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23-5774
City 1 5335 Eighth Street Zephyrhills, FL 33542BNR-005774-2023 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue date: 03/09/202 r r WIN rr y r r r:iiiiii r. r Work:�Name: LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC Class of r 4600 W Cypressf Building r$232,680,00 TAMPA, FL 33607 Electrical Valuation: $34,902,00 Valuation:Mechanical % r PlumbingPhone: (813) 574-5700 +$23,268.00 Total Valuation: $307,137.60 AmountTotal Fees: $14,217.05 '. • $14,217.05 Paid:Date A r rr R percent Plumbing Valuation Fee $000 Driveway Fee $45.00 Fire Wall/Smoke Wall Inspection Electrical Plan Review Fee $0.00 Connection3/4 Water Meter Residential •4 ♦2 Transportation !Water Connection Residential Fee $1,140.00 Electrical Permit Fee $214.51 Sewer Connection Residential Fee 0 Ii Public Safety Impact Fee -Police $25400 Mechanical Plan Review Fee 1 10 Mechanical Permit Fee $121 A4 Transportation • S ! Address Fee $30,00Single Family/Townhome BuildingiSingle Plumbing Permit Fee R 1 REINSPECTIONWithrespect R Reinspection k will comply ;R • 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 recR S: M i your R': of commencement." Complete Plans, specifications add fee Must Accompany Application. All work shall he performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE 4PE OFFICE ROW10, rr ri M ♦ 1�' � � rl' .�, w► ,� � A, Mr; 813-7T-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting 908 _ 1 770 -- 7763 Lennar Homes, LLC 813.574.5700 Owner's Name Owner Phone Number Owner's Address 4301 W Boy Scout Blvd, Ste. 600, Tampa, FL 33607 Owner Phone Number Fee Simple Titleholder Name N/A Owner Phone Number Fee Simple Titleholder Address I N/A JOB ADDRESS 38096 Fallstone Way LOT # 0024 SUBDIVISION Townes at Autumn Palm PARCEL ID# 15-26-21-0230-00000-0240 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED II,Z If NEW CONSTR ADD/ALT SIGN [� DEMOLISH P INSTALL REPAIR � PROPOSED USE f SFR = COMM Lm-J OTHER TYPE OF CONSTRUCTION 4Y 11 BLOCK 0 FRAME STEEL DESCRIPTION OF WORK Multi -family / Screen Enclosure / Fence U/R SF 1939 SQ FOOTAGE 1541 I HEIGHT 28 BUILDING SIZE ,% BUILDING $ 232680 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 34902 PROGRESS ENERGY W.R.E.C. AMP SERVICE PLUMBING $ 23268 Il.f EMECHANICAL IS 16287.6 VALUATION OF MECHANICAL INSTALLATION '- =GAS ® ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA DYES I r� o BUILDER COMPANY I Lennar Homes, LLC SIGNATURE REGISTERED Y / N FEE CURREM1 Y / N f Address .O 1 W Boy Scout Blvd Suite 600 Tampa, FL 33607 License # CGCI518166 ELECTRICIAN COMPANY Edmonson Electric, Inc. SIGNATURE REGISTERED Y / N FEE CURREM1 Y ( N Address ) License# [EC13005408 1 J PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y L N FEE CURREM1 Y ( N Address License # CFC042998 MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE cuRREn Y / N Address ! License # CAC058062 OTHER [ COMPANY C Sterling Quality Roofing, Inc SIGNATURE _ _ II REGISTERED Y / N FEE CURREn I Y / N Address License # 1 CCC057991 IIIIIIIIIIIIIIII1111111 IIIt11111I111lIIIIIItIlII1111II1I11II1I1111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of wilding 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 wl 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 NC 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 (ES. 117.03) OWNER. OR AGENT Subscribed and sworn to (or affirmed) before me this 115f,021 by Christopher Smith Who is/are personally known to me or hasihave PPQdWG6d as identification. 2#1 1 it I . 211 Y-11"00"Ill 0 1 Subscribed and sworn to (or affirmed) before me this 423 by Christopher Smith Who bois/are personal) 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:], NameofNNM:j — STMMMMER MEP"EFAVER 111MM088W # 00 29M % E*W FebmW 115, 2023 $f E*M Fft4ty 15, 2023 it. Book Tt"TMyf*WWWa$*WT4'9 W" 6WWTtftTMyF*%wm#*0W7Q49 r Permit No. Date Permitted C' Builder NamelOwlner Name l � Control # County Parcel No. % i) - ? .. 'V f � - SubDiV: _ Address/Location i�%f� Leto ti Classification/Type of Use TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: ` T Exempt 0 Yes F7 No How Determined Impact Fee Amount � Zone No, TAZ: SCHOOL IMPACT FEE 7 Account (056) Single -Family Detached House Amount $ ` 3 (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 Zone Total Amount $2 d _ ` 1 Exempt =Yes = No How Determined Land Account Land Credit Land Total Facility Account Facility Credit Facility Total ExemptEl Yes No How Determined Total Amount Prepared By Checked By NO CERTIFICATE 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 DESCRIPTION: LOTS) 17-24, TOWNES AT AUTUMN PALMS, SEC. 15, TWP. 26 S, RNG 21 E. (- PLAN p /t R 1 ACCORDING TO THE PLATTHEREOF, RECORDED IN PLAT BOOK 89, PASCO COUNTY, FLORIDA SITE t 1708 Water Oak Drive PAGE(S) 113-1 14, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. Tarpon Springs, Florida (TOWNES AT AUTUMN PALMS) (NOT A SURVEY) pon p rin g O NOTES: Phone: (727)-831-1990 N IOTGRADINGTYPErN/A _______-- -- __---- FloridaPLS7123@gmail.com W e`er T------- D---- L8# 8183 II PROPOSED PAD ELEVATION N/A o TRACT "H" _ FRONT SET BACK - 15LANDSCAPE BUFFER 5 89'SG' 8" E P o aa1'b SIDE SET BACK - 10' -- 28.33' (P) 18.00' IP) ( 18'00' iF) 1 B Ou (P) I8.00' (P) I8.00' (P) 18.00' (P) 28.30' (P) b REAR SETBACK -=70 :' a ,-sari tU ALL WALKS 3.0 UNLESS N07ED e'>ALLA/C 3,2'x3Z n II > /E U D= INGRESS EGRESS/ S4a(�: 1"-20' 106100Q UTILITY,/ DRAINAGE ESMT co LANA! LANAI ---LANAI-- I NAI LANAI__-IANATNA LANAI o Initial Point Land Surveying, LLC. LOT = 17131 SO. FT. 18.3' 1ED 1&0" 1ED 1&0, 180' 18.0 18.3' LIVING AREA 5336 SO, FT, LEGEND ENTRY = 6/2 - SO. FL 0.T _ - GARAGE 848 sO. F7. _ $ _ o o SURFACE TYPE FENCES COVERED LANAI = 868 .SO. FT. ro c mo o �- UNIT-A UNIT-B I, UNIT-C o UNIT-C UNIT-C rn a t _ AwM;NUM reNce o � - b I - UNIT-C o UNIT-B b UNIT -A b Ld coNc RATIO - NA SO, FT Q w 1532 - I S I6 m 1624 a. 1624 R 1624 w e_ 1624 "' 1516 1532 _,N ----� �- 1 - _-- POOL AREA Na SO. FT. a o ul PROPOSED ,o � a o `^ SPHA: VINYL _NCC 2400 PRIVATE PARK V LOT LOT ',LOT 44'-H'- EstDENCEs o - o m LOT V LOT - I CONC. DRIVE SO FT. 0 2 STORY ' C & CONC PAD 80 SO, FT TRACT "I" _ SIDEWALK 374,,,,_,,,, SO. FT � ) - Rlac -� 000=Force SIDE YARD StX/RLE NA SO_ FT- O �>, O { ° LOT LOT LOT o LOT v CHAIN f rNx rrNce CONSERVATION AREA SO. FT. `^ in ! 7 e v:No otRi NA o`b' 24 23 0 20 21 20 I9 18 o Ib / LOT OCCUPIED - G8 % 8 7.0' 6.7' e m 6 7' 6.7' 6J' 6J' C9 m 7-0' e oveRH: an Powea AREA TO IRRIGATE 32 _ °/n = m m m z z z - - y ? z - covear n 8HP — Glf 10.0' < a < < < A 10.0' ._... - - _ AI A ` A V _ _ LEGEND: v PROPOSED ELEVATIONS AND TYPE i„ w w w w i., w w ,i--i►- PROPOSED DRAINAGE FLOW GRADING SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF 'MASER S 11.3 11i 13 1 1.3 (00.00) = PROPOSED GRADE 1913 1 I - Ii 3' l CONSULTING PA. 113 1t_3 , PROVIDED BY CLIENT �,I I 100 .0' Ii'1o0 .�' i ( 1 y t00 �I 100'i 100 -sl �••10E-00.00=EXISTING GRADE 2'OAK } 100 i It -._._. -is I l x _.P i z i. r a: •{ 1 - 10 INGRESS EGRESS/ll.E & D.E ALL ELEVATIONS REFERENCED �l TO NORTH AMERICAN g4 o, N i o II ` g APPARENT FLOOD HAZARD 7.ONE: 'X' COMMUNFTY NO. 120235 V£RTtCANDAVD 880E 1988 LOT s w �I ,} ': 13 Ids i IMAP NUMBER 12101 C-0452-F) EFFECTIVE DATE 09j26/2014 ( ) v I t SURVEYOR'S NOTES: 25 C{0 C9 Ebb P 8.00 P II 0 P 8 0 P 2833' P + 1.) Current title information on the subject property had not been �. ; ,c ' . }',' 0 z _ furnished to Initial Point Land Surveying, LLC. at the time of this site plan PROPOSED: :' LOWEST FLOOR ELEVATIONS "5�s'= A \- r - * 2.) This sketch was prepared without the benefit of a title search. No i \ _ I7 3 .-��`� -,/' 16 ;`-—r 27 3 1 3.r L ' . LIVING AREA: 84.83' F s2 H _ �"' _ instruments of record reflecting ownership, easements or rights -of -way i - GARAGE AREA 4 2a r"Jv were furnished to the undersigned, unless otherwise shown hereon. I,u 2,TYJ 3.) Roads, walks, and other similar items shown hereon were taken from ELEVATIONS REFERENCED 70 a3 �� ( engineering plans and are subject to survey. NORTH AMERICAN VERTICAL DATUM OF 4.) This site plan does not reflect nor determine ownership. 1988 FALLSTONE WAY - 5.) This site plan is subject to matters shown on the Plat of'ZEPHYR +0.85 ,:: NATIONAL GEODETIC VE RTtCAL Sw WIDE R/W S 89`5608- E (PI 328 SIT (P) COURT' DATUM OF 1929 J �-- "-"'P� OF-2EPSiYT2Y'?fP3$- BASIS OF BEARING - --� 6.) Dimensions shown hereon are in feet and decimaf portions thereof. /// I/E/U/D EASEMENT 7.) Contractor and owner are to verify all setbacks, building dimensions, NOTE CONSTRUCTION � � and layout shown hereon prior to any construction, and immediately GRADING PLANS y HAVE MINIMAL GRADING/ELEVATION INFORMATION __ _-----"t I r SURVEY ABBR ATiONS A/c-AR(0NfY ONLR 0>i nrED NV-Nvrar -.... - Pc 11Nl0110-1 (RI - RE(ORD Drawn By:CWC PadyChrf JH Pf AIIMiNUM INCE L>f L5tP. NACI ASFMFNi L'VAPON IORF(EV-II f VAT ON -!<fN [!)f til. N[ A S 3 S S IFF-(IN $111.op11 EVAiION :/F PFRMANFNi (ONiRO(. POINT PE ^OOI. E(✓Uil'M(NT - R11 2fl R0 SPIKt RA [pecked B . JH JOB #6114 y 81,-t3r\Sf Iwrl, , _(Iif NCH MA..K 'OP- -ONIli PPVEMENT ( ((AIII F/1-^FC IS-li(f IuR SLJRVFYOR U PI PAN( PI OIN'11 I,>Sf CTION V. ,I"I IF( R(G1110f J1AY SEC-IJ File: CORt (((^CAI CULArED (/(� (EN<F CORNER LINK fiM- OUNDrON R1TEMONUMFNT Mir>MFMRf MES MIiF Rf D FND SECTION NTGA-NO[ORNEI I OUND PI( PAPo(E IZ rcALON (1 POE- (If i3f UNFNCIM[Ni -SiION N SN61} - St T NAIt AND DISH L 08183 NR,1i T.M)fRON ROM BI, 81ft3 Date of Site Plan' 11-23-22 CIVIC (If(rNiAiN F(NCE PIP[- r(UNI(f uaY BI N(II MARK DWG117-24-TCSPAP-SrrEDWG (MP m(01VR—TEI) METAi. PIPE FIR - FOUNI)RONROD OIdW -Ot/f 11111 AD WIIF(Sr Pot- POINT ON 1 INE TOR -IOPOF BANK ( Ill ^ C OLUMN I N&D - 1-0UNII NAll. 6 DISK 11 �� f)i ( CV4L R `N`NS PR( . To— Or Rt VI RS( (011W IWP - 10—i'i,^ This SITE Pian Prepared for and Certified (oN( (ONCIif if IOP IOUND ON N PIPE ('f ^", PRIM-N—NI IRIIIRIN(FMONUMFNT U.E-01RIIYlAYPITNT Lenri"Homes (/S-C ON, it YAB IPP- rOUND ('NCI IM PIPE FB�PIFlr fi00K PUr=PUHLI(UII IYfASCMFNT advise Initial Point Land Surveying, LLC. of any deviation from information shown hereon. Failure to do so will be at user's sole risk. This certifies� at e under my suf su Veys as yyyyyy������::{{{{{{ 5J-17.051 throe Section 47 Jeff M. Hartley i Ft ORiDA PROFESS NOT VALID OFAF 13:47:43 was made of Practice for ;in Chapter , pursuant to Date '_�R LS#7123 LB#8183 JATURE AND SEAL AND MAPPER CURVE RADIUS RCLENGTH CHORD LENGTH CHORD BEARING DELTA ANGLE C9 bH.HS' (P) 4.86' P 4.H6' IPI S 88°0541' W P 4'02'40" CIO15°ZO'29" Ci i �I7.62' (P)14'39'38" v A 'L Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: Parcel Tax ID: 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- DEBPA ANNE KLAHP Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINE5VILLE, FL 32601 Telephone: WMMU�.� Email Address (Optional): deb@virtualreviewassist.com Fax: N/A 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 imminurn 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 Zn 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, 1. Qualification statements ' and/or resumes of the private provider and all duly authorized representatives. I, Pro of of insurance for professional and comprehensive liability intlie. ainount of $1 million per twdlm=au�r:_ •_Z imil it ............... of 5 years subs equent to the ptr�brmancepf building code inspection services., (signature) Print Name: Address* Telephone Please use appropriate notary block. S OF FLORIDA TATE Individual Btforeme,this day of 20— personally appearod Who executed the foregoing instrument, and acknowledged before me that same was executed for the purposes therein Corporation LENNAR HOMES. LLQ Print CorporationNarar (signkwe) Print N.e.. Christopher Smith its: Authorized Agent Address- 700 NW 1071b_Ay. Miami, FL 33172 Telephone. No.913-574-5700 Corporation Btforcule,this 22ND day of MAY io 2-2 personally appeared, of Canner Homes LLQ Corporation, o I n behalf of the state corporation, who executed the f6regoing instrument and acknowledged before me that same was executed for the purposes therein expressed. gm=t PrintPartnership Name By - (signature) Print Name; Its: Address: Telephone Partnership Beforame, this day Of 20— personally appeared p artner/agent on behalf of a partnership, who executed, the foregoing ins1rument and acknowledged before me that same Was execulted for the purposes therein expressed. Personally known X or- Produced identifcation Type of idmfification produced of Not Signaturear6`J"g PrintNarne ASASHLEE CALLAHAN -- NotaryPublic Stamp: ASK My COMMISSION # jili 2950 Commission Expires: EXpIRE& tW40W 30,2026 Page 2of,2 ❑ COMMERCIAL TRACKING # :09, Fallstone Way FIRE MARSHAL #Ol - Required Permits T� ► . 'i, EXAMINER:Debra Klahr Building ❑ Ins section Onl 'Plumbing ❑Inspection Only Mechanical ❑Ins ection Qnly 'Electrical Amp ❑Ins aection Only 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 Type Construction: Risk Category: Occupancy Load O cupaney Classification: ❑Factory ❑�� Residential ❑,Assembly ❑ Hazardous ❑,Storage ❑ Business Q Day Care/Educational ❑Institutional ,❑ Mercantile Utility Building Use: Single Family townhouse I Alteration ❑;Level 1 10_Level 2 [] Level 3 VNew Construction ❑ Interior Finish ❑ Interior Remodel ❑ Exterior Remodel ❑ Addition ❑ Revision Overall Size: 18-4 x 63 Number of Stories: 2 Total Sq. Ft.: 1939 Living Area: 1541 Covered Area: 398 # of Bedrooms: 2 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof Type: 0 Shin le ❑Tile ElBuilt-upEl metal ❑ Other Squares: 13 Zoning: Win-daorne 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 © Central A/C ❑ Gas A/C ❑ Heat Pump ❑ Gas Heat ❑ Window A/C ❑ Electric Heat '�' Sanitary Sewer Storm Sewer Catch Basins Potable Water Under round Fire Line Front Rear Left Right Q Asper Approved Site Plan Comments: VR/\ 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 Add,ress(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 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: 1,2,3,4,5,6,7,8,9,10,11,12, 13,14,15,16,Ll,SN, SNl,S3,S4,S5,S6, ST,SS,D1,VvT,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: 140 SWORN AND SUBSCRIBED b f, 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 c0 ect best of his/her knowledge or belief. f �M Signature of Notary Print Name