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Home My WebLink About23-5567City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 BNR-005567-2023 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 01/23/2023 Permit Type: Building New (Residentiall- 71 �17771= g 77 Ig 04 26 21 0150 00800 0030 36569 Smithfield Lane Name- LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC Class of Work: SFR Construct Address: 4600 W Cypress St 200 Building Valuation: $342,480.00 TAMPA, FL 33607 Electrical Valuation: $51,372.00 Phone: (813) 574-5700 Mechanical Valuation: $23,973.60 Plumbing Valuation: $34,248.00 Total Valuation: $452,073.60 Total Fees: $20,333.98 Amount Paid: $20,333.98 Date Paid: 1/23/2023 2:56:57PM ,15 CONSTRUCT SINGLE FAMILY 2389 SO FT Address Fee $30.00 Electrical Permit Fee $296.86 Electrical Plan Review Fee $0.00 Transportation Impact Fee - City $3632 Transportation Impact Fee $3,595.68 3/4 Water Meter Fee (Calc) $732,71 Sewer Connection Residential Fee $2,090.00 Public Safety Impact Fee -Admin $2635 Park Impact Fee - Single Family/Townhome $769.56 Building Plan Review Fee $180.00 Building Permit Fee $1,752A0 Mechanical Plan Review Fee $0.00 Plumbing Plan Review Fee $0.00 SIF 1 percent Fee $83,28 Irrigation 3/4 Meter (Calc) $732,71 Mechanical Permit Fee $159.87 Water Connection Residential Fee $1,010.00 School Impact Fee - Single Family $8,328.00 Plumbing Permit Fee $211.24 Driveway Fee $45.00 Public Safety Impact Fee -Police 4.00 REINSPECTION FEES: (c) With respect to einspection 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. "CONTRACTOR SIGNATURE PE IT OFFICE -.'--"ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIOr- CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER I 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 v Building Department Date Received 908 770 Phone Contact for Permitting 7763 T_.7-(-T- Y r7-r._[--r r r r_--- i r_7... _.' .. Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813.574.5700 Owner's Address 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number Fee Simple Titleholder Name N/A — Owner Phone Number —� Fee Simple Titleholder Address I N/A JOB ADDRESS 36569 Smithfield Lane LOT# 0803 SUBDIVISION Abbott Square PARCEL ID# 1 04-26-21-0150-00800-0030 IOBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED 11✓'I NEW CONSTR 8 ADD/ALT SIGN 0 DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK Single Family Residence t Pool / Screen Enclosure / Fence BUILDING SIZE I U/R Sl' 2854 Sol FOOTAGE 2389 HEIGHT 28 ^r sm Y BUILDING $ 342480 VALUATION OF TOTAL CONSTRUCTION C.f (ELECTRICAL $ 51372— AMP SERVICE PROGRESS ENERGY W.R.E.C. 9j♦��r IJ (PLUMBING $ 34248 N.f (MECHANICAL $ 23973.6 VALUATION OF MECHANICAL INSTALLATION} OGAS IY i ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA DYES Do BUILDER COMPANY Lennar homes, LLC SIGNATURE REGISTERED — Y / N FEE CURREh I Y / N 4301 W Boy c 't Blvd Suite 600 Tampa, FL 33607 CGC1518166 Address License # ELECTRICIAN , COMPANY Edmonson Electric, Inc. SIGNATURE g+�a REGISTERED Y / N FEE CURREh Y / N Address 7 License # EC13005408 PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address 7 License # I CFC042998 MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREh I Y / N Address License# I CAC058062 —� OTHER .a _ COMPANY Q Sterling Quality Roofing, Inc SIGNATURE REGISTERED Y L N FEE CURREh I Y / N Address License # 1 CCC057991 IIIllllllilllll Illllllllllllillllllllllllllllllllllllillllllllltl RESIDENTIAL Attach (2) Plot fans; (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. Direction Fill 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 10 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. : 901 i I i i - SK&*J mell's ;lJJ;401lR2&BU* MM I11110 211 rmo OWNER OR AGENT CONTRACTOR Subscribed and sworn ro —(or affirmed) before me this Subscribed and sworn to (or affirmed) before me this 1WV9022 by Christopher Smith 10/27QO22 by Christopher Smith Who is/are personally known to me or#asAhav9-pfodw_94 Who is/are personally known to me or has/have produced —as identification. as identification. Notary Public Commission No. GG 296057 Stephanie Farmer . . . . . . . . . . . . . . W1 1173 Commission No. GG 296057 :ephanie Farmer Ziff" '777 -7 m Notary Public Builder Name/Owner Name Control ## County Parcel No. Subpiu. a a s f TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: Exempt o Yes 0 No How Determined Impact Fee Amount c. ,3 Zone No. TAZ. SCHOOL IMPACT FEE Account (056) Single -Family Detached House Amount $ z (057) Mobile Home (058) Other Residential (123) Collection Fee Exempt =Yes = No How Determined - Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total 1 Zone Total Amount Exempt =Yes =No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt Yes No How Determined Total Amount finnEfl= i= r I IM RECEIPT NO DATE BY SEE SHEET C210 MATCH LINE - L 2 m 10 9 8 7 6 o 0 4 1 3 1E 'B' TYPE B TYPEV - TYPEV - -FY-pffw -TYPE -'B" TY-PUB, TY P -E'B TY P -E'B' --ffPE -'B' Y P E B T.'P B' TYPEW TYPE V TYPE TYPE 'B' TYPE ' B' FF:110.67 FF '10 67 lj )9.57 FF 100 77 FF:100.77 FF:101�97 FF:103.07 FF:104.17 FF:105.27 FF:106.37 FF:107.37 log EF1108,17 FF:109�57 F, 1 10 67 FF710'.B67 PAD 110 PAD:110.00 9890 PAD 100 1( PAD:100.10 AD�101.3 AD: 102.4C )AD:103.50 PAD:104.GC PAD:105.7C PAD:106.70 )AD -MO PF PA-11UM A 1 10 �00 .00 It I o6 0 CD o o - ----------- ...... 287' 42" RN @ 0.30% 97.3 F k�270'-42'- RCP @03 0%==� -W - - - - - - - 3,85- M SD 3 10 35' - 18" RGS @ Ml% Ty TYPE'B' TYPE'B' TYPEW TYPE FF:101.6-/ FF:102.77 FFA03.87 FF:104.87 D:101.00 AD:102.10 TYPE'B ' AD:104.20 F [F70 1038 0 AD:10120 1 3 rn 4 C5 .4 0 T T T T 5 F-o-O c: L J- 4V - 18" RCP @ 1.94% -------------- w - ---------- -G� 0 .6 0 TYPE'B' TYPE'B' TYPE'B' TYPE W TYPE'B' -- TYPE'B' TYPE , F :105.97 : FF:107.07 FF:108,17 FF-.1097 FF:110.37 FF:110.37 FF:111.47 AD:105.301 AD:106A 10 AD:107.50 AD:109301 DAD:109.70 'ADAM& L ry 7 rq Zf� 10 , oo Lq i. 1 T Ll T o T o T o T I I o T r I ------------- C� 114 o q m N o -1 o BLbM9 Structure Table LU SD8-2 r'4 z U TYPE 9 CURB INLET E- EOP:97.37 LLI RIM:97.20 U LU r E- 48" RCP(SW)IE:84.33 Ln < 42" RCP(E)IE:85.67 Im 24'- 18" RCP DESCRIPTION: LOT 3, BLOCK 8, ABBOTT SQUARE PHASE IB, SITE PLAN SEC. 4, TWR 26 S, RING 21 E. ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89, PASCO COUNTY, FLORIDA PAGE(S)57-62, OF THE PUBLIC RECORDS OF PASCO COUNTY, (NOT A SURVEY) (ABBOTT SQUARE) FLORIDA. PROPOSED ELEVATIONS AND GRADING his SITE PLAN Prepared for and Certified To: ALL ELEVATIONS REFERENCED SHOWN HEREON ARE TAKEN FORM THE Lennar Homes TO NORTH AMERICAN ENGINEERING PLANS OF VERTICAL DATUM OF 1988 'ABBOTT SQUARE RESIDENT!AL', PREPARED'; (NAVD 88) '.. BY'WRA- PROVIDED BY CLIENT'; TRACT'B-6' Scale: 1 = 20 (CDD) ACCESS/DRAINAGE/ LANDSCAPE/ WALL MAINTENANCE AND FENCE AREA; OPEN SPACE N 89°45'31- E (P) 45,00 (P) k3\/tD 03 tS d ', j gs3 A N I OR 1 4.0'XS.7' ,\Sot. C/S-A/C LOT = 5395 SQ. FT. €- ;.. LIVING AREA=_t�(;r4 SQ. FT. PATIO f-�' PATIO PORCH = 51 SO, FT. 75' T5' GARAGE = 414 SO, FT_ 30'-0' o COVERED LANAI = N/A SO. FT. o o PATIO = 21 SO, FT. LOT 4 u �, LOT 2 POOL AREA =N/A SQ. FL BLOCK 8 BLOCK 8 CONC. DRIVE = 28SO. FT, p m ACC & CONC PAD = 23 SO- FT. -, PROPOSED 37 SO- FT. m ,:p ''i 2 STORY RESIDENCESIDEWA"- LOTSOD N/A SQ. FT, a PLAN 2382 N N 4Q. PT. z o C) oo N ELEV'A' N I o o GARAGE L o LO OCCDUPIEp - I AREA TO IRRIGATE = 61_ _ PC LOT 3 BLOCK 8 = 2" OAK ENTRY 9_5 P .' ' 0 7.5' 7520.5 + = 10.00 PUBLIC UTILITY EASEMENT LEGEND: s _ coNc-9— _i---�^= PROPOSED DRAINAGE FLOW �:n;?WALKI"-� yS (00 00) a PROPOSED GRADE /106 S 89 45 1: w P v6'1 sI) ` E-00-00 EXIST GRADE T .T.__.S6 C76 ,K I6- ip _ - S CONC WALK. NOTES: t - - / LOT GRADLNG TYRE mB _ -'.220 PROPOSED PAD ELEVATION =- 108.90 76 FRONT SET BACK --20' SIDE SET BACK = 75 SIDE SETBACK (CORNER LOT) -• 10 SMITHFIELD LANE REARSETBACK --15 TRACT 'A' (CDD) RIGHT -OF -WRY PROPOSED: MINIMUM FLOOR ELEVATIONS: LIVING AREA: 109.57' GARAGE AREA: CURVE DATA (P) ELEVATIONS REFERENCED TO CURVE RADIUS ARC LENGTH CHORD LENGTH CHORD BEARING ' DELTA ANGLE NORTH AMERICAN VERTICAL C76 82500 2s.5z 2852 NB34v'osE r5B'Sz" DATUM OF 1988 APPARENT FLOOD HAZARD ZONE: "XCOMMUNITY NO. 120235 SURVEY ABBREVATIONS (MAP NUMBER 12 10 1 C-0289-F) EFFECTIVE DATE: 09/26, 2014 A Arc ENGI DI -nr Pe, HIVE 1 C-10IN7 OFCURV. R: RECORD LEGEND VNY =r`, A C-AIR COND CN I lUM N M I NeE DF�D AN4(I IAIEMEN 6 � I£ NSI n BURCK SC PC( ION O- COMPOUND CURVE 'CP PERMANENT RVC - RANGE ;r � ' h � -GONG ❑—� - fl ,BAS LOOOr :Vfl' N ' 1 OR 111 V LE VA IiON t0f LDC Qi IAV�MEN LANDSCAIT CASE rt - I OWES DOOR E! VATION CONTROL PO N'i P'F POO QU"MFNT UP RA ROAD SPIKE R/W -R HT O'WAY 2 �, WOO)fENC[ 6rv;-BEN(fMiARK C=c1RV1. (SMI SEAS M NI .S-L Cf Nn DSUR/t YOR PG --AG. SEC-S CTC" C AINIAII IC I'CALCIJ 'FI) C FNTFRkINP /(-iENCF(ORNtR ICM^ FOUND(ON(R•: TE (Mf- MEASURE tI MLS- MIRND E NDSE C fION PI=POR,TOF -NTERS CIION Fir -PARKER RAON SN&D -SFNAIL AND Dill ..aN8183 '.AINUCKFENCE CF -CHAN NK �l NCE MONUMTNT L-FOUN)RON yIN NO NO (ORNLR FOt ND O/A -OVI RAIL a - ROPEPTY LiNE POP ORD OF BEG-NMNG SE- '2- PEROD LIP &T03 TRAI—TE ORARYBENCHMARK 'Its 11�— fMP�CoRriu'TFDMEiaEE PI O I: IR-I OUNUIRON ROD IN&D-rC 1Nn NAl &DISK ONW-OVERTIEAD WIRE(Sl OR -Ofl C.AC RECORDS POC POINOFCOMM.NCTMENT POL O,NTONLINE TOB - TOP OF BANK TW'- TOWNSHIP IF TIM,`NUM I=ENCE CUMk CON C=CONCit?E C/S-CONCRETISLAB IpPm FOUND OPtk PIPE 1� -PLFl� :RC-POIN: OF REVERSE CURVE U` U I: YEASEMENT CS'=CLEARS( li TRIANGLE IPP-FOUND PINCHED MN PB�-PLATBOOK RM PERMANENTREIERENCE MONJMEfv V� Vlh LEENCE JOB 05733 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 rights -of -way were furnished to the undersigned, unless otherwise shown hereon. SURVEYOR'S CERTIFICATE This certifies that sketch of the hereon described property was rr�yidl�TN184441%lsupervision and meet the A ,�ee Practice for �LTAN - ®) surveys !C yard of Land Su Cdd 5J 1 F AqF- s C pursrant ectlon 4 2 j27�@ �i ey 1708 Water Oak Drive Tarpon Springs, Florida Phone: (727)-831-1990 FloridaPLS7123@ maiLmm g LBO 8183 m po Date of Site Plan: 7-12-22 WG:A -PHI -1-- - IT Hie, Drawn by D1B 3.) Roads walks, and other similar items shown hereon were taken from engineering plans and are subject to survey. 41 This SITE PLAN does not reflect nor determine ownership- S t �s ate: 2�C3,7 fi py� T ¢7;Q 0' PATE 8F tt `T` z� rr TD 1H Checked by:JH REVISIONS 6.) This SIEE PLAN is subject to matters shown on the Plat of -ABBOTT SQUARE PHASE 1 B' FLORID 6.) Dimensions shown hereon are in feet and decimal portions tp= Jeff Jeff M U. AND thereof. DA MAPPER NFLORI"��-000�/Yr` 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 r" deviation from information shown hereon Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC. at user's sole risk. 0 110 q- Io - I I - (D 1,60 I 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 nd Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: lig�gygvirtualreviewassist.cotii Project: New SFR Address(s): 36569 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 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,A1,A2,A3,A4,A5,A6,A7,SNO,SNI,S3,S4,S5,S6,SS, ST,SI 1,S12,WPI.0,PAI.0,PAI. 1,PAL2,PAI.3,PAI.4, SHI.0,SHI.1,SHI.2,SHI.3,SHI.4,SI-11.5 Florida License/Registration/Certification #(s) and description: FS468 Certified Standard Plans Examiner License #: PX2300 Signature of Reviewer: Z' SWORN AND SUBSCRIBED beforeme by 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 tru norrect to the best of his/her knowledge or belief. Itl", i I Signature of Print Name vFI 1lE UAL REVIEW ASSIST Notice to Building Official of Use of Private Provider Effective January 20, 2003 17, Project Name: �71111 ANE ParcelTaxID: 04-26-21-0150-00800-0030 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: DEBRA ANNE KLAHR Address: 747 SW 2ND AVENUE - SUITES 170, 301, 357 & 358, GAINESVILLE FL. 32601 -. 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 han-nless 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. I -r Igo M1 (signature) Print Name: Address: Telephone No. - Please use appropriate notary block. STATE OF FLORIDA COUNTY OF —HILLSBOROUGH Individual Beforeme, 1his 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 By: (signature) Print Name: Christopher Smith its: Authorized Acient Address: 700 NW 107th Ave Miami, FL 33172 Corporation Beforeme,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. NM=. Print Partnership Name (signature) Print Name: Its: Address: Telephone No.: Partnership Beforeme,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: ..... ...... . 14 Commission Expires: Notary pu ljc, state of Floridaif 244456 NOVEMBER 30,2022 sh NDUOW NOWY AM!! . . . . . . ..... ..... Page 2 of 2 Ili TRACKING # FIRE MARSHAL #01 - FOLIO 6,9 L-cir-X Required Permits I WIN M I I k, I I It a! m IMM, IN M I a► 0 VBuilding ElInTection Only Mechanical El InTection Only Electrical Amp EIMVect�q�. IN Medical Gas El Fire Sprinklers On Site Piping Irrigation Fire Alarm EJ Potable Backflow Assembly Ej Fire Line Backflow Preventer Irrigation Backilow Assembly Demolition F-1 Walk-in Cooler El Refrigeration Oslo ■ Ansul Ej Grease Trap■ E] Other P-IMMMIZO.M. Type Construction: Risk Category: Occupancy Load Ovancy Classification: Factory Residential Assembly Hazardous Storage Day Care/Educational Institutional ercantile Building Use: Single Family Alteration ❑ Level I ❑ Level 2 ❑ Level 3 VNew Construction El Interior Finish ❑ Interior Remodel ❑ Exterior Remodel E] Addition El Revision Overall Size: 30 x 58 Number of Stories: 2 Total Sq. Ft.: 2854 Living Area: 2389 Covered Area: 465 # of Bedrooms: 5 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof Type: 9 Shingle F]Tile El Built-up 0 Metal F-1 Other Squares: 19 Zoning: Wirdborne Debris: ElInside ' W, Outside Energy Code: 405-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Yes kZNo Sq. Ft. Enclosed Space Below BFE: Hydrostatic Vents? -F— # of Vents: Size of Vents: Total Sq. In. Permanent Openings 0 Central A/C El Gas A/C 0 Heat Pump El Gas Heat E] Window A/C El Electric Heat Sanitaly Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line r 0 IT, " Front Rear Left Right Asper Approved Site Plan Comments: