HomeMy WebLinkAbout23-5524BNR-005524-2023
• -all
Issue Datel -- z,5 -Z:3
.........
38136 Fallstone Way
Name: LENIN{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 V
Plumbing Valuation: $25,032.00
Total Valuation: $330,422.40 _ e 2 , 0
Total Fees: $13,831.26
Amount Paid: $13,831.26
Date Paid: 1/23/2023 2:39:13PM
51,1�17,i1l,'l effi
7 g ,g�
CONSTRUCT TOWNHOME 1634 SO FT AS
. . . . . ... "N 10'\ 4\1 1
Transportation Impact Fee - City
$34,80 Plumbing Valuation Fee $0.00
Building Permit Fee
$1,291.60 Mechanical Permit Fee $127.61
Plumbing Permit Fee
$165.16 Public Safety Impact Fee -Police $254.00
Water Connection Residential Fee
$1,010.00 SIF I percent Fee $33.53
Sewer Connection Residential Fee
$2,090.00 Building Plan Review Fee $180.00
3/4 Water Meter Residential Connection Fee
$732.71 Address Fee $30.00
Electrical Plan Review Fee
$0.00 Driveway Fee $45.00
Mechanical Plan Review Fee
$0.00 Electrical Permit Fee $227.74
School Impact Fee - Single Family
$3,353.00 Park Impact Fee - Single Family/Townhome $769.56
Fire Wall/Smoke Wall Inspection
$15.00 Transportation Impact Fee $3,445.20
Public Safety Impact Fee -Admin
$26.35
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 thal
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.
CONTRRCTORSIGN0.T1lRE PE IT OFFICE
F#�l
ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIOn,
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-'7,�20 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Pho�h1
rmitting 408 770 7763
r-1 1 rr rrU
Owner's Name Lennar Homes, LLC Owner Phone Number 813.5745700
Owner's Address 1 4301 W Boy Scout Blvd, Ste. 600, Tampa, FL 33607 Owner Phone Number �—
Fee Simple Titleholder Name I N/A Owner Phone Number
Fee Simple Titleholder Address I
N/A
JOB ADDRESS 38136 Fallstone Way LOT# 0034
SUBDIVISION Townes at Autumn Palm PARCEL ID# 15-26-21-0230-00000-0340
aat���nn (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR Q COMM OTHER
TYPE OF CONSTRUCTION BLOCK 0 FRAME 0 STEEL 0
DESCRIPTION OF WORK Multi -family / Screen Enclosure / Fence
BUILDING SIZE �U/R SI 2086 ] SQ FOOTAGE 1634 HEIGHT 28
BUILDING $ 250320 1 VALUATION OF TOTAL CONSTRUCTION
tI PELECTRICAL
9 ♦t./ W)PLUMBING1 ♦ZMECHANICAL
=GAS
FINISHED FLOOR ELEVATI
$ 37548 1 AMP SERVICE PROGRESS ENERGY W.R.E.C.
$ 11
r{7522.4
VALUATION OF MECHANICAL INSTALLATION
;b I✓ I ROOFING SPECIALTY = OTHER
_t FLOOD ZONE AREA II &YES �0
BUILDER pA COMPANY Lennar Ilomes, ZLC _ I
SIGNATURE d REGISTERED Y / N FEE CURREN
Address 301 W lc y Scout Blvd Suite 600 Tampa, FL 33607 License # CGC1518166
ELECTRICIAN COMPANY Edmonson Electric, Inc.
SIGNATURE _ _ _ REGISTERED Y / N FEE CURREN I Y 1 N
Address License# EC13005408
PLUMBER f�`« COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE « ' REGISTERED Y / N FEE CURREN Y ! N
Addressr'`f License# CFCQ42998 ���
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # I CAC058062
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # 1 CCC057991 — —�
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIl1111I111118111
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. (A1C 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 (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'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, Welland 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.
soi � !, ii I i 0 .
I ;M 10 Lem 11101A I J, 1:11 :11011`14 J1 1:2 L, I &IN LOX141111 I WM I wtol Is 10 11:4 Z I Ills COX01:11 r-11 10 111112110 0,
OWNER OR AGENT _o�_
Subscribed and sworn7o�(or affirmed) before me this
1216r2O22 by Christopher Smith . . .. .... ............... -
Who is/are personally known to me orb
produGed
as identification.
Notary Public
Commission No. GG 296057
Stephanie Farmer
Name
C=,ZiIlrt 100 2W
E*M FObnWY A M3
4—
Subscribed and sworn to (or affirmed) before me this
'M=2z by Christopher Smith
Who is/are personally known to me or has/have produced
as identification.
Notary Public
Commission No. GG 296057
Stephanie Farmer
Name of N
, ,
iFF E*mFebiusty
I�
111mmi
�1
DESCRIPTION: LOTIS) 33-38, TOW NES AT AUTUMN PALMS,
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89,
PAGE(S) 113-114, OF THE PUBLIC RECORDS OF PASCO COUNTY,
FLORID&
SITE PLAN
(NOT A SURVEY)
ALL ELEVATIONS REFERENCED
TO NORTH AMERICAN
VERTICAL DATUM OF 1988
(NAVD 88)
PROPOSED ELEVATIONS AND TYPE
GRADING SHOWN HEREON ARE TAKEN
FORM THE ENGINEERING PLANS OF -MASER
CONSULTING PA.', PROVIDED BY CLIENT I
PROPOSED:
LOWEST FLOOR ELEVATIONS
LIVING AREA: 84.50
GARAGE AREA: N/A
ELEVATIONS REFERENCED TO
NORTH AMERICAN VERTICAL DATUM
OF
1988
-0.85 = NATIONAL GEODETIC VERTICAL
DATUM OF 1929
LOT = 13431
SO, FT.
LIVING AREA = 4010
SO, FT.
ENTRY = 476
_SO. FT.
GARAGE 1356
SO. FT.
COVERED LANAI 652
SO. FT.
PATIO = NA
SCLFT.
POOL AREA = NA
SO. FT.
CONC. DRIVE 1500
SO, 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 62
%
AREA TO IRRIGATE = 38
0 = 2" OAK
NOTES:
LOT GRADING TYPE � N/A
PROPOSED PAD ELEVATION =- N/A
FRONT SET BACK -° 15
SIDE SETBACK = 10'
REAR SETBACK ° 20'
ALL WALKS 3.0UNLESS NOTED
ALL A/C 3.2'x3.2'
/E/U/D= INGRESS EGRESS/
UTILITY/ DRAINAGE ESM T
■
SEC. 15, TWP. 26 S, RNG 21 E.
PASCO COUNTY, FLORIDA
(TOWNES AT AUTUMN PALMS)
LOT
32
1
I
I S 89'57"18- E (P) 10382' IPI
�o 0
L
I c
I LWi.
I
I W
I H C
V Q
1d V
1 cf-
I F-- O
oI
0
TRACT 81
PB 1, PG 55
1
—
T
I
TRACT 96
PB 1, PG 55
1
m
UNIT -A .,,., 1
o v.v
1532
PROPOSED LOT
^ \
200'
•�I
2 STOR' 33
ATTACHED
ENT RY
17.3
rn
O '
- RESIDENCE 63'-0'
-�
'O- -
S 89-56Off E (P) 104.08' P)
UNIT 57.0'
T624
PROPOSED LOT16
r7,
0
O "
-
O 2STORY173
ENTRY
_
17 3
-
•
ATTACHED 34
RESIDENCE
�
20 O'
��
.
S 89`5608-E IPI 104,24' P)
ivy
=�
�"
UNIT-c 39.7'
I624 �G
42,07.0'
PROPOSED o
oi z SToaY LOT o
ENTRY
I73'
=
—
ATTACHED 35 �
RESIDENCE
S 89_5608, E 1 P�, 104.40' P
57.0'
UNIT
(82,701
a K
1624 b PROPOSED LOT
m
Q
"
SO 2 STORY
^
36
ENTRY
17.3'
-
ATTACHED
-� Z00,-
2EL
o
RESIDENCI-
S 89'56'08"E IPJ 104.56'IPj
^
-
2
39.7'
-
4,7
__-___
)
UNIT-C
1624
o LOT
6
PROPOSED
bf
2 STORY
37 (
ENTRY
17.3
`•?
-
e'+
ATTACHED
RESIDENCE
,
('
S 89.56'08'EJP( 104.72'(P)
UNIT -A 5Tqt
N
1532
0
M PROPOSED
2 STORY LOT!
ENTRY
173
ATTACHED
3$
\
RESIDENCE
o,
39.7'
o b
o d
N 89-56'08" W (PI 104,98' (P)
LOT
39
A/C AIR CONDIITONI R
AT ALUM NUM IFNU
(DI ON D
DC DRAINAGE fA5TMtN - I
INV INVERT
LB -LICENSED SS
PI ( 0I OI CURVE
1 P(P FRMANENI (ON rROt. POINT
M) - RECORD
RNG RANGE
FIRW BASE FLOODfLEVAi10N
( OR TATION
FLOOR1/t POOttOUIPMf NI
LEE -LENSED
RAILROAD SPIKE
8M BFN(1 MARK
EDC( OE PAVEMENT
1 DGI CLE
SURVEY RlAilON
LS- (CEASED SURVFVOR
IC PACE
FPRCEW OF WAY
C CURI
ES
I/(-
(M-MEASURED
PI POINT Of I1 CTION
SEC SECTION
SEC -SECTION
(CJ-CRtCUUF
- NCFIEASERN
ENb SECTION
PK CLI\J
(Rf
SN&D=SET ONE LYSKL8K81
ITF-CLIt RUNE.
CIF -CHAIN DAED
FC FOUNDORNER
1CM-EOUICMON"IFNCRE MONUMENT
IKFOUNDIRON PIPE
NC SOCORMITERCID
NCE NO CORNER FOUND
OET OVERALI
PIDIRKAi
PC POINT OF Bf GINNING
P01 POINT OF C,OMMfNC(MENT
ON CI
TEEM- FMPOR(}N BENCLI 8183
lvWiK
TOM- TOP
CMP FORKDATEIJ M!(AI_PILL
Mf
f(It - ND
OHW OVF
PO! POINT ON t(Nf
OFBRYBENCH
TOP -TOVNIHIIK
CIO COLUMN
I - I OUNRONROD
AFC)-FOUN
O.P.. F—REIS
IRt. REC ORDS
ORD
PRC POINTOEUIRHIr CURVE
TOWNSHIP
CON: CONCRETE
C/S CONCRETE StAe
OLEN 11DISK
f I -IOU IINCN'DPI
fPfl-FOUNq PNCHFD PIPE
-PLAT
PS PAT
PB- PLATROOK
PRM PERMANEN' RFt ERENCE MONUMENT
PUt PUBLIC tJTt(f rY EASEMENT
UE-
11E=UTtUTY EASEMENT
1708 Water Oak Drive
Tarpon Springs, Florida
Phone. (727)-831-1990
b
FloridaPLS7123@gmaii.com
tV
LB# 8183
fffig
..hh /
U
V
Scale: 1 " = 20`
Initial Point Land Surveying, LLC.
LEGENDSURFACE
TYPE FENCES
I
(ON( ALUMINUM FENCE
l —
�ASPI IAt.T VINYL CC NET
_4_1 -❑
^BRICK WOOD FENCE
I
4HP -SRNDETI RT CHAIN LINK FENCE
#
OVERHEAD POWER
-Covr-atD ONP — OHP
—
Z °- I u S uZl
------- —..._. _. . _.
LEGEND
m m l> Q
_i—�►--- PROPOSED DRAINAGE FLOW
G 4
O o Q 3 "a
(00.00) =PROPOSED GRADE
z a 6 Oay
E-00.00 = EXISTING GRADE — 2" OAK
m I ® 1� r
10' INGRESS EGRESS/UE & D.E
U
APPARENT FLOOD HAZARD ZONE: 'X" COMMUNITY NO. 120235
(MAP NUMBER 12101C-0452-F) EFFECTIVE DATE: 09/26/2014
SURVEYOR'S NOTES:
1.) Current title Information on the subject property had not been
furnished to Initial Paint Land Surveying, LLC. at the time of this site plan
2.) This sketch was prepared without the benefit of a title search. No
instruments of record reflecting ownership, easements or rights -of -way
were furnished to the undersigned unless otherwise shown hereon.
I
3.) Roads, walks, and other similar items shown hereon were taken from
engineering plans and are subject to survey.
4.) This site plan does not reflect nor determine ownership.
S. This site plan is subject to matters shown on the Plat of'ZEPHYR
COURT"
61 Dimensions shown hereon are in feet and decimal portions thereof.
7.) Contractor and owner are to verify all setbacks, building dimensions,
and layout shown hereon prior to any construction, and immediately
advise Initial Point Land Surveying, LLC. of any deviation from
information shown hereon. Failure to do so will be at user's sole risk.
',..
SURS( CATE
This certifies that s f lie ibed property was made
under my upe e Standards of Practice for
Drawn By: DIB Party Chief: JH REVISIONS:
Checked B : JH JOB #6054
y -
surveys a Skjf&,ed in Chapter
5J-1 TO ,]f�¢ aCgdee, rsuant to
section 4 r 72 079 Ft Ida State S 3y� (pj{J
tVVGGfifitl iilltt
Y l
Fite:
: 8 Date:12i�. 2J 1.28
Date of Site Plan: i 1-3-22 DJB
Jeff M. H
rt1 8:1 r; =osr i}' Date
7WG:L33-3B-TPAP-SITE.DWG
FLORIDA
PROF "_° AN ER is#7123 LB#8183
This SITE Plan Prepared for and Certified To:
NOT VALITJd L$IGNATURE AND SEAL
Lennar Homes
OF A FL,L�,� 015U YOR AND MAPP Gii1.S�Ig� �� E" J
v 'R I UAL REV E"A/ ASSIST
Notice to Building Official ®f
Use of Private Provider
Effective January 20, 2003
38136 Fallstone Way
Parcel Tax ID: 15-26-21-0230-00000-0340
Services to be provided: Plans Review X Inspections
Note: If the notice applies to either private plan review or private inspection services the Building
Official may require, at his or her discretion, the private provider be used for both services pursuant to
Section 553.791(2) Florida Statute.
the fee
owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services
indicated above.
Private Provider Firm: VIRTUAL REVIEW A5515T, INC,
Priv:w,te Pmvis',er. DEBPA ANNE KLAHP
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 mininmum
of S years subsequent to the performance of building code inspection services.
Individual Corporation Partnership
(signature)
Print
Name:
Address
Telephone
Pleaseuse appropriate notary block
STATE OF FLORIDA
COUNTY OF HILLSBOROU
UJ1f,.
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
Beforeme,this 22ND day of
MAY 20 22
personally appeared
of
Lonnar Homan LL a
corporation, on
behalf of the state corporation, who
executed the foregoing instrument and
aclanowledged before me that same was
executed for the purposes therein
expressed.
PrintPartnersh p Name
By:
(signature)
Print
Name:
Its:
Address:
Telephone
No.:
Partnership
B efore me, this day
of 20�
personally appeared
p artner/agent on behalf of
a partnership, who executed the
foregoing instrument And
acknowledged before me that same
was execnted.forthe purposestherein
expressed.
Personally known x ; or_ Produced identi-gcation Type of identification produced
Signature ofNotar. Print Name ASHLEE GALLAHAN
NotaryPublic Stamp:
sion Expires: �tl ANCommis
R. .* a*MY COMMISSION # HH 296980
. 2-� f QK 4a� " 30, 2026
Page 2 of 2
VR//\
VIRTUAL REVIEW ASSIST
Private Provider
Plan Compliance Affidavit
Private Provider Finn: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU1967
Address: 747 Southwest 21 Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: 111 �1&-yinualreviewassist.com
Project: New SFT
Address(s): 38136 Fallstone 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:
Plan Sheets: 1,2,3,5,6,7.1,7.2,8.1,9,10.1,11.1,11.2,12, LI,SN, SN I,S3,S4,S5,S6, ST,SS,D1,VvT,PAI.0,PAI. 1,
PAI.2,PAI.3,PAI.4, SHI.0,SHI.1,SHI.2,SHI.3,SHI.4,SHI.5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300
Signature of Reviewer:
SWORN AND SUBSCRIBED berme me by Debra Anne Klahr
being personally known to me..-� or having produced as identification
and who being fully sworn and cautioned, state that the
rego g is true an orre to t e best of his/her knowledge or belief.
Ft
Q'0
i g ='o 0"UY Print Name
I —COMMERCIAL BUILDING SERVICES DIVISION SIDENTIAL
BUILDING PERMIT DATA SHEET
TRACKING #
38136 Fallstone Way
FIRE MARSHAL #01 -
Required Permits
I W I
I jk3MfMjkM-
1W Building
Inspection Only
Plumbing
E] Inspection Only
r-2
V 'Mechanical
❑ Inspection OnI
WElectrical Amp
❑ Inypection Only
JoRoof
E:1 Gas
0 Medical Gas
E] Fire Sprinklers
E] On Site Piping
[] Fire Line
[:] Irrigation
M Fire Alarm
[:] Potable Backflow Assembly
El Fire Line Backflow Preventer
El Irrigation Backilow Assembly
E] Demolition
El Walk-in Cooler
[:1 Refrigeration
r-1 Hood
E] Ansul
El Fence/Wall
[:] Grease Trap
E] Other
El Other
wm�i =
jype �nstryction:Fv
B
Risk Category:
Load
an la sification:
C s cy E==
OWFact
Factory
Residential
'Assembly
Hazardous
Storage
y Care/Educational
Institutional E= []Mercantile
Building Use: Single Family Alteration r—Level I 11Level 2 ID—ILevel 3 Q 1
VNew Construction E] Interior Finish E] Interior Remodel E] Exterior Remodel El Addition r-1 Revision
Overall Size:
18 x 63
Number of Stories:
2
Total Sq. Ft.:
2086
Living Area: 1634
Covered Area:
452
# of Bedrooms: 3
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof Type: Z Shingle
Tile El B
—uilt-Llp
❑Metal ❑Other Squares: 14
El EJ
Zoning:
Worne Debris:
T12Dnside
,Outside
EnergyCode:
405-2020 fi��
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents? Yes
No
Sq. Ft. Enclosed Space Below BFE:
# of Vents:
Total Sq. In. Permanent Openings
Central A/C
❑ Gas A/C
Heat Pump
❑ Gas Heat
❑ Window A/C
❑ Electric Heat
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
gm=
Front Rear Left Right
As per Approved Site Plan
Comments:
Exempt o Yes 0 No How Determined
Impact Fee Amount :LM_ Zane No. TAZ:
SCHOOL IMPACT FEE &�
Account (056) Single -Family Detached House Amount $ '
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt = Yes = No How Determinei.
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone 'Total Amount $A 1
Exempt =Yes =No How Determined
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt IDYes No How Determined Total Amount —
RESOURCE FEE ERU
Checked B
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
♦' F
H
RECEIPT NO DATE BY