Loading...
HomeMy WebLinkAbout23-6784City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 BNR-006784-2023 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 08/15/2023 Permit Type: Building New(Residential) Pl(CflEj l�>)t►M11i3iri#dcl " l , 04 26 21 0160 02600 0070 6614 Back Forty Loop i�twne�;l�forr>'�tion � ����i'ti�l �n�'�i�wit'a�►t�+�t� �,� 3 Cdittl>�f+�(�;i�l�fi� �t���►� } _ ��, 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 Building Valuation: $282,120.00f� a� Tampa, FL 33607 Electrical Valuation: $42,318.00 Mechanical Valuation: $19,748.40 Phone: (813} 574-5700 Plumbing Valuation: $28,212.00 � � Total Valuation: $372,398.40 E� Total Fees: $20,500.02 Amount Paid: $20,500.02 Date Paid: 8/16/2023 10:21:03AM � 1 GONSTRUGT SINGLE FAMILY 1870 SQ FT ti Sewer Connection Residential Fee $2,400.00 Admin Fee ! (Provider Service) $180.00 Mechanical Permit Fee $138.74 Transportation Impact Fee - City $36.32 Irrigation 3/4 Meter (Cale) $794.92 Water Connection Residential Fee $1,140.00 Address Fee $30.00 Park Impact Fee - Single Family/Townhome $769.56 Electrical Permit Fee $251.59 Building Permit Fee $1,450.60 3/4 Water Meter Fee (Cale) $794.92 Transportation Impact Fee $3,595.68 Driveway Fee $45.00 Public Safety Impact Fee -Police $254.00 SIF 1 percent Fee $83.28 Public Safety Impact Fee -Admin $26.35 Plumbing Permit Fee $181.06 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. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." 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. OCCUPANCYNO EFL C.O. 4 CONTRACTOR SIGNATURE PEJAIT OFFICEf) PERMIT r EXPIRES r- • MONTHS WITHOUT APPROVED •r INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT r, CARD i; FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Owner's Address 1 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number Fee Simple Titleholder Name NIA Owner Phone Number �— Fee Simple Titleholder Address I N/A JOB ADDRESS 6614 Back Forty Loop LOT # 2607 SUBDIVISION Abbott Square®1 PARCEL ID# 1 04-26-21-0160-02600-0070 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED 11./ 11 NEW CONSTR 8 ADD/ALT 0 SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR F__] COMM OTHER TYPE OF CONSTRUCTION BLOCK F_� FRAME STEEL Q DESCRIPTION OF WORK Single Family Residence / Pool / Screen Enclosure / Fence BUILDING SIZE U/R IF 2351 SID FOOTAGE 1$7Q HEIGHT 28' BUILDING $ 282120 VALUATION OF TOTAL CONSTRUCTION (ELECTRICAL $ 42318 AMP SERVICE � PROGRESSENERGY Q W.R.E.C. � * r PLUMBING $ 28212 19748.4VALUATION OF MECHANICAL INSTALLATION MECHANICAL $ � =GAS ® ROOFING ® SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES Do � 3 BUILDER COMPANY Lermar Homes, LLC SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address 4301 W oy Scout Blvd Suite 600 Tampa, FL 33607 License # �CGC1518166 .w----- ELECTRICIAN /f COMPANY Edmonson Electric, Inc. SIGNATURE REGISTERED Y / N FEE CURREN - EC13005408 Address License # PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address License # I CFC042998 MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN Address License # I CAC058062 OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATUREREGISTERED Y/ N I FEE CURREN Y t N Address License # CCC057991 11111/11111111/1/1/I11111111111/1111111/1111111111///IIIIIIIIIIIIII 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. (AIC 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 besubject ho^deed^restrictions" which may bemore restrictive UhanCounb/nugulahunu. 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 |aw, both the owner and ountnoohor may be cited for 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. Fudhermore, if the owner has hired a contractor or nontnoctnna, he is advised to have the contractor(s) sign portions of the ''nnnbechor B|unk^ of this application for which they will be responsible. If you, as the owner sign no the contnootor, 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 Fmao may apply hothe construction of new bui|dingo, change of use in existing bui|dings, or expansion of existing bui|dinga, as specified in Pasco County Ordinance numbar8Q-U7 and 90-07. as amended. The undersigned also underobondo, that such fees, as may be due, will be identified atthe time of permitting. It infurther understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving n"certificate nfoccupancy" orfinal power release. |fthe project does not involve acertificate ofoccupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVater/Sawmr 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, mmmrnended): |fvaluation ofwork |o$2.5OO.O0ormore, | certify that |, the app|ioent, have been provided with a copy of the "Florida Construction Lion Law —Homeowner's Protection Guida" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", | certify that | have obtained e copy of the above described document and promise in good faith to deliver i(hothe ''mwner"prior (ocommencement. COWTRACTOR'S/OWNER'SAFF|0AV|T: | certify that all the information in this application ioaccurate and that all work will be done in compliance with all applicable laws regulating onnstruotion, zoning and land development. Application is hereby made to obtain a permit to do work and inuXa||eUnn 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 nfall |owa regulating construction, County and City oodaa, zoning regulations, and land development regulations in the jurisdiction. | also certify that | understand that the nagu|nUnna nfother government agencies may apply to the intended vvork, and that it is myresponsibility 0oidentify what actions |must take tobeincompliance. Such agencies include but are not limited to: - Department ofEnvironmental Protection -Cypress Bayhooda, Wetland Anano and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida VVabmr Management District -Wells, Cypress Boyhoadn, Wetland Avmao, Altering Watercourses. - Army Corps ofEngineero'Seowa||o.Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-VVaUy, VVesbawehyr Treatment, Septic Tanks. - U8Environmental Protection Agency -Asbestos abatement. - Federal Aviation Authohty-Runvvayo. | understand that the following restrictions apply h»the use offill: - Use offill innot allowed inFlood Zone ^V'unless expressly permitted. - If the M|| material is to be used in Flood Zone ^A^, it is understood that o drainage plan addressing a "compensating volume" will be submitted at time of permitting which is pnaponad bye professional engineer licensed by the State ofFlorida. - If the fill material is to be used in Flood Zone ^A" in connection with o permitted building using n0om wm|| 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 8|| 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 |eao than one (1) acre which are elevated byfill, anengineered drainage plan |arequired. |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 theta separate permit may be required for electrical wo,k, p|umbing, aigno, vvaUu, pools, air conditioning, Qao, nrother installations not specifically included in the application. /\ permit issued shall be construed to be a license to proceed with the work and not as authority to viu{ohn, oanoe|, o|her, 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!aaa 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 maybe requ*sted, in writing, from the Building Offioio| fora period not (oexceed ninety (9O)days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. JopwT (F.S.11rou Subscribed and sworn to- (or affirmed) before me this 7110/2023 by _ Christopher Smith Who is/are personally known to me or hasA;ave pmduG as identification. -Notary Public Commission W�X"057 Stephanie Farmer Name of Notary typed, printed or stamped Subscribed and sworn to (or affirmed) before me this Name of Notary typed, printed or stamped FrMITTW"Wr Classification/Type of Use TRANSPORTATION IMPACT FEE Rate* Sq, Ft Unit:--d _70 Exempt El Yes 0 No How Determined Impact Fee Amount _1 3i32 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 - Land Account Land Credit Land Total Recreation Account - Recreation Credit Recreation Total Zone Total Amount Exempt =Yea = 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 1 1 1 . ... . .... .......... '', gc=j X2,41TOPMaW 11", _1111VIIIA�'_'Vftv_11�14 IVAJ�"til-Wi�lyl_�%il-*ItilltltlI PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE I jdiil� � F ME RECEIPT NO DATE BY tune Table :URB INLET 71 35 kft :URB INLET 51 1,5 (E)IE:90,13 :URB INLET 55 18 -R OF (N)IE:86.87 - 4 OF :URB INLET )o 4 OF 33 (N)IE:88.53 2-6-21 N: 1 (W)IE:98.53 E: I — — — — W, I kaw :URB INLET A 00 37 (E)IE:88.60 197.11— 95.550 iQLE I-W-m m a m m a m m a Z2 TYPE W Z2 FF:97.97 (S)IE:84.79 PAD:97.3 84.90 (W)IE:89.17 196.91 95.350 on m m IN 2 iOLE 77 77 (NW)IE:89.89 (E)tE:89.89 iOLE 32 @ 0-i 32 (N)tE:90-01 (SE)IE:90.01 iOLE pil Mr s • FF:96.97 • PAD:L6. ar gi • fig SEE SHEET C203 MATCH LINE L(i WE Las .1.36 24- 19" RCP @ ... ............................................... I ,4 P @ P28 I X, 24- 19" RC • lam10 9 8ati 0I R Id ti A-1 R u DESCRIPTION: LOT 7, BLOCK 26, ABBOTT SQUARE PHASE 2, SITE PLAN SEC. 4, TWP. 26 S, RNG 21 E. ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 90, PASCO COUNTY, FLORIDA PAGES 28-33, OF THE PUBLIC RECORDS OF PASCO COUNTY, (NOT A SURVEY) FLORIDA. (ABBOTT SQUARE PHASE 2) Prepared for and Certified To: Lennar Homes ALL ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 (NAVD 88) Scale" 1 " - 20' PCP i i 01 1 v i cr + 1 I LUNe h LOT 9 } LOT 8 N ' BLOCK 26 1 BLOCK 26 ' 4\ , --------- 95` 5?� E N 88*08'23" W (P) 1 10.50' (P) I fa'2 c% 22. a 37.7'. LM co 3' Ct NC 0 PROPOSED ENTRY WALK' a'' C �? LOT 7 2 STORY RESIDENCE 4.3' �r Z cC LOTII LU BLOCK 26 3.0)C6.0 � PLAN 1871 BLOCK 26 PATIO °" "' ELEV "B" m w in GARAGE L : .P ( N m w Ce 42'-0" � z:� CJ 46.0' C/S t4/C © era 1 42.0' iA Ln LOT 12 4 'S N 88°08'23" W P 1 10.50' P BLOCK 26 1j () ())� •.' \ "' 1 LOT 6 q ' BLOCK 26 I NOTES: LOT GRADING TYPE = A PROPOSED ELEVATIONS AND GRADING PROPOSED PAD ELEVATION=95.40' SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF FRONT SET BACK = 20' ABBOTT SQUARE RESIDENTIAL", PREPARED SIDE SET BACK = 7.5' BY "WRA" PROVIDED BY CLIENT SIDE SET BACK (CORNER LOT) =10' LOT = 4973 SO. FT. LIVING AREA = 780 SO. FT. REAR SETBACK = 15' ENTRY = 38 SO. FT. GARAGE = 443 SO. FT. PROPOSED: COVERED LANAI = N/A SO. FT. * = 10.00' PUBLIC UTILITY EASEMENT PATIO = 18 SO. FT. MINIMUM FLOOR ELEVATIONS: POOL AREA = NA SO. FT. LIVING AREA: 96.07' LEGEND: CONC. DRIVE = 345 SO. FT. GARAGE AREA: — r.= 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 S0. FT. LOT OCCUPIED = 34 % APPARENT FLOOD HAZARD ZONE: "X" COMMUNITY NO. 120235 AREA TO IRRIGATE = 66 % 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 (R) = RECORD LEGEND NC = AIR CONDITIONER D.E= DRAINAGE EASEMENT LB =LICENSED BUISNESS PCC = POINT OF COMPOUND CURVE RNG =RANGE ? ,fi t VINYL FENCE AF =ALUMINUM FENCE EL OR ELEV = ELEVATION LE = LANDSCAPE EASEMENT PCP = PERMANENT CONTROL POINT RRS = RAIL ROAD SPIKE 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 WOOD FENCE C = CURVE SEC = SECTION = (C (=CALCULATED F/C =FENCE CORNER (MJ =MEASURED PI = POINT OF INTERSECTION SN&D =SET NAIL AND DISK ASPHALT FCM = FOUND CONCRETE MES = MITERED END SECTION PK =PARKER KALON LB#8183 4 = CENTERLINE CHAIN LINK FENCE CLF = CHAIN LINK FENCE MONUMENT NCF = NO CORNER FOUND R = PROPERTY LINE SIR = SET 112" IRON ROD LB# 8183 CMP = CORRUGATED METAL PIP FIP = FOUND IRON PIPE O/A = 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 POL = POINT ON LINE TWP = TOWNSHIP ALUMINUM FENCE C/S = CONCRETE SLAB FOP = FOUND OPEN PIPE (P) = PLAT PRC = POINT OF REVERSE CURVE U.E = UTILITY EASEMENT = COVERED J VF �\ CST = CLEAR SIGHT TRIANGLE FPP = FOUND PINCHED PIPE PB = PLAT BOOK FIRM = PERMANENT REFERENCE MONUMEN = VINYL FENCE JOB 15908522607 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive EE 1.) Current title information on the subject property had not been �PSS N 19 Date of Site Plan: 6-13-23 This certifies that sketch of the hereon described Tarpon Springs, Florida ' furnished to Initial Point Land Surveying, LLC. at the time of this property was b�tgiy supervision and Phone: (727)-831-1990 ter'" RG I E RGiW RG1E DWG:AS-PH2-L7-BL26-SITE SITE PLAN meets the C gjp Practice for FloridaPLS7123@gmail.com A ,ur, S P, 5 E 2.) This sketch was prepared without the benefit of a title search. RG i W RG r E o surveys a( and of Land LB# 8183 No instruments of record reflecting ownership, easements or c File: rights -of -way were furnished tot e undersigned, unless otherwise S i - � g n2d oe � . F At�>�t ist shown hereon. ua Drawn by: DJB pursnt t Section 4 < ,." A tiey 3.) Roads, walks, and other similar items shown hereon were take to s Date: ,2 06.14 Checked byJH from engineering plans and are subject to survey. 4.) This SITE PLAN does not reflect nor determine ownership. � 1 4�j:' 'ao'�� REVISIONS 5.) This SITE PLAN is subject to matters shown on the Plat of ""TAT C? "ABBOTT SQUARE PHASE 2" Jeff M.1Si a(�t . Dimensions shown hereon are in feet and decimal portions FLORID A�� i AND 1 thereof 7.) Contractor and owner are to verify all setbacks, building MAPPER NC�iI # tL" dimensions, and layout shown hereon prior to any construction, NOT VALID WITHOU HE ORIGINAL and immediately advise Initial Point Land Surveying, LLC. of any SIGNATURE AND SEAL OF A FLORIDA d°' / 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 M P a rce I #: �-20 �22 Setbacks:Front Rear Sides Elevation: --2-- Garage: --&- Roof Shingle Dime nsion/Archite ctural: ASS I'- v U A L R V F" I F A' Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 6614 Back Forty Loop Parcel Tax ID: 04-26-21-0160-02600-0070 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: 813-376-3088 Fax: N/A Email Address (Optional): deb@virtualreviewassist.com Florida License, Registration or Certificate #: (LIC # BU1967/ PX2300/ BN4615) I have elected to use one or more private providers to provide building code plans review and/or inspection services on the building that is the subject of the enclosed permit application, as authorized by s. 553.791, Florida Statutes. I understand that the local building official may not review the plans submitted or perform the required building inspections to determine compliance with the applicable codes, except to the extent specified in said law. Instead, plans review and/or required building inspections will be performed by licensed or certified personnel identified in the application. The law requires minimum insurance requirements for such personnel, but I understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harmless the local government, the local building official, and their building code enforcement personnel from any and all claims arising from my use of these licensed or certified personnel to perform building code inspection services with respect to the building that is the subject of the enclosed permit application. I understand the Building Official retains authority to review plans, make required inspections, and enforce the applicable codes within his or her charge pursuant to the standards established by s. 553.791, Florida Statutes. If I make any changes to the listed private providers or the services to be provided by those private providers, I shall, within I business day after any change, update this notice to reflect such changes. The building plans review and/or inspection services provided by the private provider is limited to building code compliance and does not include review for fire code, land use-, environmental or other codes. The following attachments. are provided as required; 1. Qualification statements and/or resumes of the, private provider and all duly authorized representatives. 2,. Proof of insurance for professional .and comprehensive liability t amount i y in-th untof $1 million per occurrence relating to all servirdsperfbimed as aprivate provider; including tailcoverage for aminimum subsequent performance of building code inspection services. of 5 years subse to the form.6nce. Individual Corporation Partnership :(Signature) Print Name: Address Telephone hTn ?lease I use appropriate notary bliock. STATE OF FLORIDA COUNTY OF HILLSBOROUGH Individual Mbrrme,tbis -day Of 20— personally appeared who ' executed the foregoing instrument, and acknowledged before me that s , ame was executed for the purposes therein L[_-1NJVt-XR HOMES L Print CoipoTationName Print ,N,,.,a,,: Christopher Smith its: Authorized Agent Address: 700 RWL 107th Ave Miami, FL 33172 Telephone. No. 813-574-5700 Corporation Be,fbrem,,this 22ND day of MAY 20Z3 personally appeared Of Lennar Homes, LLQ_ a ..... Corporation, on behalf of the state corporation, who executed the foregoing instrument and acknowledged before me that same was executed for the purposes therein PrintPartnership Name By: (signature) Print Name: Its. Address; Telephone No. Partnership Before me, this day Of 20— pers6na.Uy appeared p armer/agent on behalf of a partnership, who executed the foregoing instrument and acknowledged before me that same was txeouteffbr the purposes I therem expressed,. Personally known X or- Produmdidentitcation Type of identificationproduced Signature ofNot Print Name ASHLEE CALLAHAN - - - - - - - - - - - - - - - - NotaTyPublio Stamp-, AISVILEE CALLAHAN Comn-Assion Expirts� HH 2 EXPIRES: Novefnber 30,2026 Page 2 of 2 VIRTUAL REVIEW ASSI$T Private Provider Plan Comgliance 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: I virtualreviewassist.coin Project: New SFR Address(s): 6614 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: RIMMIND - �61 Wt �11 � M Plan Sheets CS,AI,A2,A3,A4, A5,A6,A7,SNO,SNI,S3,S4,S5,S6,SS,ST,SII,SI2,WPI, WP2,WP2.I,PA1.0,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 fore 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 f regoing is true and correct to the best of his/her knowledge or belief. Ashlee Callahan Si a 0 0 otary Print Name Notary Public: NOTARY STAMP BELOW My commission expires: ASHLEE CAULAHAN kly C(1140YII8S101`i Hf-I 295080 EXT RES, Nwer,,,iwr 30,2026 COMMERCIAL BUILDING SERVICES DIVISION RESIDENTIAL BUILDING PERMIT DATA SHEET maim= I au Rai za� FIRE MARSHAL #01 - Required Permits DATE: 7/22/2023 EXAMINER: Debra Klahr PX230C IV Building El Lspection Only IV Plumbing El Inspection Only V Mechanical F Ins ection Only Electrical —Amp F PLspection Onl 44 Roof [:1 Gas El Medical Gas ❑ Fire Sprinklers El On Site Piping E] Fire Line El Irrigation El Fire Alarm Potable Backflow Assembly E] Fire Line Backflow Preventer E] Irrigation Backflow Assembly E] Demolition ❑ Walk-in Cooler E] Refrigeration El Hood El Ansul El Fence/Wall E] Grease Trap Ej Other E] Other Buildine Data Construction: I V i Risk Category: � Occupancy Load _Ty_B C anc Classification: acto 'Factory ry OV "i ,Residential �,R dn 'Assembly Hazardous ra'Storage E=� y Care/Educational nal 11 cantile ❑Utility Building Use: SINGLE FAMILY RESIDENCE l Alteration I Level I F❑Level 2 IQ Level 3 ,Vf New Construction ❑ Interior Finish ❑ Interior Remodel ❑ Exterior Remodel F-1 Addition F-1 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: 91 Shingle LITile El Built-up 0 Metal ❑ Other Squares: 16 Zoning: orne Debris: Wi nE[,Inside V,,,, Outside Energy Code: 405-2022 SUP Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? ❑YesNo 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 ® Heat Pump 0 Gas Heat El Window A/C [:1 Electric Heat On Site PiDinLy SanitaKy Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line Setbacks Front Rear Left Right As per Approved Site Plan Comments: