HomeMy WebLinkAbout23-6605OEM
04 26 21 0160 02100 0020
Name: Lennar Homes, LLC
Address: 4301 W Boy Scout Blvd Suite 600
Tampa, FL 33607
Phone: (813) 574-5700
CONSTRUCT TOWNHOME 1634 SO FT
Park Impact Fee - Single Family/Townhome
SIF 1 percent Fee
3/4 Water Meter Residential Connection Fee
Admin Fee / (Provider Service
Mechanical Permit Fee
Water Connection Residential Fee
School Impact Fee - Single Family
Public Safety Impact Fee -Police
Public Safety Impact Fee -Admin
BNRII -006605(III-2023
Issue Date: 07117/2023
j,=MmgAii
wgx-N
rim t M
Permit Type: Building New (Residential)
Class of Work: Townhome
Building Valuation: $250,320.00
Electrical Valuation: $37,548.00
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
Date Paid: 7/17/2023 1:55:19PM
36426 Camp Fire Terrace
, t ') - _'Z — �) Qr
Cd 7-C
eke" ;
$769.56 Transportation Impact Fee
$3,445.20
$33.53 Transportation Impact Fee - City
$34.80
$794.92 Building Permit Fee
$1,291.60
$180.00 Electrical Permit Fee
$227.74
$127.61 Plumbing Permit Fee
$165.16
$1,140.00 Fire Wall/Smoke Wall Inspection
$15.00
$3,353.00 Driveway Fee
$45.00
$254.00 Sewer Connection Residential Fee
$2,400.00
$26.35 Address Fee
$30.00
REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c) the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection, whichever is greater, for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property thal
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.
11
113MRKWMM�=[�= mzm��
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.
1A
-CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT C1RD FROM WEATHER i
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Pei
mittingg 908 770 -- 7763
1 r r I Ite r r I r 1 i I
Owner's Name CAL HEARTHSTONE LOT 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 N/A
JOB ADDRESS 36426 Camp Fire Terrace LOT# 2102
SUBDIVISION Abbott Square PARCEL ID# 04-26-21-0160-02100-0020
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED II./ 11 NEW CONSTR 8 ADD/ALT 0 SIGN Q DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME O STEEL
DESCRIPTION OF WORK Multi -family /Screen Enclosure / Fence
BUILDING SIZE =U/R IF 2086 SQ FOOTAGE 1634 HEIGHT 28'
-0e•�-r-e-r-r-r-r-r'e-rr'7�mf-
BUILDING $ 250320 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ 37548 t ^ I PROGRESS ENERGY Q W.R.E.C.
���� •••• rrrr AMP SERVICE
PLUMBING $ �25032
B �/ (MECHANICAL $ 17522.4 VALUATION OF MECHANICAL INSTALLATION
i
=GAS 0 ROOFING SPECIALTY OTHER 1`
FINISHED FLOOR ELEVATIONS _ FLOOD ZONE AREA DYES DO
BUILDER COMPANY Lennar Homes, LLC
SIGNATURE REGISTERED Y / N FEE CURREN
Address 43 1 W Boy Scout Blvd Suite 600 Tampa, FL 33607 License # CGC1518166 —1
ELECTRICIAN COMPANY Edmonson Electric, Inc.
SIGNATURE REGISTERED Y / N FEE CURREN
Address License # EC13005408
PLUMBER COMPANY Bayonet Plumbinci, Heating & AC, Inc
SIGNATURE°} REGISTERED Y / N FEE CURREN
Address License # CFC042998
MECHANICAL COMPANY Bayonet Plumbinq, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # CAC058062
OTHER—_ �/ COMPANY C Sterling Quality Roofing, Inc
SIGNATURE ° REGISTERED Y 1 N FEE CURREN Y/ N
Address 1 License # 1 CCC057991
eeeeeeeeeeeeeeeeeeeeeeeeeeeeeee " " e " „ " eeeeeeeeeeeeeeeoeeee�eaee
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. (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 bemore restrictive UhanCounh/reQu|aUons. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hied 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 |aw, both the owner and contractor may be cited fora 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. Furthermura, if the owner has hired a contractor or oontnactors, he is advised to have the contractor(s) sign
portions of the "contractor B|nok^ of this application for which they will be responsible. If you, as the owner sign as the
oonhador, that may be an indication that he is not properly |ioonand and is not entitled to permitting privileges in Pasco
County.
TRANSPORTAT|ON|A8PAClJUT|L|T|ES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply tothe construction ofnew buildings, change of
use in existing bui|dinga, or expansion of existing bui|dinga, as specified in Pasco County Ordinance numb*r8A-07 and
90-07. as amended. The undersigned also understands, that such feos, 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 ofoccupancy" orfinal power release. |fthe project does not involve acertificate ofoccupancy nr
final power ve|eaao, the fees must be paid prior to permit issuance. Furthermore, if Pasco Cuunh/VVater/Sowor Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 7i3.Florida Statutes, mamnmanded): |fvaluation ofwork ia$2.50O.00nrmore, |
certify that |, the app|ioont, have been provided with o 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 a copy of the above described document and promise in good faith to
deliver itbzthe ^mwne/'prior tocommencement.
CONTRACTOR'S/OVVNER'SAFF|DAV|T: | certify that all the information in this application ioaccurate and that all work
will be done in compliance with all applicable laws regulating oonstruction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. | certify that no work or installation has
commenced prior to ioouenmy of permit and that all work will be performed to meet standards ofall inwo regulating
onnstnuction. County and City codea, zoning regulations, and land development regulations in the jurisdiction. | also
certify that | understand that the regulations ofother government agencies may apply to the intended work, and that it is
myresponsibility toidentify what actions | must take 0obeincompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection -Cypress Bayhoado, VVoUond Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida VVahor Management Ointriot4NeUa, Cypress Boyheado, Wetland Anuam, Altering
Watercourses.
- Army Corps cfEngineerm-SaawnUo.Docks, Navigable Waterways,
- Department of Health & Rehabilitative Services/Environmental Health Uni(4NeUo, Wastewater Tnauhnent.
Septic Tanks.
- USEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation Authohty+Runwmys.
| understand that the following restrictions apply bothe use uffill:
- Use nffill innot allowed inFlood Zone W"unless expressly permitted.
- If the fi|| material is to be used in Flood Zone ^A^, it is understood that a drainage plan addressing o
"compensating volume" will be submitted at time ufpermitting which in prepared by professional engineer
licensed by the State of Florida.
- If the fill mn\nr|al 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, | certify that use of such fi|| will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent proportian, 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 byfill, anengineered drainage plan iarequired.
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 tocommencing construction. | understand that napanmha permit may be required for electrical vvork,
p|umbing, oigns, wmUo, poo|o, air conditioning, gao, orother installations not specifically included in the application. A
permit issued shall beconstrued tobnalicense 0oproceed with the work and not ooauthority hoviolate, cancel, alter, ur
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 ioouunoo, 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 pequeohod, in writing, from the Building Official fora period not toexceed 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
1/29-23 by _Christopher Smith
Who is/are personally known to me or hasAave PFQdWG04
as identification.
_Notary Public
Commission q4W2�96057
Stephanie Farmer
Name of Notary typed, printed or stamped
Subscribed and sworn to (or affirmed) before me this
6/29/2023 bv Christopher Smith
Who is/are personally known to me mhas/have produced
Name of Notary typed, printed or stamped
DESCRIPTION: LOT 1-6, BLOCK 21, ABBOTT SQUARE PHASE 2, SITE PLAN SEC. 4, TWP. 26 S, RNG 21 E.
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 90,
PAGES 28-33, OF THE PUBLIC RECORDS OF PASCO COUNTY, (NOT A SURVEY) PASCO COUNTY, FLORIDA
FLORIDA. This SITE PLAN Prepared for and Certified To: (ABBOTT SQUARE PHASE 2)
PROPOSED ELEVATIONS AND GRADING Lennar Homes
SHOWN HEREON ARE TAKEN FORM THE
ENGINEERING PLANS OF ALL ELEVATIONS REFERENCED
"ABBOTT SQUARE RESIDENTIAL", PREPARED TO NORTH AMERICAN
BY"WRA" PROVIDED BY CLIENT VERTICAL DATUM OF 1988
(NAVD 88)
Scale: 1 20'
TRACT "A"
(CDD) RIGHT-OF-WAY
CAMP FIRE TERRACE
N 89-48'04" E (P)
BASIS OF BEARING
vi
'A E (P) 128.68' (P)
5 C011C L 1\1139*48�64
PCP 28.34'f 8.00' (P) A i
t.50...(P)-- T Ifl C10, (P) .00 IF) 28.34. P) "/0 PAVED
N 89'48 04"E (P) PARKING
391.43'(P)
-41 SPACE
W
1Fr l
F
A.
----------------
10.0, 1011b�o, iJ0-0, �I 10.0'. 10.0, W
I E0, 11.01 0; , 11.0, 11.0, .1
6.3' 6.3' 6.3* 6.3'
Z z Z
LAj Lu . E
CD 10.0, 10.0, 8
13
TO' ENTRY TRACT "-7"
ENTRY 6.3' 6.3' ENTRY ENTRY 6.3' 6.3' ENTRY ENTRY 7.0' Ul
C� LOT 6 LOT 5 LOT 4 LOT 3 LOT 2 LOT 1 01: (CDD)
LOT 7 en BLOCK 21 BLOCK 21 BLOCK 21 BLOCK 21 BLOCK 21 BLOCK 21 M OPEN SPACE
-0 BLOCK 21 108'-8" q v
W W W
PO W 10 10 PROPOSED PROPOSED PROPOSED W
Ov PROPOSED PROPOSED �.4 PROPOSED 2 STORY 2 STORY - 2 STORY 2 STORY �0 = 2 STORY 2 STORY
ATTACHED ATTACHED ATTACHED ATTACHED ATTACHED ATTACHED
RESIDENCE RESIDENCE RESIDENCE RESIDENCE RESIDENCE RESIDENCE
UNIT -A ^ UNIT-C m UNIT-C -j UNIT-C
1532 a 1624 .2 1624 0 1624 v UNIT-C UNIT -A
1624 Zg 1532 JOB #
15905522101
18.0' ITT ITT ITT 17.3' 18.0, 15905522102
��.LANL. LANAI. LANAI01 , LANAI �_.LANAI K:� E- - I,--- 10.0 15905522103
15905522104
A/C A/C A/C A/C A/C AIC 15905522105
834' P I 1gw0' (PI i 1&00, IPI IS. P I 18.00' IPI i 28.34'(P)
N 89-48-04- E (P) 128,68- IP)
NOTES: \101- TRACT "B-7" 0-,>/
LOT GRADING TYPE =A (CDD)
PROPOSED PAD ELEVATION = 104. 10' OPEN SPACE
FRONT SET BACK = 20'
SIDE SET BACK = 75 NOTE: ENTRY WALKS ARE 3.0'CONCRETE LOT = 12611 SQ. FT.
SIDE SET BACK (CORNER LOT) =I 0' 0.7'CONCRETE WALLS SEPARATE INDIVIDUAL UNITS LIVING AREA = 4010 SO. FT.
REAR SETBACK= 15' C/S-A/C UNITS ARE 3_2X3.2' ENTRY = 476 SO. FT.
GARAGE = 1356 SO, FT.
COVERED LANAI = 652 SO. FT,
PROPOSED: PATIO = NA SO. FT.
MINIMUM FLOOR ELEVATIONS: 10.00'PUBLIC UTILITY EASEMENT POOL AREA = NA SO. FT.
LIVING AREA: 104.77' LEGEND: CONC. DRIVE = 1200 SO. FT
GARAGE AREA: A/C & CONC PAD = 54 SO. FT.
ELEVATIONS REFERENCED TO PROPOSED DRAINAGE FLOW SIDEWALK = 272 SO. FT.
NORTH AMERICAN VERTICAL (00.00) = PROPOSED GRADE SIDE YARD SWALE = NA SO, FT.
DATUM OF 1988 E-00.00 = EXISTING GRADE CONSERVATION AREA = NA SO. FT.
LOT OCCUPIED = 64 %
APPARENT FLOOD HAZARD ZONE:'X" COMMUNITY NO. 120235 AREA TO IRRIGATE = 36 %
SURVEY ABBREVATIONS (MAP NUMBER 12101 C-0289-F) EFFECTIVE DATE: 09/26/2014
A) = ARC LENGTH (D) = DEED INV = INVERT PC - POINT OF CURVE (R) = RECORD LEGEND
A/C = AIR CONDITIONER D.E= DRAINAGE EASEMENT LEI =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 ESMT = EASEMENT LS = LICENSED SURVEYOR PG PAGE SEC SECTION WOOD FENCE
C - CURVE F/C = FENCE CORNER (M) = MEASURED PI = POINT OF INTERSECTION SN&D SET NAIL AND DISK
ASPHALT
C) = CALCULATED =
4CENTERLINE FCM = FOUND CONCRETE MES = MITERED END SECTION PK =PARKER KALON LB#8183 CHAIN LINK FENCE
CLF = CHAIN LINK FENCE MONUMENT NCF = NO CORNER FOUND t = PROPERTY LINE SIR = SET 112- IRON ROD LB# 8 183
CMP = CORRUGATED METAL PIP FIP -FOUND IRON PIPE O/A = OVERALL POB = POINT OF BEGINNING TBM = TEMPORARY BENCH MARK = BRICK X ---X----
COL = COLUMN FIR = FOUND IRON ROD OH = OVERHEAD WIRE(S) POC = POINT OF COMMENCTMENT TOB = TOP OF BANK
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 I U.E = UTILITY EASEMENT = COVERED
CST = CLEAR SIGHT TRIANGLE EPP = FOUND PINCHED PIPE PB = PLAT BOOK PRM = PERMANENT REFERENCE MONUMENI VF = VINYL FENCE
SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive
Date of Site Plan: 6-14-23 Current title information on the subject property had not been This certifies that sketch of the hereon described Tarpon Springs, Florida
furnished to Initial Point Land Surveying, LLC. at the time of this I T.P I N 7wrl I
property was ma 11N RGIN
SITE PLAN OiAiMffl supervision and Phone: (727)-831-1990 RG w E E
DWG:AS-PH I B-L 1-6-BL2 I -SITE meets the le of Practice for FloridaPLS7123@gmaii.com �115 TWP11
1I This sketch was prepared without the benefit of a title search. *e# RG I w, Ro; E
No instruments of record reflecting ownership, easements or curves li)r i o . ard of Land LB# 8183
File: rights -of -way were furnished to the undersigned, unless otherwise S 3, 1 1 Co Imed
Drawn by: DJB shown hereon. rs ntt ec ion 1 rtley
3.) Roads, walks, and other similar items shown hereon were take Statjes
Checked by:JH from engineering plans and are subject to survey. Date: 2 23. 6.19
"k
4.) This SITE PLAN does not reflect nor determine ownershif 100f
M
REVISIONS V 12:0 J,
A S,rATd A
5.) This SITE PLAN is subject to matters shown on the Plat of A
A1111
"ABBOTT SQUARE PHASE 2" t LUXIIIJA
Jeff M. 4e
6.) Dimensions shown hereon are in feet and decimal portions Af
FLORID'AND
Nf
thereof.
MAPPER I
7.) Contractor and owner are to verify all setbacks, building
dimensions, and layout shown hereon prior to any construction, NOT VALID WIT �tff 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.
�1
Permit No,
Date Permitted
Builder Name/Owner Name L�AControl
County Parcel No. & 0 _/10 002(D ub iv: b
Address/Location
Classification/Type of Use wy'_- lh�
TRANSPORTATION IMPACT FEE Rate: Sq, Ft Unit:
Exempt Yes No How Determined
Impact Fee Amount - < 3b Zone No, TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount $ 3
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt Yes = No How Determined -
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Zone
Exempt =Yes = No How Determined
Recreation i
Total Amount $—.,71 f
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt Yes No blow Determined Total Amount
RESOURCE FEE ERU
Total Amount
Prepared By Checked By
NO(ITIFICATE OF OCCUPANY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND RECEIPTEO FOR BY A CENTRAL PERM ING 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.
EM
J�+
RECEIPT NO DATE 6Y
V: R- UAL, RE 4 SSIISI
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 36426 Camp Fire Terrace
Parcel Tax ID: 04-26-21-0160-02100-0020
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 WITH
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 ASSIST, INC.
Private Provider- DEBRA ANNE KLAHR
Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
Telephone:
•
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 permit application, as authorized by s. 553.791, Florida
Statutes. I understand that the local building official may not review the plans submitted or perform the required
building inspections to determine compliance with the applicable codes, except to the extent specified in said law.
Instead, plans review and/or required building inspections will be performed by licensed or certified personnel
identified in the application. The law requires minimum insurance requirements for such personnel, but I
understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I
have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance
and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harmless the
local government, the local building official, and their building code enforcement personnel from any and all
claims arising from my use of these licensed or certified personnel to perform building code inspection services
with respect to the building that is the subject of the enclosed permit application.
I understand the Building Official retains authority to review plans, make required inspections, and enforce the
applicable codes within his or her charge pursuant to the standards established by s. 553.791, Florida Statutes. If I
make any changes to the listed private providers or the services to be provided by those private providers, I shall,
within I business day after any change, update this notice to reflect such changes. The building plans review and/or
inspection services provided by the private provider is limited to building code compliance and does not include
review for fire code, land use-, environmental or other codes.
The following atta.chmc-nts. are provi&d 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 irLthe, amount of $1 million per
o ccurrence relating to all services pifoirned as a private provider, including tail coverage for a Minim=
of 5 years subsequent to the performance of building code inspection services.
Individual
:(signature)
Print
Name:
Address.
Telephone
Tlemeus e appropriate notary block.
STATE OF FLbRIDA.
COUNTY OF HILLSBOROUGH
Beforeme, this - - —day of
20— personally
appeared
who executed the foregoing instrument,
and acknowledged before me that same
was executed for the purposes therein
Uorporation - I
LENNa.V-WG*'EE.,6r47PG
Print Coip oration Name
By:
Print
Name, Christopher Smith
Authorized Agent
Addrtm 70 NW 107th Ave
Miami, FL 33172
Telephone.
.9-13-574-5700
Corporation
B,fcre, me, this 22ND _day of
MAY
personally appeared,
of
Lennar Homes. LLC a
Corporation,, on
behalf of the state corporation, who
executed the f6regoing instrument and
acknowledged before me that same was
executed for the purposes therein
expressed.
Partnership
PrintPartnership Name
By:
(signature)
Print
Name -
its
AddrDss:-
Telephone
Partnership
13 afore me, this day
of 20—
pen6nally appeared
partner/agent an behalf of
a partnership, who executed the
foregoing instrument and
acknowledged before me that same
was executed for the parpolses therein
expressed,,
Personally known X or- Produced identif cation— Type ofidentification produced
Signature of Notary uL PrintName, cv ASHLE.E CALLAHAN.
ASH
'1� CA LAHAN
M 'JON Hji 2
MIS #
ovel er 30
10RESL N nb 250 2860
A
NotaxyPublir, Stamp: ASHLEE C C ALLAHAN
My
MY COMMISSION HH 295'A'O
Commission Ex ices: EXP
V� EXPIRES: Noveinber 30,2C26
Page 2 of 2
'F
F F
F
VIRTUAL HEVIfW ASSIST
Private Provider
P1gLLgZLTJ1L-QQ1Affp,.?avit
Private Provider Finn: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU 1967
Address: 747 Southwest 21 Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: higyad).�vyirtu�alrevi�ewassist.com
Project: New SFT
Address(s): 36426 CAMPFIRE TER
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 1,2.1,2.2,3,4,5,6,7.1,7.2,8,9,10,11.1,11.2,12, Ll,SS,ST,SNI, SN,S3M,S4,S5,S6,DI,WP, 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 E-7x)*er
License #: PX2300
Signature of Reviewer:
SWORN AND SUBSCRIBED ore 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
fo e 4"o* g is true and correct to the best of his/her knowledge or belief.
lin
Ashlee Callahan
Signature of Notffy' Print Name
Notary Public: NOTARY STAMP BELOW My
commission expires: "�O�
ww�
A -ILEE C AIJAHAO
AL
29�980
N c, ,ION # 1*1295980
y C(,,M�q,,�
It m r3o
2026
bler3o,2026
Novo EXPIRES: Novo
I ILIJ 0 Ljj�* 0 1 7 01041ASM
M 0 14 111012 W X Myl I V N III
FIRE MARSHAL #01 -
Required Permits
DATE: 7/03/2023
EXAMINER: Debra Klahr PX2304
Building
0 Lnspection Only
V Plumbing
F] Inspection Only
V Mechanical
El Ins e tion Only
V Electrical Amp
❑Ins -
0 Roof
El Gas
F
[:1 Medical Gas
El Fire Sprinklers
El On Site Piping
El Fire Line
El Irrigation
❑ Fire Alarm
El Potable Backflow Assembly
El Fire Line Backflow Preventer
E:1 Irrigation Backflow Assembly
El Demolition
El Walk-in Cooler
El Refrigeration
El Hood
El Ansul
0 Fence/Wall
0 Grease Trap
❑ Other
0 Other
NIffiffir, �11 I
Construction:
--=Type
ERisk
Category:
Occupancy Load
a Classification:
Class ney
OW"Fa ctory
,P
'e,ideruial
Assembly I3usmoss Day Care/Educational
,tj i"Mercantile
Hazardous !utional E=
Storage E= ❑ 'Utility
Building Use: single family townhouse Alteration I❑ Level I ®'Level 2 11:1 Level 3
46 New Construction ❑ Interior Finish El Interior Remodel Ej Exterior Remodel ❑ Addition ❑ Revision
Overall Size:
18 X 63
Number of Stories:
2
Total Sq. Ft.:
2086
Living Area: 1634
Covered Area: 452
# of Bedrooms: 3
# of Baths: 2.5
Cost per square foot:
FEstimated Value:
Roof Eypc 21 Shingle
ElTile 0 Built-up El Metal F1 Other Squares: 14
Zoning:
Wir0orne Debris:
nside Outside
Energy Code:
405-2022 SUP
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents? [M
No
Sq. Ft- Enclosed Space Below BFE:
# of Vents:
Size of Vents:
Total Sq. In. Permanent Openings
RX Central A/C
0 Gas A/C
0 Heat Pump El Window A/C
El Gas Heat F1 Electric Heat
11 MI-Tmarnmil
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
MR=
Front Rear Left Right
As per Approved Site Plan
Comments: