HomeMy WebLinkAbout23-5529City of Zephyrhilis�
5335 Eighth Strut
Zephyrhills, FL 33542
'hone: (813) 780-0020
Fax: (813) 780-0021
Issue Gate ., "
Ipll �' : �� '' * Ilw �� �■■j}r 1 I�! �I N� I� li �I �� * ���� II IVI Class of Work: Townhome
Phone:Address: 4600 W Cypress St 200 Building Valuation: $232,680.00
: It . +1
Valuation:Plumbing •f i
Total Valuation:
Total Fees: $13,714,84
Amount Paid: $13,714.84
1..- 1
CONSTRUCTi Q FT AS
Plumbing , f r f ii
Residential3/4 Water Meter a • 1 Building• " 8110
!Plumbing Valuation Fee $0.00• • a ',1 0i
ImpactPublic Safety •min $2635 AddressI.00
ResidentialDriveway Fee $45,00 3/4 Water Meter • r
SchoolElectrical Plan Review Fee $0,00 Sewer Connection Residential Fee $2,090.00
ract Fee - Single Family $3,353.00 Transportation
SingleBuilding Permit Fee $1,20140 Water Connection Residential Fee $1,01000
Park Impact Fee - ♦..
-PolicePublic Safety Impact Fee I Transportation Impact
Mechanical Plan Review Fee #1
"WarningREINSPECTION FEES: (c) With respect to Rainspection 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 records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
to • Your r record a noticeof commencementr paying twice for
improvements • your property. • r to obtain financing, consult with your•" or •
accordancebefore recording your notice of commencement."
Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in
♦• and Ordinances. NO OCCUPANCY BEFOREi
NO OCCUPANCY BEFORE
R
813-780-0020, City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting 908 770 7763
_T_r_T If -1-_I _t'T I ..IS
Owner's Name Lennar Homes, LLC Owner Phone Number 1 813.574.5700
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 38100 Fallstone Way
LOT# 0025
SUBDIVISION Townes at Autumn Palm PARCEL ID# 15-26-21-0230-00000-0250
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR 8 ADD/ALT
P INSTALL REPAIR
SIGN DEMOLISH
PROPOSED USE Y � U�SFR � COMM 0
OTHER
TYPE OF CONSTRUCTION 10 u BLOCK Q FRAME
STEEL 0
DESCRIPTION OF WORK Multi -family / Screen Enclosure / Fence
BUILDING SIZE U/R SF 1 g3g SO FOOTAGE 1541
28
HEIGHT
BUILDING $ 232680 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ 34902
® PROGRESS ENERGY W.R.E.C.
AMP SERVICE
PLUMBING
(MECHANICAL $ 16287,13 VALUATION OF MECHANICAL INSTALLATION
9 •=GAS
f
® ROOFING SPECIALTY =
OTHER E.
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA
ElYESDo
Z_
BUILDER 6 COMPANY I Lennar Monies, LLC
SIGNATURE d REGISTERED Y / N FEE CURREF
Address 4 WEB Scouts Blvd Suite 600 Tampa, FL 33607 License # = CGC1518166
ELECTRICIAN 7'd COMPANY Edmonson Electric, Inc.
SIGNATURE III REGISTERED Y / N FEE CURREF I Y / N
Address License# EC1300540$
PLUMBERr COMPANY Bayonet Plumbing, Pleating & AC, Inc
SIGNATURE ' REGISTERED Y / N FEE CURREF Y / N
Address 7' Vw License # I CFC042998
MECHANICAL ak COMPANY Bayonet Plumbing, Heating & AC, Inc
E SIGNATUR` REGISTERED Y / N FEE CURREF Y / N
Address (1 License # I CAC058062
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y / N FEE CURREn I Y / N
Address License # I CCCO57991
IIIIIF1111111111111111/Illllllllillllll/111111/IIIIIII111/111111111
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.
-i-1-1-1�. .—.—..—.—. ... . . . .' . 1-:—. .—.—.—.—M1-1—
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 (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 "V" 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.
1;hm 101 " 1111 Lei:* ;Ijei za I J, IU 11401TA:4 6 14 0 1 &�Jlll [CWL6111111 Z41 N Z01:14 -a WM I W1011112 10 1 IR 01 SM M&*J;2 IF -A I M 21 k' F-11 , 0,
JURAT (F.S. 117.03)
OWNER OR AGENT
Subscribed and sworn ?8(or affirmed) before me this
by Christopher Smith
Who is/are personally known to me or hasAave produGad
as identification,
-Z Notary Public
Commission No. GG 296057
Subscribed and sworn to (or affirmed) before me this
12,W2022 by Christopher Smith
Who is/are personally known to me or has/have produced
as identification.
Notary Public
Commission No. GG 296057
Stephanie Farmer Stephanie Farmer
Name Name of
STMM FMMER STB%AM "ER
E9M Fa kaq 15, 2023
1, V E4ftsFebruary 15.2023
Permit No.
_ Date Peff nitiaX�
Builder Name/Owner Name Control #a
County Parcel No, f l ? S b iv. L '
Add don
ClassfflcagorvTypsof
TRANSPORTATIONk>
ACT FEE Rate: Sq Ft Unit:
Exempt C1 Yes []No
+' Determined
No.
't
Account (056)
Single-FaSingle-Family Detached House Amount
Mobile ,
CollectionFee
dyes D No How De
e
v
Land
Total
Zone
Recreation Credit Recreation Total
TOTAL AMOUNT L
apt C3 Yas No
LI
Land Accnn Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt ® yes Q No Flow Determined Total Amou��=
C F
TOTAL AMOUNT
Chocked By
NO CERTIFICATE OF OCC
r y;
ti ftMg U�
k3 i,
i Rjjii
ECEi _ Y
RECEIPT NO. DATE B
Mom"Nams
MfF.F.MEL= 84.20
DESCRIPTION: LOT(S) 25-32, TOWNES AT AUTUMN PALMS,
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89,
PAGES) 113-114, OF THE PUBLIC RECORDS OF PASCO COUNTY,
FLORIDA.
ALL ELEVATIONS REFERENCED
j
1
TO NORTH AMERICAN
NTl
\g
VERTICAL DATUM OF 1988
iNAVD 88)
206'
PROPOSED ELEVATIONS AND TYPE
m
GRADING SHOWN HEREON ARE TAKEN
FORM THE ENGINEERING PLANS OF "MASER'
CONSULTING P.A. ', PROVIDED BY CLIENT
O'S
PROPOSED:
LOWEST FLOOR ELEVATIONS:
n
LIVING AREA: 84.80
GARAGE AREA: N/A
C
LL
ELEVATIONS REFERENCED TO
NORTH AMERICAN VERTICAL DATUM OF
S
1988
M
---_-_--
E0.85= NATIONAL GEODETIC VERTICAL
V
DATUM OF 1929
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N
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m
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Z
LOT 17969 _SOFT
ovmb
LIVING AREA 5336 SO FT
:0 ? <+' o m
--------
ENTRY 672 SO FT
GARAGE 1848 SO FT
COVERED LANAI 868 SO FT
49
$
PATIO NA Sol FT
POOL AREA NA SO FT
'¢
CONC. DRIVE 1967 SO FT
m o o N m
a
---------
A/C & CONC PAD 80---SO
SO FT,
O
SIDEWALK 324 SO, FT,
m= o
v
o
SIDE YARD SWALE NA SO. FT.
u „,. ,n - „+ Z
m
o
CONSERVATION AREA NA SO. FT.
8
m
—
LOT OCCUPIED - 0/,I
F
z
_59
AREA TO IRRIGATE 41 %
z
--------
TRACT 'I'
PRIVATE PARK
N 8931'57- W (P) f 20,O6'
b 0
� a
cd
UNITA LOT ENTRY 17.3'
1532 25
57.0'
S 89.25' 7 5' E (PH 115_ TO IPI
o UNIT-B LOT m
co16 1526 ENTRY 173
�
S89'25I5 E(P)�109.43' IF'') o 147
5zo
SITE PLAN SEC. 15, TWP. 26 S, RING 21 E. 1708 Welter Oak Drive
PASCO COUNTY, FLORIDA
(NOTA SURVEY) (TOWNES AT AUTUMN PALMS) Tarpon Springs, Florida
Phone., (727)-831-1990
s LOT )rida
24 O FlPLS7123@gmaii.Com M c
N LB# 8183
i
&3 6
.� 3yn .c>., .(' .✓ U, �.
b UNIT-C LOT
0o ENTRY
- t'
1624 27
173
S 89'7.5'I5'F (P) I0391'(P) `0
147
39^.T
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- -
m
UNIT-C LOI
19
ro 1624 28 ENTRY ITT
M o
S89.25' 15' ELIP) 110308'(Pj PROPOSED
57 0'
2 STORY
ATTACHED
_
N, _
RESIDENCES
b UNET-C LOT ENTRY
-
co 1624 v 29
S89'25'�5'E
173
o
NOTES: Q,,., 19.7'
p °J^ m m o b Z UNIT-C LOT ENTRY 17.3'
LOT GRADING TYPE = N/A V - 1624 30-
QS89-2515 EOB 110340'IP) _
PROPOSED PAD ELEVATION - N/A w. 570
FRONT SETBACK == 15
'¢
W
39 7
q T
m
s, ti
SIDE SET BACK == i0' E-
O'ry
Q" C7
Z
b UNIT-8
REAR SETBACK -= 20
U z
m 1516
LOT 1 7.3'
Q
ALL WALKS 30 UNLESS NOTED L.
IU
.1
m
"
31
et
1¢
m
_ _
w
_ _
v
-
ALL A/C 32T,32
------ ----
'.7
(5TO'
S89'25 I4EIP): t03_S/'(Pj
i/E/U/D= INGRESS EGRESS/ UA
Z
t
UTILITY/ DRAINAGE ESM T
Z b
Z
rn UNIT -A
, LOT
73
m
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06
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6 01
39,7
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St! B ATiONS
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v
LOT 33 S 89'ST 18"E
P t03.82 P
(I O
A/C -AIRCONDt10NtR (DI )tFD
INVFNVFRT
PC AT OE CURVE
(Rj - RECORD
AE ALUMINUM FENCE DF DRAINAGE I AST MIT
I6-I ICENSFD BUISNi SS
PCP PERMANENTCONTROL POINT
RNG-RANGE
8FF RASE D COP ELEVATION NORFIEV-DF—ON
HE-IOWf STNOORTI(VAi1CP
P/F- POCf FOUIPMENT
RED RAELROAD SPIKE
W BENCHMARK FOP-EDGEOt PAVEMENT
IS -I UNS£DSURVCYOR
PG - PAGE
R/,v ROD F OF WAY
C-CURVE FSM'T- EAST MENT
(Mj -WASURf-D
PI -POINT OF INTERSECFION
SEC SECTION
(CI=CALCULATED F/C - FENCE CORNER
MES-MITFEAD1 NOSECTION
PK-PARKER KAI ON
ED-- SET NAIL AND DISK I Ell
c-CENTERLINE FCM- FOUND CONCRI
If MONUMENT NCT^NO CORNER FOUND
POB-- POINT OF BE GINNING
SIR - SET 1/2" IRON ROD LB* 818_
CLF - CHAIN I3NK FFNCF - FOUND IRON IWE
O/A•-CIVERAII
PO(:-POINIOR c-SEENCEMENT
IBM- TEMPORARY BENCH MARK
CMP- CORRUGAT E D ME TAT PIPE FIR, FOUNDIRON ROD
OHW-OVE RHr-WIRLISI
PC POINT ON I INE
TOR - TOP OF BANK
COL -COLUMN INIP-11-DNA) SDICK
OR -OFFCIAI.RECORIK
PRC ^POINT OP 11-1ICE CARVE
TWP=TOWNSHIP
CON' -I"'NIR iL E OP- I OUND OPT N PIPE
III -FIAT
PRM- PER —EN I RFF FRFNCE MONUMENT
UF,- HER LITY EASEMENT
CONCRETE STAB FPP_ I OUND PIN(Hf D
NEC 118^1I A180G11 -
PUt P(IBLICUTIHIFASFMENT
5.0'(P)
Checked By: JH JOB #6071
File:
Date of Site Plan: 1 1-8-22
Scale: 1" = 20'
SIA
Initial Point Land Surveying, LLC
LEGEND
SURFACE TYPE FENCES
/
C"t "-GONG AT FENCE
§^4 {, :.
----
I'll 'Al VINYL FENCE
❑
/
v eRi<K VV )CID PENCE,
KE
— S —
*y: SAND/DIRI. CIRPiN I INK f E NCE
OVFRHFAD POWER
-CCIVERfO
— 3HP — OHP —
LEGEND.
ED ^ ti
c w
3 G +"
11
PROPOSED DRAINAGE FLOW
m ur,
>�
W W o w
(00,00) -= PROPOSED GRADE
0 o
O Q $ WN ®
E-00.00 = EXISTING GRADE - 2 OAK
O10'
INGRESS EGRESS/U.E & D.E
APPARENT FLOOD HAZARD ZONE: "X` COMMUNITY NO. 120235
C V
(MAP NUMBER 12101C-0452-F) EFFECTIVE DATE: 09/26/2014
SURVEYOR'S NOTES:
1.) Current tale information on the subject property had not been
furnished to Initial Point Land Surveying, LLC, at the time of this site plan
2.) This sketch was prepared without the benefit of a tale search. No
instruments of record reflecting ownership, easements w 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.
5.) This site plan is subject to matters shown on the Plat of 'ZEPHYR
COURT"
IL) 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 arty deviation from
information shown hereon. Failure to do so will be at users sole risk.
SITE Plan Prepared for and Certified To:
,at Homes
This certifies that
under mys ery
REVISIONS: surveys as s
5J-17.051 [
Section 473,02q,
NOT VALI
_OFA
roPertY was made
itWrds of Practice for
in Chapter
��((yy??}}''ors
ikt&IV pursuant to
1.28
STATE OF 7r Date
SLFt'MVORAN ,/AA FRLS#7123 LB#8183
7 E c ipAt4+'�. SGNATURE AND SEAL
LYOR AND MAPPER
if z. �. rt+n�t
R UAL REVIEW Asslis-
v I
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
38100 Fallstone Way
Parcel Tax ID: 15 - 26-21-023 0-00000- 0250
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.
MWFM��
the fee
owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services
indicated above.
�� 1111IFF1111211
Private Provider Firm:
Private Provider: DEBRA ANNE KLAHP
Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINE5VILLE, FL 32601
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 atta.clunents. are provi&d 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 pexfoimed 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, LLQ
Print CorporationNamD PrintPartnership Name
By: By-,
(signature,) (signature) (signature)
Print print Print
Name: N,.,,. Christopher Smith Name:
Address. its: Authorized Agent its
Address: 700 NW 107th Ave Address:
Telephone Mia ni, FL 33172
Telephone. Telephone
No. 813-574-5700 No.:
Plea�e use appropriate notary block.
STATE OF FLORnA
COUNTY OF HILLSBOROUGH
B e f01'enle, this day of
20— personally
appeared
who executed the forego"ing inst-umffnt,_
and acknowledged before me, that same
was executed for the purposes therein
expressed.
Corporation
Beforeme,this 22ND day of
MAY —2o-22
personally appeared, '
Of
Lennar Homes LLC
corporation,, on
behalf of the -state corporation, who
executed the foregoing instrument and
aclokwledged before me that same was
executed for the purposes therein
expressed.
Ur' E
Beforeme, this -day
of
per&6nOy appeared
partner/agent on behalf of
a partnership, who executed the
foregoing instrument and
a6mowledged before me that same
was exeGuted.for the purpos es therein
expressed.
Personally known X or- Produced identification — Type of'identifcation produced
Signature of Notar PlintNaml- ASHLEE CALLAHAN
NotaTyPublic Stamp:
ASHLEECAUAW
MY
Commission Expires COMMISSION# HH 29M
ES: NOVOMbOr. 30, 2D28
'Dju 202�co EXPIR
Page 2 of 2
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: YL�I)
Itic "
-L-vii-tualreviewa,ssist.com
Project: New SFT
Address(s): 38100 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: 1,2,3,5,6,7,8,9,10,11,12,13,14,15,16, L 1,SN, SN I,S3,S4,S5,S6, ST,SS,D 1,W,PA 1.0,PA I . 1,
PAI.2,PAL3,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: Yl
SWORN AND SIJBSCRIBE�D*Tore me by Debra Anne Klahr
being personally known to in or having produced as identification
7 and who being fully sworn and cautioned, state that the
for go is true ancorrect to e best of his/her knowledge or belief.
§ig`911t'u'r11e' of`N&-Print Name
commission expires:
ASHLEE CALLAHAN
My COMMISSION # HH 29M
EXPIRES: NOWNZar 30, 2026
COMMERCIAL BUILDING SERVICES DIVISION
BUILDING PERMIT DATA SHEET
TRACKING # FIRE MARSHAL #01
FOLIO # 38100 Fallstone Wav
Reattired Permits
WBuilding
El inspection Only
V Plumbing
ElIns pection Only
WMechanical
0 Ins ection Only
VElectrical Amp
Ej Inspection OnLy_
Roof
Ej Gas
[:1 Medical Gas
Ej Fire Sprinklers
❑ On Site Piping
F-1 Fire Line
E] Irrigation
E] Fire Alarm
E] Potable Backflow Assembly
Ej Fire Line Backflow Preventer
❑ Irrigation Backflow Assembly
❑ Demolition
El Walk-in Cooler
Ej Refrigeration
El Hood
El Ansul
El Fence/Wall
E] Grease Trap
[] Other
E] Other
F.TM711r, �11
Type Construction:
Risk Category:
Occupancy Load
Oglgnpancy Classification:
Factory E:::=
Residential
1
Assembly Business RDay Care/Educational
Hazardous E= Institutional ❑ Mercantile
ro,"'Storage E= RE3 Utility
Building Use: Sin le Family Alteration 1—Level I Level 3 1:111, 10 Level 2
VNew Construction El Interior Finish El Interior Remodel El Exterior Remodel EJ Addition El Revision
Overall Size:
18-4 x 63
Number of Stories:
2
Total Sq. Ft.:
1939
Living Area: 1541
Covered Area: 398
# of Bedrooms: 2
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Rol Shin le EjTile El Built -Lip El metal Other Squares: 13
Zoning:
Wi❑ orne Debris:
V, Outside r
O Inside
Energy Code:
405-2020
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents? JE1 Yes V,,, No
Sq. Ft. Enclosed Space Below BFE:
# of Vents: T-Size
of Vents:
Total Sq. In. Permanent Openings
9 Central A/C Z Heat Pump E] Window A/C
0 Gas A/C El Gas Heat El Electric Heat
wilkTme 1=1 -
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Under round Fire Line
vm,"M
Front Rear Left Right
21 As per Approved Site Plan
Comments: