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Home My WebLink About23-6805it of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 BNR-006805-2023 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 08/18/2023 . . 10I MR\�\_R Is .... ... Al 04 26 21 0160 02600 0060 6622 Back Forty Loop Name: Lermar 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: $342,480.00 Tampa, FL 33607 Electrical Valuation: $51,372.00 Phone: (813) 574-5700 Mechanical Valuation: $23,973.60 Plumbing Valuation: $34,248.00 Total Valuation: $452,073.60 Total Fees: $20,898.40 Amount Paid: $20,898.40 Date Paid: 8/21/2023 3:02:10PM or p CONSTRUCT SINGLE FAMILY 2389 SQ FT Irrigation 3/4 Meter (Cale) $794.92 Building Permit Fee $1,752.40 Water Connection Residential Fee $1,140.00 Electrical Permit Fee $296.86 Transportation Impact Fee - City $36.32 Driveway Fee $45.00 3/4 Water Meter Fee (Cale) $794,92 Mechanical Permit Fee $159.87 Address Fee $30.00 School Impact Fee - Single Family $8,328.00 Sewer Connection Residential Fee $2,400.00 Transportation Impact Fee $3,595.68 Public Safety Impact Fee -Police $254.00 Admin Fee / (Provider Service) $180.00 Park Impact Fee - Single Family/Townhome $769.56 Plumbing Permit Fee $211.24 Public Safety Impact Fee -Admin $26,35 SIF 1 percent Fee $83.28 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. 6 # # 0 0 - T 071 1 I'Mil 71 111:11PITI 1111 � I III I WIF =7t "I ............ accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. 1L11L L IN i aL CONTRACTOR SIGNATURE PE IT OFFICEU 7,'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 Permittin, 908 770 -_ 7763 1 1 1 1 1 1 1 1 1 - - - - IL I I I I I I I I I I a I J_L Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P I Owner Phone Number �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 JOB ADDRESS 6622 BackForty Loop LOT # 2606 SUBDIVISION Abbott Square PARCEL to# 04-26-21-0160-02600-0060 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH INSTALL F-] REPAIR PROPOSED USE SFR F__1 COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK Single Family Residence Pool / Screen Enclosure / Fence BUILDING SIZE SO FOOTAGE 2389 HEIGHT 128' 1 BUILDING $ 342480 VALUATION OF TOTAL CONSTRUCTION U "52L ELECTRICAL 1$ 51372 1 AMP SERVICE PROGRESS ENERGY W.R.E.C. PLUMBING n4��248 .._ _�` f, 0 MECHANICAL $ 23973.6 VALUATION OF MECHANICAL INSTALLATION =GAS F4 ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS C r FLOOD ZONE AREA DYES Do BUILDER COMPANY I Lennar Homes, LLC SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Suite S out Blvd 600 Tampa, FL CGC 1518166 Address License# ELECTRICIAN COMPANY Edmonson Electric, Inc. SIGNATURE REGISTERED Y/ N FEE CURREN Address License# =EC13005408 PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y/ N I FEE CURREN I 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 [6:SLterling Quality Roofing, Inc SIGNATURE REGISTERED Y/ N I FEE CURREN L_Y_LN_j Address License# 1-666057991 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 be subject to "deed" restrictions" which may bemore restrictive dhanCountyregu|eUono. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired o contractor or contractors to undertake vvork, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by |aw, both the owner and contractor may be cited fora misdemeanor violation under state law. If the owner or intended contractor are uncertain an 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 oon(nootons, he is advised to have the contractor(s) sign portions of the ^oonhnotnr Block" of this application for which they will be responsible. If you, as the owner sign as the controobor, 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 to the construction of new bui|d|ngo, change of use in existing bui|dingn, or expansion of existing bui|dinga, as specified in Pasco County Ordinance number 80-07 and 9O-O7.eoamended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate 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 Counh/VVabur/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, aaarnended): |fvaluation ofwork io32.5U0.0Oormore, | certify that |. the app|ioant, 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. \fthe applicant insomeone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver ithothe ^mwner"prior 8acommencement. CONTRACTOFK'S/OV0NER`SAFF|DAVU: | certify that all the information inthis application ioaccurate and that all work will be done in compliance with all applicable |mvvn regulating oonmtnuction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. | certify that no work or installation has commenced prior to issuance of permit and that all work will be performed to moat standards of all |owo regulating nonatructinn. County and City oodea, 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 myresponsibility 0uidentify what actions | must take Vnbeincompliance. Such agencies include but are not limited to: - Department ofEnvironmental Protection -Cypress Boyheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida VVabar Management Disiriot-VVeUo, Cypress Bayheodo, Wetland Areas, Altering VVo0ancnumeo. - Army Corps ofEnQineoru-SoawaUa.Docks, Navigable Waterways. ' Department of Health & Rehabilitative Services/Environmental Health Unit-VVoUo, Wastewater Treatment. Septic Tanks. - USEnvironmental Protection Agency -Asbestos abatement. - Federal Aviation Authority+Runwayo. | understand that the following restrictions apply huthe use nffill: - Use nffill ionot allowed inFlood Zone Wrunless expressly permitted. - If the fi|| material is to be used in Flood Zone ^A^, it is understood that a drainage plan addressing a "compensating volume" will be submitted at time nfpermitting which in prepared by professional engineer licensed bythe State nfFlorida. - If the OU material is to be used in Flood Zone ''A" in connection with e permitted building using mham wall construction, | certify that fill will baused only tofill the area within the stem wall. - If fill material is to be used in any area, | certify that use of such fi|| will not adversely affect adjacent properties. If use of fill is found to adversely affect odjaoent proportiaa, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots |eou than one (1) acre which are elevated byfill, enengineered drainage plan iorequired. U|mmthe AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. | understand that a separate permit may be required for o|echoa| vvork, p|umbinQ, oigno, woUu, poo|a, air conditioning, gan, orother installations not specifically included in the application. A permit issued shall be construed to be a license kzproceed with the work and not aaauthority 0oviolate, oonoe|, a|hor, 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 nix months of permit ioouanca, 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 requeohed, in writing, from the Building D0oio| fora period not Voexceed ninety (00)days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING T0OWNER: YOUR FAILURE TO RECORD ANOTICE OF COMMENCEMENT MAY RESULT |0YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this Who is/are personally known to me or-hasihave pFoGluG@4 as identification. Notary Public Stephanie Farmer Name of Notary typed, printed or stamped Subscribed and sworn to (or affirmed) before me this Name of Notary typed, printed or stamped County Parcel No. Control # Address/Location Classification/Type� irate: Exempt ED Yes 0 No Now Determined Impact Fee Amount S 3 Zone No. T SCHOOL IMPACT FEE Account (056) Single -Family Detached House Amount $ r = 2" 95 (057) Mobile House (05) other Residential (123) Collection Fee Exempt =Yes = No Now Determined_ PARKS AND RECREATION FEE Land Account Land Credit land Total Recreation Account Recreation Credit Recreation Total Zone Total Amount $ a S Exempt No How Determined LIBRARY FEE Land Account land Credit Land Total Facility Account Facility Credit Facility Total Exempt 0Yes No Now Determined Total Amount RESOURCE FEE t o Prepared BYINO MChecked By OF •. kOR FINALINSPECTION PERFORMED UNTIL THE TOTAL BEEN PAID,D RECEIPTED FOR BY e CENTRAL PERMffTING OFFICE OF PASCOCOUNTY ACKNOWLEDGEMENT aW DOES NOT IMPLY ACCEPTANCE OF CONCURRENCE, ,, SIMPLY REECEIPT OF MP; OF THIS PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONSOF j Permit No, 68010 Date Permitted Builder4 «° 1 f County Parcel 7' 1 6 600 V ) Rate: Sq. Ft Unit: � Exempt El Yes 0 No How Determined Impact Fee Amount S Zone No. TAZ: SCHOOL IMPACT FEE p� Account (056) Single -Family Detached House Amount $ s %° � (057) Mobile Horne (05) Other Residential (123) Collection Fee Exempt =Yes = No How Determined. PARKS AND RECREATION FEE Land Account band Credit land Total Recreation Account Recreation Credit Recreation Total Zone Total Amount $W Exempt =Yes No How Determined LIBRARY FEE Land Account land Credit land Total Facility Account Facility Credit Facility Total Exempt 11Yes No How Determined Total Amount RESOURCE FEE EU Total Amount Prepared By:; Checked By NO CERTI TE OF OCCUPAV Y WILL BE ISSUER OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTER HAVE BEEN PAIR 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 9 :URB INLET 51 t5 (E)IE:90.13 :URB INLET 35 1 38 R - OF (N)IE:96.87 - 1 1 —/4 OF :URB INLET )o 4 OF 33 (N)IE:98.53 26-21 N: 1424338. (W)IE:88.53 E: 58625& 'URB INLET M 37 (E)IE:88.60 TRACT 71 DESCRIPTION: LOT 6, BLOCK 26, ABBOTT SQUARE PHASE 2, SITE PLAN SEC. 4, TWP. 26 S, RNG 21 E. ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 90, PASCO COUNTY, FLORIDA PAGES 28-33, OF THE PUBLIC RECORDS OF PASCO COUNTY, (NOT A SURVEY) FLORIDA. Prepared for and Certified To: (ABBOTT SQUARE PHASE 2) Lennar Homes ALL ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 (NAVD 88) Scale: 1 20' PCP LOT 7 LOT I I BLOCK 26 BLOCK 26 z 0, --- N88'08*23"W(P) 110.50'(p) U I ------- Ln En ci 32.0' 2 5' 58.0' U 10 'r < : - :, : 8 . .1 b: Z V, 0 PROPOSED 1 LOT 6 3 2 STORY RESIDENCE ul .O*X7.0' Ln ry . J LL BLOCK 26 d - PATIO 9 9 PLAN 2382 0 LOT 12 0 BLOCK 26 ELEVA" W U 1: U. 4.0'X5.7' GARAGE R 6.9 0 C ENTRY T 044W 32.0' Ln - WALK z 0� WALK 52.0' 21.2' Z, X ----------- LOT 13 N88'08'23"W(P) Ilo.50,(P) --------- BLOCK 26 j L0", LOT 5 BLOCK 26 NOTES: LOT GRADING TYPE = A PROPOSED ELEVATIONS AND GRADING PROPOSED PAD ELEVATION SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF FRONT SET BACK = 20' "ABBOTT SQUARE RESIDENTIAL", PREPARED SIDE SET BACK = 7.5' BY "WRA" PROVIDED BY CLIENT SIDE SET BACK (CORNER LOT) 10' LOT = 4973 SO. FT LIVING AREA = 1269 SO. FT. REAR SETBACK= 15' ENTRY = 51 SO. FT. GARAGE = 414 SO. FT. PROPOSED: COVERED LANAI =--N/A SO. FT. MINIMUM FLOOR ELEVATIONS: 10.00' PUBLIC UTILITY EASEMENT PATIO = 21 SO, FT. POOL AREA = NA SO. FT. LIVING AREA: 96.07' LEGEND: CONC. DRIVE = 365 SO. FT GARAGE AREA: PROPOSED DRAINAGE FLOW A/C & CONC PAD = 23 — SO. FT. ELEVATIONS REFERENCED TO SIDEWALK = 37 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 SQ. FT LOT OCCUPIED = 44 % APPARENT FLOOD HAZARD ZONE: "X" COMMUNITY NO. 120235 AREA TO IRRIGATE = 56 % SURVEY ABBREVATIONS (MAP NUMBER 12101 C-0289-F) EFFECTIVE DATE: 09/26/2014 A) = ARC LENGTH (D) = DEED INV= INVERT PC = POINT OF CURVE (R) = RECORD LEGEND VINYL FENCE A/C AIR CONDITIONER D.E= DRAINAGE EASEMENT LB =LICENSED BUISNESS PCC = POINT OF COMPOUND CURVE RNG = RANGE -----o ----- EFEBASE FLOOD ELEVATION AF = ALUMINUM FENCE EL OR ELEV = ELEVATION L,E = LANDSCAPE EASEMENT PCP = PERMANENT CONTROL POINT RRS = RAIL ROAD SPIKE CONC --0- EOP = EDGE OF PAVEMENT LEE = LOWEST FLOOR ELEVATION P/E = POOL EQUIPMENT R/W = RIGHT OF WAY BM = BENCH MARK ESMT = EASEMENT LS = LICENSED SURVEYOR PG = PAGE SEC = SECTION WOOD FENCE C - CURVE F/C = FENCE CORNER (M) = MEASURED PI = POINT OF INTERSECTION SN&D = SET NAIL AND DISK = ASPHALT (c) = CALCULATED FCM = FOUND CONCRETE MES = MITERED END SECTION PK =PARKER KALON LB#8183 CENTERUNE CHAIN LINK FENCE CLF = CHAIN LINK FENCE MONUMENT NCF = NO CORNER FOUND R = PROPERTY LINE SIR = SET 112- IRON ROD LB# 8183 COP = CORRUGATED METAL PIP F�P - FOUND IRON PIPE O/A = OVERALL POB = POINT OF BEGINNING TEIM = TEMPORARY BENCH MARK BRICK COL = COLUMN FIR = FOUND IRON ROD OHW OVERHEAD WIREIS) 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 U1 UTILITY EASEMENT COVERED CST = CLEAR SIGHT TRIANGLE EPP = FOUND PINCHED PIPE PEI = PLAT BOOK PRM = PERMANENT REFERENCE MONUMEN4 VF VINYL FENCE JOB 15908522606 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive 1.) Current title information on the subject property had not been Date of Site Plan: 6-13-23 This certifies that ",7�f the hereon described Tarpon Springs, Florida furnished to Initial Point Land Surveying, LLC. at the time of this property VJ 00* el e % ippervision and Phone: (727)-831-1990 SITE PLAN C e DWG:AS-PH2-L6-BL26-SITE meets tho" %Nic Practice for FloridaPLS7]23@gmail.com tTs 2.) This sketch was prepared without the benefit of a title search. surveys ¢a and of Land LB# 8183 RGI. RGAE No instruments of record reflecting ownership, easements or Nury FS I er 5 - th h File: rights -of -way were furnished to the undersigned, unless otherwise t7 I ned shown hereon. Drawn by: DJB n 0 n4i2 2 F1 t Stat%peio 3.) Roads, walks, and other similar items shown hereon were taker 6Y Je IYl Bartley Checked byJH from engineering plans and are subject to survey. -n 0 Dta .06.14 4.) This SITE PLAN does not reflect nor determine ownership. L p REVISIONS U 5.) This SITE PLAN is subject to matters shown on the Plat of H Ie4'0' a,,D"ABBOTT SQUARE PHASE 2" Jeff M.- e 6.) 11 Dimensions shown hereon are in feet and decimal portions i thFLORIDA A46" RAND thereof. 7.) Contractor and owner are to verify all setbacks, building MAPPER 111137*11 , -- - 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. "'j (' /o Q Plan Model Elevation 0,5- Garage Lot Size Block Lot Parcel Setbacks: Front --��, Rear 3 Sides Elevation: Garage: Roof Shingle Dime nsion/Archite ctu ral: P, V- U A 1, R' E v E A I Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 6622 Back Forty Loop Parcel Tax ID: 04-26-21-0160-0264*-0060 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 KLAHP Address: 747 5W 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601 Telephone: 519BY1,1KI M.**. 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 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 firf,- code, land use; environmental 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 o cc=re=c relating to all service's performed as a private provider, including tail coverage for a Minimum of 5years subsequent to the performance of building code inspection services. individual Corporation Partnership . . :(signature) Print Name;— TtJephone Please use appropriate notary block. STATE OF —FLORIDA COUNTY OF HILLSBOROUGH Individual Btforeme, this day of 20— personally appeared who executed the foregoing instrument, an ' d acknowledged before me that same was executed for the purposes therein _Lr_1N1N/_kM riulvir-0,11-Lu Print CorpoTationNamb By: print Name: Christopher Smith A6t—hofted Aa ent Address700 NW -1 07th �_,ve Miami, FL 33172 Telephone, No.813-574-5700 Corporation Bef,reme,tbis 22ND —day of MAY 20Z3 personally appeared Of Lennar Homes, LLC a —corporation, on behalf of the state corporation, who executed the foregoing instrument and aciciiowledged bt&OV-, Me that Same Was executed for the purposes therein expressed. PrintPartnership Name By: (signature) Print Name, Its: Address; Telephone AT., I Partnership B efore me, this day Of 20____, personally appeared partner/agent oribehalf of a partnership, Who executed the foregoing instrument and acknowledpd before me that same was executedfor the piirposes therein expressed,, Personally known .XAD% Produced identification— Type of identification. produced Signature ofNotary PTintNaMP- ASHLEE CALLAHAN NotaxyPublic Stamp-, Commission Expires: ASHLEE CALL�,HAN Pago 2 of 2 VR/\ VIRTUAL REVIEW ASSIST Private Provider '?Rvit Private Provider Firm: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU 1967 Address: 747 Southwest 2,d Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: 1pgVirtualreviewassist.corn Project: New SFR Address(s): 6622 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,A1,A2,A3,A4, A5,A6,A7,SNO,SNI,S3,S4,S5,S6,SS,ST,SI 1,S12,WPl, Vv`P2,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 Examiner License #: PX2300 Signature of Reviewer: SWORN AND SUBSCRIBED bef�ife/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 1=9 s true d co ct to the best of his/her knowledge or belief. anLA 1111 Y'11� Ashlee Callahan Slgnat6rS 6-flNuuU y Print Name Notary Public: NOTARY STAMP BELOW My commission expires: ASHLEE CALLAHAN NA MY COMMISSION HH 295980 EXPIRES: November 30, 2026 FIRE MARSHAL #01 - Reauired Permits DATE: 7/22/2023 EXAMINER: Debra Klahr PX2304 Building El LiEeection Qnl Plumbing El Inspection Only Mechanical IV ❑ Ins pe tion Only 1Z Electrical Amp V� ElIns pection Only Roof [-] Gas I 1 0 Medical Gas E] Fire Sprinklers ❑ On Site Piping E] Fire Line Ej Irrigation ❑ Fire Alarm El Potable Backflow Assembly E] Fire Line Backflow Preventer El Irrigation Backflow Assembly El Demolition El Walk-in Cooler E] Refrigeration Ej Hood F] Ansul El Fence/Wall El Grease Trap El Other El Other UMAUT-4- =1 Ty e Construction: Lv B Risk Category: Occupancy Load 0 ancy Classification: ;Factory ,Residential Assembly ay Care/Educational Hazardous E== Mercantile 'HazardousInstitutional E= E== Building Use: SINGLE FAMILY RESIDENCE Alteration 1 Level I Level 2 Level 3 F [Q1, ,Vf New Construction ❑ Interior Finish E] Interior Remodel ❑ Exterior Remodel El Addition ❑ Revision Overall Size: 30 X 58 Number of Stories: 2 Total Sq. Ft.: 2854 Living Area: 2389 Covered Area: 465 # of Bedrooms: 5 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof :<1 Shingle E]Tile El Built-up El Metal El Other Squares: 19 Zoning: Wi orne Debris: 611riside 'Outside Energy Code: 405-2022 SUP Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? QYes Qfl No = Sq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents. Total Sq. In. Permanent Openings R Central A/C El Gas A/C Z Heat Pump 0 Window A/C 0 Gas Heat El Electric Heat Sanitary Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line Setbacks Front Rear Left Right ® As per Approved Site Plan Comments: