HomeMy WebLinkAbout22-5189City of Zephyrhills
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5335 Eighth Street£
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Zephyrhills, FL 33542BNR-005189-2022
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 1112912022
Permit Building New esi enti I
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6952 Ripple Pond Lp 04 26 21 0140 00100 0440
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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.
Phone: (813) 574-5700 Mechanical Valuation: $17,900.40 _ t
Plumbing Valuation: $25,572.00
Total Valuation: $337,550.40
Total Fees: $13,866.90���
Amount Paid: $13,866.90 t �
Date Paid: 11/29/2022 7:34:54AM
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CONSTRUCT TOWNHOME 1787 SQ FT AS
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Fire Wall/Smoke Wall Inspection $15.00 Public Safety Impact Fee -Police $254.00
Electrical Plan Review Fee $0.00 Sewer Connection Residential Fee $2,090.00
School Impact Fee - Single Family $3,353,00 Water Connection Residential Fee $1,010.00
Transportation Impact Fee $3,445.20 Plumbing Valuation Fee KOO
Park Impact Fee - Single Family/Townhome $769.56 Transportation Impact Fee - City $34.80
Building Plan Review Fee $180.00 Mechanical Permit Fee $129.50
Public Safety Impact Fee -Admin $26,35 Plumbing Permit Fee $167.86
3/4 Water Meter Residential Connection Fee $732,71 SIF 1 percent Fee $33.53
Building Permit Fee $1,318.60 Address Fee $30.00
Driveway Fee $45.00 Mechanical Plan Review Fee $0.00
Electrical Permit Fee $231.79
EINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 5 3.80(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.Q.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE PE IT OFFICER I
PERMIT EXPIRES IN 6 MONTHSIT INSPECTION
GALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
{
813-780-0020 City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received Phone Contact for Permitting 908 770 - 7763
11 1 1 1 1 1 1 I I I 1 1
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
N/A Owner Phone Number
Fee Simple Titleholder Address N/A
JOB ADDRESS 6952 Ripple Pond Loop LOT # A044
SUBDIVISION Abbott Square PARCEL ID# 04-26-21-0140-00100-0440
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED 11 d II NEW CONSTR 8 ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK Multi -family / Screen Enclosure / Fence
BUILDING SIZE U/R SF 2131 SO FOOTAGE 1787 HEIGHT 28
BUILDING $ 255720 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ 38358 PROGRESS ENERGY W.R.E.C.
b(iAMP SERVICE
tj�JPLUMBING
11,1 MECHANICAL $ 17900 4 VALUATION OF MECHANICAL INSTALLATION)
GAS 10 ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA El YES Do
BUILDER COMPANY Ler mar Homes, LLC
SIGNATURE REGISTERED Y ! N FEE CURREN Y ( N
Address 430 Boy Scout Blvd Suite 600 Tampa, FL 33607 License # CGC1518166
ELECTRICIAN COMPANY Edmonson Electric, Inc.
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # EC13005408
PLUMBER COMPANY Bayonet Plumbing, Ideating & AG, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # CFC042998
MECHANICAL COMPANY Bayonet Plumbing, Heating & AG, Inc
SIGNATURE REGISTERED Y ( N FEE CURREN Y ! N
Address License # GAC058062
OTHER COMPANY G Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / 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. (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 bz^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 e contractor or
contractors to undertake wmdk, they may be required to be licensed in e000ndonue with state and local regulations, If the
contractor is not licensed as required by |ew, both the owner and contractor may be cited for o misdemeanor violation
under state |ovv. 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 oontnsotorp, 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
contreotor, that may beon indication that he is not properly licensed and ianot 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 tothe construction of new bui|dingo, change of
use in existing bui|dinQa, or expansion of existing bui|dingo, as specified in Pasco County Ordinance numberOQ-D7 and
90-07. as amended. The undersigned also underotanda, that such fees, 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" orfinal power release. |fthe project does not involve ecertificate ofoccupancy or
final power na|eaoe, 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 ia$2.5OO.O0ormore, |
certify that |, the app|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", | certify that | have obtained a copy of the above described document and promise in good faith to
deliver ittothe ^mwner'prior tocommencement.
CQNTRACTOR'S/{JVVNER'SAFBDAy|T: | certify that all the information inthis application ioaccurate and that all work
will be done in compliance with all applicable laws regulating omnstruotion, 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 laws regulating
oonotruc(imn. County and City ooden, zoning regulations, and land development regulations in the jurisdiction. | also
certify that | understand that the regulations ofother government agencies may apply to the intended wmrk, and that it is
myresponsibility tuidentify what actions | must take tobeincompliance, Such agencies include but are not limited to:
- Department ofEnvironmental Protection -Cypress 0nyheado, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management Dimtriot-VVeUo, Cypress Bayhaeda, Wetland Areee, Altering
Watercourses.
- Army Corps of Engineers -Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-VVeUs, Wastewater Treatment,
Septic Tanks.
- USEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation Authohty-Runwaye.
| understand that the following restrictions apply tothe use offill:
Use offill isnot allowed inFlood Zone Wrunless expressly permitted.
- If the 0| medeho| is to be used in Flood Zone ^A^, it is understood that a drainage plan addressing e
"compensating 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 Hood Zone ''A^ in connection with a permitted building using stem wall
construction, | certify that fill will beused only tofill 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 propodiee, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |eaa 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 a separate permit may be required for electrical wmrk,
p|umbing, aigns, weUa, poo|e, air condihoning, gea, or other installations not specifically included in the application. A
permit issued eheU be construed to be license to proceed with the work and not as authority toviolate, canoe|, alter, or
set aside any provisions of the technical codea, nor ahoU 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 permit is commenced within six months of permit iauuonce, or if work authorized by
the permit is suspended or abandoned fora period of six (8) months after the time the work in commenced. An extension
may be requested. in writing, from the Building Official for e period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
FLORIDA JoRxT0r.s.n7
OWNER OR AGENT
Subscribed and sworn (or affirmed) before me this
912/2022 by
W�o —is/are personally known to me or
as identification.
Notary Public
Commission No, GG 296057
Stephanie Farmer
Subscribed and sworn to (or affirmed) before me this
2/2-22 by Christopher Smith
Who is/are personally known to me or has/have produced
as identification.
—Notary Public
Commission No
Stephanie Farmer
NameofN
,Iv�. *.m. B"M TWU Tmy I* bow*" no-wMe
NMJ
« W > — c
DESCRIPTION: LOTS 41-44, BLOC( 1, ABBOTT SQUARE PHASE IA, SITE PLAN
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89,
PAGEjSi28-35, OF THE PUBLIC RECORDS OF PASCO COUNTY, iNOTA SURVEY)
FLORIDA.
This SITE PLAN Prepared for and Certified To:
PROPOSED ELEVATIONS AND GRADING _.- Lennar Homes
SHOWN HEREON ARE TAKEN FORM THE ALL ELEVATIONS REFERENCED
ENGINEERING PLANS OF TO NORTH AMERICAN
`ABBOTT SQUARE RESIDENTIAL PREPARED VERTICAL DATUM OF 1988 '..
BY "WRA" PROVIDED BY CLIENT (NAVD 8811 '..
CURVE DATA (P)
'. (-i IRl/F T RAr11i IC ARf I FKIl;TH�fH(l RfI1 F(\1f;TH fHf1R(l RFA RI�It;) rIFI TA Anl(,I F 1
C 10
75,00
1 17,30
17.2E
N 29'33'23' W 13' 12'48'"
C i i
U 2
75.00'
75.00"
_
20.24
2Q24'
20.18'
20,18
N 43.53 46- W 15.27 58`
N 59'2144' W
C 13
75.00'
21.82'
21.74
N 75'2545' W
11
"a
a_
LOT45
BLOCK I
054
N 89-5916" FIR) 48,37' (P)
47.7
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SEC. 1 1, TWP. 25 S, RNG 21 E.
PASCO COUNTY, FLORIDA
(ABBOTT SQUARE)
4
Seale.- 1 " = 20'
LOT = 13639 SQ. FT.
15'2T58" LIVING AREA = 2866 SQ. FT.
i b'40'05' ENTRY = 220 SQ. FT.
GARAGE = 1058 SQ. FT.
106,73) COVERED LANAI = 374 SO- FT.
PATIO
= NA
SO, FT.
POOL AREA
= NA
SC. FT.
C3
�Ce`Fs
CONC. DRIVE
= 934
SO. FT.
32Si
A/C & CONIC PAD
= 36
SO, FT_
'ky
SIDEWALK
SIDE YARD SWALE
= 590
= NA
SO, FT.
SQ- FT.
I4is
s
ste �'o T
CONSERVATION AREA
= NA
SO FT.
/
sus F,tio.yOT
_
LOT OCCUPIED
= 45
%
AREA TO IRRIGATE
= 55
EST
o O/
i o�
OMfis
h�. I66 � QO
e�0 TF3 F,,
OBI 5
0 I6�ti
2 AO eCZOTgA
5 G CONWALK l 2 C 13
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LOT 40
1106887 BLOCK 1
'(106 Sg)�
OT �%
r
Z" ORK
PROPOSED:-
10.00 PUBLIC UTILITY EASEMENT
MINIMUM FLOOR ELEVATIONS; ��
NOTES:
LIVING AREA: 108.67' LEGEND:
LOT GRADING TYPE = A
GARAGE AREA:
PROPOSED DRAINAGE
FLOW PROPOSED PAD ELEVATION 108.00-
ELEVATIONS REFERENCED TO
NORTH AMERICAN VERTICAL (0000) -= 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'
SURVEYABBREVATIONS (MAP NUMBER 12101C-0289-F( EFFECTIVE DATE 09/26/2014
REAR SETBACK =15
AI A I ENC H
In] DEED
INV - INVERT
PC -POIN Cs CllRVE
III -RECORD
LEGEND
/\ C=A)R CONU 1 ONE.Q
A AiUM NUM ENC[
AT
D t D,$AINAC FrSEMENI
B -LICENSED BUISNESE
FCC POINT O - COMPOUND CURVE
LING = RANGE
VINYL, PENCE
1
(CON
BC BASE FLOODLIEVATON
1OR I L.-EV VA PON
COP EDC Of PAVEMENT
E- LANDSCAPE EASEMEN
LEE - LOVAEI OOREIFRAIOr,
PCP P.RMAN:NT COWRO!-P6'NT
/E POOL EQUIPMENT
RED =RA ROAD SPIKE
R/W,EiiGit OEWAY
_
ISM KANCi MARK
C CURVC
ESM`-EAS MEN
LS-LICLNS DSURVEYORG=
PACE
It C T ON
WOOD FENCE
`ASP TALI
I(-CALCULA ED
4 C MR N
( �ENC CORNER
{(M=FOUN)CONCRETE
(M)=MEASURED
MES-, MITERED FND SECTION
PI= OMO NTERS'-ON
PK-PAPKFR KA'ON
-
SNbD^SL NA.L ANDDSK
I8-83
� ;,�
( VA N,.INI<FENCE
"T
< Ao NKFENCE
E
CM =CORRUC,A ED META-- IP
CO=COLL
MONUMFN
I—OUNDIPONP,PE
FR=FOUND,RON ROD
NICE-� NO CORNER FOUND
O/A- OVERALL
OHW-OVERHEAD WELsi
I PPOP RT'Y LINT
POB POINT Of BEG PRNG
POC ION`OF COMMENCiMENr
SIR -S! 2 RON RC :Jn 818,
IBM^I MP0EARY 9ENCH.HMARK
TOBa TOP Of BANK
-BR'CK
ION, =CONIRE�P
N&D - FOUND NAY&DISK
OLR.-OMClALRECORDS
POL CTN-ONINE
IWf^ioWNSWF
ALUMINUM
C S <C}NCRriE SLAB
FOP -FOUND OPEN PIPE
(° -'I,AT
PRC ON Of REVERSE CURVE
IIE -UII I EASEMENT
�=COVERED
CEI=CLFAR SIGNr TRiANGIt
p FOUND PNOIED PIPE
--8-PLAT 3001<
PRM EWNENTRt EERENCEMONJMLNI
VF-VINYL LNCE
JOB N5703
SURVEYOR`S NOTES:
SURVEYOR'S CERTIFICATE
1708 Water Oak Drive
Date of Site Plan: 7-1 t 22
7WGAx aq RI-S:TE
L) Current title in Neaten on the subject property had not been
furnished to Initial Point Land Surveying, LLC at the wine of this
SITE PLAN
Tha certrfres tha the hereon described
L i%�r'
property w '' N T r pervision and
{�{�Practice for
Tarpon Springs, Florida
P-
Phone- [727J-83 i-I99Q
FlohdaPLS7123Cgreeil,
search.
'edLand
41,
O-N
m2.)Thissketchwaspreparedwithoutthebenefitofafide
LB4t 8183 �allo
instruments of record reflecting ownership, easements or``,,rights-of-way
were furnished to the undersigned, unless otherwise
.1�1�#h75 v tt1ey
Drawn by: DUB
shown hereon-
u ant S cno 7
A �i_ 1 1
Thecked by:UFi
3.) Roads, walks, and other similar items shown hereon were taken
from engineering plans and are subject to survey-
t e ) �: 9 � Q�
REVISIONS
4.) This SITE PLAN does not reflect nor determine ownership.
This SITE N is subject to matters shown on the Plat of
i �^ \ I K2 '"
, ST TE OF // p
§ S FLORIDA y+
` 1 'S " O' 'TTF
Rf, .r.'g atcs.
f `
A T;�ivl
ABBOTT SQUARE PHASE IA'
�1't_
Dimen6,)
sions hereon are in feet and decimal portions
6.)thereof,
Jeff M. >3le
€414-' RR�( AND
<0
FLORIDA R
fAfgYlji I�SF�3
MAPPER NO.
7T Contractor and owner are to verify all setbacks, building
dimensions, and layout shown hereon prior to any construction,
NOT VALID WITHOUT 1-HE 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
at User s sole risk.
Permit No. t q
Oat. Permitted % r Vj—-
Builder Name/Owner Name Control #�
County Parcel No. 20l i� �rr� SubDiv: 9
AddressJLocation `Ople
Exempt 1:'1 Yes 0 No How Determined
Impact Fee Amount 0 Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount $ 3
(057) Mobile Home
(058) 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 $
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
Prepared By Checked By
N CERTIFIC 'E 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
ma
1
Don- 6qqo
- —Do I Dc
\/RA
v :
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
ProJectName:— Uq52 yow' (I t,/,
Parcel Tax ID:— Ot-k-?Ia- 21-CALlb- LWO- OIL)()
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: DEBRA ANNE KLAHR
Address: 747 5W 2ND AVE- SUITE 170,301,357,& 358, GAINE5VILLE, FL 32601
Telephone:
ffls :��+
Email Address (Optional): deb@virtualreviewassist.com
Florida License, Registration or Certificate #: (LIC # SU1967/ 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 deterinine compliance with the applicable codes, except to the extent specified in said law.
Instead, plans review and/or required building inspections will be performed by licensed or certified personnel
identified in the application. The law requires minimum insurance requirements for such personnel, but I
understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I
have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance
and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harmless the
local government, the local building official, and their building code enforcement personnel from any and all
claims arising from my use of these licensed or certified personnel to perform building code inspection services
with respect to the building that is the subject of the enclosed permit application.
I understand the Building Official retains authority to review plans, make required inspections, and enforce the
applicable codes within his or her charge pursuant to the standards established by s. 553.791, Florida Statutes. If I
make any changes to the listed private providers or the services to be provided by those private providers, I shall,
within I business day after any change, update this notice to reflect such changes. The building plans review and/or
inspection services provided by the private provider is limited to building code compliance and does not include
review for fire code, land use, environmental or other codes.
The following attachments are provided as required:
1. Qualification statements and/or resumes of the private provider and all duly authorized representatives,
2, Proof of insurance for professional and comprehensive liability in the, amount of $1 million per
occurrence relating to all services performed as a private provider, including tail coverage for a minimum
of 5 years subsequent to the performance of building code inspection services.
(signature)
Print
Name:
Address:
Telephone
No.:
Please use appropriate notary block,
21151NOW
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
-IENNAB����
Print Corporation Name
By:
(signature,)
Print
Name: Christopher Smith
its: Authorized Aaent
Address: ZQO NW 1 Mb-Avo—
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, an
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
M
(signature)
Print
Name:
Its:
Address:
Telephone
No.:
Partnership
Before me, this day
Of 20_,
personally appeared
partner/agent on behalf of
a partnership, who executed the
foregoing instrument and
acknowledged before me that same
was executed for the purposes therein
expressed.
Personally known X ;or Produced identi cation Type of identification produced
Signature of Notar AL � on Print Name ASHLEE CALLAHAN
Notary Public Stamp:
ASNLEt CALLAHAht
notary Pub U T State of Florida
Commission Expires: GG 244456
NOVEMBER 30, 2022 4 k4 cortim Expires Nov 10, 2022
6,'d Lhroysh t4auanDl NOLAN Assn!
. . . . . . . . . . . . . . . . .
•
VRA
VIRTUAL REVIEW ASSIST
Private Provider
Plan Compliance Affidavit
Private Provider Finn: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU 1967
Address: 747 Southwest 2nd Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: Lqg,\�41yiLEI:tkglreviewassist.com
Project: New SFR
Address(s): 6952 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,DI,D2,SN, SN-LS3M,S4M,SS,
ST,S6,S5, WP,PAI.0,PALI,PAL2,PAL3, SHLO, SHLl,SHI.2,SHI,3,SHL4,SH1.5
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 k .99W to me or having produced as identification
and who being fully sworn and cautioned, state that the
for Ding
s true and correct to the best of his/her knowledge or belief.
SfgnaTu're 6f Notary �- 1�rint -Name
Notary Public: NOTARY STAMP BELOW My
commission expires:
CA
P i c S �i e o o, i da
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Cnmmissior, A GG 244415,6
v Comm. Expires Nov 3C. 20
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Bost'..ed throu,h Nationau NO Assr.
10— COMMERCINI, BUILDING SERVICES DIVISION VRESIDENTIAL
BUILDING PERMIT DATA SHEET
maim-0
I me) 0 •l"Wird
FIRE MARSHAL #01 -
1VBuilding
[:] Inspection Only
WPlumbing
❑ Inspection Only
W Mechanical
El Inspection Only
WElectrical — Amp
1:1 Inspection Only
IV Roof
1
[:1 Medical Gas
E] Fire Sprinklers
Ej On Site Piping
❑ Fire Line
0 Irrigation
El Fire Alarm
0 Potable Backflow Assembly
❑ Fire Line Backflow Preventer
ElIrrigation Backflow Assembly
Ej Demolition
El Walk-in Cooler
❑ Refrigeration
El Hood
E] Ansul
El Fence/Wall
❑ Grease Trap
[] Other
E] Other
Type Construction:
LLL—��
Risk Category:
Occupancy Load
,n Classification:
C
c ey E=
OVF. Factory
-
Residential ED=
Assembly RBusmes8 Day Care/Educational
Institutional [-�,,Mercantile
'Hazardous Utility E
❑ Storage E=
Building Use: 5Ingle Family IAlteration —Level I —Level 2 [E-1 Level 3 D 10
VNew Construction Ej Interior Finish E] Interior Remodel E] Exterior Remodel r-j 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 Shingle
E]Tile D Metal Fj Other Squares: 17
Zoning:
Wi orne Debris:
❑ Inside Je, Outside
Energy Code: 405-2020
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents? rQ1, Yes .No
Sq. Ft, Enclosed Space Below BITE:
of Vents:
1. In. Permanent Openings
0 Central A/C
El Gas A/C
X Heat Pump E] Window A/C
E] Gas Heat E] Electric Heat
100=2 =1-1
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Under Kound Fire Line
RM=
Front Rear Left Right
Fv-1 As per Approved Site Plan
Comments: