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HomeMy WebLinkAbout23-5566City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 BNR-005566-2023 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: I Permit Type: Building New (Residential) M, 04 26 21 0150 00900 0110 1 36588 Smithfield Lane Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC Class of Work: SFR Construct Building Valuation: $320,640.00 Electrical Valuation: $48,096.00 Mechanical Valuation: $22,444.80 1\1(Xk Plumbing Valuation: $32,064.00 Total Valuation: $423,244.80 tal Fees: $20,189.83 mount Paid: $20,189.83 ate Paid: 1/23/2023 2:56:57PM 0-- CONSTRUCT SINGLE FAMILY 2217 SO FT Electrical Plan Review Fee $000 Sewer Connection Residential Fee $2,090.00 1 Park Impact Fee - Single Family/Townhome $769.56 Address Fee $30,00 1 ',School Impact Fee -Single Family $8,328.00 SIF 1 percent Fee $83.28 !Transportation Impact Fee $3,595.68 Mechanical Permit Fee $152.22 Public Safety Impact Fee -Police $254.00 Building Permit Fee $1,64120 Driveway Fee $45.00 Public Safety Impact Fee -Admin $26.35 i Electrical Permit Fee $280.48 Water Connection Residential Fee $1,01000 Irrigation 3/4 Meter (Calc) $732.71 Mechanical Plan Review Fee $00 1 Plumbing Permit Fee $200.32 Transportation Impact Fee - City $36.32 Building Plan Review Fee $180.00 Plumbing Plan Review Fee KOO [3/4 Water Meter Fee (Calc) $732.71 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 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 OCCUPANCY BEFORE C.O. PEfIT OFFICE() ITH111UT APPROVED INSPECTION 813-780-0020 City Of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permittin 908 770 _ 7763^ ■"'rY..'T"w""r'rrT'[_(_'.P'r'-Ir"'Y-rr��rY- - 1._1.-7---i.. - - -- 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 9 3302 Owner Phone Number Fee Simple Titleholder Name I N/A Owner Phone Number-------� Fee Simple Titleholder Address I N/A JOB ADDRESS 36588 Smithfield Lane LOT# 0911 SUBDIVISION Abbott Square PARCEL ID# 04-26-21-0150-00900-0110 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR O COMM OTHER TYPE OF CONSTRUCTION BLOCK F__1 FRAME STEEL DESCRIPTION OF WORK Single Family Residence / Pool / Screen Enclosure / Fence BUILDING SIZE I U/R SF 2672 SO FOOTAGE 2217 HEIGHT � rrs—rf—mm�^rrm—rrm^mrrrrrrr�m—rt^°m—mm^w—rr�mmm�mm—r^rm— BUILDING $ 320640 VALUATION OF TOTAL CONSTRUCTION 1.6 ELECTRICAL $ 48096 ��JJ AMP SERVICE ® PROGRESS ENERGY O W.R.E.C. � I JPLUMBING $ 32064 IrMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS WI ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES DO BUILDER COMPANY Lennar I Tomes, LLC SIGNATURE _ .. REGISTERED Y / N FEE CURREN I Y / N Address 4301 W Boy S't Blvd Suite 60p-3`ampa, FL 33607 License # I CGC1518166 ELECTRICIAN COMPANY EdmOnSOn �i )ctrlc, Inc. SIGNATURE REGISTERED Y / N FEE CURREN Address License # EC13005408 —� PLUMBER e� COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN I Y / N Address License# CFC042998� MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y/ N FEE CURREN Y I N Address 7 gip. License # CAC058062 ��� C OTHER COMPANY Y g, Sterlin Qlit Roofing, Inc �� g ua SIGNATURE .,1�Fd REGISTERED Y / N FEE CURREN Y / N Address License # CGC05 '991 II1111111111111 1111111tIt11111111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Farms; R-O-W Permit for new construction, Minimum ten If 0) 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. AI commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ****PROPERTY SURVEY required for all NEW construction. : . 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 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 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 ORAGENT Subscribed and swono(or affin-ned) before me this 'W11-21 — by Christopher Smith Who is/are personally known to me orb as identification. Notary Public Commission No. GG 296057 Subscribed and sworn to (or affirmed) before me this ID27120221by Christopher Smith Who is/are personally known to me or has/have produced as identification. Notary Public Commission No. GG 296057 Stephanie Farmer Stephanie Farmer Name Name of N 9MMEFARMER StEPHMEFARMER tX�M CMW40iM#G02%W ­i E*m Felbru E*m Februmy 16, 2023 0416,2023 AX 'WO., gm:] Classification/Type of Use r TRANSPORTATION IMPACT Exempt o Yes No How Determined Impact Fee Amount 31 32 Zone No. TAZ. S HOOL IMPACT FEE Account (056) Single -Family Detached House Amount $ (057) Mobile Home (058) Other Residential (123) Collection Fee Exempt =Yes = No How *1 Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone Total Amount $ f Exempt Yes Ida Flow Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt Yes No Flow Determined Total Amount RESOURCE FEE ERII Total Amount PreparedByL Checked S NO CERTIFICATE OF OCCUPANY WILL BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTALAMOUNTS BEEN PAID AND RECEIPTED FOR OFFICE OF PASCO COUNTY ACKNOWLEDGEMENT BELOW DOES • OF CONCURRENCE, BUT SIMPLY REECEIPT OF A COPY FORM, PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME. DATE RECEIVED BY RECEIPT NO DATE BY 12 11 10 9 'F TYPE'B' TYPE'B' TYPEW 39.57 C FF:100.77 FF,101 97 FF:103.07 98.90 PAD:100.10 PAD :10iL30 PAD: 102.40 37 ry UJ Lu -r Lu U < Lu Lu Ln SEE SHEET C210 MATCH LINE cp 0 ul W Llt 1P oI - TYPE 'B' TYPE' TYPE'B' TYPE'B' ---FYPE -'B" TYPE 'B' TYPE'B' TYPE'B'IF TYPE'B' B' ' 11 0.67 :AFD. FF.104.17 FF-105 27 FF 106 37 FF-107 37 IFF:10&47 FF:109,57 FFJ10.67 1 10.0c A DD: 10 3.5 0 AD:107M 'AD:108,90 PADMOM ------------ 28T 42" RCP @ Z70'- 42" RCP @ 0.30% lql)41nn J - 18" RCP M to N - - 10 1 35'- 18" RCS @ 2.01%o - TYPE'B' E 'B 'YPE 13 YP 10 F I log 37C IPFF 1 110 470 A LD7 AD 8 OF -TYPE W1 r-TY-PE­-V-j 0 1 0 1 VA9106 40 10 7 5�0 'OT TYPE TYPE'B' TYPE'B' TYPE'B' TYPE'B' TYPE'B' TYPE'B' TYPE'B' TYPEW TYPEW bo �F:101.67 FF:102.77 FF:103.87 FF:104.87 FF:105.97 FF:107�07 FFA08.17 FF:109.47 FF:110.37 FF:110,37 I tl�:111.4/ AD 101 00 AD:102JO AD:103.20 AD: 104.2( AD:10530 AD:106.40 AD:107.50 AD:108.8( AD:109.7C �AD:109,7( PAD:110.80 1 t 1 0 1 9 10 2 3 4 6 7 8 6 o 1 $ I I IT T T T T T T T T T T W G� 1� c� 0 0e-I �o a) 2 o 0§ -AR R - 06_107LL�� IS BLOCK-9 24' - 18" RCP @ 0.301 Structure Table SD8-2 TYPE 9 CURB INLET EOP:97.37 RIM:97.20 48" RCP(SW)JE:84.33 42" RCP(E)IE:85.67 18" RCP(SE)IE:92.96 13 SD8-4 DESCRIPTION: LOT 11, BLOCK 9, ABBOTT SQUARE PHASE 18, SITE PLAN SEC, 4, TWP. 26 S, RNG 21 E. ACCORDING TO TI IF PLAT THEREOF, RECORDED IN PLAT BOOK 89, PASCO COUNTY, FLORIDA PAGE(S)57-62, OF THE PUBLIC RECORDS OF PASCO COUNTY, (NOTA SURVEY) SQUARE) FLORIDA. (ABBOTT PROPOSED ELEVATIONS AND GRADING 1 his SITE PLAN SHOWN HEREON ARE TAKEN FORM THE I Prepared for and Certified To. Lennar Homes ' ENGINEERING PLANS OF ABBOTT SQUARE RESIDENTIAL, PREPARED WRY BY WRA" PROVIDED BY CLIENT T F cDDTRACTA �^ LANE T_H�! r ALL ELEVATIONS REFERENCED SMI A� ' t SCC�' �e' f ZQ TO NORTH AMERICAN "— VERTICAL DATUM OF 1988 ` ( — (NAVD 88)—_�--,—: ---,� CONC a�tia� I CONC 6 0' 7.5' 20.0 .. � 5 7 I ' ENTRY 10.0' LOT = 7205 OF FT. LIVING PORCH AREA 4SQ, FT. SO FT PROPOSED i GARAGE = 401 SO. FT. 2 STORY RESIDENCE 2216 COVERED LANAI = NZA SO. FT Pj PLAN �P ELEV-B'B" PATIO = 19 SQ FT. o (� POOL AREA LOT 10 ( GARAGE R 1� CONC. DRIVE — 35 O, FT, SBLOCK 9 LOT 1 1 A/C & CONC PAD = j 2 SO. FT o BLOCK 9 l 4 n SIDEWALK = 28 SOL FT. LOTSOD = NN_EASOL FT. w � 1 30 0 ---- —� R/W SOD = N_�SQ. FT. O LOT OCCUPIED = 25 % 7 5 30 0' 1 ! AREA TO IRRIGATE 75 % I z o PATIO 3 5 X3 S' r O co C/S A/CI f++ } r — n j = 2" OAK O T n 1000 PUBLIC UTILITY EASEMENT O o LD Q� 'K LEGEND: ;I o I ~ o ,_f — --+►-_= PROPOSED DRAINAGE FLOW i w (00.001 = PROPOSED GRADE - ( ti o E-00.00-EXISTING GRADE NOTES: LOT GRADING TYPE �B r 1 PROPOSED PAD ELEVATION = 1 10,80' I ? FRONT SETBACK 20'---------- ^ 2016; SIDE SET BACK = 7.5` j0'LCy S 89°4524- W (P) 56.12(P) s CsaV \ TRACT"B-6" SIDE SET BACK (CORNER LOT) =10' (CDD) ACCESS/DRAINAGE/ j ! LANDSCAPE/ WALL REAR SETBACK = 15' MAINTENANCE AND FENCE AREA, OPEN SPACE PROPOSED: MINIMUM FLOOR ELEVATIONS: CURVE DATA (P) LIVING AREA: 111.47 --- — ---- CURVE RADIUS ARC LENGTH CHORD LENGTH CHORD BEARING ' DELTA ANGLE GARAGE AREA PCC 875.00 3656 36.56' N82°08'03'E 22339° ELEVATIONS REFERENCED TO s lzoo' 924 n.24' N53°os33 W 91°So'27" NORTH AMERICAN VERTICAL 6 1 825,00 1 9998 99.92 N 03'450l' W G°Sb'36" DATUM OF 1988 APPARENT FLOOD HAZARD ZONE: X' COMMUNITY NO. 120235 SURVEY AB B RE VATI ON$ (MAP NUMBER 12 10 1 C-0289-F) EFFECTIVE DATE: 04/ 2G/2014 AI -ARC., NCT IOI=REED INV=INVERT PC- OOTO` CURVE IRI,RECORD LEGEND ACT -°AT CONDTONER DE-DRAINAGEEASEMEN 8-^LICENSED 3UISNLIT PCC POINT Of(OBsIOUND CURVE RNG=RANGE VINY, `ENCF At-ALI-1l MFENCE Et ORELEV=-ELEVATION II I - ANISCAIL fASEMENI PCP PFRMANENT CONTROL. POINT RRS =RAILROAD SPIKE 9 t ,•+1ACpNf ---�— BeaBASF FLOOD ELEVAiON LOP-EDGEOFPAVESAW F—LOWESTIIOORELVALON /F-POOL EOUIPMENT OW =RIGHT OF WAY N BENCHMARK WOOD I NCE LSC-sEASEMENT US MFAS LICENSED I- ACE S[C -SECT ON I CURVC L/C FENCE CORNER (M =M ASUPFD =POINT OF NTERSECTION SN&D-1 TNAILANDDSK "ASPHALT ( CALCULATED ECM FOUND CONCRETE M S-MTEP `J NO SECTION PK-PARKFPKA ON 9-fliRT ,ifCEN"EIi1 NE C AIN. NK FENCE C IANLNK FENCE tvI. MEN NCE-NOCORSPRFOUND PROPERTY JNF SIR,SF I2IRON ROU16u HtH3 '^COR2t LINK ME lAt I LIP FOUND 201 IPE O/A- OVLRA' PCI ON Of BECaNFrNG 3M-T M ORAPY 9ENCH MiARK �'BR1CK % Co" IIR-EOUN RON RO`J OHW-OV HEAD WIR S, ODC ON O' COMMENCTMENT OB- TO CIRANK CONC-CO.CR`-TF NRD=FOUN NAIL&DM OR :OFCAt RECORDS POL OV ON USE V -OWNSiP ALRifNLAM i ENCt C/Sw CQNCRET SLAB "O ,POUV O NPIPE it Oc PON10 Is'I S: CURVE UE l" EASEMENT ?C =COVLREII _ _ \\ CS'[ -CLEARS (�H?TRIAN61� `PP=FOUNOPNCrtED PIPE P9-PAT 50PR PRM 'PMANFIt R.FERENCE MOMIM.NT V V'M'L FENCE Ie� JOB 05737 SURVEYOR'S NOTES: SURVEYOR -Aiin-gfiFTIFICATE 1708 Water Oak Drive 1.) Current title information on the subject property had not been This certifies Date of Site Plan: 7-13-22� td �hplreon described Tarpon Springs, Florida furnished to Initial Point Land Surveying, LLC. at the time of £his property Fjdc xiFryision and Phone : (727)-831-1990 SITE PLAN s 'DWG:AS-PHt&L11-BL9-SITE meets tYtpA( �h�.Cice for FiondaPLS7123C�gmal.com 2.) This sketch was prepared without the benefit of a title search. surveys+'2 f qh y14� 'Boaiy of Land La# S 183 No instruments of record reflecting ownership, easements or S �",J,/�j r�5' it Yofi�rrned rr�P\c Pile: rights -of -way were fumished to the undersigned, unless otherwise lor�m �i tra e _"t9„�^., shown hereon. urs n Sectron 47 f�art�e Drawn try DJB 3.) Roads, walks, and other similar items shown hereon were take p Checked by:JH from engineering plans and are subject to survey . at dyf p T Date:1J.08.1 d,) This SITE PLAN does not reflect nor determine ownersh( c xer � RwIsloNs pm CTgA1 ?'b4'QO' thereof is SITE PLAN is subject to matters shown on the Plat of ' 5.) Th ABBOTT SQUARE PHASE I B" -- --- �2A' �"— Dimensions shown hereon are in feet and decimal portions Jeff RI Hart If+ OR of FLO ECA PROFI 4, M YOR AND Q 7.) Contractor and owner are to venfy all setbacks, building MAPPER NO LSit 7123 L #8183 dimensions, and layout shown hereon prior to any construction, NOT VALID WITHOUT THE ORIGINAL 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. 9 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: lu it�('i,)virttialreviewassist,com Project: New SFR Address(s): 36588 Smithfield Ln 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: CS,Al,A2,A3,A4,A4, LA5,A6,A6, 1, SNO, SNI,S3,S4,S5,S6,ST,SS,S I LS 12,WPI.0,PA 1.0,PA I . 1, PAI,2,PAI.3,PAI.4, SHI.0,SHI,I,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: r--) SWORN AND SUBSCRIBED before ingby Debra Anne Klahr being personally known to me or having produced as identification and who being fully sworn and cautioned, state that the foregoing is correct to the best of his/her knowledge or belief. Signature of*otaiy Print NAffie Qr— Notary Public: NOTARY STAMP BELOW My \/R/\ VIRTUAL 1 R 1 U�,L REVIEW ASSIST Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 36,5BB--SM1JHF1ELD LANE ParcelTaxID: 04-26-21-0150-00900-0110 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 55' ).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. rrivate Provi4ler Firm: VIRTUAL REVIEW ASSIST, INC. Private Provider: DEBRA ANNE KLAHR Address: 747 SW 2ND AVENUE - SUITES 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 # 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 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. 0114160100 W 101 Individual B afore me, this -day of 20— personally appeared who executed the foregoing instrument, and acknowledged before rnD that same was executed for the purposes therein expressed, Corpora -don LENNAR HOMES. LLC Print Corporation Name LIZZ (signature) Print Name., Christopher Srnith its: Authorized Agent Address: 700 NW 1071bA_v_e_ Miami, FL 33172 Telephone No. 813-574-5700 CorporationB efore 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, Partnership Print Partnership Name M (signature) Print Name: Address; Telephone No.: Partnership B afore me, this day of' 20_, personally appeared p artner/agent on behalf of a partnership, who executed the foregoing instrument and acknowledged before me that same was executed fortbe purposes therein expressed. Personally known X ;or Produced identi cation Type of identification produced or c,, Signature of Notar Print Name ASHLEE CALLAHAN Notary Public Stamp: ASHt EE CALLAHA Commission Expires: Notary PuWc �� State of Fiorida.; u0n1missior. # GG 244456 NOVEMBER 30, 2022 Nav 10, 2022 h lqntlonbt Notary A#n! Page 2 of 2 TRACKING # FOLIO # 36588 Smithf ield Ln— FIRE MARSHAL #01 - Required Permits DATE: 10/28/2022 EXAMINER: 6ebra Klahr PX230( WBuilding ElIns pection Only VPlumbing M Inspection Only V Mechanical E] lnspection Only Electrical -Amp [:1 InyfqionPnly Roof ❑ Gas 0 Medical Gas El Fire Sprinklers ❑ On Site Piping El Fire Line Ej Irrigation Ej Fire Alarm El Potable Backflow Assembly ❑ Fire Line Backflow Preventer ❑ Irrigation Backflow Assembly E] Demolition El Walk-in Cooler ❑ Refrigeration El Hood ❑ Ansul 1:1 Fence/Wall El Grease Trap Ej Other E] Other Ty pe Construction: Risk Category: Load 0 ancy Classification: Residential Assembly usiness Pay Care/Educational E::=Factory Hazardous=� rnst �mtinal FTMereantile ❑Storage ❑ Utility Building Use: Sin le Family Alteration I❑ —Level I Level 3 Q, 111 Level 2 QfNew Construction [-1 Interior Finish El Interior Remodel E] Exterior Remodel n Addition El Revision Overall Size: 30 X 46 Number of Stories: 2 Total Sq. Ft.: 2672 Living Area: 2217 Covered Area: 455 # of Bedrooms: 5 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof Shingle E]Tile Built-u El metal El Other Squares: 18 Zoning: _Ej W i Inside orne Debris: Outside de Energy Code: 405-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? Yes No Sq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: Total Sq. In. Permanent Openings 9 Central A/C El Gas A/C 9 Heat Pump E] Window A/C E] Gas Heat E] Electric Heat Sanitary Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line wo ITT" Front Rear Left Right 21 As per Approved Site Plan Comments: