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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