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Home My WebLink About23-6776FO-Tri Ti 0- VZ T#-= # I Wq E Name: Lennar Homes, LLC Address: 4301 W Boy Scout Blvd Suite 600 Tampa, FL 33607 Phone: (813) 574-5700 CONSTRUCT SINGLE FAMILY 2389 SID FT Irrigation 3/4 Meter (Cale) Admin Fee / (Provider Service Mechanical Permit Fee Public Safety Impact Fee -Admin SIF 1 percent Fee Building Permit Fee Sewer Connection Residential Fee Park Impact Fee - Single Family/Townhome Plumbina Permit Fee r City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 BNR-006776-2023 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 08/15/2023 Ffl�� Permit Type: Building New (Residential) Class of Work: SFR Construct Building Valuation: $342,480.00 Electrical Valuation: $51,372.00 Mechanical Valuation: $23,973.60 Plumbing Valuation: $34,248.00 Total Valuation: $452,073.60 Total Fees: $20,898.40 Amount Paid: $20,898.40 Date Paid: 8/16/2023 10:21:03AM 6521 Back Forty Loop Contractor: LENNAR HOMES LLC 01" $794.92 Public Safety Impact Fee -Police $254.00 $180.00 3/4 Water Meter Fee (Cale) $794.92 $159.87 Transportation Impact Fee $3,595.68 $26.35 Water Connection Residential Fee $1,140.00 $83.28 Electrical Permit Fee $296.86 $1,752.40 Transportation Impact Fee - City $3632 $2,400.00 Address Fee $30.00 $769.56 Driveway Fee $45.00 $211.24 School Impact Fee - Single Family $8,328.00 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. 1rMT-nrWl-%*Tn�_ � 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. % 4u 'Y)Qzi CYO'R SIG Nig�' PEfOrr OFFICEU PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permittin [�9=08770 -- 7763 rr-rr rrr-r - r,r-r - Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number r813.574.5700 Owner's Address 1 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number Fee Simple Titleholder Name I N/A e e Owner Phone Number Fee Simple Titleholder Address NIA JOB ADDRESS 6521 Back Forty Loop LOT # 1 0506 SUBDIVISION Abbott Square PARCEL ID# Q4-26-21-0160-00500-0060 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR e ADD/ALT SIGN DEMOLISH P INSTALL REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL DESCRIPTION OF WORK Single Family Residence / Pool / Screen Enclosure / Fence BUILDING SIZE U/R IF 2854 SO FOOTAGE 2380 HEIGHT 28' BUILDING $ 342480 1 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 51372 ® PROGRESS ENERGY Q W.R.E.C. AMP SERVICE V PLUMBING $ 34248 1 ' -1$- -r If IMECHANICAL $ 23973.6 VALUATION OF MECHANICAL INSTALLATION I 6" =GAS ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES DO BUILDER COMPANY Lennar Homes, LLC SIGNATURE REGISTERED Y / N FEE CURREN Address 4301 W Boy Sc ut Blvd Suite 600 Tampa, FL 33607 License # CGC1518166 -� ELECTRICIAN COMPANY EdmOnson Electric, Inc. SIGNATURE REGISTERED Y / N J FEE CURREN Address License # EC13005408 —� PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN Address I License # CFC042998 1 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 I Y / N Address E License # 1 CCC057991 rrrrrrrrrrrarrrrrrrrrrr,,rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrt�rrrr 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 OFDEED RESTRICTIONS: The undersigned understands that this permit may besubject to "deed" restrictions" which may bemore 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 vvork, they may be required to be licensed in accordance with obyie and local regulations. If the contractor is not |ioonood as required by |aw, both the owner and contractor may be cited fora 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 hucontact the Pasco County Building Inspection Division —Licensing Section a\727-847- 8OOA. Furthormono, if the owner has hired a contractor or oontradors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the oontradnr, that may be an indication that he is not properly |ioanyad and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact F000 and Recourse Recovery Fees may apply tothe construction ofnew buildings, change of use in existing bui|dingm, or expansion of existing bui|dinga, as specified in Pasco County Ordinance number8Q-O7 and 90-07. as amended. The undersigned also underotondo, that such feoo, as may be due, will be identified atthe 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 o oartiOceba of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco CuunhyVVaher/S*wor |mpno1 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, asannmndwd): |fvaluation ofwork ies2.5OU.O8ormore, | certify that |, the app|icant, have been provided with a copy of the "Florida Construction Lion Law —Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the ^mwnor^. | certify that | have obtained a copy ofthe above described document and promise in good faith to deliver ittothe ^ownor'prior tocommencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating oonatruotion, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. | certify that no work or installation has commenced prior to issuance of permit and that all work will be performed to meet standards of all |avvn regulating oonotrucUon. County and City ondaa, zoning nagu|eUuna. and land development regulations in the jurisdiction. | also certify that | understand that the regulations ofother government agencies may apply to the intended work, and that it in myresponsibility hoidentify what actions | must take hobeincompliance. Such agencies include but are not limited to: - Department ofEnvironmental Protection -Cypress 8oyheada, Wetland An000 and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida VVoher Management Disthct4NaUn, Cypress Boyheads, Wetland Anuao, Altering VVaVennuumoa - Army Corps ufEnginaaru-Geawa||o. Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Uni(-We||o, Wastewater Treatment, Septic Tanks. - USEnvironmental Protection Agency -Asbestos abatement. - Federal Aviation Authority-Runwoya. | understand that the following restrictions apply 0othe use offill: ' Use nffill ionot allowed inFlood Zone ^\runless expressly permitted. - If the M|| mehuha| is to be used in Flood Zone ^A^, it is understood that a drainage plan addressing a "compensating volume" will be submitted at time ofpermitting which is prepared by professional engineer licensed bythe State nfFlorida. - If the fi|| material is to be used in Flood Zone ^A^ in connection with a permitted building using stem wall construction, | certify that fill will be used only hofill the area within the stem wall. - If fill material is to be used in any area, | certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent propertion, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots |non than one (1) acre which are elevated byfill, anengineered drainage plan iarequired. If am the AGENT FOR THE OWNER, | promise in good faith to inform the owner ofthe permitting conditions set forth in this affidavit prior to commencing construction. | understand that o separate permit may be required for a|eohca| vvurk, p|umbing, oigna, wmUo, pnn|o, air conditioning, gao, orother installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not aoauthority hoviolate, oenn*|, a|0er, 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 nix months of permit ioauanoe, 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 naquenVod, in writing, from the Building Official fora period not to exceed ninety (Q0)days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. FLORIDAJuuxr<F.S. 117.03V OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this _L/10/2023 by _ Christopher Smith Who is/are personally known to me or has�have pFeduGe4 as identification. Notary Public Stephanie Farmer Name of Notary typed, printed or stamped Subscribed and sworn to (or affirmed) before me this 711012023 by Christopher Smith Who is/are personally known to me or has/have produced as identification. Notary Public Commission No, 7 Ll Stephanie Farmer Name of Notary typed, printed or stamped Structure Table SD6 13 TYPE 4 CURB INLET EOP 94.71 RIM 4 55 18 RCPIN) E90.05 18 ft('011TE:90.05 SD6-14 TYPE 9 CURB INLET OP 94.61 LOP: RIM 94.45 18 ftCPMIE90.13 SD6 15 TYPE 9 CURB INLET EOP 93 SS , / RIM.4. 38 �� y4 18 RCP-N)!E:868O R SDfi-T6 4 OF TYPE 9 CURB INLET i¢F FOP 93 00 RIM 92.83 F 18 RCP(N)m:88.5s 6 L ! x + " 18" RCP(W)IE:88.S3 — SD6-17 TYPE 9 CURB INLET ------- FOP 93.04 RIM:92.87 SS RCP(E)IE:88.60 SD12-3 4` MANHOLE EOP:94.22 SEE SHEET C203 MATCH LINE ell FQ� F, 24 19RCP @ 0 301 d AqJ A 1 9S t T t f 18" RCP @ 0.52% _ 28k J5,�3 e' R 241 ).8 RCF t°—�--- PF FT A :- L 97 Q1 .304 . TYPE A' T 98,2 IY4E fi ^z �D FF 98 27 ( ! FF_98-27 PR 96 A7 Ii o 1 7.13 °85� ,I FAD P7.60i LPAD:97_60� SPA) I 1vPF A' ( I E ) 1D 9 8 i� I F 98 1 i d 4 II ' ! T ( 93.6o---- TYPE '� 95.68 96.56� 0 94.J0 X �TVP a FE9717 Imo^. ,._�F[9607 PAD stz50l PAD 9S '10,1 { 93 �85 711 95.55 DESCRIPTION: LOT 6, 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, PAGES 28-33, OF THE PUBLIC RECORDS OF PASCO COUNTY, (NOT A SURVEY) PASCO COUNTY, FLORIDA FLORIDA. (ABBOTT SQUARE PHASE 2) Prepared for and Certified To: Lennar Homes CURVE DATA (P) PROPOSED ELEVATIONS AND GRADING CURVE I RADIUS ARC LENGTH I CHORD LENGTH CHORD BEARING DELTAEANGLE SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF 34.79' S ow 3 "ABBOTT SQUARE RESIDENTIAL", PREPARED BY 'WRA" PROVIDED BY CLIENT -------- Scale: 1 20' OF at 141 Lu a. 45.8' Z 4.OxS 7. 52.0- U.1 a UJ LOT BLOCK _S 3-0)(7 �ROPOSED TORY RESIDENC 0 U PA PLAA/ 382 E m2 ELEVA' GAPAGEL 42.6 58,.O- 58.0, L ALL ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 (NAVD 88) S *08'23'E (P) 12187- (PI LOT 7 BLOCK 5 4- MILK Wrt?y A 6.0, S' d r A 23.51 PCP ;.e ... .. ......... E (P) :AN2& (P) 5Att oA vi NOTES: LOT GRADING TYPE = A PROPOSED PAD ELEVATION FRONT SET BACK = 20' SIDE SET BACK = 75 LOT = 6987 SQ. FT. SIDE SET BACK (CORNER LOT) =I U LIVING AREA =-1269 SQ. FT. REAR SETBACK= 15' ENTRY - 51 SO. FT. GARAGE = 414 SQ. FT. PROPOSED: COVERED LANAI = N/A SO, FT. 10.00'PUBLIC UTILITY EASEMENT PATIO 21 SO, FT. MINIMUM FLOOR ELEVATIONS: POOL AREA = NA SO. FT. LIVING AREA: 97.97' LEGEND: CONC. DRIVE = 364 SO. FT. GARAGE AREA: PROPOSED DRAINAGE FLOW A/C & CONC PAD 23 SO. FT. ELEVATIONS REFERENCED TO --f— SIDEWALK = 37 SO, 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 =—" SO. FT. LOT OCCUPIED = 31 % APPARENT FLOOD HAZARD ZONE: "X" COMMUNITY NO. 120235 AREA TO IRRIGATE = 69 % 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 VINYL FENCE RNG = RANGE AT = ALUMINUM FENCE EL OR ELEV = ELEVATION LE = LANDSCAPE EASEMENT PCP = PERMANENT CONTROL POINT RRS = RAIL ROAD SPIKE = CONC BEE = BASE FLOOD ELEVATION EOP = EDGE OF PAVEMENT LEE = 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 = ASPHALT (C) F/C = FENCE CORNER (M) = MEASURED P1 = POINT OF INTERSECTION SN&D = SET NAIL AND DISK FCM = FOUND CONCRETE MIES = MITERED END SECTION PK =PARKER KALON LB#8183 CENTERLINE MONUMENT NCF = NO CORNER FOUND 2 = PROPERTY LINE SIR = SET 112- IRON ROD LB# 8183 CHAIN LINK FENCE CIT = CHAIN LINK FENCE CMP = CORRUGATED METAL PIP I HE = FOUND IRON PIPE DIA = OVERALL POB = POINT OF BEGINNING TBM = TEMPORARY BENCH MARK = BRICK 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 POE = POINT ON LINE TWP = TOWNSHIP ALUMINUM FENCE C/S = CONCRETE SLAB FOP = FOUND OPEN PIPE (P) = PLAT PRC = POINT OF REVERSE CURVE LLE = UTILITY EASEMENT = COVERED CST = CLEAR SIGHT TRIANGLE EPP = FOUND PINCHED PIPE PB = PLAT BOOK PRM = PERMANENT REFERENCE MONUMEN VIE = VINYL FENCE JOB#15908520506 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive ce Date of Site Plan: 6-24-23 1.) Current title information on the subject property had not been This certifies that of the hereon described Tarpon Springs, Florida N �P�N N fi furnished to Initial Point Land Surveying, LLC. at the time of this property upervision and Phone: (727)-831-1990 RG.1W RGIE SITE PLAN E DWG:AS-PH2-L6-BL5-SITE meets t Ste W�xvf Practice for FloridaPLS7123@gmai(.com �PJS 7WPIS 2.) This sketch was prepared without the benefit of a title search. RG1W RGIE No instruments of record reflecting ownership, easements or surve ard of Land LB# 8183 SIPrV er ' File: rights -of -way were furnished to the undersigned, unless otherwise I A113-1 I gned Drawn by DJB shown hereon. u 0 t In 4 T, (13y, g Hartlell 3.) Roads, walks, and other similar items shown hereon were taker Sta eub 51- Checked by:JH from engineering plans and are subject to survey. Date; 3.06.21 4.) This SITE PLAN does not reflect nor determine ownership. i�R fim"411,11 REVISIONS 0 5.) This SITE PLAN is subject to matters shown on the Plat of 1 069: 400 J 'kYRIDA "ABBOTT SQUARE PHASE 2" z Jeff M.N R e 6.) Dimensions shown hereon are in feet and decimal portions thereof. FLORID 4VIR AND 10 MAPPER N91 7.) Contractor and owner are to verify all setbacks, building 11414430 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 00* deviation from information shown hereon. Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC. at user's sole risk. Garage Lot Size Block Lot Elevation: 4 Garage: Z'I� Roof Shingle Dime nsion/Anbitec%uno|: Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 6521 Back Forty Loop Parcel Tax ID: 04-26-21-0160-00500-0060 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 I the fee owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services indicated above. I Private Provider Firm: Private Provider: 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 aftachments. are provided as required: L Qualification statements ' and/or resumes of the private provider and all duly authorized representatives. 2.. Proof of insurance for professional .and comprehensive liability e amo i y imth amount.of $1 million p tr occurrence relating to all services performed as a private provider including tail coverage for amimmum uent to the Performance of building code .of 5 years subseq inspection services., Individual Corporation Partnership I . :(signature) Print Name: Address: Telephone Pleaseuse appropriate notary block. STATE OF FLORIDA. COUNTY OF HILLSBOROUGH Individual B tfore me, this -day of 20— personally appeared who rxDDUtfd the foregoing instrument, and acknowledged before me that same Eunr was executed for the purposes therein expressed. LEIN110AM HOMES. LLC Print Corp oration Name By: (signature) Print N,.e: Christopher Smith its: Authorized Agent Address: 700 NW 1071b Ave. Miami, FL 33172 Telephone _574-5700 Corporation Bef,rem,,this 22ND day of MAY 202:3 personally appeared, Of Lennar Homes. LLC a corporation, lain behalf of the state oorpoTalion, who executed the f6xegoing instrument and acknowledged before me that same was executed for the purposes therein expressed. PrintPartnership Name By:, (signature) Print Name: Its: Address: Telephone No.: Partnership Btforeme,this day of 20— pers6nally appeared p artntr/agent on behalf of a partnership, who executed the foregoing instrument And acknow1tdgDd before me that same was mtoutedforthepurporses . therein expressed._ Personally known X ]or- )Produrtdidend-tcation- Type of'identification produced Sig.naturf, OfNotal� PlintName ASHLEE CALLAHAN NotaiyPublic Stamp: R ASHLEE MY COKNAHS,510N t� H11P Corarnission Expires: EXPIRES: Nove),rber 3D, Page 2 of 2 VR/\ VIRTUAL REVIEW ASSIST Private Provider Plan Com,!Iliance 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: iggy'4&Nviirat.juialre�viewass�ist.com Project: New SFR Address(s): 6521 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,A 1,A2,A3,A4, A5,A6,A7,SNO,SNI,S3,S4,S5,S6,SS,ST,SI 1,S12,WPI, WP2,WP2. 1,PA 1.0,PA 1. 1, PA1.2,PAI.3,PAI.4, PAI.5,SHI.0,SHI.1,SHI.2,SHI.3,SHI.4,SH1.5 Florida License/Registration/Certification #(s) and description: FS468 Certified Standard Plans Examiner License #: PX2300 Signature of Reviewer: SWORN AND SUBSCRIBE 't*I 'ore me by Debra Anne Klahr being personally known to me or having produced as identification and who being fully sworn and cautioned, state that the fi egoi�g is true and c ect to the best of his/her knowledge or belief. Ashlee Callahan Siknatilr6f Notary Print Name Notary Public: NOTARY STAMP BELOW My commission expires: AS H LIE E (-'� At - LAt 't AN 'mi'SSION # HH 295'80 'OM "y "Ip E Xp ES [—COMMERCIAL BUILDING SERVICES DIVISION :RESIDENTIAL BUILDING PERMIT DATA SHEET FIRE MARSHAL #01 - Required Permits DATE: 7/22/2023 - EXAMINER: Debra Klahr PX230( Building El Lns2ection Only V Plumbing F-1 Inspection OnL V Mechanical ❑ Inspection Only IV Electrical _Amp El Inspection Only Roof El Gas El Medical Gas E] Fire Sprinklers ❑ On Site Piping [] Fire Line E] Irrigation E] Fire Alarm Ej Potable Backflow Assembly El Fire Line Backflow Preventer El Irrigation Backilow Assembly E] Demolition El Walk-in Cooler 0 Refrigeration E] Hood R Ansul El Fence/Wall E] Grease Trap n Other E] Other Building Data Type Construction: LB Risk Category: Occupancy Load ancy Classification: Facto vry 0 1 Residential Res Assembly E= Hazardous Storage S y Care/Educational nal n, — Building Use: SINGLE FAMILY RESIDENCE Alteration I Level 1 full Level 2 0', Level 3 196 New Construction E] Interior Finish Fj Interior Remodel ❑ Exterior Remodel R Addition Ej Revision Overall Size: 30 X 58 Number of Stories: 2 Total Sq. Ft.: 2854 Living Area: 2389 Covered Area: 465 # of Bedrooms: 5 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof pTc 0 Shingle E]Tile El Built-up 0 Metal F-1 Other Squares: 19 Zoning: WirOorne Debris: E]Ilnside Outside Energy Code: 405-2022 SUP Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents?T es VtNo 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 FX� Heat Pump El Gas Heat ❑ Window A/C F1 Electric Heat On Site Pining Sanita!j Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line Setbacks Front Rear Left Right W� As per Approved Site Plan Comments: VIRIN", Aiil",10 t i.ne r ► lii ► ►Classification/Type of Use Rate, Exempt 0 Yes -0 No How Deterrnine� 11 Permit No. Sq. Ft Unit: 1--3uy SCHOOL IMPACT FEE Account (056) Single -Family Detached Mouse Amount $ x (057) Mobile Home (058) Other Residential (223) Collection Fee Exempt CDYes = No Flow Determined_ PARKS AND RECREATION FEE Land Account Land Credit land Total Recreation Account Recreation Credit Recreation Total Zone Total Amount $-264.� No How Determined Facility Account Facility Credit Facility Total Exempt11 Yes No flow Determined Total Amount RESOURCE Pre ared 8 Checked By B1 PAID AND E D FOR BY A CENTRAL PERMITTING OFFICE OF DATE RECEIVE® BY RECEIPT NO DATE BY