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Home My WebLink About23-6602Name: Lennar Homes, LLC Address: 4nV1VVBoy Scout Blvd Suite §8O Tampa, FL 33607 CONSTRUCT SINGLE FAM|LY3Ug2 Public Safety Impact Fee -Admin awWater Meter Fee (Calc) Public Safety Impact Fee -Police AdminFee / (Provider Service > Irrigation *4Meter (Cm|c) Mechanical Permit Fee Water Connection Residential pee 8|F1 percent Fee Tn,nsnonaoon|moact Fm*-Ciw Permit Type: Building New oReoidenUe> Class ofWork: GFRConstruct Building Valuation: $437.18O.UO Electrical Valuation: $8s.57*»V Mechanical Valuation: $30.601.20 Plumbing Valuation: $43.71s{N Total Valuation: *s7r.O51.2V Total Fees: $21.523.29 Amount Paid: $21,52329 Date Paid: 7/17/2023 1:55:19PM 6545 Back Forty Loop Contractor: LENNARHOMES LLC $28.35 Electrical Permit Fee $387�87 $794.92 Building Permit Fee $2.225.80 $254.00 Plumbing Permit Fee $258.58 *180D0 School Impact Fee - Single Family $8.328.00 $794.92 Transportation Impact Fee $3.585.68 $193.01 Driveway Fee *45.08 $1.140.00 Park Impact Fee - Single Fomi|y/Town^nmo $709.56 $8328 Address Fee $30.00 $3e.32 Sewer Connection Residential Fee $2.408.00 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. P-ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION 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 Date Received 908 770 __ 7763 Phone Contact for Permittin 111-11111 r1'Ir Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number ��813.574.5700 Owner's Address 23975 Park Sorrento, Ste, 220, Calabasas, CA 91302 Owner Phone Number Fee Simple Titleholder Name I N/A Owner Phone Number Fee Simple Titleholder Address N/A JOB ADDRESS 6545 Back Forty Loop LOT # 0503 SUBDIVISION Abbott Square PARCEL ID# 04-26-21-0160-00500-0030 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN DEMOLISH P INSTALL REPAIR PROPOSED USE 0 SFR F__1 COMM OTHER TYPE OF CONSTRUCTION G71 BLOCK FRAME O STEEL DESCRIPTION OF WORK Single Family Residence / Pool / Screen Enclosure / Fence BUILDING SIZE U/R SF 3643 SCI FOOTAGE 3092 HEIGHT � BUILDING $ 437160 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 65574 AMP SERVICE ® PROGRESS ENERGY W.R.E.C. PLUMBING $ 43716 )MECHANICAL $ 30601.2 VALUATION OF MECHANICAL INSTALLATION =GAS PIr ROOFING O SPECIALTY OTHER I FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA Li YES Do BUILDER COMPANY I Lennar Homes, LLC SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address 430J/W Boy Scout Blvd Suite 600 Tampa, FI., 33607 License # I CGC1518166 ELECTRICIAN COMPANY =Edmonson Electric, Inc. SIGNATURE REGISTERED L_Y_LN_j FEE CURREN Y / N Address License # EC13005408 PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE �` REGISTERED Y / N FEE CURREN Y / N t Address License # CFC042998 MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE f REGISTERED Y/ N FEE CURREN Y/ N Address � License # ICAC058062 OTHER '' COMPANY C Sterling Quality Roofing, Inc SIGNATURE PI REGISTERED Y / N FEE CURREN Address !I License # CCC057991 rrr11rr1111r1111lrllrrrl IlIr111111rIr1Irr111111111Ir1rr1111r111rrI 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 besubject ho^deed^restrictions" which may bamore reahnUve-,thanCounty 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 wurk, they may be required to be licensed in accordance with ehaba and |000| regulations. If the contractor is not licensed as required by |ow, both the owner and contractor may be cited fora misdemeanor violation under state |evv. If the owner or intended contractor are uncertain an 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. Fudhormone, if the owner has hired a contractor or oontraob}ro, 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 an the uontrador, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION |K0PAC77UT|L|T|ESIMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply hothe construction of new bui|dingo, change of use in existing bui|dingo, or expansion of existing bui|dingo, as specified in Pasco County Ordinance number80-07 and A0-D7.aoamended. 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 |mpeo1 Fees and Resource Recovery Foos must be paid prior to receiving n "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power pe|eaoa, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVatyr/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, msarnendwd): |fvaluation ofwork io$2.5UU.O0ormore, | certify that |, the app|iount, have been provided with a copy of the "Florida Construction Linn 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 ittuthe ^uvvner"prior hocommencement. CONTF&ACTOR'S/OVVNER'SAFF|0AV|T: 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. | modify that no work or inabe||oUon has commenced prior to issuance of permit and that all work will be performed to meet standards of all laws regulating oono(ruction. County and City nodeo, zoning regulations, and land development regulations in the jurisdiction. | also certify that | understand that the regulations of other government agencies may apply to the intended work, and that it is myresponsibility toidentify what actions | must take toboincompliance. Such agencies include but are not limited to: - Department ofEnvironmental Protection -Cypress Boyhoado, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida VVe1or Management Oiathot4NeUo, Cypress Buyheadn, Wetland Anuaa, Altering Watercourses. - Army Corps ofEngineers-SeawaUo.Docks, Navigable Waterways. - Department of Health & Rehabilitative S*rviueo/Environmental Health Unit-VVo||a, VVoabawaber Treatment, Septic Tanks. - USEnvironmental Protection Agency -Asbestos abatement. - Federal Aviation Authorih/-Flunwayn. | understand that the following restrictions apply tothe use of fill: ' Use offill ionot allowed inFlood Zone ''V~unless expressly permitted. - If the fill material in to be used in Rnnd Zone ^A^, it is understood that a drainage plan addressing a "compensating volume" will be submitted at time ofpermitting which is prepared by professional engineer licensed by the State ofFlorida. - If the fi|| material in to be used in Flood Zone ''A" in connection with a permitted building using o&sm vva|| construction, | certify that fill will boused only \ofill the area within the stem wall. - If fill material in to be used in any area, | certify that use of such D|| will not adversely affect adjacent properties. If use of fill is found to adversely effect adjacent propertioa, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots |eon than one (1) acre which are elevated byfill, anengineered drainage plan iorequired. |f|omthe AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior hncommencing construction. | understand that separate permit may be required for electrical work, p|umbing, oigno, vveUn, poo|s, air conditioning, gaa, or other installations not specifically included in the application. A permit issued ahe|| be construed to be o license to proceed with the work and not as authority to vio|aha, oonue|, a|har, 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 un|auo 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 vequeuhad, in writing, from the Building Official fora period not to exceed ninety (00)dayo and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. OWNER OR AGENT Subscribed and sworn to- (or affirmed) before me this -1129-23 by _ Christopher Smith Who is/are personally known to me or haii;Aave pFoduG@4 as identification. _Notary Public Stephanie Farmer Name of Notary typed, printed or stamped MtM7,711glul,61A Subscribed and sworn to (or affirmed) before me this 6/2912023 by Christopher Smith Who is/are personally known to me or has/have produced Name of Notary typed, printed or stamped Table 1 INLET 90.05 E:9005 INLET :90.13 31NLET :.86.87 R OF 4 OF INLET 4 OF :88.53 6-21 E:88.53 _ _ NE.566 INLET 88.60 .64.79 TRntT n. :84.80 E:89A7 'lIE:89.89 89.89 d � Q 1 Np FF9 8q �/ t / / Q 95 43 4 TV Ea W{ 9] 11 Ff:97 PA0:9730 II I 3 95 59 TYEA n FF98.1] I PAD:4]. I i I 26 95 ]6 TYPE •a ' Ff.9817 I �PAD:97 501501 � I i 95.SSc 'A TVP FF:97.97 PAD. 7 1 9535u TrEA � PF:97.77 4 D---- 9515 PAD:9700 RCP IN 30% 170' -18" RCP @ 0.30% 8 95 31 ti AD 793 0 I TYPE A I A\\V 1 POND 4A PDNW TQB 93 25 P\\\ 93. NW 53 97 BHWT:86.0 ,. 24' -18" RCP @ 0.30%..: x 64-18"RCP @0.52% / \ \ 24.18"RCP@028% PADS- 93.36 44.21-93.50 1 i II TY E'A AS m I PFAFD9:987.2.67P A0 PAP9:T-A7 g 7l10 ryF:F05 47 10 26FYD9 i 040 If I 93.60 "94.31-93.50 o i I TYPE 8' {�..95666 94.70 4372 Q I ' 8: ` � II Ff 97.17 i" ' FF:9607 PAP: 6.5 L� IPAD.95.40 i I I N 93 SS 94.56-43.50 ( � f i .95.48----96.43.t- 93 92 FF.99.1]Im f971] ti FF960] °m` I ¢!4"' PAD:965 FA .9540 �....' N I 1 X �y 93.9D 94.61-93.50 -p95.26 96.23 �..._ EA 0 `n FF:960] I FF55.11 I m I' ` PAD:96.30 c IP D95.40 PA 94.50 g i t I 1 y� 45.13 9b.08 9367 m 'T� 93.65--g44.36-93.50 f i x -- {=MO �rFF.95.]79i` oAD9d.50 . 54" RCP @ 0.20% 95.34 -96.29 9346 i I Ff 96.971,'^.1�27'-54"RCP fu 030% A096. � � PAP.9 .00 I CI m I DESK �p-{�95.54 96.d9 9349� i,E MEET C203 M TCH LINE A., 0 DESCRIPTION: LOT 3, 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 "ABBOTT SQUARE RESIDENTIAL", PREPARED BY *WRA"PROVIDED BY CLIENT SITE PLAN (NOT A SURVEY) Prepared for and Certified To: Lennar Homes CURVE DATA (P) SEC. 4, TWP. 26 S, RNG 21 E. PASCO COUNTY, FLORIDA (ABBOTT SQUARE PHASE 2) CURVE RADIUS I ARC LENGTH I CHORD LENGTH CHORD BEARING DELTA ANGLE C16 40.00 Z§0—.679T �49BZ S 62*57'00"W 20-30-00- Co 1 40.00 1 92.44' 1 90.77' N 87*53'05"W 37'49'49" o 96.7 Ij IS MR. �- �zll 119' *bO 1"rp�c (96, 00J Lo-T 2 011 "111�, '01 BLOCK ro tft \ \ $ C> -Z 0-0 \b- b, Dt CP z?, <1 \0 AL CO PCP* C ALL ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 (NAVD 88) (9s., NOTES: ............. LOT GRADING TYPE = B PROPOSED PAD ELEVATION FRONT SET BACK = 20' z, SIDE SET BACK = 75 4) 0 LOT 7835 SO. FT. SIDE SET BACK (CORNER LOT) =I U \1 LIVING AREA 1324 SO. FT. REAR SETBACK= 15' ENTRY = 55 SO. FT. GARAGE = 496 SO. FT. PROPOSED: 10.00' PUBLIC UTILITY EASEMENT COVERED LANAI = N/A /A SO. FT. MINIMUM FLOOR ELEVATIONS: 10.00'ACCESS AND DRAINAGE EASEMENT (CDD) PATIO = 24 SO, FT. POOL AREA = NA SO, FT. LIVING AREA: 96.87' LEGEND: CONIC. DRIVE = 366 SO. FT. GARAGE AREA: PROPOSED DRAINAGE FLOW A/C & CONIC PAD = 14 SO. FT. ELEVATIONS REFERENCED TO SIDEWALK = 37 SO, FT. (00.00)PROPOSED GRADE NORTH AMERICAN VERTICAL SIDE YARD SWALE = N/A SQ. FT. DATUM OF 1988 E-00.00 = EXISTING GRADE CONSERVATION AREA = N/A SO. FT. LOT OCCUPIED = 30 % APPARENT FLOOD HAZARD ZONE: 'X"COMMUNITY NO. 120235 AREA TO IRRIGATE = 70 % SURVEY ABBREVATIONS (MAP NUMBER 12101 C-0289-F) EFFECTIVE DATE: 09/26/2014 A) = ARC LENGTH (DJ = DEED INV= INVERT PC - POINT OF CURVE (R) = RECORD LEGEND A/C = AIR CONDITIONER D.E= DRAINAGE EASEMENT LB =LICENSED BUISNESS PCC = POINT OF COMPOUND CURVE RNG = RANGE CONC VINYL FENCE AF = ALUMINUM FENCE EL OR ELEV - ELEVATION L.E LANDSCAPE EASEMENT PCP = PERMANENT CONTROL POINT RRS = RAIL ROAD SPIKE BEE - BASE FLOOD ELEVATION EOP = EDGE OF PAVEMENT LEE = LOWEST FLOOR ELEVATION P/E = POOL EQUIPMENT R/W = RIGHT OF WAY BM = BENCH MARK ESM7 = EASEMENT LS = LICENSED SURVEYOR PG = PAGE SEC = SECTION WOOD FENCE C - CURVE F/C = FENCE CORNER (M)= MEASURED PI = POINT OF INTERSECTION ASPHALT (C) = CALCULATED SN&D = SET NAIL AND DISK FCM = FOUND CONCRETE MES = MITERED END SECTION PK =PARKER KALON LB#8183 CENTERLINE MONUMENT NCF = NO CORNER FOUND it = PROPERTY LINE SIR = SET 112- IRON ROD LB# 8183 CHAIN LINK FENCE CIF = CHAIN LINK FENCE FIP - FOUND IRON PIPE O/A = OVERALL POB = POINT OF BEGINNING TEIM = TEMPORARY BENCH MARK = BRICK x x COP = CORRUGATED METAL PIP. COL=COLUMNFIR = FOUND IRON ROD OHW = OVERHEAD WIREIS) 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 SLA13 FOP FOUND OPEN PIPE (PI =PLAT PRC = POINT OF REVERSE CURVE LTE UTILITY EASEMENT CST = CLEAR SIGHT TRIANGLE EPP FOUND PINCHED PIPE PB = PLAT BOOK PRM = PERMANENT REFERENCE MONUMENJ VF VINYL FENCE JOB#15909520503 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive Date of Site Plan: 6-14 1.) Current title information on the subject property had not been This certifies that skel -23 1 �1 the hereon described Tarpon Springs, Florida furnished to Initial Point Land Surveying, LLC. at the time of this PIN �PIN I I property wa dun ervision and Phone: (727)-831-1990 W RG E DW&AS-PH2-1-3-SITE-5-SITE SITE PLAN meets t e Ara S Practice for FloridaPLS7123@gmail.com 2.) This sketch was prepared without the benefit of a title search. S 016&d LB# 8183 RGIW, RGIE 1�:a ;%�c ,Pract,, J No instruments of record reflecting ownership, easements or rights -of -way were furnished to the undersigned, unless otherwise File: 5-1- 1 7.f53, on a Al f. r artley of Drawn by: DJB shown hereon. pur5ont t S tion 720gt6L 3.) Roads, walks, and other similar items shown hereon were taker, .19 1001 Checked by:JH from engineering plans and are subject to survey. PV 09:513" 81 4.) This SITE PLAN does not reflect nor determine ownership. 01 REVISIONS TTAE OF 5.) This SITE PLAN is subject to matters shown on the Plat of "ABBOTT SQUARE PHASE 2" Jeff M. FLORIDA 6.) Dimensions shown hereon are in feet and decimal portions thereof. FLORIDAPER R AND MAP0.. 7.) Contractor and owner are to verify all setbacks, building dimensions, and layout shown hereon prior to any construction, NOT VALID WITHOUT THE ORIGINAL and immediately advise Initial Point Land Surveying, LLC. of any SIGNATURE AND SEAL OF A FLORIDA deviation from information shown hereon. Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC. at user's sole risk. Garage Lot Size Block Lot 9 � - 6�3 Parce I #: a !Z - u� -.)-] - 0/ 1" C? - 00 To 0 - 003C9 Setbacks: Front —2-0-.-d— Rear _JLO�,�, Sides_ 0�5/0 - Elevation: Garage: Roof Shingle Dime nsion/Archite ct u ra 1: ( "0)" 0 L)Y\ t�q "'NI A. Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 6545 Back Forty Loo, FM = BPI, M, MR 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. STEVE SMITH 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 A55I5T, INC. Private Provider- DEBRA ANNE KLAHP 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 #: {LTC # 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 atta.cbme-nts. 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 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 :(Signature) Print Name: Telephone Pleneuse appropriate notary block. STATE OF FLOROA COUNTY OF HILLSBOROUGH r, # M Before,me, this -day of 20— Personally appeared - who DxDmited the foregoing instrument, anal acknowledged before me that same was executed for the purposes therein expressed. C.Orporation L E N N LAZ■ EH"r-L47G Print Coiporation.Name Print Name: Christopher Smith Its: Authorized Agent Address: 700 NW 107th Ave. Miami, FL 33172 Telephone. No. 913-574-5700 Corporation Beforem,,this 22ND day of MAY lox: pexsonally appeared. of Lennar Homes, LLC —.a corporation, on .,behalf of the state corporation, who executed the foregoing instrument and aclonowled ged before me that same was executed for the purposes therein expressed, Partnership PrintPartnership Name By: (signature) Print Name: .Jts; Address: Telephone No.: Partnership Btforeme, this day of 20— pers6n0y appeared partner/agent an behalf of a partnership, who executed the foregoing instrument and acknowledged �'Te e that same ofoM g e"" w xecuttd forthe plarpOses therein expressed, Personally known .X—lor_ Produced ideu#fcation _ Type of'identification produced Sig.nature. of Nota,' att�,, 6' Pli"tName AS} LEEQALLAHAN NotaTyPublic, Stamp-, r, ASHLEE CALLAHAN r. MY COMMISSION# HH 295980 commission Expires: EXPIRES: November 30, 2026 Page 2 of 2 \/RA VIRTUAL REVIEW ASSIST Private Provider Plan Compliance Affidavit Private Provider Firm: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU 1967 Address: 747 Southwest 2nd Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: luc vivalreviewassist,— co Project: Address(s): 6545 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 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, 1.1,1.2,2,3.1,3,2,FI,4.1,4.2,5,6,7.1,7.2,8,SN, SNI, S3, S4,S5,S6,SS,ST, DLD2,WP, PA1.0,PAL1, PA1.2,PA1.3,PAL4, 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 Signature of Reviewer: SWORN AND SUBSCRIBED b fore me by Debra Anne Klahr being personally known to me or or having produced as identification and who being fully sworn and cautioned, state that the regon is true correct to the best of his/her knowledge or belief. -A Ashlee Callahan ignature of Notary Print Name Notary Public: NOTARY STAMP BELOW My commission expires: ASHLEE CALLAHAN My COMMISSION # HH 295980 EXPIRES: November 30, 2026 [pill REJEA01a,",mmmizelffim FIRE MARSHAL #01 - Required Permits 7/03/2023 EXAMINER: Debra a ► i Building ❑ Ins ection Onl Plumbing ❑ Inspection Onl IV Mechanical ❑ Ins ection Only IV Electrical Amp ❑ Inspection Only Roof ❑Gas ❑ Medical Gas ❑ Fire Sprinklers ❑ On Site Piping ❑ Fire Line ❑ Irrigation ❑ Fire Alarm Potable Backilow Assembly ❑ Fire Line Backflow Preventer [:1 Irrigation Backflow Assembly ❑ Demolition [l Walk-in Cooler ❑ Refrigeration ❑ Hood ❑ Ansul ® Fence/Wall [] Grease Trap ❑ Other ❑ Other Buildine Data Type Construction: V-B Risk Category: Occupancy Load O ancy Classification:_ Factory 1... �_ V. -� ,Residential R-3 Assembly Hazardous :Storage $usiness Care{Educational nstitutional C� FDay Mercantile ETJtility Building Use: single family residence / Alteration Level 1 Level 2 ❑Leve13 New Construction ❑ Interior Finish ❑ Interior Remodel E] Exterior Remodel ❑ Addition ❑ Revision Overall Size: 40 X 50 Number of Stories: 2 Total Sq. Ft.: 3643 Living Area: 3092 Covered Area: 551 # of Bedrooms: 6 # of Baths: 3 Cost per square foot: Estimated Value: Roof T e: ® Shin le Tile ❑ Built-up ❑ Metal ❑ Other Squares: 24 Zoning: Wi oe Debris: ❑xlnside JZ�� Outside Energy Code: 405-2022 SUP Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? j Yes No Sq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: Total Sq. In. Permanent Openings ® Central A/C ❑ Gas A/C ® Heat Pump ❑ Gas Heat ❑ Window A/C ❑ Electric Heat 11I&TM- rll! Sanita Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line Setbacks Front Rear Left Right 0✓ As per Approved Site Plan Comments: ruf I ITILLCU Builder Name/Owner Name Control# County Parcel No. 0 D SubDiv: Address/Location Classification/Type of Use MUM Exempt 0 Yes 0 No How Determined Impact Fee Amount _L9 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 - PARKS AND RECREATION FEE Land Account Land Credil, Recreation Account Recreation Credit Zone Exempt Yes No How Determined Facility Account _ Exempt 1:1 Yes TRMIZIM Recreation Total Total Amount $-ZEf __13 Land Credit Land Total Facility Credit _ Facility Total No How Determined Total AmountE5 RESOURCE FEE ERU Checked By BEEN PAID AND RECEIPITED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY Ni V RECEIPT NO DATE BY Permit No. 0- Date Permitted 2--/7-2-5 Builder Name/Owner Name k1k VAl' 4e0le, _ Control County Parcel No. b 7& 2-1 0 D 050 Qd-�O S,,bDi,: Address/Location Classification/Type of Use TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: Exempt Yes 0 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 Determined - PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total -7 Zone Total Amount $ / (K, 56 Exempt =Yes = No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt El Yes No How Determined Total Amount RESOURCE FEE ERU iIiChecked By PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY if RM RECEIPT NO DATE BY