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HomeMy WebLinkAbout23-5678City 1ll 5335 Eighth Street F­ Zephyrhills, FL 33542 Phone. (813) 780-0020 Fax: (813) 780-0021 issue Date: 02t21i202 Permit T Building New (Residential) A + 9 #♦ f.... A.{..{{ #{.{... Riff.....*.i+, Pond Loop ... 21 550 I ilk" LEI � � "I 1� �� � �'� � IIA � if I u � Ilfl I IIIIII I ➢ �y •MS` �� • • Permit (� oType: • Building �(Residential) "Contractor: .� �� +• HOMES C Address: 4600 W Cypress St 200 Class : Townhome Building Valuation: $257,760.00 t *+ FL 33607 Phone: , { • {' 0 Plumbing * 0 Total•n: $340,243.20 AmountTotal Fees: $14,382.58 Paid: CONSTRUCTDate Paid: 2/21/2023 3:25:06PM BONBON • • ff. SQ FT AS >e+ a PermitSewer Connection Residential Fee $2,400.00 Building Permit Fee $1,328.80 Mechanical {22 School Impact#{ Park Impact Fee - Single Family/Townhome $76956 3/4 Water Meter Residential Connection Fee $794.92 Mechanical Plan Review Fee { {{ Electrical Permit Fee $233.32 Address {{{ Plumbing ♦ f t f percent Fee $33.53 Driveway Fee $45.00 Public Safety Impact{{ Electrical Plan Review Fee r{ { Plumbing Valuation Fee $0.00 Fire Wall/Smoke Wall Inspection $1500 Water Connection Residential Fee $1,140.00 Transportation Impact Fee $3,445.20 Building Plan Review Fee { #1 Transportation Impact Fee - City $34.80 1� Public Safety Impact Fee i 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 RS • • your N of • OCCUPANCYComplete 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 4 *Z11 CONTRA T R SIG ATURE PE IT OFFICE PERMIT M EXPIRES rtRr {MONTHS APPROVED MPM INSPECTIO CALL FOR INSPECTION„ HOUR NOTICED PROTECT CARD D: WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 ,A Building Department Date Received Phone Contact for Permitting 1( 908 770 7763 TIT y_ IF_ I A F_ . . . . . . 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 91302 Owner Phone Number Fee Simple Titleholder Name I N/A Owner Phone Number Fee Simple Titleholder Address I N/A JOB ADDRESS 16996 Ripple Pond Loop LOT # SUBDIVISION Abbott Square PARCEL to# -00100-0550 IOBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN DEMOLISH P INSTALL REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL DESCRIPTION OF WORK Multi -family 1 Screen Enclosure / Fence BUILDING SIZE I U/R SF 2148 So FOOTAGE 1666 HEIGHT 28 BUILDING $ 257760 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL 11 38664 AMP SERVICE EXJ PROGRESS ENERGY W.R.E.C. PLUMBING $ 25776 MECHANICAL 18043.2 VALUATION OF MECHANICAL INSTALLATION GAS ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA Li YES Do BUILDER COMPANY Holmes,Lennar LLC SIGNATURE REGISTERED Y/ N FEE CURREN LLLN J Address FtOl W Boy Scout Blvd Suite 600 Tampa, Fl, 33607 License# =C15 18166 ELECTRICIAN COMPANY I Edmonson Electric, Inc. SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N Address License # EC13005408 PLUMBER COMPANY [Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED LY/ N FEE cuRREr_TY / N Address I License# I CFC042998 MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, �Inc SIGNATURE REGISTERED L_LL N_J FEE CURREN I Y/N AddressLicense # I CAC058062 OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE REGISTERED Y/ N FEE CURREN L_LLN _J Address 17 License # 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 $7600) 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 13 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 "V" unless expressly permitted. If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. OWNER OR AGENT Subscribed and sworn fo (or affirmed) before me this 1/512023 - by Christopher Smith Who is/are personally known to me orb as identification. Z4, -Notary Public Commission No. GG 296057 3 if 11­­ 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 Name Name of N STEWAK FARM FAMER X ComabsW0002W CMWnWM 9 00 29M E*mFatmw 1115, 2023 p =E*m Februety 15, 2023 80WWTWTrqF*b"M1*WT#1l9 BWW Tta Troy I* k4wom 803*74ig t Permit No. � ,7 67 Date Peritiitt d Builder Name/Owner Name l Control County Parcel No, c��� SubDiv: Address/Location � t TRANSPORTATION IMPACT FEE Rate: Sq, Ft unit, Exempt 0 Yes No How Determined Impact Fee Amount Zone No. _ TAZ: SCHOOL IMPACT FEE Account (056) Single -Family Detached Moose Amount $ (057) Mobile Nome (05) Other Residential (223) collection Fee Exempt . Yes = No How Determined - Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total c Zone Total Amount $ f 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 RESOURCE FEE ERU Total Amount Prepared BY t �ISSUED ked By D CERTI EEOFCUPANYELLR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY ACKNOWLEDGEMENT BELOW ROES NOT IMPLY ACCEPTANCE OF CONCURRENCE, BUT SIMPLY REECEIPT OF A COPY OF THIS FORM, PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME, ii t MIN14 €t DESCRIPTION: LOTS 53-56, BLOCK ],ABBOTTSQUARE PHASE IA, SITE PLAN ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89, PAGES 28-35, OF THE PUBLIC RECORDS OF PASCO COUNTY, (NOTA SURVEY) PROPOSED ELEVATIONS AND GRADING ALL ELEVATIONS REFERENCED his SITE PLAN Prepared for and Certified To SHOWN HEREON ARE TAKEN FORM THE TO NORTH AMERICAN Lenoir Homes ENGINEERING PLANS OF VERTICAL DATUM OF 1988 "ABBOTT SQUARE RESIDENTIAL PREPARED (NAND 88) BY "WRAPROVIDED BY CLIENT _------ CURVE DATA (P' LOT = 12724 SO. FT. LIVING AREA = 2866 SQ, FT, ENTRY — 220 SO. FT. GARAGE = I058 SO. FT, COVERED LANAI = 374 SQ. FT. PATIO = NA SO. FT. POOLAREA = NA SQ. FT, CONC. DRIVE 504 SQ- FT A/C & CONC PAD — 36 SQ. FT. SIDEWALK = 316 SO. FT, SIDE YARD SWALE = NA SO, FT, CONSERVATION AREA = NA SO, FT. LOT OCCUPIED = 42 % AREA TO IRRIGATE = 58 % SEC. 4, TWR 26 S, RNG 21 E. PASCO COUNTY, FLORIDA fABBOTT SQUARE) 4� LE Scale: 1 = 20 CURVE RADIUS ARC LENGTH CHORD LENGTH: 1 CHORD BEARING DELTA ANG C 16 100,00' 20.93 20.89 S 77'06'35" W 1 1'59'22" C17 100,00 20.i4' 20.10' Sb5'20'47"W 11°3T13' cis 100,00' 20,14 . 20.10' S 53'48'34' W 1 1'32' 13' C19 100,00' 22.22' 22.18' S 41-40'3I' W 12°43'54' G� NStiNPN g-i�4 PGE e GJ'CE P4 \005 \PN C 4j04hhN0FgN NI Yy Tb� q3k \\ e \e Sa 3 \\\ PIC ry s P o "i Nly � 0 ��N3 40p�Kv I o��P 0� w°� Qv h B bi p�C,Ks .r. sm s'R y3's E,N�Ry N84°5204•WW IP�_BF) ---------- /9p IS/ 3°T"4 veN o 345 PIC P O \3ti w J` p o. sw ��LOT 52 ��oQt�v a BLOCK I V \4 Q g 5° ? O� Gov s6. 1 V t�.9 _ gti� 1J S b, ebb p ns\N" o gR7�G�%A/ .. 3 ap" \ iN j. N Gi G.yl. LOT 57 (97.86)- NOTES: BLOCK 1 LOT GRADING TYPE z B PROPOSED PAD ELEVATION = 100,00' \ y/ FRONT SET BACK = 20' �/ q _ .t //^`�F�„OO SIDE SET BACK =7.5' G� 3//�� A' SIDE SET BACK (CORNER LOT) =15 '� / \Qy "Jo REAR SETBACK = i S. / )97.18) - �%� />/ / / ti PC't �.� . /J' � ,yg \O PROPOSED: / as ♦ OP\ MINIMUM FLOOR ELEVATIONS: LIVING AREA: 100.67' 1> GARAGE AREA: / = 10.00 PUBLIC UTILITY EASEMENT ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL NOTE: ENTRY WALKS ARE 3.0' CONCRETE % LEGEND: DATUM OF 1988 C/S-A/C UNITS ARE 2.7X2.7 - � �'--►= PROPQSED DRAINAGE FLOW APPARENT FLOOD HAZARD ZONE: -X" COMMUNITY NO. 120235 100,00) = PROPOSED GRADE SURVEY ABBREVATIONS (MAP NUMBER 12101 C-0289-F( EFFECTIVE DATE. 09/26/2014 E-00.00=EXISTING GRADE A=ARCFNGTH ITl - DEED NV,INVERT PC - POUT OF CURVE PC - RECORD LEGEND A/C —CONDITIONER D - DRAINAGE EASLMEN LB-1 VENDtD3USNESS PCC PINT Or COMPOUND CURVE RNG=RANGE VINYL FENCE AF=ALUMNUM FENCE EL OR ELEV ELEVATION tE- LANDSCAPE EASE MC PCP PERMANENT CONTROL POINT SEC - RA. ROAD SPIKE =GONG B4=BASE OOD-LEVAIIOU IO PDGE 0-IAVCMEN LEE- LOWEST FI OOR ELEVATION PLE POOLEOUtPMENT IVW=RIGHT OF WAY BM BENCHMARK fBM'T EASEMENT FIT - ( CFNSED SURVEYOR DO -PAGE SEE =SECTION WOOD FENCE C-'U'A' E fLC FENCL CORNER (M)'MLASURLD P.- POINTOFINTERSECTION SN&D - SET NAIL AND DISK AASPHALT IC-CALCUTATFO !-CM^FOUND CONCRETE FREE MIThRF D END SECTION PK-PARKER RATON L.8183 =CENTERLINE e CHAIN LINK FENCE CLF-CHAIN LINK FENCE MONUMENT NO CORNER FOUND -PROPERTY LINE SIR -SET 1/Z" IRON ROD tDNHI83 CMP-CORRUGATED Mi Tat 'P- FOUND IRON PIPE O/A- OVIRAfI POP POINT OF BE GINNING TBM- TEMPORARY BENCH MARK �'6RiCK --# It COL=COLUMN I'iI,-FOUND IRON ROD Ose- OVERHEAD WIRES) POC-POINTOF COMMENCrMENT TOR - TOP OF BANK CONC=CONCRETE IN&U--FOUND NAIL&D- Ott-OFR(1F,I RECORDS Pat POINT ON UNf Ty/P=TOWNSHIP ALUMINUM PENCE C/S A CONCIAGE StAB 10P, FOUND OPEN PIPE (P, -FIAT PRC POINT OF REVERSE CURVE UTILITY FASEMENT �-COVERED CST = CLEAR SGHTTRIANC E IP. =FOUND PINCHED PIPS P8=PLAT BOOK Don PERMANENT REF ERENCE MONUMENT V =VINYL PENCE JOB #6173 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive I-) Current title information on the subject property had not been This certifies �it�}tPih hereon described Tarpon Bonn s Rorida Date of Site Plan 1-23-22 4, . P P g . furnished to Initial Point Land Surveying, LLC. at the time of this property �piS a u EAAk f�$�ervision and Phone: (727)-831-1990 DWG:ASL5356B`-SITE SITE PLAN meetst ��F+Qract(ce for FRRndaPLS7123CgmaiLcom 2.) This sketch was prepared without the benefit of a title search surve�7as &a BC%rd of Land LB# 8183 No instruments of record reflecting ownership, easements or t 3 rA m- File: eights -of -way were furnished to the undersigned, unless otherwise d'�FI� d��V Ive d ned shown hereon. u o e ti n47. ''by, iartle Drawn by: DUB 3.) Roads, walks, and other similar items shown hereon were taken Stat6e 0 Checked byJH from engineering plans and are subject to survey. ++,�++�� I '♦`rCi' ate:, 01.04Y t lh REVISIONS 4.) This SITE PLAN does not reflect nor determine ownership. 4, trT' : ID�.2 C/q}y (�rj,00, o 5.) This SITE PLAN is subject to matters shown on the Plat of ' i il+,, III / 'ABBOTT SQUARE PHASE IA' Jeff M. H�`#•-ay''� __$$O�,�t�e 6.) Dimensions shown hereon are in feet and decimal portions FLORIDA PRiMj SlKMAY YOR AND thereof MAPPER NO. LS##771'4-* 183 7.) Contractor and owner are to verify all setbacks, building 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 a" 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. UAL REV� I E W A S S i T v Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 6996 Ripple Pond Loop Parcel Tax ID: 04-26-21-0140-00100-0550 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. the fee owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services indicated above. Private Provider Finn: Private Provider: Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINE5VILLE, FL 32601 Telephone: �M 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 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. MEMEMMEEM 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 cove -rage for a minimum of 5 years subsequent to the performance of building code inspection services. Individual :(Signature) Print Name: Address: Telephone, Please use appropriate notary block. STATE OF -FLORI-DA COUNTY OF HILLSBOROUGH B Dfare me, this day of 20— personally a ljeaiDd M who executed the, foregoing instrument, and acknowledged before me that same was executed for the purposes therein expressed. Corporation LENNAR HOMES, LL# Print Corporation Name (signdture) print Christopher Smith its: Authori; Address�_700 NW 107th _Ave FL 33172 Telephone, No. 813-574-57yy 00 Corporation Bf,forem,,thjs 22ND day of MAY, 20 2 personally appeared, Of Lennar Homes, LLQ a corporation, on behalf of the state corpomdon, who executed the f6regoing instrument and acicuowled . g5d before me that same was executed for the purposes therein expressed. Personally known X ;or- Produced identi-fcation Type of'identification produced Signature of Not Print Name AS} NotaTyPublic Stamp: commission Expires: ASKEE M 00t4MI. y E XPJPES4 Partnership PrintPartnership Name IN Print Name: Its: Address: a= - Partnership Bofomme, this day of 20___, personally appeared partner/agent on b ehalf of a partnership, who executed the foregoing instrument and acknowle,dged before me that same was execut,Dd.for the purposes therem expressed, Page 2 of 2 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: lucvavirtualreviewassist.com Project: New SFT Address(s): 6988,6992,6996,6998 Ripple Pond Loop 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 1,2,3,4,5,6,7,8,9,9.1,9.2,10,11,12,13,14,15,14.1,16, L-1,L-2, DI,D2,SN,SN-1, S3M,S4M,S5,S6,ST,SS,",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 b e me by Debra Anne Klahr being personally known to or having produced as identification and who being fully sworn and cautioned, state that the to the best of Afo eg ing is true = his/her knowledge or belief g mg is S Si i Cature of No *rintNa�me���� Notary Public: NOTARY STAMP BELOW My I -- ❑COMMERCIAL BUILDING SERVICES DIVISION PRESIDENTIAL BUILDING PERMIT DATA SHEET TRACKING # 17 1QM= 2/03/2023 Building ❑ Inspection Only Plumbing ❑ Inspection Only Mechanical ❑ Inspection Only VElectrical Amp ❑ Ins section Only IV Roof ❑ Gas ❑ Medical Gas ❑ Fire Sprinklers ❑ On Site Piping ❑ Fire Line ❑ Irrigation ❑ Fire Alarm ❑ Potable Backilow Assembly ❑ Fire Line Backflow Preventer ❑ Irrigation Backflow Assembly ❑ Demolition ❑ Walk-in Cooler ❑ Refrigeration ❑ hood ❑ Ansul ❑ FencelWall ❑ Grease Trap ❑ Other ❑ Other Type Construction: Risk Category: Occupancy Load V-B Ogc1Vpancy Classification: ❑Factory Residential ❑ Assembly E-== ❑ Business ❑yDay Care/Educational ❑,Hazardous !� ,❑,institutional In'Mercantile ❑ Storage utility Building Use: Single Family townhouse / Alteration in;Level I ❑,Level ❑ Level 3 VNew Construction ❑ Interior Finish ❑ Interior Remodel ❑ Exterior Remodel ❑ Addition ❑ Revision Overall Size: 20 x 58 Number of Stories: 2 Total Sq. Ft.: 2148 Living Area: 1666 Covered Area: 482 # of Bedrooms: 3 # of Baths: 2.5 Cost per square foot: Estimated Value: 17 Roof Type: X❑ Shingle ❑Tile Built-up ❑ Metal ❑ Other Squares: Zoning: WiRdborne Debris: InsideOutside 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 X Central A/C ❑ Gas A/C ® Heat Pump ❑ Window A/C Gas heat ❑ Electric Heat Sanitary Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line a-mmi" Front Rear Left Right ❑ Asper Approved Site Plan Comments: