HomeMy WebLinkAbout23-6516r0r, TI& MOR:=0
Name: Lennar Homes, LLC
it of Zephyrhills
5335 Eighth Street
IKE
Zephyrhills, FL 33542
BNR-006516-2023
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 07/10/2023
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Address: 4301 W Boy Scout Blvd Suite 600
Tampa, FL 33607
Phone: (813) 574-5700
CONSTRUCT SINGLE FAMILY 2073 SQ FT
School Impact Fee - Single Family
Water Connection Residential Fee
Mechanical Permit Fee
Sewer Connection Residential Fee
SIF 1 percent Fee
Park Impact Fee - Single Family/Townhome
Building Permit Fee
Driveway Fee
Irrigation 3/4 Meter (Calc)
Permit Type: Building New (Residential)
Class of Work: SFR Construct
Building Valuation: $312,600.00
Electrical Valuation: $46,890.00
Mechanical Valuation: $21,882,00
Plumbing Valuation: $31,260.00
Total Valuation: $412,632.00
Total Fees: $20,701.19
Amount Paid: $20,701.19
Date Paid: 7/10/2023 9:49:23AM
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Contractor: LENNAR HOMES LLC
$8,328.00 Public Safety Impact Fee -Police
$254.00
$1,140.00 Electrical Permit Fee
$274.45
$149.41 Admin Fee / (Provider Service)
$180.00
$2,400.00 Transportation Impact Fee - City
$36.32
$83.28 Public Safety Impact Fee -Admin
$2635
$769.56 Transportation Impact Fee
$3,595.68
$1,603.00 3/4 Water Meter Fee (Cale)
$794.92
$45-00 Address Fee
$30.00
$794.92 Plumbing Permit Fee
$196.30
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.
Tiff IFNI? liil I' I iiiii 1111 1:1 ill I
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.
TRACTOR SIGNATURE PE IT OFFICE
V
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813=780-POEO City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permittin 908 770 __ 7763
Owner's Name
CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813.574,5700
23975 Park Sorrento, Ste. 220, Calabasas, CA 91302
Owner's Address _ ____._ Owner Phone Number
Fee Simple Titleholder Name I�
Fee Simple Titleholder Address I N/A
JOB ADDRESS 6426 Back Forty Loop
SUBDIVISION Abbott Square
WORK PROPOSED ti✓ 11 NEW CONSTR 8
9 INSTALL
PROPOSED USE SFR 0
TYPE OF CONSTRUCTION u v u BLOCK ED
Owner Phone Number
LOT # 12519
PARCEL ID#
04-26-21-0160-02500-0190
.(OBTAINED FROM PROPERTY TAX NOTICE)
ADD/ALT
SIGN DEMOLISH
REPAIR
Comm
OTHER
FRAME
STEEL
DESCRIPTION OF WORK I Single Family Residence / Pool / Screen Enclosure / Fence
U/R SF 2605 2073 28'
BUILDING SIZE SO FOOTAGE HEIGHT
QfBUILDING $ 312600 VALUATION OF TOTAL CONSTRUCTION
r PROGRESS ENERGY W.R.E.C.
✓' ELECTRICAL $ 46890 r n
�j �� AMP SERVICE
LT „I
,,PLUMBING $ 31260 »., I
T,y ,I MECHANICAL $ 21882 �ul VALUATION OF MECHANICAL INSTALLATION
r:
=GAS ROOFING E:] SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES I r-� No
BUILDER COMPANY Lennar Homes, LLC
SIGNATURE REGISTERED YI N FEECURREN Y/N
Address 430 Bay Scout Blvd Suite 600 Tampa, FL 33607 License # CCC151816b
ELECTRICIAN COMPANY EdmonSon Electric, Inc.
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # I CC130054Q8
PLUMBER COMPANY Bayonet Plumbing, Heating & AC Inc
SIGNATURE REGISTERED I Y / N FEE CURREN �Y / N
Address License #
CFC042998
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN I Y / N
Address License # CAC058062
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN Y I N
Address F License # CCC057991
IIIIII/IIIIIIII/IIIIMIIIIl11iIt111Ii1111IIt11111111111Illllilliliil
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 maybe 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 property 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
OWNER OR AGENT L;UN I KAIL, I vrc
Subscribed and sworn o (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this
416M23 by Christ ±I!2123 by _Christopher Smith
Who istare personally known to me or haalhave PFQdWG8d Who is/are personally known to me or has/have produced
a
as identification. s identification.
Notary Public —Notary Public
Commission N
Commission i,4:Z G296057� o.7
Stephanie Farmer Stephanie Farmer
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
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DESCRIPTION: LOT 19, BLOCK 25, ABBOTT SQUARE PHASE 2, SITE PLAN SEC, 4, TWP. 26 S, RNG 21 E.
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 90, PASCO COUNTY, FLORIDA
PAGES 28-33, OF THE PUBLIC RECORDS OF PASCO COUNTY, (NOT A SURVEY)
FLORIDA, (ABBOTT SQUARE PHASE 2)
CURVE DATA (P)
Prepared for and Certified To: CURVE RADIUS ARC LENGTH CHORD LENGTH CHORD BEARING DELTA ANGLE
Lennar Homes LL2�1 5 S 45*49r5 I'W 87:S6 26"�
PROPOSED ELEVATIONS AND GRADING
SHOWN HEREON ARE TAKEN FORM THE
ENGINEERING PLANS OF
'ABBOTT SQUARE RESIDENTIAL', PREPARED
By"WRA'PROVIDED BY CLIENT Scale: 1 20'
NOTES:
LOT GRADING TYPE - A
PROPOSED PAD ELEVATION
FROM SET BACK - 20
SIDE SET BACK - 7.5
SIDE SET BACK (CORNER LOT) = 10
REAR SETBACK= 15
fl0
J
(CDD) RIGHT—OF—WAY
TRACT "A"
FLATSSTREET
N 89-48-04- E (PI
N ST4604- E LP) 961 CLIP) 5' CONC WALK
p, PCP Ps
PEP,
LOT 19
3' CONC BLOCK 25
LIT 281.0
ENTRY PROPOSED
2 STORY RESIDENCE IN
PLAN 2074
ELEV 'S' ry ao,
'0 GARAGE Cs 3.2X3.2
C C/S
/S-A/C
NBS`0823"W(P) 11050 BPI
LOT 20
BLOCK 25
uPi
LOT IS
BLOCK 25
----------
I LOT 17
BLOCK 25
LOT = 6336 SO. FT.
LIVING AREA = 95Z SO, FT
ENTRY = 32 SQ.FT.
GARAGE = - 396 SO, FT.
COVERED LANAI = 104 SO FT
PROPOSED: * PUBLIC UTILITY EASEMENT PATIO
MINIMUM FLOOR ELEVATIONS: - 10,00 PUBNA SO, FT
POOL AREA
LIVING AREA: 97.67' LEGEND: CONC, DRIVE --NA—SO, FT.
__.328 SQ. FT.
GARAGE AREA: PROPOSED DRAINAGE FLOW A/C & CONC PAD =_1_0SQ. FT.
ELEVATIONS REFERENCED TO SIDEWALK = 61 SO, FT.
NORTH AMERICAN VERTICAL (00.00) - PROPOSED GRADE SIDE YARD SWALE = NL SO. FT.
DATUM OF 1988 E-00,00 - EXISTING GRADE CONSERVATION AREA =_A/A SO. FT,
LOT OCCUPIED = 30 %
APPARENT FLOOD HAZARD ZONE: WCOMMUNITY NO, 120235 AREA TO IRRIGATE = 70 %
SURVEY ABBRIEVATIONS (MAP NUMBER 12101 C-0289-F) EFFECTIVE DATE: 09/26/2014
AI -ARC LENGTH (D) - DEED !NV -INVERT PC - POINT OF CURVE (R) - RECORD LEGEND VINYLFENCE
A/C-AIRCONDIT'ONER DE- DRAINAGE EASEMENT LS -LICENSED BUISNESS PCC-POINT FCOMPOUNDCURVE RNG - RANGE ------
AT -ALUMINUM FENCE EL OR ELEV - ELEVATION LE - LANDSCAPE EASEMENT PEP - PERMANENT CONTROL POINT RIG- RAIL ROAD SPIKE C ONC
_
SIT - BASE FLOOD ELEVATION EOP;�DGEOFPAVE ENT LEE -LOWEST FLOOR ELEVATION PIE - POOL EQUIPMENT KEW - RIGHT OF WAY
SM - BENCH MARK ESM EASEME T LS - LICENSED SURVEYOR PG -PAGE SEC -SECTION WOOD FENCE
C _ CURVE F/C - FENCE CORNER RAI = MEASURED PI- POINT OF INTERSECTION SN&D - SET NAIL AND DISK ASPHALT
(C) - CALCULATED FCM - FOUND CONCRETE MEE - MITERED END SECTION PK -PARKER KALON LB#8 183
CENTERUNE MONUMENT NOT - NO CORNER FOUND I -PROPERTY ONE SIR -SET 112- IRON ROD LB# 8183 CHAIN LINK FENCE
U D RO
CH` - CHAIN LINK FENCE
-BRICK
CMI - C.RR—ATID METAL IIPI ';'.',o N 1 NPIPE O/A - OVERALL POP - PO NT OF BEGINNING THM - TEMPORARY BENCH MARK
C&�TO MN F R - UND IRON ROD OHW - OVERHEAD WIRE(S) POC - POINT OF COMMENCTMENT TOB - TOP OF BANK
_C��CPFTE FN&D _ FOUN NNL & DISK O.R. - OFFICIAL RECORDS POL - POINT ON FINE TWP - TOWNSHIP ALUMINUM FENCE
C FOP -FOUND F I C - POINT OF REVERSE CURVE U E UTILITY EASEMENT CO
VERED
CST SLAT _OHND OPEN PIPE I M -PERMANENT REFERENCE MONUMENT VF VINYL FENCE
C/S - CONCRETE -1OI1NDPIN1.ED1IPE PB - P�A%.00IR
-CLEARSIG-ITTRIANGLE FPP
DB 15907522519 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive
1.) Current title information on the Subject property had not been This Certifies that sketch of the hereon described Tarpon Springs, Florida
late of Site Plan: 5-16-23 furnished to Initial Point Land Surveying, LLC, at the time of this propertywabROWIMR11IR supervision and Phone, (727)-831-1990
WG:AS-PH2-L I 9-BL25 SITE SITE PLAN meets tlj*idik I Practice for FlondaPLS712399marl.c FIT
2.) This sketch was prepared without the benefit of a title search. Ne card of Land LB# 8783
No instruments of record reflecting ownership, easements or ned
ile: rights -of -way were furnished to the undersigned, unless otherwise I a 4r I
)raven by. DJB shown hereon. P t o Section 4 /, 7, 1 . grtley
3.) Roads, walks, and other similar items shown hereon were taker ate:• .05.25
hocked byJH from engineering plans and are subject to survey.
4.) This SITE PLAN does not reflect nor determine ownership, t I PV :33 4'00'
$IATI OT
EVISIONS
6.) This SITE PLAN is subject to matters shown on the Plat of N
'ABBOTT SQUARE PHASE T
6.) Dimensions shown hereon are in feet and decimal portions Jeff M.
thereof, FLORID R AND
7.) Contractor and owner are to verify all setbacks, building MAPPER 11if
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 01
deviation from
information shown hereon. Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC.
ALL ELEVATIONS REFERENCED
TO NORTH AMERICAN
VERTICAL DATUM OF 1988
(NAVD 88)
sfJ7-5------
C) 0
Plan Model Elevation
Garage
2,,o � � 7�/� 8
iBlock Lot
Parcel -0120V
Setbacks:Front Side
Elevation: ..... ja Garage:
Roof Shingle Dimension/Architectural:
V: P U A L R, ;- V FN A S S, 1 '� I
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 6426 Back Forty Loop
P,v.rcel Tax ID: 04-26-21-0160-02500-0190
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:
Private Provider:
Address:
VIRTUAL PEVIEW ASSIST, INC.
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 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.
2.. Proof of insurance for professional and comprehensive liability in,the. amount of $1 million per
occurrence relating to all services performed as a private provider, including tail coverage for a minimum
of 5 years subsequent to the performance of building code inspection services.
. -(signature)
Print
Name:
Address:
Telephone
IaT- •
Please use appropriate notary block.
SMM�Wfl i.
Individual
Beforeme, this day of
20— personally
appeared
who executed the foregoing instrument,
and acknowledged before me., that same
was executed for the purposes therein
expressed.
Corporation N
LENN121-W,&IJES. LUN'
Print Corporation Name
By:
(sign.ture)
print
Name: Chri5topher Smith
its: Authorized Agent
Telephone
No. 574-5700
Corporation
Beforem,,this 22ND day of
MAY 20 22,
persona* appeared
of
Lennar Homes LLC a
corporation, on
behalf of the state corporation, who
executed the foregoing instrument and
acknowledged before me that same was
executed for the purposes therein
expressed.
Partnership
PrintPartntrshipNatne
on
(signature)
Print
Name-,
Its:
Address:
Telephone
No.:
Partnership
Before - me, this _day
Of 20®,
personally appeared
partner/agent on b ehalf of
a partnership, who executed the
foregoing instrument and
acknowledged before me that same
was executed.for the purposestherein
expressed.
Personally known X ;or.-. Productdidentitcation Type of identification produced
SipaturD of Notan.
Print Name —ASHLEE CALLAHAN
NotaryPublic Stamp:
ASHLEE cALLAHAN
ION # 1111295980
MyCoMMISS
Commission Expires:
EXPIRES- November 30, 2026
Page 2 of 2
VIRTUAL, REVIeW k5SfST
Private Provider
4, f ?�q�
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: Izc @virtualreviewassist.com
Project: New SFR
Address(s): 6426 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, 1.1,1.2,2.1,2.2,3,4,5,6.1,6.2,7, SN, SNI, S3, S4,S5,S6,SS,ST, DI,D2WPI, PAL0,PALl,
PAI.2,PAI.3,PAI.4, PAI.5,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 ;\ / / I
Signature of Reviewer:
SWORN AND SUBSCRIBED P6fore 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
fois true and y"I best o h17/her knowledge or belief.
go Corr
Ashlee Callahan
Signeof Notary — °_- %_` Print Name
commission expires:
ASHLEE CALLAHAN
My COMMISSION # HH 296980
EXPIRES: November 30, 2026
COMMERCIAL BUILDING SERVICES DIVISION -RESIDENTIAL
BUILDING PERMIT DATA SHEET
114111-101,wom I a, 00 3 a ff.2
FIRE MARSHAL #01 -
Ri,.aiiirp.d Perrnibq
DATE: 6/17/2023
IV Building
D Inspection 0n1v
VPlumbing
El Inspection Only
VMechanical
0 Ins ecti n Only
IV Electrical Amp
.-E] Inspection Onl
Roof
El Gas
El Medical Gas
E] Fire Sprinklers
❑ On Site Piping
El Fire Line
Ej Irrigation
El Fire Alarm
E] Potable Backflow Assembly
Fire Line Backilow Preventer
El Irrigation Backilow Assembly
E] Demolition
F-1 Walk-in Cooler
El Refrigeration
E] Hood
El Ansul
El Fence/Wall
0 Grease Trap
E] Other
El Other
Building Data
Construction:
L_S
Risk Category:
Occupancy Load
_jype
Factory
0;"Mpancy Classification:
Residential
Assembly
Hazardous
F011'Storage
ay Care/Educational
nal, E] Mercantile
Building Use: SINGLE FAMILY RESIDENCE l Alteration r1l."Level I Level 2 ❑ Level 3
196 New Construction E] Interior Finish El Interior Remodel ❑ Exterior Remodel F-1 Addition E] Revision
Overall —size:
25 X 62
Number of Stories:
2
Total Sq. Ft.:
2605
Living Area: 2073
Covered Area:
532
# of Bedrooms: 4
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof Type: 91 Shingle
[—]Tile E] Built -Lip
El Metal ❑ Other Squares: 17
Zoning:
Wiftorne Debris:
�,nside
01 Outside
Energy Code:
405 2022 SUP
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents?
QYes
g4 �No
Sq. Ft. Enclosed Space Below BFE:
# of Vents:
I Total Sq. In. Permanent Openings
9 Central A/C
El Gas A/C
Heat Pump
Gas Heat
El Window A/C
El Electric Heat
11811, 0 " Wj M 1.
Sanita!j Sewer
Storm Sewer Catch Basins
Potable Water
Under ground Fire Line
uIrs"M
Front Rear Left Right
As per Approved Site Plan
Comments:
as, HIS WE
............
Permit No, 6
Builder Narne/Owner Name Date Permitted — �/-1�1-4s
rnntmi It
County Parcel No.
Exempt El Yes El No HOW Determined
Iwnactr-paA-,...
Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount $
(057) Mobile Home
(058) Other Residential
(123) collection Fee
Exempt ED Yes [' ] No How Determined__
Land Account Land Credit . Land Total
Recreation Account Recreation Credit Recreation Total
Zone — Total Amount
Exempt r----'Yes No HOW Determined
Land Account Land Credit Land Total
Facility Account --. Facility Credit --� Facility Total
Exempt Yes r1
LJ No How Determined Total Amount
RESCtURCE FEE
ERU
Total Amount
Prepared By
NO
RK,
3=
Rf OCC
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVAI
"XEN PAID AND RECEIPTED FOR BY A CENT - i &E&I&I I!Vxpi MAALVK'n
ACKNOWLEDGEMENT BELOW DOES NOT IMPLY ACCEPTANCE OF CONCURRENCE, BUT Sill -P[)L2,Ffr%q.T
" . q41h11&-y91 "M , AOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT F!.�
RECEIPT NO _ DATE BY