HomeMy WebLinkAbout23-5800M.
City of Zephyrhilis 'PeRl"Im,
5335 Eighth Street
Zephyrhills, FL 33542 BNR-005800-2023
Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 0 1 3/09/2023
Permit Tvt)e: it in New (Residential)
Address: 4600 W Cypress St 200
TAMPA, FL 33607
Phone: (813) 574-5700
CONSTRUCT TOWNHOME 1513 Sid FT
Transportation Impact Fee - City
Electrical Plan Review Fee
SIF 1 percent Fee
Mechanical Permit Fee
School Impact Fee - Single Family
Fire Wall/Smoke Wall Inspection
Public Safety Impact Fee -Police
Electrical Permit Fee
3/4 Water Meter Residential Connection Fee
Building Plan Review Fee
Driveway Fee
Building Valuation: $235,800.00
Electrical Valuation: $35,370,00
Mechanical Valuation: $16,506.00
Plumbing Valuation: $23,580.00
Total Valuation: $311,256.00
Total Fees: $14,237.64
Amount Paid: $14,237.64
Date Paid: 3/9/2023 7:23:44AM
38053 Fallstone Way
Contractor- LENNAR HOMES LLC
. .. ............ .
W
)A
Ll 41,
$34,80 Transportation Impact Fee
$3,44520
WOO Sewer Connection Residential Fee
$2,400.00
$33.53 Plumbing Valuation Fee
WOO
$122.53 Plumbing Permit Fee
$157.90
$3,353.00 Water Connection Residential Fee
$1,140,00
$15.00 Address Fee
$30.00
$254.00 Mechanical Plan Review Fee
$0,00
$216.85 Building Permit Fee
$1,219,00
$794.92 Park Impact Fee - Single Family/Townhome
$769.56
$180,00 Public Safety Impact Fee -Admin
$26.35
$45.00
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 aftorney
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 Ca
NO OCCUPANCY BEFORE C.O.
a
��W �CTOR'S�113N�'TURE PE OFFICE
813-780-0020 City of Zephyrhills Permit Application Fax-813a80-0021
Building Department
Date Received Phone Contact for Permitting �( 908 170 7763
Owner's Name Lennar Momes, LLC Owner Phone Plumber 813.574.5700
Owner's Address 4301 W Boy Scout Blvd, Ste. 600, Tampa, FL 33607 Owner Phone Number
Fee Simple Titleholder Name N7.� Owner Phone Number
Fee Simple Titleholder Address I
NSA
JOB ADDRESS 38053 Fallstone Way LOT # QQ93
SUBDIVISION l oWneS at AUtUmn Palm PARCEL ID# 5`26-21-0230-QQ�}Q-093Q
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION 11D BLOCK E:] FRAME STEEL
DESCRIPTION OF WORK Multi -family /Screen Enclosure (Fence
uIR Sr 19651513 28`
BUILDING SIZE SQ�FOjOTAGE HEIGHT
BUILDING $ 235800 �J VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ 35374 I PROGRESS ENERGY W.R.E.C.
�I AMP SERVICE
PLUMBING $ 23580
MECHANICAL $ 16506 VALUATION OF MECHANICAL INSTALLATION
C�GAS ® ROOFING SPECIALTY = OTHER �-7
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES i ry0
LJ —1
BUILDER COMPANY
Lennar Homes, LLC
SIGNATURE REGISTERED Y 1 N J FEE OURRFN Y! N
Address
43 W Boy GOtlt Blvd Suite 600 Tampa, FL 33607 License # FGC1518166
.._
ELECTRICIAN COMPANY EdmonSon Electric, Inc.
SIGNATURE+ REGISTERED Y l N FEE auRREn YIN
Address License# I EC13005408�
PLUMBER T COMPANY bayonet Plumbing, Heating C, Inc
SIGNATURE i REoisTEREo YIN FEE cuRREn Y I N
Address License# I CFC042998��
MECHANICAL COMPANY bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED LX1 N Fee cuRREn LY 1 N
Address License# I CAC058062
OTHER COMPANY C Sterling Quality roofing, Inc����
SIGNATURE f REGISTERED Y/ N FEE CURREI, Y/ N
Address License # 1 CCC057991�
1/1111111/111111111/111i/l111l111111l11l1l1111l11/lillllll1111111/!
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.
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A1C 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 IMPACTIUTILITIES 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 "owneC 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
°compensafing 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
115'2023 by Christopher Smith
Who is/are peraonally_knmnto me or#a��
as identification.
Notary Public
Commission No. GG 296057
V1111— .11. 1wV '. for "Ineu� uarule nee uns
V112— by _� Christopher
Whojs/are personally k mwn to me or has/have produced
as identification,
Commission No. GG 296057
Stephanie Farmer Stephanie Farmer
Name sm . 4mFAMER Name of
(;Q 2W
E*M 1701)NNY 16, M3
�wk BMW
19m:Js.
-Notary Public
Job M 1516 th 2 ton 5kw
Performed by Dave for:
LennarHornes
8950 New York ave
Hudson,FL
Phone: 727-868-4636
Scale: 1 :84
Page 2
Right-Suke@ Universa[2021
21.0,02 RSU29541
2021 jan-1 3 19:21:04
brth LHG Duct des�n 2 tc)n,rup
I R WI''I5 MPI -'--'
S 'INLET S-2
82.4E
50
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00
79
78
DESCRIPTION. LOTS) 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°56'08" E fP) 328.99'
BASIS OF BEARING:
SITE
(NOT A SURVEY)
N
11
n-
,�-
27 3
e 5 0,
N 89°56'08 W (P) >. r a lJ
�28.33' (P) a J. 18.00 (P) 1 ,18.00 (P) 1 1 Q'.(P�, 1 18.00 (P) I 18. 0 (P) < 1 18 00 (P)� l� 28.33' (Pj 29.82' (P) --_-0
1 I 3 I l N 89°5608' W (P) PC(P)
g
1 I I q
a
LOT = 16958 .
10.0 i0.0'p 10.0160, 1 10.0'° 10.0' 10.0 LIVING AREA = 5336 SQ. FT.
11.3` 11.3' 11.3' 11.3' 11.3' I 11.3' 11.3' = 672
ENTRY SQ. FT,
1 1.3'
_ GARAGE = 1848 SQ. FT.
- v v d COVERED LANAI = 868 SQ. FT.
rs� 1 10.0' w w W v 5 w p u w
�_ s� 10.0' - �1
G � PATIO = NA SO. FT.
RA
> 0 M z Z z �I m 0 > POOL AREA = NA SO. FT.
0 � �� CONC. DRIVE = 2400 SO. FT.
m m - 7.0' -< -t ,C9 < 6.7' 6.7' b.7' 6.T < b.7' 7.0' `a
z ® o o �, tr`I A/C & CONC PAD = 80 SQ, FT.
� o LOT LOT LOT LOT LOT LOT LOT LOT o � SIDEWALK = 324 SQ. FT.
> �? 89 90 91 - 92 93 94 SIDE YARD SWALE = NA SO. FT.
z � $7 8 r.. PROPOSED CONSERVATION AREA= NA SO. FT.
P 2 STORY O -_.. _-_ __-__.___ LOT OCCUPIED = 68 %
ATTACHED Ln 144' 8"
rrt w w W w ?N AREA TO IRRIGATE = 32 %
rN
y RESIDENCES a In
U m
UNIT-B UNIT-C UNIT -CM
o UNIT -A UNIT C UNIT C UNIT-B UNIT -A
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' PROPOSED PAD ELEVATION = N/A
10.0' ? LANAI NA LANA LANAI LANA LANA LANAI LANAI o FRONT SET BACK = 15' 10.0'
1 (( G b SIDE SET BACK = 10'
L .- iL� I I 1 I �I ILI
1 I 1 I 1 I REAR SETBACK = 20'
I o. 1 n> I Y 1 1 n
ALL WALKS 3.0' UNLESS NOTED
0:
ALL A/C 3.2'x 3.2'
I 1 I 1 i I 1
I I I I I ti8.33' P 18.00" P 18.00' P 18.00' P
laZ1 /E/U/D = INGRESS EGRESS/
-------__) 80UTILITY/ DRAINAGE ESMT �z 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 1R) = RECORD Drawn By: CWC Party Chief : JH REVISIONS:
SEC. 15, TWP. 26 S, RNG 21 E.
PASCO COUNTY, FLORIDA
(TOWNES AT AUTUMN PALMS)
AE = ALUMINUM FENCE D E= DRAINAGE EASEMENT LB =LICENSED BUISNESS PCP = PERMANENT CONTROL POINT RNG = RANGE
BEE = BASE FLOOD ELEVATION
EL OR ELEV = ELEVATION
LEE = LOWEST FLOOR ELEVATION P/E = POOL EQUIPMENT
Chkd By JH JOB #6192
RRS = RAIL ROAD SPIKE ece
BM = BENCH MARK
EOP = EDGE OF PAVEMENT
IS = LICENSED SURVEYOR
PG = PAGE
R/W = RIGHT OF WAY File:
C = CURVE
ES✓1'T = 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 LBn8183 Date of Site Plan:06-08-22 CWC
ti = 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 COMMENCrMENT
IBM = TEMPORARY BENCH MARK DWG:L87-94-T@AP- SITE.DWG
CMP = CORRUGATED METAL PIPE
COI.. = COLUMN
CONC = CONCRETE
C/S = CONCRETE SLAB
FIR = FOUND IRON ROD
FN&D = FOUND NAIL & DISK
FOP = FOUND OPEN PIPE
EPP = FOUND PINCHED PIPE
OHW = OVERHEAD WIRE(S)
Q.R. = OFFICIAL RECORDS
(P) = PLAT
PB = PLAT BOOK
POL = POINT ON LINE
PRC = POINT OF REVERSE CURVE
PRIM = PERMANENT REFERENCE MONUMENT
P.U.E = PUBLIC UTILITY EASEMENT
TOB = TOP OF BANK
T,/P = TOWNSHIP IThis SITE Plan Prepared for and Certified To:
U.E -= UTILITY EASEMENT Lennar Homes
1708 Aster Oak Drive
Tarpon Springs, Florida
Phone.- (727)-831-1990
Fl®ridaPLS7123@gmail.com
LB# 8183 1
iWP. 1. N. -P 1.NI
RI W. RG. i.E..
TWP.I S. TWP. I. S.
RG.I W. aG.I.E.O
5
Initial Point Land 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 U INGRESS EGRESS/U.E & D.E
APPARENT FLOOD HAZARD ZONE: 'X" COMMUNITY NO. 120235
(MAP NUMBER 12101C-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.
This certifies that
under my sup ry
surveys as set
5J-17.051 thro
Section 472.11.
17.053,'FI, 1'
flate `,ta (
o:o
Jeff M. Hartley 31 R i L ur
FLORIDA PROF4,14,NLIkk SSOMA
NOT VALID
OF A FLO 112 __me
XI
TE
)ed property was made
�dards of Practice fororsp
urve ors in Chap
ter
i yode, pursuant to
.05
wa ram. n I
Date
'ER LS#7123 LB#8183
NATURE AND SEAL
AND MAPPER
Classification/Type of Use t dd
TRANSPORTATION IMPACT FEE Rate; Sq. Ft Unit: 1 ` €
Exempt ED Yes NO How [determined
Impact Fee Amount � � C.� Zone NO. TAZ:-
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount $ 3;,
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt = Yes = No How Determined_
PARRS AND RECREATION FEE
Land Account land Credit land Total
Recreation Account Recreation Credit
Zone
Exempt =Yes =No Flow Determined
Facility Account,
Exempt El Yes
Facility Credit
No How Determined
_ Recreation Total
Total Amount $ 7
Facility Taal
Total Amount
In
Prepared By Checked By
tCNE'RTRFI�OCCt1PANY wltt BE I5SEED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
ACKNOWLEDGEMENT BELOW DOES NOT IMPLY ACCEPTANCE OF CONCURRENCE, BUT SIMPLY REECEIPT OF A COPY OF THIS
FORM, PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME.
EM
um
lY1�11f1�
I _. - >. A
Notic\ I /
e t� Building Official Of
Use Of Private Provider
Effective January 20, 2003
33053 Follstone Way
Project N ame:
Marcel Tax ID: 15-26-21-0230-00000-0930
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.
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: I)El3RA ANNE KLAHP,
Entail Address (Optional): deb@virtualreviewassist.eam
Florida License, Registration or Certificate #: (LIC B1J1967/ P23000 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, envirortnenta-1 or other codes.
The following attachments are provided as required:
1. Qualification statements ' and/or resume ,s of the private provider and all duly authorized representatives,
2.. Proof of insurance for professional and comprehensive liability in,the, amount of $1 million per
o courrence relating to all services porfoimed as a private provider, including tail coverage for a minimum
of 5 years subsequent to the performance ,of building code inspection services.
Individual
Print
Name: -
Address -
`Telephone
?lease use appropriate notary block.
STIM OF FLORIDA.
COUNTY OF HILLSBOROUGH
Individual
B efore me-, this day of
20— personally
appearDd
who executed the foregoing instrument,
an ' d acknowledged before me that same
was executed for the purposes therein
expressed,
Corporation
_LENNAR HOMES.. LLQ
Print CoiporationNaroe
By:
(signature)
Print
Name: Christo her Smith
it: Authorized Agq_nt,_
Address: _JDD_h1n/ 07th Apt�
Miaffi FL 33172
Tedqhono
No,813-574-5700
Corporation
Befortme,this 22ND day of
—ffA—Y, 20 2-2
personally appeared
Of
Lennar Homes LLC a
sorporaiiazi, on
behalf of the state Corporation, who
executed the f6regoing instrument and
ackuowltdged before me that same was
exDoutpd for the purposes therein
expressed.
Partnership
PrintPartnership Name
By -
(signature)
I'M
Its;
Address:
Telephone
No.:
Partnership
?before me, this ay
of20�,
pf,r&6n&Uy appeared
p artner/agent on b ehalf of
a partnership, who executed the
foregoing instrument and
acknowledged before me that same
was exe-cuted,for the purposes therein
expressed.
Personally known X or- Produced idontitcation— Type of identification produced
Signature of Not ".tName _ASHLEE CALLA AN
NotaxyPublic Stamp: ASK # jjH 295980
ore-q.
MYCOMMISSION
Commission Expires: MIREV. "MW 30,2026
Page 2 of 2
COMMERCIAL BCTILDING SERVICES DIVISION y�RESIDENTIAL,
BUILDING PERMIT DATA SHEET
TRACKING #
FOLIO # 38053 Fallstone Wov
FIRE MARSHAL #01
Required Permits
DATE: 1-16-2023
EXAMI'LPER:bebra Vahr P7X23&
IV Building
Plumbing
IVMechanical
VElectrical —Amp
❑ hrs )ection Only
[] Inspection Only
❑ Ins eetion Onl
[1 Inssection Only
IV Roof
C] Gas
❑ Medical Gars
❑ Fire Sprinklers
[l On Site Piping
❑ Fire Line
E:] Irrigation
❑ Fire Alarm
E] Potable Backflow Assembly
❑ Fire Luse Backflow Treventer
❑ Irrigation Backilow Assembly
[:1 Demolition
[ ] Walk-in Cooler
(] Refrigeration
❑ Hood
❑ Ansul
[] Fence/Wall
❑ Grease Trap
El Other
❑ Other
Ty e Construction:
Disk Category:
Occupancy Load
Qggupancy Classification:
;Assembly
,,Business Day Care/Educational
„[].Factory, m
Institutional E=10 Mercantile
Residential
�E],iHazardous
`E] Storage
[ Utility
Building Use: Sinale Family townhouse % Alteration [];Level 1 [ ;Level 2 iEl Level 3
New Construction Interior
Finish ❑ Interior Remodel
Exterior Remodel ❑ Addition ❑ Revision
Overall Size:
Number of Stories:
'Total SDI. Ft.:
18-4 x 63
2 1965
Living Area.
Covered Area:
# of Bedrooms: 2
1513
452
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof e: Shingle
]Tile
[] �uilterr
Metal
�] Other Squares: 13
Zoning:
Wr►a, borne Debris:
'
Energy Code: 405-2020
Inside Outside
Flood Zone: X
w._
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents ❑',Yes
No
Sq. Fro Enclosed Space
Below BEE:
# of Vents:
Size of Vents:
Total Sq. In. Permanent Openings
Central A/C
® Beat Pump
[ Window A/C
[] Gas A/C
E] Gas Heat
❑ Electric Heat
On Site Piping
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
Rear Left
® As per Approved Site Plan
Comments:
VR/\
VIRTUAL REVIEW ASSIST
Private Provider
Plan Compliance Affidavit
Private Provider Finn: Virtual Review Assist, Inc.
Private Provider: Debra Anne KlahT, BU 1967
Address: 747 Southwest 2,d Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: luc &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, SNl,S3,S4,S5,S6, ST,SS,Dl,WP,PAl.0,PA1.l,
PAL2,PA1.3,PA1.4, SHI.0,SHI.1,SHI.2,SHI.3,SH1.4,SH1.5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300
Signature of Reviewer:
SWORN AND SUBSCRIBED b f y Debra Anne Klahr
being personally known to mt�or having produced as identification
and who being fully sworn and cautioned, state that the
i ng f regois true and correct to the best of his/her knowledge or belief.
ng s
11 aSign e of Notary Print Dame
Notary Public: NOTARY STANIP BELOW My
commission expires: