HomeMy WebLinkAbout23-6611City of Zephyrhilis
5335 Eighth Street 0096im
New (Residential)
Name: Lermar Homes, LLC
Address: 401W Boy Scout Blvd Suite 600
Tampa, FL 33007
CONSTRUCT SINGLE FAMILY 238VSO ST
Transportation Impact Fee 'City
School Impact Fee Single Family
Plumbing Permit Fee
Driveway Fee
AdminFee / (Provider Service
)
3/4 Water Meter Fee (Ce|o)
Trunwmnnaumn Impact Fee
Sewer Connection Residential Fee
S|F1 oercentpee
Permit Type: Building New (ReoidenVa;
Class of Work: SFRConmmct
Building Valuation: $»39.9Ou.8V
Electrical Valuation: $5U.984Do
Mechanical Valuation: *23.78r2D
Plumbing Valuation: $33.998.VO
Total Valuation: %44V.74T.2O
Total Fees: $20.88177
Amount Paid: $20.881J7
$SV.32 Park Impact Fee 'Single
$768.58
%8.32810 Public Safety Impact Fee -Police
*254.00
$209.98 Public Safety Impact Fee 4umin
$26.35
$45.00 Irrigation 3/4 Meter (Cale)
$794�92
$18080 Building Permit Fee
$1.738.80
$794.92 Water Connection Residential Fee
$1.140.00
$3.595,68 Electrical Permit Fee
$284,97
*2.400�00 Mechanical Permit Fee
$158.99
$8328 Address Fee
$30,00
entities such as water nagement, state agencies or deral agencies.
V;EbWW-TOR SIGNATURE PEPT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED If%,SPECTIOj
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-7&0-0020 City of Zephyrhills Permit Application
Fax-813-780-0021
Building Department
Date Received
Phone contact for Permitting
908 770 7763
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, GA 91302
Owner Phone Number^^�
Fee Simple Titleholder Name/
Owner Phone Number
Fee Simple Titleholder Address
NIA
JOB ADDRESS
6375 Back Forty Loop
LOT #
0523
SUBDIVISION
Abbott Square
PARCEL ID#
04-26-21-0160-00500-0230
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
II✓ 8
NEW CONSTR ADD/ALT SIGN Q DEMOLISH
Iq
INSTALL REPAIR
8
PROPOSED USE SFR 0 COMM 4^d OTHER
TYPE OF CONSTRUCTION 12 BLOCK FRAME STEEL Q
DESCRIPTION OF WORK L2=
BUILDING SIZE I U/R SF 2833
Residence / Pool / Screen Enclosure / Fence
SQ FOOTAGE 2389 HEIGHT 28
BUILDING $ . M VALUATION OF TOTAL CONSTRUCTION
�g
1 ELECTRICAL $ 50994 � 1 n PROGRESS ENERGY Q W.R.E.C.
1�-`v�J AMP SERVICE
I✓ 1PLUMBING $ 33996
IJ (MECHANICAL VALUATION OF MECHANICAL INSTALLATION
$ 2379%.2
L! t �� )
=GAS I✓ f ROOFING SPECIALTY = OTHER f i "t
FINISHED FLOOR ELEVATIONS • e FLOOD ZONE AREA DYES D0 i! L
BUILDER COMPANY LC_--ar Homes, LLC
SIGNATURE _ REGISTERED Y ! N FEE CURREN L_ILN_j
Address 4301 Boy Scout Blvd Suite 600 Tampa, FL 33607 CGC 1
License # 518166
ELECTRICIAN COMPANY EtlmonSon Electric, Inc.
SIGNATURE REGISTERED Y / N FEE CURREN Y ! N
Address I License # EG13005408
PLUMBER r M COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN I Y / N
Address License# CFC042998
MECHANICAL (jgr` COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE Y REGISTERED Y/ N FEE CURREN Y I N
Address License # CAC058062 +��
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y / N FEE CURREN I Y / N
Address License # 1 CCC057991
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division —Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the 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
OWNER OR AGENTCONTRACTORCONTRACTOR
Subscribed and sworn o ( affirmed) before me this Subscribed and swom to (or affirmed) before me this
VW2023 by Christopher Smith usrzoaa by Christopher Smith
Who is/are personally known to me or har.14aye pFoduGed Who istare personally known to me or has/have produced
as identification. as identification.
Notary Public _g _Notary Public
Z,z
Commission p.! G 296057 Commission No. 6 7
Stephanie Farmer Stephanie Farmer
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
Fusimm.HOLLERM 3
°6tmAkH A
WOW`
HH ssioflRf Q
Pb: June 6,i02i June 6,2024 NY 9
i4
.01. 1=1 "IMMU -- - / - , — , —
Md
Builder Name/Owner N 6 i Ir1_kA!1f_ContmI #_
County Parcel No. Q 01 500 62,3D SubDiv: `/�` l�fl
_Lt 2J_ZL_0160 _
Address/Location
Classification[Type of Use (S/'/j
TRANSPORTATION IMPACT FEE ate: So. Ft Unit,:
Exempt 0 Yes 0 No How Determined
Impact Fee Amount __$ J, 31- Zone No. TAZ:_
SCHOOL IMPACT FEE 7
Account (056) Single -Family Detached House Amount $
(057) Mobile Home
(OS8) 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
Zone Total Amount _1q
Exempt Yes Lr----' j No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt 1:1 Yes No How Determined Total Amount
RESOURCE FEE ERU
Total Amount
Prepared By 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
ACKNOWLEDGEMENT BELOW DOES NOT IMPLY ACCEPTANCE OF CONCURRENCE, BUT SIMPLY REECEIPT OF A COPY OF THIS
FORM, PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME.
RECEIPT NO DATE BY
J SD31-4
I I TYPE 'ATYPE'A'
Structure Table 96.91 95.35y i FF:97.87 FF:97.67 I
Structure Table I i ( PAD:97.20 PAD:97.00
}1I I I
TYPE'A' I ca
5d7-21 FF 97.97 I 95.44 96.92 95.53
SD7-3 I I
4' MANITOL€ TYPE 9 CURB INLET PAD.97.30 I
TYPE'B' TYPE `B' (
EOP:95.69 EOP 95 04
I
RIM 94 87 i ? FF 98.07 N FF:98.07
RIM:95.69 " 97.10 95.53 I PAD:97.40 PAD:97.40 1
60" RCP(S)IE:80.77 18" RCP(NE)iE:90.84 f'
W' RCP(N)#E:80.77
SD7-22 TYPE'A' ( 9546 97.22 95i85
TYPE 9 CURB INLET FF:97.97 I
5D7-4 I PAD:97.34 I I I' TYPE W TYPE W
TYPE 9 CURB INLET EOP:94.99
EOP:95.20 RIM:94.83 y rv„ I I FF:98.07 ^ FF:98.07 I
RIM:95.03 18" RCP(E)IE:90.79 96.89 95.33 I PAd:97.40 PAd:97.40 I
6€i RCP(S)IE 81.02 5D7-23 I I 95I28 97.04 95. 66
60' RCP(NE 81.02 TYPE 'A' I
18" RCP(E)iE:90.91 TYPE 9 CURB INLET
N Ff:97.77 I` a+ I TYPE A' TYPE'A'
EOP 95 79 I FF:97.87 N FF:97.87 q ,w PA4:97.1
SD7-5 RIM 95 62 M I i PAD:97.20 PAD:97.20
4' MANHOLE 18" RCP(S)IE:91.58 I
%.
C.� 96.69 95.12
€OP:95.66 Sfl7-24 I 95.10 96.86 95.48
RIM'95.66 TYPE 9 CURB INLET 24'- 18" RCP @ 0.30% 1
60" RCP(S)IE:81.25 SILT FENCE N TYPE A' TYPE 'A' TYP€ 5
EOP:94.91 i `y FF 97 57 I
60" RCP(Ej%E:81.25 RIM:94.74 f i., PAD:96.90 I r: FF:97.57 FF:97.57
24" RCP{N)I€:88.27 36" RCP(Nf)IE:88.20 I PAD:96.90 PAD:96.90
24" RCP(E)IE:90.00
SD7-6 96,50 94.93 6) 94'93 96.72 95.34
TYPE 9 CURB INLET 18" RCP(N)1E:90.42 I TYPE'A'
a 5 TYPE 'A' EOP:94.98 Sfl7-27 ono TVPE'A'
RIM:94.81 TYPE 9 CURB INLET FF:97.77 I C3 I fF 97.77 FF:97.77 I
W' RCP(W)I€M.66 I PAD:97.10 I +-L I PAD.97.10 PAD:97.10
EOP:94.86 00 18 RCP
60"' RCP(E)IE:83.03 RIM:94.69 f % ( I f.., I
18" RCP(N)IE:90.71 i8" RCP(S)IE:90.49 96.84 95.28 95.23 96.90 95I52
I I TYPE A' TYPE'A'
(, SD7-28 FF:97.87 «, FF:97.87
Sd7-7 TYPE 'A' I I
4' MA ,6OLE TYPE 9 CURB INLET I PAd:97.2 PAD:97.20
N FF:97.87 I
RIM:95.62 7 EOP:94.80 PAD:97.20 I j
60" RCP(W)IE;83.4g RIM:94.64 " (( 95.S4 97.08 95.70
"(EI'IE
7-7
36" RCPJE)IE:87.80 97 10 95 6354" RCP(N)fE:85.74 I I 1 TYPE. A F.98.0TYPE A'
' x "7 omFF980 F 7SD7-8 *,. PAD 47 doTYPE 9 CURB INLET
DESCRIPTION: LOT 23, BLOCK 5, ABBOTT SQUARE PHASE 2, SITE PLAN
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 90,
PAGES 28-33, OF THE PUBLIC RECORDS OF PASCO COUNTY, (NOT A SURVEY)
FLORIDA. This SITE PLAN Prepared for and Certified To:
Lennar Homes
PROPOSED ELEVATIONS AND GRADING
SHOWN HEREON ARE TAKEN FORM THE
ENGINEERING PLANS OF
'ABBOTT SQUARE RESIDENTIAL', PREPARED
BY'WRA' PROVIDED BY CLIENT
SEC. 4, TWP. 26 S, RNG 21 E.
PASCO COUNTY, FLORIDA
(ABBOTT SQUARE PHASE 2(
PCP(
I
I
I
a_ I
1
I
LOT 22
Mo-ten
O
I
BLOCK 5
I
o
S
-_.---.-
88°08'23' E (F) 125.05' (PJ
'`rp/ 2
(P)
a'
46.6'
2 5' •-
58.0'
@.
i
PROPOSED
J, j"
• o
i
3
LOT 23
BLOCK 5
I 2 STORY RESIDENCE
o q PLAN 2382
'^ o
off N
i.
O
w
w o 3a
3.0'XTCP
o
m ELEV "B"
,
2
v '^
PATIO
ron
GARAGE R6.0
w$
m m
`^
0
4.0'X5.7'
20.5'
_&C
%ENTRY
t�Y LO
Z
46.6' C/S-A/C
c
•.''�nr..
3'
¢ o
)... tr
SZ.O'
+
WALK
S
Bp2
88°08'23" E (P) 125.05(P)
1
LOT 24
I e
'
BLOCK 5
h•
V'
f
0
NOTES:
LOT GRADING TYPE = A
PROPOSED PAD ELEVATION =97. 10'
FRONT SET BACK = 20'
SIDE SET BACK= T5'
SIDE SET BACK (CORNER LOT) =10'
REAR SETBACK - IS
PROPOSED: * = I0.00' PUBLIC UTILITY EASEMENT
MINIMUM FLOOR ELEVATIONS:
ALL ELEVATIONS REFERENCED
TO NORTH AMERICAN
VERTICAL DATUM Or, 9""
F1988
I (NAND 88)
LOT
= 5627
SO. FT.
LIVING AREA
= 1269
SO, FT.
ENTRY
= 30
SO. FT.
GARAGE
= 414
SO. FT.
COVERED LANAI
= N/A
SO. FT.
PATIO
= 21
SO, FT,
POOL AREA
= NA
SO. FT.
LIVING AREA: 97.77'
LEGEND:
CONC. DRIVE
= 328 SO. FT.
GARAGE AREA:
� �-����►= PROPOSED DRAINAGE FLOW
i /C & CONC PAD
= 23 SO. FT,
ELEVATIONS REFERENCED TO
__,
SIDEWALK
= 31 SO. FT.
NORTH AMERICAN VERTICAL
(00.00) = PROPOSED GRADE
SIDE YARD SWALE
= NJA SO. FT.
DATUM OF 1988
E-00.00 = EXISTING GRADE
CONSERVATION AREA = N/A SO. FT.
LOT OCCUPIED
= 38 %
APPARENT FLOOD HAZARD ZONE: `X' COMMUNITY NO. 120235
AREA TO IRRIGATE
= 62 %
SURVEY ABBREVATIONS IMAP NUMBER 12101C-0289-F) EFFECTIVE DATE 09/26/2014
AI -ARC LENGTH
(D) - DEED
INV- INVERT
PC^POINT OF CURVE
(M- RECORD
LEGEND
A/C^ AIR CONDITIONER
AF - ALUMINUM FENCE
D.E- DRAINAGE EASEMENT
LB -LICENSED BUISNESS
FEE- POINT OF COMPOUND CURVE
RNG-RANGE
y t,T,i+ VINri FENCE
CONC
BFE-BENCHMARK ELEVATION
EL OR EDG -ELEVATION
01 PAVEMENT
ES
LE - LANDSCAPE FL EASEMENT
LFE-LENSED FLOOR ELEVATION
PCP - PERMANENT CONTRA(. POINT
P/E - POOL EQUIPMENT
RRS - RIG ROAD SPIKE—lr—
WAY
BM -BENCH MARK
T-EAEMENT
ES -EASEMENT
IS -LICENSED SURVEYOR
PG -PAGE
SR/WEC SECTION
N
SEC m SECTION
WOOD FENCE
C-CURVE
F/C - FENCE CORNER
(M)- MEASURED
PI- POINT OF INTERSECTION
SN&D - SET NAIL AND DISK
-ASPHALT \ \
IC! -CALCULATED
FCM^FOUND CONCRETE
MEN= MITE RED END SECTION
PK-PARKER KALON
LB18183
-CENTERLINE
MONUMENT
NCF - NO CORNER FOUND
Y - PROPERTY
SIR -SET tn' IRON ROD lBp 8183
CHAIN LINK FENCE
CLF a CHAIN LINK FENCE
FIP®FOUNUIRON FIPE
O/A-OVERALL
EGI
FOB-POiM OF BEGINNING
TRIM- TEMPORARY BENCH MARK
'BRICK-X--
CMP^CORRUGATED METAL PIPFIR-FOUNDIRON
COLm COLUMN
ROK
OHW- OVERHEAD WIRE(S)
POC- POINT OF COMMENCTMENT
TOB - TOP OF BANK
CONC-CONCRETE
FN&D-FOUND NAIL&DISK
OR. - OFFICIAL RECORDS
POL-POINT ON LINE
TWP-TOWNSHIP
ALUMINUM FENCE
CIS -CONCRETE SLAB
FOP -FOUND OPEN PIPE
jP) -PLAT
PRC-POINT OF REVERSE CURVE
UE- UtILITY EASEMENT
�-COVERED \\
CST - CLEAR SIGHT TRIANGLE
FPP-FOUND P;NCHEDPtPE
PB - PLAT BOOK
PRM- PERMANENT REFERENCE MONUMEN
VF - VINYL FENCE
JOB 18HD8520823
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 title search.
No instruments of record reflecting ownership, easements or
rights -of -way were furnished to the undersigned, unless otherwise
shown hereon.
3.) Roads, walks, and other similar items shown hereon were take
from
SURVEYOR'S CERTIFICATE
This certifies that sketch of the hereon described
property was supervision and
meetN the A Stf l : 414 Practice for
curve h aq rd of Land
Y ed
-
pursu t to ectlon 4S eY
S to Date 20 �0 25
1708 Water Oak Drive 11
Tarpon Springs, Florida
o-
Phone�i727)-831-1940
FloridaPLS712399mail.com
LB# 8183
Date of Site Plan: 5-16-23
—GAS -PH2-L23-BLS-SITE
File:
I Drawn b CUB
Y
Checked by.JH
engineering plans and are subject to survey.
4•) This SITE PLAN does not reflect nor determine ownership-
5. This SITE PLAN is subject to matters shown on the Plat of
1 J
Q\ ,,.,
�� �„'�` j/ QQ;S 30 lFk'.,��"'�
�*' ATE OF R S'
Cs'I
L t3t" 'T' �Il
° �t§S
REVISIONS
"ABBOTT SQUARE PHASE 2"
6.) Dimensions shown hereon are in feet and decimal portions
pLORIDA VQOQg'r"AND
Q
thereof.
7.) Contractor and owner are to verify all setbacks, building
MAPPER N
NOT VALID WITHOUT 7P 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
d�
deviation from iMormation shown hereon. Failure to do so will be
LICENSED SURVEYOR AND MAPPER
Initial Point Land Surveying, LLC.
at users sole risk
Garage
Lot Size
Block
Lot
qs
3
Address: Z Vb
Setbacks: Front Ao ._5 —Rear V�. Sides1 5-
Elevation: _J8— Garage:
Roof Shingle Dimension/Architectural:
v U A L V V"i A S S I T
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 6375 Back Forty Loop
Parcel Tax ID: 04-26-21-0160-00500-0230
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.
I 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 Finn: VIRTUAL REVIEW ASSIST, INC.
Private Provider: DEBRA ANNE KLAHR
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 atta.chme-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 pt-iformed as a private provicler, including tail coverage for, a minimum
of 5 years subsequent to the, ptiformance of building code inspection services.
Individual Corporation Partnership
(signature)
Print
Name:
Address,
Telephone
Please use appropriate notary block,
STATE OF FLORIDA
COUI-4TY OF HILLSBOROUGH
Befbreme, this day of
20— personally
appeared
who executed the foregoing in.stn=511t,
an ' d acknowledged before me that same
was executed for the purposes therein expressed.
LENNAR F1 IVIEZO. L_ %a
Print CorporationNamt
(signature)
Print
Name,: Christopher Smith
it: ' Authorized Agent
Address: 700 NW 1 OZth Ave
Miami, FL 33172
Telephone.
No.813-574-5700
Corporation
BeforDme,this 22ND day of
MAY
personally appeared.
Of
Lennar Homes, LLC. a,
corporation, on
behalf of the state corporation, who
executed the foregoing instrument and
acicuowled . ged before me that same was
executed for the purposes therein
expressed.
Personally known X or- Produced identification Type of identification produced
LSiSignatureof Notari Print Name
NotaiyPublic Stamp:
Commission Expires:
ASHLEE CALLAHAN
MY COMMISSION # HH 295980
EXPIRES: November 30, 2026
Print Partnership Name
W
(signature)
Print
Name:
its;
Address:
Telephone
No.:
U�E
13 ffore me, this day
of 20—
pe.rs6nally appeared
partner/agent on b ehalf of
a partnership, who executed the
foregoing instrument And
acknowledged before me that same
was executed for the purposes therein
expressed.
Page 2 of 2
VIRTUAL REVIEW ASSIST
Private Provider
Private Provider Firm: 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: IRUQ-)
- virtualreviewassist.com
Project: New SFR
Address(s): 6375 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, AI,A2,A3,A4,A5,A6,A7, SNO, SNI, S3, S4,S5,S6,SS,ST, SII,SI2,WPI,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 Examiner
License #: PX2300
Signature of Reviewer:
SWORN AND SUBSCRIBED before me by Debra Anne Klahr
being personally known to mv--or having produced as identification
and who being fully sworn and cautioned, state that the
re oin is 17d correct to the best of his/her knowledge or belief.
I Ashlee Callahan
C, J'v�
k- �11 ' it,�1v'
*Siatur�e'of Notdry Print Name
Notary Public: NOTARY STAMP BELOW My
commission expires:
ASHLEE CALLAHAN
%
MY COMMISSION# HH 295980
EXPIRES: November 30, 2026
my JFAX4 114le
FIRE MARSHAL #01 -
160TIT!'= Wqi�
DATE: 6/27/2023
EXAMINER: Debra Klahr PX2304
Building
0 Insjeclion Only
Plumbing
F-1 Inspection Only
Mechanical
0 Ins pe tion Only
IV Electrical Amp
0 Inspection Qnly
Roof
=Ga s
0 Medical Gas
E] Fire Sprinklers
El On Site Piping
E] Fire Line
E] Irrigation
E] Fire Alarm
E] Potable Backflow Assembly
F1 Fire Line Backflow Preventer
El Irrigation Backflow Assembly
F-1 Demolition
El Walk-in Cooler
El Refrigeration
El Hood
El Ansul
El Fence/Wall
F-1 Grease Trap
El Other
❑ Other
T e Construction:
Risk Category:
Occupancy Load
ancy Classification: Assembly usiness y Care/Educational
'Factory Hazardous nal rcantile
Residential Storage E=
Building Use: SINGLE FAMILY RESIDENCE Alteration I Level I FQLevel 2 IL74 Level 3
New Construction ❑ Interior Finish El Interior Remodel ❑ Exterior Remodel E] Addition F] Revision
Overall Size:
30 X 58
Number of Stories:
2
Total Sq. Ft.:
2833
Living Area: 2389
Covered Area: 444
# of Bedrooms: 5
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof [-]Tile EJ Built-up 0 Metal El Other Squares: 19
Zoning:
Wlpdborne Debris:
Inside iz Outside
Energy Code:
405-2022 SUP
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vent__
Vents?
Q'7 Yes
No -F—Scl.
Ft. Enclosed Space Below BFE:
I
# of Vents:
Size of Vents:
Total Sq. In. Permanent Openings
9 Central A/C ® Heat Pump 0 Window A/C
El Gas A/C El Gas Heat El Electric Heat
gu=,
Sanita!:y Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
Front Rear Left Right
r7l As per Approved Site Plan
Comments: