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Home My WebLink About23-6202City of Zephyrhill s 5335 Eighth Street Zephyrhills, FL 33542 Phone: (813) 780-0020 BNR-006202-2023 Fax: (813) 780-0021 Issue Date: 05/08/2023---i Permit T e: Building New Residential) R T 7 @1 W, A --o *C=W== 04 26 21 0160 02000 0080 36507 Camp Fire Terrace IN 6 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: $250,320.00 TAMPA, FL 33607 Electrical Valuation: $37,548,00 Phone: Mechanical Valuation: $25,032.00 Plumbing Valuation: $17,522.40 Total Valuation: $330,422.40 Total Fees: $14,333.47 Amount Paid: $14,333.47 Date Paid: 5/8/2023 1:55:41PM CONSTRUCT TOWNHOME 1634 SO FT � �1'*tmoke `F'reW eview Fee $0.00 Building Plan Review Fee $180.00 School Impact Fee - Single Family $3,353.00 Driveway Fee $45.00 Plumbing Valuation Fee $0.00 SIF 1 percent Fee $33.53 Electrical Permit Fee $227.74 Public Safety Impact Fee -Police $254.00 Sewer Connection Residential Fee $2,400.00 Plumbing Permit Fee $127.61 Transportation Impact Fee - City $34.80 Building Permit Fee $1,291.60 3/4 Water Meter Residential Connection Fee $794.92 Water Connection Residential Fee $1,140.00 Electrical Plan Review Fee $0.00 Public Safety Impact Fee -Admin $26.35 Park Impact Fee - Single Family/Townhome $769.56 Address Fee $30.00 Transportation Impact Fee $3,445.20 Mechanical Permit Fee $165.16 1 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 resuirements of this �kermit lkmtaorv,? may be found in the public records of this county, and there may be additional permit required fr . om other g I overnmental entities such as water management, state agencies or federal agencies. "Warn m7WM improvements to I-ce ou in t 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. V CONTRACTOR SIGNATURE PE IT OFFICE THOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIREJ PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 t Building Department 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 Fee Simple Titleholder Address I N/A JOB ADDRESS 36507 Camp Fire Terrace LOT # 2008 SUBDIVISION Abbott Square PARCEL ID# 04-26-21-0160-02000-0080 �-� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED II✓ (I NEW CONSTR 8 ADD/ALT SIGN O DEMOLISH It�_--gl INSTALL REPAIR PROPOSED USE 0SFR COMM OTHER r TYPE OF CONSTRUCTION 10 BLOCK FRAME STEEL DESCRIPTION OF WORK I Multi -family / Screen Enclosure / Fence BUILDING SIZE I U/R SF 2086 SO FOOTAGE 1634 HEIGHT 28 Y BUILDING $ 250320 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 7548 1 AMP SERVICE PROGRESS ENERGY Q W.R. E.C. V —.—.1 Lj�J _ PLUMBING $ 25032 -� r r ,{ ®.f (MECHANICAL $ 17522.4 VALUATION OF MECHANICAL INSTALLATION" GAS f ROOFING SPECIALTY = OTHER —{ FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA g IYES D0 J BUILDER COMPANY I Lennar Ilomes, LLC s� 1 SIGNATURE _ REGISTERED Y / NN) FEE CURREN Y I N Address 430 Bay Scout Blvd Suite 600 Tampa, FL 33607 License # I CGC1518166 ELECTRICIAN COMPANY Edmorlson Electric, Inc. SIGNATURE REGISTERED ^Y / N J FEE CURREN Y I N Address I License # 13005408 �� PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y/ N FEE CURREN IY IN Address License # I CFC042998 MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN r,Y / N Address � I License # CAC058062 1 OTHER COMPANY I C Sterling Quality Roofing, Inc SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address License # I CCCO57991 IIIiIItIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIMI 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 —Homeowners 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. 211,111, by Christopher Smith Who is/are personally known to me or*,�� as identification. Notary Public Commission Stephanie Farmer Name of Notary typed, printed or stamped ELISSAM, HOLLERAN eommlssion#HHOOM60 Expimsitineli,2024 AW70119 W.M23 by —Christopher Smith Who Ware personally known to me or hasJhave produced as identification. /Y—,— Notary Public Commission No. �Zge6(� r7 Stephanie Farmer / Name of Notary typed, printed or stamped 8wAadftTtqF*hw=uV"WJ4Jq DESCRIPTION: LOTS 5-10, BLOCK 20, ABBOTT SQUARE PHASE 2, ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOT( 90, PAGES 28-33, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA PROPOSED ELEVATIONS AND GRADING SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF "ABBOTT SQUARE RESIDENTIAL', PREPARED BY "WRA" PROVIDED BY CLIENT ALL ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 (NAVD 88) �Q\ } 1131 (P) o UNIT -A Z I 1532 0 1 PROPOSED _ 2 STORY N ATTACHED RESIDENCE i LOT 10 BLOCK 20 LOTH BLOCK 20 0 o 7.0ENTRY 10.0' w SITE PLAN (NOT A SURVEY) This SITE PLAN Prepared for and Certified To: Lennar Homes SEC. 4, TWP. 26 S, RNG 21 E. PASCO COUNTY, FLORIDA (ABBOTT SQUARE PHASE 2) Scale. 1 = 20 TRACT""" (CDD) PARKING AREA AND OPEN SPACE N 89-48'04- E (Pj 128.68' 1P) 18.00(F 1B.00 IPI 18.0'(P) 18.00'D) Z839'(P) \LANAI p LANAI�p LANAI c, ViNAI p ! tANAf� 0 10.0' 17.3' 17.3 17.3' 17.3' 18.0' UNIT-C 2 UNIT-C 2 UNIT-C 2 UNIT-C o UNIT -A 1624 1624 0 1624 c 1624 0'; 1532 _ PROPOSED = PROPOSED = PROPOSED - - PROPOSED PROPOSED o 2 STORY m 2 STORY a 2 STORY ? 2STORY P( 2 STORY ATTACHED t� ATTACHED g ATTACHED ATTACHED E'. ATTACHED RESIDENCE RESIDENCE RESIDENCE v RESIDENCE RESIDENCE LOT9 _ LOT8 LOT7 `F LOT 0 �" LOT5 v BLOCK 20 _ BLOCK 20 _ BLOCK 20 BLOCK 20 v BLOCK ZO LOT 4 --- o 108--8- _ D BLOCK 20 ENTRY 63 6.3' ENTRY ENTRY 6.3' 6.3' ENTRY ENTRY TO I � � zw / v1\\" � �w w X w w t00 /63 63/ b.a c 11 0 11 0 t ,1 0 11-0 '- w 9 11 *34'(P) „ 18-00 �(PI 004 ;800•(P) 5' CONC WALK. . . aS89°48'04'W IP) 128.68'(P) ._ N.. 273 ( 10.0' LC N 89°4804- E (P) 103,97'(P) soo IPl... 7834'1S PI .ASS - It PC .r 27.3 BASIS OF BEARING N 89'48'04' E (PI ___—__—_—_____—_®_— NOTES: CAMP FIRE TERRACE LOT GRADING TYPE -A TRACT "A" PROPOSED PAD ELEVATION =112A0 (CDD) RIGHT-OF-WAY FRONT SET BACK = 20' LOT = 1Z611 SQ, FT. SIDE SET BACK = T5' JOB IF LIVING AREA = 4010 SQ. TE SIDE SETBACK (CORNER LOT) -10' ENTRY = 476 SQ. FT '.. REAR SETBACK= 15 = 10.00' PUBLIC UTILITY EASEMENT 15905522005 GARAGE = 1356_SQ. FT. NOTE ENTRY WALKS ARE 3.0- CONIC 15905522006 COVERED LANAI = 65Z —SO, FT. '.. C/S-A/C UNITS ARE 3.2'X3.2 1-1905522001 PATIO = NA SO. FT. PROPOSED: POOL AREA = NA SO, FT, MINIMUM FLOOR ELEVATIONS: 1S905522008 CONC. DRIVE = t Z00 SQ. FT. LIVING AREA: 1 13.07' LEGEND: 15901522009 /VC & CONIC PAD = 54 SO. FT. GARAGE AREA: - = PROPOSED DRAINAGE FLOW 15905522010 SIDEWALK = 27Z SO. FT, ELEVATIONS REFERENCED TO (00.00) = PROPOSED GRADE SIDE YARD SWALE = NA SO. FT. CONSERVATION AREA = NA SO. FT NORTH AMERICAN VERTICAL . E-00.00 EXISTING GRADE LOT OCCUPIED = 64 % DATUM OF 1988 AREA TO IRRIGATE = 36 % APPARENT FLOOD HAZARD ZONE: 'X- COMMUNITY NO. 120235 SURVEY ABBREVATIONS (MAP NUMBER 12101C-0452-F) EFFECTIVE DATE 09/26/2014 A)a ARC LENGTH (DI ^DEED INV -INVERT PC -POINT OF CURVE (RI - RECORD LEGEND A/C-ARC0ND1710NER DE- DRAINAGE EASEMENT LB -LICENSED BUISNESS PCP^ POINT OF COMPOUND CURVE RNG-RANGE VINYL FENCE AT -ALUMINUM FENCE EL OR ELEV=ELEVATION LE- LANDSCAPE EASEMENT PCP- PERMANENT CONTROL POINT WE - RAIL ROAD SPIKE 31j 'i ^CON C �--� BEE- BASE FLOOD ELEVATION Car - EDGE OF PAVEMENT LEE- LOWEST FLOOR ELEVATION P/E - POOL F—IPMCNT R/W=RIGHT OF WAY BM=BENCHMARK ESMT-EASEMENT IS= LICENSED SURVEYOR PG PAGE SEC =SECTION WOOD FENCE C=CURVE /C - FENCE CORNER (MI - MEASURED Pi= POINT OF INTERSECT ION SN&D- SET NAIL AND DISK ASPHALT -- lc -CALCULATED FCM - FOUND CONCRETE Mrs- MITE RED END SECTION PK=PARKER KALON LBb8183 cL CENTERLINE MONUMENT NCE - NO CORNER FOUND @ -PROPERTY UNE SR - SETT CHAIN LINK FENCE /2' !RON ROD F9x 818} CLFa CHAIN LINK FENCE FIP^FOUNDlRON PIPE O/A- OVER ALL POB- POINT OF BE GINNING TBM- TEMPORARY BENCH MARK -BRICK - — CMPaCORRUGATEDMETALPIP FIR-ED NDIRONROD OHW- OVERHEAD VFRE(S) POP - POINT OF COMMENCTMENT TOB - TOP OF BANK COL -COLUMN FN&D=FOUNDNAIL&DISK OR _ -OFFICIAL RECORDS POL-POINT ON LINE TWP=TOWNSHIP ALUMINUM FENCE CONC=CONCRETE EOF - FOUND OPEN PIPE (P) =PLAT PRC= POINT OF REVERSE CURVE U.E=UTIUTYEASEMENT COVERED C/S=CONCRETE SLAB FPP-FOUND PINCHED PIPE PBa PLAT BOOK PRIM PERMANENT REFERENCE MONUMENT Vr_VINYI. FENCE T \\ i— CST- CLEAR SIGHT TRIANGLE 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 Ste Plan: 1 1-28-22 furnished to Initial Point Land Surveying, LLC at the time of this Y 9• property was o,:MT�+i"upervision and Phone:(727)-831-1990 SITE PLAN meets the q t*,SMPm ractice for FloridaPLS7123Cs maii,com owetis-PHaLs10-BizaszTE 9 2.) This sketch was prepared without the benefit of a title search, surveys f0� Ord of Land LB# 8183 'e No instruments of record reflecting ownership, easements or S Irv.,'1 Il2d cite. rights -of -way were furnished to the undersigned, unless otherwise R r dt j tr�gg shown hereon, pursuSit to�cction a 1, , �klr � €�leY 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. l�dt2:. 2 2.84.�4 4.) This SITE PLAN does not reflect nor determine ownership g:1 100' P F'x to ��{{. P (�q Q4 REVISIONS s" '$j TO `r 5.} This SITE PLAN is subject to matters shown on the Plat of 6.)DimABBOTT SQUARE PHASE 2` Jeff M. th Dimt�' 7� ensions shown hereon are in feet and decimal portions FLORIDA ({2 �(+'tlZ AND V 71 Contract or and owner are to verify all setbacks, building MAPPER NO.'IY'�;�� 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 user's sole risk F VIRTUAL REVIEW ASSIST Private Provider Plan Compliance Affidavit Private Provider Finn: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU 1967 Address: 747 Southwest 2nd Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: 1qqygvirtua1Tgyiq'wqds st&,om Project: New SFT Address(s): 36507 CAMP FIRE TERRACE 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,"2.1, 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 ff: PX2300 V Signature of Reviewer: SWORN AND SUBSCRIBED bef6i*e me by Debra Anne Klahr being personally known to me V" or having produced as identification and who being fully sworn and cautioned, state that the ore g is true cgrrect to the best of his/her knowledge or belief. &11�--'—� cla nature of Notary Print Name commission expires: V ASHLEE CALLAHAN my COMMISSION4 HH 29600, EXPIRES: November 30,2024 VRA v .P'- U A L R E V I E ",`,l A S S, i S. I Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 36507 Camp Fire Terrace Parcel Tax ID: 04-26-21-0160-02000-0080 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 Firm:VIRTUAL REVIEW A55IST, INC. Private Provider: DEBRA ANNE KLAHR an UMMM MEM53m; Email Address (Optional): deb@?virtualreviewassist.com Florida License, Registration or Certificate #: (LTC # 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 review for fire 'code, land use; envimmnental 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 professional and comprehensive liability 4the aMO untof $1 million per o ccurrence relating to all services performed as a private provicter, including tail coverage for, a minimum of 5 years subs tqaent to the puformance of building code inspection services., -(signamre) Print Name: Address: . Telephone No.: Plea�e use appropriate notary blo ck. s-TATE oF FLORIDA. coUNTY OF HILLSBOROUGH BF'fortmt-" this day of 20_ personally appeared who executed the forego-ing instrument, and acknowledged before me that same was executed for the purposes thereinexpressed. . C!prpDration LENNAR W-EWG6H=L-rG' Print CDipoTationNamq (sig*ze) N=D: Christopher Smith its: Authorized Aa ent Tel6phone, No. 911.574-5700 ami. y PrintPutnership Name By, (signature) Print Name-_ Its. Address; Telephone NT_ - Partnership B Dfom me, this -day of p=6naUy appeared p artner/agent an b thalf of a partnership, who executed the foregoing instrument kud acknowledged before ua e that sane was mecuteff or the purpp-ses therein expressed.. Porsonally knownor- Produced i d cation Type of identification produced � X SipatrD ofNotan' L ?ri'ntNam5 ASHLEE CALLAHAN Notary?ublic Stamp., ASHLEE CALLAHAN Commission Expires: WCOMMI SION#HH295980 ber3b,2026 EXPIRES: Novem Corporation Beforemo,tbis 22ND day of MAY 20 �22 personally appeared Of Lennar Homes LLC a behalf of the state corporation, -who executed the f6rDgoing instrument and aolaiow.IeAgod before me that same was executed for the purposes therein expresstd. [—COMMERCIAL BUILDING SERVICES DIVISION VRESIDENTIAL BUILDING PERMIT DATA SHEET TRACKING # F—f*ff I - "I 1 FIRE MARSHAL #01 - Required Permits I - 06 1 11, 01 tmbn- MRA&TA Building !!Lspection Only Plumbing F-1 Inspection Only IV Mechanical [I Ins pe tion Only Electrical Amp E] Inspection Onl Roof [:1 Gas El Medical Gas ❑ Fire Sprinklers ❑ On Site Piping El Fire Line 0 Irrigation El Fire Alarm El Potable Backflow Assembly 0 Fire Line Bacliflow Preventer 1:1 Irrigation Backilow Assembly El Demolition El Walk-in Cooler El Refrigeration [:] Hood El Ansul El Fence/Wall El Grease Trap El Other Ej Other ummm'ITIm Type Construction: I V-B I Risk Category: Occupancy Load Classification: OVtory Factory Residential Care/Educational , Assembly ®Mercantile --1---- Hazardous=� nal Mercantile El' Building Use: SINGLE FAMILY TOWNHOUSE 1 Alteration I Level I F Level 2 IQ Level 3 iGew Construction El Interior Finish ❑ Interior Remodel F] Exterior Remodel ❑ Addition F� 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: 91 ShiE,le ElTile Metal El Other Squares: Zoning: Wi orne Debris: Q01 jInside - Outside Energy Code: 405-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? rj yes No Sq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: Total Sq. In. Permanent Openings 9 Central A/C El Gas A/C --0 —Heat Pump D Window A/C El Gas Heat D Electric Heat 3= Sanitary Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line Setbacks Front Rear Left Right As per Approved Site Plan Comments: Permit No. _L-L- -2- Date Permitted Builder Name/Owner Name Control County Parcel No, 2-WO 00 % SubDiv: fr C I 9 7-e- Address/Location D W10 Classification/Type of Use TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: Exempt o Yes 0 No How Determined Impact Fee Amount Zone No. - TAZ:- SCHOOL IMPACT FEE Amount $ Account (056) Single -Family Detached House (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$ Exempt =Yes = No How Determined LIBRARY FEE Land Total Land Account Land Credit Facility Account Facility Credit Facility Total Exempt f--j Yes No How Determined _ Total Amount RESOURCE FEE ERU Total Amount Emm M.. vim Checked By NO CERTIFICATE OF OCCUPANY WILL BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE hern MIINTV 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. RECEIPT NO - DATE BY