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HomeMy WebLinkAbout23-5829City of Zephyrhilis 535 Eighth Street .% .4{it\Y"'} :�afiiir }t���M1o41it➢ tc�� a5: „?i�t :l ophyrhills, FL 33542 Phone. (513) 730-0020 Fax: (313) 7 0-0021 issue gate: 0311412023 Permit it 'Residential �\,.1 ,� } l.. .t trt Z „�:". } `a;"` `• �`. \\,.l \"lt llv �. \. llt .\ l 2;t ��i .12. �t,". } \ l}.ti `',} t...z\l t. t � ":,�\L.}t�l .9..: .. . ' :, t z,t\.t .. } Z}tt}L\St, l„ tti .. 1� l y}lt :`.. t � ..\ l 2'l..�z,}t?•, lil`, ,, ,,; i`t��} z\r?itl 5`z`� �{>1c� �.,t�t,: a ,,�, 04 26 210160 02200 0090 36502 Camp Fire Terrace � :4 ".:tlt }lz S ":z lS,;, It\` t. .tin t": \ � \t;\z l"." t};' t �": '12 �.,.�„ .��.1 tSti �, �t }l �ls\ S .lf": jy,. } t \C:. } ,.. . ,L+:i3 •, S �„� .. �•-�' '•, �.}�,`y`t;,r 1� ;, ?.1.. \L.z} �StS, li L \ � Stl� `��S -t'i 1 ` l ii " t} ti f• , � \} `t\ t%:\\ t\ "FS Llr tali �'� �?i } 3�� 'S\£�l Name: La NNAR BIOMES LLC-OWNER Permit Type: Building New (Residential) Contractors LENNAR HOMES I LC Glass of Work: Townhorne Address: 4600 W Cypress St 200 wilding Valuation: $250,320.00 w TAMPA, FL. 33607 Electrical Valuation: $37,548.00 Mechanical Valuation: $17,522.40 t �' Phone: (813) 574-5700 Plumbing Valuation: $25,032.00 Total Valuation: $330,422,402 Total Fees: $14,333,47 Amount Paid: $14,333.47 Crate Paid: 3/14/2023 11:27:42AM �3t z�""` }�, 1� \ :l i:. ';: 1 .lS lz •S �� .S z, \ �£'l ` .. `l, rl. f t } z } l \ . L t \ t } z? �"' } t x. 1 \ t t. `., , 7 t .. \. ,\� t., , `•v . S nL� \ l,'.+�: >r. {�t�t\\�,:'35�3�� �l,?ti:7 t.,`S, �ot l}3�;,b1,^}�ti� 44i , �1...,1<; ,i}�}i,it����`, �i `;',�,.:`a, "',� �?\�t;::.i;sl.1 .�.,,.�t�S�Si;\l`;l��'�1�t 1��`�,s`l�tll..„•�,�`yi,c.l�. ��t, �;'�"`�i\�{l'zzz.,"?xt `�\��kz,s`.`,,. ,ta,�,�`\,. CONSTRUCT TOWNhlOME 1634 Sty FT .,L. .�.. .t, \.. ��^:t tzv. ,.\. t". i r.5 , 1 .1 � . 1 a.. `? •.t.. 1 z,.. z \,,, t \"." Park Impact Fee a Single Family/Towtnhome $769,56 School Impact Fee - Single Family $3,353.00 Transportation impact Fee $3,445,20 Electrical Permit Fee $227.74 Address Fee $30.00 Water Connection Residential Fee $1,140.00 wilding Permit Fee $1,291.60 Mechanical Plan Review Fee $0,00 3/4 Water Meter Residential Connection Fee $794.92 Sewer Connection Residential Fee $2,400.00 Building Plan Review Fee $180.00 Public Safety Impact Fee -Police $254.00 Plumbing Valuation Fee $0.00 Driveway Fee $45.00 Electrical Plan Review Fee $0.00 Fire Wall/Smoke Wall Inspection $15.00 Plumbing Permit Fee $165.16 Public Safety Impact Fee -Admin $26.35 SIF 1 percent Fee $33.53 Mechanical Permit Fee $127.61 Transportation Impact Fee - City $34.30 REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 55 .80(2)(c) the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first r in pection, whichever is greater, for each subsequent r in p ction. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit required from other governmental entities such as water management, state agencies or federal agencies. "Warning toowner: Your failure to record a notice of commencement may result In your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." Complete plans, Specifications add fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. C.O.NO OCCUPANCY BEFORE JIN CONTRACTOR SIGNATURE PE IT FFICE 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Phone Contact for Per, Date Received Permitting POOL L P 813 �574 570ft Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Nwn�ber Owner's Address 1 23975 Park Sorrento, Ste, 220, Calabasas, CA 91 302 Owner Phone Number Fee Simple Titleholder Name I i Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 36502 Camp Fire TerraceLOT # 2209 SUBDIVISION Abbott scluare PARCEL I Dif 04-26-21-0160-02200-0090 L (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN DEMOLISH P INSTALL REPAIR PROPOSED USE 0 SFR Q COMM OTHER TYPE OF CONSTRUCTION 10 BLOCK E] FRAME STEEL DESCRIPTION OF WORK Multi -family 1 Screen Enclosure !Fence BUILDING SIZE So FOOTAGE 134 HEIGHT -T-BUILDING 250320 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL 1$ 37548 AMP SERVICE JJJ PROGRESSENERGY W.R.E.C. PLUMBING EF ------------------ 7 1 25032 1 MECHANICAL E522= VALUATION OF MECHANICAL INSTALLATION GAS IZI ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ _JYES Do BUILDER COMPANY LennaT Tlorncs, LLC SIGNATURE REGISTERED EE���FFE �111RREIY 1 N� Address FL 33607 License # FC7('C1518166 F_ -1 - -__ - - ELECTRICIAN COMPANY Edmonson Electric, Inc. SIGNATURE REGISTERED [��E CURREN L12 N J Address License # PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED g�gY / Bayonet FEE C Plumbing, R E N �Y I N�� Address License# MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED gi���FEI Plumbing, Address License # OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE REGISTERED NC Address License RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans: (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten H 0) 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, Storrowater 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 (PloUSurvey/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 bylaw, 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 "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. I traivi 10 its ATITI 101 = 14U.19 I IT, Mill Z00 A ITA 114111 &2K*XM1JZ16U I0] a q *AWM I M100A ILI I I �1191 P&MMI alf-All 02 1 ii, rao LL!"" ILI JURAT (F.S. 117. OWNER OR AGENT '0i Subscribed n ro %ortafflWirmecl) before me this by Christoph er Smith Who is/are personally known to me or-�3cie�aed -as identification, Notary Public Commission G 2960S7 Stephanie Farmer Name of Notary typed, printed or stamped I WWWROUS" comatsSIM # RH OOM E*wJm$,2024 Subscribed and sworn to (or affirmed) before me this .21,12o2L__by Christopher Smith Who �is/are personally known to me or has/have produced as identification. ____Notary Public Commission No Comm 6 Stephanie Farmer / Name of Notary typed, printed or stamped Builder Name/Owner Name -�` _ Coniroi County Parcel No. 49 Address/Location Classification/Type of Use TRANSPORTATION IMPACT" FEE Rate: Sq. Ft Unit: 0 ._,..._. Exempt 0 Yes 0 No How Determined Impact Fee Amount 4 °' Zone No. TAZ:- SCHOOL IMPACT FEE Account (R ) Single -Family Detached Mouse Amount $ (057) Mobile Home (058) Other Residential (123) Collection Fee Exempt . Yes = No How Determined_ PARKS AND RECREA111DIN FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone Total Amount i 5/6 Exempt =Yes =No How Determined LIBRARY FEE Land Account land Credit Land Total Facility Account Facility Credit Facility Total Exempt 0yes No allow Determined Total Amour W �� RESOURCE FEE E U Checked By CERTIFICATE OF OCCUPANY WILL RE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTEO 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. DATE RECEIVED BY RECEIPT NO DATE BY- TYPE 'A' FF:111.47 PAD:110.80 15 14 13 12 -�241- 1811 RCP @ 0.30% 109.41 ------ -- ----- TWE 'N' FF:113.07 PAD:112.41 0 9 8 7 Irl, TYPE 'A' FF:114.17 PAD:113.50 3] 2 MMMEMEMBIMI, I,2ESCRIPTION: 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 j SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF 'ABBOTT SQUARE RESIDENTIAL', PREPARED BY VERAPROVIDED BY CLIENT ALL ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 NAKED Sol SITE PLAN (NOT A SURVEY) This SITE PLAN Prepared for and Certified To: Lennar Homes TRACT"A" j CDDI RIGHT-OF-WAY CAMP FIRE TERRACE N 89'48'04- E (P BASIS OF BEARING SEC. 4, TWP. 26 S, RNG 21 E. PASCO COUNTY, FLORIDA (ABBOTT SOUARE PHASE 2) Scale: 1 " = 20' �63",1 63 / ,. ' ��' t� �'k" �I 0 10-0 j2 �' !0.0 o F4 } TO ENTRY ? - ENTRY 6.3E 6.3ENTRY ENTRY 6.38 6,3 ENTRY ENTRY 7.0 -� I io - a 108-f3` Pi o P �iR' � - -------- a LOT iO L079 �Iw LOT9 — LOT7 w V LOT — LOTS m �! BLOCK 22 BLOCK 22 0 BLOCK 22 a BLOCK 22 6LOCK 22 6LOCI<22W LOT I 1 BLOCK22 PROPOSED PROPOSED .Q PROPOSED( PROPOSED = PROPOSED PROPOSED" LOT 4 C-' BLOCK22 2 STORY 2 STORY 2 STORY _ 2 STORY 2 STORY 2 STORY ATTACHED ATTACHED ATTACHED ATTACHED ATTACHED (ATTACHED RESIDENCE RESIDENCE RESIDENCE RESIDENCE RESIDENCE RESIDENCE i UNIT -A UNITE UNIT-C UNIT-C UNIT-C UNfT-A 1532 1624 1624 1624 '624 1532 18.0' ITS I T3' 17.3' 17.3' Lle V/'>7 NOTES: LOT GRADING TYPE =A PROPOSED PAD ELEVATION -= 1 12,40' ,FRONT SET BACK - 20` SIDE SET BACK= 7.5' SIDE SET BACK (CORNER LOT) =10' REAR SETBACK = 15` 'ROPOSED: OINIMUM FLOOR ELEVATIONS: JVING AREA: 1 13,07' 5ARAGEAREA: ELEVATIONS REFERENCED TO VORTH AMERICAN VERTICAL )ATUM OF 1988 >URVEY ABBREVATIONS I I I 1 I I I I 1 I I 1 I I I I 1 I i lfl-f10'(Pj I 18.00`jPj 1 if}_DO-(PI I 1£z00'IPI I N 8T48'OT E jP( 128.68 (PI TRACT "B-7" ICED) OPEN SPACE * 10.00 PUBLIC UTILITY EASEMENT NOTE: ENTRY WALKS ARE 3.0 CONC C,'S-A'C UNITS ARE 3.2'X3.2 LEGEND: _- PROPOSED DRAINAGE FLOW (00.001 PROPOSED GRADE E-00.00= EXISTING GRADE APPARENT FLOOD HAZARD ZONE: `X' COMMUNITY NO. 12023.5 (MAP NUMBER 12101C-0452-F) EFFECTIVE DATE: 09, 26C 2014 0 33� 1 283R'IPI' ,\Y� LOT = 12611 SO,FL LIVING AREA =, 4010 SOLFT. ENTRY = 476 SO. FT - GARAGE - 1356 SO, FT COVERED LANAI = 652 SO. FT. PA]-10 = NA SO. FT. POOL AREA NA SO, FT. CONC. DRIVE = 1200 SO. FT. NC & CONC PAD = 54 SO. FT. SIDEWALK = 272 SO. FT. SIDE YARD SWALE NA SO, FT. CONSERVATION AREA NA SO- FT. LOT OCCUPIED = 64 % AREA TO IRRIGATE = 36 %a AI ARC LENGTH Oil "FEE) INl -INV 2T PCmPONTOF CURVE lR- RECORD LEGEND AC AIR CONDtONFR p DRAINAGE ASEMEN LB LICENSED BLSNESS PC POINT OF COMPOUND CURVE NG=RFl GE VINYL FENCE ALUM t` lMr h E LOR E. EV ATION I, LANDS Alf EASEM N 'CF RMAN NTC NI ROB OOT Rs-Rn RosvlKE -* ,: y.,. <ONC e F-BAs. «�D�.IwAT ELEVATION 8 EOC EDGEO PAVEMEN FL-1OWLS FLOOR ELEVATION I E OO FOUI.'MENT TAT -RIG4T OF WAY BM ENC. MARK Feel EASEMENT S- LICENSED SURVEYOR -C - TAG SEC=SPSI ION WOOD FENCE C CURVE /C=FENCC CORK R (M �MCAS'1RFD I -ION Of IN:E!SECP,ON SIV&D>SET NAIL ANI DISK "4SPNALT (CI CAtCUlAiED FCM `O hD CONIC PCIE BEE-Ml RE.D END SECTION PT-IARKFR KAON LB-8181 C h'ERL NC C U:AlN NK =:NEE MO`\UMEN i_ FOUND IRON FIRE NCB>NO COS=vtR FOliN? C,A -OVERA :L a - 40t..RTY. NE POB !O-N OFNEG'NN'hG Aft-<F 1 Z-RAN ROD-838183 -BM>t Mt ORARY BE.NCN MARK C iAN LINK `ENCF =SR1CK B-- IOL 1011MGA �DMEt'AL PII COL>COLUMN r1R- FOt)ND RON ROD 01 = OVERHEAD WBESi E POC- POINT OF COMMENCT MENT T08=TO OF BANK CONCr L' FCC O-2 -PLAT, ALRECORUt POINT ON! NE 'WP-tt>WNS41E ALUMINUM FENCE CY CONCRETES - POUNDDNAIL&E !O. POUND OPEN PIPE (') - PLAT, ABC ABC OUT OF REVERSE CURVE UFaU11- Y AS�MEN?=COVLR.IT CT- CLEAR S UI TR:ANGL_ F -FOUND ^,COED P4IE PE3 9LA 60QI< PRO ChANENT REFERENCE MONUMENT V, =VINY- -FNCE JOB 416295 SURVEYOR'S NOTES: SURVEYOITS CERTIFICATE 1708 Water Oak Drive Date of Site Plan: 1 t28-22 1.) Current title information on the subject property had not been furnished to Initial Point Land Surveying,LLC. a t the time this t 1 of I s SITE PLAN This certifies that sk Ji /of the hereon described property was��u�iPl% perosion and °ia Tarpon Springs, Florida P Phone:(727)-831-1990 DWC-44Y'2 h:C G'L22-S17E meets the sf�fiblF'raCtice for FtoridaPLS7 )23gmailsom 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 surveys g'S'snrdlt r�"Fji�ard pf Land g�h SS �%i �p rp we �R"Gj + � �;�o 12Ci LB¥r 11113 Ftle Drawn by: DJB shown hereon- urs t y ec to r 4 r (E' (Checked byJH a.) Roads, walks, and other similar items shown hereon were take from engineering plans and are subject to survey.264j2.17 4.) This SITE PLAN does not 1 effect no dcteunine ownership- 5.) This SITE PLAN is subject to matters shown on the Plat of StatL*s-C �id1:.2 E16€48:$Q �QQ� o� N F RIDd u r 1� F r REVlslcsNs "ABBOTT SQUARE PHASE 2' -- shown hereon are in feet and decimal portion' Jeff �-+`,� n--�"---- Q eDi�Ttensions FLORIDA �wFFk1t'5TR AND 7.) Contractor and owner are to verify all setbacks, building MAPPER NO. C, dimensions, and layout shown hereon prior to any construction, NOT VALID WITHOUT TIE ORIGINAL. and immediately advise Initial Point Land Surveying, LLC, of any SIGNATURE AND SEAL OF A FLORIDA 11 deviation from information shown hereon. Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC. at users sole risk Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 36502 Camp Fire Terrace Parcel Tax ID: 04-26-21-0160-02200-0090 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 2N[) AVE- SUITE 170,301,357,& 358, GAIN ESVILLE, FL 32601 Telephone: 813-376-3088 Fax: N/A Email Address (Optional): deb@virtualreviewassist.com Florida License, Registration or Certificate #. (LIC # SU1967/ 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 fora, 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 governinent, 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; envirounental or other codes, 1. Qualifeation statements ' and/or resumes of the private provider and all duly authorized representatives.' 2, Proof of insurance for professionaland comprehensive liability in,the. amount of $1 million per o ccurrencD relating to all services pe'ifbimed as a private provider, including tail coverage for, a minimum of 5 years subsequent to the pexforrnance of building code inspection services. Individual Corporation Partnership Sig print Name, Address, am= 'Please I use appropriate notary block. STATE OF FLORIDA MWMM day Of 20. personally appeart,d who executed the foregoing instrument, and acknowledged before me that seine was executed for the purposes therein ekprmrda Print CorporationName (signature) PTint N,me: Christopher Smith its:AAuthorized Aggnt_ AddremJQD__NW__J_Q_7th__A_VQ_ Miaffi FL 33172 Telephone, No,, —513-574-5700 Corporation B,efbTc,m,,tjg 22ND d of MAY 2o �22 personally appeared Of Lennar Homes. LLC r-orporaii0n, on b ohalf of the -state rorpooxation, who excouted the foregoing Instrument and executed for the purposes therem vTressed. Personglyknown X ;or- Pioduredidentitcation Typo of identification produced Print Partnership Nave M (signature) print Name: RE Address: Partnership B eforo one, this day of perR6nally appeared partnar/agentoxibehalf of a partnership, Who exe.outod the foregoinginstrument and a0mowledged before me that samc Sipatarq of Notan a PfintName --ASHLEE —CALLAHAN ra Notary Public Stamp: commission Expires; ASHLEE WWM MYC4MM1W10N#HHZ)50W EXPMftNQVWW30-202$- Page 2 of 2 VR/\ VIRTUAL REVIEW ASSIST Private Provider Plan Compliance Affidavit Private Provider Firm: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU1967 Address: 747 Southwest 21 Avenue Gainesville, FL '32601 Phone: 813-391-2959 Email: 1lac yCa),virtualreviewassist,com Project: New SFit!51"� Address(s): 36502 Carnp 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 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 1,2,3,4,5,6,7.1,7.2,8,9,10.1,11.1,11.2,12,LI,SN,SNI, S3,S4,S5,S6,SS,ST,D1,WP,PAl.0,PAI.1, PAI.2,PAI.3,PAI.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 Signature of Reviewer: SWORN AND SUBSCRIBED befor ine by Debra Anne Klahr being personally known to me or having produced as identification and who being fully sworn and cautioned, state that the ore ing is true and correct to the best of his/her knowledge or belief Notary gna re of Notary Print Name commission expires: ASHLEE CALLAHAN MY COMMISSION # HH 295980 EXPIRES: N~W 30,2026 COMMERCIAL BUILDIAG SERVICES DIVISIO�W BUILDING PERMIT DATA SHEET FIRE MARSHAL #01 - Reauired Permits IV Building ?�Plumbing Mechanical ;a Mechanical Electrical —Amp Electrical V Ins ection OnI [] Ins ecti�ononl Ej� 0n1v 1:1 Roof _ _ [] Gas LL!�� I El Medical Gas E] Fire Sprinklers On Site Piping El Fire Line — El Irrigation — El Fire .Alarm Potable Backflow Assembly E:1 Fire Line Backflow Preventer E] Irrigation Backilow Assembly El Demolition ]Walk-in Cooler [:1 Refrigeration E] Hood Ansul El Fence all El Grease Trap El Other Other Building Data Construction: [V�-B Risk Category: Occupancy Load a Classification: ney E:= OgFac Factory Assembly E= Hazardous E= E= F�Day C arelEducational Institutional Mercantile Residential Storage E= Building Use: e Alteration Level I Level 2 Level 3 jj �Iefa�milto�wnhous�... I Fl;j,' F IwNew Construction El Interior Finish Ej Interior Remodel El Exterior Remodel E] Addition Ej Revision Overall Size: Number of Stories: Total Sq. ITC: 18 x 63 2 2086 Living Area: Covered Area: # of Bedrooms: 3 1634 452 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof T e: X Shin le ElFile ❑ But t-u ❑ Metal Other Sauares: 14 Zoning: Wi orne Debris: Energy Code: 405-2022 Supplement "jn side Outside Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? I Yes NO Sq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: Central A/C 21 Heat Pump El Window A/C eat El Electric Heat Sanit �ia Sewer Storm Sewer Catch Basins _.� Potable Water Under l—d Fire Line mm Left As per Approved Site Plan