HomeMy WebLinkAbout22-5423City
5335 Eighth Street
Zephyrhills, FL 33542
-005423-
Phone. (313) 0-00 0
Fax. (313) 750-0021
Issue Date.
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04 26 210150 02300 0210 36363 Carden Wall Way
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Name: LENNAR HOMES LL -OWNER Permit Type: Building New (Residential)Contractor: LENNAR HOMES LLC
Mass of Work: Townhome
Address: 4600 W Cypress St 200 wilding Valuation: $250,320.00
TAMPA, FL 33607 Electrical Valuation: $37,648.00 �
Phone: 813 574-5700 Mechanical Valuation: $17,52.40�
Pho t ) ,.
Plumbing Valuation: $25,032.00
Total Valuation: $330,422.40 3�
Total Fees: $13,83126
Amount Paid: $13,831.26
Date Maid: 1 /23/2023 2:56:57PM
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CONSTRUCT TOWNHOME 1634 Sty FT **********AS
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Building Permit Fee $1,291,60 SIF 1 percent Fee $3.53
Driveway Fee $45.00 Mechanical Permit Fee $17.61
Water Connection Residential Fee $1,010.00 Address Fee $30.00
Electrical Permit Fee $227.74 Public Safety Impact Fee -Admin $26,35
Electrical Plan review Fee $0,00 Plumbing Valuation Fee $0,00
Building Plan Review Fee $180.00 Public Safety Impact Fee -Police $254.00
Plumbing Permit Fee $16516 Sewer Connection Residential Fee $2,090.00
Transportation Impact Fee $3,445.20 School Impact Fee - Single Family $,35.00
314 Water Meter Residential Connection Fee $732,71 Park Impact Fee - Single FamilytTownhome $769.56
Mechanical Plan Review Fee $0,00 Transportation Impact Fee - City $34A0
Fire Wall/Smoke Wall Inspection $15.00
EIN Pi'IO FEES: (c) With respect to Relnapection 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 pection, whichever is greater, for each subsequent reinape tionn
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.
CO�AACTOP
SIGNATURE
1
?fit' ; �t � :.r+, . ,� �,:. , � .�" ..�. ; '` � ► `�
Z111,111011. :
$13-7780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received phone Cantaet for Permittin 908 77�813,574_5700
63
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Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number
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
JOB ADDRESS
36353 Garden WaII Way
LOT# 2321
SUBDIVISION Abbott Square T� PARCEL tD#-2�-2 1-€�150-0230Q-021®
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTR 8 ADD/ALT
INSTALL REPAIR
SIGN DEMOLISH
PROPOSED USE SFR COMM
OTHER
TYPE OF CONSTRUCTION BLOCK FRAME
STEEL
DESCRIPTION OF WORK
Multi -family l Sereen Ene(osure i Fence
BUILDING SIZE U/R SF 2Q�6 SQ FOOTAGE �?34
HEIGHT 2
BUILDING
$ 250320
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
$
37548
j
I
PROGRESS ENERGY W.R_E.C.
PLUMBING
AMP SERVICE
MECHANICAL
$�17522 G
VALUATION OF MECHANICAL INSTALLATION
!�'_
=GAS 10ROOFING SPECIALTY =
OTHER
FINISHED FLOOR ELEVATIONS
FLOOD ZONE AREA
r —�
LiYES l o
BUILDER � k COMPANY
Lennar Home�FEE
SIGNATURE _ REGISTERED Y f N RE Y!N
Address 4301 W Boy Su131vd4 ta'UO Tampa, F1, 33607 License# CGC1518166�
ELECTRICIAN � COMPANY jdmonson Electric Inc.
SIGNATURE REGISTERED Y ( N FEE CURREN
Address License # EC13005408
....
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED YIN -FEE Y 1 N
Address V License# CFC042998� �
MECHANICAL 6 COMPANY Sayonet Plumbing, Heatin�&AC�, Inc
SIGNATUREREGISTERED Y / N FEE CURREF Y_
Address f License # CAC058062
OTHER �� COMPANY �C Sterling Quality Roofing, Inc
SIGNATURE .'� REGISTERED Y / N _ FEE CURREN _Y / N
Address _ License # GGC057991
fElfli&tI6;I5i@16lit�I6l89iC!i91lINFiBlt9l819B81166tE8iiB111MC8t�6tsltC
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. (AtC 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/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 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.
OWNER OR AGENT CONTRACTOR-
Subscribed and sworn a (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this
10,11111, by aarz1nazz by Chr'rsto�,her Smith
Who islare personally known to me or#a�ad Who istare personally known to me or has/have produced
as identification, as identification.
Notary Public Notary Public
Commission No 296057 Commission No, GG 296057
Stephanie Farmer Stephanie Farmer
Name Name of N gpq
$T9PRAME "Elit
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Builder Name/Owner Name c Control
Cou
rtty Parcel No, f i SubDiv:
Address/Location
Classification/Type of Use
TRANSPORTATION IMPACT FEE Rate; Sq, Ft Unit:
Exempt D Yes ED No How Determined
Impact Fee Amount _. ' Zone No. TAZ.
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount
(057) Mobile Home
(055) tither 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
Zane Total Amount
Exempt =Yes =No How Determined
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt ElYes El No Flog Determined Total Amount
RESOURCE FEE ERU
Total Amount
Prepared 6y ` Checked By
+v
NO CERTIF1 F CURANY /"BILL, RE IS U R FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
ACKNOWLEDGEMENT BELOW DOES NOT IMPLY ACCEPTANCE OF CONCURRENCE, BUT SIMPLY 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 BATE 6Y
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DESCRIPTION: LOTS 19-24, BLOCK 23, ABBOTT SQUARE PHASE I B
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89,
PAGE(SI57-62, OF THE PUBLIC RECORDS OF PASCO COUNTY,
FLORIDA.
LOT
= 1261E SQ.FT,
LIVING AREA
= 4010
SQ.FT.
ENTRY
= 476
SQ-FT,
GARAGE
= 1356
SQ.FT.
�SQ.
COVERED LANAI
= 652
FT,
PATIO
= NA -.SO.
FT
POOL AREA
=--NA--.SO,
FT.
CONIC,DRIVE=
iZQO
SO, FT.
A/C & CONC PAD
= 54
SO, FT.
SIDEWALK
272
SQ. FT.
SIDE YARD SWALE
= NFl
SQ. FT.
CONSERVATION AREA = NA�SO.FT,
LOT OCCUPIED
= 64
_ %
AREA TO IRRIGATE
= 36
B91`�
,qb 28.34IP)
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UNPLATTED -'
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10.0'
SITE PLAN SEC, 4, TWP. 26 S, RNG 21 E.
(NOTA SURVEY( PASCO COUNTY, FLORIDA
(ABBOTT SQUARE)
611 SITE PLANPrepared for and Certified To:
Lennar .an
Sole: 1 " = 20'
TRACT "B-7"
(CDD) PARKING AREA AND OPEN SPACE
N 89'4804" E IP) 128.68' (P)
__________
I 18,00' (1) 1 18-50' )PI I .....
18100' (P)
I 28.34' R)
I i I
I
10.0'
18.3'
I8.0'
1 &0,
18.0'
I8A)
I8.3
UNIT -A
UNIT-C
a UNIT-C
UNIT - C
UNIT-C
UNIT -A
1532
PROPOSED
a 1624
PROPOSED'-
1624
PROPOSED
1624
- PROPOSED
S 1624
_ PROPOSED
1532
`-'' PROPOSED
�
2 STORY
2 STORY
ATTACHED
m 2 STORY
B
ir. 2 STORY
ATTACHED
A 2 STORY
ATTACHED
c 2 STORY
ATTACHED
2
o LOT 18
ATTACHED
RESIDENCE
fa RESIDENCE
ATTACHED
v RESIDENCE
= RESIDENCE
S, RESIDENCE
F
RESIDENCE
BLOCK 23
,wp
LOT 24 -
rJ
L07' 23 ~
LOT 22
:n
LOT 21
m
LOT 20
m'tT W
� I � LOT 19 "!
G
BLOCK 23 IR
" BLOCK 23
BLOCK 23
_g
BLOCK 23
' BLOCK.23
'BLOCK 23
�
7.0' ENTRY
ENTRY 13
3' ENTRY
ENTRY 133
ENTRY
o
( ENTRY To,
m
o
�.
c
NETS 4804"EtPi `%` e
12221P) c9
PC 28 34
w w w w
61 /6 7'
1L3' 113 - 113 1t3
I o.O' 100''� I.) 100'�i�' 100".
s.I `0 ..
�� C
. 11800(P)� 18001P) 1800'(P)
S 891804 W(P) 12868
r273 27.3
10.0
t�
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7'
1 i 113 11.3
10,- j io,0 Sri
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II
28311P)
'.
WALK,,
.
—.�—
-:5-CONC
Lo .
BASIS OF BEARING
N 89'48`04- E IS)
GARDEN WALL WAY
TRACT"A"
(CDD) RIGHT-OF-WAY
NOTE: ENTRY WALKS ARE 3.0' CONC
PROPOSED: NOTES:
C/S-A/C UNITS ARE 3-2X3.2'
ALL ELEVAI IONS REFERENCED
MINIMUM FLOOR ELEVATIONS: LOT GRADING TYRE =R
z' OAIC
7O NORTH AMERICAN
LIVING AREA: 97.67'
PROPOSED PAD ELEVATION °•' 97 00'
- VERTICAL DATUM OF 1988
. _- 10.00' PUBt.IC UTILITY EASEMENT (NAND 881
GARAGE AREA:
ELEVATIONS REFERENCED TO FRONT SETBACK =20
LEGEND:
NORTH AMERICAN VERTICAL SIDE SET BACK = 7.5
_„..--.r..=: PROPOSED DRAINAGE FLOW ''.
PROPOSED ELEVATIONS AND GRADING
DATUM OF 1988 SIDE SET BACK (CORNER LOT) -10'
(00,00) - PROPOSED GRADE
SHOWN HEREON ARE TAKEN FORM THE
REAR SETBACK= 15 '
ENGINEERING PLANS OF
E00.00= EXISTING GRADE
'ABBOTT SQUARE RESIDENTIAL`, PREPARED 1
APPARENT FLOOD HAZARD ZONE: 'X-
COMMUNITY NO. 120235
BY "WRA' PROVIDED BY CLIENT
SURVEY ABBREVATIONS (MAP NUMBER 12101C-0289-F) EFFECTIVE DATE: 09/26/2014
ARCUPSSOTH
In,DEED
MV=1W R
°C- POINT OF CURVE
z 2ECO.:D
LEGEND
rA1 C NER
DE=[?RAVAGE =AS=MEN
leLiC N4 DBI/t,N`ESS
'EC °Q'N`OF COMPOUND
CURVE
END -RANGE
VIN .tNCE
'CONC
AF=A[UMNUM-ENCI`.
ENE = BASF, ROOD ILIVATON
ILORELEV ILLVA.ION
EDP EDGE 01AVr_MEN
L.E LANDSCAPE EASEMENT
LE LOWEST FLOOR E WALLOPS
'CR PERMANENT
ED POOL EOUIPMENT
CONS RL51.. f O.NT
DRY RA-... ROAD SPIKE
R/W=RIGHT OF WAY
ry S -----Zp
6M=tpEN(H MARK
FNET =EASEMENT
.S LICENSED SUDA YOR
6-PAGE
SEC=SECfiON
WOOD FENCE
C CCAI
IC FEN CORNER
K,F MLASUR D
P-= ONTO INTERSECTION
SN&D=SE T NAIL AND DS%
O"ASPHALT--
CI-CA. ,LA EJ
- (.""'LINE
FCM FD ND CONCRETE
NOhJMF'�-
M.S-MTERED NDSEC.ON
NC=OV CORNER 'OUN?
!'R-ARKERYAI ON
R PROF
LESS 18
SIR=SIT i(Z DONMRY tSFNCi,
CHAIN,` lNK FENCE
Cif= CHAIN IINK` ENCE
- P s FOUND IRON PIPE
O`A=pViRALL
OF
4'OB POINT OF
BEGINMNG
TBM-TEMPORARY BENIGN MLARI(piiRICK
ARK
---'it----""'
MP=CORRLGATEDMETALPP.FIR
COL"CO LIMN
-FOUND IRON ROD
OHW-OVERHEADWtODT
TDC POINT OF
COMMCNCTMENT,
TOD=T,OPOFBANK
F
N&D-FOUND NA-&D'SK
O.R-=OFRICIAL RECORpS
°OL PO NT pN
LIN
TWIP-70VNSiP
ALUMINUM FENCE
-/F-OO CNC-
fS�CON R ,�S44II
"III
.POUND OPEN PME
(P) ^IVST
PRE ONI OE REV RS CURVE
UE-UTI TY EASEMENT
-CCiVvRED S _
CS- = CLEARSIGHT'-RIANG E
1__>-OIIhD PI\CW.G PILE
P9=PLA'gOOK
a-F, PRO PERMANENT RaL.NtE MONUM..N
1 -NNY! CEtvC<
JOB P 5738
SURVEYOWS
NOTES:
SURVEYOR'S
CERTIFICATE
1708 Water Oak Drive
Date of Site Plan 7-13-22
1.) Current title information on the subject property had not been
furnished to Initial Paint Land Surve in LLC. at the time of this
s g
This certifies that skc' he hereon described
sitSI W.t
property ww r n rr{ and
Tar on Springs, Florida
P
Phone: (727)-831-g1990
JWG A&HF iB�A2�.-8L23SiTE
SITE PLAN
Skeetcl was prepared without the benefit of a title search.
2.ht
rbNpervised
meets the b S oFactiee for
It
FloridaPLS7123@ maiLcam
surveys
'd of Land
LB# 8183
File;.
is
No instruments of record reflecting ownership easements or
were furnished
g y the undersigned, unless otherwise
10 n 1 I
, F Adl'
1f n'
r + e de,,r
shown hereon.
urs to• ecti n 47;
Yv, Je i t Tile
Drawn by: DOB
8,) Roads walks and other similar items shown hereon were take
status
Checked by:JH
from engineering plans and are subject to survey,
r Date: 2 08.1
REVISIONS
4.) This SITE PLAN does not reflect nor determine ownership.
H ATE F % �'�Q'
`L3R ,,; { f NM
6,) This SITE PLAN is subject to matters shown on the Platof
+y N iJRID
��''�R p4xi�
"ABBOTT SQUARE PHASE IB'
i
m
6.) Diensions shown hereon are in feet and decimal portions
JeffM H�
re
FLORIDA�P AND
MAPPER NO �R,,, �
7,)eCoontractorand owner are to verify all setbacks, building
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
at users sole risk
LICENSED SURVEYOR AND MAPPER
Initial Point Land Surveying, LLC,
I
- a k -C)� t -
a,
3
VR/\
VIRTUAL REVIEW ASSIST
Private Provider
Plan Compliance Affidavit
Private Provider Firm: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU 1967
Address: 747 Southwest 2,,d Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: 1p,6avyirt q,lreyiewass istxorn
Project: New SFT
Address(s): 36363 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 affiant, who is duly authorized to perform plans review pursuant to Section 553.791, Florida Statute
and holds the appropriate license or certificate:
Name: Debra Anne Klahr
Plan Sheets: 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16, LLSN, SNI,S3,S4,S5,S6,SS,ST,DI, WP,PAL0,PA1, 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 E iner
License #: PX2300
Signature of Reviewer:
SWORN AND SUBSCRIBED before"x"y 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 tru correct to the best of his/her knowledge or belief.
Signature
ig
i n a e of Print Name
Notary Public: NOTARY STAMP BELOW My
V-R/\
v I R-1 UAL REVIEW ASSIST
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name:
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 Ste , 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 REVIEWA
Private Provider: DEBRA ANNE KLAHR
Address: 747 SW 2ND AVENUE - SUITES 1
Telephone: 813-376-3088 Fax: N/A
Email Address (Optional): deb@virtualreviewassist.com
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 q
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.
I. Proof of insurance for professional and comprehensive liability in the. amount of $1 million per
occurrence relating to all services performed as a private, provider, including tail coverage for a rninimum.
of 5 years subsequent to the performance of building code inspection services,
(signature)
Print
Name;
Address:
Jim
Individual
Before me, this day of
20—, personally
appeared
who executed the foregoing instrument,
and acknowledged before me that same
was executed for the purposes therein
expressed.
Corporation
Print CorporationName
By:
(signature)
Print
Name:-�;h er S�rnith its: Authorim npnt
Address:-ZQQ-h����
Miami FL 33172
Telephone
No. 813-574-5700
Corporation
Beforeme,this 22ND day of
MAY 20
personally appeared
of
Lennar Homes L
i��p
A
ar
22 Y
ed
N D d
a 2
y
0 of
0 22
f
6meS
LL
L G
C
c c j I
orporation, on
n' who
trument an
or,
in
behalf of the state corporation, who
'7. 1 in
executed the foregoing instrument an
executed for the purposes therein
expressed.
Personally known X ;or Produced identi cation- Type of identification produced
WM=
Print Partnership Name
(signature)
Print
Name:
Its:
Address:
Telephone
No,:
Partnership
Before me, this day
Of 20—
personally appeared
parmer/agent on behalf of
a partnership, who executed the
foregoing instrument And
acknowledged before me that same
was executed for the purposes therein
expressed.
Signature of Notarr
Print Name ASS-{( EE CALLAHAN
NotaryPublic Stamp:
ASHLEE CALLAHAN
Commission Expires:
Wary pubft$ State DfF(Odda
0 244456
05 NOV a0' 2022
NOVEMBER 30,2022
Notary Ass�
COMMERCIAL BUILDING SERVICES DIVISION RESIDENTIAL
BUILDING PERMIT DATA SHEET
TRACKING #
FOLIO# 36363 Garden Wall Wa
FIRE MARSHAL #01 -
Required Permits
JIBuilding
VIMumbb,119
--- - - - ---------
WMechanical
VElectrical Amp
El inspection OnI
El Inspection 0
lnyecti�n 2�k
In pection 0n1V
El Medical Gas
Ej Fire Sprinklers
El On Site Piping
El Fire Alarm
El Potable CBI ackflow Assembly
Fire Line Rackilow Preventer
Irrigation Rackilow Assembly
0 Walk-in Cooler
Refrig
El Fence/Wall
ffGreas
V-8
Disk Category:
Occupancy Load
ancy Classification:
OW""Factory
Assembly E:�
Hazardous
Business bay Care/Fducational
"t ut"nal E== n,,,Mercantile
Re,iden al
;Residential
Storage
uy
Building Use: Single Family townhouse
Level I Level 3
Alteration Level 2
VNew Construction E] Interior Finish
El Interior Remodel
E] Exterior Remodel El Addition El Revision
Overall Size:
Number of Stories:
Total Sq. Ft,:
18 x 63
2 2086
Living Area:
Covered Area:
# of Bedrooms: 3
1634
452
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof T e: Shin le
❑Tile
Built-Built-u
Metal
❑ Other Scares: 13
Zoning:
rue Debris:
=E]" o—Inside
Energy Code: 40 5-2020
k,_qutside
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents?
Sq. Ft. Enclosed Space Below BFE:
# of Vents:
Size of Vents:
Total Sq. In. Permanent Openings
Central A/C
Heat Pump
0 Window A/C
El Gas A/C
Gas Heat
Electric Heat
On Site Piping
Sanity Storm Sewer Catch Basins
Potable Water Underground Fire Line
mm=
Front Rear Left Right
Asper Approved Site Plan
Comments: