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Home My WebLink About23-640604 26 21 0160 00500 0260 Name: Lennar Homes, ILLC Address: 4301 W Boy Scout Blvd Suite 600 Tampa, FL 33607 Phone: (813) 574-5700 Address Fee Public Safety Impact Fee -Admin Admin Fee / (Provider Service Transportation Impact Fee Public Safety Impact Fee -Police Irrigation 3/4 Meter (Calc) Electrical Permit Fee City of Zephyrhilis -T 1 "7 M 5335 Eighth Street Zephyrhills, FL 33542 BNR-006406-2023 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 06/19/2023 WITr , r well7m"76-III Class of Work: SFR Construct Building Valuation: $342,480.00 Electrical Valuation: $51,372.00 Mechanical Valuation: $23,973.60 Plumbing Valuation: $34,248.00 Total Valuation: $452,073.60 Total Fees: $20,898.40 Amount Paid: $20,898.40 Date Paid: 6/16/2023 3:20:54PM 1 $30.00 Park Impact Fee - Single Family/Townhome $769.56 $26.35 Mechanical Permit Fee $159.87 $1,140.00 Plumbing Permit Fee $211.24 $180.00 Building Permit Fee $1,752A0 $2,400.00 School Impact Fee - Single Family $8,328.00 $3,595.68 Transportation Impact Fee - City $36,32 $254.00 SIF 1 percent Fee $83.28 $794.92 3/4 Water Meter Fee (Cale) $794.92 $296.86 Driveway Fee $45.00 ! � 'i I I I I ! I•I I ! ! I I ! I 1•1! 1 1! 1 1 1 1 ! I I I I 1 1 • I I I I III I I C4NTRACTQft SIGNATURE PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner's Address Owner Phone Number Fee Simple Titleholder Name I N/A Owner Phone Number Fee Simple Titleholder Address N/A JOB ADDRESS 6347 Back Forty Loop LOT # 0526 SUBDIVISION Abbott Square PARCEL ID# 04-26-21-0160-00500-0260 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED iI,Z I' NEW CONSTR ADD/ALT SIGN DEMOLISH INSTALL 8 REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK I Single Family Residence / Pool / Screen Enclosure / Fence BUILDING SIZE U/R IF 2854 SQ FOOTAGE 23�9 HEIGHT 2$ BUILDING LI/ JELECTRICAL ,��^��--''�J�^ —a�� * rPLUMBING � $ 342480, _ VALUATION OF TOTAL CONSTRUCTION ® PROGRESS ENERGY ® W.R.E.C. AMP SERVICE $ 51372 � $ 34248 j!JMECHANICAI $ 23973 6 VALUATION OF MECHANICAL INSTALLATION GAS IJ 1 ROOFING SPECIALTY = OTHER00, FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DO BUILDER COMPANY Lennar homes, LLC SIGNATURE .' REGISTERED Y / N FEE CURREN Y / N Address 1430AV Boy Sr.*—BrVd Suite 600 Tampa, FL 33607 License # CGC1518166 � .�� ELECTRICIAN COMPANY Edmonson Electric, Inc. SIGNATURE REGISTERED Y / N_J FEE CURREN I Y / N Address `"" License# EC13005408� PLUMBER - COMPANY Bayonet Plumbing Heating & AC, Inc SIGNATUREREGISTERED Y/ N FEE CURREN Y I N Address License # CFC04299$ MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE 4p REGISTERED I Y / N FEE CURREN I Y / N Address r+�7 �' License # CAC058062 OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE REGISTERED Y / N FEE CURREN I Y / N Address License # I CCCO57991 IIIIIIIiiI111I11111111t11111illlilllIItI11111t11111111i11III111111I 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, Stonnwater 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 contractors) 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. 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 V&2023 by WhChristopher Smith o is/are personally known to me or hasAhave PF901UG961 as identification. Notary Public Commission p4 G 296051 Stephanie Farmer Name of Notary typed, printed or stamped ELISUKHOLLERAN C C :M!Won I H' !ssion H OOM60 trim Exoaisione6,2024 J ",Md ft 1,.y ro 7,no WOW ft by Christopher Smith _ Who is/are personally known to me or has/have produced as identification. Notary Public Commission No.r; 6 7 Stephanie Farmer / Name of Notary typed, printed or stamped comm"00#14HOW Of E*msjune6 2024 Structure Table I I Structure Table SD7-3 SD7-21 4' MANHOLE TYPE 9 CURB INLET EOP:95.69 EOP:95.04 RIM:95.69 RIM:94.87 60" RCP(S)IE:80,77 18" RCP(NE)IE:90.84 60" RCP(N)IE:80.77 SD7-22 TYPE 9 CURB INLET SD7-4 TYPE 9 CURB INLET EOP:94.99 EOP:95.20 RtM:94,83 RIM:95.03 18" RCP(E)IE:90.79 60"RCP(S)IE:81,02 SD7-23 60" RCP(NIIE:81.02 18" RCP(E)[E:90.91 TYPE 9 CURB INLET EOP:95.79 RIM:95.62 SD7-5 4, MANHOLE 18" RCP(S)]E:91.58 EOP:95,66 SD7-24 RIM:95.66 60" RCP(S)IE:81.25 TYPE 9 CURB INLET 60*'RCP(E)[E:81.25 EOP:94.91 24" RCP(N)IE:88.27 RIM:94.74 36" RCP(W)IE:88.20 24" RCP(E)IE:90.00 SC7-6 TYPE 9 CURB INLET 18" RCP(N)IE:90.42 EOP:94.98 SD7-27 RIW94.81 60" RCP(W)IE:81.66 TYPE 9 CURB INLET 60" RCP(E)IE:83.03 EOP:94.86 18" RCP(N)IE:90.71 RIM:94,69 18" RCP(S)IE:90.49 SD7-7 SD7-28 TYPE 9 CURB INLET WMANHOLE EOP:95,62 RIM:95.62 EOP:94.80 60" RCP(W)IE:83.48 RIM:94.64 36" RCP(E)IE:87.80 36" RCP(W)IE:88.30 54" RCP(N)IE:85.74 18" RCP(E)IE:90.60 18" RCP(N)IE:90.49 SD7-8 SD7-31 TYPE 9 CURB INLET r SILT FENCE 97.10 95.53 TYPE'A ry F:97 7 F .9 P 196.89 95.333 Co 96.69 95.12 11 TYPE A, 24'-18" RCP @ FF:97.57 PAD:96.90 )6.50 94.93 y Permit No. t �° Date Permitted Builder NamelOwner Name � ! County Parcel No.� Control # ubDiv: Address/Location - Classification/Type of Else TRANSPORTATION IMPACT FEE Rate: Sq. Ft Emit: Exempt o Yes No How Determined 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 t Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone Total Amount $� 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 ISSUEDNO CERWFICATE OOCCUPANY WILL BE OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE ►a ', .. 1. f.. R '..• .. .. ; :. • RM RECEIPT NO DATE BY DESCRIPTION: LOT 26, BLOCK 5, ABBOTT SQUARE PHASE 2, ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 90, PAGES 28-33, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. PROPOSED ELEVATIONS AND GRADING SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF ABBOT? SQUARE RESIDENTIAL", PREPARED BY. WRA' PROVIDED BY CLIENT SITE PLAN (NOT A SURVEY) This SITE PLAN Prepared for and Certified To: Lennar Homes SEC. 4, TWP. 26 S, RNG 21 E. PASCO COUNTY, FLORIDA (ABBOT? SQUARE PHASE 2) i I I i LOT 25 i BLOCKS V 1 9 r ---... S 88'08`23• E (P) 125.05' IF) I •) 25.0 P) In EA Q w d w O d 44.5' $8.0' 22 --- �D U < _ 8 i W — w FinI GQ 0 i a n z � L- LN v Z W PROPOSED LOT 26 Q p 2 STORY RESIDENCE BLOCK o `° � N *+� Y K, <i w w w V O 5 t p PLAN 2382 m ELEV"A" "' < Q PATIO GARAGE R 60 .. �..� ENTRY \' 22 5 min O W Z Z 4.0'X$.7' Ln 3' CC�NC In n 6 _._ —_. 44.$' C/S-A/c SZa -I,^ —.� ` WALK ---..- 23. - Gl %f S 88-08.23` E JPl 125,05IPI b3� TRACT "B-6" Q� II i MAINTENANCE AND FENCE AREA, (CDD) ACCESS/DRAINAGE/ "' LANDSCAPE/ WALL v OPEN SPACE '• ro� i IN A I o i I I I I PCP 6 NOTES: LOT GRADING TYPE = A PROPOSED PAD ELEVATION =97.20 FROM SET BACK = 20' SIDE SET BACK = T5' SIDE SET BACK (CORNER LOT) =10' REAR SETBACK = 15' PROPOSED: n = 10.00' PUBLIC UTILITY EASEMENT MINIMUM FLOOR ELEVATIONS: ALL ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 (NAVD 88) LOT = 5627 SQ. FT UVING AREA = 1269 SQ. FT. ENTRY = 51 SO. FT. GARAGE = 4I4 SQ. FT. COVERED LANAI = NLA:.. SQ. FT. PATIO = 2I SQ. FT. POOL AREA = NA $Q. FT. LIVING AREA: 97.87' LEGEND: CONC. DRIVE = 360 SQ. FT. GARAGE AREA: --i.... PROPOSED DRAINAGE FLOW A/C & CONC PAD = 23 SO. FT, ELEVATIONS REFERENCED TO -_ SIDEWALK = 37 SQ. FT. NORTH AMERICAN VERTICAL (OT00) = PROPOSED GRADE SIDE YARD SWRLE _. wR SQ. FT. DATUM OF 1988 E-00.00 = EXISTING GRADE CONSERVATION AREA = N/A SQ. FT. LOT OCCUPIED = 39 % APPARENT FLOOD HAZARD ZONE: 'X" COMMUNITY NO. 120235 AREA TO IRRIGATE = 61 % SURVEY ABBREVATIQNS (MAP NUMBER 12 10 1 C-0289-F) EFFECTIVE DATE: 09/26/2014 AI -ARC LENGTH (DI - DEED INV- INVERT PC - POINT OF CURVE (R) - RECORD LEGEND VINYL FENCE A/C= AIR CONDITIONER AF-ALUMINUM FENCE D.E- DRAINAGE EASEMENT LB -LICENSED BUISNESS PCC- POINT OF COMPOUND CURVE -PERMANENT CONTROL POINT RNG-RANGE y 3 'G'^GONG 1-J----0— j BASE FLOOD ELEVATION [L OR ELEV -ELEVATION EDP EDGE OF PAVEMENT LE ^LANDSCAPE EASEMENT LEE ^LOWfST FLOOR ELEVATION PCP P/Ea POOL EQUIPMENT RRS - RAIL ROAD SPIKE R/W ^RIGHTOF WAY 3"'""� TIM_ BMBENCHMARK ESMT=EASEMENT LS^ LICENSED SURVEYOR PG=PAGE SEC -SECTION WOOD FENCE -ASPHALT C' CURVE ICI -CALCULATED c=CENTERLINE F/C s FENCE CORNER FCM-FOUND CONCRETE (Mj - MEASURED MES- MITERED END SECTION PI - POINT OF INTERSECTION PK-PARKER KATON SN&D ^ SET NAIL AND DISK LB-8183 CHAIN LINK FENCE CLF - CHAIN LINK FENZ MONUMENT UP FOUND IRON PIPE NCF - NO CORNER FOUND O/A- OVER hIL a-PROPER:YLINE POE- POI NT OF BEGINNING SIR- SET 112' IRON ROD LEK 8183 TBM- TEMPORARY BENCH MARK O`BftICK CMP® CORR16ATED M.TAL PIP FIR -FOUND IRON ROD OHW- OVERHEAD WIRE(S) PO -POINT OF COMMENCTMENT T08^TOF OF BANK COL -COLUMN CONC-CONCRETE W-FOUNDNAiL&DISK O.R.-OFFICIALRECORDS POF-POINT ON LINE TWP=TOWNSHIP ALUMINUM FENCE CST-CLLMSIFREKFARI FOP^FOUND OPEN PIPE (PI -PLAT PRC- POINT OF REVERSE CURVE U.E-UTILID'EASEMENT COVERED \\ SIGHT CST - CLGAR SIGHT TRIANGLE FPP-FOUNDPINCHEDPIPE PB-PLAT BOOK PRM- PERMANENT REFERENCE MONUMENT VF-VINYLFF.NCE JOB #159M52o526 SURVEYOR'S NOTES: 1.) Current title information on the subject property had not been furnished to Initial Point Land Surveying, LLC at the time of this SITE PLAN 2.) This sketch was prepared without the benefit of a tide search. No instruments of record reflecting ownership, easements or rights -of -way were furnished to the undersigned, unless otherwise shown hereon. SURVEYOR'S CERTIFICATE This certifies that sketch of the hereon described property was „,o"'AiU5�lpili lTi ervision and meets the h�p�� a*S[lA4r H ractice for surveys * Ed of Land S ned F EIR1 IF ve d ur t ec to 47- t art)e 1708 Water Oak Drive Tarpon Springs, Florida Phone: (727)-831-1990 FloridaPLS7123@gmaitcom LB# 8183a Date of Site Plan: 414-23 DWG:AS-PH2-L26-&L5-$RE - File: Drawn by: LOB 3.) Roads, walks, and other similar items shown hereon were take from engineering plans and are subject to survey. 4, This SITE PLAN does not reflect nor determine ownershi Statuffs Date: 0� 05. H (l'_j�' jyw P, E'� ��Q� IL Checked by:JH REVISIONS 6.) This SITE PLAN is subject to matters shown on the Plat o� ' 'y 'to `I FI` "ABBOTT SQUARE PHASE 2" 6.) Dimensions shown hereon are in feet and decimal portions Q Jeff M. �AND FLORI 7.) Contractor and owner are to verify all setbacks, building MAPPER N NOT VALID WITHOUT THE ORIGINAL dimensions, and layout shown hereon prior to any construction, and immediately advise Initial Point Land Surveying, LLC. of any SIGNATURE AND SEAL OF A FLORIDA Py deviation from information shown hereon. Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surve In LLC. y g' at user's sole risk. ZOO Plan Model Elevation Garage Lot Size Block Lot Parcel #: C �0 "O Address: Setbacks: Front —;U—f-5� Rear I/ V# Sides Elevation: --dGarage: 11 — --kt -- Roof Shingle Dime nsion/Architectural: Y OIL, v: Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: Parcel Tax ID: 04-26-21-0160-00500-0260 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, 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: Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601 Telephone: 813-376-3088 Fax: N/A Email Address (Optional): deb@virtualreviewassist.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 en 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 ham-iless 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 fixt, 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. 2.. Proof of insurance for professional and comprehensive liability in,the, amount of $1 million per o ccurrcnce relating to all services performed as a private provider, including tail coverage for, a marurnam of 5 yeaxs subsequent to the performance of building code inspection services. Individual Corporation Partnership :(signature) Print Name; Address; elDphDne, Please use appropriate notary block. ST,kTE OF FLORIDA COUNTY OF HILLSBOROUGH Individual B66TDxnf,-, this day of 20— personally appealed Who executed the foregoing instrument, and, acknowledged before me that same was executed for the purposes therein Print C01POTationNamo By: Print Name: Christopher Smith its: Authorized Agent Addrem. 70Q NW 1 QZth Ave. Miami, FL 33172 Telephone, No. 913-574-5700 Corporation BeforrmD,tbis 22ND day of MAY .2,o-22 personally appeared Of Lennar Homes, LLC . a r-Drporition,o . n behalf of the state corporation, who executed the f6rtgoing instrument and acknowledged before me that same was executed for the purposes therein e)Tressr'd. PrintPartnership Name 0 Print Name - Address: Telephone No.: Partnership B tfore me, this —day of — A- personallyappeared partner/agent on b 6half of a partnership, who executed the foregoing instrument and acknowledged before, me that same, was exeouted-for the pmposes therein expressed. :Personallyknown X or- Pro duaced iden#oation_ Type of'idontifica.tionpioductd Signature of Not Print Name ASHLEE CALLAHAN NotaiyPublic Stamp: ASHLE E CALLAHAN coramission Expires; MY COMMISSION# HH 295980 EXPIRES: Novernber30,2026 VR/\ VIRTUAL REVIEW ASSIST Private Provider Plan Comp2liance Affidavit Private Provider Firm: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU 1967 Address: 747 Southwest 21 Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: luqy(j�vilr�i jewassist.goni Project: New SFR Address(s): 6347 BACK FORTY LP 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 afflant, 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,VvT2.1, PA1.0,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: SWORN AND SUBSCRIBED be re 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 f i aeg g is true correct to the best of his/her knowledge or belief. Ashlee Callahan i e off otary Print Name Notary Public: NOTARY STAMP BELOW My commission expires: ASHLEE CALLAHAN W COMMISSIONHH 295960 EXPIRES: November 30,2026 I 101 NO I V a 1711 WMIJ a, 131 a FIRE MARSHAL #01 - Required Permits 0i� I I 15:14,13 1,1011 fmlom- 0=4124 nt a Buildin 9 M -Inspection Only Plum binLy 0 Inspection Only -VrMechanical ■Inspection 0!�/ ectrica _ mp AmEyon OnI y _y Medical Gas ■Fire Sprinklers On Site Piping Irrigation F� Fire Alarm 0 Potable Backflow Assembly Fire Line Backflow Preventer Irrigation Backilow Assembly !I F1 Demolition El Walk-in Cooler Refrigeration E] Ansul El Fence/Wall Grease Trap Other UTEMOMM Construction: Risk Category: Occupancy Load _Type an Classification: C'a' Factory ory Residential Assembly Hazardous E== 'Storage Business []�Day Care/Educational itutional LIMercantile Utility Building Use: SINGLE FAMILY RESIDC I Alteration I —Level I 101,"I"Level 2 Level 3 New Construction ❑ Interior Finish ❑ Interior Remodel ❑ Exterior Remodel F-1 Addition El Revision Overall Size: 30 X 58 Number of Stories: 2 Total Sq. Ft.: 2854 Living Area: 2389 Covered Area: 465 # of Bedrooms: 5 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof [:]Tile -_ -[]Metal El Other 19 Zoning: WirOorne Debris: DInside Outside Energy Code: 405-2022 SUPP Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? Dyes No Sq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: Total Sq. In. Permanent Openings 9 Central A/C 0 Gas A/C 0 Heat Pump El Gas Heat El Window A/C D Electric Heat Sanitary Sewer Storm Sewer Catch Basins Potable Water Under round Fire Line M= Front Rear Left Right As per Approved Site Plan Comments: