HomeMy WebLinkAbout23-6696City of Zephyr illy
5335 Eighth Street
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Zephyrhills, FL 33542
BNR-006696-2023
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 08/02/2023
04 26 21 0160 01900 0070 36411 Camp Fire Terrace
Name: Lennar Homes, LLC
Permit Type: Building New (Residential)
Contractor: LENNAR HOMES LLC
Class of Work: Townhome
Address: 4301 W Boy Scout Blvd Suite 600
Building Valuation: $232,680.00
o z
Tampa, FL 33607
Electrical Valuation: $34,902.00
Phone: (813) 574-5700
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: 8/2/2023 11:06:37AM
CONSTRUCT TOWNHOME 1541 SQ FT
Water Connection Residential Fee
$1,140.00 3/4 Water Meter Residential Connection Fee
$794.92
Fire Wall/Smoke Wall Inspection
$15.00 Transportation Impact Fee - City
$34.80
Park Impact Fee - Single Family/Townhome
$769.56 Driveway Fee
$45.00
SIF 1 percent Fee
$33.53 Electrical Permit Fee
$214.51
Building Permit Fee
$1,203.40 Address Fee
$30.00
Admin Fee / (Provider Service)
$180.00 School Impact Fee - Single Family
$3,353.00
Sewer Connection Residential Fee
$2,400.00 Public Safety Impact Fee -Police
$254.00
Mechanical Permit Fee
$121.44 Transportation Impact Fee
$3,445.20
Plumbing Permit Fee
$156.34 Public Safety Impact Fee -Admin
$26.35
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.
!I III U•111135 1• 111•1 1!111
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
O ACT RE 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 Permitting 908 770 7763
iTC1Ii I _ -_ 1!i l
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 NSA I Owner Phone Number --
Fee Simple Titleholder Address
NIA
JOB ADDRESS
36411 Camp Fire Terrace
LOT# 1907
SUBDIVISIONAbbott Square PARCEL ID#
04-26-21-0160-01900-0070
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
rah
I1 / II
NEW CONSTR ADD/ALT
SIGN 0 DEMOLISH
INSTALL REPAIR
H
PROPOSED USE u v u SFR Q COMM
OTHER
TYPE OF CONSTRUCTION 10 BLOCK 0 FRAME
STEEL
DESCRIPTION OF WORK
Multi -family / Screen Enclosure / Fence
BUILDING SIZE I U/R SF 1939 7SQ FOOTAGE 1541
HEIGHT 28'
idBUILDING $ 3 �,
1 232680 VALUATION OF TOTAL CONSTRUCTION _.) In
I f'ELECTRICAL $ 34902 PROGRESS ENERGY Q W.R.E.C.
,,, ... rrr AMP SERVICE
PLUMBING $ 23268
1 )MECHANICAL $ 162a7.6 VALUATION OF MECHANICAL INSTALLATION
=GAS a ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA DYES Do
BUILDER S COMPANY I
Lennar Homes, LLC
SIGNATURE _ REGISTERED Y / N FEE CURREN L11 N
Address 4301 Boy Scout Blvd Suite 600 Tampa, FL 33607 License # CGC1518166
ELECTRICIAN COMPANY Edmonson Electric, Inc.
SIGNATURE 4 REGISTERED Y / N I FEE CURREN Y ! N
Address License # EC13005408
PLUMBER COMPANY I Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN I Y / N
Address I License # I CFC042998�
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # I CAC058062�
OTHER COMPANY I C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # CCC057991
IIIIIIIII/IIIIIIIIIIII/II/II11111111/III/I11111111/1111IIIIIIIIIIII
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: Uthe 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 |aw, both the owner and contractor may be cited for misdemeanor violation
under state law. If the owner or intended contractor any 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. Fuhharmore, if the owner has hired e contractor or onntnsctoro, he is advised to have the contractor(s) sign
portions of the ^onntvsdor Block" of this application for which they will be responsible. If you, as the owner sign as the
oon8actor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing bui|dingo, or expansion of existing bui|d|nga, as specified in Pasco County Ordinance number8A'07 and
90-07. as amended. The undersigned also undero(ondo, that such haeo, as may be due, will be identified etthe time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving e "certificate of occupancy" or final power release. If the project does not involve a oarUfiuoho ofoccupancy or
final power oa|aame, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 7i3'Florida Statutes, smamnendmd): |fvaluation ofwork in$2.5OO.00nrmore, |
certify that |, the opp|ioant, have been provided with a copy of the "Florida Construction Lien Law —Homeowner's
Protection Guide" prepared by the Florida Deportment of Agriculture and Consumer Affairs. If the applicant in 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 ittothe ^uwner"prior tncommencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application iuaccurate and that all work
will be done in compliance with all applicable laws regulating oonatnuotion, 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 |ewn regulating
construction, County and City oodeo, zoning regulations, and land development regulations in the jurisdiction. | also
certify that | understand that the regulations nfother government agencies may apply to the intended work, and that it is
myresponsibility toidentify what actions | must take 0obaincompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection -Cypress Bayheade, Wetland Areas and Environmentally Sensitive
Lands, VVohnr8Naobawa1erTreatment.
- Southwest Florida Water Management Oiathct4NeUu, Cypress Bayheada, Wetland An»as, Altering
VVmton:ouroeo.
- Army Corps nfEngineem'SeowaUu'Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Huo|1h Unit-VVeUn, Wastewater Treatment,
Septic Tanks.
- U8Environmental Protection Agency -Asbestos abatement.
- Federal Aviation Au\hohh+Runwoyo.
| understand that the following restrictions apply huthe use uffill:
- Use offill innot allowed inFlood Zone ^V'unless expressly permitted.
- If the 8|| material in to be used in Flood Zone ^/\^, it is understood that a drainage plan addressing u
"compensating volume" will be submitted at time ofpermitting which is prepared by professional engineer
licensed bythe State nfFlorida.
- If the fill material is to be used in Flood Zone ^A^ in connection with u permitted building using stem vvaU
construction, | certify that fill will be used only tofill the area within the stem wall.
- If fill maVahe| is to be used in any area. | certify that use of such fill will not adversely affect mcUooani
properties. If use of fill in found to adversely affect nd]aman( pvoportiea, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for |cdo |eoo than one (1)
acre which are elevated byfill, onengineered drainage plan imrequired.
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 separate permit may be required for electrical work,
p|umbing, oigno, woUu, pcm|u, air conditioning, goa, orother installations not specifically included in the application. /\
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuenue, 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
maybe requauhed, in writing, from the Building Official for period not 0mexceed ninety (90)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 ANOTICE 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 swom 16- (or affirmed) before me this
j$ier Smith
Who is/are personally known to me or hasihave pFA9dwG94
as identification.
_Notary Public
Stephanie Farmer
Name of Notary typed, printed or stamped
Subscribed and swom to h» affirmed) before me this
Name of Notary typed, printed or stamped
BILLING CONTACT
STEVE SMITH
INVOICE NUMBERI
INVOICE DATE
INVOICE DUE DATE
INVOICE STATUS
INVOICE DESCRIPTION
REFERENCE NUMBER
FEE NAME
TOTAL
BNR-006696-2023
3/4 Water Meter Residential Connection Fee
$794.92
Address Fee
$30.00
Building Permit Fee
$1,203.40
Driveway Fee
$45.00
Electrical Permit Fee
$214.51
Fire Wall/Smoke Wall Inspection
$15.00
Mechanical Permit Fee
$121.44
Park Impact Fee - Single Family/Townhome
$769.56
Plumbing Permit Fee
$156.34
Public Safety Impact Fee -Admin
$26.35
Public Safety Impact Fee -Police
$254.00
School Impact Fee - Single Family
$3,353.00
Sewer Connection Residential Fee
$2,400.00
Transportation Impact Fee
$3,445.20
Transportation Impact Fee - City
$34.80
Water Connection Residential Fee
$1,140.00
36411 Camp Fire Terrace Zephyrhills, FLORIDA 33541 SUB TOTAL
$14,217.05
REMITTANCE INFORMATION
City of Zephyrhills
July 3U.2o2n 533omhStreet, Zepxymi|b.rL33542 Page 1uf1
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DESCRIPTION: LOTS 7-12, BLOCK 19, ABBOTTSQUARE PHASE 2,
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 90,
PAGES 28-33, OF THE PUBLIC RECORDS OF PASCO COUNTY,
FLORIDA.
PROPOSED ELEVATIONS AND GRADING
SHOWN HEREON ARE TAKEN FORM THE ,F HE
ENGINEERING PLANS OF
"ABBOTT SQUARE RESIDENTIAL", PREPARED
BY "WRA" PROVIDED BY CLIENT
ALL ELEVATIONS REFERENCED
TO NORTH AMERICAN
VERTICAL DATUM OF 1988
(NAVD 88)
.11)0- b\
-4
LOT 13 10
BLOCK 20
28.3T (P) I 18.00'(P)
A/C A/C V-1 - tu
SITE PLAN
(NOT A SURVEY)
Prepared for and Certified To:
Lennar Homes
TRACT "113-111"
(CDD)
OPEN SPACE
N 89'48'04- E LP) 128.68- (P)
18.00' (P) 18,00' (P)
A/C j A/C
18.00. (P) i 28.34'(P)
A/C i A/C
MIP-1
-.77l*`F. _-_ 77:�M� 16.6,
18.0'
z
z 17.3'
2 IT3
3
z 17.3'
z 173
UNIT -A
8
§ UNIT-C
8
UNIT-C
I T
8 UNIT-C
C
UNIT-C
1532
1624
1624
2 0 4
1624
6 PR
E
OPOSED
D
PROPOSED
S
1624
PROPOSED
PROPOSED
PROPOSED
PROPOSED
2STORY
2STORY
2 STORY
OR Y
2STORY
2 STORY
ATTACHED
ATTACHED
ATTACHED
HE
C D
ATTACHED
ATTACHED
RESIDENCE
8 RESIDENCE
RESIDENCE
�9 RESIDENCE
9" RESIDENCE
W
LOT12
LOTIl w
w LOT IO
)T 9
LOT9 W
'W LOT
BLOCK19
BLOCK 79 �0
'O BLOCK19
BLOCK19 '0
'0 BLOCK19
............... .. .. . .. ..
110 , ,
00-13"
q
0
CO
Ca
O
7.0' ENTRY
ENTRY 6.3
6.3' ENTRY
ENTRY 63
ENTRY
6.3' ENTRY
VIRIANIM"
SEC. 4, TWP. 26 S, RNG 21 E.
PASCO COUNTY, FLORIDA
(ABBOTT SQUARE PHASE 2)
18.0'
UNIT -A
1532
z
PROPOSED
2STORY
ATTACHED
RESIDENCE
clt
W
C,
W LOT 7
LOT
6 BLOCK19
BLOCK19
9
ENTRY 7.0'
10.01
6.J
10.0, 10.0,
n`6.3'\
10.0, - I O,0'.
I O.0', 10.0,
LQ
P I s P C>-
N 89*48'04- E (P)
278.87'(P) 409
C?
11
ell,
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4
PCP
18.00'(P) 1J
0, it
8,00 (PI 28.34'VP)
5 1/"CON C WALK-
S 89-48-04- W (P) 1 2&68' (P)
A%
27.3'
27.3
273%
BASIS OF BEARING
N 89-48-04- E (P)
CAMP FIRE TERRACE
TRACT "A"
NOTES: (CDD) RIGHT-OF-WAY
LOT GRADING TYPE =A
PROPOSED PAD ELEVATION 1 02.50'
FRONT SET BACK = 20' 15905521907
SIDE SET BACK = 75 15905521908 LOT = 12611 SO. FT.
LIVING AREA = 4010 SO. FT.
SIDE SET BACK (CORNER LOT) = 10' NOTE: ENTRY WALKS ARE 3.0'CONC 15905521909 ENTRY = 476 SQ. FT.
REAR SETBACK= 15' C/S-A/C UNITS ARE 3.2'X3.2- 15905521910 GARAGE = 1356 SO, FT,
15905521911 COVERED LANAI = 652 -SC). FT.
PROPOSED: 10.00'PUBLIC UTILITY EASEMENT PATIO NA SO. FT.
POOL AREA = NA SO. FT.
MINIMUM FLOOR ELEVATIONS: CONC. DRIVE = 1200 SO. FT.
LIVING AREA: 103.17' LEGEND: A/C & CONC PAD = 54 SO. FT.
GARAGE AREA: = PROPOSED DRAINAGE FLOW SIDEWALK = 272 SO. FT.
ELEVATIONS REFERENCED TO (00.00) = PROPOSED GRADE SIDE YARD SWALE = NA SO. FT.
NORTH AMERICAN VERTICAL E-00.00 =EXISTING GRADE CONSERVATION AREA = NA SO. FT.
LOT OCCUPIED = 64 %
DATUM OF 1988 APPARENT FLOOD HAZARD ZONE:'X'* COMMUNITY NO. 120235 AREA TO IRRIGATE = 36 %
SURVEY ABBREVATIONS (MAP NUMBER 12101 C-0452-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 LB =UVINYL FENCE
CENSED BUISNESS PCC = POINT OF COMPOUND CURVE RNG = RANGE
BEE = BASE FLOOD ELEVATION RRS = RAIL ROAD SPIKE -CONC AF = ALUMINUM FENCE EL OR ELEV -ELEVATION LIE = LANDSCAPE EASEMENT PCP = PERMANENT CONTROL POINT 0 ------- 0-
EOP = EDGE OF PAVEMENT LEE = LOWEST FLOOR ELEVATION E/E POOL EOUIPMENT 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 fM) = MEASURED PI = POINT OF INTERSECTION ASPHALT
(C SN&D = SET NAIL AND DISK
= CALCULATED FCM = FOUND CONCRETE MES = MITERED END SECTION PK =PARKER KALON U3#8 183
CENTERLINE MONUMENT NCF = NO CORNER FOUND It = PROPERTY LINE SIR = SET 112- IRON ROD LB# 8183 CHAIN LINK FENCE
CIT = CHAIN LINK FENCE FIP = FOUND IRON PIPE O/A = OVERALL POB = POINT OF BEGINNING TBM = TEMPORARY
CMP = CORRUGATED METAL PIP F YBENCH MARK BRICK X x
COL - COLUMN FIR = FOUND IRON ROD OHW = OVERHEAD WIRES POC = POINT OF COMMENCEMENT 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 U.E = UTILITY EASEMENT = COVERED
CST= CLEAR SIGHT TRIANGLE EPP = FOUND PINCHED PIPE PEI = PLAT BOOK PRM = PERMANENT REFERENCE MONUMENT VF = VINYL FENCE C�K
SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive SSEE
1.) Current title information on the subject property had not been This certifies that of the hereon described Tarpon Springs, Florida N
Date of Site Plan: 6-26-23 furnished to Initial Point Land Surveying, LLC. at the time of this property w, upervision and Phone: (727)-831-1990
SITE PLAN
L
QW_G785-l2H2-LZ-I meets th is 2 Practice for FloridaPLS7123@gmaii.com
2.) This sketch was prepared without the benefit of a title search. surve ard of Land LB# 8183
No instruments of record reflecting ownership, easements or r
File: rights -of -way were furnished to the undersigned, unless otherwise A6 i ed
Drawn by: DJB shown hereon, pur ant 0 Section ey
3.) Roads, walks, and other similar items shown hereon were take ri to
Checked byJH from engineering plans and are sub Date: 2 6.29
subject to survey.
4.) This SITE PLAN does not reflect nor determine ownership. 181RAMIN,
REVISIONS - _'00 I'M
1 1&03
S. This SITE PLAN is subject to matters shown on the Plat of '�'4 El Of
"ABBOTT SQUARE PHASE 2" - - - " FA DA ffin"'.
Jeff M. " (�gre
6.) Dimensions shown hereon are in feet and decimal portions
thereof. FLORID"6V RAND
.1
7.) Contractor and owner are to verify all setbacks, building N MAPPER N 41
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
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.
I R' T LJ A L R E V I E `VvA
v Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 36411 Camp Fire Terrace
Parcel Tax ID: 04-26-21-0160-01900-0070
Services to be provided: Plans Review X Inspections
Note: If the notice applies to either private plan review or private inspection services the Building
Official may require, at his or her discretion, the private provider be used for both services pursuant to
Section 553.791(2) Florida Statute.
STEVE SMITH
, the fee
owner, affirin 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: DEBPA ANNE KLAHR —
747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
loioixess:
Telephone:
M. ME a TIMM.,]
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 application.
1 ied 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.
2,,Proof of insurance for professional and comprehensive liability
in,the. amount of $1 million ptr
o ccurrence relating to all services performed as a private provider, including tail coverage for a minimum
ue the performanct-, of building code inspection strvices, of 5 years subseq nttD tl
Individual
Corporation
LENNAR HOMES, LLQ
Pritit Coi-porationName
By:
-(signature)
Print
Name:
print
Nam,: ChriStopher Smith
its: Authorized Agent
Address: 700 NW 107th Ave
Telephone
Miami, FL 33172
Telephone .
No. 8137574-5700
Pleaseuse appropriate notary block.
STATE OF FLORIDA
COUNTY OF. HILLSBOROUGH
ludividnal
Corporation
dayofBeformt,this
22ND day of
20_ptisonaluy
MAY, 2oz;3
appearDd
persona* appeared
who executed the foregoing instrument,
of
arne.
and acknowledged before me that same
Lennar Homes, LLC
was executed for the purposes therein
corporation,. on
expressed.
-behalf of the state corporation, who
executed the foregoing instrument and
acknowledged before me that same was
executed for the pwposes therein
expressed.
Partnership .
PrintPartnership Name
UZA
I (signature)
Print
Name:
Its:
Address;
Telephone
No.:
Partnership -
-day
Of 20_
per&6n0y appeared
p artn.e;r/agmt on behalf of
a partnership, who eXe,1QUttd the
foregoing instrument And
acknowledged before me that same
was execut6d.for the pirrpo.sestherein
expressed,
Personally known —X01.Produced ider# cation Type of identification produced
1
SipaDtaTe. Of Notan, PlintNarne
ASHLEE CALLAHAN'
NotaryPublic Stamp:
ASHLEE CALLAHAN
My COMMISSION # HH 2959N
commission Expires
r'." EXPIRES'. NOVember 30,2026
A
ii
VIRTVAL REVIEW ASSIST
Private Provider
Private Provider Finn: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU1967
Address: 747 Southwest 2' Avenue
Gainesville, Fl, 32601
Phone: 813-391-2959
Email: Lucyl@&virtualreviem,assist.com
Project: New SFT
Address(s): 36411 CAMP FIRE TERRACE
I hereby certify that to the best of my knowledge and belief the plans submitted were reviewed for and are in
compliance with the Florida Building Code and all local amendments to the Florida Building Code by the
following affiant, who is duly authorized to perform plans review pursuant to Section 553.791, Florida Statute
and holds the appropriate license or certificate:
Name: Debra Anne Klahr
Plan Sheets 1,2.1,2.2,3,4,5,6,7.1,7.2,8,9,10,11.1,11.2,12,LI,SS,ST,SNI, SN,S3,S4,S5,S6,D1,Wl`, PA1.0,PAI. 1,
PAL2,PAI.3,PAL4, PAI.5,SHI.0,SHI.1,SHI.2,SHI.--I,SHI.4,SHI.5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300
Signature of Reviewer:
SWORN AND SUBSCRIBED before me by Debra Anne Klahr
being personally known to m6 or having produced as identification
and who being fully sworn and cautioned, state that the
flolregping is true and correct to the best of his/her knowledge or belief.
,Q,, f" 11
---i � (11,
1 1 i � Ashlee Callahan
I � LJZ�
iS ignlit(r��f Notar�/ I V Print Name
Notary Public: NOTARY STAMP BELOW My
commission expires:
ASHILEE CALLAHAN
MyC0&iMISSI0N#HH295980
EXPIRES: November 10, 2026
W�� M �-M-
jyjnja�, sliff4mullaguA
FIRE MARSHAL #01 -
0==1110713M
04FA . /��
DATE: 7/15/2023 -
EXAMINER: Debra Klahr PX2304
IV Building
❑ Ins action Only
Plumbing
F1 Inspection Only
Mechanical
E] Liypec ion Only
Electrical Amp
El Ls Pection OnLy
ig Roof
❑ Gas
L
❑ Medical Gas
❑ Fire Sprinklers
E] On Site Piping
E] Fire Line
E] Irrigation
❑ Fire Alarm
E] Potable Backflow Assembly
❑ Fire Line Backflow Preventer
E] Irrigation Backflow Assembly
❑ Demolition
E]Walk-in Cooler
❑ Refrigeration
El Hood
El Ansul
El Fence/Wall
El Grease Trap
El Other
El Other
* e Construction: I
V-B
Risk Category:
Occupancy Load
* gWancy Classification:
;Factory L ------- J
;Residential
Assembly E::�
Hazardous
FE]"Storage
business Day Care/Educational
,,�'t 'tional F� Mercantile
E tty
Building Use: single family townhouse Alteration I Level I Level 2 Level 3
New Construction ❑ Interior Finish ❑ Interior Remodel F-1 Exterior Remodel ❑ Addition E] 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 1 Shinle
ElTile E] Built-up
0 Metal El Other Squares: 13
Zoning:
Debris:
Wit!,ns,d ornee
El
Outside
Energy Code:
405-2020
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents?
DaYesNo
Sq. Ft. Enclosed Space Below BFE:
# of Vents:
—Size of Vents:
Total Sq. In. Permanent Openings
R Central A/C
El Gas A/C
MX Heat Pump
El Gas Heat
F1 Window A/C
[:] Electric Heat
Sanity !j Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
Setbacks
Front Rear Left Right
FZI As per Approved Site Plan
Comments:
,r 3 r
N
Address/Location
Classification/Type of UsQ6W/kv
ate:
Exempt [::] Yes i1 No How Determined
Impact Fee Amount S 3 6b Zone No..
SCHOOL IMPACT FEE
Account (056)
Single -Family Detached House
(057)
Mobile Home
(058)
Other Residential
(123)
Collection Fee
Exempt =Yes
= No How Determined -
PARKS AND RECREATION FEE
Land Account
Recreation Account
Zone
Exempt =Yes =No
Permit No. _
Date Permitted
Control #
Sq. Ft Unit:
Amount $ 3-5
TAZ:
Land Credit Land Total
Recreation Credit Recreation Total
Total Amount $ 21z
LIBRARY FEE
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 By _ _, �' _ Checked By
NO CERT ICATE 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 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.
IM
RECEIVED BY
BY