HomeMy WebLinkAbout23-6800City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
BNR-006800-2023
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 08/21/2023
11 1111 1 syll ��111
M", W "as�
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04 26 21 0160 00500 0190 6413 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: $320,640.00
7 G-4
Tampa, FL 33607
Electrical Valuation: $48,096.00
Phone: (813) 574-5700
Mechanical Valuation: $22,444.80
Plumbing Valuation: $32,064.00
Total Valuation: $423,244.80
Total Fees: $20,754.25
Amount Paid: $20,754.25
Date Paid: 8/21/2023 3:02:1 OPM
X", 31
14 ELL
CONSTRUCT SINGLE FAMILY 2217 SO FT
Transportation Impact Fee $3,595.68 SIF 1 percent Fee $83.28
School Impact Fee - Single Family $8,328.00 Building Permit Fee $1,643.20
Sewer Connection Residential Fee $2,400.00 Park Impact Fee - Single Family/Townhome $769.56
Electrical Permit Fee $280.48 Transportation Impact Fee - City $36.32
3/4 Water Meter Fee (Cale) $794,92 Public Safety Impact Fee -Police $254.00
Admin Fee / (Provider Service $180.00 Driveway Fee $45.00
Water Connection Residential Fee $1,140.00 Public Safety Impact Fee -Admin $2635
Irrigation 3/4 Meter (Cale) $794,92 Mechanical Permit Fee $152.22
Plumbing Permit Fee $200.32 Address Fee $30.00
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.
rITIMM77i, 0 A 1 1111111111,111 11 1 1111 iiilliipl:liiii�I !�!:liiii JM40I
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
1A
ILL
ONTRACTOR SIGNATURE PE PT OFFICEf)
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOURN TIC QUIRED
PROTECT CARD FROM WEATHER
Classification/Type of Use C
�1 1 10
Rate: Sq. Ft Unit:
1
o How Determined
Impact
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount $
(057) Mobile Home
(OS$) Other Residential
(123) Collection Fee
Exempt =Yes = No How Determined®
Land Account land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone Total Amount $
Exempt Yes No Flow Determined
LIBRARY FEE
Land Account land Credit land Total
Facility Account Facility Credit Facility Total
Exempt Yes No Flow Determined Total Amount �
Checked Bv
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
DATE
RECEIPT NO DATE
813-780-0020 City Of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting 908 770 7763
1 1 I 1 1 1 1 1 — f T T-T I -
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813.574.5700
Owner's Address 1 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number
--------- ------
Fee Simple Titleholder Name I N/A Owner Phone Number
Fee Simple Titleholder Address N/A
JOB ADDRESS 6413 Back Forty Loop LOT # 0519
SUBDIVISION Abbott Square PARCEL ID# 04-26-21-0160-00500-0190
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN DEMOLISH
P INSTALL REPAIR
PROPOSED USE 0SFR F__] COMM 0 OTHER
TYPE OF CONSTRUCTION 10 BLOCK F_� FRAME STEEL
DESCRIPTION OF WORK Single Family Residence J Pool / Screen Enclosure / Fence
BUILDING SIZE UJR IF 2672 :] SQ FOOTAGE 2217 HEIGHT 28'
BUILDING $ 3206407:1 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ 48096 AMP SERVICE ® PROGRESSENERGY Q W.R.E.C.
� • r
PLUMBING $
32064 M
MECHANICAL $ 22444.8 VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING Q SPECIALTY 0 OTHER F N*
FINISHED FLOOR ELEVATIONS � 7 FLOOD ZONE AREA DYES Do
Lermar Homes, LLC
BUILDER �.� COMPANY
SIGNATUREREGISTERED Y / I FEE CURREN Y / N
Address 1 W Boy S Out Blvd Suite 600 Tampa, FL 33607 License # I CGC1518166
ELECTRICIAN`, COMPANY JEclmonson Electric, Inc.
SIGNATURE REGISTERED Y / N FEE CURREN
Address f License # EC13005408
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y/ N IFEE CURREN Y I N
Address License # CFC042998
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # I CAC058062
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y / N FEE CURREN tL�Y / N
Address License # CCC057991
1111111111111111111111111111111111111111111111111111111111111I11111
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 besubject Vo"deed^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 onnimdor 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 |ow, both the owner and contractor may be cited for misdemeanor violation
under oboho 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. Furtharmore, if the owner has hired a contractor or oun(nootors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
oontractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply hothe construction ofnew buildings, change of
use in existing bui|dingo, or expansion of existing bui|dinga, as specified in Pasco County Ordinance number8Q-07 and
90-07. as amended. The undersigned also undemtando, that such fees, aamay budue, 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 ofoccupancy" 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 CounhyVVobar/Sawer 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, amamnended): |fvaluation ofwork io$2.500.0Oormore, |
certify that |, the opp|iuont, 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 kzcommencement.
CONTRACTOR'S/OVVNER'SAFF|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 onnetruction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation an indicated. | certify that no work or installation has
commenced prior to issuance of permit and that all work will be pedbnnad to meet standards of all laws regulating
onnatruotion. County and City ondoa, zoning regulations, and land development nugu|abunu in the jurisdiction. | also
certify that | understand that the regulations ofother government agencies may apply to the intended wmrk, and that it is
myresponsibility huidentify what actions | must take tobeincompliance. Such agencies include but are not limited to:
- Department cfEnvironmental Protection -Cypress Bayhaadn, VVed|ond Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida VVohar Management Diotric#WeUm, Cypress Bayheado, Wetland Aneao, Altering
VVahunznumeo.
- Army Corps ofEngineem-SeawaUo.Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-WoUo, VVomhewahsr Treatment,
Septic Tanks.
- USEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation Au(hohh+Runwoyu.
| understand that the following restrictions apply tnthe use uffill:
- Use uffill iynot allowed inFlood Zone ^Vpunless expressly permitted.
- If the fi|| material is to be used in Flood Zone ''A^, it is understood that u drainage plan addressing a
"compensating volume" will be submitted at time ofpermitting which is prepared bye professional engineer
licensed bythe State nfFlorida.
- If the fill material is to be used in Flood Zone ^A^ in connection with a permitted building using stem 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 D|| will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent prup*rtieo, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |aoa than one (1)
acre which are elevated byfill, anengineered drainage plan iorequired.
|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 separate permit may be required for electrical vvork,
p|umbing, mignn, wmUn, puulu, 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 hoviolate, uanme|, alter, or
-set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within mix months of permit ismuenoe, 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 requouhod, in vvriting, from the Building Official for period not to exceed ninety (QO) 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 NOTICE OFCOMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
FLORIDA
JunxT(p.S.1n.o3)
OWNER OR AGENT ;j��
Subscribed and sworn f6 (or affirmed) before me this
415/2023 by Christopher Smith
as identification.
—Notary Public
Commission 6296057
Stephanie Farmer
Name of Notary typed, printed or stamped
Subscribed and sworn to (or affirmed)
Name of Notary typed, printed or stamped
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MATCH LINE
SEE SHEET C209
DESCRIPTION: LOT 19, 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)
SITE PLAN
(NOT A SURVEY)
This SITE PLAN Prepared for and Certified To:
Lennar Homes
um
;1IL014
mw�. I
S8.6'
LOT 19 3.1-X6.0-
BLOCK
rX �PAT
BLOCK 5
-3.5*X3.5'
58.6' ,-IC A -
125.05- (P)
Ln
46-0*
46.0'
PROPOSED
2 STORY RESIDENCE
PLAN 2216
ELEV "B"
GARAGE R
41.3'
S 88*08'23"E (P) 125.05- (P)
LOT 20
BLOCK 5
I
ff-A
01
PCP (P
vi
J WALK rn
\C,
SEC. 4, TWP. 26 S, RNG 21 E.
PASCO COUNTY, FLORIDA
(ABBOTT SQUARE PHASE 2)
(P)
NOTES:
LOT GRADING TYPE = A
PROPOSED PAD ELEVATION
FRONT SET BACK = 20'
SIDE SET BACK = 75
SIDE SET BACK (CORNER LOT) = 10- LOT = 5627 SO, FT.
LIVING AREA = 930 SO. FT.
REAR SETBACK= 15' ENTRY = 26 SO. FT.
2" OAK GARAGE = 401 SO. FT.
PROPOSED: 10.00'PUBLIC UTILITY EASEMENT COVERED LANAI = N/A SQ. FT.
MINIMUM FLOOR ELEVATIONS: PATIO = 19 SO. FT.
POOL AREA = NA SO. FT.
LIVING AREA: 97,57' LEGEND: CONC. DRIVE = 328 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 =- N/A SO. FT.
DATUM OF 1988 E-00.00 = EXISTING GRADE CONSERVATION AREA =—N/A SO. FT.
LOT OCCUPIED = 31 %
APPARENT FLOOD HAZARD ZONE: 'X"COMMUNITY NO. 120235 AREA TO IRRIGATE = 69 %
SURVEY ABBREVATIONS (MAP NUMBER 12101 C-0289-F) EFFECTIVE DATE: 09/26/2014
A) = ARC LENGTH (D) - DEED INV = INVERT PC = POINT OF CURVE JR) = A LRECORD LEGEND VINYL FENCE
A/C = AIR CONDITIONER D- DRAINAGE EASEMENT LB LICENSED BUISNESS PCC = POINT OF COMPOUND CURVE RNG = RANGE
AF = ALUMINUM FENCE EL OR ELEV = ELEVATION LE LANDSCAPE EASEMENT PCP = PERMANENT CONTROL POINT RRS = RAIL ROAD SPIKE CONC -------
FIFE = BASE FLOOD ELEVATION COP = EDGE OF PAVEMENT LEE LOWEST FLOOR ELEVATION P/E - POOL EQUIPMENT R/W = RIGHT OF WAY P"'1. 1�
BM = BENCH MARK ESM7 = EASEMENT LS = LICENSED SURVEYOR PG = PAGE WOOD FENCE
C - CURVE SEC = SECTION ASPHALT
(C) = CALCULATED F/C = FENCE CORNER (M) = MEASURED PI = POINT OF INTERSECTION SN&D = SET NAIL AND DISK
FCM = FOUND CONCRETE MES = MITERED END SECTION PK =PARKER KALON LB#8183
CENTERUNE MONUMENT NCF = NO CORNER FOUND B = PROPERTY LINE CHAIN LINK FENCE
CLF = CHAIN LINK FENCE SIR = SET 112- IRON ROD L8# 8 183
CMP CORRUGATED METAL PIP HP - FOUND IRON PIPE O/A = OVERALL POB = POINT OF BEGINNING TBM = TEMPORARY BENCH MARK BRICK X x
COL = COLUMN FIR = FOUND IRON ROD OH = 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 I U.E = UTILITY EASEMENT = COVERED
CST = CLEAR SIGHT TRIANGLE EPP = FOUND PINCHED PIPE I PB = PLAT BOOK PRM = PERMANENT REFERENCE MONUMEN 1, VF = VINYL FENCE
JOB 15908520519 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive EE
Date of Site Plan: 5-24-23 Current title information on the subject property had not been This certifies th4&#*M"1U3It4 hereon described Tarpon Springs, Florida N
furnished to Initial Point Land Surveying, LLC. at the time of this P IN MP , N'
property V %ervision and Phone: (727)-831-1990 RG1W RGIE
DWG:AS-PH2-L 19-131-5-SITE SITE PLAN meets th I a r i active for FloridaPLS7123Pgmaii.com �E
2.) This sketch was prepared without the benefit of a title search, PI S mpls
SVrVe d of Land LB# 8183 RG '
W RG E
No instruments of record reflecting ownership, easements or n erg f l ed
File: rights -of -way were furnished to the undersigned, unless otherwise IDE
I r d r�tiyc �Iey
Drawn by: DJB shown hereon. purs nt t Section /71449r
— 3.) Roads, walks, and other similar items shown hereon were taker to s-D Date: 2 6.05
Checked byJH from engineering plans and are subject to survey. Ell
— 4.) This SITE PLAN does not reflect nor determine ownership. E06n 7: 00,
011"
REVISIONS 5.) This SITE PLAN is subject to matters shown on the Plat of (�FMRIIDA
"ABBOTT SQUARE PHASE 2"
6.) Dimensions shown hereon are in feet and decimal portions Jeff M. _' %Ife
thereof. FLORIDA PI C1r
S11 $KOR AND
7.) Contractor and owner are to verify all setbacks, building MAPPER NO. L 1004=A*03
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
M,
m
Plan Model Elevation
Garage Lot Size Block Lot
(,-),-5"" / q,
Parcel;
-6-1-0 -1-5 0 1 -- -0/2-2-
Address: �, V/ B ,,I C k -f Z" 0 0
Setbacks: Front-2-� �11 Rear--5:4,6--- Sides --2-1.5—
Elevation; Garage: R �—
Roof Shingle Dime nsion/A rchite ctu ral: L9
V--
v
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 6413 Back Forty Loop
Parcel Tax ID: 04-26-21-0160-00500-0190
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.
M im
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:
Address:
r1IMMM3W=
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 penult 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 perforn-i 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-, enviTommental or other codes.
The following ataoliments, 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 perforrnancepf building code inspection services.,
Individual Corp oration Partnership
Print
Telephone
Please use appropriate notary block.
sTATE OF FLORIDA
COUNTY OF HILLSBOROUGH
Individual
Beforeme, this day of
20 personally
appeared
who ' executed the foregoing instrument,
and, acknowledged before me that same
was executed for the purposes therein
expressed.
LENNAR HOMES J=
LC
Print Corp 01'ation Name
By:
Print
Name: Christopher Smith
Its: Authorized Agent
Address: 700 NW 1 01th -Ave
Miami, FL 33172
'Telephone,
No. 813-574-5700
Corporation
Bcf6reme,tbis 22ND day of
MAY 20Z3
personally appeaxed.
Of
Lennar Homes, LLC a
corporation, on
behalf of th6 -state corpoTafion, who
executed the f6regoing instrument and
aciciiowledged bffbit me that same was
executed for the purposes therein
PrintPartnership Name
ME
. (signature)
Print
Name:
Its:
Address:
Telephone
No.:
Before, me, this day
bf. 20__.__,
personally appeared
partner/agent an b ehalf of
a partnership, who executed the
foregoing instrument and
acknowle-dged before me that same
was executeffor thepurposes therein
expressed.,
Personally known " Or- Produced identification Type of identification produced
k-'I
Signature of Notax-v PrintNamo ASHLEE CALLAHAN
Notary Public Stamp: YA s AS I i LEE CALLAHAN
My C 0 M I GI ON H 1, 129159' 8 0
Commission Expires;
EXPIRFS, Novor),ber 30, 22026
P age 2 of 2
VR/\
VIRTUAL REVIEW ASSIST
Private Provider
Pfi?'LLg1 • '?Mvit
Private Provider Finn: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU 1967
Address: 747 Southwest 2 nd Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: luc �yj&virtualreviewassist.com
_�-
Project: New SFR
Address(s): 6413 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,A4.1,A5,A6,A6.1,SNO,SNI,S'I,S4,S5,S6,SS,ST,SII,SI2,WPI,
WP2,WP2.1,PAl.0,PA1.1, PA1.2,PAL3,PAL4, 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 b�efme by Debra Anne Klahr
being personally known to me or having produced as identification
and who being fully sworn and cautioned, state that the
reLgoing is true and orrect to the best of his/her knowledge or belief.
(Wlkl-e-n Ashlee Callahan
Signature of Notary Print Name
lim'Mmung I"NE631F.'11 a . 11 1 1
commission expires:
1: CAL
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rM1•t�Vm
!ESES1C0AN L
#I H'�HHiiAA2NN
959980
EXPIRES, N ovenibr 30, 2026
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1 1.1 N 18 13 WHO W
FIRE MARSHAL #01 -
Required Permits
DATE: 7/22/2023
EXAMINER: Debra Klahr VX230(
Building
E] LTEection Only
Plumbing
M Inspection Only
Mechanical
Fj Ins pe tion Only
r-2
Vi 'Electrical Amp
ElIns pection Only
Roof
[:] Gas
0 Medical Gas
Ej Fire Sprinklers
Ej On Site Piping
El Fire Line
E] Irrigation
E] Fire Alarm
0 Potable Backflow Assembly
r_1 Fire Line Backflow Preventer
E] Irrigation Backflow Assembly
[:] Demolition
EJ Walk-in Cooler
El Refrigeration
El Hood
El Ansul
El Fence/Wall
El Grease Trap
[] Other
El Other
1 1.3 M ro 1 M4. by, M
Type Construction:
I V_B
Risk Category:
Occupancy Load
Oancy Classification:
Factory
wl, Re sidential
Assembly
Hazardous
Storage
Day Care/Educational
nal ❑ Mercantile
Building Use: SINGLE FAMILY RESIDENCE I Alteration Level I MILevel 2 Level 3
Kff
ff
JE New Construction El Interior Finish M Interior Remodel ❑ Exterior Remodel ❑ Addition Fj Revision
Overall Size:
30 X 46
Number of Stories:
2
Total Sq. Ft.:
2672
Living Area:
2217
Covered Area:
455
# of Bedrooms: 5
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof Type: 9 Shingle
ElTile �Built�-up
0 Metal El Other Squares: 18
Zoning:
Wir
ftorne Debris:
DiInside
Outside
Energy Code:
-2022
405 SUP
Flood Zone: X Base Flood Elevation: Finish Floor Elevation:
Hydrostatic Vents-?- j -yes ¢No Sq. Ft. Enclosed Space Below BFE:
# of Vents:
Size of Vents:
Total Sq. In. Permanent Openings
9 Central A/C
El Gas A/C
9 Heat Pump
El Gas Heat
El Window A/C
El Electric Heat
On Site Pining
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
Front Rear Left Right
As per Approved Site Plan
Comments: