HomeMy WebLinkAbout23-6606Address: 430W Boy Scout Blvd Suite 600
Tampa, FL 33607
CONSTRUCT TOvvwHOME1034SQFT
Transportation Impact Fee
3/4Water Meter Residential Connection Fee
Electrical Permit Fee
Plumbing Permit Fee
s|F1percent Fee
Water Connection Residential Fee
Park Impact Fee ' Single rpmi|y/Townhome
Public Safety Impact Fee -Police
Fire Wall/Smoke Wall Inspection
City of Zee 311
Issue Date: 07/17/2023
Building Valuation: $250.32O.00
Electrical Valuation: $37.548.00
Mechanical Valuation: $17,522.40
Plumbing Valuation: u25V32.00
Total Valuation: $330,42240
Total Fees: s14.333.4/
Amount paid: $14.333.47
36424 Camp Fire Terrace
Contractor: LENNARHOMES
F� ~/
����
$3,445.2O Mechanical Permit Fee
$127.61
*794.92 Sewer Connection Residential Fee
$2.400.00
$227.74 Address Fee
$30.00
$165.16 Building Permit Fee
$1.281�60
%33.53 Public Safety Impact Fe*4dmin
$26.35
$1.140.00 School Impact Fee ' Single Family
$3.353.00
$769,58 xdminFee / (Provider Service )
$180.00
$254.00 Tnonsportation|mpmmFeo-City
*34�80
$15o0 Driveway Fee
$^s.00
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.
acc rdance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
*W=_1 ---- mw_ N-1- � N-111 - - - - - - - - - - - - - -
PE VT OFFICEV
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permittingg 908 770 -_ 7763
IIFI I I I_ IIT I i
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813.574.5700
Owner's Address 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
I
JOB ADDRESS
36424 Camp Fire Terrace
LOT # 2103
SUBDIVISION Abbott Square PARCEL ID#
04-26-21-0160-02100-0030
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
II./ II
NEW CONSTR ADD/ALT
SIGN DEMOLISH
INSTALL REPAIR
8
PROPOSED USE SFR COMM 0
OTHER
TYPE OF CONSTRUCTION M BLOCK FRAME
STEEL
DESCRIPTION OF WORK
Multi -family / Screen Enclosure / Fence
BUILDING SIZE U/R SF 208ij SQ FOOTAGE 1634
HEIGHT 28�
—
BUILDING $ 250320 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ 37548 AMP SERVICE ® PROGRESS ENERGY W.R.E.C.
� • r
PLUMBING $ 25032�
(MECHANICAL $ 17522.4 VALUATION OF MECHANICAL INSTALLATION f'
=GAS ROOFING Q SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS �_� FLOOD ZONE AREA DYES Do
i221111112111111
BUILDER COMPANY Lennar Homes, LLC
SIGNATURE A REGISTERED Y / N FEE CURREN Y / N
it
Address 4 _l W Boy Scout Blvd Suite 600 Tampa, FL 33607 License # C15 CG18166
ELECTRICIAN COMPANY Edmonson Electric, Inc.
SIGNATURE REGISTERED Y / N I FEE CURREN
Address IV I License # EC13005408�]
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # I CFC042998
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN
Address License # CAC058062 —�
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y / N I FEE CURREN I Y / N
Address License # 1 CCC057991
I I I I I I (I I I I I I I I III I I III I I I I I I I I I I I I I I I I I I I I I III III I I t I 1 1 1 I I 1 1 I I l I l I
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 besubject to "deed" restrictions"
which may bomore 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 o contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and |onmi regulations. If the
contractor is not licensed as required by |aw, both the owner and contractor may be cited fora misdemeanor violation
under state |ovv. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised tocontact the Pasco County Building Inspection Division —Licensing Section at 727-847-
8009. Furthermone, if the owner has hired o contractor or npntxaotom, 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, an the owner sign as the
oon(noctor, that may be on indication that he is not properly licensed and is not entitled ho permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new bui|dingo, change of
use in existing bui|dinQa, or expansion of existing bui|dingo, as specified in Pasco County Ordinance number8Q-O7 and
00-07. as amended. The undersigned also undensbanda, that such feee, as may be due, will be identified aithe time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate ofoccupancy" or final power release. If the project does not involve a certificate ofoccupancy nr
final power nu|eane, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVahar/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, ammnnendwd): |fvaluation ofwork io$2.500.O0ormore, |
certify that \, the app|ioant, 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 iitothe ^owner^prior (ocommencement.
CONTRACTOR'S/OVVNER'SAFF|0AV|T: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable |avvo regulating oonatnuction, zoning and land development. Application in
hereby made to obtain a permit to do work and inabs||o(ion as indicated. | certify that no wmnh or installation has
commenced prior to issuance of permit and that all work will be pedbnnod to meat standards of all |mwo regulating
construction, County and City codan, zoning regulations, and land development regulations in the jurisdiction. | also
certify that | understand that the regulations of other government agencies may apply to the intended work, and that it is
myresponsibility hoidentify what actions |must take 0ob*incompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection -Cypress Bayheoda, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District -Wells, Cypress Bayhaado, Wetland Areaa, Altering
Watercourses.
- Army Corps ofEngineene-Soawa||o.Docks, Navigable Waterways.
- Department of Health & Rehabilitative Sarviueo/Envinunmental Health Unit-VVe||o, VVaobavvater Treatment,
Septic Tanks.
' USEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation Authnrih/-Runwoya.
| understand that the following restrictions apply tnthe use offill:
- Use nffill iunot allowed inFlood Zone ''\runless expressly permitted.
- If the fill material is to be used in Hood Zone ^A^, it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time ufpermitting which is prepared bye professional engineer
licensed bythe State nfFlorida.
- If the @| material is to be used in Flood Zone ''A^ in connection with a permitted building using oham we||
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 D|| will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent pnopartien, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |eaa than one (1)
acre which are elevated byfill, anengineered drainage plan isrequired.
|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 to commencing construction. | understand that separate permit may be required for electrical work,
p|umbing, oigno, weUo, pools, air conditioning, Oao, orother installations not specifically included in the application. A
permit issued shall beconstrued ioboolicense huproceed with the work and not enauthority hnviolate, 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 iuouoncu, 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 naquoeVud, in writing, from the Building Official for period not hnexceed ninety (AO)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
OWNER OR AGENT
Subscribed and sworn ro (or affirmed) before me this
612912023 by _Christopher Smith
Who is/are personally known to me or har4have PF9dWG@4
as identification.
_Notary Public
Commission q4G�19�6057
Stephanie Farmer
Name of Notary typed, printed or stamped
EUSSAKHOUERAN
Subscribed and sworn to kv affirmed) before me this
Name of Notary typed, printed or stamped
DESCRIPTION: LOT 1-6, BLOCK 21, ABBOTT SQUARE PHASE 2, SITE PLAN
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 90,
PAGES 28-33 OF THE PUBLIC RECORDS OF PASCO COUNTY, (NOT A SURVEY)
FLORIDA. This SITE PLAN Prepared for and Certified To:
PROPOSED ELEVATIONS AND GRADING Lennar Homes
SHOWN HEREON ARE TAKEN FORM THE
ENGINEERING PLANS OF ALL ELEVATIONS REFERENCED
"ABBOTT SQUARE RESIDENTIAL", PREPARED 10 NORTH AMERICAN
BY"WRA" PROVIDED BY CLIENT VERTICAL DATUM OF 1988
(NAVD 88)
TRACT "A"
(CDD) RIGHT-OF-WAY
CAMP FIRE TERRACE
I
N 89'48*04. E (P)
BASIS OF BEARING
NJ
ro
-27L.T
5 C 0 C WAIL 1 N•89-4604- E (P) 128"4(Pf
PCP \I"\ 28.34'(1) ado, (P I 1.501P)—,
N 89'48 04" E 6V
(P)
391.43'(P)
---0 -4
C?
W
FLLO4, IO-P .10.0,
I 1 11.0, 1 11.0, tT 6.3'11.0,
Z
LV
LAJ
10.0,
7.0' ENTRY
ENTRY 6.3'
6.3' ENTRY
Lr
LOT 6
LOT 5
LOT 4
LOT 7 M
BLOCK 21
BLOCK 21
BLOCK21
BLOCK 21
108'-8"
Un
V
Ul
'i W
W
PROPOSED Q
6? PROPOSED
PROPOSED
2 STORY
1? 2 STORY
2 STORY
ATTACHED
-.: ATTACHED
AT TACHED
RESIDENCE
C11 VI RESIDENCE
c RESIDENCE
UNIT -A
M UNIT-C
M UNIT-C
--�R
1532
-0 1624
1624
10.01
NOTES:
LOT GRADING TYPE =A
PROPOSED PAD ELEVATION= 104. 10'
FRONT SET BACK = 20'
SIDE SET BACK = 75
SIDE SET BACK (CORNER LOT) = 10'
REAR SETBACK= 15'
PROPOSED:
MINIMUM FLOOR ELEVATIONS:
LIVING AREA: 104.77'
GARAGE AREA:
ELEVATIONS REFERENCED TO
NORTH AMERICAN VERTICAL
DATUM OF 1988
SEC. 4, TWP. 26 S, RNG 21 E.
PASCO COUNTY, FLORIDA
(ABBOTT SQUARE PHASE 2)
2834'F)
"0 PAVED
PARKING
4—
NJ N) SPACE
0—
----------------
0.6. I 10.01
11.0 1
63-/
NEIMAN
ENTRY 6.3' 16.3' ENTRY
V1 LOT 3
LOT 2 V1
O BLOCK 21
BLOCK 21
W
PROPOSED
�'
-
;g
PROPOSED
2STORY
q
2 STORY
'(->m ATTACHED
=
ATTACHED
rn RESIDENCE
wRESIDENCE
:;6 UNIT-C
M
10 1624
-za
UNIT-C
1624
18,0' 111 ITT N 17.3' N 17.3
A/CEI� A/c I A/C DIE A/C I
I I I I
18.00' (PI 18.00' (P) 1, luan
N 89-48-04- E (P) 12&68- (PI
TRACT "B-7"
(CDD)
OPEN SPACE
ITT
NOTE: ENTRY WALKS ARE 3.0'CONCRETE
0.7'CONCRETE WALLS SEPARATE INDIVIDUAL UNITS
C/S-A/C UNITS ARE 3.2'X3.2'
* = 10.00' PUBLIC UTILITY EASEMENT
LEGEND:
PROPOSED DRAINAGE FLOW
(00.00) = PROPOSED GRADE
E-00.00 = EXISTING GRADE
Z
00
10.0.
ENTRY 7.0'
Ul LOT I
cl:
1i
BLOCK 21
ITI
01
10
PROPOSED W
8
2 STORY
ATTACHED
RESIDENCE
rn
UNIT -A
PO 1532
10.0
A/C QI A/C
IN 28,34'fP)
TRACT "113-7"
(CDD)
OPEN SPACE
JOB #
LOT =
12611
SO. FT.
LIVING AREA
= 4010
SQ. FT.
ENTRY =
476
SQ. FT.
GARAGE =
1356
SO. FT.
COVERED LANAI =
652
SO. FT,
PATIO =
NA
SO. FT.
POOL AREA =
NA
SO. FT.
CONC. DRIVE =
1200
SQ. FT.
A/C & CONC PAD =
54
SQ. FT.
SIDEWALK =
272
SO. FT.
SIDE YARD SWALE =
NA
SO. FT.
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
AF = ALUMINUM
D.E= DRAINAGE EASEMENT
LB =LICENSED BUISNESS
PCC = POINT OF COMPOUND CURVE
RNG = RANGE
VINYL FENCE
FENCE
EL OR ELEV = ELEVATION
LE = LANDSCAPE EASEMENT
PCP = PERMANENT CONTROL POINT
RRS = RAIL ROAD SPIKE•
= CONC
BFE BASE FLOOD ELEVATION
EOP = EDGE OF PAVEMENT
LEE = LOWEST FLOOR ELEVATION
P/E POOL EQUIPMENT
R/W = RIGHT OF WAY
BM = BENCH MARK
C = CURVE
ESMT = EASEMENT
LS = LICENSED SURVEYOR
PG PAGE
SEC SECTION
WOOD FENCE
= ASPHALT
C) = CALCULATED
F/C = FENCE CORNER
(M) = MEASURED
PI = POINT OF INTERSECTION
SN&D = SET NAIL AND DISK
k = CENTERLINE
FCM = FOUND CONCRETE
MES = MITERED END SECTION
PK =PARKER KALON
LB#8183
CHAIN LINK FENCE
CLF = CHAIN LINK FENCE
MONUMENT
NCF = NO CORNER FOUND
PROPERTY LINE
SIR = SET 112- IRON ROD LB# 8183
CMP - CORRUGATED METAL PIP
HP - FOUND IRON PIPE
C/A = OVERALL
POB = POINT OF BEGINNING
TBM =TEMPORARY BENCH MARK
BRICK
COL - COLUMN
FIR = FOUND IRON ROE)
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 SLA13
FOP FOUND OPEN PIPE
(P) PLAT
PRC = POINT OF REVERSE CURVE
l
UUTILITY EASEMENT
COVERED
CST CLEAR SIGHT TRIANGLE
FPP FOUND PINCHED PIPE
PB = PLAT BOOK
PRM = PERMANENT REFERENCE MONUMENT
VF VINYL FENCE
SURVEYOR'S NOTES:
SURVEYOR'S CERTIFICATE
1708 Water Oak Drive SEE
Date of Site Plan: 6-14-23
1.) Current title information on the subject property had not been
This certifies that sketch of the hereon described
S
Tarpon Springs, Florida N aE
furnished to Initial Point Land Surveying, LLC. at the time of this
SITE PLAN
property was m supervision and
meets the le of Practice for
I -IN
Phone: (727)-831-1990 RG I W
FloridaPLS7123@gmail.com
�PIN
RG I E
DWG:AS-PH I B-L I -6-BI-2 I -SITE
4.1 This iis sketch was prepared without the benefit of a title search.
curve s i card of Land
Wp I S
LB# 8183 RGIW
M, IS
RGIE
File:
No instruments of record reflecting ownership, easements or
rights -of -way were furnished to the undersigned, unless otherwise
S lhed
3, 1 If Co ,
oe
Drawn by: DJB
shown hereon.
purs nt t ec ion' I rtley
3.) Roads, walks, and other similar items shown hereon were taker
Stat ,2,s
Checked by.JH
from engineering plans and are subject to survey.
M- Date: 2 23. 6.19
REVISIONS
4.) This SITE PLAN does not reflect nor determine ownership.
4)
V tool
—SATE, 2:0
F
5.) This SITE PLAN is subject to matters shown on the Plat of
"ABBOTT SQUARE PHASE 2"
6.) Dimensions shown hereon are in feet and decimal portions
Jeff W
FLORID'AND
thereof.
MAPPER 1
7.) Contractor and owner are to verify all setbacks, building
0
dimensions, and layout shown hereon prior to any construction,
NOT VALID WILT WMWItMORIGINAL
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.
I at user's sole risk.
Permit No.
Date Permitted 74 7- Z
Builder Name/Owner Name Control
County Parcel No. tNl� ',? 6j�P0 Z'1QQ SubDiv: b
Address/Location Yl t
TRANSPORTATION IMPACT FEE Rate, Sq, Ft Unit:
Exempt 0 Yes 0 No Flow Determined
Impact Fee Amount yttoZone No. TAZ:
SCHOOL IMPACT FEE
Account (056)
Single -Family Detached house
(057)
Mobile Home
(058)
Other Residential
(123)
Collection Fee
Exempt = Yes
= No How Determined
Amount $ 13&r
5-3
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone Total Amount S
Exempt Yes = No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt Yes No How Determined Total Amount ,w_-
RESOURCE FEE ERII
Total Amount
Prepared By
Checked Ry
CERTIFI TE OF OCCUPANY WILL BE 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 ROES 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 __-
P T U A L R E v S S
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 36424 Camp Fire Terrace
Parcel Tax ID: 04-26-21-0160-02100-0030 0
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.
5TEVE SMITH
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:
VIRTUAL REVIEW ASSIST, INC.
Address: 747 5W 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 # 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 attachments are provided as required:
1. Qualification statements and/or resumes of the private provider and all duly authorized representatives.
I. Proof of insurance for professional and comprehensive liability in,the.amount .of $1 million per
o courrence relating to all services performed as a private provider, including tail coverage for a minimum
of 5 yeaxs subsequent to the performance of building code inspection services.
Individual Corp oration Partnership
LENNAR HOMES LLC
Print Cor•porationName Print Partnership Name
By: By:
:(signature) (signature) (signature)
Print Print Print
Name: Name: Christopher Smith Name:
Address: its: Authorized Agent its:
Address: 700 NW 107th Ave. Address:
Telephone Miami FL 33172
Telephone• Telephone
No. 813-574-5700 No.:
Please use appropriate notary block.
STATE OF FLORIDA .
COUNTY OF HILLSBOROUGH -
Individual Corporation Partnership
Beforeme,tbis day of Before me, this 22ND day of Beforeme,tbis day
20_,personally MAY . 20 of 20_,
appeaied personally appeared personally appeared
who exeouted the foregoing instrument, of
and acknowledged before me that same Lennar Homes LLC a partner/agent on behalf of
was executed for the purposes therein corporation, on
expressed. behalf of the state corporation, who a partnership, who executed the
executed the foregoing instrument and foregoing instrument and
acicnowledged before ma that same was acknowledged before me that same
executed for thepurposestherein was executed.forthe purposestherein
expressed. expressed,_
Personally known"or_ Producediden# cation Type of identificationproduced
Signature ofNotary PrintName ASHLEE CALLAHAN
Notary Public Stamp;
CommissionExprr µrr g ASHLEEGALiAHAN
r
$ .;,; r •�.. MY COMMISSION # HH 295980
EXPIRES: November 30, 2026
Page 2 of 2
VR/\
VIRTUAL REVIEW ASSIST
Private Provider
Man ComL)Iiance 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: lucy0vi.rtualreviewassist.com
Project: New SFT
Address(s): 36424 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, LI,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 Examiner
License #: PX2300
Signature of Reviewer:
SWORN AND SUBSCRIBED b ore me by Debra Anne Klahr
being personally known to Zt or having produced as identification
and who being fully sworn and cautioned, state that the
f ego' is true and correct to the best of his/her knowledge or belief.
Ashlee Callahan
Aleat4e of Notary Print Name
commission expires:
ASHLEE CALLMAN
P
MYC',0MMISqI0N#HH2950,80
EXPIRES: November 30,2026
Rauto-M-WORM111 Us MI 11 LVA
lmojxru�, mmj"TIMOR
FIRE MARSHAL #01 -
Reauired Permits
DATE: 7/03/2023
EXAMINER: Debra Klahr PX230(
Building
0 Ins ection Only
r--z
Vi Plumbing
F-1 Ins ection OnL
Mechanical
El Pmeection Only
Electrical —Amp
E] Inspection Only
Roof
El Gas
[I Medical Gas
El Fire Sprinklers
Ej On Site Piping
E] Fire Line
❑ Irrigation
❑ Fire Alarm
El Potable Backflow Assembly
El Fire Line Backflow Preventer
El Irrigation Rackilow Assembly
El Demolition
El Walk-in Cooler
El Refrigeration
E] Hood
E] Ansul
Fl Fence/Wall
R Grease Trap
E] Other
0 Other
Type Construction:
Risk Category:
Occupancy Load
O ancy Classification:
!Factory
Residential
Assembly
Hazardous E=
ro"I'Storage
FDay Care/Educational
nal E=:= F� Mercantile
rT1jUt1iSs1i!tnUY"`1S
............
Building Use: single family townhouse Alteration ❑ Level I Level 2 ❑ Level 3
,Rf New Construction ❑ Interior Finish El Interior Remodel R Exterior Remodel 0 Addition F] Revision
Overall Size:
18 X 63
Number of Stories:
2
Total Sq. Ft.:
2086
Living Area: 1634
Covered Area:
452
# of Bedrooms: 3
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof Type:
E]Tile El Built-up
-1 er
0 Metal F❑OthSquares: 14
Zoning:
WiMrne Debris:
ilnside
El'
Outside
Energy Code:
405-2022 SUP
Flood Zone: X Base Flood Elevation: Finish Floor Elevation:
Hydrostatic Vents?[Yes iNo Sq. Ft. Enclosed Space Below BFE:
# of Vents:
Size of Vents:
Total Sq. In. Permanent Openings
RX Central A/C
El Gas A/C
Z Heat Pump
Ej Gas Heat
El Window A/C
El Electric Heat
On Site Pining
SanitaKy Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
Front Rear Left Right
As per Approved Site Plan
Comments: