HomeMy WebLinkAbout23-5536City of Zephyrhillsti
1
5335 Eighth Street
Zephyrhills, FL 33542
BNR-005536-2023
Phone: (813) 780-0020
Date:e^�a
Fax: (813) 780-0021
Issue
Permit Type: Building New (Residential)
! 1 liiii i i
Valuation:Permit Type: Building New (Residential) 0
1 Class of Work: Townhome
Building Valuation: $232,680.00
Electrical !
Valuation:Mechanical Valuation: $16,287.60
Plumbing .` RR
Total+$307,137.60
AmountTotal Fees: $13,714.84
" f «4
Date Paid: !
CONSTRUCT O * AS
-PolicePublic Safety Impact Fee -Admin $26.35 Driveway Fee 45.00
Public Safety Impact Fee iiResidential
Water Connection Residential Fee i 1 ! l i
PermitTransportation Impact Fee - City $3480 Sewer Connection Residential Fee $2,090.00
Transportation Impact Fee $3,445.20 Electrical
Electrical Plan Review Fee i! Building Plan Review Fee $180.00
ImpactSchool $3,353.00 SIF I percent
PermitPlumbing + Plumbing Valuation Fee $0.00
Mechanical Permit Fee $121.44
Fire Wall/Smoke Wall Inspection i! Building.. R
Impact11 Park Single•$76956
REINSPECTION 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
Complete"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."
. . . • fee Must AccompanyApplication. be performed
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY '
�r G4N7RACTOR SIGNATURE
N�1
s
. . y . •UIR .'
813-780-00z0 - City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
Owner's Name I Lennar Homes, LLC
Phone Contact for Permittin
Owner's Address 1 4301 W Boy Scout Blvd, Ste. 600, Tampa, FL 33607
Fee Simple Titleholder Name I N/A
gg 908 1 770 __ 7763
Owner Phone Number 813.574.5700
Owner Phone Number
Owner Phone Number �—
Fee Simple Titleholder Address
JOB ADDRESS 38126 Fallstone Way LOT# 0032
SUBDIVISION Townes at Autumn Palm PARCEL ID# 15-26-21-0230-00000-0320
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR B ADD/ALT SIGN [� DEMOLISH
PINSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME 0 STEEL
DESCRIPTION OF WORK Multi -family / Screen Enclosure / Fence
BUILDING SIZE UIR SF 1 �3g SQ FOOTAGE 1541 HEIGHT 2�
T_T_r_r"r1rr'r'r'rTrT— . . .
7BUILDING $ 232680 VALUATION OF TOTAL CONSTRUCTION
I.f (ELECTRICAL $ 34902 PROGRESS ENERGY W.R.E.C.
T r � AMP SERVICE
PLUMBING $ 23268 ,
.. ,
j''' ��' �.�...
A.f (MECHANICAL $ 16287.6 VALUATION OF MECHANICAL INSTALLATION17-1-1
OGAS I✓ 1 ROOFING SPECIALTY = OTHER r�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES ' o
�_t I.®. !. . . . . . . . . 1-..-W-i-
BUILDER � COMPANY I
Lermar Ilomcs, LLC
SIGNATURE REGISTERED Y / N FEE CURREE Y ( N
Address 4301,,W Boy Scout Blvd Suite 600 Tampa, FL 33607 License # CGC1518166
ELECTRICIAN COMPANY EmOnSOn Electric, Inc.
SIGNATURE REGISTERED Y / N FEE CURRE< Y / N
Address License# EC13005408
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN
Address License # CFC042998
MECHANICAL ayonet P
COMPANY Blumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y/ N FEE CURREE I Y/ N
Address I License# I CAC058062
OTHERCOMPANY C Sterling Quality Roofing, Inc
SIGNATURE I .i' REGISTERED Y / N FEE CURREE LY / N
Address Y License # CCC057991
111111111111111111111111111111llulllBlt1111Bt/1111111!l11111111111
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#*i-• N-•
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 AIC 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, Welland 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 OR AGENT
Subscribed and sworn r.-(or 7affirmed) before me this
112022 — by Christopher Smith
Who is/are personally known to me or
as identification.
Subscribed and sworn to (or affirmed) before me this
12,'612M by Christopher Smith
Who is/are personally known to me or has/have produced
as identification.
Notary Public Notary Public
— ZJTNota
_
Commission No. GG 296057 Commission No, GG 296057
Stephanie Farmer Stephanie Farmer
Name Name Name of N -1. .
StWdWE FMER STEI'Ma "ER
J011
_T A COV"M IGO 2%W
E*m Fallim" 15, 2023 E*m Fetintary 15, 2023
F BMW Thm Tmyf* *WOO
Classification/Type of use
TRANSPORTATION IMPACT FEE Rate Sq. Ft unit:
Exempt o Yes 0 No How Determined
Impact Fee Amount �, �® Zone No. TAZ:-
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt [Dyes = No How Determined_
PARKS AND RECREA11ON FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone Total Amount $ k
Exempt =Yes =No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt Yes No How Determined Total Amou
RESOURCE FEE ERu
i PTnl�
RM
RECEIPT NO DATE 6Y
now
wr
RREL. = 84.20
DESCRIPTION: LOTS) 25-32, TOWNES AT AUTUMN PALMS,
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT
j
I
TRACT "I"
SITE E PLAN
SE
BOOK 89,
PRIVATE PARK
l V
PAGES) 113-1I4, Of THE PUBLIC RECORDS OF
PASCO COUNTY,
i
(NOTA SURVEY)
� T
I
FLORIDA.
1
N 89`3157- W fPI
120,06' (P)
I
FALL ELEVATIONS REFERENCED
Kti�y
b
--�
TO NORTH AMERICAN
\$
o
o.
499 _ -
VERTICAL DATUM OF 1988-
�._ (NAND 881
6.0'
39 7"
_.,
_ 20.6
PROPOSED ELEVATIONS AND TYPE
N
GRADING SHOWN HEREON ARE TAKEN
Z
UNIT LOT
ENTRY 17
FORM THE ENGINEERING PLANS OF'MASER
S
-A
'- 1532 25
gQy
CONSULTING P.A.', PROVIDEDBYCLIEN7
g3
\
��
57.0'
y
PROPOSED:
_______
p
s6ez515e(v(Ins.la(Pi------
LOWEST'
FLOOR ELEVATIONS:
- -�
UNf7 B
,,.I. o
LIVING AREA: 84.80
a
Q
Z
o I LOT
o5 1516
- o
-
GARAGE AREA: N/A
26
ENTRY 17.3'
ELEVATIONS REFERENCED TO
NORTH AMERICAN VERTICAL DATUM OF
2�
S 89-75 is E(P(1109.43' IF)
,-'t4
1988
M
V
----------
C_I
}�
57.0'
_
+0.85' -NATIONAL GEODETIC VERTICAL
DATUM OF 1929
eW..
UNIT{ LOT
co
(
ENTRY
Y' •/
Cry
qyl,
_ 1624
27
17.3'
LOT - 17969 SO FT
<'o 0 0
b
cz¢C�
`
sag zs �los9r(vi
�z /
LIVING AREA - 5336 SO F7
I� � o "'
_7
----------
rselF7
14.7'
, '1
- --
ENTRY 672 SO FT w a (n in o In Q
39.7'
/
GARAGE - 1848 SO FT
-
Z
o UNlT{ LOTD
COVERED LANAI - 868 -SO,FT
:0
g
1624 28
ENTRY 17.3
,.,{..
PATIO = NA SO FT
z
''¢
2
=
-
S89`25TS
PROPOSED
^' o
POOI...AREA NA --_SO FT
m
—
a
;�
L✓
WI1ID3.08'JP)
2 STORY
CONC. DRIVE 1967 SO FT
C6 o a s
O
-------'
57.0'
I
ATTACHED
xl
C. 15, TWP. 26 S, RNG 21 E. 1708 Water Oak Drive
PASCO COUNTY, FLORIDA
OWNES AT AUTUMN PALMS) Tarpon Springs, Florida
Phone: (7271 83 i 1990
s LOT O FloridaPLS71239gmai(.com
24 N LB# 8183
I
NATO
In
Scale: 1 " = 20
Initial Point Land Surveying, LLC.
/ LEGEND
SURFACE TYPE FENCES
ALLT NUMIONCE
/ -ASPHALT vwY. rF NCF
-BRICK WOODIFNCE
^SAND/UIRT CHAIN UNK FENCE
3F
-coveam CAVE RHIAD II
A/C & CONC PAD 80 SO. FT c
m
;n vry
- „--._-._--
`
RESIDENCES rn
u
LEGEND:
SIDEWALK 324SO. FT.
a m
^_ `ton
$
¢
b UNITC °} LOT ENTRY3�
3 _ f-
SIDE YARD SWALE NA SO. FT O
v,
�,
Z m
o
z
a.
I624 a 29 173
_ IN
/-'"'� PROPOSED DRAINAGE FLOW
CONSERVATION AREA NA SO FT
LOT OCCUPIED - 59 %
a
Z
,
_ _
S 89z5 1 R- E (PI �to3.24' (vl -- 19 6'
<<<
':
wm Nw ut N yYa. fu
Z
)00.00) = PROPOSED GRADE h
AREA TO IRRIGATE = 41 % z
----------
39.7 'O _.
`.�
O mo K � N �
E-00.00 = EXISTING GRADE `Sw''2 = Z C1AK
h, --
_. _
—.—_ -
-} G3'-0 �
_' ___
I9T
a
-
„I oo h D
}` W �
�D6OD
= 10' INGRESS EGRESS/LLE & D.E
�
NOTES: IC
(
. m
m o
a
Z
o UNITC LOT ENTRY 17 3
<Z
m ¢ q w>
APPARENT FLOOD HAZARD ZONE: 'X" COMMUNLTY NO. 120235
LOT GRADING TYPE = N/A F
°L,
°'
-
1624 30 rn
a
o+�1c,.
C y
(MAP NUMBER 12101C-0452-F) EFFECTIVE DATE: 09/26/2014
SURVEYOR'S NOTES:
1.) Current information had been
PROPOSED PAD ELEVATION --- N/A v
Q
s e925'is E (rl to34o' IP( -
57.0'
o
',LL;."
FRONT SETBACK - i S 41
__---___ _
LL, .i
I
title on the subject property not
furnished to Initial Point Land Surveying, LLC at the time of this site plan
397 - 4 T
=
SIDE SET BACK 10' O ry C
a-
<
�
UNIT B 19,9
(LOT
!
2.) This sketch was prepared without the benefit of a title search No
instruments
1 Z
REAR SETBACK - 20'
z
m 1516 - 17 3'
m ?
of record reflecting ownership, easements or rights -of -way
V J
-
C0
o
a-
31 = o0
o ..
00 ''. '
I
were Furnished to the undersigned, unless otherwise shown hereon.
3,) Roads, walks, and other similar items shown hereon were taken from
ALL WALKS 3.0 UNLESS NOTED I... c
®
_^ _
_ _
-'
57 0' _
Z irj. '
engineering plans and are subject to survey.
ALL A/C 32x 3.I
--------
4.) This site plan does not reflect nor determine ownership.
S84"ZS'i5 f IP(. 103.57'(!ry
(
II/E/U/D = INGRESS EGRESS/ W v
L-'
; '�
5.) This site plan is subject to mafters shown on the Plat of "ZEPHYR
UTILITY/ DRAINAGE ESMT Z 6i "oa
..1 c
Q
m o
ro UN IT -A = o
LOT
I
COURT" portions thereof.
6. Dimensions shown hereon are in feet and decimal
w w =
�
g
m 1532
- 32 17 3 __,i
7.) Contractor and owner are to verify ail setbacks, building dimensions,
-..-.Y
and layout shown hereon prior to any construction, and immediately
<
c
m m
.o .
m ro
m �a
m
a
m 206'.,,
/
6.0
397 6 —�—
.� ',�
I
advise initial Point Land Surveying,LLC. of an deviation from
Y
_-,
5—'--"---
information shown hereon Failure to do so will be at user's sole risk.
Z
o
~15
It!3
,O\
0 /81'}O
0iP)
Su CATE
SURVEY ABBREVATiONS 1
A°C - AIR CONDETIONER lni-DEED
AT UMINUM I(OFF DI DRAINAGFFASLMLN(
BEE - BASE FLOOD FL NATION EI OR ELEV-r1 EVATION
������
INv INVERT
tB 1 CFNSF D BUISNESS
IFE- I OWESi FLOOR ELEVATION
LOT 33 S 89°5T 18' E )P) 103.ST (P)
Pc POINT Or CURVE IRI- RECORD
PCP PE RMANFN' CON I ROL NOT NET RNG - RANGE
P/E POOL. EOOIPMENT RRS RAIL ROAD SPIKE
S
Drawn By: DlB
„
Party Chief:
_ _ - _ �
lH
REVISIONS:
This certifies that s f t �!! ed property was made
ip p Rertl
under my s e v Girds of Practice for
surveys as s no 3 Su �?yyors in Chapter
SN cy t. to h5 t 53 )s KtYde, ursuanY Yo
p
Section 47 .0 ,Flo State `A e: 2022s 1.28
Checked By:lH
lOB/{6071
BM-Bf NCH NARK fOP-�EDGE OI PAVEMENT
C-CURVE [SEAT LAST MFNT
I S-� IICENSFD SURVEYOR
(M(- MEASUMD
PG PAGI
PI POINT OF INTERSECTION
R RIGHT OF WAY
S� SFC ,ON
�e
{
n !1
�a.28:� j 4{}'
File
(C (- (AI CULATED r0 - rENO (OR.NER
MES - MITERED I ND SECTION
PK PARKF R KF.LON
SN&D - ST T NAIL AND DISK LB#8I83
Date of Site Plan i
1-B-2Z
Jeff M. Hartley .�
-
STATE �F 4`� Date
1'r*Q%ER
CCN'FEU I ICM- FOUND CONCRE TE MONUMENT NCF-NO CORNER FOUND POB POINT OF BEGINNING SIR=SET!/'IRON RoD kin B!83
WG:L25-32-T@AP-
SITE _DWG
. F-CHAIN UNK`I NC FTC --=.UND IRON PIPF O/A-�ovERAa roc- POINT OF COMMFNCTMENT TSMr TEMPORARYBENCH MARK
FLORIDA PROF 11
St.AfOMAAN LSN7123 LB#8183
COP_CORRUGATE D METAL PIN (IR=FOUND IRON ROD
OHW OVERHEAD WIRE(SI
POI.=POINT ON I FEE
TOE -TOP Of BANK
This SITE Plan Prepared
for and Certlfled To:
♦,' pp
NOT VALIDry
'{ ' AND SEAL
col-_O-UMN tN&D - FOUND NAZI&DISK OR -OrnOAI_RPCORDS PRc POINTOFRF/ERSIcuRVE TWP IOWWAIP
CON( CONCRFTF IOP=FOUNDOPFNPPE
(P) PLAT
PRIM PERMANENTROERINCEMONUMENT
UE UTUTYEASEMENT
Lennar Homes
fi�
a"SiGNATURE
ryS-cONCRETF SAu rPP-FDUNDP N<HEDPIPE
PB-�InreaoK
PUF ruBucunury FASFMeNT
OFAFL
LYOR AND MAPPER
It-
Project Name:
38126 Fallstone Way
V- /\
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Parcel Tax ID: 15-26-21-0230-00000-0320
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:
Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
w is
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 detennine 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.
•EMEEMER =1
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 performed as a private provider, including tail coverage for a minimum
of 5 years subsequent to the performance of building code inspection services.
Individual
-(signature)
Print
Name:
Address*l
Telephone
Please use appropriate notary block.
STATE OF FLORIDA
111000611ANAM;
Individual
Beforeme,this day Of
20_ personally
appeared
who executed the foregoing instrument,
and acknowledged before me that same
was executed for the purposes therein
expressed.
Corporation
LENNAR HOMES. LLC
Print Corporation Name
(signature)
Print
Name.. Christopher Srnith
Authorized Aa ent
Address: 700 NW 107th AVe
Miami, FL 33172
Telephone,
No.813-574-5700
Corporation
Beforeme,this 22ND day of
MAY _D22,
personally appeared '
of
Lennar Homes, LLC a
Corporation,, on
behalf of the state corporation, who
executed the foregoing instrument and
acknowledged before me that same was
exe outod for the purposes therein
expressed.
Partnership
Print Partnership Name
r-A
(signature,)
Print
Name:
Its:
Address:
Telephone
Partnership
B efore me, this —day
of 20_
por&6nally appeared
partner/agent onbehalf of
a partnership, who executed the
foregoing instrument and
acknowledged before one that same
was ext-,Guti-,d.forthepurpo-sestherei-n
expressed.
Personally known X or Produced identitcation- Typo of identification produced
Sig.nSignatureof Not N Print Nam', ASHLEE CALLAHAN
gp NotaTyPublic Stamp: �q ASHLEE CML4M
MY COMMISSION # HH 29598,0
Commission F_xpires: E.VIRES:'NoYwJw 30,2026
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: lui, a)vi�rtLiaireviewassist,coii-i
Project: New SET
Address(s): 38126 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
Z>
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,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 Exam'
License #: PX2300
Signature of Reviewer:
SWORN AND SUBSCRIBED me by Debra Anne Klahr
being personally known to in or havingproduced as identification
and who being fully sworn and cautioned, state that the
fTegoing is true and correct to the best of his/her knowledge or belief.
Si tare �ofNot Print Name
INIMMMAM11
commission expires:
CAL
ASHLEE Mo ASHLEE CALLAHAN
N MYCOMMWION#HH295960 �F
-qua
EXPMSNovambsr 30,2026
TRACKING
FOLIO# 38126 Fallstone
U1111 1 111110,1011 W 01R
FIRE MARSHAL #01 -
eauired Permits
.ill ►�: Mrr � ' i
Building
❑ Ins ection Only
Plumbing
❑ Inspection Only
IVMechanical
❑ Inspection Only
WElectrical Amp
❑ Inspection Onl
IV Roof
❑ Gas
❑ Medical Gas
❑ Fire Sprinklers
❑ On Site Piping
❑ Fire Line
❑ Irrigation
❑ Fire Alarm
❑ Potable 73ackflow Assembly
❑ Fire Line Backflow Preventer
❑ Irrigation Backflow Assembly
❑ Demolition
❑ Walk-in Cooler
❑ Refrigeration
❑ Hood
❑ Ansul
❑ Fence/Wall
❑ Grease Trap
❑ Other
❑ Other
Type Construction:
V"�
Risk Category:
Occupancy Load
® ancy Classification:
Factory
;.Residential R-
Assembly
Hazardous
'Storage 0
Business Day Care/Educational
Institutional E== FE� Mercantile
El try
Building Use: Single Family / Alteration Level 1 'Level 2 IEJ Level 3
New Construction ❑ Interior Finish ❑ Interior Remodel ❑ Exterior Remodel ❑ Addition ❑ Revision
Overall Size:
18-4 x 63
Number of Stories:
2
Total Sq. Ft.:
1939
Living Area: 1541
Covered Area:
398
# of Bedrooms: 2
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof Type: Shingle
❑Tile ®Built-u
❑ Metal ❑ Other Squares: 13
Zoning:
i orne Debris:
❑ Inside
:Outside
Energy Code:
4a5-2020
Flood Zone: X
Base Blood 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
❑ Gas A/C
EK Heat Pump
❑ Gas Heat
❑ Window A/C
❑ Electric Heat
U
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
Front Rear Left Right
® Asper Approved Site Plan
Continents: