HomeMy WebLinkAbout22-5417City of Zielphyrhills
IN
5335 Eighth Street
Zephyrhills, FL 33542
BNR-005417-2022
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 01/23/2023
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04 26 210140 00100 0190 6828 Ripple Pond Loop
- - -- --- --------
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: $228,120.00
TAMPA, FL 33607 Electrical Valuation: $34,218,00
Phone: (813) 574-5700 Mechanical Valuation: $15,968.40
Plumbing Valuation: $22,812.00
Total Valuation: $301,118.40
Total Fees: $13,68434
'2 C4
Amount Paid: $13,684.74 L
Date Paid: 1/23/2023 2:56:57PM
CONSTRUCT TOWNHOME 1517 SO FT ****AS
Plumbing Permit Fee $154.06 Electrical Plan Review Fee $0.00
Plumbing Valuation Fee $0,00 Building Plan Review Fee $180.00
Electrical Permit Fee $211.09 Public Safety Impact Fee -Police $254.00
Mechanical Plan Review Fee $0.00 Address Fee $30,00
School Impact Fee - Single Family $3,35100 Transportation Impact Fee $3,44520
Park Impact Fee - Single Family/Townhome $769,56 Water Connection Residential Fee $1,010.00
Fire Wall/Smoke Wall Inspection $15.00 Driveway Fee $45,00
Sewer Connection Residential Fee $2,090.00 3/4 Water Meter Residential Connection Fee $732J1
Mechanical Permit Fee $119.84 Building Permit Fee $1,180,60
Transportation Impact Fee - City $3430 Public Safety Impact Fee -Admin $26.35
SIF 1 percent Fee $33.53
REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c) the
local government shall Impose a fee of four times the amount of the fee imposed for the initial Inspection or
first reinspection, whichever is greater, for each subsequent reinspection.
Notice.- In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you Intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
RACTOR SIGNATURE
PE 11 OFFICE
THOUT APPROVED INSPECTION
MAE M1 JALIT
813-780-0029 City of Zephyrhill$ Permit Application Fax-813-780-0021
Building Department
Dace Received
Phone Contact for Permitting 908 7 70 __ 7763
I_r-1 a 1 If a I _- _ — - - r .r r- r e
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813574.5700
Owner's Address 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number
Fee Simple Titleholder Name / Owner Phone Number
Fee Simple Titleholder Address NIA
JOB ADDRESS 6626 Ripple Pond Loop LOT# A019
SUBDIVISION Abbott Square PARCELto# 04-26-21-g14q-gg1qq-0190
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED 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 L/R SF 19g1 SQ FOOTAGE 151 i HEIGHT 1
BUILDING 228120 VALUATION OF TOTAL CONSTRUCTION
t.f tELECTRICAL $ S I8 AMP SERVICE PROGRESS ENERGY W.R.E.C.
�'''^'`'�ry PLUMBING $ 22812 $ ,
Na! !MECHANICAL S 1596&.4 VALUATION OF MECHANICAL INSTALLATION
Y® /
GAS Z ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES 0
Da
BUILDER g COMPANY Lennar I lomes, L.LC
SIGNATURE '° REGISTERED Y 1 N FEE CURREN Y/ N I
Address 4301 W Bo yy 'out B� trite 600 Tampa, Ft. 33607 License # CGC1518166 ���
ELECTRICIAN COMPANY EdmonSon Electric, Inc,
SIGNATURE REGISTERED Y 1 N FEE CURREN Y 1 N
Address ,m°` License #
EC130Q5408
`
PLUMBER COMPANY Y 13a onet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / i_ - FEE CURREN Y / N
Address � � � �� License # CFCOG299$=
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE I REGISTERED YIN FEE CURREN Y 1 N
Address License # CAC058062
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y / N J FEE CURREN Y / N
Address �— License# CCC057991
IIi811A198811tIiI11a11ii8l8116BIIB98IBBLt:IB11B6lfldl118991116918!!11
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 Pence 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. (AIC 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 RESTRICTIONS: 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 IMPACT/UTILITIES 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/OWN ERIS 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 I 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 "V" 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.
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OWNERORAGENT
_
affirmed)
Subscribed and sworn 0 (or before me this
11121)22 by Christopher Smith
Who is/are personally known to -- orproda
as identification.
Public
Commission No. GG 296057
Subscribed and sworn to (or affirmed) before me
IWV2 by (hrkth., q-ith
Commission No. GG
as identification.
Notary Public
Stephanie Farmer Stephanie Farmer
Name Name of N
1047MIN, 00MAilw*1 too MW CM011111"W#002"(W
E*W F*WY 116, 20 E*M Febway 16, 20
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Builder Name/Owner Name 'ontrol
County Parcel No. uiv;
Address/Location 1
Classification/Type of Lls
TRANSPORTATION IMPACT FEE Rate: 5q. Ft Unit:
Exempt Yes 0 No dice Determined
Impact Fee Amount � � �C _ � Zone No, TAZ:
SCHO L IMPACT FEE
Account (055) Single -Family Detached House Amount $
(0 7) Mobile House
(05) Other Residential
(125) Collection Fey
Exempt CDYes = No How et rmined_
&1FJini���`lnl �Y.^1i1Y;ea'.9 rliEii 1
Land Account Land Credit land Total
Recreation Account Recreation Credit Recreation Total
Zone Total Amount Z ?
Exempt =Yes =No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Mmam
Exempt ElYes No How Determined
Prepared RY Checked By
Am
Facility Total
Total Amount
ER
NO CERTIFICATE OF OCCUPANY WILL RE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND REC IPYED FOR BY A CENTRAL PERMUTING OFFICE IF PASCO COUNTY
ACKNOWLEDGEMENT BELOW DOES NOT IMPLY ACCEPTANCE OF CONCURRENCE, BUT SIMPLY REECEIPT OF A COPY OF THIS
FORM, PLACING THE allILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME.
RECEIPT NO DATE BY
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- . I TW:109,06
SEC, 4, TWP. 26 S, RNG 21 E.
oEsCRIPTION: LOTS 11) 24, BLOCK 1, ABBOTTSOUARE PHASE IA. SITE PLAN PASCO COUNTY, FLORIDA
ACCORDING TO THE PLAT THEREOF,
RECORDED IN PLAT BOOK 89, (NOT A SURVEY! (ABBOTT SQUARE)
PAGE(S)28-35, OF THE PUBLIC RECORDS OF PASCO Cr UNTY, .!�E7
FLORIDA '. I, LOT 25
PROPOSED ELEVATIONS AND GRADING BLOCK I
SHOWN HEREON ARE TAKEN FORM THE 103,46 IWI03,73-ova03,74 /P
ENGINEERING PLANS OF 2 a ,I"\
I PREPARED
ABBOTT SQUARE RESIDENTIAL 25 1 A�p S87'49'53'E P 112,00 P DENTAL, P,
BY 'WRA'PROVIDED BY CLIENT CONC RETAINING WALL
b,
61
I his SITE PLAN ,P,Cl "",'Ind C111"Id To'
8,C) 20,6'
IIIFEW, Did tiled To 19, .354, 1
L - - - - -- 70 -4,1"
iie 0 LOT 24 M �R
EFERENCED
ALL ELEVATIONS R
TONORTHAIVIERIC N 11 BLOCK I
VERTICAL DATUM OFAI988 8,0 10' 1 _1
(NAVD 88)
b
cS
S 87'49'53 IS (P) 1 00 (P)
_69,8 19�5 U
0 a
Lik
LOT 23 >� -, 5: 0 '0
it, ><zM, T
- ' 2 C3
d� BLOCK 1 5 4 W! g
0 FSi
53
20' .0J Q
I I - z S 8T49 53 E (P) 112,00 JP)
Scale: 11" 01 �. I-
625
E_ W 625
b
in
<
z
IN
<
TW= TOP OF WALL M > M,
BW= BASE OF WALL rN LOT 22 §<,20
C N 13,81 BLOCK I
0 le
2- OAK
O
S 87-49 53- E (P) 11200 (P)
10,00 PUBLIC UTILITY EASEMENT
63,0'
<
LEGEND: Try 63e
q M 0
- ------ 11- PROPOSED DRAINAGE FLOW p o LOT 21
> 9 0 <U
(0EL00) PROPOSED GRADE
13"
BLOCK1 <
M <
Ee0,00 EXISTING GRADE 53
1 'ei
i i 1 0 0
S87-4953 E(P) 112,00 (P)
NOTES: 2 < Q
LOT GRADING TYPE t A 62,5 -------- E, R� z
62,5 z
ELEVATION 103 80
i PROPOSED PAD q Ci rl C)
K > oF
FRONT SET BACK x 20 P, - -M
5.3 LOT 20 g<z;oo
U
SIDE SET BACK - 7.5 8,01
21 BLOCK 1 .1 �� S F, U
IXI I <
118 i SIDE SETBACK (CORNER LOT) 5
ED
REARSETBACK15 b In
S 87°49 53" E (P) �l 12.00 (P)
EB
I LOT 20_SCE F235 T 6EL8, 9
LIVING AREA FT 63e
PORCH SOFT. q l-
1
'GARAGE jzt�jzt So FT in "ri 1,
Z
COVERED LANAI SO, FT, ; Z C) 0
_612 < Z
- 1 0' M , �< 0 13;
I PATIO _N_A_._SQ. FT, 20 5' LOT 19 46, 9
I I '� th
SO, FT.
POOL AREA I BLOCK I
8 So FT_
'CONC. DRIVE
NC & CONIC PAD FT, 4LI in
SIDEWALK 19.81 /8 OL 20,6
_5a2 _SCL FT, ro
1LOTSOD IN SON FT,
R/W SOD
_NLA SO FT
LOT OCCUPIED -_zo___ % ,I
1 AREA TO IRRIGATE PM
CONC RETAINING WALL
112 1 �P TTY,,u RE I 81L11 IT E (P) 112.010 (P)
PROPOSED: i �-�AOI 02
MINIMUM FLOOR ELEVATIONS: LOT 18
11 LIVING AREA 104,47' BLOCK I
GARAGE AREA:
ELEVATIONS REFERENCED TO WALKS ARE 3.0 CONCRETE
NORTH AMERICAN VERTICAL NOTE: ENTRY
DATUM OF 1988 X COMMUNITY NO� 120235 C/S_A/C UNITS ARE 12X3 2
APPARENT FLOOD HAZARD ZONE:
NUMBER 1210)C-0289-F! EFFECTIVE DATE: 09/26F2014
(MAPNUM "D'ORD LEGEND SPNLrENCE
SURVEY ABBREVATIONS PC , POINT 11 "'A D 11AIT NV-P,N/KRl 0 Pol, -FIANG1 I.NC
` 'D frCC - ESPNT RA - ROAD SPIRE
Al -A I -IN I L -1 au S r OUR TPOINT IRS - Wool) It NCE
�a I'( rN NNE IINT I1CP PERIMAN , R/W � RiGHT OF WAY
)S �Fro I CVA! On I'M 1, NT -A, NO CYPILI IN - RAINAGE FA1E.ID Ds r' ()0, " A
-a - - f i, FC E=-111HAIT
-AIUMMUM PENCE nc,��DFV FVATION _OW, OR I PIC SEC � SrClION
Af N _S "C� to I
Let - RASE FLOOD D,EVATIOn EON � EDOF OF CENSED SURVEYOR P� -'A,, 1), IWEDIIII.N SN&D -,SET NAIL.AND DEK
C]-:AIN TINY FENCE
EriT . - POINT
rASEME
Cm FIENOT i MARK ESEPT , F CORNER SPEASULOL) -PARKERKALON I q`r 1 ST,12, SON ROD i,91 8 183 BRICK � - ENC
URVE /C S - KITRED END SECTION PK 'IN' SIR -l' MARK
' ry SEN�
'OSINDCONSDETE ay N "M
CAICUIAIED FCM NO M
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k-CENTERUNI MONUMDNT V" PF or Of SANK ALUMINUM 11 `F
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C"P. O/A
C NCI "RON pc TO'
CHAIN INK rE DO ' E WIN - I OWNSH C-111D
,L DIES Rc_� �
1 SO 'D MITI'- 1:1E ROD '0' U I - ITT LITY EASE CS2
,_CORrCIGAr nc-FOUNDIRON )R LIDCORDS P '.)!�NTT',)FNII',','�VERIIC"""-
001 -COLUMN �N&n �!.,D�UND IUX MONUMENT VF - VINM, FOICE
NT REFERENCE MON
U �A' IN
CONN-CONCRrl' 1 8 _ PLAT B .1 PRO PERMANE
I CIS-IMOREIES'a NO in) PIPE 1708 water Oak Drive
CST, -ITLARSIDEITTPIANGLE S6FRVEyo IS TES: SURvEyo 'S CERTIFICATE ed I arpon Sol ings, Florida J #%p OR #5740 1.) Current title informition on t esubjectprope hadectmen This certifies hereon described Phone: (727)
property,\$hs 'ervision and
Date of Site Plan 7-13-22 1 Initial Point Lind Surveying, LLC. at the. time Of this furnished to In f FlorldaPLS7123��gm
rayra ,,citroe, or
meets Land UN 8 183
SATE 2) This sketch was prepared LOP In
S TE PLAN -Search,
BI,SITE p d without the benefit of a title rvffi��A
I reflecting ownership, casement-, or - "73IIA tii ed
No ins ruments, of record DINO; Ca"I"Sel H MA� I
Of -way were furnished to the undersigned U , I
Hi
rights-t D - I IF
10c: shown hereon, shown hereon were like aR Date! 2021-18.16
Drawn by: DJB 3.) Roads, walks and other similar items D*
JF.21.4 00'
'Checked by`JH from enginec felt nor detenTine Owl' W
, C %h
,ring plans and art, subject to survey. el',thy
4,) This SITE PLAN does not "I a �Je
REVISIONS 6,) This SITE PLAN i subject to PeNtrell shown on the I
-ABBOTT SQUARE'SHASE
'44j. Y0 R A N D
4VCI,0�% *-
I A et and decimal portions Jeff M A
6.) Dimensions shown hereon are in in FLOIZ16
MAPPER NI 83
thereof. building
7.) Contractor and owner are to verify all setbacks, T THE ORIGINAL
and layout Shown hereon prior to any construction,
NOT VALID WITHOU
dimensions, SIGNATURE AND SEAL OF A FLORIDA
immediately advise Initial Point Land Surveying, LLC, of any F AND MAPPER initial Point Land surveying, LLC
and mcneca LICENSED SURVEYOR AND MAPPER
deviation from information shown hereon. Failure to do so will b
VR/\
VIRTUAL REVIEW ASSIST
Private Provider
Plan Compliance Affidavit
C
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: IgiLv,(iiviAualreviewassist.com
10=09�
Address(s): 6828 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 atfiant, 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: I,2,3,4,5,6,7,8,9,10,10,1, LL FP-1,SN, SNI,S3,S4,S5,SS,D1,)hT,PAI.0,PAI,I, 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 meby-Debra Anne Klahr
being personally known to me or having produced as identification
and who being fully sworn and cautioned, state that the
foregoing is true an o ect to the best of his/her knowledge or belief.
Signature of No Print Name
Notary Public: NOTARY STAMP BELOW My
."'
LUCERO KING
commission expires:
MY COMMISSION # HH 310390
EXPIRES: My 2, 2026
\/R/\
v IRTUAL REVIEW ASSIST
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
ProjectName: ItIq i I I 1 1 D
J f P
Parcel Tax ID:04-26-21-0140-00100-0190
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— 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: DEB RAANNEKLAHR
Address: 747 SW 2ND AVENUE - SUITES 170,3
Telephone: 813-376-3088 Fax: N/A
Email Address (Optional): deb@virtualreviewassist.com
Florida License, Registration or Certificate #: (LIC # BU1967 / PX2300 / BN4615)
I have elected to use one or more private providers to provide building code plans review and/or inspection
services on the building that is the subject of the enclosed permit application, as authorized by s. 553.791, Florida
Statutes. I understand that the local building official may not review the plans submitted or perform the required
building inspections to determine compliance with the applicable codes, except to the extent specified in said law.
Instead, plans review and/or required building inspections will be performed by licensed or certified personnel
identified in the application. The law requires minimum insurance requirements for such personnel, but I
understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I
have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance
and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harmless the
local 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.. -
Individual
Beforeme, 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 CorporationName
(signature)
Print
Name: Christ her Smith
its: Authorizqd Agent
Address:_YQQ_�►��
Miami FL 33172
Telephone
No, 813-574-5700
Corporation
Beforeme, this 22ND day of
MAY 20 2_2
personally appeared
Of
Lennar Homes LLC a
—corporation, on
behalf of the state corporation, who
executed the foregoing instrument and
aolcuowledged before me that same was
executed for the purposes therein
expressed.
Personally known X ;or Produced identi cation- Type of identification produced
Partnership
Print Partnership Name
By:
(signature)
print
Name:
Its:
Address:
msm-
WMM=
Beforeme, this day
Of 20—
personally appeared
partner/agent on behalf of
ro
a partnership, who executed the
foregoing instrument and
acknowledged before me that same
was executed for the purposes therein
expressed.
Signature of Notar Q n Print Name, ASHLEE CALLAHAN
Notary Public Stamp:
Commission Expires:
NOVEMBER 30,2022
Page 2 of 2
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
Individual
B efbTe 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
Print Corporation Name
(signature-)
Print
Name:Shdstopher SrKith
Its: Authoetzed Agent
Address,,_ZQQ_t����
MLiamiLFL 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.
UMM=t
Print Partnership Name
(signature)
Print
Name:
its:
Address:
Telephone
No.:
Partnership
Beforeme, this day
of 20_,
personally appeared
partner/agent on behalf of
a partnership, who executed the
foregoing instrument and
acknowledged before me that same
Personally known X ;or Produced identi cation_ Type of identification produced
Signaturo of Notar Print Name SHLEE CALLAHAN
NotaryPublic Stamp:
ASHLEE CALLAHA
Nota *�, pubijc, state of Florida
Commission Expires: G6 144456
lees Nov 10, 2022
NOVEMBER 30,2022 F, ' ExpN
F—COMMERCIAL BUILDING SERVICES DIVISION O!"RESIDENTIAL
BUILDING PERMIT DATA SHEET
FIRE MARSHAL #01 -
Required Permits
--ng
Bu�illdh
ing
Mechanical
IV
- -- - ------ --.- - - --- ------
Ptlectrical Amp
—
El Inspection Only
1 E]Jns ection Oni
0 [:11��ection_Qn�i
Ins ectionOnIv
El Medical Gas
E] Fire Sprinklers
..................................................... ................ -
El On Site Piping
Irrigation
[j Fire Alarm
El Potable Backflow Assembly
E] Fire Line Backilow Preventer
Irrigation Backflow Assembly
El Demolition
ooler
RefrigeratioIII I7� n
Hood
El Ans11 ul
Grease Trap _1
Ej Other
E] Other
T e Construction: V-B
Risk Category:
Occupancy Load
a n sification:
Clas cy E==
Factory
Assembly
Hazardous,.®!
"'bay Care/Educational
Institutional E::= [:]Mercantile
Residential
'Storage E=
Q
Building Use: Single Familv townhouse
Alteration F Level I I Level 2 IQ Level 3
VNew Construction Interior Finish ❑ Interior Remodel
Exterior Remodel Addition Ej Revision
Overall Size:
Number of Stories:
Total Sq. Ft.:
27 x 70-10
1 1901
Living Area:
Covered Area:
# ofB—edrooms. 2
1517
384
# of Baths: 2
Cost per square foot:
Estimated Value:
�
Roof T e: Shin le
Tile ❑ 0BuijI_u
Metal Other Scares:� 21�
Zoning:
Wi orne Debris:
Energy Code:
405-2020
I Outside
Flood Zone: X
-TEQJ,Jnside
Base Flood Elevation:
I
Finish Floor Elevation:
Hydrostatic Vents? rQ,'—Yes --W5Ko—
'%t"
Sq. Ft. Enclosed Space Below OFF:
# of Vents:
Size of Vents:
Total Sq. In. Permanent Openings
9 Central A/C
9 Heat Pump
Window —A/C
El Gas A/C
El Gas Heat
(Electric Beat
Sa!!ita Sewer
Potable Water
Front
Comments:
Rear Left
As per Approved Site Plan
ORONO
0r�
mm