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Home My WebLink About23-5543City of Zephyrhilis 5335 Eighth Street Zephyrhills, FL 33542 BNR-005543-2023 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 01/23/2023 04 26 21 0150 01200 0050 6399 Ten Acre Court 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: $339,960.00 TAMPA, FL 33607 Electrical Valuation: $50,994.00 Phone: (813) 574-5700 Mechanical Valuation: $23,797.20 Plumbing Valuation: $33,996.00 Total Valuation: $448,747.20 Total Fees: $20,317.35 Amount Paid: $20,317.35 Date Paid: 1/23/2023 3:41:17PM �7 7 11111,7 71117- CONSTRUCT SINGLE FAMILY 2389 SO FT As S,n 2 0 4 0,111 0 Water Connection Residential Fee $1,010.00 Park Impact Fee - Single Family/Townhome $769.56 Mechanical Plan Review Fee $0.00 SIF 1 percent Fee $83.28 Building Plan Review Fee $180.00 Plumbing Permit Fee $209.98 Building Permit Fee $1,739.80 Mechanical Permit Fee $158.99 Irrigation 3/4 Meter (Ca1c) $732,71 Electrical Permit Fee $294.97 Sewer Connection Residential Fee $2,090.00 Public Safety Impact Fee -Police $254.00 Electrical Plan Review Fee $0.00 Transportation Impact Fee - City $36.32 Public Safety Impact Fee -Admin $2635 Plumbing Plan Review Fee $0.00 School Impact Fee - Single Family $8,328.00 Driveway Fee $45.00 Transportation Impact Fee $3,595.68 Address Fee $30.00 3/4 Water Meter Fee (Ca1c) $73211 41*3111 ff-my'vir =.. nol WN 101 IN C1 TOT1671 0-11-rfrn-610 V - _4 10 MT T FWAII't III Irle A111.4111U leQUIUS Iff LFIRS L;W11J11Lj, dl* ry ; -Tj-,F _-m rcar( 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. N, A PE IT OFFICE "111TPAC 'MGNATURE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting 908 770 _ 7763 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 JOB ADDRESS 6399 Ten Acre Court LOT# 1205 SUBDIVISION Abbott Square PARCEL ID# 1 04-26-21-0150-01200-0050 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED I',�'I NEW CONSTR 8 ADD/ALT SIGN DEMOLISH P INSTALL REPAIR PROPOSED USE u v u SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK Single Family Residence / Pool ! Screen Enclosure / Fence U/R SF 2833238� I 28 BUILDING SIZE SQ FOOTAGE HEIGHT 66 BUILDING $ VALUATION OF TOTAL CONSTRUCTION 339960 ELECTRICAL $ 50994 ® PROGRESS ENERGY 0 W.R.E.C. AMP SERVICE �L��J�6' 7 s P 7 PMECHANICAL �• e ` ,PLUMBING ll.6 I $ 237972 VALUATION OF MECHANICAL INSTALLATION GAS ® ROOFING SPECIALTY = OTHER _ FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA r—� DYES ' o Lennar Homes, LLC BUILDER COMPANY SIGNATURE REGISTERED Y / N FEE CURRER Y / N Address 4301 W Boy ut Blvd SXte 600 Tampa, FL 33607 License # I CGC1518166 ELECTRICIAN COMPANY Edmonson Electric, Inc. 7 �^ ^� SIGNATURE '°� REGISTERED Y ! N FEE CURREF I Y / N Address License# I EC13005408 PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREF Y ( N Address License # CFC042998 MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc �- -_-_ �1 SIGNATURE REGISTERED Y / N FEE CURREF Address 7 ' License# CAC058062 —^� OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE REGISTERED Y / N FEE CURREF I Y / N Address g License # CCCO57991 [II11l11tIIIIt1111I,IIIt11111IEI1111111lIIIil111I1111I1I11III1181111 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, Minimumten (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. (A1C 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 (PloUSurvey/Footage) Driveways -Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may 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 arnended): 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, Wetland 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 W" 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. 11TRNMUR14911,01'el I Wa, R Im" NO 0 . 'J"WE 1117, 1 U W-W -gill 1:4 0 a 1611111111 K-01r0i I I V11:1 1.44111 1*4 ym I guol; 2 1 ki I A 4 0 1 all PJAI 1.11 IFIA I Z 0 a I Z r-11 Z 0110 1 "Me 10 M I In OWNER CRAGENT Subscribed and sworn r-_(05`affi'rmed) before me this 1 by Christopher Smith Who islare personally known to me or44a4;A as identification, -Notary Public Commission No. GG 296057 Subscribed and sworn to (or affirmed) before me this by Christopher Smith Who is/are personally known to me or has/have produced as identification. Commission No. GG 296057 Stephanie Farmer -Stephanie Farmer Name --------- Name of N MINSM014" "ER ST1190HAK FARM Commli;slila # 00 2OW E*m 1*UF*?ta14MY115,2023 f"Wy 6, 2023 E Notary Public I 2 0 lwl eXLr 3 ` Permit No. Date Permitted '� Builder Name/Owner Name Control # *gEiU_0_W' County Parcel No. SubDiv:_ Address/Location Classification/Type, of Use c>b TRANSPORTATION IMPACT FEE Rate: Exempt o Yes 0 No Flow Determined Sq. Ft Unit: '? Impact Fee Amount S 3 61 Zone No. TAZ. SCHOOL IMPACT FEE t Account (056) Single -Family Detached House Q Amount $ d _® (057) Mobile Rome (058) Other Residential (123) Collection Fee Exempt =Yes = No Flow Determined_ PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total a Amount $ j ° Zone Total Exempt =Yes = No Now Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt 0Yes No Flog Determined Total Amount RESOURCE FEE ERU �repared 8� Checked By No �CERTIF TE OF OCCUPANY WILL BE OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID ANDRECEIPTEDFOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY ACKNOWLEDGEMENTiRM, PLACING THE BUILDING OWNER ON NOTICEOF * FOR mm 9PT No DATE 6Y 00 a) 06 -6/L2E Ln FEW SILT FENC 7 6 5 4 4 TYPE `A' 3 2 TYPE 'A' TYPE 'A' TYPE 'A' TYPE A' TYPE A' FF.100.57 FF:100.07 JF F ': 99 .4 7 FF:98.97 H FF:98.37 FF:98.07 1 H IPAD:99.90 PAD:99.40 0 AD:98.80 0 PAD:98.30 0 AD:97.70 PAD:97.40 P OJ L u ----- ----- 0q. ----- -----dLn " - — — — — — Ln 36'- 30" RCP @ 0.25% .1 00 CS I Ln Ln Ln 'B. TYPE'B' TYPE B TYPE TYPE '13' TYPE B I �'124'- 30" Rcp @ 0.24- �-1 F 7 FF:99.67 ?9 FF:99.17 717 FF:98.77 4 ).5 )J5 p AD:99.0 AD .9 0 AD:98.5 r- AD:98.1 m tl- 0 C� 0) o6 105'- 36" RCP @ 0. 00 (-/ ri SILT F NCE DESCRIPTION: LOT 5, BLOCK 12, ABBOTT SQUARE PHASE 18, 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 "WRA PROVIDED BY CLIENT I ALL. ELEVATIONS REFERENCED 70 NORTH AMERICAN VERTICAL DATUM OF 1988 NAVD 88) his SITE PLAN Prepared for and Certified To: \ Lenner Homes LOT = 4950 SO. FT. LIVING AREA = 1269 SO. FT. ENTRY = 30 SO. FT. GARAGE = 414 SO, FT. COVERED LANAI = NA SO. FT. PA1-10 = 21 SO, FT, POOL AREA = NA SO, FT, CONIC. DRIVE = 328___ SO. FT. A/C & CONIC PAD = 23 SO, FT. SIDEWALK = 31 SO, FT-_ SIDE YARD SWALE = NA SO- FT CONSERVATION AREA = NA SO, FT. LOT OCCUPIED = 43 % AREA TO IRRIGATE = 57 % I-O F 6 BLOCK 12 SITE PLAN (NOT A SURVEY) TRACTEL3" (CDP) ACCESS/DRAINAGE/LAN'DSCAPE/ HALL NIWNTEf1ANC` ANC FENCE AREA, OPEN SPICE N 89'45 W E (P) 45,00(P) 4CX5 7 C/S-A/C PATIO T5' 30,0' 75` 30'-0" ? 1 PROPOSED 2 STORY RESIDENCE PLAN 2382 _ .cs ELEV "B' p GARAGER 1 j LOT 5 f BLOCK 12 5 CONC' WAL NOTES LOT GRADING TYPE -A PROPOSED PAD ELEVATION.„ 98.80 FRONT SET BACK 20" SIDE SET BACK - 7.5 SIDE SET BACK jCORNER LOT) > 10 REAR SETBACK... 15 PROPOSED: MINIMUM FLOOR ELEVATIONS: LIVING AREA: 99.47' GARAGE AREA: ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 7.�9,TRYP0 20.5' 7-5' 160 r j CONIC "' .. NBT45'16" E( P). 45.00' jP), . C BASIS OF BEARING N 89.45' 16" E (P) TEN ACRE COURT TRACT"A" jCDDI RIGHT-OF-WAY SEC, 4, TWP, 26 S, RNG 21 E. PASCO COUNTY, FLORIDA (ABBOTT SQUARE) Sole.- 1 = 20' LOT 9 BLOCK 12 N 89`45 76- E (PI 116.52- (P) T____O PC - r . 3 = 2" OAK * = 10,00' PUBLIC UTILITY EASEMENT LEGEND: ,__ ---►- PROPOSED DRAINAGE FLOW ;00.00) = PROPOSED GRADE APPARENT FLOOD HAZARD ZONE: "X- COMMUNITY NO. 120235 SURVEY AB13REVATIONS (MAP NUMBER 12101C-0289-F) EFFECTIVE DATE 09/26/2014 E-00-00=EXISTING GRADE Ai AaaENG >i DEED INV,INVERT f - ONI O CURVE Ol R<o n LEGEND VN LF'NCL A A:2 -OND -ONER T[ ( tq NACf AS=DEN LB C NS DBUKW5S P(( Oh CU OF COMPOUND RVF RNC^RAN E CON( A N NUM UM FENCE L O i ELEV i L VA iON L FANDS<AP AN EN CA 1 2MANENT CONTROL POF!Y.r RRS a RAR ROAD SPIKE SO,SASE cCD ELEVATDN O° rDCl Ot IAVEMENT LIT—OWESTFLOORUTOPTIONPOO OUDUFU= RW^IEGHI OF WAY To BEN . MARK SMT-EASE MEN. S LICENSEDSURVEYOR PG-tAC. 5EC ^SI C1 ON WOOD FENCE C-0CURVE IIF, EER NCI Mi=MEASURED RS IONT OF INEFCrCN SN&DAS(TNh-L AND DISK ASPHALT IF I'CALC LA-D rcm- FOUND(ONCRETE DES =MiR DEND St CI i'K-IAPKER ICELON 13#R'.83 CENTERL NE K CHAIN LINK FENCE Uk-CHNN�NK FENCE IIIONUMENI CNCTDA=NO CORNER FOUND rmO YLINE TR-SE Z"IRON ROD Bn 8183 CMP-CORRLGA'ED MEFAI fII ll�'-FOUND iRUN PUT O/A=OVFRAL PO9"POINTOF BEGINNING BM �IIMt OhARV(3ENCH MARK �'BRICI( IIR - FOUND IRON ROD DifW=OVERH:AD WIRES) POC- POINT OF COMMENCTMENT tO8-',OP OF 13ANK COL=COLUMN IN&D=FOUND NAIL&DISK OR = OFFICIALRECORDS [101 (>NT ON LINE TWP-TOWNSHIP ALUMINUM FENCE (ONC=CONCRETE TOP Per N PIPE 0) PLAT PRC POINT OF REVERSE CURVE U[-U1ILITY LFlSEMENi _OCAS RED CS CLEARETE AGHTTe FPP-� FOUND PINCFIED PIPE PB-PLAT BOOK Pro-� PERMANE Nr REFERENCE MONUMENT V'A \\ CS -CLEAR SIGHT TRIANGLE VIfN'I (ENCE JOB #5679 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive 1.) Current title information on the subject property had not been This certifies that (1f Te hereon described Tarpon Spring,, Florida Date of Site Plan: 6-8-22 Ij� furnished to initial Point Land Surveying, LLC at the time of this Property w ,Lt1 u hyPervisloo and Phone (727)-831-1990 SITE PLAN meets th acurV for FlorldaPLS 7123�grnaii. com I,wGP.TP :18 5 art 2-SITE 2.) This sketch was prepared without the benefit of a title search, surveys s �ggijQg8cf§rd of Land LB# II 183 No instruments of record reflecting ownership, easements or Sury i er??' {�y =Ile_ rights -of -way were furnished to the undersigned, unless otherwise a Adr s SFl�,gr��ned Drawn b DUE shown hereon- ers 3t t c ion 472.b)j,� AAt rtle. y 3.) Roads, walks, and other similar items shown hereon were taken 4 ^' �2 ^^I1 I L -necked by:JH from engineering plans and are subject to survey. Stat }ate: 2$1.07.2 i ';+ '�.,` LE14llE 4.) This S i E PLAN does not reflect nor determine ownership- i C Q 1, iEVIS10Ns a ,F �} 1 1 ani~ttVs ff.) This SITE PLAN is subject to matters shown on the Plat of M ()fj(�,�} rj ��{gg}?�}4 QQ ;`}� 'ABBOTT SQUARE PHASE 1 B' JefF M. H i ��_ 6.) Dimensions shown hereon are in feet and decimal portions FLORiDA PS� "0��""2Vss04R~R AND 10 thereot. MAPPER NO. L%ftJjW,,[,, 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 11 deviation from information shown hereon_ Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC. \/V\ VIRTUAL REVIEW ASSIST Private Provider Plan Compliance Affidavit Private Provider Finn: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU 1967 Address: 747 Southwest 2" Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: 1.ucy&yirtua1rqyiewqssist,cqrn Project: New SFR Address(s): 6399 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 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,A1,A2,A3,A4,A5,A6,A7,SNO,SNI,S3,S4,S5,S6,SS,ST,SI 1,S12,WPI.0,PAI.0,PAI.1,PA1.2,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 #: PX2300 Signature of Reviewer: SWORN AND SUBSCRIBED before me"15y Debra Anne Klahr being personally known to me or having produced as identification and who being fully sworn and cautioned, state that the foregoing is and correct to the best of his/her knowledge or belief. L Signatur6f Notary Print NameU Notary Public: NOTARY STAMP BELOW My I", commission expires: , qVLUCERO KING My COMMISSION # HH 310390 EXPIRES JuN 2,2026 \/R/\ v I R 1 UAL REVI IEW ASSIST Notice to Building Official of Use of Private Provider Effective January 20, 2003 l*roject Name: COURT 11 0 �01 � M 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 Steve Smith I the fee owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services indicated above. Address: 747 SW 2ND AVENUE - SUITES 170, 301, 357 & 358, GAINESVILLE, FL. 32601 33M Florida License, Registration or Certificate #-, (LIC # BU 1967 / 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 pen -nit 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: Address: Telephone No.: . Please use appropriate notary block. 111 a 1062-11 Individual Beforeme,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 LENNARHOMES�, LC Print Corporation Name By: (signature) Print Name: Christopher Smith Authorized Aq ent Telephone No. 813-574-5700 Corporation Beforeme,thi, 22ND day of MAY 12o22, 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 En (signature) Print Name: Its: Address: Telephone No.: Partnership Before 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 X1 ; or "Produced identi cation— Type of identification produced or Signature of Notar Print Name ASHLEE CALLAHAN NotaryPublic Stamp: LEE CALLAHAN Notary Public - state of Florida ARI Commission Expires: NOVEMBER 30, 2022 Cnrnm Expires Nov 50, 2022 ih pujh.Natio nml NOLAN A.ksn,! . . . . . ..... ..... TRACKING # FOLIO # 6399 Ten Acre Ct Required Permits ERMOT-ImArff-I&M - — jVBuilding Fj Ins eetion Only VPlumbing Ej Ins ection Only Mechanical 0 Ins pe tion Only 7-,3'Electrical Amp [j Ins ection Only QT Roof --- [:1 GasT El Medical Gas [] Fire Sprinklers El on Site Piping El Fire Line E] Irrigation ❑ Fire Alarm E] Potable Backflow Assembly El Fire Line Backilow Preventer E] Irrigation Backflow Assembly E] Demolition E] Walk-in Cooler [:1 Refrigeration E] Hood El Ansul E] Fence/Wall 0 Grease Trap Ej Other ❑ Other 1*.Tmro I " Type Construction: 1-V-� . . ... .. ....... Risk Category: � Occupancy Load Yi ancy Classification: Factory Residential Assembly Business Pay Care/Educational umi, EI.Mercantile Hazardous E== 1nt Institutional FE Storage ❑ Utility Building Use: Single Fames I Alteration FLevel 3 Level I Level 2 VNew Construction ❑ Interior Finish r-1 Interior Remodel Fj Exterior Remodel E] Addition E] Revision Overall Size: 30 x 58 Number of Stories: 2 Total Sq. Ft.: 2833 Living Area: 2389 Covered Area: 444 # of Bedrooms: 5 # of Baths: 2,5 Cost per square foot: Estimated Value: Roof Type: Shingle -�Tile El Built-up. El Other Squares: 19 Zoning: W'orne Debris: rE0j,,jnside _k"_Outside Energy Code: 405-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? 1Q,"Yes No Sq. Ft. Enclosed Space Below BFE: I - # of Vents: Size of Vents: Total Sq. In. Permanent Openings Central A/C ❑ Gas A/C -ZHeat Pump El Window AIC 0 Gas Heat 0 Electric Heat SanitaKy Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line 9=1 Front Rear Left Right 21 Asper Approved Site Plan Comments: