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Home My WebLink About23-6201City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 BNR-006201-2023 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 05/08/2023 Permit Type: Building New(Residential) .3.r .>.v, .,,:<\ �A\.y 2 { A y v . >, y,,. �.. A..A \.A .. e . .n„ w\,. 1. .'z<• .`.v >i,, L } A %'�,. 04 26 210160 02000 0090 36503 Camp Fire Terrace ".\ t \ Name: LENNAR HOMES LLC Permit Type: Building New (Residential) ContraCoC: LENNAR HOMES LLC Class of Work: Townhome to Address: 4301 W Boy Scout Blvd 600 Building Valuation: $250,320.00 TAMPA, FL 33607 Electrical Valuation: $37,548,00 Phone: Mechanical Valuation: $17,522,40 Plumbing Valuation: $25,032.00 Total Valuation: $330,422.40 ' Total Fees: $ 14,333.47 � - Amount Raid: $14,333.47 Date Paid: 5/8/2023 1:55:41 PM r \ CONSTRUCT TOWNHOME 1634 SQ FT Transportation Impact Fee -City $34.80 Address Fee $30 00 Water Connection Residential Fee $1,140,00 School Impact Fee -Single Family $3,353 Q0 Driveway Fee $45.00 Building Plan Review Fee $180.00 Fire Wall/Smoke Wall Inspection $15.00 SIF 1 percent Fee $33 53 Mechanical Permit Fee $127.61 Public Safety Impact Fee -Admin $26,35 Sewer Connection Residential Fee $2,400.00 Electrical Permit Fee $227 74 Plumbing Permit Fee $165.16 Public Safety Impact Fee -Police $254.00 Building Permit Fee $1,291.60 Park Impact Fee - Single Family/Townhome $769.58 Transportation Impact Fee $3,445.20 3/4 Water Meter Residential Connection Fee $794.92 Mechanical Plan Review Fee $0.00 Electrical Plan Review Fee $0 00 Plumbing Valuation Fee $0 00 REINSPECTION 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.O. OCCUPANCYNO . ` L/I ' l V.1 CONTRACTOR SIGNATURE PE IT OFFICE PERMITl IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION NOTICE PROTECT CARD FROM WEATHER 813-7890020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Perm ittin [( 908 770 -_ 7763 I A I I I I I A i i a 1 JZLI Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P, Owner Phone Number LIN I I I I # I I I I I # I 1 1 811574,5700 . . . . . . Owner's Address 1 23975 Park Sorrento, Ste, 220, Calabasas, CA 91302 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address I N/A JOB ADDRESS 136503 Camp Fire Terrace LOT # 2009 SUBDIVISION Abbott Square PARCEL ID# 1 04-26-21-0160-02000-0090 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR u COMM OTHER TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL QL DESCRIPTION OF WORK Multi -family / Screen Enclosure I Fence SQ FOOTAGE HEIGHT BUILDING SIZE L��08131634 9 /1 BUILDING $ lL±J 250320 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL L 37548 AMP SERVICE PROGRESS ENERGY Q W. R. E, C. IJ PLUMBING $ 25032 t 117-7-1 17522.4 YJMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1 1 =GAS ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES Do lb, III.A— BUILDER COMPANY homes,Lennar LLC SIGNATURE REGISTERED Y/ N FEE CURREN LYLN Address 4301 W Boy Scout Blvd Suite 600 Tampa, FL 33607 License # I CGC1518166 ELECTRICIAN 1 COMPANY JEdmonson Electric, Inc. SIGNATURE REGISTERED Y/ N FEE CURREN Address License# I EC1 3005408 PLUMBER COMPANY 1Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED LY_L N_J FEE CURREN L_YLN_j Address License # I CFC042998 MECHANICAL COMPANY Bayonet Plumbing, Heating& AC, Inc SIGNATURE REGISTERED Y/ N FEE CURREN Address License# [CAC058062 OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE REGISTERED L_y LIN J FEE CURREN 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 onshe, 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 Attomey (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 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. 0 . lam 1,114S 1111,1711*] A all1l] :a 16 11:1 WOW 46 14111 &M COX011 I V11:1 :01:1 q;_4 � I WL4111111 ILI I I =1 0 lam LOX#1:11 IF -A I LIN 2 10 EJ 0 04 10 0 OWNER OR AGENT Subscribed and sworn lo (or affirmed) before me this 3128QW —by Christopher Smith Who is/are personally known to me or has�have pFeduGed as identification. Zy__1_ Notary Public Commission G 296057 Stephanie Farmer Name of Notary typed, printed or stamped K1, ELISSA K HOU" y I Expl-Junt,6,2024 ado*W"Twu Subscribed and sworn to (or affirmed) before me this W.. by Christopher Smith Who is/are personally known to me or has/have produced as identification. -----Notary Public Commission No. 67 Stephanie Farmer Name of Notary typed, printed or stamped q" EUSSAMMOUERAN ,N L comitilwalitilm ONO Explise June 0, 2024 DESCRIPTION: LOTS 5-70, BLOCK 20, ABBOTT SQUARE PHASE 2, SITE PLAN SEC. 4, TWP. 26 S, RING 21 E. ACCORDING TO THE PLATTHEREOF, RECORDED IN PLAT BOOK 90' PASCO COUNTY, FLORIDA PAGES 28-33, OF THE PUBLIC RECORDS OF PASCO COUNTY, (NOT A SURVEY) FLORIDA, �1 This SITE PLAN Prepared for and Certified To: (ABBOTT SQUARE PHASE 2) PROPOSED ELEVATIONS RND GRADING Lennar Homes SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF -ABBOTT SQUARE RESIDENTIAL',PREPARED BY'WRA'PROVIDED BY CLIENT I I ALL ELEVATIONS REFERENCED TO NORTH AMERJCAIN Scale: yy I 20 VERTICAL DATUM OF 1988 TRACT "8-8" (NAVD BB) (CDD) PARKING AREA AND OPEN SPACE N 89`48'04' E (P) 128.68' (P) ---------- _______-_- ON, 28.34'(P) 18-00'(o 1800(P( 78.00IP( 1800-(P) 2834(P) y + i EF_I LE :E-1 10.0' m L.yNAI c LANAI LANAI LA 7c, LANAI LANAI 10.0 0 0 0 0 0 o a 18.0' 1 17.317.3' 17.3' 17.3' 18,0' UNIT -A o UNIT-C Z UNIT{ Z UNIT-C z UNIT{ 22l UNIT -A 2 t532 R 1624 1624 1624 8 1624 1532 2 PROPOSED - PROPOSED ' 00 � PROPOSED -PROPOSED PROPOSED - �;j PROPOSED 2STORY ? 2STORY o"-' 2STORY m 2STORY P 2STORY I, 2STORY 1 ATTACHED E ATTACHED ATTACHED ATTACHED ATTACHED ','ATTACHED a RESIDENCE RESIDENCE a; RESIDENCE ?RESIDENCE ? RESIDENCE ''. RESIDENCE LOT 10 LOT 9 v LOT 8 LOT7-4 d m m o .o a 'a �? � LOTS w LOT 5 - LOT i l `o BLOCK 20 BLOCK 20 - BLOCK 20 BLOCK 20 BLOCK 20 0 o BLOCK 20 LOi 4 ro BLOCK 20 - _ 108 8"--- o BLOCK 20 . O v 7.0. ENTRY ENTRY 63' 6.3'ENTRY ENTRY 63' 6.3' ENTRY ENTRY TO o �100' _ _ 10.0') V w w w w l63' 6.3� 63- 633 11 0' 11.0 ,� 11 0 11.0 1 i.0' 11 0' w � ['10.0 100 '-100• 10.0 100 w w •P_1 _ N89-4804'E IP) 103,97 IP) o� _ 33N 34' (P) I B 00' (P 18,00 (P) I0 00_ (PI i 18-00 (P) 28 34' P) ,\1N (1 PC 5- CONIC WALK '. ..•• .,. •"•. .589'48'04'W IP) 128.68'(P) '•, ` ......�7 273_.„273 .-j 273 Y. . BASIS OF BEARING N 89'48'04' E iPI __.._—.._—_______—_u._ __..,____ _ NOTES: -�r--- ----- ------ CAMP FiRE TERRACE LOT GRADING TYPE =A TRACT "A" PROPOSED PAD ELEVATION = 112A0 (CDD) RIGHT -OF -WRY FRONT SETBACK =- 20' SIDE SET BACK = 75' LOT = 1261 1 SFT. JOB # LIVING AREA = 4010 SO. . FT. SIDE SET BACK ;CORNER LOT) =10' ENTRY 476 SO. FT- REAR SETBACK = 15' 10.00' PUBLIC UTILITY EASEMENT 15905522005 GARAGE = 1356 SO, FT. NOTE: ENTRY WALKS ARE 3.0 CONC 1590S522006 COVERED LANAI 652 SO, FT. PROPOSED: C/S-A/C UNITS ARE 3.2'X3.2' 15905522007 PATIO =_ NA SQ. FT. POOL AREA NA SO. FT. MINIMUM FLOOR ELEVATIONS: 15905522008 CONC. DRIVE ---L200 SQ. FT. LIVING AREA: 1 13.07' LEGEND: 15901522009 A/C & CONC PAD = 54 SO. FT, GARAGE AREA: .�---�- _PROPOSED DRAINAGE FLOW 15905522010 SIDEWALK = Z72 SO. FT. ELEVATIONS REFERENCED TO (00,00) = PROPOSED GRADE SIDE YARD SWALE -_ NA SO. FT. NORTH AMERICAN VERTICAL E oo.00 = EwsTING GRADE CONSERVATION AREA = NR SO. FT. LOT OCCUPIED DATUM OF 1988 =_ 64 APPARENT FLOOD HAZARD ZONE: "X' COMMUNITY NO. 120235 AREA TO IRRIGATE = 36 % (MAP NUMBER 12101C-0452-F) EFFECTIVE DATE 09/26/2014 SURVEY ABBREVATIONS AI -ARC LENGTH (D) - DEED INV-INVERT PC - POINT OF CURVE (RI - RECORD LEGEND A{C-AIRCONDITIONER DE^ DRAINAGE EASEMENT US -LICENSED BUISNESS PCC-POINT OFCOMPOUNDCURVE RNG - RANGE VINYL FENCE AF^ALUMINUM FENCE CONCrt- BFE-BASE FLOOD ELEVATION `L OR ELEV-ELEVATION LE= LANJSCAPF EASEMENT PCP- PERMANENT CONTROL POINT 2RS^RAt�ROAD SPIKE �..,^t- EDP - EDGE OF PAVEMENT LEE- LOWEST FLOOR ELEVATION P/E - POOL EOUIPMENT R/W^RIGHT OF WAY BM = BENCFI MARtt WOOD FENCE ESMT EASEMENT LS=-CENSER SURVEYOR PGAPAGE SN&D-S TN C ^NAVE ASPHALT ICI ^ CALCULATED `/C ^ FENCE CORNER MIE = MEASURED PI -POINT KEOF INTERSECTION SNSD -SET NAZI. AND DISC FCM - FOUND CONCRETE MES MIT -RED END SECTION FIE -PARKER KATY I SIR CECHAIN LINK R CHAIN LINK FENCE CIF^C41AIN LINK FENCE MONUMENT NCF-NO CORNER FOUND PROF SIR^SET P IRON ROD ARK CMP- CORRUGATED METAL PIP FIR^FOUND IRON PIPE OHW OVERALL POB POINT OF BEGINNING TOM^TEMPORARYBENCH MARK -BRICK-- COL>COLUMN FIR N FOUNDIRONNAL& OHW aOFFICA RECORDS) POC POINT OF COMLINE C'MEM TOP^TOWNS BANK CONC=CNNCRETE FNPD-FOUND NAILIDISK O.R. -OFFICIAL RECORDS POL - POINT ON EVE TWF-TOWNSHIP ALUMINUM FENCE C/S^CLEARSIGH TB FOR -FOUND N(LEPEN PE (PiRE -PLAT PRC- POINT OENTE SE FEREN L UEa VINYLrUTY FENCE �-COVERED CST=CLEAR SIGHT TRIANGLE FRP=FOU.Np PINCHED PIPE PB -PCAT BOOK PRM9PERMANEN'REEERENCE MONUMENT VF=VINYLFENCE SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive I I Current title information on the subject property had not been This Certifies that sketch of the hereon described Tarpon Springs, Florida -Date ofSKe Plan: 11-28,2 P furnished to Initial Point Land Surveying, LLC. at the time of this property was upervision and Phone: 17271-831-1990 SITE PLAN owGASPHz-LsIo-BLzo-SITE meets the tsM Nj�Practic It, LB#878LS7123@gmaifcom 2,) This sketch was prepared without the benefit of a title search, surveys ifOh Ord of Land LB# H I H3 � �Q° No instruments of record reflecting ownership, easements or S rl ned s [Pile. rights -of -way were furnished to the undersigned, unless otherwise F! r jib&tr Shown hereon. purzu Tt to ectlon a 7 gley Drawn by. DJB 3.) Roads, walks, and other similar items shown hereon were take Checked by:JH from engineering plans and are subject to survey. Date. 2 29.{4.04 4.) This SITE PLAN does not reflect nor determine ownership to Wiz}, TP 9:1 qqpp QQ' REVISIONS' {2' I>•S;c„ 5.) This SITE PLAN is subject to matters shown on the Plat of co p » g ,{ ' $ - LK�K 'ABBOTT SQUARE PHASE 2' �M�APPERN0$ t .) Dimensions shown hereon are in feet and decimal portions FLORIDA R ,Gpl AND 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 deviation from information shown hereon. Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Paint Land Surveying, LLC. at user s sole nsk. F F VIRTUAL REVIEW ASSIST Private Provider Compliance Affidavit Private Provider Finn: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU1967 Address: 747 Southwest 2nd Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: jhqiaki viqualre —pyieAva!Lsist.SoM 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, LI, SN, SNI, S3,S4,S5,S6, ST, SS, DI,WPI,WP2,WP2.1, PAI.0,PAI.1, PAI.2,PAI.3,PAI.4, SHI.0,SHI.1,SHI.2,SHI.3,SHI.4,SHI.5 Florida License/Registration/Certification #(s) and description: FS468 Certified Standard Plans Examiner License #: PX2300 Signature of Reviewer: SWORN AND SUBSCRIBED 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 fore `ng is best of his/her knowledge or belief. trucorrect ,' corrr Sign e of Notary Print Name I commission expires: ASHLEE MYCOMMISSIO 29598o EXPIRES: November 30,2026 MM S v F -3 U A - R V ! E "A" A S , f3' Notice to Building Official of Use of Private Provider Effective January 20, 2003 36503 Camp Fire Terrace 04-26-21-0160-02000-0090 I 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 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 �Z 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 have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harmless the local government, the local building official, and their building code enforcement personnel from any and all claims arising from my use of these licensed or certified personnel to perform building code inspection services with respect to the building that is the subject of the enclosed permit application. I understand the Building Official retains authority to review plans, make required inspections, and enforce the applicable codes within his or her charge pursuant to the standards established by s. 553.791, Florida Statutes. If I make any changes to the listed private providers or the services to be provided by those private providers, I shall, within I business day after any change, update this notice to reflect such changes. The building plans review and/or inspection services provided by the private provider is limited to building code compliance and does not include review for fire code, land use- enviTorme-ntal or other codes,.* The following attachments, are provided as required, 1. Qualification statements and/or resumes of the private provider and all duly. authorized representatives. 2.. Proof of insurance for proftssidnaland comprehensive liability in,theJamount -of $1 million per o cGuirence relating to all services performed as a private provider, including tail coverage for, a minimum of 5 years subsequent to the performance of building code inspection services. Print Name, Address: , TelophDnt, Plea8euse appropr iate notary blocIL. STATE OF FLORIDA. COUNTY OF HILLSBOROUGH B tfole. me, tbis-�q'&Y of 20—pt-,TsDn0y appeared who executed the, foregoing i4stiiinent, anal ' acknowledged before me that same was executed for the purposes therein Corporation LENN&"W�,;Jk Print Coi-pomtionName By: print Name: Christopher Srinith Authorized Acient Addrem. 700 NW 107th Ave Miami, FL 33172 Telephone. No. 813-574-5700 Partnership PrintPartnershipName By, print Name- its - Address: Telephone No. day of personally appeaTed- partner/agent on b ehalf of a partnership, who executed the foregoing insturnent and acknowledged before Me that same, was exeruteffor th5puypolses therein Persohally.known ." or_ Pro duotd identigoation_ Type of idDnOcation pToductd signature ofN tary PyintNmlASHLEE CALLAHAN NotuyPublic Stamp: ASHLEE CALLAHAN Commission Expires my clommiSSION # HH 295980 EXPIRES: November 30,2026 CorpDYatlon Be,forbme,this, 22ND day of MAY 24 2_2 personally qpfaared, Of Lennar Homes, LLG behalf of the state corporation, who executed the f6regoing instrument and aolanowlpdgDd before me that same was executed for the purposes therein expressed. F—COMMERCIAL BUILDING SERVICES DIVISION VRESIDENTIAL BUILDING PERMIT DATA SHEET aa=► R 1131 FIRE MARSHAL #01 - Required Permits DATE: 4/09/2023 EXAMINER:R bra Klahr PX230C Building E] Inspection OnLy Plumbing F-1 Inspection Only Mechanical 0 Ins ection Only Electrical Amp 0 Inspection OnLy Roof I [1 Gas El Medical Gas E] Fire Sprinklers El On Site Piping D Fire Line 0 Irrigation [] Fire Alarm El Potable Backflow Assembly El Fire Line Backfiow Preventer ElIrrigation Backflow Assembly D Demolition El Walk-in Cooler El Refrigeration 0 Hood El Ansul El Fence/Wall E] Grease Trap 0 Other F-1 Other mmr:- � Type Construction: Risk Category: Occupancy Load O anc Classification: Factory a tory 'Residential Assembly ay Care/Educational Hazardous E= nal E:::= F-1 "Mercantile Storage E= Building Use: SINGLE FAMILY TOWNHOUSE Alteration Level I Level 2 Level 3 156New Construction ❑ Interior Finish F] Interior Remodel E] Exterior Remodel ❑ Addition Revision Overall Size: 18 X 63 Number of Stories: 2 Total Sq. Ft.: 2086 Living Area: 1634 Covered Area: 452 # of Bedrooms: 3 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof Type: ---9 -Shingle E]Tile Built-up El Metal Other Squares: Zoning: Wi orne Debris: Inside Outside Energy Code: 405-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? r Yes No I Sq. Ft. Enclosed Space Below BITE: # of Vents: Size of Vents: I Total Sq. In. Permanent Openings 9 Central A/C El Gas A/C 9 Heat Pump El Window A/C D Gas Heat [j Electric Heat 9 U =M Sanitary Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line Setbacks Front Rear Left Right As per Approved Site Plan Comments: IBM Builder Name/Owner Name .a. r- Control # County Parcel No. 0 0 1 SubDiv: Address/Location L J Classification/Type of Use -rowl TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: / 7 Exempt o Yes 0 No How Determined Impact Fee Amount z C Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single -Family Detached House Amount S< (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 Total Amount $ � f 1-5z Zone Exempt =Yes = No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Exempt 1:1 Yes = No How Determined Facility Total Total Amount RESOURCE FEE ERU Prepared By Checked By NO CERTY11CATE OF OCCUPANY WILL BEISSUED OR FINAL • PERFORMED UNTIL THE TOTALAMOUNTS • • • •, OF • COUNI 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, Rm RECEIPT NO DATE BY