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Home My WebLink About23-6612> ..y.\R-00. 2 2- f \\ «! ■I ■ Issue Date:07/17/2023 q � IA' ag« PEr»�E PERMIT EXPIRES I\ »MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION 8HOUR NOTICE REQUIRE# PROTECTCARD FROM WEATHER 813-780-0020 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 1 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 I JOB ADDRESS 6363 Back Forty Loop LOT # 0524 SUBDIVISION Abbott Square PARCEL ID# Q4-26-21-0160-00500-0240 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED 0INSTALL NEW CONSTR t ADD/ALT u SIGN ® DEMOLISH 8 REPAIR PROPOSED USE SFR COMM LJ OTHER TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL DESCRIPTION OF WORK LaM BUILDING SIZE U/R SF 2351 Family Residence / Pool / Screen Enclosure / Fence EEI 1870 1 HEIGHT 128' VJ BUILDING $ '- / 1 282120 VALUATION OF TOTAL CONSTRUCTION i 7 t .' IJ 1ELECTRICAL $ 42318 I AMP SERVICE PROGRESS ENERGY W.R.E.C. VICE I✓ (PLUMBING $ 28212 J T� •-fir ..� • �,... #i ,, r, i ,,;:,. IJ (MECHANICAL $ 19748.4 VALUATION OF MECHANICAL INSTALLATION �d =GAS ® ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA E)YES Do BUILDER ^-_- COMPANY I Lermar Homes, LLC SIGNATURE REGISTERED Y/ N FEE CURREN Y I N Address 4301 License # Boy cout Blvd Suite 600 Tampa, FL 33607 CGC1518166 �. ELECTRICIAN COMPANY E nson Electric, Inc. SIGNATURE REGISTERED I Y / N FEE CURREN I Y / N Address License # I EC13005408 PLUMBER COMPANY Bayonet Plumbing Heating & AC, Inc SIGNATURE REGISTERED I Y / N FEE CURREN I Y / N Address �' _ _ License # CFC042998 »_ MECHANICAL COMPANY Bayonet f lumbing, Heating & AC, Inc SIGNATURE REGISTERED Y/ N FEE CURREN LZ2 N Address i.� _ ..-�� License # C:058062 I OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE_ REGISTERED I Y / N FEE CURREN I Y / N Address E License # 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 subdivisionsAarge 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 I, 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, WatertWastewater 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 CONTRACTOR �' µ Subscribed and sworn fob (or affirmed) before me this Subscribed and swom to (or affirmed) before me this aI&Wsa by Christopher Smith 415rz023 by Christopher Smith Who is/are personally known to me or hasihave PFaduced Who is/are personally known to me or has/have produced as identification. as identification. Notary Public Notary Public Commission G 296057 Commission No. 16 7 Stephanie Farmer Stephanie Farmer Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped ELtS3ARl Htt EE.f m t H to ax : CpmmissiunAHH mm Coission HHDOWN dune6,2024 ro June& 2024 • �},tylroyFaM 20t9 `...?:. ` r=TwyFWnl4swtw4*3eCk•702e Permit No,__"_L2___ 7- 1 '7— 9- Date Permitted Builder Name/Owner Name 0 [A. � LLoNle Control # County Parcel No. 6 60 10) 6 L7S u b D i v: Address/Location Classification[Type AofUse TRANSPORTATION IMPACT FEE Rate, Sq. Ft Unit; Exempt 0 Yes 0 No How Determined Impact Fee Amount Zone No, TAZ:— SCHOOL IMPACT FEE Account (056) Single -Family Detached House Amount C/ /X"zo (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 �7 Zone Total Amount $ 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 Amountf6i_ RESOURCE FEE ERU Prepared By A - , /D 6'0'� Checked By 40 CCRTJITE 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. DATE RECEIVED BY RECEIPT NO DATE BY Structure Table SD7-3 4'MANHME EOP:95.69 RIM:95.69 W' RCPtS)IE:80.77 60,, RcPJNK:80-77 SD7-4 TYPE 9 CURB INLET EOP:95.20 RIM:95.03 W' RCP(S)IE:81.02 Ev, RCP(NjtE.81 02 19" RCP(E)tE:9G.;l SD7-5 4'MANHOLE EOP:95-66 RIWW66 WRCR(S)IE,81.25 60" RCPJEPE�.81-25 24" RCP(N)IE:98.27 SD7-6 TYPE 9 CURB INLET EOP:94.98 RIM:94M 6011 RCP(W)tE:81.66 60" RCP(E)IE:83-03 18" RCP(N)IE:90.71 SD7-7 4'MANHOLE EGP:95.62 RMS5.62 60"RCP(W)tE:83.48 36" RCP(E)tE:87.80 54" Rcp(r4)[E:85.74 SD7-8 TYPE 9 CURB INLET Structure robk SD7-21 TYPE 9 CURB INLET EOP:95.04 R [W'I= 18" EjIE:90.84 SD7-272 S, 9 CURB INLET TYPE 9 CURB INLET 9 EOP:94-99 RIM:94.83 R :90-79 18" JCP(QIE�j SD7-23 TYPE 9 CURB INLET EOP.95.79 RtM:95.62 1 19" RCPMjE:9158 SD7-24 -IF" - - TYPE 9 CURB INLET SILT FENCE EOP:94.91 RtM:94.74 36" RCP(W)IE:88.20 24" RCPtE)IE:90.00 18" RCPJN)IE:90.42 SD7-27 TYPE 9 CURB INLET EOP-.94,86 RIM:94.69 18" RCP(S)[E:90.49 S D7j2 TYPE CURB INLET 9 EOP�94' RIM 94�64 36" RCP(W)[E:88.30 181, RCP(E)IE:90,60 1,� 18" RCP(N)IE:90.49 SD7-31 r TYPE A' FF:9 .97 D:97.30 TYPE 'A' FF:97.97 PAD:97.3 TYPE In FF:97.77 O PAD:97.10 96.69 -95.12 TYPE TYPE A' 24"�- RCP 7 F F:97,57 '�9 �9 PAD:96.90 96.50- 1 94.93 94 TYPEW FF:97.77 PAD:97.10 96,84 95.28 TYPE'A FF:97.87 PAD:97.20 97.10 95.63 PE 'A' 1 7 �:9.9�767 PAD:97. 95 TYPE 8 M98.07 PAD:97. 95 TYPE 'A' FF: ge 8.07 AD:97.4D T YPE 'A' FF-97 .87 PAD:97,20 95.48 TYPE ': o 17 9 . 0:96. 95,34 Ty 'A TYPE'A' rn FF-:.797.77 P 0 - - lb TYPE A 00 FF:97S7 PAD:97.20 DESCRIPTION: LOT 24, 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) This SITE PLAN Prepared for and Certified To: Lennar Homes LOT 23 BLOCK 5 S 88-08'23" E (P) 125.05'fpl 42"-0" 3 37.7, 7.7' LOT 24 BLOCK 5 3.0X6.0' PATIO 60.6' 3.5X3.5' 11� � 00 ENTRY PROPOSED 4.3' 2 STORY RESIDENCE PLAN 1871 ELEV "A" rq GARAGEL 42.0' S 88'08'23" E (P) 125.05- (P) LOT25 BLOCK 5 SEC� 4, TWP. 26 S, RNG 21 E. PASCO COUNTY, FLORIDA (ABBOTT SQUARE PHASE 2) Scale: I " = 20' PCP 9 Ln Oco C) 22.5' 0 3' CONC WALK Lnl70 < Q Li r-, LL 0 EL r, rN r� 0 < In U, n n 2 25 U ALL ELEVATIONS REFERENCED NOTES.- TO NORTH AMERICAN LOT GRADING TYPE = A VERTICAL DATUM OF 1988 (NAVD 88) PROPOSED PAD ELEVATION =96.90' --- FRONT SET BACK = 20' SIDE SET BACK = 75 SIDE SET BACK (CORNER LOT) = 10' LOT = 5627 SQ. FT. LIVING AREA = 780 SQ. FT, REAR SETBACK= 15' ENTRY = 38 SQ. FT. GARAGE = 443 SO. FT. PROPOSED: = 10.00'PUBLIC UTILITY EASEMENT COVERED LANAI = N/A SO. FT. MINIMUM FLOOR ELEVATIONS: PATIO = 18 SO. FT. POOL AREA = NA SO, FT. LIVING AREA: 97.57' LEGEND: CONC. DRIVE = 386 SQ. FT. GARAGE AREA: PROPOSED DRAINAGE FLOW A/C & CONC PAD = 12 SQ. FT. ELEVATIONS REFERENCED TO SIDEWALK = 34 SO. FT. NORTH AMERICAN VERTICAL (00.00) = PROPOSED GRADE SIDE YARD SWALE = " 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 (MAP NUMBER 12101 C-0289-F) EFFECTIVE DATE: 09/26/2014 A) = ARC LENGTH (D) = 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 VINYL FENCE AF = ALUMINUM FENCE EL OR ELEV = ELEVATION L.E = LANDSCAPE EASEMENT PCP = PERMANENT CONTROL POINT RRS = RAIL ROAD SPIKE = CONC BEE - BASE FLOOD ELEVATION EOP = EDGE OF PAVEMENT THE = 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 FCM = FOUND CONCRETE MES = MITERED END SECTION PK =PARKER KALON LB#8 183 4 = CENTERLINE MONUMENT NCF - NO CORNER FOUND q = PROPERTY LINE SIR = SET 112" IRON ROD LB# 8183 CHAIN LINK FENCE CIT = CHAIN LINK FENCE F�P - FOUND IRON PIPE C/A = OVERALL POB = POINT OF BEGINNING TBM = TEMPORARY BENCH MARK BRICK CMP = CORRUGATED METAL PIN 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 Ul = UTILITY EASEMENT = COVERED CST = CLEAR SIGHT TRIANGLE EPP = FOUND PINCHED PIPE PB = PLAT BOOK PRM = PERMANENT REFERENCE MONUMENT VF =VINYL FENCE . . ........ JOB 15908520524 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive See Date of Site Plan: 5-16-23 1.) Current title information on the subject property had not been This certifies th,,0�*WMkxjQhe hereon described Tarpon Springs, Florida N furnished to Initial Point Land Surveying, LLC. at the time of this proper e 1AV SITE PLAN 4pp. ervision and Phone: (727)-831-1990 1WG'I' DWG:AS-PH2-L24-BL5-SITE meets slic 4r nr Practice for FloridaPLS7123@gmaii.com rac ice om 2.) This sketch1,t6 was prepared without the benefit of a title search. S urve 0 o)Nt# !�af ardpfLand , LB# 8183 No instruments of record reflecting ownership, easements or S 71pi to isigneic File: rights -of -way were furnished to the undersigned, unless otherwise i - dm n trati I I Drawn by: DJB of shown hereon. pu=ant o Section 472. yx Apartley 3.) Roads, walks, and other similar items shown hereon were taker, S " ate,.. L- � W3.0 Checked byJH from engineering plans and are subject to survey. ,Z 5.25 D REVISIONS 4.) This SITE PLAN does not reflect nor determine ownership. 0 0 4'0 C 5.) This SITE PLAN is subject to matters shown on the Plat of (11 DAt "ABBOTT SQUARE PHASE 2" Jeff rN 6.) Dimensions shown hereon are in feet and decimal portions — 6 0AIA0qK4WQtI.�0OR AND <0 thereof. FLORIDA 7.) Contractor and owner are to verify all setbacks, building MAPPER .. NO. N#AJ4083 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. Plan Model Elevation Garage Lot Size Block Lot o,5 Parcel #: � �-- �0/ �- )��, �Oql Address: Setbacks: Front Rear Sides Elevation: ---A- Garage: / Iq Roof Shingle Dime nsion/Arch itectu ra 1: �A)',nok r Notice to Building Official of � Use of Private Provider Effective January 20, 2003 Project Name: 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: Email Address (Optional): deb@virtualreviewassist.com Fax: N/A 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 1 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,Gb=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 ptTformed as a private provider, including tail coverage for a mim mum of 5 years subsequent to the, performance of building code inspection services., (signature) Print Name: Address Telephone Please use appropriate notary block. STATE OF -FLORI-DA COUNTY OF HILLSBOROUGH Be,foreme, dais - --- day of 20— personally appearDd_-_ who executed the foregoing instrument, and acknowledged before me that same was executed for the purposes therein expressed. pi .ion . LENNAR HOMES, LLC Print Corporation Name (signature) Print Name: Christopher Smith its: Authorized A Aent Address: 70Q NW 107tb Miami, FL 33172 Telephone, vo. 813-574-5700 Corporation Befomme,this 22ND day of MAY, 20z3 persona* appeared, of Lennar Homes, LLQ. 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 Print Partnership Name M (signature) Print Name: its Address; Telephone No.: Partnership Befortme, tbis 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 executeffor the purpusestherein expressed. Personally known X or- Produced identi-tcation Type of identification produced Signatare. of Notar. Print Name :—ASHLEE CALLAHAN NotaryPublic Stamp: ASHLEE CALLAHAN My COMMISSION# HH 295980 commis sion Expires,. EXPIRES: November 30,2026 Page 2 of 2 V I VIRTUAL REVIEW ASSIST Private Provider Plan 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: lucy a yinualreviewassist,com Project: New SFR Address(s): 6363 BACK FORTY LP I hereby certify that to the best of my knowledge and belief the plans submitted were reviewed for and are in compliance with the Florida Building Code and all local amendments to the Florida Building Code by the following afflant, who is duly authorized to perform plans review pursuant to Section 553.791, Florida Statute and holds the appropriate license or certificate: Name: Debra Anne Klahr Plan Sheets CS, AI,A2,A3,A4,A5,A6,A7, SNO, SNI, S3, S4,S5,S6,SS,ST, SII,SI2,WPI, PAI.0,PAI.1, PAL2,PAI.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 Exam' er License #: PX2300 Signature of Reviewer: SWORN AND SUBSCRIBED be�re me by Debra Anne Klahr being personally known to me Z or having produced as identification and who being fully sworn and cautioned, state that the Are ing is true to the best of his/her knowledge or belief. Ashlee Callahan TA S Sl of i re of Notary Print Name Notary Public: NOTARY STAMP BELOW My commission expires: ASHLEE CALLAHAN MY COMMISSION # HH 295980 EXPIRES: November 30, 2026 103"M I "R I Hoin U 100VOINkyj IVEI&I 1 0 FIRE MARSHAL #01 - Reauired Permits DATE: 6/27/2023 EXAMINER: Debra Klahr PX230C Building El Inspection Only V Plumbing F-1 Inspection Only Mechanical 0 Ins pe tion Only Electrical Amp El Lspection Only Roof ❑ Gas lical Gas ❑ Fire Sprinklers El On Site Piping El Fire Line El Irrigation ❑ Fire Alarm El Potable Backflow Assembly El Fire Line Backflow Preventer EJ Irrigation Backilow Assembly El Demolition F-1 Walk-in Cooler E] Refrigeration El Hood El Ansul F� Fence/Wall El Grease Trap [:] Other El Other jyp Construction: Ly LB Risk Category: Occupancy Load O ancy Classification: Factory Residential P'Assembly Hazardous Storage D �y Care/Educational nal ereantile Building Use: SINGLE FAMILY RESIDENCE Alteration Q,,Level I FFULevel 2 10 Level 3 46 New Construction F-1 Interior Finish E] Interior Remodel F-1 Exterior Remodel ❑ Addition ❑ Revision Overall Size: 30 X 42 Number of Stories: 2 Total Sq. Ft.: 2351 Living Area: 1870 Covered Area: 481 # of Bedrooms: 4 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof Type: 91 Shingle MTile F-1 Other Squares: 16 Zoning: Wi orne Debris: OlInside Vi Outside Energy Code: 405-2022 SUP Flood Zone: X Base Flood Elevation: I Finish Floor Elevation: Hydrostatic Vents9 r Yes No =T—sq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: I Total Sq. In. Permanent Openings 9 Central A/C El Gas A/C ® Heat Pump 0 Gas Heat 0 Window A/C El Electric Heat Sanita!j Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line � �-, ffl Front Rear Left Right As per Approved Site Plan Comments: