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Home My WebLink About23-5777City of Zephyrhilis .. . ....... . 5335 Eighth Street Zephyrhills, FL 33542 BNR-0 5777-2023 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 03/09/2023 Permit Type: Building New (Residential) Name: LENNAR HOMES LLC-OWNER Permit Type: Building New {Residential) Contractor: LENNAF� HQMES LC Class of Work: Townhome Address: 4600 W Cypress St 200 Building Valuation: $250,320.00 TAMPA, FL 33607 Electrical Valuation: $37,548.00 Phone: (813) 574-5700 Mechanical Valuation: $17,522.40 Plumbing Valuation: $25,032.00 Total Valuation: $330,422.40 Total Fees: $14,333.47ffi Amount Paid: $14,333.47 Date Paid: 3/9/2023 7:23:44AM IN, "I's, CONSTRUCT TOWNHOME 1634 SO FT ,7 SIF 1 percent Fee $33.53 3/4 Water Meter Residential Connection Fee $794.92 Address Fee $30.00 Public Safety Impact Fee -Admin $2635 Electrical Plan Review Fee $0.00 Mechanical Permit Fee $127,61 Electrical Permit Fee $227.74 School Impact Fee - Single Family $3,353.00 Mechanical Plan Review Fee $0.00 Sewer Connection Residential Fee $2,400.00 Building Permit Fee $1,291 .60 Water Connection Residential Fee $1,140.00 Plumbing Permit Fee $165.16 Driveway Fee $45.00 Park Impact Fee - Single Family/Townhome $769.56 Fire Wall/Smoke Wall Inspection $15.00 Public Safety Impact Fee -Police $254,00 Plumbing Valuation Fee MOO Transportation Impact Fee $3,445.20 Building Plan Review Fee $180.00 I- Transportation Impact Fee - City $34.80 REINSPECTION FEES: (c) With respect to einspection fees will comply with Florida Statute 553.80(2)(c) the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection, whichever is greater, for each subsequent reinspection. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit required from other governmental entities such as water management, state agencies or federal agencies, "Warning to owner: Your failure to record a notice of commencement may result In your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." I I L CONTRACTOWSIGNATURE accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. .............. P�fff OF-F16Ef ITHOUT APPROVED INSPECTION 813-780-002 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department r�� rr_rnrr��rr rL�Ir:��r Owner's Name ( Lennar Homes, LLC I Owner Phone Number 1 813.574.5700 Owner's Address 1 4301 W Boy Scout Blvd, Ste. 600, Tampa, FL 33607 Owner Phone Number Fee Simple Titleholder Name N/A 0 Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 38084 Fallstone Way LOT# 0019 SUBDIVISION ITownes atAutumn Palm PARCEL ID# 15-26-21-0230-00000-0190 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED I' /'I NEW CONSTR 8 ADD/ALT SIGN DEMOLISH II�_gi INSTALL REPAIR PROPOSED USE SFR 0 COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK Multi -family ( Screen Enclosure / Fence BUILDING SIZE U/R SI- 2086 SQ FOOTAGE 1634 HEIGHT 28 -s- mll-t-t-r-r^mr-mm-r-o- r�rr-re�-mlr-rrm- �% BUILDING $ 250320 VALUATION OF TOTAL CONSTRUCTION � `—% ELECTRICAL iPLUMBING r •rMECHANICAL =GAS FINISHED FLOOR ELEVATION $ 37548 $ 25032 ®� $17522.4 r- I✓ l ROOFING S ® PROGRESS ENERGY 0 W.R. E.C. AMP SERVICE VALUATION OF MECHANICAL INSTALLATION SPECIALTY 0 OTHER RR FLOOD ZONE AREA Li YES D0 BUILDER I I COMPANY SIGNATURE REGISTERED Address 4301 jV Boy Scout Blvd Suite 600 Tarnpa, FL 33607 ELECTRICIAN I I ROMP ANY SIGNATURE. Address PLUMBER I I COMPANY SIGNATURE gg i REGISTERED g� Address 4��¢;� MECHANICAL COMPANY SIGNATURE g` REGISTERED Address .. OTHER I COMPANY SIGNATURE ` REGISTERED Address 11[Illiitl0llllltlillEllllllllliitllt Lennar 1IomesLennar LLG� Y I N FEE CURREN Y/ N License # CGC1518166 Edmonson Electric, Inc. Y/ N FEE CURREN I Y / N License # I EC13005408 Bayonet Plumbing, Heating & AC, Inc Y/ N FEE CURREN Y I N License # I CFC042998 Bayonet Plumbing, Heating & AC, Plumbing, Heating & AC, Inc Y/ N FEE CURREN Y I N License # CAC058062 T� C Sterling Quality Roofing, Inc Y / N FEE GURREN Y / N License # I CCCO57991 ^� IIIIIIIIIIIlIIIIIIIIIlIt1III 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 wf 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 H 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. 11 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 11M 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. FLORIDA JURAT (F,S. 117.03) OWNER OR AGENT?,�!(!" o ()r a� Irm; Subscribed and swornd) before me this — by Christopher Smith Who is/are personally known to me or4;asAbave-pFG4wG@4 as identification. Public T Notary Commission No. GG 296057 Subscribed and sworn to (or affirmed) before me this lffi/2023 by Christopher Smith Who is/are personally known to me� or has/have produced as identification, Notary Public Commission No. GG 296057 Stephanie Farmer Stephanie Farmer Name Name of om"m MMER r STEPHAW FAMER Ib*mFst#uwy 1115, 2023 E*MF*UAfY 1115, 2023 Permit No._,�7� Date Permitted_,E!�iz_3 Builder Name/Owner Name Control County Parcel No. Address/Location Classification/Type of use TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: Exempt 0 Yes ED No How Determined Impact Fee Amount M � Zone No. �W 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 - Land Account Land Credit Land Total Recreation Account - Recreation Credit Recreation Total Zone Total Amount $ Exempt =Yes = No How Determined �!ft Land Account Land Credit Land Total Facility Account Facility Credit _ Facility Total Exempt rj Yes No How Determined Total Amount RESOURCE FEE ERU Total Amount HAV - Checked By _ Ill yN)%1tAafi,_eWAAMTAK?f I&XIMW00 PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY F0RjLfLkLM2=ff�-, �*,WVER 0V V*TJOb-0 THIS ASSESSNEUT 11JQ, THE C0101TICUS QF PIME14T F*2 SLUE. RM ma DESCRIPTION: LOT(S) 17-24, TOWNES AT AUTUMN PALMS, SEC, 15, TWP. 26 S, RNG 21 E. PLAN ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89, ft, SITE P�LAY 1 708 Water Oak Drive PASCO COUNTY, FLORIDA i PAGE(S) 113-I 14, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. (TOWNES AT AUTUMN PALMS) fNOTA SURVEY) Tarpon Springs, Florida NOTES: Phone: (727)-831-1990C NLOT FloridaPLS7123@gmall.Corrt GRADING TYPE -=N/A ----------- LB# 8 183 It PROPOSED PAD ELEVATION = N/A If, TRACT "H" ° FRONT SETBACK " 15 LANDSCAPE BUFFER o ae S 89'SG' 8' E P e SIDESET BACK 10 2833' (Pj I 18.00" (P) i Tout (P) 1 18.00 1Pj 18.00 T i 18,00' IF) L 18.00(P) 28.30' (Pj CL7 REAR SETBACK °- 20' UALLWALKS 30 UNLESS NOTED ALL 32 i -A/C .3.2k a, n(- n I n I n I ri I rl I n i Ii i/E/U/U-.: INGRESS EGRESS/ z3. 100' I-Ji-:a fi t' i Ji� I L.'.e.�i �33 10.0' t -p /� Scale.- Scale.- 1 - Glf UTILITY/ DRAINAGE ESM T c o LANAI LANAI NA! NAI LAMA! N NA LANAI a Initial Point Land Surveying, LLC. QT" = 17131 SO, FT. 18.3' 18B, 78.0' 18.0' 18.0' 18,0' 180 IRT LEGEND ' WING AREA = 5336 SO. FT. a ENTRY = 672 _SQ- FT. -- -°_7 c - 0.7"SURFACE TYPE FENCES ;GARAGE - 1848 SQ. FT. o COVERED LANAI _... 868 SO. FL c °2 UNIT -A UNIT-B UNIT-C o = a o� n UNITL o UNIT{ - UNIT{ o UNIT-B o UNIT -A o %y r„`'_=NI AFUMINUMrf vre ':PATIO =_.. NA SO. FT. o m 1532 - l 1516 m 1624 1624 1624 iG24 )SIG 0 1537 q ET ....._._.__.._ / w IX a POOL AREA = NA SO. FT. oe_ o PROPOSED" - n o A1111rA..i VINYL I'CO V CONIC DRIVE 2400 SO. FT. - - _ 0 2STORY '3 ❑ ❑ - n. ____. .--t44'8' - ____ ____ .._ A/C & CONIC PAD 80 SQ FT. TRACT "t" = o %�"", mo b :n -Rrva WOOn"N(t SIDEWALK 324 SO FT ESIDENCES M PRIVATE PARK" o LOT �` t - LOT LOT ;LOT LOT LOT o LOT LOT SIDE YARD SWALE So, FT. a• a `" o I NA I 'O u' d' LOT CHAtN(NK'F N([ - CONSERVATION AREA NA _. SO,t T. n o 24 23 20 21 Q 20 1 19 o 18 0 7 o I6 .✓Iw• � �„� ANG/o��T LOT OCCUPIED - 68 % cs TO' 6.T o 617' 6.7' o 'T' 6 7' 6.7' C9 "' o 7.0o oveaHFAD POWEa AREA TO IRRIGATE =_ 32 % y j y ? �.-<oveaeD - OHP - BHP - v LEGEND. PROPOSED ELEVATIONS ANDTYPE `L w v "- w w V '" w w GRADING SHOWN HEREON ARE TAKEN PROPOSED DRAINAGE FLOW j FORM THE ENGINEERING PLANS OF MASER q' 2 1 1.3 1 1 1 3 1 1 3 1 1 1 3 1 t 3 'J i 1 1.3' 1 13 1 1.3' CONSULTING P A'. PROVIDED BY CLIENT ( (00.00) - PROPOSED GRADE (I i.. t0 0 1 j i_0 0 . , 10 I • t0.o 10 0' �`. � I j �� Lao :_. ), I O 0 0 IS E-00.00 = EXISTING GRADE ' Z" OAK ( 4 1 " I ] x •. { ,Ii �` 9. - '� 1 = 10" INGRESS EGRESS/U.E & D.E ALL. ELEVATIONS REFERENCED .- 4 ,ylr (� TO AMERICAN a4o.k Ill !� o i < I ( t ''I 4 "X" NORTH .N I w i ° I i < I;� APPARENT FLOOD HAZARD ZONE: COMMUNITY NO. 120235 VERTICAL DATUM OF 1988---------- t I • - I I� .' Ii (NAND 88) -. I 1 < `� ' ,, { • .1 LOT .f` -.. t31 :IP) I I q° (MAP NUMBER 1210TG0452-F) EFFECTIVE DATE: 09/26/2014 SURVEYOR'S NOTES: .............'-- -__-. _- -- ,..: - i } ••- 25 �� i Cio C9 18 0" P I8B P I8 0 P .• 8 0' P 128,33 P gti + 1.) Current title information on the subject property had not been • PROPOSED. "'-�. �. i •t ' g',' ' ' S 0 -- _ ° c: furnished to Initial Point Land Surveying, LLC. at the time of this site plan < LOWEST FLOOR ELEVATIONS: j t`. 41( `L 27 3 - s 16 273 - ' 2.) This sketch was prepared without the benefit of a title search, No F� `____ ...,r,__._.. .Y LIVING AREA: 84.83 -- 1 • _ , . in, of record reflecting ownership, easements or rights -of -way ` iq GARAGE AREA: T - .� } /... ` were furnished to the undersigned, unless otherwise shown hereon. 2,0 ELEVATIONS REFERENCED TO 8' ✓ a 3.) Roads, walks, and other similar items shown hereon were taken from 1� NORTH AMERLCAN VERTICAL DATUM OF / o .` engineering plans and are subject to survey. 4.) This site plan does not reflect nor determine ownership. 1988 PALLSTONE WAY N 6.) This site plan is subject to matters shown on the Plat of "ZEPFIYR +0.85' = NATIONAL GEODETIC VERTICAL 50' WIDE R/W S 89-56'08" E IP) 328.99 (P) - COURT" DATUM OF 1929 j,�.-- "-'-�'f�OFP$fYYkfi!'LC3 BASIS OF BEARING - �- 6.) Dimensions shown hereon are in feet and decimal portions thereof. I/E/U/D EASEMENT NOTE: CONSTRUCTION 7.) Contractor and owner are to verify all setbacks, building dimensions, and layout shown hereon prior to any construction, and immediately GRADING PLANS HAVE MINIMA[.,' GRADING,/ELEVA710N INFORMATION SURVEY ABBREVATIONS A/< -AIR CONomONFR I'll - Dr r D INv INVERT PC POND OF CURVE (R) - AI (ORD Drawn By: CWC Party Chief : JH AI- Alt MIN;JM FFN(F 1)1-- DRAINAGF FAST Mf NT 811- BASF FLOOD ELEVATION 110RFIrV-Ell--ION 19 t ICE NsF1) r IISNI SS IFE I OWEN F I OUR F IfVATJON PCP PFRMANFNICONIROI-POINT P/E POOL EOUIPMI NI RNG RAN(,I RRS - RAIL ROAD SPIKE CheckedB:JH y JOB #6ti4 fRM - RLNCH NWRK ' OP� FD6E OF �AVf Iv1ENT < CURIC fSMT FASFMFNT is I ICENSFNY T RVI YOR (M1-NE AIC_RFi) P6 PAGE t PO NI OF INYf ItSE(TION G. - FGI iT OF WAY SE,-SfC110-N Fife 'LI CALCULATED F/(-(FNCF CORNFR < NTER iNE (CM- FOUND CONCRIL TF MOPKItIT N i MIS MITFRFf)ENDSFCTION NCF NO(ORNF:Rf OUND PIC PARKFR"I-(TO P B UNT OF 3+,INNINCI SN&()-SFTNAr!_ANIDSK 18k81Pi SIR SFi /J:RONROII -8183 Date of Site Plan 11-23-22 CWC (IF 011N LINK FFN(I r!P-OUNT)RONPITIF O/A OVFRAfL POC POINT OF(OYILAM(TMENT iF3M Lf>Fl CRAMBENCHMARK DWG-LT7-24-T@AP-SFFE.DWG (M( (ORRUNATF() MFTAL P;PF RL FLAIL IN ;OP Of' -BANK r rN6OOFOtDJRIOAROT) CO RW Ov, A)R )S 14)C- PPOOINT Of REV1RS(.(URVf OwNSI-F This SITE Plan Prepared for �no Cert,fied CON( -CONCRETE 'OP-FOUNOOPfNPPE (PI =PIAT PRM PFRMANENi Rfff Rf NUMONUMENT UE UI (I'YE/15EMENT Lennar Homes (/I- ONCRETFAAH ITV - FOUNOPN( I IF'S PIPE 16>PIAT811- _ P U F PURItC UIITY i ASf MFN Y -_- advise Initial Point Land Surveying, LLC. of any deviation from information shown hereon, Failure to do :sc> will be at users sole risk. This certifies hat s a, pro ny was made under rrry su ¢I@lx 1 ards of Practice for surveys as y ne H aJ ors in Chapter 51-17.051 throu 5-Ft 7.053, FId,i a� dr� at de pursuant to Section 47pff#t 'S L2: L it t 13:47:43' I Jeff M. Hartley �� Y,, Fl9RtDA '¢ a FL-ORIDAPROFESSI�$ .�RVEYORAEj RtS#71Z3 L8#8183 NOT VALID WIr/r,++�J�Js,,��pp;``''��'',,S.��t. A,(;ACiNAT.111 AND SEAL --- -.. OF A FLORIID'UWWM0 EYOOR AND MAPPER CURVE RADIUS ARC LENGTH CHORD LENGTH CHORD BEARING DELTA ANGLE C9 6885` (PJ 4.SG (P) 4$G 1C'} S 88"0541- W R) 4'oZ40` CIO78'2407W (P) 15-20'29" Ci i 68.85' (P} 1 Z62'G324'03` W (Pj 14'39'38" V r R . I i J ", L R E V� E 'VV A S S Notice to Building Official of Use of Private Provider Effective January 20, 2003 38084 Follstone Way Project Name: Parcel Tax ID: 15-26-21-0230-00000-0190 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. M-109MME 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: VIRTUAL REVIEW ASSIST, INC. Private Provider: DEBRA ANNE KLAHR Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601 Fax: N/A Email Address (Optional): 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 pen -nit 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 governinent, 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 representatives. I. Proof of insurance for professional and comprehensive liability inthe.amount of $1 million per o ccurr(mce relating to all services perf6imed as a private provider, including tail coverage for a minimum of 5 years subsequent to the performance of building code inspection services. Individual :(signature) Print Name; Address'; Telephone No.: Please use appropriate notary block. STIM OF FLORIDA Beforf,rae, this - -day of 20___, personally appeared who execrated the foregoing instrument, and acknowledged before me that same was =eoute-d for the, purposes therein ekprcssed. Corporation LENNAR HOMES, LLC BY: (signature) P me: Christopher Smith 5110M Imm mum Telephone. No. 813-574-5700 Corporation Before , In,tbis 22ND day of MAY, 20 2_2 personally appeared, Of Lennar Homes, LLQ _ a CDTp Oration, on behalf of the state corporation, who executed the foregoing instrument and acIcnowledge d b efbre me that same was executed for the purposes therein expressed, PrintPartnership Name By: (signature) Print Name: Its: Address-, Telephone No.: Partnership BdorDnee, this -day of 120— personally appeared partner/agent on b thalf of a partnership, who executed the foregoing instrument and acknowledged before me that same Was exffGu,ttd.forthDpiirpcsesthtrein expressed. Personally known X ;or- Produced identification— Type of identification produced Signature of Not Print PlintName ASHLEE CALLAHAN ASKLEE NotaryPublir, Stamp: CALLMM My r 1.4 OMMISSION # IAH 295980 Commission Expires: 41. EXPIRET. Nwamber 30,2026 Page 2 of 2 �r ❑ COMMERCIAL BUILDING SERVICES DIVISION jeRESIDENTIAL BUILDING PERMIT DATA SHEET TRACKING # 38084 Fallstone Way FIRE MARSHAL #01 - Reauired Permits 1 r Debra Klahr ' t Building ElIns ection Onl Plumbing ❑ � Ins )ection OnI Mechanical ❑Ins ection Otzly Electrical Amp ❑ Ins )ection Only Roof ❑Gas ❑ Medical Gas ❑ Fire Sprinklers ❑ On Site Piping ❑ Fire Line ❑ Irrigation ❑ Fire Alarm ❑ Potable Backflow Assembly ❑ Fire Line Backtlow Preventer ❑ Irrigation Backilow Assembly ❑ Demolition ❑ Walk-in Cooler ❑ Refrigeration ❑ hood ❑ Ansul 0 FencelWall ❑ Grease Trap ❑ Other ❑ Other T e Construction: V-B Risk Category: Occupancy Load Occupancy Classificatdon: ❑,Factory ,Residential ❑;Assembly ❑ Hazardous ❑'Storage ❑,Business �, Day Care/Educational ,E1 Institutional ;❑ Mercantile ❑ Utility Building Use: Single Family townhouse l Alteration ❑ Level I El Level 2 ❑'Level 3 IxNew Construction ❑ Interior Finish ❑ Interior Remodel ❑ Exterior Remodel ❑ Addition ❑ Revision Overall Size: 18 x 63 Number of Stories: 2 Total Sq. Ft.: 2086 Living Area: 1634 Covered Area: 452 # of Bedrooms: 3 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof Type: 0 Shingle ❑Tile ❑ Built-up ❑ Metal ❑ Other Squares: 14 Zoning: Wirulborne Debris: 10.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 [l Gas A/C X❑ Heat Pump ❑ Gas Heat ❑ Window A/C ❑ Electric Heat On Site Pining Sanitar Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line Front Rear Left Right ❑✓ Asper Approved Site Flan Comments: 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: 11Lc �,&virtq�qlreviewassistxorn 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,LI,SN, SNI,S3,S4,S5,S6, ST,SS,D1,WP,PAI.0,PAI.1, PAI.2,PAI.3,PAI.4, SH1.0,SHI.1,SHI.2,SHI.3,SHI.4,SHI.5 Florida License/Registration/Certification #(s) and description: FS468 Certified Standard Plans Examiner License #: PX2300 Signature of Reviewer: SWORN AND SUBSCRIBED b f me by Debra Anne Klahr being personally known to me or having produced as identification A and who being fully sworn and cautioned, state that the fore fore in is true and c the best of his/her knowledge or belief. L& co I oft -I." P - a Signature- off Notary Print Name Notary Public: NOTARY STAMP BELOW My commission expires: ASHME CALLAIIA)f MY COMMISSION # HH 295M EXPRES: 30,2026