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Home My WebLink About23-6798City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 BNR-006798-2023 Issue Date: 08/18/2023 g, a4 04 26 21 0160 00500 0180 6417 Back Forty Loop Lie 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: $222,480.00 1-2-7 Tampa, FL 33607 Electrical Valuation: $33,372.00 Phone: (813) 574-5700 Mechanical Valuation: $15,573.60 Plumbing Valuation: $22,248.00 Z Total Valuation: $293,673.60 CC) Total Fees: $20,106.40 Amount Paid: $20,106.40 Date Paid: 8/2112023 3:02:10PM H 0 CONSTRUCT SINGLE FAMILY 1448 SQ FT Admin Fee / (Provider Service) $180.00 Water Connection Residential Fee $1,140.00 Address Fee $30.00 Public Safety Impact Fee -Admin $26.35 Transportation Impact Fee - City $36.32 School Impact Fee - Single Family $8,328.00 Transportation Impact Fee $3,595.68 Building Permit Fee $1,152.40 Sewer Connection Residential Fee $2,400.00 Park Impact Fee - Single Family/Townhome $769.56 Plumbing Permit Fee $151.24 Irrigation 3/4 Meter (Cale) $794.92 SIF 1 percent Fee $83.28 3/4 Water Meter Fee (Cale) $794.92 Mechanical Permit Fee $117.87 Public Safety Impact Fee -Police $254.00 Electrical Permit Fee $206.86 Driveway Fee $45.00 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. j11�!j1!j11j111!1j!j111v!11j i IMM, T1141T accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. 4 11 A 1 I'J AI- 'A �.* CONTRACTOR SIGNATURE PE IT OFFICEC) ?"ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER I 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting908 770 -_ 7763 1 1-1-111 1 1 1 1 a I I I I J_J L-L CAL HEARTHSTONE LOT OPTION I r811�5745700 Owner's Name Owner Phone Number Owner's Address 1 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number Fee Simple Titleholder Name [N/A Owner Phone Number Fee Simple Titleholder Address I N/A JOB ADDRESS 16417 Back Forty Loop LOT # 0518 SUBDIVISION Abbott Square PARCEL ID# 04-26-21-0160-00500-0180 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR R ADDIALT SIGN Q DEMOLISH INSTALL REPAIR PROPOSED USE SFR F__1 COMM 0 OTHER TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL DESCRIPTION OF WORK Single Family Residence Pool / Screen Enclosure / Fence BUILDING SIZE U/R SF 54 7 SQ FOOTAGE1448 HEIGHT 118' �(] BUILDING 1 $ 222480 1 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL 1$ 33372 AMP SERVICE FX_1 PROGRESS ENERGY W.R.E.C, PLUMBING $ 22248 0 MECHANICAL $ 15573.6 VALUATION OF MECHANICAL INSTALLATION =GAS W1 ROOFING Q SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES Do BUILDER COMPANY LLnnar Homes, LLC SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address 430# W Boy Scout Blvd Suite 600 Tampa, FL 33607 License CGC1518166 I I ELECTRICIAN COMPANY [Edm�onson Electric, Inc. SIGNATURE REGISTERED Y1 N FEE CURREN L1 LN Address License # I EC 13005408 PLUMBER COMPANY I Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y/ N I FEE CURREN LII_N_j Address License# I CFC042998 MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE i REGISTERED Y/ N FEE CURREN Y/N Address License # OTHER COMPANY IC Sterling Quality Roofing, Inc SIGNATURE E REGISTERED Y-i A FEE CURREN I Y/N Address License # 1 CCC057991 111111111111111//11//1111111111111111111111111111111/11111111111111 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 clumpster; 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 clumpster. 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 bosubject hu"dead^restrictions" which may bemore restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by |ew, both the owner and contractor may be cited for misdemeanor violation under dahn law. If the owner or intended contractor are uncertain as to whet 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. Furthermnne, if the owner has hired a contractor or nonbactom, 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, an the owner sign an the oon1nactor, that may been indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION |&0PACT/UT|L|T|ESIMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new bui|dinga, change of use in existing buUdingm, or expansion of existing buildings, as specified in Penon County Ordinance number8Q-07 and QU-O7,auamended. The undersigned also understands, that such fees, as may be due, will be identified at the time uf 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 Counh/VVo0ar/8ewer |mpeo1 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, moamnandwd): |fvaluation nfwork ia$2.5U0.80nrmore, | certify that |, the oppUoant, have been provided with e 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 itiothe ''mwnar"prior hocommencement. CONTRACTOR'S/OVVNER'SA.FF|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 laws regulating construction, zoning and land development. Application is hereby made to obtain o permit to do work and installation on indicated. | certify that no work or installation has commenced prior to issuance of pannii and that all work will be performed to meet standards of all |ewo regulating nonntn/o8on. County and City noden, zoning regulations, and land development regulations in the jurisdiction. | also certify that | understand that the regulations ofother 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 ofEnvironmental Protection -Cypress Bayhnado, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management Dinthot4N*Uo, Cypress 8ayheado, Wetland Areoo, Altering VVu(erouunoes. - Army Corps ofEngineom-SeewaUm. Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-VVaUs, VVao(mwa8ar Treatment, Septic Tanks. ' US Environmental Protection Agency -Asbestos abatement. - Federal Aviation Au(hnrity-Runwayo. | understand that the following restrictions apply hothe use offill: - Use offill ionot allowed inFlood Zone ^V'unless expressly permitted. - If the 0| material is to be used in Flood Zone ^A^, it is understood that a drainage plan addressing o "compensating volume" will be submitted at time ofpermitting which is prepared by professional engineer licensed bythe State ofFlorida. - If the fill material is to be used in Flood Zone ^A^ in connection with e 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 fill will not adversely affect adjacent properties. If use of fill is found to adversely a#ao( adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for |cKa |oso than one (1) acre which are elevated byfill, anengineered drainage plan iarequired. If am the AGENT FOR THE OWNER, | promise in good faith to inform the owner ofthe permitting conditions set forth in this affidavit prior to commencing construction. | understand that a separate permit may be required for o|eohna| vvork, p|umbing, signs, wmUa, pno|o, air conditioning, goo, 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 Voviolate, nonoe|, a|kar, 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 iaouonoe, 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 requested, in writing, from the Building Offioio| fora period not hnexceed ninety (AU)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 /kNOTICE OFCOMMENCEMENT MAY RESULT |NYOUR PAYING TWICE FOR IMPROVEMENTS TQYOUR PROPERTY. 1FYOU INTEND TOOBTAIN FINANCING, CONSULT FLORIDA Jum^T��. 117.030 OWNnm Subscribed and sworn to' (or affirmed) before me this 1/5-23 by _ Christopher Smith Who is/are personally known to me or haslhave __4 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 Zocn Date Permitted Builder Name/Owner Name a-(- Control County Parcel No, -,2q 2,6 2,,,,,1 q4,0 6M SubDiv: Address/Location Classification/Type of Use TRANSPORTATION IMPACT FEE Rate- Sq. Ft Unit: Exempt 0 Yes No How Determined______ Impact Fee Amount Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single -Family Detached House Amount $ (057) Mobile Home (058) Other Residential (123) Collection Fee Exempt CDYes = No How Determined - PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account - Recreation Credit Recreation Total Zone Total Arnount $ Exempt [=Yes = No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account _ Facility Credit Facility Total Exempt [:] Yes = No How Determined Total Amount RESOURCE FEE ERU Total Amount Zy,..�:� L 1 Checked By PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMIlTING OFFICE OF PASCO COUNTY 61 RECEIVED aY TA-ECEIPT NO DATE — BY SD11-12 TYPE'C' DBI EOP:93.60 RIW93,60 18" RCP(E)IE:91.00 15' R/w GB 1, G 55 SILT FENCE 15' R/- ps I, PG 55 IRACT 711 INIF nF THF- 1 97,11 97-31 1 97.51 It 36- 96.94 96.52 95.54 TYP E' , 7 .50 0 IPAD ATI F 98 37 D 9 F _ 770 95.9 ---fwTE FF:9&57 iPAD-97 qOl 01 1 96.19 95.7 TYPE A' 98 FF: 37 cncn PAD:97.701 0 i 26'- 18" R"O FF-97,87 lu, III I tPAD W 20] 94.96377 [ TYPE P� Typ I F: 9!7.5 7 PAD D, PAD-qf; Qnil 7n) 95.54 96.49 93.49 F TYPE 'A J 9 9 PFF 5 71 95 '9A7 ET' TYPE 0FF:P7.47 FF,95 PAD:96.80] IPAD.95-30 1 18" RCP @ 0.,301/. TYPE 95.74 93-78 Cc FF:95 [RA TYPE W A oo 9 FF:97 , 47 YP7 1 1 0 PAD7960 795 71, 0 .9 PAD 301 20'- 18" RC 48'- 24" RCP @ 0- 30% 38' 18" RCP @ 0.30% 10 24' - 18" RCP @ 0 .30% 09536- 2 t i'SD6-1 SD6-3 112+00 93.78 a, SD11-3 SD6-15 9484 --91890 7-7 19" -R P 6 0-30% C? A'o F �o _ ] P' 7 TY�97 4 FF:97,67 F F 9 8 6M IPAD:97 00 PAD: 9 _�] RAR E TYPE FF:9587 PAD:95�291 --495 43' 96.81 k-- —93:68; 6 �E 'A' TYPE 'A' TYPE 7] FF:97.47 �PFF:97 6 1 -, — -- — 214'- 24" RCP @ 0-3( PAD:96.80 9 00 'AD _ 7 —2 + 5'-1 8" RCP @ 0.30 0 95,06--- 96,44*-- 93.38 c a, TYPE A F 9 7] 07 9 'Y F F: 72 P � 9 0 AD 66 PAD:96-40 DESCRIPTION: LOT 18, 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 ALL ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 (NAVD 88) LOT GRADING TYPE = A PROPOSED PAD ELEVATION=97.20' FRONT SET BACK = 20' SIDE SET BACK = 7.5' SIDE SET BACK (CORNER LOT) =10' REAR SETBACK = 15' PROPOSED: MINIMUM FLOOR ELEVATIONS: LIVING AREA: 97.87' GARAGE AREA: ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 SURVEY ABBREVATIONS A) = ARC LENGTH A/C = AIR CONDITIONER AF = ALUMINUM FENCE BFE = BASE FLOOD ELEVATION BM = BENCH MARK C = CURVE (C) = CALCULATED € = CENTERUNE CLF = CHAIN LINK FENCE CMP = CORRUGATED METAL Pif COL =COLUMN CONC = CONCRETE C/S = CONCRETE SLAB to) = DEED D.E= DRAINAGE EASEMENT EL OR ELEV = ELEVATION EOP = EDGE OF PAVEMENT ESMT = EASEMENT F/C = FENCE CORNER FCM = FOUND CONCRETE MONUMENT HP = FOUND IRON PIPE FIR = FOUND IRON ROD FN&D = FOUND NAIL & DISK FOP = FOUND OPEN PIPE FPP = FOUND PINCHED PIPE SITE PLAN (NOT A SURVEY) This SITE PLAN Prepared for and Certified To: Lennar Homes * = 10.00' PUBLIC UTILITY EASEMENT LEGEND: - ► PROPOSED DRAINAGE FLOW (00.00) = PROPOSED GRADE E-00.00 = EXISTING GRADE APPARENT FLOOD HAZARD ZONE: "X" COMMUNITY NO. 120235 (MAP NUMBER 12 10 1 C-0289-F) EFFECTIVE DATE: 09/26/2014 INV - INVERT LB =LICENSED BUISNESS L.E = LANDSCAPE EASEMENT LFE = LOWEST FLOOR ELEVATION LS = LICENSED SURVEYOR (M)= MEASURED MES = MITERED END SECTION NCF = NO CORNER FOUND O/A = OVERALL OHW = OVERHEAD WIRE(S) O.R. = OFFICIAL RECORDS IP) = PLAT PB = PLAT BOOK PC = POINT OF CURVE PCC = POINT OF COMPOUND CURVE PCP = PERMANENT CONTROL POINT P/E = POOL EOUIPMENT PG = PAGE PI = POINT OF INTERSECTION PK =PARKER KALON R =PROPERTY LINE POB = POINT OF BEGINNING POC = POINT OF COMMENCTMENT POL = POINT ON LINE PRC = POINT OF REVERSE CURVE PRIM = PERMANENT REFERENCE MON JOB 15908520518 SURVEYOR'S NOTES: 1.) Current title information on the subject property had not been Date of Site Plan: 5-23-23 furnished to Initial Point Land Surveying, LLC. at the time of this SITE PLAN 2.) This sketch was prepared without the benefit of a title search. DWG:AS-PH2-L18-81-5-SITE No instruments of record reflecting ownership, easements or File: rights -of -way were furnished to the undersigned, unless otherwise shown hereon. Drawn by: DJB 3.) Roads, walks, and other similar items shown hereon were taker Checked by:JH from engineering plans and are subject to survey. REVISIONS 4.) This SITE PLAN does not reflect nor determine ownership. 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. SEC. 4, TWP. 26 S, RNG 21 E. PASCO COUNTY, FLORIDA (ABBOT" SQUARE PHASE 2) oil LOT LIVING AREA ENTRY GARAGE COVERED LANAI PATIO POOL AREA CONC. DRIVE A/C & CONC PAD SIDEWALK SIDE YARD SWALE CONSERVATION AREA LOT OCCUPIED AREA TO IRRIGATE (R) = RECORD Lt RNG = RANGE •, Y;.�;-vr. RRS = RAIL ROAD SPIKE :: `>; <,.^ = CONC R/W = RIGHT OF WAY SEC = SECTION SN&D = SET NAIL AND DISK = ASPHALT LB#8183 SIR = SET 1/2" IRON ROD LB# 8183 TBM = TEMPORARY BENCH MARK = BRICK TOB=TOP OF BANK TWP = TOWNSHIP U.E = UTILITY EASEMENT = COVERED VF = VINYL FENCE - = 5627 SO. FT. 1448 SO. FT. = 19 SO, FT. = 387 SO. FT. N/A SQ. FT. 18 SO, FT, NA SO. FT. = 360 SQ. FT. 12 SQ. FT. 70 SO. FT. N/A SO, FT. N/A SO. FT. = 30 = 70 VINYL FENCE WOOD FENCE CHAIN LINK FENCE ALUMINUM FENCE SURVEYOR'S CERTIFICATE 1708 Water Oak Drive ;SEE This certifies that sketch of the hereon described Tarpon Springs, Florida r N m property was m ,0 t% upervision and meets the t> ,S r bf Practice for iWPtN T PI.N Phone: (727)-831-1990 F RG i W RG I E. FloridaPLS7123@gmail.com , mp l s TWP iS surveys a �P t rd of Land LB# 8183, RG i W RG' E. S� ned�-` 55 3 FI i i t o pursu ht to ection ,`Cg 7)e i ftley ;4- tat " Date:2 6.05 PV 00j04A jrT'0O' 1 STRE rA Jeff M. `� t"` FLORIDA " AND MAPPER N 7 i)8'iC13'}te�� NOT VALID WITHOU IV E ORIGINAL SIGNATURE AND SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC. 0 Plan Model Garage Lot Size C)i -7 Z-0 fi Block Lot Parcel M Address., Setbacks: Front -- ;a Reara2 Sldes__2,_�_ C1, / Elevation: --4- Garage: Roof Shingle Dimension/Architectural: (VI , Z R "A' v " T U ;"l' Notice to wilding Official of Use of Private Provider (", Effective January 20, 2003 Project Name: 6417 Back Forty Lo Parcel Tax ID: 04-26-21-0160-00500-0180 1 Services to be provided: Plans Review— X Inspections Note: If the notice applies to either private plan review or private inspection set -vices 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. I 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: Private Provider: VIRTUAL REVIEW ASSIST, INC. Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601 Fax: N/A Email Address (Optional): Florida License, Registration or Certificate #: (LTC # 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 minimurn 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', envirommenta.l 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 in,the. amount .of $1 million per occurrence relating to all services performed as a private provider, including tail coverage for a minimum of 5 years subsequent to the performance of building code inspection services. Individual Corp oration Partnership LENNAR HOMES LLC Print Corporation Name PrintPartnership Name By: ' .,� By-, :(signature) (signature) {signature) Print Print Name: Name: Christopher Smith Print Name: Address; its: Authorized Acient its. Address: 700 NW 107th Ave. Address: TeJephone Miami FL 33172 Telephone. Telephone No. 813-574-5700 No.: Please use appropriate notary block. STATE of FLORIDA, COUNTY of H(LLSBOR.OUGH - Individual Corp oration Partnership B efo re me, thi s day of Befonme,this 22Nd day of Before me, this day 20___, personaDy MAY 20Z of 20� appeared personally appeared personally appeared who executed the foregoing instrument, of and acknowledged before me that same Lennar Homes LLC a partner/agent on behalf of was executed for the purposes therein corporation, on expressed. ' behalf of the state corporation, who a partnership, who executed the executed the foregoing instrument and foregoing instrument and a6mowledged before me that same was acknowledged before me that seine executed for the purposes therein was executed.for the purposes therein expressed. expressed.. Personally known X or_ Produced identi- cation Type of identification produced Signature ofNotar� Print Name ASHLEE CALLAHAN NotaryPublic Stamp: P� �Ef,. ASNLEECA!t.PW _ �tXco 4 SiONf ��20 980 Commission Expires: s Page 2 of 2 VIRT'UAL REVIEW ASSI$T Private Provider Private Provider Firm: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU 1967 Address: 747 Southwest 21 Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: Luc virLualreviewassist.com y� Project: New SFR Address(s): 6417 BACK FORTY LP I hereby certify that to the best of my knowledge and belief the plans submitted were reviewed for and are in compliance with the Florida Building Code and all local amendments to the Florida Building Code by the following affiant, who is duly authorized to perform plans review pursuant to Section 553.791, Florida Statute and holds the appropriate license or certificate: Name: Debra Anne Klahr Plan Sheets CS,Al,A2,A3,A4, A5,A6,SN0,SN1,S3,S4,S5,SS,S11,S12,WPI, WP2,WP2.1,PA1.0,PA1.1, PA1.2,PA1.3,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 Ex finer License #: PX2300 Signature of Reviewer: SWORN AND SUBSCRIBEore 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 eg ing is true and cl ect to the best of his/her knowledge or belief. Ashlee Callahan SiS Si i Le of Notary Print Name Notary Public: NOTARY STAMP BELOW My commission expires: ASHLEE CAI LAHAN MAY Co�r�NJISS10N'# FIH 295980 EXPIRES: November 30,2026 Ell —l""' —1"1" [—COMMERCIAL BUILDING SERVICES DIVISION OTRESIDENTIAL BUILDING PERMIT DATA SHEET 11,0711M 12191 N 0L1VA*M1!FAZ`M,41U0 3VAN FIRE MARSHAL #01 - Required Permits DATE: 7/22/2023 EXAMINER: Debra Klahr VX2304 Building Ej Ls2ection Only Plumbing F-1 Ins ection Only Mechanical IV ❑ Ins pe tion Only 1z Electrical Amp V_ 1:1 Lspection Only Roof I El Medical Gas 0 Fire Sprinklers ❑ On Site Piping E] Fire Line E] Irrigation 0 Fire Alarm Ej Potable Backflow Assembly [:] Fire Line Backflow Preventer 1:1 Irrigation Backflow Assembly ❑ Demolition EJ Walk-in Cooler El Refrigeration E] Hood El Ansul 0 Fence/Wall ❑ Grease Trap El Other ❑ Other w. . T e Construction: I V_B Risk Category: � Occupancy Load O ancy Classification: Factory £Residential 'Assembly E Hazardous E= Storage us moss Day Care/Educational _Institutional 'Just �.tional E==❑ Mercantile X FE3 'Utility Building Use: SINGLE FAMILY RESIDENCE Alteration I❑ Level I IQ -,Level 2 [QLevel 3 19f New Construction ❑ Interior Finish F-1 Interior Remodel El Exterior Remodel 0 Addition F-1 Revision Overall Size: 30 X 65 Number of Stories: 1 Total Sq. Ft.: 1854 Living Area: 1448 Covered Area: 406 # of Bedrooms: 3 # of Baths: 2 Cost per square foot: Estimated Value: I Roof <] Shinle ElTile El Built-up - 0 Metal El Other Squares: 22 Zoning: Wird, orne Debris: ETInside D 1z Outside Energy Code: 405-2022 SUP Flood Zone: X F Base Flood Elevation: Finish Floor Elevation: - Hydrostatic Vents? ❑Yes V' No Sq. Ft. Enclosed Space Below BEE: # of Vents: Size of Vents: Total Sq- In. Permanent Openings Central A/C ❑ Gas A/C 9 Heat Pump 0 Gas Heat El Window A/C El Electric Heat On Site Piping Sanitary Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line Setbacks Front Rear Left Right R-1 As per Approved Site Plan Comments: