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Name: LENNAR HOMES LLC-OWNER Address: 4600 W Cypress St 200 TAMPA, FL 33607 121 CONSTRUCT TOWNHOME 1634 SQ FT TAP Plumbing Valuation Fee School Impact Fee - Single Family Mechanical Plan Review Fee Driveway Fee Water Connection Residential Fee Building Plan Review Fee Address Fee Fire Wall/Smoke Wall Inspection Transportation Impact Fee SIF 1 percent Fee City of Zephyrhill s t 111T' '111, 11, 5335 Eighth Street 2 Zephyrhills, FL 33542 BNR-005246-2022 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 11/22/2022 38165 Fallstone Way Permit Type: Building New (Residential) Class of Work: Townhome Building Valuation: $250,320.00 Electrical Valuation: $37,548.00 Mechanical Valuation: $17,522.40 Plumbing Valuation: $25,032.00 Total Valuation: $330,422.40 Total Fees: $13,774.91 Amount Paid: $13,774.91 Date Paid: 11/22/2022 9:34:48AM $0.00 Plumbing Permit Fee $165.16 $3,353.00 Building Permit Fee $1,291.60 $0.00 Sewer Connection Residential Fee $2,090,00 $45.00 Mechanical Permit Fee $127,61 $1,010.00 Public Safety Impact Fee -Police $254.00 $150.00 Electrical Permit Fee $227.74 $30.00 Electrical Plan Review Fee $0.00 $15.00 3/4 Water Meter Residential Connection Fee $732.71 $3,445.20 Transportation Impact Fee - City $34.80 $33.53 Park Impact Fee - Single Family/Townhome $769.56 11, =#i no &4 rol U I ED= MITTS=. 1111M 111111M 1 1111,26111,31 0' Me, vie i1#11111t, in ineviviAc; recTrIts (#,I u-111 •111111111111111 1 r 41 Re , 09'' 0, me. 0, 0, r We, 0 t' Iforn olner&v entities such as water management, state agencies or federal agencies. 2301��� 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. CONTRACTOR SIGNATURE PEJAIT OFFICE(i) 1 9 ill I z M1 *4 1 [111111 �' �� Permit No. Date Permitted Builder Name/Owner Name � Control #. County Parcel No. - }00/OSubDiv: to Address/Location GCS�✓1 Classification/Type of Use TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: Exempt Yes No How Determined Impact Fee Amount Zone No. TAZ: SCHOOL IMPACT FEE -3PP 6 Account (056) Single -Family Detached House Amount $ W' (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 Yes No How Determined Total Amount RESOURCE FEE ERU Total Amount Prepared By r- v �" Checked By N CERTIFI T : F CUPANY 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 REECHPT 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 Project Name: Parcel Tax ID: R V W 1 S, T v Notice to Building Official of Use of Private Provider Effective January 20, 2003 MMMMIKIX�* - H�# I no EMIRM 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. I)EBRA ANNE KLAHR Address: 747 5W 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601 Telephone: Fax: N/A Email Address (Optional): deb@virtualreviewassist.com Florida License, Registration or Certificate #: (LTC # BU1967/ PX2300/ BN4615) I have elected to use one or more private providers to provide building code plans review and/or inspection services on the building that is the subject of the enclosed permit application, as authorized by s. 553.791, Florida Statutes. I understand that the local building official may not review the plans submitted or perform the required building inspections to determine compliance with the applicable codes, except to the extent specified in said law. Instead, plans review and/or required building inspections will be performed by licensed or certified personnel identified in the application. The law requires minimum insurance requirements for such personnel, but I understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harmless the local government, the local building official, and their building code enforcement personnel from any and all claims arising from my use of these licensed or certified personnel to perform building code inspection services with respect to the building that is the subject of the enclosed permit application. I understand the Building Official retains authority to review plans, make required inspections, and enforce the applicable codes within his or her charge pursuant to the standards established by s. 553.791, Florida Statutes. If I make any changes to the listed private providers or the services to be provided by those private providers, I shall, within 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, arnount 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. STATE OF FLORIDA COUNTY OF -HILLSBOROUGH 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. LIX Print Corporation Name By: (signature) Print Naroe: Christopher Smith Authorized Aaent Address: ZQO NW 107ft. e M arni FL 33172 Telephone No, 813-574-5700 Corporation Before me, this 22ND -day of MAY -20-22, 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. Personally known X or Produced identi cation— Type of identification produced amm= Print Partnership Name Wa (signature) Print Name: Its: Address: Telephone No.: Before me, this day Of 20—, personally appeared partner/agent on behalf of a partnership, who executed the foregoing instrument and acknowledged before ine that same was executed for the purposes therein expressed. Signature of Notar Print Name ASHLEE CALLAHAN Notary Public Stamp: Y Mj 5 ASHLEE CALLAHAN A-, NOWY P&tC - State of Florida Commission Expires: 4: �,� 8 Conrmissfar.N GG 244456 NOVEMBER 30, 2022 11RF cornm E%Plf e5 Nov 30, 2022 41, UVFI,. • VR/\ 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: ltqcy,�q r-ti ilreyiewassist.c avL-qL om Project: New SFR Address(s): 38165 Fallstone Way I hereby certify that to the best of my knowledge and belief the plans submitted were reviewed for and are in compliance with the Florida Building Code and all local amendments to the Florida Building Code by the following affiant, who is duly authorized to perform plans review pursuant to Section 553.791, Florida Statute and holds the appropriate license or certificate: Name: Debra Anne Klahr Plan Sheets: 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,Ll, SN, SNI,S3,S4,S5,S6,SS,ST,D1,WP,PAI.0,PAI.1,PAI.2,PAI.3, SHLO, SHLLSHL2,SHL3,SHL4,SHI.5 Florida License/Registration/Certification 9(s) and description: FS468 Certified Standard Plans Examiner License #: PX2300 Signature of Reviewer: SWORN AND SUBSCRIBED before me by Debra Anne Klahr being personally known to me or having produced as identification I--- --- and who being fully sworn and cautioned, state that the foregoing is true and correct to the best of his/her knowledge or belief. `Signature of Notary Print Name commission expires: GG 244 ---6 p 3 2 0) 2 r) n rr, thrm,,',h Natlortic,,tar ' � Assn ■ TRACKING # FOLIO # 38165 Fallstone Wav FIRE MARSHAL #01 - Required Permits DATE: 9/08/2022 EXAMINER: Debra Klahr PX230( WBuilding F-1 Ins pe tion Only F-'2'Plumbing El Inspection Only Mechanical ❑ Ins pe tion Only Electrical Amp M Inspection Onty 4Z Roof El Gas [:1 Medical Gas E] Fire Sprinklers El On Site Piping [:] Fire Line [I Irrigation E] Fire Alarm E] Potable Backflow Assembly E] Fire Line Backflow Preventer M Irrigation Backflow Assembly [:1 Demolition n Walk-in Cooler El Refrigeration El Hood 0 Ansul El Fence[Wall E] Grease Trap El Other E] Other Ty e Construction: Risk Category: Occupancy Load OWancy Classification: Factory ,JResidential Assembly ness Day Care/Educational Hazardous Institutional E::= Day tmio Storage S' u rn 0 Utility Building Use: Single FaMilY Alteration [E—]Level I Level 2 [E]Level 3 VNew Construction R Interior Finish E] Interior Remodel R Exterior Remodel [] Addition E] Revision Overall Size: 18 X 63 Number of Stories: 2 Total Sq. FL: 2086 Living Area: 1634 Covered Area: 452 # of Bedrooms: 3 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof Type: 9 Shingle F]Tile El Metal El Other Squares: 14 Zoning: Wir Debris: ©Inside Pf, Outside Energy Code: 405 -2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? rE]Yes V No I Sq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents, I Total Sq. In. Permanent Openings 9 Central A/C El Gas A/C 9 Heat Pump E] Window A/C El Gas Heat El Electric Heat 3 =M SanitaEy Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line 61= Front Rear Left Right As per Approved Site Plan Comments: 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting ( g08 ) 770 7763 Owner's Name Lennar Homes, LLC Owner Phone Number 813.574.5700 Owner's Address 4301 W Boy Scout Blvd, Ste, 600, Tampa, FL 33607 Owner Phone Number Fee Simple Titleholder Name N/A�� Owner Phone Number Fee Simple Titleholder Address N/A JOB ADDRESS 38165 Falls tone Way LOT # 0073 SUBDIVISION Townes at Autumn Palm PARCEL ID# 15-26-21-0030-08100-0010 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED II./ II NEW CONSTR 8 ADD/ALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION u v u BLOCK FRAME STEEL O DESCRIPTION OF WORK Multi -family / Screen Enclosure / Fence BUILDING SIZE U/R IF 2086 SCI FOOTAGE 1634 HEIGHT 28� BUILDING $ 250320 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 37548 PLUMBING $ 25032 MECHANICAL $ 17522.4 =GAS � ROOFING F7 FINISHED FLOOR ELEVATIONS PROGRESS ENERGY W.R.E.C. AMP SERVICE VALUATION OF MECHANICAL INSTALLATION SPECIALTY L OTHER FLOOD ZONE AREA Li YES Do BUILDER COMPANY Lennar Homes, LLC SIGNATURE REGISTERED Y / N FEE CURREN, Y / N 4 OI W Boy Scout Blvd Suite 600 Tampa, FL 33607 GC1518166 Address License # ELECTRICIAN COMPANY Edmonson Electric, Inc. SIGNATURE /Yr:REGISTERED Y / N FEE CURREN Address License # EC 13005408 �� PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE L REGISTERED Y ( N FEE CURREN Y / N Address License # I CFC042998 MECHANICAL f' COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address License # CAC058062 OTHER COMPANY C 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 wi 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 IDA JURAT (F.S. 117.03) OWNER OR AGENT Subscribed and sworn ,,,mecl) before me this 712812022 by Christopher Smith Who is/are personally known to me or hasth-v- p—h—A as identification. Notary Public Commission No. GG 296057 Stephanie Farmer 0 . :Arm I W0111112 I Z 11:11 ",11 011111OX03:11111GAI ION alkir-11 LIRE0,110 0 CONTRACTOR ,g;2���.. Subscribed and sworn to (or affirmed) before me this 7/28/2022 by Christopher Smith Who is/are personally known to me or has/have produced —as identification. Notary Public Commission No. GG 296057 Stephanie Farmer Name of N MVWIE FARMER CM1119nio # 00 20W EXOM F*Uvy 15, 2023 FM oexElPT1oN:1 oT1 11 79 T111IE1 ITa Urz,NRA - _ SEC ; N ' 26 S, RNG 21 L SITE PLAN ACCORDMi TOIHE A11 LR"OF.R CJtD D INPtA O- AG _O THE 113BLY 'CJ111 A:CC COUNTY, LORIDA. PASCGCO My II ORIDA IN01 ASt1RVEYl ( 7OWN(S AT, AU 7 0MN PALMS) CURVE DATA (P( CURVE RADRIS ARC LENGTH CHORDLENOTI CHARD SEA RING C3 1900 298I' 2GA9 544'5847E DELtA ANGLE 90'OS'I8" 3� .� LOT 79 a o� A9'11 SIR SI EII 103 D0 'D 200 UNIT -A 17 3ENTRY 532 d LOT T,q 78 e.7 It, vlrl SIR' uNIT-o _ '^ LOT $ ENrRv LOT zoo 77 eeasava-wia :m.00lPi zoo 39> n o' UNIT. �( ,i. M tFF , 8 624 173' ENTRY LOT -_ R A N— I SOIAFNT ;i j. IF OY G30' 76 It 39 Y TC } w 1I- 8 20 0 7.3 - z LOT - m( 8 ENTRY 5 75 � - PROPOSE. w k 2ST RY eev a3 .=I 5/. I !,, A'TAc HED a' ,o P SANCES ! U TC - 24 �,.8 q� 3. eyrav LOT S 3 a' a 39 7 14.7' 20 0 Nit a 73' ENTRY 1h24 2 LOT ¢ 0 LOT .,.. $ 73 171 q1 ltl 70 141 o 1^) zo.o- , mres _ I73 :-Nrrrr LOT W ¢ _ 8 _ 72 s w cxw 1v _ Uv1TA 32 m -3. eNTm LOT 5 zua 71 397 20_0 \4 Y Y� S d9'SB'34- W I" NOTES: —DWAY MALT •C EO' WIDE R/W LOT GRAe`)ING TYPE^S CITY OP 2EPHYRHILLS PROROtiED!'AN II.:: VA TION .- S I R I FRONT SET &AOR , 15 ''. SIJE SET RACE10 VE/WO ERSEMENT YEAR 1ET9ACK-29 A l0 —1 F SSNO._R IttAl I —I ETD: TT903 SO. FT / U > S<SiiESS tG t- !JVIN6 A.h:A 3G _SO. t �l Y/+JRArNAGF ESMI En"GIRAY E/2 SO LT. FT, DOVE C,rRE i84& SQ. F7. COVER!.D LANAI -._ 963 _SQ.'T. PROPOSE[): LO 11fLOOR t I—ONS VATIO POOLARLA m__NA_SQ. FT. NA SQ.T: wNG AREAS— CONC DRIVE 2ro0_SO. FT. OAFAU ARLA: ,C&CONIC PAD Le SQ. FT rzFFts NCED TO SIDEWALK 3jd_, SO. FT. NORTH FlMERICIN VERTICAL DATUM Or SIDE YARD SWAI1 e NA SQ. ET I9R8 CON SERVATION AREA _ FT. � GhOD[TI< V[RTIUL LOT OCCUPIED 6NA-2 s 62 R, Of 110NAl Ch UMOF I929 ,)AII AREAl02l2 GATE ]B o % 1708 Water Oak Drive Tarpon Springs, Florida Phone: (727)-831-1990 FloridaPLS7I 23@gmati.com LB# 8183 1 � � d Initial Point Land Surveying, LLC, Scale: 1 " = 20' 0 20 40 60 ....... RO OfDt( V NIA"'l'PE LEGEND: N ? A AGE FLOW bJ PM. tl b 1. tlS V^9 LC. h i . 'MU O N ifi , EN AN SS, NAS R 10000 > SE(C LADE 2'OAK r - 0 9 NCl CONS 4tC'.ON GR ) VG t'ANS E T 2 RENCED N rsn_ T acAN Ga f u 1 wnr.oN viR D T M of 9ss >SU! NGl A. PROV N ] 1 k.. 1 ,L s R1 p _ _ �,. . s SS LEGEND �n N 02"IIV NDA7UM, i— ,, .... ..._ © v <r.� �t u n�....,.c �n1 © 1m rv..�o,i rl sa < 7)C Jrawr Nrir.Z et IOHC SbGi �vfl /u� (( i; P } S r p, I N O 1Y NO 20 35 1MR1I I I IS 3 1111:J 09 26 Z01 LC a P rv� `rE StanOe 1 _ I Caire ptl��nt nt ra 1, �jyy +j y� tA, 1<T-,r,,1 t 5yJeff Hartley ,,, 1-1 HI� ADAate: 22.07.28 bA ORIDAF�'U2i100 III NO-vALro wimp' �QAATURr AND SEAL or SURVEY ABBREVATIONS c,,oRiDa LlceNs ® ?mnrPaa