HomeMy WebLinkAbout23-5790City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
BNR-005790-2023
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 03/09/2023
Permit pe: Buildinq_New
(Residential)
ZY
15 26 210230 00000 0880
38071 Fallstone Way
M F
06 g�
41 1'T TMAA,
Name: LENNAR HOMES LLC-OWNER
Permit Type: Building tractor.- LENNAR H ES I !_C,
Class of Work: Townhome
Address: 4600 W Cypress St 200
Building Valuation: $235,800.00
TAMPA, FL 33607
Electrical Valuation: $35,370,00
Phone: (813) 574-5700
j�o
Mechanical Valuation: $16,506.00 JAI
Plumbing Valuation: $23,580.00 A
Total Valuation: $311,256,00
Total Fees: $14,237.64
Amount Paid: $14,237,64
Date Paid: 3/912023 7:23:44AM
V
CONSTRUCT TOWNHOME 1513 SO FT
777 777 777777,
3/4 Water Meter Residential Connection Fee
$794.92 Public Safety Impact Fee -Admin $26,35
Electrical Permit Fee
$216.85 Sewer Connection Residential Fee $2,400.00
Water Connection Residential Fee
$1,140.00 Park Impact Fee - Single Family/Townhome $769.56
Public Safety Impact Fee -Police
$254.00 School Impact Fee - Single Family $3,35100
Fire Wall/Smoke Wall Inspection
$15.00 Transportation Impact Fee $3,445.20
SIF 1 percent Fee
$33.53 Mechanical Permit Fee $122.53
Transportation Impact Fee - City
$34,80 Electrical Plan Review Fee $0.00
Building Plan Review Fee
$180.00 Mechanical Plan Review Fee $0.00
Plumbing Permit Fee
$157.90 Driveway Fee $45.00
Address Fee
$30.00 Plumbing Valuation Fee $0.00
Building Permit Fee
$1,219.00 -
M
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."
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.
A A
IJ I
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIOP
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER I
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting 908 770 __ 7763
Owner's Name Owner Phone Number
Lennar Homes, LLC 813.574,5700
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 E_
Fee Simple Titleholder Address NIA
JOB ADDRESS 38071 Fallstone Way LOT # 0088
SUBDIVISION Townes at Autumn Palm PARCEL ID# 15-26-21-0230-00000-0880
,'}, (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED 1 J 11 NEW CONSTR 8 ADD/ALT SIGN DEMOLISH
P INSTALL REPAIR
PROPOSED USE U r A SFR Q COMM OTHER
TYPE OF CONSTRUCTION 10 BLOCK 0 FRAME STEEL 0
DESCRIPTION OF WORK Multi -family /Screen Enclosure /Fence
BUILDING SIZE U/R IF, 1965 SO FOOTAGE 1513 HEIGHT 28
BUILDING $ 235800 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ 35370 ® PROGRESS ENERGY WR.EC.
AMP SERVICE
1! (PLUMBING $ 23580
t9./ If MECHANICAL $ 16506 VALUATION OF MECHANICAL INSTALLATION
GAS ® ROOFING F_*J SPECIALTY = OTHER} (—(
FINISHED FLOOR ELEVATIONS —1 FLOOD ZONE AREA II 'YES I o
BUILDER I � COMPANY � Lcnnar Homes, LLC
SIGNATURE t REGISTERED Y/ N_J FEE CURREN Y/ N
Address 43(y W Boy Scout Blvd Suite 600 Tampa, FL 33607 License # CGC1518166
ELECTRICIAN COMPANY Edmonson Electric, Inc.
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License# EC13005408
PLUMBER COMPANY =Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED L_ZI_N_j FEE CURREN Y / N
Address —�-- �j License # CFC042998 —�
MECHANICAL [�J ---� COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE `- / REGISTERED Y / N FEE CURREt` Y / N
Address License # I CAC058062
OTHER COMPANY I C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED _Y / N_J FEE CURREN 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, 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.
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500)
'* Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division —Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law —Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the "owner' prior to commencement.
CONTRACTOR'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,
X11fil MAJITA71 LM:G 201M I J11=401kno IT, 1:3 '1 Ill KowL0111 -�aa uolu 4 -,a WM I wtolls lill I ge I BM LRJLOJ- 21 10-1101 0
FLORIDA JURAT (F.S. 117,03)
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
1/11/1 by Christopher Smith
Who is/are eersonally known tome or#asA4ave-p;44wGe4
as identification.
Notary Public
Commission No. GG 296057
Stephanie Farmer
Name
STFAM FAWFA
42960 Cminksim 9 C
Exp"s Fift" 15, 2023
Subscribed and sworn to (or affirmed) before me this
—2-1 by Christopher Smith
Who Ware personally known tome or has/have produced
as identification.
41�,�
-Notary Public
Commission No. GG 296057
Stephanie Farmer
Name ofNi
Builder Name/Owner Name in, PAC, ram- 4LW Control
County Parcel No
SubOl�:�
Address/LocationG�%
Classification/Ty pe of Use
TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit:
Exempt 0 Yes 0 No How Determined
Impact Fee Amount i —q — Zone No. TAZ:
Account y
(056 Single -Family Detached House Arracsunc $
(057) Mobile Flame
(45$) 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 �7
Exempt =Yes = No How Determined
1 Y.'t 1�
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt F7 Yes No How Determined Total Amount
RESOURCE FEE ERU
Total Amount
RM
CERTIFICATE OF OCCUPANY WILL RE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
Im
I W/`15 MPF; CIrA4
S INLET S-2
r
e
82.4t
DESCRIPTION: LOT(S) 87-94, TOWNES AT AUTUMN PALMS,
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89,
PAGE(S)1 13-1 14, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
1 7_l 4*1 &1'7 1 *71WA
Lq I W&*1 2F4 z1w; r1r4l; i 1111
SITE PLAN
(NOT A SURVEY)
0
rN
11
2 7.3
5.0 N 89'56'08" W
V)
(P)U,
A
18.00'(P) I&00 I&OG (P) 18.)O'(p) j-4 r 2833'(P) 29.82- (P) 2833'(P) (P)
Ir- N 89.56'08- W (P) PC(P)
of
r7
LOT 16958 SO. FT.
•
0.0, 10.0
I n n�-, I O.0 -.1 10.0'.- 10.0 10.0, 1 O�0' LIVING AREA = 5336 SQ. FT.
1 I.T 13 11.3' 11.3* 1,. ENTRY = 672 SQ. FT.
3' qy
1 1.3' 1 1.3' 113' 1
GARAGE = 1848 SQ. FT.
Z COVERED LANAI = 868 SQ. FT.
100' Lu LU 41 LQ 10.0,
En -0 �-J 1-Y - - - 70 PATIO = NA SQ. FT.
xx
>
L,n > rn rn IT] M Fri
> POOL AREA = NA SQ. FT.
M y M r)
0< CONC. DRIVE 2400 SQ. FT.
6.T 6.T 6 . 7' 6.7- 6.7' 7.0' M M 7.0' < > rri A/C & CONIC PAD = 80 SQ. FT.
LOT LOT LOT LOT LOT LOT SIDEWALK 324 SQ. FT.
rn 7z;
2 LOT LOT 89 94 SIDE YARD SWALE NA SO. FT.
90 91
- 87 b 88 r-� PROPOSED C? 92 93
z U') N) E: CONSERVATION AREA= NA SO. FT.
> Ln 2STORY 110 Ln 6-
Ul LOT OCCUPIED = 8 0/b
C) ATTACHED
En LU UJ AREA TO IRRIGATE = 32
RESIDENCES LQ IN %
in
rn
UNIT -A UNIT-B UNIT-C UNIT-C UNIT-C UNIT-C UNIT-13 UNIT -A
0 1532 1516 1624 1624 1624 1624 1516 1532
NOTES:
LOT GRADING TYPE = N/A
18.3' 18.0 18.0, 18.0, 18.0, 18.0, 18.0* 18.3' 1 PROPOSED PAD ELEVATION = N/A
C, 10.0, o---LANAI NA LANA LANAI LANAL>LANAI NAL-ANAI FRONT SET BACK = 15'
SIDE SET BACK = 10'
REAR SETBACK = 20'
r)
o r) r) n r) ALL WALKS 3.0'UNLESS NOTED
N:
ALL A/C 3.2'x 3.2'
VE/U/D = INGRESS EGRESS/
---------- 98.33'(PI 18.00' IF) I&OOL fpI 18.00'(PI 18.00' (PI L 18.00'(P) I&00'(P) 28.33'fP)
S 89-560 1 " E (P) UTILITY/ DRAINAGE ESMT
TRACT "D"
PRIVATE DRAINAGE EASEMENT PROPOSED:
LOWEST FLOOR ELEVATIONS:
NOTE: CONSTRUCTION LIVING AREA: 84.20'
GRADING PLANS GARAGE AREA:
HAVE MINIMAL PROPOSED ELEVATIONS AND TYPE ELEVATIONS REFERENCED TO
GRADING/ELEVATION ALL ELEVATIONS REFERENCED GRADING SHOWN HEREON ARE TAKEN NORTH AMERICAN VERTICAL DATUM OF
INFORMATION TO NORTH AMERICAN FORM THE ENGINEERING PLANS OF "MASER 1988
VERTICAL DATUM OF 1988 CONSULTING P.A. ", PROVIDED BY CLIENT +0.85'= NATIONAL GEODETIC VERTICAL
SURVEY ABBREVATIONS - NAVD -- 8 - 8 . - -- ----------------- - -- DATUM OF 1929
--- - ---- - ---------------------------------- - -
A/C = AIR CONDITIONER (D) = DEED INV = INVERT PC = POINT OF CURVE (R) = RECORD Drawn By: C arty Chic :JH -REVISIONS:
AF = At UMINUM FENCE D.E= DRAINAGE EASEMENT LB =LICENSED BUISNESS PCP PERMANENT CONTROL POINT RNG = RANGE KTP:
BEE BASE FLOOD ELEVATION EL OR ELEV = ELEVATION LEE LOWEST FLOOR ELEVATION P/E POOL EQUIPMENT RRS = RAIL ROAD SPIKE Checked By: JH I JOB #6192
BM = BENCH MARK EOP = EDGE OF PAVEMENT IS = LICENSED SURVEYOR PG = PAGE R/W = RIGHT OF WAY File:
C - CURVE ESMT - EASEMENT (M) = MEASURED PI = POINT OF INTERSECTION SEC = SECTION
(C) = CALCULATED F/C = FENCE CORNER MES = MITERED END SECTION PK =PARKER KALON SN&D = SET NAIL AND DISK LB#8 183 Date of Site Plan:06-08-22 CWC
= CENTERLINE FCM = FOUND CONCRETE MONUMENT NCF = NO CORNER FOUND POB = POINT OF BEGINNING SIR = SET 112- IRON ROD LB,- 8183
CLF = CHAIN LINK FENCE Fir = FOUND IRON PIPE O/A = OVERALL POC = POINT OF COMMENCEMENT TBM = TEMPORARY BENCH MARK DWG:L87-94-T@AP- SITE.DWG
CMP = CORRUGATED METAL PIPE FIR = FOUND IRON ROD OH = OVERHEAD WIRE(S) POL = POINT ON LINE TOB = TOP OF BANK
COL = COLUMN FN&D = FOUND NAIL & DISK O.R. = OFFICIAL RECORDS PRC = POINT OF REVERSE CURVE TWP = TOWNSHIP This SITE Plan Prepared for and Certified To:
CONC = CONCRETE FOP = FOUND OPEN PIPE (P) = PLAT PRM = PERMANENT REFERENCE MONUMENT Uc = UTILITY EASEMENT Lennar Homes
C/S = CONCRETE SLAB EPP = FOUND PINCHED PIPE PB = PLAT BOOK P.U.E = PUBLIC UTILITY EASEMENT
S 89-56'08" E (P) 328.99'
BASIS OF BEARING
SEC. 15, TWP26 S, RNG 21 E.
PASCO COUNTY, FLORIDA
1708 Water Oak Drive
Tarpon Springs, Florida
Phone: (727)-831-1990
FloridaPLS71239gmail.co1T1
1-134 8183 1
., , -P -
RG , W RG E
I �p 11 s -rI �, E,
X
I fit -'
Initial Point Lance®d Surveying, LLC.
LEGEND
SURFACE TYPE FENCES
CONC ALUMINUM FENCE
ASPHALT VINYL FENCE
BRICK WOOD FENCE
SAND/DIRT CHAIN LINK FENCE
COVERED OVERHEAD POWER
OHP - OHP
..........
LEGEND:
PROPOSED DRAINAGE FLOW
(00.00) = PROPOSED GRADE
E-00.00 = EXISTING GRADE 2" OAK
= I O'INGRESS EGRESS/U.E & D.E
APPARENT FLOOD HAZARD ZONE: X" COMMUNITY NO. 120235
(MAP NUMBER 12 10 1 C-0452-F) EFFECTIVE DATE: 09/26/2014
1.) Current title information on the subject property had not been
furnished to Initial Point Land Surveying, LLC. at the time of this site plan
2.) This sketch was prepared without the benefit of a title search. No
instruments of record reflecting ownership, easements or rights -of -way
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.
5.) 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 will be at user's sole risk.
Sug,l
This certifies that s
under my
p
sup Surveys as set,
5J- 17.051 throes -1
Section 472.Qf. OFIrid
E
6 \ Jeff M. Hartley 1--IIAIL Ut
FLORIDA PROF AI4*, S&W&fA
NOT VAU ' qTH
D OF A F THE
uft��j A�l P rA
TE
)ed property was made
dards of Practice for
urveyors in Chapter
%W
ftYode, pursuant to
3.(�q.05
Date
:R LS#7 123 LB#8 183
4ATURE AND SEAL
AND MAPPER
v Notice t® Building Official of
Use of Private Provider
Effective January 20, 2003
38071 Fallstone Way
Project Name:
Parcel Tax ID: 15-26-21-0230-00000-0880
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.
5TEVE SMITH
the fee
owner, affirin I have entered into a contract with the Private Provider indicated below to conduct the services
indicated above.
Private Provider Firm:
Private Provider:
Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
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 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, envirommental or other codes.
The following alta,chments, are, provided as required:
1. Qualification statements and/or resumes of the private provider and all duly authorized representatives.
2.. Proof of insurance for professionalandcomprehensive liability amount
i y in,the. amo of $1 minion per
occurrence relating to all services performed as a private provider, including tail coverage for a minimum
of 5 years subsequent to the performance of building code inspection Services.
(signature)
Print
Name;
Address-
Telephone
No.:
Please use appropriate notary block.
STATE OF FLORIDA.
COUNTY OF HILLSBOROUGH
Bafore me, this day of
20— personally
appearDd
who executed the foregoing instrument,
and acknowledged before me that same
was executed for the purposes therein
expressed.
C�orporation
LEN4LIW, WOMES, LL#
Print CoipoTationName
BY:
(signature)
print
Name. Christopher Smith
its- Authorized A.
Address'. 700 NW 1 Olt-A—m—a
Miami, FL 33172
Corporation
Beforrm,,thi, 22ND day of
MAY 202Z
personally appeared
Of
LennarHomes ,LLC
corporation, on
behalf of the state corporation, who
executed the f6regoing instrument and
aoloaowledgcd bduc, me that same was
executed for the purposes therein
Print Partnership Name
By:
(signature)
Print
Name:
Its.
Address:
Tedephone,
No.:
Partnership
B afore me, this -day
of 20�
personally appeared
a partnership, Who executed the
foregoing instrument and
acknowledged before me that same
was oxtGuted-for the purposes therein
expressed"
Personally known X or- Produced identification Type of identification produced
signature of NotaT Pxi.Name ASHLEE CALLAHAN
NotaryPublic Stamp: Asam CALLARM
# ji 295W
W COMMISSION Ii
Commission Expires::EXPIRES: ""M110 3o,2026
Page 2 of 2
TRACKING #
38071 Wav
Required Permits
r1-16-2023
Debra , r ►
Building
❑ Inspection Only
'Plumbing
❑ Inspection On
Mechanical
❑ Inspection Only
Electrical Amp
❑ Ins section Only
01 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:
V-B
Risk Category:
Occupancy Load
ta�upancy Classification:
"',❑, Factory E
'Residential -3
[� Assembly
]-Hazardous E
❑ Stora.-e
f❑ Business j .Day Care/Educational
❑ Institutional �-�—� � _❑ Mercantile
❑ Utility
Building Use: Single Familv townhouse / Alteration ❑;Level I ❑',Level 2 ❑Level 3
VNew Construction ❑ Interior Finish ❑ Interior Remodel ❑ Exterior Remodel ❑ Addition ❑ Revision
Overall Size:
13-4 x 63
Number of Stories:
2
Total Sq. Ft.:
1965
Living Area: 1513
Covered Area:
452
# of Bedrooms: 2
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof Type: ®Shin le
❑Tile ❑ Built-u
❑ Vletal ❑ Other Squares: 13
Zoning:
Wintdborne 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 AIC
❑ Gas A/C
X❑ Heat Pump
❑ Gas heat
❑ Window A/C
❑ Electric Heat
On Site Piping
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
Setbacks
Front Rear Left Right
0 Asper Approved ,Site flan
Comments:
VR/\
VIRTUAL REVIEW ASSIST
Private Provider
Plan Compliance Affidavit
Private Provider Firm: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU1967
Address: 747 Southwest 2"d Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: lucv(&,virtualreviewassist.com
Project: New SFT
Address(s): 38075,38071,38067,38063,38061,38057,38053,38049 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, SNI,S3,S4,S5,S6, ST,SS,Dl,WI`,PAI.0,PAI.l,
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:
SWORN AND SUBSCRIBED bef me by Debra Anne Klahr
being personally known to md or having produced as identification
and who being fully sworn and cautioned, state that the
f s i regoing true and correct to the best of his/her knowledge or belief.
mg Sign e of Notary Print Name
commission expires:
ASHLEE CAU*M
W COMMISSION # HH 295980
EXPIRES: Nmniber 30,2026