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Home My WebLink About23-5772City of lis i � V\ 5335 Eighth Street .`% Zephyrhills, FIL 33542 BNR-005772-2023 Phone: (813) 780-0020 Fax: (813) 780-0021 issue date: 0t09i2023 ►77 • i iiiiiiii lq� ill III t' ! r i!I WIN ill 0230 00000 0210 38090 Fallstone Name: LENNAR ME. LLC-OWNER Permit Type: BuilI li New (Residential) Contractor: AIR HOMES LiC Class o : Townhome Address: F « A FL 33607 Valuation:Electrical i Phone: { • PlumbingValuation: $25,032.00 Valuation:Total is Total Amount Paid:Date i is it � Driveway Fee $45.00 Mechanical Permit Fee $12761 Sewer Connection Residential ii i Plumbing Valuation Fee $0.00 Address i Water Connection Residential Fee $1,140.00 Park Impact Fee - Single Family/Townhome $769.56 3/4 Water Meter Residential } }n Fee $794.92Transportation} . $3,445.20 ImpactPublic Safety $254.00 Impact} Electrical Plan Review Fee $0.00 Mechanical Plan Review Fee Building Plan Review Fee $18000 Electrical Permit Fee $22774 Wall/SmokeFire } /i Plumbing Permit Fee $165.16 Transportation IMF 813-780 1020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting 908 770 __ �5700 1 T -� F I I V- �ISL7 _ _ TTF-[-T Owner's Name Lennar Homes, LLC Owner Phone Number Owner's Address 4301 W Boy Scout Blvd, Ste. 600, Tampa, FL 33607 Owner Phone Number Fee Simple Titleholder Name I N/A Owner Phone Number N/A Fee Simple Titleholder Address I JOB ADDRESS 38090 Fallstone Way LOT# 0021 SUBDIVISIONTownes at Autumn Palm i PARCEL ID# 15-26-21-0230-00000-0210 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR B ADD/ALT P INSTALL REPAIR SIGN DEMOLISH PROPOSED USE 0 SFR COMM OTHER TYPE OF CONSTRUCTION [ED BLOCK O FRAME STEEL DESCRIPTION OF WORK Multi -family / Screen Enclosure / Fence U/R S} 2Q$6 1634 28 BUILDING SIZE SQ FOOTAGE HEIGHT T 11'TPfTPY^rTT'!'7'" f"R� [� � BUILDING $ 250320 VALUATION OF TOTAL CONSTRUCTION f-71 1./ (ELECTRICAL $ 37548 t��I ® PROGRESS ENERGY W.R.E.C. AMP SERVICE _ i T PPLUMBING $ 25032 5 ♦II./ IPMECHANICAL $ 17522.4 VALUATION OF MECHANICAL INSTALLATION v •=GAS ® ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA r � Li YES ( NO Lennar homes, LLC BUILDER COMPANY SIGNATURE REGISTERED Y / N FEE GURREN Address 43 W Boy Scout Blvd Suite 600 Tampa, FL 33607 License # 7C1518166 ELECTRICIAN COMPANY Edmonson Electric, Inc. SIGNATURE REGISTERED Y / IN FEE GURREN I Y / N Address License # EC13005408 PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y ! N FEE GURREN Address License # I CFC042998 MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE �1 REGISTERED Y / N FEE GURREN Y / N f CAG058062 Address .�` License # OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE --REGISTERED Y ( N FEE GURREN I Y / N Address License # �CCC057991 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, Stonnwater 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 If 0) 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 (PloUSurvey/Footage) Driveways -Not over Counter if on public roadways..needs ROW M3 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, Welland 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. (F,S, 117.03) _go� OWNER OR AGENT Subscribed and sworn (or affirmed) before me —this 11112021 by Christopher Smith Who is/are personally known to me or-h��iGed as identification. 4) Notary Public Commission No. GG 296057 Subscribed and sworn to (or affirmed) before me this 1111-1 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 NameNMJ Name of N ft SYMMIEFAMER STEPKWE F"ER COMWO1062W E*Ms FOXUNY 16, gtF 92�m&;- Z;Irlm X-APWC�&- LAAA-lp Plwl AAA CHEW CW (,C-0,4 PAID r--W- mt W-10- � = n M awmat OliI m wimms ffir�� I PIR2 F"SP iLJ Lh-Wt--- WI-IRW/15 M,-S'-i--- NLET S-2 SIGN (20 MPH) 0 21+0 '82.51 DESCRIPTION: LOTS) 17-24, TOW NES AT AUTUMN PALMS, ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89, PAGE(S) I 13-f 14, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. b NOTES: N LOTGRADINCTYPE N/A ------------ ------------ I PROPOSED PAD ELEVATION p N/A U, FRONT SET BACK 15 - --------- SIDESETBACK 10 1 2833 (P) REAR SETBACK--20' U AL WALKS 3.0 UM ESS NOTED k4 ALL A/C 2x32 3.2x VE/U/D = INGRESS EGRESS/ R4 zs 100 UTILITY/ DRAINAGE ESM T _OT 17131 SCLFT. IVING AREA =5336 SO FT SNTRY = 672SCL FT. , 'A R AGE = 1848 SOF FT COVERED LANAI = 868 SO. F1 P- IATIO MA SO FT 'OOLAREA = NA .-,--SO. FT LONC, DRIVE 2400 SOL FT A/C & CONIC PAD - 80 SO. FT TRACT "I" SIDEWALK - 324 SO. FT, PRIVATE PARK SIDE YARD SWALE NA SO, FT CONSERVATION AREA = NA SO_ FT. -Or OCCUPIED = 68 % AREA TO IRRIGATE = 32 % n* TRACT 'EF LANDSCAPE BUFFER I IEFNiR I", 1 1-11 111) SEC. 15, TWP. 26 S, RNG 21 E. PASCO COUNTY, FLORIDA (TOWNES AT AUTUMN PALMS) S 89'5608"E IP 00 -------------- 7— (P) T 18,00 (p) T 18 00 IF) 'T 18 00 (P) 2830 IP) if j!L 10. 18,01 1 18.0 1 1 FLor I ISO a 18,3 07 Jo UNIT C UNIT C UNIT{ 1624 1624 EC 1624 PROPOSED r 2 STORY --144-8 UNIT B 1516 o UNIT -A 1532 LOT LOT SLOT �cI� LOT 1N LOT b LOT 6 LOT iN LOT I, LOT CHAINK FFNKE 24 23 2 20 01 21 20 1 19 18 1 17 rvo 16 SAND/DIRT &T 0m 617' 6.7 6 7 63 m t 9 70 NvRr"D"Ae", I V, LEGEND: PROPOSED ELEVATIONS AND TYPE GRADING SHOWN HEREON ARE TAKEN PROPOSED DRAINAGE FLOW FORM THE ENGINEERING PLANS OF "MASER j 11 3, 00,00) PROPOSED GRADE CONSULTING P.A. PROVIDED BY CLIENT 113 1 -1 113 11 T 113 113 L I — 1 '! loo. 2'OA 710,0, JT I acr f(to EXISTING GRADE K E-00,00 % A 10 INGRESS EGRESS /U E & DE 4 U ELEVATIONS REFERENCED To NORTH AMERICAN 'T APPARENT FLOOD HAZARD ZONE ')CCOMMUNITY NO. 120235 VERTICAL I ---------- ERT CAL DATUM OF 1988 (MAP NUMBER 12 IOIC-0452-F) EFFECTIVE DATE. 09/26/2014 NAVD 88)• LOT J'� �(P) 11 SURVEYOR'S NOTES: �Cq_ IP PI 25 18"00 ft 1 &60 Pi 18 0 1"1 28 33 IPF 1.1 Current title information on the subject property had not been famished to Initial Point Land Surveying, LLC, at the time of this site plan PROPOSED: ? '0 v - LOWEST FLOOR ELEVATIONS. •27 3' 27 3' 2.) This sketch was prepared without the benefit of a title search. No LIVING AREA: 84,83 instruments of record reflecting ownership, easements or rights -of -way GARAGE AREA ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1938 FAILLSTONE WAY ,0.85 � NATIONAL GEODETIC VERTICAL SW WIDE WIDER/ S 89-56 08- E (PJ 32899'(Pj DATUM OF 1929 _UffdF_ZEPHYftffFELS_ BASIS OFECARING - — - — -- NOTE CONSTRUCTION I/E/U/D EASEMENT GRADING PLANS RADIUS ARC. LENGTH CHORDLENGTH CHORD HAVE MINIMAL 68F5 JP) S88-05,41 GRADING/ELEVATION INFORMATION 1 If 611,115 (P) S78-240 C: If 6885 IF) SURVEY ABBREVATIONSL A/, ADCONDIMONLR 11 POINT Or ic - R'cow Drawn By CWC I Party Chief: JH Af ALUMNUMIFF(F Or )RAiNAGFFAEFMFNI .IRIIIINIIS PCP - ITRMAW NT (ONTRO] POINT RNG,R-1 __B� Eff - ErAe F1 ()OD E t F VAITON FI (111111 V L F I - 1 OW-ST � I NOR LI I [ON !/I - NOM FOFjRIMP N1 NEI, .All "PrI Checked �.JHJOBtF N —il FOP - f DGE OF PAVFIMF N! I Xr NSFI) SURVEYOR I'll - I.GE 11W - RIIDI ol —1 r %. F11OPINT P0, - fAaIRFO III -IUNf OF 1NUFFEIIIII)l -ElTi— File I - -i"FrAIII) FI t NCIF FONNFR ME E - Ma NRI-D F ND SEC TION NP -RAacERKO ON IARKI-SET "' AND TIK 1 8.8 FNT RIVE F(M - "OUND CONCRETE MONUMENT N(F -NO (.11F1 F. POEF - ONNT OF 8I C-EING WI - NET 11-ROD I, f), _183 Date of Plan: I I- -22C 0 E__ 23 WC (IF CMP CHAID—RIFIO(I 01A - OFA RAIL POC - POINT Of C OMMFN(TMLN r TREA - TEMPORARY BE OR � i MARK DWG L 17-24 -TC&AP- SITEDWG - FORREJ(,A! t D ME TAL PIPE I 1R, FOUND IRON ROD OHW - OW RI fFAD INNF OJ 110I - POINT ON I IN[ TOR-TOPOFBANK (Or c 111— 1 N&n - I OUND NAP & DfNK OR -.11111AILPF101inI R11(^ PFNIN, Or 1111 I'll I — - TOWNSHIP This SITE Plan Prepared for and Certified "'N' -1. FOP- FOUND OPEN NPR E) --PLAT PRM - PERMANENT R`fFRFN(F MONWif NT W -UTraYIASIIRn Len —Homes /s - .Or RI I I %IAB 111P - I OIINPI In, 11111 PB - PI Al SOOK P U F - PUBLIC UM 11 Y I AN MFNT SITE PLAN 1708 Water Oak Drive (NOT A SURVEY) Tarpon Springs, Florida Phone: (727)-831-1990 Florida PLS 7 12 3@grrl Corn 1-13#8183 % Scale.- I"= 20' Initial Point Land Surveying, LLC. LEGEND SURFACE TYPE FENCES - CONC ALUMINUM FENCE ILF3 TELO ISO —07 UNIT -A 6-: UNIT-B UNIT-C 1532 o 1516 1624 BEARING were furnished to the undersigned, unless otherwise shown hereon, 3.) Roads, walks, and other similar items shown hereon were taken from engineering plans and are subject to survey. 4.) This site plan does not reflect nor determine ownership. 6.) This site plan is subject to matters shown on the Plat of'ZEPHYR COURT' 6.) Dimensions shown hereon are in feet and decimal portions thereof 7.) Contractor and owner are to verify all setbacks, building dimensions, and layout shown hereon prior to any construction, and immediately advise Initial Point Land Surveying, LLC. of any deviation from Information shown hereon, Failure to do so —it be at users sdrensk. This certifies under My SL surveys a, a 5_L 1 T051 th Section 4721 Jeff M. Hartley - FLORIDA PROFESS NOT VALID OF A F 13:47:43 sas rrI of Practice for in Chapter pursuant to w Date RLS#7123 LB#8Y83 VATURE AND SEAL AND MAPPER U A L R 'rl- V E VV A S S, 1 Notice to Building Official of Use of Private Provider Effective January 20, 2003 38090 Follstone Way ProjectName: Parcel Tax ID: 15-26-21-0230-00000-0210 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. Mffdqq�� the fee owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services indicated above. Private Provider Firm: Private Provider- DEBRA ANNE KLAHP Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601 Telephone: 3SMOMM. Email Address (Optional): deb@virtualreviewassist.com Fax: N/A Florida License, Registration or Certificate #: (LIC # BU1967/ PX2300/ 8N4615) 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. 1. Qualification statements ' and/or resumes of the private provider and all duly authorized represetitative-s. 2.,Proof of insurance forprofessionaland comprehensive liabilit I y in,the. arnount of $1 million per o ccuaence relating to all services performed as a private, provider, including tail coverage for, a minimum of 5 years subsequent to the pDrfpr1nanccpf building code inspection services., . (signature) Print Name: Address Please use appropriate notary block. STATE OF FLORIDA Individual B tfore me, this day of 20_ personally aPpeared Who executed the foregoing instrument, and acknowledged before me that same was executed for the purposes therein expressed. Corporation LENNAR HOMES. LLQ Print Corporation Name By: (signature) print Name: Christopher Smith its: Authorized Agent Address- 700 NW 107th Av—e Miami, FL 33172 Telephone. No, 813-574-5700 Corporation Btforeme ,,tbis 22ND day of MAY, _2o_22 personally appeared, * - Of Lunar Homes, LLC corporation, on behalf of the state corporation, who executed the f6regoing instrument and a6l(nOWICCIged before Me that same was executed for the purposes therein expressed. Partnership Print Partnership Name M (signature) Print Name: Its: Address: Telephone No.: Partnership Momme, this day of _20— personally appeared p artner/agent on b ehalf of a partnership, who executed the foregoin g instrument and acknowledged before me that same Personally known X ;or- Producedidenti-tcation— Type of idtntificationproductd Signature of Not Print Name ASHLEE CALLAHAN NotaxyPublic Stamp: ASHLEC CAL LM" My COMMISSION # HH 295980 Commission Expires: Na*mbsr 30,2026 EXPIRES' Page 2 of 2 COMMERCIAL BUILDING SERVICES DIVISIONRESIDENTIAL BUILDING PERMIT DATA SHEET TRACKING # FOLIO # •!9# Fallstone Way D1-16-2023 Debra Klahr PX230C Building ❑ Ins ection Only VPlumbing ❑ In )ection Only IVMechanical ❑ Inspection Only Electrical Amp ❑ Ins ection Only_ IV Roof ❑ Gas L ❑ Medical Gas ❑ Fire Sprinklers ❑ Can Site Piping ❑ Fire Line ❑ Irrigation ❑ Fire Alarm ❑ Potable Baekflow Assembly ❑ Fire Line Backflow Preventer ❑ Irrigation Backflow Assembly ❑ Demolition ❑ Walk-in Cooler ❑ Refrigeration ❑ Hood ❑ Ansul ❑ Fence/Wall [j Grease Trap ❑ Other [] Other pamfi mm1Fti'Gi 1 Type Construction: V-g Risk Category: Occupancy Load Occupancy Classification: ❑ Assembly ,❑ Business ❑,Day Care/Educational Factory E Hazardous ❑.,Institutional ,❑ Mercantile Residential R-3 ❑ Storage ❑ Utility Building Use: Single Family townhouse ! Alteration ❑--Level I ❑ Level 3❑ Level 3 4KNew Construction ❑ Interior Finish ❑ Interior Remodel ❑ Exterior Remodel ❑ Addition ❑ Revision Overall Size: Number of Stories: Total Sq. FL: 18 x 63 2 2086 Living Area: Covered Area: # of Bedrooms: 3 1634 452 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof Type: J Shin le ❑Tile ❑ Built-up ❑ Metal ❑ Other Squares: 14 Zoning: Wtl2.dborne Debris: ❑ Inside Outside Energy Code: 405-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? ❑ Yes VNo Sq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: Total Sq. In. Permanent Openings X❑ Central A/C g Heat Pump El Window A/C ❑ Gas A/C ❑ Gas Heat ❑ Electric Heat Sanitar Sewer Storm Sewer Catch Basins Potable Water Under round Fire Line Front Rear Left Right ❑✓ As per Approved Site Flan Comments: V-R/\ VIRTUAL REVIEW ASSIST Private Provider Plan Compliance Affidavit Private Provider Finn: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU 1967 Address: 747 Southwest 2 d Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: lucvavirtualreviewassist.com Project: New SFT Address(s): 38078,38082,38084,38086,38090,38092,38094,38096 Fallstone 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: 1,2,3,4,5,6,7,8,9,I0,ll,12, 13,14,15,16,LI,SN, SN1,S3,S4,S5,S6, ST,SS,Dl,WI?,PAI.0,PAI.1, PAI,2,PA1.3,PAL4, 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 7bf re 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 fore in is true and c best of his/her knowledge or belief. ;tto As"W- Ca L�CLALC26 Signature of Notary Print Name Notary Public: NOTARY STAMP BELOW My commission expires: ASHME C.AALLWMAHAA* MY COMMISSION # HH 295MM ONaM EXPIRES: Novm*w $0, 2026 Permit No. Date Permitted 31 2-3 Builder Name/Owner Name Contra # County Parcel Na, s 1 C?' SubDiv: _ � , n 0 1`�Z�41177,p"_"�Address/Location c� � Classification/Type Rate: Sq. Ft Unit: Exempt 0 Yes F--j No How Determined Impact Fee Amount Zane Na. TAZ: SCHOOL IMPACT FEE Account (056) Single -Family Detached House Amount $ (057) Mobile Home (058) Other Residential (123) Collection Fee Exempt = Yes = No How Determined_ PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total 7 Zone Total .Amount $ Exempt =Yes No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total ExemptED Yes No How Determined Total Amount RESOURCE FEE ERU Total Amount Prepared By r (— -- Checked By NO TIFICATE OF OCCUPANY WILL BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY ACKNOWLEDGEMENT BELOW DOES 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, DATE RECEIVED BY RECEIPT NO DATE BY