HomeMy WebLinkAbout23-5799City of il
7�
5335 Eighth Street
�
Zephyrhills, FL 33542
BNR-005799-2023
Phone: (813) 780-0020
Fax: (813) 780-0021
issue Bate: €33/491zO23
Permit Type:i i "" !
.�a
00000 0920 38057
� Name:NA �HOMES LILC iu'q E'•� ``� I�� ���� �� Contractor: IUllllh LENNS III HOMES L iCPhone: (813) 574-5700 Mechanical Valuation: $17,522.40
TotalPlumbing Valuation: $25,032.00
Total Valuation: $330,422.40
t
,333,47
Amount Paid: $14,333.47
Date Paid:i Al A..
L Blom
*.. ..
Fire Wall/Smoke Wall Inspection $15.00 Transportation Impact Fee 4 4 5. 2 0
Transportation Impact Fee - City 34.80 School Impact Fee - Single Family 3,353.00
Building Permit Fee $1,291.60 Building" ' .iM
ResidentialSewer Connection
Address i ii
Water Connection Residential Fee $1,140.00 Park Impact Fee - Single Family/Townhome $769,56
Electrical Permit ! Mechanical Plan Review Fee $0.00
Plumbing Valuation Fee $0.00 Mechanical Permit Fee $127.61
Public Safety Impact Fee -Police $25400 Driveway Fee $45.00
Public Safety Impact Fee -Admin
..35 ( Water Meter Residential Connection Fee 1
Electrical Plan Review Fee $0.00
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 subsequenti #
Notice: ii •i of permit,additional restrictions applicable i
management,may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water or +.i' agencies.
"Warning to ♦ Your i record a notice of commencement may result in yourpaying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your i of #
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.
T ACTOR SIGNATURE 4PE OFFICE
PERMIT EXPIRES
• t' APPROVED
r++ 1,r J
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permittin 908 770 -_ 7763
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 336=07 Owner Phone Number E=
Fee Simple Titleholder Name [ NT/A Owner Phone Number
Fee Simple Titleholder Address I N/A
e Way
0092
JOB ADDRESS38057
LOT #
SUBDIVISION Townes at Autumn Palm PARCEL to# 15-26-21-0230-00000-0920
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR F__1 ADD/ALT
P
SIGN DEMOLISH
INSTALL E:] REPAIR
PROPOSED USE 0 SFR E=] COMM
OTHER F_
TYPE OF CONSTRUCTION lo BLOCK E:] FRAME
STEEL
DESCRIPTION OF WORK I Multi -family / Screen Enclosure / Fence
BUILDING SIZE I UIR IF 2086= Sol FOOTAGE1634
HEIGHT 28
BUILDING $ 250320 VALUATION OF TOTAL CONSTRUCTION
F-7711
LtjELECTRICAL I$ [XJ PROGRESS ENERGY W.R.E C
37548 I AMP SERVICE
PLUMBING $ 25032
MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS blL ROOFING F__1 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA BYES Do
BUILDER
SIGNATURE
Address
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
Address
OTHER
SIGNATURE
Address
Illllltl
RESIDENTIAL
SIGN PERMIT
COMPANY
REGISTERED
14301 4PBoy Sc"t-Blvd Suite 600 Tampa, FL 33607 7
COMPANY
REGISTERED
COMPANY
REGISTERED
COMPANY
REGISTERED
COMPANY
REGISTERED
E� -:- a, �11,, Homes, 1, 1, C "
L_Z LN J FEE CURREN I Y/N
License # I CGC1518166
Edmonson Electric, Inc.
I Y/ N FEE CURREN
License # I EC 13005408
Bayonet Plumbing, Heating & AC, Inc
L_Y_L IN J FEE CURREN I Y/N
License # I CFC042998
Bayonet Plumbing, Heating & AC, Inc
L_y LIN J FEE CURREN L_y
LN_J
License # I CAC058062
C Sterling Quality Roofing, Inc
L_Y_L N_J FEE CURREN I Y/N
License # [C—CC057991
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 clumpster; Site Work Permit for subdivisions/large projects
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 & I dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500)
.. Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (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.
OWNER ORAGENT
Subscribed and sworn to (or affirmed) before me this
11112.21 - by Christopher Smith —
Who or_hass d
as identification.
42
Notary Public
Commission No. GG 296057
Stephanie Farmer
Name
onm,
con" A gi E*ms Febmay Ilk 20
IMILINIq J.2F_,JJLE21 0,I _191ob-
ago �11111
Subscribed and sworn to (or affirmed) before me this
11112— by _Christopher Smith
Who is/are personally known to me or has/have produced
as identification.
—Notary Public
Commission No. GG 296057
Stephanie Farmer
Name of Ni
Permit No.
Date Permitteda-1 3
Builder Name/Owner Name
County Parcel No, 5
Address/Location 13
Classification/Type of Use
TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit:
Exempt 0 Yes 0 No How Determined
Impact Fee Amount 4 e, (-,)
-IL�u I �' Zone No. TAZ,—
Account (056) Single -Family Detached House Amount $
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt = Yes = No How Determined_
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account_ Recreation Credit Recreation Total
Zone — Total Amount $-2L2,
Exempt =Yes = No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account — Facility Credit _ Facility Total
Exempt 1:1 Yes = No Now Determined Total Amount
RESOURCE FEE ERU
zMM=1
1=1
ZM=j
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
11M
I
M
I WI 15 MPI
S INLET S-2
M 1�Ih IIII
�*82A
DESCRIPTION: LOT(S) 87-94, TOWNES AT AUTUMN PALMS,
SEC. 15, P. 26 S, RNG 21 E.
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK
89,
PASCO COUNTY, FLORIDA
SITE PLAN
PAGE(S)1 13-1 14, OF THE PUBLIC RECORDS OF PASCO COUNTY,
FLORIDA.
(TOWNES AT AUTUMN PALMS)
(NOT A SURVEY)
- - - - - -
FALLSTONE WAY -S 89'56'08" E (P) 328.99'(P)
b
ROADWAY TRACT "C BASIS OF BEARING
N
50'WIDE R/W
CITY OF ZEPHYRHILLS
11
I/E/U/0 EASEMENT
1-2.0'
27.3-
3 27.
7-7
16�
27 3"
15.0' N 89'56'08" W (P)
U
2833'(P)
18.00
(P)
18.00 (P) i 18
(1
I&OU
(P)
DU
18. (p)
18 00'(P)'.
28733- (P)
29.82'(P)
4,11/
J�
N 89-56'08" W (P)
183.6o)
PC(P)
F-
En -0
> ;Q
10.0,
L4 >
M
M En
>
2
--4
En
16958 SO. FT.
iItLOT
0, 0"" OF. - 10:0--� , 1
10, 0 10.0,
I 4i
10. -3' 1 13' 11.3 1 5
100' .1 .0 41- 10.
LIVING AREA 336 SO. FT
1 13' 11.3 13' ENTRY - 672 SQ. FT.
113'
7-0'
LOT
87
M
wzlv::�
W
w
rn
M
Z'9
< 6.7'
6.7 <
LOT
LOT
LOT
89
88
r PROPOSED
90
Ln 2STORY
ATTACHED
RESIDENCES
UNIT-B
UNIT-C
UNIT-C
1516
1624
1624
M
6.7
LOT
91
Ul
-144'-8-
t
0
UNIT-C
1624
M
< &T
LOT
92
rn
Qo
UNIT-C
1624
Z
LU
7.0'
LOT LOT
93 b 94
h
U')
UNIT-B UNIT -A
1516 1532
GARAGE =
1848
SQ. FT.
COVERED LANAI =
868
SO. FT.
100'
PATIO =
NA
SO. FT.
>
r)
POOL AREA =
NA
SO. FT.
E:
rn 4
CONC. DRIVE =
2400
SQ. FT.
b
-a
> Fri
A/C & CONC PAD =
80
SO. FT.
r9
SIDEWALK =
324
SO, FT.
0
SIDE YARD SWALE =
NA
-NA
SO. FT.
E
CONSERVATION AREA=
SQ. FT,
UJ
LOT OCCUPIED =
68
r1i
AREA TO IRRIGATE =
32
%
I&T
18.0
18.0'
18.0,
18.0,
18.0,
18.0,
18.3'
10:�0'
.LANAI---
----'LANA`r'
----LANAI
LANAI
LANA
LAN
----
LANAI
-
.
_
. - 10.0,
n
n
n nn
n
I
NOTES:
LOT GRADING TYPE = N/A
PROPOSED PAD ELEVATION = N/A
FRONT SET BACK = 15'
SIDE SET BACK = 10'
REAR SETBACK = 20'
ALL WALKS 3.0'UNLESS NOTED
ALL A/C 3-2'x 3.2'
U I I/D= INGRESS EGRESS/
---------- 8.33'(P) 18.00'IP) i 18,00'(P) 4 18.00'(P) 4 I&00'fP) 18.00'(PI 18-.00'(P) -28.33'( UTILITY/ DRAINAGE ESMT
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 1 NORTH AMERICAN VERTICAL DATUM OF
INFORMATION TO NORTH AMERICAN FORM THE ENGINEERING PLANS OF `MASERI
1988
VERTICAL DATUM OF 1988 CONSULTING P.A. ", PROVIDED BY CLIENT I
+0.85'= NATIONAL GEODETIC VERTICAL
(NAVD 88)
SURVEY ABIBRE-VATIONS DATUM OF 1929
A/C = AIR CONDITIONER fD) = DEED INV = INVERT PC = POINT OF CURVE (R) = RECORD Drawn 8y:CWC Party Chief : JH REVISIONS:
AT = ALUMINUM FENCE D.E= DRAINAGE EASEMENT LB =LICENSED BUISNESS PCP = PERMANENT CONTROL POINT RNG = RANGE
EDE - BASE FLOOD ELEVATION EL OR ELEV = ELEVATION LFE = LOWEST FLOOR ELEVATION P/E POOL EQUIPMENT RRS = RAIL ROAD SPIKE Checked By: JH JOB #6192
BM = BENCH MARK EOP = EDGE OF PAVEMENT LS = LICENSED SURVEYOR PG = PAGE R/W = RIGHT OF WAY
C = CURVE ESMT = EASEMENT (M) = MEASURED P1 = POINT OF INTERSECTION SEC SECTION Fife:
IC I = CALCULATED F/C = FENCE CORNER MES = MITERED END SECTION PK =PARKER KALON SN&D = SET NAIL AND DISK LB#B 183 Date of Site Plan:06-08-22 CWC
q- = 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 COMMENCTMENT TBM =TEMPORARY BENCH MARK DWG:L87-94-T@AP- SITE.DWG
CMP = CORRUGATED METAL PIPE FIR = FOUND IRON ROD OHW = OVERHEAD WIRE(S) ROL = POINT ONLINE 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 FIRM = PERMANENT REFERENCE MONUMENT LTE = UTILITY EASEMENT Lennar Homes
C/S = CONCRETE SLAB EPP = FOUND PINCHED PIPE PB = PLAT BOOK P.LLE = PUBLIC UTILITY EASEMENT
1708 Water Oak Drive
Tarpon Springs, Florida
Phone: (727)-831-1990
A.,911,23
T-1 I.S.
I T-1 S.
5
I 0> .1
Initial Point Land Surveying, LLC.
LEGEND
SURFACE TYPE FENCES
CONC ALUMINUM FENCE
ASPHALT VINYL FENCE
BRICK WOOD FENCE
SAND/DIRT CHAIN LINK FENCE
_7X -- - -- --
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, LLC. of any deviation from
information shown hereon. Failure to do so will be at user's sole risk.
SU! f R, YFF4CATE
f
- ' '
This certifies that k IVIV, ed property was made
a al & u
j53 t
sk�-
under my sup ry �dards of Practice for
surveys as set a urveyors in Chapter
5-1- 17.05 L thro 17.05 TT64 I I 9yode, pursuant to
Section472. �W. Fl,ridtfate',ItatBfzfte:2�123.(t.05
Ac
A; ey,0:09:5 01
Jeff M. Hartley STATE OF
Date
FLORIDA PROFAI SLFA ER LS#7123 LB#8183
NOT VALID
-1E`CrR& SIGNATURE AND SEAL
�L _�p
OF FISSOA �CltVM"19 �OEYOR AND MAPPER
\/R/\
U' A L R E 4 S T
v Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
38057 Fallstone Way
Project Name:
Parcel Tax ID: 15-26-21-0230-00000-0920
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,
I STEVE SMITH , 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
Telephone: 813-376-3088 Fax: N/A
Email Address (Optional): debevi rtualreviewassist.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', environmental or other codes.
The following attaPhinents. are provided as required:
v
1. Qualifeation statements ' and/or resurnes of the PTiVate PrOVidf',r and all duly authorized representatives.
2.. PTO of of insurance for professional and comprehensive liabilit y in,the. amount -of $1 million p er
o ccurrtrice relating to all serviDds yeifbate -,govider. includinLy tai.� covera e for a rnin:imrp,
of 5 years subs eqaent to the perforniance.of building code inspection services.,
:(signature.)
Print
Name:
Address:
Telephone
Pleaseuse appropriate notary block.
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
Individual
Bf,forf,me, this -day of
20— personally
appeared
Who executed the foregoing instrument,
and acknowledged before me that same
was executed for the purposes therein
eYpresstd.
C�orporatiou
LENNAR HOMES. LLQ
Print CoiporationNa=
By:..
(signature)
print
Name: Christopher Smith
its: Authorized Acient
Addrew 700 NW 10!bAv—e
Miami, FL 33172
'Telephone
No. 913-574-5700
Corporation
Beforerne,this 22ND day of
MAY, 20 2_2
personally appeared
of
Lennar Homes, LLC a
Corporation,, on
behalf of the state corponlion, who
executed the f6re-going instrument and
aclnowled ged before me that same was
executed for the purposes therein
expressed.
Partnership
Print Partnership Name
=1
Print
Name:
Address;
Telephone
Partnership
Before- me, this day
of
pors6nally appeared
partner/agent on behalf of
a partnership, who executed the
foregoing instrument and
acknowledged before me that same
was executed.forthepurposestherein
expressed.
Personally known X ;or- Produced identitcation— Type of identifloa'tion produced
Signature of Not Print Name
—ASHLE.E Q&LLAHAN
NotaryPublic Stamp: ASHLEE CALW"
My COMMISSION # 1111295990
commission Expires: EXPIRE& Na*mbsr 30,2026
Page 2 Of 2
❑., COMMERCIAL BUILDING SERVICES DIVISION i RESIDENTIAL
BUILDING PERMIT DATA SHEET
TRACKING #
38057 a o a
FIRE MARSHAL #01
Required Permits
❑ Building
❑ Ins )ection Only
' Plumbing
❑ Inspection Only
❑ Mechanical
❑ Iizs ection Oniv
Electrical Amp
❑ Ins ection Onl
tZ Roof
❑ Gas
❑ Medical Gas
❑ Fire Sprinklers
❑ On Site Piping
❑ Fire Line
❑ Irrigation
❑ Fire Alarm
❑ Potable Baekflow Assembly
❑ Fire Line Backtlow Preventer
❑ Irrigation Backfiow Assembly
❑ Demolition
❑ Walk-in Cooler
❑ Refrigeration
❑ Hood
❑ Ansul
❑ Fence/Wall
❑ Grease Trap
❑ Other
❑ Other
T e Construction:-�
Risk Category.
Occupancy Load
Occupancy Classification:
❑Factory L
(Residential
❑Assembly
❑.Hazardous
❑!Storage ❑:�
_...
❑ Business ,❑_Day Care/Educational
❑Institutional (❑Mercantile
El utility
Building Use: Single Family townhouse l Alteration ❑,Level I ❑',Level 2 ;❑ Level 3
VNew Construction ❑ Interior Finish ❑ Interior Remodel ❑ Exterior Remodel ❑ Addition ❑ Revision
Overall Size:
18 x 63
Number of Stories:
2
Total Sq. FL:
2086
Living Area: 1634
Covered Area:
452
# of Bedrooms: 3
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof Type: S] Shingle
❑Tile ❑ Built-up
❑ Vletal ❑ Other Squares: 14
Zoning:
Wiftdborne Debris:
❑ Inside Outside
Energy Code: 405-2020
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents' ❑,Yes VNo
Sq. Ft. Enclosed Space Below BFE:
# of Vents:
Size of Vents.
Total Sq, In. Permanent Openings
® Central A/C
❑ Gas A/C
X❑ Heat Pump
❑ Gas Heat
❑ Window A/C
❑ Electric Heat
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Under round Fire Line
E
Front Rear Left Right
❑✓ Asper Approved Site Plan
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: luc-vavirtualreviewassist.com
Project: New SET
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:
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,WP,PAI.0,PAI.1,
PAL2,PA1.3,PA1.4, SHI.0,SHI.1,SH1.2,SHI.3,SHI.4,SHI.5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License#: PX2300
I
Signature of Reviewer: /
SWORN AND SUBSCRIBED befme by Debra Anne Klahr
being personally known tom or having produced as identification
and who being fully sworn and cautioned, state that the
f6reaoing is true and correct to the best of his/her knowledge or belief.
Sig ieLo LfIN o t a r Print Name,
commission expires:
\/V\
VIRTUAL REVIEW ASSIST
Private Provider
Plan Compliance Affidavit
Private Provider Firm: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU1967
Address: 747 Southwest 2nd Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: luevavirtualreviewassist.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 afflam, 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, SN1,S3,S4,S5,S6, ST,SS,D1,WP,PAI.0,PAI.1,
PAI.2,PAI.3,PAI.4, SHI.0,SHI.1,SH1.2,SH1.3,SHI.4,SHI.5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300 ley
Signature of Reviewer: 2"
—/
SWORN AND m bef SUBSCRIBED me by Debra Anne Klahr
being personally known to X�� or having produced as identification
and who being fully sworn and cautioned, state that the
fi 4regoing is true and correct to the best of his/her knowledge or belief.
Sig e of NoPrint Name
commission expires:
=144