HomeMy WebLinkAbout23-6789Nam*: Lermar Hnmes,LLC
Address: 430W Boy Scout Blvd Suitem00
Tampa, FL 33607
CONSTRUCT SINGLE FAMILY 258OSoFr
Driveway Fee
Park Impact Fee ' Single Family/Townxomm
nannpunauun|mpamFee-Qty
Plumbing Permit Fee
Water Connection Residential Fee
3/4Water Meter Fee (Co|c)
Irrigation 3/4Meter (Ca|c)
Building Permit Fee
Mechanical Permit Fee
City of Zephyrhilis
5335 Eighth Street
Permit Type: Building New (RenidenUa|)
Class of Work: SFR Construct
Building Valuation: $361.92O.0V
Electrical Valuation: $54.28810
Mechanical Valuation: $2583440
Plumbing Valuation: $36.192.00
Total Valuation: $477.734.40
Total Fees: $21�6.70
Amount Paid: $21.02670
Date Paid: 8/16/2023 10:21:03AM
Issue Date: 08/16/2023
6399 Back Forty Loop
Contractor: LENNARHOMES LUC
$45/0 Sewer Connection Residential Fee
$2,400.00
$789.56 PubUcSafety|mpactFeo-PoUma
*254.00
$38.32 Electrical Permit Fee
$311.44
$220.96 AdminFee / (Provider Service }
$180.00
$1.140D0 Address Fee
$XVO
$794�92 Pub|ioSufoty|mpwctFoo-Admin
$20.35
*794.92 S|F1 percent Fee
$83.28
$1.849.60 Transportation Impact Fee
$3.585.88
$166s7 School Impact Fon-aino|npami|v
$8.328o0
RENNSPECTION FEES: (c)With respect tpR*inapmctomfees will comply with Florida Statute 553.80(2)
local government shall impose afee oYfour times the amount mf the fee imposed for the initial inspection or
first ne|mspectiom,whichever fs greater, for each subsequent mm|nmpmctipn'
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 aowater management, state agencies orfederal agencies,
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
t 1 f t f Y r 1 [ ll 1 1
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P I Owner Phone Number 813.574.5700
Owner's Address 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 6399 Back Forty Loop LOT # 0520
SUBDIVISION Abbott Square PARCEL ID# 04-26-21-0160-00500-0200
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR e ADD/ALT SIGN Q 0 DEMOLISH
P 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 I U/R SF 3016 SQ FOOTAGE 2580 HEIGHT 28'
OBUILI I I I I I I I I I I I 1-r T-r
DING $ 361920 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ 54288 ® PROGRESSENERGY W.R.E.C.
AMP SERVICE
PLUMBING $ 36192
0MECHANICAL $ 25334.4 VALUATION OF MECHANICAL INSTALLATION j
=GAS ® ROOFING ® SPECIALTY OTHER t
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES Do
BUILDER p COMPANY I
Lermar Homes, LLC
SIGNATURE X REGISTERED Y / N FEE CURREN I Y / N
If
Address 4301 Voy Scout Blvd Suite 600 Tampa, FL 33607 License # CGC1518166
ELECTRICIAN COMPANY EdmOnSon Electric, Inc.
SIGNATURE REGISTERED Y / N FEE CURREN I Y / N
Address License # I EC13005408
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
a"
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 Y I N
Address f License # I CAC058062 T
OTHER COMPANY =CSterling Quality Roofing, Inc
SIGNATURE REGISTERED Y / N FEE CURREN
Address License # CCC057991�
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 frorn 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 bemore restrictive thaanCounh/regulaUnna. 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 local regulations. If the
contractor is not licensed as required by |aw, both the owner and contractor may be cited for misdemeanor violation
under atohu 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. Furthermore, if the owner has hired a contractor or oontnaobors, he is advised to have the contractor(s) sign
portions of the "contractor B|uok^ of this application for which they will be responsible. If you, as the owner sign as the
oontnador, that may baon indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEESThe d i nd 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, I
certify that 1, 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 ittothe ^mwner^prior Vncommencement.
C0MTRACTOFk'S/OVVNER'GAFF|DAV|T: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable |owm regulating conetruot|on, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. | certify that no work or installation has
commenced prior to issuance of permit and that all work will be p*dbnned to meet standards of all laws regulating
oonotructinn. County and City oodoo, zoning regulations, and land development regulations in the jurisdiction. | also
certify that | understand that the regulations nfother government agencies may apply to the intended work, and that it is
myresponsibility hoidentify what actions | must take hmboincompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection -Cypress Bayheado, Wetland Areas and Environmentally Sensitive
Lands, VVu0er[VVau&awaharTreatment.
' Southwest Florida VVa0ar Management Distrin#W*Ua, Cypress Boyheadn, Wetland Areas, Altering
Watercourses.
- Army Corps nfEngineers-SeawaUo.Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-VVeUs, Wastewater Treatment,
Septic Tanks.
- USEnvironmental Protection Agency -Asbestos abatement,
- Federal Aviation Authohty-Runwaya.
| understand that the following restrictions apply Vuthe use uffill:
- Use offill ianot allowed inFlood Zone ^V^unless expressly permitted.
- If the U|| material is to be used in Flood Zone ^A^, it is understood that e drainage plan addressing a
"compensating volume" will be submitted at time nfpermitting which is prepared by professional engineer
licensed bythe State ofFlorida.
- If the @| mohaha| in to be used in Flood Zone ^A" in connection with o permitted building using stem wm||
construction, | certify that fill will be used only hofill the area within the stem wall.
- If fill material is to be used in any area. | certify that use of such fi|| 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 |o\n |oaa than one (1)
acre which are elevated byfill, anengineered drainage plan isrequired.
|f|emthe 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 work,
p|umbing, oigno, vveUa, poo|s, air conditioning, gaa, orother installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not 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 iscommenced within six months cfpermit issuance, orifwork 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 roquestod, in whting, from the Building Official fora period not to exceed ninety (00) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
xunAT(Fa.117on
OWNER omAGENT
Subscribed and sworn (b (or affirmed) before me this
415/2023 by Christopher Smith
Who is/are pers6nally known to me or hasibave pFeduGe4
as identification.
Notary Public
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
Permit No.LL6
Date Permitted 9-152-3
Builder Name/Owner Name _ Control
County Parcel No.
Address/Location
Classification/Type of Use
TRANSPORTATION IMPACT FEE Rate- Sq. Ft Unit: —ZL9-0
Exempt 0 Yes 0 No �Z3 How Determined
Impact Fee Amount Zone No. T
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount $_
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt =Yes = 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 11 Yes No Now Determined Total Amount
RESOURCE FEE ERU
Total Amount
WE=
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
ill ffirggp� ��:, 11,11
Mj
RECEIPT NO — DATE BY
RB INLET
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RB INLET
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4E)IE:87.78
JRB INLET
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SECTION ? 1�11 RANCH
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PH 1, PG 55
ACT 71
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SEE SHEET C209
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1
DESCRIPTION: LOT 20, BLOCK 5, 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.
PROPOSED ELEVATIONS AND GRADING
SHOWN HEREON ARE TAKEN FORM THE
ENGINEERING PLANS OF
"ABBOTT SQUARE RESIDENTIAL", PREPARED
BY "WRA" PROVIDED BY CLIENT
SITE PLAN
(NOT A SURVEY)
This SITE PLAN Prepared for and Certified To:
Lennar Homes
SEC. 4, TWP. 26 S, RNG 21 E.
PASCO COUNTY, FLORIDA
(ABBOTT SQUARE PHASE 2)
PCP 9
LOT 19
I 10
BLOCK 5
S 88-08-23- E (P) 125.05'(P)
4 2 (P)
Ln
52-8"
49.9* 3.5X]1.5' 47.3'
2T8'
U<
CIS_NC
La
225
O'K I
Z _J
PROPOSED
rn
3' C 6NC
U < El
10'X&O', 2 STORY RESIDENCE
PATIO
ENTRY
4.7'
WALK
ua
LOT20 q !? PLAN 2551
BLOCK5 0
oui V
U U
en ELEV"B"
��
GARAGE
—M.
10
d IN
CO
z
49.9'
52.0'
23, V1
S 88-08-23- E (P) 12505' (P)
LOT21
BLOCK 5
0 �
U
U_
0
10
ALL ELEVATIONS REFERENCED
NOTES: TO NORTH AMERICAN
LOT GRADING TYPE = A VERTICAL DATUM OF 1988
PROPOSED PAD ELEVATION =97. 10' (NAND 88)
FRONT SET BACK = 20'
SIDE SET BACK = 75
SIDE SET BACK (CORNER LOT) =I 0' LOT = 5627 SO. FT.
LIVING AREA = 1110 SO. FT.
REAR SETBACK= 15' ENTRY = 60 SO. FT.
GARAGE = 403 SO. FT.
PROPOSED: 10.00'PUBLIC UTILITY EASEMENT COVERED LANAI N/A SO. FT.
PATIO
MINIMUM FLOOR ELEVATIONS: 18 SO. FT.
POOL AREA = NA SO. FT.
LIVING AREA: 97.77' LEGEND: CONC. DRIVE = 371 SO. FT.
GARAGE AREA: PROPOSED DRAINAGE FLOW A/C & CONC PAD = 12 —SO. FT.
ELEVATIONS REFERENCED TO SIDEWALK = 28 SO. FT.
(00.00) PROPOSED GRADE
NORTH AMERICAN VERTICAL SIDE YARD SWALE = �ASO. FT.
DATUM OF 1988 E-00.00 = EXISTING GRADE CONSERVATION AREA =_" SO. FT.
LOT OCCUPIED = 36 %
APPARENT FLOOD HAZARD ZONE: "X*'COMMUNITY NO. 120235 AREA TO IRRIGATE = 64 %
SURVEY ABBREVATIONS (MAP NUMBER 12101 C-0289-F) EFFECTIVE DATE: 09/26/2014
A) = ARC LENGTH (D) = DEED INV= INVERT PC = POINT OF CURVE (R) = RECORD LEGEND
A/C - AIR CONDITIONER D.E= DRAINAGE EASEMENT LB =LICENSED BUISNESS, PCC POINT OF COMPOUND CURVE RNG = RANGE VINYL FENCE
AF 7 ALUMINUM FENCE EL OR ELEV = ELEVATION L.E = LANDSCAPE EASEMENT PCP PERMANENT CONTROL POINT RRS = RAIL ROAD SPIKE CONIC ------
FIFE - BASE FLOOD ELEVATION EOP = EDGE OF PAVEMENT LEE = LOWEST FLOOR ELEVATION E/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 (M) = 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
k = CENTERLINE MONUMENT NCF = NO CORNER FOUND It = PROPERTY LINE - IRON ROD LB# 8183 CHAIN LINK FENCE
FENCE
CLF = CHAIN LINK SIR = SET 112
CMP = CORRUGATED METAL PIP HP - FOUND IRON PIPE O/A = OVERALL POE = 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
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
CST = CLEAR SIGHT TRIANGLE EPP = FOUND PINCHED PIPE PB = PLAT BOOK PRM = PERMANENT REFERENCE MONIUMENA VF = VINYL FENCE
JOB 15908520520 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive SEE
Current title information on the subject property had not been BPS
N
Date of Site Plan: 5-16-23 This certifies tAketAJ%fQhe hereon described Tarpon Springs, Florida
furnished to Initial Point Land Surveying, LLC. at the time of this propert U ervision and I �p I TWP I
Phone: (727)-831-1990 RG I W RGA E
DWG:AS-PH2-L20-BL5-SITE SITE PLAN meets t' C pd ctice for FloridaPLS7123@gmail.com pP 1 5 TWV I S
2.) This sketch was prepared without the benefit of a title search. surve S gird of Land LB# 8183 RGI. RGIE
No instruments of record reflecting ownership, easements or ry taf4 L t ro h 'DE
File: rights -of -way were furnished to the undersigned, unless otherwise I , ned
Drawn by: DJ13 shown hereon. 0 i n 4-1 S,74 Ttley
3.) Roads, walks, and other similar items shown hereon were taker ta ge Y I
Checked byJH from engineering plans and are subject to survey. Date: f 06.05
4.) This SITE PLAN does not reflect nor determine ownership.
REVISIONS AM
5.) This SITE PLAN is subject to matters shown on the Plat of Hi" I ey, 0: 2�; *9 -14`0 0'
"ABBOTT SQUARE PHASE 2"
6.) Dimensions shown hereon are in feet and decimal portions Jeff M.
thereof. FLORID Isk",Z1�3
RAND
7.) Contractor and owner are to verify all setbacks, building MAPPER N_.,tql% R
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. I I
Plan Model Elevation
-------------
Garage
Lot Size
Block
Lot
Parcel M
-vo3t)o,
Address:
Setbacks: Front Rear Sides
Elevation: L- Garage: t 14
Roof Shingle Dimension/Architectural:/
A")'
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 6399 Back Forty Loop
1•arcel Tax ID: 04-26-21-0160- ffa*01-_MMIt
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 KLAHR
Address: 747 SW 2N[) AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
Telephone:
MMENEM
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-, envirounental or other codes.
The following attachments. are providtd 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
0 ccurn'-rice relating to all services performed as a private provider, including tail coverage for, a minim -am
performance e- inspection services, of 5 years subsequent to thf, ifori: anceof building cod.
Individual
:(signature)
Print
Name:
Address
Telephone
please use appropriate notary block.
STATE OF —FLORI.bA
COUNTY OF HILLSBOROUGH
Btforeme, tlds -day of
20— personally
appeared
who executed the foregoing instrument,
and acknowledged before me that same
was executed for the purposes therein
Corporation
LENNAR HOMES. LL#
Print Corporation Name
By:
(sign4ur,,)
Print
..N,,,m,, Christopher Smith
its: Authorized Acient
Address: 70Q NW 107th Ave
Miami, FL 33172
Telaphone.
No.813-574-5700
Corporation
Btforeme,tbis 22ND day of
MAY 2OZ3
personally appeared.
Of
Lennar Homes, LLG
mrporation,oh.
behalf of the state corporation, who
executed the foregoing instrument and
aclaiowled I god before mt, that same was
executed for the purposes therein
expressed,
Partnership
P riat Partnership Name
M
. (signature)
Print
Name:
Address:
TelDphone,
No.:
Partnership
B tfam me, this day
bf 20—
personally appeared
-----------
p artner/agent on b ehalf of
a partnership, who executed the
foregoing instrument and
acknowledged before me that same
was execatod for the purposes therein
ex -pressed"
Personally known xor-
Produced idontitcation Type of identificationproduced
.A
Signature of Notals PrintName, ASHLEE CALLAHAN
NotaryPublic Stamp: ASHLEE CALLAHAN-
Comxtission Expires: EXPIRES: Novomber 30,2026
Page 2 of 2
VR/\
VIRTUAL REVIEW ASSIST
Private Provider
Plan ComIgliance Affidavit
Private Provider Finn: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU 1967
Address: 747 Southwest 21d Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: Liicy@virtu-alreKiewassi-st-coni
Project: New SFR
Address(s): 6399 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,AI,A2,A3,A4, A5,A6.2,A6. 1,SNO,SNI,S3,S4,S5,S6,SS,ST,S I 1,S 12,WP 1,
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 Exam' er
License #: PX2300
Signature of Reviewer:
SWORN AND SUBSCRIBED b fore me by Debra Anne Klahr
being personally known to m or having produced as identification
and who being fully sworn and cautioned, state that the
fo
', Ue g g is true and correct to the best of his/her knowledge or belief.
0 Ashlee Callahan
Signature of Notary Print Name
Notary Public: NOTARY STAMP BELOW My
commission expires:
ASH LEE uLLAHIAN
H Ji 0 H 2959,80
30 20,)61
rxp;R1ES,: Nwcillber 30,2026
""-aAir
[—COMMERCIAL BUILDING SERVICES DIVISIONRESIDENTIAL
BUILDING PERMIT DATA SHEET
FIRE MARSHAL #01 -
Required Permits
DATE: 7/22/2023
E, XAMINER: Debra Klahr PX230C
Building
F1 IMLection Only
Plumbing
F-1 Ins ection Only
V Mechanical
El inspection Only
Electrical Amp
nspecti n Onl
Roof
❑ Gas
L
El Medical Gas
❑ Fire Sprinklers
❑ On Site Piping
❑ Fire Line
E] Irrigation
E] Fire Alarm
El Potable Backflow Assembly
❑ Fire Line Backflow Preventer
El Irrigation Backflow Assembly
F-1 Demolition
El Walk-in Cooler
❑ Refrigeration
E] Hood
E] Ansul
n Fence/Wall
0 Grease Trap
Ej Other
F] Other
KIM-51 MIT ITIM,
Type Construction: I
V-8
Risk Category:
Occupancy Load
ancy Classification:
Factory
�Residential
0 9-111", 11
'Assembly
Hazardous
rol-,"
Storage
Business ay Care/Educational
Institutional E:::= El Mercantile
❑Utility
— — —
Building Use: SINGLE FAMILY RESIDENCE Alteration I Level I "Level 2 IQ Level 3
New Construction ❑ Interior Finish R Interior Remodel El Exterior Remodel E] Addition Ej Revision
Overall Size:
30 X 53-4
Number of Stories:
2
Total Sq. Ft.:
3016
Living Area: 2580
Covered Area:
436
# of Bedrooms: 6
# of Baths: 3
Cost per square foot:
Estimated Value:
Roof Type: Shin le
[]Tile El Built-up
El Metal 0 Other Squares: 20
Zoning:
El,WirOorne Debris:
E2Inside
Outside
Energy Code:
405-2022 SUP
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents?
❑Yes
'No Pfl _i
Sq. Ft. Enclosed Space Below BFE:
I
# of Vents:
Size of Vents.
Total Sq. In. Permanent Openings
R Central A/C
El Gas A/C
Z Heat Pump
El Gas Heat
0 Window A/C
0 Electric Heat
14311LIM. Vmrml-
Sanita!j Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
M �
Front Rear Left Right
As per Approved Site Plan
Comments: