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Home My WebLink About23-67810426210180026008130 Name: Lennar Homes, LLC Address: 430VvBoy Scout Blvd Suite O80 Tampu.pL 33607 Phone: (813)574-5700 CONSTRUCT SINGLE FAMILY 23nnSID Fr Mechanical Permit Fee Address Fee Electrical Permit Fee Park Impact Fee - Single Fami|y/Townhpme Irrigation 3/4Meter (Ca|n) Public Safety Impact Fee -Police Water Connection Residential Fee �AdminFee / (Provider Service ) Sewer Connection Residential Fee Permit Type: Building New URooidonoaV Class of Work: SFR Construct Building Valuation: $3ne.enn.0o Electrical wdueUun: $50.994.00 Mechanical Valuation: $23.787.20 Plumbing Valuation: $33'99010 Total Valuation: $448.747.20 Total Fees: $20,881.77 Amount Paid: $20.881.77 Date Paid: 8116/2023 10:21:03AM Issue Date: 08/15/2023 6486 Back Forty Loop Contractor: LENNARHOMES [LC ��k0A4 1mw��u� %158fmDriveway Fee $45.00 %30/00 3/4 Water Meter Fee (Calc) $794.92 $294.97 Public Safety Impact Fee -Adm|n $26.35 $769.e6 Transportation Impact Fee $3.585.88 $784.92 Tranwpooaoon|mpmctpee-City $38.32 $254,00 Building Permit Fee $1.739�80 $1.140.08 Plumbing Permit Fee $209.98 $180.00 School Impact Fae-Sing|aFamily $8.328,00 $2.400.00 a|F1 percent Fee $83.28 REINSPECT$0N FEES: iVKith respect to Reinspection fees will comply with Florida Statute 553.80(2) local government shall impose afee mf four times the amount mfthe fee imposed for the initial inspection or first reinspection, whichever is greater, for each subsequent reinspection. Notice: |naddition hnthe requirementsofthispennit.Uhenennaybeodditione|resthctionsappUmab|etothiopropedyU)sd may be found in the public records of this county, and there may be additional permit required from other governmental entities such eawater management, state agencies urfederal agencies, Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed ir accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting 908 770 -- 7763 I I I I I I I T _ -— I i lf_ l Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813.574.5700 Owner's Address 1 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number Fee Simple Titleholder Name I N/A Owner Phone Number s Fee Simple Titleholder Address I N/A JOB ADDRESS 6486 Back Forty Loop LOT # 2613 SUBDIVISION Abbott Square PARCEL ID# 04-26-21-0160-02600-0130 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED II./ II NEW CONSTR e ADD/ALT C� SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR Q COMM OTHER TYPE OF CONSTRUCTION BLOCK ® FRAME STEEL DESCRIPTION OF WORK Single Family Residence / Pool / Screen Enclosure / Fence BUILDING SIZE IU/R SF 2833SQ FOOTAGE 2389 HEIGHT 2$ BUILDING $ 339960 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 50994 PROGRESSENERGY W.R.E.C. AMP SERVICE { PLUMBING 0 MECHANICAL $ 23797.2 VALUATION OF MECHANICAL INSTALLATION =GAS ® ROOFING ® SPECIALTY 0 OTHER j FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA DYES Do BUILDER COMPANY Lennar Homes, LLC SIGNATURE _ - REGISTERED Y / N FEE CURREN Y / N Address 4301 W Boy Scout Blvd Suite 600 Tampa, FL 33607 License # CGC1518166 ELECTRICIAN COMPANY Edmonson Electric, Inc. SIGNATURE a REGISTERED Y/ N FEE CURREN Y I N Address License # EC13005408 PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN I Y / N Address License # I CFC042998 MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N I FEE CURREN I Y / N Address i License # ICAC058062 OTHER COMPANY =CSterling Quality Roofing, Inc SIGNATURE REGISTERED Y / N FEE CURREN I Y / N Address License # CCC057991 �eviIIIIIItIII/Ill/lll " " I " " „ 11IIiiBlllilt'tlilll��II/IIIIIIII 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 besubject to"dkaed^restrictions" which may bomore 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 o contractor or contractors to undertake work, they may be required to be licensed in accordance with state and |nuo| regulations. If the oontxeuhur in not licensed as required by |ow, 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. Furtharmnre, if the owner has hired a contractor or oontnsoioro, 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 oontreohor, that may bean indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY PEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply tothe construction of new bui|dingo, change of use in existing bui|dingo, or expansion of existing bui|dings, as specified in Pasco County Ordinance numbarOQ-U7 and A0-O7.aoamended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It in further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power ro|*aoa. If the project does not involve a certificate nfoccupancy ur final power ne|eeoa, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVahar/Smwer 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, mmarnended): |fvaluation ofwork in$2.5OO.0Oormore, | certify that |, the applicant, 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 "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver iihuthe ^owner'prior tocommencement. CONTRACT0R'S/OWNER'SAFFlD4V)T: | certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating oonetnuction, zoning and }and development. Application is hereby made to obtain m 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 |owa regulating oonotruction. County and City nndeo, zoning regulations, and land development regulations in the jurisdiction. | also certify that | understand that the regulations ofother government ogonoioo 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 ofEnvironmental Protection -Cypress Bayheodu, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management Diothot4NeUo, Cypress Bayheado, Wetland Areoo, Altering Watercourses. - Army Corps ofEnginoene-SeawaUs.Docks, Navigable Waterways. ' Department of Health & Rehabilitative Services/Environmental Health Unit-VVo||o, Wastewater Treatment, Septic Tanks. - USEnvironmental Protection Agency -Asbestos abatement. - Federal Aviation Authohb+Runwmyo. | understand that the following restrictions apply bothe use offill: - Use offill isnot allowed inFlood Zone ''\runless expressly permitted. - If the fill maVmho| 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 in prepared by professional engineer licensed bythe State nfFlorida. - If the DU material is to be used in Flood Zone ^/\^ 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, | certify that use of such D|| 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 |oao than one (1) acre which are elevated byfill, anengineered drainage plan iurequired. |f|amthe 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. | understand that a separate permit may be required for electrical wnrk, p|umbing, aigna, waUe, poo|o, air conditioning, gnu, urother installations not specifically included in the application. A permit issued shall be construed to be o license to proceed with the work and not as authority to vio|aha, cancel, a|ter, 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 iymuanoe, 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 requeoted, in writing, from the Building Official fore period not to exceed ninety (9O)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 OFCOMMENCEMENT MAY RESULT |NYOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT JuR^r��.oron ovvmEn OR AGENT Subscribed and sworn o (or affirmed) before me this Who is/are personally known to me or hasihave PFQdWGe4 as identification. _Notary Public Stephanie Farmer Name of Notary typed, printed or stamped MIMS Subscribed and sworn to (or affirmed) before me this 7/10/2023 by Christopher Smith Who is/are perscinally known to me or has/have nmuuco Name of Notary typed, printed or stamped --14 OF RS INLET 1 4 OF )tE:88-53 V t) Z I N: 1424338-C 53 I)tE:88-13 J E: 586256.1 - ----JKI RS INLET )IE:88.60 )LE )IE:84.'79 )IE:84-80 I)JE:89.17 )LE W)IE:89-89 )IE:89.89 )LE )IE:90.01 E)IE:90.01 )LE I)IE:90.49 )IE:90-49 BI )IE:91.00 TRACT 71 T 95.5 Ff 97.97 PAD;97,301 m IN m P6.91 95.3 F;IPl.'A' 97 77 EAD:27. FF:97.67 ni PAD*97'22 25'- IW'RCP 170'- 18" RCP @ 0.30%■ - I T A IN I FF:98.27 FF-:98.27 FF:96.47 PAD:97.60 P D. 7.. PAD:95.90 10 9 8 t W "S-W�tmll 'A Ff:97.17 :96 .07 . . ... . .... I . .... . )K95.48 ---96.43 93. FF:97.17 FF:96.07 PAD:96.50 PAD-95.401 0� I ...... . . ... 0 MF � ;97 .3, A•n . 0 T F:96.97 Nit . im. • r ° �•• •L�r FF-97.47 PAD,96-80 Wl* 07 PAD-94.40 ffy FF:95.17 PAD:94,50 pt FF:95.17 PAD.94.50 v - 54" RCP @ MWAMA CL Permit No, 61)5) Date Permitted Builder NamelOwner Name control County Parcel No. Q 2z-b Address/Location SubDiv: ClassificationMpe of Use dle TRANSPORTATION IMPACT FEE Rate; Sq. Ft Unit: —2jE_ Exempt ED Yes 0 No How Determined Impact Fee Amount �_ A32- Zone No. TAZ*_ SCHOOL IMPACT FEE Account (056) Single -Family Detached House Amount (057) Mobile Home (058) Other Residential (123) Collection Fee Exempt CDYes = No How Determined - PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone Total Amount Exempt =Yes = No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account _ Facility Credit Facility Total Exempt El Yes = No How Determined Total Amount RESOURCE FEE ERU I-T - Prepared By Checked By CER;RC� Z OF OCCUPANY WILL OF ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY ACKNOWLEDGEMENT BELOW DOES NOT IMPLY ACCEPTANCE OF CONCURRENCE, BUT SIMPLY REECEIPT OF A COPY OF THIS FORM, PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME. mo ff�Xi RECEIPT NO - DATE BY DESCRIPTION: LOT 13, 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) LOT GRADING TYPE = B PROPOSED PAD ELEVATION FRONT SET BACK = 20' SIDE SET BACK = 7.5' SIDE SET BACK (CORNER LOT) =10- REAR SETBACK = 15' SITE PLAN (NOT A SURVEY) Prepared for and Certified To: Lennar Homes N 88"08'23" W (P) 110.50- !n K 5.3' ENTRY V e 6.0' N: Ln 2S'' P 1 . _- n: PROPOSED: MINIMUM FLOOR ELEVATIONS: LIVING AREA: 96.97' GARAGE AREA: ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 SURVEY ABBREVATIONS A) = ARC LENGTH (D) = DEED A/C = AIR CONDITIONER D.E= DRAINAGE EASEMENT AF = ALUMINUM FENCE EL OR ELEV = ELEVATION BEE = BASE FLOOD ELEVATION EOP = EDGE OF PAVEMENT BM = BENCH MARK ESMT = EASEMENT C = CURVE F/C = FENCE CORNER (C) = CALCULATED FCM = FOUND CONCRETE k = CENTERLINE MONUMENT CLF = CHAIN LINK FENCE F!P = FOUND IRON PIPE CMP = CORRUGATED METAL PIP COL = COLUMN FIR = FOUND IRON ROD CONC = CONCRETE FN&D = FOUND NAIL & DISK C/S = CONCRETE SLAB .FOP =FOUND OPEN PIPE CST =CLEAR SIGHT TRIANGLE = FPP FOUND PINCHED PIPE !JOB #15908522613 RM PROPOSED 2 STORY RESIDENCE PLAN 2382 ELEV "B" GARAGER 58.0' N 88°0823" W (P) 1 10.50' (P) LOT 14 BLOCK 26 T 0.0' 7' C m LOT 13 BLOCK 26 30.0' Oqf 0,, I I I I I 1 I SEC. 4, TWP, 26 S, RNG 21 E. PASCO COUNTY, FLORIDA (ABBOTT SQUARE PHASE 2) I 1 I 1 I I j LOT 6 BLOCK 26 I E, 0 pr LOT 5 BLOCK 26 w LOT4 BLOCK 26 PROPOSED ELEVATIONS AND GRADING SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF "ABBOTT SQUARE RESIDENTIAL", PREPARED BY "WRA" PROVIDED BY CLIENT LOT = 4973 SO. FT. LIVING AREA = 1269 SO. FT. ENTRY = 30 SO. FT. GARAGE = 414 SO, FT. COVERED LANAI = N/A SO. FT. PATIO = 21 SQ. FT. POOL AREA = NA SO. FT. LEGEND: CONC. DRIVE = 360 SQ. FT. —y-= PROPOSED DRAINAGE FLOW A/C & CONC PAD = 23 SO. FT. SIDEWALK = 31 SO. FT. (00.00) = PROPOSED GRADE SIDE YARD SWALE = N/A SO. FT. E-00.00 = EXISTING GRADE CONSERVATION AREA = N/A SO. FT. LOT OCCUPIED = 23 % APPARENT FLOOD HAZARD ZONE: "X" COMMUNITY NO. 120235 AREA TO IRRIGATE = 77 % (MAP NUMBER 12 10 1 C-0289-F) EFFECTIVE DATE: 09/26/2014 INV = INVERT PC = POINT OF CURVE (R) = RECORD LB =LICENSED BUISNESS PCC = POINT OF COMPOUND CURVE RNG = RANGE L.E = LANDSCAPE EASEMENT PCP = PERMANENT CONTROL POINT RRS = RAIL ROAD SPIKE LEE = LOWEST FLOOR ELEVATION P/E = POOL EQUIPMENT R/W = RIGHT OF WAY LS = LICENSED SURVEYOR PG = PAGE SEC = SECTION (M) = MEASURED PI = POINT OF INTERSECTION SN&D = SET NAIL AND DISK MES = MITERED END SECTION PK =PARKER KALON LB#8183 NCF = NO CORNER FOUND R = PROPERTY LINE SIR - SET 1/2- IRON ROD LB# 8183 O/A = OVERALL POB = POINT OF BEGINNING TBM = TEMPORARY BENCH MARK OHW = OVERHEAD WIRE(S) POC = POINT OF COMMENCTMENT TOB = TOP OF BANK O.R. = OFFICIAL RECORDS POE = POINT ON LINE TWP = TOWNSHIP (PI = PLAT PRC = POINT OF REVERSE CURVE U E = UTILITY EASEMENT PB = PLAT BOOK PRM = PERMANENT REFERENCE MONUMENT. VF = VINYL FENCE VEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1.) Current title information on the subject property had not been This certifies that ske the hereon describe) Date of Site Plan: 6 26 23 furnished to Initial Point Land Surveying, LLC. at the time of this in property w n3`211� e� ctic and DWG:AS-PH2-L13-BL26-SIT SITE PLAN meets the b 5t �ofR actice for 2.) This sketch was prepared without the benefit of a title search. surveys asr3' d of Lan( No Instruments of record reflecting ownership, easements or File: rights -of -way were furnished to the undersigned, unless otherwisf shown hereon. 3.) Roads, walks, and other similar items shown hereon were taker from engineering plans and are subject to survey. 4.) This SITE PLAN does not reflect nor determine ownership. Drawn by: DJB Checked by:JH REVISIONS 5.) This SITE PLAN is subject to matters shown on the Plat of "ABBOTT SQUARE PHASE 2" 6.) Dimensions shown hereon are in feet and decimal portions thereof. 7.) Contractor and owner are to verify all setbacks, building dimensions, and layout shown hereon prior to any construction, and immediately advise Initial Point Land Surveying, LLC. of any deviation from information shown hereon. Failure to do So will be at user's sole risk. ASPHALT BRICK = COVERED END VINYLFENCE WOOD FENCE CHAIN LINK FENCE ALUMINUM FENCE 1708 Water Oak Drive Tarpon Springs, Florida Phone: (727)-831-1990 FloridaPLS7123@gmaii.com LB# 8183 TWP S. RG. I.E. -E WPM' i. / tea. • •® w NOT VALID WITHOUT THE ORIGINAL ` SIGNATURE AND SEAL OF A FLORIDA uR` LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC. I m Plan Model Elevation y PS Garage Lot Size Block Lot Parcel M f-0.)-6 Address: K, m'& for, �9 -15 '?0 7. Setbacks: Front Z . — — RearSides — " - P — .5 Elevation: —ji— Garage: Roof Shingle Dimension/Architectural: RE V � F T U A I - , 'VV A Notice to Building Official of A Use of Private Provider "f� 1-3 Effective January 20, 2003 P Project Name: 6486 Back Forty Loop Parcel Tax ID: 04-26-21-0160-02600-0130 Services to be provided: Plans Review— X Inspections Note: If the notice applies to either private plan review or private inspection services the Building Official may require, at his or her discretion, the private provider be used for both services pursuant to Section 553.791(2) Florida Statute. the fee owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services indicated above. Private Provider Firm: VIRTUAL REVIEW ASSIST, INC. Private Provider: DEBPA ANNE KLAHP Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601 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 perforin 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 i I minimum insurance require ments 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. I. Proof of insurance for professional ,and comprehensive liability amo -of $1 million per i y inthe.' unt o ccurrence relating to all services peirf-bimed as a private provider; including tail coverage for a mimmum of 5 years subsequent to the performance of building code inspection services. Individual Corp oration. Partnership :(signature) Print Name; Address- Tcltphone 'lease use appropriate notary block. STATE OF —FLORIDA COUNTY OF HILLSBOROUGH Individual Before, me, this day of 20— personally a-PP'larrd who executed the foregoing instrument, an ' d acknowledged before me that same was executed for the purposes therein expressed. LE:NJV^M r-IUIVJQ0,L_L_U Print Corp oration Name Print Name: Christopher Swith its: Authorized Aq ent - Addrew 700 NW 1 07th Ave Miami, FL 33172 Tel6pliDne. No. 813-574-5700 Corporation Before me, this 22N D —day of MAY 202�3' persona* appeared Of Lennar Homes, LLC a corporation, on behalf of the state corpoT ation, who executed the f6regoing instrument and acIcnowled I ged before me that same was executed for the purposes therein expressed. PrintPartnership Name By.. (signature) Print Name-, Its - Address: Telephone No.: Partnership Before me, this day bf 20— pe;r&6nally appeared partner/agent onbehalf of a partnership, who executed the foregoing instrument and acimowledged before me that same Was cme-r1uted-for the purposes therein expressed,, Personally known Produced iden#cation Type of identiBoation produced signature of No al - Print Name ASHLEEJ!ALLAHAN Notary Public Stamp-, AVLEE CAI ILAFIAN Comrrdss*ion Expires: ly (,')K'AA1,9SjCJ'N #HH 225C,8, L PiRE8:N0vf,,'T ',-1-20; 2026. Page 2 of 2 VR/\ VIRTUAL REVIEW ASSIST Private Provider Plan Compliance Affidavit Private Provider Firm: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU1967 Address: 747 Southwest 2nd Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: lac virtualrqviewassist,coni Project: New SFR Address(s): 6486 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,A1,A2,A3,A4, A5,A6,A7,SNO,SNI,S3,S4,S5,S6,SS,ST,SI 1,S12,WPI, WP2,WP2,1,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 Signature of Reviewer: SWORN AND SUBSCRIBED b . �fore me by Debra Anne Klahr being personally known to me z or having produced as identification and who being fully sworn and cautioned, state that the f egoing is true and cArrect to the best of his/her knowledge or belief. a. A Ashlee Callahan Signature W Notary Print Name Notary Public: NOTARY STAMP BELOW My commission expires: ASHLEE CALLAHAN My COMMISSION P, HH 29598o EXPIRES: NOVeMber 30,2026 [—COMMERCIAL BUILDING SERVICES DIVISION VRESIDENTIAL BUILDING PERMIT DATA SHEET TRACKING # FOLIO # 6486 BACK FORTY LP FIRE MARSHAL #01 - Required Permits DATE: 7/22/2023 EXAMINER: -6e-braKlahr PX2304- Building fZ Plumbing ❑ Ls2ection Only F-1 Inspection Only Mechanical El LiLspection Only Electrical Amp El !Es n Only fectio 44 Roof El Medical Gas E] Fire Sprinklers El On Site Piping El Fire Line E] Irrigation E] Fire Alarm Ej Potable Backflow Assembly E] Fire Line Backflow Preventer Ej Irrigation Backflow Assembly ❑ Demolition El Walk-in Cooler El Refrigeration El Hood ❑ Ansul El Fence/Wall R Grease Trap EJ Other F] Other Type Construction: I V-B Risk Category: Occupancy Load Oancy Classification: F VIactoryResidential Assembly Hazardous Storage Day Care/Educational Business 'st, tinal E== OMercantile Utility Level Building Use: SINGLE FAMILY RESIDENCE Alteration ❑Level I FEI2 ❑ Level 3 __Z jr New Construction E] Interior Finish El Interior Remodel E] Exterior Remodel ❑ Addition F-1 Revision Overall Size: 30 X 58 Number of Stories: 2 Total Sq. Ft.: 2833 Living Area: 2389 Covered Area: 444 # of Bedrooms: 5 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof Type: Shin le []Tile El Built-up 0 Metal El Other Squares: 19 Zoning: Wifforne Debris: Outside Energy Code: -2022 405 SUP Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? yes 101 q. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: I Total Sq. In. Permanent Openings RX Central A/C 0 Gas A/C Z Heat Pump F1 Gas Heat ❑ Window AIC El Electric Heat On Site Piping Sanitary Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line Setbacks Front Rear Left Right As per Approved Site Plan Comments: