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Home My WebLink About23-6615Address: 43V1YVBoy Scout Blvd Suite OOo Tampa, FL 33607 CONSTRUCT SINGLE FAMILY 1*48GopT Water Connection Residential Fee AdminFee / (Provider Service ) Park Impact Fmu-SinOle Transportation Impact rou Irrigation 3/4 Mmm,(Calc) xwWater Meter Fee (Ca|o) Mechanical Permit Fee Sewer Connection Residential Fee oui|umqPermit Fee Issue Date: 07/17/2023 Building Valuation: *222,480.0V Electrical Valuation: $33.372.00 Mechanical valuution:$15.573.VO Plumbing Valuation: $22,248l0 Total Valuation: s2V3.O73.60 Total Fees: $28106.40 Amount Paid: $20.106/0 Date Paid: rn7/2O2n 1:551$PM $1.140l0 Electrical Permit Fee $206.86 $180,08 Plumbing Permit Fee $15124 $769,56 Address Fee $30.00 $3.595.08 Tnanspnrtudon|mpactFea-Qty *36.32 $794.92 Driveway Fee $45.00 $784.82 Public Safety Impact Fee -Admin $20.35 $117.87 S|F1 percent Fee *8328 $2.400.00 School Impact Fee Single Family $8.328.00 $1.152.40 Public Safety ImpmmFvv-punwa $254o0 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. PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER i 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department _T 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner's Address. Owner Phone Number Fee Simple Titleholder Name N/A Owner Phone Number Fee Simple Titleholder Address NlA 6391 Back Forty Loop 0521 JOB ADDRESS LOT # SUBDIVISION Abbott Square PARCEL ID# 1 04-26-21-0160-00500-0210 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED 0./ ji NEW CONSTR ADD/ALT Q SIGN Q DEMOLISH INSTALL 8 REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION H BLOCK FRAME STEEL DESCRIPTION OF WORK j Single Family Residence / Pool / Screen Enclosure / Fence BUILDING SIZE U/R SF 1854 SQ FOOTAGE 1448 HEIGHT 18 L BUILDING $ 222480 VALUATION OF TOTAL CONSTRUCTION IJ'IELECTRICAL $ 33372 AMP SERVICE i n I PROGRESSENERGY Q W.R.E.C. I✓ (PLUMBING $ 22248 I ij ' I✓ (MECHANICAL $ 15573.E VALUATION OF MECHANICAL INSTALLATION` 7• 7 1— s t l =GAS i��.,�r^J'��^��d ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES Do BUILDER COMPANY I Lennar Homes, LLC SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address 4301)k Boy Scout Blvd Suite 600 Tampa, FL 33609 License # CGC15181666 ELECTRICIAN COMPANY Edmonson Electric, Inc. SIGNATURE REGISTERED LY / N J FEE CURREN Y / N Address V License # EC13005408 PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN I Y / N _1 Address License # I CFC042998 MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address License # I CAC058062 OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE REGISTERED Y/ N FEE CURREN Y I N Address V License # GCC057991 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. Ail 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 incuded 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 (8) 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 Subscribed and sworn o (or affirmed) before me this arvzoza by Christopher Smith Who islare personally known to me orhas/have•prodased as identification. fP Notary Public rY Commission G 296057 Stephanie Farmer Name of Notary typed, printed or stamped EU K Epin�" issionat6i June6 2024 Subscribed and sworn to (or affirmed) before me this 41s 023 by Christopher Smith Who is/are personally known to me or has/have produced as identification. r Notary Public Commission No. 6 7 Stephanie Farmer of Notary typed, printed or stamped ELISSA M HOUERAN cam n#NM OOM a June6 2024 ''•..R.,®aft,°.,` TMtrFroyF61n 7et9 Exempt ED Yes 0 No Noy+ Determined Impact Fee Amount 32 - Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single -Family Detached House Amount (057) Mobile Home (05) 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 �=p Zone Total Amount $ LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt Yes No How [determined Total Amount RESOURCE FEE ERU 3 Prepared r �Checked By NO CERTIFICATE OF OCCUPANY WILL BE ISSUED OR FINAL INSPECTION C -t UNTILTOTAL BEEN `N AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCf COUNrf 1 !''W.4 A RECEIPT NO DATE BY su.cf.,. rw. I I St,.,.,,, Table SD7-3 SD7.21 WMANHOLE TYPE 9 CURB INLET EOP:95.69 9' 'OpZ IM 95 r RIM:95-69 �04 RIM 8 7 Cr RCP(S)IE:80.77 6 X, 18" RCP(NE)IE:90S4 NJ 77 RCP( JEJ .80, 601, RCP(NIIE:80,77 .2 SD�- 2 SD7-4 TYPE 9 CURB INLET TYPE 9 CURB INLET EOP:94-99 EOP:95,20 RIM-.94,83 RIM:95.03 is" RCP(E)IE:90,79 60ll RCP(S)IE:81.02 6(y, RcPJN,)IE:81.02 SD7-23 TYPE 9 CURB INLET ir, RCP(EPE-90.91 EOP:95.79 SD7-5 RIM:95.62 WmANHOLE 181, RCP(S)M:91.58 EOP:95.66 SD7-24 RIM:95 . 66 TYPE 9 CURB INLET W. RCP(S)IE:81.25 EOP:94,91 601, RCP(E)tf:81,25 RVM:94-74 24" RCP(N)IE:88.27 36" RCP(W)IE:88.20 24" RCP(E)IE:90,00 SD7-6 TYPE 9 CURB INLET 1811 RCP(N)IE:90,42 EOP:94-98 SD7-27 RIM:94.91 TYPE 9 CURB INLET 60, RCP(W)tE:81.66 EOP:94.96 6W RCP(E)tE:83.03 RIM-94.69 jr, RCp(N)IE:90.71 18" RCP(S)IE:90.49 SD7-7 SD7-28 4- MANHOLE TYPE 9 CURB INLET EOP:95.62 EM94.80 Rtm:95.62 RVM:94.64 60" RCP(WjIf:83.48 36" RCP(W)[E:88.30 361, RCP(E)tE:87-90 18" RCP(E)IE:90.60 541 RCP(N)tE:85.74 18, RCP(N)IE:90-49 SD7-8 TYPE 9 CURB INLET SD7-31 96.91 95.3 7.30 TYPE 'A� FF:97.97 PAD:9 J, m r,' 97.10 96.89- 96.69 - SILT FENCE �96,50- 096.84- 97.10- 99 5. TYPE FF:97.77 PA .97.1 951 1 TYPE N 24'- 18" RCP FF:97,57 9() PALD:96.�Ol i 94{ TYPE ry FF:97.77 PAD:97.10 mw-fffflll� 95.; TYPE'A' FF:97.87 PAD:97.20 I TYPE A FF:97.87 t iPAD:97.20 I ' TYPE A FF97.57 PAD:96.9D 94 93 96.72 TYPE FF:97.77 00 PAD:97.10 95.23 96.90 TYPE A' FF:97.87 PAD:97.2 95.54 97.08 F7TyPIW FE. 8.077PAn-q� TYPE 'A' ti FF:97.67 PAD:97.. 95. TYPE B' FF:98,07 PAD:97.41D TYPE ��A 98 �0,0 FF 7 AD:97.40 TYPE F gF997� PAD* 2 TYPE A FF:97.57 PAD: 95 TYPE ' A' YPE 'A Fr: 97.77 18" RCP @ TYPE A 00 FF:97.87 PAD:97,2 7 y EA 980 TT F . 7 77 DESCRIPTION: LOT 21, BLOCK 5, ABBOTT SQUARE PHASE 2, SITE PLAN SEC. 4, TWP, 26 S, RNG 21 E. ACCORDING TO THE PLATTHEREOF, RECORDED IN PLAT BOOK 90, PASCO COUNTY, FLORIDA PAGES 28-33, OF THE PUBLIC RECORDS OF PASCO COUNTY, INOT A SURVEY) FLORIDA This SITE PLAN Prepared for and Certified To: (ABBOTT SQUARE PHASE 2) Lennar Homes PROPOSED ELEVATIONS AND GRADING SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF 'ABBOTT SQUARE RESIDENTIAL', PREPARED BY'WRA' PROVIDED BY CLIENT Scale: 1" = 20' PCP 9 1 I I 0. I 1 I m0- I LOT 20 o RR BLOCK 5 �90 `l 5 88°OB'23' E (P) 125.05' fp) 2 (P) 65.0' I—Z LOT21 PROPOSED ^1 0 -�, a o Q I V ?'• S a w BLOCKS 3.0'Xb 0 0 4 I STORY RESIDENCE °° w a .. � 2? "� PLAN o 1450 �k PATIO M o�m I ELEV -A" ` GARAGE R 9.0' - m M V F- 20.s' O „� Q , S 0 3.5X3.5' . ENTRY 4.0' _ C 2 39.6' C S- C i 52.0' ^ 3 �ONC29 WALK 70� S88'08'23'EIP) 125.05•fP) gyy3\ J-i LOT 22 ) BLOCK 5 5� U,i I i ALL ELEVATIONS REFERENCED NOTES: TO NORTH AMERICAN LOT GRADING TYPE = A VERTICAL DATUM OF 1988 PROPOSED PAD ELEVATION =9730(NAND 88) FROM SET BACK = 20' SIDE SET BACK = 7.5' LOT = 5627 $Q_ FT. SIDE SET BACK (CORNER LOT) =10' LIVING AREA = 1448 SO. FT. REAR SETBACK=15' ENTRY = 19 SQ. FT. * = 10.00 PUBLIC UTILITY EASEMENT GARAGE = 387 SO. FT. PROPOSED: COVERED LANAI = N/A SQ. FT. MINIMUM FLOOR ELEVATIONS: PATIO = 18 SQ. FT. LIVING AREA: 97.97' LEGEND: CONIC. DRIVE = 328 SQ. FT. GARAGE AREA: -- M. PROPOSED DRAINAGE FLOW A/C & CONC PAD = 12 O. FT. ELEVATIONS REFERENCED TO SIDEWALK = 71 SQ, FT. NORTH AMERICAN VERTICAL (00.00) - PROPOSED GRADE SIDE YARD SWALE = N/A SO. FT. DATUM OF 1988 E-00.00 = EXISTING GRADE CONSERVATION AREA = N/A SO. FT. LOT OCCUPIED = 41 APPARENT FLOOD HAZARD ZONE: 'X" COMMUNITY NO. 120235 AREA TO IRRIGATE = 59 % SURVEY ABBREVATIONS (MAP NUMBER 12 10 1 C-0289-F) EFFECTIVE DATE: 09/26/2014 AI -ARC LENGTH IDI - DEED INV- INVERT PC - POINT OF CURVE (R)- RECORD LEGEND VINYLFENCE A/C -AIR CONDITIONER DE- DRAINAGE EASEMENT LB -LICENSED BUISNESS PCC - POINT OF COMPOUND CURVE RNG - RANGE �: AF - ALUMINUM FENCE EL OR ELEV - ELEVATION LE - LANDSCAPE EASEMENT PCP - PERMANENT CONTROL POINT RRS - RAIL ROAD SPIKE - CONC---.-�—.�— BEE = BASE FLOOD ELEVATION EDP= EDGE OF PAVEMENT LEE- LOWEST FLOOR ELEVATION P/E - POOL EQUIPMENT R/W - RIGHT OF WAY BM -BENCHMARK ESMT-EASEMENT LS- LICENSE D SURVEYOR PG - PAGE SEC - SECTION WOOD FENCE )C CALCULATED F/C-FENCE CORNER (MI - MEASURED PI- POINT OF INTERSECTION SN&D ®SET NAIL AND DIS'("ASPHALT --- 1 — FCM-FOUND CONCRETE MES-MITERED END SECTION PK-PARKER KALON LBN8183 (- CENTERLINE CHAIN LINK FENCE Of - CHAIN LINK FENCE MONUMENT NCF - NO CORNER FOUND R -PROPERTY UNE SIR - SET I/2'IRON ROD LB 8163 K K FIP -FOUND IRON PIPE O/A- OVERALL POS- POI WOE BEGINNING TBM- TEMPORARY BENCH MARK O-BRICK CMP-CORRUGATED METAL PIP FIR - FOUNDiRON ROD OHW-OVERHEADWIRE(S) POE - POINT OF COW NCTMENT TOB - TOP OF BANK COL - COLUMN FN&D - FOUND NAIL & DISK D.R. -OFFICIAL RECORDS PQL - POINT ON LINE TWP - TOWNSHIP ALUMINUM FENCE CONC^CONCRt7E FOP -FOUND OPEN PIPE (PI -PLAT PRC- POINT 0 CURVE UE VINYL YLFEASEMEM ^COVERED \\ C9- CONCRETE STAB FPP -FOUND PINCHED PIPE PS -PLAT BOOK PRM -PERMANENT REFERENCE MONUMENT VF -VINYL FENCE CST - CLEPR SIGHT TRIRNGLE JOB 1590esz0521 - SURVEYOR'S NOTES: - SURVEYOR'S CERTIFICATE 1708 Water Oak Drive 11 1.) Current title information on the subject property had not been This certifies that s of the hereon described Ta on Springs, Florida Date of Site Plan: 5-16-23 furnished to Initial Point Land Surveying, U.C. at the time of this property IN drMhy/ /u�p�ervision and Phone: (727)-S-531-1990 DWG:AS-PH2-L21-BL5-SITE SITE PLAN meets th �.Qic X�!' Practice for FloridaPLS7123@gmal.com 2.) This sketch was prepared without the benefit of a title search. su ys„t1 f f rd of Land 8183 No instruments of record reflecting ownership, easements or Su 5(gne LB# a`o File: rights -of -way were furnished to the undersigned, unless otherwise 5 o a ri: t Y shown hereon. ur ant oSectlon 472V2 to�Hart) ia Drawn by: DJB 3.) Roads, walks, and other similar items shown hereon were taken S S Checked by:JH from engineering plans and are subject to survey. r D8t '�$' 23.QrJ. rJ 4.) This SITE PLAN does not reflect nor determine ownership. I 09: 04'0I REVISIONS 5.) This SITE PLAN is subject to matters shown on the Plat of D� FLORIDA rs`; 'ABBOTT SQUARE PHASE 2' . AA� nn 6.) Dimensions shown hereon are in feet and decimal portions Jeff M. thereof FLORID gVRV�R AND v / Z) Contractor and owner are to verify all setbacks, building MAPPER N j 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 m Z470 Plan Model Elevation �50 q G�arage Lot Size Block Lot qs 0,5 Parce I M -TI.-Fd M- w Setbacks: Front �-O Rear Sides Elevation: JL- Garage: Roof Shingle Dimension/Architectural: <-A 7 9 0 0'-� Notice to Building Official of Use of Private Provider Effective January 20, 2003 6391 Back Forty Loop 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 Firm: VIRTUAL REVIEW ASSIST, INC. Private Provider: FEN Email Address (Optional): deb@virtualreviewassist.com �M 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.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 occurrence relating to all services performed as a lirivate, provider, including tail coverage for, a minimum of 5 years subsequent to the. performance of building code inspection services., Individual Corporation Partnership LENNAR HOMES, LLQ Print Corporation Name PrintPartnership Name By: By, -(signature) (signature) (signature) Print Name: Print Name: Christopher Smith print Name: Address; its: Authorized Agent its Address: 700 NW 107th Ave Address, Telephone Miami, FL 33172 'relephDne. Telephone 813-574-5700 Please use appropriate notary block. STATF, OF -FLORI-DA COUNTY OF -HILLSBOROUGH Individual Be-forerne, this -day of 20. personally appeared who executed the foregoing instrument, an , d acknowledged before me that same 'Was executed for the purposes therein Corporation Before-me,this 22ND day of MAY 2023 Personally appeared Of Lennar Homes, LLC a o , Corporation, n behalf of the state corporation, who executed the foregoing instrument and acicnowled I ged before Me that same, was executed for the purposes therein expressed. Personally known m X or- ProducedidentificationType of Mcntification produced A B ffom me, this day of 20T, personally appeared p artner/agent an behalf of a partnership, who executed the foregoing instrument and aclmowledgod before me- that same Was executeZ,for the puposes therein expressed. Signature of Notax-v PrintNamo AS HLEE CALLAHAN NotaryPublic Stamp: Commission Expires: ASHLEE CALLAHAN MYCOMMISSION # Hid 295980 IM EXPIRES: November 30, 2026 Page 2 of 2 \rRA VIRTVAL REVIEW ASSIST Private Provider Man ComMliance Affidavit Private Provider Firm: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU1967 Address: 747 Southwest 21 Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: I ra)virtualrevie-wassist.corn iqpyZy�� Project: New SFR Address(s): 6391 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, Sl 1,S12,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 I N / I Signature of Reviewer: SWORN AND SUBSCRIBED before me by Debra Anne Klahr being personally known tome / or having produced as identification I V and who being fully sworn and cautioned, state that the fo g mg is true andcoffect to the best of his/her knowledge or belief. mg true Ashlee Callahan Qfiature of Notary Print Name Notary Public: NOTARY STAMP BELOW My commission expires: p,SHLEF- CALLMiAN NAY COMMISSION # Hvi 295980 30,2026 EXPIRFS' NOOTT �V i afflm�- �- E-mrsomega 113"OVIVEMN , FIRE MARSHAL #01 - I tT-TTff=, IN 97;111TM� DATE: 6/27/2023 EXAMINER: Debra Klahr VX2304 Building ElIns Lection Only V Plumbing Q Ins ection Only V Mechanical El Inspection Only vr-'f Electrical Amp Ej PLseection iMLy Roof El Medical Gas E] Fire Sprinklers El On Site Piping El Fire Line El Irrigation E] Fire Alarm El Potable Backflow Assembly El Fire Line Backilow Preventer Ej Irrigation Backilow Assembly E] Demolition El Walk-in Cooler Ej Refrigeration El Hood E] Ansul n Fence/Wall n Grease Trap E] Other Ej Other c, 11 Type Construction: I V-B Risk Category: I Occupancy Load 0 LWancy Classification: 1, Factory L 'Residential Assembly Hazardous E= Storage E= rusiness ay Care/Educational "nttinal �-�;ercantile ,_U ilit y Building Use: SINGLE FAMILY RESIDENCE 1 Alteration 10,11.1evel I ID""Level 2 [E-J, Level 3 Z New Construction ❑ Interior Finish El Interior Remodel ❑ Exterior Remodel Ej Addition F-1 Revision Overall Size: 30 X 65 Number of Stories: 1 Total Sq. Ft.: 1854 Living Area: 1448 Covered Area: 406 # of Bedrooms: 3 # of Baths: 2 Cost per square foot: Estimated Value: Roof TITe. Shin le ElTile Built-up EJ metal Ej Other Squares: 22 Zoning: -E] Winorne Debris: Ezside 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: I Total Sq. In. Permanent Openings 9 Central A/C [j Gas A/C RX Heat Pump El Gas Heat F] Window A/C E] Electric Heat 9 U =— Sanitary Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line Setbacks Front Rear Left Right FV� As per Approved Site Plan Comments: