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Home My WebLink About23-5971City of Zephyrhills \ 5335 Eighth Street »�l %» u4w Mrmaxdwl` ephyrhills, FL 33542 wvur`dadM'wwei��aYuu�+'t�w+``� Phone: (313) 730-0020 Fax: (313) 780-0021 Issue rate: 0411112023 Pe Clpe: Buildin 1 1RX 1 I 04 26 210150 00600 0050 6245 Rack Forty Lapp 1 t 1 tf Name: LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential) Contractor: LENNAR HOMES LL Glass of Work: SFR Construct Address: 4600 W Cypress St 200 Building valuation: $282,120.00 TAMPA, FL 33607 Electrical Valuation: $4,318.00 �P Phone: (813) 574-5700 Mechanical Valuation: $19,748,40 Plumbing Valuation. $28,212,00 Total Valuation: $372,398.40 Total Fees. $20,500.02 Amount Paid: $20,500.02 t Hate Paid: 4/11/2023 3.28:11PM \ \ \. \ \» ,t \ t ,W� y1i1 t :£ �� v,� ,ti v \ 1 t :1 �k� A\vex: ty, .1, ,t, `t,,A„ a,. CONSTRUCT SINGLE FAMILY 1870 SO FT 7777, 717 i Building Plan Review Fee $180.00 sewer Connection Residential Fee $2,400.00 Driveway Fee $45.00 aIF 1 percent Fee $83.28 Water Connection Residential Fee $1,140.00 Transportation Impact Fee - City $36.32 Transportation Impact Fee $3,595,68 school Impact Fee - single Family $8,328.00 Electrical Plan Review Fee $0.00 314 Water Meter Fee (Cale) $794.92 Park Impact Fee - single Family/Townhome $769.56 Building Permit Fee $1,450.60 Plumbing Plan Review Fee $0.00 Plumbing Permit Fee $181,06 Irrigation 314 Meter (Cale) $794.92 Public safety Impact Fee -Police $254.00 Address Fee $30.00 Public safety Impact Fee -Admin $26.35 Mechanical Plan Review Fee $0,00 Electrical Permit Fee $251,59 Mechanical Permit Fee $138,74 REINSPECTION FEES. (c) With respect to Reinspection fans will comply with Florida Statute 55 a 0(2)(c) the local government shall impose a fee of four times the amount of the fee imposed for the Initial inspection or first rainspectiong whichever is greater, for each subsequent reinspectiion. 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, Mate 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 year lender or an attorney before recording your notice of commencement." Complete plane Specifications add fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, NO OCCUPANCYBEFORE .O. NO OCCUPANCY REFORE C-0- CONTRACTOR SIGNATURE a g�*& — PE rIT orrIGE THOUT APPROVED INSPECTION 813+780-0020 City of ZephyrhiBS Permit Application Fax-813-780-0021 " 4 Building Department Date Received Phone Contact for Perm 908770 __ 7763 Owners Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number I °13.574,5700 Owner's Address 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number Fee Simple Titleholder Name N/A Owner Phone Number Fee Simple Titleholder Address N/A JOB ADDRESS 6245 Back Forty Loop LOT # 0605 SUBDIVISION Abbott Square PARCEL ID# 04-26-21-0150-00600-0050 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR F--1 ADD/ALT INSTALL REPAIR SIGN DEMOLISH PROPOSED USE SFR COMM 6 OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK Single Family Residence / Pool / Screen Enclosure / Fence BUILDING SIZE I U/R SF 2351 = SQ� FOOTAGE 1 HEIGHT 2 V BUILDING $ 282120 I VALUATION OF TOTAL CONSTRUCTION 1 J I,l (ELECTRICAL $42318 PROGRESS ENERGY W.R.E.C. AMP SERVICE PLUMBING 28212 �J _ MECHANICAL $ 19748.4 VALUATION OF MECHANICAL INSTALLATION „. � — �� =GAS IJ 1 ROOFING SPECIALTY = OTHER �" FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA y YES I ry0 BUILDER SIGNATURE Address ELECTRICIAN SIGNATURE Address PLUMBER SIGNATURE Address MECHANICAL SIGNATURE Address OTHER SIGNATURE Address Lermar homes, LLC Y / N FEE CURREN Y / N License # CGC1518166� Edmonson Y J N FEE CURREN YElectric, Inc. IN License# I EC13005408 Bayonet Plumbing, Heating & AC, Inc Y / N FEE CURREN Y / N License # I CFC042998 Bayonet Plumbing, Heating & AC, Inc Y l N FEE CURRER Y/ N License # CAC058062 C Sterling Quality Roofing, Inc Y / N FEE cuRREN Y / N _ License # 1 CCC05799911 mm I111!!lltfI1E111111111k1iIIII(IIIi�p11911it9lI91B10BIEt811�IIIlIli6 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 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 $7500) P�COMPANY REGISTERED 430 W Boy Scout Blvd Suite 600 Tampa, FL 33607 COMPANY REGISTERED COMPANY REGISTERED COMPANY REGISTERED COMPANY REGISTERED ** 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 AO 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. OWNER OR AGENT n-r 0 (or alrm� Subscribed and swor d) before me this -1z111L,3—by — Christopher Smith Whois/art2ersona orfi�� as identification. 1Z-,------Notary Public Commission G 296057 Stephanie Farmer Name of Notary typed, printed or stamped 9MJ JIF 111 21 U-11 4"911' Q, IMMUNE - 05 1 - M CONTRACTOR Subscribed and sworn to (or affirmed) before me this by _Christopher Smith Who islare personally known to me or has/have produced —as identification. - —Notary Public Commission No.6 7 Stephanie Farmer Name of Notary typed, printed or stamped Y 1 Permit. Date Permitted^ Builder Name/Owner Nara � � r2 ? Control #� r County Panel No. r % / : } 6 5ubDiv: Address/Location Classification/Type of Use TRANSPORTATION IMPACT FEE Rate: f Sq. Ft Unit: Exempt 0 Yes No How determined Impact Fee Amount Zone No. TAZ: SCHOOL IMPACT FEE _ Account (056) Single -Family detached House Amount $ F (057) Mobile Home (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 Zane Total Amount $—Z-6061 Exempt =Yes =No blow determined LIBRARY FEE Land Account Land Credit land Total Facility Account Facility Credit Facility "total Exempt El Yes No How Determined Total Amount RESOURCE FEE ERU Prepared 6Y _ r Checked By CERTIF! TE OF OCCt�ANY WILL RE 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. RECEIPT NO DATE BY 1-15 'E 9 CURB INLET 1:95.20 1:95M RCP(W)IE:90,95 '-16 'E 9 CURB INLET 1:94.99 1:94,83 RCP(S)IE:88.69 RCP(E)IE:90.72 RCP(N)IE:89.19 1-17 1E 9 CURB INLET 1:94.58 1:94A1 RCP(S)IE:90,03 RCP(E)1E:90.03 1-18 'E 9 CURB INLET 1:94.58 1:94A1 RCP(W)IE:90.10 1-19 'E 9 CURB INLET ):94.99 1:94.83 RCP(W)IE:90.79 1-20 'E 9 CURB INLET ):94.98 1:94,81 RCP(S)IE:90.78 KWI:yS.Ob 18" RCP(NW)1E:91.58 18" RCP(E)IE:88.92 SD11-8 TYPE'C'DBI EOP:94.50 RIM:94,50 18" RCP(SE)IE:91,85 SDII-14 24" FES EOP:92.25 RIM:92,25 24" RCP(N)IE:90.00 1 95.52 T yPEF`A FF:97I� P"6:9�,1 ,-92'- 18" RCP @ 0,30% I lamm -24'- 18" EP @ 031D I I TYPE )EW )7,47 FF:97A7 : .9 96.80 PAD:96.80 ?4 25 rn 9637 95.87— TYPE 'B' rr,07 07 MATCH LINE Wbiiwlia DESCRIPTION: LOTS, BLOCK 6, ABBOTTSQUARE PHASE I B, SITE PLAN SEC. 4, TWP. 26 S, RING 21 E. ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89, PASCO COUNTY, FLORIDA PAGES 57-62, OF THE PUBLIC RECORDS OF PASCO COUNTY, ;NOT A SURVEY! FLORIDA- This SITE PLAN Prepared for and Certified To (ABBOTT SQUARE PHASE 2J Lennar Hanes LOT = 5335 SO. FT CURVE DATA jPj LIVING AREA= 780 SO, FT. ENTRY = 38 SO FT CURVE RADIUS ARC LENGTH CHORD LENGTH CHORD BEARING DELTA ANGLE GARAGE =4443 _SO. FT. Ca0 b25.00' S3-O5' 53.03' N 06'i2'OS W - 4'51'48' COVERED LANAI =_N A SO. FT PA110 = 18 SO. FT. POOL AREA SO, FT, CONC. DRIVE = 330 SO, FT, Seale: 1 = 20' A/C & CONIC PAD 12 SO. FT. SIDEWALK 35 SO, FT, SIDE YARD SWALE SO, FT, CONSERVATION AREA _�__SO. FT. LOT OCCUPIED = 31 % AREA TO IRRIGATE _ 69 % It t i l r > n g p n me 4 O Z j y o 2m2n v' w > m 2 In a z w n o m � AP's 3QZ i How LOT GRADING TYPE = A PROPOSED PAD ELEVATION =^ 97,60 FRONT SETBACK _ 20' SIDE SET BACK - 7.5 SIDE SET BACK (CORNER LOT -10' REAR SETBACK -•15' PROPOSED: MINIMUM FLOOR ELEVATIONS: LIVING AREA: 98.27' GARAGE AREA: ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 ;URVEY ABBREVATIONS 47.8 LO'f A BLOCK 6 BASIS OF BEARING 10 00 lP) ENTRY PROPOSED LOT 5 2 STORY IN 18 EI`%CE BLOCK 6 ewa(i FtAEN ,A, piEL I GARAGEL 3,0X6 0 RATIO i . 42'-0- 3.5X35 e zQ. C1sA t. m N 8b' 13'49" E (Pl 1 10.00' (P) LOT 6 BLOCK 6 10.00 PUBLIC UTILITY EASEMENT LEGEND: PROPOSED DRAINAGE FLOW )00.00) - PROPOSED GRADE E-00.00 EXISTING GRADE APPARENT FLOOD HAZARD ZONE. "X- COMMUNITY NO. 120235 (MAP NUMBER 12101C-0289-F) EFFECTIVE DATE 09/26/2014 i � r . � 3 CONS s7d)ALK P N j> '? id ALL ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 (NAVD 88) e PROPOSED ELEVATIONS AND GRADING SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF 'ABBOTT SQUARE RESIDENT7AEPREPARED BY'WRA- PROVIDED BY CLIENT Al, ART LENGTH ID) DEET INV - INCEPT FC R),D7 OF CURVE (RI SeCosn - LEGEND VNYI FENCE A/C-AIRCONp TONER Al e At UMINJM rt,NCE JL JRAINAGElASEMENi Ft'"LICFNSEDBU SNISS PCC PONT OF COMPOUND CURVE I14MANENT CONTROL FLINT RNG-- RANCrl: > 'CONC --Z�------LI- 4(C EASE FLOOD ELLVATON FL ORE..EV FEVA I ON EOP EDGE OF 1AVEMEDTL'F LI- LANDSCAPE E/dIRSENT - LOWEST FLOOR ELEVATION PCF P/E POOL EQUiPM'NT IRS - RAT ROAD SPIKE R/W- Roll'I OF WAY - CENcrl MARK SM1-CASEMNT S^LCNSDSURVEYCI PG^PAC- SEC =SFCI"EQNPC W>LU ktNCE cm C 2v� /C = FENCE CORNER Mr, ^ M ASU4`D t P! - FOOT O NTE,RSECTION SN&D ^ SE rNAi. AND DM ASPHALT I CA:.CJ.A"L' 1M.� IO ND CONCRETE st M tR DEND SE( -_ON PK- A2KEROR ON 3:9183 CENTFRLIN CIF CHAR INK FENCE MiONUMLN NCF^N('CO4N CORNER ; tOPEc7Y LINE -r-SE11 Z-RON ROD�I Ct'AN INK �EfilLE CM"- COR4JGATEU ME TAL F RIP_ FOUND RCNNPE POUND C/A-OVERAL POP 'ON Or BEGEMNG IOC P(RNT OF COMMENCTMENT A gM-T'MFORARY 8ENC4 MARK 'BRICK-- CO�.-COLUMN CONC=CONCRETE FIR - IRON ROD N&DaFand NAIL&DISK OHW^ OVERHEAD Wrs,(SI OR -OIFICIALRFCORDS POL POINT ON LINE FOB -TO OF BANK TWP-TOWN5H ALUMINUMFENCE CS _ CONCR E StA,9 or `FOUND OP N PIPE jP} _ AT PRC I OIN- OF REVt RSE, CURVE = UT I EASEMENT 'COVERED _ \\ ca , CLEARS GNTTRIANG�E PP - FOUND PfNCHL I) PIPE PIP = PLE0 BOOK PRM 1ATIM N NT REFERENCE MONUMEN V. - Via,(, tr.�NCE JOB if159os524505 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 SURVEYOR'S CERTIFICATE This certifies that s�kc�� of the hereon described prop ert w ��l�G p p y ��b �}=ltg,� upervision and meets tl�f�1*1p tl t��f Practice for 1708 Water Oak DI IVe - Tarpon Springs, Florida p Phone: l727f-831-1990 FlonclaPLS71239gmaitcom Date of Site Plan: 1-5-23 DWG:AS- H H SSLC-SITE 2.) This sketch was prepared without the benefit of a title search. No instruments of record reflecting ownership, easements at rights -of -way were furnished to the undersigned, unless otherwise shown hereon. 3.) Roads, walks, and other similar items shown hereon were taken from curve et,' `€ T �da�4pard of Land S er, �t�r2d. r ( , is t r'E pur ant o Section i 2 Ce Y 1 pat2 2.,33.1 7 V LB# 8'. 83 "as,° Fite: Drawn by DJB ,Checked by JH engineering plans and are subject to survey. 4.) This SITE PLAN pees not reflect ❑ar determine ownership_ ;35; s 'Q0' CT Tfill { �"; ' Fig"i�� I;;�s, REVPSIONS 5.) This SITE PLAN is subject to matters shown on the Plat of 'ABBOTT 4 r j?1 dx� i SQUARE PHASE IB" Dimensions shown hereon are in feet and decimal - -8.) portions4�theref. ID7`T{OR AND7.) �NQIIQ R Contractorand owner are to verify aifsetbacks, 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 Paint Land Surveying, LLC. at user's sole risk New Development Check List Parcel#: 001,oO -00 0 Address: ��C2 �/ 13L, K 1-120 Setbacks: Front /0-/ 0 - "? Rear 417,9 Sides 9I Elevation: P Garage: t Roof Single Dimension/Architectural: zr v! Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 6245 Back Forty Loop 04-26-21-0150-00600-0050 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, owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services indicated above. Private Provider Firm: VIPTUAL PEVIEW ASSIST, INC. Private Provider: DEBRA ANNE KLAHR Address: 747 5W 2N1) AVE- SUITE 170,301,357,c& 358, GAINESVILLE, FL 32601 Telephone: 813-376-3088 Fax: N/A 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. 553.7.91, 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 The T following attaolunents are provided as re ed: e quir 1. Qualification statements and/or resumes of the private, provider and all duly authorized representatives. 2, Pro of of insurance for professidnatand co#rehensine liability in,the. ainount .of $1 million per o ccuirence relating to all services ppilformed as a private provider, including tail coverage for a minAmuin qotnttotheprfprra*anc e of building code inspection serviS. ICf- of 5 years subsequent Individual -(Signature) Print Name; Address. �' Telephone Nora Please use a-ppropriatenotaryb1iock. STATF, OF FLORIDA COUNTY OF HILLSBOROUGH Individual BDfbrome'this day of 20—pDrsonally appe=d' who executed the foregoing instrurnent, and acknowledged before me that same was executed for the purposes therein -t�qrp oration Print ConporationName BY. Print NaMD: Isto �h _�;�h er S�rrfth its:Authorlzed Aripnf Address- 700 NW 107th Ayp M�iqffl FL 33�72 Telephone. No. 813-574-5700 corporation Befo,rrme,this 22ND day of MA`(. 2 personally appeared. Of Lennar Homes LLQ �Mrporkic)n, 0 1 n .-behalf of the state corporation, who executed the i6rvgoing instrument and aolowledgDd before me that same was executed foT the pnrppses therein expressed. Partnership PrintPartncrship Name BY'' print Name: Its; Address: of '20 per36nally appeared p arfaer/agent on b ehalf of a partnership, who exe�cutedtha foregoing i.nstrument hnd ac4nowlDdud befo-re ine that.same e sonallyknown, X or r 4- Pxoducediden#cation Type of idontifloation. produced Signature ofNotarl" PrintNamo ASHLEE CALLAHAN ASH %-V1 ASHLEE CALLAHAN NotaiyPublio Stamp.: WC M�Sj W COMMISSION* HH 295980 EXPIRft November $0 2026 commission Expires,, EXPIRES: November $0, 2Q6 \/RA VIRTUAL REVIEW ASSIST Private Provider Plan Compliance Affidavit Private Provider Finn: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU1967 Address: 747 Southwest 2"d Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: Itic�Y v kajre iewassist.eom Project: New SFR FloridaAddress(s): 6245 BACK FORTY LOOP I hereby certify that to the best of my knowledge and belief the plans submitted were reviewed for and are in compliance with the following affiant, who is duly authorized to perform plans review pursuant to Section 553.791, Florida Statute and holds the appropriate Name: Debra Anne Klahr Flan Sheets CS,AI,A2,A3,A4 ,AS, A6,A7, SNO,SNI, S3,S4,S5, S6,SS,ST,SI I,SI2, I.0,PAI.O,PAI.1, PAL2,PAL3,PAIA, SHI.0,SHI.I,SHI.2,SHI.3,SHI.4,SH1.5 Florida License/Registration/Certification #(s) and description: FS464 Certified Standard Plans Examiner License#: PX2300'' , r Signature of Reviewer: SWORN AND SUBSCRIBED bef9m"ine by Debra Anne Klahr being personally known to me �Z or having produced as identification and who being filly sworn and cautioned, state that the f egoing is true d correct to the best of his/her knowledge or belief i a e of Notary Print Name Notary Public: NOTARY STAMP BELOW My [—COMMERCIAL BUILDING SERVICES DIVISION 01"RESIDENTIAL BUILDING PERMIT DATA SHEET TRACKING # FIRE MARSHAL #01 - DATE: 3/25/2023 FOLIO # 6245 BACK FORTY LP EXAMINER: Debra Klahr VX230( Re cured Permits Building Plumbing Mechanical Electrical Amp Ins ection OnI ElIns ection OnI Ins ection Onl M Inspection OnA Roof ❑ Gas El Medical Gas El Fire Sprinklers On Site Piping El Fire Line El Irrigation El Fire Alarm El Potable Backilow Assembly E] Fire Line Backflow Preventer El Irrigation Backflow Assembly [:3 Demolition E]Walk-in Cooler Ej Refrigeration El Hood 0 Ansul El Fence/Wall El Grease Trap El Other El Other T e Construction Occupancy Load FDay Care/Educational ne ification: Assembly Class y HazardousE= DMercantile Factory nal E=:= tory P 'Storage �'sidenfial E=Cj Utility Building Use: SINGLE FAMILY RESIDENCE Alteration 1 —Level I [—Level 3 lu,", Level 2 New Construction El Interior Finish E3 Interior Remodel Exterior Remodel D Addition [I Revision Overall Size: Number of Stories: Total Sq. Ft.: 30 X 42 2 2351 Living Area: 1870 Covered Area: 481 # of Bedrooms: 4 # of Baths: 2.5 Cost per square fot: —Estimated Value: o R& 11 e: ShiaEde Nile n 13; Lm, ----U Metal EJ t er S uares: Zoning: WiMornDebris: ebri * Energy Code: E Inside gtside 405-2022 SUP Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? Sq. Ft. Enclosed Space Below BEE: Space B B # o n. Perm of Vents: Size of Vents: Total Sq. I anent Openings — 10 — — — — — O—Win Central A/C Heat Pump dow A/C El Gas A/C El Gas Heat UElectric Heat On Site Piping Sa itarK Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line Front Rear Left Right As per Approved Site Plan Comments: