HomeMy WebLinkAbout23-6281City of Zephyrhilis
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Am
5335 Eighth Street
Zephyrhills, FL 33542
2 1-2 2
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 05/19/2023
Permit Type: Building New(Residential
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04 26 21 0150 00600 0200 6238 Back Forty Loop
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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: $320,640.00 // t
TAMPA, FL 33607 Electrical Valuation: $48,096.00
Phone: Mechanical Valuation: $22,444.80
Plumbing Valuation: $32,064.00 g
Total Valuation: $423,244.80
Total Fees: $20,754.25
Amount Paid: $20,754,25 `
Date Paid: 5/24/2023 3:09:27PM
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CONSTRUCT SINGLE FAMILY 2217 SQ FT
1011
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.
Building Permit Fee $1,643.20 Electrical Plan Review Fee $0.00
School Impact Fee - Single Family $8,328.00 Address Fee $30.00
Park Impact Fee - Single Family/Townhome $769.56 Electrical Permit Fee $280.48
Mechanical Permit Fee $152.22 SIF 1 percent Fee $83.28
Mechanical Plan Review Fee $0.00 Public Safety Impact Fee -Police $254.00
3/4 Water Meter Fee (Calc) $794.92 Driveway Fee $45.00
Plumbing Permit Fee $200.32 Public Safety Impact Fee -Admin $26.35
Water Connection Residential Fee $1,140.00 Irrigation 3/4 Meter (Cale) $794.92
Plumbing Plan Review Fee $0,00 Transportation Impact Fee - City $36.32
Sewer Connection Residential Fee $2,400.00 Building Plan Review Fee $180.00
Transportation Impact Fee $3,595.68
REINPECTIN 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.
l ) 1 f z.
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL r INSPECTION REQUIRED
* •` O CARD FROM R.
813-7O,?0 City of Zephyrhills Permit Application
Building Department
Date Received
'^I'�hone Contact for Permittin 908 770
...;S:I 'Y:7L3::Y" if III i"1—t-ITf' f
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P I Owner Phone Number
Owner's Address 1 23975 Park Sorrento, Ste, 220, Calabasas, CA 91302 Owner Phone Number
Fee Simple Titleholder Name N/A Owner Phone Number
Fax-813-780-0021
1 813.5743700 1
Fee Simple Titleholder Address I
N/A
JOB ADDRESS 6238 Back Forty Loop LOT # 0620
SUBDIVISION Abbott Square — i PARCEL lo# 04-26-21-0150-00600-0200
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED iI,Z " NEW CONSTR 8 ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE ur u SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK O FRAME STEEL Q
DESCRIPTION OF WORK Single Family Residence / Pool / Screen Enclosure / Fence
BUILDING SIZE I U/R SF 2672 SO FOOTAGE 2217 HEIGHT 28
BUILDING $ 32 6640 VALUATION OF TOTAL CONSTRUCTION
L' t 4........__.....__.,
ELECTRICAL $ 8096 PROGRESS ENERGY W.R.E.G.
AMP SERVICE
I*,I (PLUMBING $ 3206 ��
— ,1� �f 4 V. l
4f�
I,I (MECHANICAL $ 22444.8 VALUATION OF MECHANICAL INSTALLATION
GAS 2 ROOFING SPECIALTY t J OTHER (—�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 2YES I o
BUILDER t COMPANY Lennar Homes, LLC
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License #
y Scout Blvd Suite 600 Tampa, FL 33607 CGC1518166�
ELECTRICIAN ®� COMPANY EdmonSon Electric, Inc.
SIGNATURE REGISTERED Y / N FEE CURREN I Y / N
Address License# I EC13005408
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN LY / N
Address License # CFC042998
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN I Y I N
Addross License # CAC058062
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE 3 �( REGISTERED Y / N FEE CURREN I Y / N
Address License # 1 CCC057991
IIIIIIIIIIIIIIIIIIIIIIIIIIIII/I111IIIII111/I/II/IIIIIIiIi/IIIIIIIII
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. (A/C upgrades over $7500)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (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 IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law —Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the "owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
Department of Environmental Protection -Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Southwest Florida Water Management District -Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers -Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit -Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency -Asbestos abatement.
Federal Aviation Authority -Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone W" unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
I 2-1vill 10 " 11A 1" :1101 11411 JAU WSW =I JAI:3 11 " KONJIN 111,41 =40JU4 3willillill I 11VA0111111111 10 11 q 0 112 K6211111 '3 M I 0111112,11OF-114" I 0L a I
OWNER OR AGENT,2e��.
r 0 (or affirm;
Subscribed and swornd) before me this
121 I'll by _ Christopher Smith
Who is/are personally known to me or hasihave PF9dUG@d
as identification.
�_Notary Public
Commission N�Z (65 296057
Stephanie Farmer
Name of Notary typed, printed or stamped
E1js&AK HOLLERAN
Commission# HH00W0
EviresJ unoC2024
"&dtemTmyFW1nvx—W1W?(r11
Subscribed and sworn to (or affirmed) before me this
a,xe2023 by Christooher Smith
Who is/are personally known to me or has/have produced
. . . ........... . ............
as identification.
Notary Public
Commission No.
Stephanie Farmer
Name of Notary typed, printed or stamped
,Q` ELISJUM.FIDUERAN
Commission * RH WWO
E*ms June 6, 2024
THE NORTHEAST 1'4 OF
THE SOUTHWEST 1/4 OF
SECTION 4-26-21
Structure Table
CS-5
TYPE VDBI
WITH SKIMMER (C213)
EOP:94.40
RIM:94.40
24" RCP(NW)IE:90.00
TYPE'C'DBI
EOP:90.42
RIM:90.42
24" RCP(SE)JE:87.40
SD7-1
TYPE 9 CURB INLET
EOP:95.44
RIM:95.27
60" RCP(S)IE:78.20
60" RCP(NW)IE:79.86
SD7-2
TYPE 9 CURB INLET
ECIP:95.82
RIM:95.65
60" RCP(SE)JE:80.26
60" RCP(N)IE:80.26
PHASE 1A
OOK 61,
,71-75
�ICT A
TRACT A
SILVERADO PHASE 1A
PS 61, PC 71
OWNER:
SILVERADO
"F'ER'k WALL 'ESZlT,'TB'61, PG 71
--VELOPMENT
DISTRICT
II
VP'AA
'
co 9
FT E
F:98.57
PAD:97.90 0
97. 67 -]\,I END 96.
9 mpown '
9.71 PIE 'A '
:98
0
15�,'- 7 L 167' - 60" RCP @ 0.30%
97
0 TYPE'B'
FF:98.37
PAD:97.70
9639 -97.650--
0 TYPEV 00
FF:98.47
!PAD,97.90
1
24" RCP @ 5,35%—
RCP @ 0A7% -'-3," 4 '
VAD9 7 80 �4
136'- 60" RCP @ 0,30%— 1
96.19-97.020 96.48196.24
0 TYPE'B'
FF:97 . 77
PAD-97.10
196 00 — 96.72o 96.14
PARCEL 2
DESCRIPTION: LOT 20, BLOCK 6, ABBOTT SQUARE PHASE 1B, SITE PLAN
SEC. 4, TWP. 26 S, RNG 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.
(ABBOTT SQUARE)
PROPOSED ELEVATIONS AND GRADING
his SITE PLAN Prepared for and Certified To:
LOT
!1Z:LSO.
SHOWN HEREON ARE TAKEN FORM THE
ENGINEERING PLANS OF
Lennar Homes
LIVING AREA
=5FT.
= 430 SO. FT.
"ABBOTT SQUARE RESIDENTIAL", PREPARED
------ ---- _- -
PORCH
=�$Q. FT.
BY "WRA" PROVIDED BY CLIENT
ALL ELEVATIONS REFERENCED
GARAGE
= 4 1 SQ. FT.
TO NORTH AMERICAN
COVERED LANAI
= N/A SQ. FT.
-- ___--
VERTICAL DATUM OF 1988
PATIO
= 19 SQ. FT.
(NAND 88)
POOL AREA
=�[6_SQ. FT.
CONC. DRIVE
= 368 SQ. FT.
Scale. 1 = 20
A/C & CONC PAD
=�SQ. FT.
SIDEWALK
=fig _$Q_ FT.
LOT SOD
-_N/A_SQ.FT.
R/W SOD
=-N/,A—SO. FT.
LOT OCCUPIED
= y-%
AREA TO IRRIGATE
_ ,�4 %
APPROXIMATE LOCATION
>t ----- OF FLOOD ZONE
C
$. i LOT 20 LOT 21
v o BLOCK BLOCK6
z o
P, \ab ")(, S 89"47`47- W (P) 112.70' (P) 01ti3
b�^
I
3' SIC
"
WALK
°
7J2 S
T2T
1'
NOTES
LOT GRADING TYPE =8
PROPOSED PAD ELEVATION = 97,50
FRONT SET BACK = 20
SIDE SET BACK = T5'
SIDE SET BACK (CORNER LOT) =10'
REAR SETBACK = 15'
PROPOSED:
MINIMUM FLOOR ELEVATIONS:
LIVING AREA: 98.17'
GARAGE AREA:
ELEVATIONS REFERENCED TO
NORTH AMERICAN VERTICAL
DATUM OF 1988
42.7'
or PROPOSED
6 2 STORY RESIDENCE
PLAN 2216 w o
• 3. i Xb.O
ELEV'Er o
GARAGEL
PATIO
g OCK 6
kENTRy
^AE
3,5X15
5xis
413
-A/C
42 7
S 89-4747" W (P) 1 1 1.12' (PI s
BASIS OF BEARING
f
"AF LOT 19
%<
BLOCK 6
+ - 10.00 PUBLIC UTILITY EASEMENT
LEGEND:
�- PROPOSED DRAINAGE FLOW
(00,00) = PROPOSED GRADE
E-0e00 = EXISTING GRADE
CURVE DATA (P)
CURVE RADIUS ARC LENGTH !---CHORD LENGTH CHORD BEARING DELTA ANGLE
C64 675.00' 45.04' 45.03' N OZ't 2'28" W 3°49'22"
CO 675.00' 25.43' 25.43' N 00'46'58" E 2'09'31"
APPARENT FLOOD HAZARD ZONE: "X" & "AE BFE=92COMMUNITY NO. 120235
SURVEY ABBREVATIONS (MAP NUMBER 12 10 1 C-0452-F( EFFECTIVE DATE: 09/26/2014
AI=ARCENELT
(D)-DEED
INV-INVERT
PC - POINT OF CURVE
(RI - RECORD
LEGEND
AlC-AIR CONDITIONER
DE- DRAINAGE EASEMENT
LB=LICENSED SUiSNESS
PCC- PONT OF COMPOUND CURVE
RNG - RANGE
VINYLFENCE
AF=ALUMINUMFENCE
EL OR ELEV-ELEVATION
LE- LANDSCAPE EASEMENT
PCP- PERMANENT COINTROL POINT
RRS-RAIL ROAD SPIKE
=CONC —V— -if---
SEE- RASE FLOOD ELEVATION
EDP EDGE OF PAVEMENT
LFE- LOWEST FLOOR ELEVATION
P/E - POOL EQUIPMENT
R/W - RIGHT OF WAY
BM=BENCHMARK
C-CURVE
ESMT^EASEMENT
F/CFENCE CORNER
LS=LICENSED SURVEYOR
(M- MEASURED
PG -PAGE
PI- POIN t OF INTERSECTION
SEC aSECTiON
SN&D-SEI NAIL AND DISK
WOOD FENCE
(ASPHALT "-
IC I =�cAIcCULAi ED
FCM 4 FOUND CONCRETE
MES - MITERED END SECTION
PK -PARKER KALON
LBN8183
= CENTERLINE
MONUMENT
NCF=NO CORNER FOUND
rt PROPERTY LWE
SIR IRON ROD LBk 8183
CHAIN LINK FENCE
CLf-CHAIN LINK FENCE
CMP=CORRUGATED RA��fAL PtP
fIP-FOUNDIRONPIPE
O/A>OVERALL
FOR= POINT OF BEGINNING
TBM= TEMPORARY BENCH MARK
='BRICK
COL=COLUMN
EIR^FOUND .RON ROD
OHW =OVERHEAD WIRE(SI
POC- POINT OF COMMENCTMENT
TOE TOP OF BANK
CONC^CONCRE£E
FNr-FOUND NAR&DISK
O-R. ^ OFFICIAL RECORDS
POr POINT ON LINE.
TWP- TOWNSHIP
ALUMINUM FENCE
C/S =CONCRE(E SLAB
"i -FOUND OPEN PIPE
FPP - FOUND PINCHED PIPE
(P', -PLAT
PB=FLAT BOOK
ERIC POINT OF REVERSE CURVE
PRM =PFRNiANFM REFERENCE MONUMENT
U.E-UiIUTY EASEMENT
-
-COVERED `\ _
' CST-CLEARSIGNITRIANGLE
VIF VINYL FENCE
JOB #15908520620
SURVEYOR'S NOTES:
t.) 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 sketch of the hereon described
property was trlZciSV1k1@kIry upervision and
A_�
1708 Water Oak Drive
Tarpon Springs, Florida
P
Phone: (7271-831-1440
Date of Site Plan: 3-16-23
DWG:AS-PNi&L20-BL6-SITE
- -
2.) This sketch was prepared without the benefit of a title search.
No instruments of record reflecting ownership, easements or
rights -of -way were furnished to the undersigned, unless otherwise
shown hereon.
3.) Roads, walks, and other similar items shown hereon were taken
from engineering plans and are subject to survey.
4.) This SITE PLAN does not reflect nor determine ownership.
b. This SITE PLAN is Plat
meets the ' *SM ttj ractice for
gt�veys %[ �To of Land
e,1 d ned
y=II` 3 FI 1 djr t
tle
For- Int to ection 4 i t Y
sStat.QatG': 2 .33.E3.22
} \ J ry
4 q Y 0 •43:5 W_,ou
i E t'
FlondaPLS7123@gmar.com
LB# 8183
` �@
File:
Drawn by: DJB
Checked byJH
REVISIONS
subject to matters shown on the of
J
"ABBOT? SQUARE PHASE 1 B"
�Ne
shown hereon are in feet and decimal portions
Jeff M.
FLORIDA R AND
d
theDiomensions
7.) Contractor and owner are to verify all setbacks, building
m(,
MAPf. PER NO IL@i�
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
+ate
deviation from information shown hereon. Failure to do so will be
LICENSED SURVEYOR AND MAPPER
Initial Point Land Surveying, LLC.
at user's sole risk.
Plan Model Elevation
Garage
e
Lot SizN.
Block
Lot
Ok
V��Vo
Setbacks: Front ;Y) ,57,,,, �
- 4 � L3 i Y- Rear Sides-7,,,S
Elevation: --16-- Garage:
Roof Shingle Dime nsion/Architedumb 0A IrO7 i&
Project Name:
V r D\/\
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
6238 Back Forty Loop
Parcel Tax ID: 04-26-21-0150-00600-0200
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.
Mifflffl��
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:
Private Provider:
WITEM
VIRTUAL REVIEW ASSIST, INC.
NMVAM�' KWX;M�'�
Telephone: 813-376-3088 Fax: N/A
Email Address (Optional): deb@virtualreviewassist.com
Florida License, Registration or Certificate #: (LIC # BU1967/ PX2300/ 8N4615)
I have elected to use one or more private providers to provide building code plans review and/or inspection
services on the building that is the subject of the enclosed permit application, as authorized by s. 553.791, Florida
Statutes. I understand that the local building official may not review the plans submitted or perform the required
building inspections to determine compliance with the applicable codes, except to the extent specified in said law.
Instead, plans review and/or required building inspections will be performed by licensed or certified personnel
identified in the application. The law requires minimum insurance requirements for such personnel, but I
understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I
have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance
and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harmless the
local government, the local building official, and their building code enforcement personnel from any and all
claims arising from my use of these licensed or certified personnel to perform building code inspection services
with respect to the building that is the subject of the enclosed permit application.
I understand the Building Official retains authority to review plans, make required inspections, and enforce the
applicable codes within his or her charge pursuant to the standards established by s. 553,791, Florida Statutes. If I
make any changes to the listed private providers or the services to be provided by those private providers, I shall,
within I business day after any change, update this notice to reflect such changes. The building plans review and/or
inspection services provided by the private provider is limited to building code compliance and does not include
review for fire code, land use- environmental or other codes..
The following attachments. are provided as required:
1. Qualification statements and/or resumes of the private provider and all duly. authorized representatives.
I. Proof of insurance for professional and comprehensive liabilitye am in,th aunt of $1 million per
a oouircrice relating to all servicdspexfoirraedas a private provider, including tail coverage for aminimum
of 5 years subsequent to the performance of building code inspection services.
Individual
:(Signature)
Print
Name:
Telephone
Please.use use appropriate notary block
ST.kTR OF FLORIDA.
COUNTY OF HILLSBOROUGH
Btfonmom, this -day of
20—personally
appeared .
who executed the foregoing instrument,
an , d acknowledged before m5 that s ' arae
Vag executed for the purposes therein
301014111OMPAR104
MR a 011111.11
Print Corpor&tionName
By:
Print
N.e: Christopher Smith
its: Authorized Agent
Addrtw 700 NW 107th Ave
Miami, FL 33172
Telephone,
iTo. 9137574-5700
M=
Print P artneirship Name
By,
Print
Name -
Address;
Telephone
N't- .
Corporation Partnership
Btforem,jajs 22ND day of BeforDrne,tbis -day
MAY 2,o �22 of
personally appeared p trmnOy appeared
of
Lannar Homes, LLC a partner/agent on b ohalf of
corporation, oh.
..'behalf of the state rorpoTation, who a partnership, who executed the
executed the f6regoing instrument and foregoing instrument and
acicnov;lbdged before raD that same was acknowledged before me that,same
executed for the purposes th.=M' was txtDuted,forthDpiarpost-.stbmein
expressed, expressed..
an,
Personally kna Or Pro ducmd idep#gcation� Type of ideritificationp - roduced
Signatare. ofNo
t . Piint:Name ASHLE.E CALLAHAN
Notaxypublir, Stamp;
ptppY ASHLEE CALLAHAN
Commission Expirm my commiSSION # HH 295980
EXPIRES: November 30,2026
VR/\
VIRTUAL REVIEW ASSIST
Private Provider
Private Provider Finn: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU 1967
Address: 747 Southwest 211 Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: iggy"g&�,yvirtu�alreview�assist.c�oi-n
Project: New SFR
Address(s): 6238 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,AI,A2,A3,A4,A5,A6.I, SNO, SNI, S3,S4,S5, S6,ST,SS,Sll,SI2,WPI,WP2,WP2.1, PAI.0,PAI.1,
PAI.2,PAI.3,PAI.4, SHI.0,SHI.1,SHI.2,SHI.3,SHI.4,SHI.5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300
Signature of Reviewer: Z Z�
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
fcregttng is true and correct to the best of his/her knowledge or belief.
Ashlee Callahan
Sib of otary Print Name
Notary Public: NOTARY STAMP BELOW My
commission expires:
ASHLEE CALLAHAN
MY COMMISSION # HH 295980
, 75EXPIRES: November 30,2026
' 1"
F 1.4 0 4 1 FIT rk, rf F3 -9 A"W"I F
aflj• .. .- mrozam
FIRE MARSHAL #01 -
Renuired Permits
DATE: 5/12/2023
EXAMINER: Oeba —Klahr PX2304
uilding
jlInspection 0n1v
9
In spection Only
,VIN4"c anical
■ection
E] P US ly
ectnca mp
■Lsff OnI
y
......
Medical Gas■Fire
Sprinklers
On Site Piping
El Irrigation
lit, '—Ull
Potable Backflow Assembly
E] Fire Line Back1low Preventer
E] Irrigation BackUffflow Asse bly
E] Demolition
Walk-in CooIII ler■Refrigeration
■
Lj Ansul
■a
■Grease Trap
1 ffil M
E] Other
['19mrsTrilm-07M
jjpe Construction: I
V-S
Risk Category:
Occupancy Load
13 1 ess an Classification: 'Assembly Business cy Cass Day Care/Educational
Hazardous ®Mercantile
st�tahonal
Ogt'Factory IStorage 'Util.t
„Residential �y
Building Use: SINGLE FAMILY RESIDENCE l Alteration Level 1 ID"I'Level 2 0 Level 3
Q�New Construction ❑ Interior Finish E] Interior Remodel ❑ Exterior Remodel E] Addition El Revision
Overall Size:
30 X 46
Number of Stories:
2
Total Sq. Ft.:
2672
Living Area: 2217
Covered Area: 455
# of Bedrooms: 6
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof Ty n Other Squares:
. pe: 9 Shingle E]Tile Built-up 0 Metal 17
Zoning:
Wi orne Debris:
ElInside Outside -
Energy Code: 405-2022 SUP
Flood Zone: X/AE
Base Flood Elevation: 92.0'NAVC)88
Finish Floor Elevation: 98.17'NAVI)88
Hydrostatic Vents?
M Yes VINO
Sq. Ft. Enclosed Space Below BFE:
# of Vents:
Size of Vents.
I Total Sq. In. Permanent Openings
9 Central A/C El Heat Pump 0 Window A/C
EJ Gas A/C [] Gas Heat E] Electric Heat
Tr113r?3--Jr"1rU
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Under round Fire Line
0-all"M
Front Rear Left Right
FZI As per Approved Site Plan
Comments: ZEPHYRHILLS TO VERIFY FLOOD ZONE INFORMATION
GARAGE FFE,- 97.84'NAVI)88
011111110.1.111k"g
ima
ITIM"
Permit No.
Date Permitted
Builder Name/Owner Name t �2-� Control #
County Parcel No. -�
Address/Location q
Classification/Type of Use
TRANSPORTATION IMPACT FEE ate:
Sq. Ft Unit:
Exempt 0 Yes 0 No How Determined
gt
Impact Fee Amount $ Zone No. TAZ:
SCHOOL, IMPACT FEE
Account (056) Single -Family Detached House Amount
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt =Yes = No How Determined_
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone Total Amount $ 1
Exempt =Yes No How Determined
c M
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt Yes No How Determined Total Amount _,_.__e
RESOURCE FEE ERU
Total Amount
Checked By
PERFORMED UNTIL THE TOTAL AMOUNTSF HAVE
BEEN PAID AND ► 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.
RM
RECEIPT NO DATE BY