HomeMy WebLinkAbout22-5186'i Zephyrhills
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5335 Eighth Street
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Zephyrhills, FL 33542
-0051 -202
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 1 v29/2o22
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6946 Ripple Pond Lp 04 26 2 0140 00100 0410
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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: $255,720.00
TAMPA, FL 33607 Electrical Valuation: $38,358.00 r
Phone: (813) 574-5704Mechanical Valuation: $17,900.40
Plumbing Valuation: $25,572.00
Total Valuation: $337,550.40
Total Fees: $13,866.90
Amount Paid: $13,866.90
Date Paid: 11/2912022 7:34:54AM
',.L u.. t•." a:., x : ",t \ t .. \ \ fit: \ ..,..\
CONSTRUCT TOWNHOME 1787 SQ FT AS
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Plumbing Permit Fee $167.86 3/4 Water Meter Residential Connection Fee $732.71
Mechanical Permit Fee $129.50 Public Safety Impact Fee -Police $254.00
Driveway Fee $45.00 Electrical Permit Fee $231.79
Water Connection Residential Fee $1,010.00 Electrical Plan Review Fee $0.00
Transportation Impact Fee - City $34.80 Plumbing Valuation Fee $0.00
School Impact Fee - Single Family $3,353.00 Sewer Connection Residential Fee $2,090.00
Building Permit Fee $1,318.60 SIF 1 percent Fee $33.53
Fire Wall/Smoke Wall Inspection $15.00 Address Fee $30.00
Mechanical Plan Review Fee $0.00 Park Impact Fee - Single Family/Townhome $769,56
Public Safety Impact Fee -Admin $26.35 Transportation Impact Fee $3,445.20
Building Plan Review Fee $180.00
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.
"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.
ONTRACTOR SIGNATURE PE IT OFFICE
EXPIRESPERMIT IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION 1REQUIRED
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 CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813.574.5700
Owner's Address 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number
Fee Simple Titleholder Name I NSA Owner Phone Number
Fee Simple Titleholder Address
NSA
JOB ADDRESS
6946 Ripple P®nd Loop
LOT # A041
Abbott aquare
04-26-21-0140-00100-0410
SUBDIVISION
PARCELID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
f
NEW CONSTR ADD/ALT
8
SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE
SFR COMM
OTHER
TYPE OF CONSTRUCTION
BLOCK FRAME
STEEL
DESCRIPTION OF WORK
Multi -family / Screen Enclosure / Fence
U/R SF 2131
1 %�
28'
BUILDING SIZE
SQ FOOTAGE
HEIGHT
BUILDING $ 255720 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ 38358 PROGRESS ENERGY W.R.E.C.
ULiAMP SERVICE
PLUMBING $ 25572
MECHANICAL $ 17900 4 VALUATION OF MECHANICAL INSTALLATIONZ"_
GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES DO
BUILDER COMPANY Lennar Homes, LLC
SIGNATURE REGISTERED Y / N FEE CURREN
Address V4�W:Z=j—oy Scout Blvd Suite 600 Tampa, FL 336Q7 License #-GC1518166
ELECTRICIAN COMPANY Edmonson Electric, Inc.
SIGNATURE REGISTERED Y / N FEE CURRER Y / N
Address License # EC13005408
PLUMBER COMPANY Bayonet Plumbing, heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURRE� Y / N
Address License # CFC042998 ��
MECHANICAL COMPANY Bayonet Plumbing, heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # I CAC058062
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN Y I N
Address License # 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 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. (AtC upgrades over $7500)
* Agent (for the contractor) or Power of Attorney (for the owner) woulil 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^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
contractors to undertake work, they may be required to be licensed in accordance with state and |noa| regulations. If the
contractor is not licensed as required by |evv, both the owner and contractor may be cited for misdemeanor violation
under state |avv 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-
8OOQ Furthermure, if the owner has hired a contractor or oontnactors, 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
controctnr, that may beon indication that heie not properly licensed and ionot entitled tupermitting 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|dingo, or expansion of existing bui|dinga, as specified in Pasco County Ordinance number8S-O7 and
90-07. as amended. The undersigned also unde/atonda, that such feen, 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 ofoccupancy" or final power release. If the project does not involve a certificate of occupancy or
final power ve|eena, 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 of work is$2.5OU,O0ormore, |
certify that |, the opp|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 ''wwn*r'. | certify that | have obtained m copy of the above described document and promise in good faith to
deliver ittothe ''mwner'prior tocommencement.
CONTRACT[)R'S/[)VVWER'SAFF|DAV|T: | certify that all the information inthis application iaaccurate and that all work
will be done in compliance with all applicable laws regulating cunstruotion, zoning and land development. Application is
hereby made to obtain e permit to do work and installation an 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 |mwe regulating
conotruction. County and City oodao, zoning regulations, and land development regulations in the jurisdiction. | also
certify that | understand that the regulations ofother government agencies may apply tothe intended work, and that it is
myresponsibility ioidentify what actions | must take tobeincompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection -Cypress Bayhmada, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management Diotrict-VVe||o, Cypress Beyheada, Wetland Areea, Altering
Watercourses.
- Army Corps ufEngineere-Soawa||o.Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit-VVe||s, Wastewater Treatment,
Septic Tanks.
- USEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation Authnrity-Runvvaya.
| understand that the following restrictions apply tothe use offill:
- Use offill ianot allowed inFlood Zone ^V~unless expressly permitted.
- If the fill material in 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 o professional engineer
licensed bythe State ofFlorida.
- If the fill material is to be used in Flood Zone ^A^ in connection with e permitted building using aham wall
construction, | certify that fill will be used only (ofill 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 pnopediee, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |aoe 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 of the permitting conditions set forth in
this affidavit prior to commencing construction. | understand that a separate permit may be required for electrical wmrk,
p|umbing, eignm, we||a, poo|o, air conditioning. Qaa, or other installations not specifically included in the application. A
permit issued shall be construed to be license to proceed with the work and not as authority to vio|ate, cancel, o|ter, 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 iesuance, 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 vvriting, from the Building Official for a period not to exceed ninety (80) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
OWNER OR AGENT
Subscribed and sworn o (or affirmed) before me this
9/212022 by
Who is/are personally known to me or ha6lhave PF9d61G9d-
as identification.
Notary Public
Commission No. GG 296057
Stephanie Farmer
Subscribed and sworn to (or affirmed) before me this
9/2/2022 by Christopher Smith
Who is/are personally known to me or has/have produced
as identification.
��...Notary Public
Commission No. ss296057
Stephanie Farmer
Name of N
FMARMER
F"L*
bodod TWu Tmy I* bmmS*A3J*74i9
DESCRIPTION: LOTS 41-44, BLOCK 1, ABB0T7 SQUARE PHASE IA, SITE PLAN SEC, 1 1, TWR 25 S, RNG 21 E.
ACCORDING TO THE PLATTHEREOF, RECORDED IN PLAT BOOK 89, PASCO COUNTY, FLORIDA
PAGE)S)28-35, OF THE PUBLIC RECORDS OF PASCO COUNTY, NOT A SURVEY)
FLORIDA. (ABBOTT SQUARE)
This SITE PLAN Prepared for and Certified To:
PROPOSED ELEVATIONS AND GRADING _. — Lennar Homes
SHOWN HEREON ARE TAKEN FORM THE ALLELEVATIONS REFERENCED
ENGINEERING PLANS OF TO NORTH AMERICAN
"ABBOTT SQUARE RESIDENTIAL`, PREPARED VERTICAL. DATUM OF 1988
BY'WRAPROVIDED BY CLIENT !NAND 88)
-
CURVE DATA (P)
--- — =
1 CURVE RADIUS ARC LENGTH i CHORD LENGTH I CHARD BEARING DEIiA ANGLE Scale: 1 20'
LOT = 13639 SO, FT.
LIVING AREA = 2866 SO, FT.
ENTRY -__?20 SQ. FT.
GARAGE = 1058 SQ, FT.
l (106.73) COVERED LANAI = 374 SQ, FT.
--_a�, - N 89'59'16" E (P) 48,37' (P)
,Rp9PATIO = N7\_SQ. FT.
POOL AREA = NA SO, FT_
CONIC_ DRIVE = 934 SQ. FT_
�0- A/C & CONC PAD = 36 SO. FT
SIDEWALK = 590 SQ. FT.
SIDE YARD SWALE = NA SO. FT.
CONSERVATION AREA = NA SO, FT.
47.E -� ? RS- tiC"A �BR , LOT OCCUPIED = 45
Qo . �R 6, AREA TO IRRIGATE = 55 %
O/q fA/ /f / / ;O Ott
Old F4�<
B �QT 61,33- O �rC 4rt 6!% 9C� /4'T
/ F
_4 �QE� V �tiy, M -1o°o �
0 2�2900
LOT 45 "• �';, 'C/j�Y 0 -''� q,.- / .FO
BLOCK 1
p 4� KFO ryQ
O�3b 22�2 1'1 Ck/ �s a�< /,Zy ,�•Le /
�.
" .0.
15
i :0, • �,E 2 h, . ,
"S C�QNC WALK' "C73 % / -�• �%i/ '�� �`s-3QUOr -J�4
'rr2
P ,o
'�
sb`eosv�°FBEP
LOT 40
C00 T� A068g7 BLOCK I
n T,
C3 = 2" OAK
PROPOSED: -
MINIMUM FLOOR ELEVATIONS: ' = 10,00' PUBLIC UTILITY EASEMENT NOTES:
LIVING AREA: 108.67` LEGEND: LOT GRADING TYPE
GARAGE AREA: _-r --t-- PROPOSED DRAINAGE FLOW PROPOSED PAD ELEVATION 108.00'
ELEVATIONS REFERENCED TO
NORTH AMERICAN VERTICAL (00-00) = PROPOSED GRADE FRONT SET BACK = 20
DATUM OF 1988 E-00.00 - EXISTING GRADE SIDE SET BACK = 7.5
APPARENT FLOOD HAZARD ZONE:'X" COMMUNITY NO 720235 SIDE SET BACK !CORNER LOT) =15
SURVEY ABBREVATIONS )MAP NUMBER 12101C-0289-F; EFFECTIVE DATE: 09/26/2014 REAR SETBACK- 15
AI ARCI No H ID DEED INV -iNv PT PC"10IN Otcuav (RI RECORD LEGEND
11-AiR O OrONER L) D ANA EEAS_MENT �S-CE NS DBUSNES PCC ION O`COMPO COMPOUND CURVE RNi - RANGE VNv, `ENCE
F-ALU N M N E OR.:.IV- EVAI,ON LE^ LANDSCAPE EASE(�EN PCP PERMANENT CON ROL POINT RR.—TrLROADSPlKE k_2 ?Rf,""�I LONC V—Q---
BE=RFlS LOOD CI.GVA ON OP-EIXt OF PAVEMEN LEE- LOWEST FL OOIR ELEVA NON P/E 001.OUIPMEN Ij/W=RC II OF WAY
BM=BENCHMARK SM' -EARLM NT IS- LICE LASED SURVEYOR PG - PACE SFr, SECTON WOOD FENCE
C C'URet F-C FENCL CORNER (M)^MEASURED PI- OEST OF IN FERSECION SN&D=St II ANDUSK � ASPVFlLT i \
FCI CALC CLA D -FCle-FOUND CONC.RE-L MES-MTERED ENO SECTION 'K -ARK <KAION B8183
CEN:E RI N rc CHAINLINKFENCE
CLF CHAIN LINK FENCE MONUMENT NCI-^ NO CORNER FOUNC RO°F RTY LINE SIR - SET I J-IRON ROD LB# 8183
FIP FOUND IRONPIN 0/A-OVERALL POB-POINT OF BEGINNING FIRM - T EMPORARY RENC H MARK3f--
CMPz CO2RUGA`..D META_-II�IR- FOUND )RON TROD OHW-`JVERHEAD WIREl5l POC- PONT OF COMMENCTMENT FOR -10I OF BANK
CONC- MM1 N&D=POIND NAIL SDIS OR ^O .CALRECO,RDS POE PONT ON LINE`\VP= OW111 TO A:.MINUM FENCE
CONC=CONCR�ir- 10°-FO. OPPN PIPE °I "FLAT PRC PONT OF REV RSC CURVE UE=U YEASEMENI 'COVEREC __
C/S- CONCRE`E SLAB 1IIp- FOUND PINCHED PIPE PB-PLAT BOOK Fee PERMANENT REF IIRENCE MONUMENT VI Fine FENCE }\
CST
=CLEAR SIGHT IR1ANG..F
106 #5703 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive
1.) Current title information on the subject property had not been This certifies tha the hereon described Tarpon Springs, Florida
Date of Site Plan 7-1 1-22 furnished to Initial Point Land Surveying,LLC. at the time of this k4}� p- _
propertyw g41?��s',k�"`�,1T r erv(sion and Phone: )727J-831-1990
7WGASLll aaai SM SITE PLAN meets [ )Tit t�t1 Practice for FloridaPLS7',23@gmaiL10
2.) This sketch was prepared without the benefit of a title search �(jLand LB# 8163 'K
No instruments of record reflecting ownership, easements or JP1 r in h
-Ile, rights -of -way were furnished to the undersigned, unless otherwise SJ-1 53, loncia A i} s t �eY
shown hereon. Rant III- 47�;j;q�'f � j
Drawn by OJB 3.) Roads, walks, and other similar items shown hereon were take e -
Lhecked by:JH from engineering plans and are subject to survey. 16:393 & 0'
?EVISIONS 4.) This SITE PLAN does not reflect nor determine ownership. •^"� ST TE Of P r
ST This SITE PLAN Is subject to matters shown on the Plat of {�� R� FLORIDA
`ABBOTT SQUARE PHASE IA° I,------y �'r'--- --�`- --
6.) Dimensions shown hereon are in feet and decimal portions Jeff M. F9Q $%, 0'PIJ�3'� 7�
FLORON� 79ff 1iNR\( RAND V
7) Contractor and owner are to verify all setbacks, building MAPPER NQ.+�9Yfi 4 3
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 LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC.
C10
75.00
77.30
17.26�
N29'3323'W 13'1248`
C 1 1
75.00
20.24
20.18'
N 43'S346" W 15'2T5&"
C12
75.00`
20.24
20.78�
N 59'2144" W 152TS8"
C13
75.00
21.82'
21.74�
N 75'25'45' W 16'40'OS'
I
9
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E t��
Permit No. L)/636
Date Permitted �t
Builder Name/Owner Name
Control #
a County Parcel No, ON )Q
) f0 SubCiv: 4 S
AddressJLocation �f�Q(
(`ta Classification/Type of Use
i
TRANSPORTATION IMPACT FEE Rate:
Sq, Ft Unit:
3
i Exempt 0 Yes Ej No How Determined
i
Impact Fee Amount qy Zone
No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House
Amount $ r�
(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 $
Exempt =Yes =No How Determined
LIBRARY FEE
Land Account Land Credit
Land Total
Facility Account Facility Credit
Facility Total
Exempt 0 Yes No How Determined
Total Amount
RESOURCE FEE
ERU
Total Amount
n
Prepared By �L '` Checked By
NO CERTIFI TE F 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,
fm
RECEIPT NO DATE BY
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Name: Project
01 1 - %
Parcel Tax ll):—bq:�k1A0-hC)\6u- 61-A�b
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.
'13111111:1111
Private Provider Finii:
Private Provider: DEBRA ANNE KLAHR
Address: 747 SW 2N() AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
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 arisingfrommy 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
M
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 Narne
By:
(signature)
Print
Name: Christopher Smith
Its: Atit—horized Agent
Address:_ZQQ_i . ..
Mia Tj, EL N1 72
Telephone
NTo. 813-574-5700
Corporation
Before me, this 22ND day of
MAY 2o_Z2,
personally appeared
of
Lennar Homes, LLQ. 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.
ZEMWI,
Print Partnership Name
By:
(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.
Personally known X ; or Produced Cation Type of identification produced
Signature of N1 Print Name 9
Si otar I � Lim ASHLEE CALLAHAN
Notary Public Stamp:
Y'P ASHLEE CALLAHAN
Commission Expires: Notary Rubin- State Of Horida,
NOVEMBER 30, 2022 EXPI(05 Nov 30,2022
throush t.o(10n!l.N01ArY AW!
Ufflm•
V-R/\
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 2,d Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: Iq4 _1yiq-qq1reviewqssist,com
Project: New SFR
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: 1,2,3,4,5,6,7,8,9,9.1,9.2,10,11,12,13,14,15,14.1,16,,L-1, L-2,131,132,SN, SN-1,S3M,S4M,SS,
ST,S6,S5, WP,PAI.0,PA1.I,PAI.2,PA1.3, SHLO, 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: l 'JL"n—
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
foregoing is true and correct to the best of his/her knowledge or belief.
�jl 0J PA ib iAw -�OAL 1'r-d
�ijiiature of Notary � 1fr riot Name
Notary Public: NOTARY STAMP BELOW My
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commission expires: G�, 2J�,456
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W-UN-60 al W-11
I win I a "N'Legy 81 NANUMN O 11 a BY-11W.1163 11 alas I
�142 . VW -
Required Permits
DATE: 9/08/2022
Wbuilding
El Ins e tion OnI
Plumbing
W
El Inspection Only
Mechanical
W E] Inspection Only
Electrical Amp
V
E] Inspection Qnl
Roof
[:1 Gas
I I
Ej Medical Gas
E] Fire Sprinklers
On Site Piping
E] Fire Line
E] Irrigation
E] Fire Alarm
❑ Potable Backflow Assembly
❑ Fire Line Backflow Preventer
❑ Irrigation Backflow Assembly
El Demolition
El Walk-in Cooler
Refrigeration
❑Hood
n Ansul
El Fence/Wall
0 Grease Trap
0 Other
El Other
Type Construction: Fv--B
Risk Category:
� Occupancy Load
nc Classification:
a c y
OW,"Fa to'y
Residential
Assembly RBusness Day Care/Educational
'Hazardous E
InstitutionalEl Mercantile
Storage E= ❑Utility
Building Use: Single FamilY Alteration 011"Level I [U Level 2 10 Level 3
VNew Construction Ej Interior Finish ❑ Interior Remodel ❑ Exterior Remodel E] Addition El Revision
Overall Size:
20 x 58
Number of Stories:
2
Total Sq. Ft.:
2131
Living Area: 1787
Covered Area: 344
# of Bedrooms: 3
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof Type: 9 Shingle
ElTile El Built -Lip El Metal El Other Squares: 17
Zoning:
W i orne Debris:
jnside Pf Outside
r!
Energy Code:
405-2020
Flood Zone: X Base Flood Elevation: Finish Floor Elevation:
Hydrostatic Vents? [:]� Yes jeii No Sq. Ft. Enclosed Space Below BFE:
,? 0 1
# of Vents:
Size of Vents:
Total Sq. In. Permanent Openings
9 Central A/C
0 Gas A/C
9 Heat Pump D Window A/C
EJ Gas Heat El Electric Heat
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Under ground Fire Line
Setbacks
Front Rear Left Right
21 Asper Approved Site Plan
Comments: