HomeMy WebLinkAbout23-6308City f e rhill
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5335 Eighth Street����
Zephyrhills, FL 33542 BNR_006308-2023
Phone: (813) 780-0020
Fax: (813) 780-0021 Issue Date:
Permit T ea Building NewResidential)
01122
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04 26 21 0160 02200 0130 36484 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
Phone: Mechanical Valuation: $17,522.40� ,
Plumbing Valuation: $25,032.00
Total Valuation: $330,422.40
Total Fees: $14,333.47'
Amount Paid: $14,333.47 N.. `
Date Paid: 5/24/2023 3:09:27PM
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CONSTRUCT TOWNHOME 1634 SO FT
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, c ,. Lim' >ti�11> ;.. 2y 4\� ~t \.. �� �, t \ •. . S`..\. '. 14�" „•� £1 �\ . .l. t . �.:.. ,'9°. Z. 't. > i tit,'.,
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Mechanical Permit Fee $127.61 SIF 1 percent Fee $33.53
Transportation Impact Fee - City $34.80 Water Connection Residential Fee $1,140.00
Public Safety Impact Fee -Admin $26.35 Electrical Plan Review Fee $0.00
Driveway Fee $45.00 School Impact Fee - Single Family $3,353.00
Admin Fee / (Provider Service) $180.00 Building Plan Review Fee $0.00
Park Impact Fee - Single Family/Townhome $769.56 Sewer Connection Residential Fee $2,400.00
Address Fee $30.00 Transportation Impact Fee $3,445.20
Public Safety Impact Fee -Police $254.00 Mechanical Plan Review Fee $U0
Electrical Permit Fee $227.74 3/4 Water Meter Residential Connection Fee $794.92
Plumbing Permit Fee $165.16 Fire Wall/Smoke Wall Inspection $15.00
Plumbing Valuation Fee $0.00 Building Permit Fee $1,291.60
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 BEFORE C.O.
ACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHSWITHOUT APPROVED INSPECTION
CALL FOR INSPECTION a 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
JjWjM&I--J=1= INVOICE DATE INVOICE DUE DATA
!NVOICE STATUS ji INVOICE DESCRIPTION
REFERENCE NUMBER
FEE NAME
TOTAL
BNR-006308-2023
3/4 Water Meter Residential Connection Fee
$794.92
Address Fee
$30 00
Admin Fee / (Provider Service
$180.00
Building Permit Fee
$1,291.60
Building Plan Review Fee
$0.00
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
$12761
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
$3,445.20
Transportation Impact Fee - City
$34.80
Water Connection Residential Fee
$1,140.00
36484 Camp Fire Terrace Zephyrhills, FLORIDA 33541
SUB TOTALT
$14,333.471
REMITTANCE INFORMATION
City of Zephyrhills
5335 8th Street
Zephyrhills, FL 33542
TOTAL $1 L,33L3.4L7
May 22, 2023 5335 8th Street, Zephyrhills, FL 33542 Page 1 of 1
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Perm ifting 77,
rt t r I r 1 1I -
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813.574.5704
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 N/A
JOB ADDRESS 36484 Camp Fire Terrace LOT # 2213
SUBDIVISION Abbott Square PARCEL ID# 04-26-21-0160-02200-0130
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED ",7 Ii NEW CONSTR ADD/ALT
SIGN Q DEMOLISH
P INSTALL REPAIR
8
PROPOSED USE SFR Q COMM
OTHER
TYPE OF CONSTRUCTION BLOCK 0 FRAME
STEEL
DESCRIPTION OF WORK Multi -family ! Screen Enclosure / Fence
BUILDING SIZE U/R IF 2086 SQ FOOTAGE 1634
HEIGHT 28
66BUILDING $ 250320 ®� VALUATION OF TOTAL CONSTRUCTION
b(ELECTRICAL $ 3754$ PROGRESS ENERGY Q W.R.EC.
L!J �1 AMP SERVICE
q, 2
�--�
IJ (PLUMBING $ 25032J
AJ (MECHANICAL $ 17522.4 VALUATION OF MECHANICAL INSTALLATION
=GAS ® ROOFING SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES D0
BUILDER COMPANY I Lennar Homes, LLC
SIGNATUREREGISTERED Y/ N FEE CURREN I Y I N
Address 4301 W B tout Blvd-Suitc 600 Tampa, FL 33607 License # CGC1518166
ELECTRICIAN COMPANY EdmonSon Electric, Inc.
SIGNATURE REGISTERED Y / N FEE CURREN
Address f License# �C13005408
PLUMBER — COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y I N% FEE CURREN Y/ N
Address License # CFC042998
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN LY_L N
Address License # CAC058062
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE _ REGISTERED Y / N FEE CURREN I Y / N
Address License # I CCCO57991 —�
III#Iililllllllt'I1I I111IIIIIi11111111I11iII1i1111111J1iEi11IIi111
RESIDENTIAL Attach (2) Plot Plans; (lud,Sys
of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) workafter 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. (AIC 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 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, Welland 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.
WTV41,11tNIVAll" AlLignonawwwaox"o
OWNERORAGENT
Subscribed and sworn o (or affirmed) before me this
Who is/are Personally known to me or-h >d Gedl
as identification.
Notary Public
Commission G 296057
Stephanie Farmer
Name of Notary typed, printed or stamped
hi 0001
ELIUK HO"L
Corn �A4HOERk"AW
NM
M0
EX0MsJQn06,2024
0W,.1U45-70r0 WTNUT0yF*
Subscribed and sworn to (or affirmed) before me this
415/2023 by Christopher Smith
Who Fs/am 1personalty known to me or has/have produced
as identification.
—Notary Public
Commission No. /Z96 7
Stephanie Farmer
Name of Notary typed, printed or stamped
ELISSAKNOLLEPAN
bOMS 11110 6,2024
3
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DESCRIPTION: LOT 11-16, BLOCK 22. ABBOTT SQUARE PHASE 2, SITE PLAN SEC. 4, TWR 26 S, RNG 21 E.
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOT( 90, PASCO COUNTY, FLORIDA
PAGES 28-33, OF THE PUBLIC RECORDS OF PASCO COUNTY, (NOT A SURVEY,
FLORIDA, (ABBOTT SQUARE PHASE 2)
_ This SITE PLAN Prepared for and Certified To:
PROPOSED ELEVATIONS AND GRADING Lennar Homes
SHOWN HEREON ARE TAKEN FORM THE JOB k
ENGINEERING PLANS Of 15905522211
'ABBOT( SQUARE RESIDENTIAL', PREPARED
j BY "WRA' PROVIDED BY CLIENT 1905522212
15905522213
15905522214
15905522215 Scale: 1 " = 20'
TRACT "A" 15905522216
(CDD) RIGHT-OF-WAY
CAMP FIRE TERRACE
N 89.4604- E (P)
BASIS OF BEARING
ti
yn
D • ' 27 3 27 3 27.,3'
5" CONC 1U'AL14
•• '. N 89.48'04- E (P) 728.68(P)
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1 1 0 I 1 1.0'
1 1 0
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7.0ENTRY ENTRY 6.3 6.3' ENTRY
ENTRY 6.3' 6.3' ENTRY
ENTRY 7.0'
4
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FT QT 14
LOT 16 LOT 15
BLOCK 22 9LOCK 22 BLOCK Z]
LOT 13 LQT 12 �n
O BLOCK 22 9LQL:K 22 p
to LOT i i
Q STOCKS?
G LOT 10
LOT 17 4,
BE DICK 22 m
108' 8"
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m BLOCK 22
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PROPOSED �y PROPOSED
PROPOSED Ly W
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2 STORY 2 STORY 2 STORY
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2 STORY - 257pRY
ATTACHED ATTACHED
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RESIDENCE RESIDENCE _ RESIDENCE
_ RESIDENCE _ RESIDENCE
4 RESIDENCE #
p
UNIT -A UNIT{ UNIT-C
UNIT-C -
1624 UEST-C
UNIT -A (!
_
1532 1624 1624
_ 624
7532
18.0' 173 17.3
17.3' _ 17.3
- 18.0'
rn LANAI--��
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Q S5\ N 89-48'04" E (PJ 128.68' (P) �22a
NOTES: TRACT "8_7..
(CDD)
LOT GRADING TYPE =A OPEN SPACE
PROPOSED PAD ELEVATION- 1 10.80'
FRONT SET BACK = 20 LOT = 1 Z61 j SO. FT.
LIVING AREA = 4010 SCEFT
SIDE SET BACK -- 7.5' ENTRY = 476 SO. FT.
000' PUBLIC UTILFFY EASEMEN�ARAGE = 1356 SQ. FT.REAR
SIDE SET BACK (CORNER LOT) =10' -J,N
SETBACK =- 15' ALL ELEVATIONS REFERENCED COVERED LANAI652 SQ. FT.TONORTHAMERICAPWOTE:TRY
WALI(S ARE 3.0' GONC PATIO = NA $Q. FT.
VERTICAL DATUM OF t988 S-A/C UNITS ARE 3.2'X3.2" POOL AREA = NA $Q. FT.
PROPOSED: '� ;NAVD 88) CONIC DRIVE = 1200 SQ. FT.
MINIMUM FLOOR ELEVATIONS: A/C & CONC PAD = 54 SQ. FT.
LIVING AREA: 1 1 1.47' LEGEND: SIDEWALK = 272 SO. FT.
GARAGE AREA: SIDE YARD SWALE = NA SQ. FT,
ELEVATIONS REFERENCED TO --"'- -"'- PROPOSED DRAINAGE FLOW CONSERVATION AREA = NA SO. FT.
NORTH AMERICAN VERTICAL (00 00) = PROPOSED GRADE LOT OCCUPIED = 64 %
DATUM OF 1988 E-00.00 = EXISTING GRADE AREA TO IRRIGATE = 36
APPARENT FLOOD HAZARD ZQNE: -X" COMMUNITY NO. 120235
SURVEY ABBREVATIONS (MAP NUMBER 1210tC-0289-F) EFFECTIVE DATE- 09/26/2014
AI - ARC LENG',
(DI =DEED
INV-INVERT
PC=POINT OF CURVE
(R)- RECORD
LEGEND VINYL FENCE
A/C- AIRCONDITIONE.R
AF-ALUMINUM FENCE
DE= DRAINAGE EASEMENT
LB -LICENSED BUISNESS
PC'_ POINT OF COMPOUND CURVE
RNA ^RANGE
�'I `CON' �.
BEE- BASE FLOOD ELEVATION
EL OR ELEV- ELEVATION
LOP EDGE OF PAVEMENT
LE=LANDSCAPEEASEMEM
LEE- LOWEST FLOOR ELEVATION
PCP= PERMANENT CONTROL POINT
PEP - POOL EQUIPMENT
RRS-RAIL ROAD SP <l
GIN - RIGHT OF WAY
R-Y„q
BM BENCHMARK
C CI)RVE
ESM"-EASEMENT
LS - LICENSED SURVEYOR
PG PAGE
SEC - SECTION
VJOODFENCE
�=ASPHALT � � -
I') -CALCULATED
F/C - FENCE CORNER
(M)- MEASURED
PI= POINT OF INTERSECTION
SN&F?^SET NAILAND DISK
CENTERLINE
CLF - CHAIN LINK FENCE
FCM- FOUND CONCRETE
MONUMENT
FIP-FOt1NDiRON PfPE
MS=MITERED END SECTION
NCF=NO CORNER FOUND
O(A- OVERFlLL
PK-PARKER KA_ON
R -PROPERTY :;NE
POB POINT OF BEGINNING
LBk8183
SIR- SET 12' IRON ROD I Bb 8183
IBM - TEMPORARY BENCH MARK
CHAIN LINK FENCE
RICK
CMP- CORRUGATED META..°tP
FIR - FOUND IRON ROD
OHW- OVERHEAD W;RE(SI
POE-POINTOF COMMENCrMENT
TOO - TOP OF BANK
COL--x--
jCOL-COLUNN
CONE --CONCRETE
FNSD_FOUND NAIL &DISK
FOP -FOUND OPEN PIPE
O.R. - OFFICIAL RECORDS
(F -PLAT
POL=PDINT ON LINE
PRC= POINT OF REVERSE CURVE
TWP^ TOWNSHIP
U-E-UTIJTY EASEMENT
--,�I ALUMINUM FENCE
yG' COVERED
C/S- CONCRETE SLAG
CST CLEAR SIGHT TRIANGLE
FPP- FOUND PINCHED PIPE
PS -PLAT BOOK
PRO PERMANENT REFERENCE MONUMENT
VE-VINYL FENCE
SURVEYOR'$ NOTES:
1.) Current title information on the subject property had not been
SURVEYOR'S CERTIFICATE
This certifies that sketch of the hereon describe
1708 Water Oak Drive
Tarpon Springs, Florida
P-
Date of Site Plan 4-3-23
furnished to Initial Point Land Surveying, LLC. at the time of this
property was ma��.nunriiy supervision and
Phone: (727)-831-I990
DWG:AS-PH I B-L1-16-BL23 SITE
SITE PLAN
2.) This sketch was prepared without the benefit of a title search.
No instruments of record reflecting ownership, easements or
rights -of -way, were furnished to the undersigned, unless otherwise
shown hereon,
3.) Roads, walks, and other similar items shown hereon were take
from
,Y
meets the a SHA SAlpf Practice for
suNeys +� 'th o- Pldpl *,ard of Land
IT - `! ed
_ Ff A pLst
P urs t to ectlon/ (8}!
Date: 2 23.. • 14
FforiddPLS7I23CgmaiLcom e<
LBW 8183 '6
File:
Drawn by: DJB
,Checked
by:JH
engineering plans and are subject to survey.
4.) This SITE PLAN does not reflect nor determine ownership.
Hu
{/ Q S,Z;Q-IpI,QQ',t
''"rr{°'>'"�,
@ "`'i,
iREVISIONS
6.) This SITE PLAN is subject to matters shown on the Pia[ of
y S TE OF
p!i �-
r T4C
'ABBOTT SQUARE PHASE L B"
Jeff M '„,•M:' ti
6.) Dimensions shown hereon are in feet and decimal portions
FLORIDA4}3.o9 jt'e AND
.nn
�..J
thereof
7.) Contractor and owner are to verify all setbacks, building
MAPPER NCIR
NOT VALID WETHOUI"hHt ORIGINAL
m
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 information shown hereon. Failure to do so will be
LICENSED SURVEYOR AND MAPPER
Initial Point Land Surveying, LLC.
at users sole risk.
Project Name:
\/-RA
R V I E- V' A 3 , I
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
36484 Camp Fire Terrace
Parcel Tax ID: 04-26-21-0160-02200-0130
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.
STEVE SMITH
the fee
owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services
indicated above.
Pill 'lii ll!"i'1110 �'l i
Private Provider Finn:
Private Provider:
Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
Telephone: 813-376-3088 Fax: N/A
Email Address (Optional): deb@virtualreviewassist.com
Florida License, Registration or Certificate #: (LIC # 8U1967/ 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 attaolunDtits. are provided as required:
I. Qualification statements and/or resumes of the pTi-v ate provider and all duly authorized representatives.
2.. Proof of insurance for professional and coroprehensive liability in,the,'amount of $1 million per
o ccurrence relating to all services performed as a private provider, including tail coverage foil a millimum
of 5 years subsequent to the performance of building code inspection services..'
IndividualI . Corporation Partnership
-(signature),
Print
Name:
Address:__
Telephone
Ple0einse appropriate notary block.
sTATF. of FLORIDA
COUNTY bF HILLSBOROUGH
Lr_1Nj1qPkM Mulvir-0. 1-1-U I -
Print Coipomtion.Name
By-,
Print
N,.D: Christopher Swith
Authorized Acient
Address'. 700 NW 1 Mth Ave
Miami, FL 33172
Telephonp.
No. 8137574-5700
Print PartnershipName
By,,,
(signature)
Print
zts
Address;
Telephone
No.:
Individnal Corporation Partnership
Btfbieme,, this day of Befbre me, this 22ND day of Bef6rBmo,-ffiis day
20_personally MAY 32o-22 of 20,
appeared personally appeared personally appeared
who executed the foregoing instrument, of
aa.d aDknDW1edgtd before mD that s.2me Lennar Homes LLC a p artatr/agent on behalf of
was =Guti--d for the purposes therein corporation, on
expressed. behalf of the -state oorpoTation, who a partnership, who executed the,
exotntodthe f6rDgoing instrument and foregoing instrument and
before me that same was* acknowledged before me that sane
aclaiow.lpdged be e
e cutpdforthe pm-poses-1herein %tc xe vast, utedfor ihepurposes therein
e)Tressed. expressed.. Personally known "or_ Produced id cation Type of ation produced
Signature OfNotaT
plintName ASHLEE GALLAHAN
NotaryPublic Stamp:
ASHLEE CA
LLAHAN
cominission Expires: = ;Q:MyCOMM!SSION HH 2
9
5980
EXPIRES. November 30, 2026
VR/\
VIRTUAL REVIEW ASSIST
Private Provider
Private Provider Firm: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU 1967
Address: 747 Southwest 211 Avenue
Gainesville, Fl, 32601
Phone: 813-391-2959
Email: Luc virtuq�lreyiew�qssist.com
y� -
Project: New SFT
Address(s): 36484 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,Ll, SN, SNI, S3,S4,S5, S6,ST,SS,D1,vNTl,VVP2,WP2.l,
PA1.0,PAL1, PAL2,PAL3,PAL4, SHI.0,SHI.1,SHI.2,SH1.3,SHI.4,SHI.5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans E mer
License #: PX2300
Signature of Reviewer: J
, 7-
--7 7
e'k1---11/
SWORN AND SUBSCRIBED before 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
;fetgoiynf�g is true and c c t� the �est of his/her knowledge or belief. L Ashlee Callahan
N
i ur fo Print Name
Notary Public: NOTARY STAMP BELOW My
commission expires:
A','HL".E CALLAHAN
HH 295980
my c("'tRAISMaiJN
-n�er 30, 2026
I —COMMERCIAL BUILDING SERVICES DIVISION RESIDENTIAL
BUILDING PERMIT DATA SHEET
TRACKING #
FOLIO # 36484 CamD Fire er
Reouired Permits
DATE: 5/02/2023
EXAMINER: Debra Klahr PX2304
. ,
F� Inspection Only
r,lumbing
F� Inspection On ly
i Mech ical
El In�pection ly
ectrica mp
El Inspection OnI
El Medical Gas
E] Fire Sprinklers
El On Site Piping
Irrigation J
E] Fire Alarm
i E] Potable Backflow Assembly
F-1 Fire Line Rackilow Preventer
E] Irrigation Backflow Assembly
El Demolition
El Walk-in Cooler
El Refrigeration
E] Ansul
El Fence/Wall
Grease Trap
E:1 Other
lRnTr#Tr,rj,FJTM
Type Construction: I
V- a
Risk Category:
Occupancy Load
Cl mpancy Classification:
Factory E==
-Residential
Assembly
Hazardous E=
Storage
us 0 s ay Care/Educational
wtit3ional FT'Morcantile
ny
Building Use: SINGLE FAMILY townhouse Alteration I Level I F Level 2 [.Level 3
,V�New Construction r-1 Interior Finish El Interior Remodel r-1 Exterior Remodel D Addition 0 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 T I ype: Shingle
UTile El Built-g
[I Metal El Other Squares: 14
Zoning:
Wird[ ftorne Debris: Inside
Outside
Energy Code:405-2022 SUPP
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents
YesNo
Sq. Ft. Enclosed Space Below BFE:
# of Vents:
Size of Vents:
Total Sq. In. Permanent Openings
® Central A/C
El Gas A/C
FX-1 Heat Pump
El Gas Heat
El Window A/C
E] Electric Heat
Santa g Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
Setbacks
Front Rear Left Right
As per Approved Site Plan
Comments:
Em
Permit No. � 3- _)6
ff __ Date Permitted ,�5— Z__
Builder Name/Owner Name �.,�.'.__ ri Control #
County Parcel No. `� - d Dl &0 - n2200 .t l SON: cps
Address/Location � a e
-
TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: /f
Exempt [—] Yes El No How Determined
Impact Fee Amount Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount $
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt =Yes = No How Determined_
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total /
Zone Total Amount
Exempt =Yes = No How Determined
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt Yes No How Determined Total Amount
RESOURCE FEE ERU
Total Amount
.,.�.Checked By
NMI
BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
ACKNOWLEDGEMENT BELOW DOES NOT IMPLY ACCEPTANCE OF CONCURRENCE, BUT SIMPLY REECEIPT OF A COPY OF THIS
FORM, PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME,
MUTOMI
RECEIPT NO DATE BY