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Home My WebLink About23-6220City of Zephyrhills 5335 Eighth Street Zephyrhiils, FL 33542 �iidl'1_E�0622U_2()23 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 05/24/2023 Permite: Building NewResidential) i�\T,. 1}Si .*\ *�1., '\.� Y �\Z�� 4;1. \. O f i ;S �c?• L��.�` `} \Ei'iL,\ 2 • \ \ t''; 2.t 1 C:. ,, :l\lSl 4"" ��tu i ,`s\ .,\i,.{' .' >•s` , k•;\,t, xat `1`,� � �z�c..s\. � � ,`l�L., r��: \\�`. �.i €.... i�� . },. „ '.'•�..:�Y „,�•��, .: "`,F " �I fib. � � a�'�. ;, e `? `t" 't x•; i, `t 04 26 210150 00600 0160 6206 Back Forty Loop \V�«`'ca iwt,��, t. 3 i?kIN .:y"`;�ic�'�t1}�>;.tti,i Name: Lennar Homes, LLC Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC Class of Work: SFR Construct Address: 4301 W Boy Scout Blvd Suite 600 Building Valuation: $282,120.00 Tampa, FL 33607 Electrical Valuation: $42,318.00� , Phone: Mechanical Valuation: $19,748.40 Plumbing Valuation: $28,212.00 Total Valuation: $372,398.40 Total Fees: $20,500.02 wrr. Amount Paid: $20,500.02.. ) . Date Paid: 5/24/2023 3:09:27PM � '�;9,"; fie., i ...,;�s 2�� \.' l S � 5-.. x ll � .; 14.E .,. ,.;,. , .:.. , n. • . ti e '` 1 �.5:�rt 1«14Z \1, �,£,�\h ``�^`t��, 5 � � ". � � '£\, li,,: }t,=.= 1 , {`•s..°r \l t.h £ .. ": `.. "� .. a . rt u . ,, `,� t..�>'.� } x.. � ��',��,t��ilsZ��,�t��,s,�•t�`}1��, l CONSTRUCT SINGLE FAMILY 1870 SQ FT . ., � l '?.. c. ,�� i:;; ,'az...•�,`: ,,, ,.� ls. �.. ., �".:�..,.r -i.�t \ . ..;,. �i1�t� 1, a`�11..• .. "�..1s \ l .. z.•^„. 3�1 ;i�.A £ �, ¢, �f.��ts , „bti i �. `,.� ,;i, .� t `,�tr ,.t `, rl s�,. r}`i. 15�,C..,,,�i4�a ;ti @,.l „�;4`££;',� ;• Transportation Impact Fee - City $36.32 SIF 1 percent Fee $83.28 Building Permit Fee $1,450.60 Water Connection Residential Fee $1,140.00 Driveway Fee $45.00 Transportation impact Fee $3,595.68 Mechanical Permit Fee $138.74 Park Impact Fee - Single Family/Townhome $769.56 Sewer Connection Residential Fee $2,400.00 School Impact Fee - Single Family $8,328.00 Electrical Permit Fee $251.59 Irrigation 3/4 Meter (Calc) $794.92 Admin Fee / (Provider Service) $180.00 Public Safety Impact Fee -Admin $26.35 Plumbing Permit Fee $181.06 Public Safety Impact Fee -Police $254.00 Address Fee $30.00 3/4 Water Meter Fee (Calc) $794.92 REINSPECTION FEES: (c) With respect to Reinspection 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. 2k._� CONTRACTOR SIGNATURE PEfIT OFFICE() ITHOUT APPROVED CALL FOR INSPECTION - 8 HOUR NOTICE REQUIREJ PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application I Building Department Date Received � phone Contact for Permitting 908 770 I _I A ;IS M["JG ..--rT--iT Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L 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 Fax-813-780-0021 1 813.574.5700 1 Fee Simple Titleholder Address I NIA JOB ADDRESS 6206 Back Forty Loop LOT # 0616 SUBDIVISION Abbott Square PARCEL ID# 04-26-21-0150-00600-0160 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED PROPOSED USE TYPE OF CONSTRUCTION DESCRIPTION OF WORK p �/p NEW CONSTRB ADD/ALT O M1L�=�+II INSTALL REPAIR SFR Q COMM �v 10 BLOCK FRAME SIGN = DEMOLISH OTHER STEEL I Single Family Residence / Pool / Screen Enclosure / Fence I BUILDING SIZE I U/R SF 235� SQ FOOTAGE 1 � HEIGHT 2 BUILDING $ fir` " '•' 282120 VALUATION OF TOTAL CONSTRUCTION i , I t T ELECTRICAL $ AMP SERVICE 42318 —� PROGRESS ENERGY W.R.E.C. _ IJ (PLUMBING $ 28212. (MECHANICAL $ 19748.4 VALUATION OF MECHANICAL INSTALLATION =GAS W1 ROOFING Q SPECIALTY E J OTHER z 7 FINISHED FLOOR ELEVATIONS I � FLOOD ZONE AREA OYES Do BUILDER ,�"� � COMPANY I LennarHomes,LLC SIGNATURE REGISTERED Y I N FEE CURREN I Y/ N Boy Scout Blvd Suite 600 Tampa, FL 33607 Address License # CGC1518166 ELECTRICIAN r4311W COMPANY Edmonson Electric, Inc. SIGNATURE REGISTERED Y / N FEE CURREN I Y / N I EC13005408 Address License# PLUMBER4 COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE � REGISTERED Y / N FEE CURREN I CFC042998 Address License # MECHANICAL t a COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE ,p+ REGISTERED I Y / N FEE CURREN I Y / N Address 16License # I CAC058062 OTHER ¢�°" COMPANY C Sterling Quality Roofing, Inc SIGNATURE REGISTERED Y/ N FEE CURREN I Y I N CCC057991 Address License # IIIIIIlIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111lIIIIII 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 subdivisionsAarge 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. (A1C 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 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 Subscribed and sworn o (or affirmed) before me this 1111M11 by Christopher Smith Who islare personally known to me or har4have pFedwGed as identification. 71 Notary Public Commission G 296057 Stephanie Farmer Name of Notary typed, printed or stamped Z' ELI U KiHOL K(0:issm F UNMwo EX0J M$JUM6,20Z4 iete Subscribed and sworn to (or affirmed) before me this 12M by Christopher Smith Who is/are 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 44 S. M, HOLUM A EXPitesJuriefi,2024 R7R'� I / -Q1V rUMIRMU � —2✓ o Builder Name/Owner Name k-IA h 114— R~e- Control# County Parcel No. 2- <-6 0-421 —v/0 SubDMA6A�Y— - Address/Location Classification/Type of Use "'D)l /I le— -AY , TRANSPORTATION IMPACT FEE Rate: 4�7 C, C+ I 1-;., Exempt Ej Yes 0 No How Determined Impact Fee Amount:y 1340 311- Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single -Family Detached House Amount $ —IL�� rZ6� (057) Mobile Home (058) Other Residential (123) Collection Fee Exempt =Yes = No How Determined_ PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone — Total Amount $-2zk?-- --Z Exempt =Yes = No How 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 By Checked By NO CERTIFICATE OF OCCUPANY WILL BE 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. ffm RECEIVED BY RECEIPT NO — DATE — BY 71-75 !31.13 96,32 TYPE B' �q 4m C. -t I i FF:p9E8.47 CS-50 PA TYPE W �DE , &57 00 T A FF:9PAD:97,9(0) SD7-2 �6 T 7.751- 0) A 96-84T TRACT SILVERADO PHASE to TRACT 102 49' - 24" RCP @ 535% PB 61, PG 71 97.58 96.11 SD7-14 FTVVE787 2T - 18" RCP 0 [0� [F F6? " 4870 P '?" 'J7% 1p, 'A PAD.9 S' -941 DWNER: TYPE 0 A . 97 T4 FF : 98.5 7 136'- 60" RCP @ P = 96.19 -97.020 96 . 48196.24) —VERADO I SILT FE4CE 97.77 WALL 'ESL!Tl PB 61, PC 71 I 95.87 JC TYPE'B' FF:97.77 PAD:97.10 ELOPMENT 0 TYPE'A' 0 0 FF:98.57 PAD:97.90 96.14 )ISTRICT 96.00- PARCEL 2 97.60 9s, 9 rn SD7-1 SD14-1 96 s F7 \ z TYPE B /NIL COLONY COMPANY 4' WOOD 71'- 18'RCP @ 0.309/. FF:9 PAD :96.80 .47 T B o' 0 1 PAGE 55 m3 I / m v \ 191' - rn 60" RCP @ 0.24% SD14-0 18" FES INV* 87.85 POND 5 J, TOB:95 , 00 SM 48" F / 93, 6 S' - f j- TL— — \lL FENCE DESCRIPTION: LOT 16, BLOCK 6, ABBOTT SQUARE PHASE 16, SITE PLAN ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89, PAGES 57-62, OF THE PUBLIC RECORDS OF PASCO COUNTY. (NOT A SURVEY) FLORIDA. SEC- 4, TWP. 26 S, RNG 21 E- PASCO COUNTY, FLORIDA (ABBOTT SQUARE) RPRP OPOSED ELEVATIONS AND GRADING his SITE PLAN Prepared for and Certified To' SHOWN HEREON ARE TAKEN FORM THE LBRnar Homes ENGINEERING PLANS OF 'ABBOTT SQUARE RESIDENTIAL". PREPARED --- --- --- --a SY'WRA` PROVIDED BY CLIENT ALL ELEVATIONS REFERENCED TO NORTH AMERICAN _-- VERTICAL DATUM OF 1988 1 (NAVE) 88) 1 LOT = 2� 24 SQ.FT. LIVING AREA - 780 SO FT. PORCH -38SQ. FT. GARAGE =-44 SQ.FT. COVERED LANAI = NIA SQ, FT. PATIO = 18 SQ. FT. POOL AREA = N^!A SQ. FT. CONC. DRIVE = 446 SO, FT. /VC & CONC PAD = 12 SO. FT. SIDEWALK =_a5SQ. FT. LOT SOD = N_4A_SO. FT, R/W SOD = N/A SC. FT. LOT OCCUPIED --14 % AREA TO IRRIGATE - 66 % PCP Cp Sq qb N 8H'08' 16" W (P1 60.0' NOTES: LOT GRADING TYPE =B PROPOSED PAD ELEVATION = 97,77' FROM SET BACK - 20 SIDE SET BACK = T5' SIDE SET BACK (CORNER LOT) =10' REAR SEFSACK-= 15' PROPOSED: MINIMUM FLOOR ELEVATIONS: LIVING AREA: 97.17' GARAGE AREA: ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 SURVEY ABBREVATIONS LOT 17 BLOCK , c 0'L, _ uiw I I I I APPROXIMATE LOCATION OF FLOOD ZONE "AE" fps /gg 42'-0" 42.0' 3 5 X35 7.—AI' per" C/S A/C PROPOSED 130X60' 2 STORY RESIDENCE PATIO PLAN 1877 0 0 LQT 16 \ --}- 3 GARAGE L 4.3ENTRY BLOCK 6 VNC ro p2a 5 _ 37.7_ 45.5' S 89-47'47" W (P) 109.60' (P) 7ID6) 2/ LOT 15 BLOCK6 10,00' PUBLIC UTILITY EASEMENT LEGEND: ,_,. PROPOSED DRAINAGE FLOW (00,00) = PROPOSED GRADE E-00.00 = EXISTING GRADE CURVE DATA (R) CURVE RADIUS ARCLENGTH' CHORDLENGTHI CHORDBEARING DELTAANGLE l C59 1 60,00' S1.18' 4064' N25`lo*,W 48'52'27' CO 60.00' 10.20' I0. I9' N 54'29'06" W 9'44'29' APPARENT FLOOD HAZARD ZONE:'X&AE' BFE=89.7' COMMUNITY NO. 120235 (MAP NUMBER 121DIC-0289-F) EFFECTIVE DATE: 09/26/2014 AI - ARC LENGTH (DI^DEED INV-INVERT PC -POINT OF CURVE (RI - RECORD _ LLULND VINYLFENCE A/C - AIR CONDITIONER D-I- DRAINAGE EASEMENT LB -LICENSED BUISNESS PCC- POINT OF COMPOUND CURVE RNG^RANGE "`+°CONIC AF=ALUMINUM FENCE EL OR ELEV ^ ELEVATION LE ^ LANDSCAPE EASEMENT PCP -PERMANENT CONTROL POINT RRS - RAII. ROAD SPIKE BE, BASE FLOOD ELEVATION EDP - EDGE OF PAVEMENT LEE= LOWEST FLOOR ELEVATION P/E ^POOL EQUIPMENT R,AV=RIGHT OF WAY BM=BENCHMARK ESMI- EASEMENT LS- LICENSED SURVEYOR PG PAGE SEC -SECTION WOOD FENCE C=CURVE F/C-FENCE CORNER RAJ =MEASURED Pi^ POINT OF INTERSECTION SNSD-SET NAIL AND DISK -ASPHALT \ — \ — (CI -CALCULATED FCM�FOUND CONCRETE MES-MIT ERFD ENp SECTION PK-BARKER KALON LBN8183 ^CENTERLINE MONUMENT NCF=NO CORNER FOUND rt =PROPF-RIUNE SIR - SET 112" IRON ROD FES 8183 CHAIN LINK FENCE CLF-CHAIN UNNFENCE O BRICK. -*—- Far- 0RRUGAFE.D METAL PIP UP-EOUNDUCINPUE O/A=CAT RALL FOR OF BEGINNING T8M = TEMPORARY BENCH MARK Co' F1R=EOUNDIRON ROD OHW- OVERHEAD WIRE`(SI POC- POINT OF COMMENCTMENT TOE TOP OF BANK CON 1. FN&D= FOUND NAIL& DISK O.R. ^ OFFICIAL RECORDS PDL-POINTONUNE TWP=TOWNSHIP ALUMINUM FENCE C/5-CONCRETE SlA6 FOP4FOUND OPEN PIPE (PI =PLAT 1, - POINT OF REVERSE CURVE UF-UFIUTY EASEMENT ^COVERED CSFa CLEAR SLUT TRIANGLE FPP - FOUND PINCHED PIPE PB-PLAT BOOK PR PERMANENT REFERENCE MONUMENT VF=VINYLFENCE JOB #I5gw520616 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive 1.) Current title information on the subject property had not been This certifies that s h of the hereon described Tarpon Springs, Florida Date of Site Plan: 3-20-23 �tt`t furnished to Initial Point Land Surveying, LLC, at the time of this Property wekY#t�(, supervision and Phone (727)-831-1990 SITE PLAN meets thNh,,�'l f Practice for FloridaPLS7123R, maii.com DWG:AS-PH I &L 16-BL6-SITE9 2.) This sketch was prepared without the benefit of a title search. surveyti,�� ar�ndo,f Land LB# 8183 No instruments of record reflecting ownership, casements or St f MXa;rd 11 aC 4,P File: rights- Eway were furnished to the undersigned, unless otherwise 5J 1 ��ti n t i t'shown hereon our ant47'.�(j H7�Etle Drawn by. DUB 3.) Roads walks, and other similar items shown hereon were taker S ob Checked b JH from engineering plans and are subject to survey, Ddte 3.03.2 y� 9 9P e ( t 5 L n( , 4.) This SITE PLAN does not reflect nor determine ownership. rb/ pA 0:2 01 F00' x Sl REVISIONS R9 S °L EGA 5.1 This SITE PLAN is subject to matters shown on the Plat of 'y � pup IDA � t "ABBOTT SQUARE PHASE I B` Jeff M. 8.) Dimensions shown hereon are in feet and decimal portions PLQRID �{� Q,jbR AND Q thereof. MAPPER N 1t(} 2 LSD 7.) Contractor and owner are to verify all setbacks, building dimensions, and layout shown hereon prior to any construction, NOT VALID WITHOUT THE ORIGINAL and immediately advise Initial Point Land Surveying, LLC, of any SIGNATURE AND SEAL OF A FLORIDA +' deviation from information shown hereon. Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC. at usaes sole risk. 0 Plan Model Elevation Garage Lot Size Block Lot to q,5 C Parce I M Address: Setbacks: Front yd- `5 Rear Sides---2 1 -5 Elevation: Garage: Roof Shingle Dimension/Architectural: -S� i).49)e---- A Use of Private Provider Effective January 20, 2003 6206 Back Forty Loop Parcel Tax ID: 04-26-21-0150-00600-0160 Services to be provided: Plans Review X mz� 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. MOMMMUff 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 is = 1 111 1 11111 Telephone: 813-376-3088 Fax: N/A Email Address (Optional): deb@virtuaIreviewassist.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 services provided by the private provider is limited to building code compliance and does not include review for fire code, land use, tnvi:roamental, or other codes.. The following attaobments are provided as required: 1. Qualification statements and/or resumes of the private provider and all duly. authorized representatives. I. Proof of insurance for professidnaland oompreh6nsi-vD liability in,the."amount.of $1 million per nce relating to all services -ptif-bimed as a private, provider; minimum oc=t ding tail coverage for. a minii of 5 years subse-qaentto the ptxforine'not of building code inspection services..' Individual (Signature) Pz?nt - Name: Address,, Telephone Piwe . use appropriate notary block. S,FA.TR of FLORIDA COUNTY bF HILLSBOROUGH qorporation LEN N AV-HGM-E&4--LG Print CGIPOTELtionNamie; Prin Nhme: Christopher Smith t C'T a t OnN 1, 7s 7gn I 5- tL1 Chrj5to he r Srinith rjz its: Authorized Aci ent vp Address: 700 NW I 0-7th A M i L 1 7 iami, FL 33172 wephonp. 1 5 5 00 813-574-5700 Print Partnership Nmna By: (signature) • print Name;- .Jts, Address; Telephone AT,.. . individual Corporation Partnership day of Bdomme,tbis --day of 22ND day 20�PDT8DDRj1y MAY, n2-2 of aNbuDd personally appeared personally appeared who executed the foregoing instrum'ent, of and acknowledged before methat same Lennar Homes. LLC a p mtex/agent on b elielf of Vu executed for the purposes therein corporation, on expressed. .."bihz1f of th6 state rorpon-fion, who a partnersbip, who eXtGUttd the, executed the f6regoing instrument and fartgoing instrument and -h hat adoiowle �p d b afore m D that same was ac16iow1DdgDdbefore i -et samB executed for the purppses-thmein was PXWizte;dfor the parpqns thmein ..expressed. expressed. . F'ersonallykn,, P.T 0 du r, e d i4oA# cation Typr, of ldmtifioationpioduoDd Signature OfNotuv, ftntNemt, ASHLEE CALLAHAN NotaryPublic Stamp; ASHLEE CALLAHAN Commission ExpirM, MyQ0M MISSION #HH 296980 ExPOES:'Novembof 30,2026 VR/\ VIRTUAL REVIEW A$$IST Private Provider Plan Comp_21iance Affidavit Private Provider Finn: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU 1967 Address: 747 Southwest 21 Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: higy(a- ,)yyzr_tua1reyie)yas�s st.com Project: New SFR Address(s): 6206 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 Plan Sheets CS,Al,A2,A3,A4,A5,A6, A7,SN0, SNI, S3,S4,S5,S6,SS,ST,SII,SI2,WPI,WP2,WP2.1, PALO,PALI, PA1.2,PA1.3,PAIA, SHI.0,SHI,I,SHI.2,SHI.3,SHI.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 egging is true and correct to the best of his/her knowledge or belief. Ashlee Callahan Signature of Notary Print Name ASHLEE CALLAHAN My ComMISSION # HH 295980 E)(PIRES: November 30,2026 FIRE MARSHAL #01 - Reauired Permits DATE: 5/12/2023 EXAMINER: Debra Klahr VX230( Building M Inspection Only Plumbing 0 kTection Only Mechanical El Inspection Only Electrical Amp D Inspection Only It M4, E] Medical Gas E] Fire Sprinklers El on Site Piping mom 0 Irrigation E:1 Fire Alarm Potable Backflow Assembly Fire Line Racliflow Preventer [:1 Irrigation Backflow Assembly F-1 Demolition El Walk-in Cooler Refrigeration 0 UDD E] Ansul El Fence/Wall Grease Trap Other MMUMM Type Construction: Risk Category: Occupancy Load 0 LWancy Classification: Factory E= Residential �� .AssemblyFl) Care/Educational Assembly Hazardous E= nal E:= cantile E= rn-" Building Use: SINGLE FAMILY RESIDENCE 1 Alteration F—Level I IQ Level 2 [E:]",,Level 3 1,6New Construction FInterior Finish Interior Remodel E] Exterior Remodel El Addition El Revision Overall Size: 30 X 42 Number of Stories: 2 Total Sq. Ft.: 2351 Living Area: 1870 Covered Area: 481 # of Bedrooms: 4 # of Baths: 2.5 Cost per square foot: Estimated Value; Roof Type: 91 Shingle []Tile Ej Built-up Metal F-1 Other Sq!jares, 16 Zoning: _E1 dborne Debris: Wi= Outside � Energy Code: 405-2022 SUP Flood Zone: X/AE Base Flood Elevation: 89.7-NAV088 Finish Floor Elevation: 97.17' NAV088 Hydrostatic Vents? in Yes No Sq. Ft. Enclosed Space Below BFE: I # of Vents: Size of Vents: Total Sq. In. Permanent Openings 9 Central A/C El Gas A/C Z Heat Pump 0 Window A/C D Gas Heat El Electric Heat [13T.Tr-3X,=- Sanitary Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line Front Rear Left Right As per Approved Site Plan Comments: ZEPHYRHILLS TO VERIFY FLOOD ZONE INFORMATION GARAGE FFE: 96.84'NAVI)88