HomeMy WebLinkAbout23-6780Name: Lermar Homes, LLC
Address: 4301 YvBoy Scout Blvd Suite 8oV
Tampa, FL 33607
|CONSTRUCT SINGLE FAMILY 10rOSQ FT
Building Permit Fee
�Sewer Connection Residential Fee
Park Impact Fee ' Single Fomi|y/Townhom°
Irrigation 3/uMeter (Ca|c)
Address Fe*
Electrical Permit Fee
School Impact Fee Single Family
3/*Water Meter Fee (Ca|,)
a|F 1 percent Few
Permit Type: Building New (Residential)
Class ufWork: SFRConstruct
Building Valuation: $28c.12o.00
Electrical Valuation: %42.318.0V
Mechanical Valuation: $19.748.40
Plumbing Valuation: $uB.212D0
Total Valuation: $3/2.398.40
Total Fees: $20,473.67
Amount Paid: $nO.4r3.67
Date Paid: 8n612O23 10:21:03xw
6648 Back Forty Loop
Contractor: LENNARHOMES L
$1,450.68 Transportation Impact Fee
$3.595.68
$2,400.00 Public Safety Impact Fee -Police
$254�00
$789.56 AdminFee / (Provider Service )
$180l0
$794.92 Water Connection Residential Fee
$1.140�00
$30.00 Driveway Fee
%45.00
$251.59 Transportation Impact Fee 'City
$36.32
$8.328.00 Plumbing Permit Fee
$181�06
$794.92 Mechanical Permit Fee
*138,74
$83.28
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 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 Permittingg 908 770 __ 7763
1 /_/.1 111 1_ 11 l 1
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813.574.5700
Owner's Address 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number
Fee Simple Titleholder Name N/A Owner Phone Number �®
Fee Simple Titleholder Address N/A
JOB ADDRESS 6648 Back Forty Loop LOT # 2603
SUBDIVISION Abbott Square PARCEL ID# 04-26-21-0160-02600-0030
P
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE 0 SFR Q COMM OTHER
TYPE OF CONSTRUCTION 10 BLOCK FRAME STEEL
DESCRIPTION OF WORK Single Family Residence ! Pool / Screen Enclosure / Fence
BUILDING SIZE U/R IF 2351 SQ FOOTAGE 187a HEIGHT 28�
0BUILDING $ 282120 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ 42318 AMP SERVICE ® PROGRESS ENERGY Q W.R.E.C.
� • r
PLUMBING $ 28212
0MECHANICAL $ 19748.4 VALUATION OF MECHANICAL INSTALLATION t,
GAS ® ROOFING 0 SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA DYES Do
BUILDER COMPANY Lennar Homes, LLC
SIGNATURE REGISTERED Y / N J FEE CURREN Y / N
Address 4 1 W Boy Scout Blvd Suite 600 Tampa, FL 33607 License # I CGC1518166
ELECTRICIAN COMPANY Edmonson Electric, Inc.
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # EC13005408
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN Y I N
Address 1 License # CFC042998
MECHANICAL COMPANY Bayonet Plumbina, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # CAC058062 —
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # CCC057991 —�
IIIIIIIIIIIt1IIII11II1111I111IIIlIIlI11I11111I111IIIIlIII1111111IIII
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 OPDEED RESTRICTIONS: The undersigned understands that this permit may be subject 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 work, they may be required to be |ioonaod in accordance with state and |uoo| regulations. If the
contractor is not licensed as required by |ow, both the owner and contractor may be cited fora misdemeanor violation
under state law. If the owner or intended contractor are uncertain an 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. Furthormonu, if the owner has hived a contractor or oontmdom, 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
coniractor. 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 hnthe construction ofnew buildings, change of
use in existing bui|dingo, or expansion of existing bui|din0s, as specified in Pasco County Ordinance number8Q-U7 and
90-07. as amended. The undersigned also undenobmndn, that such haoo, as may bedue, will be identified atthe time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Faoo 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, ifPasco 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, osamnunded): |fvaluation ofwork is$2.50O.0Oormore, |
certify that |, 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", | certify that | have obtained a copy of the above described document and promise in good faith to
deliver ittothe ''mwner'prior tocommencement.
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 nuns\ruoUon, zoning and land development. Application is
hereby mode to obtain e 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 |owo regulating
nonotruoUon. County and City oodoo, zoning regulations, and land development regulations in the jurisdiction. | also
certify that | understand that the regulations of other government agencies may apply to the intended wm,k, and that it is
myresponsibility hoidentify what actions | must take hobeincompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection -Cypress Bayheada, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management Disthot-VVeUn, Cypress Bmyhoado, Wetland Areoo, Altering
Watercourses.
- Army Corps ofEngineera-SanwaUu.Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-VVeUa, VVaoh*wntar Treatment,
Septic Tanks.
- USEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation Authohb+Runwayo.
| understand that the following restrictions apply tothe use offill:
- Use nffill ionot allowed inFlood Zone ^V^unless expressly permitted.
- If the U|| material is to be used in Flood Zone ''A^, it is understood that a drainage plan addressing o
"compensating volume" will be submitted at time nfpermitting which is prepared bye professional engineer
licensed by the State ofFlorida.
- If the fi|| material is to be used in Flood Zone ^A^ in connection with e permitted building using stem vvoU
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, | certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely offeo\ adjacent pnopartieo, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for |oba |eoo than one (1)
acre which are elevated byfill, unengineered 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 a mapaxah* permit may be required for electrical wmrk,
p|umbinQ, signe, we||o, puu|a, air onndiUoning, gaa, or other installations not specifically included in the application. A
permit issued shall be construed to be license to proceed with the work and not asauthority huviolate, canoa|, a|tor, 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
un|ono the work authorized by such permit is commenced within six months of permit issuanoe, 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 naquested, in writing, from the Building DfOoie| fora period not hoexceed ninety (9O)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
�T (F,S.:r.0n
OWNER OR AGENT
Subscribed and sworn (or affirmed) before me this
Who is/are personally known to me or hasihave pFedwG94
as identification.
—Notary Public
Stephanie Farmer
Name of Notary typed, printed or stamped
AcommtWo # HH OOW
7EX00M0006,2024
Subscribed and sworn to (or affirmed) before me this
Name of Notary typed, printed or stamped
ELM M. WILLERAN
it 0 WWW Thm TKY :MIS
Permit No. 60
Date Permitted
Builder Name/Owner Name LAna) —Control #
County Parcel No.LJ_Z_� LZ,(
SubDiv:
Address/Location
Rate:
i& v
W
Exempt ID Yes 0 No How Determined -
Impact Fee Amount __$ Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount $
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone Total Amount $_10—. i�6
ExemptHow Determined jYes F N
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account — Facility Credit Facility Total
Exempt 11 Yes 0 No How Determined Total Amount ,L:�_,_
RESOURCE FEE ERU
Checked By
BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFMX* PASCO COTA&
lipffiffibi
mo
RECEIPT NO DATE BY E
DESCRIPTION: LOT 3, BLOCK 26, 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.
ALL ELEVATIONS REFERENCED
TO NORTH AMERICAN
VERTICAL DATUM OF 1988
(NAVD 88)
SITE PLAN
(NOT A SURVEY)
Prepared for and Certified To:
Lennar Homes
SEC. 4, TWP. 26 S, RNG 21 E.
PASCO COUNTY, FLORIDA
(ABBOTT SQUARE PHASE 2)
LOT 4
LOT 14 1 BLOCK 26
BLOCK 26 1 q A,.Z,5\ij
110.) 50, (p0
---------- N 88*08'23"W IP) 2 (P)
Ln --- L-
46.0'
37.7' 22.5'
Cd 3'CPW 6 >,
PROPOSED ENTRY
WALK q ZVI 0
LOT 15 2 STORY RESIDENCE LE)
BLOCK 26 413' LU -J
LOT q 9 PLAN 1871 0
UJ 3.0'X&O' 0 0
BLOCK 26 PATIO ELEV"A"
GARAGEL
N
0
15X3.5 42'-0"
46.0r S-A C onI
.
Ln 420' 22. A V
---------Ln I
LOT16- 1'/'9
BLOCK 26 N88*08'23'W(P) 11()*50-(p)
LOT \q
BLOCK 26
ry
PCP6
NOTES:
LOT GRADING TYPE = A PROPOSED ELEVATIONS AND GRADING
PROPOSED PAD ELEVATION =95.00' SHOWN HEREON ARE TAKEN FORM THE
ENGINEERING PLANS OF
FRONT SET BACK = 20' "ABBOTT SQUARE RESIDENTIAL", PREPARED
SIDE SET BACK = 75 BY "WRA" PROVIDED BY CLIENT
SIDE SET BACK (CORNER LOT) = 10' LOT = 4973 SQ. FT.
LIVING AREA = 780 SO. FT.
REAR SETBACK= 15' ENTRY = 38 SO. FT.
GARAGE = 443 SO. FT.
COVERED LANAI = N/A SO. FT.
PROPOSED: 10.00'PUBLICUTILITY EASEMENT PATIO = 18 SO. FT.
MINIMUM FLOOR ELEVATIONS: POOL AREA = NA SO. FT,
LIVING AREA: 95.67' LEGEND: CONC. DRIVE = 386 SO, FT.
GARAGE AREA: PROPOSED DRAINAGE FLOW A/C & CONC PAD = 12 SO. FT.
ELEVATIONS REFERENCED TO SIDEWALK = 34 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 =—N/A SO. FT.
LOT OCCUPIED = 34 %
SURVEY ABBREVATIONS
APPARENT FLOOD HAZARD ZONE: "X"COMMUNITY NO. 120235 AREA TO IRRIGATE = 66 %
(MAP NUMBER 12101 C-0289-F) EFFECTIVE DATE: 09/26/2014
A) - ARC LENGTH
A/C CONDITIONER
(D) = DEED
D.E= DRAINAGE EASEMENT
INV = INVERT
LB =LICENSED BUISNESS
PC - POINT OF CURVE
PCC = POINT OF COMPOUND CURVE
(R) = RECORD
RNG = RANGE
LEGEND VINYL FENCE
AF = ALUMINUM FENCE
EL OR ELEV = ELEVATION
LELANDSCAPE 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
C - CURVE
ESMT = EASEMENT
LS = LICENSED SURVEYOR
PG = PAGE
SEC = SECTION
WOOD FENCE
= ASPHALT
(C) = CALCULATED
F/C = FENCE CORNER
(M)= MEASURED
PI = POINT OF INTERSECTION
SN&D = SET NAIL AND DISK
�L = CENTERLINE
FCM = FOUND CONCRETE
MES = MITERED END SECTION
PK =PARKER KALON
LB#8183
CHAIN LINK FENCE
CLF = CHAIN LINK FENCE
MONUMENT
NCF = NO CORNER FOUND
q = PROPERTY LINE
SIR = SET 112- IRON ROD LB# 8183
CMP = CORRUGATED METAL PIP f
HP - FOUND IRON PIPE
O/A = OVERALL
POB = POINT OF BEGINNING
TBM = TEMPORARY BENCH MARK
= BRICK x
COL = COLUMN
FIR = FOUND IRON ROD
OHW OVERHEAD WIRE(S)
POC = POINT OF COMMENCTMENT
TOB = TOP OF BANK
CONE = CONCRETE
FN&D = FOUND NAIL & DISK
O.R. OFFICIAL RECORDS
POT = POINT ON LINE
TWP = TOWNSHIP
ALUMINUM FENCE
C/S = CONCRETE SLAB
FOP = FOUND OPEN PIPE
(P) PLAT
PRC = POINT OF REVERSE CURVE
LIE UTILITY EASEMENT
COVERED
CST = CLEAR SIGHT TRIANGLE
EPP = FOUND PINCHED PIPE
PB = PLAT BOOK
PRM = PERMANENT REFERENCE MONUMEN
VF =VINYL FENCE
JOB 15908522603
SURVEYOR'S NOTES:
SURVEYOR'S CERTIFICATE
1708 Water Oak Drive SEE
Date of Site Plan: 5-24-
1.) Current title information on the subject property had not been
This certifies that sketch of the hereon described
Tarpon Springs, Florida N
furnished to Initial Point Land Surveying, LLC. at the time of this
property was ma w1j(, supervision and
�PJN P1 N
Phone: (727)-831-1990 RG1W RGIE
DWG:AS-PH2-L3-BL26-SITE
SITE PLAN
meets the A St Practice for
FloridaPLS7123@gmail.com -P,s �Pls,z�
2.) This sketch was prepared without the benefit of a title search.
surveys as h 44 of Land
RG1W RG?E..
LB# 8 183
File:
No instruments of record reflecting ownership, easements or
rights -of -way were furnished to the undersigned, unless otherwise
n 0 in ned
shown hereon.
, FI d 11 It
Je t1ey
Drawn by: DJB
—
3.) Roads, walks, and other similar items shown hereon were taker
pursuiWot to e ii 4 i
Statu
Checked byJH
—
from engineering plans and are subject to survey.
4.) This SITE PLAN does not reflect nor determine ownership
Date: 2 6.05
H e,,vC}
0, ��ffiMlgft S m,'m
REVISIONS
5.) This SITE PLAN is subject to matters shown on the Plat of
ILF,�6:2 #'00'
10F
M
"ABBOTT SQUARE PHASE 2"
ifl . E
6.) Dimensions shown hereon are in feet and decimal portions
Jeff M.
FLORIDA V/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 WITZIP"TORIGINAL
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.
I 11q iWll
Plan Model Elevation
Garage
Lot Size
Block
Lot
-C-)
Parcel:
Address:
Setbacks: Front Rear— Sides
Elevation: Garage:
Roof Shingle Dimension/Architectural:
v A T U A L R F V I E'AA 3 S I S
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
F'roject Name: 6648 Back Forty Lw,
Parcel Tax ID: 04-26-21-0160-02600-0030
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:
Telephone: 813-376-3088
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 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.obtrients. 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.. ainount of $1 million per
occurrence relating to all services performed as a private provider including tail coverage for a M='MUM
of 5 years subsequent to the performance of building code inspection services..
Individual Corporation Partnership
-(signature)
Print
Name:
Address.
Telephone
Please use appropriate notary block.
STATE OF FLORIDA.
a
Individual
Before me, this day of
20—personally
appeared
who executed the foregoing instrument,
an ' d acknowledged before me, that same
am,
was executed for the purposes therein
e5grcssDd.
Print Corp oration Name:
By:
(signature)
Print
Name: Christopher Smith
Its: Authorized Agent
Address: 700 NW 107Lh Ave.
Miami, FL 33172
Telephone.
No. $13-574-5700
Corporation
Befomine,thig 22ND day of
MAY 2OZ:3
personally appe-axed
Of
Lennar Homes, LLC
_,..CDrporation, on
behalf of the -state corporation, who
executed the f6regoing instrument and
aolnowled ged before me that same was
executed for the pmTpses therein
e)Tressed.
PrintPartnership Name
on
(signature)
Print
Name:
Its:
Address:
Telephone
No.:
Partnership
B afore me, this day
of 20_
per&6iially appeared
p artner/agent on behalf of
a partnership, who exf_-.c-attd the
foregoing instrument and
acknowledged before niethat same
,was meouted,forthtpurpolses . therem
expressed,
Personally knowaProducedProdud iden#f cation Type of identification produced
Sig.n&ture. ofNotai� L PrintName ASHLEE CALLAHAN
ASHLEE CBALL AHAI'l
NotaxyPublic Stamp-,
Cominission Expires: EXPIRES: Noveribei 30,20,26
Page 2 of 2
�u
PrivateVIRTUAL REVIEW A$SIST
Provider
Private Provider Firm: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU 1967
Address: 747 Southwest 2" d Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: luc virtualreviewassist.com
Project: New SFR
Address(s): 6648 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,Al,A2,A3,A4, A5,A6,A7,SN0,SN1,S3,S4,S5,S6,SS,ST,S11,S12,WP1, WP2,WP2.I,PAL0,PA1.1,
PA1.2,PAI.3,PA1.4, PA1.5,SHI.O,SHI.I,SH1.2,SH1.3,SH1.4,SH1.5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300
Signature of Reviewer:
SWORN AND SUBSCRIBED befo 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
4fogo
' g is true and correct to the best of his/her knowledge or belief.
l Ashlee Callahan
Signature of Notary Print Name
Notary Public: NOTARY STAMP BELOW My
commission expires:
4
i�jf�'i✓^��ry`i.4�{���y:}1��¢�
\�<+
(y(y �}
(�p'ti
[—COMMERCIAL BUILDING SERVICES DIVISION V"RESIDENTIAL
BUILDING PERMIT DATA SHEET
�4 �=
I MOIR WOMIM
Required Permits
DATE: 7/22/2023
EXAMINER: Debra Klahr PX230(
Building
El Lseection Only
Vr-z Plumbing
❑Inspection OnI
y
ection Only
Electrical Amp
r-1 1!!s y
_pection QnL
Roof
1
0 Medical Gas
El Fire Sprinklers
El On Site Piping
El Fire Line
E] Irrigation
E] Fire Alarm
El Potable Backflow Assembly
[:] Fire Line Backflow Preventer
E] Irrigation Backflow Assembly
F1 Demolition
El Walk-in Cooler
E] Refrigeration
El Hood
Fj Ansul
El Fence/Wall
El Grease Trap
El Other
0 Other
MMY!=
Type Construction: I
V-B
Risk Category:
Occupancy Load
Ovancactoy Classcation:
,Fry Resident a,
Assembly
Hazardous
iness Day Care/Educational
Institutional ❑ Mercantile
ity
Building Use: SINGLE FAMILY RESIDENCE Alteration -Level I 0"Level 2 ;Level 3
1
1,6 New Construction F-1 Interior Finish E] Interior Remodel E] Exterior Remodel ❑ Addition El 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: 21 Shingle
0Tile El Built-up
Ej Metal F-1 Other Squares: 16
Zoning:
Wir
ftorne Debris:
Ol Inside
Outside
y Code:
Energy
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:
Total Sq. In. Permanent Openings
5fl Central A/C
El Gas A/C
Z Heat Pump
0 Gas Heat
0 Window A/C
E] Electric Heat
On Site Piping
SanitaKy Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
Setbacks
Front Rear Left Right
P/1 As per Approved Site Plan
Comments: