HomeMy WebLinkAbout23-5538City of Zephyrhills
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5335 Eighth Street
Zephyrhills, FL 33542
BNR-005538-2023
Phone: (813) 780-0020
3
Fax: (813) 780-0021
Issue Date:
Permit Type: Building New (Residential)
i IN NO
*t 02200 ii i 1 36528
e • f f • f
it LENNAR HOMES LI# I Permit Type:Building New (Residential)II Contractor: L� N]R HOMES LLC
Class of .rk: Townhome
*••-«ii W Cypress St 200• • i i
TAMPA, FL iValuation:/i
iMechanical Valuation: $17,522.40
PlumbingValuation:
Valuation:Total i.
AmountTotal Fees: $13,831.26
Gi
3 ' • i `"'
f: i f •'
CONSTRUCTi! 4 SQ FT AS
0 �00P!�b_licSa_feMylmpact Mee -AWmin
Building Permit Fee $1,291.60 Transportation Impact Fee $3,445.20
Electrical Plan Review Fee i i Transportation
Driveway Fee $45.00 Sewer Connectiont *i ii
ResidentialElectrical Permit Fee $227.74 Mechanical Permit Fee $127.61
Water Connection w $1,010.00Wall/Smoke w• i
Plumbing • ,rmit Fee $165.16 Public-Policee:
.00
Address Fee $30.00 Plumbing iii
3/4 Water Meter Residential Connection Fee $732.71 School•. f !i
ImpactPark *le Family/Townhome $769.56
Mechanical Plan Review Fee ii
REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute it
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,w each •, .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, agencies or federalagencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. you f i • obtain •; consult with your• or •
before recording your ♦: of f
Complete Plans, Specifications add fee Must Accompany Application, All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
C NTRACTQR SIGNATURE PE IT OFFICE
e13;7�0_002, # City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting 908 770 7763
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813.574.5700
Owner's Address 1 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number �^
Fee Simple Titleholder Name I NSA Owner Phone Number ��------�
Fee Simple Titleholder Address NI'�
JOB ADDRESS 36528 Camp Fire Terrace LOT# 2203
SUBDIVISION Abbott Square PARCEL ID# 04-26-21-0160-02200-0030
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CON STR 8 ADD/ALT O SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR O COMM 0 OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK MuIYi-family (Screen Enclosure / Fence
BUILDING SIZE U/R SI' 2086 SQ FOOTAGE 1634 HEIGHT 28
rr e°^s-s-mrrr°° r-r- m mrr�
BUILDING $ 250320 VALUATION OF TOTAL CONSTRUCTION
&./ ! AMP SERVICE
ELECTRICAL $ 37548 ® PROGRESS ENERGY W.REC.
7 ♦P
� rPLUMBING
7 •II✓ EPMECHANICAL $ 17522.4 VALUATION OF MECHANICAL INSTALLATION
r ♦=GAS FV/1 ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS �__—..� FLOOD ZONE AREA DYES Do
° it .F f . . . .........1-i-.. . . . . . . • . . . .-. . . . .. .
BUILDER COMPANY
Lennar Homes, LLC
SIGNATURE f _ _ REGISTERED Y / N FEE CURREN Y / N
Address 4301 T? oy Sc t Blvd Suite 600 Tampa, hZ 33607 License # 1 CGC1518166
ELECTRICIAN COMPANY Edmonson Electric, Inc.
SIGNATURE REGISTERED Y / N FEE CURREN I Y / N
Address License# EC13005408
PLUMBER{/ COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN I Y / N
AddressZZ _ License # I CFC042998
MECHANICAL = COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE _ REGISTERED Y / N FEE CURREN I Y / N
Address License # I CAC058062
OTHER Ijti' COMPANY C Sterling Quality Roofing, Inc
SIGNATURE - f REGISTERED Y I_N_j FEE CURREN Y / N
Address License # CCC057991
IIIIIItili111111111111I1I1l1i111[i 1111I I11I1 (II111t11l Ilii1f11I1I11
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-. . • FF.d.• •°.-. .s.-.-..-I..M-F.�.6-,
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 (PloUSurvey/Footage)
Driveways -Not over Counter if on public roadways.. needs ROW
M
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division —Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law —Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the "owner' prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated- I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
Department of Environmental Protection -Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Southwest Florida Water Management District -Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers -Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit -Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency -Asbestos abatement.
Federal Aviation Authority -Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "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.
IM-1 VA 10 Its I LIA L":M; Lei V I I N I N :161TI 4 6 14 L, I IRS K OKI•6111 :4 1 U N 0J:J 4 Z4 WM I WIL01 10 10 1 1;q 0 192 119 1191 _. 21or—Aiko mmelmlin
OWNER OR AGENT (.w
Subscribed and sworn 0 or affirmed) before me this
I IM aW22 by Christopher Smith
Who is/are personally known to me or has�have ppodwwd
as identification.
ltz&, Notary Public
Commission No. GG 296057
Stephanie Farmer
Name
MVHMFAMER
41`0-0
7` 'fig C"Musm#062W
izkr.
�3.A X17 E*mfebm"115,20
Subscribed and sworn to (or affirmed) before me this
by Christopher Smith
Who is/are personally known to me or has/have produced
as identification.
_Notary Public
Commission No. GG 296057
Stephanie Farmer
Name of
1 ST&OKOEFARMER
bpImFsbruwy15,20
9,
W1.
WOW
P,ASCO COUNTY, FLORIDA
4 A Permit No.
} Daf P� ittsd
-guider Name/Owner NameControl w
County Parcel No. e ive �f'3
Address/Location
Classic tip y s of Us
TRANSPORTATION IMPACT FEE Rate. Sq, Ft unit.
Exempt El Ves []No How Determined
Impact Fee Amount L2. Zone No. T e
Account (055) Single -Family Detached House Amount (05) Mobile Home
(055) Other Residential
123) Collectkm Fee
Exempt Yes No How Determined
It 11 F------------
Lend Account Land Credit Lend Total
Recreation Account Recreation Credit Recreation Taal
Zone
TOTAL AMOUNT
Exempt El Yes No How Determined
LI Y FE
Land Account Land Credit Land Totes
Facility Account Facility Credit Facility Total
Exempt Yes No How Determined TotalArnount
� TOTAL AMOUNT ERl!
Prepared By 4z��� Choc
ked By
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUEOFINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTSUSTED HAVE
BEEN AID AND '
C IPT F Y A P
PERMITTING OFFICE, F PASCO COUNTY
o;
PSymont for owe,
SATE RE EIVE-D Y
R EIPT N, DATE BY
DESCRIPTION: LOT 1-4, BLOCK 22, ABBOTT SOUARE PHASE 2,
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK — ----
PAGE OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
PROPOSED ELEVATIONS AND GRADING
SHOWN HEREON ARE TAKEN FORM THE
ENGINEERING PLANS OF
ABED TT
SQUARE RESIDENTIAL", PREPARED
BY "WRAPROVIDED BY CLIENT
ALL ELEVATIONS REFERENCED
TO NORTH AMERICAN
VERTICAL DATUM OF 1988
NAVD 88)
SITE PLAN
(NOTA SURVEY)
This SITE PLAN Prepared for and Certified To
Lennar Homes
(CDD) RIGHT-OF-WAY
TRACT"A"
CAMP FIRE TERRACE
N 89-4604" E (P)
BASIS OF BEARING
12 _ : 2717� .... 27 7' _
12834'
P1
I IB-00'(PF
18001P) (' 78.34
PI
f/2, s0i
'
N 89 48'04"
I
I
I i
7_ I o_
uos(r
1,��-
,
wl
1
1
I
u
-
- - -
I00',.
't00�
100. �. 100.
u'
11.0'
11.0'
I
i 11.0
1I0
I
.a
100'
Z
o
ENTRY
ENTRY
,.17_ ENTRY
ENTRY
_ (1
,At
7.0`
6.3'
�6.3'
7.0'
Q^
o
° m
o
PROPOSED
Fro
_ PROPOSED
PROPOSED
PROPOSED
w
Q
-'
1 STORY
I STORY
oTOWNHOME
1 STORY
'TOWNHOME
I STORY
o OWNHOME
6
_
TOWNHOME
PLAN 1532
PLAN 1624
o PLAN 1624
,p
o PLAN 1532 �I
FT,D
ELEV "TH"
ELEV "TIT
ELEV "TH"
(� ELEV'TM
GARAGEL
GARAGER
GARAGEL
iv GARAGER
LOTS
BLOCK 22
LOT4
BLOCK 22
LOTS
BLOCK 22 V
LOT2
v BLOCK 22
LOT
BLOCK22
4
(
I
_
172-8
_-- _
18.0'
17.3
.3
1A7N
.0. '
NA
100
.'
4313
13
100'
r I
I I
,2
2834'(P)
I 18,00R) is00-(P) I 28.34'IPI
SS3.
,\
N 89`48'04" E (P) 92.623 (P)
TRACT " 13-7..
(CDD) OPEN SPACE
NOTES:
LOT GRADING TYPE =•A
PROPOSED PAD ELEVATION=11350'
FRONT SET BACK = 20'
SIDE SET' BACK = Z5'
SIDE SET BACK (CORNER LOT) =10'
REAR SETBACK = 15'
NOTE: ENTRY WALKS ARE 3.0' CONC
C/S-A/C UNITS ARE 12'X3.2'
PROPOSED:
* = 10.00' PUBLIC UTILITY EASEMENT
MINIMUM FLOOR ELEVATIONS:
LEGEND:
LIVING AREA: 1 14.17'
GARAGE AREA:
= PROPOSED DRAINAGE FLOW
ELEVATIONS REFERENCED TO
�0 (00.00) -= PROPOSED GRADE
NORTH AMERICAN VERTICAL
E-00.00 = EXISTING GRADE
DATUM OF 1988
APPARENT FLOOD HAZARD ZONE: "X" COMMUNITY NO. 120235
(MAP NUMBER 12101C-0452-F) EFFECTIVE DATE: 09/26/2014
SEC. 4, TWP. 26 S, RNG 21 E.
PASCO COUNTY, FLORIDA
(ABBOTT SQUARE PHASE 2)
I PC
(P)
TRACT " B-7A"
:DDT PARKING AREA
LOT
= 9083
SQ FT.
LIVING AREA
= 2682
SO. FT.
ENTRY
= 280
SO. FT.
GARAGE
= 984
SO, FT.
COVERED LANAI
= 436
SO. FT.
PATIO
= NA
SQ. FT.
POOL AREA
= NA
SQ- FT.
CONIC. DRIVE
= 800
Q. FT.
A/C & CONC PAD
= 40 _SO.
FT.
SIDEWALK
= 186
SQ. FT.
SIDE YARD SWALE
= NA
SQ. FT.
CONSERVATION AREA
= NA
SO. FT.
LOT OCCUPIED
= 60
%
AREA TO IRRIGATE
= 40
SURVEY ABBREVATIONS
AI,. ARC LENGTH
A/C -AIR CONDMONER
FENCE
(DI - DEED
DE - DRAINAGEEASEMENT
INV-INVERT
LB LICENSED BUISNESS
PC - POINT OF CURVE
PCC POINT OF COMPOUND CURVE
(RI -RECORD
RNG - RANGE
LEGEND VINYLFENCE
4 �=GONG —1—�1—
AF UMI -ALNUM
BFE- BASE FLOOD ELEVATION
EL OR ELEV=ELEVAT ON
EOP - EDGE OF PAVEMENT
LE= LANDSCAPE EASEMENT
LEE= LOWEST FLOOR ELEVATION
PCP PERMANENT, CONTROL POINT
P/E - POOL EQUIPMENT
RRS - RAIL ROAD SPIKE
FAW - RIGHT OF WAY
w y
WOOD FENCE
BM - BENCHMARK
CURVE
ESM'T-EASEMENT
LS- LICENSED SURVEYOR
PG - PAGE
SEC - SECTION
'� ASPHALT' ` — \ —
C7
e=CENTERLINE
F/C - FENCE CORNER
FCM=FOUND CONCRETE
IMF - MEASURED
MES- MITERED END SECTION
PI- POINT OF INTERSECTION
PKHAR KER KALON
SN&D - SET NAIL AND DISK
.9N8183
...
CHAIN LINK FENCE
CLF=CHAIN LINI<FENCE=BRICK
MONUMEN!
FIP^SOUND IRON PIPE
NCF - NO CORNER FOUND
R-PROPERTYUNE
POB-POINTOFCOMMENC
SIR -SE.T 1/2` IRON ROD LBE BI63
TOM - TOPOFARYBFNCH NIARI(
—kX—
CMP=CORRUGATED METAL PIP
FIR --FOUND IRON ROD
CSWOVERALL
04W =OVERHEAD WIRE(SI
POC POINT OF COMMENCTNi[Nl
TOB-TOWNSHIP
COL=COLUMN
CONIC -CONCRETE
FN&D-FOUND NAIL&DISK
OR. r OFFICIAL RECORDS
POE -POINT ON LINE
TWP=TOWNSHIP
ALUMINUM FENCE
C/S=CONCRETE
FOP - FOUND OPEN PIPE
IPI 'PLAT
PRC- POINT OF REVERSE CURVE
U.E- UTILITY EASEMENT
COVERED
��
-SIGHTTT,
11ANGLE
FPP- FOUND PINCHED PIPE
PB-PT BOOK
LA
ROD- PERMANENT REFERENCE MONUMENT
VF-VINYL FENCE
,JCSTOB N5927CLEAR
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 th �4 hereon described
property ay0� 'd n�Rgy,914a vision and
meets theJR,�,6a�l, �5 rtactice for
s.,eys,p�S sEt'f C�ip/ffl Bo�d of Land
Su eyD er/j7 ro0
4 ed
1708 Water Oak Drive
Tarpon Springs, Florida
Phone: (727)-831-1990
FloUdaPLS 7123@gmaiLcom
LEE 8183
Date of Site Plan: 9-8-22
UWGASPHIB-LI-a-BL22sfiE
'
File.
rights -of -way were
shown hereon.
3.) Roads, walks, and other similar items shown hereon were taken
from engineering plans and are subject to survey.
4.) This SITE PLAN does not reflect nor determine ownership.
55J ® o dl mPr
�� t�&Ele
Statuos 'O S c o 4 2�7 y
♦ 1 Date 2Q� (P.13
' 9: 00,
'f
, #
Drawn by: DUB
Checked by:JH
REVISIONS
5.) This SITE PLAN is subject to matters shown on the Plat of
i� f, I IRIIIA
"ABBOTT SQUARE PHASE 2'
6.) Dimensions shown hereon are in feet and decimal portions
Jeff M. HiI� c� Q
FLORIDA Pt�lualvy.Q'$®r�RAND
Q
thereof
MAPPER NO LS 94Wt
7.) Contractor and owner are to verify all setbacks, building
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.
at users sole risk.
a
ca
r
Project Name:
Parcel Tax ID:
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
36528 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 Firm:
Private Provider:
ONE
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
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.
(signature)
Print
Name:
Address:
Telephone
No.:
Please use appropriate notary block.
STATE OF -FLORIDA
COUNTY OF -HILLSBOROUGH
Individual
Beforernc-, 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
N.�: Christopher Smith
its: Authorized Aaent
Address: 700 NW 107th Ave
Miami, FL 33172
Telephone
No. 813-574-5700
Corporation
Before me, this 22ND day of
MAY 20 2_2
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.
WM=.
Print Partnership Name
La
(signature)
Print
Name:
Its:
Address:
Telephone
No.:
Partnership
Before me, this day
Of
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
Notary Public Stamp:
Si4 Ei 4L LA' 9X N
tlotary puwc?. Stott of r [Drida
Commission Expires: A 1W N GG 244456
NOVEMBER 30, 2022 *ovnm. Expires Nov 50, 202
Dia
00&,tlj% Dqh Nntionni No ary AM!
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: Lu I ��yCq)yt[t.rgy KsiA ijg uglevyqo
_ _ _ -_ _pq
Project: New SFT
Address(s): 36528 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,",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 'Y Signature of Reviewer: r
SWORN AND SUBSCRIBED before 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
fo eg ', ing is true o the best of his/her knowledge or belief.
i i _Z
F
g ature of of Notary Print Name
MOMM"If lot
commission expires:
A
COMMERCIAL BUILDING SERVICES DIVISION
BUILDING PERMIT DATA SHEET
TRACKING # FIRE MARSHAL #01 -
FOLIO # 36528 Cam Fire Ter
Required Permits
DATE: 11/16/2022
EXAMINER: Debra Klahr PX230(
WBuilding
❑ Ins pec ien Onl.
VPlumbing
❑ Inspection Only
WMechanical
0 Ins action Onl
VElectrical Amp
El Ins ection Only
J1 Roof
I Gas
El Medical Gas
❑ Fire Sprinklers
El On Site Piping
El Fire Line
Ej Irrigation
El Fire Alarm
0 Potable Backflow Assembly
M Fire Line Backflow Preventer
El Irrigation Backflow Assembly
F-1 Demolition
El Walk-in Cooler
El Refrigeration
El Hood
M Ansul
El Fence/Wall
[:1 Grease Trap
E] Other
E] Other
Type Construction.
V-B
Risk Category:
I Occupancy Load
0 ancy Classification:
Factory
'Residential
Assembly
Hazardous E
Storage
usiness E:= FDay Care/Educational
Institutional E]Mercantile
Building Use: Single Family J Alteration nLevel I FQLevel 2 IQ Level 3
VNew Construction E] Interior Finish E] Interior Remodel R Exterior Remodel E] Addition [:1 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 Typ,: Z Shingle
E]Tile E] Built-up
❑ Metal El Other Squares: 15
Zoning:
Wi
ne Debris:
0' Or, orInside
Outside
Energy Code:
405-2020
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
1,es
Hydrostatic Vents? ®;Yes
JZ'
Ft. Enclosed Space Below BFE:
I
of Vents:
Size of Vents..
Total Sq. In. Permanent Openings
9 Central A/C
El Gas A/C
Z Heat Pump
El Gas Heat
E] Window A/C
El Electric Heat
rel 11 Ll T ? Wri T 61 M,
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Under round Fire Line
W-01"M
Front Rear Left Right
Asper Approved Site Plan
Comments: