HomeMy WebLinkAbout23-5532City of ■ E
5335 Eighth Street
L �"4)A.
Zephyrhills, FL. 33542
BNR-005532-2023
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date:.-
Permit Tie: Building y
210230 ttitt 0280
38110 Fallstone
�I Name:eENNA HOMES LLC-OWNER u H E mi `. �M i r IIIII iType: t �Building
New Contractor: N NAR �( HOMESI� L IL C .
Class of Work:
ome
Address:ti Building .$250,320.00
PlumbingElectrical Valuation: $37,548.00
Phone: (813) 574-5700 Mechanical Valuation: $17,522.40
i
'I! Total Valuation: $330,422.40
Total Fees: $13,831.26
Amount Paid: $13,831.26 Cj
CONSTRUCT TOWNHOME • 4
A Q R •
;,Address ... tt._.Transportation
... Impact.e 1, a _. i
Sewer Connection Residential Fee $2,090.00 Building Permit Fee $1,291,60
,Plumbing Permit Fee $16516 Electrical Permit Fee $22774
Fire Wall/Smoke Wall Inspection ti i i
School• ., it Park Impact.. • .
Transportation •« a $45.00
Building Plan Reviewtt Mechanical Permit Fee $127.61
percentElectrical Plan Review Fee $0.00 Water Connection Residential Fee $1,010.00
-PolicePublic Safety Impact Fee ii +•:
3/4 Water Meter Residential
respectREINSPECTION FEES: (c) With • Reinspection fees will comply• •. Statute 553.80(2)(c)
management,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 agencies or •.#+ agencies,
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If youintend to obtain financing, consult with yourr or an attorney
accordancebefore recording your notice of commencement."
Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in
•• and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY B
k'
Al' CONTRACTOR SIG TUBE PE IT OFFICE
PERMIT
•. EXPIRES
r: # MONTHS WITHOUT APPROVED
CALL r INSPECTION ► NOTICE REQUIRED
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
_. Building Department
Date Received Phone Contact for Permitting It 908 1 770 7763
_T- 1- I T 7—i (._T.._ .—m—.—T-7-1..`. ... —. .. ...T-�rI-7.. T I I t-7 A I I I a A I ITS,,,,.
1.
Owner's Name Lennar Homes, LLC Owner Phone Number I vI3.,745700
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 38110 Fallstona Way
LOT# 0028
SUBDIVISION Townes at Autumn Palm PARCEL ID# 15-26-21-0230-00000-0280
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEWCONSTRB ADD/ALT [
P INSTALL REPAIR
SIGN DEMOLISH
PROPOSED USE uv u SFR COMM
OTHER
TYPE OF CONSTRUCTION 10 BLOCK FRAME
STEEL
DESCRIPTION OF WORK I Multi -family / Screen Enclosure / Fence
I U/R SF 2086 SQ FOOTAGE 1634
HEIGHT
BUILDING SIZE
®r F'7°°'e-n-mrmmrr-re-r m-' r°�-r-e-r°°rm7- mmt-mrrrrrrm
BUILDING $
250320 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ 37548
® PROGRESS ENERGY O W.R.E.C.
AMP SERVICE
[I( PLUMBING $ 25032
N.! (MECHANICAL $ 17522 4 VALUATION OF MECHANICAL INSTALLATION---- 2
y s r
=GAS 1,/ ROOFING 0 SPECIALTY =
&P
OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA
—}
� FYES D0
I
BUILDER COMPANY Lennar Monies, LLC
SIGNATURE REGISTERED Y/ N FEE CURREM1 Y I N
Address IYO V Bop Scout Blvd Suite 600 Tampa, FL 33607 License # CGC1518166���
ELECTRICIAN COMPANY Edmonson Electric, Inc. --�
SIGNATURE REGISTERED Y / N FEE CURREM1 Y / N
Address License# I EC13005408
PLUMBER ✓r ( COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREM1 I Y / N
#-i
Address License # I CFC042998--�
MECHANICAL �,rF�. e COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREM1 I Y / N
Address License # I CAC058062
C Sterlin Quality Roofing,Inc
OTHER COMPANY g Y
SIGNATURE REGISTERED Y / N FEE CURREM1 Y / N
Address License # I CCCO57991
111111111111111 IIIIIIIIIIIIIIIIlI1111I111111111t1III1111I111111111
RESIDENTIAL Attach (2) PI 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 H 0) 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.
1.�. . .-.-.-.-.-.-.- .-.-.-.-.-6-1-.. . .
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 (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.
FederalAviation 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.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT; Subscribed and sworn Too(or AGENT'
before me this
1-1— by Christopher Smith
Who is/are personally known to me orb
PF@d G@d
as identification.
Subscribed and sworn to (or affirmed) before me this
126QU2 - by Christopher Smith
Who islare personally known. to me or has/have produced
as identification.
Notary Public —Notary Public
Commission No. GG 296057 Commission No. GG 296057
Stephanie Farmer
Name
ic,
4 "IN
16, 2023
Q,
,4 x", Dow"Tt"TWAt
Nm:j
Stephanie Farmer
Name of
MWKq*FARMER
1� kf EXOM February 15, 20
PASCO COUNTY9 FLORIDA
Permit No, 553Z—
d
Builder Name/Owngr Name _,,,,,.Date PemnItF
Control
County Parcel No, Ar-
Address/Location
ClaSSIficaflonv/Type
TRANSPORTATION IMPACT FEE Rate: Sq, Ft Unit:
Exempt El Ves E] No How Determined
Impact Fee Amount ALi±9-L- Zone No. TAZ:
Account (056) Single -Family Detached House Amount $C;JV-9-,f(386
(057) Mobile Home *
(068) Other Residential
Exempt 1123) Collection Fee
yes [3 No How Determined
Land Account Land Credit — Land Total
- Recreation Credit — Recreation Total
Zone TOT J AMn"MT
Land Account Land Credit Land Total
Facility Account Facility Credit
Facility Total
Exempt YG$ No How Determined . Total Amount
DES®l� FEE Eft)
TOTAL AMOUNT
N'a.,'�s��
—aT—E-----
Chocked By
.0
77747777,,'T, OFFICE. OF F
4
-1 F 11�1'!E:
RECEIPT NO. . DATE BY
I a I I mr-
DESCRIPTION: LOTS) 25-32, TOWNES AT AUTUMN PALMS,
j
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89,
1
PAGEISI 1 13-1 14, OF THE PUBLIC RECORDS OF PASCO COUNTY,
1
FLORIDA,
j
ALL ELEVATIONS REFERENCED
'y0S
TO NORTH AMERICAN 1
\aN
VERTICAL DATUM OF 1988
INAVD 88)
20.G—
PROPOSED ELEVATIONS AND TYPE
m
GRADING SHOWN HEREON ARE TAKEN
FORM THE ENGINEERING PLANS OF "MASER
,CONSULTING P_A.', PROVIDED BY CLIENT
03e'C\
�-
PROPOSED:
LOWEST FLOOR ELEVATIONS:
LIVING AREA: 84,80
0
GARAGE AREA: N/AELI
C
m
ELEVATIONS REFERENCED TO
u-
NORTH AMERICAN VERTICAL DATUM OF
T D
1988
_
(
- m
ED
----------
+(185- NATIONAL GEODETIC VERTICAL
V
DATUM OF 1929
_
w
V
e
C7
U
LOT 17969 SOFT
(Q o 0 0 L ry
LIVING AREA 5336 SO FT
Q0 ,moo
:" :r a o m
z
----------
ENTRY - 672 SO Fi.
GARAGE = 1848 SO FT
COVERED LANAI = 868 SOE FT
:13
o
PATIO NA SO FT
Z
-
°'
POOL AREA NA SO FT
CONC. DRIVE 1967 SCE FT
A/C & PAD
'm o 0 0
0
w
E,
CONC 80 SO, FT.
=
m a m
O
SIDEWALK 324 SO. FT.
SIDE YARD SWALE NA SO FT
V Z
m
o
CONSERVATION AREA NA SO FT
o
L
LOT' OCCUPIED - 59 %
��..
Z
AREA TO IRRIGATE - 41 %
z
----------
0
is,
TRACT "F SITE PLAN
PRIVATE PARK NOTA SURVEY)
N 89-3157- W (P) 120,06' (P)
489
UNITA LOT ENTRY 173'
1532 2S M
IE, LIII t fill] 175. 10' IS)
UNIT e LOT
oo '
516
26
ENTRY
-
.�
i 3
264
S89'25't5 EI"1J109.43' IP)
/ g7.
... /
UNIT-C LOT
1624 Z7
ENTRY 173
v
S89.2515 F(P)
T03.91'IRE
`o (47
-
UNIT-C LOTo
f 9 6' V
-
1624 28
ENTRY 173'
m
b
S a9'2s t5" E (P) I10308' 1P)
PROPOSED
-
o
,
57.0'
2 STORY
ATTACHED;'..
c6
RESIDENCES
M
o�
UNIT-C LOT
ENTRY-
1624 v 29
17 3
S892S'ISE(P11103-24'IP)
- 19.6
00
39 7
-
-
NOTES: 63'-0° i
0, m ro 0 o Z UNIT{ ( LOT EMRY 173' 97
LOT GRADING TYPE=N/A IQ`„ U = CO cO - - 1624 ! 30 m o ED
a
PROPOSED PAD ELEVATION N/A w Q - s8925'I5"EIP)to34o'(P) -o- S
ZO ______-_� 034
FRONT SF_T RACK -= 15' N 2 39 T ^ 4 7 _ -"-
SIDE SET BACK 70' p N M Q ¢ UNIT1.-B _t 199'
REARSETBACK _- 20' V w g m 15I6 LOT ITT m
Q m b "v 31
ALL WALKS 3.0' UNLESS NOTED I- °R H l o 0
a Q_ -_ a ,t
ALL A/C 32 , 12'
®
t
--------'-
1 57.0'
Sfl9'25'IS EIP(.,
103.57'(P)
II/E/U/D= INGRESS EGRESS/
Iil
z
d,
l)TILITY/DRAINAGE ESM'T
Z d
Q
m UNIT -Az
a
5
- 1532
LOT 17 3
32 -
f ai
and
20.6'
"
6.0 `
39 7
o
Z
a
o
�>
o
a
ut r
ry
fl350
SURVEY ABBREVATIONS
v �
� v
v G
E
S 89-5718E
LOT 33 ' '
P 103,82 ' P
A/(^AIR (ONDITONFR
(D) - DFED
INV- INVERT
PC POIM OF CURVF
DI - RECORD
At (FNCE
1)F- DRAINAGE FASFMENT
18� (f NSFD8UISNFSS
PCP PERMANENT(ONIROL POINT
RNG=RANGE
BEE- BASE FEOODFI FVATION
FI OR LLEV-FLFVATION
IFI- I OWFSI FLOOR ELEVATION
P/L-POO1 FOUIPMF NY
REES-RAIL ROAD SPIKE
BM-BENCEI MARK
FOP-EDGEOFPAVFMENi
ISM-IICFNSFDSURVEYOR
PG - PAGE
li/W-RMHTOFWAY
I-CURV(
fSM T-EASEMENT
(ME_MFASURFD
PI- POINT OFiNITRSECTION
SEE •-SECTION
(C -CAt"011FED
F/C - FENCE CORNER
MFS- MITERED END SLCTION
PK PARKFR KALON
EN&D- SET NAR AND DISK 18#87
c-CENTF"'NE
ECM- FOUND CONCRE It MONUMFNI
NCF-NO CORNER FOUND
FOR ^ POINT OF BE OWN NE,
EfR -SET 1/2-IRON ROD L8R 8183
cH-CHAIN UNCIFNCE
FIR-FOUNDIRONPIPF
O/A- OVFRAU
POC- POINT OF COMMENCTMENT
IBM- TEMPORARY BE NCH MARK
C MI'-CORRUGA(E D METAL PIPE
FIR - FOUND IRON ROD
OHW OVFRHFADWOED)
PO. POINTONLINE
TOB-TOPOFBANK
COL -COLUMN
FN&D - FOUND NAIL&DISK
OR ^OrUCiALRECORDS
-- POINT OFRIEP`RYE CURVE
—1-TOWNSHIP
CONC^CONCRETE
FOP -FOUND OPEN PIPE
ELY -PLAT
PRM PERMANENT RFf FRENCE MONUMENT
UE- UTIUTY EASEMENT
C/S-CONCRETE SIAB
FPP- FOUND PINCHED PIPE
PH - FIAT BOOK
P.UE PUBLIC UTU Fr FASFMENT
- o
ij 20 1 ^
3 '7
/83
�, 5.0'(PI
SEC. 15, TWP. 26 S, RNG 21 E.
) 708 Water Oak Drive
PASCO COUNTY, FLORIDA
(TOWNES AT AUTUMN PALMS)
Tarpon Springs, Florida
Phone: (727)-831-1990
s LOT O
FloridaPLS7123@gmaii.com
�' 24 N
LB#k 8183
'ell
i
/
F
t/1
Scale: 1" = 20'
Initial Point Land Surveying, LLC.
/
LEGEND
SURFACE TYPE FENCES
/
ALUMINUM FENCE
M-
-ASPIIALt vINr-FFNCE
/
-BRICK WOOD FFNCF
vrt .ei.� --D/DIRT CHAIN LINK FENCE
OVERHEAD POWER
CUVERtD
LEGEND:
_,
Z Ez Q y W
PROPOSED DRAINAGE FLOW
,=
w Iv w F �x W
m�az w
._i�--'t'--
)00.00) = PROPOSED GRADE
0 8 4 G N �
E-00.00 - EXISTING GRADE = 2" OAK
ft
a OO b & ®
^.J
- 10' INGRESS EGRESS/U.E & DE
,G
a O a
APPARENT FLOOD HAZARD ZONE: -X- COMMUNITY NO. 120235
K D
(MAP NUMBER 12 10 1 C-0452-Fl EFFECTIVE DATE: 09/26/2074
SURVEYOR'S NOTES:
1.) Current title 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 title search. No
instruments of record reflecting ownership, easements or rights -of -way
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 a6 setbacks, building dimensions,
and layout shown hereon prior to any construction, and immediately
advise Initial Point Land Surveying, LLC. of any deviation from
1
information shown hereon. Failure to do so will be at user s sole risk.
Checked By: JH ) JOB #607 t
File:
late of Site Plan: 11-8-22
)WG:L25-32-T@AP- SITE.DWG
this SITE Plan Prepared for and Certified
.ennar Homes
This celtties that s {�f tSlt: tfti 1t✓y ed property, was made
under my s ery Birds of Practice for
REVISIONS:
surveys ass toi Sujjyye ors in Chapter
5JE17r05I t roggh 5 1 53,7ic. �l4 de, pursuant to
Section 47 .0 ,Flo " State `,taiMFte..2922.11.28
ley 10:28:0'400'
Jeff M. Hartley = m STATE OF p $ Date
FLORIDA PROF I SI.FMOO MOA AN ER LS#7123 LB#8183
NOT VALID III! E pySAl,r`1SGNATURE AND SEAL
OF A FL Fl C." YOR AND MAPPER
P L 7, i A I. % F V A S 5 1 T
, E i EVV
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 38110 Fallstone Way
Parcel Tax ID: 15-26-21-0230-00000-0280
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 A55I5T, INC.
Private Provider:
Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
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 pen -nit 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 resurnes of the private provider and all duly authorized representati-ve
'nt
2, Proof of insurance for professionaland comprehensive liability 4the. alnountof $1 million pt,-r
o ccurrence relating to all service's performed as a private provider, including tail coverage for a
of 5 years subs equent to the performancD.of building code inspection services. Minim]
. �
Print
Name:_
Address- '
TeJephonf,
No.:
Please use appropriate notary block.
STATE OF FLOROA
COUNTY OF HILLSBOROUGH
B efo r c m, e, this day of
20— personally
appeared
who executed the fore 6
going instrument,
an ' d acknowledged before me that same
was executed for the purposes therein
expressed.
Corporation
LENNILP1. HOMES, LI-101
Print CoiporationName
By:
Print
N.e., Christopher Smith
its: Authorized Acient
Address- 700 07th Ave
Miami, FL 33172
Telephone.
No. 813-574-5700
Corporation
Befomm,,this 22ND day of
MAY —2o-22
personally appeared '
Of
Lennar Homes, LLQ. a
corporation, on
behalf of the state corpoTa-tion, who
executed the f6regoing instrument and
acknowledged before me that same was
executed for the purposes therein
expressed.
PartnerslAp
Print Partnership Name
B-A
(signature)
Print
Name;
Its:
Address:
Telephone
No.:
Partnership
B efore me, this day
Of
personally appeared
p artner/agmt on behalf of
a partnership, who executed the
foregoing - instrument and
acknowledged before me that same
was tmeouted-for the purposes therein
expressed. _
Personally known X ; or- Produced identitoation Type of identification produced
Signature of Nota"-/ Print Name
7 -1—AS4-1LEE. —CALLAHAN
Notary Public Stamp:
ASHLEECNIA
Commission Expires; HAN
WCOMMISSION#HH29M
EXPIRES: Hmmbor 30,2026
VR/\
VIRTUAL REVIEW ASSIST
Private Provider
Plan Compliance Affidavit
Private Provider Firm: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU1967
Address: 747 Southwest 2nd Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: lug-f-(Wvirttialreviewassist,com
Project: New SET
Address(s): 38110 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, L1,SN, SNI,S3,S4,S5,S6, ST,SS,D1,WP,PAI,O,PAI.1,
PAL2,PAL3,PAIA, 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 9: PX2300
Signature of Reviewer: A-Z-C .......-
SWORN AND SUBSCRIBED: 7bfore 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
egou g is true and crept to the best of his/her knowledge or belief.
7igg!nSaiu4reo Notary Print Name
commission expires: COY f, ASHLEE MLAHM
MY COATI SSION# HH 295980
: November 30, 2026
COMMERCIAL BUILDING SERVICES DIVISION VRESIDENTIAL
BUILDING PERMIT DATA SHEET
FIRE MARSHAL #01 -
Rea uired Permits
D1211012022
EXAMINER:Debra Klahr ' #1
Building
❑ Inspection Only
Plumbing
❑ Inspection Only
Mechanical
❑ Inspection Only
Electrical Amp
❑ Inspection Oni
61 Roof
I
1
[:] Medical Gas
❑ Fire Sprinklers
❑ On Site Piping
❑ Fire Line
❑ Irrigation
❑ Fire Alarm
❑ Potable Backflow Assembly
❑Fire Line Backflow Preventer
1:1 Irrigation Backflow Assembly
❑ Demolition
❑ Walk-in Cooler
Refrigeration
[] Hood
❑ Ansul
❑ Fence/Wall
[:1 Grease Trap
❑ Other
❑ Other
Type Construction:
"8
Risk Category:
Occupancy Load
ancy Classification: Assembly Business 'Day Care/Educational
:Factory Hazardous Institutional ❑Mercantile
°;Residential ❑`Storage ❑Utility
Building Use: Single Family / Alteration ❑,Level 1 ❑Level 2 ❑;Level 3
New Construction ❑ Interior Finish ❑ Interior Remodel ❑ Exterior Remodel ❑ Addition ❑ 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 T e. Shin le ❑Tile ❑ Built-up ❑ Metal Other Squares: 14
Zoning:
Wi orne Debris:
❑lInside Outside
Energy Code:
405-2020
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents?
❑Yes No
Sq. Ft. Enclosed Space Below BFE:
# of Vents:
Size of Vents:
Total Sq. In, Permanent Openings
Central A/C ® Heat Pump ❑ Window A/C
❑ Gas A/C (❑ Gas Heat ❑ Electric Heat
=4-
SanitaKy Sewer
Storm Sewer Catch Basins
Potable Water
Under round Fire Line
Front Rear Left Right
❑✓ As per Approved Site Plan
Comments: