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Home My WebLink About23-5841City of Zephyrhills 5335 Eighth Street ephyrhills, FL 33542 Phone: (13) 7 0-0020 Fax: (313) 7 0-0021 Issue Date: 03/14t2023 "Residential t: ,1, \ \t, ,, \ \\\\ £s �\, s\\t�\ ti\ \u at \ \.t \\�vs 04 26 21 0150 00700 0130 36450 Carden Wall Way ��"� uu\\ � ti �ti ,:t, ,.� \ \ r, s c\ us\ \ \�7 �2, ,,,ti l�l}�`a,\.,\., Name: LENNAR HOMES LLCpOWNER Permit Type: Building New (Residential) Contractor: L NNAR HOMES LLC Class of Work: SFR Construct Address: 4600 W Cypress St 200 Building Valuation. $312„600.00 .< TAMPA, FL 33607 Electrical Valuation: $46,890.00$ Phone: (813) 574-5700 mechanical Valuation: $ 1,882.00 Plumbing Valuation: $31,260.00 Total Valuation: $412,632.00 Total Fees: $20,701.19 Amount Paid: $20,701.19 Gate Paid: 3/14/2023 11:27:42AM , ,��C.,:.1,c>„,\�j:, .,��,.'„\\\�\\sk,,,<t}.1;,.:`:~•t� t;s, ,,,lad, 5.�1,,"ti��`,,\\,,:;L\J,,,;,<t�',.<�,cs, <..t <��;�\Jtx�``�,;?.'�� `".�„�. ti,,,z..�.,�.�� ,�.�\".;ea.,� CONSTRUCT SINGLE FAMILY 2073 SO FT Electrical Plan Review Fee $0.00 Driveway Fee $45.0Q Transportation Impact Fee $3,595.68 School Impact Fee n Single Family $8,328,00 Dark Impact Fee - Single Family/Townhome $769,56 Plumbing Plan Review Fee $0.00 Mechanical Permit Fee $149,41 Building Permit Fee $1,603.00 Sewer Connection Residential Fee $2,400.00 Building Flan Review Fee $180.00 Transportation Impact Fee - City $36,32 Address Fee $30.00 Electrical Permit Fee $274A5 Irrigation 314 meter (Cale) $794.92 Plumbing Permit Fee $196.30 SIF 1 percent Fee $83.28 Mechanical Plan review Fee $0.00 Public Safety Impact Fee -Police $254.00 Water Connection Residential Fee $1,140,00 3/4 Water meter Fee (Calc) $794.92 Public Safety Impact Fee -Admin $26,35 REINSPECTION FEES: () With respect to Reinspection fees will comply with Florida Statute 5 A 5(2)() the local government shall impose a fee of four tires the amount of this fee imposed for the Initial inspection or first reinspection, whichever Is greater, for each subsequent reinspection. Notice: In addition t0 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 year property. If you intend to obtain financing, consult with your lender or an attorney before recording year notice of commencement." Complete Flans, Specifications add fey 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. I N URE qPF o rrtcE EXPIRESPERMIT IN 6 MONTHS WITHOUTINSPECTION ?80-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permittin 908 770 __ 7763 Tr-.t-emu..I.-._t_�._- '�""�.."e_t"Y_4�'"tTi_9""' - --��:._[... - -'g--may--- _-'i-7""r.'�_".._T_T .T"'C"�„"g"9..3".� Owners Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813.574.5700 Owner's Address 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner phone Number �® Fee Simple Titleholder Name NIA Owner Phone Number Fee Simple Titleholder Address N1A JOB ADDRESS 36450 Garden Wall Way LOT# 0713 SUBDIVISION Abbott :guars PARCEL ID# 04-26-21-0150-00700-0130 IOBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR F1 ADD/ALT SIGN 0 DEMOLISH INSTALL REPAIR PROPOSED USE u� 'v'�' u� SFR COMM OTHER t1D TYPE OF CONSTRUCTION BLOCK E:] FRAME STEEL Q DESCRIPTION OF WORK Single Family Residence /Pool /Screen Enclosure J Fence BUILDING SIZE U/R IF 2605 � SO FOOTAGE 2073 HEIGHT BUILDING $ 312600 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 46890 AMP SERVICE PROGRESS ENERGY W-R.E,C- PLUMBING $ 31260 MECHANICAL r$-21882 VALUATION OF MECHANICAL INSTALLATION lei [ GAS ROOFING SPECIALTY = OTHEE�R—'�'yy FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA Li YES Do BUILDER `' COMPANY I Lennar Ilomes, LLC 1 SIGNATURE REGISTERED Y N J FEE CURREN L NN 430 , Bay Scout I3h�d Suite 600 Tatnpa, FL 33607 CGC15181666 Address License # ELECTRICIAN COMPANY EdmonSan Electric, Inc. SIGNATURE REGISTERED YIN FEE cuRREn Y l N Address License# I EC13005408 PLUMBER COMPANY 13ayonet Plumbing, Heat�AC,SIGNATURE REGISTERED Y / N FEE CURREE Address License # I CFC042998 MECHANICAL 7/ COMPANY gayanet Plumbing�Heatin�g& C, Inc SIGNATURE REGISTERED Y / N FEE CU Address } I License # CAC058062 C >terEin Cuafit Roafin Inc OTHER COMPANY Y g� SIGNATURE REGISTERED Y 7 N FEE CURREn Y 7 N Address License# 1 CCC057991 11tilitl6PlQE ItOtlttlY►tt@tB�B&1�9FlOPt�6I{81!&&�lIOIiE�i;&6Bi9t99t 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 wt 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 & i 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. (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 (PloUSurvey/Footage) Driveways -Not over Counter if on public roadways..needs ROW Exempt yes 0 No How Determined Impact Fee Amount � � � � Zone No. TAZ; SCHOOL IMPACT FEE Account (056) Single -Family Detached House ,Amount � � 4. - (O 7) Mobile Flame (058) Other Residential (12) Collection Fee Exempt CDYes = No How Determined_ PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zane Total Amount $ �., Exempt =Yes =NO How Determine UBRARY FEE Land Account Lend Credit Land Total Facility Account _ Facility Credit Facility Total Exempt 0yes No How Determined Total Amount RESOURCE FEE ERU Total Amount Em NO CERTIFICATE TE OF OCCUPANT WILL BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISPED HAVE BEEN PAID AND R C IPTEO 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 SUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME, RM RECEIPT NO DATE BY ;F NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division —Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500,00 or more, I certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law —Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs, If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "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 CONTRACTOR Subscribed and sworn -0 (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this _L012012 by _Shnsto2her Smith by Christooher Smith Who or has/have produced as identification. as identification. Notary Public Notary Public Commission No. GG 296057 Commission No. GG 296057 Stephanie Farmer Stephanie Farmer Name Name ofN 879%" FMER 4.171t_ - ENtIMFOMMY IS, M3 EvilinFebm%Y15,2023 N - DESCRRRTIOM LOT 13, BLOCK 7, ABBOTT SQUARE PHASE i B, SITE PLAN ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89, PAGES 57-62, OF THE PUBLIC RECORDS OF PASCO COUNTY, (NOT A SURVEY) FLORIDA. PROPOSED ELEVATIONS AND GRADING 1"h)s SITE PLAN Prepared for and Certified To: ( ALL ELEVATIONS REFERENCED SHOWN HEREON ARE TAKEN FORM THE LernTar Homes TO NORTH AMERICAN ENGINEERING PLANS OF VERTICAL DATUM OF 1988 '.. ABBOTT SQUARE RESIDENTIAL, PREPARED iNAVD 88) '.. BY'WRA" PROVIDED BY CLIENT - -- ' LOT = 4400 SO, FT. LIVING AREA - 952 SO. FT. PORCH .:..?--.--SQ. FT. GARAGE -_9 SQ_FT. COVERED LANAI =_IOq. �_SO FT. PATIO FT = NSO, FT, CONIC. DRIVE =328 —SO, FT. A/C & CONIC PAD �. ( 0 SO. FT'_ SIDEWALK =9 _SOL FT - LOT SOD = N^/A SO. Fr. R/W SOD =9,q SO. FT LOT OCCUPIED =9�RE AREA TO IRRIGATE _�7 _ qy 0 = 2" OAK I O.00PUBLIC UTILITY EASEMENT LEGEND: --"�- PROPOSED DRAINAGE FLOW (00,00) = PROPOSED GRADE E-00.00 = EXISTING GRADE NOTES: LOT GRADING TYPE ='B PROPOSED PAD ELEVATION = 104.50 FRONT SETBACK � 20 SIDE SET BACK = 7 5 SIDE SETBACK (CORNER LOT) = 10 REAR SETBACK 15 PROPOSED: MINIMUM FLOOR ELEVATIONS: LIVING AREA: 105.17' GARAGE AREA: ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 (CDDJ RIGHT-OF-WAY TRACT "A' GARDEN WALL. WAY N 89'48'04' E (P) BASIS OF BEARING 5 CONIC WALK , N 89 4804' E tPJ 40,00 (P) 197,61 TO v N 89`4804` E (P) w -. 3' CONd 193 7 ' .5' WALK; N; I Vo T5' ENTRY z 5.7' z _ o LOT 12 PaoPoseD q LOT 14 2 STORY RESIDENCE - BLOCK 7 BLOCK 7 N PLAN 2074 m ELEV A' I�. GARAGEL o $ b LOT 13 p a i BLOCK 7 0 o 0 0 25-0' a 13.0E m N b' o fl 130 Z_5' . 12.0' 7.5' �F�DY \sp3�n1 3-2'X3.2' C/S-A/C 4 4 S _ /vp11 N 111111111E (PJ 40.00' IPl \Q350\4 S TRACT "B-6" ,/ (CDD) ACCESS/DRAINAGE/ LANDSCAPE/ WALL MAINTENANCE AND FENCE AREA OPEN SPACE SEC 4, TWP. 26 S, RNG 21 E. PASCO COUNTY, FLORIDA fABBOTT SQUARE) APPARENT FLOOD HAZARD ZONE:'X- COMMUNITY NO. 120235 SURVEY ABBREVATIONS (MAP NUMBER 12101C-0289-F) EFFECTIVE DATE: 09/26F 2014 77ARCt NC Ill (D OS kU INV- INCEPT 'C, PO'S Or CURVE (RI - RE RECORD LEGEND A/C -ANCONDit OVER AF-PIUNIN.MIEN11 ) ORNNlCE fASt MENT IA .RC,NSG)BLSNESS AC OM OF COMPOUND CURVA RNG - RANGE ONO llNC:: T 1..��'CONC BF BASF it OOD C OA` on ORN V IEVATiON LE LANDSAPE ASEMEN' PCP PERMANENT CONTROL POINT RRS-RA BOADSPIK€ EO -EDGED PA MENi LEE -LOW STF OOR Ei I, VA ON EFF^POOL ECUIPMENT .iW=RO ME PAY V BM BENCH MARK C (URVP SM-EASEMt PT S-LIC'ENSf �SURV-OR PG -PAC SEC -SECTION F/C-FE:NC. CORNER el - MEASURE D .- ON r O!' INTERSECTION SN&J_. S_ 1' NAIL AND DISK .� WOOD FENCE � ASIIIAI:I ICI CAEC !Al.D FCM^FOUND CONCY 11 NLS-M II ED'DEC SECTAN PT-PARKER"LON L848183 CcN IAl lht (I! CNANtIN'CFENCl MONUMENT NET -NO CORNER FOUND _ R(JREI2TY LINE SIR -SE 112 IRON ROD LBk B183 C Ah.INK FENCE CMP=CORIWGC 7 DMETA PDT LIP •wCOUNO IRC)NPPE O/A-OVLF�ALL POB POINT CF BEGINNING TRY='tMPORARV-4EN" 1MA`ti( aBRKK--H----^H----- LOI-COLUMN FIIR-fOUNDIRON ROD Orl., OVERHEAD WIRE IS POC-PONTOF COMMENCTMENT TOB PTO OF BANK CONIC-CONCRF tt CFS-CONCREtf STAB IN&D-FOUND NAIL&DSK O.R. -Ot PIC AL RI CORDS POL ONTONUNE W'=1OWNArP IO - OUND(a(tA1 PRC !ON[OF REVERS : CURVE UE-IiTIL1YfASEMENT I�''^-. � AUMINUM FENCE -COV; R=D% Cl=C;t'A4 SlCilii "RIANG.L UPI!'F P FIP-SOUNDf N(NFD >IP. PB-PLAT BOOK EDE PERMANENT REFERENCE MONUMENT VF-VINYI'ENCE JOB 415809 SURVEYOR'S NOTES' SURVEYOR'S CERTIFICATE 1.) Current title information on the subject property had not been This certifies that sketch of the hereon described furnished to Initial Point Land Surveying, LLC at the time of this ♦)} y 9- property wa�yNh�� r��11Sg�supervision and 1708 Water Oak Drive -..: Tarpon Springs, Florida P- Phone: (727)-831-1940 Date of Site Plan: 8-5-22 DWG:ASP11111 �'3BLISI71 SITE PLAN *J n.. G� f Practice for meets it '�7" ' FlondaPLS7123@ maiLcorn g _, 2.) This sketch was prepared without the benefit of a title search. son ;pi i and of Land LBtf 8183 No instruments of record reflecting ownership, easements or u yk�• 112d File, rights -of -way were furnished to the undersigned, unless otherwise 3y a 1Mal,nLsf of u � shown Hereon. url2tant X 47 r. �Rt�@ Drawn by DJ8 3.) Roads, walks, and other similar items shown hereon were take Checked by JH ��SSSP from engineering plans and are subject to survey. �29.08.3 10 REVISIONS ,oSection not Ownership e1Y�Date mattect rs TE UW9 dQ(,p� 04P0Q' F Z` 4� L F3 shownonthe Plat of m ,) This SITE PLAN,s ob),,BBOTf SOUAREdoes PHASEct Bo Jeff M.��_—. e 6.) Dimensions shown hereon are in feet and decimal portions FLORIDXA, I NA K$60RAND Thereof MAPPER IN 2�EL '�b'R4� 7.) Contractorand owner arc, to verify off setbacks, building 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 LICENSED SURVEYOR AND MAPPER 11 user`s sole risk Initial Point Land Surveying, LLC, Address 36Y-5'0 6,-fclen Oj,,)) "/'-" Parcel# -01-!rO -00?ov - 0)_?o Lot Size__�(O _ Setbacks: Front Rear g s Garage �/ Roof Single Dimension/Architectural n,�7& I v A L R R T U E - w �-4SS�Q-' Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 36450 Garden Wall Way Parcel Tax ID: 04-26-21-0150-00700-0130 Services to be provided: Plans Review X Inspections Note: If the notice applies to either private plan review or private inspection services the Building Official may require, at his or her discretion, the private provider be used for both services pursuant to Section 553.791(2) Florida Statute. owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services indicated above. Private Provider Firm: VIRTUAL REVIEW ASSIST, INC. Private Provider: DEBRA ANNE KLAHP Address: 747 5W 2ND AVE- SUITE 170,301,357,&. 358, GAINE5VILLE, FL 32601 Telephone: 813-376-3088 Fax: N/A Email Address (Optional): deb@virtualreviewassist.com Florida License, Registration or Certificate #: (LTG # 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 deten-nine 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 V-RA I I R T U A L R E V I E W ASS I ST v : Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 36480 Garden Wall Way Parcel Tax ID: 04-26-21-0150-00700-0170 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 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 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 COMMERCIAL BUILDING SERVICES DIVISION PfRESIDENTIAL BUILDING PERMIT DATA SHEET TRACKING # FOLIO # 36450 Garden Mall Wa FIRE MARSHAL #0 Required Permits • Building El Inspection Only Plumbing ❑ Inspection Only Mechanical ❑ Ins ectic�n C?nly WElectrical Amp ® rns ection l Roof ❑ Gas ® Medical Gas ❑ Fire Sprinklers El On Site Piping ❑ Fire Line ® Irrigation ® Fire Alarm Q Potable Backflow Assembly E] Fire Lane Backflow Preventer ® irrigation Backflow assembly ❑ Demolition El Walk-in Cooler [j Refrigeration ® Hood C] Ansul 0 Fence all ❑ Grease Trap ❑ Other ❑ Other Type Construction: JV-B I Risk Category: Occupancy Load t3 ancy Classifieati®n: factory ;Residential - Assembly business ay Dare/Educational 'Hazardous � �� Institutional ®,Mercantile ® Storage ❑ Utility Building Use: Sin le Family f Alteration Level I Level 2 Level 3 New Construction ® Interior Finish ® Interior Remodel Exterior Remodel ® Addition ® Revision Overall Size: 25 x 62 Number of Stories: 2 Total Sq. Ft.: 2605 Living Area: 2073 Covered Area: 532 # of Bedrooms: 4 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof T e: Shim le [-]Tile Ej wilt -up Metal Other S cares: 17 Zoning: WI orne Debris: ®;Inside � Outside Energy Code: 405-2020 Flood .Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? ®;Yes No Sq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: Total Sq. In. Permanent Openings Central A/C (l Gas A/C ®Pleat Pump E] Window A/C D Gas Heat [ Electric Heat Sanitary Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line Setbacks Front Rear Left bight 21 As per Approved Site Plan Comments: 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: ILUc virttialreviewass,ist.com Project: New SFR Address(s): 36450 Garden Wall Way and holds the appropriate license or certificate: RATIMEMORVIOWIMM Plan Sheets: CS, 1, 1, l.2,2,L2,2,3,4,5,6,L6.2,7, SN, SN l,S3,S4,S5,S6,SS,ST, DI,D2,WPI,PAI,O,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 9: PX2300 Signature of Reviewer: —4LJ—�— SWORN AND SUBSCRIBED befqyp 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 fa e ing is true d correct to the best of his/her knowledge or belief, ignature of Notary Print Name Notary Public: NOTARY STAMP BELOW My commission expires: