HomeMy WebLinkAbout23-5525City of Zephyrhills
i ti
5335 Eighth Street
ephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
issue gate:
15 . 210230 00000 0350 38138
Type:'Name: LENNAR HOMES LLC-OWNER Permit ob
Work:
ng New (Residential) Contractor: LENNAR HOMES LLC
Class of i
Address: 4600 W Cypress St 200Building Valuation: ! !!
TAMPA,! : !!
Phone:!• Mechanical Valuation: $17,522,40 X
Plumbing Valuation: ! !
Total•
Total Fees: $13,83126
Amount Paid: !
Paid:1 Date
CONSTRUCT A « FT AS
*w a:
O00 Sewer Connection Residential Fee $2, 90.00
! !! 3/4 Water Meter Residential Connection
Building Plan Review Fee $180.00 Mechanical Plan Review Fee $0.00
ImpactPublic Safety •• . !0
Transportation • 80 Fire Wall/Smoke Wall Inspection!
TransportationPlumbing Valuation Fee $0.00 Building Permit Fee $1,291.60
Park Impact Fee - Single Family/Townhome $76956 Electrical Permit Fee $227.74
! School Impact Fee w !
;Addressi! Park Impactwle Family/Townhome $! !
PublicMechanical Permit Fee $127.61 Public Safety Impact Fee -Admin KOO
w-PolicePermit
Wall/Smoke!i
REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c) the
local government shall impose a fee of four times the amount of the fee imposed for the Initial inspection or
first reinspection, whichever is greater, for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public recordsof s a • there may be additional erequired from other governmental
e as watermanagement, « agencies or federal
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you* to obtain financing, consult with your• or an attorney
before - • • your noticeof
Complete Plans,+ • wa fee Must AccompanyApplication.
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY
y . BEFORE
C.O.
813-780-()020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting 908 770 7763
Lerner TrrT-rT rr
Owner's Name r Homes, LLC Owner Phone Number 813.574.5700
Owner's Address 4301 W Boy Scout Blvd, Ste. 600, Tampa, FL 336Q7 Owner Phone Number
Fee Simple Titleholder Name N/A Owner Phone Number
Fee Simple Titleholder Address I N/A
JOB ADDRESS 38138 Fallstone Way
LOT#
0035
SUBDIVISION Townes at Autumn Palm PARCEL tD# 15-26-21-0230-00000-0350
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT
PINSTALL
SIGN 0
DEMOLISH
8 REPAIR
PROPOSED USE SFR COMM
OTHER
TYPE OF CONSTRUCTION BLOCK 0 FRAME
STEEL
DESCRIPTION OF WORK Multi -family / Screen Enclosure / Fence
SIZE IU/R SF 20$6 SO FOOTAGE 1634
HEIGHT 28
BUILDING
OBUILDING $ 250320VALUATION OF TOTAL CONSTRUCTION
[—
1.! (ELECTRICAL C
$ 37548
♦--fi�r �
PROGRESS ENERGY
0 W.R.E.C.
AMP SERVICE
,7
I✓•• �1PLUMBING $
��
I�MECHANICAL $ 17522.4 VALUATION OF MECHANICAL
INSTALLATION
=GAS I✓J ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIO I FLOOD ZONE AREA YES D0
BUILDER ; COMPANY Len,ar homes, LLC
SIGNATURE REGISTERED Y / N FEE CURREE Y / N
, Edl W Ba,....'S
Address Scout Blvd Suite 600 Tampa, FL 33607 License # CGC1518166
ELECTRICIAN COMPANY Edmonson Electric, Inc. ^�
SIGNATURE t REGISTERED Y/ N FEE CURREE Y/ N
Address f License# EC13005408
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREE I Y / N
Address License # CFC042998
MECHANICAL i COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE / _ _ REGISTERED Y / N FEE CURREN Y / N
Address p License # CAC058062
OTHER f'COMPANY C Sterling Quality Roofing, Inc
SIGNATURE t,J REGISTERED Y / N FEE CURREE I Y / N
Address (£a License# 1 CCC057991
11lIEIIIIIIIlIIIIIIiElll/1!l111111111111111111l11111!lIIIIIl1111111
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/Iarge 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, Stonnwater 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. (A/C 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 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, Welland 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.
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
1-22 by Christopher Smith
Who islare personally known to me or#as!#ave-pradttsed
as identification.
Notary Public
Commission No. GG 296057
Stephanie Farmer
Name
ExpW Fei
wary 16, 2023
fts i I i
2,11OF-110 ORP111111
Subscribed and sworn to (or affirmed) before me this
W2022 by Christopher Smith
Who is/are personally known to me or has/have produced
as identification.
Z42- S--- Notary Public
Commission No. GG 296057
Stephanie Farmer
Name of N
,11., STMM WMER
411 ,
00 2"M
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount $
(057) Mobile Nome
(058) tither Residential
(123) Collection Fee
Exempt = Yes = No Now Determined_
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone Total Amount $
Exempt =Yes No Now Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
ExemptEl Yes No Haw Determined Total Amount
RESOURCE FEE ERU
PERFORMED
UNTIL THE TOTAL AMOUNTSi, HAVE
RECEIPT NO DATE BY
pr--,Mill
DESCRIPTION: LOTS) 33-38, TOWNES AT AUTUMN PALMS,
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89,
PAGES) 1 13-1 14, OF THE PUBLIC RECORDS OF PASCO COUNTY,
FLORIDA.
SITE PLAN !
(NOT A SURVEY) j
I i
i I
ALL ELEVATIONS REFERENCED I
TO NORTH AMERICAN 1 `sue
-
VERTICAL DATUM OF 1988
I NAVD 88)
20.9'
PROPOSED ELEVATIONS AND
GRADING SHOWN HEREON ARE TAKEN i m
FORM THE ENGINEERING PLANS OF WASER)
CONSULTING PA.', PROVIDED BY CLIENT ( )
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
SCL FT.
LIVING AREA ..
4010
SO. FT -
ENTRY
476
SO. FT.
GARAGE
1356
SQ. FT,
COVERED LANAI
652
SQ. FT,
PATIO
NA_SC).
FT.
POOL AREA -
NA
SO. FT.
CONC. DRIVE
1500
SQ, FT.
A/C & CONC PAD =
54 ___
SO. FT.
SIDEWALK =
272
SQ. FT,
SIDE YARD SWALE =
NA
SO. FT.
CONSERVATION AREA =
NASQ.
FT.
LOTOCCUPIED =62__
%
AREA TO IRRIGATE
38
%
0 = 2" OAK
NOTES:
LOT GRADING TYRE -- N/A
PROPOSED PAD ELEVATION -•-
N/A
FRONTSETBACK 15'
SIDE SET BACK = 10'
REAR SETBACK - 20'
ALL WALKS 3.0' UNLESS NOTED
ALL A/C 3.2z32'
i/E/U/D = INGRESS EGRESS/
UTILITY/ DRAINAGE ESM'T
a
I, m
I=
Hri -
V Q
IQ U ____t.__-__
i m p 4"
TRACT 81 °Yo 8
PB 1, PG 55 i
i ^
TRACT 96 tih+L
PIT 1, PG 55°
v a
i m
j w
I
Is,I A
I �
I -
i
0
i
F
I Q
I
I
1
21.9'
SEC. 15, TWP. 26 S, RNG 21 E.
PASCO COUNTY,
FLORIDA
(TOWNES AT
AUTUMN PALMS)
x�
LOT
32
0
S 89.57'18' E (P) 103,82'
(P)
o,
31.3'
UNIT -A 39.7'
o 6.0
1532
PROPOSED LOT
' 2 STORY
ENTRY 17 3
xi
ATTACHED 33
RESIDENCE 6.3'-0'
S 89'56'08"E (P) 104.08'jP)
UN(T-C 57.0
1624
b PROPOSED LOT
M b 57
•- ED
- o
a 2 STORY
- 34
ENTRY 17 3 C0
-
ATraCHED
RESIDENC:Izo
S 89-5608" E IPL 10424' PI
7.m
.
UNIT-C 39.7'
1624 E.
PROPOSED
b LOT �
STORY o
ENTRY 173
ATTACHED 35
O
RESIDENCE
_S 89_56'08" E IPL 104.49 P
- _ _ _ _ -. �._
STU
UNIT{
(82701
i+m
CC PROPOSED LOT
o
_
_
En
_ 2 STORY
36
ENTRY 17.3' , .. • a
p .
ATTACHED
RESIDENCE
^ i 20 0'-
o
S 89'56'08" E LPi iO4.56' (P)
-
, r�m
..
39,7
UNIT
_ 4.7 -. _.....� c^Y
4
7624
O LOT"-
'o - 200'
\
PROPOSED
C0 2 STORY
37
ENTRY 17.3'
in o -
ATTACHED
RESIDENCE
O
S 89'56'BEEF iP) 704 PRIM
UNIT -A•-
1532
en o ..
.
M PROPOSED
2 STORY LOT
ENTRY 17.3'
ATTACHED p
38
-
- 2200O
RESIDENCE
b
39.7'
3I 3'
1
b b
b d
N 89`56'08" W (P) 104,98' (P)
LOT
39
- �0
Z0.0'
IP)
A/<.-AIRCONDITIONER
LDj. UFED
INV- INVERT
PC - POINT OF(URVF
IRI- RECORD
Drawn By:DJB
Party Chief:JH
REVISIONS:
Af-AWMINUM FFNCE
ITf- BASE FLOOD ELEVATION
D 1- DRAINAGE EASEMENT
It OR El TV - ELEVATION
H-IICENSED BUISN( SS PCP- PERMANENT CONTROL POINT
IFE I OWEST FLOOR F LEVAT1ON P/f - POOL EOUIPMF FIT
RNG �-RANG[
RRS"tUit ROAD SPIKE
Chef kCdB.JH
y
JOB}f6054
RM-BENCHMARK
F OP- t DGE OF PAVEMENT
1 S - I CENSED SUIRVEYOR
PG - PAGE
R/W- RIGI{I OF WAY
C "CtTREE
ISM 1-EASEMEN'
RA) MEASURED
PI- POINT OF INTFRSFCIION
SEC ^SECTION
Fife'
'
IC I -CALCULATED
!/,' - f f NO CORNER
ME:S - MITERED ENO SECTION
PK -PARKER KAI.ON
SN&D -SET NAIE. AND DISK LSn8183.
Date of Site Plan:I f-3-22 DJB
c-I'D'RUDE
FCM-FOLENEDCONCIRETE MONt1MFNT
NO -NO CORNER FOUND
POP- POINT OF BEGINNING
SR=SEJ t/"IRON ROD LBx 8183
<IF -CHAIN LINK FENCE
CMP- CORRUGATED METAL PIPE
FD - FOUND IRON PIPE
IIR-1-0UND IRONROD
O/A- OVERALL
GMW-OVERHEAD WIREUI
POC- POINT OF COMME NCTMFNT
POE - POINT ONIINE
(SEEP C REPORARYBENCHMARK
TOH TOP OF BANK
WG:L33-38-T@AP-SITE.DWG
COI -COLUMN
FN&D-FOUNDNAII &DISK
OR - FICIALRECORIC,
PRC POINT OF RFVERSf CURVE
TWP- TOWNSHIP
This SITE Plan Prepared for and Certified TO:
CUNC-CONCRETE
FOR "FOUND OPEN PIPE
(PE wiAAT
PRM-PFRM/SNENTAiFRINCEMONUMFNT
U.E^UTfIrYEASEMENT'
Lennar Homes
C/S- CONCRETE SLAB
FPP-FOUND PINCHED PIPE
P8-PLAT BOOK _
PUF=PUBLIC UTItFYEASFMFNT
1708 Water Oak Drive
Tarpon Springs, Florida
Phone:l7271-831-1990 zq
FlondaPLS7123@gmail. Com
LB# 8183
Scale: 1" = 20'
Initial Point Land Surveying, LLC.
LEGEND
SURFACE TYPE FENCES
i ALUMINUM FFNCE
A11-1T VINYL FENCE
-BRICK WONn",,CE
SAND DIRT CHAIN IJNK FENCE
X
-coveRFD Ov�PR 0HP F
LEGEND:
PROPOSED DRAINAGE FLOW
(00.00) = PROPOSED GRADE
E-00.00 - EXISTING GRADE - 2" OAK
10 INGRESS EGRESS/U.E & DE
APPARENT FLOOD HAZARD ZONE: "X' COMMUNITY NO. 120235
(MAP NUMBER 12101C-0452-F) EFFECTIVE DATE: 09/26/2014
SURVEYOR'S NOTES:
I Current title information on the subject property had not been
furnished to initial Point Land Surveying, ELF, at the time of this site plan
2.j This sketch was prepared without the benefit of a title search No
instruments of record reflecting ownership, easements or rights-oF-ay,
were furnished to the undersigned, unless otherwise shown hereon
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.
5.) This site plan is subject to matters shown on the Plat of "ZEPHYR
COURT"
6.) 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.
This certifies that sk WWAi
�-
c property was made
undermupeStandards of Practice for
surveys a s s in Chapter
SJ-17.0gde, ursuanttoSection 472.039F IdaStateSt�t'I3R12�
x o [late E1 12.11.28
Leff M. H rn - 08:1 - 5'00' Date
:LORIDA PROF AN: 3:+_ER LS#7123 LS#8183
`Vn?1�RfBAr 'l�s
NOT VAUN' 4,;$IGNATURE AND SEAL
OF A FLEE S"19 U YOR AND MAPPER
Project Name:
38.138 Fallstone Way
\ r / R/\
F EV-W ASSI,T
v Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Parcel Tax ID: 15-26-21-0230-00000-0350
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.
WMAREMS
the fee
owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services
indicated above.
IF '11111IFT11111 �
Private Provider Firm:
Private Provider:
Address:
Telephone: 813-376-3089
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 atta.chrnents. are provided as required:
1. Qualification statements ' and/or resumes of the private provider and all duly authorized representatives.'
I. Proof of insurance for professionaland comprehensive 1 abilit
i y in,the.
amount
o of $1 million per
occurrence relating to all service's peirfoimed as a private provider, including tail coverage for a minimum
of 5 years subsequent to the performance of building code inspection services.
Individual Corporation
Partnership
LENNAR HOMES �LL Q
Print CorporafionNamD
PrintPartnership Name
By- ,
(signature) (signature)
(signature)
Print print
Name: Name: Christopher Smith
print
Name:
Address. its: Authorized Agent
its
Address: _7QQ_NW 107th Ave.
Address:
Telephone Miami, FL 331.72
Telephone.
Telephone
No. 8137574-5700
No.:
Please use appropriate notary block
STATE OF FLORI-DA
COUNTY OF —HILLSBOROUGH
Btforeme, this day Of
20— personally
appeared
who executed the foregoing instrument,
and acknowledged before me that s * ame,
executed exated for the purposes therein
expressed.
Corporation
Beforeme,this 22ND day of
MAY 20 2_2
personally appeared,
Lennar Homes, LLC
corporation, on
'behalf of the state corporation, who
executed the f6regoing instrument and
acicaowled I ged before me that same was
executed for the purposes therein
expressed.
Personally known X or_ Produredidenti-toation — Type of identification produced
Partnership
Beforeme, this day
of 20—
pers6nally appeared
p armtr/agent on behalf of
a partnership, who executed the
foregoing instrument and
acknowledged before me that same
Was executed.forthepurpo.,ses thbrein
Signature of Not Print Name ASHLEE CALLAHAN
NotaryPublic Stamp;
Commission Expires:
2021co
Page 2 of 2
\/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 2" Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: lu M gc qualreviewassist.corn
y_(&-
Project: New SFT
Address(s): 38138 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:
Name: Debra Anne Klahr
Plan Sheets: 1,2,3,5,6,7.1,7.2,8.1,9,10.1,11.1,11.2,12, LI,SN, SNI,S3,S4,S5,S6, ST,SS,D1,WP,PAI.0,PAI.1,
PA1.2,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:
71 77-
SWORN AND SUBSCRIBED �b,bre me by Debra Anne Klahr
being personally knownor having produced as identification
and who being fully sworn and cautioned, state that the
f redoing is true and correct to the best of his/her knowledge or belief.
Signature or Notary Print Name
OR$
commission expires:
I �i.7 �i1�:7.`IF11E.fll
USTIRMIUMM
5
112/10/2022
Building
® Inspection 0n1v
Plumbing
❑ Ins ection Only
Mechanical
❑ Ins ection Onl
Electrical Amp
❑ Ins ection Only
Roof
❑ Gas
F
Medical Gas
Fire Sprinklers
❑ On Site Piping
❑ Fire Line
❑ Irrigation
❑ Fire Alarm
El Potable Backflow Assembly
❑ Fire Line Backflow Preventer
❑ Irrigation Backflow Assembly
❑ Demolition
Walk-in Cooler
❑ Refrigeration
El Hood
❑ Ansul
El Fence/Wall
❑ Grease Trap
❑ Other
❑ Other
Type Construction:
V"�
Risk Category:
Occupancy Load
t} aney Classification:
u., Factory
Residential
Assembly Business Day Care/Educational
Hazardous Institutional ❑ Mercantile
❑;Storage = ❑Utility
Building Use: Single Family / Alteration ❑Level 1 Level 2 Level 3
PfNew Construction ❑ Interior Finish ❑ Interior Remodel ❑ Exterior Remodel ❑ Addition ❑ Revision
Overall Size:
18 x 63
Number of Stories:
2
Total Sq. FL:
2086
Living Area: 1634
Covered Area: 452
# of Bedrooms: 3
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof Type: 9 Shingle
❑Tile Built-up ❑ Metal ❑ Other Squares: 14
Zoning:
Wi orne Debris:
D Inside Outside
Energy Code: 405-2020
Flood Zone: X
Base Mood Elevation:
Finish Floor Elevation:
Hydrostatic Vents? Yes
No
Sq. Ft. Enclosed Space Below BITE:
# of Vents:
Size of Vents:
Total Sq. In. Permanent Openings
�] Central A/C
❑ Gas A/C
0 heat Pump El Window A/C
❑ Gas Heat ❑ Electric Heat
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
M. Impf
Front Rear Left Right
21 As per Approved Site Plan
Comments: