HomeMy WebLinkAbout22-5282BNR-005282-2022
Issue Date: 12/14/2022
a.
M P,
!Name: LEN NAR HOMES LLC-OWN ER Pe!mit I Type: Building
�M t�ew (Residential)
, , �+ �it 'Contractor: LENNAR HOMES LLC
Class of Work: SFR
Address:
Phone:TAMPA, FL 33607 Electrical Valuation: $50,994,00 A-,
AmountPlumbing Valuation: $33,996.00
Total Valuation: $448,747.20
Total Fees: $20,317,35
ter Connection Residential Fee $1,010,00 Public Safety Impact Fee -Police $254,00
Transportation Impact Fee $3,59568 Plumbing Plan Review Fee $0,00
Public Safety Impact Fee -Admin $26,35 3/4 Water Meter Fee (Calc) $732,71
School Impact Fee - Single Family $8,328,00 Plumbing Permit Fee $20998
Transportation Impact Fee - City $3632 Building Plan Review Fee $180.00
Address Fee $30,00 Electrical Permit Fee $294.97
Park Impact Fee - Single Date Paid: 12/14/2022 3:45:28PM
Driveway Fee $45.00 Mechanical Permit Fee $158,99
Mechanical Plan Review Fee $0.00 Building Permit Fee $1,739.80
Irrigation 3/4 Meter (Calc) $732.71 Sewer Connection Residential Fee $2,090.00
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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
23975 Park Sorrento, Ste. 220, Calabasas, CA 91302
Owner's Address Owner Phone Number
Fee Simple Titleholder Name I N/A Owner Phone Number
Fee Simple Titleholder Address N/A
JOB ADDRESS [6::3:4:7 Ten Acre Court LOT # 1212
SUBDIVISION I -Abbott Square PARCEL ID# 1 04-26-21-0150-01200-0120
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED f NEW CONSTR ADD/ALT SIGN DEMOLISH
qINSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION 11D BLOCK FRAME STEEL
DESCRIPTION OF WORK Single Family Residence / Pool / Screen Enclosure / Fence
BUILDING SIZE U/R IF 2833� SQ FOOTAGE 2369 HEIGHT 28'
BUILDING $ ��
339960 VALUATION OF TOTAL CONSTRUCTION
dELECTRICAL $ 50994 AMP SERVICE ® PROGRESSENERGY W.R.E.C.
� • r
PLUMBING 8 _ 6
3399
2--
ll./ (MECHANICAL $ 23797.2 VALUATION OF MECHANICAL INSTALLATION
.2
GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA El YES Do
l _ Lennar Homes, LI,C
BUILDER �`' COMPANY
SIGNATURE REGISTERED Y1 N_J FEE CURREN Y I N
Address 4301N Boy Scout Blvd Suite 600 Tampa, FL 33607 License # CGC1518166
ELECTRICIAN ' COMPANY on Electric, Inc.
SIGNATURE REGISTERED Y ( N FEE CURRE� Y / N
Address License # I EC13005408
PLUMBER d COMPANY 113ayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # I CFC042998
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE ; $�s REGISTERED Y / N FEE CURREN Y / N
Address° d License # CAC058062
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y (N FEE CURREf Y / N
Address License # CCCO57991
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111111lIIIIIIIII
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 RESTR|CT|C)NS.- The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more 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 work, they may be required to be licensed in accordance with state and local regulations, If the
contractor is not licensed as required by |avv, both the owner and contractor may be cited fora misdemeanor violation
under a(aba |ovv. 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 ot727-847-
8OOS Furthermore, if the owner has hired a contractor or oontnactorm, 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
oontnaotVr, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply tothe construction ofnew buildings, change of
use in existing bui|dinge, or expansion of existing bui|dinUa, as specified in Pasco County Ordinance number88-O7 and
90-07. as amended, The undersigned also underatandn, that such fees, as may be due, will be identified at the time of
permitting. U is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve o certificate of occupancy or
Une| power release, the fees must be paid prior to permit issuance. Furthermore. if Pasco CountyVVater/Sevver 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 ofwork in$2.50OOOormore, |
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 ^nvvnor^. | certify that | have obtained o copy of the above described document and promise in good faith to
deliver ittothe ''owner^prior tocommencement.
CONTRACT{JR'S/DWNER'SAFF|DAV|T: | certify that all the information in this application ieaccurate and that all work
will be done in compliance with all applicable laws regulating conotrucdon, zoning and land development. Application is
hereby made to obtain a 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
construotion. County and City ondes, zoning regulations, and land development regulations in the jurisdiction. | also
certify that | understand that the regulations ufother government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department ofEnvironmental Proteotion-Cypress Boyheado, Wetland Areas and Environmentally Sensitive
Lands, VVater/VVootewaterTremtment.
- Southwest Florida Water Management Distriot-VVe||e, Cypress Bayheade, Wetland Aneao, Altering
Watercourses.
- Army Corps ofEngineera-8eavvo||s.Docks, Navigable Waterways.
Department of Health & Rehabilitative Gervioes/Environmental Health Uni(-VVe||o, Wastewater Treatment.
Septic Tanks.
- U8Environmental Protection Agency -Asbestos abatement.
- Fedens|AviadonAuthority-Runwaye,
| understand that the following restrictions apply tothe use offill:
- Use offill ienot allowed inFlood Zone ''V^unless expressly permitted.
- If the fill mobario| is to be used in Flood Zone ''A'', it is understood that a drainage plan addressing a
^oompensating volume" will be submitted attime ofpermitting which is prepared by a professional engineer
licensed bythe State ofFlorida.
- If the fill material is to be used in Flood Zone ^A" in connection with o permitted building using stem vva||
construction, | certify that fill will be used only to fill 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 propertiee, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |aee 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 separate permit may be required for electrical vvork,
p|umbing, aigns, vve||s, pno|y, air nonditioning, gae, or other installations not specifically included in the application, A
permit issued oho|| be construed to be a license to proceed with the work and not eaauthority to violate, uance|, a|ter, or
set aside any provisions of the technical oodeo, nor shall issuance of permit prevent the Building DMicie| 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 iosuanoe, 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 requeated, in vvribng, from the Building Official for a period not to exceed ninety (QO) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
FLORIDA JuRAT<r.S.11r.m0
OWNER OR AGENT
Subscribed and swor (or affirmed) before me this
1011412022 bv Christopher Smith
Who 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
10/1412n22 —by Christopher Smith
Who is/are personally known to me or has/have produced
as identification,
Notary Public
Commission No. GG 296057
Stephanie Farmer
PASCO COUNTY9 FLORIDA
Permit No. Z-bz_
Date PermltiTd�
Builder Name/Owner Name 6M-n-tv_ Control #
County Parcel No. 6 6 A A SubDIv:
Address/Location � Abe ey—
Classification[Type of Use
TRANSPORTATION IMPACT FEE Rate:
Sq Ft Unit: 23�3a
Exempt El Yes E] No How Determined
Impact Fee Amount $ Zone No. _
TAZ:
Account (056) Single -Family Detached House Amount
$
(057) Mobile Home
(058) Other Residential
23) Collection Fee
Exempt Yes E] No How Determined
0 IN 111FEE
Land Account Land Credit — Land Total
Recreation Account _ Recreation Credit —
Recreation Total
Zone TOTAL AMOUNT
$ 71-1
Exempt Ej Yes NO How Determined
Land Account Land Credit
Land Total
Facility Account Facility Credit
Facility Total
Exempt El Yes E] No How Determined
_ Total punt
ES F
ERU
TOTAL AMOUNT
i_ Checked By
&3ti
OF PASC
Acknowledgement below does not Imply acceptance Of concurrence, but simply receipt of a copy of this form, placing
the building permit owner. on notice of this assessment and the conditions of Payment for same,
SATE
RECEIVE—D—BY--
RECEIPT NO. DATE BY
Im
m
FENCE
SILT FENCE INTER!
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44
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FENCE END
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DESCRIPTION: LOT 12, BLOCK 12, ABBOTT SQUARE PHASE I8. SITE G: t � SEC. 4, TFX7�'. ACT S. iiN� Z [ E.
ACCORDING TO THE PLAT I HEREOF, RECORDED IN PLAT BOOK
PAGEOF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. tNO7 A SURVEY] PASCO COUNTY, FLORIDA
{ABBOTT SQUARE!
ALL ELEVATIONS REFERENCED i
PROPOSED ELEVATIONS AND GRADING This SITE PLAN Peepai ed for and Certified T. TO NORTH AMERICAN
SHOWN HEREON ARE TAKEN FORM If IF Leonar Horner, VERTICAL DA IUNI COP 1988
ENGINEERING PLANS OF ? (NAVD 88)
"ABBOTT SCIUARE RESIDENTIAL -,PREPARED i
By x RA., PROVIDED BY CLIENT CURVE DATA (PI
cuRVL ' r€AAutts ?— ARCEFNt rH c�raRDiFN�TH, cHCarinB€ARrN= DeLT�aNc,Lu,
Scale: 1 " = 20
TRACT "B-3"
(CDD) ACCESS/DRAINAGE/LANDSCAPE/
WALL MAtNTENANCE AND FENCE AREA:
t OPEN SPACE
j N89'45'16`SIP) 56.67'Lm
-_ '201..
€37
LOT 31
BLOCK 12
G LOT
__-.____ - Lj5,B_ SQ. Ft-.
LIVING AREA _ &5 SC. FT,
Pt7RCH___SC>. FT.
tt0t-SPt GARAGE
4�4 FT,
COVERED LANAI n IA_SC. FT.
aM PATIO S . FT.
SL POOL AREA ,a N SO, FT.
CONC. DrOVE FT
LOT 3C} ti A/C: & CONIC PACT �_2 SCE FT,
SIDEWALK FT.
BLOCK 12 ` LOT SOD ry _._.S) FT
R/W SOD
m_SFT.
LOT OCCUPIED i (* --- Wh
AREA TO IRRIGATE
_9f;
LOT 12 1
BLOCK 12 Si' T
T
LOT 29
BLOCK 12 _ 92
7
' O S,
K- c
Q fl X
0111
SS-
,w <a
ny
E er
4
O- 1�5 � — /. SY
i'0
+}t
NOTES: ° v� -
2
LOT
RADIN6 TYPE -A
POSED FRET ELEVATION a IO2.20" SOF.�C�
.... 2`
FRONT SET SACK - 20
LOT 1
SIDE SET BACX - 7 5
BLOCK 12 a
SOE SET BACK IC ORNER LOT( --10 a' �
REAR SETBACK - 15' �C�� .{
Q 2' OAK .1 Cep; _PROPOSEDF4,
-= 1000PGBLiCUTIU1YEASEMEN! 01
T _
MINIMUM FLOOR ELEVATIONS: s 750 s 25.00 (PUBLIC)SANITARY SEWER EASEMENT q9 �1t �` � ,
LIV{NG AREA: 102,87LEGEND: $�'`°� � � ��0�
GARAGE AREA: --t*-s PROPOSED URAINAGF. FLOW
ELEVATIONS REFERENCED TO
NORTH AMERICAN VERTICAL 600
(- PROPC.)sEC GRADE E
DATUM OF 1988 E 0000 a EX!,TING GRADE q
APPARENT FLOOD HAZARD ZONE X'COMMONfiYCK 120235
SURVEY ABBREVIATIONS (MAP NUMBER 12IPIC-0289-F) EFFECTIVE DATE: 09/26IZ014
a =m.uN r-------rt-;tt nk••r�esr r<iNra •Ri_R w LEGEND
P4F-AR?(f1K�t {1N4R )I *2i YA xt RSF R2t:t ft.'J( NFt '31CkF4 *: t 11N t4£Mi'S)t nE '?3 E 2NC RAhy-�1�'�e
.AT -Nisaim".E Ne Et aR ELLV LE\IA1lOh ( =3AN} CtNFERS, fi1[YI -Yt— o RMANP41 I1INTrl -NI RR, IAII r1l,-
91 8AV Ei rtlt YA'tN F ,h, N AViMFNt tFE �t Wt4 ( lRI CVrt tf 1Y F`/! NWIL Eli 3tCk4 tit g. ;p RUr fv,p
Fta-Frog MA4K EGAF %A EMIN t<,� ENSt II UT` Mir r( A<t 5Ef t h1N W'OQf}rtNCE
^W`A (t--'FN(I IITN I rat e ttl AyttRFES H I PONTFi°tiYtRi} l ti'>tS SN10,1€1.111All It
(� tAt..i tA! 1, Fth �FOUND ICNt FE`( RU'.... lit Rtt NO Sit IN lI fARKFRAA-.(lN El.e A
(!N7, 1111 IlNENt N(S=Nc UWNER£z 1N £ Mft RTY[NT CR,Irl 1R'_h fit aE; 91 iri.9tH [1N,2'EAiE
(IF t (A{N t NK FFNT.s E t tCi)t CTf?RAI2Mi."ii iFl;fiiF.TA tti 'tACvFRItt' In f"IN(JN RUN g R TEM SA?. RtNt
Fillc}(tJ, I'tN;inr) 0HW rifirA'Wh 5iC iuhS OF[+Mk4(h{fTrt,N 9 )F 9FiNN
iNFC �IIN)NA16i?'h 1`rr (tti6t Rf-t:: R'1C 111)t C)t,NY TNtt Nt 1U+F IIIWN llI' - ......4, tvfiFt N.F
CtXJC-t£INtRF'E ) FOUND REN oi't r'i t^ iel PC �N1 Of Rkl.F'.F t lov. . .1.E 4 IEkAt Nlt III
I'A' ""RITE Si.AN .....
(St -(:LEARSl(NT rklAW(iS F{M�„Er}tPi(+[ I'll, PAT Nt)ON Pt l.4 A'FRMANeht NF FF h'FNC.E.M NUMF N� SF_ riN4l rtN<(;
JOB#5398 SURWYOR'S NO'M$: SUN PICATIE I ITS Water Cak I-rtve
fIs le cat Srte C tan" 4-12 27 1') Current tide infor Ttation on the subject property hzrsi r)at been This sett#€' n 11-11ibed vpt�n Sprtr gs fiood<n
€urntshed to fnitiaf Paint Land Suivcytng. tt C at the time o€ ti)is or op na u � cxr and f hone: I727I 831-199Q f ;
�wtilAs Rr,,et'z rT,.rz-s T€ SITE PLAN me 7e SCaoce t efor Fiextrda PLS? 1T3�grnaLtcorzn
2.) Tills sketch was p.epared withcutt the bonettt of a atie search. fair e etfHq I�• oar Land U3# 8183
_ No lnsti umenis of, ccord re€kecbng ownership, easemen¢s or ey I". Ater SJ 7 Tliahr RTh
FIle_ righo-of way were tarnished to the undersigned, unless otherwise a 117, 6 3, f`htir,,too i�lo' Ive CIA
shown hereonIt a 0SoCP 472E27 Florida at
Deawn by DJB 3.1 Reads, walks. and other similar items shown Parent, worn tracer,t
Checked byJH 6 orn engineering plans and are subject to survey. r 4,
RBitISIiDNS 4T This SITE PLAN sloes not reflect not detetrnme owatership.
5.1 This SITE PLAN is subject to matters shown on the Plat OfOL
w r
'A8$t?T7 SQUARE PHASE IB' Fte3A.... .-,..Fiat Q
6.) Dimensions shown hereon are in feet knot dreimat portions F O E 5(C $i CVEY Q
thereof S#7129 C.8#81
7.) Contr ctor anti c wner are to ver fy all settaacks, building ,,..�
dlmen c+ t anti lay rut showrx t ec psto to any conskrlxc _ NCIT �� 67 i�
and unmediatety advise Initial Point Land Strrveytng, LLC of arty Slr,NA
deviation from Information shown hereon. Failure to dt so wit! be LICENSED SC PPER
Initial Point Lanes Surveying, LLC.
at users sole risk,
YZ—!�—ev� � e
,
La
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v U A 1, R' V "Ov A S S I S,
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
RMARMHMN,��
Parcel Tax ID: 04-26-21-0150-01200-0120
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 Finn:
Private Provider: DEBRA ANNE KLAHR
Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
Telephone:
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 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
VR/\
VIRTUAL REVIEW ASSIST
Private Provider
Plan Compliance Affidavit
Private Provider Firm: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU1967
Address: 747 Southwest 2,d Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: IL�ieralvirtualreviewassist.-com
Project: New SFR
Address(s): 6347 Ten Acre Ct
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: CSAI,A2,A3,A4,A5,A6,A7, SNO, SNI,S3,S4,S5, S6,ST,SS,SI 1,S12, WPLO, PAI.0,PAI.1,PAI.2,
PAI.3,PAI.4,SHI.0, 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:
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
f6regoiiig is true and correct to the best of his/her knowledge or belief.
A::'[
Sign -Tfure'6f Notary P t-Name
Notary Public: NOTARY STAMP BELOW My
commission expires:
10— COMMERCIAL BUILDING SERVICES DIVISION VRESIDENTIAL
BUILDING PERMIT DATA SHEET
TRACKING #
FOLIO # 6347 Ten Acre Ct
FIRE MARSHAL #01 -
Rt-.anired Permits
DATE: 10/18/2022
EXAMINER: 6ebra Klahr PX230(
VBuilding
0 Inspection Only
;?Plumbing
El Inspection Only
Mechanical
❑ Inspection Only
WElectrical Amp
.,E] Ins ection Only
RT Roof
❑Gas
r—
E] Medical Gas
Ej Fire Sprinklers
E] On Site Piping
El Fire Line
E] Irrigation
El Fire Alarm
El Potable Backflow Assembly
❑ Fire Line Backilow Preventer
El Irrigation Backilow Assembly
M Demolition
El Walk-in Cooler
El Refrigeration
❑ Hood
El Ansul
El Fence/Wall
❑ Grease Trap
E] Other
El Other
Type Construction:
JV-B
Risk Category:
Occupancy Load
aWancy Classification: H"Assembly
Factory L ------ i Hazardous
Residential PStorage
Institutional [== FO,,Mercantile
R�UBusiness Day Care/Educational
t1l1ty
Building Use: Sinale Family residence
VNew Construction E] Interior Finish
Alteration 1[E—]Level 2 ID Level 3 0" Level I
Ej Interior Remodel ❑ Exterior Remodel ❑ Addition F1 Revision
Overall Size:
30 X 58
Number of Stories:
2
Total Sq. Ft.:
2833
Living Area: 2389
Covered Area:
444
# of Bedrooms: 5
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof ?I Shingle ElTile
F1 Built-up
0 Metal r-1 Other Squares: 19
Zoning:
Wiorne Debris:
rn, Inside
Outside
Energy Code:
405-2020
Flood Zone: X
Base Flood Elevation:
I Finish Floor Elevation:
Hydrostatic Vents? rol, Yes No
Sq. Ft. Enclosed Space Below BFE:
# of Vents:
Size of Vents:
I Total Sq. In. Permanent Openings
9 Central A/C
LO-gas A/C
[ Heat Pump
R Gas Heat
El Window A/C
El Electric Heat
317LITIM-12TITIM.
Sanitary Sewer
Storm Sewer— Catch Basins
Potable Water
Under round Fire Line
UNT11"
Front Rear Left Right
❑ Asper Approved Site Plan
Comments:
EM
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.
Jign-jum
Individual
B efore me, this day of
20_, personally
appeared
who executed the foregoing instrument,
and acknowledged before me that same
was executed for the purposes therein
expressed.
Corporation
LENNAR HOMES. LLC
Print Corporation Name
By:
(signature)
Print
Name:ShClstopher Smith
its: Authorized Agent
Address: 700 NW 107th Ave
Miami FL 33172
Telephone
No. 813-574-5700
Corporation
Before me, this 22ND day of
MAY 2o_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.
Partnership
Print Partnership Name
(signature)
Print
Name:
Its:
Address:
Telephone
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. a Print Name ASHLEE CALLAHAN
Notary Public Stamp: ASHLER : CALLAHAN
'.
Commission Expires: Notary pubi1c. State of Florida
Cvaimissior.I GG244456
NOVEMBER 30, 2022 Or 1AY. co Im. Explfei Nov 10, 2022