HomeMy WebLinkAbout23-5688NOW600
!
wl 00 a I! • ! 02Ui
Issue Date: ! ! C
04 26 210150 !! f i0070 J f J Garden
11
I ! I `I HOMES INER Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC
Class of Work: SFR Construct
1 W Cypress St It�!Building Valuation:•tt ff
f 4 6 "i! !!
Phone: 1 M • f!
Plumbing+i f
Totali If
Total" 't
Paid:Amount • •f♦
i« ! f
CONSTRUCT 2073 SO FT AS
Electrical Plan Review Fee $0.00 Plumbing Permit Fee $19630
Mechanical Plan Review Fee t tf Building ' ! !
Building Permit Fee $1,603.00Connection ! - J. t 1
Transportation Impact Fee - City $36,32 Address i !
ImpactPublic Safety
Plumbing Plan Review Fee ! 11 School: 1!
Driveway Fee $45.00 SIF 1 percent Fee $83.28
3/4 Water Meter Fee (Calc) $794.92 Park Impact Fee - Single Family/Townhome $769.56
Mechanical Permit Fee $149.41 Sewer Connection Residential Fee $2,40000
Public Safety Impact Fee -Admin $26.35 Transportation Impact Fee $3,595.68
REINSPECTION FEES: With respect to Reinspection fees will comply with Florida Statute 553.801 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 agenciesor .fe
"Warning to• torecord a notice of commaymencementyour 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
a y BEFORE C.O.
! . : 0 1
813-780-0020 City of Zephyrhills Permit Application
Building Department
Date Received 908 770
Phone Contact for Permitting
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number
Owner's Address 1 23875 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number
Fee Simple Titleholder Name N!A Owner Phone Number
Fax-813-780-0021
7'63
813.5745700
Fee Simple Titleholder Address
N/A
I
JOB ADDRESS
36404 Garden Wall Way
LOT# 0707
SUBDIVISION Abbott Square PARCEL ID#
1 04-26-21-0150-00700-0070
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
P
NEW CONSTR 8 ADD/ALT
INSTALL REPAIR
SIGN DEMOLISH
PROPOSED USE SFR COMM 0
OTHER
TYPE OF CONSTRUCTION BLOCK FRAME
STEEL
DESCRIPTION OF WORK
Single Family Residence / Pool / Screen Enclosure / Fence
I U/R SF 26Q5 2073
2
BUILDING SIZE SQ FOOTAGE
HEIGHT
T ITT^TI'"FTl'f-7711711 1TTrTT1�A�l�f7�(TfTTTITI�ITlT�1TrTTTIT""
BUILDING $
312600
VALUATION OF TOTAL CONSTRUCTION
V ELECTRICAL
$ 46890
�
® PROGRESS ENERGY W.R.EC.
AMP SERVICE
PLUMBING
$ 31260
""
II./ (MECHANICAL
$ 21882
VALUATION OF MECHANICAL INSTALLATION
GAS ® ROOFING O SPECIALTY =
OTHER
FINISHED FLOOR ELEVATIONS I
FLOOD ZONE AREA
DYES I �—� NO
o
BUILDER COMPANY Lennar ITomes, LLC
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
1 W Boy Scout Blvd Suite 600 Tampa, FL 33607 CGC1518166
Address License #
ELECTRICIAN —� COMPANY Edmonson Electric, Inc.
SIGNATURE REGISTERED Y / N FEE CURREN Y ! N
Address License # EC13005408
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREM1 Y / N
Address License # CFC042998
MECHANICAL. COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN I Y / N
Address ^� mod. 'Fl License# I CAC058062 ^^�
OTHER 7 COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED YIN FEE CURREN Y / N
Address License # CGC057991
IIIIIIIIIBIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIiIII
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'SIOWNER'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, 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.
1:&VA 10 LMITA L":111111 101,14 1 ei Wttolyj 9 JA 1:4 0 k &11 LOW1111111IRM am] U 4 3 WM I W101 NJ 10 1 MR Z I oil 01111101:21jr-11 10 12 1 or —A
OWNER CIRAGENT
Subscribed and sworn ro (or affirmed) before me this
11512023 by _ Christopher Smith
Who istare personally known to me or hasihave ;;;�Pdui;ed
as identification.
11512- by Christopher Smith
Who istare personally known to me or has/have produced
as identification.
Notary Public —Notary Public
Commission No. GG 296057 Commission No. GG 296057
Stephanie Farmer Stephanie Farmer
Name NM:J, Name of NgM:j
VIM" "ER 1 - .
A "M � IN-
t! Cmm*slilio * (10 2%W CO�#002%0
;CN ` ,V E*aFebmaiy15,20
V E*M FOMW 16,
W614 rm Tmy F* WWOM 6*4WT4110 Aw
uaxe vermitterr
Builder Name/Owner Name LA4 alt- 4>ne_ Control
County Parcel No. ID �S' /Y) SubDiv:
9 IM
all
Address/Location 3�1 10 �4t
Classification/Type of Use
TRANSPORTATION IMPACT FEE ' Rate:
Sqe Ft Unit:
Exempt 0 Yes r---1 No How Determined
Impact Fee Amount 3
Zone No. TAZ;
Account (056)
Single -Family Detached House Amount $
(057)
Mobile Home
(058)
Other Residential
(123)
Collection Fee
Exempt = Yes
= No How Determined,
PARK$ AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account _ Recreation Credit Recreation Total
Zone Total Amount
Exempt =Yes = No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt 0 Yes No How Determined Total Amount
RESOURCE FEE ERU
"Emm
PERFORMED UNTIL THE TOTAL AMOUNTS LWED HAVE
Aj� 11111112; �1!1''11,!Fui�ti�C�.*.C-Ct�w-LkQ.QtiAcr�-lk
I KAJ a 110 292 IN 91FE11
'i yj
RIM
RECEIPT NO
030
M
---tr"si ---- I---mO �
0
0 00 to m n N M r---- ----- ------ --- ----- -----
0-rn -a0) 0 (
t 4 '.... P t I i i { i i t F 1 ,. t 4 '.... i t
TYPE B TYPE B TYPE B TYPE B TYPE B TYPE B TYPE B TYPE B TYPE B TYPE B TYPE
T:99.77 F:100.77 FF:101.67 F:102.27 F:102.97 F:103.77 F:104.47 F:105.17 F:105.97 F:106.67 F:107
�D:99.1DJ001PAD:101.0 D:101.6D:102.3D:103.1D:103.8D:104.5D:105.3D:106.00 D:10qr
I
6 L
0 8 LA 9. m 10 N 11 � 12 m 13 mar 14 D 15 0 16
o; o 0 o Q o mo 0 0 0
X
I II
13 98_87 -❑ ❑- 99.83 100.56 101.30 102.03 102.77 103.50104.24 104.98 105.71-
- - - -- - _ - - - - - -
NaT INCLUDED
I I -
•-- - - -- -
� I
-798.59 99.68-°�"" "100.95 102.03-- 103.11 104.19- 7105.27 106.35 107.43—
El
� t !
DESCRIPTION: LOT 7, BLOC(P7, ABBOTT SOUARE PHASE 1 B,
SITE PLAN
N
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89,
PAGES 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
j SHOWN HEREON ARE TAKEN FORM THE Leona, Homes,
TO NORTH AMERICAN
ENGINEERING PLANS OF
VERTICAL DATUM OF 1988
'ABBOT? SQUARE RESIDENTIAL", PREPARED
(NAVE, 88)
BY'WRA" PROVIDED BY CLIENT--
-- -----
LOT
= 4678 SQ. FT,
LIVING AREA
= 952 SO, FT.
PORCH
- 32 SO, FT.
GARAGE
- 396 SQ, FT.
COVERED LANAI
= 104 SO. FT
PATIO:RASO,
FT
POOL AREA
= N/A SQ. FT-
CONC. DRIVE
= 323 SQ. FT
NC & CONIC PAD
= 10 SO FT.
SIDEWALK
= 61 SO, FT.
LOT SOD
= N/A SQ, FT-
R/W SOD
=_NN_ ASO. FT.
LOT OCCUPIED =_10— lye
AREA TO IRRIGATE = 60 %
* 10.00PUBLIC UTILITY EASEMENT
** - 10-00" [CDD) DRAINAGE/ACCESS EASEMENT
Xxtip"H� NE
_._-� PROPOSED DRAINAGE FLOW
(00.00) - PROPOSED GRADE
E-00.00 - EXISTING GRADE
NOTES:
LOT GRADING TYPE =B
PROPOSED PAD ELEVATION- 100.10'
FRONT SET BACK 20'
SIDE SETBACK = T 5
SIDE SET BACK (CORNER LOT =10'
REAR SETBACK - 15
PROPOSED:
MINIMUM FLOOR ELEVATIONS:
LIVING AREA: 100,77'
GARAGE AREA:
ELEVATIONS REFERENCED TO
NORTH AMERICAN VERTICAL
DATUM OF 1988
(CDDJ RIGHT-OF-WAY
TRACT "A"
GARDEN WALL WAY
N 89`48'OT E (P)
BASIS OF BEARING
220
V -•— Z.
SEC. 4, TWP, 26 S, RNG 21 E.
PASCO COUNTY, FLORIDA
fABBOTf SQUARE)
Scale: I" = 20'
„5' CONC WALK N 89'48'04- E (P) 42A9' (P) I"
gbA -R� PC
Vq1 N 89'4504' E jP)
* 447,79'(P)
PC
_ N
li" }
16.0
193 Too
ENTRY
z
0
5.7'
0
LOT 6
PROPOSED
LOT 8
BLOCK 7 y
2STORYRESIDENCEc
BLOCK 7
P
PLAN 2074
N
ELEV 'B' o
0
9, GARAGE L
LOT 7
o
BLOCK 7
0
o
8
ZS-0'
_
13.0'
pb\
13.0 12.0'
10.0'
7iD0
3.2'X3.2' ,..
\q9
O/
! C/S-A/C
I
j if
1
P
__________
N 89`48'04" E (P) 42,57
(P)
_______
`Pgg'1\
TRACT "BUS"
l
(CDD) ACCESS/DRAINAGE/
LANDSCAPE/ WALL
MAINTENANCE AND FENCE
AREA:
OPEN SPACE
APPARENT FLOOD HAZARD ZONE: "X' COMMUNITY NO. 120235
SURVEY ABBREVATIONS (MAP NUMBER 12IO1C-0284-F) EFFECTIVE DATE. 09,/26i2014
AI-Arzc .NGnF
ACAD CONDITIONER
IN -DED
TF- DRAINAGE EASFMEN
JNV-INv RT
L9=LJCCNSED8UdNSS
PC= ONTOFCURVE
PCC ODN r OF COMPOUND CURVE
iR -RECORD
RNG-RANGE
LEGEND
t}, �= VINYL.`ENCE
AF-ALi-a—FENCE
ELCrRELFV ELEVATION
L.E- LANJSCA°E EASEMENT
PCP PERMANENT CONTROL POINT
L ROAD SP'KE
CONC
` L ..
BFF -BASE FLOOD ELWAi ON
1 01- EDGE OI PAVEMENT
LEE- I OWEST FLOOR ELEVATION
P E-- POOP EOtf,PMENT
/
Ow - Rl
aRIGHTOFWAY
,-CUR'NCi MARK
C CURVE
E/C - F EASEMENT
PC `FEN
INT - MEAS DSLRVEYO:
IMP-M AFREDE
REDLDv/fJO
PJ - PAGE
INTERSECTION
P. PARK
SEC
SEC S SON
SN&D-SC NAIL. AND DIS'(
WOOD FENCE
� •ASPHALT _
\
C" —CUA-ED
DCTONR
C04CRETf
REDEn SECT'pN
R
PK=ARK RKAON
Bl-SLT
C N
MONUMENT
MONUMENT
NCF-NOCORNER �OUNJ
NO-NO
z
_ RO F
SIRH ST i 1 IRON ROD
C1 PAIN LINK FENCE
C- 'IiFlN NK FM1Cc
"A
IP- FOUND ¢ON PIPE
C/A -CORNER
P03 f 0 NT LSECEE
HrB I
TOB, TEMPORARY 5eNLN MARK
cM �COftRUCAT�D META PP[
OFF
NROD
III-FOU
OR-OVr2HEAECORIC,
OF COMME C
POC OF COMMENYTMENT
TOB-TOP BANK
O T-C�NN
CONC^CONCRETE
D
FN&D-FOUND NAIL&DISK
O.R. -OfFICIAL RECORDS
LOINT
POt POW ON LINE
WP-TOWNSHIP
N
ALLMINUM FENCE.
C/S=CONIC BETE SLAB
OP -FOUND OPEN PIPE
t PP
(P) -PLAT
PB-PAT K
PRC POINTOFREVERSECURVE
PRM ^ PERMANENT REFERENCE MONUMENT
U.Er tJlILI1v EAS[MENi
COVERED \\ _
Ca, UFAR SIGHT TRIANGLE
P=FOUND PINCEIED. IIE - t QOO
V - ENN,I ENCE
JOB #6179
SURVEYOR'S NOTES:
L) 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-ot way were furnished to the undersigned, unless otherwise
shown hereon
SURVEYOR'S CERTIFICATE
This certifies t �Ithe hereon described
.colwca�ri
prep a �eie �i ftapervision and
meets t(7L� pfC. Qf Practice for
survey@ [ �iard of Land
Zed
Flo' 4, ti
u uan to Section 4 ",'!N ul i t�2 Y
P G
1708 Water Oak Drive
Tarpon Springs, Florida
P-
Phone: (727)-831-1990
Florida PLS7 t23@gmaiLcom
LB# 8183 ra
Date of Site Plan :1 1-23-22
DPEG:AS-PI nB v-B-7 SITE
Fite-
Drawn b DJB
y
3.) Roads walks, and other similar items shown hereon were taker,t
from
-
Qdt2.�� .Q2}
Checked by JH
engineering plans and are subject to survey.
4.) This SITE PLAN does not reflect nor determine ownership.T
S.) This SITE PAN is subject to matters shown on the Plat of
11U,3SIQQI
N� A
A S1 -sx°'
'�`Es
? t PN
f2EVISIONS
"ABBOTT SQUARE PHASE 1B'
6.) Dimensions shown hereon are in feet and decima(portions
t� { _ �-*:`-----
Jeff M O� 4 to
FLORIDA P63ttig�t@ I 4'YORAND
Q
thereof
MAPPER NO-t4liki {fit{ 83
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
den from information shown hereon. Failure fn to do so will be LICENSED SURVEYOR AND M
viatioMAPPER Initial Point Land Surveying, LLC.
�r„�o.<Y 9
Lot Size Y/0-
Setbacks: Front ),(9 Rear--27
Elevation
Garage
Roof Single Dimension/Architectural
V 9', UAL REIV;-W
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 36404 Garden Wall Way
Parcel Tax ID: 04-26-21-0150-00700-0070
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.
909199MM
the fee
owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services
indicated above.
VIRTUAL, REVIEW ASSIST, INC.
Private Provider Firm: —
Private Provider: DEBPA ANNE KLAHP
Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
Telephone: 813-376-3088
Email Address (Optional):
Florida License, Registration or Certificate #:
Fax: N/A
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 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 subs equent to the perfprinance.of building code inspection services.
Print
Name:
Address;
Telephone
op�Z'11 MIA
STATE OF FLORIDA.
Btforeme,tbis day of
20. personally
appeared
who executed the forego'ing instrument,
and acknowledged before me that same
was executed for the purposes therein
ekprtssed.
i�orporation
LENNA2-V
Print porationName,
(signiture)
print
Name.. Christopher Smith
itsAuthorized Acient
Address: 700 NW 107th 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, LLQ a
-corporation, on
'behalf of the state corpoTadon, who
executed the foregoing instrument and
acicnowledgDd before me that same was
executed for the purposes therein
expressed.
Partnership
Print Partnership Name
By:
(signature}
Print
Name:
Its;
Address:
Telephone
No.:
Partnership
B eforo me, this —day
of
pers6naUy appeared
p artaor/agent on behalf of
a partnership, who executed the
foregoing instrument and
acknowledged before me that same
was executedfor the purposestherein
expressed.
Personally known X ; or- Produced identification Type of identiBoation. produced
Signature of Notal-, PrintName,
—ASHLEE CALLAHAN
NotaiyPublio Stamp:
ASHLEE CALLAHAN
Comnssion Expires, MY COMMISSION 0 HH UW
EXPIRES: Nmmber 30,2028
Page 2 of 2
C] COMMERCIAL BUILDING SERVICES DIVISION JVRESIDENTIAL
BUILDING PERMIT DATA SHEET
FIRE MARSHAL #OI -
Required Permits
1
10 - IT, I o.72
Building
El Inseection Only
"Plumbing
❑ Ins )ection Onl
'Mechanical
Ins ection Only
❑ ,
'Electrical Amp
Q In ection Onl
Roof
❑ Gas
F
❑ Medical Gas
❑ Fire Sprinklers
[-1 On Site Piping
❑ Fire Line
[:] Irrigation
F� Fire Alarm
❑ Potable Backflow Assembly
❑ Fire Line Backflow Preventer
0 Irrigation Backflow Assembly
❑ Demolition
❑ Walk-in Cooler
❑ Refrigeration
[j Hood
❑ Ansul
❑ Fence[Wall
Grease Trap
❑ Other
❑ Other
T e Construction:
V-B
Risk Category:
Occupancy Load
Occupancy Classification:
❑,Factory
Residential
.............
❑,Assembly
i❑ Hazardous
;E] Storage
_.�..
❑ Business ❑_Day Care/Educational
❑sInstitutional :❑ Mercantile
i❑ Utility
Building Use: Single Family l Alteration ❑,Level 1 ❑ Level 2 ❑Level 3
VNew Construction ❑ Interior Finish ❑ Interior Remodel ❑ Exterior Remodel ❑ Addition ❑ Revision
Overall Size:
25 x 62
Number of Stories:
2
Total Sq. FL:
2605
Living Area: 2073
Covered Area:
532
# of Bedrooms: 4
# of Baths: 2.5
Cost per square foot:
Estimated Value: 17
Roof Type: 91 Shingle
[Nile ❑ Built-up
❑ Metal ❑ Other Squares:
Zoning:
Wipdborne Debris:
,Inside Outside
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
FXJ Central A/C
❑ Gas A/C
® Heat Pump
Q Gas Heat
❑ Window A/C
❑ Electric Heat
On Site Piping
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
Front Rear Left Right
Asper Approved Site Flan
Continents:
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: luc,v(il)virtualreviewassist.corn
Project: New SFT
Address(s): 36404 Garden Wall Way
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 Klalir
Plan Sheets: CS,1.1,1.2,2.1,2.2,3,4,5,6.1,6.2,7, SN, SNI,S3,S4,S5,S6, ST,SS,D1,D2,WP,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:
7
SWORN AND SUBSCRIBED before me by Debra Anne Klahr
being personally known to me or having produced as identification
and who being fully sworn and cautioned, state that the
f rego is true an tto the best of his/her knowledge or belief.
v-
L
, LAI
4're of Notary Print Name