwne/'prior tocommencement.
C[>NTRACTOR'SK}VVNEF1'SAFF|DAV|T: | certify that all the information inthis application isaccurate and that all work
will be done in compliance with all applicable |mwa regulating cono(ruotion, zoning and land development, Application is
hereby made to obtain e 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 |owa regulating
oonetrucbon. County and City uodes, 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 wnrk, and that it is
myresponsibility toidentify what actions | must take tnbeincompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection -Cypress Bayheade, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management Dietrio(-VVa||a, Cypress Bayheada, Wetland Areaa, Altering
Watercourses,
Army Corps ofEngineem-Seewe||a. Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-VVe||a, Wastewater Treatment.
Septic Tanks.
- UBEnvironmental Protection Agency -Asbestos abatement,
Federal Aviation Authority-Runvvoya
| understand that the following restrictions apply tothe use offill:
Use offill isnot allowed inFlood Zone Wrunless expressly permitted.
- If the fill material is to be used in Flood Zone ''A^, it is understood that a drainage plan addressing a
''compensoting volume" will be submitted at time ofpermitting 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 m permitted building using stem vvaU
construction, | certify that fill will be used only hofill the area within the stem wall.
- If fill mahaho| is to be used in any area. | certify that use of such @| will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent propedimn, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |eoa than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If | am the AGENT FOR THE OWNER, | promise in good faith to inform the owner ofthe permitting conditions set forth in
this affidavit prior to commencing construction. | understand that separate permit may be required for electrical m/ork,
p|umbing, eiQna, weUa, poo|a, air cundidoninQ, gaa, or other installations not specifically included in the application. A
permit issued ehoU be construed to be license to proceed with the work and notes authority toviolate, cancel, alter, or
set aside any provisions of the technical codea, 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 isouanue, 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 vvritinQ, from the Building Official for a period not to exceed ninety (QO) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
Subscribed and sworn fb (or affirmed) before me this
8/3/2022 bv Christopher Smith
Who Ware personally known to me or'
as identification.
-Notary Public
Commission No. gG 296057
Stephanie Farmer
Subscribed and sworn m(or affirmed)
81,3/2D22 bv Christopher Smith
Who is/are personally known to me or has/have produced
as identification.
Notary Public
Commission No. ss2nao*7
Stephanie Farmer
DESCRIPTION: LOTS 77-82, BLOCK I, ABBOTT SQUARE PHASE I A, SITE PLAN ALLELEVATIONS REFERENCED SEC, 11, TWP.25S, RNG21 E.
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89, TO NORTH AMER!CAN PASCO COUNTY, FLORIDA
PAGE(S)28-35, OF THE PUBLIC RECORDS OF PASCO COUNTY, (NOT A SURVEY(
EI,.QfiIDA VERTICAL DATUM OF 1988 (ABBOTT SOUARE(
'NAND 88)
PROPOSED ELEVATIONS AND GRADING V
SHOWN HEREON ARE TAKEN FORM THE
I
1
ENGINEERING PLANS OF h a, I
"ABBOTT SQUARE RESIDENTIAL PREPARED 1 0 ^ 4
z Ii
BY 'WRA PROVIDED BY CLIENT ACCESS DRAINAG LANDSCAPE WALL MAINTENANCE
_ � I / TRACT'B-1'
--_ h .L�� AND FENCE AREA: OPEN SPACE
This SITE PLAN Prepared for and Certified To: .SSG\ /7 3ja S 8T49'S3"aE (P) I IZ 00' IF) -,/.70
?
Lennar Homes ) �'?
LOT ._ 20235 SQ-FT. �zo 7..._ a Eno 98 ENTRYa 1
LIVING AREA = 8634 SO. FT /
PORCH = 124 SO, FT.
t�J PROPOSED 1
GARAGE 1484 SQ. FT. m iANA t STORY VILLA LOT77 o
COVERED LANAI = 612 SO, FT. _I 8.o PLAN t500 BLOC
PLAN
PATIO = N�SQ. FT, 12 X32 ELEV "TH'
POOL AREA = N/A _SO. FT_ C/s-A/C GARAGE L
CONIC- DRIVE = 1418 SO, FT.
A/C & CONC PAD =DSO. FT. I S 8T49'53- E IP( 1 r2.do(B
SIDEWALK = 562 SO, FT.698
-vYyy��y
LOT OCCUPIED - _ SSAREA TO IRRIGATE - 36 % Q C' PROPOSED b
c^'> 'ANA I STORY VILLA ENTRY
4 13-8_
PLAN 1397 LOT 78 ELEV "iH' It 32'X3.2' GARAGER BLOCK 1 S,3 a'
z C/S-A/C
m
Q -
Z _- S8762S3. rip) 1720C(P) N
2 R
pp I32X32 n ?j
C/S.A/C o ( V
ro 3 a PROPOSED ®; 1 _ _ a
Scale.- 1 - 20 I STORY VILLA S3 Z 1 LL
-
1" °- C a `^' 8.0- PLAN 1397 LOT 79
U C < �� r-
ELEV WH' BLOCK 1 2 s N 'I' w ^��
N � _
C2¢^ N _ —{
m GARAGE L ENTrty 13-8� - -
o
I-e o �
S87-49'53'E if 112.00-(P) wC yL„
. o
-- Nc _ o
e� a
f 63-0 -- }� G �--p
�_ ^I
M
PROPOSED _ o
2V$ �
r.r•' 2 OAK Q
80 PLAN 1397 LO780Elk I STORY VILLA ENTRY 1 IS i
4r' ••
.3,8. r "' I N
'H ELEV "TH` BLOCK I
TW= TOP OF WALL
10.00' PUBLIC UTILITY EASEMENT 32X32 _ GARAGE. R 5.3 ^ i S 87'4953'E(P( I12.00'!P) o ( N
NOTE. ENTRY WALKS ARE 3' CONIC 6235 - '
� 625' _____-_-__..t__-_
LEGEND: 3.2X32
C/S.yC PROPOSED
--�-- PROPOSED DRAINAGE FLOW M80 1 STORY VILLA 53 ;o i
'6
(00.00( PLAN 1397 LOT 81
PROPOSED GRADE N NA ELEV'TH' BLOCK 1 — 21-5
E-00.00-EXISTING GRADE 1, m GARAGEL ENTRY
e S87-49'53'E(63.0'F7 11200'IF)
,.....- «.
NOTES. — —
69.8'
LOT GRADING TYPE - A + 7
PROPOSED
PROPOSED PAD ELEVATION =. 103,30' I STORY VILLA
FRONT SET BACK = 20- a 1_ PLAN 1500 { --
32X3.2' r IN ELEV'TH' to �.1. r
SIDE SET BACK , ZS ti✓s'NC GARAGE RIs
LOT 82
SIDESET BACK (CORNER LOT) -15' m '_" ENTRY 4 1 BLOCK 1
REAR SETBACK = 15'-..__20 / 8-0 1 35 4' I98 m j
PROPOSED:
- a
MINIMUM FLOOR ELEVATIONS:
LIVING AREA 103 97' i% s a7°4953 E (P( uz oo (P) -- ' J 2 °.if')...__,..
GARAGE AREA Q o TW-t00_16 Y '
ELEVATIONS REFERENCED TO f B OCK31 w Ioo94 TW-100-33—
NORTH AMERICAN VERTICAL
DATUM OF 1988
APPARENT FLOOD HAZARD ZONE: 'X- COMMUNITY NO. 120235
SURVEYABBREVATIONS (MAP NUMBER 1210IC-0289-F) EFFECTIVE DATE. 09/26/2014
A -ARC n Tii MVERI PC - POINT of CURVE rc-RECORD LEGEND ONYE PENCE
pJ=DEED -
A C,AIR CO UTONER DE:.. DRAINACE EASEMEN 113-LICENSED (3UISNESS FCC ON OF COMPOUND CURVE RNG=RANGE
NEF=BAS NCOLN E ON F OF EL V 11 VATION .-IANDSCA LEASEM NI PC 2ieAN-NT CONTROL POINT RITS^RA{ ROAD SPIKE'CJNC �—U—
FOr EDC Ot AVEMEN LOW ST F =OOR E VA C h CE 00- EQ IIPMENT R W - R C Or WAY
4M FEW IMarl" SM=-GS M(N S- .tCF'vS )SURVEYOR 'G "ACT S€C �SE ION WOOD`NCE
E
f<I c11w ATFD /C=FENCLCO'1NE1 (El MASURED N- -Moi OF INTER&FCTION SN&D SENAIL AND DISK--
(M • Fort IT CONCRETE MES - M R T END SECTION PR -PAIRKE i KAI.ON 18Y8183
IENJERINE MONUMENT NCF-NOCORNERFOUND 2 IRORFRTYLINE SIR-SET/2"IRON ROD LBk 8183 CHAIN[NKFENCE
( t-CHAIN NK' NICE=BtCI( —x—x--
CMPaCORUCAStTMETAARFI"-FOUND R;]NFIFE CIA =OVEf AEI. POS !ON'OF BEGNNING 1HM^1CM OWRYBENCH NARK
CDL-00.UMN FIR^FOUNP{RONROD O4W-0V RTFAD WIREVI POC 10NTOECOMMENCTMENT IO8^TO 01BANK
(QNC-CON RTI FN&D s FOUND MATT.&DISK OR -O CIAt RECORDS °OL ON ON -NE VP -TOWNSHIP ALUMINUM FENCE
C/S=CONCa TS1tB=OP=FOUNt OI EN PIPE P =PLAT `RC
OINT TV` VERSE CURVE JF=U L—EASEMFV; =COVERED
FaP>EOJhU NCHEDP PB-PLAT BOOK pRM P PMAN�NT R. cFCE NICE MOIVUM(NI
CST- CIEARSIC,I;T?RIANG�F VF=V NY, FF NICE
JOB N5629 SURVEYOR'S NOTES: SURV%Q(N'ji$QFTIFICATE 1708 Water Oak Drive
t.) Current title information on the subject property had not been 71�is certifi at�(�e ereon described Tarpon Springs, Florida
Date of Site Plan: 6-5-2Z � %
furnished to Initial Point Land Surveying, LLC at the time of this propert�AKa ', 'I'r ,,��f�%npsion and Phone- (727)-831-1990
DWG:ASL77878TCTE SITE PLAN meets.e Ic�tf9B 2YAftdetice for FloodaFTS7123@geraiicom
2.) This sketch was prepared without the benefit of T title searchsurv7s as t�Rfth+<. e r a Bcfy d of Land LBft 8183
No instruments of record reflecting ownership, easements or S�Ir a erf3iQt r Cled
File rights -of -way were furnished to the undersigned, unless otherwise CO- Fldni�}istV1 iv
shown hereon. puny,- I. Section 47, CT2f,,1 lartley
Drawn by DJB 3.) Roads, walks, and other similar items shown hereon were taken to .0 1
Checked byJH from engineering plans and are subject to survey. �([��t7�y'�r' �j,�. j, E f . ate .07.29
A ,
4.) This SITE PLAN does not reflect nor determine ownership. R� _04'QQ'
REVISIONS i
b.) This SITE FLAN Is subject to matters shown on the Plat of
`ABBOTT SQUARE PHASE IA6." Jeff M. Ha L1fY@Y"' ��*lJdte
th
Dimensions shown hereon are in feet and decimal portions FLORIDA F 6EN(it la4 VEYOR AND V
thereof MAPPER NO. LSk7123 LBN8183
7.) Contractor and owner are to verify all setbacks, building
dimensions, and layout shown hereon prior to any construction, NOT VALID WITHOUT THE ORIGINAL
and immediately advise Initial Point Land Surveying, LLC. of any SIGNATURE AND SEAL OF A FLORIDA
deviation from information shown hereon. Failure to do so will be I ICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LEG.
TBuilder Name/Owner Name Control #"
County Parcel No. Sub iv; d
.r A k ; �- 1_ id P f
!'�
►. .* �1 i *
No How Determined
AmountImpact Fee ► •
SCHOOL
MobileAccount (056) Single -Family Detached House Amount $
! N.
r Other Residential
23) Collection Fee
No How Determined
PARKS AND RECREATION ..
EE-
• Account ! Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zane TOTAL AMOUNT $
Exempt [] Yes [] No How Determined
AccountLIBRARY FEE
Land • Credit
Facility Account Facility Credit Facility "Total
Exempt Yes No How Determined Total oun
RESOURCEFEE ERU
TOTAL AMOUNT
Chocked By
f' r •: •;ISTED HAVE
n..< fir• r�.z �' �'., ti aa' a.. � e., � �-: •.; � : �.. .�
DATE
_;tECEIPT NO. DATE
N.
FtECEIVED;3Y
2
\/RA
v TU RAL REVii." AS i S I
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 6845 Ripple Pond Loop
Parcel Tax ID: 04-26-21-0140-00100-0790
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
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:
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 pen -nit application, as authorized by s. 553.791, Florida
Statutes. I understand that the local building official may not review the plans submitted or perform the required
building inspections to determine compliance with the applicable codes, except to the extent specified in said law.
Instead, plans review and/or required building inspections will be performed by licensed or certified personnel
identified in the application. The law requires minimum insurance requirements for such personnel, but I
understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I
have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance
and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harmless the
local government, the local building official, and their building code enforcement personnel from any and all
claims arising from my use of these licensed or certified personnel to perform building code inspection services
with respect to the building that is the subject of the enclosed permit application.
I understand the Building Official retains authority to review plans, make required inspections, and enforce the
applicable codes within his or her charge pursuant to the standards established by s. 553.791, Florida Statutes. If I
make any changes to the listed private providers or the services to be provided by those private providers, I shall,
within I business day after any change, update this notice to reflect such changes. The building plans review and/or
inspection services provided by the private provider is limited to building code compliance and does not include
review for fire code, land use, environmental or other codes.
The following attachments are provided as required:
1. Qualification statements and/or resumes of the private provider and all duly authorized representatives.
2. Proof of insurance for professional and comprehensive liability in the amount of $1 million per
occurrence relating to all services performed as a private provider, including tail coverage for a minimum
of 5 years subsequent to the performance of building code inspection services.
Individual
(signature)
Print
Name:
Address:
Telephone
No.:
Please use appropriate notary block.
11§10400101
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 Aunt
Address: 700 NW 1 OZth_Ave
Miami, FL 33172
Telephone
No. 813-574-5700
Corporation 22ND
Before me, thisj, day of
- MAY -2022,
personally appeared
of
Lennar Homes, LLC a
- corporation, on
behalf of the state corporation, who
executed the foregoing instrument and
acknowledged before me that same was
executed for the purposes therein
expressed.
Partnership
Print Partnership Name
(signature)
Print
Name:
Address:
Telephone
No.:
Partnership
Before me, this
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.
Personally known X ; or Produced i jlon— Type of identification produced
Signature of NotarU (A � on Print Name ASHLEE CALLAHAN
1 --.4- - -
Notary Public Stamp:
, PUN ASHLEE CALLAHAN
Commission Expires: JU Notary p blj� . State of Ftorlda
i .1 11U1
; I GG 24446
NOVEMBER 30, 2022 o Carnm EXPI(05 Nov 30,52022
Soft�e�. throqh tq5tjonRj Notary Assn,
VRA
VIRTUAL REVIEW ASSIST
Private Provider
Plan Compliance Affidavit
Private Provider Firm: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU 1967
Address: 747 Southwest 21 Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: Lti-c C -eviewassist,com
Project: New SfieSiPl—
Address(s): 6845 Ripple Pond Loop
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, 10.1, LI,FP-1,SN,SNI,S3,S4,S5,SS,DI,WP,
PAI.0,PAI.1,PAI.2,PAI.3,PAI.4,SHI.0,SHI.1,SH1.2,SHI.3,SHI.4,SHI.5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300 ZL
Signature of Reviewer:y—
SWORN AND SUBSCRIBED bO)re me by Debra Anne Klahr
being personally known to meL,--or having produced as identification
and who being fully sworn and cautioned, state that the
for going is true and correct to the best of his/her knowledge or belief.
CAI W
Signature of Notary Print Name
Notary Public: NOTARY STAMP BELOW My
�,SHLEE C� &LLAHAN
commission expires:
'- rida
N ol, i StateofHo
fission - GG 244,456
Nov 30, 2022
re,
Notary Assn,
COMMERCIAL BUILDING SERVICES DIVISION VRESIDENTIAL
BUILDING PERMIT DATA SHEET
DATE: 9/22/02
rNrUfff 7-711VOM 1-1 =
WBuilding
F-1 Ins pe tion OnLy
r--'Plumbing
F-1 Inspection Only
Mechanical
W El lnspection 011y
Electrical Amp
V
El Inspection Only
Qj Roof
❑ Gas
F1 Medical Gas
..
El Fire Sprinklers
El on Site Piping
E] Fire Line
E] Irrigation
0 Fire Alarm
E] Potable Backflow Assembly
Ej Fire Line Backflow Preventer
1:1 Irrigation Backflow Assembly
[] Demolition
F-1 Walk-in Cooler
El Refrigeration
El Hood
0 Ansul
E] Fence/Wall
El Grease Trap
El Other
E] Other
FIRMT11111=1171M.
Type Construction:
I
Risk Category:
Occupancy Load
a 'ley Classification:
OFa 'to'y
c Residential
Assembly
Hazardous E=
Storage
Business Day Care/Educational
Institutional ❑ Mercantile
❑Utility
Building Use: Single Family [ Alteration Level 1 ;Level 2 10 Level 3
VNew Construction ❑ Interior Finish ❑ Interior Remodel r-1 Exterior Remodel M Addition El Revision
Overall Size:
26-8 x 71
Number of Stories:
1
Total Sq. Ft.:
1763
Living Area: 1400
Covered Area:
363
# of Bedrooms: 2
# of Baths: 2
Cost per square foot:
—1Estimated
Value:
Roof Type: 9 Shingle
FjTile El Built-up
0 Metal M Other Squares: 19
Zoning:
Wifforne Debris:
n�nside
Fe,, Outside
Energy Code:
405-2020
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents? res
E]Y
V,,'No
Sq. Ft. Enclosed Space Below BFE:
I
# of Vents:
Size of Vents:
Total Sq. In. Permanent Openings
9 Central A/C
El Gas A/C
Z Heat Pump
Ej Gas Heat
F-1 Window A/C
El Electric Heat
SanitaKy Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
ml=
Front Rear Left Right
Asper Approved Site Plan
Comments: