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HomeMy WebLinkAbout23-5823City of Zephyrhilis 5335 Eighth street ephyrhills, FL 3542 Phone: (13) 7 0-0020 Fax: (813) 780-0021 Issue Date: 03t14t2023 Pe r i i d i'Residential 7 v y777777 t 3 7v ii \\\\}i.,T» T T,;,,, � 3�fi 042621 0160 01600 0020 36512 Flats Street Name: LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential) Contractor: LFNNAR HOMES LLC Class of Work: SFR Construct Address: 4600 W Cypress St 200 Building Valuation: $402,480.00 TAMPA, FL 33607 Electrical Valuation: $60,372.00 Phone: (813) 574-5700 Mechanical Valuation: $28,173.00 °, Plumbing Valuation: $40,248.00 Total Valuation: $531,273.00 Total Fees: $21,294.39�' o ,l Amount Paid: $21,294.39 � Date Paid: 3t14t2023 11:27:42AM , L.. \ u\ `.. {... ..L \.\. ki `\l. � ..}x. ,T 2 . T\ ,\ Y s \. �*\T `,.\%.. ',�\\ r•: , \a, ., ..t\ .\. ,,, \,t �a CONSTRUCT SINGLE FAMILY 2902 SQ FT s , \\ \ T \ c „ . r ..t 2t �,. \ trc\,fit'•, { . ii: '� -.r \. <`. .. ` \ \ ��.3\.sk. 1 t \ \ oT�.1 t «3. .. z . ?.y.1\ y :Uk �„\ \ \..214'C \'. \ 1. \\'\1\ ( 1. `} ""1 .\\\. z., y,i,,..,{<..,1<:t\,i11\}.Z;,"t\,\?1`l,<\4.:,,',3tr•,\„`3�1.S,z`;iii,..t.t.;`k?,'''\SZi,'y13}YES'€it Public Safety Impact Fee -Admen $26.35 Address Fee $30.00 Plumbing Plan Review Fee $0.00 School Impact Fee - Single Family $8,328.00 Building Plan Review Fee $180.00 Transportation Impact Fee $3,595.68 Sewer Connection Residential Fee $2,400.00 Public Safety Impact Fee -Police $254.00 Park Impact Fee - Single Family/Townhome $769.56 Driveway Fee $45,00 Mechanical Permit Fee $180.86 Building Permit Fee $2,052A0 3t4 Water Meter Fee (Caic) $794.92 Electrical Permit Fee $341.86 SIF 1 percent Fee $8128 Transportation Impact Fee - City $36.32 Plumbing Permit Fee $241.24 Electrical Plan Review Fee $0,00 Irrigation 3t4 Meter (Calc) $794.92 Water Connection Residential Fee $1,140.00 Mechanical Plan Review Fee $0.00 IN P TI FEES: (c) With respect to Reinspection fees will comply with Florida Statute 53.80(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 Applications All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCYBEFORE C.O. NO OCCUPANCY BEFORE C.O. k CON C OR SIG ATURE PE IT OFFICE EXPIRESPERMIT 1e MONTHS WITHOUT APPROVED y� INSPECTION CALL FOR INSPECTION 8 HOUR ,t REQUIRED 813.780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Pormittin 908 770 q 7763 Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 8I3.'74.a700 Owner's Address 1 23975 Park Sorrento, Ste. 220, Calabasas, CA 11302 Owner Phone Number Fee Simple Titleholder Name I N/A Owner Phone Number Fee Simple Titleholder Address I N/A JOB ADDRESS 36512 Flats Street LOT # 1 1502 SUBDIVISION Abbott Square® PARCEL ID# 04-26-21-0160-01500w0020 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR F—] ADD/ALT SIGN DEMOLISH P INSTALL REPAIR PROPOSED USE u v u SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK Single Family Residence / Pool / Screen Enclosure / Fence BUILDING SIZE U/R Sl 3354 SO FOOTAGE 2�02 HEIGHT 2$` BUILDING $ 40248Q VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 60372 AMP SERVICE PROGRESS ENERGY W.R.E.C. �----�-� --11 1� (PLUMBING $ 40248 Aef iMECHANIGAL $ 281736 �� VALUATION OF MECHANICAL INSTALLATION ` =GAS ® ROOFING = SPECIALTY = OTHER —�" FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES ! Iv0 BUILDER SIGNATURE Address ELECTRICIAN SIGNATURE Address PLUMBER SIGNATURE Address MECHANICAL SIGNATURE Address OTHER SIGNATURE Address IIIIiiil COMPANY REGISTERED 4 1 W Soy Scout Bh=d Suite 600 Tampa, FL 33607 COMPANY REGISTERED COMPANY REGISTERED COMPANY REGISTERED COMPANY REGISTERED iilliiiiilliiiiiiiiiiillilii/ Lennar IIomcs, LLC — ®Y 1 N FEE CURREN Y I N License # CC4CI518166 Edmonson Electric, Inc.. Y J N FEE CURREN Y I N License# EC13005408—mm—_--� [Bayonet Plumbing, Heating & AC, Inc Y l N FEE cURRE Y/ N License # CFCQ42998 Bayonet Plumbing, Heating & AC Inc Y J N FEE CURREN Y/ N License # CAC058062 C Sterling Quality Roofing, Inc Y/ N EEE cuRREN Y 1 N License # CCCQ57991 Illliillllliillliilliiililli 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 wl 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, Stonnwater 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. (AIC 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 r 0 (or a;lrme;= )br Subscribed and swornfore me this x11112a_by_Christopher Smith _ Who islare personally known to me orb as identification. _Z Notary Public 02�6tt Commission G 2960S7 Stephanie Farmer Name of Notary typed, printed or stamped 9m:J Subscribed and sworn to (or affirmed) before me this s1­21 - by Christopher Smith Who is/are personally known to me or has/have produced as identification. _Notary Public Commission No. *6 0 7 Stephanie Farmer Name of Notary typed, printed or stamped cmw4ska Him 000M 0' E *M$MS,2024 Permit No. Date Permitted Z3 t �' Control Builder Narne/Owner Name County Parcel No, 0 4 ',YW, (J'1)&bUbDiv: Address/Location i Tz 15T Classification/Type of Use N TRANSPORTATION IMPACT FEE ate: Sq. Ft Unit: --2io —)� Exempt 0 Yes ED No How Determined Impact Fee Amount 'ab 3- ;-) Zone No, TAZ:— SCHOOL IMPACT FEE - Account (056) e Single-Farmly Detached House Amount $ --LAL —ILL (057) Mobile Home (058) Other Residential (123) Collection Fee Exempt = Yes = No How DeterminecL PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone Total Amount $—I L 19-S-L— Exempt =Yes = No How Detennined 011M Land Account Land Credit Land Total Facility Account _ Facility Credit _ Facility Total Exempt ED Yes = No How Determined Total Amounf RESOURCE FEE ERU WHO= Prepared IV-0-', Checked By NO CERT11FICATE OF UP NY WILL BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIFTED 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. mm RECEIPT NO DATE BY • I'TW:104.81 II DESCRIPTION: LOT 2, BLOCK 15, ABBOTT SQUARE PHASE 2, SITE PLAN V SEC. 4, TWP. 26 S, RNG 21 E. ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 90, PASCO COUNTY, FLORIDA PAGES 28-33, OF THE PUBLIC RECORDS OF PASCO COUNTY, (NOTA SURVEY) FLORIDA. This SITE PLAN Prepared for and Certified To. (ABBOTT SQUARE PHASE 2) Lennar Homes LOT = <O50 SO. FT LIVING AREA = i793 SOFT. ENTRY = 15 SO. FT. GARAGE = 437 SCE FT. COVERED LANAI = N/A SQ. FT. PATIO = 24 Sa. FT. POOL AREA = NA SO. FT. CONC. DRIVE = 336 SQ. FT, Scale: 1 " = 20' A/C & CONC PAD = 14 Sa. FT. SIDEWALK = 32 SQ FT. (CDD) RIGHT-OF-WAY SIDE YARD SWALE = NA SQ_ FT. TRACT "A" CONSERVATION AREA = NA SO. FT, FLATS STREET LOT OCCUPIED 44 n/o N 89'48'04' E (P AREA TO IRRIGATE = 56 % BASIS OF BEARZ 5 CONIC WALK qa. Y '_. ii 7.5' N 89"48'04" E jP) �f - 3' CONIC ---,t WALK . _.i_, 160 P,_- M75 - PC 6 N 89°4804' E jPI Ti 5 LOB (PJ 118 -y c 188 ENTRY 0 0 PROPOSED if 0 0 N 2 STORY RESIDENCE 1 LOT 3 PLAN 2889 vl a, _ BLOCK 15 o ELEV "'B 1' o a GARAGEL 0 o o 0 g ? LOT 1 BLOCK 15 * = 10,00' PUBLIC UTILITY EASEMENT p., . __ 40 _— - TSY -- TOP OF WALL 7.5 40.0 7.5' BW=BASE OF WALL LEGEND: LJ 4eX6.0" -PROPOSED DRAINAGE FLOW , ' 2.7'X27PATIOCJS-A!C 100,00) = PROPOSED GRADE w I2) LOT 2 E-00.00 = EXISTING GRADE BLOCK 15 A 6 NOTES: LOT GRADING TYPE=A ! N89°4S'04 _E 'P) SS.00' b PROPOSED PAD ELEVATION=98.20' � � 'L rbA I i FRONT SETBACK a 20' YYGb LOT 23 BLOCK 15 SIDE SET BACK - ZS LOT 21 i LOT 22 SIDE SET BACK 'CORNER LOT) =10' BLOCK 15 BLOCK 15 REAR SETBACK = 15 PROPOSED: MINIMUM FLOOR ELEVATIONS: LIVING AREA: 98,87' GARAGE AREA: ALL ELEVATIONS REFERENCED ELEVATIONS REFERENCED TO TO NORTH AMERICAN NORTH AMERICAN VERTICAL VERTICAL DATUM OF 1988 DATUM OF 1988 iNAVD88) APPARENT FLOOD HAZARD ZONE: 'X' COMMUNITY NO. 120235 SURVEY RBBREVATIONS 'MAP NUMBER 12101C-0289-F) SURVEY ABBREVATI��= EFFECTIVE DATE: 09,26, 2014 A1=ARL'..LNfifli !DI=DEED INV^INVERT PC - POINT OF CURVE (RI =RECORD AIR CONDITIONER D_E-DRAINAC EASEMEN f^LeA1N$D 9UISNESS PC POINT OF COMPOUND CURVE RPO'RANGE A� ALUMINUM FENCE ELORELIV CL VAT.ON fE- LANDSCAPE F,ASEMENT PCP PERMANENT CONTROL POINT RRS - TA ROAD SPIKE IFF- SASE-LOOD,.I.EVATON FOP - :061 OF V MFPF I -IOWES F OOREI VAFON P/EPOOL EQUIPMENT RAe - Ric OF WAY 4M BENC iMA�K SM' EASEM NT S -Ut NS .DSURYEYOP i-A .ION S-C-SECTION C URtn" C EN -. O N R MI=b' AS Q n P ON OF NTERSECTION SN&D=S- NAIL AND DISK C r CALC 1 AT,.11 CM FO /N CONCRE':: 4tES M i RFC CNo SECTION PK -PARKER KA ON B=g 18 CENTER Per MONUMENT NCF^ NO CORNERFOLIND a 20°ERtt UNE SIR -SE 12' ON ROD 1_81r ti 183 CLF-CHAIN INFENCE EIP-FOUNDIRON PIPE O/A-*OVFRAL P03 PONT OF BEGINNING TBM- i CMPORARY BENCH MARK CMPACOR2IIGATED M:TALFIP (R=FOUND IRON ROD OHW- OVERHEAD WIREIS) IOr POINT OF COMMENCTMENT TOB, TOP Or BANK COL=COLUMN EN60„FOUND NF'L&DISK O. R_ -O ICIA�RECORL'S POt-,DIN, ON L;NL T�Y�P=TOWNS.`{t2 WNC =CONCQFI'e FOR=FO ti?O NP-PF (' =P�,4? ."Rt ONT OF REVERIE CU.`IVr G41 rRs rl nr; c0=cO ,:R T. �:AE CST=CLEARSIGHT TR:ANG F °' FOGNT`z N '-i.0 Pi E 8 - rdAT BOOK PRM . ERMANENE RE EQ NC€ MONUMENT Vr VDcD. ENCE IOB k6293 SURVEYOR'S NOTVS: .....SURVEYOR'$ CERTIFICATE Tate Plan: 1.) Current title information on the subject property had not been This certifies t al�fPw4y a hereon descr(be< of Site 12-25-22 furnished to Initial Point Land Surveying, LLC. at the lime of this SITE PLAN JJee property aw, t}1j�ehy}ay&Jpervision and d 1WGAS-PH2EcL2-$Ll$ SITE This meets t c�alble `Sta.rf A(�s f4p1'racvice for 2.) 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 scirve) as y(�r wl,,.N*, Ic{5 ✓ vp,d�y}}��of Lan, t ��vU�t" ,)a' (Fl A�'� I ed Ile shown hereon. "`PPP" ! o e 1 n 4. byJ ley Drawn by: CUR 3.) Roads, walks, and other similar items shown hereon were take # Stat'e� 'Q2.17 -pecked by:JH from engineering plans and are subject to survey, 4.) This SITE PLAN does not reflect nor determine ownership. a p Date �' .}7� �0,©�, 11 11 ?EVISIOIVS 5.) This SITE PLAN is subject to matters shown on the Plat of "ABBOTT SQUARE PHASE 2' {;{�,-�Np , 6.) Dimensons shown hereon are in feet and decimal portions Jeff M. ff��0te FLORIDAfflb� E 1X�. 9Uc h'OR AND thereof 7.) Contractor and owner are to verify all setbacks, building MAPPER NO. L�9Pri11m,4083 _— dimensions„ and layout shown hereon prior to any construction, NOT VALID WITHOUT THE ORIGINAL and immed(ately advise Initial Point Land Surveying, LLC. of any SIGNATURE AND SEAL OF A FLORIDA deviation from information shown hereon. Failure to do so will be LICENSED SURVEYOR AND MAPPER at users sole risk PROPOSED ELEVATIONS AND GRADING SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF 'ABBOTT SQUARE RESIDENTIAL", PREPARED BY "WRA" PROVIDED BY CLIENT LEGEND VIN)` FENCE =conlr. —u L WOOD 11 ENCE APPHA, \ \ ( iA1N LINK`EN<_E A i EFNUM FENCE 1708 Water Oak Drive Tarpon Springs, Florida Phone. (7271-831-1990 FlondaFILS7 i23@qma It LBN 8183 11 Initial Point Land Surveying, LLC. New Development Check List I Parcel#: 0 -0-500 - 00,0�-C) Address: 'Z ) S Setbacks: Fret -S, Rear 31.5 is PL I Elevation: b Garage: Roof Single Dimension/Architectural: lw Le ruci L-4� WRINMEMM Services to be provided: RNIMITT - M.N.-T W.-M. Use of Private Provider Effective January 20, 2003 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, affinn I have entered into a contract with the Private Provider indicated below to conduct the services indicated above. 5 Eli Private Provider Finn: 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): debevirtualreviewassist,com Florida License, Registration or Certificate #: (LIC # B111967/ 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 coda land use- environmental or other codes, The following atta.Gliments. are provided as required- 1 e Qualification statements and/or resumes of the private provider and all duly authorized representatives. I 'roof of insurance for professional and comprehensive liability imthe•aznount.of l million per o ccurrence relating to all servicds performed as a private provider, including tail'coverage f6T a minimum of 5 years subsequent to the perforauance ofbuil ` code inspection services, individual Corporation Partnership . .(signature) . Print Larne Address° ' Telephone ?lease use appropriate notary block, STATE OF FLORIDA. COUNTY of HILLSBCJROUGH E-fore me, tbis day of 20� personally appeared who executed the foregoing inst i-fluent, are' acknaWiodged before me that same was executed for the purposes.therein expressed, Corporation B t,fore me., this 22ND day of M_AY 20 2 personally appeared Of Lennar Homey LLC a corporation,. nn behalf oftho state corporation, who executed the foregoing instrument and aolcow,Wged before me that same was executed for the purposes therein expressed. Personally known_} or- Produced ideutitcation Type of idenirfroation produced By, ' (si�atuure) print Name: RIM l3 -fare xne, this day personally appeared p m/agmt on behalf of a partnership, to exeouteatho instrumentforegoing aoimowiodged before, me that same Sig.natarD of%otax` Print Name Notaxyputalic Stamp:av�P ASNL commission Expires; � ° XPi� Sa rs r 0p i0 6 VR/\ 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: lucv(d).virtualreviewassist,com Project: New SFK, Address(s): 36512 FLATS STREET 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 CS,1.0,1.1,2.0,3.1,3,2,FI,4.0,4.1,,5.0,6.0,7.0,7.1,8.0,SN,SNI, S3,S4,S5,S6,SS,ST,D1,D2,WP,PAI,O,PAI,I, PAL2,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 /12 Signature of Reviewer: SWORN AND SUBSCRIBED before me by Debra Anne Klahr being personally known to me— or having produced as identification and who being fully sworn and cautioned, state that the f in is true and correct to the best of his/her knowledge or belief. _ Lregcpg ,s,,, a. giggnature of Notary Print Name V N FIRE MARSHAL #01 - Reauired Permits VRESIDENTIAL It In n On El Ins Mechanical e IV F-1 Electrical Amp ing gectiol Ell Medical Gas Fire Sprinklers On Site Pipin 9 El Irrigation Fire Alarm Potable Backll Assembly El Fire Line Backilow Preventer Irrigation Backilow Assembly Refrigeration Fence/Wall Ej Grease Trap - - - - - - - - - - - - --- - - - - - - - - - - - RTM1ffff,111M1TM Type Construction: Risk Category: Occupancy Load OClassification: ancy C V.Ftory ac Residential Assembly Hazardous E= Storage :Business ay Care/Educational FD 'StItanonal E== ElMereantile U tility Building Use: SINGLE FAMILY RESIDENCE Alteration Level I Level 2 Level 3 New Construction E] Interior Finish E] Interior Remodel E] Exterior Remodel E] Addition Ej Revision Overall Size: 40 X 56 Number of Stories: 2 Total Sq. FL: 3352 Living Area: 2902 Covered Area: 450 # of Bedrooms: 5 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof R 1; Tile But t-up Metal El Other 5quares. 22 Zoning: Wi orne Debris: ®;Inside kOutside Energy Code: 405-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? jQYes vil""", No Sq. Ft. Enclosed Space Below BEE: # of Vents: Size of Vents: Total Sq. In, Permanent Openings Central A/C D Gas A/C Heat Pump 0 Gas Heat Window A/C Electric Heat 107&TWVr1=1 Sanity Ky Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line W-MIRM, Front Rear Left Right As per Approved Site Plan Comments: