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Home My WebLink About22-5288BNR-0Mid 5288-2022 Issue Date: 12114/2022 NMI= 6359 Ten Acre Ct 04 26 21 0150 01200 0100 Name: LENNAR HOMES LLC-OWNER Permit Type: Building NeNib w (Residential) Contractor: LENNJ I NAR HOMES LLC Class of Work: SFR Construct Address: 4600 W Cypress St 200 Building Valuation: $342,480.00 TAMPA, FL 33607 Electrical Valuation: $51,372,00 fill Phone: (813) 574-5700 Mechanical Valuation: 23,973.60 Plumbing Valuation: $34,248.00 Total Valuation: $452,073,60 Total Fees: $20,417.26 Amount Paid: $20,417.26 Date Paid: 12/14/2022 3:45:28PM CONSTRUCT SINGLE FAMILY 2389 SO FT Public Safety Impact Fee -Police $254.00 Transportation Impact Fee - City $3632 Mechanical Plan Review Fee $0.00 Sewer Connection Residential Fee $2,090.00 Water Connection Residential Fee $1,01000 School Impact Fee - Single Family $8,328.00 ';Mechanical Permit Fee $159.87 Electrical Plan Review Fee KOO 3/4 Water Meter Fee (Calc) $732.71 Transportation Impact Fee $3,595.68 Park Impact Fee - Single Family/Townhome $769.56 Driveway Fee $4500 Address Fee $3000 Building Plan Review Fee $180.00 Irrigation 3/4 Meter (Calc) $73271 Plumbing Permit Fee $211,24 Public Safety Impact Fee -Admin $2635 SIF 1 percent Fee $83.28 Building Permit Fee $1,752,40 Electrical Permit Fee $296,86 SIF I percent Fee $83.28 Plumbing Plan Review Fee $0.00 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. CONTRACTOR SIGNATURE PE IT OFFICE[) PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER I 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received 908 770 7763 Phone Contact for Permitting ) 1 1 A I T 1 7 1 T 1 e t i 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 I N/A Owner Phone Number Fee Simple Titleholder Address N/A E6359 Ten Acre Court 1210 JOB ADDRESS LOT # Abbott Square 04-26-21-0150-01200-0100 SUBDIVISION PARCEL ID# (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 FRAME STEEL DESCRIPTION OF WORK Single Family Residence / Pool / Screen Enclosure / Fence BUILDING SIZE U/R SF SQ FOOTAGE HEIGHT BUILDING $ {. V'v'".c 342480 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 51372 PROGRESS ENERGY W.R.E.C. AMP SERVICE PLUMBING $ 34248 MECHANICAL $ 23973.6 VALUATION OF MECHANICAL INSTALLATION GAS ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS ••• tr FLOOD ZONE AREA Li YES DO COMPANY REGISTERED 43 1 W Boy Scout Blvd Suite 600 Tampa, FL 33607 iY :D IY D COMPANY a Y :D Lennar Homes, LLC Y I N FEE CURREN Y I N License # I CGC1518166 Edmonson Electric, Inc. Y / N FEE CURREN I Y / N License # EC13005408 �� Bayonet Plumbing, Heating & AC, Inc Y / N J FEE CURREN Y / N License # I CCFC042998 Bayonet Plumbing, Heating & AC, Inc Y / N FEE CURRE� Y License # CAC058062 C Sterling Quality Roofing, Inc Y / N I FEE CURREN YI / N License # CCC057991 1111111111111111111111111111111/IIIIIIIIIIIIIII111111111111 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 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 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/Surrey/Footage) Driveways -Not over Counter if on public roadways..needs ROW NOTICE OFDEED 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: |fthe 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 |avv, both the owner and contractor may be cited for misdemeanor violation under state law, If the owner o/ intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised tocontact the Pasco County Building Inspection Division —Licensing Section at727-847- 8OO8. Furthermons, if the owner has hired m contractor or contnactora, 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 contnsobzr, that may bean indication that heis 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 tothe construction ofnew buildings, change of use in existing bui|dinga, or expansion of existing bui|dinQs, as specified in Pasco County Ordinance number8Q-O7 and 00-07. as amended. The undersigned also underetands, that such feeo, as may be due, will be identified atthe 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 o certificate of occupancy or final power na|eane, 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 713. Florida Statutes, asmnnendad): |fvaluation ofwork iu$2.5OO.00ormore, | certify that |, the app|ioant, have been provided with a copy of the "Florida Construction Lien Law —Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs If the applicant is someone other than the "owner", | certify that | have obtained u copy of the above described document and promise in good faith to deliver ittothe ^mmner^prior k>commencement. CONTRACTOR'S/OVVNER'S#FF|DAV|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 nonstruotion, zoning and land development. Application is hereby made to obtain e 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 laws regulating onnotruntion. County and City noden, 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 my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department nfEnvironmental Protection -Cypress Bayheadn, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District -Wells, Cypress 0ayheede, Wetland Areos, Altering Watercourses. - Army Corps ofEngineers-8eevva||a.Docks, Navigable Waterways. - Department of Health & Rehabilitative Sen/iceo/Environmental Health Unit-VVe||o, Wastewater Treatment, Septic Tanks. - UGEnvironmental Protection Agency -Asbestos abatement. - Federa|AviotionAuthurity-Runvvays | understand that the following restrictions apply tnthe use offill: - Use uffill ienot 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 a ^oompenaeting volume" will be submitted attime ofpermitting which is prepared by a professional engineer licensed by the Stet* of Florida. - If the fill material is to be used in Flood Zone ''A" in connection with a permitted building using stem vva|| construction. | 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 pnopertiee, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots |een than one (1) acre which are elevated by fill, an engineered drainage plan is required. If | am the AGENT FOR THE QVVNERi. | 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 vvork, p|umbing, oigns, we||a, poo|s, air oonditioning, gan, 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 asauthority toviolate, oonca|, a|ter, or set aside any provisions of the technical nodeo, nor shall issuance of permit prevent the Building [}ffioie| from thereafter requiring a correction of errors in p|ona, 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 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 naquembad, in writing, from the Building Official fore period not toexceed ninety (SO) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is Considered abandoned. hy,11:106 "IF FLORIDA JURxT(r.S.1/r.m3) OWNER OR AGENT Subscribed and swor (or affirmed) before me this 10/14/2022 by Christopher Smith Who is/are personally known to me or has�have PF0d61G@d as identification. Notary Public Commission No. GG 296057 Stephanie Farmer Subscribed and sworn to (or affirmed) before me this 10/14/2022 by Christopher Smith Who is/are personally known to me or has/have produced —as identification. Notary Public Commission No. GsZysU57 Stephanie Farmer Nameof STEP"E FARMER k COUNTY,PASCO FLORIDA a Permit No, Data Farm iced = a ^Builder Name/Owner Name Control County Parcel No. It C> �Ca 6uiv: e S Address/Location C' 7� ClassificationfType of Use r d TRANSPORTATION IMPACT FEE tea Sq. Ft Unity � Exempt Pis No Flow Determined Impact Fee Amount Zone No. - T o Ali L ! P��T FEE Account (056) Single -Family Detached House Amount , (057) Mobile Floate (06) Other Residential 123) Collection Fay Exempt yes o How Determined 11 T{ON 'VIE, Land Ac unt lend Credit Land Total Recreation Account Recreation Credit Recreation Total Zone TOTAL AMOUNT $ Exempt Cly8s No flaw Determined L! Y F Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt D lies No flow Determined TotalAM0065�— TOTAL AMOUNT ERU Zoparedy ��Chackedy NO CERTIFICATE F OCCUPANCY WILL BE ISSUED FINAL INSPECTION UNTILPERFORMED TOTAL UNT LISTED HAVE SEEN, PAID AND RECRIPTED FOR BY A CENTRALPERMITTING OFFICE. F PASCO COUNTY Acl(nowledoement below does not trnpiy acceptan, ce of concurrence, but simply receipt of a copy of this form, placing the buDdIN permit Owner on notice of this assessment and the conditions of payment for same, RECEIPT NO, DATE BY .DUv € n LI VN c yr ► n r El El .M, ° I III III III I I II � i' III I 11 I i • sf s' TYPEW e`er a • ► y i #! •1 • S. TYPE V i W FF:99.6 • i no Emil 1 • i .f si DESCMPTIT011IR LOT I0. BLOCK I2, AERICT T SQUARE PHASE 18, ACC ORPING TO THE PLAT THEREOF, RECORDED IN FLAT BOOK PAGE ___. OF THE PUBLIC RECORDS OF PASCQ COUNTY, FLORIDA PRO IOSED ELEVATIONS AND GRADING SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF 'ABBOTT SQUARE RESIDENTIAL PREPARED BY'1X%RA'PROVIDED BY CLIENT ALL ELEVATIONS REFERENCED TO NORTH AMERICAN SITE PLAN (PLOT A SURVEY) This SITE PLAN Prepared for and CerbNod To: Lennar Hooves SEC. 4, TWP, 26 S, RNG 21 E. PASCO COUNTY. FLORIDA [ABBOTT SQUARE] Scale: 1 = 20 VERTICAL DATUM DP Ices CURVE DATA (P( INAtID eB) CURVE )...RADft15 ARC LENGiN j _CNORC}!_Eh+C.i it It CFfORG} C3EARlNCi DELTA ANGLE COT =.✓.I ESQ. FT LIVINGAREA �_Ls'i22—SQ. FT. PORCH A_-(----ScO. FT. GARAGE SO. Fr. COVERED LANAI SO, FT, PATIO � .L......... SO. FT. POOL AREA - A-_SCF FT. CONC. DRIVE =-jT56SCL FT. A,,C & CONIC PAC} i g Sp, FT. SIDEWALK ��4�.._..._.SQ. FT. LOT ROD � € ._ SO. FT, B/W SOD - NL8.__SO, FT_ LOT OCCUPIED =�7: T 4b AREA TO IRRIGATE- `Ye 2` OAK 10.00' PUBLIC UTILITY EASEMENT LEGEND: - r--TM PROPOSED DRAINAGE FLOW (00.00) - PROPOSED GRADE F.-00 00 ^ EXISTING GRADE NOTES: LOT GRADING TYPE -A PROPOSED PAD ELEVATION - 101 40 FRONT SET BOCK B 20 .SIDE SET BACK - 7.5" SIDE, SETBACKSCORNER LOT) -10 REAR SETBACK - IS PROPOSED: MINIMUM FLOOR ELEVATIONS: LIVING AREA: €02.07` GARAGE AREA: ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 TRACT "1011-3" )CDD) ACCESS,r'DRAINAGE/LANDSCftPE,,' WALL MAINTENANCE AND FENCE AREA: OPEN SPACE ,aS F � LOT )0 BLOCK 12 d 4.o.X5.7 C/S-A C PAT so 2g 3 30 -0" x LOT 9 BLOCK 12 LOT 11 W t cf:'D PROPOSED n BLOCK 12 2 STCtRY RFSIDENCE so } m Q.i Q PLAN 2382 m, ELEV'A wp " ^ GARAGEL n o A t N89AS"16 E(P) e. BAYS OF€ SEARING i N 89`45 16' E LIP)TEN ACRE COURT TRACT.A' (CDD) RIGHT -CIF WAY APPARENT FLOOD HAZARD ZONE: A COMMUNITY NO. 120235 SURVEY ABBREVATIONS � (MAP NUMBER 1210IC-02£34-H EFFECIIVE DATE: 04/26%2014 A Alt;-nNCrTrr �}}„Rc{[> INV N TR't AIR Cf Y"4YJNEp AF-eIAtPAensl EtNF ,T f-�ISMIN £EAWME ht r, OR F,F\ RFIVEVIIN IS -I F F ENI E1,1 rNer NS F t3 01 11AA I F� Ainh'T E_ASWe' it PLR rVa(E>N Vsk NIN' RNt —Of 445 RAtF VP 15"sE NFF RhSER ,<uIF?A N FtX ,Fl) f r `AV ol` ` GEE ^ VEI S 'i(VJt'F [L.. -NN P f IIIII AiN 1, + R( l(11'1`AI EE. ^' orN101 eoRK INNIT-C Vom"R+' tSbt FNif [t 4.fRYExt.!' IT, ^A<d SIC SE IN c -c"'� E.0 FEN-.! IIIIINE P f�ti =ME ASUli D , VIIIN cIF INT'RM I'-IUN IN&ii«V I N,s2l Ali I{,11 Il}-CA(IRATE:i cf4?^FtEIfF(;tiklrCE!t. Mrs^M FRTDidI141Ts0N Ps �f ARrI RAAVIN Is.81p3 f EtlT£W..Nf hANF�M4Ri ie'CFYN Cf}RMEll �IJY.` 4 RtlPt�Y N'. SN2 SC 122M1F ( IP R; 23 - ENA`W E:Nk t (NICE p . FOU tl 1 C1M1 r 11 A r JtR G P(t iN .het CdNN`4G zN�t 1 M1 :4A^t R N NVNIK r iR, C`7RCtf.ArA`E33 A4£tA. ftP f.R FG3tN !?f NEIOD OHiC f>hRttlAJ)U kCL.y` t' Pt N CIE S 1MFNf1E,aN TUI 11 Ir RAIE U C4.LIMN N4,1* a 1Nrr NA Al S 1) IfFICNI FEPI11RD1 i 11011 TN UNI ;�qf 111wriv Ili ( Ni 1..CINt RC`f 1IN-111INt E} FNIMI L'i 11,AI VR —W OF UsAlIst (.INb'E ,1.E lli "I EAS MFN'T (=S coeicftE£ERAE? iR`RPttsEX FG ENW)IIN >ifitt,n!_ C9TMCLr1#Bc'U% PFRi «ltRMv1N,=N`Pfff RF Ns.E AtCN LiFN yF VNrV Ir"KE _ CER#5396 SUMMYOR"S NOTESE SURR� FICATE� rare of Site Plan 4- F 2 22 4,) Current title tofu rrnatfan an the subject property had not been ?YTIs cent furnt hed to Initial Point Land Surveying, itC at the b(ne of this grope e n decmt e� � it Ern and for -As-> .rttStas,=1 SITE PLAIN n eSjait r 1 N T) This sketch was prepared without the benefit of a title searc_r. s 'x �& € E!t � 1 oaI �(Larrr No inctromerds o€ record reflecting awnerzhtp easements or RE o t Ti e, s 7 r Igh #" _ lie- rights of-Waywere furnished to the uNdersrgned unless otherwise �c! 7 3. }'t6TOP t sttative Co -'---'— shown hereon. i t to Section 472.027. Florida _ ate ?,awn 4y: D.IR mm 3J Roads walks —darner s&niknr rteor shown here o ware take .yPo kleckP.d k r;JH fCao, englnee ring plans and are subject to survey. d,) This SITE PLAN does not reflect nor determine owT+ership. oo 'EVESIR?MS 6t This SITE PLAN is subject to matters shown on ttse plat of 'ABBOTT 50LIARE PHASE IS' ft � St Eirmencorzs shown hereon ase m feet and decimal portions F Omp .. EY thereof 5#7 f 23 t E #81 ' 7.j Contractor and owner are to verify all setbacks,...-,_- dintensl >I1s. and fayattt skxswn 7rereon prior to any eonxtshctl NOT AI @pit o and to nejKaeP advise Ina al Point Land Surveying, L.LC of any StGNAY i. A d"re,Uen fro€n inforsh a€ion shown henNoo Facture to do sc will be LICE N&ED S PPER of SEF 3 Sole risk. e4� 5IC:ONIC WALK" -- .... nNl9 IWG WI'Atl WK1t?l: [E,NfE HAlN itNK UNCF Al 1 1111i MEf NI 1 708 Water Oak Drive Tarpon Springs. Florida Phone; {727) 831.1440 FturldaPtS 7123rs1grrl<ailenrn 1 3 I, E3. 8N I-r Initial Point Land Surveying, ! LC, a \/R/\ � �� A L R E V I E yv 4S 1 S � S' - Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 6359 Ten Acre Court Parcel Tax ID: 04-26-21-0150-01200-0100 Services to be provided: Plans Review X ME= 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 Finn: VIRTUAL REVIEW A55I5T, INC. Private Provider: Telephone: 813-376-3088 Fax: N/A Email Address (Optional): deb@virtualreviewassist.com Florida License, Registration or Certificate #: (LIC # BU1967/ PX2300/ BN4615) I have elected to use one or more private providers to provide building code plans review and/or inspection services on the building that is the subject of the enclosed permit application, as authorized by s. 553.791, Florida Statutes. I understand that the local building official may not review the plans submitted or perform the required building inspections to determine compliance with the applicable codes, except to the extent specified in said law. Instead, plans review and/or required building inspections will be performed by licensed or certified personnel identified in the application. The law requires minimum insurance requirements for such personnel, but I understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harmless the local government, the local building official, and their building code enforcement personnel from any and all claims arising from my use of these licensed or certified personnel to perform building code inspection services with respect to the building that is the subject of the enclosed permit application. I understand the Building Official retains authority to review plans, make required inspections, and enforce the applicable codes within his or her charge pursuant to the standards established by s. 553.791, Florida Statutes. If I make any changes to the listed private providers or the services to be provided by those private providers, I shall, within I business day after any change, update this notice to reflect such changes. The building plans review and/or inspection services provided by the private provider is limited to building code compliance and does not include review for fire code, land use, environmental or other codes. The following attachments are provided as required: 1. Qualification statements and/or resumes of the private provider and all duly authorized representatives. 2. Proof of insurance for professional and comprehensive liability in the arnount 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 Corporation LENNAR HOMES. LLQ Print Corporation Name By: (signature) (signature) Print Print Name: Name: Christopher Smith Address: its: Authorized Agent Address: 700 NW 1 Mth �Ave Telephone Miami, FL 33172 No.: Telephone No. 813-574-5700 Please use appropriate notary block. STATE OF FLORIDA 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 Before me, this 22ND day of MAY 2o_Z2, personally appeared of Lennar Homes, LLG -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. WMMMM Print Partnership Name (signature) Print Name: Its: Address: Telephone No.: Partnership Before me, this day of 120—, 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 NotarjL �A�M Print Name ASHLEE CALLAHAN Notary Public Stamp: A H It. EE CALLAHA N Commission Expires: Notary PUNC •state of F(orida G6 244456 NOVEMBER 30, 2022 5 soy 20' 2022 PdttdthroL Assn, 'ShNatlannt Notary • V-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: luicy,&,,,rirttialreN,iewassist,com Project: New SFR Address(s): 6359 Ten Acre Ct 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 553.79 1, Florida Statute and holds the appropriate license or certificate: Name: Debra Anne Klahr Plan Sheets: CSAI,A2,A3,A4,A5,A6,A7, SNO, SN1,S3,S4,S5, S6,ST,SS,SI 1,S12, "AT1.0, PA1.0,PALLPA1.2, PAI.3,PAI.4,SHI.0, SHI.LSHL2, SHI.3,SHI.4,SHI.5 Florida License/Registration/Certification #(s) and description: FS468 Certified Standard Plans Examiner License #: PX2300 Signature of Reviewer: SWORN AND SUBSCRIBED be ' fore -me by Debra Anne Klahr being personally known to m&, or having produced as identification and who being fully sworn and cautioned, state that the fc�egoing is true and correct to the best of his/her knowledge or belief. �7 signature of Notary Print Name Notary Public: NOTARY STAMP BELOW My commission expires: ❑ COMMERCIAL BUILDING SERVICES DIVISION RESIDENTIAL BUILDING BUILDING PERMIT DATA SHEET TRACKING # FOLIO # 6359 Ten Acre Ct FIRE MARSHAL #01 - Reauired Permits WBuilding El Inspection Only Wflumbing E] Inspection Only V Mechanical [:] lnspection Only WElectrical Arnt) F] Inspection Unly 4Z Roof El Gas [:1 Medical Gas El Fire Sprinklers El On Site Piping n Fire Line E] Irrigation El Fire Alarm [:] Potable Backflow Assembly E] Fire Line Backflow Preventer 1:1 Irrigation Baekflow Assembly E] Demolition EJ Walk-in Cooler ❑ Refrigeration El Hood E] Ansul El Fence/Wall ❑ Grease Trap 0 Other E] Other 0-00== Type Constructio Risk Category: -olcupancy Load Classification: .... cy C Factory to R'sidlial Assembly Hazardous 'Storage E== usiness Day Care/Educational Institutional FIM.ereantile ❑ _Utility Building Use: Sinale Family residence VNew Construction ❑ Interior Finish EJ Alteration ILevel I ❑ Level 2 [E]Level 3 E] Interior Remodel ❑ Exterior Remodel R Addition ❑ Revision Overall Size: 30 X 58 Number of Stories: 2 Total Sq. Ft.: 2854 Living Area: 2389 Covered Area: 465 # of Bedrooms: 5 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof Type: Shingle [:]Tile Ej Built-up El metal [I Other Squares: 19 Zoning: Wirdborne Debris: DInside V,, 'Outside Energy Code: 405-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? ❑ Yes No Sq. Ft. Enclosed Space Below BITE: # of Vents: Size of Vents: Total Sq. In. Permanent Openings Ej Central A/C D Gas A/C Z Heat Pump El Gas Heat E] Window A/C El Electric Heat Sanitary Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line M-17MM Front Rear Left Right F-1 Asper Approved Site Plan Comments: