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HomeMy WebLinkAbout23-5546City of Zephyrhills (�\t�4 5335 Eighth Street . Zephyrhills, FL 33542 BNR-005546-2023 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 01/2312023 00 009., Ten Acre Court Name: LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC Class of Work: SFR Construct i Address: 4600 W Cypress St 200 Building Valuation: $312,600.00 r i Plumbingchanical Valuation: $21,882.00 � 6111 maA Valuation:Total « 0 Total Fees: 1 « Amount Paid: 1 ,136.77 D. # 1 ,CONSTRUCT Transportation « ;Address1t Sewer ConnectionResidential Fee $2,090.00 Water Connection ResidentialPlan Review1 !! Plumbing Plan Review Fee $0.00 Irrigation Public Safety Impact Fee -Admin «.35 Building Plan Review Fee $180.00 Transportation Impact Fee $3,59568 School Impact Fee - Single Family $0.00 Public Safety Impact Fee -Police $254.00 Mechanical Plan Review Fee $0.00 Driveway Fee li * «le Family/Townhome $769.56 Building « 0 percent Single'Plumbing Permit Fee $196.30 3/4 Water Meter Fee (Calc) $732.71 School Impact Fee - +.00 Mechanical Permit Fee $ 149.41 respectREINSPECTION FEES: (c) With a Reinspection • #ly 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 i whichever is greater, i q; ,reinspection. "WarningNotice: 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. to IF: Your • record a noticeof commencementyour # twice is improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before i.. • • your M of f Complete Plans, Specifications Allwork shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPNCY BEFORE z GQNTRACTOR SIGNATURE 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting . . . . . Pe itirl908770 __ 7763 A . VVA 1t",�I I I I I I I I Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner PhoneNumber 813374.570 0 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 6384 Ten Acre Court LOT # 1109 SUBDIVISION Abbott Square PARCEL to# 04-26-21-0150-01100-0090 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR F__] ADD/ALT SIGN 0 DEMOLISH P INSTALL REPAIR PROPOSED USE SFR COMM OTHER E_ TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK Single Family Residence/ Pool / Screen Enclosure/ Fence BUILDING SIZE I U/R SF 2605 SQ FOOTAGE2®73 HEIGHT BUILDING 312600 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL 46890 AMP SERVICE PROGRESS ENERGY W.R,E,C. PLUMBING $ 31260 14, MECHANICAL 21882 VALUATION OF MECHANICAL INSTALLATION GAS ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS b(i I FLOOD ZONE AREA DYES Do BUILDER COMPANY [L­Onn�"_ "Un"", LLC SIGNATURE REGISTERED LZ2 NJ FEE CURREN LnN_J Address 4301 W Boy S41491,d SD)te 600'TamPaLFL 336077 'e License # ry ELECTRICIAN COMPANY =Edmonson Electric, Inc. SIGNATURE REGISTERED L_YLN_j FEE CURREN 1 '7/ N Address License # PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N Address License # MECHANICAL COMPANY Inc SIGNATURE REGISTERED Address License # I CAC058062 OTHER COMPANY [C Sterling Quality Roofing, Inc SIGNATURE P REGISTERED Y/ IN FEE CURREN I Y/N Address License # 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 & I 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 If 0) 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 $7600) 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 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, 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. 0 - I I q Z IPA KOX013 F-11 10 0 2 10 Ell 0 RM] 10 1 A WIWI I Le's 11A L":111111 2-03:4 lei I U 1*01TV4 6 114 0 INM I 9WQ01111 It OWNER ORAGENT _ CONTRACTOR Subscribed and swornr 0 (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this 1.1211u, by Christopher Smith 1-2022 by Christopher Smith Who is/are personally known to me or4a&A4ave-pfo46Ge4 Who -is/are personally known to me or has/have produced as identification. as identification. Notary Public Notary Public ------ Z Commission No. GG 296057 Commission No. GG 296057 Stephanie Farmer Stephanie Farmer NameC$Q Name ofNgsMowMER T SILWOXFAVER Xm%sI0W ,'1MFOWNY 15, UThmMJ Classification/Type of Use C'>L� ft- ��q �Ft Unit: �R: � TRANSPORTATION IMPACT FEE ate Exempt o Yes 0 No How Determined Impact Fee Amount Zone No. TAZ:_ SCHOOL IMPACT FEE Account (056) Single -Family Detached House Amounts (057) Mobile Home (058) Other Residential (123) Collection Fee PARKS AND RECREATION FEE Land Account Land Credit - Land Total Recreation Account - Recreation Credit - Recreation Total Zone Total Amount $ Exempt E:]Yes 0 No How Determined i� Land Account Land Credit Land Total Facility Account _ Facility Credit Facility Total Exempt El Yes No How Determined Total Arnount� RESOURCE FEE ERU Total Amount Prepared By Checked By NO CCRTIF12E OF OCCUrANY WILL St ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE Of PASCO COUNTY ACKNOWLEDGEMENT BELOW DOES NOT IMPLY ACCEPTANCE OF CONCURRENCE, BUT SIMPLY REECEIPT OF A COPY OF THIS FORM, PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME, DATE RECEIVED BY RECEIPT NO - DATE BY { PAD:108.00 r � FOUND 4°X4" L06 13 ' C01 07'`-TE 104.20 MONUMENT NO ID. --- SD4 34 =FF:107.47 11 • 1 2 ,E mL05.93 r 0106.56 103.94 2T 18" RCP @ 0 30% { 0TYPE'B' FF:107.47 106.04 i PAD:106.80 r -0106.76 103.74 { { TYPE'B' FF:107.67 106.25 10PAD:107.00-1 i - L : 106.97 103.53 { TYPE 'B' { FF:107.87 N I PAD:107.20 1..45 I 0107.17 103.32 � TYPE'B { r FF:108.07 i PA0:107.40 6.56 r , {--0107.16- { oen10m9 ryrn i 102.90*... { TYPE B' {0 FF:107.67 106.15 PAD:107.00 N -33' - 18" RCP @ 0.30% -tea 106.76 102.18 I TY'E'B' { FF:107.57 106.15 PAD:106 I r o FENCE END 1.4'S ; o '01 - � cc rcrv�c r�� n '�- 01,g4 rr,H¢ rx> accnav a 4 �+ o o of m of c6 L R W , = ml E �E � r: r, SILT SO 9 8 7 6 5 4 3 2 11 TYPE'A" TYPE TYPE 'A' TYPE 'A' TYPE TYPE'A' "FF:98.37 FF:102.07 AD:101A FF:101.67 FF:101.07 AD:101. AD:100.4 FF:100.57 PAD:99.9 FF:100.07 AD:99.4 FF:9$.97 AD:98.30 2 HTYPEW EPEW0 o Lo rn m -1 N 1 m m o o m v / 9 7 Ch .y 964 w N d 99.89 I TYPE 'A' { `r FF:102.17 { PAD:101.50 { { I 99.88 I TYPE 'A' { `n FF. 101.97 { PAD:101.30 { I 99.63 I TYPE 'A' r, FF:10"77 PAD:101.10 ( i 99.39 I TYPE'A' a FF:101.67 { PAD:101. �. 564-27 w v o �33 p { TYPE 'A' 'F FF:109.17 N 20 19 18 { { 'PAD:108.50 TYPE'A' TYPE 'A' { TYPE A' # { FF:105 77 FF:104.19 { FF:102.67 PAD:105.10 ' PADA03.5 PAD:102.00 SD8- N { MFF7 o Lo o { .-.--_._.-t.--_--. . O d O O O � 75' - 18" RCP (o) 0.30%= TYPE B' 'l7 FFJW0 L PAD:100.10 { I 1.08 >�99.71 96.94 TYPE 'B' { FF:100.B' { PAD:99.90 3.86 %g9.53 96.30 { FT YPE'E FF:100.37 - PAD:99.70 L_ - - -- - RCP // fr YVLJ I \IVI I 10 LINE PE AIC` PIG PR E �24' 18" RCP @ 0.14% SDlo-0 24" FES y i / INV: 88,58 +g / �57' - 24" RCP @ 0.08% AY POND f D9-0 6' FES .. rNt aF an DESCRIPTION: LOT 9" BLOCK 1 1, ABBOTT SQUARE PHASE I B, ACCORDING TO THE PLAT THEREOF" RECORDED IN PLAT BOOT( 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 "ABBOTi SQUARE RESIDENTIAL', PREPARED BY'WRA" PROVIDED BY CLIENT ALL ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 i NAVE) 88) .his SfTE PLAN Prepared tor' and Certified To: Lenner Homes LOT = 4800 SO, FT. LIVING AREA = 952 SO, FT. ENTRY = 32 SO, FT. GARAGE 396 SO, FT. COVERED LANAI = 104 SO, FT. PATIO = NA SO. FT. POOL AREA NA SO, FT. CONIC. DRIVE = 328 SQ. FT. A/C & CONC PAD = 1_0___SO_ FT. SIDEWALK - 61 SO, FT. SIDE YARD SWALE _ NA SQ. FT. CONSERVATION AREA = NA SQ. FT. LOTOCCUPIED = 39 % AREA TO IRRIGATE = 61 SE j = 2" OAK « = 10.00 PUBLIC UTILITY EASEMENT LEGEND: PROPOSED DRAINAGE FLOW (00 00) a PROPOSED GRADE E-00.00 EXISTING GRADE NO LOT GRADING TYPE =B PROPOSED PAD ELEVATION 99.00 FRONTSET BACK g 20- SIDE SET BACK m 7.5 SIDE SETBACK (CORNER LOT � 10 REAR SETBACK 15 PROPOSED: MINIMUM FLOOR ELEVATIONS: LIVING AREA: 99.67' GARAGE AREA: ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 SITE PLAN (NOTA SURVEY) (CDD) RIGHT-OF-WAY TRACT"A" TEN ACRE COURT N 89`45WE IF) BASIS OF BEARING SEC 4, TWP. 26 S, RNG 21 E. PASCO COUNTY, FLORIDA (ABBOT( SQUARE) LL.V ' S89'45'16'WIP) 40.00'(P)i' 5 ` •C Opt C7 WA LK C 7 b�� * i /A?2 5094576"W (Pj \q 7/ 7591 IPI ) 3 CONIC 7 5' 19.3' )WALK 0 0 ENTRY a 5.7' N PROPOSED 0 2 STORY RESIDENCE N PLAN 2074 0 0 ELEV "B" 4 GARAGE LOT 9 BLOCK I I LOT 8 d 13.0' BLOCK 11 N T5' 12.0' 13.6` C/S-A/C r 0 7.5' _ a `{ A I L 0 0 /ps �2 LOT 10 0 BLOCK I I T5' i __________ N 89'4"00 (P) /98 TRACTB-3 !C PDI ACCESVDRAINAGE/LANDSCAPE/ WALL MAINTENANCE AND FENCE AREA; OPENSPACE APPARENT FLOOD HAZARD ZONE :'X' COMMUNITY NO. 120235 SURVEY ABBREVATIONS (MAP NUMBER 12101C-0289-F) EFFECTIVE DATE- 09/26/2014 AI -ArzCI GTH IT USED !NV - IN ER, 'C= ON OF CURVE (R)- rtecoRD LEGEND V NY, f I NCF A C'AIR ONE ONFR () C Fry WAC tASFMEN ! B -OC NSL J r3U SNE SS -CC O N OF COM O NU CLeW RNG-RANGE * �' CONK ( A- ALUMN N ENCE 4 OOE .EVA TON t OR EDG ELCVAION f0 ELAS Ol PAVEMEN f-{t0svt SAPF FASEMVA ..i'�LOW S OOP Et NATION F/F EOL EQUN?CONT2`7� dNT P/E -POOL EQU1PMtNT 4RS= RA_ROAU SPIKE WAY �� TT,"'"ram �f! RNCISEVE `IM-3[N HMA^K }M EASIMCNI S- ICLNSI OSUR EYOR PC- A SEC - SECTIION S_C^SAC 'ON WOOJrENCE L =ASPHALT —' ! C-CURV <I�CALC IA t( f ( rEN.E CORNER 1(11-FOUNn CONE RETt (MI, MEASURED MES-M I(IIt END SEC 1.ON P! -`OIN Of NTERS€CT:ON PF -PA KFR KA ON SN&D^SEF NAIL ANDDSK LIPIS'R3 FENCE CENTER NC ( ( ELF ^CHAR N<FENCE MONUMENT FI -FOUNn ROh PPE NCF-NO COf M1ER FOUNp OA-OVf PA 2 PROPER tiNf POB ON OF BEG NNING Silly SE 2' RON RPJ L8N 81©3 'BM>iLM10�2ARY HENCH MARK w-I' C A N IN'( �'5RIKK —� r — CMP=CORRUGAT OMETAL RPF FIR - FOUND IRON ROU OHW- OVERFILAN WIRES -tl POC 'OIN! OE COMMENCTMENT O -HANK COL=CORF N FN&D-FOUND NAIL&U111 O.R.-OfC'ALRECORDE POL IOPI ON -IN iW'-iOWNS it AIUMNUMFENCE GONE-CONCP-T` TE SLAN FRF=FOUND OI FNPIPE III � Al PRC POINT OFREVERSE CURVE U.E-UT .ASEMENT -CON REIN ___ \\ C/S=CONCR CST e CLEAR SIGHT TRNNGLt FPP>FOUNTPNCrrED PlfE 18" PLAT BOOK PRM PI RMAN..NT REFERENCE MONUMENT, OF VINYL FENCE JOB W5611 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 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. 3.) Roads, walks, and other similar items shown hereon were take from engineering plans and are subject to survey. 4L) fris SITE PLAN of toflect m ttc'ors�hownine ownership. SITE PLAN does on the Plat of SURVEYOR'S CERTIFICATE This certifies that sketch of the hereon described g1� u�� property was and and meets the Q,� b St Gfftt acfice for �7 ®f surveys ag3 „„�� 4'ii,i5kd of Land ggg���r�e In?7 rlE(i P,3 IT Ad n a e o ey'jil+ ur tto ectlon 4, byJam ftIAtley Statu6 ) Date..20 .16 \ Tt0o3'1:3 JOT, i 1708 Water Oak Drive Tarpon Springs Florida Phone, j727f-831-1990 FforidaPLS7123@ aif com gm - LBW 8183 is 1 1Date of Site Plan: 7-12-22 DWGAS-PHIB.L9-BLI I -SIT File: Drawn by: DJB Checked by JH REVISIONS ABBhO T7 SQUARE PHASE IB' — ....sr� ORIDA !� T*,''r.�atE` Jeff M. 00 N e1�' FLORIDA I AND 6.) Dimensions shown hereon are in feet and decimal portions Q thereof { MAPPER NO. 3Nd1 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 I deviation from information shown hereon- Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC- Y g, z_e_ m 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: Lua@viqtqq LreviewqssjstqLin Project: New SFR Address(s): 6384 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: Plan Sheets: CS, 1. 1, l.2,2.I,2.2,3,4,5,6.1,6.2,7, SN, SN 1,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 #: PX2300 Signature of Reviewer: SWORN AND SUBSCRIBED be!or pie by 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 7e orrect to the best of his/her knowledge or belief. Signature of gotary Print Name Notary Public: NOTARY STAMP BELOW My commission expires: P LUGER KING MYCOMMIMSSI #HH31 gadoaEXPIRRES: U 2. 2026 \r /\ VIRTUAL ' R I UAL REVI EOv, ASSIS1 Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 6384 TF OURT Parcel Tax ID:04-26-21-0150-01100-0090 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 -, the fee owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services indicated above. Private Provider Firm: VIRTUAL REVIEW ASSIST, INC Private Provider: Address: 747 SW 2ND AVENUE - SUITES 170, 301, 357 & 358, GAINESVILLE, FL. 32601 Telephone: 813-376-3088 Fax: N/A 0 Me 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 code-s. The following attachments are provided as required: 1. Qualification statements ' and/or resumes of the private provider and all duly authorized repmsentatives.' 2.- Proof of insurance for professional and comprehensive liability in the, ainount of $1 million per occurrence relating to all services performed as a private provider, including tail coverage for a minimum of 5 years subsequent to the performance of building code inspection services. Individual (signature) Print Name: Address: Telephone Please use appropriate notary block. 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 _LENNAREQMEa,LLQ__ Print Corporation Name By: (signature) Print Christopher Smith its: AL Fth —ofted Aa ent Address: 7QQ NW 107th Ave Miami, FL 33172 Telephone No. 813-574-5700 -A Corporation Before me, this 22ND day of MAY 20 2_2 personally appeared Of Lennar Homes, LLC a —corporation, on behalf of the state corporation, who executed the foregoing instrument and aelcnowledged before me that same was executed for the purposes therein expressed. Partnership Print Partnership Name 10 (signature) Print Name: Its: Address; Telephone No.: Partnership Before me, this day of 20�, pers6nally appeared p artner/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 U;,or Produced identi cation_ Type of identification produced Signature of Notar Print Name ASHLEE CALLAHAN Notary Public Stamp: mw_ ASHLEE CALLAHAN Commission Expires: Notary pubk?. State of Ronda GG 244, NOVEMBER 30, 2022 S Wtolym EXPV05 NQV 30,2022 ttyrQ NWOW NOLAN AR! . . . . . . . . . . . . . Page 2 of 2 [E-1,COMMERCIAL BUILDING SERVICES DIVISION VRESIDENTIAL BUILDING PERMIT DATA SHEET TRACKING # FOLIO # 6384 Ten Acre Ct 1!TT#Tff 17-7142-7il"11M DATE: 10/28/2022 VBuilding El inspection Qnl VPlumbing n Ins ection Only V Mechanical El lnseection Only VElectrical —Amp Ej Ins eetion OnLy je Roof EJGas El Medical Gas Ej Fire Sprinklers [I On Site Piping E] Fire Line E] Irrigation [] Fire Alarm El Potable Backflow Assembly E] Fire Line Backflow Preventer Q Irrigation Backflow Assembly El Demolition El Walk-in Cooler El Refrigeration El Hood ❑ Ansul El Fence/Wall [] Grease Trap E] Other E] Other 171rff F1 ff T1131", W, Type Construction: Risk Category: Occupancy Load owl' ancy Classification: Factory �Residential Assembly y Care/Educational Hazardous Institutional E==PO�ccantile Storage Building Use: Single FaMilv Alteration Level I ,Level 2 JLevel 3 rQ F JE VNew Construction ❑ Interior Finish E] Interior Remodel ❑ Exterior Remodel F-1 Addition F-1 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: 25 Cost per square foot: Estimated Value: Roof Type: 9 Shingle E]Tile El Buil etal E] Other Squares: 17 Zoning: W'❑ orne Debris: nOnside V,,, Outside Energy Code: 405-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? IQ":Yes NaSq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: Total Sq. In. Permanent Openings 9 Central A/C 0 Gas A/C 0 Heat Pump 0 Window A/C EJ Gas Heat E] Electric Heat FIT11URM-10=4 Sanitary Sewer Storm Sewer Catch Basins Potable Water Under round Fire Line Front Rear Left Right Asper Approved Site Plan Comments: