HomeMy WebLinkAbout23-5534City of Zephyrhills
7--
5335 Eighth Street`
Zephyrhills, FL 33542BNR-005534-2023
Phone: (813) 780-0020
��
issue Date:----- y -
Fax: (813) 780-0021
_-
Name:m LENNAR HOMES 11ii ;;W " . Permit 9 Type: Building I1 New (Residential) i 111l I� to I E AI�IHOMESu I� L �LC
Class ri
of +Townhome
Valuation:I Address: 4600 W Cypress St 200 Building Valuation: $250,320.00
TAMPA, FL 33607 Electrical #
Phone: (813) i #
Plumbing wn: $25,032.00
Totalsn: $330,422.40
Amount Paid: $13,831.26 'J
Date Paid: 1/23/2023 2:56:57PM
,!CONSTRUCT TOWNHOME 1634 SO FT AS
Niiii !I
a ww Rr
Address Fee $3U0 3/4 Water Meter Residential Connection Fee $0.00
Mechanical Plan Review Fee $0,00 School Impact Fee - Single Family $3,353.00
Electrical Plan Review Fee $0.00 Plumbing Valuation Fee $U0
SIF 1 percent Fee $3353 Public Safety Impact Fee
'w ##
Wall/SmokePlumbing Permit Fee $165.16 Building Permit Fee $1,291.60
Fire !# ii
Building Plan ReviewFee "# #i Transportation Impact#
Mechanical Permit Fee $127.61! Residential #
ImpactSewer Connection Residential Fee $2,090.00 3/4 Water Meter Residential Connection Fee $732.71
Transportation Impact Fee - City $34.80 Park Impact Fee - Single Family/Townhome $769.56
Public Safety •.UU5 Electrical Permit
�lil►
813-7110 1 20'� City of Zephyrhills Permit Application Fax-813-780-0021
It, Building Department
Date Received I I Phone Contact for Permitting 908 770 -_ 7763
t-r-r-r-If _r ... . . . . . . .
ILennm.I.L....... �[_F_l
ar C . . I . . 8.13..5.74..5.70. 0
Owner's Name wneroneumer . . . . . .
Owner's Address 1 4301 W Boy Scout Blvd, Ste. 600, Tampa, FL 33607 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 38118 Fallstone Way LOT # 0030
SUBDIVISION Townes at Autumn Palm I PARCEL ID#1 15-26-21-0230-00000-0300
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR F__] ADDIALT SIGN DEMOLISH
P INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK Multi -family / Screen Enclosure / Fence
BUILDING SIZE SQ FOOTAGE [1634 HEIGHT 28
..'r IWBUILDING 250320 VALUATION OF TOTAL CONSTRUCTION
0 ELECTRICAL 1$ 37548 AMP SERVICE EK] PROGRESS ENERGY W.R.E.C.
PLUMBING 15111'_
MECHANICAL $ 17522.4 VALUATION OF MECHANICAL INSTALLATION
=•GAS nv( ROOFING SPECIALTY = OTHER
r___1
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES Do
BUILDER COMPANY I Lennar Homes, LLC
SIGNATURE REGISTERED Y ( N FEE CURREN I Y/N
Address 4301 Boy 11out Blvd Suite 600 Tampa, FL 33607 License # I CGC1518166
ELECTRICIAN COMPANY I Edmonson Electric, Inc.
SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N
Address License #
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED L_y LN_J FEE CURREN
Address License #
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN [=
Address License # FcA-0058062
OTHER COMPANY [C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y/ IN FEE CURREN LLLN J
Address License # =CCCO57991
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 clumpster; 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 clumpster. 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 $2600, 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
"'o,
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, 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.
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
OWNER ORAGENT
Subscribed and sworn So (or affirmed) before me this
- by Christopher Smith
Who is/are personally known to me or has�have PFQd6iG@d
as identification,
Notary Public
Commission No. GG 296057
Subscribed and sworn to (or affirmed) before me this
1216/2022 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
g ...... STEPRAW FAIW MVrtMFAWfR
cmm**n IGO MW
4z E
.V s Fe -itimuy 16, 20 *W Fell 15, 2023
X•
s E*m
Iftwi TNU Tray I* %"W" $*3*7019
s
Permit No.
Date Permitted r 2--/ z S
Builder Name/Owner Name Control
County Parcel No. SubCiv:
Address/Location
Classification/Type of Use
TRANSPORTATION IMPACT FEE Rate: Sq, Ft Unit:
Exempt 0 Yes El No plow Determined
Impact Fee Amount Zone No, TAZ:
Account (056) Single -Family Detached blouse Amount $
(057) Mobile Home
(058) other Residential
(123) Collection Fee
Exempt =Yes = No How Determined_
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone Total Amount $
Exempt =Yes = No How DetermiFrvi,
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt EDYes No Flow Determined Total Amount
RESOURCE FEE ERU
Im
PERFORMED UNTIL THE TOTALW HAVE
RECEIPT NO DATE BY
11
1
Us=
DESCRIPTION: LOT(S) 25-32, TOWNES AT AUTUMN PALMS,
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 8S
PAGEIS) 113-114, OF THE PUBLIC RECORDS OF PASCO COUNTY,
FLORIDA.
ALL ELEVATIONS REFERENCED
TO NORTH AMERICAN
VERTICAL DATUM OF 1988
)NAVD 88)
PROPOSED ELEVATIONS AND TYPE I
GRADING SHOWN HEREON ARE TAKEN
FORM THE ENGINEERING PLANS Of MASER1
CONSULTING P.A. ", PROVIDED BY CLIENT
_ 7
PROPOSED:
LOWEST FLOOR ELEVATIONS:
LIVING AREA: 84.80
GARAGE AREA: N/A
ELEVATIONS REFERENCED TO
NORTH AMERICAN VERTICAL DATUM OF
988
+
0.85= NATIONAL GEODETIC VERTICAL
DATUM OF 1929
LOT =
17969 SOFT.
LIVING AREA =
5336
SQ. FT.
ENTRY =
672
SOFT.
GARAGE -
1848
SQ.FT.
COVERED LANAI =
868
FT.
PATIO
NA
__SQ.
SO- FT'.
POOL AREA
_NA
SQ. FT,
CONC. DRIVE -
1967
SO, FT.
A/C & CONC PAD -
80
- FT,
SIDEWALK
324
-SO
SO FT',
SIDE YARD SWALE
NA
SO.FT
CONSERVATION AREA
NA
SO. FT.
LOTOCCUPIED =
59
%
AREA TO IRRIGATE _
41
gp\
�g3
TRACT "I"
PRIVATE PARK
I
N 8SC31'ST W fPJ 120,06'
2�
o
o O0
Z0.6 6.0' 39 7
O
r`=
O
Z T�UN{TA LOT ENTRY
,g - 1532 '.. 25
189.2515 E lPII 175. 10'(P)
-
UNIT-B
LOT
- o
b 516
'- 26
ENTRY 17.3'
S 8T25 15 E (P) 1709. 43' RP)
--14.7'
-Z6 q
5TO
o UNIT-C LOT
1624
27
ENT 17.3`
1,
1,
7.2
S 89'2515 FtH 1103.91'(P)
---
147
397'
✓
_ ) ----
UNIT{ I LOT
'6
)9G'
o
_ 1624 28
ENTRY 173
S89'?5'15' E1P11703.08(P)
PROPOSED
M O
- o
57.0'
2 STORY
_
ATTACHED
-
RESIDENCES
;,� o
U UNIT{ 19 LOT
ENTRY
'- o
_
m 1624 a_ 29
17 3
S 89'25'15`E (P) 103.24'I➢I
i
^
19
39.7'
-----------
63-0
NOTES: C m m " Q
O m m o b Z UNIT-C I LOT ENTRY i TY .,.
LOT GRADING TYPE_ - N/A �U - - C0 - - 1624 30 ?n o
PROPOSED PAD ELEVATION N/A V 7 s89'ZSIS FIPI 1103.40'(PI
C STOP
FRONT SETBACK= 15'
{p (_
------__--
39.T
4.T
z.
"'
^
SIDESETBACK TO C
Q
C
Z
o UNlT$-E-�.
REAR SETBACK --20'
v w
P
_
g
oS 1516
LOT 17.3'
ALL WALKS 3.0' UNLESS NOTED F
c
-
°
d
w o
N
31
Q
ro
ro _
ALLA,/C 3.2K32'
/E/U/D = INGRESS EGRESS/ Ill
a,
-
5892515 F lP7
r03.57(P!
UTILITY/ DRAINAGE ESMT z
'I
Z b
_f
Z
m UNIT -A
LOT
c M
_ 1532
17 3
`re
pmm
min
- 32 0
K
m cc,
20.6'
/
6.0
39.7
^
G_
�
Z)ry
mav*N
6 50\
3
i
0
0
SURVEY ABBREVAT1011is
v v
v
v
LOT 33 s 69°57 is E )P) 103.81 )P)
A/C-AIRCONDITIONER II71-DEED
INV-INVE RT
PC - POINT OF CURS/(
IRIa RECORD
AF- ALUMINUM I I WE D.E- DRAINAGE IASF MENT
LF ICFNSEDF3UISNESS
PCP -PERMANENT CONIRO( POINI
RN6 RANGE
8fE= BASE FLOOD FIEVAI ON EL OR ELEV-ELEVANON
IIIf- L OWfFi FLOOR ELEVATION
1/E-11OL EOUIPMFNT
RIES - RAIL ROAD%Eill
'8M- FRENCH MARK FOR - EDGE OI PAVEMENT
IS-IICCNUDSURVEYOR
PG NPAGE
R/W - RIGHT OF WAY
C-CURVE ESMT- EASE MENE
(M) -MEASURED
PI - POINT OF INTERSEC LION
SEC =SECTION
j ICI - CALCULATED F/C - FENCE CORNER
MSS- MITERED END SECTION
PK^PARKER KAI ON
SN&D- SET NAZI_ AND DISK LBRB
c �-CINEERLINE FCM- FOUND C ONCItP1 F MONUMENT
DO -NO CORNERFOUND
P06-POINTOFBFGINNINC,
SIR - SET 112"IRON RODL81818
CIF_"IAI,NUNK FENCE FIR -FOUND IRON PIPE.
CIA -OVF RAIL
ROCS POINT OF COMMI NC I ME, N r
TBM= TEMPORARY HFNC1I MARI
(ME' CORRUGATED MCTAI_ PIPE FIR -FOUND IRON ROD
OHW- OVERHEAD WIRE(SI
P01.^POINT ONUNE
TOR - TOP Of BANK
COL -COLUMN FN&D-FOUND NAIL&DISK
OR -OFFICIALRECORDS
PPT- POINT OF REVERSE CURVE
1 1-TOWNSHIP
� CONC- CONCRETE FOP - FOUND OPEN PIPE
C/F-CONCRETE SLAB FPP- POUND PINCYED PIPE
(P} -PIAT
PB-OAI HOOK
PRM-PERMANE,NTREIEWNCI MONUMENT U.E^JEWYEASEMENI'
Puf -PUBl ICUTtl'YLAnWN'r
I
SEC. 15, TWP. 26 S, RNG 21 E.
1708 Water Oak Drive I
PASCO COUNTY, FLORIDA
(TOWNES AT AUTUMN PALMS)
Tarpon Springs, Florida
Phone: (7271-831-1990
s LOT O
FloridaPLS7123@gmail.com !
?' 24 N
L8# 8183
� A
i'.
MT ; ..
v
Q
' a '
Scale: 1 " = 20'
Initial Point Land Surveying, LLC.
LEGENDSURFACE
TYPE FENCES
ALUMINUM FENCE
-ASPI-IT VINYL FENCE
❑ E]-RRI<K
/
WOOD FENCE
.. -SANU/DIRT CHAINIINKFFNCf
x
COVrRrD OVE..... AUPOWER
OHP - Ott
a
LEGEND.
Z a.
{ 3 = f
..J'-�-= PROPOSED DRAINAGE FLOW
w Iry
In m
I Z C w
w ti utft Q
O
(00.00) = PROPOSED GRADE
- 2 OAK
LLO `"I
0 q
U1 tr7
E-00.00 = EXISTING GRADE
'=' o
a
rONO�
-- 10' INGRESS EGRESS/UC & DE
R.
m
W
APPARENT FLOOD HAZARD ZONE: "X' COMMUNITY NO. 120235
t5 V
)MAP NUMBER 1210 TC-0452-F) EFFECTIVE DATE: 09/26/2014
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-orvi ay
were furnished to the undersigned, unless otherwise shown hereon.
1
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.
Z) 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.
Checked By: JH ) JOB #6071
File:
Date of Site Plan: 11-8-22
3WG:L25-32-T@AP- SITE.DWG
this SITE Plan Prepared for and Certified To:
_ennar Homes
This certifies that
under my s
REVISIONS: surveys as
5J-17.051 t to
Section 474.0ig,
Jeff M. Hartley i
FLORIDA PROFS?
NOT VAU
OFA
roperty was made
�g aI, of Pracitce for
oktd
�jyd?y�ors in Chapter
K�de, pursuant to
1.28
10:28:0 xr00'
STATE OF Date
1141aA AN NWR1 ER LS#7123 LB#8183
I 4"�, iGNATURE AND SEAL
tYOR AND MAPPER
Project Name:
[UMD&W.1
\/-RA
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
38.118 Fallstone Way
15-26-21-0230-00000-0300
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 A55IST, INC.
Private Provider: DEBRA ANNE KLAHR
Address: 747 SW 2Nb AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
IMUMM
02MIMM
Email Address (Optional): deb@virtualreviewassist.com
Fax: N/A
Florida License, Registration or Certificate #: {LTC # BU1967/ PX2300/ BN4615)
I have elected to use one or more private providers to provide building code plans review and/or inspection
services on the building that is the subject of the enclosed permit application, as authorized by s. 553.791, Florida
Statutes. I understand that the local building official may not review the plans submitted or perform the required
building inspections to determine compliance with the applicable codes, except to the extent specified in said law.
Instead, plans review and/or required building inspections will be performed by licensed or certified personnel
identified in the application. The law requires minimum insurance requirements for such personnel, but I
understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I
have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance
and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harmless the
local government, the local building official, and their building code enforcement personnel from any and all
claims arising from my use of these licensed or certified personnel to perform building code inspection services
with respect to the building that is the subject of the enclosed permit application.
I understand the Building Official retains authority to review plans, make required inspections, and enforce the
applicable codes within his or her charge pursuant to the standards established by s. 553.791, Florida Statutes. If I
make any changes to the listed private providers or the services to be provided by those private providers, I shall,
within I business day after any change, update this notice to reflect such changes. The building plans review and/or
inspection services provided by the private provider is limited to building code compliance and does not include
review for fire code, land use; environmental or other codes.
The following attachments_ are provided as required:
1. Qualification statements ' and/or resumes of the private provider and all duly authorized representatives.
2.. Proof of insurance for professional and comprehensive liability in,the, amount of $1 million per
o ccurrtmce relating to all services performed as a private provider, including tail coverage for a minimum
the pe
of 5 years subs equent to tI rforinance,of building code inspection services.
Individual
. :(signature)
Address:
Telephone
No.:
I
STATE OF FLORIDA.
WIMM-.161
Individual
Befoieme, this day Of
20— personally
appeared
who executed the foregoing instrument,
an ' d acknowledged before rat-, that s ' ame
was executed for the purposes therein
expressed.
Corporation
LENNAR HOMES. LLC
Print Corp oration Name
By:
(signature)
print
Name: Christopher Smith
its: Authorized Acient
Addrew. 70Q NW 107112 Ave
Miami, FL 33172
Telephc)ne
No. 813-574-5700
Corporation
B ef0T r, ln,,tois 22ND dayof
MAY .2o-22
personally appeared,
Of
Lennar Homes LLC
------- corporation, on
-behalf of the state corpoTafion, who
executed the foregoing instrument and
acknowledged before me that same, was
executed for the purposes therein
expressed,
Partnership
PrintPartnership Name
LN
(signature)
Print
Name:
Its:
Address:
Telephone
NT_ �
Partnership
Beforeme, this day
of '20
pers-6nally appeared
partner/agent on behalf of
a partnership, who exe.outed the
foregoing * instrument and
aclmowledg5d before me that same
was exbouted.for the purposes therein
e:F_Prqssed'
Personally known X or- Produced identification Type of identification produced
Signature of Notal Print Name ASH.LEE C.ALLAHAN
NotaryPublic Stamp:
ASHLEE CALLAHM
A
commission Expires MYEXPIRESCoMmISSION # HH 29M . , NOvwtw 30,2028
202,Co
Page 2 of 2
V"R/\
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 21 Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: lu L�qalreviewqssist,qom
Project: New SFT
Address(s): 38118 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, LI,SN, SNI,S3,S4,S5,S6, ST,SS,D1,WP,PAI.0,PAI.1,
PAI.2,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 fore me by Debra Anne Klahr
being personally known to in or having produced as identification
and who being fully sworn and cautioned, state that the
f egoizg is true and, correct to the best of his/her knowledge or belief.
Is ignature of Notary in't Mairre
Notary Public: NOTARY STAMP BELOW My
commission expires:
ASHLEE CAUAHAN
MY COMMISSION # HH 29M
EXPIRES: November 30®
COMMERCIAL BUILDING SERVICES DIVISION
BUILDING PERMIT DATA SHEET
TRACKING # FIRE MARSHAL #01 -
FOLIO # 38118 Fallstone Way
Required Permits
II&T3311001MOVISTdivAng ATAI
Building
Only
7-b Plumbing
1:1 Inspection Only
Mechanical
[:1 lnspecyon Onl.
7-'
V 'Electrical AMP
[:] Inspection Only
. ...[]Inspection
J1 Roof
❑ Gas
I
I
[] Medical Gas
❑ Fire Sprinklers
❑ On Site Piping
E] Fire Line
[:] Irrigation
❑ Fire Alarm
0 Potable Backflow Assembly
❑ Fire Line Backflow Preventer
El Irrigation Backflow Assembly
E] Demolition
E] Walk-in Cooler
❑ Refrigeration
E] Hood
E] Ansul
F-1 Fence/Wall
❑ Grease Trap
E] Other
[:] Other
rqfflrffm� .i
pe Construction:
Risk Category:
Occupancy Load
_Ty
pupancy Classification:
Factory E:==
Residential
,Day Care/Educational
Hazardous Institutional ruti.nal "Mercantile
Assembly ®;Utility
Storage
Building Use: Single Family Alteration [Q"Level I E] [❑ Level 2 ff] Level 3
I
VNew Construction n Interior Finish E] Interior Remodel n Exterior Remodel n 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 Type: Shingle
[-]Tile ❑ Built-up L1 Metal D Other Squares: 14
Zoning:
W'orne Debris:
r0b(jnside Outside
Energy Code:
405-2020
Flood Zone: X Base Flood Elevation: Finish Floor Elevation:
Hydrostatic Vents? r, No Yes
Q TSq. Ft. Enclosed Space Below BFE:
# of Vents:
Size of Vents:
Total Sq. In. Permanent Openings
9 Central A/C
El Gas A/C
0 Heat Pump D Window A/C
El Gas Heat E] Electric Heat
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
OMMIM
Front Rear Left Right
21 As per Approved Site Plan
Comments: