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Home My WebLink About23-5828City of Zephyrhilis 5335 Eighth street ephyrhills, FL 33542 Phone: (13) 730-0020 Fax: (513) 70-001 Issue Date: 03J1412023 i \ \ }' . \\ `s \ s.. l` v., i\ : <,a.. �.'t s l*, .\.0 { i\ .\ i� � ..x. ,\\, >\ \v "z:` ,`t \'uS�ik. T;k;\^: 2v s.:S,• :..5. \T. \'{:,s {. n l�o }t� � E e:\ ��`e.\t' 04 26 210160 02200 0080 36506 Camp Fire Terrace Name: LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC Mass of Work, Townhome Address: 4600 W Cypress St 200 wilding Valuation: $250,320.00 TAMPA, FL 33607 Electrical Valuation: $37,548.00 Phone: (813) 574-5700 Mechanical Valuation: $17,522.40� < Plumbing Valuation: $5,032.00 Total Valuation: $30,422.40 en Total Fees: $14,333.47 � 1 Amount Paid: $14,333.47'�� Date Paid: 3/14/2023 11:27:42AM �u.\vx'•.: x,v< 0 1k':; .`s, .iu \i: <.'•'": .) \ \'." }\ `,. \ \ �: \it. Z, \11.5 \ \ SU.\.. ,�a{i \ v .4 N V CONSTRUCT TOWNHOME 1634 SQ FT t,v, ,x, '� \{ lz v �\n ,ie { , :A� cy��:�xzs},v\;.u�\t t�s•„ <,t�.,t``{., �A. }, a<a`�ty`{,.�di..tt�. A�', �s�},S��r>,�`,. bv. r:,.,�;v"z?;'ve��,�'�5.. �;�,. `i e �y\:; tz.*z7 '�k��,��:,1.. Transportation Impact Fee $3,445.20 Driveway Fee School Impact Fee - Single Family $3,353,00 Sewer Connection Residential Fee $2,400.00 SIF 1 percent Fee $33.53 Transportation Impact Fee - City $34.80 Electrical Permit Fee $227.74 Plumbing Permit Fee $165.16 Public Safety Impact Fee -Police $254.00 Building Permit Fee $1,291,60 Water Connection Residential Fee $1,140.00 Plumbing Valuation Fee $0.00 Public Safety Impact Fee -Admin $26,35 Park Impact Fee - Single Family(Townhome $769.56 Address Fee $30,00 Mechanical Plan Review Fee $0.00 Mechanical Permit Fee $127,61 Electrical Plan Review Fee $0.00 Building Plan Review Fee $180.00 Fire Wall/Smoke Wall Inspection $15.00 314 Water Meter Residential Connection Fee $794,92 REINSPECTION FEES: (c) With respect to ReInspection fees will comply with Florida Statute 563.80(2)(c) the local government shall impose a fee of four times the amount of the fee imposed for the Initial inspection or first relnspection, whichever is greater, for each subsequent reinspectiono 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. 3 g CCiNTFtAGTC?R SIGNATUFi� 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 _V1 Building Department Date Received Phone Contact for Permittin 908 1 770 __ 7763 U_T_ rl I Owner Phone Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P �Number 811574,5700 Owner's Address 2397fi Park CA 91302 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 36506 Camp Fire Terrace LOT # 2208 SUBDIVISIONSquare PARCELID# -02200-0080 hh (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR F 1 ADDIALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR 0 COMM 0 OTHER TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL DESCRIPTION OF WORK Multi -family (Screen Enclosure t Fence 7 BUILDING SIZE I UIR SF 2086 SCI FOOTAGE HEIGHT rr r-11111-r-Ir"_11-11,11 I I I I uBUILDING yl 250320 VALUATION OF TOTAL CONSTRUCTION 0 ELECTRICAL PROGRESS ENERGY W.R.E.C, 37548 AMP SERVICE OPLUMBING E032-� M ( MECHANICAL ZI 1� VALUATION OF MECHANICAL INSTALLATION 17522.4 1 1 =GAS 107�ROOFING SPECIALTY = OTHER r___1 FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES Do ... . ............... BUILDER COMPANY [L�, LL�, SIGNATURE R..IST.RE. Y/ N FEE CURREN LL N_J Address 101 101 W Boy Scout Blvd Sulte6 00Tanpa, FL 33607 License 4 ELECTRICIAN COMPANY Edmonson Electric, Inc. SIGNATURE if REGISTERED Y/ IN FEE CURREN TY/N Address License # FEC13005408 ------------ PLUMBER COMPANY Bayonet Plumbing, Heating AG,lnc SIGNATURE REGISTERED Address License # I CFC042998 MECHANICAL COMPANY !Bayonet Plumbing, Heating AC.r,Inc SIGNATURE REGISTERED Address License # OTHER COMPANY ESt=erling Quality Roofing, Inc =/ SIGNATURE REGISTERED Y/ N FEE CURREN =Y / N Address License# 1 CCC057991 RESIDENTIAL Attach (2) Plot Plans, (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wl Silt Fence installed, Sanitary Facilities & 1 durripster, 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. 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. lax - -Ll� fil 101111101KIKU16 OWNER OR AGENT Subscribed and sworn ro—(or affirmed) before me this 3/112023 __by Christopher Smith - Who is/are personally known to me or-h�� as identification. Notary Public Commission N�gr 1 296057 Stephanie Farmer Name of Notary typed, printed or stamped 9MJ by ChristopherSmith Who is/are personally known to me or has/have produced as identification. Notary Public Commission No, /17 640 7 Stephanie Farmer Name of Notary typed, printed or stamped O`'A" Eom'Itift k 2W 46."I'll no,, m:J Builder Name/Owner Name Control County Parcel No. 7 1 SubDiv:-9—z.. Address/Location Classification/Type of Else TRANSPORTATION IMPACT FEE hate: Sq, Ft Unit: Exempt El Yes ED No How Determined Impact Fee Amount � �U U Zone No, TAZ; SCHOOL IMPACt FEE 13 Account (056) Single -Family Detached House Amount $ (057) Mobile Florae (4 R) Other Residential (123) Collection Fee Exempt =Yes = No How Determined_ PARRS AND RECREATION FEE Land Account Land Credit Land "fatal Recreation Account Recreation Credit Recreation Total Zone Total Amount $ Exempt =Yes No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt Yes No How Determined Total Amount RESOURCE FEE ERU Total Amount Prepared By o CEChecked 6y �TE RTIFIUPAN R.I. E ISSUED 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 RECCEIPT of A COPY OF THIS FORD, PLACING THE BUILDING OWNER ON NOTICE Of THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME, DATE RECEIVED BY RECEIPT NO DATE �.. BY ``--24' - 18" RCP @ 0.3 % _--- - SD4-19 Ln JI, c�a ,x, TYPE 'A' � TYPE 'A' FF:111.47 FF:113.07 PAD:110.80 PAD:112.49 15 14 13 r 12 1 ' _ 0 9 8� 7 C5 Ln m r ;f TYPE 'A' FF:114,17 PAD:113.5I 6 5' 3 �2 ro _.. jjj I DESCRIPTION: LOTS 1-5, BLOCK 22, ABBOTT SQUARE PHASE 2, ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 90, PAGES 28-33, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. PROPOSED ELEVATIONS AND GRADING -SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF 'ABBOTT SQUARE RESIDENTIAL', PREPARED BY WRA'PROVIDED BY CLIENT ALL ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 (NAVD 88) 5 CONC WALK "Y in as 6 ce LOT I I BLOCK 22 NOTES: LOT GRADING TYPE -A PROPOSED PAD ELEVATION = 1 12,40 FRONT SET BACK - 20 SIDE SET BACK = T5 SIDE SET BACK (CORNER LOT) - 10 REAR SETBACK- 15 0 10.0' LOT 10 LOT 9 BLOCK 22 BLOCK 22 PROPOSED PROPOSED 2 STORY 1 2 STORY ATTACHED I ATTACHED RESIDENCE RESIDENCE UNPOA UNIT-C 1532 1624 SITE PLAN NOT A SURVEY) This SITE PLAN Prepared far and Certified To LenMa, Homes TRACT "A" ICDD) RIGHT OF WAY CAMP FIRE TERRACE N 89-48 04- E (P) BASIS OF REARING 73 ' ENTRY C� ENTRY r, 108-8, - ----- --- - LOTS LOT BLOCK 22 u, BLOCK 22 PR PROPOSED I PROPOSED 25TORY STORY ATTACHED �ATTACHED RESIDENCE RESIDENCE UNIT{ UNIT-C 1624 1624 173 173 N 89-4804-EfP) 128,68 LP) TRACT"84" (CDD) OPEN SPACE SEC, 4, TWP, 26 S, RING 21 E. PASCO COUNTY, FLORIDA [ABBOTT SQUARE PHASE 2) Scale: 1 20' 0Ini 30 1, A 0, r) PC N89'48'04'Er`) loa8q lP) 100 —100 J I X 6.3' ENTRY ENTRY 7.0 m w LOT6 to I LOTS R 22 BLOCK 22, 0LOCK se LOT 4 PROPOSED PROPOSED' BLOCK 22 2STORY ATTACHED "I 2 STORY ATTACHED RESIDENCE RESIDENCE Ot 624 1532 T3 18,0 _LANAI LANAI Itro 6 21 3� 1 1 4 I") '\R - - - - - - - - - - LOT --1-2611 SO FT LIVING AREA - 4010 SO FT. ENTRY FT GARAGE = 1356 SO, FT 10,00 PUBLIC UTILITY EASEMENT COVERED LANAI FT NOTE ENTRY WALKS ARE 3.0 CONIC PATIO =TNA so, FT. PROPOSED: C/S-A/C UNITS ARE 3,2 X3,2 POOL AREA NA SO. FT, MINIMUM FLOOR ELEVATIONS: CONC. DRIVE FT. LIVING AREA: 1 7 3.07' LEGEND: A/C & CONIC PAD FT, GARAGE AREA - PROPOSED DRAINAGE FLOW SIDEWALK FT ELEVATIONS REFERENCED TO i00,00) = PROPOSED GRADE SIDE YARD SWALE = NIA-SOL FT, NORTH AMERICAN VERTICAL CONSERVATION E-00,00 - EXISTING GRADE LOT AREA NA OCCUPIED 64 SO. FT, PS DATUM OF 1988 AREA TO IRRIGATE = 36 % APPARENT FLOOD HAZARD ZONE "X COMMUNITY NO. 120235 (MAP NUMBER 12 10 1 C-0452-F) EFFECTIVE DATE: 09/26/2014 S:U:R:V:E:Y:A:B:B::R:E VAT �10 N S AI ARC LENC Dj DEED INV-11AVERI PC - PONT OF CURVE Ts - RECORD LEGEND AC APOONDITONER AL - AILLMINUM NvVC1 D L- DRAINAGE EASEMENT I B -LICURS"N NLLGRPC PCC - POINT OF COMPOUND WFAA LOG - REOCe VINYLFENOC IONIC EOE - BASC FLOOD FLF-TION EI OR ELEV - ELEVATION FOR � EDGE Ot PAVEMEN7 I I - LANDSCAPE EASEMENT Lit - t OWEST f t NOR r LEVATOD POP - PERMANENT CONTROL POINT IFE - POOL EOULP�MENT RP � PAii- ROAD SKIE R,W-MGHT0FWAY BM - ERNO-i MARK ESM T - EASEMENT L,S - LOENSED WLEVEYOR PC -PAGE FEC - "M!"N DO No" O,C - FENCE CORNER (MI -MEASURED PIL POINT OF INTEIRSECOON SN&D IftNARLANDOOF -it --- ICI 'NOU'AIED OCIA - FOLIND COLI FE MES -?4!TrRED END CECHON KK -PA KER " ON _818IA3 MONUMENT NCF - ON CORNER FOUND I - PROPERTY LINE SIR-LfTI/2 OONR IN CHAU NKFEF W Cr - CHAIN INK FEFICE OK-C "N`-RO"M"E O�A-OVERAU P 8 -1110INT OF EDGUFNINA, IBM - TEMPORARY 90,N(L,= 77-FIRICK C P-CORRUGALEDOETAL Pit' OUND IRON ROD OFPV - CWRr DAN WDEN POINT OF COMMENCTMFOI '08, IOPOPSANK 1, - COCLIMN N' - CONCRETE I P� - COUNDNNL & Uor OR _OFHC� .RECORDS POL, ION , ON LINE - 'r-towNSILT IL11111—I'EN11 - CONCRETE 1L,D O&D P-FOUNDOPENNIA LP -'!A! PRO - ON -OF REVERSE CURVE FtE-L,L1JFFFM,'MFN_1 10 "I --- — C' SL rL � CHEAP GHT TRAIGLIE FPK NNCHED KIME I I's - CAT BOOK PRIA - PERIONENT REf:.Fo_NIC1 MCNIAILINI VE - VNG tANCE JOB #6295 SURVEYOR'$ NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive Date or Site Plan: 11-28-22 1.) Current title information on the subject property had not been furnished to initial Point Land Surveying, LLC, at the time of this This certifies that Sk I IT hereon described Eapperty was 4 0 are peritaron and Tarpon Springs, Florida Phone: (727)-831-1990 OWN FV-PtT2-L5 I G BL22- 9TE SITE PLAN 2.) This sketch was prepared without the benefit ofa title search, meets th li� ts 14VI-a,tice for of Lind FlondaPTS7123dgmail con) LB# 8183 90: No Instruments of record reflecting ownership, easements or rights -of -way were furnished to the undersigned, unless otherwise pro P S J 'roN In e d 4.- rye Drawn by, DOE Shown ercon, 1I, I ri� !K CT I Jk I eff U W#tt ley chocked by:JH .) Roads, walks and other siml lair items shown h cracin were taken from engineering plans and are subject to survey. Statdjs., � Date: 2 t�.62.17 REVISIONS �,; ��;, PLAN does not I efrect Nei determine owne r,, hy HW eyf I 1308:� 000, r SITE PLAN is subject to matters shown on the PIP ABBOTT SQUARE PHASE 2' F - 10 F1 RD UIA 1P 6 Dimensions shown hereon are in feet and decimal portions Jeff M V, oy?w-AND FLORIDA ther eof 74 Contractor and owner are to verify all setback,, building MAPPER N ap-PR dimensions, and layout shown hereon prior to any construction, NOT VALID WITHOUT THE ORIGINAL and immediately 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 at users sole risk LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC. Vr- A Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 36506 Camp Fire Terrace Parcel Tax ID: 04-26-21-0160-02200-0080 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 Finn: VIPTUAL 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): deb@virtualreviewassist.com Florida License, Registration or Certificate #: (LIC # BU1967/ PX2300/ BN4615) I have elected to use one or more private providers to provide building code plans review and/or inspection services on the building that is the subject of the enclosed permit application, as authorized by s. 553.791, Florida Statutes. I understand that the local building official may not review the plans submitted or perform the required building inspections to determine compliance with the applicable codes, except to the extent specified in said law. Instead, plans review and/or required building inspections will be performed by licensed or certified personnel identified in the application. The law requires minimum insurance requirements for such personnel, but I understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harmless the local government, the local building official, and their building code enforcement personnel from any and all claims arising from my use of these licensed or certified personnel to perform building code inspection services with respect to the building that is the subject of the enclosed permit application. I understand the Building Official retains authority to review lans, make required inspections, and enforce the p 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 Gode, land use; envirommental or other codes. 1, (qualification statements and/or resumes of %he private provider and all duly authorized representatives. 2.: Proof of insurance for professional and coma relaensive liability in,the. amount .of 1 million per o ccurrence relating to all services performed as a private provider, including tail coverage for a minimum of S years subsequent to the pmformance of building code inspection services. Individual Corporation Partnership r LFNNA Fl M a LLQ Print CoiporationNamg PrintPar nershipName By: By: • (Slgnature� (signature) (signature) Print Print Naroei Naha: Chrig2 h r Smith print Name; Address. its: Authorized Aggnt Its - Address: 700 N 1107th Ave_ .Address: Telephone Miarn1 FL 3317 • No.: °I`elephone Telephone No, 13-57 -5700 No.. Please use appropriate notary blu eka STA'l'T+ OF FLORIDA COUNTY OF HILLSBOROUGH- Individual Corporation 2 �1® Pa ersbip Beforemn,this day of Before me, this day of Bef'oreme, this day 20_ personally MAY 2.0 2 of 2.0®___, appeared personally appeared personally appeared who executed the foregoing instrument, of and aokno•wledged before me that serve Lenn r Homes LLG a p er/agent onbelralf of 'was executed for the purposes therein cor orat on, on expressed. behalf of the State corporation, who a partnership, who executed the executed the foregoing instrument and foregoing instrument and acknowledged before me that s e was acknowledged before rile that same executed for the purposes therein was executed.fox the purposes therein expressed, expressed. Personally Down X or Produced idenUcation 'Type of identi f option produced Sipatare ofNotax PxmtName A 1�L CALLAHA NotacyPublic 5t ASHLEE AlANAN Commission Bxpa y COF{1 ki 5950 Navy a 2425 EXp1 ; ..d` 'age 2 of 2 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: lugYC4)lyt!tlA.lLeLieWlassisLqom Project: New Address(s): 36506 Camp Fire Terrace 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 and holds the appropriate license or certificate: Name: Debra Anne Klahr Florida License/Registration/Certification #(s) and description: FS468 Certified Standard Plans Examiner License #: PX2300 N 17 Signature of Reviewer: SWORN AND SUBSCRIBED before me by Debra Anne Klahr being personally known to mew or having produced as identification - and who being fully sworn and cautioned, state that the regoing is true d correct to the best of his/her knowledge or belief. A J ''I it�L Ce"ye Signature of Noiazy Print Name ASHLEE CALLAW MY COMMISSION # HH 296980 EXPIRE& No"ntw 30,2026 [—COMMERCIAL BUILDING SERVICES DIVISION 'RESIDENTIAL. BUILDING PERMIT DATA SHEET FOLIOTRACKING # EXAMINER: Debra Klahr PX230( 3/04/2023 uilding W, Plumbing ical cal Amp E] Fire Sprinklers E] OnSite Piping P Potable ! II�Ikflillllw Assembly Fire Line Rackilow r. ,I,J II kilow al Assembly II II III �i II II El Walk-in Cooler 0 Refrigeration —E:] Grease Trap Type Construction: - Risk Category: Occupancy Load araey Classieati®ra: Factory --_® Residential RW3 `Assembly Hazardous ❑'Storage 'us'Day Care/Educational nstatutional ❑ Mercantile [ ;Utility Building Use: § Ie fcttttil� to nhous� 1 Alteration ;Level i Q Level 2 Level 3 156 New Construction ❑ Interior Finish E] Interior Remodel [ Exterior Remodel ❑ Addition ® Revision Overall Size: 18 x 63 Number of Stories: 2 'Total Sq. FL: 2086 Living Area: 1634 Cowered Area: 52 # of Bedrooms: # of Baths: 2.5 Cost per square foot: Esti ated Value: Roof e: E,:<] Shingle Zoning: Tile ® Built- Wi or Debris: r[:!Inside laletal ❑ Other S iaares: 1 Energy Code: t�utside 405-2022 Supplement Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? ,Yes No Sq. Ft. Enclosed Space Below LIFE: # of Vents: Size of Vents: 'Total Sq. In. Permanent Openings 10 Central A/C El Gas A/C ®heat Pump E] Gas heat C] Window A/C ❑ Electric Heat 0 Sanitary Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line Front Dear heft Right As per Approved Site Plan Comments: