HomeMy WebLinkAbout22-5363i II y ,.L'' -0'P� 1+! 3 6 , is -2 tits 2 jl i .)
Issue Date: 12/14/2022
1 t1din'''I 'Residential
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36552 Smithfield Ln 04 26 21 0150 00900 0070
Ow
n r r r t In r ilt 6for ati q tr v r f f to Ion
Name. LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential) Contractor LENNAR HOMES LLC
Glass of Work: SFR Construct
Address:. 4600 W Cypress St 200 Building Valuation: $342,480.00
TAMPA, FL 33607 Electrical Valuation: $51,372,00-
Phone: (813) 574m5700 Mechanical Valuation: $2,973,60 ,
Plumbing Valuation: $34,248.00 °� At"
Total Valuation: $452,073.60
Total Fees: $20,333.98 ��
Amount Paid: $20,333.98
Date Paid. 12/14/2022 3:45:28PM a�...
CONSTRUCT SINGLE FAMILY 2389 SQ FT AS'"*
Public Safety Impact Fee -Admin $26.35 Plumbing Plan Review Fee $0,00
Transportation Impact Fee $3,595.68 Irrigation 314 Meter (Calc) $732,71
Public Safety Impact Fee -Police $254.00 Mechanical Permit Fee $159,87
Building Plan Review Fee $180,00 Driveway Fee $45,00
Transportation Impact Fee - City $36.32 Water Connection Residential Fee $1,010.00
Address Fee $30.00 Electrical Permit Fee $296.86
School Impact Fee - Single Family $8,328.00 Electrical Plan Review Fee $0,00
SIF 1 percent Fee $83.28 3/4 Water Meter Fee (Calc) $732.71
Plumbing Permit Fee $211.24 Park Impact Fee - Single Family/Townhome $769.56
Sewer Connection Residential Fee $2,090.00 Building Permit Fee $1,752,40
Mechanical Plan Review Fee $0.00
REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 53.30( )(c) the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
fiat reinsp cti n, whichever is greater, for each subsequent r insp ction.
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 rather 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 year 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 OCCUPANCYBEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE F E IT GFFIC
PERMITIN 6 MONTHS WITHOUTINSPECTION
CALL FOR INSPECTION IREQUIRED
813-780-0020 City Of Zephyrhills Permit Application
Fax-813-780-0021
PW Building Department
Date Received
Phone Contact for Permitting
908 770 -- 7763
yr a°eerrr rrxaraae�a_,_.."__
Owner's Name
CAL HEARTHSTONE LOT OPTION POOL 03 L P
Owner Phone Number
813.574.5700
Owner's Address
23975 Park Sorrento, Ste 22Q, Calabasas, OA 91302
Owner Phone Number----��
Pee Simple Titleholder Name
NIA
Owner Phone Number
Fee Simple Titleholder Address
NIA
3F3JJ2 Smithfield Lane
Q��7
JOB ADDRESS
LOT#
SUBDIVISION AblOtttUaie PARCEL ID#
(OBTAINED FROM PROPERTY TAM NOTICE)
WORK PROPOSED
� y
NEW CONSTR ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
B
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL [�
DESCRIPTION OF WORK Single Family Residence t Pool i Screen Enclosure t Fence
BUILDING SIZE UIK SP 2J4 SO FOOTAGE HEIGHT
�Y BUILDING $ 342480 VALUATION OF TOTAL CONSTRUCTION ter"13
¢ L '
tee (ELECTRICAL EE AMP SERVICE PROGRESS ENERGY W.R_E,C.
N� (PLUMBING $ 34248
IIe6lMECHANICAL $ 23973.E I VALUATION OF MECHANICAL INSTALLATION ,,-
Y GAS 10 ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES j ( o
Lennar I Tomes, LL tC_.P
BUILDER COMPANY
SIGNATURE REGISTERED Y 1 N FEE CURREI Address —
4301 iV Boy ut Blvd Suite 600 Tam
License #
pa, FL 33607 CGCI518166 �
°
ELECTRICIAN COMPANY
Edmonson Electric, Inc.
'°
SIGNATURE REGISTERED Y / N FEE CURRE Y / N
Address License # EG13QQ54Q8
PLUMBER '` COMPANY Bayonet Plumbing Heating & AG, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address � �,� License #
FCQ42998
MECHANICAL m COMPANY Bayonet Plumbing, Hea�/N
C, Inc
SIGNATURE REGISTERED Y/ N FEE CURRE<\
Address License # GACQ58Q2
OTHER ° COMPANY C Sterling {duality Roofing, Inc
SIGNATURE Tr REGISTERED Y 1 N FEE cuRREn Y/ N
Address License# CGQ57991
11BtE91BRBCg11161W" it.B--�..1..�IB961f!1�...9...B..f'��liii89i@IIFi&�9t9[C66lBE�YIl1
RESIDENTIAL Attach (2) Plot Pla ; (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 OF DEED RE6TRICTIONS: 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 a 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 law, both the owner and contractor may be cited for a 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. Furthermore, if the owner has hired a contractor or contractors, 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
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It 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 a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that 1, the applicant, 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", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the "owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions 1 must take to be in compliance. Such agencies include but are not limited to:
Department of Environmental Protection -Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Southwest Florida Water Management District -Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses,
Army Corps of Engineers -Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit -Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency -Asbestos abatement.
Federal Aviation Authority -Runways,
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone W" unless 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 at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I 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, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required,
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a 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,
117.
OWNER OR AGENT CONTRACTOR
Subscribed and sworn o (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this
22111011 by Christopher SCYiith.. IWM022 by CtlristopheT Smith
Who islare personally known to me or#as4;iays*,Q44GQ4 Who is/are personally known to me or has/have produced
as identification. as identification.
Notary Public ✓ Notary Public
Commission No. GG 296057 Commission No. GG 296057
Stephanie Farmer Stephanie Farmer
Name Name of NgMj
0
, , STWA" FAMER
ta commmimmmo
1115, MS
4, Z.Fo owed no Trq f* lililim" #*3W7419
HEMMMMMEM
PARKS AND R9CREATION FEE
Land Account Land Credit Land Total
creation Account
Zone
Exempt Yes N
Hove Determined,
Recreation Total
LIBRARY FEE
Land Account Land Credit Land Total
Facility Aqwunt Facility Credit Faclilty Total
Exempt Yet []No How Determined Total n < �.,
E U
TOTAL AMOUNT
RECEIPT NO. DATE BY
SEE SHEET C210
MATCH LINE
co
2 2
L2
11
10
9
9
8
7
6
5
4
3
TYPE'B'
E B'
;9.'
TYPE'B'
YPE
TYPE'B'
PE B'
TYPE'B'
TYPEW
TYPEW
TYPE'B'
YPEW
TYPE'B" FF:110.67
57
FF:100.77 FTFJOI�B97
E 3. B'7
FTFY:
104.17
FF:105.27
FF:106.37
FF:10737
FF:108A7
FF:109.57
FF:110.67 PAD:110.00
:98.90
PAD:100JO
IPAD:102.40
PAD:103.50 PAD:104,60
PAD: 105.70
AD:106,70
PAD;108,90
AD:110,0(
I
-- -
- -
-
- - - - -
- - - - .6
o
12V - 42" RCP @ 0-301/.
E2�9737 SD8-2
270'- 42" RCP Co) 0.30%
103.85
EZ
41'- 18" RCP @ 1.94%
9&07
SD8-13
1
04,64
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lo
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-- - - - - -
m
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0
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- -
- - - -
35'- 18" RQR 2M%-
TYPEW
TYPE'B'
TYPE'B'
TYPE'B'
TYPEW
TYPE'B'
T yp
TYPE'B'
TYPE'B'
PE
P PE TYPE'B'
FF:101.67
FF:102.77
FF:103'37
FF:104.87
FF:105.97
F F : 1 O�7.
FF:108J7
FTFY109'�B7 FTryll'O',B37
FTFY110'.B37 F F:11 1 .4 7
AD:101.00
AD:103.20
AD:104.20
AD:105.30
AD:105.40
PAD:109.7 PAD:110.80
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5
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6
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7
8
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Structure Table
r"I
SD8-2
4 L'i
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TYPE 9 CURB INLET
EOP:9737
ui -r
RIM:97.20
UJ U
48" RCP(SWp[E:84.33
<
42" RCP(E)IE:85.67
LLJ 5;
LLJ
18" RCP(SE)IE:92.96
Ln
DIESCRIPTIONk LOT 7. BLOCK 9, ABBOTT SQUARE PHASE I B, SITE PLAN
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89,
PAGES 57-62, OF THE PUBLIC RECORDS OF PASCO COUNTY, (NOT A SURVEY)
FLORIDA.
PROPOSED ELEVATIONS AND GRADING Lennar Homes
SHOWN HEREON ARE TAKEN FORM THE
ENGINEERING PLANS OF
ABBOTT SQUARE RESIDENTIAL, PREPARED
BY'WRA PROVIDED BY CLIENT
LOT
- 56 -5 25 SO, FT,
LIVING AREA
-1269 SO, FL
PORCH
51 -SOL FT
GARAGE
414 SO. TV
COVERED LANAI
�_NZASO, FT
PATIO
= 21 SO, FT
POOL AREA
=_NEASOL FT,
CONC, DRIVE
= 328 SO, FT,
A/C & CONIC PAD
= 23 SO. FT
SIDEWALK
-_37 SO, FT,
LOT SOD
FT,
R/W SOD
FT,
LOT OCCUPIED BG
AREA TO IRRIGATE = b2 LF,
2' OAK
I fr00PUBLIC UTILITY EASEMENT
LEGEND:
PROPOSED DRAINAGE FLOW
(00,00) PROPOSED GRADE
E00.00 EXISTING GRADE
NOTES:
LOT GRADING TYPE ° 8
PROPOSED PAD ELEVATION - 107,50
FRONT SET BACK - 20
SIDE SET BACK, 7,5
SIDE SET BACK (CORNER LOT) - 10
REAR SETBACK- 15
PROPOSED:
MINIMUM FLOOR ELEVATIONS:
LIVING AREA: 108.17'
GARAGE AREA,
ELEVATIONS REFERENCED TO
NORTH AMERICAN VERTICAL
DATUM OF 1988
I ALL ELEVATIONS REFERENCED
i TO NORTH AMERICAN
VERTICAL DATUM OF 1988
(NAVD 88)
TRACT "A"
(CDD) RIGHT-OF-WAY
SMITHFIELD LANE
t___
N 81 I'E LP)
BASIS OF BEARING
5 CONC WALK N 89-453 1 E (P) 45,00 (P) -
OR S 89 1 45 31 W(P) PC
37TIS' (P)
a
'tCONC WALK
ENTRY
PROPOSED
2 STORY RESIDENCE
PLAN 2382
ELEV'A'
GARAGE L
LOT 7
BLOCK 9
LOT 6
BLOCKS iZ
30-0,
75 30'
TIO
elTPA'0
4.UX5,7
'/S-A/C
0
6
ly
6 LOT 8
BLOCK 9
6
00
----------
'S8T4524W(P) 45.00'(P)
TRACT "B-6"
(CDD) ACCESS/DRAINAGE/
LANDSCAPE/ WALL
MAINTENANCE AND FENCE AREA,
OPEN SPACE
SEC. 4, TWP, 26 S, RING 21 E.
PASCO COUNTY, FLORIDA
(ABBOTT SQUARE)
Scale: 1 = 20'
APPARENT FLOOD HAZARD ZONE: X COMMUNITY NO 120235
SURVEY ABBRE TIONS (MAP NUMBER 1210IC-0289-F) EFFECTIVE DATE. 09/26/2 14
AAR( LENGTH jOl DEED N—EVERT PC - POIN I OF CURVE Ul-RECOPRI LEGEND VINYL FENCE
AIC ' AIROD—TIONCIS 0 F, DRAINAGE EAGNIEN' 3 -LICENSE IS BUDNE CS PCC - POINT OF COMPOUND CURVE RNG - EANU CONIC
A! - ALUMINUM FENCE a, OR ELEV - ELEVATION E - LANDSCAPE FASEMEDT PCP- N' RMANENT COu', ROL POINT ROS - SAIL, ROADSPIKE
R�r BACF FLOOD FtEVAIION SO!' -EDGE OF PAV!CFN7 LEE -LOW ICKir' OCR[ LEVATION F1F,PCXFLNCUP%DNT iise - RIGHT OF WAY
SM BUNCH MARK �_IB17 - EASEMFNI Ls - LICENSED G'JRVEYOR AD - PAGE SEC - SECTION WOOD FUNCE
Ct;RVF1 FENCE CORNER PW-SSFV'URRD E-PONI OF INTERSECTION SN&D - �S -1 NAL AND DOK
I" _COCL7 D S �C! ELTRUNe' CM -FOUND CONCRETE rSES-%M7tREDFNDWLrSDN ^FIAPKEII FELL ON CHAIN LINK FENCE
0 f CHAIN LINK FENCE MONUMENT NCF -NC) CORNER I GUNN � PROPERTY FIND SIR- SET 1/2' ED 'e"I'le
ATEDNIFIAlpa PIP - FOUND IRON!`PE C/A- OVERALL FOB _;:O of OF BECENNiNG USES - 11FONN=N1 R1 NCH I �'A'1'14'
HR-UnLINDIRCEPROD CsFW` ^ OVERHEAD WIRE(S) 'OF-PCFN OFCOMMENCIMENI TOS - TOP OF BANK =—MIK
P
COLA COW MN I.N' -I CIN�RITE f RALF - FOUND NAT & DDIK OR -ORD(JALRECORDS 0, - OOr ON t INE TWP - TOWNSI HP Al UNINUM FENCE
LYS ' (ONCRETE SLAB FCD-ECUNDOPMPIPF In -PLAT PRC - POCK t OF REVERSE CURVE OF - UTILITY EASEMENT 1—ron R\
'� I PRIO - PERMANENT REFERENCE MONUMENT v,
CS) - CLEAR '&NaANL,C _ ft',FOUINDIENCHEDPINE a3 - PLAT 900K
SURVEYOR'S MOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive
�OB #5821 1.) Current title information on the subject property had not been This certifies that sketch of the hereon described Tarpon Springs, Florida
Date ofSRo Plan: &9-22 furnished to Ininal Point Land Surveying, LLC, atthe brecofthis property was pervision and Phone: 1727)-831-T990
4U &J LW AS-PHIB-L7BL9-SLTE SITE PLAN ractice for FloridEoLS7123MignLail,
_G 2.) This sketch was prepared without the benefit of a titic, search.surveys to of Land LB# 8183
No instruments of record reflecting ownership, easements or it,
�ilo rights -of -way were furnished to the Undersigned. unless otherwise _0 0 3t Signed
shown hereon, iff;
Drawn by: DJB J i LI kn' D 72f 1by-J Hari ley
3.) Roods, walks, and other similar items shown hereon were taker - �*�%
StatEfs, 1,
-necked byJH from engineering plans and are subject to survey. atie I 2.OE,30 111 ONS
?EVISIONS 5.) This SITE PLAN is subject to matters shown N-04-C 01 Aff"I'' 'RRcC'
owners I
4.) This SITE PLAN does not reflect nor determine I FIRE CBP KC
ti
ABBOTT SQUARE PHASE I B' on the Plot of
'Off MIj
6.) Dimensions shown hereon are in feet and decimal portions FLORIDA AND 10
thereof, APPERN R`1*%J V
7.) Contractor and owner are to verify alf setbacks, building M
sae
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 Drfornnaticarrr shown hereon. Failure to do so vali be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC,
..
m
��(�-�I-o►50- 00�80- oo7c�
VR/\
VIRTUAL REVIEW ASSISI'
Private Provider
Plan Compliance Affidavit
Private Provider Finn: 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: I-Lie!f�IN,iri:iialreviewassist,com
-- 4---
Project: New SFR
Address(s): 36552 Smithfield Lane
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 afflant, 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:
CS,A1,A2,A3,A4,A5,A6,A7,SNO,SNI,S3,S4,S5,S6,SS,ST,S I 1,S 12,WPI,O,PAI.0,PAI. l,PA I.2,PAI,3,PAI.4,
SHL0,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 by Debra Anne Klahr
'7� being personally known to me or having produced as identification
and who being fully sworn and cautioned, state that the
foregoing is true S, rrect to the best of his/her knowledge or belief.
�7
Signature of N Print Name
Notary Public: NOTARY STAMP BELOW My
LUCER01ONG
4 HH 3"310 WC0MMlSV0t4#HH3i0W
EVMS. J* 74,2026
VIRTUAL REVIEW ASSIST
Notice to Building Official ®f
Use of Private Provider
Effective January 20, 2003
1!arcelTaxl]D: 04-26-21-0150-00900-0070
MEMM
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 Steve Smith , the fee
owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services
indicated above.
Private Provider: DEBRAANNEKLAHR
Address: 747 SW 2ND AVENUE ® SUITES 170, 301, 357 & 358, GAINESVILLE, FL. 32601
Telephone: 813-376-3088 Fax: N/A
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
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 reguire more insurance to rotectmi interests. Biexecutin-c-# d"-I.-J-
ave inacto 1171,1mri regaro•CLCHUC #I L11C 11L;C11NCU Ul LX11,111CU ivulNU1111CI allu L11C luvul 01 uIvir 11INUI-allme
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 perrnit 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. 5 53.79 1, 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 co rehensive liabilit
n1p y in.the, amount of $1 million per
occurrence relating to all services performed as a private provider, including tail coverage for a rninimurn
of 5 years subsequent to the performance of building code inspection services.
(signature)
Print
Name.
Address:
Telephone
STATE OF —FLORIDA
COUNTY OF —HILLSBOROUGH
Individual
B cf0le Ine, 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
-1ERRAREQMES,LLQ--
Print Corporation Name
(signature)
Print
Name: Christ oher Smith
QRDt��
its: Authorized Aggnt
Add,ress:-ZQ_Q 3U—j 0 th Ve -N --7---A
Miarni, FL 33172 —
Telephone
No. 813-574-5700
Corporation
Reforeme,this 22ND day of
MAY 2o 2.2
personally appeared
—Of
Lennar
_corporation, on
behalf of the state corporation, who
executed the foregoing instrument ani
ecuted the p oses therein
ressed. I
WMEM
Print Partnership Name
(signature)
Print
Name:
Its:
Address:
Telephone
No.:
Partnership
Before me, this day
Of
personally appeared
partner/agent on behalf of
a partnership, who executed the
foregoing instrument and
aclmowledged before me that sane
was executed for the purposes therein
expressed.
Personally known X ;or Produced identi cation Type of identification produced
Signature of Notarl Print Name ASHLEE CALLAHAN
Notary Public Stamp:
ASHLEE CkLLAHAN
t4otary Pub4'T State Of F(otida
Commission Expires: i conimissior. # G6 244456
NOVEMBER 30, 2022 'VtcoqmExpvel Nov M
ujh NWOW NolAry A.isj�
Page 2 of 2
uja
FIRE MARSHAL #01 -
VIM 07 n f 174 ri -7Z WC,
El
Roof
Wflumbing
Inspection OnIv,
W—Wft
i Mechanical
EJ InTf�y��
0 MeIII �I dical GIII Ias
WElectrical Amp
El JnT!Lc��
El Fire Sprinklers
El On Site Piping
El Fire Line
E] Fire Alarm
II I
El Potable Backflow Assembly
E] Fire Line Backflow Preventer
[]Irrigation Backilow Assembly
El DeII molition
El Walk-in Cooler
El Refrigeration
El Grease Trap
M�
T e Construction: V-B
Risk Category:
Occupancy Load
aney Classification:
OVF.cto E=
Assembly
Hazardous
"Day Care/Educational
I ti, 'El Mercantile
nstu� nal E== FE�
R,,iZtud
Storage E=
®Utility
Building Use: le FarSinAWi ly
.... .
Ll I Ll 2 Level 3
Alteration Level '
I Val, IQ"
VNew Construction El Interior Finish ❑ Interior Remodel
El Exterior Remodel El Addition El Revision
Overall Size:
Number of Stories:
Total Sq. FL:
30 x 58
2
2854
Living Area:
Covered Area:
# of Bedrooms: 5
2389
465
# of Baths: 2.5
Cost per square foot:
Fstirnated Value:
Roof T e: Shin le
Tile
s: 19
Zoning:
Wi
020
[;Inside
?Outside
Flood Zone: X
Bas
n:
Hydrostatic Vent�s?EQT Y �e
# of Vents:
Size of Vents:
Total Sq. In. Permanent Openings
—0 Central —A/C
Pump
El Window A/C
El Gas A/C
El Gas Heat
El Electric Heat
I =4
Sanity
�ia Sewer
Storm Sewer Catch Basins
_��
Potable Water
Underground Fire Line
Front Rear Left Right
21 Asper Approved Site Plan
Comments: