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23-5541
City of Zephyrhills Street 0 5335 Eighth Zephyrhills, FL 33542 BNR-005541-2023 Phone: (813) 780-0020 Fax: (813) 780-0021 issue Date: 01/23/2023 Permit Tylpe:-Building New (Residential) 7717 Name: LENNAR HOMES t LC -OWNER Permit Type: Building New {Residential} Con#ractor: LENNAR HOME LC Class of Work: SFR Construct Address: 4600 W Cypress St 200 Building Valuation: $312,600,00 TAMPA, FL 33607 Electrical Valuation: $46,890.00 Phone: (813) 574-5700 Mechanical Valuation: $21,882.00 Plumbing Valuation: $31,260.00 Total Valuation: $412,632.00 Total Fees: $20,136.77 Amount Paid: $20,136.77 Date Paid: 1/23/2023 2:56:57PM .......... CONSTRUCT SINGLE FAMILY 2073 SO FT AS 7 Irrigation 3/4 Meter (Cale} $732.71 School Impact Fee - Single Family $8,328,00 Transportation Impact Fee - City $36.32 Water Connection Residential Fee $1,010.00 Electrical Permit Fee $274.45 Building Permit Fee $1,603,00 Park Impact Fee - Single Family/Townhome $769,56 Transportation Impact Fee $3,595.68 SIF 1 percent Fee $83.28 Sewer Connection Residential Fee $2,090.00 Driveway Fee $45.00 Mechanical Plan Review Fee $0.00 Public Safety Impact Fee -Police $254.00 Mechanical Permit Fee $149.41 314 Water Meter Fee (Cale) $732.71 Electrical Plan Review Fee $0.00 Public Safety Impact Fee -Admin $2635 Plumbing Plan Review Fee $0.00 Building Plan Review Fee $180.00 Address Fee $30.00 Plumbing Permit Fee 6.30 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. a CONTRACTOR �SIGNATURE PE IT OFFICEE) PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIOR CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-78(,-0020 City of Zephyrhills Permit Application Fax-813-780-0021 4k Building Department Date Received Phone Contact for Permitting 7763 -1 - " U 1 -1 1 T A . . . . . . . . . . . . . . . . 4- V�r. -ja I— V-F-I I I I I I 1 0 1 1 1 1 . . . Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813574.5700 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 I N/A JOB ADDRESS 6330 Ten Acre Court LOT # 1106 SUBDIVISION Abbott Square PARCELID# -01100-0060 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR F__] ADD/ALT 0 SIGN DEMOLISH P INSTALL REPAIR PROPOSED USE 0 SFR COMM OTHER TYPE OF CONSTRUCTION 11ZP BLOCK FRAME STEEL DESCRIPTION OF WORK Single Family Residence Pool / Screen Enclosure / Fence BUILDING SIZE I UIR IF 2605 SQ FOOTAGE2073 HEIGHT 28 _r_BU,LD,NG $ 312600 VALUATION OF TOTAL CONSTRUCTION r --- 71 ELECTRICAL 1$ PROGRESS ENERGY W.R.E.C. L10 46890 AMP SERVICE F-71 L,eJPLUMBING MECHANICAL $ 21882 VALUATION OF MECHANICAL INSTALLATION F_71 GAS I,/ I ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS 1 7_7 FLOOD ZONE AREA DYES Do BUILDER COMPANY LennarHomes,LLC SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address 14301 W, Scout BI Suite 60D Tampa, FL 33607 License# CGIC1118166 ELECTRICIAN COMPANY I Edmonson Electric, Inc. SIGNATUREREGISTERED Y/ N FEE CURREN I Y/N Address License # PLUMBER COMPANY [q=ayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED LY / N FEE CURREN L_y LN J® Address License # I CFC042998 MECHANICAL ff COMPANY Bayonet Plumbing, Heating & AC SIGNATURE REGISTERED YIN FEE CURREN Address e License # EAC::0:58062 OTHER COMPANY Sterling Quality Roofing, Inc SIGNATURE REGISTERED Y/ N FEE CURREN LYLN_j Address License # I I I I I I11111111111 IIIIII IIIIIIIIII IIIIIIIIII II I I I I I I I I I I I I I I I I I I 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 H 0) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 clumpster. 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, 1.4-1-4-".4-1-4-1 1 1 4-4-1-"-1,4-"-4_II_4 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 roadwaySroeeds ROW LJ NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more 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 work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a 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. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, 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 buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, 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, as amended): If valuation of work is $2,500.00 or more, I certify that 1, the applicant, 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", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I 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 a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I 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 of Environmental Protection -Cypress Bayheads, Welland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. Southwest Florida Water Management District -Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers -Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Services/Environmental Health Unit -Wells, Wastewater Treatment, Septic Tanks. US Environmental Protection Agency -Asbestos abatement. Federal Aviation Authority- Runways. I understand that the following restrictions apply to the use of fill: Use of fill is 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 a drainage plan addressing a ,.compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall 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, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A 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 issuance, 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 requested, in writing, 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. Wil � 11 il 0 . 12-1vill I 0"I'AL011:11111 go] M I J, I a J111 W 1 -4 a WM I wal In 10 11 q I I!Rcolm -a rm Ig 1211outz Log I L' 1 0 FLORIDA JURAT (F,S. 11703) OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this 1712022 by Christopher Smith Who is/are personally known to me or as identification. Notary Public Commission No. GG 296057 Stephanie Farmer Name IT100VARIMI womw f E*M FOR161Y 116, 20 5tV e"WTMTMyFit W4WW$*"9 Subscribed and sworn to (or affirmed) before me this 1012-022 by Christopher Smith Who —is/are personally known to me or has/have produced as identification, Notary Public Commission No. GG 296057 Stephanie Farmer Name ofNNM:j 1V MVPAW FARMER �!AVF Eqkos Febm4fy 15, KF e,vW kf*dTI*4TMyF*%swwoNIl � a Permit No,_,� Date Permitted Builder Name/Owner Name Control # County Parcel No, Subi}iv: Address/Location (� Classification/Type of Use TRANSPORTATION IMPACT FEE Rate: Sq. Ft unit: Exempt Yes 0 NoHow Determined r Impact Fee Amount � �- Zone No. TAZ: SCHOOLS PACT FEE Account (056) Single -Family Detached House Amount $ (057) Mobile Home (058) Other Residential (123) Collection Fee Exempt = Yes = No Hour Determined - PARKS AND RECREATION FEE Land Account Land Credit Land "total Recreation Account Recreation Credit Recreation Total Zone Total Amount $ Exempt How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account _ Facility Credit _ Facility Total Exempt ElYes No Hour Determined Total Amount RESOURCE FEE ERU PERFORMED • it HAVE MM RECEIPT NO DATE BY t Dd � �.. ... Z r2 � l - w(mse ,> •` 'Z,yr t; ^§x 's'rN �� k� �YS„ PAD:108.00 m ,.r '. + FOUND 4"X4" ro 71106,13 107.47 104.20 \" `1O 01.S4Fo+ce x,aescmwu a� R�.�' o IR C�vv ,ATE 9 �1 0 o trn MONUMENT NO ID. ''--- FENCE END tjFJJf ' �T 10 9 I LI ' � 5 4 L .SILT 1.1 2'E 1.4'S o 6 {SD4 34 Tti'PE'B' oS� �• TYPE A' FYPE'A' TYPE 'A' TYPE'A' TYPE 'A` TYPEA TYPE `A'TYPE'A' TYPE'A - Q I PAD�106.80 �` 1� FF:102.07 PF:101.67 FF:101.07 FF:100.57 FF100.D7 FF:99.47 FF:98.97 T"AD:97,70 FF:98.07 Zd5.93 •p: n QE 6� AD•101.4 N101 P1110 PAD.99.90 AD.99.40 AD:48 8 AD:98 30 AD:97.40 106.56 103.94 �'70 E 1p2 4 0 1�SS6N , 2 18 RCP @ 0.34% �g6 ti PO.102 0 ME" ,106.00�- ---- CO----- `v' -----°F --�' ----- °'------'^---- - -- '3` 106.76 103 J4 SD9 6 - 10PADJE17,00: TYPE `B' fi 14 00 . 21S+0, 21. + D I I 9s, FF:107.67 ry t, --. •- - -�- 36 30" RCP @ 0.25% - s9., ' 106.25 7� "106.97 16353 <v � rn m �% • `9S ro MIF.7 # 3 I N #', I o��. 106.45 9989 TVPE 'B' 0 + 107"17--1.03.32 .} rn m FF 101,27 r a, u m.-- TYPE'A' I PAD: 100.60 FP102.17 ( TYPE'B' TYPE'B' TYPE `8' TYPE'B' 124'-30'"RCP @0.24% N •,.� I TYPE `B' PAD:101SO i i FF:100.1 FF:99.67 FF.99.17 FF:98.77 `h �� 99.95100.66 m PAD:99.0 PA0:98.5 n PAD:98.1 ( FF:108.07 w i; o PAD.99.5 n o m PAD:107.40 - m �� 1D6.56 99 88 9 °' 10 rn 11�� II 99.�II 73 FF:1D"1`27 �6! n 105 36 RCP @ 0 2° PAD:100.60107.7.E 103.10 M-Pl,"A0 -98.80TYPE'B' 100,34 SILT FENCE i PAD:107.30 w TYPE 'B' - 106.35 99.63 # FF:101.17 9857 98.77 98.12 97.4796.82 106.9E 102.90 I ( r' TYPE 'A' 'a iLOCK 1Z 98.22��� - ,y FEL01.77 + TYPE"B' PAD:101.10 rt FF:7.07.67 # PAD: 107.00 FFa00 $7 ter: -' ( 106.15 99.39ii / - --i-- ] -33`- 18" RCP @ 030% i PAD:100.20 � %y1 106.7E 102.18 TYPE 'R' `499.90 97.58 FF:101.67 F / cS TYPE 'B ti PAD:101.00 I # ME Rol- f WEST RIGNT 0 WAY n I FF:107S7 `" o .{ ' LINE PER A ^� 106.15 I--" ro 99f14 q' SD4-27 v o m 99.08 "99.77. 96.94 ,ff G PR E FF:100.57 t. I FF:109.17 20 1.9 18 I 14 ( PAD:99.90 t� z^�. TYPE TYPE'A TYPE 'A' # I FF:105.77 FF:104.19 FF:102.67 ( 98.8E .Oc)9.53 -96.30ypti© 24' _ 18" RCP @ 0.14% ` PAD.105 10 PAD.103 5� PAD.102.00 SD8 18 I f T YPE ".SDI 74.o-Fe-os O0 iNvsass i ` ,•- _ __.-..-. 25' .. 18" RCP (cD 0.-f�- POND SD8 9 6' 57 24"RCP@0,08 �- 30% ie\\V\\\ my noeFsx,o�. ... - DESCRIPTION: LOT 6, BLOCK 11, ABBOTT SQUARE PHASE IB, SITE PLAN SEC. 9, TWP, 26 S, RNG 21 E. ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOT( 89, PASCO COUNTY, FLORIDA PAGE(S157-62, OF THE PUBLIC RECORDS OF PASCO FLORIDA. COUNTY, (NOT A SURVEY) (ABBOTT SQUARE) LOT = 4800 $Q, FT. PROPOSED ELEVATIONS AND GRADiNG LIVING AREA = 952 FT. SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF ENTRY _SQ- 32SQ. FT. `ABBOTT SQUARE RESIDENTIAL", PREPARED GARAGE = 396_SQ. FT. BY "'WRES PROVIDED BY CLIENT COVERED LANAI = 104 SO, FT. PATIO = NA SO. FT. _._- ..................-_.-.__ POOL AREA = NA SO. FT. — --- CONC. DRIVE = 352 SO, FT- ALL ELEVATIONS REFERENCED A/C & CONC PAD = 10 SO. FT. Scale: 20/y — TO NORTH AMERICAN SIDEWALK = 61 SQ. FT VERTICAL DATUM OF 1988 SIDE YARD SWALE = NA SO. FT. (NAVD 88) ! CONSERVATION AREA = NA SQ. FT. ---��---� LOT OCCUPIED = 41 AREA TO IRRIGATE = 59 % his SITE PLAN Prepared for and Certified To Lennar Homes PC �l m� SI z I LOT 7 � BLOCK 1 I r N 89'51 50° E (P) 120,00(P) \Nrp WALK - 37,0 8 0 0 o 36,0 . PROPOSED TO ENTRY 2 ST� Q ORY RESIDENCE Q Cl paj' m m ' " �,!^ PLAN N v ELEV'S' 'e" ' NA LOT 6 BLOCK i 1 f LOT 8 o z Qom O o . Q b w GARAGE 12 8.0' -, 3.2'X3.2' BLOCK 1 1 T D ' C 2 o _ 620 C/S A/C62,0 $ - — t }'v I 2 0' 250 (P( —_ w i99 N 89-51'50' E (P) 120.00 IF)" I I LOT 5 BLOCK 1 1 NOTES: PROPOSED: MINIMUM FLOOR ELEVATIONS: LOT GRADING TYPE=B LIVING AREA: 101.27' PROPOSED PAD ELEVATION -- 100,60" = 2" OAK FRONT SEF BACK _- 20 - 10.00' PUBLIC UTILITY EASE ENT GARAGE AREA: " ELEVATIONS REFERENCED TO SIDE Se? BACK 7 5 LEGEND: NORTH AMERICAN VERTICAL SIDE SETBACK CORNER LOT =-10 DATUM OF 1988 ✓—+-= PROPOSED DRAINAGE FLOW REAR SETBACK -- 15' (00.00) - PROPOSED GRADE APPARENT FLOOD HAZARD ZONE. "X' COMMUNITY NO. 120235 SURVEY ABBREVATIONS (MAP NUMBER 121 O1C-0289-F( EFFECTIVE DATE: 09/ 26/2014 E-00.00 = EXISTING GRADE I ARC tFELT I I iDi DEED NV n1 I 'c- ON OFCURV. IRl -RECORD LEGEND VIN LFEN L A -An COND [ONER E - ORA VA6E S.!, B-LICENSED iLSNERS 'CC- 'OSVT OF COMPOUND CURVE RIB --RANGE A- ALDON'e ENCE E O: ELEV \A10NL LAN`SCAEEASEMN 'CP RIANCUICCNRO_. O'NT RRS-FA ROAR SPIKE 4' 'GONG ----�— �-- R'. BASE ,OOI}2LEVA'ON I CIP - IDGE OF nAVEMFN POOL RW =R G4OF WAYV✓ BM BENCN MARKPAGE WO DLLNCE IS T�NCTCOS S�UCFA% RSD2VEYOR G POINT S CrS ON C CJRVt FlSP fAI:; ICI JSLCUTA1Er) F/C�F[NCL CORNER (M1=MFFlSl1RED P- POINT NTE RSECTION SN&D-S hF1':. ANDDSK FCM^ OUND CONCRFt MFS= MITERED END SFCION PR -PARKER KA ON IBIFIEI - CENTL 41 NC 2 � CHAIN INK FENCE CLF=CHANE.. "NCE MONUM: Nr NCF=NO CORNER FOUND RO E TY LINE SIR /Z'IRON ROD IBk 8183 CMP- CORRUCA CD METAL SIP fir FOUND IRON PIPI O/A -CATRA I. FOR ON OF BEGINNING TSM- TMPJRARY BENCN MARK _ I'BRCK COL -COLUMN tR-FOI.NJ IROM1 ROD OHW - OVA INTAD sUR.S7 POC POINT OF COMMt NCTMENT iOB - TO OF BANK CJN'C-COt. 2RE N&D-FJ NDSVI&DIS O.R. =O ECALRECORDS POL PON ONUS£ W -TOWNS iP ��r AUMNJMFEN(T- C/S=CONCREi StAH 0 0 NJOPN=,'F ) �P At PRC PONTO aVERS-CURVE l -U 'Y FASPMEN1 t yC 1-ccv f,Eo CSt-CiAPPIR GETrIP-GAL.-P-FOI,NJf N�NED PifE H-RIAT 30OK PRM P_RAWNEUP RI I FRENCE MONUMENT Vi^VINE GRPI .�7 JOB 05608 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive 4.) Current title information on the subject property had not been This certifies that sketch of the hereon described Tarpon Springs, Florida Date of Site Plan. 7-12-22 p furnished to Initial Point Land Surveying, LLC at the time of this property was l% upervision and Phone- (727)-831-1990 SITE PLAN meets the a Practice for Florida PLS 7123Ca maifcom JWG AS-PN 7 B-Lb-B 7 7-SITE prep y�t �(�_ . g 2.) This sketch was prepared without the benefit of a title search. curve*Xjr'oA��j rd of Land L B#8183No instruments ofecord reflecting ownership, easementsotied°Ile: rightsof-way were furnished to the undersigned, unless otherwise s od shown hereon- t). t)ey Drawn by: DJB iZle r 3.) Roads, walks, and other similar items shown hereon were fake Status I Checked peJH from engineering plans and are subject to survey. Date 2 $2 8.15 4.) This SITE PLAN does not reflect nor deter= owoershio. � � E06E52 " roo, 4EVISIONS I��Qpl 6.) This SITE PLAN is subject to matters shown on the Plat of N i sae :vYaar:Ui "ABBOT? SQUARE PHASE I EL Jeff —�. tnr.' � — 6.) Dimensions shown hereon are -n feet and decimal portions pLORMiDFA�T laEXp?712 AND <� thereof. MAPPER N I y 7.) Contractor and owner are to verify all setbacks, building 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. VR/\ 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 alreviewassist.com Email: httCZL119h-dr-T14 Project: New SFR Address(s): 6330 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 553.791, Florida Statute and holds the appropriate license or certificate: Name: Debra Anne Klahr Plan Sheets: CS,1.1,1.2,2.1,2.2,3,4,5,6.1,6.2,7, SN, SNI,S3,S4,S5,S6,SS,ST, DI,D2,WPI,PAI.0,PAI.1,PAI.2,PAI.3,PAI.4, SHI.0,SHI.1,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: Alt- 0-- e�l SWORN AND SUBSCRIBED before -e by Debra Anne Klahr being persopally known to me or having produced as identification and who being fully sworn and cautioned, state that the foregoing is ti,e and correct to the best of his/her knowledge or belief. Signature if Noiaiy; '� Print Name — ul VR/\ v I RTUAL REVIEW ASSISI Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: OURT Parcel Tax ID:04-26-21-0150-01100-0060 — Services to be provided: Plans Review X • 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) ),791(2) Florida Statute. I Steve Smith , 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: 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. 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: Telephone No.: Please use appropriate notary block. Individual B fforc me, this -day of 20—, personally appearf,d who executed the foregoing instrument, and acknowledged before me that same was executed for the purposes therein expressed. Corporation LENNAR HOMES. LLC P'rint Corporation Name (signaturo) Print Name., Christooher Smith its: Authorized Aqent Address: 70Q NW 1 Uth Ave Miami, FL 33172 Telephone No. 813-574-5700 Corporation Before me, this 22ND day of MAY 20 2_2 personally appeared 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. WMEEW-1 Print Partnership Name (signature) Print Name: Its: Telephone No.: Partnership Beforeme,this —day of 120—, pers6naUy 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 SignaWeofNTota44 Print Name ASHLEECALLAHAN r Notary Public Stamp: ASH�EE CALLAHAN Commission Expires: Notary Pubft state of Florida G6 244456 NOVEMBER 30, 2022 *'Comm. EIPW05 N®v N11022 dzthrot+lh Notary Alsn WOM [—COMMERCIAL BUILDING SERVICES DIVISION VRESIDENTIAL BUILDING PERMIT DATA SHEET TRACKING # f I;IRii'if i'=711k7� ii m, 1 Building ❑ Inspection Only Plumbing Q Ins ection Onl Mechanical R Ins ection Only Electrical Amp ❑ Ins eetion Onl Roof ❑ Gas ❑ Medical Gas ❑ Fire Sprinklers [� On Site Piping ❑ Fire Line ❑ Irrigation ❑ Fire Alarm Potable Backflow Assembly ❑ Fire Line Backftow Preventer ® irrigation Backflow Assembly ❑ Demolition El Walk-in Cooler ❑ Refrigeration ❑ Hood ❑ Ansul EJ Fence/Wall ❑ Grease Trap ❑ Other ❑ Other Type Construction: V-8 Risk Category: Occupancy Load C? an, Classification--'-'''—t Assembly Business ay Care/Educational �Factary _!Hazardous Institutional ❑Mercantile ��.., . Residential - ❑Storage C= ❑Utility Building Use: Sinqle Family / Alteration Level l ❑£Level 2 Level 3 INew Construction ❑ Interior Finish ❑ Interior Remodel ❑ Exterior Remodel ❑ Addition ❑ Revision Overall Size: 25 x 62 Number of Stories: 2 Total Sq. Ft.: 2605 Living Area: 2073 Covered Area: 532 # of Bedrooms: 4 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof T e: Shingle ❑Tile ❑ Built-up ❑ Metal ❑ Other Squares: 17 Zoning: W° orne Debris: ❑� Inside Outside Energy Code: 405-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? ❑ Yes No Sq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: Total Sq, In. Permanent Openings Central A/C Z Heat Pump ❑ Window A/C E] Gas A/C ❑ Gas Heat ❑ Electric Heat I N Sanitary Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line =17i Front Rear Left Right Q Asper Approved Site Plan Comments: EM ig I - 0 Ino