HomeMy WebLinkAbout23-5535City of Zephyrhills
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Zephyrhills, FL 33542 BNR-005535-20 3
Phone: (813) 780-0020 Issue DateJ .7
Fax: (813) 780-0021
le-
15 26 21 0230 00000 0310 38120 Fallstone Way
777,
Name: LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC
Class of Work: Townhome
Address: 4600 W Cypress St 200 Building Valuation: $235,800.00
TAMPA, FL 33607 Electrical Valuation: $35,370.00
Phone: (813) 574-5700 Mechanical Valuation: $16,506.00
Plumbing Valuation: $23,580.00
Total Valuation: $311,256.00
Total Fees: $13,735.43
Amount Paid: $13,735.43.�
Date Paid: 1/23/2023 2:56:57PM
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CONSTRUCT TOWNHOME 1513 SQ AS
- Z 11 '.til
Transportation Impact Fee - City $34,80 Building Plan Review Fee $180.00
School Impact Fee - Single Family $0.00 Plumbing Valuation Fee $0.00
Fire Wall/Smoke Wall Inspection $15.00 Driveway Fee $45.00
Public Safety Impact Fee -Police $254.00 School Impact Fee - Single Family $3,353.00
Electrical Plan Review Fee $0,00 Park Impact Fee - Single Family/Townhome $7%56
SIF 1 percent Fee $33.53 Building Permit Fee $1,219.00
Address Fee $30.00 Water Connection Residential Fee $1,010,00
Mechanical Permit Fee $122.53 Public Safety Impact Fee -Police $0.00
3/4 Water Meter Residential Connection Fee $732.71 Electrical Permit Fee $216.85
Public Safety Impact Fee -Admin $26.35 Sewer Connection Residential Fee $2,090,00
Mechanical Plan Review Fee $0.00 Transportation Impact Fee $3,445.20
Plumbing Permit Fee $157.90
EINSP CTIC FEES: (c) With respect to Reinspection fees will comply with Florida Statute 53.8(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 properly 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.S.
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
e Building Department
r�
Date Received cone Contact for Permitting 908 770 __ 7763
Owner's 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 NIA Owner Phone Number
Fee Simple Titleholder Address I N/A
JOB ADDRESS 38120 Fallstone Way LOT# 0031
SUBDIVISION Townes at Autumn Palm PARCEL ID# 15-26-21-0230-00000-0310
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN DEMOLISH
P._INSTALL REPAIR
PROPOSED USE SFR 0 COMM OTHER
TYPE OF CONSTRUCTION Imo) BLOCK FRAME STEEL
DESCRIPTION OF WORK Multi -family / Screen Enclosure / Fence
BUILDING SIZE U/R IF 1 965� SO FOOTAGE EE3= HEIGHT 2
BUILDING $ 235800 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ 35370 AMP SERVICE ® PROGRESS ENERGY W.R.E.C.
F-
J�1 (PLUMBING $ � �x yz
t♦ 23580
om7{P
tlJ (MECHANICAL $ 16506 VALUATION OF MECHANICAL INSTALLATION # �a
=GAS Fv(] ROOFING F__1 SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES CIO
- . . i .. .. . . .-9—i—. . . . . ... . . . . .
— Lennar Homes, LLC
BUILDER '' COMPANY
SIGNATURE t _ _ REGISTERED Y / N FEE CURREN Y / N
Address 1 W Boy Scout Blvd Suite 600 Tampa, FL 33607 License # I CGC1518166
ELECTRICIAN COMPANY Edmonson Electric, Inc.
SIGNATURE ,�, REGISTERED Y / N FEE CURREN I Y / N
Address if License# EC13005408
PLUMBER COMPANY IlBayonet Plumbing, Heating & AC, Inc
SIGNATURE „ REGISTERED Y / N FEE CURREN Y / N
Address License # CFC042998
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN LiLLJ
Address License # I CAC058062 ®�
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y! N I FEE CURREN Y N
Address License # 1 CCC057991
IIIlIIIItIt111IEi1 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIl111111
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.
• F:-• • ht—k—• . •
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)
Remofs if shingles Sewers Service Upgrades A/C Fences (PloUSurvey/Footage)
Driveways -Not over Counter if on public roadways..needs ROW
La
NO` iCE 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.
12--yJ 10 RAILT41A Lei =111201.111111 16 111 UWT qeilq 0 1 " ILSAIII-911111mu 04JU 4 3 M I.IV011,111110 114 01 IMILOX01:11 r-011 k's 210 F1,10 Lod 10 1 0,
OWNER ORAGENT
Subscribed and sworn To' (or affirmed) before me this
1-2022 by Christopher Smith
Who is/are personally known to me orh��
as identification.
Notary Public
Commission No. GG 296057
1216W22 by Christopher Smith
Who is/are personally known to me or has/have produced
as identification.
Commission No. GG 296057
Stephanie Farmer Stephanie Farmer
Name Name ofN
STMOIEFAMER STEPHAK FMER
E*MF6WUW16,2023
E*m FaWNY
'F N.W TV. T" I* W.. wwlols
15,2023
,1
Notary Public
Builder Name/Owner Name � Control #
County Parcel No. { SubDiv: `�' ....
Classification/Type of Use J e
TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: f t
Exempt Yes ED No How Determined
Impact Fee Amount Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount $
(057) Mobile Home
(058) tither Residential
(123) Collection Fee
Exempt =Yes = No Haw Determined -
land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone Total Amount $
Exempt =Yes No Haw Determined
LIBRARY FEE
Land Account Land Credit land Total
Facility Account Facility Credit Facility Total
ExemptED
Yes No Haw Determined Total Amount
RESOURCE FEE ERU
=
PERFORMED UNTIL THE TOTALAMOUNTS
f • f -..�' f i •
M1
RECEIPT NO DATE BY
i
now
DESCRIPTION:LOT(S) 25-32, TOWNES AT AUTUMN PALMS,
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89,
PAGEIS) 113-114, OF THE PUBLIC RECORDS OF PASCO COUNTY,
FLORIDA,
ALL ELEVATIONS REFERENCED
j
To NORTH AMERICAN
k'
\8
VERTICAL DATUM OF f 988
(NAVD20.6'
PROPOSED ELEVATIONS AND TYPE -)
GRADING SHOWN HEREON ARE TAKEN
FORM THE ENGINEERING PLANS OF -MASER!
CONSULTING PA. ', PROVIDED BY CLIENT
34x
0
PROPOSED.
_
LOWEST FLOOR ELEVATIONS:
-
LIVING AREA: 84.80
GARAGE AREA: N/A
C
ELEVATIONS REFERENCED TO
NORTH AMERICAN VERTICAL DATUM OF
= j
1988
fL--
-------
+0.85' = NATIONAL GEODETIC VERTICAL
V Lu
C
DATUM OF 1929
LOT _ 17969FT
¢ o o H
csSQ
LIVING AREA - 5336 SQ. FT.
i c,
d� O M
in in b 1n
ENTRY _ 672 SO, FT,Q
a
GARAGE - 1848
-
_ -SO.FT
COVERED LANAI - 868 SQ FT
O
o
PATIO NA SQ.FT
9
POOL AREA NA --SQ FT,I.
3
CONC. DRIVE I 967-SOL FT
Imo In c'm ry re
2
-------
A/C & CONC PAD 80-SCE FT
S@EWALK 324 SQ, FT.
,`n
_
SIDE YARD SWALE NASQ FT
(u z
m
CONSERVATION AREA = NA SO FT
E
m
TRACT "!"
PRIVATE PARK
N 89-3157- W (P) 120.06"
d O
39 7 s o U
UNITA LOT ENTRY ITT
1532 25 in
SEC. 15, TWP. 26 S, RNG 21 E
SITE PLAN � 1708 Water Oak Drive
PASCO COUNTY, FLORIDA f
NOTa suav£v) (TOWNES AT AUTUMN PALMS) Tarpon Springs, Florida
Phone: (7271-831-1990
s� LOT O FtondaPLS7123@gmail.com `
qs 4' y 24
N LB# 8183
i
s
F�
S 89'Z515" E (P) I i 15. 10' IPt
o UNIT B
LOT
It
m It
m 1516 26
ENTRY 17.3'
A,
S 89'25'15'EIP)-109.13'1P)
14.7
57.0'
b UNIT{ LOT
M c
°j 1624 27
ENTRY 17 3'
S892515-ELP)110391'(PI
'6
-
T47'
39.7"
-
uNIT-C LOT
'O
1624 1 28
ENTRY
173'
S8925'T5-EIP)I103.08"(PI
M�
PROPOSED - C
RESIDENCES
b UNIT-C �? LOT ENTRY
m 1624 ,, 29
73
LOT OCCUPIED 59 070
Z
S89'25'15"E(P) 103.24'(P)
AREA TO IRRIGATE 41 z
----------
39.T
= 07o
w
_ �
63'
NOTES:
p
1 m
m o
b
Z
UNIT-C LOT ENTRY
ITT
LOT GRADING TYPE -- N/A
F V
=�
N
-
1624 30
PROPOSED PAD ELEVATION - N/A
..
S B9-2"1'-E IP) I103.40' (P)
-
57.0'
FRONT SET BACK --- 15'
F
W
39,7 4,7
ro
=
SIDE SETBACK 10'-
ry
C O
<
UNLIT-B j
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g
m
t516 LOT
173
REARSETBACK 20'
U
ALL WALKS 3.0 UNLESS NOTED
-I
31
of
of N
ALLA/C 3.2x 3.2'
57A"
S89'75'IS E(PI, 103. 57'(P)
I/E/U/D= INGRESS EGRESS/ ul
d,
Z
,Q,
UTILITY/DRAINAGE ESMT
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m
UNIT -A
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532 ' LOT 73
m W
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32
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ABBREVATiONSLOT
u
33
S89-5718-E P iSURVEY a3.82 IPI
A/C - AIR CONDITONfR PI) ^DEED INV-INVf RT
PC POINTOFOFTAA
Rf^RECORD
At -At UMINUM f f N(E DF- DRAINAGE EASEMENT IB=II(1 EISEN BUI-1 SS
EC-PERMANENTCONTROL
POINT RNG^RANG'
BIT- BASTPi.00DE1tNATION Fl OR FIEV-FLEVATION IFE- 10"`FSTFLOORFIFVAIiON
110 POOLEOUIPMENT
RIPS^RAIL ROAD SPIKE
BM - BF NO MARK FOP FOGE OF PAVEMENT IS - 1(ENSEUSURVf YOR
PC PAGE
R/W -RIGUT OF WAY
( - CURVE ESMT-EASEMENT (MI -MI ASURFD
(CI - CAI CUTAIHI r/C - FENCE CORNER MESS M( ERED I ND St CI iON
PI POINT Of INTERSECTION
PR PARKER"LON
SEC-St(IION
EN&D- SH NAIL AND DISK I GNP
i - C F NTf RUNE FCM - FOUND CONCRETE MONUMFNT NET _ NO CORNF,R FOUND
POE - POINT OF BEGINNING SIR_Sf T 7/2" IRON ROD LEN A 18;
CLf-CHAIN LINK FEW SIP - FOUND IRON PIPE O/A^OVt RAIL
CIA-CORRUCUO DMIVILI'IN FR- WEIDIRONROD 011W- OVf.11 AT WIIA ISI
POC- POINT OF COMMENCTMEM TBM^((MPORARY BENCHMARK
POL-POIN r ON LINE FOR TOP OF BANK
TOE - COLUMN IN&D-FOUND NAIL&LISP Cit 0-0,GRECO111$
PRC- POINT OF RFVERSF
CURVE TWP-TOWNSHIP
C ONC -CONCRETE FOP -FOUNDOPEN PIPE (PFIAT
PRM- PERMANENT REFERENCE
MONUMFNT UE- UTIIYEASEMENT
C/S^<ON(RL TE El AB FEE- FOUND PINCHED PIPE 'B - I AT BOOT(
P.0 F- PUBLIC UTTIITY FASEMENT
0
19.7
Scale. t = 20
Initial Point Land Surveying, LLC.
LEGEND
SURFACE TYPE FENCES
ALUMINUM (F NCE-
- -
-ASPHAIT VINYL FEN([
/
^BRICK WOOU ff NCE
- SEND/DIRT CHAIN I INK f f NC
-CovEREr, HP D RHFAerz
LEGEND
z
w
I <+3'
'--�'-= PROPOSED DRAINAGE FLOW
to In V,
2 W = N
i00.00j =PROPOSED GRADE
40 0
3 N ®
E-00.00 = EXISTING GRADE = 2" OAK
Gs
10' INGRESS EGRESS/U.E & D.E
Z
C°
a ®N
APPARENT' FLOOD HAZARD ZONE: "X" COMMUNITY NO. 120235
C U
(MAP NUMBER 12101C-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, U.C. 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-cFway
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.
6.) 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 verity 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
JWG:L25-32-TC4AP- SAE.DWG
This SITE Plan Prepared for and Certified I.
'_ennar Homes
This certifies that s - �twe !i_ded property was made
under my s e rds of Practice for
surveys as b nis 3 Su(ors in Chapter
5117.051 t ro IT 5 1 53, is. {,NC-3de, pursuant to
Section 47 .0 , Flo d State StaiD4te: 2 2231.28
�0 10:28:0 tool
Jeff M. Hartley � - STATE OF b Date
FLORIDA PROF I S{Af.AMA AN , �ERLS#7123 LB#ST83
NOT VALI TkT€6 -0 iGNATURE AND SEAL
OF A FL - OTV L YOR AND MAPPER
v R, T U A L R E V E "vV A 3 S I S, T
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 38120 Fallstone Way
Parcel Tax ID: 15-26-21-0230-00000-03 10
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: DEBRA ANNE KLAHR
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 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 goverm-nent, 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.Ght.nents, 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 inthe. amount of $1 million per
occurrence, relating to all service's performed as a private provider, including tail coverage for a minimum
� rfprm e of buil g
of 5 years subsequent to the performance din code inspection services.
'(signature,)
Print
Name;
Address.
Tel( -,phone,
No.: —
#Iwo
STATE OF FLORIDA
U
Individual
Before me, this day Of
20— Personally
appeared
who executed the foregoing instrument,_
and acknowledged before me, that same
was executed for the purposes therein
Corporation -
LENNAR HOMES. LLQ
Print Corporation Name
print
Christopher Smith
its: Authorized Actent
Address- 700 NW 107th Ave
Miami, FL 33172
Telephone.
No. 813-574-5700
Corporation
Beforeme,this 22ND day of
MAY zo 2_2
personally appeared
Of
Lennar Homes, LLC . a
corporation, on
behalf of the state corporation, who
executed the f6regoing instrument and
aclnnowledged before me that same was
executed for the purposes therein
expressed.
Partnership
Print P artnership Name
By:
(signature)
Print
Name:
Address;
Telephone
N7- .
-Partnership
Before me, ibis day
of
per&6naBy appeared
partner/agent on behalf of
a partnership, Who executed the
foregoing instrument and
acknowledged before, me that same
was executed for the purposes therein
expressed.
Personally known X ;or - Produced identification — Type of idmfific a*tion produced
Signature of Notar� Print Name ASHLEE QA-LLAHAN
NotaryPublio Stamp:
...... ASHLE CAUAW
Commission Expirm MY COMMISSION # HH 205980
EXPIRES: Ndvw9w 30,2026
`�C) 202ko
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: ILLI—qyc&—,Ii—rwalreviewassist,coin
Project: New SFT
Address(s): 38120 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
followinp, afflant, 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,PAI.3,PAI.4, SHI.0,SHI.1,SHI.2,SHI.3,SHI.4,SHI.5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300
Signature of Reviewer:
SWORN AND SUBSCRIBED before me by Debra Anne Klahr
being personally known to mew or having produced as identification
and who being fully sworn and cautioned, state that the
egoing is true and correct to the best of his/her knowledge or belief.
/Signatu4reo Notary Print Name
Notary Public: NOTARY STAMP BELOW My
ASHLMowU�" M
commission expires: WCOMMSION0HH
980
3
OMB N 0 2W
801IRB: NawiW 30,2=
W-9N=-
12[91NER, w2gam
FIRE MARSHAL #01 -
Rea uired Permits
DATE: 12/10/2022
EXAMINER: Debra Klahr PX230(
k7Building
❑ Ins pe tion Only
VI'lumbing
El Inspection Only
V Mechanical
❑InTection Only
VElectrical Amp
El Ins pection OnI
10 Roof
❑ Gas
r
❑ Medical Gas
Fire Sprinklers
El On Site Piping
El Fire Line
0 Irrigation
E] Fire Alarm
EJ Potable Backilow Assembly
❑ Fire Line Backflow Preventer
El Irrigation Backflow Assembly
❑ Demolition
El Walk-in Cooler
El Refrigeration
❑ Hood
El Ansul
El Fence/Wall
El Grease Trap
E] Other
0 Other
I. M R a M-11 =
Type Construction:
JV-B
I Risk Category:
Occupancy Load
0 ancy Classification:
'Factory
;Residential
Assembly E::� usmess y Care/Educational
Hazardous E= :Institutional E==Pk,,cantile
n Util�
Storage E:= ny
Building Use: Single Family Alteration [;Level 1 Level 2 Level 3
Pf New Construction El Interior Finish El Interior Remodel El Exterior Remodel F-1 Addition El Revision
Overall Size:
18-4 x 63
Number of Stories:
2
Total Sq. Ft.:
1965
Living Area: 1513
Covered Area: 452
# of Bedrooms: 2
—
# of Baths: 25
Cost per square foot:
Estimated Value:
Roof T e: Shingle
E]Tile El Built-up ❑ Metal F1 Other Squares: 13
Zoning:
Wi
orne Debris:
[]' Inside Outside
Energy Code:
405-2020
Flood Zone: X Base Flood Elevation: Finish Floor Elevation:
Hydrostatic Vents? rYes No Sq. Ft. Enclosed Space Below BFE:
# of Vents:
Size of Vents.. —FTotal
—Sq. In. Permanent Openings
g Central A/C
El Gas A/C
9 Heat Pump El Window A/C
El Gas Heat El Electric Heat
IW=.
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
RNTIr"
Front Rear Left Right
Asper Approved Site Plan
Comments: