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Home My WebLink About23-6598City of III Zephyrhilis 5335 Eighth Street Zephyrhills, FL �3542 Phone: (813) 780-0020 Fax: (813) 780-00211 04 26 21 0160 01500 0140 BNR-006598-2023 Issue Date: 07/17/2023 36469 Well Hill Way Name: Lennar Homes, LLC Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC Class of Work: SFR Construct Address: 4301 W Boy Scout Blvd Suite 600 Building Valuation: $312,600.00 Tampa, FL 33607 Electrical Valuation: $46,890.00 Phone: (813) 574-5700 Mechanical Valuation: $21,882.00 Plumbing Valuation: $31,260.00 Total Valuation: $412,632.00 Total Fees: $20,701.19 Amount Paid: $20,701.19 Date Paid: 7/17/2023 1:55:19PM CONSTRUCT SINGLE FAMILY 2073 SQ FT Public Safety Impact Fee -Admin Plumbing Permit Fee Building Permit Fee Transportation Impact Fee - City Park Impact Fee - Single Family/Townhome School Impact Fee - Single Family 3/4 Water Meter Fee (Calc) Electrical Permit Fee Irrigation 3/4 Meter (Calc) $26.35 Public Safety Impact Fee -Police $254.00 $196.30 Admin Fee / (Provider Service ) $180.00 $1,603.00 Water Connection Residential Fee $1,140,00 $36.32 Transportation Impact Fee $3,595.68 $769.56 Sewer Connection Residential Fee $2,400.00 $8,328.00 Mechanical Permit Fee $149A1 $794.92 SIF 1 percent Fee $8128 $274.45 Address Fee $30.00 $794.92 Driveway Fee $45.00 entities such as water management, state agencies or federal agencies. ,:11!1111 111 IIIIjI!Ij 11 1 11111!11 �11�p 11111111 1!1111 111 111�1111 11�111 !1111 1111111 111111 1 f 23131�� 1q, =16110I accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. K CON R SIGNATURE PE IT OFFICER I V PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER, 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permittin 908 770 _- 7763 1�r�1rlrr - - Owner's Name CAL HEARTHSTONELOT OPTION POOL 03 L P Owner Phone Number 813.574.5700 Owner's Address 1 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number Fee Simple Titleholder Name I N/A I Owner Phone Number Fee Simple Titleholder Address I N/A JOB ADDRESS 36469 Well Hill Way LOT # 1514 SUBDIVISION Abbott Square PARCEL ID# 1 04-26-21-0160-01500-0140 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED q NEW CONSTR ADD/ALT SIGN DEMOLISH INSTALL REPAIR 8 PROPOSED USE 0 SFR Q COMM OTHER TYPE OF CONSTRUCTION q,i._A BLOCK Q FRAME STEEL DESCRIPTION OF WORK Single Family Residence / Pool / Screen Enclosure / Fence BUILDING SIZE IU/R IF 26, 5 SQ FOOTAGE 2®73 HEIGHT 28' ZiBUILDING $ 312600 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 46890 PROGRESS ENERGY W.R.E.C. AMP SERVICE PLUMBING MECHANICAL VALUATION OF MECHANICAL INSTALLATION V/- w $ 21882 t7 =GAS ROOFING 0 SPECIALTY OTHER FINISHED FLOOR ELEVATIONS-� FLOOD ZONE AREA DYES Do fJ BUILDER 6 COMPANY I Lermar Homes, LLC SIGNATURE REGISTERED Y ! N__J FEE CURREN Y / N Address 43 / W Bo -Scout Blvd Suite 600 Tampa, FL 33607 License # CGC1518166 ELECTRICIAN I COMPANY I Edmonson Electric, Inc. SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address L License # EC13005408 —� PLUMBER ! COMPANY I Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address License # CFC042998 MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN Y ! N Address V License # CAC058062 �__� OTHER COMPANY I C Sterling Quality Roofing, Inc SIGNATURE ( REGISTERED Y ! N FEE CURREN Y / N Address L License # 1CCCC057991 111111IIIIIIIIIIIIII 111111//111111111//1///111111111/////111/11//1 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 bemore 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 fore misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended vvork, they are advised hncontact the poaon County Building Inspection Division —Licensing Section ei727-847- 8O0y. Furtharmona, 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 nontnsctor, that may bean 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 tnthe construction of new bui|dinge, change of use in existing bui|dingo, or expansion of existing bui|dinga, as specified in Pnaou County C>ndinonma numbor8O-U7 and 00-07. as amended. The undersigned also undensbnnds, that such faoo, as may be due, will be identified atthe time of permitting. It is further understood that Transportation |mpou1 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 u*difioote of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVaher/Sower 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, msmmmendwd): |fvaluation ofwork im$2.500.00ormore, | certify that |, the applicant, have been provided with n 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", | certify that | have obtained o copy of the above described document and promise in good faith to deliver ithothe ^mwner"prior hncommencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application isaccurate and that all work will be done in compliance with all applicable laws regulating uonntruotion, zoning and land development. Application is hereby mode to obtain a permit to do work and installation as indicated. | certify that no work or installation has commenced prior to issuance of permit and that all work will be performed to meet standards of all |ewo regulating nonotruction. County and City oodno, zoning nagu}odone. and land development regulations in the jurisdiction. | also certify that | understand that the regulations ofother government agencies may apply to the intended wmrk, and that it is myresponsibility toidentify what actions | must take hobeincompliance. Such agencies include but are not limited to: - Department ofEnvironmental Protection -Cypress Bmyheada, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management Diethot-WeUa, Cypress Bayhoada, VVodend Anoae, Altering Watercourses. - Army Corps ofEnginaeno-GeawnUa.Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-VVeUa, Wastewater Treatment, Septic Tanks. - USEnvironmental Protection Agency -Asbestos abatement. - Federal Aviation Authuhb+Rumwayo. | understand that the following restrictions apply tnthe use offill: - Use offill ianot allowed inFlood Zone ^V'unless expressly permitted. - If the 0| material is to be used in Flood Zone ^A", it is understood that a drainage plan nddnaaeinQ a "compensating volume" will be submitted at time of permitting which is prepared by professional engineer licensed by the State nfFlorida. - If the 8|| 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 mebaha| is to be used in any area, | certify that use of such fi|| 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 |eoo than one (1) acre which are elevated byfill, anengineered drainage plan inrequired. |f|amthe AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior 0u commencing construction. | understand that a separate permit may be required for electrical work, p|umbing, oigno, weUo, pno|a, air conditioning, gao, orother installations not specifically included in the application. A permit issued oho|| baconstrued hn bee license to proceed with the work and not aoauthority hoviolate, oanoa|, o|tor, 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 iamumnoa, 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 naquestud, in writing, from the Building Offio|e| for period not to exceed ninety (AO) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. OWNER OR AGENT Subscribed and sworn o (or affirmed) before me this 112612un by _Christopher Smith as identification, _Notary Public Commission W��A��57 Stephanie Farmer Name of Notary typed, printed or stamped ELISSAMMOLLERM kv Subscribed and sworn to k» affirmed) before me this Name of Notary typed, printed or stamped Builder Name/owner Name O�a,- e County Parcel No, Permit No,— Date Permitted>� Control # SOON: q � 11d71 Classification/Type of Use TRANSPORTATION IMPACT FEE Rate: Sq, Ft Unit: Exempt 0 Yes 0 No How Determined Impact Fee Amount _$ �� Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single -Family Detached House Amount $ � (057) Mobile Home (055) Other Residential (123) Collection Fee Exempt CD Yes No How Determined_ Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone Total Amount $ z 5 Exempt OYes No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt ElYes No How Determined Total Amount RESOURCE FEE ERU Total Amount Prepared By#*=— Checked By NO CERTIFICATE OF OCCUPANY WILL RE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE 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, DATE RECEIVED BY RECEIPT NO DATE By in -LOT RETAINING WALL EIYE 94 RS FF:96.77 �j_..__.PHASE II_.. n _... tn. a :r cn oil - ( 94.43 28 27 26 25 [24 2a L22 L 20 1918 P 0g9SJ0 P D 9550 P D995 20 P D94.60 P 0995 50 P Dg97.40 PAD 97 30 PD997 30 161' - 24" R P M 44% n ry n ry ry m m -----------tO.—..__---_Rm.------_m__—_----�.------.vl "-----_,i_------� -----'9------ m. m m rn m �mp m m m m m SD4.12 261 - 24" RCP @ 0.30% so11-2 lA+no 119+00�F _,A„arc any 2 {�0 12 +00 ea 122 I I 123+uu ro m n e+ 43'- TYPE A' TYPE A PEA PE'A' TYPE 'A' -� LP�6 TYPEA' TYPE'A' TYPE'A' TYPE W.07ff:94.87 FF:95.17 FF:95.67 : fF:47.57 FF:98.Z7 FF.98.87 fF:99.175.40PAD;94. 2 0 PAD:94.50 PAD:95.00 " PAD:96.90PAD:97.600 PAD:96.5109RETAINING WALL #7 S5S LF I 6 . 43i BLOCK 5� m m m 14 PTIPI 16 17 18--I '20 }SILT FENCETYP 'A' TYPE'A' TYPE'A' TYPE A' PE A' TY F A' �VRW4' TYPEA' TYPE'A'jYPE A' iYPEAF:101.47 ' FF:101,41 FF:101.77 FF102.27 �F:10.1 F.104. 17 87 F:105.5'B 106.1'B F i07:0".B KF:107.8'B FaDF M CH LINE _...4EE E ET C210 in - LOT RETAINING WALL 95.10— 'y E W 9485 =1 29, - is" R( 94.43 28 27 26 25 24 21 22 20 19 i8 yp, L M F 'A ETY�,E'A' T I TYPEW FF:9737 FF:98.07 AD:96.70 PAD: [EPA \-161'-24"R P@0,44% - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2 - - - - - - - SD6-5- MMMollibift—M26V-24' RCP @ 26' - 1811-RCP Ca 0,38%- T - - - - - - -- - - - - - - - - - - - - --- ------- 4 43'- 3- E'A. PEW '.A llA' TYPEW I A, '9�i7 PEA P" E PA' !�82 ' 7 :g F 9 S ol F:94V p 7 FF:97,57 A A 42 AD.1 PAD:96.90 EPAQ PAD:95.00 PA7D:9.:20 TYPE m m m M�'82 10 G WALL #7 555 LF 1 6 4 3 2 1 BLOCK 51 q� 8 17 8 1 20 21 22 23 iE SILT FENC 'E 11 A A Ty TYPEW io, F -8 F:107.01 FF.107,81 ff:108.2-, T' "A' 1"A' WFP17 '2 V, IFF:iuk'i ., 1 104.87 I FF�'. 21 0 F P1.2. 7 FF: ;2 PYll.A E , 'A F:lol 47 1 ".,. 41 " 1. 17 MMCH LINE Ul EET C210 DESCRIPTION: LOT 14, BLOCK 15, ABBOTT SQUARE PHASE 2, ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 90, PAGES 28-33, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. LOT = 4400 SO. FT. LIVING AREA = 952 SQ. FT, ENTRY =—J2 SO. FT. GARAGE = 396 SQ. FT. COVERED LANAI = 104 SO. FT, PATIO = N/A SQ. FT. POOL AREA =—NVA SQ. FT. CONC. DRIVE = 360 SQ. FT. A/C & CONC PAD = 10 SQ. FT. SIDEWALK = 61 SO. FT, SIDE YARD SWALE =—NVA SO. FT. CONSERVATION AREA = NA SO. FT. LOT OCCUPIED = 44 % AREA TO IRRIGATE =-56 % NOTES: LOT GRADING TYPE = A PROPOSED PAD ELEVATION = 10 1.60' FRONT SET BACK = 20' SIDE SET BACK = 7.5 SIDE SET BACK (CORNER LOT) = 10' REAR SETBACK = 15' PROPOSED: LIVING AREA: 102.27' GARAGE AREA: ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 SITE PLAN (NOT A SURVEY) This SITE PLAN Prepared for and Certified To: Lennar Homes LOT 8 BLOCK 15 N 89-48-04- E (P) 0\� 6S0�1 to 7.5'- A 13 O t^ wi LOT 13 9 BLOCK 15 8 7.5 LOT 7 BLOCK 15 00' (P) 3.2'X3.1 M NM 75 PROPOSED 2 STORY RESIDENCE �4 PLAN 2074 o ELEV "A" 01 GARAGE R t1i q 6 LOT14 BLOCK 15 5.7' ENTRY mills -- W L ALl< 193 25� 16.9 0q 5'CbMC WALK WEIW48.64". Et iay-,111- 0111020 vxffall-n3w] WELL HILL WAY TRACT "A" (CDD) RIGHT-OF-WAY TW = TOP OF WALL BW = BASE OF WALL * = I 0.00'PUBLIC UTILITY EASEMENT r4 `a LOT 15 BLOCK 15 SEC. 4, TWP. 26 S, RNG 21 E. PASCO COUNTY, FLORIDA �4 89-48-04E (P) 357.40'- (P) PRM ALL ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 (NAVD 88) 1 PROPOSED ELEVATIONS AND GRADING SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF "ABBOTT SQUARE RESIDENTIAL", PREPARED BY 'WRA" PROVIDED BY CLIENT APPARENT FLOOD HAZARD ZONE: "X" COMMUNITY NO. 120235 SURVEY ABBIREVATIONS (MAP NUMBER 12101 C-0289-F) EFFECTIVE DATE: 09/26/201 4 A, = ARC LENGTH (D) - DEED INV - INVERT PC - POINT OF CURVE (R) = RECORD LEGEND A/C = AIR CONDITIONER D.E= DRAINAGE EASEMENT LB =LICENSED BUISNESS PCC = POINT OF COMPOUND CURVE RNG = RANGE VINYL FENCE AT = ALUMINUM FENCE EL OR ELEV = ELEVATION L.E LANDSCAPE EASEMENT PCP = PERMANENT CONTROL POINT RRS = RAIL ROAD SPIKE = CONC BEE = BASE FLOOD ELEVATION EOP = EDGE OF PAVEMENT LEE = LOWEST FLOOR ELEVATION P/E = POOL EQUIPMENT R/W = RIGHT OF WAY BM = BENCH MARK ESM7 = EASEMENT LS = LICENSED SURVEYOR PG = PAGE SEC = SECTION WOOD FENCE C =CURVE F/C = FENCE CORNER (M) = MEASURED PI = POINT OF INTERSECTION = ASPHALT SN&D = SET NAIL AND DISK (C) =CALCULATED FCM = FOUND CONCRETE MES = MITERED END SECTION PK =PARKER KALON LB#8183 q = CENTERLINE MONUMENT NCT = NO CORNER FOUND R = PROPERTY LINE CHAIN LINK FENCE SIR = SET 112- IRON ROD LB# 8183 CLF - CHAIN LINK FENCE FIP -FOUND IRON PIPE O/A = OVERALL POB = POINT OF BEGINNING TBM = TEMPORARY BENCH MARK BRICK CMP -CORRUGATED METAL PIN FIR = FOUND IRON ROD OHW = OVERHEAD WIRES ) POC = POINT OF COMMENCTMEW TOB = TOP OF BANK COL - COLUMN CONC = CONCRETE FN&D = FOUND NAIL & DISK O.R. = OFFICIAL RECORDS POL = POINT ON LINE TWP = TOWNSHIP ALUMINUM FENCE C/S = CONCRETE SLAB FOP = FOUND OPEN PIPE (P) = PLAT PRC = POINT OF REVERSE CURVE UL = UTILITY EASEMENT COVERED CST = CLEAR SIGHT TRIANGLE EPP_= FOUND PINCHED PIPE PB = PLAT BOOK PRM = PERMANENT REFERENCE MONUMENT VF = VINYL FENCE n�] JOB #15907521514 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive SEE 1.) Current title information on the subject property had not been - N Date of Site Plan: 6 9 23 This certifies th 1641W hereon described Tarpon Springs, Florida furnished to Initial Point Land Surveying, LLC. at the time of this a P I N �PA N property a ju ervision and Phone: (727)-831-1990 RGAW RGIF DWG:AS-F`1-12-1-14-131-15-SITE SITE PLAN meets t actice for FloridaPLS71239gmail.com 2.) This sketch was prepared without the benefit of a title search. S e rd. of Lan LB# 8183 MRGPI'WS, IVES No instruments of record reflecting ownership, easements or S gned GGE S File: rights -of -way were furnished to the undersigned, unless otherwise 1. lo d m, 1i tr . shown hereon. artlev Section 47 ant t Sect 1 or to Drawn by: DJB purso at ate: .06. 3.) Roads, walks, and other similar items shown hereon were taker 1' Checked by:JH from engineering plans and are subject to survey. 5 rg-:04'00' 4.) This SITE PLAN does not reflect nor determine ownership. t Le 05:0061V,0140-11 i , REVISIONS p� 5.) This SITE PLAN is subject to matters shown on the Plat of L YA "ABBOTT SQUARE PHASE 2" ., 6.) Dimensions shown hereon are in feet and decimal portions PC; Jeff M. Are% 0e thereof. FLORIDP !UWANO OR AND 10 7.) Contractor and owner are to verify all setbacks, building MAPPER 3 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 0"' 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. LEGEND: PROPOSED DRAINAGE FLOW (00.00) = PROPOSED GRADE E-00.00 = EXISTING GRADE Plan Model Elevation A Garage Lot Size Block Lot /5 Setbacks: Front Rear ;2,,5Silos Elevation: --L- Garage: Roof Shingle Dimension/Architectural: _ZiL)eL4LSI_��'`L" Notice to Building Official ®f Use of Private Provider Effective January 20, 2003 Project Naive: 36469 Well Hill Wa Parcel Tax ID: 04-26-21-0160-01500-0140 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. owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services indicated above. Private Provider Film: VIRTUAL REVIEW ASSIST, INC. Private Provider: Address: Telephone: 813-376-30H Fax: N/A 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 penult 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- enviroamental or other codes. The following atta.olunDnts, are provided- as required: 1. Qualification statements and/or resumes of the private provider and all duly authorized representatives,' 2.. Proof of insurance for professionaland comprehensive liability in,the. amount of $1 million per occurrence relating to all service's pe'rf6fine-d as a private provider, including tail coverage for a minimum .of 5 years subsequent to the performancepf building code inspection services. Individual :(Signature-) Print NamD;— Telephone '77WVTMM MY71MIT-17" STATE OF FLORIDA COUNTY OF HILLSBOROUGH Befoie. me-, this 7- day of 20—personally appeared Who executed the foregoing instrument, and, acknowledged before me that same was executed for the purposes therein expressed. C!orporation I LENNAR HOMES. LL(j— Print CorporationName By: Print Name: Christopher Swith its: Authorized Agent _ Addrem. 700 NW I OM-A—ve Miami, FL 33172 Telephone. No.. 11 813-574-5700 Corporation Befomm,,this 22ND _day of MAY ao personally appeared of Lennar Homes, LLG . a corporation, oil behalf of the state corporation, who executed the f6regoing instrument and acicnowled,ged before me that same was executed for the purposes therein expressed, Partnership PrintPartnership Name By: (signature) Print Name: Address: Telephone No.: W�. B ofore me, this day of 20_ persr6nally appeared p artner/agent on behalf of a partnership, who executed the foregoing instrument And acknowledged before me that same was executed for the purposes therein expressed'. Personally knoNn_"or_ Ploducedidentitcation Type of identification produced Signature. Of Notary Print Name _ASHLEE CLL—LAHAN NotaryPublic Stamp: ASHt EE CALUM-1AN Commission Expires; EXPIRES, November 30,2026 Page 2 of 2 VIRTUAL REVIEW ASSIST Private Provider Plan ComQliance Affidavit Private Provider Firm: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU 1967 Address: 747 Southwest 2nd Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: lucy @viyi�_ rtualreviewassist.coni WESMOMME Address(s): 36469 WELL HILL WY 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 CS,1.1,1.2,2.1,2.2,3,4,5,6.1,6.2,7,SS,ST,SNI, SN,S3,S4,S5,S6,DI,D2,VvTl, PAI.0,PAI.1, PAI.2,PAI.3,PAI.4, PAI.5,SHI.0,SHI.1,SHI.2,SHI.3,SHI.4,SHI.5 Florida License/Registration/Certification #(s) and description: FS468 Certified Standard Plans Ex er License #: PX2300 Signature of Reviewer: SWORN AND SUBSCRIBED oflre"me`by Debra Anne Klahr being personally known to me or having produced as identification i and who being fully sworn and cautioned, state that the for, go' is true and c7ec�,to the best of his/her knowledge or belief. ,1 I Ashlee Callahan 11 Print Name commission expire ASHLEE CALLAHAN MY COMMISSION # HH 295980 EXPIRES: November 30, 2026 [❑ —COMMERCIAL BUILDING SERVICES DIVISION RESIDENTIAL BUILDING PERMIT DATA SHEET FIRE MARSHAL #01 - INOWER1411 f b"Trolmmal Required Permits Building aln ection Only ec Inspection Only WI AIUA� M WIN E] On Site Piping MIMI E] Fire Alarm El Potable Backflow Assemb�y Fire Line Rackflow Preventer El Demolition 0 Walk-in Cooler■ Refrigeration F-1 Fence/Wall El Grease Trap ism �Te Construction: Fs Risk Category: Occupancy Load an Classification: cy C $s OV,Fa tory ,Residential , 'Assembly E Hazardous 'E=� Storage Business D; ay Care/Educational nstitutional O'Ai4ercantile ptility Building Use: single family residence l Alteration Level I [Q"Level 2 FQLevel 3 1WINew Construction D Interior Finish El Interior Remodel E] Exterior Remodel El Addition El Revision Overall Size: 25 X 62 Number of Stories: 2 Total Sq. FL: 2605 Living Area: 2073 Covered Area: 532 # of Bedrooms: 4 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof jype: Shingle []Tile 0 Metal Other Squares: 17 Zoning: W, orne Debris: ir"Inside 11 Outside Energy Code: 405-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? Yes ViNo Sq. Ft. Enclosed Space Below BFE: # of Vents: Tsize of Vents: Total Sq. In. Permanent Openings 10 Central A/C D Gas A/C Z Heat Pump F1 Gas Heat El Window A/C E] Electric Heat re ril L%W M- a ril =I Sanitary Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line Mylfflrm Front Rear Left Right As per Approved Site Plan Comments: