HomeMy WebLinkAbout23-5927City of Zephyrhilis
5335 Eighth Street
1, 11, J, RY
%\a
Zephyrhills, FL 33542
BNR-005927-2023
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 04111/2023
Permi iial
T,
04 26 210160 01500 0060 36476 Flats Street
a
Name: LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC
Class of Work: SFR Construct
Address: 4600 W Cypress St 200 Building Valuation: $284,640.00 7
TAMPA, FL 33607 Electrical Valuation: $42,696.00
Phone: (813) 574-5700 Mechanical Valuation: $19,924.80
f
Plumbing Valuation: $28,464.00 7 e"
Total Valuation: $375,724,80
Total Fees: $20,516.65
Amount Paid: $20,516.65
ate Paid: 4/11/2023 3:28:11PM
CONSTRUCT SINGLE FAMILY 1936 SQ FT
Mechanical Plan Review Fee $0.00 SIF 1 percent Fee $83,28
Building Permit Fee $1,46320 Park Impact Fee - Single Family/Townhome $769,56
Transportation Impact Fee - City $3632 Electrical Permit Fee $253.48
Mechanical Permit Fee $139,62 Driveway Fee $45.00
Sewer Connection Residential Fee $2,400.00 Public Safety Impact Fee -Police $254.00
Irrigation 3/4 Meter (Ca1c) $794.92 Plumbing Plan Review Fee $0.00
Address Fee $30.00 Water Connection Residential Fee $1,140.00
Transportation Impact Fee $3,595.68 School Impact Fee - Single Family $8,328,00
Building Plan Review Fee $180.00 Public Safety Impact Fee -Admin $26.35
Electrical Plan Review Fee $0.00 3/4 Water Meter Fee (Ca1c) $794.92
Plumbing Permit Fee $18232
REINSPECTION FEES: (c) With respect to Relinspection 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
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 Plans, Specifications add fee Must Accompany Application. All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE
------------------------ ................
PE IT OFFICE
813-780-0020 City of Zephyrhills Permit Application
Building Department
Date Received Phone Contact for Pernuffin 908 774
On
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number
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
Fax-813-780-0021
1 813,574,5700 1
Fee Simple Titleholder Address
I N/A
JOB ADDRESS
136476 Flats Street
LOT #
SUBDIVISION
Abbott Square
PARCEL to#
04-26-21-0160-01500-0060
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
91
NEW CONSTR
INSTALL
ADD/ALT SIGN DEMOLISH
REPAIR
PROPOSED USE 0 SFR
COMM OTHER
TYPE OF CONSTRUCTION 10 BLOCK
FRAME STEEL
DESCRIPTION OF WORK
Single'Fa`m�il'y� Residence /Pool 1 Screen Enclosure 1 Fence
BUILDING SIZE FOOTAGE 1 g 6 HEIGHT
SCI
�BUILDING
r284640
T-rlrlrlrlrlrlrTlr
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
426�96
PROGRESS ENERGY W.R,E.C,
AMP SERVICE
PLUMBING
28464
MECHANICAL
$ 19924.8
VALUATION OF MECHANICAL INSTALLATION
=GAS W1 ROOFING
SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS I
FLOOD ZONE AREA 0YES Do
BUILDER
SIGNATURE I REGISTERED L1 L Nj FEE CURREN L_LL N _J
------------- CV Boy Scout Blvd Suite 600 °I
Address FL 33607
License # FCGC1518166 ------------- 7
ELECTRICIAN COMPANY [E��dmonson Electric, Inc.
SIGNATURE REGISTERED E CURREN Y/N
Address License # I EC13005408
PLUMBER COMPANY Bayonet Plumbing, Heating
SIGNATURE REGISTERED R�� �FEE CURR�El���
Address License # EEE2998��
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
YIN FEE CURREN Y/N
SIGNATURE .ISTERE.
Address License #
C Sterling Quality Roofing, Inc
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License# 1 CCC057991
RESIDENTIAL Attach (2) Plot Plans (2) sets of Building Plans, (1) set of Energy Forms, R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wl Silt Fence installed,
Sanitary Facilities & I dumlpster; 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, StorTnwater 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)
Remois if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways..needs ROW
I k
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 "own&% 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 Im RUNITITI M411111 V. Will 2 r0kyj VIA 141,11 ZI U0111A 31111511111111111111 2W0111111111 I oil &AW 0 2 1 imm 11, Lm" I g q
OWNER OR AGENT
g Subscribed and sworn foo'(or affirmed)beforeme this
1121-23 _by Christopher Smith
Who is/are personally known to me or#aa4l4ave-prod
as identification.
Public
Commission ZZjiG 296057
Stephanie Farmer
Name of Notary typed, printed or stamped
N CQMM1W(M#H6IWW0
Subscribed and sworn to (or affirmed) before me this
arzuzoza by —Christqpher Smith
or has/have produced
as identification,
—Notary Public
Commission No, 6 7
Stephanie r4armer
Name of Notary typed, printed or stamped
0" EU$MK9(XLERAN
OF
DESCRIPTION: LOT 6, BLOCK 15, 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,
LOT
6050 SO. FT.
LIVING AREA
193b SOL FT.
ENTRY
- 24 SO, FT
GARAGE
- 416 SCL FT.
COVERED LANAI
= NSA SQ. FT.
PATIO
= 23 SO, FT,
POOL AREA
=PsV_R SO. FT.
CONC. DRIVE
475 SO, FT.
NC & CONIC PAD
7 SO. FT.
SIDEWALK
= 29 SO FT,
SIDE YARD SWALE
= N1A SQ- FT.
CONSERVATION AREA - N(A SO. FT_
LOT OCCUPIED
= 48 yy
AREA TO IRRIGATE
= 52 %
= 10.00PUBLIC UTILITY EASEMENT
TW = TOP OF WALL
BW - BASE OF WALL
LEGEND:
� ---a.- = PROPOSED DRAINAGE FLOW
(00,00) PROPOSED GRADE
E-00.00- EXISTING GRADE
NOTES
LOT GRADING TYPE -A
PROPOSED PAD ELEVATION �95-00
FRONT SET BACK = 20'
SIDE SET BACK = T5'
SIDE SET BACK (CORNER LOT) -10'
REAR SETBACK = 15'
PROPOSED:
MINIMUM FLOOR ELEVATIONS
LIVING AREA: 95,67'
GARAGE AREA:
ELEVATIONS REFERENCED TO
NORTH AMERICAN VERTICAL
DATUM OF 1988
�mem�vsTz��H�•�tirc+rf�.n�■
SITE PLAN
(NOT A SURVEY)
This SITE PLAN Prepared for and Certified To:
Lonna, Homes
(CDD) RIGHT-OF-WAY
TRACT "A'
FIATS STREET
N BT48'04" E (PI
BASIS OF BEARING
220
SEC. 4, TWP. 26 S, RNG 21 E.
PASCO COUNTY, FLORIDA
fABBOTT SOUARE PHASE 2)
Scale.- 1 " = 20'
S' CONC WALK -"', '»:.'.. N 89'48'04' E (P) 55A0` (P(- i "
N 89'48'04" E (R) PC
271,08' IF)
CONC�
7.5 WALK ,
14.8'
60 '
m I ',. T5'
ENTRY s8 W 20.7"
a 45
y i P
PROPOSED m
I STORY RESIDENCE v
LOT 7 _ i? PLAN 1941 N LOT 5
BLOCK 15 ELEV `AI' 6 BLOCK 15
p GARAGEL
o LOT 6
4 BLOCK 15 ±
( i
5 40.0 7.5'
D,� ^40X5T
PATIO
2.7X2.T
N C/S-A/C N 4
- 01 1
N BSE48'04" E (P) 1o' I
Npti.
55,00' (P) kSD�
LOT 15
LOT 16 LOT 17
BLOCK 15
I
1
1
BLOCK 15 BLOCK 15
I
I
ALL ELEVATIONS REFERENCED I
,l
TO NORTH AMERICAN
PROPOSED ELEVATIONS AND GRADING
SHOWN HEREON ARE TAKEN FORM THE
VERTICAL DATUM OF 1988
ENGINEERING PLANS OF
(NAVD 88)
'ABBOTT SQUARE RESIDENTIAL", PREPARED
APPARENT FLOOD HAZARD ZONE: "X' COMMUNITY NO. 120235
,. BY "WRA' PROVIDED BY CLIENT
(MAP NUMBER 12101C-0289-F) EFFECTIVE DATE. 09; 26/2014
,N ARCLENGM
ID) = DEED
INV^INVRT
^C - POINT OF CURVE
F)- RLCORD
LEGEND
A/C- AIR CONDITONhR
DF DRANACEE EASEMEOF
_9-4ICENED4USNESS
PCC POINT OF COMOUNO CURVE
RRG-RANGE
VINY, FENCE
A ALUMINUM FEND
EL OR-.LEV FFVAT�ON
LF- LANDSCAE EASEMENT
PrP PERMANEN, CONTRO POINT
RRS -IDN', ROAD SPIKE
�*�
$_Y„y'�I'CCJNC
3E^!3A5. ILO.. EILVAION
SOP, EDGE OPIVEMENT
LEE^ LOWER I FLOORELEVATION
R4, POO-EQUIPMENT
R/W - RIGHT OF WAY
Me UENC MARK
C CJRI/�
T
LSM r- EASEMENT
I/C PENC C N C
i5-LICENSED SURVEYOP
(Mj M ASl2 D
PG -PAC!OOD
- ONTO -RON ION
NECSEC = S CTIOti
SN&D ^ SET NFl .ANC}DISK
FENCt:
: AS"iIA,T
IC <Ait(. AI!'U
Ct.NtERI tN`
C
FCM ^FOUND CONCRETE
M.S"NI BRED END S[:CT ON
F
�'K-PARKER'CFl.CN
18df3163
CHAIN I W K FENCE
`^ CHAIN t NrK-FNCE
PIP,
MONWMENI
FIP-FOt ND SON P'N
NCF-NO CORNER FOUND
O/A- OVIRALL
R PROPERTY UN
POD ON O D`ClNivING
SIR=$!T 1/2"IRON POE 3481p3
TDM-TEMPORARY DENCH MAEct
t� x --x—
CMP- CORRUGSQED META
CO!.^COLUMN
F!R�E0IN .ON ROD
OHW- OV RHEAD LC/RE(5)
POf Oh D' COMM�NCTMENT
T05 •IOPOf DANK
4�=BRICK
CONC
FN&D=FOUND NAL&DISK
O.R. -Cs ICALRECOROS
ROL OINT ON!
TWP-IOWNSI
At UM MISS FENCE
CIS � CONce IS 'EAR,
FORm FOUNDOENNO
I') =PLAY
PR( OINTQ REVERSE CURVE
UE=U1 Y!ASdatN!
COVERED
CST- CLEAR SGIT TMANGLE
EPPOUND PIN CN DP(E
Hp PLAT HOOK
PRM ERMANENT REFERENCE MONfM'N-VE=V'NYLFENCE
JOB RTS909521saE
SURVEYOR'S NOTES:
SURVEYOR'S CERTIFICATE
1708 Water Oak Drive
Date of See Pin: 1-2-23
1.) Current title information on the subject property had not been
furnished to Initial Point Land Surveying, LLC. at the time of this
SITE PLAN
2.) This the benefit title search,
This certifies that {t hereon described
�r(iii�t M
property was��le$2TG�!n�r r MR $ervision and
meets the4'
�( �b to Aj�Cisco for
Tarpon Springs, Florida
P- ru "
phone: (727)-831-1990
HotR aPLS71231S maj,
g
WG:RS-PH28-Lb-BL15-SITE
sketch was prepared without of a
No instruments of record reflecting ownership, easements or
Igned, unless otherwise
rights -of -way were furnished to the undersigned
shown hereon.
.surveys aSsdlyFb �3o�fp of Land
urve - in - r €
F Adr, I ned
r to t n 47'.
LB#1 8183
+*`
Fde
Drawn by DJD
3.) Roads, walks, and other similar items shown hereon were taken
from to
i� e
Statue '-D .g?,
!
Checked by:JH
engineering plans and are subject survey-
} This SITE PLAN does reflect nor deter mine ownersh
6. This SITE PLAN Is to Plat
�, Cate: 2 l)3,
�2
(p� �p
"\eP� 4?f4 00'
l� X v
� : '�'
"Al
iYEVISIi'1NS
)not
s subject matters shown on the of
ABBOTT SQUARE PHASE 2"
p O
----- e. 4---
gt N
6.) Dimensions shown hereon are in feet and decimal portions
Jeff M. Fib�Z?
FLORIDA P -row AND
(^'
V
thereof-
MAPPER NO. LS9t➢ IMI E�Y
7.) Contractor and owner are to verify all 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
m
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
Permit.
Sc2
9 — L___ 1_
Date Permitted
I
Builder Name/Owner Name � �> � ��� ., Control
County Parcel No. ;?_ '. 0It ' SLIMY: Ff )
Address/Location
,1( -
Classification/Type of Use E _ rim
i
TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit:
Exempt 0
Yes El No How Determined
Impact Fee Amount Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount $ � It,
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt =Yes = No How Determined_
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone Total Amount $ 7 /
Exempt =Yes =No How Determined
Iffiffiffi
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt Yes No How Determined Total Amount
RESOURCE FEE ERU
Total Amount
Prepared By" ` Checked By
NO CERTIFICATE OF OCCUPANY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERM INN 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.
mm
Imm
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L Ti J if I
ko
TYPE 'A'
�A TYPE A:
�4 70 [FF 567 FF:97.57
8j -9 9 P 69
A
9 .00 IE
94.20 INING WALL #7 555 L F PAD- PAD:96.91
6 P5
00 C)
c 3
Ln
BLOCK
m cn ca m
Ln co Fo 6� cli
0
1 0
New Development Check List
Parcel M — -! � � �— �)— () �4 C > �011 — �00 �P �0
7L S4Y
Address: W4
Setbacks: Front Rear ;4 '5 Sides 7'
Elevation: 1 '7 Garage: Z-1
.7-e
Roof Single Dimension/Architectural:
� �
Sf s
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 36476 Flats Street
04-26-21-0160-01500-0060
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.
the fee
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: 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
# S
Florida License, Registration or Certificate #. (LIC U1967/ PX2300/ BN4615)
I have elected to use one or more private providers to provide building code plans review and/or inspection
services on the building that is the subject of the enclosed permit application, as authorized by s, 553.791, Florida
Statutes. I understand that the local building official may not review the plans submitted or perform the required
building inspections to determine compliance with the applicable codes, except to the extent specified in said law.
Instead, plans review and/or required building inspections will be performed by licensed or certified personnel
identified in the application. The law requires minimum insurance requirements for such personnel, but I
understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I
have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance
and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harmless the
local government, the local building official, and their building code enforcement personnel from any and all
claims arising from my use of these licensed or certified personnel to perform building code inspection services
with respect to the building that is the subject of the enclosed permit application.
I understand the Building Official retains authority to review 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 file code, land use, enviro=ental or other codes.
The following atta,climents. are provided as required:
1, Qualification statements ' and/or resumes of the private provider and all duly authorized representatives..
2.- Proof of insurance for professionaland comprehensive liability intheJamountof $1 million per
o ocurrence relating to all service . s ppif-bimed as a private provider, including tail coverage for, a mitimum
.0 ue ng inspection services.'
f5yearssubseq nttothep=fprraanceof bail code inspectio ,
Individual
-(signature)
Print
Name,:
Address'
elephono
Please use appropriate notary block.
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
7L 'MMEMI
day of
20— personally
appoznd,
-yvhoexeonted the foregoing iAs1rum5tLt,
an , d arkaowlDdged bebre me, that same
Vas executed for the purposes therein
C.orporation
Print CcuporationNaoie
print
Name: Christ oher Smith
its: Authorized Arionf
Addres$JQQ-N���.
Miarni,FL 33172
Telephone.
No. 813-r574-5700
Corporation
Before rile, this 22ND day of
MAY 20 2.2
personally appeared
Of
Lennar HomesLLC
behalf of th6statB corporation, who
exebuted the f6regoing instrument and
aclmowledgod before me that same was
executed for the purposes therein
Partnership
Print Partnership Name
By.
(signature)
Print
Name:
Its..
Address,
Personally known X or- Ptodu,,cDdideix#cat1onType of identifica'tionproducod
PrintNaille- A QW I Signatureof Notall, L
ASHLEE CALLAHAN
Not,ayPublir, Stamp-, My COMMISSION # 14H 295980
EXPIRES� Nmngw 30,2026
Commission Expires;
Before me, this day
of 20
pers6naUy appeared
paimex/agentonbolialf of
apartnership, who executed B
foregoing instrument and
acknowledged b6oxe ino that same
1�im O"VA I
VR/\
VIRTUAL REVIEW ASSIST
Private Provider
Ian Compliance Affidavit
Private Provider Firm: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, EU1967
Address: 747 Southwest 21 avenue
Gainesville, FL, 32601
Phone: 8 13-391-2959
Email: 1up gyj _ p reviewassist.co 3
Project: New SFR
BuildingAddress(s): 36476 FLATS STREET
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 s by
and holds the appropriate license or certificate:
Name: Debra Anne Klahr
Plan Sheets CS,1,2,3.1,3.2,F1,4,5,6, 7,8,SN,SNI, S3,S4,S5, SS, DI, ,PAL0,PA1.1, PAI.2,PAI.3,PAI.4,
SHI.0,SHI.1,SHI.2,SFIi.3,SFI1.4,SFI1.5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300
Signature of Reviewer;
SWORN AND SUESCRIEED�b re 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
f reg ing is true d co ect t the best of his/her knowledge or belief.
Signature o Not krirnt Name
commission expires:
a ASHLEE CAL
EXPIRES: Nowmber30,2026
65 �ti�
COMMERCIAL BUILDING SERVICES DIVISION RESIDENTIAL
BUILDING PERMIT DATA SHEET
TRACKING # FIRE MARSHAL #01 - DATE: 3/25/2023
T'OLIO # 36476 FLATS ST EXAMINER: bebra Kl hr PX23 C
Required Permits
Building PlumbingMeeh�iI
cal Electrical Amp
El Inspection Q I [ Xns ectlon t�nl zs ection Cinl ( Ins ection C)nlIioof � Gas [ MediGas El Tire Sprinklers
El On Site Piping [l Fire Line [l Irrigation E Fire Alarm
El Potable Baeltllow Assembly El Fire Line Backflow Preventer E] Irrigation Backflow Assembly E Demolition
E]Walk-in Cooler E] Refrigeration E] Hood [l Ansul
hence all El Grease Trap 0 Other ❑ dither
xWiIWOM
Type Construction: Y78 I Risk Category: Occupancy Load
O aney Classifia$ia�n: Assembly business ay Care/Educational
~� ..0
Factory I3azardous institutional TvCercantiie
residential �� �,'Storage �� � �����
Building Use: SINGLE FAMILY RESIDENCE / Alteration bevel I bevel 2 Level 3
[l New Construction ❑ Interior Finish ❑ Interior Remodel El Exterior Remodel El Addition ® Revision
Overall Size: Number of Stories: 'Total Sq. Et.:
40 X 65 1 2372
Diving area: 1936 Covered Area: 36 # of Bedrooms: 4
# of Baths: 2
Cost per square foot: Estimated Value
Roof T e: ER Shingle ElTile Built a I4detai ®then S uares: 2
Zoning. i orne debris: Energy Gode: 405-2 22 SUP
[;Inside �C?utside
Flood Zone: Ba Flood Elevation: Einislt l bor elevation:
Hydrostatic Vents? ®Yes' No q I to Exiclosd Space Blo l3T E:
# of Vents: Size of Vents: "Total Sq. in. Permanent Openings
Central A/C 9 Heat Pump ❑ Window A/C
[ Gas AIC ®Gas Heat �ectric Heat
Front hear Deft Right
As per Approved Site Plan
Comments: