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Home My WebLink About23-6803City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 BNR-006803-2023 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 08/21/2023 04 26 21 0160 00500 0170 6425 Back Forty Loop Name: Lermar Homes, LLC Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC Address: 4301 W Boy Scout Blvd Suite 600 Tampa, FL 33607 Class of Work: SFR Construct Building Valuation: $282,120.00 Electrical Valuation: $42,318.00 Z_ Phone: (813) 574-5700 Mechanical Valuation: $19,748.40 Plumbing Valuation: $28,212.00 Total Valuation: $372,398.40 Total Fees: $20,500.02 co Amount Paid: $20,500.02 Date Paid: 8/21/2023 3:02:10PM O '', .. ..... ..... .. IN M CONSTRUCT SINGLE FAMILY 1870 SO FT 4 "A" 'ffi 'EU R111"'I"'I'll .. ... . . . . F X Electrical Permit Fee $251.59 Plumbing Permit Fee $181 .06 Building Permit Fee $1,450.60 School Impact Fee - Single Family $8,328.00 Irrigation 3/4 Meter (Cale) $794.92 Park Impact Fee - Single Family/Townhome $769.56 Mechanical Permit Fee $13874 Public Safety Impact Fee -Police $254.00 Public Safety Impact Fee -Admin $26.35 Transportation Impact Fee - City $36.32 Transportation Impact Fee $3,595.68 SIF 1 percent Fee $83.28 Admin Fee / (Provider Service) $180.00 Water Connection Residential Fee $1,140.00 Driveway Fee $45.00 3/4 Water Meter Fee (Cale) $794.92 Sewer Connection Residential Fee $2,400.00 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. accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. ONTRACTQR SIGNATURE PE IT OFFICEt) "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 Permitting 908 770 -_ 7763 7 1 1 1 1 i l 1 1 1 S T 7 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 N/A � I Owner Phone Number Fee Simple Titleholder Address L N/A JOB ADDRESS 6425 Back Forty Loop LOT # 0517 SUBDIVISION Abbott Square PARCEL ID# 04-26-21-0160-00500-0170 d Wit, (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED It./ li NEW CONSTR H ADD/ALT 0 SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR F__1 COMM OTHER TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL DESCRIPTION OF WORK Single Family Residence / Pool / Screen Enclosure / Fence BUILDING SIZE U/R SF 2351 SQ FOOTAGE 1$70 HEIGHT 28' �_� BUILDING $ 282120 VALUATION OF TOTAL CONSTRUCTION 0AMP SERVICE ELECTRICAL $ 42318� ® PROGRESS ENERGY Q W.R.E.C. �� JJ t�/ 'PLUMBING $ 28212 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ? 0 19748.4 =GAS W] ROOFING Q SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES Do BUILDER COMPANY Lennar Homes, LLC SIGNATURE REGISTERED Y / N FEE CURREN Y ! N Address 301 W Boy Scout Blvd Suite 600 Tampa, FL 33607 License # CGC1518166 ELECTRICIAN / COMPANY Edmonson Electric, Inc. SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address License # I EC13005408 PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE r REGISTERED Y / N FEE CURREN Y / N Address License # I CFC042998 MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN I Y / N Address I License # I CAC058062 OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE REGISTERED Y / N FEE CURREN Y ! N Address License # CCC057991 1111/I111111111/IIIII1111/111111111/I111II11111111111111IIIBI111111 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 OFDEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" 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 |uoa| regulations. If the contractor is not licensed as required by |ovv, both the owner and contractor may be cited for misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division —Licensing Section at 727-847- 8009. Furthermone, if the owner has hired a contractor or oontnadom, he is advised to have the contractor(a) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the oontnaotor, that may bean indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTAJ-ION|KAPAC77UT|L|T|ES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply kothe construction of new bui|dingu, change of use in existing bui|dinga, or expansion of existing buiNings, as specified in Pasco County Ordinance numbar8Q'07 and 80-07, as amended. The undersigned also understands, that such haeo, as may be due, will be identified atthe time of permitting. It in further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving e ^oedifioaho of occupancy" or final power nu|aaae. If the project does not involve a certificate ofoccupancy or 0no| power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVeter/Sawar Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 7i3.Florida Statutes, asmrnended): |fvaluation ofwork in$2.50U.OUormore, | certify that |, the app|ioont, 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", | certify that | have obtained n copy ofthe above described document and promise in good faith to deliver i(iothe ^mwner^prior tocommencement. CONTRACTOR'S/OVVNER'SAFF|DAVIT: | certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating oonatruotion, zoning and land development. Application in hereby mode to obtain a permit to do work and installation as indicated. | certify that no work or installation has commenced prior to ioauenon of permit and that all work will be performed to meet standards of all laws regulating construction, County and City oodeo, zoning vogu|ohone. and land development regulations in the jurisdiction. | also certify that | understand that the naQu|oUona ofother government agencies may apply to the intended wmrk, and that it is myresponsibility hnidentify what actions ! must take 8obeincompliance, Such agencies include but are not limited to: - Department ofEnvironmental Protection -Cypress Boyheodu, Wetland Anaoa and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District -Wells, Cypress Bayheada, Wetland An*on, Altering Watercourses. - Army Corps ofEngineers+SeavvaUo.Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-VVe||u, Wastewater Treatment, Septic Tanks. - USEnvironmental Protection Agency -Asbestos abatement. - Federal Aviation Authority-Runwuym. | understand that the following restrictions apply hothe use offill: - Use offill imnot allowed inFlood Zone ''\runless expressly permitted. - If the 0| material is to be used in Flood 2bna ^/\^, it is understood that o drainage plan addressing a "compensating volume" will be submitted at time ofpermitting which is prepared by professional engineer licensed bythe State ofFlorida. - If the 0| material is to be used in Flood Zone ''A^ in connection with a permitted building using stem wall construction, | certify that fill will beused only tofill the area within the stem wall. - If fill ma0mhe| 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 affect adjacent prnpartiea, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots |eoa than one (1) acre which are elevated byfill, anengineered drainage plan iorequired. |f|omthe 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 oapansha permit may be required for electrical vvork, p|umbing, nigno, weUa, poo|o, air conditioning, gea, orother inobaUaUona not specifically included in the application. A permit issued ohoU be construed to be license toproceed with the work and not asauthority Uuviolate, oenoe|, a|her, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit iasuance, 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 requested, in writing, from the Building Official fora period not toexceed 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 A NOTICE OF COMMENCEMENT MAY RESULT |N YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT (F.S.11r OWNER oRAGENT Subscribed and sworn Co (or affirmed) before me this 4/5/2023 by _ Christopher Smith Who is/are personally known to me or hasA;ave PFOdUG94 as identification, 711 Notary Public Stephanie Farmer Name of Notary typed, printed or stamped _.':E:x0Ms J.U1 WT Subscribed and sworn to (or affirmed) Name of Notary typed, printed or stamped L/ 41 TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: —462-0 Exempt o Yes 0 No 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 Flow Determined. PARKS AND RECREATION Land Account Land Credit Land Total RecreationRecreation Account k s Recreation Total Zone Total Amount $_ �_z Exempt =Yes = No How Determined LIBRARY FEE Land Account Land Credit land Total Facility Account Facility Credit Facility Total ExemptEl Yes No How Determined Total Amount RESOURCE FEE ERU Prepared By Checked By NO CERTIFICATE OF OCCUPANY WILL Of ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAIDRECEIPTED FOR BY A CENTRAL PERMITTINGOa PASCO COUNTY FORM,ACKNOWLEDGEMENT BELOW DOES NOT IMPLY ACCEPTANCE OF CONCURRENCE, BUT SIMPLY REECEIPT OF A COPY OF THIS ► OWNER ON OF i THE CONDITIONS RECEIPT O D BY _ jr x U:77. uu� 97.11 95.54 95.54 96.41 --_ SD11-12 0 9349 TYPE'C' DBI I m' E I I � I m l ECP:93.60 I 7FF 'A' i PE'E3' LE 'A .170 97.47 °aRIM:93.60a1$" RCP(E}iE:91.00 7.50 I { �FF :96.80w 95.30 g= _ 18RCP (z 0.30% dam 1 i I I 15' R, tft Pe t, Pc 55 r, m f ( TYPE 97.31 - 95.75 95.74 96.693 _. - 93.78 ca FF:95 PAD:9' I7 Ty I I 1IP9E� PE'B AA0 9A 0F97.47 Ty P9DPAD:7707o SILT FENCE D:9680[P:A I� 1 i °) I �-220' - 18" RCP L 0.30% ti I 97.51 - -- 95.95 48` 24" RCP @ 0 30% ; 38' - 18' RCP @ 0.30% l - -- LFF PE'A' SD11 10 24' - 18' RCP @ 0 30% 13.91 98.57I,'t95 76 0 Pa i,sPc ss I `n_„ ,�. ^m""'._"'�. --"_ i1 .7SD6-3 :9J.9D� I .,SD612 - -_ _ 1 I I`, 112+00 g $S 13 0 er�aa �97.69 96.19 ^� 9s 93.78 SDll-3-3 �..� -� RACT 71. a �'n'5D119 SD515 �9� -- � �-- -- ila"Rc��a�o�+ 0 97.36---- -- --- 95.79 ,. v�l TYPE 'A' I ! TYPE'A` TYPE 'A' # �� 1 18 RCN C 0.3 d� FF:98.37 FF:97 Q a L ET�97.47 �' I - TYPE 'A' ' j PAD:97.00 PAD:96.80 i d e char PAD.97.70 Y - FF:95-87 95.43 96.81 93.68 j PAD_95 2�3 �96.94 ___ 9538 � , FFF: E 'A' 6 26' 18'RCP@030% EF7 ' TYPE 0- E'A � 214'-24" RCP @ 0.3t 0 FF 97.87 b' ( 97.00 0 fl a v 0 25' -18" RCP L 0.30 a- c h ; 95.06 96.44 93.38 95.52 9496 TYPE'A' LPAD9::%.40 'A' Fp v i PAD:96 60 h a Ty'rn {JQi I { y FFF:p97. Fa� I NI F n F- TI-I F- � I DESCRIPTION: LOT 17, 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 PCP 9 E7 LOT 16 BLOCK 5 S 88'08'23"E (p) 125.06' (P) 2 (P) in — it 62.6' 35X3.5, 42'-0" 42.0' 2 5' C/S-A/C PROPOSED 4 2 STORY 19X6.a RESIDENCE ^) b In LOT 17 PATIO 9 9 ELEV"B" PLAN 1871 • BLOCK 5 0 rn GARAGE A ENTRY 4.3' 3 z 4CONC VfALK 62.6' 00 37.7' 20.5 LM S 88,08'23"E (P) 125.05'(P) LOT IS BLOCK 5 ALL ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 (NAVD 88) SEC. 4, TWP. 26 S, RNG 21 E. PASCO COUNTY, FLORIDA (ABBOTT SQUARE PHASE 2) NOTES: LOT GRADING TYPE = A PROPOSED PAD ELEVATION =97.70' FRONT SET BACK = 20' SIDE SET BACK = 75 LOT — 5628 SO. FT SIDE SET BACK (CORNER LOT) = I U LIVING AREA = 780 SO. FT. REAR SETBACK= 15' ENTRY = 38 SO, FT. GARAGE = 443 SO. FT. PROPOSED: 10.00'PUBLIC UTILITY EASEMENT COVERED LANAI = N/A 0. FT. MINIMUM FLOOR ELEVATIONS: PATIO = 18 SO. FT. POOL AREA = NA SO. FT. LIVING AREA: 98.37' LEGEND: CONC. DRIVE = 354 SO. FT. GARAGE AREA: PROPOSED DRAINAGE FLOW A/C & CONC PAD = 12 SO. FT. ELEVATIONS REFERENCED TO SIDEWALK = 34 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 = 30 % APPARENT FLOOD HAZARD ZONE:"X" COMMUNITY NO. 120235 AREA TO IRRIGATE = 70 % SURVEY ABBREVATIONS (MAP NUMBER 12101 C-0289-F) EFFECTIVE DATE: 09/26/2014 A) =ARC LENGTH A/C = AIR CONDITIONER (D) = DEED INV - INVERT PC - POINT OF CURVE (R) = RECORD D.E= DRAINAGE EASEMENT LB =LICENSED BUISNESS PCC = POINT OF COMPOUND CURVE RNG = RANGE � ": LEGEND VINYL FENCE AT = ALUMINUM FENCE EL OR ELEV = ELEVATION L.E LANDSCAPE EASEMENT PCP PERMANENT CONTROL POINT RRS - RAIL ROAD SPIKE CONC 0 ------- U_ BEE BASE FLOOD ELEVATION EOP = EDGE OF PAVEMENT LEE LOWEST FLOOR ELEVATION P/E POOL EQUIPMENT R/W =RIGHT OF WAY BM = BENCH MARK C = CURVE ESMT = EASEMENT LS = LICENSED SURVEYOR PG = PAGE SEC =SECTION WOOD FENCE ASPHALT (C F/C = FENCE CORNER (M)= MEASURED PI = POINT OF INTERSECTION SN&D = SET NAIL AN D DISK CENTERLINE FCM = FOUND CONCRETE MES = MITERED END SECTION PK =PARKER KALON LB#8183 = PROPERTY LINE - IRON ROD LB# 8 1 MONUMENT NCF = NO CORNER FOUND t SIR= SET 112 83 CHAIN LINK FENCE CLF = CHA LINK FENCE IN COP = CORRUGATED METAL PIP[ HP = FOUND IRON PIPE C/A = OVERALL POB = POINT OF BEGINNING TBM = TEMPORARY BENCH MARK BRICK X 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 I LLE UTILITY EASEMENT COVERED CST = CLEAR SIGHT TRIANGLE EPP MONUMENT PINCHED PIPE PB = PLAT BOOK PRM = PERMANENT REFERENCE MONUME�VF = VINYL FENCE JOB 15908520517 SURVEYOR'S NOTES: SURVE- ,(4*M01I4%Tff ICATE 1708 Water Oak Drive Date of Site Plan: 5-23-23 0 1.) Current title information on the subject property had not been This certifiie�o SI0C441A*7-,ft*on described furnished to Initial Point Land Surveying, LLC. at the time of this property ion and SITE PLAN meets tVjFA Pr ice for Tarpon Springs, Florida Phone: (727)-831-1990 R FloridaPLS7123@gmaiico DWG:AS-PH2-L I 7-131-5-SITE 2.) This sketch was prepared without the benefit of a title search. )rveyos, S 4e o b4ff FIo oar. of Land No instruments of record reflecting ownership, easements or er.- _6-,iafi 0 ned i tal furnished LB# 8183 M R File: rights -of -way were to the undersigned, unless otherwise I i d7listraWtiv& shown hereon. rtley Ursulp Section 4 ro, 3.) Roads, walks, and other similar items shown hereon were takerto O� Drawn by DJB T T Date- 6.05 Checked byJH from engineering plans and are subject to survey. REVISIONS 4.) This SITE PLAN does not reflect nor determine ownership. k00' 5.) This SITE PLAN is Plat N subject to matters shown on the of "ABBOTT SQUARE PHASE 2" Jeff M. HartIMStIl, ,Waie 6.) Dimensions shown hereon are in feet and decimal portions FLORIDA PROFE11119MMiWEYOR AND thereof. 7.) Contractor and owner are to verify all setbacks, building MAPPER NO. LS#7123 LB#8183 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. Plan Model Elevation /9 Garage Lot Size Block Lot Parcel M () V-,Z --)-/-(2/- 00,5_00 4 ? Address: o: Setbacks: Front RearSides Elevation: Garage: —14-- Roof Shingle Dimension/Architectural: 1 V, ))2�jz /k 0 � LA VRA Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 6425 Back Forty Loop Parcel Tax ID: 04-26-21-0160-00500-0170 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: Private Provider: Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601 Fax: N/A Email Address (Optional): 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; enviroamental or other codes. The, following attachments. are provided as required: 1. Qualification statements and/or TCSUn1tS of the, private provider and all duly authorized representatives. I. Proof of insurance for professional and conaprehensive liabilit amo y inAh. o amount.of $1 Million per o ccurrence relating to all services p,erfbimed as a private provider, including tail coverage for. a minimum of 5years subsequent to the pfxformanceof building code inspection services., Individual :(signature) Print Address: Telephone Flem use appropriate notary block. STATE OF —FLORI-DA COUNTY OF. HILLSBOROUGH Individual B efo r e, me, this -day of 20 personally appeared who executed the foregoing instrument, and, a6knowledged bekrt-, mt-, that same was executed for the purposes therein expressed. Corp oration LENNAR HOMES. LLC Print Corp oration Name Print Name: Christopher Smith its: Authorized Agent Address: 700 NW 1071b A—ve. Miami, FL 33172 Telephone. No. 813-574-5700 Corporation Before me, this 22ND day of MAY zoz personally appeared of Lennar Homes, LLC. a corporation, on behalf of the State corporation, who executed the foregoing instrument and d . a4t:nowlegDd before me that same, was executed for the purposes therein expressed. Partnership Print Partnership Name, By: Print Name: Its: Address: Telephone No.: B efore me, this day of personally appeared p axtum/agmt on behalf of a partnership, who executed the foregoing instrument And acknowledged before me that same was meoute & for the purp os es therein express Personally known Produced iden#tcation Type of identification produced signature of Notai.,' L Print Name ASHLEE CALLAHAN NotaTyPublio Stamp-, Commission Expires: ASHLEE CALLAIA MY COMMISSION #HH 295980 EXPIRES: Nlovetizbar 30,2026 Page 2 of 2 VIRTUA1 REVIEW ASSIST Private Provider 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: LucyCqavirtualreviewassist,com Project: New SFR Address(s): 6425 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,A1A2,A3,A4, A5,A6,A7,SNO,SNIIS3,S4,S5,S6,SS,ST,SI 1,S12,WPI, WP2,WP2.1,PA1.0,PA1.1, PA1.2,PA1.3,PAIA, 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 Ex7* e License #: PX2300 Signature of Reviewer: A" SWORN AND SUBSCRIBED �bore me by Debra Anne Klahr being personally knownor having produced as identification and who being fully sworn and cautioned, state that the egoing is true and correct to the best of his/her knowledge or belief. Ashlee Callahan ignature of Notary Print Name Notary Public: NOTARY STAMP BELOW My commission expires: ASHLEE GA1,11LAI-IPA 2� 59 MY cofONIIISSION 'HH 95 980 80 30 2026 EXPIRE$: Noveiribur 3 2026 [—COMMERCIAL BUILDING SERVICES DIVISION 'RESIDENTIAL BUILDING PERMIT DATA SHEET ftt"Nxl►` FIRE MARSHAL #01 - Reauired Permits DATE: 7/22/2023 Building El pygection Only Plumbing F-1 -Inspection Only 1Z Mechanical V- ❑Ls2ec ion Only Electrical Amp El Ls pection OnI Roof Medical Gas El Fire Sprinklers ❑ On Site Piping El Fire Line [:1 Irrigation El Fire Alarm D Potable Backflow Assembly El Fire Line Backflow Preventer El Irrigation Backflow Assembly E] Demolition El Walk-in Cooler El Refrigeration El Hood F] Ansul El Fence/Wall [:] Grease Trap F-1 Other ❑ Other r.9 ff I re If IT-2-17 M, Type Construction: Risk Category: Occupancy Load D, mpancy Classification: 'Assembly. �y Care/Educational nal Mercantile Factory Hazardous F 3Residential ro.,IStorage Building Use: SINGLE FAMILY RESIDENCE Alteration [❑—Level I [—Level 2 [E❑—�T Level New Construction El Interior Finish El Interior Remodel r-1 Exterior Remodel ❑ Addition F-1 Revision Overall Size: 30 X 42 Number of Stories: 2 Total Sq. Ft.: 2351 Living Area: 1870 Covered Area: 481 # of Bedrooms: 4 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof'RTile 0 Built-up 0 Metal El Other Squares: 16 Zoning: Wrorne Debris: [:]!Inside Outside Ea Energy Code: 405-2022 SUP Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? Yes !Ko .4 Sq. Ft. Enclosed Space Below BFE: T— # of Vents: T Size of Vents: Total Sq. In. Permanent Openings 9 Central A/C 5fl Heat Pump El Window A/C El Gas A/C 0 Gas Heat 0 Electric Heat Sanity !j Sewer I Storm Sewer Catch Basins Potable Water J Underground Fire Line Setbacks Front Rear Left Right FZI As per Approved Site Plan Comments: R R Control CountyParceiNo. iVAD ill . Address/Location 0 Classification/Type of Use ( # t! s 6•�1 Rate: i, Exempt Yes 0 No i Determined 'i ImpactFee Amounti T SCHOOL IMPACT FEE � / / _ Account (056) Single -Family Detached House Amount $ 7'! (e (057) Mobile Home (OSd) Other Residential (123) Collection Fee Exempt =Yes = No Hew Determined_ 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 Yes No How Determined Total Amount RESOURCE FEE ERU Total Amount Prepared By Checked By O CaERTIFICA OF OCCIIPANY ELL82 UEO OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE KEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY ACKNOWLEDGEMENT BELOW DOES NOT IMPLY ACCEPTANCE OF CONCURRENCE, BUT SIMPLY REECEIPT OF A COPY OF THIS FORM, PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME. DATE RECEIVED BY RECEIPT NO DATE BY