HomeMy WebLinkAbout23-6200i Zephyrhills
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5335 Eighth Street
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Zephyrhills, FL 33542
ENR-006200-2023
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 05/08/2023
Permit Type: Building New Residential
04 2621 0160 02000 0100 36499 Camp Fire Terrace
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Name: LENNAR HOMES LLC Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC
Class of Work: Townhome
Address: 4301 W Boy Scout Blvd 600 Building Valuation: $232,680,00 1
TAMPA, FL 33607 Electrical Valuation: $34,902.00
Phone: Mechanical Valuation: $16,287.60
Plumbing Valuation: $23,268.00
Total Valuation: $307,137.60
Total Fees: $14,217.05
Amount Paid: $14,217,05
Date Paid: 5/8/2023 1:55:41PM w
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CONSTRUCT TOWNHOME 1541 SO FT
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Electrical Permit Fee $214.51 Public Safety Impact Fee -Admin $26.35
Plumbing Permit Fee $156.34 Building Permit Fee $1,203.40
Mechanical Plan Review Fee $0.00 314 Water Meter Residential Connection Fee $794.92
Fire Wall/Smoke Wall Inspection $15.00 Public Safety Impact Fee -Police $254.00
Building Plan Review Fee $180.00 Plumbing Valuation Fee $Q,00
Transportation Impact Fee - City $34.80 Mechanical Permit Fee $121.44
Park Impact Fee - Single Family/Townhome $769.56 Transportation Impact Fee $3,445.20
Address Fee $30.00 Electrical Plan Review Fee $0.00
Sewer Connection Residential Fee $2400.00 SIF 1 percent Fee $33.53
Driveway Fee $45.00 Water Connection Residential Fee $1,140.00
School Impact Fee - Single Family $3,353,00
RINSECTIO 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
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.Q.
C.O.NO OCCUPANCY BEFORE
CON - CTOR SIGNATURE PE IT OFFICE
PERMITX I IN 6 MONTHS WITHOUTINSPECTION
GALL. FOR INSPECTION - 6 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permittin
T-F-F -" :3=[:E3= I . . . . . . I . v 1 1 - 1 -
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Plnc�nN.mber 813 �5745700��
Owner's Address 1 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number
Fee Simple Titleholder Name N/A Owner Phone Number
Fee Simple Titleholder Address
I N/A
JOB ADDRESS
136499 Camp Fire Terrace
LOT # 2010
SUBDIVISION
Abbott Square �=
PARCEL ID#
1 04-26-21-0160-02000-0100
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
9
NEW CONSTR
F__1
ADD/ALT
SIGN DEMOLISH
INSTALL
REPAIR
PROPOSED USE 0 SFR
COMM
OTHER
TYPE OF CONSTRUCTION In/ BLOCK
Q
FRAME
STEEL
DESCRIPTION OF WORK Multi -family Screen Enclosure 1 Fence
BUILDING SIZE I U/R IF 1939 SQ FOOTAGE1541 HEIGHT 28
jz I
LI�JBUILDING $ 232680 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ 34902 AMP SERVICE [X:] PROGRESS ENERGY W.R.E.C.
IJ PLUMBING $ A 1
23268
VALUATION OF Z
MECHANICAL $ MECHANICAL INSTALLATION
16287,6
=GAS � ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES Do
1 i Am! ..............................
BUILDER COMPANY I Lennar homes, LLC
SIGNATURE X REGISTERED L_Z_LN_j FEE CURREN L_)LL N_J
Address 1430ikV Boy Scout Blvd Suite 600 Tampa, F1, 33607 License # I CGC1518166
ELECTRICIAN COMPANY lEdmonson Electric, Inc.
SIGNATURE REGISTERED Y/ N FEE CURREN LILN J
Address License# =EC13005408
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED L_Y ( N FEE CURREN L_Y 1
Address License# =CFCO42998
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN L_11 N_J
Address License # =CACO58062
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED L_LLN J
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 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 (PloUSurvey/Footage)
Driveways -Not over Counter if on public roadways -needs ROW
NOTICE'OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required 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, Welland 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,
12-Vill OR2 kill 1":* 1*1 VIIII W411,11AF 4 i� I Alill UZAP] U4 *kJ WM I W111111 0 10 1 9:01M 1110 ]IJOX#]'3 M 10 a 2 1,111M 1 0 1
OWNER OR AGENT
Subscribed and sworn ro (or affirmed) before me this
3118W23 — by --Christopher Smith
Who is/are personally known to me or hasWhave pFeduGed
as identification.
Notary Public
Commission G 296057
Stephanie Farmer
Name of Notary typed, printed or stamped
ELISUKHOLLERAN
ctimmlwon# HH 000460
Exores June 6, 2024
45-0
"Mo 70
Subscribed and sworn to (or affirmed) before me this
1/2an023 by Christopher Smith
Who is are pe sonally known to me- or hasthave produced
as identification.
Notary Public
Commission No, 6 7
Stephanie Farmer /
Name of Notary typed, printed or stamped
O' Exoms,luns6,2024
R�
DESCRIPTION: LOTS 5-10, BLOCK 20, ABBOTT SQUARE PHASE 2,
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 90,
PAGES 28-33. OF THE PUBLIC RECORDS OF PASCO COUNTY,
FLORIDA.
PROPOSED ELEVATIONS AND GRADING 1
SHOWN HEREON ARE TAKEN FORM THE
ENGINEERING PLANS OF
'ABBOTT SQUARE RESIDENTIAL", PREPARED
BY 'WRA- PROVIDED BY CLIENT
I
ALL ELEVATIONS REFERENCED
TO NORTH AMERICAN
( VERTICAL DATUM OF 1988
(NAVD 88)
0IS zs.3� IP1
KNQ
i
c
o
P
LOT I i
SLOCK 20 6
� I
I
I
110.0'
SITE PLAN
(NOT A SURVEY)
This SITE PLAN Prepared for and Certified To:
Lennar Homes
TRACT " B-8"
(CDD) PARKING AREA
AND OPEN SPACE
N 89-48'04" E (P( 128.68(P)
18.00' IF) T I8.00' (PI 18.00' (,P1 Too(P)
18.0
173
17.3'
I T3'
11.3'
UN
UNIT-C
z UNIT-C
Z UNIT-C
Z UNIT-C
1512
153
g 1624
1624
1624
8 1624
PROPOSED
PROPOSED
PROPOSED
v PROPOSED
PROPOSED
2STORY
P 2STORY
P 2STORY
m 2STORY
a 2STORY
ATTACHED
ATTACHED
ATTACHED
ATTACHED
ATTACHED
RESIDENCE
? RESIDENCE
RESIDENCE
RESIDENCE
v RESIDENCE
LOT 10
LOT 9
LOT 8
LOT 7
LOT 6
BLOCK 20
BLOCK 20
BLOCK 20
BLOCK 20
BLOCK 20
0
C,
_ 2
LANAI
IRE)
UNIT -A
1532
PROPOSED
2 STORY
ATTACHED
j RESIDENCE
� t
LOTS
BLOCK 20
ENTRY 6.3 1 63 ENTRY i ENTRY 6.3 16.3 ENTRY I ENTRY
v
w '1 63\
' 110' 110 110 ILO
100 .I .
'-100 10.0.°
w „
L I
cii
I"
/JQ "
l
R.34-ITT IB.OP' `P ' 18.0E (PI 18-00' (P
5 CONC. WALK- ,589°48'04'W IP) 128.68'
^' 273;.._ J.V-7-,._ 273 'Y
-.-.__ ..-...
NOTES:
LOT GRADING TYPE =A
PROPOSED PAD ELEVATION =112,40'
FRONT SET BACK = 20
SIDE SET BACK = 7.5'
SIDE SET BACK (CORNER LOT) =10'
BASIS OF BEARING
N 89`48'04" E Ej
CAMP FIRE TERRACE
TRACT 'A"
(CDD) RIGHT-OF-WAY
SEC. 4, TWP. 26 S, RNG 21 E.
PASCO COUNTY, FLORIDA
(ABBOTT SQUARE PHASE 2)
Scale: 1 = 20'
to
t o
P
LOT
oO BLOCK 20
I o
d
10.0'
N 89'48'04' E (P)
VvvS33� 103.97 (P)
PC
LOT = 12611 SO, FT.
JOB # LIVING AREA = 4010 SQ. FT.
ENTRY = 476 SO. FT.
REAR SETBACK = 15' = 10.00' PUBLIC UTILITY EASEMENT 15905522005 GARAGE = 1356 SQ. FT.
NOTE: ENTRY WALKS ARE 3.0' CONC 15905522006 COVERED LANAI = 652 SO, FT,
C/S-A/C UNITS ARE 3.2'X3.2' 1905122007 PATIO = NA SQ. FT.
PROPOSED: POOL AREA = NA SO, FT.
00
MINIMUM FLOOR ELEVATIONS: LEGEND: 15905522CONDRIVE = 1200 SQ. FT.
LIVING AREA: 1 13.07' us0ss2zoo9 8 C A/C & CONC PAD = 54 SQ. FT.
GARAGE AREA: __ _ PROPOSED DRAINAGE FLOW 159oss2mio SIDEWALK = 272 SO. FT.
ELEVATIONS REFERENCED TO (00.00) PROPOSED GRADE SIDE YARD SWALE = NA SO, FT.
NORTH AMERICAN VERTICAL E0000 EXISTING GRADE CONSERVATION AREA = NA SQ- FT.
-.
DATUM OF 1988 LOT OCCUPIED = 64 %
APPARENT FLOOD HAZARD ZONE:'X" COMMUNITY NO. 120235 AREA TO IRRIGATE 36 /E
SURVEY ABBREVATIONS (MAP NUMBER 12101C-0452-F) EFFECTIVE DATE: 09/26/2014
A) - ARCLFNGTH (Dj - DEED NV INVERT PC -PO-NT OF CURVE (M-RECORD LEGEND VINYLFENCE
A/C - AIR CONDITIONER ISF- DRAINAGE EASEMENT LB -LICENSED BUISNESS PCC- POINT OF COMPOUND CURVE RNG^RANGE
AF-ALUMINUM FENCE EL OR ELEV=ELEVATION LE^ LANDSCAPE EASEMENT PCP- PERMANENT CONTROL POINT RED - RAIL. ROAD SPIKE t t„f, i=GONG BILE - BASE FLOOD ELEVATION EDP= EDGE OF PAVEMENT LEE_ LOWEST FLOOR ELEVATION OT - POOL EQUIPMENT R/W - RIGHT OF WAY
BM - BENCH MARK WOOD FENCE
E/C-F EASEMENT RB-MLICEASURED
SURVEYOR PC SN&D-ST(ON
C=CURVE jMI�MEASUAED P! POINT OF INTERSECTION SNbD-SET NAIL AND DECK 7.. 'fASPHA�T ` -
I jCENTERUNE FCM FENCE CORNER
FCM=FOUND CONCRETE MIS - MITERED END SECTION PK-PARKER KAtON ;.BtlB1A3
CECHAIN LINK
k CHAIN UNK FENCE
CT - CORRGATED ME MONUMENT NCF- NORALL FOUND -PR SIR SET BENCH 81B3
CHIP -CORRUGATED METAL PI? FIE-F0 NO RON PIPE OHWOVERALL POO- POINT OF BEGINNING TOM- TEMPORARY BENCH MARK RICK
COL-COLUMN Fdl -10IND ATR ROD OR sOVERHEAD REC WIRE(S) POC- POINT OF COMMENCTMENT TOB - TOP OF BANK
CONC-CONCRETE FNbD-FOUND NAiLb DISK OR. =OFT-ICIAL RECORDS POINT ON UNC TWP- TOWNSHIP ALUMINUM FENCE
FOP=FOUND
OPEN PIPE (PI -PLAT PRC- POINT OF REVERSE CURVE U.E- UTILITY EASEMENT COVERED
C/S- CLEARETEfT TR PAP- FOUND PINCHED PIPE Pit PLAT BOOK PRM-PERMANENT REFERENCE MONUMENT - R,
CST- CLEAR StG!iT TRIANGLE VF ^ VINY�FEN(:E
SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive
1.) Current title information on the subject property had not been This certifies that sketch of the hereon described Tarpon Springs, Florida
Date of Site Plan: 1 1-28-2 rP
furnished to Initial Point Land Surveying, LLC. at the time of this property was m�yddU}k� "Ilf upervision and Phone: (727)-831-1990
SITE PLAN t {tj ractice for FloridaPLS7I23@gmail.com
DWCi.AS-PH2-LSI0-OL20.SliE meets the r�a S�xp
2.) This sketch was prepared without the benefit of a title search, surveys i'b?t t rd of Land LBN 8183
No instruments of record reflecting ownership, easements or S t'�J ned
File: rightsof way were furnished to the undersigned, unless otherwise Fi �gCr
shown hereon. ursu t to ecnon atf I$X I r )eY
Drawn by. CUB 3_) Roads, walks, and other similar items shown hereon were take p
Checked byJH from engineering plans and are subject to survey. p Date Z 2.J4.04
4.) This SITE PLAN does not reflect nor determine ownership. Cµ I (1Q '3 j p,100' `+" k }21 j
REVISIONS ( BB VCfE"OF` I }
5.) This SITE PLAN is subject to matters shown on the Plat of ip O i ! `axari+T
'ABBOTT SQUARE PHASE 2' �E=I�- - _`--
5,) Dimensions shown hereon are in feet and decimal portions �efft @LANDthereof, Wyov
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 01
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
VR/\
VIRTUAL REVIEW ASSIST
Private Provider
Plan ComMliance Affidavit
Private Provider Finn: 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@vi �r ewassist.com
Project: New SFT
I hereby certify that to the best of my knowledge and belief the plans submitted were reviewed for and are in
compliance with the Florida Building Code and all local amendments to the Florida Building Code by the
following affiant, who is duly authorized to perform plans review pursuant to Section 553.791, Florida Statute
and holds the appropriate license or certificate:
Name: Debra Anne Klahr
Plan Sheets 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16, Ll, SN, SNI, S3,S4,S5,S6, ST, SS, D1,WP1,WP2,WP2.1,
PAL0,PAL1, PA1.2,PA1.3,PAIA, 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:
—7,7—
is true and correct to
e by Debra Anne Klahr
or having produced as identification
and who being fully sworn and cautioned, state that the
best of his/her knowledge or belief.
Fri t Name
Notary Public: NOTARY STAMP BELOW My
commission expires:
Project Name:
Parcel Tax ID:
Services to be provided
' I R R - V vV ASS i T U A
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
36499 Camp Fire Terrace
04-26-21-0160-02000-0 100
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 Firm: VIRTUAL REVIEW ASSIST, INC.
Private Provider:
Address:
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 pen -nit 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
The following atta.chments. are provided as required:
1. Qualification statements and/or resumes of the Private provider and all duly. authorized representatives.'
2.. Proof of insurance for professional and oomprehensive liability inthe.'amount of $1 million per
o cc=ence relating to all services p elf-ofiried as a private provider, including tail coverage for a minimum
-qu perf -a - of building code inspection services'
of5yeaxssubse enttothe pri anco,
(signature)
Print
Name:
Telephone
Please use appropriate notary block.
STATE oF FLORIDA
COUNTY bF HILLSBOROUGH
P?rporatim
LENNILP. WOMEE-E-3,�—LIS
Print CoiyorationNamq
{signature) .
Print
Name: _Ch �lstq �her S�rrlth
its. Authorized Agent
Addre,ss: 700 NW 107th Ave.
Miami, FL 33172
'Telephone •
No. 9137574-5700
PrintPartnershipNama
By:
(signature)
Print
Name -
its -
Address;
Telephone
AT_ . I
Individual Corporation Partnership
MoTeme, tMs —day of Befolpm,.this 22ND day Of Before me, this day
20___P,persDnajjy MAY 20 �22 bf
appeared personally appeared, pfrs6naDy appeared
who executed the foregoing instrument,
Of
anal , acknowledged before me that same Lennar Homes, LLC partner/agent onbehalf of
Vas executed for the purposes therein corporation,, o7a
expressed. -behalf of the statD GorpoTalion, who -at d the
apartnership,who exe�o e
executed the foregoing instrument and foregoing instrument anal
aolciowledgDd before me that same was acknowledged before me that same
exermtpd for the pmpPsCs.t1aer5jn was bxtDuted,forthepurpo-sesthDrein
?ersonallyknown "Dr_ Tro duoed iden#cation Type of idDntificationproduced
Signature OfNotar. hintNml-
A&BLEE CALLAHAN
NotaryPublic Stamp:
ASHLEE CALLAHAN
commission F_xpjresj my COMMISSION # HH 295980
, AX-` EXMES;'November 36,2026
COMMERCIAL BUILDING SERVICES DIVISION PRESIDENTIAL
BUILDING PERMIT DATA SHEET
FIRE MARSHAL #01 -
Reauired Permits
DATE: 4/09/2023 -
L&&-w b & -a�w, X �a Ur & 9 1 & I W
Plumbin 9
Inspection Only
Mechanical
inspection Only
Electrical Am P
EjLtM��nly
KFAIN
Medical Gas
F� Fire Sprinklers
E On Site Piping
21,
Irrigation
El Fire Alarm
Potable Backflow Assembly
El Fire Line Backflow Preventer
Irrigation BackIlow Assembly
0 Demolition
Walk-in Cooler
El Refrigeration
IIII
Ansul
El Fence/Wall
F� Grease Trap
Ej Other
FlIff ffif MI.=
Type Construction:
Fv--B-L]
Risk Category:
Occupancy Load_
Classification:
O a ncy Class
c tory
Factory
Residential
Assembly l� Business Day Care/Educational
Hazardous E nal E]',,A4ercantile
Storage E=
Building Use: SINGLE FAMILY TOWNHOUSE Alteration [—Level I [;Level 2 [E—ILevel 3
1,KNew Construction E] Interior Finish El Interior Remodel F-1 Exterior Remodel E] Addition E] 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—Shin gle
RTile E] Built-up 0 Metal ]Other Squares:
Zoning:
Wirdborne Debris:
nside Outside
Energy Code:
405-2020
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents-1 Yes
VlNo
Sq. Ft. Enclosed Space Below BFE:
# of Vents:
Size of Vents:
Total Sq. In. Permanent Openings
9 Central A/C
El Gas A/C
x Heat Pump El Window A/C
Gas Heat F I Electric Heat
Sanity
Storm Sewer Catch Basins
Potable Water
Under round Fire Line
Setbacks
Front Rear Left Right
As per Approved Site Plan
Comments: