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
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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
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TYPE'B'
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FF,101 97
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'AD:108,90
PADMOM
------------
28T 42"
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�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
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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: