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
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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'
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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: