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HomeMy WebLinkAbout23-6601|Addreao: 43O1vvBoy Scout Blvd Suite 0Vn Tampa, FL 33607 CONSTRUCT SINGLE FAMILY 193OOoFT Issue Date: 07/17/2023 Building Valuation: $284,640.00 Electrical Valuation: $42.080.0U Mechanical Valuation: $19,924.80 Plumbing Valuation: $28,464o0 Total Valuation: $375.724.80 Total Fees: $20,516.65 Amount Paid: $20.516.65 Date Paid: 7/17/2O23 1:55:19PM 6537 Back Forty Loop Contractor: LENNARHOMES LLC � 04Water Meter Fee (Cale) $784.92 Transportation Impact Fee $3.595.68 Irrigation 3/4 Meter (Cale) $794.92 Sewer Connection Residential Fee $2.400�00 Public Safety Impact Fee -Police $254.00 S|p1 percent Fee *83.28 T,ansportaxon|mpamFee-City $3O.32Building Permit Fee $1.*8l20 Electrical Permit Foe $25148 Park Impact Fee 'Single F^mily/Townxome $768�58 Public Safety Impact Fee -Admm *20.35 AdminFee / (Provider Service ) $180�00 Plumbing Permit Fee $182.32 Driveway Fee $45.00 Address Fee *38.00 Water Connection Residential Fee *1.140.00 School Impact p Single Family $ooxano Mechanical Permit Fee $13e62 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. 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. ILL, 'rill CONTRACTOR SIGNATURE 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permittingg 908 770 __ 7763 t _7 Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813.574.5700 Owner's Address 1 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number �— --� Fee Simple Titleholder Name N/A —� Owner Phone Number Fee Simple Titleholder Address I N/A JOB ADDRESS 6537 Back Forty Loop LOT # 0504 SUBDIVISION Abbott Square PARCEL ID# 1 04-26-21-0160-00500-0040 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN DEMOLISH P INSTALL REPAIR PROPOSED USE SFR F__j COMM OTHER TYPE OF CONSTRUCTION BLOCK O FRAME STEEL DESCRIPTION OF WORK Single Family Residence / Pool / Screen Enclosure / Fence BUILDING SIZE U/R IF 2372 SQ FOOTAGE 1936 HEIGHT 18' 10BUILDING $ 284640 VALUATION OF TOTAL CONSTRUCTION � f ELECTRICAL $ 42696 AMP SERVICE ® PROGRESS ENERGY W.R.E.C. � •�j (r ��/ PLUMBING $ 28464 0MECHANICAL $ 19924.8 VALUATION OF MECHANICAL INSTALLATION =GAS O ROOFING SPECIALTY OTHER d' / C' L; FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA DYES DO BUILDER COMPANY I Lermar Homes, LLC SIGNATURE REGISTERED Y/ N FEE CURREN Y I N Address 4 1 W Boy Scout Blvd Suite 600 Tampa, FL 33607 License # CGC1518166 ELECTRICIAN COMPANY Edmonson Electric, Inc. SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address 47 License # I EC13005408 PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN I Y / N Address License # I CFC042998 MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y 1 N FEE CURREN Y/ N Address License # CAC058062 OTHER COMPANY KSterling Quality Roofing, Inc SIGNATURE 114 ! REGISTERED Y / N j FEE CURREN Y / N Address License # CCC057991 111IIIO/111111111IIIIIIIIIIIIII/IIII/11/11111IIIIIIIIIIIIIIIIIIiIII 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 @FDEED RESTRICTIONS: The undersigned undemtandotha this permit may besubject ho"dead^restrictions" which may bmmore 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 |im*nood as required by |evv, both the owner and contractor may be cited fora 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. Furtharmore, if the owner has hired a contractor or ountxeotom, 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 ountrador, that may be on 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 Faoo and Recourse Hoouvory Fees may apply to the construction of new bui|dinQo, change of use in existing bui|dingu, or expansion of existing bui\dingn, as specified in Pmoon County Ordinance number89-07 and AU-U7.aoamended. The undersigned also understands, that such fees, as may be due, will be identified at the time uf permitting. It is further understood that Transportation Impact Foao and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve o certificate of occupancy or final power no|a000, the fees must be paid prior to permit issuance. Furthermore, if Pasco Counh/VVo0er/Sewor 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, mmanmmnded): |fvaluation ofwork ia$2.500.00urmore, | certify that |, the app|ioent, have been provided with a copy of the "Florida Construction Lien Law —Homeowner's Protection Guide" prepared by the Florida Deportment 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 i<tothe ''mwner"prior hncommencement. CONTRACTOR`S/0WNER`SAFF|0AV|T: | certify that all the information in this application isaccurate and that all work will be done in compliance with all applicable |ewn regulating oona(ruotion, zoning and land development. Application in hereby mode to obtain o permit to do work and installation as indicated. { certify that no work or installation has commenced prior to issuance of permit and that all work will be performed to meet standards ufall laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. | also certify that | understand that the regulations ofother government oQnnoieo may apply to the intended vvork, and that it is myresponsibility toidentify what actions | must take (obeincompliance. Such agencies include but are not limited to: - Department nfEnvironmental Protection -Cypress Bayhaodu, Wetland Areas and Environmentally Sensitive Lands, VVa\oo[Waahewuk*rTreatment. - Southwest Florida VVahar Management Diotriot-VVa||n. Cypress Beyhoadn, Wetland Anana, Altering VVahanzoureeo. - Army Corps ofEnginoore-Seawa||o.Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-VVe||a, VVaobawahor Treatment, Septic Tanks. - USEnvironmental Protection Agency -Asbestos abatement. - Federal Aviation Authority+Runweya. / understand that the following restrictions apply hothe use nffill: - Use offill innot allowed inFlood Zone ^V'unless expressly permitted. - If the fi|| 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 professional engineer licensed bythe State ofFlorida. - If the fill material is to be used in Flood Zone ^A^ in connection with a permitted building using uhym 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, | certify that use of such fi|| will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent propedieu, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots |msa than one (1) acre which are elevated byfill, anengineered drainage plan iorequired. If am the AGENT FOR THE OWNER, | promise in good faith to inform the owner ofthe permitting conditions set forth in this affidavit prior to commencing construction. | understand that separate permit may be required for electrical wnrk, p|umbing, uigno, woUa, poo|o, air conditioning, gaa, orother 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 issuanue, 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 naqueatod, in writing, from the Building Official for period not to exceed ninety (Q0)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 T0RECORD ANOTICE OFCOMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT 117 Subscribed and sworn to- (or affirmed) before me this 6/2912023 by —Christopher Smith Who is/are personally known to me or hai;Aaye pradui;ed as identification. Notary Public Commission Nlq/�G'2096057 Stephanie Farmer Name of Notary typed, printed or stamped av»ncn»ou and sworn to kx affirmed) before me this 6/29/2023 by Christopher Smith Who is/are personaliv known to me oroasmave produced Name of Notary typed, printed or stamped S;7 SHEET 703 •�•• MATCH LINE PONDO1 TOB'939325 PDHW :93.13 DHW :93.15 Table 4 DEW n 90.94 IINLET 4 i( �' O`r 8 �•' 9536 "O'r.. '�� VA SHWt:86.0 sb;00 ,. 24 -18" RCP @ 0 30% ' `�v-� ��� b 05 Ego 05 S INLET I. _ 91.0> ZO y � /// 90.13 I "` 64'-36"RCP®C.52% 93 RI 4 43 7 P /, I 24-18"RCP @0.28% ]- i RE I t �a1� I INLET / 4:97. 7 I i �� 6M 93.35 '94.21---93.50 I R OF ; ( m TYP A .YPE 0.' P I 'I 86.BJ r 97.13 95154 I j F %'177 j FF:98.27 FF 4647 j '� ( T E 4 �r PAD'9].60 A0:97 PAD:95.80 1 INLET 4 OF - TYP A 30 9 6 I VAR:94.40 n FF:98 3J I 53 6-- 2 E:88.53 E. -- -- -- - 97.26 96 J6 m I ~ 11NLET pE A� I c 95.68---96.56 � 9a-JO -- 93 ]2 i FF 95.CJ � F m FF:981J IFlD39J TYPE B' L _ E A I 1 88�60 4 PAD, f ( iIPA 95.40 Oi I :93,85--:94.56-93.50 FF 9J IJ 9].il 95.55. �' 0 TYPE A a95.48 9643rt- 4392 °i FF:97.97 TRACT ]� PAD. 730 PE 8 TYP A' I + mb 1 FF;45.17 m �i~ 84.79 11 RAD: 50 v� :848D I'W¢.a F9J.1]."'. n FF:960] I ¢i T E:89.11 96.91 9535. PAD 96.501 :n PA0954o uJ I� I _ 93,FF9E518J m 93.5500 3 E-Z :0 15 -AD9lIE89.95I29� 89.89 2I dlIlIIl X 40 96.13---9608 936J /I b - � N =�l ==A tYPE"@03Q% 1 I.f95 ]]90.01 0 N IPAD'95.10 E:90.01 96.88 170'- 18'RCP @ 0.30%D A SI°D O n 95 31 -( y. I P0.P:94.SQ _ 5q" RCP @ 0.20'b / F w 953d-96.29 9346 -' ti FAFD9. 7 J?370 +=L"A' E:9049 RAD:950D S m 5_l. 40.49 /"'� '55496.49 - n 9349 rc oe A / \ 1 I\. TYFE' ' SEE SHEET C203 q�-----�-�- MATCH LINE A\\V TOB 9325 I IF p \ 9S \ P �5J pDHW 93.13 Tabk pF{W 92.89 Bbb:87.5 2le" REP @ 0 30%.05 E 0Z5 I h FF pfq 95// Na H`1�9N,6 X 31NlET 9J02 PqD 9>SO 2j SO`�� I _�lk ft fF 95. lj RCP ®G.52% \ 1 , 1 @ 0 28% {PAAD:94.<_�J~ I' 38" RCP �- „. i 01. 95 d3 1 4 Tv E sos-z •• b III ,; (� I 31NlET{ FF;9]97 / PgDg] I "' 93.36---T9421-91 3.50 : 56.87 R Or :� I TYP TYPE A _ E A' 1 FF:98.2] EF:98.2] Ff:96.4] 4 OF 9].13 95 59 t9 PAD;91.60 AD.9] b0 PAD:95.80 I T E B r fF:9507 1 INLET A O� I i PAD:94.A0 Y I =PA7D:g': 30 9 8 1 I I (_ I6-21 N: 112133908 93.60 94.31 ---93.50 ; INLET PE A' I 95.68 --%.56 94.70 - - 93.]2 ) iG 95.07 0 m FF:98.1] a P IAD94.40 1 �no_97 sD J �.� iF5].1J FF:96.07 97.11 95.55. PAD:96.50 ..: i iPA 1 N 93I85 "94.56-93.50 !I % w F, .95,48'^ 9392TE77 FJ :84.79 jP �V--B- ry9J 1] �� FF960] rmi� g 1 PAD: 4.50 rs .;94.80 I' PAD.96,50 PA0:85.A0 ✓ pg Q( � X �✓g 939 90 "9461-3.t 50 � TV E A � j 95 28 96.23 93 87 97.77 9 PA 710 IE:89.89 FF 96.9J FF:9607 I PA :94. / / ;gq,6g � 96.70---- 9515 9' I I I AD 96.30 IPAD:9540 I $ m I I-9367 ` III iti.� •' '+ � � �© 93'65 --y 94.36-93.50 RCP (P 030% Im �1 j"\ TVPE p `TVP /"\ 1 ~ r F95]s {\../1 I i 11 w '.:90.01 jo AD: 30 PAD95.10 �, r [:9001 � '- 170'-16'RCP @�0.30% i �' 1-ill jp+ I t$ � fF95.8 96.89 95 31 m I ( AD:I4.50' _ 54^ RCP PAD96.30 -9629 9346 95 3b 01 Fr:96971i E 90 89 I a PA09J.30 1 O + m 127'-54" RCP 0.30% n PAP9590 I i �* I SD6 _l, r 90.49 m- e 9].Q11 9554 �e _-^#95.54 96A9 c 9349� 7scoe.A ( f DESCRIPTION: LOT 4, 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 I—CU-r1 ENGINEERING PLANS OF I C17 "ABBOTT SQUARE RESIDENTIAL", PREPARED CO BY "WRA" PROVIDED BY CLIENT �ig00 SITE PLAN (NOT A SURVEY) Prepared for and Certified To: Lennar Homes CURVE DATA (P) ARC LENGTH CHORD LENGTH 50.09' 19.82- 142.53' 136.45' M r-T SEC. 4, TWR 26 S, RNG 21 E. PASCO COUNTY, FLORIDA (ABBOTT SQUARE PHASE 2) SIDE SET BACK (CORNER LOT) =I 0' LOT = 7835 SQ. FT. LIVING AREA = 1936 SQ. FT. REAR SETBACK= 15' l ENTRY = 20 SO. FT. 10.00'PUBLIC UTILITY EASEMENT 1 GARAGE = 416 SO. FT. PROPOSED: COVERED LANAI N_VA SQ. FT. MINIMUM FLOOR ELEVATIONS: I 0.00'ACCESS AND DRAINAGE EASEMENT (CDD) PATIO 23 SO. FT. POOL AREA = NA SQ. FT. LIVING AREA: 96.87' LEGEND: CONC. DRIVE = 514 SO. FT. GARAGE AREA: PROPOSED DRAINAGE FLOW A/C & CONC PAD = 7 SO. FT. ELEVATIONS REFERENCED TO (00.00) PROPOSED GRADE SIDEWALK = 27 SO. FT. NORTH AMERICAN VERTICAL SIDE YARD SWALE =:�A SO. FT. DATUM OF 1988 E-00.00 = EXISTING GRADE CONSERVATION AREA =—NVA SO. FT. LOT OCCUPIED = 38 % APPARENT FLOOD HAZARD ZONE: "X" COMMUNITY NO. 120235 AREA TO IRRIGATE = 62 % SURVEY ABBREVATIONS (MAP NUMBER 12101 C-0289-F) EFFECTIVE DATE: 09/26/2014 A) = ARC LENGTH (D) = DEED INV - INVERT PC - POINT OF CURVE fR) - RECORD LEGEND A/C - AIR CONDITIONER D.E= DRAINAGE EASEMENT LB =LICENSED BUISNESS PCC = POINT OF COMPOUND CURVE RNG = RANGE VINYL FENCE AF = ALUMINUM FENCE EL OR ELEV = ELEVATION L.E = LANDSCAPE EASEMENT PCP PERMANENT CONTROL POINT RRS = RAIL ROAD SPIKE J= CONC -------- 0— 0 , BEE = BASE FLOOD ELEVATION EOP = EDGE OF PAVEMENT LFE = LOWEST FLOOR ELEVATION P/E = POOL EQUIPMENT R/W = RIGHT OF WAY BM - BENCH MARK ESMT = EASEMENT LS = LICENSED SURVEYOR PG = PAGE SEC = SECTION WOOD FENCE C = CURVE F/C = FENCE CORNER (M) = MEASURED PI = POINT OF INTERSECTION SN&D = SET NAIL AND DISK ASPHALT \ — \ (c) = CALCULATED t = CENTERLINE It SIR = FOUND CONCRETE MES = MITERED END SECTION PK =PARKER KALON LB#8183 CHAIN LINK FENCE CLF = CHAIN LINK FENCE MONUMENT NCF = NO CORNER FOUND = PROPERTY LINE SIR = SET 117 IRON ROD LB# 8183 CMP = CORRUGATED METAL PIPE HP - FOUND IRON PIPE O/A = OVERALL POB = POINT OF BEGINNING TBM = TEMPORARY BENCH MARK = BRICK COL =COLUMN FIR = FOUND IRON ROD OHW = OVERHEAD WIRE(S) POC = POINT OF COMMENCTMENT TOB = TOP OF BANK CONC = CONCRETE FN&D = FOUND NAIL & DISK O.R. = OFFICIAL RECORDS POL = POINT ON LINE TWP = TOWNSHIP ALUMINUM FENCE C/S = CONCRETE SLAB FOP = FOUND OPEN PIPE (P) = PLAT PRC = POINT OF REVERSE CURVE U E = UTILITY EASEMENT = COVERED CST = CLEAR SIGHT TRIANGLE EPP = FOUND PINCHED PIPE PEE = PLAT BOOK PRM = PERMANENT REFERENCE MONUMEN VE = VINYL FENCE JOB#15909520504 SURVEYOR'S NOTES- SURVEYOR'S CERTIFICATE 1708 Water Oak Drive eE 1.) Current title information on the subject property had not been This certifies that sk Date of Site Plan: 6-14-23 he hereon described Tarpon Springs, Florida I TWIN —N furnished to Initial Point Land Surveying, LLC. at the time of this property wag Me"u, ervision and Phone: (727)-831-1990 RGIW RGIE SITE PLAN meets the*' I a DWG:AS-PH2-L4-BL5-SITE a S ts A;.,,ractice for FloridaPLS7]23@gmaii.com 2.) This sketch was prepared without the benefit of a title search. surveys s r do^rcl of Land LB# 8183 R61W RGIE '41'11,rd c No instruments of record reflecting ownership, easements or r rights -of -way were furnished to the undersigned, unless otherwise ned oe File: 3 i tr 11 9 d�i shown hereon. Drawn by: DJB 1, r It S C 0 47e. 17yJ M artle) 3.) Roads, walks, and other similar items shown hereon were taker Stat � 1 1 Ce I Uss Checked by:JH from engineering plans and are subject to survey. Date: 06.1S 4.) This SITE PLAN does not reflect nor determine ownership. A REVISIONS 6.) This SITE PLAN is subject to matters shown on the Plat of H "A & :5 8 4'00' "ABBOTT SQUARE PHASE 2" 6.) Dimensions shown hereon are in feet and decimal portionsJeff M. ol ro thereof. FLORIDAR - OV R AND A 7.) Contractor and owner are to verify all setbacks, building MAPPER �N �01§% jifli 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 user's sole risk. f Permit No,�Lo Date Permitted —l—LLUL Builder NamelOwner Name �v- � Control# County Parcel No. SubDiv: 46,W, 5, a,�� Address/Location 37 ck �(4( Classification/Type of Use I /< TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: Exempt 0 Yes r--j No How Determined 39 �) Impact Fee Amount L , 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_ PARAND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone Total Amount $ --:xempt =Yes = No How Determine ,, LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt M Yes No Flow Determined Total Amount RESOURCE FEE ERU frepared B vi2 LIP-- 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 NMI NECEIPT NO DATE BY ,-, C Plan Model Elevation )9111 0() Garage Lot Size Block Lot Lk,l 5-5 o5 OV Parcel M Oq-,26 -;Z/—(9/6 O—Q VI - Address: (,eBAc k rorl,-3 Z ry o49 Setbacks:Front Elevation: -A,2- Garage: # Roof Shingle Dime nsion/Archite ct u ra 1: -iAm Ze o r 7- V r R T U A L R E V 'vV A S 5 1 S Notice to Building Official of Use of Private Provider Effective January 20, 2003 411 Project Name: 6537 Back Forty Loop . . ... Parcel Tax ID: 04-26-21-0160-00500-lip 0 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: DEBRA ANNE KLAHR 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 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 iake any changes to the listed private providers or the services to be provided by those private providers, I shall, 'thin I business day after any change, update this notice to reflect such changes. The building plans review and/or -)ection services provided by the private provider is limited to building code compliance and does not include review for fire code, land use-, envimanental or other codes. The following atacl=,nts. are provided as required- 1. Qualification statements and/or resumes of the private provider and all duly authorized representatives. 2.- Pro of of insurance, for professiona land comprehensive liability inthe alnount Of $1 million per o ccurrence 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, Individual Corporation Partnership (signature) Print Na=; Addtesst-' Telephone Pleaseuse appropriate notary block. STATF, of FLORIDA COUNTY of HILLSBORCILIGH Btforeme, this day of 20_ personally appeared Who executed the foregoing instrument, and aGknowl edged before are that same Was executed for the purposes fLlexDin 1V1L__%D4J_L_%_1 Print CorporationName By: (sign*tur,,) Print Name: Christopher Swith Authorize cient Address: 700 NW 107th 8ya-- Miami, FL 33172 Telephone, No, 8137574-5700 Corporation Before me, this 22ND day of MAY 20z::3 personally appeared. of Lennar Homes, LLC corporation, on behalf of the state corporation, who executed the f6regoing instrument and acicnowled . ged before mf, that same was executed for the purposes therein expressed. PrintPartnershipNama By:, (signature) Print Name: its Address: Personally known _"or_ )PxoductdideA#cation_ Type of identification produced Telephone No.: Partnership B efore me, ibis day of 20— pers6nally appeared j;r{ e_r/agmt onbehalf Of a partnership, who executed* the foregoing instrument and acknowledged before are that same was executed for the purp q­s ts therein expressed, Signature of Notar�' PrintName- . ASHLEE CALLAHAN Notuyl`ublir, Stamp; ASHLEE CAI LAHAN Commission Expires:my COMMISSION # HH 295980 EXPIRES: November 30, 2026 Page 2 of 2 VIRTUAL REVIEW ASSIST Private Provider Man Compliance Affidavit Private Provider Finn: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU 1967 Address: 747 Southwest 2,d Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: lucygykwkgyiewassist.co Project: New SFR Address(s): 6537 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: Plan Sheets CS, 1,2,3.1,3.2,FI,4,5,6,7,8, SN, SNI, S3, S4,S5,SS, DI,W, PAI.0,PAI.1, 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 E' er License #: PX2300 x7 2 Signature of Reviewer: IL SWORN AND SUBSCRIBED before me by Debra Anne Klahr being personally known to mor having produced as identification and who being fully sworn and cautioned, state that the 77 9 " is true ,correct to the best of his/her knowledge or belief. 9 ( Ashlee Callahan SigVai&e'`oftqoPrint Name Notary Public: NOTARY STAMP BELOW My commission expires: ASHLEE CALLAHAN My COMMISSION # HH 295980 EXPIRES: Noverriber 30, 2026 [—COMMERCIAL BUILDING SERVICES DIVISION VRESIDENTIAL BUILDING PERMIT DATA SHEET 111112 219MOZA R-AM AN FIRE MARSHAL #01 - Required Permits DATE: 7/03/2023 EXAMINER: bra Klahr PX2304 Building Inspection Only V Plumbing F-1 Inspection Only V Mechanical F-1 Ins pection QnI2 Electrical —Amp ❑Inspection Only Roof [:1 Gas r El Medical Gas El Fire Sprinklers El On Site Piping D Fire Line El Irrigation E] Fire Alarm El Potable Backflow Assembly 0 Fire Line Backflow Preventer E] Irrigation Backflow Assembly E] Demolition El Walk-in Cooler E] Refrigeration El Hood Ansul El Fence/Wall El Grease Trap El Other Ej Other WMMMM Type Construction: Risk Category: Occupancy Load 0 ancy Classification: Factory 1 Residential Assembly Hazardous 'Storage E== Business ay Care/Educational Institutional ercantile ity Building Use: single family residence Alteration r Level 1 0 Level 2 Level 3 I[—:] ,WNew Construction E] Interior Finish El Interior Remodel ❑ Exterior Remodel F-1 Addition F� Revision Overall Size: 40 X 65 Number of Stories: 1 Total Sq. Ft.: 2372 Living Area: 1936 Covered Area: 436 # of Bedrooms: 4 # of Baths: 2 Cost per square foot: Estimated Value: Roof j)Te: Ej Shingle OTile El Built-up 0 Metal El Other Squares: 26 Zoning: Winorne Debris: EllInside Outside Energy Code: 405-2022 SUP Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? Yes No Sq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: Total Sq. In. Permanent Openings RX Central A/C El Gas A/C Heat Pump 0 Gas Heat 0 Window A/C EJ Electric Heat Sanitary Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line Front Rear Left Right 21 As per Approved Site Plan Comments: