HomeMy WebLinkAbout23-6799City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
BNR-006799-2023
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 08/21/2023
M
04 26 21 0160 00500 0050 6529 Back Forty Loop
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: $365,400.00
n OL
Tampa, FL 33607
Electrical Valuation: $54,810.00
Phone: (813) 574-5700
Mechanical Valuation: $25,578.00
Plumbing Valuation: $36,540.00
Total Valuation: $482,328.00
')02"
Total Fees: Fees: $21,049.67
11-T
Amount Paid: $21,049.67
Date Paid: 8121/2023 3:02:1 OPM
R,
CONSTRUCT SINGLE FAMILY 2580 SQ FT
Sewer Connection Residential Fee $2,400.00 Transportation Impact Fee - City $36.32
Irrigation 3/4 Meter (Calc) $794.92 Building Permit Fee $1,867.00
Admin Fee / (Provider Service) $180.00 Park Impact Fee - Single Family/Townhome $769.56
Water Connection Residential Fee $1,140.00 Transportation Impact Fee $3,595.68
SIF 1 percent Fee $83.28 Public Safety Impact Fee -Admin $26.35
Mechanical Permit Fee $167.89 3/4 Water Meter Fee (Calc) $794.92
Public Safety Impact Fee -Police $254.00 Address Fee $30.00
School Impact Fee - Single Family $8,328.00 Driveway Fee $45.00
Electrical Permit Fee $314.05 Plumbing Permit Fee $222.70
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,
RX-TRIMMMYN-70-mm
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.
NO OCCUPANCY BEFORE C.O.
A
'CONTRACTOR SIGNATURE PE IT OFFICE
I
PERMIT EAPIRES kA'6 MORTHS WIT60117 APPRO"I.K-SPEEC-TtOA,
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 PermittinggL:90=8770 __ 7763
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 I Owner Phone Number
Fee Simple Titleholder Address
NIA
JOB ADDRESS
6529 Back Forty Loop
LOT # 0505
SUBDIVISION
Abbott Square
PARCEL ID#
04-26-21-0160-00500-0050
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
P
NEW CONSTR 8 ADD/ALT SIGN
DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR Q COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK
Single Family Residence / Pool / Screen Enclosure / Fence
BUILDING SIZE I U/R SF 3045 SQ FOOTAGE 258� HEIGHT
28'-
BUILDING $ 365400 _ VALUATION OF TOTAL CONSTRUCTION
0 ELECTRICAL $ 54810 AMP SERVICE ® PROGRESS ENERGY W.R.E.C.
PLUMBING $ 36540`
��/ (MECHANICAL $ 25578 VALUATION OF MECHANICAL INSTALLATION `r
�. r
GAS ROOFING SPECIALTY OTHER 4,
C
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES Do
• ^—�-i w . '�.�.. . . . D . i .lieu . .ate. :- . . ..
BUILDER COMPANY Lennar Homes, LLC
SIGNATURE % REGISTERED Y / N_J FEE CURREN
Address 4301 lk Boy Scout Blvd Suite 600 Tampa, FL 33607 License # CGC1518166
ELECTRICIAN COMPANY I Edmonson Electric, Inc.
SIGNATURE REGISTERED Y / N FEE CURREN
Address - License # �13005408
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y ! N
Address License # =CFC042998
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # GAC058062 n ��
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATUREREGISTERED Y / N FEE CURREN I Y / N
Address License # 1 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 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 basubject bn1deed^restrictions"
which may bamore 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 fora 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 hocontact the Pasco County Building Inspection Division —Licensing Section nt727-847-
80O9. Furthormora, if the owner has hired o contractor or contnodom, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be neopuna|b|o. If you, as the owner sign as the
nontradnr, 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 |mpeoi Fees and Recourse Recovery Fees may apply hothe construction ofnew buildings, change of
use in existing bui|dingo, or expansion of existing bui|dinQo, as specified in Pasco County Ordinance number8A'O7 and
90-07. as amended. The undersigned also undenstando, that such f*eo, 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 ^oyrti0oahm of occupancy" or final power ne|oeoa. 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/VVaher/Sower |mpooi
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, amwnnendwd): |fvaluation ofwork is$2.500.0Oormore, |
certify that |, 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 ithuthe ^m"ner'prior tocommencement.
CONTRACTOR'S/OVVNER'SAFRQAV|T: | certify that all the information inthis application iuaccurate and that all work
will be done in compliance with all applicable laws regulating uons(ruo(ion, zoning and land development. Application is
hereby made to obtain a permit to do work and inobo||oUon as indicated. | certify that no work or installation has
commenced prior to |ooueno* of permit and that all work will be performed to meet standards of all laws regulating
ounotnuotion. County and City nodon, zoning regulations, and land development regulations in the jurisdiction. | also
certify that | understand that the nugu|aUuna ofother government agencies may apply to the intended wmrk, and that it is
myresponsibility ioidentify what actions | must take tobeincompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection -Cypress Bayhaado, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management Diatriot4NoUo. Cypress Bayheodn, Wetland Areas, /\|hehng
Watercourses.
- Army Corps ofEngineem-Seawa||o.Docks, Navigable Waterways.
- Department nfHealth & Rehabilitative Services/Environmental Health Unit-VVeUs, Wastewater Treatment,
Septic Tanks.
- USEnvironmental Protection Agency -Asbestos abatement.
' Federal Aviation Authority-Rumwnyo.
| understand that the following restrictions apply tothe use offill:
- Use nffill ianot allowed inFlood Zone ^\runless expressly permitted.
- If the 0| material is to be used in Flood Zone ''A^. it is understood that a drainage plan addressing e
"compensating volume" will be submitted at time ofpermitting which is prepared by professional engineer
licensed bythe State ofFlorida.
' If the 0U mo0ahe| is to be used in Hood Zone ^A^ in connection with o permitted building using aham 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 hU will not adversely offad adjacent
properties. If use of fill is found to adversely affect adjacent prnpodioa, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for |cdo |aas 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 o oepenaVm permit may be required for a|eohoa| work,
p|umbing, oigno, vveUa, poo|e, air conditioning, ges, nrother 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 vio|ote, oanoe|, a|ter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
un|aao the work authorized by such permit is commenced within six months of permit ioouunoe, 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 naqueub*d, in writing, from the Building Offioiu| for period not to exceed ninety (0O)days and will demonstrate
justifiable cause for the extension, If work ceases for ninety (90) consecutive days, the job is considered abandoned.
JonAT(Fa,nroo
Subscribed and sworn to (or affirmed) before me this
7/10/2023 y Christopher Smith
as identification.
_Notary Public
Stephanie Farmer
Name of Notary typed, printed or stamped
Expites June 6.20!Z4
$,aMg Q _Q 4 T
Subscribed and sworn to (or affirmed)
Name of Notary typed, printed or stamped
T6
a i Permit No.— P
Date Permitted
Builder Name/Owner N Control
County Parcel No. 1 0 OaS00 zV50 SubDiv:
Address/Location 2-
C
Classification/Type of Use
Sq, Ft Unit:
Exempt [D Ye No How Determined
Impact Fee Amount
SCHOOL IMPACT FEE
Account (056)
�3
Single -Family Detached house Amount $ C� �
(057)
Mobile Nome
(058)
Other Residential
(123)
Collection Fee
Exempt =Yes
= No Now Determined -
ARKS ANDRECREATION
Land Account Land Credit t Total
Recreation Account Recreation Credit Recreation Total
Zone Total Amount $ w
Exempt =Yes = No Now Determined
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt Yes No Now Determined Total Amount
RESOURCE FEE ERU
Total Amount
c t :'. izT+Z�T:iITi�TiF I'I+'iCy7l
AECEIPT NO DATE BY
SEE SHEET C203
MATCH LIME
(P 'a
8 _ y J iPq 96 90
structure Table
SD6 13
TYPE 9 CURB INLET
EOP:94 ?I
RIM.94.51,
18 RCP(N)IE:90,05
18 RCP(W)IE:90.G5
SDC 14
T`1PE CURB INLET
EOP 94 6:
RIM 94.45
18 RCP(E)IE:90.13
SQ6 95
TYPE 9 CURB INLET
EOP 93.55
`` RIM'9338
18 RCP(N)IE:WEI
�
SDP
f
�
TYFE9CURB INLET
9
v EOP.93oc
RIM92.83
�E 18'RCP(N)IE8953
18 RCP (W)IE 88.53
_
SD6-17
TYPE 9 CURB INLET
.
_
FOP:93,04
RIM:92.87
18" RCP(E)IEE88.60
SQ11--1
4' MANHOLE
EOP:94.22
1
�7 YAE'k'
�'9797
Y1( AD'97.301
i_
TYPE A
FP 98 17 �
i
i
97.26
95.76
�DF98171
I
j
:) I
AQ4/50j
-97. 11
95.550
£So
�
..::.2
4' 18RCP C030l`
y
r 64 18" RCP @ 0.52% _\
SD52)
_ E
I
SYPE A .� TYPE'A
FF 98 27 ! ! Ft=:98.27
IPAD 47.6C� LPAU57.60; LnL) 95 &0'
10 9 fi
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I7-- i TYPE B f PAFD9u7 ST Di (I o I TYPt 7q
PF960AD
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OS 6
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DESCRIPTION: LOT 5, 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 ASURVEY)
Prepared for and Certified To:
Lennar Homes
SEC. 4, TWP. 26 S, RNG 21 E.
PASCO COUNTY, FLORIDA
(ABBOTT SQUARE PHASE 2)
CURVE DATA (P)
CURVE RADIUS ARC LENGTH CHORD LENGTH CHORD BEARING DELTA ANGLE
C18 140.00' 39.26 39.13' 1 S 24'10'00' W 16-04'00-
co 140.00' 34.88' 34.79' 1 S 08'59'49"W I
1 1-1 - I -- "I V -
FRONT SET BACK = 20'
11
SIDE SET BACK = 75
LOT
= 8566 SO. FT.
SIDE SET BACK (CORNER LOT) 10'
PCP 6
LIVING AREA
--
1
= 936 SO. FT.
REAR SETBACK= 15'
ENTRY
= 60 SO. FT.
GARAGE
= 403 SO. FT.
PROPOSED:
COVERED LANAI
= N/A SO. FT.
MINIMUM FLOOR ELEVATIONS:
I 0.00'PUBLIC UTILITY EASEMENT
PATIO
= 18 SO. FT.
POOL AREA
= NA SO. FT.
LIVING AREA: 97.87'
LEGEND:
CONC. DRIVE
=353 SO. FT.
GARAGE AREA:
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 SO. FT.
LOT OCCUPIED
= 33 %
APPARENT FLOOD HAZARD ZONE: "X"COMMUNITY NO. 120235
AREA TO IRRIGATE
= 67 %
SURVEY ABBREVATIONS
(MAP NUMBER 12101 C-0289-F) EFFECTIVE DATE: 09/26/2014
A) = ARC LENGTH
A/C = AIR CONDITIONER
AT = ALUMINUM FENCE
EFE - BASE FLOOD ELEVATION
BM - BENCH MARK
C = CURVE
(C) = CALCULATED
4 = CENTERLINE
CLF = CHAIN LINK FENCE
CMP - CORRUGATED METAL P11
COL - COLUMN
CONC = CONCRETE
C/S = CONCRETE SLAB
(D) = 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
EPP = FOUND PINCHED PIPE
INV = INVERT
LB =UCENSED BUISNESS
L.E = LANDSCAPE EASEMENT
LEE = LOWEST FLOOR ELEVATION
LS = LICENSED SURVEYOR
(M) = MEASURED
MES = MITERED END SECTION
NCF = NO CORNER FOUND
O/A = OVERALL
OHW = OVERHEAD WIRE(Sl
O.R. = OFFICIAL RECORDS
(P) = PLAT
PB = PLAT BOOK
PC = POINT OF CURVE
PCC = POINT OF COMPOUND CURVE
PCP = PERMANENT CONTROL POINT
P/E = POOL EQUIPMENT
PG = PAGE
PI = POINT OF INTERSECTION
PK =PARKER KALON
It = PROPERTY LINE
POB = POINT OF BEGINNING
POC = POINT OF COMMENCTMENT
POL = POINT ON LINE
PRC = POINT OF REVERSE CURVE
PRM = PERMANENT REFERENCE MOIL
JOB# 15908520505
SURVEYOR'S NOTES:
1.) Current title information on the subject property had not been
Date of Site Plan: 6-24-23
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-L5-BL5-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 byJH
from engineering plans and are subject to survey.
4.) This SITE PLAN does not reflect nor determine ownership.
REVISIONS
5.) This SITE PLAN is subject to matters shown on the Plat of
"ABBOTT SQUARE PHASE 2"
6.) Dimensions shown hereon are in feet and decimal portions
thereof.
7.) Contractor and owner are to verify all setbacks, building
dimensions, and layout shown hereon prior to any construction,
and immediately advise Initial Point Land Surveying, LLC. of any
deviation from information shown hereon. Failure to do so will be
at user's sole risk.
(R) = RECORD
RNG = RANGE
RRS = RAIL ROAD SPIKE
R/W = RIGHT OF WAY
SEC = SECTION
SN&D = SET NAIL AND DISK
LB#8183
SIR = SET 112- IRON ROD LB# 8183
TBM = TEMPORARY BENCH MARK
TOB = TOP OF BANK
TWP = TOWNSHIP
U.E = UTILITY EASEMENT
VF = VINYL FENCE
•
This certifies that the hereon
property i u nWZrr ervi<
meets th ILI 5 Ara
,Sect' 47- 02®
rq9y o9:3
eLORIDA IF
Jeff M. FfA
FLORIDA
MAPPER
LEGEND VINYLFENCE
j.
CONIC
WOOD FENCE
ASPHALT \ - \
BRICK
1708 Water Oak Drive
-scribed
Tarpon Springs, Florida
i and
Phone: (727)-831-1990
:e for
FlonclaPLS7123@gmaii.com
jgf(eq
Hartl
I LB# 8183
y
S.06.19
om
NOT VALID WITHOUT THE ORIGINAL
SIGNATURE AND SEAL OF A FLORIDA
LICENSED SURVEYOR AND MAPPER
CHAIN LINK FENCE
ALUMINUM FENCE
"EE
V, N '5' MPIN TWPIN
RG1W RGAI E
mp; S wis
RGIM RGAI
cv
1 ,4)E
0E S pa
1F",
Initial Point Land Surveying, LLC.
m
Plan Model Elevation
,Z�-V 41
Garage Lot Size Block Lot
05
Far ce I �-2- -- �O/ 0- 1�0) - �0 �-O
/0
Setbacks: Front '2 Sldesj�L�,
Elevation: --2- Garage:
Roof Shingle Dimension/Architectural.
V-1
V I/ L /
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 6529 Back Forty Loop
Parcel Tax ID: 04-26-21-0160-00500-0050
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: DEBPA ANNE KLAHR
Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
Telephone:
Fax: N/A
Email Address (Optional): deb@virtualreviewa55ist.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 atta.rbrnents. 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 millionpp_r
occurrence relating tDall services p.eTformed as a private provider, including tail coverage for a minimum
of 5 years subsequent to the performance of building code inspection services,
-(signature,)
Print
Name;
Address:
Telephone
No.:
Please,use appropriate notary block.
STATE OF FLORIDA
COUNTY of HILLSBOROUGH
Individual
Bt.fore.me,this day of
20— personally
appeared
who executed the; forego'ing instrument,
and acknowledged before, mf-- that s * ame
was executed for the. purposes therein
Corporation
. LENNAR HOMES, LLQ
Print Corporation Name
By:
Print
Name,: Christopher Smith
its: Authorized Acient
Address:700 NW 107th Ave.
Miami FL 33172
Telephone.
No. 813-574-5700
Corporation
Befor,m,,this 22ND day of
MAY
personally appeared,
of
Lennar Homes , �LLC a
corporation, on
behalf of th6 state corpoTation, who
executed the f6r(-,going instrument and
acicnowlecl ged before me that same, was
executed for the purposes therein
expressed.
Partnership
PrintPartnership Name
M-
. (signature)
Print
Name:
Its-
Address:
Telephone
No.:
Partnership
B eore me, this day
of 20—
p,era6nally appeared
p artntr/agmt on behalf of
a partnership, who executed the
foregoing instrument And
acknowlt,-dgod before me that same
was tmtuuted.for the purposestherein
expressed,.
Personally known Produced idenlification Type of identification produced
signature ofNotar.s PrintNamo ASH LEE CALLAHAN
NotaTyPublic Stamp:
J'Al
-,5c 2,'.*, J80
Commission Expires'. Hi
EXPIRES:vu
Page 2 of 2
VIRTUAL REVIEW ASSIST
Private Provider
Plan ComMliance Affidavi)
Private Provider Firm: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU 1967
Address: 747 Southwest 2nd Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: I virtualreviewassist.com
Project: New SFR
Address(s): 6529 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 afflant, who is duly authorized to perform plans review pursuant to Section 553.791, Florida Statute
and holds the appropriate license or certificate:
Name: Debra Anne Klahr
Plan Sheets CS,A1,A2,A3,A4, A5,A6.2,A6.1,SNO,SNI,S3,S4,S5,S6,SS,ST,SI 1,S12,WPI,
WP2,WP2.1,PAI.0,PAI.1, PAI.2,PAL3,PAI.4, PAI.5,SHI.0,SHI.1,SHI.2,SHI.3,SHI.4,SHI.5
Florida License/Registration/Certification 9(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300
Signature of Reviewer:
SWORN AND SUBSCRIBED before me by Debra Anne Klahr
being personally known to me e or having produced as identification
and who being fully sworn and cautioned, state that the
_ S lfregoing is true and correct to the best of his/her knowledge or belief. a atakw Ashlee Callahan
Si646�e of Notary Print Name
Notary Public: NOTARY STAMP BELOW My
commission expires:
A 1L"E CAL.LAHAN
My COMMISSION # Hsi 295980
EXPIRES: November 30, 2026
FIRE MARSHAL #01 -
Reauired Permits
NVA,
DATE: 7/22/2023
EXAMINER: Debra Klahr PX230(
VBuilding
El Ins pe tion Only
IV Plumbing
F-1 Inspection Only
Mechanical
El Liypection Only
V Electrical —Amp
El Inspection Only
Roof
1:1
Medical Gas
E] Fire Sprinklers
El On Site Piping
Q Fire Line
E] Irrigation
E] Fire Alarm
El Potable Backilow Assembly
E] Fire Line Baeldlow Preventer
E] Irrigation Backflow Assembly
El Demolition
El Walk-in Cooler
El Refrigeration
E] Hood
E] Ansul
El Fence/Wall
E] Grease Trap
Other
El Other
Buildine Data
Construction:
Risk Category:
Occupancy Load
0 uApancy Classification:Business
IiFactory
'Residential
Assembly
Hazardous
Storage
;Day Care/Educational
st tional Mercantile
'Util�
n y
Building Use: SINGLE FAMILY RESIDENCE Alteration Level I 10"ILeve12 [[:],Level 3
Z
Jfl New Construction ❑ Interior Finish ❑ Interior Remodel E] Exterior Remodel El Addition Ej Revision
Overall Size:
30 X 53-4
Number of Stories:
2
Total Sq. Ft.:
3045
Living Area: 2580
Covered Area:
465
# of Bedrooms: 6
# of Baths: 3
Cost per square foot:
Estimated Value:
Roof Type: Shingle
DTile
0 Metal El Other Squares: 20
Zoning:
Wi orne Debris:
ElInside
-Outside
Energy Code: 405-2022 SUP
Flood Zone: X Base Flood Elevation: Finish Floor Elevation:
Hydrostatic Vents? In Yes No Sq. Ft. Enclosed Space Below BFE:
# of Vents:
Size of Vents:
Total Sq. In. Permanent Openings
0 Central A/C
El Gas A/C
Z Heat Pump
D Gas Heat
D Window A/C
El Electric Heat
On Site Pipine
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
Setbacks
Front Rear Left Right
FZI As per Approved Site Plan
Comments: