HomeMy WebLinkAbout23-5798City 1" i
5335 Eighth Street
Zm`" l 1
Zephyrhills, FL. 33542
BNR-005798-2023
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Gate. 03(0912023
0 00000 0910
38061 Fallstone..
�) ENNAR HOMES ". Permit Type: BuildingI 01111 � 1 Iqi I i Il i M ill INew (Residential) Contractor: LENNAR HOMES LLC
�
Class of Work: Townhome
'# 61 # ii Building ! i
A `+ Electrical Valuat
i �
i13) Plumbing Valuation: 5700 Mechanical Valuation: $17,522.40
Total32.00
Total Valuation: $330,422.40
AmountPaid:
Date Paid: 3/9/2023 7:23:44AM
�C=ONSTR=UCT
Transportation Impact Fee $3,445,20 3/4 Water Meter Residential Connection Fee $794.92
Mechanical Plan Review Fee $0.00 Sewer Connection Residential Fee $2,40U0
'Electrical Plan Review Fee
1
.00 Driveway Fee $45.00
Building Permit Fee $1,291.60 Water Connection Residentialit
Fire WaIVSmoke Wall Inspection $1500 Electrical Permit Plumbing Permit Fee $165.16 Park Impact Fee - Single Family/Townhome $769.56
'Mechanical Permit Fee $12761 Transportation Impact Fee - City '{
Public Safety Impact Fee -Police
$254.00 Schoolpact Fee - Single Family $3,353,00
Address Fee $30.00Plumbing • 01
Building
PublicIj ImpactR
REINSPECTION FEES. (c) With respect to Reinspection 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."
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.
CANT TO SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT
- O.. CARD
FROM
O.. WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-81 3-780-0021
Building Department
Date Received Phone Contact for Permitting 908 770 -_ 7763
-"-u 1-11711-1 I-F-" . I ' I . . . . . . . . . . .
Owner's Name Lermar Homes, LLC Owner Phone Number 1 813.574.5700
Owner's Address 1 4301 W Boy Scout Blvd, Ste. 600, Tampa, FL 33607 Owner Phone Number
I
Fee Simple Titleholder Name I NUA Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 38061 Fallstone Way
LOT # 0091
SUBDIVISION Townes at Autumn Palm PARCEL ID# 1 15-26-21-0230-00000-0910
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRE] ADD/ALT
P
SIGN DEMOLISH
INSTALL L_J REPAIR
PROPOSED USE SFR COMM
OTHER
TYPE OF CONSTRUCTION BLOCK FRAME
STEEL F_
DESCRIPTION OF WORK Multi -family Screen Enclosure / Fence
BUILDING SIZE I LJ/R SF 2086 SQ FOOTAGE [1634
HEIGHT
BUILDING $ 250320 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ 37548
F_X] PROGRESS ENERGY W. R. E. C.
AMP SERVICE
1
[-71
JyJPLUMBING 25032
MECHANICAL $ 17522.4 VALUATION OF MECHANICAL INSTALLATION
GAS 10 ROOFING Q SPECIALTY =
OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA
L____1
DYES Do
I-
BUILDER COMPANY Lennar I lornes, 1,1,(' ,
SIGNATURE X REGISTERED Y/ IN FEE CURREN I Y/N
Address 143#W Scout Blvd Suite 600 Tampa, 13617, License # F EGC1518166
ELECTRICIAN COMPANY Edmonson Electric, Inc.
SIGNATURE REGISTERED Y/ N FEE CURREN LILN J
Address 'L License# I EC 13005408
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN =/ N::
Address License #FCFC042998
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED LY / N FEE CURREN I Y/N
Address t License # [EAC:058062
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y/ IN FEE CURREN LI±N_j
Address License #
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 wl 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.
It 11 11 111 11 1 11 11 1-11 It I I 1 9 11 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
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 `V" 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.
I 4lWM12h,121vill 10 LM 1111ATI 111"Zo as] "A 16 1 W 0411VI Al 614 0 a *M 11SX001:4 Z11 "41=.*11M10
4] 3 � '11111k i •
OWNER OR AGENT
Subscribed and sworn o (or affirmed) before me this
veiaoza by Christopher Smith
Who is/are personally known to me or44asA4ave-pfGduGE4
as identification.
Notary Public
Commission No. GG 296057
Stephanie Farmer
Name
"ER
AV T - cm"dow IGO Z
xf Boes P *mwy 15,2023
Subscribed and sworn to (or affirmed) before me this
11512D23 by Christopher Smith
Who is/are personally known to me or has/have produced
as identification.
Itz-Notary Public
Commission No. GG
ephanie Farmer
of NNMj
PerrmtNo, 6
Date Permitted 3- -2-
Builder Narne/Owner Name Control #
County Parcel No, 2-1
SubDiv,
Address/Location �315bG
Classification/Type of Use 6'x�
TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: I
Exempt 0 Yes 0 No How Determined
Impact Fee Amount --$�q6�() Zone No, TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount$ ,5-3
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt =Yes = No How Determined_
4
Land Account Land Credit Land Total
Recreation Account _ Recreation Credit Recreation Total
Zone Total Amount $ .
--ZL25,61 —Q--
Exempt =Yes = No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account _ Facility Credit Facility Total
Exempt El Yes No How Determined Total Amount ���
RESOURCE FEE ERU
mnml�l
=_— Checked By
NO CERTIFICATE OF OCCUPANY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
ACKNOWLEDGEMENT BELOW DOE�' No AMPI
RECEIPT NO — DATE BY
I R W/ 15 MPI,'S,-i-- -
NLET S-2
2.4(
50
. - - =-- 81
mr--a=r--mw--mm 80
-79
78
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.
S 89-5608" E (P) 328.99-
BASIS OF BEARING
mou"Wam
LA I WAM 2r4 4 ri 1114 r4z I 14 *1
SEC. 15, TWP. 26 S, RNG 21 E.
PASCO COUNTY, FLORIDA
LT*3yk-NLC-s I I
SITE PLAN
(NOT A SURVEY)
0
N
27.3'� --*
�1 6'
27.3
7.3?
��v
N
895608" W (P)
U
28.33'(P) Tl. .0a
18
(P)
18,0 0(P) 18
N 89-56'08" W (P) PC(P)
--
- -------
LOT
16958
SQ. FT.
In 0,
10.0'.-
10.0'?, 10.0,
10.0".
100" 10.0,
LIVING AREA
5336
SQ. FT.
1 1.3' 113'
1 I.T
1 13' 1 1.3'
13'
ENTRY =
672
SO. FT.
GARAGE =
1848
SO. FT.
Z
V V
Vk
COVERED LANAI
868
SQ. FT.
10.0,
LU LU
�J 41
- t
LU -
100'
- ---I PATIn
NA
��rl FT
> ;0 ;
>
0 M
-
M
-
rn
Fn n
--i a-
mrn
M
7.0'
Z'9
< 6.7'
&T
6.7'
z 0 q
LOT
;0 M
LOT
LOT
89
LOT
LOT
> E2
87
b 88
PROPOSED
90
91
z
>2STORY
r�
C)
U
-D-
ArrACHE
Ln 144'-8-
T
RESIDENCES
L
0
o
UNIT -A
UNIT-B
UNIT-C
UNIT-C
UNIT-C
1532
1516
1624
1624
1624
18.3'
18.0
18.0'
1&0'
18.0'
(LANAI
---LANAT----
----LANA
LANAI
LANA
r)
I n
n
I
n n
6:
rn
;;0
7' < 6.7'
LOT
92
UNIT-C
1624
7.0'
LOT
LOT
93
94
Ln
UNIT-B
UNIT -A
1516
1532
>
r)
POOL AREA =
NA
SQ. FT.
rn i
CONC. DRIVE =
2400
SO. FT.
> ni
A/C & CONC PAD =
80
SO, FT.
o';�D -
SIDEWALK =
324
SQ. FT.
ry
2
SIDE YARD SWALE =
NA
SQ. FT.
CONSERVATION AREA=
NA
SQ. FT.
E
UJ
LOT OCCUPIED =
68
%
N
AREA TO IRRIGATE =
32
%
NOTES -
LOT GRADING TYPE = N/A
PROPOSED PAD ELEVATION = N/A
FRONT SET BACK = 15'
1 O.0'- SIDE SET BACK = 10'
REAR SETBACK = 20'
ALL WALKS 3.0'UNLESS NOTED
ALL A/C 3.2'x 3.2'
I/F/U/D = INGRESS EGRESS/
---------- 18.33- IP) 18.00'(P) I&OO'(P) i -18.00'[P18.00'tP) L 18.00'(P18.00'(P) 28.33'[P) (82 UTILITY/ DRAINAGE ESIVIT
S 89-560 1 " E (P)
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
(NAVD 88) - --- ------------ DATUM OF 1929
-------
A/C =AIR CONDITIONER (D) = DEED INV = INVERT PC = POINT OF CURVE fR) = RECORD Drawn By: CWC I Party Chief : JH REVISIONS:
AF = ALUMINUM FENCE D.E= DRAINAGE EASEMENT LB =LICENSED BUISNESS PCP = PERMANENT CONTROL POINT RNG = RANGE
BFE = BASE FLOOD ELEVATION EL OR ELEV = ELEVATION LEE LOWEST FLOOR ELEVATION P/E POOL EQUIPMENT RRS RAIL ROAD SPIKE CheckedBv:JH JJOB#6192
BM - BENCH MARK EOP = EDGE OF PAVEMENT LS = LICENSED SURVEYOR PG = PAGE R/W RIGHT OF WAY
C = CURVE ESMT = EASEMENT (M) = MEASURED PI = POINT OF INTERSECTION SEC SECTION File:
(C) - CALCULATED F/C = FENCE CORNER RIES = MITERED END SECTION PK =PARKER KALON SN&D SET NAIL AND DISK LB#8183 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 HP = FOUND IRON PIPE C/A = OVERALL POC = POINT OF COMMENCTMENT TSM = TEMPORARY BENCH MARK DWG:L87-94-T@AP- SITE.DWG
CMP = CORRUGATED METAL. PIPE FIR = FOUND IRON ROD OHW = OVERHEAD V,/IREJSI POL = POINT ON LINE TOB = FOP 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 (PI = PLAT PRM - PERMANENT REFERENCE MONUMENT LLE = UTILITY EASEMENT Lennar Homes
C/S - CONCRETE SLAB FPP = FOUND PINCHED PIPE PB = PLAT BOOK P.U.E = PUBLIC UTILITY EASEMENT
18.0 18.0- I&T
AN-
NAJ---LANAI---1 -LANAI
1708 Water Oak Drive
Tarpon Springs, Florida
Phone: (727)-831-1990
FloridaPLS71239gmaii.com
LB# 8183 1
x
I 10> .1
Initial Point Land Surveying, LLC.
LEGEND
SURFACE TYPE FENCES
CONC ALUMINUM FENCE
tit_ _
ASPHALT VINYL FENCE
-I0
BRICK WOOD FENCE
SAND/DIRT CHAIN LINK FENCE
x- ----
COVERED OVERHEAD POWER
OHP - OHP
LEGEND:
PROPOSED DRAINAGE FLOW
(00.00) = PROPOSED GRADE
E-00.00 = EXISTING GRADE = 2" OAK
= 10'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
SURVEYOR'S NOTES:
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, L-C. of any deviation from
information shown hereon. Failure to do so will be at user's sole risk.
Su R' 7F TE
This certifies that sk - tt f I WX led property was made
under my sup dards of Practice for
surveys as set q a urveyors in Chapter
5J-IT( thro j-17-053,1Fi5 1 1 Vode, pursuant to
Section 472. AW. FI rid Q ate ',tatMe: 2 3. .05
, tie It 1 10:09:5 - 01
Jeff M. Hartley 7o STA E OF p Date
FLORIDA PROFl , SSWIRM A FIR LS#7123 LB#8183
NOT VALID
1� R�f IGNATURE AND SEAL
D OF A�F�XRQ�,A,9EMLY�
,..a- ,,WEYOR AND MAPPER
Project Name:
Parcel Tax ID:
VRA
v U A 1, R E V I E I'll; 4
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
III III III Be I 1 0
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 Firm: VIRTUAL REVIEW ASSIST, INC.
Private Provider: bEBRA ANNE KLAHP
Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
Telephone: 813-376-3088 Fax: N/A
Email Address (Optional): deb@virtualreviewassist.com
Florida License, Registration or Certificate #: (LTC # 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- enviromment&I or other codes.
The following attachments. are provided as required:
I. Proof of insurance for professional and comprehensive liability in.the, ainount of $1 million per
of 5 years subs eqaent to the performance.of building code insp ection services,
Print
Name;
Address;
Telephone
Please use appropriate notary block.
STATE OF FLORIDA
B efore me, this day of
20— personally
apPeaird
who executed the foregoing instrument,
and acknowledged before me that same
was executed for the, purposes thor5in
expressed.
(signature)
print
Christopher Srnith
Authorized Agent
Addrew 700 NW 107th Ave
Miami, FL 33172
Telephone.
No.—B.1.3-574-5700
Corporation
Be,foreme,this 22ND day of
MAY 2o 2.2
personally appeared,
Lennar Homes LLQ a
CDYporwtion, on
behalf of the state corporation, who
executed the f6regoing instrument and
acicnowledged before me that same was
executed for the purposes therein
expressed.
Partnership
{signature)
Print
Name:
Its:
Address;
Telephone
Partnership
B efore me, this day
Of
personally appeared
p artner/agent on b ehalf of
a partnership, who executed the
foregoing instrument and
acknowledged before me that same
was exemtod-for the purposes therein
Personally known X 0 or- Produced identification Type of identifl ationproduced
Signature of Notar6l PrintName ASHLEE CALLAHAN
NotaryPublic Stamp: ASHLEE CALLWO1
MY COMMISSoi # "I'
Commission Expires: EXPIRES.. "mbor 3o, 2026
Page 2 of 2
❑ COMMERCIAL BUILDING SERVICES DIVISION ..)VRESIDENTIAL
BUILDING PERMIT DATA SHEET
TRACKING #
FOLIO# 38061+ a, a
FIRE MARSHAL #01
DATE: 1-16-2023
Building
❑ Ins pection Only
Plumbing
❑ Inspection Only
Mechanical
❑ Inspection Only
V Electrical Amp
❑ Inspection Onl
Roof
❑ Gas
❑ Medical Gas
❑ Fire Sprinklers
❑ On Site Piping
❑ Fire Line
❑ Irrigation
[] Fire Alarm
❑ Potable Backflow Assembly
❑ Fire Line Backflow Preventer
❑ Irrigation Kackflow Assembly
❑ Demolition
❑ Walk-in Cooler
❑ Refrigeration
❑ Hood
❑ Ansul
❑ Fence/Wall
❑ Grease Trap
❑ Other
❑ Other
FfftfFF►`FiiTffit i 1
Type Construction:
���
Risk Category:
Occupancy Load
Oegppaney Classification:
Factory E
Residential
..........
10 Assembly
❑ Hazardous
❑ Storage
❑°Business _ ,,Day Care/Educational
❑,Institutional 0Mercantile
❑ utility
Building Use: Sinale Family townhouse 1 Alteration ❑'Level 1 ❑',Level 2 1E] Level 3
New Construction ❑ Interior Finish ❑ Interior Remodel ❑ Exterior Remodel El 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: X❑ Shingle
[]Tile ❑ Built-up
❑ Metal ❑ Other Squares: 14
Zoning:
Windborne 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
0 Heat Pump
E] Gas Heat
❑ Window A/C
❑ Electric Heat
37marinum iT
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Under round Fire Line
Front Rear Left Right
❑✓ Asper Approved Site Plan
Comments:
V /\
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 2nd Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: Iiievavirtualreviewassist.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,ll,12, 13,14,15,16, L 1, SN, SNl,S3,S4,S5,S6, STSS,D 1,WP,PA 1.0,PA 1. 1,
PA1.2,PA1.3,PA1.4, 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
�7 4
Signature of Reviewer:
SWORN AND SUBSCRIBED� �hefm�e by Debra Anne Klahr
in being personally known to d or having produced as identification
and who being fully sworn and cautioned, state that the
f4 s i regoing true and correct to the best of his/her knowledge or belief.
ingSign e of NoPrint Name
commission expires: