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HomeMy WebLinkAbout23-5565City of %• } v v v� v , l 5335 Eighth Street Zephyrhills, FL 33542 Phone: (813) 780-0020 1=� - Fax: (813) 780-0021 Issue Date' 7i77777!1L77 i • A:l1 *i • i1 HOMES Electrical on: Mechanical Valuation: Plumbing Valuation: $33,996.00 Valuation:Total *it i Total Fees: i Amount,317.35 Paid: Date Paid: MIMI• e CONSTRUCT 8• SQ FT r •; w, 'Plumbing Building •. _ • •• Park Impact Fee - Single Family/Townhome $76956 Mechanical Plan Review Fee $0.00 Sewer ConnectioPermit+' percent.97 Driveway0 BuildingPublic Safety Impact Fee -Admin $26.35 3/4 Water Meter Fee (Calc) $73Z71 Address Fee $3000 Plan Review Fee $180.00 Public Impact Fee -Police $254.00 Water Connection Residential Fee $1,01000 ImpactElectrical Plan Review Fee $0.00 Irrigation 3/4 Meter (Calc) $732.71 Transportation Impact Fee - City $36.32 School :r !Plumbing Plan Review Fee $0.00 OCCUPANCYREINSPECTION 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 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.O. NO BEFORE C.O jilu����„�l III CONTRACTOR SIGNATURE PEPITOFFICEff r, • r � ♦ i � � w • ♦ •w � � w" CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED • • �CARD, WEATHER 813-780-002J City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting 7763 10 off left I I I I I I I I I I Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number L813L-,45700 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 I N/A JOB ADDRESS 136574 Smithfield Lane LOT # 0909 SUBDIVISION Abbott Square PARCEL ID# 1 04-26-21-0150-00900-0090 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR F__] ADD/ALT SIGN 0 DEMOLISH q INSTALL REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK Single Family Residence / Pool / Screen Enclosure / Fence BUILDING SIZE I UIRIF 2833 SO FOOTAGE 2389 HEIGHT 28 BUILDING $ 339960 VALUATION OF TOTAL CONSTRUCTION Z-0 f-71 [YiELECTRICAL 50994 F"X-] PROGRESS ENERGY 0 W.R.E.C. AMP SERVICE OPLUMBING 33996 :ff, 66 0 MECHANICAL $ 23797.2 VALUATION OF MECHANICAL INSTALLATION =GAS F./I ROOFING 0 SPECIALTY = OTHER MY FINISHED FLOOR ELEVATIONS 1 7 FLOOD ZONE AREA DYES Do BUILDER COMPANY Lonnar """'c", LLC SIGNATURE A REGISTERED Y/ N FEE CURREN Address 4301 3V Boy S(6,V(Blvd Suit'! 6W" -, FL 33607 License # CGC1518166 , ELECTRICIAN COMPANYEdmonson Electric, Inc. SIGNATURE Z REGISTERED -Y / N FEE CURREE I Y/N Address Re License # I EC13005408 PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc REGISTERED Y/ N FEE CURREN L SIGNATURE _I±N_j Address License# I CFC042998 .... . ............ MECHANICAL COMPANY imbing, Heating & AC, Inc SIGNATURE REGISTERED Y/ N FEE CURREN LY / N Address License# CAC058062I- OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE F REGISTERED Y/ N FEE CURREN I Y/N Address F License# [CCC057991 .............. RESIDENTIAL Attach (2) Plot I Sots 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 onsifte, 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. -&-l! 1 11 11 11111 11 11 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 64-"4-l­4-"4 . I I I I I I 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 0 0 NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division —Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County, TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law —Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: Department of Environmental Protection -Cypress Bayheads, Welland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. Southwest Florida Water Management District -Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers -Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Services/Environmental Health Unit -Wells, Wastewater Treatment, Septic Tanks. US Environmental Protection Agency -Asbestos abatement. Federal Aviation Authority -Runways. I understand that the following restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone 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. OWNER OR AGENT Subscribed and sworn o (or affirmed) before me this 1-7!2(122 by Christopher Smith Who �ts/are personally known to me oi­44a,&4�ai�d_ —as identification. Notary Public Commission No. GG 296057 Subscribed and sworn to (or affirmed) before me this 11W12022 — by Christopher Smith Who personally known to me or has/have produced as identification. Notary Public Commission No, GG 296057 Stephanie Farmer Stephanie Farmer Name gMj, Name of N STBIMMIE WMER STEPHOE FAMER If "A"M CMM%*" IGO "M A CWWkS1M#GQ2%W E 116, 2023 "010I)MM E*m February 15,20 s .., , P., '1 1 _.y Xmil Builder Name/Owner Name L41IL-1 Control z County Fresi No, SubDiv: Address/Location Classificationtrype of Usq Exempt' [] Yes C) No How Determined Impact Fee Amount ALa 32- Zone No. _ TAZ: Account (066) Single -Family Detached House Amount $ (067) Mobile Home (068) Other Residential 6123) Collection Fee Examp Yes C] No How Determined ..... .... ....... Land Account Land Credit _ Land Total ROPr8atiOn Account Recreation Credit Recreation Total Zone TOTAL AMOUNT A Exempt C] Yes No How Determined Land Account Land Credit Land Tote I I Facility Account - Facility Credit Facility Total Exempt C1 Yes [I No How Determined Total Am RESOURCE FE—E7 IWO—, TOTAL AMOUNT I =: Chocked By 1:;PFWR- OF �ASCO COU A, ,N h , 1111 , *�S I T JL RECEIPTNO. DATE BY ,I)FkPath: S: —PROJECT FILES'1685 - LENNAR -ABBOTT SQUARE\CADDPLA,,\S\CONSTRLCTION\PLA'�—GRADING,DWG SEE SHEET C212 MATCH LINE a±iv_co�O�pm in 03 r co 0,iF 9 6— �p loo, I 1 99,74:;:— 98.55 100.41100.78— -99 58 101.50----0101.87 100.66 101.74 4f103.67­0104.05 102.82 DTI ,S1_1 x $104.76----0105.13— 103.90 .I AQm qMs5 ---- 0106.22— 104.98 78 106.93 ----0107.3 1 — 106; Ub > T 1 1 108.22 10&60— —107 41 109.09 109.47 108.20 110.20 11058 109.24 110.18 O ro W 0 97,65 9U69- C, p P , .5 7 —101.26*- > wo —10234K-- oom CR 104,50 4- m 105.580-- 10 106,67 lo' 56 —107,75*- > 840- m m > T > M m m 108.70-109,928', m 0 100.07 101.15 102.23 107.65 _108. 98.80 of 103.31 104.40 cn O O O O O DESCRIPTION: LOT 9, BLOCK 9, ABBOTf SQUARE PHASE I B, SITE PLAN ACCORDING TO THE PLATTHEREOF, RECORDED IN PLAT BOOK 89, PAGGSi57-62, OF THE PUBLIC RECORDS OF PASCO COUNTY, (NOT A SURVEY) FLORIDA_ ._...__.... PROPOSED ELEVATIONS AND GRADING This SITE PIAN Prepared for and SHOWN HEREON ARE TAKEN FORM THE Lennar Homes Certified To: ALL ELEVATIONS REFERENCED TO NORTH AMERICAN ENGWEERING PLANS OF VERTICAL DATUM OF 1988 -ABBOTT SQUARE RESIDENTIAL', PREPARED (NAVD 88) BY WRAPROVIDED BY CLIENT _----_ _ LOT = 5625_SO. FT. LIVING AREA = 1269 SO, FT. PORCH -DSO. FT. GARAGE = 414 SO, FT. COVERED LANAI = NSA SQ. FT. PATIO = 21 SO, FT. POOL AREA = N�_SO. FT. CONC. DRIVE = 332 SO, FT_ A/C & CONIC PAD =J_SOF FT SIDEWALK = 31 SO. FL LOT SOD = NNLA SO. FT. RE W SOD -= IL,A_SQ. FT. LOT OCCUPIED % AREA TO IRRIGATE = 62 % 0 = 2" OAK 10.00' PUBLIC UTILITY EASEMENT LEGEND: ---�-=PROPOSED DRAINAGE FLOW (00.00) ••' PROPOSED GRADE E-00.00 EXISTING GRADE NOTES LOT GRADING TYPE =B PROPOSED PAD ELEVATION -- 109.70' FRONT SET BACK = 20" SIDE SET BACK= 75' SIDE SETBACK !CORNER LOTI =10' REAR SETBACK = 15' PROPOSED: MINIMUM FLOOR ELEVATIONS: LIVING AREA: 1 10.37' GARAGE AREA: (CDDj RIGHT -OF WAY TRACT "A" SMITHFIELD LANE - 22.0' ,r _. "' .- .• 5 I` NCC WAT K _._.J.� qVy C8 pl9 D _i O N} J 3,_ �CONC`I WALK v WALK 16.0T ;• 75' 20.5.�.•rn ENTRY 9,5` T5` PROPOSED 2 STORY RESIDENCE LOT 10 LOT 8 PLAN 2382 1„ BLOCK 9 BLOCK 9 ELEV'B" o 0 Wo 01 io GARAGE R _ a > LOT 9 " a BLOCK 9 ati 0 30-0' 30.0' 7.5' _ PATIO,,_.: SOa' 4.0'X5.7` 9g) i i G/$_AEFC ----_-\Q�-y2� S 89-45'24` W (P) 45.00' (P) .7 090 TRACT "B-6" 9, (CDD1 ACCESS/DRAINAGE/ LANDSCAPE/ WALL MAINTENANCE AND FENCE AREA; OPEN SPACE SEC 4, TWR 26 S, RNG 21 E. PASCO COUNTY, FLORIDA fABBOTT SQUARE) ELEVATIONS REFERENCED TO - - CARVE DATA (P) ---- NORTH AMERICAN VERTICAL CURVE RADIUS ARC LENGTH ! CHORD LENGTH; CHORD BEARING DELTA ANGLE I DATUM OF 1988 C82 875,00 1 45.03' 45,03 1 2 S6 Sb` APPARENT FLOOD HAZARD ZONE: 'X- COMMUNITY NO. 120235 SURVEY ABBREVATIONS (MAP NUMBER 12 TO I C-0289-FI EFFECTIVE DATE 09f26/2014 AI^ARCI`NGTH )" 'N'AVER' PC^-O S'Of (URVE LEG V- A/C -An CONDi ONER A=AT—OUSA'INC£ ID ^. NE DE -DRAINAGE EASEMENTB LORELLV-EUVATiON 11NODSUINESS E- LANTVAPE EASEMENT Or PCC TINT COMPOUND CURVE PCP PERMANENT CONTROL POINT Ii-RFCOftL l RNG^RANGE RRS -RAII ROAD SPIKE --- VNL FENCE <:ONC ^ ❑'.l� BET- BASF f OOD EI.EVA ION POP - EDGE Of PAVE ME ITE-LCANT S F OOR LU VATION ISLE POO, LOUT PMENT R/W- RIGIi(Of WAY BM-BENCHMARK C C.1Rv( LSMT-EASEVILNJ `/C-IENCI CORNHI LS- LICENSE DStdVEYOR IMP-MEASUR[t) PG -PAGE P'^IONI Of NTLRSLC'ION AC -SECTION SN6D•S TNFlI: ANDDSK W ."; OOU FENCE ASP4AL' iCI`CAI(UTAILD 111A `CM.-101ND(0NCREIt KIES -M r. RED[ NO SECTION RKAI ON It081R3 CENif I - -•CHAhLINKFENCE MONUMN P IP= FOUN( l GN I PE NCF=NOCORNERFOUND O/A- CAT AI. FPK^IAKI P CNRIYUNE POE POINT OI BEG INNING SR-SL 2' Ron ROD LE F BIDj rBN - If MPORA�i. BENCH MARK (MAINLINK FENCE. - -cR--k--lt CM.'=CO2RU6ATED META. KIR-FOUND IRON ROD OHW -OV RHEAFT WIRES; POC- POINT OF COMPLE NCTMENT 1OBm IOPCR BANK COL=Cot MN CQNC u CONCH TE C/S -CO OFICK. S!AN NF T�rOU`u T NAIL &DISK O pUND O N PIPE IT . ^O f GAL RECORDS IN - A' POL ONI 011 INElWP• PRC PO NI Q PEV RSE CURVE OWNS-' Ur FU t EASEMENT ALUMINUM FENCE 'COVERED _ "U \1 CST -O ARSIG4T TR;ANOIF FIRE=rQUND..NC.ED"EL Ps - AA FfQQK le, 11E—NSW REFJ2ENCEM0VGM�N VF-VIryY.r[NCE JOB #5735 SURVEYOR'S NOTES: t.) Current title information on the subject property had not been I') to Initial Point Land Surveying, LLC at the eme of this SITE PLAN 2.) This Sketch was prepared without the benefit of a title search. SURVEYOR'S CERTIFICATE This certifies that he hereon described , %kiiij:flfi� property wa v u r�,�y.'I� ervision and meets the ; aBIG dal s rarnre for RF �' surveys, � rd of Land 1708 Water Oak Drive Tarpon Springs, Florida Phone: (727)-831-1990 FloridaPLS7123te mailco 9 LB# 8183 Date of Site Plan_ 7-13-22 DW -P T L 9-S TE No instruments of record reflecting ownership, easements ar nghtsof rwi way were furnished to the undersigned, unless othese Shown hereon. .1h e[ u 1 ed AB•'� a Ive odc purs�t Section �.,br) "fsk$r�ley =pe, Drawn by CUB 3.) Roads, walks, and other similar `items shown hereon were taken from to State.trs Date 2 2 -Necked byJH engineering plans and are subject survey_ 4.)7hTs SITE PLAN does not reflect nor determine ownerShip_ .J8.16 HAik� T� g*1(} 1001 �� ,�T,T t .i � 4EVISIONS 5.) This SITE PLAN is subject to matters shown on the Plat of �� sM1 flRIPA �� )?; ' ,oT1011 "ABBOTT SQUARE PHASE 1 B" 6.) Dimensions shown hereon are in feet and decimal portions thereof. Jeff M. xlj� FLORIDA • & RAND 7.) Contractor and owner are to verify alLreibacks, building MAPPER NO. j 14!? 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 .1 deviation from information shown hereon. Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC. at users sole risk. �qrlffv I 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: qm ualreviewassist.co L Project: New SFR Address(s): 36574 Smithfield Lane 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 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: CS,A1,A2,A3,A4,A5,A6,A7,SNO,SNI,S3,S4,S5,S6,SS,ST,SI 1,S12,WPI.0,PAI.0,PAI.1,PA1.2,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 beforepte by Debra Anne Klahr being personally known to me t or having produced as identification W and who being fully sworn and cautioned, state that the foregoing is ect to the best of his/her knowledge or belief. 9 truo, A,,", 71-�T(Y- ,11 Signature of Print Name Notary Public: NOTARY STAIMP BELOW My commission expires: \/R/\ VIRTUAL REVIEW ASSIST Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name:•7A qKA1THE:1E:1 n I A I► ParcelTaxID: 04-26-21-0150-00900-0090 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. I— Steve Smith , 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: DEBRAANNEKLAHR Address: 747 SW 2ND AVENUE - SUITES 170, 301, 357 & 358, GAINESVILLE, FL. 32601 Telephone: 813-376-3088 Fax: N/A -MM Florida License, Registration or Certificate #: (LIC # BU 1967 / 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 pen -nit 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 Please use appropriate notary block. 10 Di rl• 61141N Individual B tfo r e, rn e, 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 H—OMESLLC Print Corporation Name By: (signature) Print Name: Christopher Smith its: Authorized Aaent Address: 700 NW 10MAve — Miami , FL 33172 Telephone No. 813-574-5700 Corporation Beforeme,this 22ND day of MAY 202Z 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. WMMMW.. Print Partnership Name By: (signature) Print Name: Its: Address: Telephone 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 Notary Public Stamp: ASHLEE CALLAHAN tx t4otary PubIc $ state of Merida Commission Expires: GG 244456 Ll _COIT�M. Expir'ej Nov �0, 2022 NOVEMBER 30, 2022 'A� COMMERCIAL BUILDING SERVICES DIVISION Of RESIDENTIAL BUILDING PERMIT DATA SHEET TRACKING # FOLIO J. 36574 Smithf ield Lane I I wMad 110 31 ITo, 1 114 nt , 71a WBuilding 0 Inspection Only VPlumbing 0 Inspection Only WMechanical El Ins ection Onl V Electrical —Amp 0 Ins ection OnIj JZ Roof [I Gas I I E:1 Medical Gas El Fire Sprinklers El On Site Piping El Fire Line El Irrigation 0 Fire Alarm 0 Potable Backflow Assembly Ej Fire Line Backflow Preventer El Irrigation Backflow Assembly 0 Demolition El Walk-in Cooler El Refrigeration ®flood El Ansul ❑ Fence/Wall E] Grease Trap El Other F-1 Other EKptConstruction: Risk Category: � Occupancy Load Ovancy Classification: Factory 'I Residential Assembly E-== usmess E= ay Care/Educational Hazardous r1nttutio nal ❑ Mercantile Storage E= Utility Building Use: Single FamilY VNew Construction M Interior Finish Alteration 10"Level I [E—]Level 2 111 Level 3 ❑ Interior Remodel E] Exterior Remodel El Addition E] Revision Overall Size: 30 x 58 Number of Stories: 2 Total Sq. Ft.: 2833 Living Area: 2389 Covered Area: 444 # of Bedrooms: 5 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof Type: E Shingle ©Tile El Built-up El Metal El Other Squares: 19 Zoning: Wirdborne Debris: El'Inside Pf' Outside El, Energy Code: 405 -2020 Flood Zone: X Hydrostatic Vents? Yes Base Flood Elevation: Finish Floor Elevation: - I F—Scl. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents. I Total Sq. In. Permanent Openings ] Central JC Gas AJC ®heat Pump El Window A/C El Gas Heat El Electric Heat Sanitary Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line M= Front Rear Left Right 21 As per Approved Site Plan Comments: