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Home My WebLink About23-5537City of Zephyrhills 77l PIP 5335 Eighth Street Zephyrhills, FL 33542BNR-005537-2023 Phone: (813) 780-0020 Fax: (813) 780-0021 issue Date: Permit Type: Building New (Residential) 36522 Camp Fire Terrace ontrac.III N NAIL IM M i ■■■ 4 ffi 'Class of ork: Townhome Address: 4600 #TTValuation:# # .00 A,a#' Valuation:Electrical # Phone: (813) 574-5700 Mechanical Valuation: $16,287.60 Plumbing Valuation: 6' ti Total♦n: $307,137.60 Paid:Total Fees: $13,714.84 Amount Date Paid: CONSTRUCT TOWNHOME Building PReviewFee 'i## SIF 1 percent I Public Safety Impact Fee -Police $254.00 3/4 Water Meter Residential Connection Fee $732,71 Water Connection Residential Fee $1,010.00 Park Impact Fee - Single Family/Townhome $769.56 Electrical Permit Fee $214.51 School#« R # Mechanical Permit Fee Plumbing Valuation Fee $0.00 Fire Wall/Smoke Wall Inspection $1500 Sewer Connection #• ,#. # i.# # Transportation# # Plumbing Permit Fee $156.34 Building Permit Fee $1,203.40 Mechanical Plan Review Fee #Transportation ,Electrical Plan Review Fee $0.00 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,greater, for f M' reinspection. Notice:addition E the requirementsof this permit,be additional restrictions•. i " to this property may be found in the publici of • of there may be additional permit required from Specificationsentities 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, accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE s CONTR,4GTpR SIGNATURE 813 780-0,' Fax-813-780-0021 City of Zephyrhills Permit Application Building Department Date Received Phone Contact for Permitting If 908 ) 770 -_ 7763 -IF I . FT-1-1 CAL HEARTHSTONE LOT OPTION 1 11 ]fit f �813574*5700 .. . . . . . . . . . . . . Own Number Owner's Name POOL 03 L P r Phone Numb Owner Owner's Address 1 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number Fee Simple Titleholder Name I N/A Owner Phone Number Fee Simple Titleholder Address NlA JOB ADDRESS 36522 Campire Terrace LOT # 2204 SUBDIVISIONAbbott Square ��PARCEL to# -02200-0040 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED nn NEW CONSTR F__1 ADD/ALT INSTALL REPAIR SIGN DEMOLISH PROPOSED USE SFR COMM OTHER E_ TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK IT Enclosure / Fence I U/R SF 1939 1 BUILDING SIZE Sol FOOTAGE1541 HEIGHT ViBUILDING $ 232680 VALUATION OF TOTAL CONSTRUCTION f-1-1 IlyiELECTRICAL $ 34902 F'X_1 PROGRESS ENERGY W.R.E.C, AMP SERVICE F711MECHANICAL 11LJ $ 16287.6 VALUATION OF MECHANICAL INSTALLATIO 1a---,— GAS F4 ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA II YES Do BUILDER COMPANY I Lennar I Domes, LLCI SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N Address001 W Boy Scout Blvd Suite 600'1'ampa, FL 33607 License # I CGC1518166 ELECTRICIAN COMPANY lEdmonson Electric, Inc. SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N Address License # EC13005408 PLUMBER COMPANY Bayonet Plumbing, Heating & AC, InG SIGNATURE REGISTERED L_Z_L IN _J FEE CURREN L_y LIN Address J License# I CFC042998 MECHANICAL COMPANY Bayonet Plumbing, Heating AC, Inc & SIGNATURE LLLN FEE CURREN =N REGISTERED _J !N Address License # [CAC:0:58062 OTHER COMPANY C SterlingQuality Roofing, Inc SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N Address License # IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII RESIDENTIAL Attach (2) Plot Plans (21 !,Is 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 wl 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 onsiteT 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. . . . . . . . . . . . . . . . . &4_11I 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 PASCO COUNTY, FLORIDk Permit No. Date Permitted Builder Name/Owner Name Control # County Parcel No. z SubDiv: Address/Location c t"')Ja'o, , '-) -/'?, " — - - TRANSPORTATION IMPACT FEE , Rate: Sq. Ft Unit: Exempt hasE] No How Determined Impact Fee Amount g Zone No. . TAZ: Account (056) Single -Family Detached House Amount $ (057) Mobile Home (058) Other Residential 123) Collection Fee Exempt dyes No How Determined IfKTt 1'',' ME, Land Account Land Credit — Land Total Rec,f`041110n Account _ Recreation Credit Recreation Total Zone TOTAL AMOUNT Exempt Yee (3 No How Determined Land Account Land Credit Land Tote I I Facility Account --1. Faclifty, Credit Facility Total .Exempt El Yes []No How Determined --. Total Amount OTAL ANT TMOU ERU -------------- Prepared Bytr Chocked By NO CERTIFICATE OF ORMED OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION PERFUNTIL THE TOTAL AMOUNTS LISTED fjAVE BEEN, PAID RECEIPTEo FOR BY A CENTRAL PERMITTING OFFICR OF PASCO COUNTY R� l RECEIPT NO. 1--. DATE BY 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, Weiland 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. 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 FLORIDA JURAT (ES. 11T03) OWNER OR AGEN`F_r;� 0 (or r , Subscribed and swornno (or affirmed) before me this I I" a12,022 - by Christopher Smith Who is/are personally known to me or-h�� as identification. Notary Public Commission No, GG 296057 Stephanie Farmer Name N STSIM FARM opsoomw E 1MY16,2023 *M FON Subscribed and sworn to (or affirmed) before me this 1111412022 by Christopher Smith Who �is/are personally known to me or has/have produced as identification. AWNotary Public Commission No. GG 296057 Stephanie Farmer Name of N A . I l" A Camods8i 1W E%PWF0brUVYI6A2$ yAt DESCRIPTION: LOT 1-4, BLOCK 22, ABBOTT SQUARE PHASE 2, SITE PLAN SEC. 4, TWP- 26 S, RNG 21 E. ACCORDING TO THE PLATTHEREOF, RECORDED IN PLAT BOOK __,._, PASCO COUNTY, FLORIDA PAGE , OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA (NOTA SURVEY) (ABBOTT SQUARE PHASE 2) This SITE PLAN Prepared for and Certified To: PROPOSED ELEVATIONS AND GRADING Lennar Homes SHOWN HEREON ARE TAKEN FORM THE. ENGINEERING PLANS OF 'ABBOTT SQUARE RESIDENTIAL, PREPARED 11 BY "",IRA' PROVIDED BY CLIENT ALL ELEVATIONS REFERENCED (CDD) RIGHT-OF-WAY 7 SCaIe. 1 — 20 TO NORTH AMERICAN TRACT "A" VERTICAL DATUM OF 1488 CAMP FIRE TERRACE �._ (NAND SII) I ______—_e__..r,__—_T____,..___..—_—_— N 89-48'04" E jP1 BASIS OF BEARING 5 'CONC,'\i/h L K .27.7 •• - N 89'48'04 E J P 92.68 P � .• " 2834 P) i 1800 (PI IS QO (P( III" .. 2834)P( PC 77250r N 89 48'04' E (PI I 1 05(P) TRACT "B 7A.. •o 1 o��•(CDD) PARKING AREA w r u'- r`N w l •too IT 100I'I-<` I00. 100 I I J) 1 l o' o a 1 43�- I0.0 ENTRY ENTRYENTRY ENTRY7 0' 6 3' 7.0' } o; O i �0i .p o PROPOSED PROPOSED _� PROPOSED v PROPOSED w p oo Z 114 Q ISTORY 1STORY ISTORY TOWNHOME o TOWNHOME m TOWNHOME ISTORY b o OWNHOME ,wp V u !Al A PLAN I S32 q PLAN 1624 o PLAN 1624 a PLAN 1532 m ELEV'TH' Z3 ELEV TH" �ELEV'TH' v ELEV TH" GARAGEL GARAGER I- GARAGEL I GARAGER LOT BLOCK 22 LOT4 LOT3 LOT2 BLOCK 22 BLOCK 22 V V BLOCK 22 LOTI BLOCK 2Z 7Z-8' 1731' ' �7q1380� 103313.3. '10.a'\33.�.0' IImo, I _--------_ 2834 (PI IR.DO' (P) I I8.00' (P) 2634' (P) N 89.48'04- E (P) 92,68' (P) TRACT "84" (CDD) OPEN SPACE NOTES: LOT GRADING TYPE =A PROPOSED PAD ELEVATION -1 13.50- FRONTSET BACK 20' LOT = 9083 SO FT. LIVING AREA = 2682 SO. FT. SIDE SET BACK- 7.5' ENTRY = 280 SO, FT. SIDE SET BACK (CORNER LOT =10 GARAGE = 984 $Q_ FT. REAR SETBACK = 15 NOTE: ENTRY WALKS ARE 3.0 CONC COVERED LANAI = 436 SO, FT, C,/S-A/C UNITS ARE 3.2X32 PATIO = NA SO, FT. POOL AREA = NA SO FT. PROPOSED: = 70.00' PUBLIC UTILITY EASEMENT CONIC. DRIVE = 800 SO. FT, MINIMUM FLOOR ELEVATIONS: A/C & CONIC PAD = 40 SQ. FT. LIVING AREA: 1 19.17' LEGEND: SIDEWALK = 186 SO, FT. GARAGE AREA: -- PROPOSED DRAINAGE FLOW SIDE YARD SWALE = NA___SQ. FT. ELEVATIONS REFERENCED 70 (a0.00�OPOSED GRADE CONSERVATION AREA = NA SO, FT, NORTH AMERICAN VERTICAL LOT OCCUPIED = GO% E-oo.00-Ex!srINGGRaDE AREA TO IRRIGATE = 40 DATUM OF 1988 APPARENT FLOOD HAZARD ZONE: X-' COMMUNITY NO. 120235 (MAP NUMBER 12101C-0452-F) EFFECTIVE DATE: 09/26/2014 SURVEY ABBREVATIONS A ARC LEN CT I Di PEED INV -INVt PC = CN'OF CURVE, (RI=RECORD LEGEND INYLFENCE A C AIR CONDITIONER A Ai.UM N M; ENCE DE ORAINAG '.ASEMEN ELO^ELEV .4 -LFF NS CE AUFOEESS EN ..E-L PCC POINT OF COMPOUND CURVE RO. PONT PCP ERMANENIe RNG-RAC RRS-f2A ROAD = f =2 - ":-'' CONIC u- fIM-RASC tOOD �LEVn JN rFAVEME ESMI EDGEMENI MEN OWES7 LS- N I '/E OOI CCIUIPMt NT 12/W=RICITOF WAY 6 -BENGi MARK C--CURVE GSM! - CASEMENT UCENED SURVEOCVATION 5-l!C NS�D SURVEYQI' PG^ AC P= OTERSF(TION SI.C-SFC ION =-ASFHALT WOOD FENCE Ir i'C LCUI i D /C,f ENCE CORNER CN -. FOUND CONCRETE Pei -ME ASURED MES - MI RED ENE) SEC ON ONIO 11K- A KER RA.O.N SN&D-S7,NAfL ANDDO ,FE,8183 CIANLINX EFNCE C CENTRN C "'CIiA UN'(FENCE MONUMENT IIr-FOUNDIRONPNE NG`=NO CORNER FOUND O/A- OVfRAL rc 20-`RTY LINE Put ONT OF BEGINNING SIR=SE-IZ-IRON RODL8s 8183 TOR- TEMPORARY9ENCii MARK I I"BRICK --R---x-- (M'=CORRUWTED META. PIPE SIR-FOlIND1120N I20D OHW =OV�PHEFlD W1ftE(S) POC RO NT'JF COMMFNCTMENt TOB-TOY O 9ANX � COI.=CO'MN :ONC-CONIKET' fN&D^FOUND NAIL.&DISK O.R. -O FICALRECORDS POt IONr ON INC TWP-TOWN4iP A UMIN11MFENCE C2aCON<RETE SLAE FOP �fO N`J OIEN Pi.°F jPi - .A' PRC 10-NTO REVERSE CURVE U.F -U fASENRY? COVERED -- ��. --- 11'- CtEAR EINILIT TRIANGLE Fill FOUND PINCHED PIPE RB=PEAT BOOK 'RM 1-R,YIANEN=RLFf RLN-ILMON13MENT VF=VINY,F,NCL JOB #5927 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 furnished to the undersigned, unless otherwise SURVEYOR'S CERTIFICATE This certifies tha hereon described property w fi$, n ppy,Sllg�rvision and meets thcyR' I allee-SSMM,/s 9 actice for 'it j� surveys,p" S s {t�0tNillij, �Hokd of Land Su eya erY}k[7. rotAt. l� 1708 Water Oak Drive Tarpon Springs, Florida Phone: (727)-831-1990 sy FloridaPLS7123@ aitcom gm t LEE 8183 Date of Site Plan: 9-8-22 i7WGASPHt8 L14BL22SIFE File rights -of -way were shown hereon. 3.) Roads, walks, and other similar items shown hereon were take from engineering plans and are subject to survey. 4J This SITE PLAN does not reflect nor determine ownership. 5. This SITE PLAN to the Plat 5 o i dr.dl J�':{ ,Ted s S c o 4 �IIt��77 at,I� Statute Np J +^ eY ,r 1 Da(3.13 RIte: 20Cz � Qfo00, g: - �7 r' ? �' Drawn by: DJB Checked by:JH REVISIONS is subject matters shown on of `ABBOTT PHASE 2" , n SQUARE 6.) Dimensions shown in feet and dedm Tf Jeff M ` hereon arc portions thereof. -c"_� ,ES�KL @'$BFZ RAND V 7.) Contractor and owner are to verify all setbacks, building MAPPER Np l MAPPER NO NOT VALID WITHOUT THE ORIGINAL dimensions, and layout shown hereon prior to any construction, and immediately advise Initial Point Land Surveying, LLC. of any SIGNATURE AND SEAL OF A FLORIDA deviation from information shown hereon. Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC. I S. 0 I a L-tric—)9- --Inuh-D nll NJ �, !t- A-.L-0 0 Project Name: MM Notice to Building Official of Use of Private Provider Effective January 20, 2003 36522 Camp Fire Terrace 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 Finn: VIRTUAL REVIEW ASSIST, INC. Private Provider: Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601 Telephone: 813-376-3088 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 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 t� 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 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: Telephone No.: — Please use appropriate notary block. I am I I I I N Is N] Individual B efore me, this day of 120 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, By: (signature) Print Name: Christopher Smith its: Authorized !Na Address: 700 NW 1 Uth Ave Miami, FL 33172 Telephone No. 813-574-5700 Corporation Before me, this 22ND day of MAY 20-22 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 executed for the purposes therein expressed, Print Partnership Name (signature) Print Name: Address: Telephone No.: Partnership Before me, this day of 20— personally 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 identi cation— Type of identification produced Signature. of Notar Print Name ASHLEE CALLAHAN U ML - NotaryPublic Stamp: Commission Expires: notary p1jbi1c, State of Florida G6 144456 NOVEMBER 30, 2022 EXPI(O N®v 10, sale 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 2nd Avenue Gainesville, Fl, 32601 Phone: 813-391-2959 Email: lucy,'&jvirtLt,,ttreviewassist.com Project: New SF1' Address(s): 36522 Camp Fire Terrace 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,DI,Yv`P,PAI.0,PA1.1, 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 -1 Signature of Reviewer: 4�2 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 foroing s trqe and correct to the best of his/her knowledge or belief. 0 a re is Notary Print Name Notary Public: NOTARY STAMP BELOW My commission expires: [❑ —COMMERCIAL BUILDING SERVICES DIVISION RESIDENTIAL BUILDING PERMIT DATA SHEET FIRE MARSHAL #01 - Required Permits DATE: 11/16/2022 ii��NuAtw�, XfAmmvdlrlek WBuilding El lnseecqon Onty_ VI'lumbing El Inspection Only V Mechanical ®Ins ection ly V'-�Electrical Amp [j Inspection On/ J1 Roof Gas F ❑ Medical Gas [] Fire Sprinklers Ej On Site Piping E] Fire Line Irrigation E] Fire Alarm [:] Potable Backflow Assembly ❑ Fire Line Backflow Preventer E] Irrigation Backflow Assembly F-1 Demolition El Walk-in Cooler Refrigeration 0 Hood ❑ Ansul R Fence/Wall Grease Trap 0 Other E] Other F.MTffff ITJIDTM Type Construction: Fv--8---7 Risk Category: � Occupancy Load ancy Classification: Factory a Residential Assembly E usiness Day Care/Educational �V Hazardous F Institutional ❑ Mercantile EJ Utility Storage E= y Building Use: Bindle Family Alteration IQ" Level I Level 2 Level 3 feNew Construction ❑ Interior Finish E] Interior Remodel ❑ Exterior Remodel R Addition n 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: 9 Shingle E]Tile 0 Built-up El Metal El Other Squares: 13 Zoning: Wir ,Torne Debris: �,jnside LOutside —k gy Code: Energy 405-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? r Yes No Sq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: JTota:IS:q- In. Permanent Openings 0 Central A/C Ej Gas A/C — El Heat Pump El Window A/C El Gas Heat Ej Electric Heat r0IM7.3ra in MI. Sanita!y Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line 0071" Front Rear Left Right nv Asper Approved Site Plan Comments: