HomeMy WebLinkAbout22-5188City 1" ii'`'
5335 Eighth Street
Zephyrhills, FL 33542 BNR_005188_2022
Phone: (813) 780-0020
Fax: (813) 780-0021 Issue Date: 11/29t2022
Permit ildin ew (Residential
t.,
6950 Ripple Pond Lp 04 26 210140 00100 0430
t
Name: LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential) Contractor: LENN,AR HOMES LLC
Class of Work: Townhome
Address: 4600 W Cypress St 200 Building Valuation: $257,760.00
TAMPA, FL 33607 Electrical Valuation: $38,664.00
Phone: (813) 574-5700
Mechanical Valuation: $18,043.20 �
Plumbing Valuation: $25,776.00
Total Valuation: $340,243.20
Total Fees: $13,880.37 �
Amount Paid: $13,880.37
Date Paid: 11/29/2022 7:34:54AM t
\ \ t CONSTRUCT TOWNHOME 1666 SQ FT AS
\. \
Transportation Impact Feey� $3,445.20 3/4 Water Meter Residential Connection Fee $732.71
Driveway Fee $45.00 Building Plan Review Fee $180.00
Water Connection Residential Fee $1,010.00 Plumbing Permit Fee $168.88
Electrical Permit Fee $233.32 Plumbing Valuation Fee $0,00
Fire Wall/Smoke Wall Inspection $15.00 Public Safety Impact Fee -Admin $26.35
SIF 1 percent Fee $33.53 Mechanical Plan Review Fee $0.00
Mechanical Permit Fee $130.22 School Impact Fee - Single Family $3,353.00
Address Fee $30.00 Public Safety Impact Fee -Police $254.00
Park Impact Fee - Single Family/Townhome $769.56 Electrical Plan Review Fee $0.00
Building Permit Fee $1,328.80 Sewer Connection Residential Fee $2,090.00
Transportation Impact Fee -City $34.80
EINSPECTIO FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.0(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 frorn 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.Q.
NO OCCUPANCY BEFORE C.O.
PAu, 14LW*),tfr-
CONTRACTOR SIGNATURE PE IT OFFICE �y
PERMIT EXPIRES IN 6 MONTHS WITHOUTINSPECTION
INSPECTIONCALL FOR REQUIRED
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received 908 770 7763
Phone Contact for Permitting
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 N/A Owner Phone Number��
Fee Simple Titleholder Address N/A
JOB ADDRESS 6950 Ripple Pond Loop LOT # A043
SUBDIVISION Abbott Square PARCEL ID#[4-26-21-0140-00100-0430
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED II J II NEW CONSTR F] ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR 0 COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK Multi family 1 Screen Enclosure / Fence
BUILDING SIZE u/R SI 2148 SQ FOOTAGE HEIGHT 2�' �_.._ �-1
BUILDING $ 257760 VALUATION OF TOTAL CONSTRUCTION
IJ ELECTRICAL $ 3$664 PROGRESS ENERGY W.R.E.C.
AMP SERVICE
PLUMBING $ 25776
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
18043.2
GAS 10 ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA L-iYES O
. . .. ... ... . . . . . . . . . III . . . . . .
BUILDER COMPANY Lennar Homes, LLC
SIGNATURE REGISTERED Y / N FEE CURREN Y_/ N
Address 430 W Boy Scout Blvd Suite 600 Tampa, FL 33607 License # CGC1518166
ELECTRICIAN COMPANY Edmonson Electric, Inc,
SIGNATURE REGISTERED Y / N FEE CURREN
Address License # EC1300540$
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN
Address License # CFC04299$
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN
Address License # CAC058062
OTHER 1 COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED LLL N FEE CURREN Y ! N
Address License # CCCO57991
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 subdivisionsllarge 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 CDFDEED 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 |000| regulations. If the
contractor is not licensed as required by |ow, both the owner and contractor may be cited fore 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 to contact the Pasco County Building Inspection Division —Licensing Section at 727-847-
8009.Furthermona, if the owner has hired a contractor or cmntractoru, 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
uontnao\or, that may beon indication that he in not properly licensed and iynot entitled topermitting privileges in Pasco
Cnunty.
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|dinge, or expansion of existing bui|dingo, as specified in Pasco County Ordinance number8S'O7 and
90-07. as amended, The undersigned also underetandu, that such feea, as may be due, will be identified aKthe time of
permitting It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate ofoccupancy" orfinal power release. |fthe project does not involve ecertificate ofoccupancy or
final power re|eeao, the fees must be paid prior to permit issuance, Furthermore, if Pasco CountyVVoter/8ewer 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 $2.500.00 or more, |
certify that |, the app|icant, 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 "ovvne/'. | certify that | have obtained a copy of the above described document and promise in good faith to
deliver ittothe ''uwner'prior tocommencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable |avve regulating oonu(ruction, 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 laws regulating
conmtruction. County and City oodeo, zoning regulations, and land development regulations in the jurisdiction. | also
certify that | understand that the nyQu|adone ofother government agencies may apply to the intended work, and that it is
myresponsibility toidentify what actions | must take tobeincompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection -Cypress Bayheode, Wetland Areas and Environmentally Sensitive
Lands, VVater8NaotewaterT/ootment
- Southwest Florida Water Management District'VVe||a, Cypress Bayheeda, Wetland Areao, Altering
Watercourses.
- Army Corps of Engineers -Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Semiceo/Environmental Health Unit-VVe||o, Wastewater Treatment,
Septic Tanks.
- USEnvironmental Protection Agency -Asbestos abatement.
Federal Aviation Authority-Runvvaya.
| understand that the following restrictions apply tothe use offill:
Use offill ianot allowed inFlood Zone ^\runless expressly permitted.
If the fill material is to be used in Flood Zone ^A^, it is understood that a drainage plan addressing a
"compensating volume" will be submitted edtime ofpermitting 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 m permitted building using stem vvoU
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill mabaho| 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 odwarma|y affect adjacent pnopertiee, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |eao than one (1)
acre which are elevated by fill, an engineered drainage plan in 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 o separate permit may be required for electrical wmrk,
p|umbing, eigna, vveUe, poo|e, air conditioning, gae, or other installations not specifically included in the application. A
permit issued shall be construed to bee license to proceed with the work and not as authority hmviolate, oonce|, alter, or
set aside any provisions of the technical uoden, 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 iamuanma, or if work authorized by
the permit insuspended orabandoned for aperiod ofsix (G)months after the time the work iacommenced. An extension
may be requeded, in writing, from the Building Official for e 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.
FLORIDA JunAT(F.a.nr
OWNER OR AGENT
Subscribed and sworn o (or affirmed) before me this
9/212022 by
Who,s/are personally known to me or PT4)dUGe4
as identification,
Notary Public
__J
Commission No. Gsa6057
Stephanie Farmer
Subscribed and sworn to (or affirmed) before me this
as identification.
Notary Public
Commission No. GG 296057
Stephanie Farmer
Name of N
gmj
a
U P
DESCRIPTION: LOTS 41-44, BLOCK T. ABBOTT SQUARE PHASE IA,
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOT( 89,
PAGE(Si28-35, OF THE PUBLIC RECORDS OF PASCO COUNTY,
FLORIDA.
PROPOSED ELEVATIONS AND GRADING
SHOWN HEREON ARE TAKEN FORM THE
ENGINEERING PLANS OF
-ABBOTT SQUARE RESIDENTIAL`, PREPARED
BY `WRA' PROVIDED BY CLIENT
CURVE DATA (P(
r o nn� Fnrr-ru runrzn cnKOrn,
SITE PLAN
fNOT A SURVEY)
This SITE PLAN Prepared for and Certf4ed To:
_. _-.____._.____—_—. Lennar Homes
ALL ELEVATIONS REFERENCED
TO NORTH AMERICAN
VERTICAL DATUM OF 1988
(NAVD 88)
C 107.30
17. 26
°33
N 2923' W_
13'? I4S
C? i 75.00'
2Q24'
20.?8'
N 43-53'46" W
15.2758'
C12 75,00
20,24'
20.18'
N59'2144' W
15-2758"
C13 75,00'
21,82
21.74
N 75°2545" W
16°4005'
N 89-59'16" E (P) 48,37' (P)
\ I
47,7'
- )106.73)
SEC. 11, TWR 25 S, RING 21 E.
PASCO COUNTY, FLORIDA
(ABBOTC SQUARE)
Scale: 1 " = 20'
LOT
= 13639 SQ. FT
LIVING AREA
= 2866
SQ. FT.
ENTRY
= 220
SQ, FT
GARAGE
= 1055
SO. FT.
COVERED LANAI
= 374
SQ. FT
PATIO=
NA
SOL FT.
POOL AREA
= NA
SQ. FT.
CONC. DRIVE
= 934
SQ. FT
A/C & CONIC PAD
=_ 36
SOL EF
s'£O
SIDEWALK
SIDE YARD SWALE
= 590
= NA
SQ. FT.
SQ. FT.
CONSERVATION AREA
= NA
FT_
�CF�a�OT.
_SQ_
1 FS•
P00
LOT OCCUPIED
= 45
_ %
'E-/Af "44
AREA TO IRRIGATE
= 55 __
%
/ y
R_
6, COT R
�Q(`K d �O
k, �1
o titi 7
29.0'
LOT 45 �P.� _'o
BLOCK 1
a �� �R, Ham, 7aC4ti a� �`�O 2 _s
6 3
0 6�. S<COT
O �\
o�3b
QT
,o'er'>. r a> o o <��� s °�.
°
0,1
/10s�,J
h ?< <
rcPNc wriu(• C13 i � '� ,• • ,� 9 6,CO TR
\_ to RNC'
It l bl & Po 8��
LOT 40
(C0D l/06-8g1 BLOCKI
7 ? .qOT �wi®\
/Ip6 gy2Y,
�� � � ��• f � = 2 OAK
PROPOSED:
:�
t,
10.00 PUBLIC UTILITY EASEMENT
MINIMUM FLOOR ELEVATIONS:
NOTES:
LIVING AREA: 108,67'
LEGEND:
LOT GRADING TYPE = A
GARAGE AREA:
--y.-= PROPOSED DRAINAGE FLOW PROPOSED PAD ELEVATION = 108.00
ELEVATIONS REFERENCED TO
NORTH AMERICAN VERTICAL u000) = PROPOSEDGRADE
FRONTSE sna< zo
DATUM OF 1988
E-00.00 = EXISTING GRADE
SIDE SET BACK - 7.5'
APPARENT FLOOD HAZARD ZONE: "X" COMMUNITY NO. 120235
SIDE SET BACK (CORNER LOT) =15
SURVEY ABBREVATIONS MAP NUMBER 12iO1C-0289-F)EFFECTIVE DATE 09/261/2014
REAR SETBACK --15"
A1'ARCIN(rI
(D
INV-;NVLRI
ID - RUIN O C11vF
(RI=RECOD
LEGEND VINn rf NCE
A/( AIR CQND TONE!!
-DEED
DDRAGF, NASDAEN
4 J'l C NS81ISNESS
'
PLC POINT OF CONFOUND CURVE
RNG-PANG
b CORK �—u—
A - AHJE NUM f t NCE
BE- BASF FIOOD ELEVAt >N
FL OR I, SO EL VATION
O ELI OF AVCMEN
I E- II DSCAI E EASEMENT
IE^ OWES FLOOR EL EVAION
! CP f ERMANENT CONTROL POINT
IW 100-.EQUIPMENT
ER- tUi L OADS" OT
R/W= CHi OF WAY
_3, }.�i
WOOD FENCE
SEE -BENCH MARH
G=CURV
ESMT=EASEMENT
`.`NC
IS-1 C'-NSED SURVEYOR
_' IFlG
P -PAN RS CTION
SEC - SECTION
"ASPHALT —
\
ICI -UI CIA `D
C`Ni R
C CORNER
ME'V` CONC 2ETf
(NI,M IT LRLDD
- END S Dn
PK -PARKER KA.ON
RALO
SN6D SET NAIL AND DiS1(
- i 81
Cr FAIN UNK FENCE
C =MAIN IECNCE
MOI
M--FO IN
.-FOUND tROh PIPE
NCFFEES
UN
NCA^NO COINER FOUND
NO CORNER
O/A- GVERAIL
n PROPER
POB POINT Or BEG hN NG
P EI
SIR= -TEMPO 0Nt0D LHd ARK
iI3.M^-M(ORARV StNCH MARK
" LICK 3t '
Coin>CORRUGATEDENM�TA
IOR .. FOUND IRON ROD
OFIW-OVERHeAD WILE]
°OC POINT Of COMMf NC1MENT
108= O(O HANK
COL -COLUMN
FNhD-f OUND NAIL DISK
(.R. -J[F CIAL RECORDS
-Oc ON: ON
WP= C'WNSH'E
AWA^,(NUM FENCE
CONC=<ONC
C/S •• CONCR iE SU18
FOP FOt NJ OPEN PIPE
Irl nPLAT
^RC POINT QF REV(RSt: CURVE
EVE
UEsUI iY EASEMENT
COVERED _ —
CST= CLEAR SIGHT PR{ANGI t
FOUND � INC4ED PIPE
B r�:P.T BOOK
- RM PERSON NY REFERENCE MONLIM.N
Vr - V c HENCE
JOB 85703
SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE
1708 Water Oak Drive
n
Date of Site Plan
L) Current title information on the subject property had not been
furnished to Initial Point Land Surveying, LLC at the time of this
This certifies tha j` the hereon describe
ri ��
property w- {�ijs�'tl��•a T r Pervision and
Tarpon Springs, Florida
Phone: )727)-831-1490
DWG:ASI t 448i vie
SITE PLAN
2,) This sketch was prepared without the benefit of a title search-
meets t cad!_ r�ciNj�Practice for
s L, rytidLand
FloridaFIS7123@gmaiLcom
USA 8? 83
No instruments of record reflecting ownership, easements or
r in el '�(-,�� t h
File:
rghts-orway were furnished to the undersigned, unless otherwise
5J-1 A053, londa A J},�!�rT's ttley
shown hereon.
t
u ~ant S tiro 47�':'1 1
Drawn by- DJB
byJH
3.) Roads, walks, and other similar items shown hereon were take
from engineering and are subject to survey-
�. 3 >,. 0
,
i Y
Checked
plans
4.) This SITE PLAN does not reflect nor determine ownership.
STALE OF 1 Q
i • (� S
r3 117
REVISIONS
5.) This SITE PLAN is subject to matters shown on the Plat of
�� J+ - FLORIDA / '
, r•Y"
L `: aAu�"'P
`ABBOTT SQUARE PHASE IA`
->-;----
Jeff M
6.) Dimensions shown hereon are in feet and decimal portions
FLORIDA RAND
�1
thereof.Q'S1R�
MAPPER NO. �9Wirj, !j(i'1�3
T) 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
LICENSED SURVEYOR AND MAPPER
Initial Point Land Surveying, LLC.
�J
j Permit No.`�
Date Permitted f
Builder Name/Owner Name d ContrD! #
County Pavel No. 0 SubDiv:'
Address/Location
Classification/Type of Use
TRANSPORTATION IMPACT FEE Rate: So. Ft Unit: df�
Exempt 0 Yes No How Determined
Impact Fee Amount S 0 Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount $
(057) Mobile Home
(056) Other Residential
(123) Collection Fee
Exempt =Yes = No How Determined-
-
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone Total Amount $ 7 (-
Exempt =Yes No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt Yes No How Determined Total Amount
RESOURCE FEE ERU
Total Amount
Prepared By _ 1l Checked 6y
NO CE IFI T OF OCCUPANY WILL RE 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.
RM
RECEIPT NO DATE BY
nil, , , , I'M
m"I"114
olv��
U-NOCIM
I
b
\/R/\
Ut A L R E � - "Af
- V � E
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name:J'I(
Parcel Tax ID: r)G1 Q I - C)q0- Qa Q
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: VIRTUAL REVIEW ASSIST, INC.
Private Provider:
Address:
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 govenurient, 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:
Telephone
No,:
Please use appropriate notary block.
2 110 1 M 10*101
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
-LERNAR-HQMEa,LL—Q
Print Corporation Name
(signature)
Print
Name: Christopher Smith
Its: Authorized Agent _
Address: 7QO NW 107ih Ave
Miami, FL 33172
Telephone
No. 813-574-5700
Corporation
Before me, 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.
Partnership
Print Partnership Name
0
(signature)
Print
Name:
Address:
M
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 identi cation — Type of identification produced
Signature of Not an PrintName ASHLEE CALLAHAN
Notary Public Stamp:
ASHLEE CALLAHAN
pubii�*State of Florida
Commission Expires:
N GG 244456
NOVEMBER 30, 2022 110 W" AyComm. Explm Nov 30, 2022
thro�Sh Nttjonfil Notary
V
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 211 Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: Ntqy4L Mirtualreviewassist.com
WHEM1913*2M
Address(s): 6950 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: 1,2,3,4,5,6,7,8,9,9.1,9.2,10,11,12,13,14,15,14. 1, 16,,L- 1, L-2,13 1,D2,SN, SN- 1,S3M,S4M,SS,
ST,S6,S5, WP,PAI.0,PAI.1,PAI.2,PAI.3, SHLO, SHI.I,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 personal!known to me or having produced as identification
and who being fully sworn and cautioned, state that the
fol Z>ao * is true and co ect to the best of his/her knowledge or belief.
PK" t, P. e r'cW 4 kxn
Signature of Notary Print Name
Notary Public: NOTARY STAMP BELOW My
commission expires:
A HAN
No Ir P, b
GG 2'"A56
ASSP,
❑ COMMERCIAL BUILDING SERVICES DIVISION VRESIDENTIAL
BUILDING PERMIT DATA SHEET
TRACKING #
FOLIO # 6950 kirmle Pond Loot)
Required Permits
1VBuilding
El lnspecfion Only
VPlumbing
F-1 Ins ection Only
WMechanical
El lnspecfion Qnb
WElectrical —Amp
❑ Inspection Qnl
10 Roof
F-1 Gas
0 Medical Gas
E] Fire Sprinklers
El On Site Piping
M Fire Line
❑ Irrigation
E] Fire Alarm
El Potable Backflow Assembly
Fire Line Backflow Preventer
❑ Irrigation Backilow Assembly
EJ Demolition
El Walk-in Cooler
❑ Refrigeration
1:1 and
El Ansul
E] Fence/Wall
❑ Grease Trap
El Other
[:] Other
Type Construction: k-B--]
Risk Category:
� Occupancy Load
owancy Classification:
Factory L ------ i
iResidential
Assembly 'Business bay Care/Educational
Hazardous E== Institutional E] Mercantile
IStorage E::= REI Utility
Building Use: Single Family I Alteration 1—Level 1 Level 2 Level 3
VNew Construction E] Interior Finish F-1 Interior Remodel El Exterior Remodel EJ Addition El Revision
Overall Size:
20 x 58
Number of Stories:
2
Total Sq. Ft.:
2148
Living Area: 1666
Covered Area: 482
# of Bedrooms: 3
1 # of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof Type: 9 Shingle
ElTile J:B u i I t -:yj —1 Metal ❑ Other Squares: 17
Zoning:
Wi orne Debris:
L side Outside
Energy Code:
405-2020
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents? ❑ Yes
No I
Sq. Ft. Enclosed Space Below BFE:
of Vents:
Size of Vents:
Total Sq. In. Permanent Openings
Central A/C
0 Gas A/C
9 Heat Pump El Window A/C
EJ Gas Heat —E] Electric Heat
SanitaKy Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
Setbacks
Front Rear Left Right
R Asper Approved Site Plan
Comments: