HomeMy WebLinkAbout23-6068BNRIIO -006068-2023
Issue Date: 05/02/2023
Permit Type: Building New (Residential
To'
77
L
77, 7 '7 77
04 26 21 0160 02500 0010 6818 Back Forty Loop
1 1 7,77777 771, 7 W71=77*171777,177
Tj
Name: LENNAR HOMES LLC Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC
Class of Work: SFR Construct
Address: 4301 W Boy Scout Blvd 600 Building Valuation: $312,600.00
TAMPA, FL 33607 X
Electrical Valuation: $46,890.00
Phone: Mechanical Valuation: $21,882.00
Plumbing Valuation: $31,260.00
Total Valuation: $412,632.00
C�'7
Total Fees: $20,701.19
Amount Paid: $20,701.19
Date Paid: 5/2/2023 11:37:50AM
7 77 ��7777" 7,77777 7 77
CONSTRUCT SINGLE FAMILY 2073 SQ FT
Plumbing Permit Fee $196.30 Mechanical Permit Fee $149A1
Park Impact Fee - Single Family/Townhome $769.56 SIF 1 percent Fee $83.28
Plumbing Plan Review Fee $0.00 School Impact Fee - Single Family $8,328,00
Transportation Impact Fee $3,595.68 Transportation Impact Fee - City $36.32
Public Safety Impact Fee -Police $254,00 Address Fee $xoo
Building Plan Review Fee $180.00 Water Connection Residential Fee $1,140,00
3/4 Water Meter Fee (Calc) $794,92 Building Permit Fee $1,603,00
Electrical Plan Review Fee $0.00 Electrical Permit Fee $274A5
Public Safety Impact Fee -Admin $26,35 Mechanical Plan Review Fee $0.00
Sewer Connection Residential Fee $2,400.00 Driveway Fee $45,00
Irrigation 3/4 Meter {Cale) 4.92
REINSPECTION FEES: (c) With respect to einspection fees will comply with Florida Statute 553,80(2)(c) the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection, whichever is greater, for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies,
"Warning to owner: Your failure to record a notice of commencement may result In your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE
THOUT APPROVED INSPECTION
WIN *1 4114011"All-
813-780-0020 City of ZephyrhillS Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permittin 908 770 7763
_ s 9� .y.
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813.574.5700
23975 Park Sorrento, Ste. 220, Calabasas, CA 91302
Owner's Address Owner Phone Number
Fee Simple Titleholder Name NIA Owner Phone Number
Fee Simple Titleholder Address
N/A
JOB ADDRESS
681 BACK FOrty l oop
LOT # 2501
SUBDIVISION Abbott Square _ PARCEL ID#
04-26-21-0160-02500-0010
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTR ADD/ALT
INSTALL REPAIR
SIGN
DEMOLISH
PROPOSED USE SFR COMM
OTHER
TYPE OF CONSTRUCTION BLOCK FRAME
STEEL
DESCRIPTION OF WORK
Single Family Residence /Pool /Screen Enclosure I Fence
U/R SF 2605 2073
BUILDING SIZE SQ FOOTAGE
HEIGHT 26`
BUILDING
$ 3126od
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
$ 468�o
PROGRESS ENERGY
W.R.E.C.
AMP SERVICE
PLUMBING
$
� F
7 r
1.A tMECHANICAL
Lv
$ 21$
VALUATION OF MECHANICAL INSTALLATION
- }
.t
'
�
I ROOFING � SPECIALTY =
GAS 10
tl�
OTH,E-R�
FINISHED FLOOR ELEVATIONS
FLOOD ZONE AREA
DYES
gYES D0
7 =F Lennar Homes, LLC
BUILDER ` 7` COMPANY
SIGNATURE REGISTERED Y I N® FEE CURREN Y I N
Address
4301 W oy Scout Blvd Suite 600 Tampa, FL 33607 License # CGC1518166
ELECTRICIAN COMPANY EdmonSOn Electric, Inc.
SIGNATURE REGISTERED Y / N PEE CURREN Y / N
Address License # EC13005408
PLUMBER COMPANY JBayonet Plumbing, CURREN
Heating $ AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / �
Address License # �FC04299$
MECHANICAL a, COMPANY Bayonet Plumbing Heating & AC, Inc
SIGNATURE71 " REGISTERED Y / N FEE CURREN Y / N J
Address License # GAC058062
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address - — License # I CCCO57991
iIII111BlIIII(IIIItIItIIIIIII�1l19IIIIiI19111ilI9081t9A8III�lIIIIit
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 (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. (AIC 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 (PloVSurvey/Footage)
Driveways -Not over Counter if on public roadways..needs ROW
11 - I
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 CRAGENT
Subscribed and sworn f6o (or affirmed) before me this
W11— by Christopher Smith
Who or-h� e�r+sed
as identification.
—Notary Public
Commission G 296057
Stephanie Farmer
Notary typed, printed or stamped
Subscribed and sworn to (or affirmed) before me this
312-021 by _jChristopher Smith
Who is/are personallyknown to me or has/have produced
as identification.
Notary Public
Commission No. /Z6 7
Stephanie Farmer '
Name of Notary typed, printed or stamped
Garage
Lot Size
Block
Lot
New Development Check List
Parcel #:
Address: V.
Setbacks: Front-2—OL-Sl— Rear --2ji- Sides 7 - S'
Elevation: Garage:
Roof Shingle Dime nsion/ Architectural:
95 85 97.26
F
:E—A'l TMp
CEO;`
95.67*-
95.60
95,89
4" RCP @ 030%-
(-S—DI1--8)-\ I
9534)
]7 A ,�170
5
�-95.92
— I
24'- 18"RCP @ 030%—
D7-24
24' - 36" RCP @ 03OWW'YO, ......
TYPE
F: 9 9,2 7
F 99
PAD:98.60
cm
00
23 22 21 20
CN
oo
o
70"mom��
1
WI -Mum
22HOMME9
a
14
8
DESCRIPTION: LOT 1, BLOCK 25, ABBOTT SQUARE PHASE 2, SITE PLAN SEC, 4, TWP. 26 S, RNG 21 E.
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 90, PASCO COUNTY, FLORIDA
PAGES 28,33, OF THE PUBLIC RECORDS OF PASCO COUNTY, (NOT A SURVEY!
FLORIDA.This SITE PLAN Prepared for and Certified To, (ABBOTT SQUARE PHASE 2)
PROPOSED ELEVATIONS AND GRADING Lcnna, Homes
SHOWN HEREON ARE TAKEN FORM THE
CURVE DATA fP)
ENGINEERING PLANS OF
ABBOTT SQUARE RESIDENTIAL', PREPARED CURVE LENGTH CHORD LENGTH CHORD BEARING AWG_L_E,
BY'WRA' PROVIDED BY CLIENT
ALL ELEVATIONS REFERENCED
TO NORTH AMERICAN Scale: 1 20'
VERT CAL DATUM OF 1988
(NAVD 881
LOT 35
BLOCK 25 and
---------- eb
—2-8.0
LOT 36
BLOCK 25
33/
5 CONP�`VIAL'K " .
NOTES:
LOT GRADING TYPE ==A
PROPOSED PAD ELEVATION =97 10
FRONT SET BACK = 20
SIDE SET BACK = 7 5
SIDE SET BACK (CORNER LOT) - TO
REAR SETBACK. 15
C/S-A/C
ZONE X I
28e
APPARENT
FLOOD LINE
LOI 2
BLOCK 25
81
I
N88'0623-WIPJ 110150,tp,
62-0'
t{I62,0
NROPOSED
,�STJRY RESIDENCE
b, IN
"N 2074
-ELEV A'
GARAGE I
'4 ZONE IF ENTRY
BFE - 92
ITO
3TO to
LOT I
I
CONIC
BLOCK 25 WALK
E B) 96, 7 OrtP)'
BASIS 01 BEARING
IN 89'48'04" E IF;
— It— - — - —
GARDEN WALL WAY
TRACT A'
(CDD) 50 RIGHT-OF-WAY
LOT
6453
SO, FT.
LIVING
VING AREA
952
SO. FT,
ENTRY
=32SCTF
FT,
GARAGE
= 396
SO. FT.
COVERED LANAI
= 104
SO. FT,
PATIO
I
NA
NA
SOL FT
PROPOSED: 10 00 PUBLIC UTILITY EASEMENT - -11 - _ I I
CONIC. DRIVE 328 SO, FT.
MINIMUM FLOOR ELEVATIONS:CONC PAD -L0
LIVING AREA: 97,77' LEGEND:
SIDEWALK 61 —SQ FT
GARAGE AREA: PROPOSED DRAINAGE FLOW SIDE YARD SWALE =—TSLASQ. FT
ELEVATIONS REFERENCED TO (00 00) = PROPOSED GRADE CONSERVATION AREA = NA SQ. FT
NORTH AMERICAN VERTICAL E-00 00 EXISTING GRADE LOT OCCUPIED - 29 %
DATUM OF 1988 AREA TO IRRIGATE = 71 IS
APPARENT FLOOD HAZARD ZONE. X & -AE BFEw92 COMMUNITY NO 120235
SURVEY ABBREVATIONS (MAP NUMBER 12 10 1 C-0452-F) EFFECTIVE DATE: 09'26I 2014
A, ELN FENGN 11), - COED IN —FIVER' PC - PC;CE OF CURVE Ri , RECORD LEGEND ANI COND"CuNUIT DE- DRANAGE EASEMEN1 LB LFCI-.NO`D BUDDED, FCC - POINT OF COMPOUND CURVE ING FYNGF EPi
I , ALUMNUM C E NICE M I C ONC
OR ELEV - ELEVATION 1-E �� LAN DSCATI!, 1 Aa PENT PC' - PERMANENT CONTROL °OFNFT IRS - OP, ROAD SPIKE
ic t - BASE FLOOD ELEVATION FOR - EDGE OF PAVEMENT IJF - 1 OWFS1 N OCR It I VAI ]ON ICE - POYD FOOPMENT FFAP - BOUT OF WAY
I'm all I FS. EASEMENT LC - LICENNED SURVEYCSR P. - PAGE WOCE) Frec-
C —I SEC - DIC7 [ON
E'RVE F/C - FENCE COINER (PIT = MFAIUILD P
_ICGEI1,AIr-D P�j OINT Of INTERSECTION SPED - SEI NA � ANODISK
FOE - FOUND CONCRETE YES - METERFL) ',NO It 1,11ON DPARM R "LON ts,8183
MONUMENT NOF - NO C OPNER F OUND I -PRONFICTEUNE SIR - SE F 117 IRON ROD
FIN rIN = ____7 CHAIN LINK FENCE
CT I - CNA�N I INK FIFOLNDII0 PIPE 01A - OVECALC POE POINT OF BEGINNING '2M - TEMPORARY BENCHr I - BRICK K — ------
C - COILR11O TAE PEI
A' 'IS - FOUND IRO' TOG -TOP OF BANK
1,01 -COLUMNE" EN&L _ FOUND N BID OHW - OVERHEAD WIFIFfs NO( PCCPU OF COMMFNCTMFNT
NIL I ;SK O.R. -OFFICAtfirCORDC Idi - POINT ON t ING TWP - FOWNSITIP A1UM11IMFENO_
I Oal - IONCR A" a FOUND OPEN PIPE cP ,PLAT I I - FITII iJY EASEMi EST COVERED
INCITCD PIPE - FIAT S
C/C - CONCRFP FILA "Ll �WII' OF REVERSE CURVE .—M.]
C U � CLEAR 1113 F 7RANGLE INP, IOUND P I OR I -- MANE I REFEREOCE . , - VINYI I I NCE
JOB SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive
1.) Current title information on the subject property had not been This certifies thl
furnished to Initial Point Land Surveyinct, LLC. at the time of this 'k t6 here.,, described
)ate of Site Plan. 12-29-22 i'llImitn"i Tarpon Springs, Florida
property wg*�!tyr1q* Y%ornsion and Phone: (727)-831-1990
DWGAS-PH2-LI-BL2S-SITE SITE PLAN mccei tho� 61 1 , actice for HordaPLS7123BdgmaRLcom
AT"
2.) This sketch was prepared without the benefit of a title search of LBJf 8 183 d o
No instruments of record reflecting ownership, easorn,an" or
-of-way were furnished to the undersigned, unless Ile rights otherwise r fl� ley
shown Korea, S 7
Drawn by DJB it t :1 puts n elIon, 6 :
3.) Roads, walks, and other similar items shown hereon were take .16
'ER& t evl6,24,2 -
-hecked by:JH from engineering plans and are subject to Survey. 'tti
t :2 0 ,� YE 1
4.)ThnSITE PLAN does not reflect nor deterroino, ownership,
�EVISIONS ii�, All FI A.:m
5.) This SITE PLAN is subject to matters shown on the Mat of FLORIDA
ABBOTT SQUARE PHASE 2 He
,.
tap 6.) Dimensions shown hereon are in feet and decimal portions Jeff
ff, Ri D , , $10 R AND <0
thereof. ER 0 L II
7.) Contractor and owner are to verity all setbacks, building MAPPER NO. L 441 3
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
dev=!rom information shown hereon FaartV to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC,
v !
Notice t® Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 6818 BACK FORTY LO "'T
Parcel Tax ID: 04-26-21-0160-02500-0010
Services to be provided: Plans Review X
MOMM
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.
M =-
owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services
indicated above.
Address: 747 SW 2ND AVE- 5UITE 170,301,357,& 358, GAINE5VILLE, FL 32601
UMMM
�M
Email Address (Optional): deb@virtucilreviewassist.com
Florida License, Registration or Certificate #. (LIC # BU1967/ PX2300/ BN4615)
I have elected to use one or more private providers to provide building code plans review and/or inspection
services on the building that is the subject of the enclosed permit application, as authorized by s. 553.791, Florida
Statutes. I understand that the local building official may not review the plans submitted or perform the required
building inspections to determine compliance with the applicable codes, except to the extent specified in said law.
Instead, plans review and/or required building inspections will be performed by licensed or certified personnel
identified in the application. The law requires minimum insurance requirements for such personnel, but I
understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I
have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance
and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harmless the
local government, the local building official, and their building code enforcement personnel from any and all
claims arising from my use of these licensed or certified personnel to perform building code inspection services
with respect to the building that is the subject of the enclosed permit application.
I understand the Building Official retains authority to review plans, make required inspections, and enforce the
applicable codes within his or her charge pursuant to the standards established by s. 553.791, Florida Statutes. If I
make any changes to the listed private providers or the services to be provided by those private providers, I shall,
within I business day after any change, update this notice to reflect such changes. The building plans review and/or
inspection sei vices provided by the private provider is limited to building code compliance and does not include
review for fire code, laud use; mvirounental or other codes..
The iol t'owing attar eats are provided as required;
1. Qualil°ficationstatements and/or resumes of the private provider and all duly, authorized repmsentativess
2.. goof of insurance for professioxaal.and oo#reh6nsive iia� lziy 4th .aaraount.of l million por
o oourrence relating to all services p6if-bimed as a private prov id6r; including tail coverage f6T a minimum.
of 5 years sub sequentto the performance of buil ° g co do inspection services,
7ndavidua.1 Corporation Partnership .
t LENNA
PriaaiCoaporataanN e PxintP ershipName
By, .
(sig�atiare}
p"Idot Print Print
Name. Nwne.. h 18t her Smith Name -
Address, zts; Authori : A ril xts;
Address 700 i/V 9Qlth Avg. address;
Teiephono 11/fiami FL 33172
No.:
'pelephonv Telephone
No. 11-574-5700 No.:
Pleastuse appropriatenotary black.
STATE op FLORIDA.
COUNTY OF ILLSBOR U -
hdividnal Corporatzon Pa ership
i3efoxem�,tlazs day of Befbrrr,,,this 22ND day of p��fore e, day
20__ _,personally MAY, . 2�2. of 20 ,
appealed personally appeared pexsdnaRy appeared
who executed the foregoingims ant, of
aril aoknowkdged before znethat sPne Lenn r Homes LLC a P er/agent onbehalf of
vas executed for the purposes therein coxporaiioz�, t��i
e press d. behalf ofthe state corporation, who a partnership, who exe_otatedthe
=buted the foregoing kstrumbaat and foregoing instrument and
acknowledged before Mr, that same was' ack owl�dged before x6e, that wane
„executedfor thep aaes-thereira was executed.farthepurpgsestlxerdn
expressed.prssed
personailyknown X or_ p'xoducedidenisCatiora Type ofidenicattioupraduoed
A.
Siguat iD ofNotaxe, PrintName A'l { A.LLp.I l Rl
No�atyPui,lic Stamp;
ASHLEECALLAHAN
Commission Expires;om W 00M1SS60N # HH 295980
e� ', A ° ` EXPIOES< November 30, 2026
,, . FOR P6g
VR/\
VIRTUAL REVIEW ASSIST
Private ovi
Plan Compliance Affidavit
Private Provider Firm: Virtual Review .Assist, Inc.
Private Provider: Debra Anne K1ahr,13U1967
Address: 747 Southwest 211d Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: c virival eviewassistt..�L?zn
Project: New SFT
A dress(s): 6816 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 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
Flan Sheets CS,1.1,1.,2.1,2.2,3,4,5,6r1,6.2,7, SN, SNI, S3,S4,S5,S6, ST, SS, Dl, 1, 2, 2.1, PA1.0,PA1.1,
PA1.2,PA1.3,PA1.4, S141.0,SHI.1,SHI.2,S1-11.3,S 1.4,SHI.5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300 ,
Signature of Reviewer:
SWORN AND SUBSCR1i3ED 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
for o is true and orrect to the best of his/her knowledge or belief.
t
/
aA �,
1iAshlee Callahan
�g owy Print Name
commission expires:
r ASHLEE eaFaLL13HAN
; . My COMMISSION H 296980
X 6 S: November 30, 202
FCOMMERCIAL
TRACKING #
R ♦ a x l
PERMIT
BUILDING SERVICES DIVISIO�m
BUILDING
J �u
on Piping
El
Potable R s riii ' II'q PI c Assembly � e I ioPreventer
Coolerr.
El Grease Trap
k
DATE: 4/1 /2 23
EXAMINER: Debra Kl hr P 23 C
Electrical Amp
Irasction Qn�
E Medical Gas [] Fire Sprinklers
El Irrigation ,Fire Alarm
Irrigation llackilosw Assembly E] Demolition
® Hood [] Ansul
El Other E] Other
T e ConstructionOccupancy Load
(1y Classleation: "Assembly
usiness bay Care/Educational
WFacu ry 'Hazardous nstitutional �(I ercantile
=Residential `Storage i7tility
Building Use: SINGLE FAMILY RESIDENCE / Alteration Level I 'Level 2 Level 3
New Construction E Interior Finish Interior Remodel ® Exterior Remodel (-1 Addition E] Revision
{overall Size: Number of Stories: Total Sq. Ft.:
25 X 62 2 2605
Living Area.: 3 Covered Area: 3 # of Bedrooms:
# of Baths: 2.
Cost per square foot: Estimated Value:
Roof T e: Shin le Tile 13uiltiu t I Metal Other S wares: 17
inning: WI , orne Debris: Energy Code:
jEInside Outside 4Ca5�2CD2
Flood Zone: AE Base Flood Elevation: 9 ' N V Finish Floor Elevation: 97.77- NAVl) 3
Hydrostatic Vents` E], es No Sq. Ft. Enclosed Space Below BFE:
# of Vents: Size of Vents: Total Sq. Inc Permanent Openings
Central A/C X Beat Pumpi�in ow Ali
El Gas A/C I Comas Pleat Electric heat
Front Dear Left Right
As per Approved Site Plan
Comments: ZEPHRYHILLS TO VERIFY FLOOD INFORMATION
6RE
ig
1101IN-W
ENGINEERINQ ASSOCIATES
April 12, 2023
Building Department
FDS / KA Project #:
Builder / Contractor:
Plan / Model:
Community / Lot / Block:
Address:
Application / Permit
To whom it may concern,
258 Southhall Lane, Suite 200
Maitland, Florida 32751
P: (321) 972-04911 F: (407) 880-2304 1 E: info@fdseng.com
Website: www.fdseng.com
23-00507
Lermar Homes
2074 / A / RH
Abbott Square 40 / 01 / 25
6818 Back Forty Loop
We have been informed that the submitted plans for the aforementioned project have not met the
code compliance requirements necessary for approval. Please find our responses to the areas of
deficiencies or corrections required to achieve compliance.
Comment: The structure is located in the special flood hazard area and shall meet the
minimum required BFE and FFE. Please provide a survey and site specific
foundation plan that specifies that BFE and FF, E
Response: The flood heights have been added to sheet 5 Foundation Plan. Please refer to
the clouded areas on sheet 5 for this revision.
If you have any questions, please do not hesitate to call.
4/12/2023 4/12/2023
Carl A. Brown, RE Scott A. Lewkowski, RE
FL, 4 56126 FL.478750
FDS Engineering Associates, A TSG Company
"Your Building Code Experts"
Permit No j C)
Date Permitted 2
Builder Name/Owner Name ' Control #
County Parcel No. e? f7 C.� G6 /00 SubOiv: 4 L{G 2
Address/Location
Classification/Type of Use O i
TRANSPORTATION IMPACT FEE Rate: Sq, Ft Unit. _. 0
Exempt E1 Yes 0 No Mow Determined
Impact Fee Amount �J Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount $
(057) Mobile Nome
(058) Other Residential
(123) Collection Fee
Exempt =Yes = No Hove Determined.
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone Total Amount $, e qu
Exempt =Yes =No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt Yes No How Determined Total Amount
RESOURCE FEE ERU
Prepared B
y Checked By_
NO CERiiFICATE OF OCCUPANY WILL BE ISSUED Oft FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
M •
PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND SAME.
R
RECEIPT NO DATE BY