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Home My WebLink About22-5177lit l'z11 , lal City o e rill �� 1 � � ti , �,�£3� 5335 Eighth Street Zephyrhills, FL 33542 SNR-00517 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 11t22t2022 Permit e:Building New Residential) S"l £.. ',r�,x zh1�".� -. �at?PS`.,n .�=S. ,1,.. ..._ ,.,.. ?'�.x�.,'\�t.,` �i3E,;.i"��,4 ��Sz\,4 irrl ;<.��Sr'`o�s �x?:.y �� ,4 x; N>: ?�,�� 1. }Z .:�k','?>r z;�4�:3:k�S�t,t �`1ti„��35�`•vJ��?;c„ 6321 Beverly Hills Dr .."c,.;" ;.z_;}x >fi.; ,x ,z,.: ,zx }4 x tea@t£,?*S\2 ...;SAS tu�.'„4..:� ,.i'�=�'.tE .,.':..<, y}. xi{*,k2't`t,; ,..'. Sx1 ss'xa Name: LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC Class of Work: SFR Construct Address: 4600 W Cypress St 200 Building Valuation: $271,440.00 TAMPA, FL 33607 Electrical Valuation: $40,716.00 Phone: (813) 574-5700 Mechanical Valuation: $19,000.80 Plumbing Valuation: $27,144.00 ft , ` V Total Valuation: $358,300.80 � Total Fees: $19,865.11 Amount Paid: $19,865.11 Date Paid: 11 /22/2022 9:34:48AM '�•.e� � ' .x ( S /_ ( :fit 1sS .. 1 t Sx1i. tt. a S ti: x }. 1\ , x x�>� Se z �3 r£ SS � Z.t z fi r .. S :C. l xt xr RUM .;. .x .. e t \ V CONSTRUCT SINGLE FAMILY 1764 SQ FT AS \i c SSi School Impact Fee - Single Family $8,328,00 Water Connection Residential Fee $1,010.00 Sewer Connection Residential Fee $2,090.00 Building Plan Review Fee $180.00 Public Safety Impact Fee -Police $254.00 Plumbing Permit Fee $175.72 Transportation Impact Fee $3,595.68 Address Fee $30.00 Mechanical Plan Review Fee $0.00 Mechanical Permit Fee $135.00 SIF 1 percent Fee $83.28 3/4 Water Meter Fee (Cale) $732.71 Plumbing Plan Review Fee $0.00 Driveway Fee $45.00 Electrical Permit Fee $243.58 Transportation Impact Fee - City $36,32 Public Safety Impact Fee -Admin $26.35 Building Permit Fee $1,397.20 Park Impact Fee - Single Family/Townhome $769.56 Electrical Plan Review Fee $0.00 Irrigation 3/4 Meter (Calc) $732.71 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. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." 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. e� Llk , B4O1 TRACTOR SIGNATURE PE IT OFFICE01 PERMIT EXPIRES IN Ci MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION I IRE Permit No.-5177 Date Permitted Builder Name/Owner Name Control County Parcel No. _Cj 2 124j) I-Sd b I V'0_0 0 f qD SubDiv:Adail� Address/Location 34, Classification/Type of Use TRANSPORTATION IMPACT FEE 'i Rate: U Sq. Ft Unit:._ Exempt [D Yes F--1 No How Determined Impact Fee Amount 1-1-4 �3�2_- Zone No. TAZ:— SCHOOL IMPACT FEE Account (056) Single -Family Detached House Amount (057) Mobile Home (058) Other Residential (123) Collection Fee :xempt =Yes = No How Determinef' PARKS AND RECREATION FEE Land Account — Land Credit Land Total Recreation Account _ Recreation Credit _ Recreation Total Zone Total Amount $_22�f�,. Exempt =Yes = No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account _ Facility Credit Facility Total Exempt El Yes = No How Determined — Total Amount RESOURCE FEE ERU Prepared By .. Checked By NdICERTIFICATE 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. RECEIPT NO — DATE BY 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone908 770 7763 1 1 1 1 1 1 1 1 Contact for Permitting 1 1 1 1 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 N/A Owner Phone Number Fee Simple Titleholder Address N/A JOB ADDRESS 6321 Beverly Hills Drive LOT# 1414 SUBDIVISION Abbott Square PARCEL ID# 1 04-26-21-0150-01400-0140 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH INSTALL 8 REPAIR PROPOSED USE �� SFR 0 COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK Single Family Residence / Pool / Screen Enclosure / Fence BUILDING SIZE U/R IF 22622 SQ FOOTAGE 1764 HEIGHT 23° 66 r I BUILDING $271440 � VALUATION OF TOTAL CONSTRUCTION L IIJ LY—iELECTRICAL PROGRESSENERGY W.R.E.C. AMP SERVICE PLUMBING (� �f MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 19000 4 GAS ��/ ( ROOFING SPECIALTY OTHER °1 FINISHED FLOOR ELEVATIONS—'�Li �--y FLOOD ZONE AREA YES I NO BUILDER � �,,,-�~ COMPANY Lermar Homes, LLC SIGNATURE �^ REGISTERED Y/ N FEE CURREN Y J N Address 4301& Boy Scout Blvd -Suite 600 Tampa, FL 33607 License # CGC1518166 ELECTRICIAN COMPANY Edmonson Electric, Inc. SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address License # I EC13005408 PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED YIN FEE CURREN Y / N Address `_ License # I CFC042998 MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN LY / N Address License # �AG058062 C Sterling Quality Roofing,Inc OTHER COMPANY g y SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address License # GCG057991 I I I I I i I I 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 I l I 1 1 1 I 1 1 1 1 1 1 1 1 1 I 1 1 1 I 1 1 1 1 1 1 I l l l i l i l i 1 1 1 1 1 1 1 1 RESIDENTIAL Attach (2) Plot Plans, (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster, Site Work Permit for subdivisions/large projects COMMERCIAL. Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ""**PROPERTY SURVEY required for all NEW construction. Directions: Fill out application Completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500) — Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences (Plat/Survey/Footage) Driveways -Not over Counter if on public roadways..needs ROW NOTICE C)FDEED RESTRICTIONS: The undersigned understands that this permit may besubject ho"deed^restrictions" which may bemore restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake wmrk, they may be required to be licensed in accordance with state and local regulations. If the contractor in not licensed as required by |ow, 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.Fuhhermore, if the owner has hired e contractor urcontractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may bean indication that he ionot properly licensed and ienot entitled topermitting 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 tothe construction of new bui|dings, change of use in existing bui|dinge, or expansion of existing bui|dingu, as specified in Pasco County Ordinance number88-Q7 and 90-07. as amended. The undersigned also understands, that such feea, as may be due, will be identified atthe time of permitting It is further understood that Transportation |mpoo| 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 e certificate of occupancy or final power ,a|eaee, the fees must be paid prior to permit issuance. Furthermore. if Pasco CountyVVator/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CCDWBTRU[JT|O# LIEN LAW (Chapter 713' Florida Statutes, asamended): |fvaluation ofwork io$2.5OOOOormore, | certify that |, the app|icant, 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 ''ovvne/'. | certify that | have obtained a copy of the above described document and promise in good faith to deliver ittothe ''mwner'prior tncommencement. CONTRACTC>R'S/{3VVNER"SAFF|DAV|T: | certify that all the information in this application is accurate and that all work will be done in compliance with all opp|iuob|o |owe regulating oonotruction, 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 of ail |avvu regulating oonatruotion. County and City oodea, zoning regulations, and land development regulations in the jurisdiction. | also certify that | understand that the regulations of other government agencies may apply tothe intended vvork, and that it is myresponsibility tnidentify what actions | must take tubeincompliance. Such agencies include but are not limited to: - Department ofEnvironmental Protection -Cypress Boyhemdo, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. Southwest Florida Water Management District -Wells, Cypress Boyheado, Wetland Aroaa, Altering VVmtenuouneee. - Army Corps ofEngineera'Seowo||o. Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-VVe||a, Wastewater Treatment, Septic Tanks. - USEnvironmental Protection Agency -Asbestos abatement. - Federal Aviation Authority -Runways. | understand that the following restrictions apply tothe use offill: Use offill ionot allowed inFlood Zone ^V~unless expressly permitted. If the fill material is to be used in Flood Zone ^A'', it is understood that a drainage plan addressing e "compensating volume" will be submitted at time of permitting which in prepared by o professional engineer licensed bythe State ofFlorida. - If the fill material is to be used in Flood Zone ''A^ in connection with e permitted building using stem vve|| 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 fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent proportiey, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots |eoe than one (1) acre which are elevated byfill, onengineered drainage plan isrequired. If | am the AGENT FOR THE OWNER, | promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. | understand that a separate permit may be required for electrical work, p|umbing, uigno, vveUs, pmo|o, air condidoning, gau, or other installations not specifically included in the application, A permit issued oheU be construed to be license to proceed with the work and not asauthority toviolate, cancel, a|ter, or set aside any provisions of the technical ondeu, nor shall issuance of 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 iouuance, 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 nequoebad, in vvhtinA, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. FLORIDA JunxT(p.e. 117,03) OWNER OR AGENT Subscribed and sworn o (or affirmed) before me this 8/312022 _by .. Christopher Smith 3re personally known to me or hasihave-laff)d4G@4 as identification. Notary Public Commission No. sGz9so57 Stephanie Farmer CONTRACTOR L"- Subscribed and sworn to (or affirmed) before me this 8/3/2022 by Christopher Smith Who is/are personally known to me or has/have produced as identification. 47-15`- Notary Public Commission No Stephanie Farmer TYPEW FF:107.87 PAD:107.20 om Z iUb 45 --I- I TYPE V FF:108.07 J PAD:107.40 1 06 56 TYPEW Ln FF:107.97 PAD: 107.30 f,106 35 TYPEW ,Zt FF:107.67 PAD:107.00 (DEL 106.15 1 . 19 RCP @ 0,30% -0 102.90 102.18 VESCRIFnOWLO7 14 BLOCK DEABSO IT SQUARE PHASE 18, ACCORDING TO THE PLAT THEREOF RECORDED FN PLAT BOOK PAGE . OF THE PUBLIC RECORDS OF PASCO COUNTY, FLC)Riokkk Ail ELE1,,AT3ONC REFERENCED TO NORTH. AMPR?CAN VETTICAL DATUM OF 1988 :NAVD W SITE P„AN Pn,pPI110 In! and CeIPf"d LOT 21 BLOCK 14 ,P ---------- LOT 23 F: BLOCK 14 LOT 14 BLOCK 14 SITE PLAN SEC, 4. TWP 26 S. RNG 2) E. ,NCLT A FUWVEPASCO COUNTY, FLORIDA Y� fABBOTT SQUARE) Scale: 1 = 20' LOT 13 BLOCK 14 48 ,0 ---- �A LANh PR )POsm CA R SX)ENCE 7LAN 1763 ELEV A 3 2X3 2 = GARAGE P C SAC LOT 22 E,P BLOCK 14LCTis P� BLC CK 14 4, 2so Ip: 22? L 0 11 -_JJLZ—SQ FT LIVING AREA FT PORCH FT GARAGE -319---SO FT COVERED LANAI FT PATIO _-SO FT POOL AREA --N/,&---S0 FT CONIC DRIVE - SQ. F 1 AFIC & CONC PAD = _So F I SIDEWALK-__StFT LOFSOD _,SO FT. R,,W SOD --N/A—SQ FT. LOT OCCUPIED 2- OAK AREA TO IRRIGATE IS, �,DO IUS-IC G-LTY EASENION, NOTES_ TIP BASE OF',VAL1 PROPOSED LOTGRADiNG-PF ^A 8W FACE OF WA, MINIMUM FLOOR ELEVATIONS PROPOSED PAC) ELEVATON, !0800 LIVING AREA, 108.67' LEGEND� TPONI, I SEI BA'K 20 ROPOSED DRYINAGE ',,OW GARAGE AREA. SIDE SET BACK 5 IRCAPOSED E�EVATIOPJS AND GRADING ELEVATIONS REFERENCED TO COOK; IROIO-�tDGRADI s 01X`N HEREON ARE TAKEN FORM THE NORTH AMERICAN VERTICAL SIDE SET BACKzCDRNFR Lo', EXP,11N(',GRA:)E ENGNEERING PLANS OF DATUM OF 1988 RFARSEIRAC K , 1', A8807 SQUARE: REWLEN-iAL, PREPARED APWENI FLOOD E AZARD ZONE X COMMUNIlYF40 !20235 RY'WRA PROODED BY CLikN7 --SURVEY ABBREV;ATIONS WAP NMSEP 12 1 OIC-0289-11 EIFLO iVE DATE GA 26 204 LEGEND wtc- AC R tNt NEkKok"AA LIf NO N' Af AI —Ajo FfNU Iu v Fk ',IN "1111w, IIfAEWI( N 1k 11 111 114 "Al 4 I IA' tASE UX1"), I I 11--P EN( j OTt 11 Kk -ARKE I III III ER Yt PoAIKO, I , , "1 1— : I 'Am Z-1 III M., �L—Ik`l A III,, C,T IYA,o", I, 1 11, 11' 0- N, 'o- OP 11-1-l',11'I I Al 1 Akk -f —F1' -IfICIIMU —,—NO NM vr ENI,� S NO S11 708,9LIF, CLIA DI'll JOB #1-339 su V %V" ATE 1 .) C,,-nt titic information or, Me sub�oc�Z pfoperty bIT,` Th-emfil o 'Iua.4 Tllp- Sp,i,,,, R-aa I On Date ;Aok , ,!-!--f S- P1,111 fun to'nala, Pouv Low S.Aoyloq, i�,C x v �, �,rno of tha iWpop< I � Ph-P :127,-831-1990 ic d Oja�LS 1 qo- oro INS oPoc.n Io preparda-th-t the s.0 SITE PLAN n, -aW-Q— 2.) bAllefit 0, F f e 0, di LBO 8183 No Inst-rnents of 1,I'ooJ',Ah,'t.oq 51 1 -1 P,1L11 1 14 KLI 4 �,TL rite; SuWY r nqhvf-oI--Aweo, fwrtohed to vie undvT,Ipeq Uniol$ othooNIWI on, a AdU4111v Ede. if i --o hP,— 11gr ecm 472027 FAI&,�St, -j 17 R.1,11, wIlks, 1110 WllS-1,11 lt-1 111— ho-1, 11" LIWI 2nK1111 If, I— Png"—ng pl d c 6 c. x€ "u"v a I � TIn x SIT E PLAN doo-v PWIt �Iol dPU,—',P —1, REVISIONS 5 S E PLAN a funfon to f,,Bers shC— W, the Plot 01 J? i 4, WMOTT SQUARE In IMF 18Dot n.d,, Bo\ herm, - ofeet a,,d, P., VEYO th'""t A 7123 B#8183 7. im, 1 No dk�,--no, Ind Oymtt h—, J—Ion or,., to 'Py —Wo V —d —Iodlo 0yod—o Pimai Pon t La Su—yvig, L. of IF, S tGN ))Sru k de v.oco fro-IJ01-oko'k to do be 4 -CENSED 5 LJR : inmal Punt LanC, Surveying LLC 3 l ;3 �0- 0 6321 Beverly Hills Drive Project Name: Ifr v I RTUAL REVIEW ASSIST Notice to Building Official of Use of Private Provider Effective January 20, 2003 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. I I 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: Address: 747 SW 2ND AVE- SUITE 170,301,357,6t 358, GAINESVILLE, FL 32601 Telephone: 813-376-3089 Email Address (Optional): Florida License, Registration or Certificate M (LIC # BU1967/ PX2300/ SN4615) 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 1 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 per occurrence relating to all services performed as a private provider, including tail coverage for a minimum of 5 years subsequent to the performance of building code inspection services. Individual (signature) Print Name: Address: Telephone No.: Please use appropriate notary block. STATEOF —FLORIDA COUNTY OF —HILLSBOROUGH Individual Before me, this -day of 20— personally appeared who executed the foregoing instrument, and acknowledged before me that same was executed for the purposes therein expressed. Corporation LENNAR HOMES LLC Print Corporation Name (signature) Print Name: Christopher Smith its: Authorized Aaent Address: _ZQQ_hjW 107th Ave. Miami, FL 33172 Telephone No, 813-574-5700 Corporation Before me, this 22ND day of MAY 20 2_2 personally appeared Of Lennar Homes, LLC —a corporation, on behalf of the state corporation, who executed the foregoing instrument and acknowledged before me that same was executed for the purposes therein expressed. Personally known X ; or Produced identi cation Type of identification produced Partnership Print Partnership Name I'm (signature) Print Name: Its: Address. Telephone No.: Partnership Beforeme, this day Of 20_, personally appeared partner/agent on behalf of a partnership, who executed the foregoing instrument and acknowledged before me that same was executed for the purposes therein expressed. Signature of Notary-" Print Name ASHLEE CALLAHAN Notary Publio Stamp: n SHLEE CALLA AN � � State of Florida Commission Expires: pvlj or.. # GG 144456 NOVEMBER 30, 2022 Ar.- EAple05 Nov 30, 2022 0 ro, NationRl Notary Assn-' Page 2 of 2 VIRTUAL REVIEW ASSIST Private Provider Plan Compliance Affidavit f Private Provider Firm: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU1967 Address: 747 Southwest 2,d Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: IM-y UqLyjrtqLjj�e eNv.ssjqLgom K Address(s): 6321 Beverly Hills Drive 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 afflant, who is duly authorized to perform plans review pursuant to Section 553.791, Florida Statute and holds the appropriate license or certificate: Name: Debra Anne Klahr Plan Sheets: CS, 1. 1, 1,2,2.1,2.2,3,4,5,6.1,6.1,6.2,SN,SNI,S3,S4,S5,S6,SS,ST,D1,D2,WPI,PAI.0,PAl. 1,PAI.2,PA L3,SHI .0, SHL 1,SHI .2,SHI.3,SHIA,SH 1.5 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 me or having produced as identification and who being fully sworn and cautioned, state that the lfr;e*ng is true and correct to the best of his/her knowledge or belief. Signa e o otary Print Name Notary Public: NOTARY STAMP BELOW My ASHLEE CALLAHAN Notary ubk - state of Flotida v cor-n'Tission �� GCS 244456 =i' commission expires: mm, Expire Nov 30, '2022 My C,� s ',otiona! Notary Assr. , r-- [E—:T,COMMERCIAL BUILDING SERVICES DIVISION IVRESIDENTIAL BUILDING PERMIT DATA SHEET TRACKING # FOLIO# 6321 BeverIv Hills Dr Required Permits WBuilding [:] lnspection Only Plumbing El Inspection Only IV Mechanical 0 Inspection Only VElectrical Amp E] Inspection Only Roof Ej Gas [ E] Medical Gas E] Fire Sprinklers ❑ On Site Piping Ej Fire Line E] Irrigation E] Fire Alarm ❑ Potable BacktIow Assembly [:] Fire Line Bacliflow Preventer 1:1 Irrigation Backilow Assembly E] Demolition ❑ Walk-in Cooler E] Refrigeration E] Hood E] Ansul E] Fence/Wall [] Grease Trap E] Other E] Other U-MME MIM Type Construction: Risk Category: :Occupancy Load a Classification: ney C E== OV,Fac Factory Residential Assembly Business y Care/Educational Hazardous E= ercantile nn. r rljnt Institutional == FEI � ZN/ ]'Storage ❑ Utility Building Use: Single Famil Alteration 11U, Level 2 [Q'Level I Level 3 VNew Construction El Interior Finish E] Interior Remodel [] Exterior Remodel D Addition F1 Revision Overall Size: 25 x 54 Number of Stories: 2 Total Sq. Ft.: 2265 Living Area: 1764 Covered Area: 501 # of Bedrooms: 4 # of Baths: 32.5 Cost per square foot: Estimated Value: Roof Type: Shingle []Tile ❑ Built-up 0 Metal El Other Squares: 16 Zoning: Wirdborne Debris: Inside Outside Energy Code: 405-2020 Flood Zone: X Base Flood Elevation Finish Floor Elevation: Hydrostatic Vents? rQ11, Yes NO I Sq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: Total Sq. In. Permanent Openings 0 Central A/C El Gas A/C 9 Heat Pump ❑ Window A/C 0 Gas Heat El Electric Heat Sanita!y Sewer Storm Sewer Catch Basins Potable Water Under round Fire Line M= Front Rear Left Right Fv� As per Approved Site Plan Comments: EM