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Home My WebLink About22-5422City of Zephyffillis 5335 Eighth Street Zephyrhills, FL 33542 BNR-005422-2022 Phone: (813) 780-0020 Issue Date: Fax: (813) 780-0021 1111 Perill!'I I 1 7 e: BuIld1q, 1 Nevip fResidential i i :: 7 04 26 21 0150 02300 0200 36367 Garden Wall Way Name: LENNAR HOMES LLC-OWN ER Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC Class of Work: Townhome Address: 4600 W Cypress St 200 Building Valuation: $250,320.00 TAMPA, FL 33607 Electrical Valuation: $37,548.00 Phone: (813) 574-5700 Mechanical Valuation: $17,522.40 Plumbing Valuation: $25,032.00 Total Valuation: $330,422.40 Total Fees: $13,831 .26 Amount Paid: $13,83116 e Date Paid: 1/23/2023 2:56:57PM CONSTRUCT TOWNHOME 1634 SQ FT ""-"AS Sewer Connection Residential Fee $2,090.00 Mechanical Plan Review Fee School Impact Fee - Single Family $3,35100 3/4 Water Meter Residential Connection Fee $732.71 Plumbing Valuation Fee WOO Water Connection Residential Fee $1,010.00 Public Safety Impact Fee -Admin $26.35 Electrical Plan Review Fee KOO Public Safety Impact Fee -Police $254.00 Address Fee $30.00 Plumbing Permit Fee $16516 Electrical Permit Fee $227,74 Building Plan Review Fee $180.00 Building Permit Fee $1,291.60 Park Impact Fee - Single Family/Townhome $769.56 Transportation Impact Fee $3,445.20 Transportation Impact Fee - City $34,80 SIF I percent Fee $33,53 Driveway Fee $45.00 Mechanical Permit Fee $127.61 Fire Wall/Smoke Wall Inspection $15,00 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 rein spection, whichever is greater, for each subsequent rein spection. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit required from other governmental entities such as water management, state agencies or federal agencies. "Warning to owner: Your failure to record a notice of commencement may result In your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. N 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 8�13.574.37�00 Owner's Address 1 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number Fee Simple Titleholder Name [ /A Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 36367 Garden Wall WayLOT # 2320 SUBDIVISION Abbott PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR F__1 ADD/ALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL DESCRIPTION OF WORK BUILDING SIZE SQ FOOTAGE HEIGHT 07UILDING $ 250320 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL PROGRESS ENERGY W,R.E.C. PLUMBING EE= AMP SERVICE $ 25032 MECHANICAL VALUATION OF MECHANICAL INSTALLATION GAS IZI ROOFING SPECIALTY = U0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA t_JYES Do BUILDER COMPANY I Lennar I Ionics L1 C SIGNATURE REGISTERED Address 4301 W y tout Blvc fite 600 Tampa, FL 33607 CGC 1518166 License # ELECTRICIAN COMPANY Edmonson Electric, Inc. SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# I EC 13665408 PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y/ N FEE CURR�EN�� Y/N Address r .... . ..... . License# MECHANICAL COMPANY FBayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Address All J Lcense# OTHER COMPANY [C Sterling Quality Roofing, Inc K]��FEECURRFN�� SIGNATURE REGISTERED I CCCO57991 Address License # 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 clumpster; 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 H 0) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & I clumpster. 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) .1 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) Rerools if shingles Sewers Service Upgrades A/C Fences (PloUSurvey/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 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'SIOWN 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 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, IWIT111104�1T Lai I lZmaxtom all W012 an WMIMIL01 121 kJ11,1'0 OWNER ORAGENT CONTRACTOR Subscribed and sworn o (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this by Christopher Smith by ChristogherSmith Who is/are personally known to me orb or has/have produced as identification. as identification. Notary Public -1 _-Notary Public Commission No G 296057 Commission No. GG 296057 Stephanie Farmer Stephanie Farmer Name $1VK"FARM NameofN1 101111;� Comlsolillift#0029M E*WF$bn"1I6I2W � � 4--, m ' mp` mm \ nn ` __��.r-4_ Permit o. z' � Date Permitted Builder Name/Owner Name Contrcal County Parcel No. u i Address/Location Classification/Type Ilse TRANSPORTATION IMPACT FEE Rate:-, Sad. Ft Unit; Exempt 0 Yes 0 No How Determined Impact Fee Amount 13 eK- o Zorn No, TAZD SCHOOL IMPACT FEE ell Account (056) Single -Family Detached House Amount (0 7) Mobile Horne (05) 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 Determine LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Yes Exempt ID No How Determined total Amount RESOURCE FEE ERU Total Amount Prepared By Checked By HD CERTIFICATE OF OCCU A Y WILL BE ISSUED DR 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, 9uT SIMPLY REECEIPT of A COPY of THIS FORM, PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME, DATE RECEIVED BY RECEIPT NO DATE 6Y DESCRIPTION: LOTS 19-24, BLOCK 23, ABBOTT SQUARE PHASE I B, ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOT( 89, PAGEjS)57-62, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. LOT = 1261i SO. FT. LIVING AREA = 4010 SQ,FT. ENTRY = 476 SO, FT. GARAGE =_1356 SOFT. COVERED LANAI = 652 SQ. FT. PATIO = NA SO, FT_ POOL. AREA =—NA SQ. FT. CONC. DRIVE = 1200 SQ. FT. A/C & CONC PAD =, 54 SO, FT. SIDEWALK = 272 SO. FT, SIDE YARD SWALE = NA SO. FT. CONSERVATION AREA = NA SO. FT, LOT OCCUPIED = 64SS AREA TO IRRIGATE = 36 % 1 1 6OR' , 2834' N \B 0.0' SITE PLAN !NOTA SURVEY) his SITE PLAN Prepared for and Certified To: Lennar Homes TRACT "B-7" (CDD) PARKING AREA AND OPEN SPACE N 89-48'04` E IPI 128.68' IPI SEC. 4, TWP. 26 S, RNG 21 E. PASCO COUNTY, FLORIDA fABBOTT SQUARE) Sole,- 1 = 20 _U(, (r) ( IRE- IT') ' /y 183' 18.0' 18.0' 18e, 181O IdJ UNIT -A UNIT-C z UNIT-C UNIT-C UNITC UNIT-4 1532 PROPOSED a Ib24 4 PROPOSED 1624 PROPOSED z 1624 R PROPOSED 8 1624 ._ PROPOSED n 1532 PROPOSED 2 STORY 2 STORY c ATTACHED 2 STORY 2STORY P ATTACHED C; 2STORY K, ATTACHED a 2 STORY P ATTACHED RESIDENCE Pi RESIDENCE = ATTACHED. RESIDENCE RESIDENCE a.. E RESIDENCE )ATTACHED RESIDENCE LOT 24 of LOT Z3 v ro LOT 22 $ LOT 21 LOT 20 b L07 19 " BLOCK 23 n F BLOCK 23 BLOCK 23 b ' BLOCK 23 =BLOCK 23 ' BLOCK 23. ENTRY w iv v b7 1 11.3' 140' 113' 1 N 89`48'04" E In a, 12,22Jet 6� 2834 (P) 1 IfirK (P( t 27 3 l0o LOT 18 BLOCK 23 _v W O 0 10.0 w T u, w /6-7' T 113 113 113 1.3 100• j• 100 +. j i i 100 i t0.0 I Q IB 00 (P( I ISOO JP) 1; 0IPj I 26.34'IF) S 89"4e,04" W (P) 128,68' (P)' •.5 CONC WALK' 273 .LL 27 3'•. ti ENTRY 13t3` ENTRY I IENTRY BASIS OF BEARING N BT48'04" E (P) GARDEN WALL WAY TRACT "A" (CDD) RIGHT-OF-WAY PIPE NOTE: ENTRY WALI(S ARE 3T) CONC PROPOSED: NOTES: C/S-71/C UNITS ARE 3.2 X3,2 ( ALL ELEVATIONS REFERENCED MINIMUM FLOOR ELEVATIONS: NORTH AMERICAN TQICALDAT LIVING AREA: 97.67' LOT GRADING TYPE - A 3= 2" OAK VERTICAL DATUM of 19BB DATUM GARAGE AREA: PROPOSED PAD ELEVATION = 97,00' _= TOSOPUBLIC UTILITY EASEMENT(NAVD 88) —� ELEVATIONS REFERENCED TO FRONT SET BACK =20' LEGEND: NORTH AMERICAN VERTICAL SIDE SET BACK = T5 — PROPOSED DRAINAGE FLOW ''.. PROPOSED ELEVATIONS AND GRADING '.. DATUM OF 1988 SIDE SET BACK (CORNER LOT) =10' ( SHOWN HEREON ARE TAKEN FORM THE REAR SETBACK = 15' (00,00) = PROPOSED GRADE ENGINEERING PLANS OF E-00.00 = EXISTING GRADE "ABBOTT SQUARE RESIDENTIAL". PREPARED APPARENT FLOOD HAZARD ZONE: "X'" COMMUNITY NO. 120235 I BY'WRA" PROVIDED BY CLIENT SURVEYABBREVIO ATN$ (MAP NUMBER 12101C-0289-E) EFFECTIVE DATE: 09/26/2014 _ A ARE NG^i (D) 'DEE1 INV=1N'V R "C-PCINT t)'C:CIRVF (r; •=RECO:iJ LEGEND ACQAIR ONDTONER A-ALUMNJM :NCE DF DRAINAG EASEMENT EL OR €LFV ELEVATION B LICLNSO) BUISNESS - LANDSCAPE EASEMENT PC, PO'NTOt COMPOUND CURVE PCP PERMANENT CONTROL POINT RNG^RANGE RRS^RAT ROAD SOME VNerENCE h GONG u—.---��.—..- 9if-6AsfFOODGo`V"N FOP -EDGE OF PAVEMENT LEE= I OWRST Fi. OOR ELEVATION FEE - POOL EQUIPMENT R/W - RIGHT OF WAY BM-BFNCH MARK C^CURVE ESM T-EASCAUNT /C=EFOU CORNER 1S- LICENSCO SURVEYOR -MEASURED PG'=PAGE POINT OF INTERSECTION SEC - SECTION SV&D-SET NAIL DICK w(K)"FFNCE ASPHALT l fA�Ct1LAT�!? ACM=FpLINDCONCRETE M MES=MIT 12i'IJ LINO SECTION I' 1'Y-ARK "ION AND HpgtB) � �� CFN'TF2 NE LF 'UNN INK ANC£ MONUMENT FIPn FC7t1hD IRON 'cCF=N(J CORNERFOUND O/A-OVERAL 2 20°ERTYt1NE ECK -P(SNT OF BEGNEING SIR, SE 2 I,40NROD.3x Si H3 IBM-TEMP+O.RARYBENC1IMARK 4Ah JNtt,'�'�NYE 7 ELSCK—M---k- ,GAT,C METALtiF FIR, FOUND.RON ROD O`aV- OVERHEAD WIREISI POC-'OIh10F COMMENc-, TOR - TO OF BANK cat 10C.RR COL'-CE;ZR CONCCCICKER1TE IN&D^FOUND FAIL &DISK O.R.-OIFIOALRECOROS i'OL LOIN ON HNE TWP- `OWNSFIN ALUMfNUM I LNCE 4S-CONCRETESLAB FOP m FOUND OPEN PIPE EPP- FOUND PINCHED (P) -'TAT 118-PtAT BOOK NEC POINT OF REVERSE CURVE °RM PERNMN!NIREFERENCE MONUM NT U.R-l/iI11TY EASEMENT - ^COVERED CST= CLEAR SIGHT TRIANGLE - - >•. =VINYLI ENC_ JOB S5738 SURVEYOR'S NOTES; SURVEYOR'S CERTIFICATE 1708 Water Oak Drive 1.) Current title information on the subject property had not been e., Date of Site Plan: 7-? 3 22 This Cei nfies that ske [he hereon described Tarpon Springs, Florida furnished to Initial Point Land Surveying, LLC at the time of this property waste � rSi� r1r7%,ervision and Phone: 1727j-831-1990 SITE PLAN 0@ ,VGASPHIB 1924-BL23EFT me, the F,1�} e(�b 5ti o ractice for Flar)dal'IS7?23C9TgmalLcom 2.) This sketch was pi apared without the benefit of a title search. ` i surveys a�^,3�earioo �gd of Land LB# 8183No instruments of record reflecting ownership easements or SSi � File:rights-ofwaywere furnished to the under signed, unlessotherwise $ E4 r Ive 4 rledshown hereon 47 Ala i t��lggq„„ rtle �Dawn by DJB 3,) Roads, walks, and other similar items shown hereon were take 1 starue� .. Date 2 08.1 ked by:JH from engineering plans and are subject to survey. 4.) This SITE PLAN does not reflect nor determine ownership. 'j(', 7 7: �4i00, Ir H T ISIONS ATE F t , 5.) This SITE PLAN is Subject to matters shown on the Plat of th LORIDA "ABBOTT SQUARE PHASE IB' JeffMH 6,) Dimensions shown hereon are in feet and decimal portions FLORIDA�d'E35 AND ' )eContractor and owner are to verify all setbacks, building MAPPER N?I} 1� � 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 information shown hereon. Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC. 1 at users sole rsk. I I -a k-J I - D160- Ol 0 0 N a \/RA 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 21d Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: hu—cyqNjqqgkwas5ist.�f€ 1 Project: New SFT Address(s): 36367 Garden Wall 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 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: 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16, LLSN, SNl,S3,S4,S5,S6,SS,ST,Dl, WP,PAI,O,PAI.1, PA1.2,PAL3,PA1.4, SHI.0,SHI.1,SHI.2,SHI.3,SHI.4,SHI.5 Florida License/Registration/Certification #(s) and description: FS468 Certified Standard Plans E iner License #: PX2300 Signature of Reviewer: SWORN AND SUBSCRIBED before m`by Debra Anne Klahr being personally known to me---Jor having produced as identification . and who being fully sworn and cautioned, state that the foregoing is and co ect to the best of his/her knowledge or belief Sig i na e of tary Print Name Notary Public: NOTARY STAMP BELOW My commission expires: MtAG sslotA # 1414 310390 My CotA'Al 2 2026 \/R/\ V' R-IUAL REVIEW ASSIST Notice to Building Official of Use of Private Provider Effective January 20, 2003 Parcel Tax ID: 04-26-21 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. 1— 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 Firm: VIRTUAL REVIEW A I TINS. Private Provider: DEBRAANNEKLAHR Address: 747 SW 2ND AVENUE - SUITES 1 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 hatinless 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 pen -nit 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 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: ?lease use appropriate notary block. MUNADMI 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 Print Corporation Name (signature) Print Name: Christ9pber Sryfth its: Authorized Agent Address:-ZQO-N�i�� M[tiarT�i FL �33172 Telephone No. 813-574-5700 Corporation Before me, this 22ND day of MAY 2o 2.2 personally appeared of Lennar Homes.. LLC a -corporation, on behalf of the state corporation, who executed the foregoing instrument and aclaiowledged before me that same, was executed for the purposes therein expressed, ME= Print Partnership Name La (signature) Print Name: Its: Address: Telephone No.: Partnership Beforome, 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 Signatre of Notar Print Name —ASHLEE CALLAHAN Notary Public Stamp: ASHLEE CALLAHAN Commission Expires: Notary Pt;btic 7 State Dt Ftorida 4q'qqZ0 NOVEMBER 30, 2022 -01�conjm. EXPV05 Nov 10, 1022 LhrQuShNationo, Notify AM! I-- IQ,,,'COMMERCIAL BUILDING SERVICES DIVISION O!"RESIDENTIAL BUILDING PERMIT DATA SHEET FIRE MARSHAL #01 - Reouired Permits Building VI'lumbing IV Mechanical VElectrical Amp El inspection Only El Ins ection 0n1v it El Inspection 0!nn�- EJ Ins ection Only p El Medical Gas Fire Sprinklers El On Site Piping El Irrigation El FirIII e Alarm E] PoteablBackflIIM IIIow Assembly FLi ire ne Backflow Preventer 01 Irrigation Baclu kflow Assembly miditin E] Demoon ii El Walk-in Cll ooler El Refrigeration H El Hood El Ansul Ej Grease Trap ji "I'll, I E] Other Category: � Occupancy Load CI pansy an Classification: c cy Factory Residential RB nos, ay Caro/Educational Assembly Business Institutional 0"Mereantile Hazardous E= nti nal E= Storage E= 0'Utility Building Use: Sin ale Family townhouse 1 Alteration [—Level 1 ID", Level 2 ,Level 3 OeNew Construction El Interior Finish E] Interior Remodel E] Exterior Remodel El Addition El Revision Overall Size: Number of Stories: Total Sq. Ft.: 18 x 63 2 2086 Living Area: 1634 Covered Area: 452 # of Bedrooms: 3 # of Baths: 2.5 Cost per square foot: Estimated Value: Roqj)k)c�: N9 Shingle -uilt-u � [Wile B[I Metal Ej Other 13 Zoning: W, e Debris: Energy Code: =ET, inside0z Outside 405-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? ®;Yes V No Sq. Ft. Enclosed Space Below BEE: of Vents: Vents: Size of Vents: Total Sq. in. Permanent Openings Central AIC H at window A/iC�� Heat Pump Beat E] Electric Heat On Site 1'i in Sanity Storm Sewer Catch Basins Potable Water Underground Fire Line wumrm— Front Rear Left Right 21 Asper Approved Site Plan Comments: