HomeMy WebLinkAbout23-5843City of Zephyrhilis
5335 Eighth Street
ephyrhills, FL 3542
Phone: (1) 7 0-0020
Fax: (013) 7 0-00 1
Issue gate: 03I14t2023
r i it(Residential
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04 26 210150 00700 0170 36480 Carden Wail Way
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Name: LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential) Contractor. L i' NAR 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: $21,882.00 ,
Plumbing Valuation: $31,260.00
Total Valuation: $412,632.00
Total Fees: $20,701.19�„
Amount Paid: $20,701.19�'
a
Date Paid: 3/14/2023 11:27:42AM
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CONSTRUCT SINGLE FAMILY 2073 SQ FT
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Plumbing Permit Fees $196.30 SIF 1 percent Fee $83.28
School impact Fee - Single Family $8,328.00 Electrical Permit Fee $274A5
Transportation Impact Fee $3,595.68 Mechanical Plan Review Fee $0.00
Building Plan Review Fee $180.00 Electrical Plan Review Fee KOO
Public Safety Impact Fee -Admin $26.35 3t4 Water deter Fee (Calc) $794.92
Park Impact Fee - Single FamilytTownhome $769.56 Driveway Fee $45.00
Mechanical Permit Fee $149.41 Irrigation 314 (Meter (Cale) $794.92
Transportation impact Fee - City $36.32 Water Connection Residential Fee $1,140,00
Building Permit Fee $1,603.00 Plumbing Plan Review Fee $0.00
Address Fee $30.00 Sewer Connection Residential Fee $2,400.00
Public Safety Impact Fee -Police $254.00
REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute . (2)(c) the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection, whichever is greater, for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies,
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Flans, 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.
fa
ONT C OR SIGNATURE FEE IT OFFICE
PERMITI IN 6 MONTHS WITHOUT
CALL FOR INSPECTION - 8 HOUR NOTICEREQUIRED'
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application
Building Department
Date Received 1 908 � 770
Phone Contact for Permitting
T! 7— �e�—�i—.. ..�:n—a—x---i--e— — —
'.Y"i". _Y"'7�_.6
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number
Owner's Address 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number
Fee Simple Titleholder Name N/A Owner Phone Number
Fax-813-780-0021
1 813.574.5700 1
Fee Simple Titleholder Address
NIA
I
JOB ADDRESS
36480 Carden Wall Way
LOT# 0717
SUBDIVISION
Abbott Square
PARCEL ID#
04-26-21-0150-00700-0170
OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
E,d II
NEW CON5TR F__] ADD(ALT
INSTALL REPAIR
SIGN DEMOLISH
PROPOSED USE SFR COMM
OTHER
TYPE OF CONSTRUCTION BLOCK 0 FRAME
STEEL
DESCRIPTION OF WORK
Single Family Residence I Pool 1 Screen Enclosure 1 Fence
BUILDING SIZE UIR SF 2605 SO FOOTAGE 2i73
HEIGHT 28
BUILDING
$ 312600
VALUATION OF TOTAL CONSTRUCTION
/ EELECTRICAL
9 r r
$ 46800
® PROGRESS ENERGY W.R.E.C.
AMP SERVICE
PLUMBING
$31260
�\
MECHANICAL $ 21882
VALUATION OF MECHANICAL INSTALLATION
=GAS
r ROOFING SPECIALTY =
OTHER
t'y
ELEVATIONS
FLOOD ZONE AREA
—{ DoFLOOR
II }YES I o
BUILDER COMPANY I Lermar I Tomes, L.LC
SIGNATURE REGISTERED Y / N FEE CURREN Y / N i
Address 43 1 4V Boy Scout W-Saite 600 Tampa, pL 33607 Lieense # CGC1-18166 �
ELECTRICIAN COMPANY Edmonson Electric, Inc.
SIGNATURE -,¢:._ _..._ ..._.. REGISTERED Y 1 N FEE CURREF Y / N
Address u License # I EC13005408��
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
$ CFC042998
Address License #
MECHANICAL COMPANY I Bayonet Plumbing, Heating & AC, Inc
SIGNATURE ��Jll REGISTERED Y / N FEE CURREN Y (N
Address ® License # ICCAC058062 _.
OTHER COMPANY C Sterling (duality Roofing, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # 1 CCC057991
t9lF181@111lE11olilYiBlli8ltlB1918oII198BS81RIIIIIlf7811o1161110810
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 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 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 (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 "V" 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'll, I'll
MITU I Ot [two Tali L4101101141111hy Itil
OWNER OR AGENT- _g;T
Subscribed and swornr 0 (or affirmed) before me this
by Christopher Smith
Who is/are personally known to me orhas46wo-produG@4
as identification,
Notary Public
Commission No. GG 296057
IW27/2022 by
Who is/are personally known to me or has/have produced
as identification,
Notary Public
Commission No. GG 296057
Stephanie Farmer Stephanie Farmer
Name Name of
-NN *66 MW
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Builder Name/Owner Name 4Control
County Parcel No. ubDiv # P
Address/Location t
Classification/Type of Use
TRANSPORTATION IMPACr FEE Rate: Sq. Ft finite
Exempt 0 Yes 0 No How Determined
Impact Fee Amount Lone No. TAZ:
SCHO L IMPACT FEE
Account (056) Single -Family Detached House Amount $
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt Yes = No HowDetermined_
PARKS AND RECREATION FEE
Land Account
Land Credit
Land Total
Recreation Account
Recreation Credit
Recreation Total
Zane
Total Amount S �*
Exempt =Yes
=No How Determined
UBRARY FEE
Land Account
Land Credit
Land Total
Facility Account
Facility Credit
Facility Total
Exempt 11Yes
No Flow Determined
Total Amount
RESOURCE FEE ERU
Prepared By Checked By
10'CERTIFICATE OF OCCUeAMY WILL RE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND RECEIPTED FOR RY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
ACKNOWLEDGEMENT OELOW DOES 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.
DATE RECEIVED BY
RECEIPT NO BATE BY
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RIDO(Y - - - - - - - - - - - - - - - - - - - - - - - - - -
DESCRIPTION: LOT 17, BLOCK 7, ABBOTT SQUARE PHASE IB, SITE PLAN
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89,
PAGES 57-62, OF THE PUBLIC RECORDS OF PASCO COUNTY, INOTA SURVEY;
FLORIDA. tt__
Ne SITE PLAN Prepared for and Certified 70:
PROPOSED ELEVATIONS AND GRADING Lennar Homes
SHOWN HEREON ARE TAKEN FORM THE
ENGINEERING PLANS OF
`ABBOTT SQUARE RESIDENTIAL PREPARED
BY WRAPROVIDED BY CLIENT
LOT
= 4400 SO, FT.
LIVING AREA
= 9S2 SQ. FT.
PORCH
= SQ. FT.
GARAGE
= 9 SQ. FT.
COVERED LANAI
= i 04 $Q. FT.
PATIO
= NSA SQ. FT.
POOL AREA
= NfA SO- FT,
CONIC. DRIVE
=am SQ. FT.
A/C & CONC PAD
=i_Q__SQ. FT.
SIDEWALK
= 61 SQ-FT.
LOT SOD
= NSA SQ. FT.
R/W SOD
-_NIA SO, FT,
LOT OCCUPIED =-ia— LA
AREA TO IRRIGATEo/R
= 2" OAK
+ = 10.00 PUBLIC UTILITY EASEMENT
LEGEND:
�- PROPOSED DRAINAGE FLOW
(00,00) - PROPOSED GRADE
E-00.00 - EXISTING GRADE
NOTES:
LOT GRADING TYPE =8
PROPOSED PAD ELEVATION 106. 70"
FRONT SETBACK - 20'
SIDE SET BACK T5
SIDE SET BACK (CORNER LOT; ==? 0'
REAR SETBACK , 15
PROPOSED:
MINIMUM FLOOR ELEVATIONS:
LIVING AREA: 107.37'
GARAGE AREA:
ELEVATIONS REFERENCED TO
NORTH AMERICAN VERTICAL
DATUM OF 1988
ALL ELEVATIONS REFERENCED
TO NORTH AMERICAN
VERTICAL DATUM OF 1988
(NAVD 88)
ICDD) RIGHT-OF-WAY
TRACT "A'
GARDEN WALL WAY
N EIT48'04' E IPI
BASIS OF BEARj,)G
" 220
5 CONC WALKv1E JP) 4000' IP)
..___...__v6\ N844804/70 N 89 4804 E )P)� PC
YQg. I 6282 37,61 (P)
o4 — —
��... ••160 In
3 19.3... 7.5'
5'
ENTRY
PROPOSED
o
2 STORY RESIDENCE
rn PLAN 2074 N l ti c
ELEV "A" o o LOT 18
GARAGEL
LOT16 o ° BLOCK
LOT 17
BLOCK 7 o BLOCK 7 'o
p o
25-0
13-0'
bT\
7.5' 13.Q
\Ypb
1
601
3.2'X3.21 1
C/S-A/C
i'ur.
I
`
N 89'48'01 E (P) 40.00 (P)
,/JOS
loEft
TRACT'B-6"
jCDDI ACCESS/DRAINAGE/
LANDSCAPE/ WALL
MAINTENANCE AND FENCE AREA;
OPEN SPACE
SEC 4, TWP, 26 S, RNG 21 E,
PASCO COUNTY, FLORIDA
(ABBOTTSQUARE)
Seale: 1" T 20'
APPARENT FLOOD HAZARD ZONE: `X" COMMUNITY NO. 120235
SURVEY ABBREVATIONS ;MAP NUMBER 12101 C-0289-P) EFFECTIVE DATE: 09/26/2014
A •ARc ENCH Di DEED NV -INVERT rc- �N�o cuP.v - ^RECORD LEGEND
NC=A;R CON-0— D ;RANA EEAKEMEN LB -LIE NSECBJSNESS rcc ONTO COMPOUND CURVE RNG-[RANGE
A,=� �NY� EN::F
ALUMINUM FENCE !0RFIrV uOSAIiON LE- LANDSCAPE fASEME.NT PCP l MANNTCONrRO�'ONT RRS RAt_ROADsTD ^y -CONf L- � -
BN BASF .00DELDaS ON COF EDGE OF PAVEMEN LEE - I OWESFLOOR ELEVATION PIE POO LQUPM:N7 F,D-RIGHT OF WAY
4M 3ENC MARK WOAD FENCE
ESM EASEMENT - S - L ICLNSED SURVEYOR G = A< 1I C = SECTION
( C AK xAS44fl(T
C UDC.,. AYrO ! C tENC CORNER M =MLASUR D=POiN!O N'L"RSE(ION SNhC=1 VAi. AND 'ITS,
ERA^ FOUND CONCRETE M S--MilF DENT)SECTOR or -ARK R"LOti 9"1.3
,.NrcZL Nr ttWNf.�NK FENCE
C t -CHAIN INK FENCE MONUMEM1. NC`=NO CORNER ROt ND ROPt `iTY UNE SIR -SET i/J (`ON RC11I Bx 9"D3
FP -FOUND IRON PIPE O/A=GJV PAL OAR ROINT OF BEC INNING THM=tLMI ORARY [SENCH MARIG "URYK
<M'= CORRUGA ED ME`AP PI `Ip FQUNDiRON ROU ONW =OV 4N AC WI2EIS! POC OIN'OF COMIMENLtMENT IDS-IOPOF BANK
TO, N1-IO CR N&� FOUND NAL6 DS'C OR -O. ICALRECORDS POi ONi ON tIN YSP-701VNS IP ALJMINUM FENCE
CONIC=CONCRETE FOI-'OUNDO (N'{p= tP, - .Ai ;:RR,' ON-O REVL RS CURVE 1 TY EA`T`EIT ^COVEREP.,
/S=GONER iL$IAB cPP aFOUhD FNPNI Pi E PBa PI AT500K PRM .RIvWNENr REFERENCE MQNI.EN V,, VIryY' f�N�E \`
CST CLEAR KIEFT MANGLE
JOB 175813- SURVEYORS INOTESc SURVEYOR'S CERTIFICATE 1708 Water Oak Drive
1.) Current title information on the subject property had not been This certifies th,
he hereon described Tarpon S uT s, Florida
Date of Site Plan: 8-8-22 �0*,iB11Yt' it A io 9
furnished to Initial Point Land Surveying, LLC at the time of this property ¢` w�yrg"� perwsEon and Phone (727I-831-1
G490
DWAsCHIB Ll7-BLi NIE SITE PLAN meets ttl4+ •• Lc e a E Kj§QO� ra,t,CPf.r FbndaPLS7123G7gmalLcam
2.) This sketch was prepared without the benefit are title seal ch. r and of Land LB# 8183
No instruments of record reflecting ownership, easements or S c r I "t 'geed
File: rights -of -way were furnished to the undersigned, unless otherwise 'Io �I )I r ti
shown hereon. - artle
Drawn by DJB purq LaFit o Section 47 ' i' t
3.) Roads walks and other similar items shown hereon were take lei ) "fit
Checked by:1H from eng neering plans and are subject to surrey_iate.l'�g'
4,) This SITE PLAN does not reflect nor determine ownership_ pQC,} 04'00' / N3 F; `
REVISIONS - s @ -?;
A This SITE PLAN is subject to matters shown on the Plat of eo �FuQ� D_d_> t� ,yq
4 Dime SQUARE PHASE 18' Y�li'�i%
6.) Dimensions shown hereon are in fee[ and decimal portions Jeff M�
thereof. FLORID----�4�� ®Silt �90RAND 1-0
7.) Contractor and owner are to verify all setbacks, building MAPPER NO.HI 3
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 Initial Point Land Surveying, LLC.
at users sole risk.
AddTess _jk_��n '� _ , - 1 -0 120 -- 6 o?vo —C,)j 7(,7
s® Front )-0 -- -',, Rear - 5- Sides -7 4 S'
Elevation A
Garage
Roof Single Dimension/Architectural Ak r
v 1 1 R 1U A L R E V �4 E W A 3 S I
Notice to Building Official of
Use ®f Private Provider
Effective January 20, 2003
Project Name: 36480 GARDEN WALL WAY
04-26-21-0150-00700-0170
Parcel Tax ID:
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: VIRTUAL REVIEW ASSIST, INC.
Private Provider: DE RA ANNE KLAHP,
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 # 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 perinit application, as authorized by s. 553.791, Florida
Statutes. I understand that the local building official may not review the plans submitted or perfonn the required
buildin
•
Qections to determine compliance with the a%vlicable codes, exmvt to the ex�ent
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 1 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 persomiel 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* envirommental or other codes.
The following atta.dunerits. are provided as required:
1. Qualification statements and/or resumes of the private provider and all duly authorized representatives.
I.Proof of insurance forprofessionaland ooml�rehensive liability in,the,amount.of $1 millionper
5 years subsequent to the performance of building code inspection services.,
Print
Name:
Address' —,
Telephone
Please. use appropriate notary bl'o ck
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
MOM
Btfbreme, this day of
20---, personally
appearDd
who executed the forego'ing instroment,
and acknowledged before me that same
,was executed for the purposes therein
eYpress;d.
Corporation
—LENNAR HOMES LLC
Print Coip oration Name
(sign�ture)
Print
oher Swith
Ma
Telephone,
No. 813-574-5700
Corporation
Beforem,,this 22ND day of
MAY, 20 2.2
personally appeared,
Of
Lennar Hpmes LLB a
corporation,' on
behalf of the state corporation,who
executed the foregoing instrument and
acicoowledgDa b ofoTo me; that same was
executed for the purposes therein
expressed.
Partnership
Print Partnersbip Name
By—
(signatare)
Print
Name:
Its -
Address:
W=
Partnership
Befomme'this day
of 20—.
personally appeared
[IMMMIMBEHEM
a partnership, who exiecuted the
foregoinginstroment and
acknowledged before me that same
Personally known X or Lro duc o d id identification produced
Sipat re ofNotat PrintName, ASHLEE CALLAHAN
NotaiyPublir, Stamp: ASHLEE CALLAHAN
commission Expirm. MYCOMMISSION # HN 29598o
EXPIRE& NDVO*or 30,2026
Page 2 of 2
V"R/\
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: lugy��l yiewqssjst,com
Address(s): 36480 Garden Wall Way
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
jot
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300
Signature of Reviewer:
. .... ........ .
SWORN AND SUBSCRIBED before me by Debra Anne Klahr
being personally known to me or having produced as identification
and who being fully sworn and cautioned, state that the
foregoing is true an correct to the best of his/her knowledge or belief.
14 ur of Notary
P�
ig aLture of Notary r t
Notary Public: NOTARY STAMP BELOW My
........ oft"
commission expires: ...ASHLEE CMLWM
Wcomm"ONSHHMN
E*1MS: Nw*rAw 30, 2020
E
I —COMMERCIAL
�� =i��� �tti .
FIRE MARSHAL #01 -
Reouired Permits
Building
® Ins eetion Only
I'lu bing
[:1 Inspection Only
VMechanical
❑ Ins ecttan Onl
Electrical Amp
[:1 Inspection Onl
Roof
[] Gas
C] Medical Gas
El Fire Sprinklers
❑ On Site Piping
® Fire Line
[:1 Irrigation
[l Fire Alarm
El Potable $ackllow Assembly
❑ Fire Line Backflow Preventer
Irrigation Ilackflow Assembly
[l Demolition
Walk-in Cooler
[l Refrigeration
El hood
[] Ansul
Fence all
[:1 Grease Trap
[] Other
Other
T e Construction: V-
Disk Category:
Occupancy Load
O ancy Classification:
Factory
Residential -
Assembly
Hazardous
[;Storage
Business ay Care/Educational
institutional FMereantile
❑ Utility
Building Use: Sits le FaMiy 1 Alteration Level I 1U,Level 2 Level 3
New Construction [] Interior Finish ® Interior Remodel [j Exterior Remodel ® Addition ® Revision
Overall Size:
25 x 62
Number of Stories:
2
Total Sq. Ft.:
2605
Living Area: 2073
Covered Area:
32
# of Bedrooms: 4
# of Baths: 2,5
Cost per square foot:
Estimated Value:
Roof Type: 91 Shingle
Zoning:
Tile ® Built-up
Wi orne Debris:
❑,Inside
E] Metal ❑ Other Squares: 17
Energy Code:
= Outside 405-202E7
Flood Zone: X Base Flood Elevation: Finish Floor Elevation:
Hydrostatic Vents? ® Yes No Sq. Ft. Enclosed Space Below BEE:
# of Vents:
Size of Vents:
Total Sq. In. Permanent Openings
Central A/C
El Gas A/C
9 Heat hump
❑ Gas Heat
Window AlC
[] Electric heat
Sanity Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line