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Home My WebLink About23-5533City of Zephyrhills vlii�,RMM 5335 Eighth Street Zephyrhills, FL 33542 Phone: (813) 780-0020 Date __ Fax: (813) 780-0021 Issue Permit A Building New (Residential) v\\\? virk v y \ v y�1vti,�\i�rywvl .., ,., . . 15 26 21 0230 gg000 0290 38114 Fallstone Way ?. Name: LENNAR HOMES LLC-tractor: 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} 574-570Q Mechanical Valuation: $17,522.40 Plumbing Valuation: $25,032.00 Total Valuation: $330,422.40 _ Total Fees: $13,831.26 Amount Paid: $13,831.26 '� » [Date Paid: 1/2312023 2:56:57PM CONSTRUCT TQWNHOME 1634 SQ FT AS Building Plan Review Fee $180.00 Electrical Permit Fee $227.74 Plumbing Permit Fee $165.16 Building Permit Fee $1,291.60 Park Impact Fee - Single FamilyiTownhome $769.56 Transportation Impact Fee $3,445.20 Water Connection Residential Fee $1,010.00 3/4 Water Meter Residential Connection Fee $732.71 School Impact Fee - Single Family $3,353.00 Mechanical Plan Review Fee $0.00 Public Safety Impact Fee -Admin $26.35 Fire Wall/Smoke Wall Inspection $15.00 Electrical Plan Review Fee $0.00 Plumbing Valuation Fee KOO Sewer Connection Residential Fee $2,090.00 Sewer Connection Residential Fee $0.00 Address Fee $30.00 Public Safety Impact Fee -Police $254.00 Driveway Fee $45,00 SiF 1 percent Fee $33.53 Mechanical Permit Fee $127.61 Transportation Impact Fee - City $34.80 REI SPECTI 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 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. CONT CTQR SIGNATURE PE IT OFFICE PERMIT EXPIRES • MONTHS WITHOUT APPROVED INSPECTION CALL • r INSPECTION • 8 • ` NOTICE REQUIRED 813-780-0020 , City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received �� Phone Contact for Permitting 908 770 __ 7763 _11-1 t.... r - - - III It ICC Owners Name Lennar Homes, LLC Owner Phone Number 813.574.5700 Owner's Address 4301 W Boy Scout Blvd, Ste. 600, Tampa, FL 33607 Owner Phone Number Fee Simple Titleholder Name I N/A v� Owner Phone Number Fee Simple Titleholder Address I N/A JOB ADDRESS 38114 Fallstone Way LOT # 0029 SUBDIVISION Townes at Autumn Palm PARCEL ID# 15-26-21-0230-00000-0290 (OBTAINED FROM PROPERTY TAX NOTICE) ,{—� WORK PROPOSED II / II NEW CONSTR ADD/ALT SIGN DEMOLISH nP INSTALL REPAIR 8 PROPOSED USE u v u SFR COMM OTHER TYPE OF CONSTRUCTION 10 BLOCK FRAME STEEL DESCRIPTION OF WORK I Multi -family / Screen Enclosure / Fence BUILDING SIZE I U/R SF 2086 SQ FOOTAGE 1634 HEIGHT 28 BUILDING $ 250320 —_ 1 VALUATION OF TOTAL CONSTRUCTION LI✓ (ELECTRICAL $ 3754� ® PROGRESS ENERGY W.R.E.C. !�t� AMP SERVICE 1�J-�BPLUMBING $ 25032 `4 7�.! I�MECHANICAL $ 17522.4 VALUATION OF MECHANICAL INSTALLATION GAS F4 ROOFING SPECIALTY = OTHERr—� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA p gYES ) NO BUILDER �� COMPANY Leimar I tomes, LLC 7 SIGNATURE _ _ REGISTERED Y / N FEE CURREN . 1 W 8o Blvd Suite 6 Address 4Y Scout 00 Tampa, FL 33607 License # FGC1518166 ELECTRICIAN t COMPANY Edmonson Electric, Inc. SIGNATURE REGISTERED Y / N FEE CURREt I Y / N Address License# I EC13005408 PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED YIN FEE cuRREn I Y 1 N Address License# CFC042998 MECHANICAL l 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 I Y / N Address License # 1 CCC057991 — 'e " 'totettm " etlttallttet�t'ttltlla'tttltt " iiliFliif " tttltl „ mtl 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 subdivisionsAarge 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. (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. 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. 1 JJ 0 1 !3110 21 i IF— III WEI A OWNER OR AGENT CONTRACTOR — Subscribed and sworn to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this 12-K by Christopher Smith 12-022 by Christopher Smith Who is/are personally known to me or hasihave produced Who islare personally known to me or has/have produced as identification. as identification. Notary Public Notary Public — I — Commission No. GG 296057 Commission No. GG 296057 Stephanie Farmer Stephanie Farmer Name lConossiot I"9M : Name ofN GO2ER STSMMMER wm15, mFdaty 15, wamTmI* m9 2023 low DO INY I* b NNW 111"111-74119 -� Permit No. / 6 J Date Permitted Builder Name/Owner Name ! C A — Control County Parcel No, �f1 SubDly: 'Z� Address/Location Classification/Type of Use TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: Exempt Yes 0 No How Determined Impact Fee Amount::�L Zone No, TAZ: SCHOOL IMPACT FEE Account (56) Single -Family Detached House Amount $ a (057) Mobile Home (058) Other Residential (123) Collection Fee Exempt = Yes = No How Determined - Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone Total Amount $_7 Ca Exempt =Yes =No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit _ Facility Total ExemptEl Yes No How Determined Total Amount � RESOURCE FEE ERU Total Amount r, A Prepared By Checked By 44 Z A ED OR FINAL INSPECTION PERFORMED M,LISTED ACKNOWLEDGEMENTBEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY DOES NOT IMPLY ACCEPTANCE OF CONCURRENCE, BUT SIMPLY REECEIPT OF A COPY... THIS FORM, PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME DATE RECEIVED BY RECEIPT NO DATE BY MENR,-- DESCRIPTION: LOT(S) 25-32, TOWNES AT AUTUMN PALMS, ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89, PAGE{Si 113-114, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. ALL ELEVATIONS REFERENCED 1 K-y6S TO NORTH AMERICAN \a VERTICAL DATUM OF 1988 (NAVD 88) __.........____'ND —__ NO TYPE PROPOSED ELEVATIONS A m GRADING SHOWN HEREON ARE TAKEN m N FORM THE ENGINEERING PLANS OF -MASER CONSULTING P.A.', PROVIDED BY CLIENT g3g�\ -1 PROPOSED: -- LOWEST FLOOR ELEVATIONS: K LIVING AREA: 84.80 GARAGE AREA: N/A IS, m ELEVATIONS REFERENCED TO w NORTH AMERICAN VERTICAL DATUM OF = 1988 CO -------Ff-�-- +0A5' = NATIONAL GEODETIC VERTICAL Q R a DATUM OF 1929 d LOT _ 17969 SO FT < 0 0 o w ^l Z LIVING AREA - 5336 SO FT ovmow ram- !^ ? ? o m !S ---------- ENTRY= 672 SO FT o---- GARAGE = 1848__SQ F7 COVERED LANAI 868SO FT t7 ro o _..__ PATIO - NA SO FT POOL. AREA NA SO FT < m a CONC. DRIVE = 1967 -SC-SCL FT -__ 'm o 0 o n _ w -------- A/C & CONC PAD = 80 SO. FT. SIDEWALK 324 SO FL SIDE YARD SWALE _ NA SO. FT. u N z m 8 CONSERVATION AREA = NA SO. FT. LOT OCCUPIED _ 59 % z AREA TO IRRIGATE = 41 _ % z ----------- TRACT T PRIVATE PARK N 89.31'5T W (P) 120,06' 0 0 \ .0' 39 7' o UNIT -A LOT ENTRY i53Z 2S Initial Point Land Surveying, LLC. / LEGEND SURFACE TYPE FENCES AtMINUM FENCE VINYL FENCF j +fjl(j (l =BRICK WOODFENCE I \ t CHAIN LINK FENCE �-SAND/DIRi OV[RHfAD POWER +�-covERED OHP — 0HP _________— LEGEND: zg vim.--y-'= PROPOSED DRAINAGE FLOW '.d 8 m Ii, W m m 4t = w (00,00) = PROPOSED GRADE m Z �[ E-00.00 = EXISTING GRADE - 2' OAK ONP ��y+NQ E. la - / 63'-0' - Z a a 10" INGRESS EGRESS/UE & D-E NOTES: c m In m N ¢. ,`I,' m < 4. C O m m o b Z m UNIT-C LOT ENTRY t 7 3' " +', u. p t .- APPARENT" FLOOD HAZARD ZONE: 'X" COMMUNITY NO. 120235 LOT GR GRADFIG TYPE= N/A - - - - - - - 1624 ! 30 m o o �' � U � (MAP NUMBER 12 f01C-0452-F) EFFECTIVE DATE: 09/26/2014 o UNIT-8 1516 S 892515' E (P. b UNIT-C C6 1624 S 8925' 7 5' E (PI 39.7' b UNIT{ `6 1624 S 89.25' IS- E (PI 175. 10'(P) LOT 26 ENTRY 17 3' 109-43' (P) STU LOT ENTRY 27 n.3' 03.91 (PI o 14,7 LOT ° 28 ENTRY ITT 03.08(P) PROPOSED S7.0' 2 STORY ATTACHED RESIDENCES UNIT{ ro LOT ENTRY 1624 a 29 17 3- S 89'25'1 -E(P) 703.2a'(P) h SITE PLAN j SEC. 15, TWP. 26 S, RNG 21 E. 1708 Water flak Drive PASCO COUNTY, FLORIDA (NOT A suav£r) ( TOWNES AT AUTUMN PALMS) Tarpon Springs, Florida Phone: (727j-831-1990 s LOT O FlorldaPLS7123@gmai).cam 24 N LB# 8183 A �PSCale: i r CZq / U V 77 -'T} (} _ o �6 4' M o - O G i9b' u 0 ---- �I 19.6-_ �1197 PROPOSED PAD ELEVATION -- N/A w Q S89'YS'15-E(P) 103.40(P) O 0 __________ L; 57.0' FRONT SE BACK =15' W 39.7 = °� SIDE SETBACK=10' ON C < UNIT-B REAR SETBACI(-=-20" Q V w g m IS16 LOT 173 m 0 ALL WALKS 3.0 UNLESS NOTED 31 - `� 1 ALLA/C 3.2x 3.2 Q 57.0' I/E/U/D v INGRESS EGRESS/ W z I, S89Z'>'15'E JP1 103.57(Pl 0 . U iIUTY/DRAINAGE ESMT Z � Q in UNIT -A gm 1532 LOT 173 a 32 Q o� 05 W M ' b mot_ 20.1 r , m a m.. 20.G'_......... 6.0 39T w 3 LS' w p OS F0' (P) SURVEY aBBREVATIONS V V u v u V LOT 33 S 89`5718- E (P) 103,82 (P) _.._.�.I A/C- AIR CONnmONER RN DreD INV -TO Pc POINT OF CURVE (RI -RECORD Drawn By DUB Party Chief: JH REVISIONS: BUIRPOSS I-AIUll I IMARD E1 F— ION F tOR WEVA -ION FIOO111W AT IO PGFP POOL E0UAPM NI / rISGL POfM RRS All RANGE -R ROAD Checked By: JH ^-'JOB �.I #6071 fU�OF I'V 1.81^ TIC FN tSD Rt DGL YOR CURVE FSM I �- FAST MEM (M)-MIAFIREDr - PACT PI -POINT PS[CflON K/ RIGHT r AY SEC - S IGNT OF WAY SEC�SEC110N File (C (-CAtCUt,ATECI F/C -lFNC[CORNFR MES -MtIt RED �NfJ SECTION f-Cf NTTRUNF FCM- I OUND(ONCRETE MONUMENT NCr-NO CORNER FOUND PR PARKER KALON R KAL O POS POINT OF BF6KINING SN&D SET NAl1.AN()DISK SIR - SET 1/2-22 "IRQN ROD18,,,I L8N8183 83 Date of Site Plan:1143 CIF -CHAIN UNK FENCE FIP - POUND IRON PIPE O/A=OVERALL CMP CORRUGATED METAL PIPE FIR - IOUND MON ROD OHW--OVFRI {CAD WIRES) POC- POINT OF COMMENCTMENT PO! -POINT ON ITuf TEM- TEMPORARY BE' TOE TOP OF BANK NO I MARK DWG'L25-32-T@AP-SFEE.DWG C.,-COLUMN FN&D - FOUND NAZI&DISK OR-OFfK[ALR[CORDS PRC POINTOPRFVFREr CURVE TWP 7CRVWIIP This SITE Plan Prepared for and Certified To: C OW-CONCATE fOP -FOUND OPFN PIPE Rl -NAi PRM-PIE MANENI Rr F I RI NCE MONUMENT U.E -UTR II Y F ART MENT Lennar Homes C/S-C ONCRF TE 1118 1PP ^ FOUND PINCHF D PIPE PB-PtAT BOOK P.Ut = PUBUC UB f 11Y FASF MFNT -- 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 rightsof-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 J This site plan is subject to matters shown on the Plat of ZEPHYR COURT" 64 Dimensions shown hereon are in feet and decimal portions thereof. 74 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 s tT#p Hcf. SG%.ied property was made under my 5 bards of Practice for surveys as s nc t Su ��}}''�ors in Chapter 5J-17,051 t roygh 5 t 53,�4a. ade, pursuant to Section 47i,oX "d� state_,ta te: 202211.28 M. Hartley it,,. \ STATE OF fj'^C_ Date RIDA PROFEr Ib9N� SIRf.1@R10A AN �R�S�ER LS#7123 LB#8183 NOT VALIDv S4 ��'`�� &091'�Gi A(q; 1GNATURE AND SEAL OF A F�(7Rfq )9§,LYOR AND MAPPER v Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 38114 Fallstone Way Parcel Tax ID: 15-26-21-0230-00000-0290 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 ASSIST, INC. Private Provider: DEBPA ANNE KLAHP Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601 Telephone: Email Address (Optional): deb@virtualreviewassist.com Fax: N/A 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 penult 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, 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 perfoimcdas a private provider, including tail coverage for a minimum of 5 years subsequent to the performance of building code inspection services. Individual Corporation Partnership Print NamD:- Address Please use appropriate notary block. STATE OF FLORIDA Before me, this day of 20_ personally appeaxe,d who executed the foregoing instrumemt,, and acknowledged before me. that same was executed for the purposes therein LMNIVAM r-VW,1V1r_Q. L-LU Print Corp oration Name (sign*ture-) print Name. Christopher Smith Authorized Agent Address- 70Q NW I 01tthh_Ave Miami, FL 33172 Telephone. No._81 3-574-5700 Corporation Beforem,,tis 22ND day of MAY 20 22, personally appeared, of Lenn—ar Homes, LLC corporation, o . n behalf of the -state corporation, who executed the foregoing instrument and aclnowledged before me that same was executed for the purposes therein expressed. PrintPartnership Name By; (signature) -Print Name: Address; Telephone No.: Partnership Beforeme,this —day of 20____, personally appeared partner/agent on behalf of a partnership, who exeouted the foregoing instrument and acknowledged before me that same was oxecuted-forthepurposes . therein expressed. Personally known X or- Produced identification Type of identification produced Signature Of Not Print -Name, ASHLEE CALLAHAN NotaiyPublic Stamp'. P" ASHLEE CAUAHAN Commission Expires: W COMMMION # KH MW PIRES: Nowtv 30,2026 .0 202�Co EX r 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: It q_� virtuqlreviewqssist.com Project: New SFT Address(s): 38114 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 LS3,S4,S5,S6, ST,SS,D LWP,PA I .O,PA 1. 1, PAL2,PAL3,PAL4, 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 before 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 f, re ing is true and correct to the best of his/her knowledge or belief. Signature of Notary Print Name Notary Public: NOTARY STAMP BELOW My commission expires: ASHLECAUAHAN WC0MM=10N#HH2LW V EVIRES: NovwVw 30,2026 TRACKING 4 FOLIO # 38114 Fallstone Way FIRE MARSHAL #01 - Required Permits II WOW-11 U1, I 10911NE&N1617 "d Arold 1VBuilding F-1 lnspection Only VPlumbing El inspection Only W Mechanical [j lnseection Onl WElectrical Amp Ej Inspection Only Roof Ej Gas El Medical Gas E] Fire Sprinklers On Site Piping ❑ Fire Line E] Irrigation ❑ Fire Alarm ❑ Potable Backflow Assembly ❑ Fire Line Backflow Preventer [:] Irrigation Backflow Assembly E] Demolition El Walk-in Cooler Refrigeration El Hood E] Ansul 0 Fence/Wall E] Grease Trap El Other El Other Type Construction: JV-B _I Risk Category: � Occupancy Load Cl ancy Classification: Assembly I Business FDay Care/Educational ac L] N FactoryE::= Hazardous 'Institutional ElMercantile Residential Storage ❑ utility Building Use: Single Family Alteration Level I [E—:];Level 2 Level 3 Qf New Construction E] Interior Finish E] Interior Remodel ❑ Exterior Remodel ] Addition El 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 E]Tile El Built-g E] Metal F-1 Other Squares: 14 Zoning: orne Debris: Pf, Outside WirE!,,"jnside Energy Code: 405-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? _F_ Yes JZ'No Sq. Ft. Enclosed Space Below BFE: # of Vents: =Size of Vents: Total Sq. In. Permanent Openings Z Central A/C Z Heat Pump E] Window A/C E] Gas A/C El Gas Heat El Electric Heat 71PSURIMMM Sanitary Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line = IT" Front Rear Left Right Asper Approved Site Plan Comments: