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HomeMy WebLinkAbout23-6622[ a a . 7-IM rq E 04 26 21 0160 00500 0220 Name: Lennar Homes, LLC Address: 4301 W Boy Scout Blvd Suite 600 Tampa, FL 33607 Phone: (813) 574-5700 CONSTRUCT SINGLE FAMILY 2217 SQ FT Building Permit Fee Park Impact Fee - Single Family/Townhome Transportation Impact Fee Sewer Connection Residential Fee 314 Water Meter Fee (Cale) Public Safety Impact Fee -Admin Admin Fee / (Provider Service Mechanical Permit Fee School Impact Fee - Single Family Permit Type: Building New (Residential) Class of Work: SFR Construct Building Valuation: $320,640.00 Electrical Valuation: $48,096.00 Mechanical Valuation: $2,244.80 Plumbing Valuation: $32,064.00 Total Valuation: $403,044,80 Total Fees: $20,653.25 Amount Paid: $20,653.25 Date Paid: 7/17/2023 1:55:19PM BNR-006622-2023 Issue Date: 07/17/2023 6383 Back Forty Loop Contractor: LENNAR HOMES LLC f $1,643.20 Driveway Fee $45.00 $769.56 Electrical Permit Fee $280.48 $3,595.68 Plumbing Permit Fee $200.32 $2,400.00 Irrigation 3/4 Meter (Cale) $794.92 $794.92 Public Safety Impact Fee -Police $254.00 $26.35 SIF 1 percent Fee $83.28 $1180.00 Address Fee $30.00 $51.22 Water Connection Residential Fee $1,140.00 $8,328.00 Transportation Impact Fee - City $36.32 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 tha) 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. ro .13391= I I I i F i I ii i'! I ii I 1 11 1 1 1 1 �:11 I i 21��! mr-INTEMM"MMIMM WIM7 FWM&MV accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. RE PE IT OFFICEf 'EERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT C,&SQ-55V_A1z"VEATHER7-- 313-780-0020 City of Zephyrhills Permit Application A I Building Department Date Received Phone Contact for Permitting 908 770 Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number Owner's Address 123975 Park Sorrento, Ste. 220, Calabasas, CA 91302 1 Owner Phone Number Fee Simple Titleholder Name I N/A I Owner Phone Number 813.574.5700 Fax-813-780-0021 N/A Fee Simple Titleholder Address JOB ADDRESS 6383 Back Forty Loop LOT # 0522 SUBDIVISION Abbott Square PARCEL ID# 04-26-21-0160-00500-0220 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED 0✓ II NEW CONSTR ADD/ALT SIGN Q [� DEMOLISH 0 INSTALL 8 REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK I Single Family Residence / Pool / Screen Enclosure / Fence BUILDING SIZE L U/R SF 2672 1 SQ FOOTAGE 221 % HEIGHT 2� bd gBUILDING $ 320640 VALUATION OF TOTAL CONSTRUCTION IJ 1ELECTRICAL $ 48096 n I PROGRESS ENERGY Q W.R.E.C. � • r AMP SERVICE / PLUMBING $ W,,.a �V (MECHANICAL $ 22444.$ VALUATION OF MECHANICAL INSTALLATION GAS � ROOFING ED SPECIALTY = OTHER �-7 DI FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES I NO '1 0 BUILDER COMPANY Lennar Homes, LLC SIGNATURE REGISTERED I Y / N FEE CURREN_.��Y / N 301 W Boy Scout Blvd Suite 600 Tampa, FL 33 007 CGC1518166 Address License # ELECTRICIAN j COMPANY IEdmonson Electric, Inc. SIGNATURE REGISTERED Y / N FEE CURREN I Y / N T— Address Lioense# EC13005408� PLUMBER COMPANY Bayonet Plumbing Heating & AC, Inc SIGNATURE REGISTERED .Y / N FEE CURREN I Y / N a - Address License # CFC0429988 MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address License # CACO58062 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 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, 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 AGENT Subscribed and sworn o (or affirmed) before me this uWW23 by Christopher Smith Who is/are personally known to me or has/have pFeduGed _as identification. Notary Public Commission g G 296057 Stephanie Farmer Name of Notary typed, printed or stamped FusuM.HQL ` Ceei # HH ExptresJune&, 2Q24 qe? JJwTmtt 70tB Subscribed and sworn to (or affirmed) before me this ar Z2z by Christopher Smith Who is/are personally known to me or has/have produced as identification. Notary Public Commission No. 67 Stephanie Farmer Name of Notary typed, printed or stamped m ELIVIARQ NOLLEW Commissusn�RHH OWA litQ °Explies Juea6, 2024 ,"`2.+ }twA�Fs� @DOS85det9 Exempt 0 Yes F--j No How Determined I Impact Fee Amount __$ 7- 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- ,�', I ,. �0 � Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone Total Amount $ 777-7- Exempt =Yes = No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt EJ Yes No How Determined Total AmounV� __ RESOURCE FEE ERU Prepared By Tv—�� Checked By NO CERTIFICATE OF OCCUPANY WILL BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS USYED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY RM, RECEIPT NO — DATE BY t- T* bk Struaure TOW Strurture Table 096.91 -� i 95.35 TYPE "A' SD7-3 SD7-21 FF:97.97 ,7-3 4 MANIioLE WMANKOLE TYPE 9 CURB INLET PAD:97.30 OP-95.69 F EOP:95.69 EOP:9S.04 RJW94�87 �97.10 95.53 RJM�9,5. 69 RIM:95.69 RC tM W'RCPIS)tE:W.77 IVI RCPtNE)tE:M84 RCPjSpE. �r677 N .8 6oll RcP(N)IE:80.77 SD7-22 TYPE 9 CURB INL ET TYPE'A k' , WFF:97.%7 SD7-4 TYPE 9 CURB INLET EOP:94.99 ��PAD�97. EOP:95.20 RIM:94.83 RCPtE)IE:90.79 96.8995.33 9, RIM:95.03 18" 6(Y'RCPtS)IE:81.02 601- RCP(N)IE-.81.02 SD?-23 TYPE 9 CURB INLET TYPE 'A' FF:97.77 18" RCP(E)IE:90-91 EOP:95.79 SD7-5 RIM,.95,62 18"RCP(SAE:91-58 PAD-.97.10 4'MANHOLE 95.12 EOP:95k6 RIW95.66 SD7-24 24' 18" RCP c 60" RCPJSpE:8ll5 TYPE 9 CURB INLET SILT FENCE TYPE 'A' '' � 60" RCP(E)tf:81.25 EOP:94.91 J- 'F:97�5701 JPA I 24" Rcp(NIIE:88,27 R[M:94.74 361, Rr-P(W)IE:88.20 L�� D.9 .9 D. .9 .90 j SD7-6 24" RCP(E)IE:90-00 (96.50 94.93 TypE 9 CURB INLET 18" RCP(N)IE:90.42 ? EOP:94.98 SD7-27 TYPEW RIM:94.81 TypE 9 CURB INLET FF:97.77 1 '81 60" RCPjW)IE:81�66 83, 3 '3 EOP:94.86 PAD:97,10 I K:83,03 60" RCP(E E . '3 RIM:94.69 1 IV' RCPtNt�tE:-:.'90.'71 18" RCP(S)IE:90.49 96.84 95.28 SD7-7 if SD7-28 'A' I 4WANHOLE TYPE 9 CURB INLET r TYPE EOP:95.62 EOP:94-80 FF:97.87 RIM:95.62 RIM:94.64 PAD:97,2 601, RCP(4V)IE:83.48 36" RCP(W)IE:88.30 361, RCP(t)tE:87,80 18" RCP(E)IE:90-60 97.10 63 541, RCP(N)IE:85.74 18" RCPI(N)[E:90.49 SD7-8 TYPE 9 CURB INLET SD7 -31 TYPE A TYPE'A FF:97.87 ' m FF:97.67 PAD:97.20 I PAD:97D0! 95.44 96.92 95 EF= 95 97.22 E 95 8 TYPEA TYPI'A 1 FF:98,07 98L gFF .07 PAD:97.40 AD:97.40 95.28 97.04 TYPEW FF:97.87 TYPE 'A'-- FF:97.87 PAD:97120 PAD:97,20 96.863 1 95A 3L I I TYPE 'A' TYPEW I FF:97.57 FF:97.57 PAD:9&9(Y P A plqf; 90 09 -96.72 -95.3 a, 60 TYPEW Ty WPE ' A YPE ' A V� FF:97.77 00o a, FF. 7.77 FF.�, �777 PAD:97.1 p 'D .9 0 96.90) 16 Kl-r 1 95 TYPE 'A' TYPE A FF:97.87 00 FF:97.87 PAD:971 PAD:97.20- 95. -97.08* 95 F71PM�)-W TYPE,'OA ' TYPE 'A' FF:98.07 y 9 E �-A -`TT 8.0 FF. 7] F An DESCRIPTION: LOT 22, BLOCK 5, ABBOTT SQUARE PHASE 2, SITE PLAN SEC. 4, TWP. 26 S, RNG 21 E. ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 90, PASCO COUNTY, FLORIDA PAGES 28-33, OF THE PUBLIC RECORDS OF PASCO COUNTY, (NOT 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: i " = 20' PCP P I I 1 I I � 1 Moa L.I 1 r �d 1 LOT 21 0 j 0\ BLOCK 5 S 88'0823' S`ra'/ Vy E IP) 125.05' (P) 2 (P) °. SS.9' � b g 46'-8" C/S-A 41.3' C/S-A/C o a, m Q v z 'C PROPOSED o _ ENTRY 3 CQNC WALK $.' O > V °- O � W BLOC S F pLL flv 2 STORY RESIDENCE 3. I'X6.0'I -. © 4 PLAN 2216 PATIO ^� rsi ELEV"A" 4 7 22,5 r _ a J m omo i GARAGEL o ,'. PI.� t A W SS 9' 46.0 '•r N o N o :L4 t-cY �y V i •/Fd �^ S A �.� pi 88'08'23" E (P) 125.05(PI i j Vq5 i LOT23 Q: BLOCK 5 U Q' in REFERENCED ALL ELEVATO NOTES: NOTIONS NORTH AMERICAN LOT GRADING TYPE = A VERTICAL DATUM OF 1988 (NAVD 88) PROPOSED PAD ELEVATION FRONT SET BACK = 20' SIDE SET BACK = 7.5' LOT = 5627 $Q, FT. SIDE SET BACK (CORNER LOT) =10' LIVING AREA = 930 O. FT. REAR SETBACK=IS' ENTRY = 54 SQ. FT. GARAGE = 401 SO. FT. COVERED LANAI = NSA SO. FT. PROPOSED: = 10.00' PUBLIC UTILITY EASEMENT PATIO = 19 SO. FT. MINIMUM FLOOR ELEVATIONS: LIVING AREA: 97.97' LEGEND: POOL CONICADRIVE = 371 SQ. FT. GARAGE AREA: --,•s= A/C & CONC PAD = 12 SQ. FT. ELEVATIONS REFERENCED TO PROPOSED DRAINAGE FLOW SIDEWALK = 35 SO. FT. NORTH AMERICAN VERTICAL (00.00) = PROPOSED GRADE S OF YARD SWALE = N/A SO. FT. DATUM OF 1988 E-00.00 = EXISTING GRADE CONSERVATION AREA SO. FT. LOT OCCUPIED = 32 % APPARENT FLOOD HAZARD ZONE: 'X" COMMUNn NO. 120235 AREA TO IRRIGATE = 68 % SURVEY ABBREVATIONS (MAP NUMBER 12101C-0289-F) EFFECTIVE DATE: 09/26/2014 Af - ARC LENGTH (D) - DEED INV- INVERT PC - POINT OF CURVE (RI^RECORD LEGEND A/C - AIR CONDITIONER AFL- ALUMINUM FENCE D E- DRAINAGE EASEMENT LB -LICENSED BUISNESS PCC - POINT OF COMPOUND CURVE RNG ^ RANGE y , t, NYL FENCE M-CONC 11 FLOOD EL OR ELEV -ELEVATION EOM - EDGEOF PAVEMENT L E -LANDSCAPE EASEMENT LFE-LENSED FLOOR ELEVATION PCP - PERMANENT CONTROL POINT P/E ^POOL EQUIPMENT SITS ^ RAIL ROAD SPIKE RJW ^RIGHT OF WAY ,? .t. "" �— BM -BENCH MARK LIM BENE CH C ^CURVE MENr ESMT-NCECORN F/C - FENCED N LS^ LICENSED SURVEYOR (M) - MEASURED PI- PAGE PI - IOINT INTERSEC rION SN&D-STION SN&D -SET NAIL AND DISK WOOD FENCE -ASPHALT \ \ (CI -CALCULATED FCM=FOUND CONCRETE C C MES- MITERED END SECTION K PK-PARKER KALON LBM8183 - CENTERLINE MONUMENT NCF^NO CORNER FOUND x PROPERTY SET MARK CHAIN UNK FENCE CLF-CHAIN LINK FENCE fIR-FOUND IRON PIPE OHW OVER POB- POINT OF BEGINNING TOM- TEMPORARY BENCH MARK TBM BENCH `BRICK CMP-CORRUGATED METAL PiP FIR-fOUNDIRON ROD OHW =OVERHEAD WIRE(S) POC-POINT OF COMMENCTMENT TOB - TOP OF HANK COL=COLUMN CONC=CONCRETE FN&D-FOUND NAIL&DISK OR. -OFFICIAL RECORDS FOL-POINT ON LINE TWP- TOWNSHIP ALUMINUM FENCE C(S-CONCRETE SLAB FOP-FOUNDOPENPIPE FPF- FOUND PINCHED PIPE (P) =PLAT PB- PLATBOOK FRC^ POINT OF REVERSE CURVE PRM-FERMANER REFERENCEMONUMEN UE-UrLiTY EASEMENT VINYL FENCE ®-COVERED \\ CST- CLEARSIGHTTMANGLE YL N JOB 1590MC522 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 nghtsof-way were furnished to the undersigned, unless otherwise shown hereon. 3.) Roads, walks, and other similar items shown hereon were take from engineering plans and are subject to survey. A.) This SITE PLAN does not reflect nor determine ownership. 5.) This SITE PLAN is to the Plat SURVEYOR'S CERTIFICATE This certifies that of the hereon describe property w ItSilYa upervision and meets th is o i�gf Practice for �Q s eye t (gf and of Land S r 'f� a{� ned to ci1`2i�((�t,�,, pur an[ o Section 472.'ri2X, rtley Date. i 05.25 ��e 4 4'00' W -t 1708 Water Oak Drive 11 Tarpon Springs, Florida rP Phone: (727)-831-1990 w 1 I, FloridaPLS7123@gmail.com LB# 8183 rfi �`' e°?�"1'� F Date of Site Plan: 5-16-23 DWGAS-PH2-L22-BLS-SAE File Drawn by DUB Checked by JH REVISIONS subject matters shown on of 'ABBOTT SQUARE PHASE T �ITT� ,. Jeff M Dimensions shown hereon are in feet and decimal portions ,ySp FLORID Q�R AND thereof 7.) Contractor and owner are to verify all setbacks, building MAPPER N dimensions, and layout shown hereon prior to any construction, NOT VALID WITHOUT THE ORIGINAL and immediately advise Initial Point Land Surveying, U.C. of any SIGNATURE AND SEAL OF A FLORIDA �I 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 3,P) 3 B,) C k '1'0 Z O'o Plan Model Elevation Garage Lot Size Block Lot L� q5 05 Parcel #: r) '/ - 2, k -.2 / - 0/ � 0 - ( ) O'so 0 wor, J, M- Setbacks: Fret )-3,)-s Rear, Sides___2, Elevation: --A-- Garage: -- Lp— Roof Shingle Dime nsion/Architectu ral: I' 1\ ok LV—V:L— V; R T UJ A L R' E 1 Q 7 v 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. 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: DEBRA ANNE KLAHR Address: Telephone: 813-376-3088 Fax: N/A Email Address (Optional): deb@virtualreviewassist.com Florida License, Registration or Certificate #: (LIC # BU1967/ PX2300/ BN4615) I have elected to use one or more private providers to provide building code plans review and/or inspection services on the building that is the subject of the enclosed permit application, as authorized by s. 553.791, Florida Statutes, I understand that the local building official may not review the plans submitted or perform the required building inspections to determine compliance with the applicable codes, except to the extent specified in said law. Instead, plans review and/or required building inspections will be performed by licensed or certified personnel identified in the application. The law requires minimum insurance requirements for such personnel, but I understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harmless the local government, the local building official, and their building code enforcement personnel from any and all claims arising from my use of these licensed or certified personnel to perform building code inspection services with respect to the building that is the subject of the enclosed permit application. I understand the Building Official retains authority to review plans, make required inspections, and enforce the applicable codes within his or her charge pursuant to the standards established by s. 553.791, Florida Statutes. If I 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 attachments. are provided as required: 1. Qualification statements and/or resumes of the private provider and all duly authorized representatives. 1. Proof of insurance for professional and comprehensive liability in,the,amount of $1 million per o ccurrencD relating to all services performed as a private, provider, including tail coverage for arrummum of 5 years subsequent to the performance of building code inspection services. Individual Corporation Partnership LENNAR HOMES. LLC_ Print Corporation Name PrintPartnership Name By: _(signature) (signature.) (SiPE±UTe) Print print Print Name: Name: Christopher Smith Name: Address: its: Authorized Agent its. Address: 700 NW 107th Ave Address: Telephone Miami, FL 33172 Telephone • e T1cphone No. 813-574-5700 No.: Please use appropriate notary block. STATE OF FLORIDA B efore me, this -day of 20— personally appeared who executed the foregoing instrument, and acknowledged before me, that same was executed for the purposes therein Corporation Be,forem,,tbis 22ND day of MAY 2OZ3 personally appeared, Of Lennar Homes, LLC -a corporation, on behalf of the state corporation, who executed the foregoing instrument and ackowledgod bt'&TO = that same was executed for the purposes therein expressed. Partnership Before me, this day Of 20— per&6nally appeared partner/agent on b ehalf of a partnership, who executed the foregoing instrument and acknowledged before me that same was extouteffor the purp o.,s es therein expressed. Personally known X or- Produced identitcation _ Type of identification produced Signature of Notan L PrintName ASHLEECALLAHAN Notary Public Stamp: ASHLEE CALLAHAN commission Expires: My ComMISSION # HH 295980 �; ? EXPIRES: November 30, 2026 Page of 2 VIRTUAL REVIEW ASSIST Private Provider r4an ComMliance Affidavit Private Provider Finn: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU 1967 Address: 747 Southwest 21 Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: I 0)virtualreviewassist.com AqqMq��- Project: New SFR Address(s): 6383 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,A4.I,A5,A6,A6.I,A7, SNO, SNI, S3, S4,S5,S6,SS,ST, Sl l,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 ;Ex� finer , ',' License #: PX2300 Signature of Reviewer: SWORN AND SUBSCRIBED be' fore me by Debra Anne Klahr V" being personally known to meor having produced as identification and who being fully sworn and cautioned, state that the fo go*ag is true and c0t of his/her knowledge or belief. 7� Ashlee Callahan Signature of Notary Print Name Notary Public: NOTARY STAMP BELOW My commission expires: ASHLEE CALLAHAN MY COMMISSION # HH 295980 EXPIRES: November 30,2026 [—COMMERCIAL BUILDING SERVICES DIVISION RESIDENTIAL BUILDING PERMIT DATA SHEET FIRE MARSHAL #01 - Reguired Permits DATE: 6/27/2023 EXAMINER: Debra Klahr PX230( Building ❑ Lns2eclion Only V Plumbing F-1 Inspection Only IV Mechanical E] Ins ection Only Electrical Amp F-1 Inspection Only Roof ---- ❑ Gas T ❑ Medical Gas ❑ Fire Sprinklers EJ On Site Piping 0 Fire Line El Irrigation E] Fire Alarm El Potable Backflow Assembly ❑ Fire Line Backflow Preventer El Irrigation Backflow Assembly F-1 Demolition El Walk-in Cooler [:1 Refrigeration El Hood E] Ansul El Fence/Wall E] Grease Trap 0 Other El Other Type Construction: Risk Category: Occupancy Load O an Classification: C"'s ey Factory Residential Assembly E= 'Hazardous iness Ray Care/Educational itutional, F Mercantile ity Building Use: SINGLE FAMILY RESIDENCE Alteration —Level I Level 2 IQ —Level 3 New Construction ❑ Interior Finish Fj Interior Remodel F-1 Exterior Remodel El Addition R Revision Overall Size: 30 X 46 Number of Stories: 2 Total Sq. Ft.: 2672 Living Area: 2217 Covered Area: 455 # of Bedrooms: 5 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof Type: 91 Shinle E]Tile El Built-up D Metal F-1 Other Squares: 18 Zoning: Wird�orne Debris: ElInside Outside Energy Code: 405-2022 SUP Flood Zone: X Base Flood Elevation: I Finish Floor Elevation: Hydrostatic Vents? lnl� Yes aNaSq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: Total Sq. In. Permanent Openings Central A/C El Gas A/C Z Heat Pump E] Gas Heat El Window A/C El Electric Heat Sanitary Sewer I —Storm Sewer Catch Basins Potable Water I Underground Fire Line Front Rear Left Right 21 As per Approved Site Plan Comments: