HomeMy WebLinkAbout23-5547R
City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
BNR-005547-2023
Phone: (313) 730-0020
issue Date; ( - 4
Fax: (813) 730-0021
s�>•
21
04 26 21 0150 01200 0090 6365 Ten Acre +court
�.,.:. ,. yd ,...11 .\ �Y4P .tF''%
Name; LENNAR #TOMES LLC-OWNER Permit Type: Building New (Residential) Contractor: LENNAR MtaNiEs LLC
Glass of Work: SFR Construct
Address: 4600 W Cypress St 200 Building Valuation: $361,920.00
TAMPA, FL 33607 Electrical Valuation: $54,288.00
Phone; (813) 574-5700 Mechanical Valuation: $25,334,40 ,
Plumbing Valuation: $36,192.00 € ��
Total Valuation: $477,734.40
Total Fees: $20,462.28 .,
Amount Paid: $20,462.28G�
Date Paid: 1/23/2023 2:55:13PM'
.. ,.: ..., \.. .. �.,,. ,,: 1 � \,., .:� t t "City l .�� l} .`z 1� \iv �.C'\.0 �`it>o th�,�a `t5��i\l'•v5�1:
. ..,h .,..n ...i.•.` ....o �t Kati \ .yn;U ..< ,., yy
CONSTRUCT SINGLE FAMILY 2580 SQ FT AS
j C �
Building Plan Review Fee $180.00 Public Safety Impact Fee -Police $254.00
SIF 1 percent Fee $83.28 Electrical Permit Fee $311.44
Address Fee $30.00 Mechanical Plan Review Fee $0.00
School Impact Fee - Single Family $8,328.00 Plumbing Permit Fee $220.96
Building Permit Fee $1,849.60 Water Connection Residential Fee $1,010.00
Public Safety Impact Fee -Admin $26.35 Transportation Impact Fee $3,595.68
Mechanical Permit Fee $166.67 Transportation Impact Fee - City $36.32
Driveway Fee $45.00 Electrical Plan Review Fee $0.00
3/4 Water Meter Fee (Calc) $732.71 Sewer Connection Residential Fee $2,090.00
Irrigation 3/4 Meter (Calc) $732.71 Plumbing Plan Review Fee $0.00
Park #mpact Fee -Single FamilylTownhome $769,56
EINSP CTI FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.30(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.
C TOR $11, ATURE
JAL .�;. �.r���►,li
APPROVED
r r
P T, ` City of Zephyrhills Permit Application Fax-813-780-0021
�ru>
Building Department
Date Received Phone Contact for Permittin 908 770 __ �5700
e._. .y,-.-r-.- _ _ .. _.. - -i_r r_. ...a _ry._Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813
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
6365 Ten Acre Court
LOT# 1209
SUBDIVISION Abbott Square PARCEL ID#
04-26-21-0150-01200-0090
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
P�—
NEW CONSTR 8 ADD/ALT
INSTALL REPAIR
SIGN DEMOLISH
PROPOSED USE Iiv l� SFR COMM
OTHER
TYPE OF CONSTRUCTION BLOCK FRAME
STEEL
DESCRIPTION OF WORK
Single Family Residence / Pool / Screen Enclosure / Fence
BUILDING SIZE LJ/R SF 3Q1 SQ FOOTAGE 2560
HEIGHT 28
T
BUILDING $
PiT
361920
VALUATION OF TOTAL CONSTRUCTION
(ELECTRICAL
$ 64288
PROGRESS ENERGY W.R. E.C.
AMP SERVICE
I✓ (PLUMBING
�j
$ 36192
Fj
�.6 (MECHANICAL
Y1
•=GAS
$�2�5334.4
VALUATION OF MECHANICAL INSTALLATION D
I J ! ROOFING SPECIALTY =
q 2,
OTHER
FINISHED FLOOR ELEVATIONS
C�
FLOOD ZONE AREA
r—�
YES I iv0
BUILDER ��� COMPANY
Lennar Ilomes, L1.0
SIGNATURE — REGISTERED Y / N FEE CURREN LYL / N
Address 4301 W Boy Scout Blvd Suite 600 Tampa, FL 33607 License # CGCI518166
ELECTRICIAN COMPANY Edmonson Electric, Inc. —�
SIGNATURE REGISTERED Y/ N FEE CURREN Y I N
Address License# EC13005408
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N_J FEE CURREN I Y / N
Address �^ License # CFC042998 —��
MECHANICAL "� COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # I CAC058062
C Sterlin
OTHER � COMPANY g Quality Roofing, Inc
SIGNATURE REGISTERED Y / N FEE CURREN
Address License # CCC057991
IIi1BF1111l 111llpl lIIIIIl1!lilllll111111111 [1l111lIIIIY1111111111f
RESIDENTIAL Attach (2) Plot Plans (2) sets of Building Plans, (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten Ll0) w rking days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
. . . 4d- t-F
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 (PIoUSurvey/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 IMPACTIUTILITIES 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,
OWNER OR AGENT
Subscribed and swornlo�(or affirmed) before me this
101211N22 by Christopher Smith
Who is/are personally known to me or#a&A;av&-prodw.@4
as identification.
411� Notary Public
Commission No. GG 296057
Subscribed and sworn to (or affirmed) before me this
2712022 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 NM:], NameofNgMj
STEPK"MMER 0—." STIEPHAK "ER
A WWASOM1002W
E*MFOMW115,20
E*M Felin" Vh
OWW no Twy I* Wwwo W-W7140
'Notary Public
Classification/Type of Use
TRANSPORTATION IMPACT FEE Rate: Sq, Ft unit:
Exempt cl Yes 0 No Nora Determined
Impact Fee Amount 3 Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family detached House Amount
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt =Yes = No Now Determined_
PARRS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account
Recreation Credit
Recreation Total
Zone
Total Amount
Exempt =Yes
= No
How determined
LIBRARY FEE
Land Account
Land Credit
Land Total
Facility Account
Facility Credit
Facility Total
Exempt 1=1Yes
No
Fiona determined
Total Amount
RESOURCE FEE ERU
Prepared By — 'Checked By
m .. i. OR FINAL INSPECTION
COUNTYPERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO
CONDITIONSACKNOWLEDGEMENT 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 #
j,3I�i7:►'1
RECEIPT NO DATE BY
- 'Lli
SOU IHEZAST 1/4 OF
SECj/ION
, b 1`111/ 'k
m
SILT FENCE
El
AP
0.13S, 2.
RESCRIPIEtOW LOT 9. BLOCK 12, ABBOTT SQUARE PHASE I P
ACCORDING TO THE FLAT THEREOF, RECORDED RN PLAT BOOK
PAGE OF Tf IE PUBLIC RECORDS OF PASC O COUNFY, FLORIDA.
PROPOSED ELEVATIONS AND GRADING
SHOWN HEREON ARE TAKEN FORM THE
ENGINEERING PLANS OF
"ABBOrT SQUARE RESIDENTIAL', PREPARED {
BY "WRAPROVIDED BY CLIENT
ALL ELEVAPONS REFERENCED
TO NORTH AMERI(AN
VERTICAL OATUM OF € 988
(NAVP 881
LOT
495Q _SO,
F'T.
LIVING AREA
`"_LLL1?
SCE. FT.
PORCH
- f.+¢__SQ.
F1.
GARAGE
!3 _SQ.
FT.
COVERED LANAI
m t�A --SO,
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PATIO
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POOL AREA
-_N/_
SQ.FT.
CONC. DRIVE
�_ 4
SOL FT,
A/C & CONC PAD
�_i,. __..—SQ.
FL
SIDEWALK
3B __SCE.
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LOT SOD
s tL:Tt---_so,
FT.
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SO, PT,
LOT OCCUPIED
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AREA T« IRRIGATE
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Yu
SITE PLAN
I NOTA. SURVED
This SITE PLAN Prepared for and Certified Tt,.
Lonna, Homes
SEC. 4, TWR 26 S, RNG 21 E.
PASCO COUNTY, FLORIDA
(ABBOTT SQUARE)
Scale. 1 = 20
TRACT n 31"
(CDD) ACCESS/DRAINAGE/LANDSCAPE/
WALL, MAINTENANCE AND FENCE AREA;
OPEN SPACE
N 89'45 16" E (PI 45.00 Lit
L1R t o?
C3
LOT 9
BLOCK 12
3 SX3.5
CS A,'C PAT
LOT 10 - -
7.5R 30.0 7.5 LOT 8
BLOCK 12 30,0 E BLOCK 12
o
cF o
f?2G1!'OSE'J
2 S!ORY RESVENCE
PLAN 2551
er m' ELEV `B
U GARAGE 12 �` o
n ! t
^� 2' OAK
3 5 0 0 hN IS
€000 PUBLICUTILITYEASEMFNr
PROPOWD DRAINAGE FLOW
- - i „� EC1NC-`
(00 pQ) ^ PROPOSED GRANT
E-00 00 ^ EXISTING GRAPE
1 t WALK
R.0 � 3 '. ' - j
E}
BRAPT6 Eft} 45.00'1P�
5'CONC WALK ..
N E
LO T GRACING TYPE -A
FRC;POSPD PAD ELEVATION 10100
a�-
FROND SET BACK - 20
m>
SIDE -,-SET BACKS 7.5.
?= BASIS OF BEARING
PCP N 89-45" 16 E 1R1
SIDE Ski BACK (CORNER LOT! a10
—.. _______._-
REAR SETBACK a 15'
TEN ACRE COURT
TACT "A"
PROPOSED.
(cDD) RIGH7-c-)FwAY
MINIMUM FLOOR ELEVATIONS,
LIVING AREA: 101.67'
GARAGE AREA;
ELEVATIONS REFERENCED TO
NORTH AMERICAN VERTICAL
DATUM OF 1988
APPARENT FLOOD HAZARD ZONE 7C COMMUNITY NO. 120235
SURVEY ABBREVATiONS
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SURVEYOFPS CtER'ftFECATE
11708 Water Oak Di the
—¢ It Current title information
errs the subject property toad riot been
tills c 1ifies �e 9k� eaua describe ,
7rvpcau Spring, Florida e "
Date of Site PI to 4! 2 72 furnished to tniti«I faint Lard o—e •in i_t C at Tile time cif Ellis
,.�.._ 7 9
t]&GAs 1139L*'Ei'.`.'-t`iF $fTE PLAN
2.j Thrs sketch w,as Wrthoi at tlTe beneft of a t9tle search.
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prepared
No instt urttents of recorcd
refiecf�rcY QW[l£rSFiI(.} e scrnenes or
Land
Sur nth ppfor.,,
St C ��I '
LBW 8163
Fife' Flphti-of wa}` Were furnished
hereon
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shown
6{awn by,C P
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d.i Reaz# walk,, and other
Checked_ byJH from engineerinr3 plans
,strx liar urns show, horror- were taker
and are subject to savoy
e
+ `
rye_ 4 j This SITE PLAN does
not reflect rico deteurime OWne'sh[(J.
!FEVtStgNS
6,1 Tfiis SITE PLAN IS SUbjert to InAttel'S hlOWr+ On file Plat Of
4
'ABBOTT SQUARE at LASE i8"
t!e aPeWill
6L D ntenvQns shown heiec+n
thereof.
ate En feet and decl—Al onions
R
-
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,h
T.1 Contractot and owner
are to verify ail setbacks, bultd,orl
LS# __3 _
.
dimensions, and (Tyout
and mmedoteiy 4d rise
shown he�con prlvt t Tny construct(
Initial Point land Ol vepa ), LLC. of any
N4>C . t4
SIGNA
+^'
deviation from iof oriounn
,or uset s .to sick.
shawree I —Pon Failure to do so will be
t ICENSE€) S R
((
E Initial Point Land SCtf'JE'yifli , LLC.
11
0
A IM
V-R
v ". T U A! A R E V E'Vii A S S,
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 6365 TEN ACRE CT
04-26-21-0150-01200-0090
Parcel Tax ID:
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.
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: DEBRA ANNE KLAHR
Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
Telephone:
P-MINYMM-H
Fax: N/A
Email Address (Optional): deb@virtualreviewassist.com
Florida License, Registration or Certificate #: (LIC # BU1967/ PX2300/ SN4615)
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:
Address:
Telephone
Please use appropriate notary block.
Individual
B efore me, tl-us day of
20®, personally
appeared
who executed the foregoing instrument,
and acknowledged before me. that same
was executed for the purposes therein
expressed_
Corporation
LENNAR HOMES. LL
Print Corporation Name
(signature)
Print
Name: Christopher Smith
its: Authorized Aaent
Address: 700 NW 1 Mb-Ave
Miami, FL 33172
Telephone
No. 813-574-5700
CorporationBeforeme,this 22ND day of
MAY 1202Z
personally appeared
of
Lennar Homes, LLQ - 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
1_0
(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 sal ' ne.
was executed for the purposes therein
expressed.
Personally known X ;or Produced identi cation Type of identification produced
Signature of Notax Print Name ASHLEE CALLAHAN
NotaryPublic, Stamp:
CAtLAAN
Commission Expires: P&C 7, State of Honda
GG 244456
,NOVEMBER 30,2022
OnAm. EXPI(ei Nov �0' 2022
h WOW, Notary A.. sn!
Page 2 of 2
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: ihic fr�`virtuqlreviewqssist,com
Project: New SFR
Address(s): 6365 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,A1,A2,A3,A4,A5,A6.1,A6,2, SNO, SNI,S3,S4,S5,S6,
SS,SII,SI2,WPI.0,PAI.0,PAI.1,PAI.2,PAI.3,PAI.4, SHI.0,SH1.1,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 by Debra Anne Klahr
being personally known to me or having produced as identification
and who being fully sworn and cautioned, state that the
4fo egoing is tru Mdect to the best of his/her knowledge or be
eAl
gnarureof Notary 'Print Name
commission expires:
TRACKLIG 4
FOLIO # 6365 Ten Acre Ct
I N.W.,110VA I I 101 -'sm !=., "m Alm
1VBuilding
F-1 Ins ection Only
PPlumbing
El Inspection Only
W Mechanical
El Inspection Only
V Electrical —AMP
[] Inspection Only
tZ Roof
El Gas
[:1 Medical Gas
E] Fire Sprinklers
El On Site Piping
El Fire Line
[] Irrigation
El Fire Alarm
Potable Backflow Assembly
E] Fire Line Backfiow Preventer
❑ Irrigation Backilow Assembly
El Demolition
F-1 Walk-in Cooler
E] Refrigeration
F-1 Hood
El Ansul
0 Fence/Wall
El Grease Trap
Other
E] Other
lamrilrorill-17M
Type Construction:
Risk Category:
Occupancy Load
guliancy Classification:
Factory
Residential
Assembly
Hazardous E-==
Storage
RB mess �ay Care/Educational
''I Business
nt �mtiE- El onal Mercantile
Utility
;,Level I
Building Use: Single Family Alteration eve[E—:]eve
EJ 1, ,Level 2 11:1 Level 3
VNew Construction F1 Interior Finish ❑ Interior Remodel ❑ Exterior Remodel El Addition El Revision
Overall Size:
30 x 52-8
Number of Stories:
2
Total Sq. Ft.:
3016
Living Area: 2580
Covered Area:
436
# of Bedrooms: 6
# of Baths: 3
Cost per square foot:
Estimated Value:
Roof Type: 19 Shingle
ElTile El Built-up
L1 Metal Other Squares: 20
Zoning:
Wi
rorne Debris:
ET Inside
"', Outside
ie
Energy Code: 405-2020
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents?
r Yes No
Sq. Ft. Enclosed Space Below BFE:
# of Vents:
ESize o:f Vents:
I Total Sq. In. Permanent Openings
0 Central A/C
El Gas A/C
� Heat Pump
El Gas Heat
E] Window A/C
] Electric Heat
FIT, W1 72 17 IT TN
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
=-T=
Front Rear Left Right
21 Asper Approved Site Plan
Comments: