HomeMy WebLinkAbout23-5830City of Zephyrhilis 4 at Bik1 sf
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5335 Eighth Street\, 141f�b1 ,y
ephyrhills, FL 33542
Phone: (3 3) 730-00 0 Issue Date: 03/14/2023
Fax: (313) 730-0021
r I
t 1, i '\' > f \ F 1 .s+ .\ ,) r 1 . 11 � �, y :t. �s 5 '> •4 5a . ' all 04 26 21 0160 02200 0100 36498 Camp Fire Terrace
Name: LERINAR HOMES LLC-OWNER Permit Type: Building New (Residential) Contractor: L NNAR HOMES LLC
Mass of Work: Townhome
Address: 4600 W Cypress St 200 Building Valuation: $232,680.00
TAMPA, FL 33607 Electrical Valuation: $34,902.00 �
Phone: (813) 574 >700 Mechanical Valuation: $16,287.60�a
Plumbing Valuation: $23,268.00
Total Valuation: $307,137.60
Total Fees: $14,217.05
Amount Paid: $14,217.05 .�
Clete Paid: 3/14/2023 11:27:42AM
CONSTRUCT TOWNHCOME 1541 Sid FT
Ms .ra.S.11 ,, ,\ t�t s. ~•u ..t . l�. �`t.2,e. .t.„t , 4�a. .\, �`t., tt �1 1 fs.`'£�.A \4`.a ���
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Fire Wall/Smoke Wall Inspection $15,00 Electrical Plan Review Fee
Mechanical Permit Fee $121.44 Public Safety Impact Fee -Police $254.00
Driveway Fee $45.00 Water Connection Residential Fee $1,140.00
314 Water Deter Residential Connection Fee $794.92 Building Plan Review Fee $180,00
Address Fee $30.00 Park Impact Fee - Single Family/Townhome $79,56
Plumbing Permit Fee $156,34 Transportation Impact Fee $3,445.20
SIF 1 percent Fee $33.53 Public Safety Impact Fee -Admin $26.35
Electrical Permit Fee $214.51 Plumbing Valuation Fee $0.00
School Impact Fee n Single Family $3,353.00 Mechanical Plan Review Fee $0.00
Sewer Connection Residential Fee $2,400.00 Transportation Impact Fee n City $34.80
Building Permit Fee $1,203.40
l Sp l"1® FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c) the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
fiat 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 Application. All work shall be perforated in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
ha 0 $1 ATURE FE VIT OFFICE
PERMITPI E IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE
813-780-0020 City of Zephyrhills Permit Application Fax-81 3-780-0021
Building Department
Date Received Phone Contact for Permitting 908 770 __ 7763
I I - T-F-F 1 -1 - J _11--y4_1
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 811�574,S700
Owner's Address 1 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number
Fee Simple Titleholder Name I N/A Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS
136498 Camp Fire Terrace
LOT # 2210
SUBDIVISION AbbattCPARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
Il,p II
NEW CONSTR 8 ADD/ALT
INSTALL REPAIR
SIGN DEMOLISH
PROPOSED USE 4Y 11SFR O COMM
OTHER
TYPE OF CONSTRUCTION BLOCK FRAME
STEEL
DESCRIPTION OF WORK
Multi -family I Screen Enclosure !Fence
BUILDING SIZE I UDR IF 1939 FOOTAGE1541
28
So
HEIGHT
BUILDING
r232680
VALUATION OF TOTAL CONSTRUCTION
lad ELECTRICAL
PROGRESSENERGY W.R,E.C.
1 $ 34902
AMP SERVICE
OPLUMBING
0 MECHANICAL
$ 1628T6
VALUATION OF MECHANICAL INSTALLATION I —A)
=GAS Z ROOFING SPECIALTY =
OTHER
FINISHED FLOOR ELEVATIONS I
FLOOD ZONE AREA
11 YES Do
Lcnnar I Tomes, 11C,
BUILDER COMPANY I
SIGNATURE r REGISTERED L_y L NFEE CURREN L_ILN_j
(7
loy Scout Blvd Suite 600 1:,:aFl �1_16 _ 7C_ —C,
Address I �V,66y Scout Blvd Suite 600 Tam IT-, License # F 15 18166
ELECTRICIAN COMPANY Edmonson Electric, Inc.
SIGNATURE ......... REGISTERED YIN FEE CURREN L_ILN J
Address License# I EC 13005408
PLUMBER r COMPANY Bayonet Plumbing, Heating & AC, �Inc
SIGNATURE REGISTERED
Address License # I CFC042998
MECHANICAL COMPANY Bayonet Plumbing, H�oafiing & C, Incl
SIGNATURE REGISTERED L CURREN Y/N �N FEE CURREN
Address License #
OTHER COMPANY
C Sterling Quality Roofing, In
SIGNATURE =A REGISTERED
Address License #
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forrns ' R-O-W Permit for new construction,
Minimum ten H 0) 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 clumpster. 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'SIOWNER'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 OR AGENT.
Subscribed and sworn or affirmed) before me this
by Christopher Smith
Who is/are personally known to me or-h�xitised
as identification,
Notary Public
Commission ZOG 29�6OS7
Stephanie Farmer
Name of Notary typed, printed or stamped
9MJ
Subscribed and sworn to (or affirmed) before me this
yKno�islare personaly renown to me or nasinave proaucea
identification,
—Notary Public
Commission No. / /ZW67
Stephanie Farmer /
Name of Notary typed, printed or stamped
of ro
Builder Name/Owner Name
F
County Parcel NO.
.
Address/Location
Classification/Type of Use
TRANSPORTATION IMPACT FEE Rate:
Sq, Ft Unit:? `
Exempt 0 Yes 0 NO How Determined
Impact Fee Amount � °`f ,. � � _ Zone NO,
TAZ:
HOOL IMPACT FEE
Account (0 6) Single -Family Detached House Amount
(057) Mobile home
(058) Other Residential
(123) Collection Fee
Exempt =Yes = NO How Determined_
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone Total Amount 2 1 1 � _
Exempt =Yes =NO How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account _ Facility Credit Facility Total
Exempt 0yes NO How Determined Total Amount
RESOURCE FEE ERU
Prepared R pI Checked By
NO CERTIFICATE OF OCCUPANY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE "TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND RECEIPTEO FOR BY A CENTRAL PERNIFETING OFFICE OF PASCO COUNTY
ACKNOWLEDGEMENT BELOW GOES NOT IMPLY ACCEPTANCE OF CONCURRENCE, BUT SIMPLY RECCEIPT 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
/TYPEW/
/ 47
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Offlulumlommomm
DESCRIPTIC?N; LOTS 1-5, BLOCK 22, ABBOTT SQUARE PHASE 2, SITE PLAN SEC. 4, TWP. 26 S, RING 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, (NOT A SURVEY)
FLORIDA (ABBOTT SQUARE PHASE 2)
This SITE PLAN Prepared for and Certified To:
PROPOSED ELEVATIONS AND GRADING Lennar Homes
SHOWN HEREON ARE TAKEN FORM THE
ENGINEERING PLANS OF
I 'ABBOTT SQUARE RESIDENTIAL`, PREPARED
BY "SERA'" PROVIDED BY CLIENT
TO NORTH AMERICAN
ALL ELEVATIONS REFERENCED
Selo: 1 " = 20'
VERTICAL DATUM OF 1988
iNAVD 88) TRACT "A"
- - —
(CDDj RIGHT-OF-WAY
CAMP FIRE TERRACE
N 89-4804" E(P)
BASIS OF BEARING
%
—_...
�s
.. tE _ . '� . '
5CONE WALK
'� ". INB9'48'04"E(P) 128,68'(P)11
..<
If 8.3 11 'fJ�J
_
TB.oG IN8.`JO'i!) 1.16-OC'jP, H00 i 1,.i1
tt-PC
N89- E tP)
."
103.H9'�PI
ru
-.(-
o
i lore
1� 100 �+ k 10.0
t 1,0'
..
. ILO y 1 L0 t 1.0' 1' t l-0'
t 1 0
77
- - -
w {° X,
0
w_
_
ES
!/
_
c
1 7.0 ENTRY
1
' ENTRY 6..Bd,-,, 6.3' ENTRY �,; ENTRY 6,3� 63 ENTRY ,--
-
7`
ENTRY 0' i
N
loBJS
m
a LOT IO
w -I 0
! LOr9 LOT8 LOT w LOT -
w LOT5
ro
Es
o
y BLOCK 22
w �n
BLOCK 22 BLOCK 22 - BLOCK 22 BLOCK 22
o BLOCK 2
-
q
LOT 1 7
BLOCK 22 -
PROPOSED
PROPOSED PROPOSED PROPOSED ._ PROPOSED
PROPOSED
LOT 4
= BLOCK22
2STORY
2STORY 2STORY 2STORY 2STORY
2STORY
ATTACHED
1 ATTACHED I ATTACHED !I ATTACHED ATTACHED
;ATTACHED 1
RESIDENCE
l I RESIDENCE 1 RESIDENCE 1 RESIDENCE RESIDENCE
! RESIDE NC:E
UNIT -A
UNIT-C UNIT-C 1 UNIT-C UNIT-C
UNIT -A
1532
1624 1624 1 1624 1624
1532
18.0
ITS IT3' 17.3 17.3'
18.0'
10.0 LANAI
o LRNAI c ,LANAI a\LANAI LANA! ft�LANAI[ o
I
IvV
fr
a
i
sE
2A
A�
.&34 (PI
1 tBAG',Pi 18-OD-fPi t 16-00'(P. )g 00'(P} 1
28.T4 ('j -
.-- R}_,____
NOTES_
N 89`48'04" E jP! 128,68' (P)
LOT GRADING TYPE -A
TRACT "B 7„
(CDD) OPEN SPACE
PROPOSED PAD ELEVATION=112,40'
FRONT SET BACK = 20'
LOT
= 12611 SOFT_
SIDE SET BACK = Z>
LIVING AREA
= 4010 SOrFT.
SIDE SET BACK (CORNER LOT) =10'
ENTRY
= 476 SO, FT.
REAR SETBACK= 15'
GARAGE
= 1356 SO. FT.
* = 10,00' PUBLIC UTILITY EASEMENT COVERED LANAI = 652 SO, FT.
NOTE: ENTRY WALKS ARE 3.0' CONC PATIO = NA SO- FT.
PROPOSED- C/S-A/C UNFFS ARE 32X3.2' POOL AREA = NA SO, FT,
MINIMUM FLOOR ELEVATIONS: LEGENDCONC. DRIVE = 1200 SO, FT.
LIVING AREA 1 13.07' : A/C & CONIC PAD = 54 _SCL FT.
GARAGE AREA: = PROPOSED DRAINAGE FLOW SIDEWALK = 272 SQ FT.
ELEVATIONS REFERENCED TO 061T0)_P_OPOSEDGRADE SIDE YARD SWALE NA SO, FT
NORTH AMERICAN VERTICAL E-a0-00=EXISTING GRADE CONSERVATION AREA FT. NA SQ.
LOT OCCUPIED 64
DATUM OF 1988 = of
APPARENT FLOOD HAZARD ZONE: 'X COMMUNITY NO. 120235 AREA TO IRRIGATE = 36
RY
(MAP NUMBER 12 10 1 C-0452-C EFFECTIVE DATE: 09i 2612014
SURVEY ABBREVATIONS
Po ARCL Nc i 17 FOND
INv rNVIrT Pc -PON Or cnavi /s, -RECORD LEGEND
AC=.412 OND ONER F CRAIRAG BASEMEN! 8 'CENS DQLt NESS ICC ONTO COMPOUND CURVE VNa FENCE
R'YG = :AhGt
R.�-ALUMNUMFN.E iECONC —�
t ORCtV L VATi O,ry LAND 4 A EASEMENT N L9=PERNIAN N`COrr ROE POINT ARE-Rp ROAD SPLICE
3 8A5 IOOn J.EVATO O _JC O- PAVEMEN- LOW Sit ObR EL JA Oh FF= 00 OU�PMEN, t:W=F F OF WAY R `,
BM BENCt MIN, SM EASEVIEFF LS- -CEPN DSURVEYOR G-PAC SCOODEENCE
C WRAP N - S 7N
CI CATCC .A'I ED C �N ECO2N�R (AT 4 ==PO POINT 'NTElRSEC?ION SNSD-S. NA'E END DISK "�„..� T=ASPHAL(
CM a FOUND CONCRFIE MES-OF REDLND SECTION tK -PARK RYALON U348183
F-11IACENTEf' N[ C4AIN NKEENCE
I ParMONUMENT FAA - NORALL 'FOUND R PROPERTY UNL San-T 112 ORON ROD LLid 8183
For CRIKPIGAI DME F, FOUND IRON PIPE OA=OVCI OVERALL POB OIM OF BEGINNING —�:- x—
CMP=COTLIMN �J M�TDMTALPIP E,R FOUND IRON ROD OH S-OV`RI eAE?WIRES) POC PONDOF COMMENCTMENT 1BM= TOP OFAt2Y8(SNCN MARK =BfJCJ(
COL = Cd_UMN ( 08 -TOP OF HANK
CONC-CpN<R iE h&'.µfOJNNNSP[ SLNSK 0,1 = OHIc ALRECO,RDS POL -POh ONLINEWP=TOWNSin ALMhUM IS
C -CONCN EZ CI -FOUND OPENNPE 't -P A" ARC- OF O REVERSE CURVE 11 F.=tlFi T1 AS;:SEENi COVERED
fS =CLEAN SIG-i iRIRNGE `RP -FOUND NCH�D PIPE P9nPLAT HOOK TOMPERMANENT RFFMENCE MONUMFN( V,=VINYL!LNCE.
JOB #6295 SURVEYOR'S MATES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive
1,) Current title information on the subject property had not been This certifies that sk of the hereon described Tarpon Springs, Florida
Date of Site Flan: 1 1-28-22 'G� 1c p
furnished to Initial Paint Land Surveying, LLC. at the time PUNK ro en was �....�e � p
SITE PLAN P P- Y �meta*n=4'ut Niih�(Ier sionand Phone:(7Z7)-8311990
DWCsFs-Pr7 J1PBLz2 SITE meets theme Ida s ignacticetor FiaridaPIS7123@gmalLcom _
2.) This sketch was prepared without the benefit of a title search, su"cAd r-£h"C� t� j�5 i�iy p4a�jird of Land LB# 8183
No Insn uments of record reflecting ownership, easements or nR= T �P.t % 'l� � ,f L
Fite - rights -of way were furnished to the undersigned, unless otherwise + ai leer -o
shown hereon.
Drawn by: DUB or nt ¢ ec loi 4r'1gzvd spy
3.) Roads, walks, and othersimilar items shown hereon were taken
Stat
Checked by:JH from engineering plans and are sub)ect to survey. us-tj Gate: 2 4.02.17
4. This SITE PLAN does not reflect nor determine ovenershi `{» rn� { + v"NI
REVISIONSg_) This SITE PLAN is subject to matters.shown on the Plat of C� E���1Q�1
B' F RIDA / T Shia. �. ?rn�cu's
'ABBOTT SQUARE PHASE 2' --- - Al +2
'y
8.) Dimensions shown hereon are in feet and decimal portions ']off RI
thereof. AND .
7.) Contractor and owner are to verify all setbacks, building MAPPER NO. � 1
dimensions, and layout shown hereon prior to any consti union, 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 LICENSED SURVEYOR AND MAPPER initial Point Land Surveying, LLC.
at user s sole risk.
R - U A I R E V 'A' A S S I S, T
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
36498 Camp Fire Terrace
Parcel Tax ID: 04-26-21-0160-02200-0100
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.
M=-
owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services
indicated above.
Private Provider Finn: VIRTUAL PZEVIEW ASSIST, INC.
Private Provider: DEBPA ANNE KLAHP
Address: 747 SW 2M) 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 detennine 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, enviromnental or other codes.
The following attaobrnt,-nts arc) provided as required:
1. Qualification statements ' and/or resumes of the private provider and all duly authorized representatives.
I, Proof of insurance for professionaland comprehensive liability in,the, amount of $1 million per
o courrence -relating to all serviDds performed as a private. provider, including tail coverage for, a minimum
of 5 years subsequent to the performance -.of building code inspection services.
M
(signature)
Print
Name:
Address, ss,
e ophono
I�b-.
Pleaseus e appropriate notary b1b ck.
STATF, OF FLORIDA.
COUNTY OF HILLSBOROUGH
10,
Btforerat,this day of
20. Personally
appeared
who vxDoated the foregoing instrument,
an , d a6knowlodged before me that same
was executed for the purposes therein
okpras;d.
Corporation
Print Corp oration Namo
By:
(sign�ture)
Print
Name. Chr _��her Smith
Authorized Aggot
Addressda()OQIAW�07t�ve�
Mian�i FL 33172
Telephone,
No. 913-574-5700
Corporation
BeforDme,this 22ND day of
MAY 20 2.2
personally appeared,
of
Lennar HomesLLC. a
corporation, on
behalf of th6state oorpoTation, who
executed the f6regoing instrument and
aclokwledgDd before me that same was
executed for the purpqsmtharoba
expressed.
UMMMEM
MMMMEZMI�-
M
�
print
Name:
'Its.
Address.
Partnership
Beforvmo,ibis day
of 20
pers6na.Uy appeared
p ntnor/agent on behalf of
a partnership, who executed the
forekoing +instrument and
aclMowledged befbTe me that same
Personally Imo X r- rodumdidDnti-gcation Type of identification produced
Sipataro, of
PxintNalue ASHLE,E CALLAHAN
NotayyPublic Stamp:
_ AA.
commission Expires:tv' ASHLEECALLAHM
P' r"&7-MyCOMMMSIONSHIMM
EXPIRM NOW"
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, BU 1967
Address: 747 Southwest 2,d Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: luclyZ�—vitLiLaIreyie qsist.com
Project: New SFR5fT-
Address(s): 36498 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
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 l,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,PAI.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 he4te me by Debra Anne Klahr
being personally known to me--v or having produced as identification
and who being fully sworn and cautioned, state that the
regoing is true and correct to the best of his/her knowledge or belief.
Act\
ignature of Notary Print Name
Notary Public: NOTARY STAMP BELOW My
,FffiCOMMERCIAL BUILDING SERVICES DIVISION RESIDENTIAL
BUILDING PERMIT DATA SHEET
TRACKING #
FOLIO# 36498 Camp Fire er
FIRE MARSHAL #01 -
Reauired Permits
DATE: 3/04/2023
EXAMINER: bebra Klahr VX230(
Building
E] Inspection OnI
Plumbing
�P'uu`E Jn�pecfion n/
Mechanical
[:1 Ins ction Only
Le
ct n al Amp
Inspection Only
El Medical Gas
El Fire Sprinklers
On Site Piping
Irr
El Irrigation
[:]Fire Alarm
EJ Potable Backflow Assembly
El Walk-in Cooler
El Fire Line Backflow Preventer
Refrigeration
E] Irrigation Rackflow Assembi y
D DemolitioIII
El Ansul
Fence/Wall
ap
�E] Other
Tme Construction.
Risk Category:—L-11
Occupancy Load
C"sification:
OaVFactory
ncy E:::=
Residential
Assembly = 8businessbay Care/Educational
Hazardous E::= 'tntional EjMercantile
'Storage Utility
E:=
Building Use: jingle. farni ly townhouse Alteration I Level I 1111"Level 2 11:�"Level 3
46New Construction E] Interior Finish E] Interior Remodel Ej Exterior Remodel El Addition El Revision
Overall Size:
18-4 x 63
Number of Stories:
2
Total Sq. Ft,:
1939
Living Area: 1541
Covered Area: 398
# of Bedrooms: 2
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof Type: 9 Shingle I-,--,'
EIT-i 11 le ❑ Built-up El Metal— El Other Sq!!ar�s; 14�
Zoning:
_M�Ln
orne Debris:
s
Inside Outside
Energy Code: -2022 Supplement
405
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents? Yes
V,,,,`No
Sq. Ft. Enclosed Space Below BFE:
# of Vents:
Size of Vents.
Total Sq. In. Permanent Openings
9 Central A/C
El Gas A/C
2] Heat Pump El Window A/C
F1 Gas Heat El Electric Heat
On Site Piping
Sanity Storm Sewer Catch Basins
Potable Water Underground Fire Line
Setbacks
Front Rear Left Right
As per Approved Site Plan
Comments: