HomeMy WebLinkAbout23-5696City r iIi...... L
5335 Eighth Street ��`, �� �`, 1R�
zephyrhills, FL 33542 BNR-005696-2023
Phone: (813) 780-0020
Fax: (813) 780-0021 issue gate: o2l2voz
Permit T e: Building New (Residential)
! ii !! 0040 36382 Garden Wall Way
i is "^ � f • • e .' ♦'
Ni y. �1�IP.,. r HOMES W' N E�.� ._mType:iBuilding �i N w (Residential)�Contractor: L N H E Ali
Work:Class of Construct
Address: 4600 W Cypress St 200 Building Valuation: $312,600.00
Phone: (813) 574-5700 Mechanical Valuation: $21,882.00
Plumbing Valuation: ♦i ii
Valuation:Total ii
Totali i
.27
Amount ♦ • !ii
Date ` i3:25:06PM
CONSTRUCT SINGLE FAMILY 2073 SO FT AS
• a f
'Plum
• i Permit Fee 96i Building Plan Review._ .i 1
Mechanical Plan Review Fee $0.00 Transportation Impact Fee ♦
3/4 Water Meter Fee (Calc) ••+ ii!
'Address! li Mechanical Permit Fee $149.41
SinglePark Impact Fee - ♦ •i r Sewer Connection•i! i
Public Safety Impact Fee a♦
Building Permit Fee $1,603.00 Driveway Fee $45.00
#' M ! Transportation
Publicri t i Water ConnectionResidential!
Plumbing Plan Review Fee WOO School Impact Fee - Single Family $8,328.00
REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida • ` f i
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• county,::• there may be additional permit required from other governmental
management,entities such as water or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
J
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL - INSPECTION 8 HOUR NOTICE REQUIRED
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
__ar» Building Department
Date Received Phone Contact for Permitting 908 770 _ 7763
.-i 1--1.-."F-.r _I -IA- Tr-.�4LZ7 -T( 7_T7 1."I-" _ �'
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 I N/A^� Owner Phone Number
Fee Simple Titleholder Address
I N/A
JOB ADDRESS
36382 Garden Wall Way
LOT# 0704
SUBDIVISION
Abbott Square
PARCEL ID#
04-26-21-0150-00700-0040
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
F]
NEW CONSTR F—] ADD/ALT
INSTALL REPAIR
SIGN
DEMOLISH
PROPOSED USE SFR COMM
OTHER
TYPE OF CONSTRUCTION BLOCK FRAME
STEEL
DESCRIPTION OF WORK
Single Family Residence / Pool / Screen Enclosure / Fence
U/R SF 2605 2073
28
BUILDING SIZE SQ FOOTAGE
HEIGHT
—r^ / m r°r
Y BUILDING $ 312600 VALUATION OF TOTAL CONSTRUCTION
��JJJ
8/ tELECTRICAL
Iii
$ 46890
® PROGRESS ENERGY O W.R.E.C.
��!!
AMP SERVICE
L iPLUMBING
Y
r$ 31260
LL$
Y
tl./ (MECHANICAL
Y ♦��GAS
21882
VALUATION OF MECHANICAL INSTALLATION
® ROOFING SPECIALTY =
OTHER
p
FINISHED FLOOR ELEVATIONS
71
FLOOD ZONE AREA
�"
DYES ( NO
[
�*
BUILDER COMPANY I
Lennar I Ionics, LLC
SIGNATURE t'd REGISTERED I Y / N I FEE
Address License #
4 W Boy Scout Blvd Suite 600 Tampa, FL 33607 GGG1518166 �
ELECTRICIAN COMPANY
Edmonson Electric, Inc.
SIGNATURE REGISTERED LY / N FEE CURREK Y / N
Address Z License# EC13005408
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License# CFG042998
MECHANICALpa COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE �F REGISTERED Y / N FEE CURREt Y / N
Address �{ % License # I CAC058062
C Sterling Quality Roofing, Inc
OTHER COMPANY g y g�
SIGNATURE REGISTERED Y / N FEE CURREN I Y / N
Address �— License # CCCO57991
IIIII1tIt11111II1111111111I111I111111111f111I111I1111011111111111I
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.
. . 1 Mlm-
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)
Rercofs 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, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Southwest Florida Water Management District -Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers -Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit -Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency -Asbestos abatement.
Federal Aviation Authority- Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone W" unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT
Subscribed and sworno (or affirmed) before me this
V-3 by Christopher Smith
Who is/are personally known to me orb
PFGdWG@Gl
as identification,
Subscribed and sworn to (or affirmed) before me this
11--1 by Christopher Smith
Who is/are 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 Name of
E#m F"ay 116, 20 Evir"fabramy"IM3
101,
!N`&N
Nm:j
U
Permit No, A
- Date Permitted ,-z?p,Z3
Builder Name/Owner Name Control #
County Parcel No.
Address/location
Classification/Type of Ilse
TRANSPORTATION I PACT FEE Rate: Sqo Ft unit: ze7
Exempt 0 Yes No How Determined
Impact Fee Amount _$ 2_ Zone No, TAZ:
Account (056) Single -Family Detached House Amount $
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt = Yes = No Flow Determined -
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone Total Amount $$ � �
zzwYes = No How Determined
�
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt 0Yes No Flow Determined Total Amount
RESOURCE FEE ERti
Total Amount
gap
RECEIPT No
PERFORMED UNTIL THE TOTAL AMOUNTS
E
t
go
RCP @ 0.30% 94.9g �152- 60" RCP @ 0
- 396 m 0 0 ro
---- �-___--�- "--- -----lp.----'rn -�
i.14% -24' - 18" RCP @ 0.30%
0
TYPE'B' TYPE'B' TYPE'B' TYPE'B' TYPE'B'
FF:97.77 FF:97.77 FF:97.47 FF:97.47 FF:97.57 j
PAD:97.10 PAD:97.10 PAD:96.80 PAD:96.80 PAD:96.90
7-15 2 23 24 25 26
0) 03
3' - 60" RCP @ 0.30%
96.3795.87 96.50-96.68 97.24
j I TYPE'B'
i - - FF:97.97--
k; PAD:97.30
,
MATCH LINE
SEE SHEET C212
36" RCP @ 0.30% 95.U0 _-24' - 18" RCP @ 0.30%
O
SD7-7
51' - 24" RCP @ 0.30%
° a)
a
` SDll-14
FTY-PEW'
TYPE'B'
TYPE'B'
TYPE'B'
TYPE'B'
FF:97.47
FF:97.27
FF:97.57
I FF:98.27
FF:99.07
f
PAD:96.80
PAD:96.60
AD:96.90
<. AD:97.60
AD:98.40
I
1
0 2
3
ty `�.,.4 _.
5
ry
�a�
ccn
yr
m
ca
ui
m
m
m
a, m
oD
rn
96.48---�95.31-
96.13
96.63
97.3798
SILT FENCE
-` SILT FENCE
g`BLO $
97.74.
- CONSTRUCT STRUCTURE:
DOUBLE FORM REQUIREI
LOT RETAINING WALL
DESCRIPTION: LOT 4, BLOCK 7, ABBOTT SQUARE PHASE 1 B,
SITE PLAN
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89,
PAGES 57-62, OF THE PUBLIC RECORDS OF PASCO COUNTY,
?NOT A SURVEY)
FLORIDA. _
_
r.
PROPOSED ELEVATIONS AND GRADING
his SITE PLAN Prepared for and
CerC(fied To:
ALL ELEVATIONS REFERENCED
SHOWN HEREON ARE TAKEN FORM THE
Leonar Homes
TO NORTH AMERICAN
ENGINEERING PLANS OF
VERTICAL DATUM OF 1988
"ABBOTT SQUARE RESIDENTIAL`, PREPARED
(NAVD 88)
BY'WRAPROVIDED BY CLIENT__.-.
;CDD) RIGHT-OF-WAY
TRACT"A"
GARDEN WALL WAY
N 89-48'04` E (PI
BASIS OF BEARING
5' CONIC WALK N 89'48'04- E (P) 40,00' (Pi
LOT
= 4400 SQ. FT.
-- — --
LIVING AREA
= 9_52SQ. FT.
PORCH
�_SQ. FT.
GARAGE
396 SQ.FT,
COVERED LANAI
104 SQ. FT.
PATIO
= NCR SQ. FT_
Z
POOL AREA
= N/A SQ, FT.
S
CONIC. DRIVE
= 355 SO, FT.
A/C & CONC PAD
= 10 SO, FT_
SIDEWALK
- (_DSO, FT.
LOT SOD
=_N_ A SO FT
LOT 3
R/W SOD
= NiA SO- FT.
BLOCK 7
LOT OCCUPIED
= 4 %
AREA TO IRRIGATE
= _ %
o
6
* =- 10,00 PUBLIC UTILITY EASEMENT
LEGEND:
�- PROPOSED DRAINAGE FLOW
(00,00) = PROPOSED GRADE
E-00.00= EXISTING GRADE
NOTES:
LOT GRADING TYPE -B
PROPOSED PAD ELEVATION = 97.60
FRONT SET BACK - 20
SIDE SET BACK =. 7.5
SIDE SET BACK (CORNER LOT) =10'
REAR SETBACK - 15
PROPOSED:
MINIMUM FLOOR ELEVATIONS:
LIVING AREA: 98.27'
GARAGE AREA:
ELEVATIONS REFERENCED TO
NORTH AMERICAN VERTICAL
DATUM OF 1988
SEC. 4, TWP. 26 S, RING 21 E.
PASCO COUNTY, FLORIDA
(ABBOTTSQUARE)
Scale: 1 " = 20'
/9G 1 PC
N 89.4804" E(P)
i-
t I I 1•
75 193'
ENTRY '
LOT 5
5.7 }
PROPOSED
BLOCK 7
S
22 STORY RESIDENCE
PLAN 2074
N [LEV'A"
�I GARAGE R
LOT
BLOCK 7 0
Rs
l
o
i 13.0'
N m
o.
7.5' 12.0' 13.0' 7. `'.
J
3.2'X3.2'
t I C/S-A/C
co j m
i
__________
IN89-48-04- E (P) 4CEOO 1P) l9,Oj
TRACT
(CDD) ACCESS/DRAINAGE/
LANDSCAPE/ WALL
MAINTENANCE AND PENCE AREA;
OPEN SPACE
APPARENT FLOOD HAZARD ZONE: 'X' COMMUNKFY NO. 120235
SURVEY ABBREVATIONS (MAP NUMBER 121 O1C-0289-F) EFFECTIVE DATE: 09/26/2014
Ai-ARCLEN TiI In DEED INV- VERI IC - POINT OF CURVE (D ItcORD LEGEND VINYLIENCE
yC^AIRCONESTIONER f DRANAGL EASEMENT l9-LICENSED IR SN,S tCC OIN OFCOMPOINDCURVE tND-RANGE I co I-�
AT ALli NIM I.NCI EI O2ELEV it\A.ON �, LANDSCAP.ASEMNi (CP PERMANENT CONRO. POINT RRS-RA ROADS1'KF ft#:f, '-i
E3F: BSC FOODLIEFO ON Iff -LOWFS OO.RE VATON t-E-POD QUIPM, N- RISE aRCl RIGHT OF WAY
B CONCH MARK WOODFENCE
I SET-EAS MEN' S CFN SURVEYOR tG--PAG SEC, SECTION
C CURVE ITC^FENCECORNER IM=MEASURED ^ION OF INTERSECTION SN&D-SL NAIL AND DSK 'rASPHAt1
1< CALCUWTD FCM -FOUND CONCRETE MES- MITERED END SECTION 's-IARKER FALL ON LBN8181
CENTER INF MONUMEN N(F=NO CORNERFOUND PROPERTY LINK SIR= SET 12' IRON ROD)B>B:B3 CHAIN LINK FENCE
CI - CHANtN :NICE PIPmfOUNDRON USE CIA -OVL `RA�°oB ION' OF BEGINN,IVG TENT �THOCEARY BENChv'NARi( �-BRIG(
CMP =—% --'r
COIERUGA �D META N,4-FOUN✓.RONW IS CMW-Q-1,1PAD SGR_S PO( PONT O` COMM..NCTMENT
{ I., COLJMIV rI W rTDi OFBANK
GOG1-cONCR. IE FNAt3-FOUNDNAL&DESK O.R.-OFFCIALRECORDS POz PJh ON DO TWF -TOWNS FlUMWUM, FENCE"
FO°�FOUND OPEN PIPE (Pl -PLAT PRC POINTOFREV ESE CURVE U.I - OFT Y SAY'
i=COVERED
CSA 1'61I FSLAn LISP - FOUND PINQiED PIPE P5-PLAT BOOK PRM PERMANENT RE, EFRENCE MONUMFN — \\
CSTd CLEAR SIGHT TRIANGLE VF-^VINYL NICE
JOB #6176 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive
1,) Current title information on the subject pi operty had not been This certifies that sketch of the hereon described Tarpon Springs, Florida
Date of Srte Plan; 11-23-2z furnished to initial Point Land Surveying, LLC at the time of this was ,,,,�b.�
property ��� -`�, �f45iR�Pervision and Phone: (727)-831-1940
DvFCFAS-R IBL4BUSITE SITE PLAN meets the Lp 1 a* Al 4 racticefor FloridaPLS7123Figmai,co,
2.) This sketch was prepared without the benefit of a title searchu l� LB# 8183p°
No instruments of record reflecting ownership, easements or In I - r
Rle rights -of -way were furnished to the undersigned, unless otherwise p n a Ask ob�y M a rtle
shown hereon purstOnt t Sernan 72 7 tYy.,
Drawn by DJB 3.) Roads, walks, and other similar items shown hereon were taker SC C�aiFleor �Ib i ,d
Checked by:JH from engineering plans and are subject to survey- .� 23.,-N�,��,,I
REVISIONS 4. This SITE PLAN does not I effect nor determine ownership. ! !.+ A- t
6.) This SITE PLAN is subject to matters shown on the Plat of m� ST 6 OF ate: ,CL\
'ABBOT, SQUARE PHASE 18 Jeff M. t _ELQBIDA t!C IS
6.) Dimensions shown hereon are in feet and decimal portions FLORIDA 0�Y AND V
thereof. MAPPER NO .. L� 1
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
deviation from information shown hereon. Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC.
at users Spite risk.
W
t
— ®4e;-
0
�� 0 0 Too
13
V
T
Use of Private Provider
Effective January 20, 2003
0 1 0 0 11 1 11
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, affinn I have entered into a contract with the Private Provider indicated below to conduct the services
indicated above.
Private Provider Firm: VIRTUAL REVIEW ASSIST, INC.
Private Provider: DEBPA ANNE KLAHR
Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
Telephone: 813-376-3088 Fax: N/A
Email Address (Optional): deb@virtualreviewassist.com
Florida License, Registration or Certificate #: (LIC # BU1967/ PX2300/ BN4615)
I have elected to use one or more private providers to provide building code plans review and/or inspection
services on the building that is the subject of the enclosed penult 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.
The following attachments. are provided as required,.
I. Qualification statements * and/or resumes of the private provider and all duly authorized representatives.
I. Proof of insurance for professional and comprehensive liability in,the, amount of $1 million per
occurrence relating to all services perfbimed as a private provider, including tail coverage for a minimum
of 5 years subsequent to the performance of building code inspection services.
Individual Corporation Partnership
:(Signature)
Print
Name:
Addressf-
Telephone
No.;
Please use appropriate notary block.
STATE OF FLORIDA
COUNTY OF —HILLSBOROUGH
Individual
Btforeme, this— -day of
20— personally
appearrd'
who executed the foregoing instrument,
and acknowledged before me that sEunff,
was executed for the purposes therein
expressed.
LMNINIAN riulvir-0. LLU
Print Corporation Name
(signature)
Print
Name: Christopher Srrith
its: Authorized Aaent
Address: 700 NW 107th Ave
Miami, FL 33172
Ttle,phone-
No. 813-574-5700
Corporation
Before me, this 22N0 day of
MAY 20 2-2
personally appeared
of
Lennar Homes, LLC a
corporation, on
behalf of the state corporation, who
executed the f6mgoing instrument and
acknowledged before me that same was
executed for the purposes therein
expressed.
PrintPartnership Name
Sm
(signature)
Print
Name-,
Is,
Address;
Telephone
No.:
Partnership
B tfore me, this day
of
pe,rs6n0y appeared
partner/agent on behalf of
a partnership, who executed the
foregoing instrument and
acknowledged before me that same
was extontDd-for the purposes therein
expressed.
Personally known X- or- Produced identitcation Type of identification produced
A
Signature of Notar�W PrintNarne
AS! LEE CALLAHAN
NotaiyPublic Stamp:
V, ASHLEECALAHAN
Commission Expires; My COMMISSION # HH 295980
30,202no
EXPIRES: November
Page 2 of 2
❑� COMMERCIAL BUILDING SERVICES DIVISION VRESIDENTIAL
BUILDING PERMIT DATA SHEET
TRACKING #
r 3 a •enWall a
[ammmurmm
Building
❑ Inspection Onl
WPIumbing
❑ Ins )ection Onl
Mechanical
❑ Ins ection Onl
Electrical Amp
El is ection Onl
Roof
❑ Gas
❑ 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
❑ Ansul
❑ Fence/Wall
❑ Grease Trap
❑ Other
❑ Other
Jyp.e Construction:
V-13
Risk Category:
Occupancy Load
Occupancy Classification:
❑Factory �,
Residential L
�❑ Assembly � Business ![I Day Care/Educational
,O" Hazardous ❑ Institutional ;❑ Mercantile
❑ Storage C� ❑ ❑ Utility
Building Use: Single Family I Alteration ❑ Level I IF;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. Ft.:
2605
Living Area: 2073
Covered Area: 532
# of Bedrooms: 4
# of Baths: 2.5
Cost per square foot:
Estimated Value: 17
Roof Type: X Shingle
❑Tile ❑ Built-up ❑ Metal ❑ Other Squares:
Zoning:
WirBborne 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
X❑ Central A/C
El Gas A/C
X❑ Heat Pump ❑ Window A/C
❑ Gas Heat ❑ Electric Heat
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
Front Rear Left Right
❑✓ Asper Approved .Site Plan
Comments:
V /\
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: ILugy(gviiEtualreviewassist,corii
Project: New SFT
Address(s): 36382 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 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, 1. 1, l.2,2.l,2.2,3,4,5,6.l,6.2,7, SN, SNI,S3,S4,S5,S6, ST,SS,D 1,D2,WP,PA I .O,PA 1. 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 4: PX2300
Signature of Reviewer: /�J
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 re oing is true an correct to the best of his/her knowledge or belief.
Signature of Notary Wint Name
commission expires: