HomeMy WebLinkAbout23-6609Name: Lennar Homes, ILLC
Address: 4301 W Boy Scout Blvd Suite 600
Tampa, FL 33607
Phone: (813) 574-5700
CONSTRUCT TOWNHOME 1541 SQ FT
Transportation Impact Fee
Plumbing Permit Fee
Address Fee
SIF I percent Fee
Mechanical Permit Fee
Transportation Impact Fee - City
School Impact Fee - Single Family
Sewer Connection Residential Fee
Admin Fee / (Provider Service )
iaim
I
BNR-006609-2023
Issue Date: 07/17/2023
I
Permit Type: Building New (Residential)
Class of Work: Townhome
Building Valuation: $232,680.00
Electrical Valuation: $34,902.00
Mechanical Valuation: $16,287.60
Plumbing Valuation: $23,268.00
Total Valuation: $307,137.60
Total Fees: $14,217.05
Amount Paid: $14,217.05
Date Paid: 7/17/2023 1:55:19PM
36412 Camp Fire Terrace
Contractor: LENNAR HOMES LLC
$3,445.20 Building Permit Fee
$1,20140
$156.34 Driveway Fee
$45,00
$30.00 3/4 Water Meter Residential Connection Fee
$794.92
$33.53 Water Connection Residential Fee
$1,140.00
$121.44 Fire Wall/Smoke Wall Inspection
$15.00
$34.80 Public Safety Impact Fee -Admin
$26.35
$3,353.00 Park Impact Fee - Single Family/Townhome
$769.56
$2,400.00 Public Safety Impact Fee -Police
$254.00
$180.00 Electrical Permit Fee
$214.51
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.
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.
4
CPNT :ACTOR SIGNATURE PE IT OFFICEU
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 Permittingg [�9=08770 __ 7763
Y i f i 1 1T Y 1 111 1
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 Owner Phone Number
Fee Simple Titleholder Address
N/A
JOB ADDRESS
36412 Camp Fire Terrace
LOT# 2106
SUBDIVISION Abbott Square PARCEL ID#
04-26-21-0160-02100-0060
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
P
NEW CONSTR ADD/ALT
SIGN DEMOLISH
INSTALL REPAIR
8
PROPOSED USE u v u SFR COMM
OTHER
TYPE OF CONSTRUCTION 10 BLOCK FRAME
STEEL O
DESCRIPTION OF WORK
Multi -family / Screen Enclosure / Fence
BUILDING SIZE U/R SF 1 g3g SQ FOOTAGE 1541
HEIGHT 28'
JBUILDING $ 232680 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ 34902 - ® PROGRESS ENERGY ® W.R.E.C.
r AMP SERVICE
PLUMBING $ 23268
MECHANICAL $ 16287.6 VALUATION OF MECHANICAL INSTALLATION
=GAS ® ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES Do
BUILDER COMPANY Lennar Homes, LLC
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address 43 W Boy SC t Blvd Suite 600 Tampa, FL 33607 License # CGC1518166
ELECTRICIAN COMPANY I Edmonson Electric, Inc.
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # I EC13005408
PLUMBER COMPANY Bayonet Plumbing, Heating & AG, Inc
SIGNATURE REGISTERED Y / N FEE CURREN LILIN
Address I License # I CFC042998
MECHANICAL COMPANY I Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # I CAC058062
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE r REGISTERED Y / N FEE CURREN
Address License # CCC057991
IIflllllllll111111111111111111111/111//I/I/IIIIIIIIIIIIIIIIIII111111
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 OFDEED RESTRICTIONS: The undersigned understands that this permit may besubject to "deed" restrictions"
which may bemore restrictive UhenCountyn*gu|odonn. 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 vvork, they may be required to be licensed in 000undanma with state and |ooe| regulations. If the
oontnoobzr is not licensed as required by |aw, both the owner and contractor may be cited for 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 Vocontact the Pasco County Building Inspection Division —Licensing Section at727-847'
8009. Furtbermona, if the owner has hired e 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, an the owner sign as the
oontrac\or, 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 R000unoo Recovery Fees may apply 0othe construction ofnew buildings, change of
use in existing bui|dings, or expansion of existing bui|dingu, as specified in Pasco County Ordinance number8Q-07 and
90-07. as amended. The undersigned also undnratandn, that such foey, 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 o oort|DnaUa of occupancy or
final power re|uaoe, the fees must be paid prior to permit issuance. Furthermore, if Pasco Counh/VVater/Sowar 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, mmarnended): ifvaluation ofwork in$2.50O.00ormore, |
certify that |, the app|ivant, have been provided with o copy of the "Florida Construction Lion 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 it tothe ^mwner'prior incommencement.
CONTRACT0R'S/OVVNEFk`S,4FH0AV|T: | certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating oonetruotinn, 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 issuance of permit and that all work will be performed to meet standards ofall |owo regulating
oonutruo<ion. County and City oodeo, zoning regulations, and land development regulations in the jurisdiction. | also
certify that | understand that the nagu|oUona nfother government agencies may apply to the intended work, and that it is
myresponsibility tnidentify what actions |must take Voboincompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection -Cypress Bayhaody, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
' Southwest Florida VVohor Management Oiotrict4NeUa, Cypress Bayheadu, VVoUond Areao, Altering
VVat*roounoaa.
- Army Corps ofEngineers-Seawa||n.Docks, Navigable Waterways.
- Department ofHealth & Rehabilitative Son/icoa/Environmental Health Unit-VVe||o, Wastewater Treatment,
Septic Tanks.
- USEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation Authorib+Rumwayo.
| understand that the following restrictions apply 0zthe use offill:
- Use uffill ionot allowed inFlood Zone ''V~unless expressly permitted.
- If the DU material is to be used in Flood Zone ''A^, it in understood that o drainage plan addressing a
"compensating volume" will be submitted at time nfpermitting which is prepared by professional engineer
licensed bythe State ofFlorida.
- If the OU material is to be used in Flood Zone ^A^ in connection with a permitted building using nhmm wall
construction, | certify that fill will baused only hofill 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
If use offiU is found to adverselyowner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |oun than one (1)
acre which are elevated byfill, anengineered drainage plan inrequired.
If am the AGENT FOR THE OWNER. | promise in good faith to inform the owner ofthe permitting conditions set forth in
this affidavit prior to commencing construction. | understand that a separate permit may be required for a|eohuo| wnrh,
p|umbing, aigny, weUo, puo|o, air conditioning, gas, or other |natsUaUnne not specifically included in the application. A
permit issued ohoU be construed to boa license to proceed with the work and not aoauthority hnviolate, oanoe|, a|b*r, 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 ionuanoe, 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 naqueoXed, in writing, from the Building Official for period not to exceed ninety (0O)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 T0RECORD A NOTICE OFCOMMENCEMENT MAY RESULT |NYOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. |FYOU INTEND T0OBTAIN FINANCING, CONSULT
JupmT��.11rou
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
6/29/2023 by Christopher Smith
Who is/are pe nally known to me or harsihave PFQdWGe4
as identification.
_Notary Public
Commission N�"057
Stephanie Farmer
Name of Notary typed, printed or stamped
Subscribed and sworn to (or affirmed)
6/29/2023 by Christoi)her Smith
Who is/are personally known to me orhas/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, PASCO COUNTY, FLORIDA
PAGES 28-33, OF THE PUBLIC RECORDS OF PASCO COUNTY, (NOT A SURVEY)
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
2s �a,
BASIS OF BEARING
NJ
27.,3'
- ------------
5 co .W
ALK L N-89'48'04- E (P) 128.68' (P)
28.34'(�) oe (F) 28.34'
I -�8.00'(!?) I inw(p)- 1 :1,0 W, (P) 1 00 PAVED
PCP
N 89-48.04- E (P)
PARKING
391.43'(P) NJ NJ
-SPACE
�P 4.- C�l
0 0
LAJ
lo. - All �o.o, 1� 10.0, 100lo
11.0, 11.0" FIF 11.0, 11.0, 1 1 Lo, lu
11.01
6.3' 6.3' 6.3' 6.3'
3 '
Z Z
Lx) .41 �4 W LAJ .4 LIJ
mo, lo.o.-
7 TRACT "B-7"
.0' ENTRY ENTRY 6,3' [6.3' ENTRY ENTRY 6.3' 63, ENTRY ENTRY 7.0'
5 LOT 4 LOT 2 LOT I C� (CDD)
LOT 6 Ln LOT LOT 3
LOT 7 m BLOCK21 14 NJ m OPEN SPACE
BLOCK BLOCK I 0� BLOCK 21 BLOCK 21 BLOCK 21
BLOCK 21 _-i - 108'-8"
Ul Ul
10 14 W LV W LV U10
i �14 PROPOSED 10 10 PROPOSED �0 0 PROPOSED W
PROPOSED C? '6) �.,i PROPOSED :g PROPOSED
8 2 STORY 2 STORY 2 STORY 2 STORY 9 2 STORY
q 2 STORY
ATTACHED ATTACHED ATTACHED Ui ATTACHED ATTACH ATTACHED
O� ATTACHED
RESIDENCE RESIDENCE RESIDENCE M RESIDENCE RESIDENCE RESIDENCE -0
UNIT -A M UNIT-C M UNIT-C UNIT-C M UNIT -A
_ii - 1624 b UNIT-C
1532 1624 1624 Z9 -
C
PR
AT
2
0 T
P
'T
AT
TACHED 0
0
C S' R
HE
m [RE RESIDENCE N,
S
_ UNIT-C
1 624
1532
1624 JOB #
15905522101
15905522102
18.0' ITT 17.3' 17.3' ITT 18.0'
- 9, 01 -
�_.LANAI i�LANA�1�b LANAI- LANAI 6 LANAI 15905522103
10.0,
A/CDK� A/c i A/C EAEA/C I A/C DID A/C 15905522104
t28.34- (P) 28.34'(P)
laou lP) 18.22� (P) I 6- 1 18.00, IPI
N 89'48'04" E (P) 128.68' (P)
NOTES: TRACT "B-7" O,
LOT GRADING TYPE =A (CDD)
PROPOSED PAD ELEVATION = 104. 10' OPEN SPACE
FRONTS ET BACK = 20'
SIDE SET BACK = 7.5' NOTE ENTRY WALKS ARE 3.0'CONCRETE LOT = 12611 SO. FT,
SIDE SET BACK (CORNER LOT) = 10' 0.7'CONCRETE WALLS SEPARATE INDIVIDUAL UNITS LIVING AREA = 4010 SO. FT
REAR SETBACK = 15' C/S-A/C UNITS ARE 31'X3.2' 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 SQ. 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 (RI = RECORD LEGEND
A/C = AIR CONDITIONER D.E= DRAINAGE EASEMENT LEE =UCENSED BUISNESS PCC = POINT OF COMPOUND CURVE VINYL FENCE
AT = ALUMINUM FENCE EL OR ELEV = ELEVATION L.E = LANDSCAPE EASEMENT PCP = PERMANENT CONTROL POINT RNG = RANGE RRS = RAIL ROAD SPIKE r 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 ASPHALT
(C I =CALCULATED SN&D = SET NAIL AND DISK
CENTERU NE FCM = FOUND CONCRETE MES = MITERED END SECTION PK =PARKER KALON LB#8183
MONUMENT NCF = NO CORNER FOUND R = PROPERTY LINE CHAIN LINK FENCE
CM = CHAIN LINK FENCE SIR = SET 112- IRON ROD LB# 8 183
CP = CORRUGATED METAL PIPE HP = 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 WIRES ) 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 fP) =PLAT PRC = POINT OF REVERSE CURVE U.E = UTILITY EASEMENT = COVERED
CST = CLEAR SIGHT TRIANGLE, EPP = FOUND PINCHED PIPE PB = PLAT BOOK PRM = PERMANENT REFERENCE MONUMEN] VF = VINYL FENCE
SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive SEE
1.) Current title information on the subject property had not been This certifies that sketch of the hereon described Tarpon Springs, Florida N
Date of Site Plan: 6-14-23 furnished to Initial Point Land Surveying, LLC. at the time of this property was ma I TWP? N � ?N
DWG:AS-PH 1 B-L 1-6-BL2 I -SITE SITE PLAN ,q#U44 supervision and Phone: (727)-831-1990 RG?W RG,E
meets the AWA le of Practice for FloridaPLS7]23@gmaii.com I �p 1 5 �p S, Z_
2.) This sketch was prepared without the benefit of a title search. surveys IIi)r i oard of Land LB# 8183 RG1W RG�E
No instruments of record reflecting ownership, easements or S
File: rights -of -way were furnished to the undersigned, unless otherwise 31 1 co, lof
Pied
Drawn by: DJB shown hereon. purs nt t C ion ley
- 3.) Roads, walks, and other similar items shown hereon were take Sta*s n i rt
Checked byJH from engineering plans and are subject to survey. Date: 6.19
- 4.) This SITE PLAN does not reflect nor determine ownership,
- 2:0 00 0,
REVISIONS lev n
5.) This SITE PLAN is subject to matters shown on the Plat of SfAT OR
"ABBOTT SQUARE PHASE 2"
6.) Dimensions shown hereon are in feet and decimal portions Jeff M l' LUKIVA
thereof. FLORI AND
7.) Contractor and owner are to verify all setbacks, building MAPP 486 169 ,
dimensions, and layout shown hereon prior to any construction, NOT VALID WI7MP_"19E7 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.
106.01
Classifcation[Type of Use 70
TRANSPORTATION IMPACT FEE Rate:
Sq, Ft knit:
Exempt 0 Yes 0 No How Determined
Impact Fee Amount Zane No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount
(057) Mobile Rome
(05) Other Residential
(123) Collection Fee
Exempt =Yes = No How Determined -
PARKS AND RECREATION FEE
Land Account Land Credit land Total
Recreation Account Recreation Credit Recreation Total
Zone Total Amount $
Exempt Yes No Blow 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
Prepared
INSPECTIONNO CERTIFICATE OF OCCUPANY WILL BE ISSUED OR FINAL
PERFORMED UNTIL THE TOTAL AMOUNTS
BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
ACKNOWLEDGEMENT BELOW DOES ". IMPLY ACCEPTANCE OF CONCURRENCE, BUT SIMPLY REECEIPT OF A OP, OF THIS
FORM, PLACINGDI ASSESSMENT AND THE CONDITIONSOF PAYMENT FOR SAME.
RECEIVED BY
RECEIPT NO DATE BY
Project Name: 36412
\/-RA
',V A S S
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Fire Terrace
Parcel Tax ID: 04-26-21-0160-02100-Oil
Services to be provided: Plans Review X
Inspections
Note: If the notice applies to either private plan review or private inspection services the Building
Official may require, at his or her discretion, the private provider be used for both services pursuant to
Section 553.791(2) Florida Statute.
the fee
owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services
indicated above.
Private Provider Firm:
Private Provider:
VIRTUAL REVIEW ASSIST, INC.
Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
Telephone: 813-376-3088
Email Address (Optional): deb@virtualreviewassist.com
Fax: N/A
Florida License, Registration or Certificate #: (LIC # BU1967/ PX2300/ BN4615)
I have elected to use one or more private providers to provide building code plans review and/or inspection
services on the building that is the subject of the enclosed permit application, as authorized by s. 553.791, Florida
Statutes. I understand that the local building official may not review the plans submitted or perform the required
building inspections to determine compliance with the applicable codes, except to the extent specified in said law.
Instead, plans review and/or required building inspections will be performed by licensed or certified personnel
identified in the application. The law requires minimum insurance requirements for such personnel, but I
understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I
have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance
and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harmless the
local government, the local building official, and their building code enforcement personnel from any and all
claims arising from my use of these licensed or certified personnel to perform building code inspection services
with respect to the building that is the subject of the enclosed permit application.
I understand the Building Official retains authority to review plans, make required inspections, and enforce the
applicable codes within his or her charge pursuant to the standards established by s. 553.791, Florida Statutes. If I
make any changes to the listed private providers or the services to be provided by those private providers, I shall,
within I business day after any change, update this notice to reflect such changes. The building plans review and/or
inspection services provided by the private provider is limited to building code compliance and does not include
review for fire code, land use; environmental or other codes.
The following ataohments. are provided as requirtd-
1. Qualification statements and/or resumes of the private provider and all duly authorized representatives.
I. Proof of insurance, for professional and comprehensive liability .of per
occurrence relating to all services performed as aprivate provider, including tail coverage for. aminimum
of 5 years subsequent to the performance of building code,, inspection services.
:(signature)
Print
Name:
Address_
Telephone
Please use appropriate notary block.
STATE of FLORIDA
COUNTY of HILLSBOROUGH
individual
Beforeme, this -day Of
20— personally
appeare.d
who executed the foregoing instrument,
and acknowledged before me that same
was executed for the purposes therein
expressed.
C�orporation
LENNAR HOMES, LL#
Print Corp oration Name;
?lint
Name. Christopher Smith
Its: Authorized Ag
ent
Address: 700 NW 107th Ave.
TMami, FL 33172
Telephone•
No. 813-574-5700
Corporation
B,foreme,this 22ND day of
MAY 2023
Personally appeared
of
Lennar Homes, LLC::::� a
—Corporation, on
..'behalf of the State oorpoTafion, who
executed the foregoing instrument and
acicnowledged before me that same was
executed for the purposes "therein
expressed.
Partnership
PrintPartnership Name
By:,
(Signature)
Print
Name:
Its
Address:
Personally known 7
"01identification identi-goation Type identification produced
w-
Telephone
No.:
Partnership
13 efom me, this &y.
Of 20_
per&6nally appeared
partntr/agt,ntoubehalf of
a partnership, who executed the
foregoing instrument and
acIcnowledged before me that same
was extcut.eZ,for the pi)rp o.-se;s therein
express ed.
Signaure., Of Notan Print Name ASHLEE, -CALLAHAN
Notary Public, Stamp:
Commission Expires:ASHLEE
CALLAHAN
A4 A�
My COMMISSION # HH 295010
EXPIRES, NoveiTtber 30,2026
P age 2 of 2
VIRTUAL REVIEW ASSIST
Private Provider
F"lan ComMliance Affidavi)
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@virtualreviewassist.com
Project: New SFT
Address(s): 36412 CAMP FIRE 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:
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,SH1.3,SHI.4,SHI.5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300
Signature of Reviewer:
7
SWORN AND SUBSCRIBED be*e me by Debra Anne Klahr
being personally known tom or having produced as identification
and who being fully sworn and cautioned, state that the
fo goin is true and t the est of his/her knowledge or belief ig
rrec Ashlee Callahan
ig e of Notary Print Name
Notary Public: NOTARY STAMP BELOW My
commission expires:
ASHLEE CAI.WiAN
My COMMISSION # HH 295,980
EXPIRES: November 30, 2026
FIRE MARSHAL #01 -
Reauired Permits
DATE: 7/03/2023
EXAMINER: bra Klahr PX230(
Building
El Inspection Only
Plumbing
F-1 Inspection On!j
V Mechanical
El Lns2ection QnI2
Electrical — Amp
El Inspection Only
44 Roof
J_❑
Medical Gas
❑ Fire Sprinklers
El On Site Piping
❑ Fire Line
❑ Irrigation
❑ Fire Alarm
[:] Potable Backflow Assembly
❑ Fire Line Bacliflow Preventer
E] Irrigation Bacliflow Assembly
Ej Demolition
El Walk-in Cooler
E] Refrigeration
El Hood
El Ansul
El Fence/Wall
E] Grease Trap
E] Other
r_1 Other
Type Construction: I
V-8
Risk Category:
Occupancy Load
Classification:
OV""Tancy Cactory
,Residential
Assembly
Hazardous
aliStorage
Day Care/Educational
nal E� FD�,Mercantile
Building Use: single family townhouse Alteration Level I ❑Level 2 ❑ Level 3
1,KNew Construction ❑ Interior Finish E] Interior Remodel ❑ Exterior Remodel 0 Addition El Revision
Overall Size:
18-4 X 63
Number of Stories:
2
Total Sq. Ft.:
1939
Living Area: 1541
Covered Area:
398
# of Bedrooms: 2
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof T
,Ue: 91 Shingle
FTile
E] Metal F -1 Other Squares: 13
Zoning:
Wir
,!orne Debris:
nside
Outside
Energy Code:
405-2022 SUP
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents?
In yes
------
F_
I Sq. Ft. Enclosed Space Below BFE:
of Vents:
Size of Vents: —]
—Total Sq. In. Permanent Openings
9 Central A/C
0 Gas A/C
9 Heat Pump
El Gas Heat
0 Window A/C
El Electric Heat
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
Front Rear Left Right
As per Approved Site Plan
Comments: