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Home My WebLink About23-6087City of Zephyrhilis 7 5335 Eighth Street 17777, W Zephyrhills, FL 33542 BNR-006087-2023 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 05/02/2023 Permit 1-Y e: Buildi 111,41dew Residential 04 26 21 0150 00600 0130 6191 Back Forty Loop 7777 7, 77 7 77 7 777, 7 77, - 7_77b 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: $342,480.00 TAMPA, FL 33607 Electrical Valuation: $51,372.00 Phone: Mechanical Valuation: $23,973,60 Plumbing Valuation: $34,248.00 q-, Total Valuation: $452,073.60 Total Fees: $20,898.40 4`1 Amount Paid: $20,898.40 J Date Paid: 5/2/2023 11:37:50AM CONSTRUCT SINGLE FAMILY 2389 SQ FT gyp. Building Plan Review Fee $180.00 Electrical Plan Review Fee $0.00 Park Impact Fee - Single Family/Townhome $769.56 Mechanical Permit Fee $159.87 School Impact Fee - Single Family $8,328.00 Driveway Fee $45.00 Plumbing Plan Review Fee $0.00 Public Safety Impact Fee -Police $254.00 Irrigation 3/4 Meter (Cale) $794.92 Water Connection Residential Fee $1,140.00 Public Safety Impact Fee -Admin $26.35 Sewer Connection Residential Fee $2,400.00 3/4 Water Meter Fee (Cale) $794.92 Plumbing Permit Fee $211.24 Address Fee $30.00 Mechanical Plan Review Fee $0.00 Transportation Impact Fee - City $36-32 Transportation Impact Fee $3,595.68 Electrical Permit Fee $296.86 Building Permit Fee $1,752.40 SIF I percent Fee $83.28 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. CONT ACTOR SIGNATURE PE r IT OFFICEU PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application t V Building Department Date Received Phone Contact for Permittinq 908 7 Owner's Name CAL HEARTHSTONE LOT OPTION POOL �O�3L P Owner Phone Number 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 813.5743700 Fax-813-780-0021 Fee Simple Titleholder Address N/A 16191 Back Forty Loop 0613 JOB ADDRESS LOT # SUBDIVISION Abbott Square PARCEL ID#1 04-26-21-0150-00600-0130 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR F-1 9 ADD/ALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK Single Family Residence / Pool I Screen Enclosure / Fence BUILDING SIZE U/RSF 2854 SQ FOOTAGE HEIGHT BUILDING .. . .... . ... . 11 $ 342480 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. PLUMBING F34248 MECHANICAL $ 2397 6 VALUATION OF MECHANICAL INSTALLATION 111 =GAS I.8 1 ROOFING E:] SPECIALTY = OTHER 7 FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES Do It a 11 BUILDER COMPANY I Lennai I Tomes, LLC SIGNATURE REGISTERED L_XI_N J FEE CURREN YIN Address 01 W Boy Scout Blvd Suite 600 Tampa, FL 33607 License # I CGC1518166 ELECTRICIAN COMPANY IlEdMonSon Electric, Inc. SIGNATURE REGISTERED L_Y_LN_j FEE CURREN Address License # PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y/ N FEE CURREN YIN Address License# 7- MECHANICAL COMPANY [�Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y/ N FEE CURREN YIN Address License # OTHER COMPANY I C Sterling Quality Roofing, Inc SIGNATURE REGISTERED vIN Address F_ License # RESIDENTIAL Attach (2) Plot Plan; (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 subdrvisionsIlarge 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 & I clumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. —PROPERTY SURVEY required forall 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 (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 wo , I ev mav be reauired to b licensed in accordance with state and local reaulations. If the 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 c6e.tract6r, that may *� ;m im*icat4n U�at h6 is ei*t #rr,�vtrly licemsed ani is not entit�0. to V6rmi*?r,5 -#riyiIeg6s in Pasc* County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands h r n i n m F n R r R h f 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 "ownee' 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 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/E nvi ron mental 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. laxi I g Lg livi I" Z1 101ra I in I a ag , ITAcTilgo N&St"Imom ju go-1 a gawm 1 W"101 N 10 1 val I O]kLox*j ;I znj on 2VL%R!MJ 011 A FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR - oeZ_ r 0 (or affirm; Subscribed and swornd) before me this Subscribed and swom to (or affirmed) before me this XM023 by _Christopher Smithan Nl by Christopher Smith Who is/are personally known to me or4asA4av4*rodQGe4 Who islare personally known to me or has/have produced as identification. as identification, Notary Public --Notary Public Commission G 296057 Commission No. 6 7 Stephanie Farmer Stephanie Former Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped EKPIMS J11118 6 2024 Plan Model Elevation D's Garage Lot Size Block Lot New Development Check List Parcel #: 0 0 412 o o Address: ,� -I Setbacks: Front � 0 ° ), O�-' Ll Rear3�� 3 �d-30�-3 Sjdes��" �&If, Elevation: -A- Garage: A Roof Shingle Dime nsion/Architectural: -RA Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 6191 Back Forty Loop Parcel Tax ITS: 04-26-21-0150-00600-0130 Services to be provided: Plans Review X 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: DEBRA ANNE KLAHP Address: 747 SW 2ND AVE- SUITE 170,301,357,4 358, GAINESVILLE, FL 32601 Telephone: 813-376-3088 Fax: N/A Email Address (Optional): dp-b@virtualreviewassi.st.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. make any changes to the listed private providers or the services to be provided by those private providers, I s' within I business day after any change, update this notice to reflect such changes. The building plans reviev inspection services provided by the private provider is limited to building code compliance and does not in review for fire oode, land use, envirommental or other codes. The followirig attar exits are provided as required; 1. Qualification statements and/or resumes of the private provider and all dulyauthorized representatives. 2.: Proof of insurance for professional.and comp rehensive liability in,tlxe,kluount.of 1 million per ocoux'rencerelating to all serviedsperformed as a private provider; incltading tail'coverage for a rninira= Of 5 years subsequexltto tlieperfora�aaxlce ofbuil g code inspection servzcesa Individu2l (sigmature), print Naame; Address._ -- - VeaWase appropriate notary block. STATE OF FLORIDA . COUNTY OF HILL BOR.CaUGH RIMMMI BeforeMe-,this day of 20,, personally appeared who executed the foregoing i4strviinent, axed acksaovaledged before me that same 'Was executed for the purposes therein expressed. Corporation Befo.rem5,tbis 22ND day of MAY . 20 2 personally appeared ' of Lennar Humes LLC a c.orpor��zoxa, �� behalf of the state corporation, who executedthe foregoing kstr ent and acknowledged before me that samt,'was executed fox thp ,pmTpses,thoxDin expressed, Primp ersbipN me By: (signature) print Name; Tts: address: B efore rne, this day of 24 p erson ally appeared p erlagentonbDhalfof a partnership, who executed the foregoing instrument t cl aoknowledged before me that swne 'Was executed.foriheparposesthmein expressed. Personally known X or- Produoed identi oation Type of idmification produced signature ofNotaxs PrintName ASHLEE CALLAHAN Notasy?, ablic Stamp; �0.SHL Commission Ex Tres; aGALLAN�N p . *m FAY GOMMI$810 # NH 29593Q PiR S; November 36, 2026 VR/\ VIRTUAL REVIEW ASSIST Private rov cr Plan Compliance Affidavit Private Provider Firm: Virtual Review Assist, Inc. Private Provider: Debra Anne llahr,13U1967 Address: 747 Southwest 21 Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: luo f yi alreviewassist.co Project: New SFR Address(s): 6191 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 (ode 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,Al,A2,A3,A4,A5,A6,A7, SNO,SNI, S3,S4,S5,S6, ST,SS,S11, S12, l,PAl.0,PA1.1, PA1.2,PA1.3,PA1.4, SHI.0,SH1.1,S 1.2,SHI.3,SH1.4,SH1.5 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 for is trucorrect to the best of his/her knowledge or belief. d F ,ed, na eofNot N o �] [—COMMERCIAL BUILDING SERVICES DIVISION RESIDENTIAL, BUILDING PERMIT DATA SHEET TRACKING #I FIRE MARSHAL #01 - DATE: 4/08/2 23 FOLIO # §191 BACK FORTY LP EXAMINER: 6 bra Lahr PX230( Re aired Permits Building Plumbing �ecfionOnl :V::::�01ns Electrical Amp El Ins ection On1 Ins' ection Oni ] rns ection c�nr Rojo ® Gas ❑ Medical Gas [� Fire Sprinklers On Site Piping El Fire Line El Irrigation Ej Fire Ala E Potable Backflow Assembly E Eire Line Backfloee Preventer El Irrigation flac&ilow Assembly El Demolition 0 Walla -in Cooler Refrigeration ❑ Hood ❑ Ansul 1:1 Fence all [1 Crease Trap ❑ Other ® Other T e Construction Occupancy Load O ancy Cl"ssification Assembly usiness ay Care/Educational Factory Hazardous nstitutioizal F vlereantile Residential R- ® tome C] (7tility Building Use: SINGLE FAMILY RESMENCE / Alteration luLevel 1 ❑ Level 2 Level 3 ,WfNew Construction ® Interior Finish ® Interior Remodel Q Exterior remodel ® Addition E] Revision Overall Size: Number of Stories: Total Sq. Ft.: 53 2 235 Living :Area: 2389 Covered Area: 465 # of Bedrooms: # of Baths: 2,5 Cast per square foot: Estimated Valuee: Ttaeof T e: Shin le I ile Built-u Metal �] Other Scares: 19 Zoning: Wi orne Debris: Energy Code: 4-2020 [`Inside Outside Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? ® Yes N® Sala Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: Total Sala In. Permanent Openings Central A/C X FLeat 'Pump [� window A!C El Gas A/C Gas Heat Electric Meat Front Rear Comments: Left 21 As per Approved Site Plan mm �3 t� N N ti Permit No.—�— Date Permitted —�L-31--r Builder Name/Owner Name County Parcel Na Address/Location MA, LLL 4 1--1 H IH - IH I os i SE