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HomeMy WebLinkAbout22-5279Olga W___ 011 ck'oIII 1R) POI 005Uf 279-2tlFY 022 )ate: 12/14/2022 Milli, 6411 Ten Acre Ct 04 26 21 0150 01200 0040 7 Name: LENNAR HOMES M"III R NAHOMES ll V Address: 4600 W Cypress St 200 TAMPA, FL 33607 Electrical Valuation: 48,0 Phone: (813) 574-5700 Mechanical Valuation: $22,444.80 Plumbing Valuation: $32,064.00 Total Valuation: $423,244.80 ... . .... .. Total Fees: $20,189.83 L J Amount Paid: $20,189.83 1 L11111, Date Paid: 12/14/2022 3:45:28PM CONSTRUCT SINGLE FAMILY 2217 SQ FT i 1111 IN i Public Safety Impact Fee -Admin $26,35 Electrical Plan Review Fee $0.00 Public Safety Impact Fee -Police $254.00 Address Fee $30.00 Irrigation 3/4 Meter 1 $732,71 Plumbing Permit Fee $200.32 Electrical Permit Fee $280A8 Mechanical Plan Review Fee $l Building Permit Fee $1,643.20 Transportation Impact Fee - City $3632 Mechanical Permit Fee $15222 School Impact Fee - Single Family $8,328.00 Water Connection Residential Fee $1,l Driveway Fee $45.00 Sewer Connection Residential Fee $2,090.00 SIF 1 percent Fee $83.28 OF Impact Fee - Single Family/Townhome $769.56 Building Plan Review Fee $18000 ,Transportation Impact Fee $3,595.68 314 Water Meter Fee i $73271 I Plumbing Plan Review Fee $000 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. Oil I COW C7ORSIGNATURE PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 1 P,ASCO COUNTY, FLORIDA " Permit NO, Date Perrnittad �ff= Builder Name/Owner Name /a� Control County Parcel No. , Ou �Mb ubCiy. t t Address/LOOadon Cla siii tic y e Of Ids@ TRANSPORTATION IMPACT FEE Pats: q. Ft Unit:���Zf Exempt El Ves 0 NO How Determined Impact Fee Amount -� 5m Zone NO. T 'SCHOOL H CL I ACT F Account (056) Single -Family C tachad House Amount (057) Mobile Home (055) Other Residential M23) C011sOtiOn Fee 'Exempt Yes NO flow Determined P C Lend Account Land CreditLand total Recreation Account Recreation Credit Recreation Total Zone TOTAL AMOUNT Exempt Yes No How Determined Land Account' Land Credit Land `Dotal Facility Account Facility Credit Facility Tots! Exempt Yes NO How Determined 1 Total Amount SOLI TOTAL AMOUNT ERt1 Prepared By w '`' _ Checked By NO CERTIFICATEF OCCLIP.ANCY WILL BE ISSUED OR FINALINSPECTION PERFORMED N L THE TOTAL T LI TED HAVE SEEK PAID AND RECEIPTED FOR IDY A CENTRAL PERMITTING OFFIC PASCO COUNTY 1AcknOv40Q4m6nt not Intpiy acceptance Of concurrence, but receipt of o copy of s form, placing s b permit or on notice of this assessment and the conditions of payment for corn®, DATE PECEIV—ED EY RECEIPT NO. DATE BY = m 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting 908 770 7763 1 1 1 1 1 1 1 1 1 1 1 N I I I I I I I I 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 Owner Phone Number Fee Simple Titleholder Address N/A JOB ADDRESS 6411 Ten Acre Court LOT # 1204 SUBDIVISION Abbott Square PARCEL ID# 04-26-21-0150-01200-0040 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED PADD/ALT NEW CONSTR SIGN DEMOLISH INSTALL 8 REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK a FRAME STEEL DESCRIPTION OF WORK ( Single Family Residence / Pool / Screen Enclosure / Fence BUILDING SIZE U/R SF 2672 SO FOOTAGE 2217 HEIGHT 28' BUILDING $ 320640 VALUATION OF TOTAL CONSTRUCTION`S t' ELECTRICAL $ PROGRESS ENERGY W.R.E.C. 48096 AMP SERVICE PLUMBING $ 32064 MECHANICAL $ 22444 8 VALUATION OF MECHANICAL INSTALLATION r../,f GAS ® ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES Do BUILDER %� COMPANY Lenmar Home�FEECURREI SIGNATURE REGISTERED Y / N Address 4 1 W Boy Scout Blvd Suite 600 Tampa, FL 33607 License # I CGC1518166 ELECTRICIAN COMPANY Edmonson Electric, Inc. SIGNATURE REGISTERED Y / N FEE CURREN Y ! N Address License # I EC13005408 PLUMBER P COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address License # CFC042998Z::� MECHANICAL COMPANY 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 REGISTERED Y ! N FEE CURREN Y / N Address License # I CCC057991 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 ho^de*d^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 m contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor in not licensed as required by |aw, both the owner and contractor may be cited fora misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division —Licensing Section at 727-847.- 8009. Furthennore, if the owner has hired o contractor orcontractors, he is advised to have the contractor(s) sign portions of the "contractor B|nok^ of this application for which they will be responsible. If you, as the owner sign as the oontraobor, that may bean indication that he is not properly licensed and ionot 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 bnthe construction of new bui|dingo, change of use in existing bui|dings, or expansion of existing bui|dingo, as specified in Pasco County Ordinance number 89-07 and 90-07. as amended. The undersigned also understondm, that such haeo, as may be due, will be identified atthe time nf 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 a certificate of occupancy or final power release, the haeo 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, as amended): |fvaluation ofwork io$2`5O0.0Oormore, | certify that |, the app|ioont, 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 tocommencement. C[)NTRACTDR`SIOVVNER'S AFFIDAVIT: | certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain o permit to do work and installation as indicated. | certify that no work or installation has commenced prior to issuance of permit and that all mmnk will be performed to meet standards of all |ewo regulating conetrurtiun. County and City codea, 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 toidentify what actions | must take tnbeincompliance. Such agencies include but are not limited to: - Department of Environmental Protection -Cypress Beyheada, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District -Wells, Cypress Beyheads, Wetland Ansoe, Altering Watercourses. - Army Corps of Engineers -Seawalls, 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-Runvvays | understand that the following restrictions apply tothe use uffill: - Use of fill in not allowed in Flood Zone ^V~ unless expressly permitted. - If the fill material is to be used in Flood Zone ''A'', it is understood that e drainage plan addressing u "compensating volume" will be submitted at time of permitting which is prepared by e 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 vva|| construction, | certify that fill will be used only tofill the area within the stem wall. - If fill material in 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 propertiea, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots |eoo than one (1) acre which are elevated by fill, on engineered drainage plan is required. 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 e separate permit may be required for electrical vvm,k, p|umbing, eigna, weUa, poo|s, air conditioning, gaa, or other installations not specifically included in the application. A permit issued shall be construed to be license to proceed with the work and not as authority ioviolate, cenoe|, elter, or set aside any provisions of the banhnioo| oodan, nor shall iaauenm* 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 un|aeo the work authorized by such permit is commenced within mix months of permit ioauanoe, 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 nequeubad, in writing, from the Building Official for e period not toexceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. Subscribed and sworn Fo (or affirmed) before me this WhoTs/are personally known to me or has/have-prG4uGe# as identification. --Notary Public Commission No. GGa96ns/ Stephanie Farmer Subscribed and sworn to (or affirmed) W3/2022 by Christ )pher Smith W67o �is/are pe�rsonally known to me or has/have produced as identification, Notary Public Commission No. GG 296057 Stephanie Farmer Name of STEPHOIEMMER 00 rq. - -- - 00 0) SS, 01 S '� SILT FENCE -Olt 51-0, F.CE NTER I SE �,f 7.0 'N ;, 71 t 36'- 30" RCP @ 0.25% -1 IR, 1 so Mil DESCRIPTION: LOT 4, BLOCK 12, ABBOTT SQUARE PHASE I B, ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89, PAGE(S)57-62, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. PROPOSED ELEVATIONS AND GRADING SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF `ABBOTT SQUARE RESIDENTIAL', PREPARED BY "WRAPROVIDED BY CLIENT I r ALL ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 (NAVD 88) his SITE PLAN Prepared for and Certified To: Lennar Homes LOT = 4950 _SO- FT. LIVING AREA = 930 SO. FT. ENTRY = 54 SO, FT. GARAGE = 401 SO, FT. COVERED LANAI = NA SQ. FT. PATIO = 19 SQ.FT. POOL AREA = NA SOFT. CONIC. DRIVE = 371 SQ, FT. A/C & CONIC PAD = 12 SO, FT. SIDEWALK = 35 SO. FT, SIDE YARD SWALE = NA SQ. FT. CONSERVATION AREA = NA SQ.FT- LOT OCCUPIED = 37 AREA TO IRRIGATE = 63 % SITE PLAN SEC, 4, TWP. 26 S, RNG 21 E. (NOT A SURVEY) PASCO COUNTY, FLORIDA (ABBOTT SQUARE) Scale: 1 " = 20' TRACT "B-3" (CDC, ACCESS/7RAINAGF./EP.N:;SCA-F, WALL MAINTENANCE AND FENCE AREA; OPEN SPACE N 89.45' 16' E (P) 45.00' (P) IW �i o di a 3, 5'X3.5' PATIO C/S-A�G 0 7.5' 30.0 7.5' o 0 o n a a i j a 6 PROPOSED — LOT 5 '. 2 STORY RESIDENCE v BLOCK 12 So o PLAN 2216 o LOT 3 ELEv'A' o BLOCK 12 GARAGE LOT 4 BLOCK 12 ENTRY 10.0' 7,5 200 .5' .. 16.p' 1 _ , C0Nc If WALK N q /9 + �1 N89'A5'I6'E(Pl 71.52'IP) 5 CONIC WALK N89'45'WE(P) 45,00'(P) •• ;, t- - NOTES: LOT GRADING TYPE =A — PROPOSED PAD ELEVATION = 98,30 BASIS OF BEARING FRONT SET BACK ° 22" N 89.45' 16- E IF SIDE SET BACK = 7.5' 'TEN ACRE COURT SIDE SET BACK (CORNER LOT) -10 TRACT "A' REAR SETBACK = 1 a (CDD) RIGHT-OF-WAY PROPOSED: MINIMUM FLOOR ELEVATIONS: LIVING AREA: 98.97 C3 = 2" OAK GARAGE AREA: * = 10.00E PUBLIC UTILITY EASEMENT ELEVATIONS REFERENCED TO LEGEND: NORTH AMERICAN VERTICAL DATUM OF 1988 __..%-'-�"' PROPOSED DRAINAGE FLOW = (00,00) PROPOSED GRADE SURVEY ABBREVATIONS APPARENT FLOOD HAZARD ZONE: `X` COMMUNITY NO. 120235 (MAP NUMBER 12 10 1 C-0289"F) EFFECTIVE DATE: 09/26j Z014 E-00.00=EXISTING GRADE A' ARC I ENG-'nIDI-NEEr LOW -LAVER "C- POINT O CURVE RI - RE. ORCJ LEGEND A/C=Aer COND ONER AF ALUMINUM FENCE IIDRANAGE LASENEN R -PC NS MIUCRIESS PCC ON III I(Nal—ND CURVE RNG=RANGE VINY�r-ENCE OOD ELEVATION 1, 0 REV LIVA'ON tCII1 EDGE Or PAVEMENT L E- LANDSCAPE EASEMENT LE- LOW ES,FLOORELLVATION PCP ERMANENTCON R7,. POINT ICE POOL Ia(IPM, N7 IRS - AP ROAD SPIKE R/W=RGLF OF WAY h.t l'CODE M dtAll M RK AM 8CNt C CURVI. tSMI-EASEMLNI I/( FENCE CORNER LS- LICE NSED SURVEYOR (M) -Mf ASURED PG- ACC PI POINT OF INIERSECriON SEC=St(IION SN&D - SR NAIL AND DISK WOOD FENCE 'ASPHALI iC-ICN— IATfI)tCo C =FOUND CONCRETE MES- M rl RED ENO SECTION PC PARKRKA ON COR Nt --CHA�I us -=NEE MONURDR IP^: )UND NON'°E DEL - NO CORNERFOUND OA-CATRA.-. @ PROPERTY COB ON L-itCNNN'G Sf SE 12' ON ROD.B#81B3 Mf OAERY BENCu IurARK CHAIN UNK FENCE F'RRYCK— CMP--CORRZT'AntE-A I t COI-COLUMN ROD OYW- OVERHEAD WIREIS7 POC OINI Oi COMMEPICTMENT ,BM-T TOR =TOI Of BANK ! CONIC=CON(R-.E -UND,ROI N&D-FONIND BAR-&DIS O.R. -O -!UAL RECOr2OS POL POINT ON LINE TWP-TOWN4 f ALUMINUM FENCE C/S-CONCR IG SIAB rOP-FOUND OPEN ILIA (! _ A PRC ONTOFREVERSECURVE UE-UT11TYASEMENT dCOVERED _ \ _ � CSr=CLEARY(li—IIAN6 E iPPR FOUND P NICHED PIN EAT BOOK B=P M A PRFRMNENNC i REFEREE MONUMENT,VF arae IINCE JOB 115618 SURVEYOR'S NOTES: 1.) Current title information on the subject property had not been furnished to Initial Point Land Surveying, LLC at the time of this SITE PLAN SURVEYOR'S CERTIFICATE This certifies than gf� the hereon described ii • property ro ert w e u ervision and P Y �X P 1708 Water Oak Drive Tarpon Springs, Florida P Phone (727-831-1990 I Date of Site Plan: 6-8-22 DWGASr' t©L-6112 -Sr=-_ 2.) This sketch was prepared without the benefit of a title search. No instruments of record reflecting ownership, easements or rights -of -way were furnished to the undersigned, unless otherwise shown hereon. eetstIlc I _ Gf' >lQfPracnce for curve CPa a i11 and of Land S, I,{r -fkil �gned 5 _ lor, Apt n tra it on ant o Secuon 47 . 1 rtle FlondaPLS7123Cgmal.com LEE 8183 File: Drawn by DJB 3.) Roads, walks, and other similar rtems shown hereon were taker from engineering plans and are subject to survey. ) s SITE PLAN does not reflect nor determine owne¢hlp- p g St � pate7 W 2.07.2 L �t - f09 rj " 0[(.'Q0' a/ n� !Checked by JH REVISIONS 6.Thi s SfTE PLAN is subject to matters shown on the Plat of �� J+ �l F;.O A -ABBOTT SQUARE PHASE I B' Jeff M "8' \ ''. 6.) Dimensions shown hereon are in feet and decimal portion, thereof. FLORIDA4��fORAND 7.) Contractor and owner are to verify alt setbacks, building MAPPER IN '""� 3 NOT VALID WITHOUT THE ORIGINAL dimensions, and layout shown hereon prior to any construction, and immediately advise Initial Point Land Surveying. LLC of any SIGNATURE AND SEAL OF A FLORIDA <'f 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 VIRTUAL REVIEW ASSIST Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 6111 Ten Acre Court Parcel Tax ID: 04-26-21-0150-01200-0040 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. MWW. 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. I)EBPA ANNE KLAHR Address: 747 5W 2ND AVE- SUITE 170,301,357,& 358, GAINE5VILLE, 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 E 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. (signature) Print Name: Address: Telephone No.: Please use appropriate notary block. to V "NWA MRINIVOTM1011401 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 By: (signature) Print Name: Christopher Smith Its: Authorized Agent Address: 700 NW 107t -Ave Miami, FL 33172 Telephone No. 813-574-5700 Corporation Before me, this 22ND day of MAY _ 2022, 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. Partnership Print Partnership Name By: (signature) Print Name:_ Its: Address: Telephone No.: Partnership B efore me, 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. Personally known X ;or Produced identi cation— Type of identification produced Signature of Notar IL a on Print Name ASHLEE CALLAHAN Notary Public, Stamp: HA ASHGEE CALLAAX N Notary pubjjG - State of Ftorlda Commission Expires: lit G G 144456 Kj OTTIM Q244456 NOVEMBER 30, 2022 Expj(e5 Nov 10, 2D22, thrW t4atlonDl Notary A;Sn'lk \/R/\ VIRTUAL REVIEW ASSIST Private Provider Plan Compliance Affidavit Private Provider Firm: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU 1967 Address: 747 Southwest 2,d Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: tqi �yrtq,Llreyiewqssist.corn Project: New SFR Address(s): 6411 Ten Acre Court 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: CS,Al,A2,A3,A4,A4.1,A5,A6,A6. 1,SNO,SNI,S3,S4,S5,S6,SS,ST,SI I,512WPI .0,PAI.0,PAI.1,PA 1.2,PAI.3, SHLO, SHI.l,SHI.2,SHI.3,SHI.4,SHI.5 Florida License/Registration/Certification #(s) and description: FS468 Certified Standard Plans Examiner License 9: PX2300 Signature of Reviewer: SWORN AND SUBSCRIBED before me by Debra Anne Klahr being personally knTw—n to me or having produced as identification and who being fully sworn and cautioned, state that the Zisreg i true and correct to the best of his/her knowledge or belief. of Notary ��%--�� Print commission expires: CALLAHAN NotlfYP'Jbtic-Stste F I )rida ',issic)p i� GG 244456 NO 2022 my coMm— Expi, es Burled Notary Assn, TRACKING A FOLIO # 6411 Ten Acre Court BUILDING SERVICES DIVISION SIDENTIAL BUILDING PERMIT DATA SHEET DATE: 8/26/2022 �ff WBuilding El Ins eetion On VI'lumbing ❑ Inspection Only V Mechanical 0 Ins ection Only WElectrical Amp E] Inspection Only 01 Roof El Gas El Medical Gas E] Fire Sprinklers Elon Site Piping El Fire Line E] Irrigation ❑ Fire Alarm El Potable Backflow Assembly E] Fire Line Backilow Preventer El Irrigation Backilow Assembly E] Demolition El Walk-in Cooler E] Refrigeration El Hood ❑ Ansul E] Fence/Wall F-1 Grease Trap E] Other ❑ Other ffMR9M31= Type Construction: VS:::A Risk Category: Occupancy Load O an Classification:Assembly ey E== F acto R"idlial usmess Fay Care/Educational nal n'"DMercantile E�� F StorageHazardous n,tmuio t�3: Utility Building Use: Single Family Alteration [Level 1 10 Level 2 FffLevel 3 VNew Construction ❑ Interior Finish E] Interior Remodel ❑ Exterior Remodel ❑ Addition n Revision Overall Size: 30 X 46 Number of Stories: 2 Total Sq. Ft.: 2672 Living Area: 2217 Covered Area: 455 # of Bedrooms: 5 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof Type: 9 Shin le []Tile El Built-up EJ Metal M Other Squares: 1S� Zoning: Wir&orne Debris: 0jnside Outside Energy Code: 405-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? rYes —;No —Sq. Enclosed Space Below BFE: # of Vents: Size of Vents: Total Sq. In. Permanent Openings 0 Central A/C El Gas A/C Heat Pump El Window A/C E] Gas Heat 0 Electric Heat IMMOT11 Sanitary Sewer Storm Sewer Catch Basins Potable Water Under round Fire Line MOM Front Rear Left Right 21 As per Approved Site Plan Comments: