HomeMy WebLinkAbout23-63050�`
City of Zeph r ills ,�;�
5335 Eighth Street W�0063�05-2023
Zephyrhills, FL 33542 R
Phone: (813) 780-0020
Fax: (813) 780-0021 Issue Date: 05/24/2023
Permit TBuilding New Residential
04 26 210160 02200 0120 36488 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: $250,320.00
TAMPA, FL 33607 Electrical Valuation: $37,548.00
Mechanical Valuation: $17,522.40 Phone: g�
Plumbing Valuation: $25,032.00 �Pr
Total Valuation: $330,422.40
Total Fees: $14,527.68
Amount Paid: $14,482.68
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Date Paid: 5/24/2023 3:09:27PM
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CONSTRUCT TOWNHOME 1634 SQ FT
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Transportation Impact Fee - CitY $33.53 SIent Fee $33.53
Plumbing Permit Fee $165.16 Plumbing Valuation Fee $0.00
Building Permit Fee $1,291.60 Electrical Permit Fee $227.74
Public Safety Impact Fee -Police $254.00 Address Fee $30,00
Park Impact Fee - Single Family/Townhome $769.56 Mechanical Permit Fee $127.61
Building Plan Review Fee $180.00 3/4 Water Meter Residential Connection Fee $794.92
Sewer Connection Residential Fee $2,400.00 Public Safety Impact Fee -Admin $26.35
Mechanical Plan Review Fee $0.00 School Impact Fee - Single Family $3,35300
Transportation Impact Fee $3,595.68 Driveway Fee $45.00
Fire Wall/Smoke Wall Inspection $15.00 Admin Fee / (Provider Service) $45.00
Electrical Plan Review Fee $0.00 Water Connection Residential Fee $1,140.00
REINFECTION 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.
C.O.NO OCCUPANCY BEFORE
1`_6 L�l
CONTRACTOR SIGNATURE PE IT OFFICE
PERMITI IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION NOTICE IRE
PROTECT CAR® FROM WEATHER
BILLING CONTACT
STEVE SMITH
INVOICE NUMBER
INVOICE DATE
INVOICE DUE DATE
INVOICE STATUS
INVOICE DESCRIPTION
INV-0001 1094
05/21/2023
06/20/2023
REFERENCE NUMBER
FEE NAME
TOTAL
BNR-006305-2023
3/4 Water Meter Residential Connection Fee
$794.92
Address Fee
$30.00
Building Permit Fee
$1,291.60
Building Plan Review Fee
$180.00
Driveway Fee
$45.00
Electrical Permit Fee
$227.74
Electrical Plan Review Fee
$0.00
Fire Wall/Smoke Wall Inspection
$15.00
Mechanical Permit Fee
$127.61
Mechanical Plan Review Fee
$0.00
Park Impact Fee - Single Family/Townhome
$769.56
Plumbing Permit Fee
$165.16
Plumbing Valuation Fee
$0.00
Public Safety Impact Fee -Admin
$26.35
Public Safety Impact Fee -Police
$254.00
School Impact Fee - Single Family
$3,353.00
Sewer Connection Residential Fee
$2,400.00
SIF 1 percent Fee
$33.53
Transportation Impact Fee
$3,595.68
Transportation Impact Fee - City
$33.53
Water Connection Residential Fee
$1,140.00
36488 Camp Fire Terrace Zephyrhills, FLORIDA 33541 SUB TOTAL
$14,482.68
REMITTANCE INFORMATION TOTAL
City of Zephyrhills
5335 8th Street
Zephyrhills, FL 33542
May 22, 2023 5335 8th Street, Zephyrhills, FL 33542 Page 1 of 1
T3-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting ( 908 ) 770 __ 7763
r T
Owner's Name GAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813,574,5700
Owner's Address 23975 Park Sorrento, Ste. 220, Calabasas, GA 91302 Owner Phone Number
Fee Simple Titleholder Name N/A I Owner Phone Number
Fee Simple Titleholder Address
I N/A
JOB ADDRESS
364$$ Camp Fire Terrace
LOT # 2212
SUBDIVISION Abbott Square
PARCEL ID#
04-26-21-0160-02200-0120
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
�--�
II✓ II
NEW CONSTR
ADD/ALT
SIGN [� DEMOLISH
INSTALL e
REPAIR
PROPOSED USE SFR Q
COMM
OTHER
TYPE OF CONSTRUCTION BLOCK Q
FRAME
STEEL Q
DESCRIPTION OF WORK Multi -family / Screen Enclosure / Fence
1634 2$'
BUILDING SIZE U/x SF 2086 SQ FOOTAGE HEIGHT
BUILDING $ 250320� VALUATION OF TOTAL CONSTRUCTIONI
f�/ ELECTRICAL $ 37J48 I PROGRESSENERGY W.R.E.C.
r AMP SERVICE
PLUMBING $ 25032 I
9 J (MECHANICAL $ 17522 4 VALUATION OF MECHANICAL INSTALLATION 30
9 • t
GAS 10 ROOFING Q SPECIALTY = OTHER (--�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES I NO
BUILDER r COMPANY
Lennar Homes, LLC
SIGNATURE �f REGISTERED Y 1 N PEE CURRE Y I�
Address
43 W Boy Scout Blvd Suite 600 Tampa, FL 33607 License # CGC1518166
.,�,.,..�...__._._.....,�
ELECTRICIAN COMPANY lEdmonson Electric, Inc.
SIGNATURE REGISTERED Y 1 N FEE CURREN Y/ N
Address License # EC13005408
PLUMBER COMPANY lBayonet Plumbing, Heating & AC, Inc
SIGNATURE fi REGISTERED Y / N FEE CURREN
Address �''`' License# I CFC042998
MECHANICAL `-� COMPANY IBayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE cURREN I Y / N
Address License # CAC058062
OTHER COMPANY I C Sterling Quality Roofing Inc
SIGNATURE REGISTERED Y/ N FEE CURREN Y L N
Address License # 1 CCC057991
Ir11I1111II11Mi#111i11I11i1111111111tIII1111I1t11111111III11111M1lM
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways -needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division —Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractors) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500,00 or more, I
certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law —Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the "owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
Department of Environmental Protection -Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Southwest Florida Water Management District -Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers -Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit -Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency -Asbestos abatement.
Federal Aviation Authority -Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "V' unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
i ; I i I 11M
REVA I I EC21111A L":v 101 :411 MU W9,1TA 4 MR0111 11412101XV911 I Z11:J �_OIQ:g A WM I W&I I III 10 19 W I *A KOZO] -.1 F_111111111 Ion 2 1 OF-'
OWNER ORAGENT
to (or affirm;
Subscribed and swornd) before me this
asrzoza by Christopher Smith
Who is/are personally known to me or hasihave pFeduGed
as identification.
Notary Public
Commission I,&� Xj,�/GG 296057
7
Stephanie Farmer
Name of Notary typed, printed or stamped
Ell KNOLL
. y Exititait,jultoo,2024
Subscribed and sworn to (or affirmed) before me this
41512023 by --Christopher Smith
as identification.
I,- �17
—Notary Public
Commission No. 6 7
Stephanie Farmer
Name of Notary typed, printed or stamped
GoromissioattNN
E�;
68 t ' i+ t
u ,
DESCRIPTION: LOT] 1-16, BLOCK 22, ABBOTT SOUARE PHASE 2, SITE PLAN SEC. 4, TWP. 26 S, RNG 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)
(ABBOTT SOUARE PHASE 2)
FLORIDA. This SITE PLAN Prepared for and Certified To
PROPOSED ELEVATIONS AND GRADING LeDna, Homes JOB 4
SHOWN HEREON ARE TAKEN FORM THE
ENGINEERING PLANS OF 15905522211_
'ABBOTT SQUARE RESIDENTIAL', PREPARED
L5905522212
BY'WRA' PROVIDED BY CLIENT
15905522213
15905522214
15905522215 Scale.- 1 = 20'
TRACT "A" 15905522216
(CDD) RIGHT-OF-WAY
CAMP FIRE TERRACE
-- — - — - N 89'48'64- E (P)
BASIS OF BEARING
27--X 27,,3�
5 CO WAIK,
N 89-4 0
6 4� E (P) 128,68'tPi
,GONG
FIRM
N89 48-04- E (P)
221,36 (P)
0 -
C, I b I
L'I I0e,70,9
1 .10.0
Fri
100 I 100
00
11,0
1'0
63
63 63
d63',
TOLD
ICCO
7,0' ENTRY
ENTRY 6,3' 63 ENTRY
ENTRY 6,3' 6.3' ENTRY
ENTRY 7.0
LF
LOT Ic
LOTto
LOT Is R.E "
L T12 UI
11
,
TO, IT
LOCK 22
BLOCK 22
08 _EF
b BLOCK 22 LOCK 22
'1
BLOCK ZZ
10
LOT 17
BLOCK 22
w' PROPOSED 0 -
0 PROPOSED ��o PROPOSED
w w
PROPOSED PROPOSED
PROPOSED
SLOT
BLOCK 22
2 S1 ORY
2 STORY 2 STORY
ATTACHED
2 STORE 2 STORY
ATTACHED
2STORY Fc
AITACHED V0
AT LACHED
RESIDENCE
ATTACHLO
RESIDENCE RESIDENCE
q ATTACHED
RESIDENCE P RESIDENCE
RESIDENCE
1.
6
UNF-A
uNUT C UNIT{
HFR NIT-C
624 UNIT-C
UNTT-A
1532
1 624 1`4 1624
1E2E
1532
180
173 17.3
17,3 73
18.0
LANAI'
NA,
LANAJ'
10L0
A/C A/C
A/c I A/C A/C
... ... ..... ..... ..
------------
N 89-4604- E (P) 128.68 (P)
TRACT " 8-7"
NOTES: , (CDD)
LOT GRADING TYPE =A OPEN SPACE
PROPOSED PAD ELEVATION 170,80
LOT = 1 Z61 i SO, FT.
FRONT SET BACK = 20
LIVING AREA = 4010 SO. FT,
SIDE SET BACK = T5 ENTRY = 476 SO FT.
SIDE SETBACK (CORNER LOT) =10 '10.00 PUBLIC UTILITY EASEMEN§5ARAGE SO. FT.
ALL ELEVATIONS REFERENCI!D, COVERED LANAI SQ. FT.
REAR SETBACK- 15 TO NORTH AMERICA*OT INTRY WALKS ARE 3 0 CONIC PATIO NA SQ. FT,
VERTICAL DATUM OF I 'B. /S-A/C UNITS ARE 3.2 X3.2
POOL AREA SO. FT.
PROPOSED: (NAVD 88)
CONC. DRIVE = 1200 SO. FT.
MINIMUM FLOOR ELEVATIONS: A/C & CONC PAD = 54 SO. FT.
LIVING AREA: I 11 AT LEGEND: SIDEWALK SQ. FT,
GARAGE AREA: SIDE YARD SWALE =-NA—SQ. FT.
PROPOSED DRAINAGE FLOW
ELEVATIONS REFERENCED TO CONSERVATION AREA = NA SO. FT,
NORTH AMERICAN VERTICAL (00,00) = PROPOSED GRADE LOT OCCUPIED = 64%
DATUM OF 1988 E-00,00 = EXISTING GRADE AREA TO IRRIGATE = 36 %
APPARENT FLOOD HAZARD ZONE: 'X COMMUNITY NO. 120235
SURVEY ABBREVATIONS (MAP NUMBER 12101 C-0289-F) EFFECTIVE DATE: 09/26/2014
A) = ARC LENGTH
(q - DEED
INV INVERT
PC - POINT OF CURVE
JR) - RECORD
LEGEND ON LFENCF
NC - AIR CONDITIONER
AF -ALUMINUM FENCE
D E- DRAINAGE EASEMENT
LA -LICENSED SHISNESS
FCC= POINT OF COMPOUND CURVE
PERMANENT CONTROL POINT
RNG - RANGE
_CO NC
BEE- BASE F1 OODELWATion
EL OR ELEV - ELEVATION
EOP - EDGE OF PAVEMENT
L E = LANDSCAAEASEMENT
LIFE - LOWEST FLOOR ELEVATION
PCP_
P/E: POOL EOUH`MENT
RRS - RAIL ROAD SPIKE
VW = RIGHT OF WAY
WOOD FENCE
Be - RENCH MARK
L=CURVEF/C
E SM T - EASEMENT
LS - LICENSED SURVEYOR
PG PAGE
SEC - SECTION
ASPHALT
J�cj = CALCULATED
CENTERLINE
- FENCE CORNER
FCM-FOUN CONCRETE
(M) - NIE—RED
MES - MITERED END SECTION
PI- POINT OF INTERSECTION
PK -PARKER -LON
SN&D - SET NAIL AND DISK
UERIS 183
CHAIN UNK FENCE
c - CHAI N LINK FENCE
MONUMENT
P_FO IRON PIPE
OR GIRD
NCF - NO CORNER FOUND
COA OVERALL
IRCIER��UNE
FOR -P INTOFSEGINNNG
IR - SET TIT IRON ROD I BE 8183
SIR-SET
TRY TEMPORARY BENCH MA RK
-.1FCr
CLF
MP-CORRUGATED MET AL PIP
F _ED UND IRON ROD
OFEW-OVERLEADWIREES)
0
POC POINTOFC MMENCTMENT
TOG TOP OF BANK
COL -COLUMN
CONC - CONCRE
V! iaF
N _ FOUND 11-1.1SE
O.R.-OFFICIAL RECORDS
POE -POINT PDINT ON USE
TWP TOWNSHIP
ALUMINUM FENCE
ZA
C/S-CONOEFTESLEB
FOP - FOUND OPEN PIPE
(P) -PLAT
P RC POINT OF REVERSE CURVE
U E - UTI� 1�1 EASEMENT
COVERED
CST -CLEAR 11GUITIANCEE
III -FOUND PINCHED "PI
1B - FLAT BOOK
I FRI 11"'AN Or REFERENCE MONUMENT,
VE = VINYL FENCE
SURVEYOR'S NOTES:
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 sketch was prepared without the benefit of a title search,
SURVEYORS CERTIFICATE
This certifies that sketch of the hereon described
property was m �%"VAIqjf supervision and
meets the a S )A 94 Practice for
surveys t5 I ard of Land
1708 Water Oak Drive
Tarpon Springs, Florida
Phone: (727)-831-1990
'_ 99
ITI- gir, a Oil C 0 UP
FloridaPLS7123CP mail.
LB# 8183
Date of Ate Plan: 43-23
i DWG.AS PH I B L F 16 ER-23-51T E
No instruments of record reflecting ownership, easements or
ed
F-r_
le
rights -of --way were furnished to the undersigned, unless otherwise
shown hereon.
3.) Roads, walks, and other similar items shown hereon were take
from engineering plans and are subject to survey.
J Fl Aq_q t
z/ , ley
pursUgnt to ection z / It 14
Huk ley'10:51'
Drawn by: DJB
cChecked by.JH
iiEVISIONS
4.) This SITE PLAN does riot reflect nor determine ownership.
6.) This SITE PLAN is subject to matters shown on the Plat of
0 -9000,
S TE OF at
"ABBOTT SOUARE PHASE I IF
_x
JeeI
Jeff
N
6.) Dimensions shown hereon are in feet and decimal portions
thereof.
_
FLORIDA AND
9__
7.) Contractor and owner are to verify all setbacks, building
MAPPER N t.-
' -
NOT VALID WITHOMW ORIGINAL
dimensions, and layout shown hereon prior to any construction,
and immediately advise Initial Point Land Surveying, LLC, of any
SIGNATURE AND SEAL OF A FLORIDA
deviation from "formation shown hereon. Failure Co do so will be
LICENSED SURVEYOR AND MAPPER
Initial Point Land Surveying, LLC.
at users sole risk
WEEMWIM
\/RA
P J U A [ R E V E "N ...'S T
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
36488 Camp Fire Terrace
Parcel Tax ID: 04-26-21-0160-02200-0120
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:
Private Provider: t)EBPA ANNE KLAHR
Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINE5VILLE, FL 32601
Telephone:
HM•M-
Email Address (Optional): debGvirtualreviewassist.co"
11
Fax: N/A
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
The following altacbments. are, p-rovi&d as required:
1. Qualification statements and/or resumes of the private provider and all duly authorized Te pMSe11taf1vM
2,,.Proof of insurance forprofessidnaland coinprehensivt-, liability
inthe.amo unt -of $1 million per
CCCUlrenGeTelating to all serviDds p6rBoinied as a private provider, including tail coverage for. am:inirnuin
of 5 years subsequent to the pexfpr1nancD.of building code inspection services.
Individual Corporation Partnership
LENNAR HOMES, LLC,
Print CmporationName PrintPartnershipName
By,
By.
{signature) (signature} (signature}
Print print print
Name: Name: Chr!Stoponh�etr her Name -
Its. Authorized Agent Its.
Address: 700 NW 107th Ave— Address,
Telephone Miami, FL 33172
No..
T -1ephonB. -phone
e Tole,
No. 913,7574-5700 No.:
Please use appropriate notary block.
sTATF, of FLORIDA.
COUNTY bF HILLSBOROUGH
Individual
B tfbir me, tbis.day of
20—pDrsonally
appeaiDd
who ' executed the foregoing instrainDtit,
and acknowledged befom me that same
was executed for the purposes therein
Corporation
Beforeine,this 22ND day of
MAY 20 2_2
persona* appeared,
Of
Lennar Homes LLC a
cDrpDraiion,' on
.."behalf of the state corpoTation, who
txDuuted the f6rvgoing instrument and
acicuowlehed before me that same was
executed for the pm? o s es -therein
5•., E
Befomme, dais --day
of 20_®__,
pexs6nal]y appeared
p artner/agent on b ehalf of
a partnership, Who executoa the
foregoing instrument and
acl6iowledged befaie mD that same
-Pbrsonallyknown_"or_ Pro dumd iden#ortiqiiType of'identifioation pToduoed
Signature OfNat
PfintName ASHLEE CALLAHAN
NotaryPublic Stamp-, ..... . 1
ASHLEE CALLAHAN
W COMMISSION # HH 295980
Commission Expires;
W, EXPIRES: November 30, 2,026
Ell El
\/RA
VIRTUAL REVIjW ASSIST
Private Provider
Private Provider Firm: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU 1967
Address: 747 Southwest 21 Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: lucy@yh-ttiaLreviewassist.com
Project: New SFT
Address(s): 36488 CAW 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 afflant, 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, SN1, S3,S4,S5, S6,ST,SS,D1,WPI,WP2,WP2.1,
PAI.0,PAI.1, PA1.2,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 Ex * r
License #: PX2300 77
/ e �\ I
Signature of Reviewer: A �r-
SWORN AND SUBSCRIBED be re me by Debra Anne Klahr
being personally known to me-4i�� or having produced as identification
and who being fully sworn and cautioned, state that the
ego is true anporre,t to the best of his/her knowledge or belief.
In Ashlee Callahan
Notary Print Name
'211111011011 1121• •�
commission expires:
-:3
295980
o.
my omwsslori # HH 295980
C
ember 30,2026
EXPIRE& Nov
INQ 4 0XIELOW10141SM0
RM179MOYMM
IM0
iiuilding
El Inspection Only
Plumbing
iv
F-1 bMpeclion Only
i echanial
I V M
On!
ElIcn nTX
Electrical - Amp
iv
El inspwcection a
El Medical Gas
El Fire Sprinklers
El On Site Pipin2
Irrigation
El Fire Alarm
El Potable Backflow Assembly
E] Fire Line Backilow Preventer
El Irrigation Backilow Assembly
F-1 Demolition
E] Walk-in Cooler
Refrigeration
Fence/Wall
Grease Trap
"WIT "MOM
Type Construction: L
Risk Category:
Occupancy Load
0 LWancy Classification:
Factory
Residential
lAssembly E�business
sHazardous E==
E-==
Day Care/Educational
itutional E] Mercantile
F
ity
Building Use: SINGLE FAMILY townhouse Alteration I Level 1 [QLevel 2 0"Level 3
,K New Construction El Interior Finish E] Interior Remodel El Exterior Remodel [] Addition E:1 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;
Fstimated Value:
Roof Type: 91 Shingle
[]Tile El Built-up
El Metal El Other Squares: 14
Zoning:
WiV�orne
Debris:
ElInside
i
V Outside
Energy Code: 405-2022 SUPP
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents?
Yes
0
Sq. Ft. Enclosed Space Below BFE:
# of Vents:
Size of Vents:
Total Sq. In. Permanent Openings
9 Central A/C
El Gas A/C
9 Heat Pump
F1 Gas Heat
El Window A/C
0 Electric Heat
• go=
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
Front Rear Left Right
FZI As per Approved Site Plan
Comments:
9 Iv- i
Permit
Date Permitted
Builder Name/Owner Name Control #
County Parcel No, ?P jl �F� SubDiv:
Address/Location 7i
Classification/Type of Use 16 66
TRANSPORTATION IMPACT FEE Rate: Sri- Ft Unit- ! c�
Exempt Yes 0 No How Determined
Impact Fee Amount S 2-- Zone No. TAZ:
SCHOOL IMPACT FEE r
Account (056) Single -Family Detached House Amount $
(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 $ Z� ,C `
No How Determinei
LIBRARY FEE
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 B
NO CERT14CATE OF ORFINAL INSPECTION
PERFORMED UNTIL THE TOTALAMOUNTS
BEEN PAID AND RECEIPTED FOR.
ACKNOWLEDGEMENT! DOES NOTCONCURRENCE, OF A COPY OF THIS
FORM, PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME.
lm
RECEIPT NO DATE BY