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Home My WebLink About23-5569City of Zephyrhills 5335 Eighth street Zephyrhills, FL 33542 BNR•005569-2023 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue [date: olt23�2o23 Ei NONKMEMSMOSM ■� �� Ilf �i � „iI Name: LENNAR HOMES LLC-OWNER Permit Type: Building New e i Ia i p 'Contractor: o s R HOMES �i Class of Work: SConstruct Address: 4600 W Cypress00 Building Valuation: TAMPA, PlumbingPhone: (813) 574-5700 Mechanical Valuation: $19,748.40 Valuation: Total Valuation: $372,398.40 Total Fees: $19,935.60 Amount Paid: 0 Date Paid: !CONSTRUCT SINGLE FAMILY 1870 Q FT Public Safety Impact Fee -Admin $26.35 Driveway -- 00 Transportation Impact Fee - City $36.32 Irrigation 3/4 Meter (Calc) $732,71 i �� Mechanical Plan Review Fee r 00 Mechanical Permit Fee $138.74 percentwn Single Electrical Plan Review Fee wResidential00 �� Impact3/4 Water Meter Fee (Calc) $732.71 Plumbing Plan Review Fee Plumbing Permit Fee $181 06 Public Safety - i0 Building M ! isi School Impact Fee - Single Family f Building Permit Fee $1,450.60 Electrical Permit Fee $251.59 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting 908 770 7763 _1 ! T 1...1_]- .„..'7nrnn -._ :,. . 7-1--i--t...7- -- Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813574.5700 Owner's Address 1 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number Fee Simple Titleholder Name N/A Owner Phone Numbers Fee Simple Titleholder Address I N/A JOB ADDRESS 36582 Smithfield Lane LOT# 0910 SUBDIVISION Abbott Square PARCEL ID# 1 04-26-21-0150-00900-0100 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED F] NEW CONSTR B ADD/ALT INSTALL REPAIR SIGN DEMOLISH PROPOSED USE 0SFR COMM OTHER � TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME STEEL DESCRIPTION OF WORK I Single Family Residence / Pool / Screen Enclosure / Fence U(R IF 2351 1870 28 BUILDING SIZE SQ FOOTAGE HEIGHT BUILDING $ 282120 VALUATION OF TOTAL CONSTRUCTION ,I ELECTRICAL $ 42318 ® PROGRESS ENERGY W.R.E.C. ��— PLUMBING _— $ AMP SERVICE ✓ 9S 28212 !!! II./ (MECHANICAL Y�GAS $ 19748.4 VALUATION OF MECHANICAL INSTALLATION IJ i ROOFING 0 SPECIALTY = : OTHER 1 FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES D0 BUILDER COMPANY I_"nar I I"I"C , LLC SIGNATURE _ _ Jo" _ REGISTERED Y / N FEE CURREN Y 1 N Address 4301 'A'Boy Sc'I Blvd Suite Tampa, PL 33607 License # CGCIal8i66� ELECTRICIAN COMPANY Edmonson Electric, Inc. SIGNATURE a° REGISTERED Y / N FEE CURREF Y / N Address I License# EC13005408 PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE ,. REGISTERED Y / N FEE CURREF I Y / N Address License # cFC042998 T MECHANICAL — COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREF I Y / N Address "' License # (CAC058062 OTHER COMPANY IC Sterling Quality Roofing, Inc SIGNATURE REGISTERED Y/ N FEE CURREF Y I N Address 7 License # I CCCO57991 �ttttf�ftt�ieiiti ��tftt�trt��ii�tttt�ftt�eittt�s��rttii�tt�it�� RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page, (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ****PROPERTY SURVEY required for all NEW construction. 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, Welland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. Southwest Florida Water Management District -Wells, Cypress Bayheads, Weiland 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. "ir li i IN i I i i , R it 1 IMM a :01 U 4 1*4 11101111111111111 W01 Is 10 11 go 1 11A lao-1 u" I ON 2 10 FA 0 1" 10 A OWNER ORAGENT Subscribed and sworn roo (or affirmed) before me this 1012712022 by Christopher Smith Who is/are personally known to me or as identification. Notary Public Commission No. GG 296057 Subscribed and sworn to (or affirmed) before me this 101271-2 by 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 NameE*M. Name ofNNSTlMWER g114*, �STM AE WER FM9Y mFebmey15, 2023Z]j N Permit No. ` , Date Permitted -. � Builder Name/Owner Name Control # County Parcel No. �--� (� � � 00 fco SubDiv:.._ Address/Location c Classification/Type of Use �1 TRANSPORTATION IMPACT FEE Rate: 7 Sq, Ft Unit: G 0 Exempt 0 Yes 0 No How Determined Impact Fee Amount �-- Zane No. 'TAZ: SCHOOL IMPACT FEE / J C d Account (056) Single -Family Detached House Amount $ t (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 Zone Total Amount $ . a'__ Exempt =Yes =No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt 0Yes No How Determined Total Amount � Prepared . By ISSUEDNO CERTIFIUTE OF OCCUPANY WILL BE OR +. PERFORMED UNTIL THE TOTAL BEEN c AND RECEIPTED FOROFFICE ACKNOWLEDGEMENTDOES NOT IMPLY ACCEPTANCE OF CONCURRENCE, BUT SIMPLY REECEIPT OF A COPY OF THIS BUILDINGFORM, PLACING THE ► THE CONDITIONS 1 RECEIPT NO DATE BY ra LU r,4 U z LLJ U Ln < LULU VI SEE SHEET C210 MATCH LINE IF - ----- I Iq clq ID 00 11 1 10 7 6 5 1 4 3 2 8 TYPE'B' - TYPE B E 'B' TYPEW TYPE'B' FFAM67 TYPE'B' PE '6' TYPE'B' �Y I TYPE'B' I TYPE'B' TYPE'B` TYPE'B' WP' ' S' PE F1 P100317( y 1 ;9.57 P ' 100� F TV.:: IPO 1,B97 FF:104.17 F TYPE'B' 0 5. B27 PFF:106.37 FFA07.37 FF:108,47 FF:109.57 FF:110.67 �AD:110.0( 01 �AD:110.0( �AD:101.30 �ADA03.50 98.90 PAD:100A0 �AD:104.6 PAD:105.70 �AD:106.7( PADM7.8( 'ADJO&9( L----------- i L ------- SD8-4 iii co 0 0 0 T - - - - - - - - - - -- - - - - - o 0.30% .0 287' - 42" RCP @ @ 0. 30% 9737 SD8- 270'- 42" RCP @ 0.30%M NWW103.85 SD8-3 85+00 182+ -41'- 18" RCP @ 1.94% 98.07 SD8-13 104.64 00 - - - - - - - - - - - -r, -cl� - - - - - - - - - - - - - - - - - - - - - - - - 13� - - - - - - - - - - - - 10 -35' - 18" RCR @ 2.01,161 TYPE TYPE'B' TYPE'B' TYPE'B' TYPE E PE 'B' TYPE TYPE .0 F FTFYlPO8'.Bl'7 I TYPE'B' TYPE'B' 1 FTFY:110.37 FF:110.37 FF:111.47 ff.'�11 7. FF:11.2�770 FF:10187 F:105�97 FF,107�07 "D.1 Ij10 :102.1 �104.20 AD:105.30 1 0641 1AD: 109.70 PAD:1097( PAD:110,80 67L 10 O Oi100 01 T T T T T Oq D1 N O 0) 0 0 0 0. 0 0 I ob 3 -7-j OM9 24'- 18 RCP @ 0.30% A� Structure Table SD8-2 TYPE 9 CURB INLET EOP:97.37 RIM:97.20 48" RCP(SW)IE:84.33 42" RCP(E)IE:85.67 18" RCP(SE)IE:92.96 m DESCRIPTION: LOT 10, BLOCK 9, ABBOTT SQUARE PHASE 18, SITE PLAN ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89, PAGE(S)57-62, OF THE PUBLIC RECORDS OF PASCO COUNTY, (NOTA SURVEY) 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 RESIDENTIAL ", PREPARED (NAVD 88) L j BY"WRA" PROVIDED BY CIENT-------- i LOT 5775 SO. FT. LIVING AREA = 78(? SCL F I PORCH =5 SO. FT. GARAGE = 44 SCL FT. COVERED LANAI = N/A_ SQ, FT. PATIO =N�___SQ. FT. POOL AREA -lyL,�_SQ. FT. CONIC. DRIVE = 386 SO. FT. NC & CONK PAD = 12 SO, FT. SIDEWALK = 34 SO. FT. LOT SOD _N/A _SO. FT. R/W SOD = N/A SQ. FT. LOTOCCUPIED =, _% AREA TO IRRIGATE = 70 RE Cj = 2' OAK * - 10.00PUBLIC 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 SETBACK = Z 5 SIDE SET BACK (CORNER LOT) =10' REAR SETBACK= 15" PROPOSED: MINIMUM FLOOR ELEVATIONS: LIVING AREA: 110.37 GARAGE AREA: ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 LOT 9 BLOCK (CDD) RIGHT -OF WAY TRACT ,A. slyl 1 THE 1 ELP 4AN�— - CONC' WALK, Eb _ CONC }_ s WALK , iF 160' ` 7 5' w , 21.3' 7.5' 8.7' ENTRY PROPOSED 2 STORY RESIDENCE PLAN 1871 a ELEV EE 'v GARAGEL o 0 /709 9 o LOT 10 g m 4 BLOCK 9 a 30'-0` m ., m m T5' 30.0' 75' v a _ PATIO ( 3.5X3.5` C/S-A/C ( 1 P LOT 1 1 BLOCK __________ d1A S 89.4524- W (P) 45,00' (P) /77 SY09 TRACT "B-6" (CDDj ACCESS/DRAINAGE/ LANDSCAPE/ WALL MAINTENANCE AND FENCE AREA, OPEN SPACE SEC. 4, TWR 26 S, RNG 21 E. PASCO COUNTY, FLORIDA (ABBOTT SOUARE) Scale: 1 " = 20' CURVE DATA (P) CURVE RADIUS j ARC LENGTH CHORD LENGTH CHORD BEARING; DELTA ANGLE C83 875.00' 45.1 T 45,17' N 84'483T E 2'5729' APPARENT FLOOD HAZARD ZONE. "X' COMMUNITY NO. 120235 SURVEY AB B REVAT IONS (MAP NUMBER 12101C-0289-Fr EFFECTIVE DATE. 09J26/2014 A' ARC LENGTE, 01-OFF D NV -OVERT PC- POINTOFCURv EA -RECORD LEGEND A/C=AIR COND TONER r1 E,URAINAGL ASCMNI LEE LICENS.DBUISSESS PCC POINT OF COMPO/N CURVE PNC�-RANGE VINYL FENCt Al ALUMINUM Ft NCE FE OR FLEV LEVATION rE- IANDSCAPt I Ali M.NT PC- PERMANENT CON) IOL POINT RRl-RAIL ROAD SPKE *4rr,'�iCONC --LY ---- 0-- LIFE -BASE FLOOC,CLEVA•ON COP- FULL Of PAVEMENI LE-LOWSE FLOOR ELEVATION PIE POOL . EQUIPMENT, EOW RR3UT OF WAY BM -BENCH MARK CURVE LSM F-tNCLCORN F/C -, CORNER LS= UCEASUR SURVEYOR - MEASURED PG^PACE •- POINT N �RSECTTCJN SEC -SECTION SN6D - 4r NAIL AND D 4'( WOOD FENCE ASPHALT ;C I CAI.0 A I) CSU CONCRETE ^MI OF MS-,N RED END SECTION K^PA KLR KALOLI R BpgiB3 SENSE CT NTERLI�I 'HA O E MONUMt N NC - NO CORNER OLIND ;IN EC SIR SE 1 2' RON ROD Bp B B3 (1.A h LINK C N N =NICE PFFpt/NDIRONfPE OA=OV`RA EGG -06 POINT O'3�Ci NN NCB TEEM_T MPORARY BENC4 MARK 9RICK --x— %— Mt' t GATE D META PcI �Nr,,a0 1) RONROD 04W =OVIFR A WIR IS' OC -ONTO COMM. NCIME NT T09 -1OF OF BANK CO =COI COLUMN CONCn COENU l NfiU ^ FOUND NAB S DESl C' -OFF CIAI R CORDS PCS, O N OSEENE Dial, T WNSHT ALUMINUM FENCE ii AilIOC. FOUND OPEN PIPE 0) -PLAT T < FEEL POINT OF REVERSE CURVE PRM PFPNANENT REFERENCE MONUMENT 01,- U'ILTY EASEMENT ^COVERED CST= CLEAR SIGHT TRIANGLE EPP- k OUND PINCHED I IPI id--1I 6001 VF -SPOP FENCE. JOB #5736 SURVEYOR'S NOTES: 1.) Current title information on the subject property had not been furnished to Initial Point Land Surveying, C. at the time of this y g• LLC, 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 i property was(}} PMtXI upervision and meets the p({c le ?41 Practice for surveys,�S o rd of Land /7 �}j A�I�$ at%ailed Ne(fit C[I�4`*_WAeff *Ptley 1708 Water Oak Drive Tarpon Springs, iFlorida p Phone- (727)-831-1990 HondaPLS71239gread.com LB# 8183 Date of Site Plan 7-13-22 DvrG:AS-PI I o6_9 SITE =pe, Drawn by DUB 3.) Roads, walks, and other similar items shown he were taken Statt7Ps.Qdte ?Q „ $. 16 i Checked b 7H Y- engineering plans subject et survey- re 4,) This SITE PLAN does not reflect nor determine ownership. 5.) ThisnSITE PLAN,, d es not matters on the Plat of I r E�dFasp�,'oo� S la'Fa 1 a N , �.,L�) REVISIONS shown ABBOTT SQUARE PHASE 18 � � �� -.`.�'---- 6,) Dimensions shown hereon are In feet and decimal portions Jest M r Q 7.) FLORIDA RQE.1�AND MAPPER Contractor and owner are to verify at! 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 d deviation from information shown hereon Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC. 0 N V_RA VIRTUAL REVIEW ASSIST Private Provider Plan Compliance Affidavit Private Provider Finn: 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: LtLgyL&_�fiLtualreviewassist,com Project: New SFR Address(s): 36582 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 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,ST,SS,SI l,S12,WPI.0,PAI.0,PAI.1, PAI.2,PAI.3,PAI.4, SHI.0,SHI.1,SHI.2,SHI.3,SHI.4,SHI.5 Florida License/Registration/Certification #(s) and description: FS468 Certified Standard Plans Examiner License #: PX2300 Signature of Reviewer: SWORN AND SUBSCRIBED beforeby 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 adorrect to the best of his/her knowledge or belief. r Signature of _,tary Print Name Notary Public: NOTARY STAMP BELOW My VIRTUAL REVIEW ASSIS1 Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: MITHEIR-D ANE Parcel Tax ID: • 1 11' 11 1 0 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: DEBRAANNE KLANR Address: 747 SW 2ND AVENUE - SUITES 170 301 357 & 358 GAINESVILLE FL. 32601 Fax: N/A • +-� -Wr e 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 1 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 $1 million per occurrence relating to all services performed as a private provider, including tail coverage for a minimum of 5 years subsequent to the performance of building code inspection services. RMUMM (signature) Print Name: Address: Telephone Please use appropriate notary block. 1141ma-101 Individual Before me, this - -day of 20—, personally appeared who executed the foregoing instrument, and acknowledged before me that same was executed for the purposes therein expressed. Corporation LENNAR HOMES. LLC Print Corporation Name By: (signature) Print Name: Christopher Smith Its: Authorized Agent Address: 700 NW 1 OZib-Ave Miami, FL 33172 Telephone No. 813-574-5700 Corporation Before me, this 22ND day of MAY 20 2_2 personally appeared of Lennar Homes, LLC a corporation, on behalf of the state corporation, who executed the foregoing instrument and acknowledged before me that same was executed for the purposes therein expressed. Personally known X ;or Produced identi cation_ Type of identification produced Partnership Print Partnership Name (signature) Print Name: Its: Address: Telephone No.: Partnership Before me, this day of —120-1 personally appeared partner/agent on behalf of a partnership, who executed the foregoing instrument and acknowledged before me that same was executed for the purposes therein expressed. Signature of NotarlL (I Print Name ASHLEE CALLAHAN Notary Public Stamp: r Mf H EE iAICAHA Commission Expires: Y Pub0c State Of FiOdda Imls$jor. # GG 144456 Elplfei NOV -�U' 1022 thrNOVEMBER 30, 2022 .... ou hsationDINoliNAIrt . . . . . . . . . . Page 2 of 2 ® COMMERCIAL BUILDING SERVICES DIVISION VRESIDENTIAL BUILDING PERMIT DATA SHEET FIRE MARSHAL #01 - 0 ff T •.a -" IC DATE: ►^. a Klahr PX23010 Building ❑ Inspection Only Plumbing ❑ Inspection Onl Mechanical ❑ Inspection Only Electrical Amp E] Inspection Only Roof ❑ Gas E] Medical Gas ❑ Fire Sprinklers ❑ On Site Piping ❑ Fire Line ❑ Irrigation ® Fire Alarm ❑ potable Backflow Assembly ❑ Fire Line Backflow Preventer ❑ Irrigation Backflow Assembly ❑ Demolition ❑ Walk-in Cooler ❑ Refrigeration ❑ Hood E] Ansul ❑ Fence/Wall ❑ Grease Trap Other ❑ Other T e Construction: V®� Risk Category: Occupancy Load ® ancy Classification_ Factory Residential 3 Assembly Hazardous �sStorage C� R�Busme,, Care/Educational Institutional Fbay Mercantile Utility Building Use: Single Family / Alteration Level 1 Level 2 Level 3 New Construction ❑ Interior Finish ❑ Interior Remodel ❑ Exterior Remodel ❑ Addition ❑ Revision Overall Size: 30 X 42 Number of Stories: 2 Total Sq. Ft.: 2351 Living Area: 1870 Covered Area: 481 # of Bedrooms: 4 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof Type: El Shingle ❑Tile ❑ Built-up ❑ Metal ® Other Squares: 16 Zoning: i orne Debris: ]Inside Outside Energy Code: 405-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? ❑°,Yes Vi No Sq. Ft. Enclosed Space Below BEE: # of Vents: Size of Vents: Total Sq. In. Permanent Openings Central A/C ❑ Gas A/C 9 Heat Pump El Gas Heat E] Window A/C ❑ Electric Heat On Bite Pining Sanitary Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line ZT-Yram Front Rear Left Right R Asper Approved Site Plan Comments: