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Home My WebLink About23-6782City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 BNR-006782-2023 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 08/15/2023 . . .. ... .ti 04 26 21 0160 02600 0150 6470 Back Forty Loop K Name: Lennar Homes, LLC Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC Class of Work: SFR Construct Address: 4301 W Boy Scout Blvd Suite 600 Tampa, FL 33607 Building Valuation: $320,640.00 Electrical Valuation: $48,096.00 Ic '5? '?c Phone: (813) 574-5700 Mechanical Valuation: $22,444.80 Plumbing Valuation: $32,064.00 Total Valuation: $423,244.80 Total Fees: $20,754.25 Amount Paid: $20,754.25 Date Paid: 8/16/2023 10:21:03AM CONSTRUCT SINGLE FAMILY 2217 SID FT "M, "M Water Connection Residential Fee $1,140.00 Driveway Fee $45.00 Address Fee $30.00 Public Safety Impact Fee -Admin $26.35 Mechanical Permit Fee $152.22 Public Safety Impact Fee -Police $254.00 Sewer Connection Residential Fee $2,400.00 Building Permit Fee $1,643.20 Transportation Impact Fee $3,595.68 Electrical Permit Fee $280.48 Park Impact Fee - Single Familyrrownhome $769.56 3/4 Water Meter Fee (Cale) $794.92 Plumbing Permit Fee $200.32 Irrigation 314 Meter (Cale) $794.92 Transportation Impact Fee - City $36.32 Admin Fee / (Provider Service) $180.00 SIF 1 percent Fee $8128 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. 131!1 1�1111 - 11!11 111 III iN a10I , , I accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONT CTOR I ATul`�E PE 11IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER .; Permit No,, Date Permitted Builder Name/Owner N e-A 140- Control # Address/Location Classification[Type of Use Rate: Sq. Ft Unit: Exempt 0 Yes 0 No Flow Determined Impact Fee Amount Zane NO. TAZ: SCHOOL IMPAFEE �} Account (056) Single -Family Detached House Amount $ �7 (057) Mobile Florae (058) Other Residential (123) Collection Fee Exempt =Yes = No Flow Determined - PARKS D RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone Total Amount $ 707. :xempt y. Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt Yes No Flow Determined Total Amount RESOURCE FEE ERU Total Amount Prepared Ry Checked Ry CERTIFi TE OF OCCUPANY MILL RE ISSUED OR F1N 1NISPECTtON 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. RECEIPT NO - DATE By 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permittin 908 770 __ 7763 r-rrT r rr_r- --- r r r r o 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^---� Fee Simple Titleholder Address N/A JOB ADDRESS 6470 Back Forty Loop LOT # 2615 SUBDIVISION Abbott Square PARCELID# 04-26-21-0160-02600-0150 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED II./ II NEW CONSTR 8 ADD/ALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR Q COMM OTHER TYPE OF CONSTRUCTION BLOCK Q FRAME 0 STEEL DESCRIPTION OF WORK Single Family Residence / Pool / Screen Enclosure / Fence BUILDING SIZE U/R SF 2672 7 SQ FOOTAGE 2217 HEIGHT 28' JBUILDING $ 320640 VALUATION OF TOTAL CONSTRUCTION ' f 'ELECTRICAL $ 48096 —®1 AMP SERVICE ® PROGRESS ENERGY W.R.E.C. ,,, ••• �� PLUMBING � 32064......,..___1 C 0MECHANICAL $ 22444.8 VALUATION OF MECHANICAL INSTALLATION =GAS ® ROOFING Q SPECIALTY OTHER (. FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES Do BUILDER r COMPANY Lermar Homes, LLC SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address 4301 Bo)*out Blvd Suite 600 Tampa, FL 33607 License # I CGC1518166 ELECTRICIAN COMPANY Edmonson Electric, Inc. SIGNATURE REGISTERED Y / N FEE CURREN 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 FEE CURREN Y ! N Address P License # CAC058062 OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE REGISTERED Y ! N FEE CURREN Y / N Address License # CCC057991 II111/1111111/I111111111111/1111/1111//1//111111111111111111111/I1/ 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 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 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, 1 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 " V" 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. - • • • - - • i - • •, • il ki 11 11 - i - FLORIDA J OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this 415/2023 by Christopher Smith Who is/are personally known to me or as identification. Notary Public Commission Z96057 Stephanie Farmer Name of Notary typed, printed or stamped ELISUM. HOLLERAN -6. Expims June 6, 2424 c R "W r4W Tt#vTmy 7619 Subscribed and sworn to (or affirmed) before me this 4/5/2023 by Christopher Smith Who is/are personally known to me or has/have produced as identification. Notary Public Commission No. 7 Stephanie Farmer Name of Notary typed, printed or stamped eAp r t tiATIT,I 1# t fR ?4 i I 1�4 OF 97.� 95.591 ]it tD I IN RE INLET 4 OF FF:98.17 0 53 )IE:88-53 0-/l Aos N 14243 8 I)IE:88.53 1) 88 E: 586256AS --%1197..26 95.76 ui t RS INLET )IE:88.60 )LE )IE:84.79 TRACT 71 )IE:94.80 I)IE:89-17 )LE W)IE:89.89 )IE:89-89 )LE )IE:90.01 E)tE:90.01 )LE 1)[E:90].49 )IE:90.49 BI )IE:91-00 m 97.11 95.55o TYPE 'A FF:97.97 96.91 95.350 in IN a a 5 PE A' FF.97. 7 u PAD:97. 10 70 96. 91; 151 E A FF: 7.67 PAD:97.DD 8" RCP @ 170'- 18" RCP @ 0.30% 196.89 ---o-95.31 4- TY E A FF:97.97 0 PAD:97.30 97.11 95.541 TYPE FF:98.17, 0 PAD:97.501 1 15* R/W -I ---I- --- P8 1, PC 55 97.31- 95.75 OFF 98�37 n� C5 1�- a 'NEW mTYPE'A FF:98.27 9 *95.68 -96.560 94.700---- 'A FF:97.17 I FF:96.07 01 PAD:96.50 PAD:95.40 095.48 ---96.43 PE iYP A' 10 FF:97.17 FF:96.17 PAD:96.50 PAD:95.rry FF-96 ' 07 PAD,95.40 FF:96.97 FF:95.77 PAQ:9630 do "q r® 67 .9 0 I&A . ;7]1arj - - ---- - -- -- I A oil I f FF-.95.0 PAD94.40 jai so Mi FF:9S.07 PAD:94.401 p FF:95.1 PAD:94.50 FF:95,17 PAD:94.50 . I .... -- *127' - 54" RCP @ 0.305/6 we 9 FF:95.77 0 ri 5 DESCRIPTION. LOT 15, 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 14 Q8 BLOCK 26 I LOT 4 N88'08'23'W(P) 110.50'(P) qb /P V (9 BLOCK 26 ---------- 0 0 225 413 42.0', 3- ONC Oq C/S-1VC I % 0 t Lit n WALK ENTRY PROPOSED Ln 2§0 P 0 PLAN 2216 4.7' 2 STORY RESIDENCE 3. I'X6.0' LOT 15 E' LOT V"B" 67 q. i— 46 1 C; ELE � N PATIO BLOCK 26 BLOCK 26 6 GARAGE R lJ AV ME 46-0' 46.0" 2.5' 42.0' z 2S. P) N88'08'23-W(P) 110.so-(p) ----- ---- 961 \ r LOT16 , �qDt LOT2 BLOCK 26 BLOCK 26 PCP NOTES: LOT GRADING TYPE = B PROPOSED ELEVATIONS AND GRADING PROPOSED PAD ELEVATION =96.30' 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 SO. FT. LIVING AREA = 930 SQ. FT. REAR SETBACK= 15' ENTRY = 26 SO. FT. 10.00'PUBLIC UTILITY EASEMENT GARAGE = 401 SO. FT. PROPOSED: COVERED LANAI = NVA SO. FT. MINIMUM FLOOR ELEVATIONS: PATIO = 19 SO. FT POOL AREA = NA SO. FT. LIVING AREA: 96.97' LEGEND: CONC. DRIVE = 360 SO. FT. GARAGE AREA: PROPOSED DRAINAGE FLOW A/C & CONC PAD = 12 SO. FT. ELEVATIONS REFERENCED TO SIDEWALK = 28 SQ. FT. NORTH AMERICAN VERTICAL (00.00) = PROPOSED GRADE SIDE YARD SWALE = N/A SO. FT. DATUM OF 1988 E-00,00 = EXISTING GRADE CONSERVATION AREA =—NVA SO. FT. LOT OCCUPIED = 36 % APPARENT FLOOD HAZARD ZONE:"X" COMMUNITY NO. 120235 AREA TO IRRIGATE = 64 % SURVEY ABBREVATIONS (MAP NUMBER 12 10 1 C-0289-F) EFFECTIVE DATE: 09/26/2014 A) = ARC LENGTH (D) - DEED INV = INVERT PC - POINT OF CURVE fR) = RECORD LEGEND VINYL FENCE A/C = AIR CONDITIONER D.E= DRAINAGE EASEMENT LB =UCENSED BUISNESS PCC = POINT OF COMPOUND CURVE RNG = RANGE AT = ALUMINUM FENCE = CONC EL OR ELEV = ELEVATION L.E = LANDSCAPE EASEMENT PCP = PERMANENT CONTROL POINT RRS = RAIL ROAD SPIKE BEE = BASE FLOOD ELEVATION EDP = EDGE OF PAVEMENT LEE = LOWEST FLOOR ELEVATION P/E POOL EQUIPMENT R/W =RIGHT OF WAY BM - BENCH MARK ESM7 - EASEMENT LS = LICENSED SURVEYOR PG = PAGE SEC SECTION WOOD FENCE C - CURVE F/C = FENCE CORNER JM) = MEASURED PI = POINT OF INTERSECTION SN&D = SET NAIL AND DISK = ASPHALT (C) = CALCULATED FCM = FOUND CONCRETE MES = MITERED END SECTION PK =PARKER KALON LB#8183 CENTERLINE MONUMENT NCF = NO CORNER FOUND It = PROPERTY LINE CHAIN LINK FENCE CM = CHAIN LINK FENCE SIR = SET 112- IRON ROD LB# 8183 P CORRUGATED METAL PIPE F P - FOUND IRON PIPE O/A = OVERALL POB = POINT OF BEGINNING TBM = TEMPORARY MARK BRICK Cx COL COLUMN FIR =FOUND IRON ROD OHW = OVERHEAD WIRES) POC = POINT OF COMMENCTMENT TOB = TOP OF BANK CONC = CONCRETE FN&D = FOUND NAIL & DISK O.R. = OFFICIAL RECORDS POL = POINT ON LINE TWP = TOWNSHIP ALUMINUM FENCE C/S = CONCRETE SLAB FOP FOUND OPEN PIPE (PI = PLAT PRC = POINT OF REVERSE CURVE LLE = UTILITY EASEMENT CST = CLEAR SIGHT TRIANGLE EPP FOUND PINCHED PIPE PEE = PLAT BOOK PRM = PERMANENT REFERENCE MONUMEN VF -VINYL FENCE JOB 15908522615 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive see Date of Site Plan: 6-13-23 1.) Current title information on the subject property had not been This certifies tos�W�hljhe hereon described Tarpon Springs, Florida furnished t Initial Point Land Surveying, LLC. at the time of this N , �P,l N �P,] N property LWA19� ervision and Phone: (727)-831-1990 RG W RG E SITE PLAN E DWG:AS-PH2-L I 5-BL26-SITE meets Ii ractice for FloridaPLS7123@gmail.com —P I'S �p LSE 2.) This sketch was prepared without the benefit of a title search. sure a -a rd of Land LB# 8183 RG , W RG E No instruments of record reflecting ownership, easements or js P111 'A 7t 1 igned I File: rights -of -way were furnished to the undersigned, unless otherwise 0 1 Adn irlist tiv Drawn by: DJB shown hereon. PUOJ o Section 47,,J rtley 3.) Roads, walks, and other similar items shown hereon were taker Sta I Checked by.JH from engineering plans and are subject to survey. Date, 3.06.14 no. 4.) This SITE PLAN does not reflect nor determine ownership. RIT REVISIONS 5.) This SITE PLAN is subject to matters shown on the Plat of EW-FIRID -04'00' 'k "ABBOTT SQUARE PHASE 2" 416w, J e ff M A TR ' " 9, $9-te 6.) Dimensions shown hereon are in feet and decimal portions FLORIDA%Qf�j� YORAND <0 thereof. 183 7.) Contractor and owner are to verify all setbacks, building MAPPER NO1 dimensions, and layout shown hereon prior to any construction, NOT VALID WITHOUT THE ORIGINAL and immediately advise Initial Point Land Surveying, LLC. of any SIGNATURE AND SEAL OF A FLORIDA deviation from information shown hereon. Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC. at user's sole risk. Plan Model Elevation Garage Lot Size Block Lot �2 ( 2 /5 I Parce I #:-LL-jL--2-L 01 0 -�O/ �-CL Setbacks: Front— )� 2 1 -5- _ Rear Elevation: —,13— Garage: N Sides 75 Roof Shingle Dimension/Architectural: 9, ; k- 14� \v'- A F"V' Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 6470 Back Forty Loop Parcel Tax ID: 04-26-21-0160-02600-0150 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: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601 Telephone: Email Address (Optional): debevirtualreviewassist.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 1 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 atachments. are provi&d 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 in,the. amount of $1 Million per occurrence relating to all services performed as a private provicler, including tail coverage for a niii-iinium of 5 years subsequent to the performance of building code inspection services., Individual -(signature) Print Name: Address, Telephone Please use appropriate notary block. STATE OF FLORIDA COUNTY OF HILLSBOROUGH Individual B efore me, this day of 20— personally appeared who executed the foregoing instrument, and acknowledged before m5 that same was executed for the purposes therein expressed. Corporation LENNAR HOMES. LLQ Print CorporationName By: (signature) Print Name: Christopher Smith its: Authorized Agent Address: 700 NW 1 01th -Ave Miami, FL 33172 Telephone, No. _81 3-574-5700 Corporation B,for,me,thjs 22ND —day of MAY, personally appeared. Of Lennar Homes, LLC a Corporation, on behalf of the state corporation, who i �mccutoa the f6rcgoing instrument and acicsowledged before me that same, was executed for the purposes therein expressed. Partnership Print Partnership Name W (signature) Print Name: Its: Address: Telephone No.: Partnership B tfort me, this day Of 20— personally appeared partner/agent on behalf of a partnership, Who executed the foregoing instrument and acknowledged before me that same Was executed for the purposes therein, expressed.. I, ersonallY k . nmwn x Jor_ Productdideutitcation_ Type of'identifcation, produced Sig.naturc. ofNotu' PlintName ASHLEE CALLAHAN -EN Notary Public Stamp, ASH GALLAHA M HH 2)51,180 jo ii 2, Commission Expires: Page 2of2 1 4i VIRTUAL REVIEW ASSIST Private Provider Ilan ComQliance Affidavit Private Provider Finn: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU1967 Address: 747 Southwest 2,d Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: l,,ucipvirtuakeviewassist.com Project: New SFR Address(s): 6470 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,A4. 1,A5,A6,A6. l,SN0,SNl,S3,S4,S5,S6,SS,ST,S1 1,S 12,WPI, WP2,WP2.1,PAI.0,PAI.1, PAI.2,PAI.3,PA1.4, 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 befom"ine by Debra Anne Klahr being personally known to me or having produced as identification and who being fully sworn and cautioned, state that the for oi g is true and(Zto the best of his/her knowledge or belief. oi Ashlee Callahan Sigii'a e of Notary Print Name Notary Public: NOTARY STAMP BELOW My commission expires: ASr Ix MY COMM188ION'# III 12916980 o EXPIRESNOVCsfiilbor 30,2026 WZNM , 101RDWROMFUJI, Mae] FIRE MARSHAL #01 - DATE: 7/22/2023 EXAMINER: Debra Klahr PX230( Building El LELection On!LY Plumbing usection Only Mechanical E] Inseection QnlL_ Electrical Amp El Lnseection OnLy Roof I Ej Medical Gas E] Fire Sprinklers El On Site Piping 0 Fire Line El Irrigation [:] Fire Alarm [] Potable Backflow Assembly El Fire Line Backflow Preventer El Irrigation Backflow Assembly Ej Demolition El Walk-in Cooler E] Refrigeration El Hood 0 Ansul El Fence/Wall El Grease Trap ] Other E] Other Building Data Type Construction: I V_B Risk Category: Occupancy Load ancy Classification: OVFacto Residential -Assembly Hazardous Storage usln jDay Care/Educational business 'Institutional El Mercantile RE Utility Building Use: SINGLE FAMILY RESIDENCE Alteration FLevel I I❑Level 2 IQ Level 3 New Construction E] Interior Finish r_1 Interior Remodel M Exterior Remodel [] Addition ❑ 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: El Shingle FTile Lj Metal El Other Squares: 18 Zoning: Wirorne Debris: E ,inside Outside Energy Code: 405 -2022 SUP Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? JQYes No Sq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: Total Sq. In. Permanent Openings 9 Central A/C 0 Gas A/C ® Heat Pump 0 Gas Heat El Window A/C El Electric Heat I 14TI&T m-arl= SanitaEy Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line Setbacks Front Rear Left Right As per Approved Site Plan Comments: I