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Home My WebLink About22-3780EnEff 10, =1 TAMPA, FL 33607 Phone: (813) 574-5700 School Impact Fee - Single Family Building Plan Review Fee Mechanical Plan Review Fee Plumbing Plan Review Fee Electrical Plan Review Fee Transportation Impact Fee - City Driveway Fee Address Fee 2 ate 09/20/2 22 I Class of Work: SFR Construct Building Valuation: $343,019.25 Electrical Valuation: $51,452.89 Plumbing Valuation: $34,301.93 Total Valuation: $462,785,42 Total Fees� $19,604,83 Amount Paid: $19,60483 Date Paid: 9/20/2022 12iO2:32 $160.06 Water Connection Residential Fee $2,090.00 Public Safety Impact Fee -Police $8,328.00 3/4 Water Meter Fee (Cale) $45.00 Building Permit Fee $45.00 Electrical Permit Fee $45.00 Plumbing Permit Fee $45:00 Transportation Impact Fee $36.32 Park Impact Fee - Single Family/Townhome $45.00 SIF I percent Fee $30.00 Public Safety Impact Fee -Admin • accordance with City Codes and Ordinances. NO OCCUPAN BEFORE c.6. NO OCCUPANCY BEFORE C.O. ......... .. . ........ $1,010.00 $254.00 $732.71 $1,75510 $297.26 $211 51 $3,69568 VK56 $8128 VU5 CONTRACTOR SIGNATURE PEfAIT OFFIOIEU PERMIT EXPIRES IN 6 MONTHS ail APPROVED INSPECTION CALL FOR]NSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER -020 City of Zephyrhills Permit Application Building D,,partment Fax-813-780-0021 ,AWDate Received Phone Contact for Permitting 813 Owner Phone Number 363 2891 Owner's Name Lermar Homes, LU, r 811574,5700 FL 33607 Owner's Address 4301 W Boy Scout Blvd Suite 600 Tampa,Owner Phone Number Fee Simple Titleholder Name N/A Owner Phone Number Fee Simple Titleholder Address NIA JOB ADDRESS I Bar Trail LOT # 1317 SUBDIVISION Abbott Square Phase 1 PARCEL ID# [6-4-26-21-6600-61300-0170 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTRF--] ADDIALT SIGN DEMOLISH P INSTALL REPAIR PROPOSED USE 0 SFR COMM OTHER TYPE OF CONSTRUCTION 10 BLOCK E:] FRAME STEEL DESCRIPTION OF WORK Single Family Residence / Pool / Screen Enclosure / Fence BUILDING SIZE I 11/RSF 3045SCIFOOTAGE [2� HEIGHT � story -"7777 71`l_r1r1T_r1r7 r"013U,LD,NG"r'r VALUATION OF TOTAL CONSTRUCTION TION ELECTRICAL rw ------------ PROGRESS ENERGY EE W. R. E. C. $51,452M----- I AMP SERVICE PLUMBING $34- 3 - 01 , - 9 - 3 MECHANICAL $24,01 1 .35 VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA a IYES 0 Lennar Homes, L.I.0 BUILDER COMPANY I SIGNATURE REGISTERED L_LL N _J FEE CURREN L N 43 Address 101 W Tamp Boy Scout Blvd Suite 600 Taa, FT. 33607 License# I CGC1518166 ELECTRICIAN COMPANY FEdmonson Electric, Inc. SIGNATURE REGISTERED LLLN_j FEE CURREN LylNj Address 1034 —Skipper Road, Tampa, FL 33613 1 License# PLUMBER COMPANY Plu mbing, Heating & AC, Inc SIGNATURE REGISTERED FEE CURREN Ly LN_J Address P.O. Box 5308, Bayonet, FL 34674-5308 License # I MECHANICAL COMPANY !Bayonet Plumbing, Heating & AC, 1n C Y/ N FEE CURREN SIGNATURE REGISTERED [B�� Ly �N Address P.O. Box 5308, 6ayonet, FL 34 67 1 4--5-308- License# I CAC058662 OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address 4211 Shoal Line Blvd, Spring Mill, FL 34607 License # FCCC057991 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 subdivisionsilarge 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. (AIC upgrades over $7500) — Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) Driveways -Not over Counter if on public roadways..needs ROW NOTICE OF DEED : The undersigned understands that this permit may besubject t, which may bemore restrictive than County regulations. The undersigned asaumaereaponsib|Utyformu/+ applicable deed restrictions. � UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired e contractor or contractors to undertake wmrk, 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 ||omnoinQ requirements may apply for the intended work. they are advised to contact the Pasco County Building Inspection Division —Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or ountraciora, 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 cunirmotor, 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|dinAs, change of use in existing bu||d|nQu, or expansion of existing bui|dinge, as specified in Pmoou County Ordinance number 89-07 and 90-07. as amended. The undersigned also underatends, that such feas, as may be dua, will be identified etthe time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, ifPasco County Water/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, as amended): !fvaluation ofwork ia$2.5OO.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 ittothe ''owner''prior iocommencement. CONTRACTOR"S/OVVNER'SAFRDAV|T: | certify that all the information inthis application is accurate and that all work will be done incompliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and |nabyi|mtion as indicated. | certify that no work or inntuUmhun has commenced prior to issuance of permit and that all work will be performed to meet standards of all |owy regulating oonabuution. County and City nodea, 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 toidentify what actions | must take \obe|ncompliance. Such agencies include but are not limited to: - Department ufEnvironmental Protection -Cypress Boyhemds, Wetland Areas and Environmentally Sensitive Lands, VVeter/VVashavvoterTreatmenL - Southwest Florida VVe|ar Management Dinirioi4Ne||a, Cypress Bayheado, Wetland Areao, Altering Watercourses. - Army Corps of Engineers -Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Semioea/Environmental Health Unit-VVe||s, Wastewater Treatment, Septic Tanks. - USEnvironmental Protection Agency -Asbestos abatement. Federal Aviation Authority-Runwaya. iunderstand that the following restrictions apply tothe use o(fill: - Use offill ionot allowed inFlood Zone ^V^unless expressly permitted. - K the fill mmkaho| is to be used in Flood Zone ^A^, it is understood that a drainage plan addressing o ^compenoahng volume" will be submitted at time of permitting which is prepared by professional engineer licensed bythe State ofFlorida. - If the fill material in to be used in Flood Zone ^A" in connection with a permitted building using stem wall construction, 1 certify that fill will be used only tofill the area within the stem wall. - If fill material is to be used in any area, | oodMy that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect ed]aoanL properUen, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for |cko |eao than one (1) acre which are elevated by fill, an engineered drainage plan is required. If am the AGENT FOR THE OWNER, | promise in good faith to inform the owner ofthe permitting conditions set forth in this affidavit prior to commencing construction. | understand that a aepomba permit may be required for electrical vvork, p|umbing, signs, wells, poo|o, air conditioning, gme, 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 aaauthority toviolate, canoe|, a|har, or set aside any provisions of the technical oodea, nor shall issuance of 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 imouunoe, 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 nyquested, in writing, from the Building Official fora 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. FLORIDA JuRxT(F.S11 OWNER OR AGENT Subscribed and sworn to ( r affi d) before me this &d) before me this to ,orn j Who is/are personally know_rk4p me or#as4iav9-pfGduGE4 as identification. Notary Public Commission No, HH 000460 BissnM.Holleran Name of Notary typed, printed or stamped Subscribed sworn to (or affirmed) before me this _29-mar-22 ___by Ashlee Callahan as identification. Zmission No. H iH4600460 Blissa M.BoDerm Name of Notary typed, printed or stamped Expires June 6, 2024 e % j Tyv SD4- 93.31 FF:9&i7 p S�c . . ... . all 92165 FTYPE'FF:9&6'7 F�56 - 27 D:96,00 92,81 95.52— 92:92 FF:9627 M9617 !PAD.'9,5.6Ql 95,32 93,18 0 Y FF'SU7 ------------- IT- 195, 11 93:43, 93,44— TYPUA7', 47V pq FF-95 97 FF:95A7 2_ 94,91 -,L— 931,61 — ----------- ype 93.66— TYP A FF:95,77 FF,95.67 '94.90 D4-3 uj r—n -qrn, T-1 S 4-23 TYPE' , i TYPE'N 9189— FF-95 77 �'M FF.95J7 UJ X 10 1 D:95. 0 UJ 195"o 93m uj TW:95 PF A ok, FF: :,7 FF96596,,57 . . . . . . f 95, 74 94,63 TYPE A' TW:9, FF-9C8 07 co FF1198107 jLA D 97 4 A OESCM ON: LOT 17, BLOCK 13, ABBOTT SQUARE PHASE IA. SITE PLAN SEC. 4, 'i WP. 26 S. KING 21 E.. ACCOREPNG TOTHE PLATTTHEREOF, RECORDED IN PLAT BOOK.. :NOT A SURVOP PASCO COUNTY, FLORIDA PAGE._ OF THE PUBLIC RFCi RDS OF PASCO COUNTY, FLORtITA � IABSOTT SQUARE) ALL E3 EVATEt3NS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 p P.c fNAVD88) hitds SITE PGVN Aeparee3 for and CertifiedTo:1 Een= F Hnme$ Scale. 1 PP Q' + iS ai I4 i� ib N 1 IO V � ¢ I LOT 18 eAEly BLOCK 13 E LOT 1 BLOCK 13 ;, a j 87•53,07' E frP 110,30 jP} CP,S,a i 9 AE"x 2 _________ FIE , a a. WALK x ea fCSAA* ,C. 4 7 ENTRY FRY RESIDENCE j(j( 'STORY RESIt2ENCE PATIO c�`a < PLAN 2551 LOT 2 ELEV'A' LOT 17 BLOCK 13 R:.. C',, u' l 't'` o GARAGE R <" X" BLOCK 13 ' . 2t S S2.O" 3d.B .c f 2S t% =Pi RFT S87`53N7"E(P iP .30 ,°t W . -___"___.__ g. "``� LOT 16 �a LOT 3 BLOCK 13 BLOCK 13 `-- APPROXIMATE LOCATION ! OF FLOOD ZONE, LOT - 4 SQ. FT, LIVING AREA CCi, FT PORCH T„�,Q..r_..�.,St"�, FT GARAGE _A 5Q. FT. '...., COVERED LANAI _SQ. FT. PAfO - .._. .SCE. FT. POOL AREA SO,. F'T. CONC. DRIVE Stiff. FT A/C & CONIC PAC) - 5Q. FT. SIDEWALK = .JS__5Q. FT. c OT SOD = .,. �SC1. FT. 2- OAK KAVSt,TC.7 *- ,_SO FT. LOTOCCUPIED �. _ w, ta_oa Pura +c UTiutY EASEMENT AREA TO IRRIGATE SE, NOTES: LEGEND: PROPOSED: LOT GRADING TYPE - A PROPOSED DRAINAGE FLOW MINIMUM FLOOR ELEVATIONS: PROPOSED PAD ELEVATION > 95.54' 00 00! PROPOSED GRADE LIVING AREA: 96.27' FROM SET BACK -20" SGEAREA Ea�.aa„ExlsTruGGRA E GARAGE __ SIDE SET BACK ,, 7.5' _ _ PROPOSED ELEVATIONS AND GRADING ELEVATIONS REFERENCED TO SIDE SET HACK fL ORNER LOT) a15` SHOWN HEREON ARE TAKEN FORM THE NORTH AMERICAN VERTICAL ENGINEERING PLANS OF DATUM OF it38 REAR SETBACK 'ABBOTT SOUARE RESIDENTIAL', PREPARED APPARENT FLCxCJ€ HAZARD ZONE, —REAR IBFE-8471' COMMUNITY NO, 120235 Sn"WR.A' PRONADED BY CLIENT SURVEYASEREJAifCiNS i (MAP NUMBER12I73CdJ28?LF7EFFECTIVE DATE_ 09=281`2014 n .,,x<IFN rx I i-dr r NV-,e4R `_",`.....�. �Asv OFtUR`+'!i IRI eee:oao LEGEND ._....... __....m q,K;�RtRttNdt?YiCY3Fi nt- ARNNA6t rAStMENr 73^UYLNiF`WINDa ((AfG- PONT OF CONitMUNO CURVE, LTNYLicNCt fiNC+ RANGE ROAD AF NI..UMiNU`ah idCL ,. c'JREE Et ltAi"gN C -CANt)Si APEErtSE:UFh Pt'P• CPN✓.MNTL T"a.t'i ?„tR No, RAt RiOrFVAK 3FT,-9,g5[Fl`JfK Eti1A\X# LiW ^F=`rtC CF aA4Ti flFt'T IFE= LOWLS Y FLOOR FIT—PCJNi T-Atk<�e.0JPAPPI hW 3i63t tf W#Y RAi Mvth,CN hiPNx k`dt'r- ASfMCNT ;s- LICFNSCR SURVI`. Yolk, iµ -PAGE SX �FfTKSk ttPM FEN6l f« Fare FC:=FtN C'lRNER (Mt'"N^EAiu7i'J A.-PCNh 4 tN CcS>ec'--O.ht SN&J SET `eI AN.:DV ( I -CA.. IF CIP-.MINI.' )NT,RE1 Per WMEREn E.NG+ aLCIDO or -PARKER Ke, t=N oola� -DENY rv.1W Mii.NUh9EhfT NC,F NO CORN LR �c'tt1NP c PROARi'+UNE CtiA:.R33JNC FF.Nif c..F. CNANGNk!-i„UCF FfP-*f:,}}?Nt51R6M t (Ve-t'IDKPt Pr?6 '3L:kG t?f 6EG".VM.N6 9M t"WORAPYRENC3'4Vkk CAI[' CattR✓;rRTFU mK s,. F.R-FOUND WON ftGY% OHV.V-,)4TWEAD WIPIS AX mr', INT CN 00tNuENCTNEl F`T T08 TTOFO-3ANP CON1-C6ltAh FN6P- FOUND N L&DSY O.A -YJt i &RCCOAR POL-PONTONUNF 11Vf TOXNSHIP C.t+MN.FM bhCF Ut1NC ^CtJNi'RE"€E Etth'�FiJWNn LTHtN PIPt !(r• AT PRC-tta'! 2 kk'i/ERN'CURYE C;3^LtSNCtFkiEStA+} F, FOUND: WC-WCNNE N3-FLAT R(XM' Aso N,NKPNENT I&FLANCENONUIFFA F UW.F LA�Fitirt.: - j-cl'FVERELY _...... __ _ .._.._._.., SS-ci. AR. PCR?ANC` k5 ^tftM:'ENCE JOt7 ft5079 SuRveY'ow$ N mt +. SU �` i� 1708 Water Oak Chive Cate oP Stte Alan. 3 .-Z2 14 Current rule information on the subject property had not been - a Thssre.�tltk e o scrrdse Tarpon 5pt is Flanda fumashedroYsifiai P03(ie%:vtd Sarosyrng, LLC, at the time Of this proper; a one P6cune 17 i-831-f990 CFLL";3 PS-l.E7-i#33St?'E Si?'E PLAN i mee A tWStn etas Lr: e {'loridaPG5. E23�gm�.+rEam IL) Thu sketch wars prepared without the bene€tt of a toe search sun{ ac s q & d d L8R 8 r83 ' No instruments of record reflecting ownership Peso aTenks or S r rs C ter ,1 Frte:.. rights -of -way were famished to the unciers#gned units otheruxse� A OS Fiaeda Ad Ytrii rive F:+'"'r6e. shown hereon C Ckon 472 027, Fiends Stat i3ra+nra by DJ@ 34 Reich, w-aiks and other mindar teems shown hereon were taker Ctzerkeo byaFr m from enq+neenng pkrns and are subject to wrewy PP3Ei moils 43 T€vs SITE PLAN does not reflect nor dete"Ine omrUrrmap, ` 9,f . is SITE PLAN is subject to matters shown on the Plat of . 'ABBOT'S' SOUARE PHASE IA' i?ate B.f Dimensions A9 wh hereon are to €eet and decimal Pat v ns c FES EVOCA 7 } ontrartor and ownerare to verify a(t setbacks, building (11 " 7123 Lek chY moons andGyout shown hereon prior to any cienstructron, NOT and frhmodratelyadr!se Initial Point rand Sumey+ng, LLC_ of any S?GNATUR t FtF i m*r. deviation Roro mforhmuon sho" hereon. Initiate to do so will be f i ,ENSE}SUR initial Point Land Surveying, LLC. \/R/\ v ' R T U A L REVIEW ASSIST Notice to Building Official of Use of Private Provider Effective January 20,2003 Project Name: 6510 Bar S Bar Trail Zephyrhills, FL 33541 Parcel Tax ID: 04-26-21-0000-00300-0000 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. 1— Steve Smith , the fee owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services indicated above, PriLae Provider Eirm: VIRTUAL REVIEWA Private Provider: DEBRA ANNE KLAHR Address: 747 SW 2ND AVENUE - SUITES 1 Telephone: 813-376-3088 Fax: N/A Email Address (Optional): deb @virtualreviewassistcom WIN 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 sul�ject 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 pertnit 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 attachments are provided as required: 1. Qualification statements and/or resumes of the private provider and all duly authorized representatives, 2. Proof of insurance for professional and comprehensive liability in the amount of $1 million per occurrence relating to all services performed as a private provider, including tail coverage for a minimum of 5 years subsequent to the performance of building code inspection services, (signature) Print Name: Address: Telephone No.: Please use appropriate notary block. STATE OF —FLORIDA — Individual Before me, this day of 20_, personally appeared who executed the foregoing instrument, and acknowledged before me that same was executed for the purposes therein expressed. Corporation _!EN_NAR_HQMEa,LL_Q Print Corporation Name_ M (signature) Print Name: Christopher �Srrflth_ Its: Authorized A ent Address. _ZQD_N_V_VjD_7tb Ave_ Miami, FL 33172 Telephone No. 813-574-5700 Corporation j, 22ND Before me, this of MAY _,M22, personally appeared of Lennar Flo mesLLC a -corporation, on behalf of the state corporation, who executed the foregoing instrument and acknowledged before me that same was executed for the purposes therein expressed. NMM=- Print Partnership Name 0 (signature) Print Name: Its: Address: Telephone No.: Partnership Before me, this day of -, 20_, personally appeared partner/agent on behalf of a partnership, who executed the foregoing instrument and acknowledged before me that same was executed for the purposes therein expressed. Personally known X ;or Produced ideniti cation Type of identification produced oru Signature of Notar _a Print Name ASHLEE CALLAHAN Notary Public Stamp: ASHt,EE CALLAHAN Notary public - State of Florida Commission Expires: "F; j CQMjmj$Sjor_ # GG 2444$6 um. NOVEMBER 30, 2022 -4 AY Cott IM, expjeo5 Nov 30, 2022 "Iondod oroush Nntlonali Notary As'sn', Page 2 of 2 Private rovi r Plan Bence Affidavit PrivateProvider Finn: Virtual Review Assisi, Inc. Private provider: Debra Anne Ill , BU1967 Address: 747 Southwest 211d Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: lugii virtu lrevig' �7 __%st 1)i Project New SFR/SFT Address(s): 65I0 Ilar S Bar Trail I hereby certify that to the best of my knowledge and belief the plans submitted were reviewed for ' d 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,A6.1,A6.2,SNO,SNI,S3,S4,S5,S6,SS,ST,S 11,S 12,PAI,O,PAI.1,IAA I.2,SHI.0,SH1.1,SHI.2,S HI .3,SHl.4,SHL5,WP1.0 FloridaLicense/Registration/Certification #(s) and description: FS468 Certified Standard Plans Examiner License#: P2300 Signature of Reviewer: ' SWORN AND SUBSCRIBED before me by being personally known to me or having pro aced as identification and who being fully sworn and cautioned, state that the fare ding is trueUqlbrrect b the best of his/her knowledge or belief 41 atureofNotary Print N e Notary Public: NOTARY STAMP BELOW My pv &a ASI-LEE CALLAHAN commission expires: a< ,, Notary Public State of Florida ; r y CommissionG 4456 My Comm. Expires Noy 30. 20N Bonded ttireugh NatiOnai Notary Assn; S COMMERCIAL BUILDINGSERVICES DIVISION ST E TIAI� BUILDING PERMIT DATA SHEET FOLIO � EXAMINER: � Reauired Permits Building 7[0:1G u bin Mechanical 'Electrical Amp Ins en ion OnI � lBectt�arr Qnl Tres �ticar� CC�r�I � Irzs � il�rr �?�al oof s0 Medical Gas ire Sprinklers s n Site Piping Eire Lire [l Irrigation El Fire Alarm Potable Back1low Assembly Fire Tine Backflow Preventer El Irrigation Backflow Assembly El Demolition 0Walk-in Cooler Refrigeration atio El Hood El Ansul [l Fence/Wall [I Grease Trap D Other [J Other uildir Data e Construction: Risk Category; Occupancy Load OF-Factoryancy Classification: Assembly ay Care/Educatio zal hazardous rusmoss stit�ational]ercantii esidentut �� Storage tility I3rrildirt ! Alteration®T�vel Y ]Level Level 3 env Construction [l Interior Finish ® Interior remodel Exterior Remodel [l Addition Revision Overall Size: Number of Stories; ' "Total Sq. Ft.: Living Area: Cov ered Area: # ofBedrooms: ## of Batas: Cost per square foot: Estimated Value: Roof e> Skein le ®Tile ® nilt_u El Metal ether; S u�res: Zonings Wi orne Debris: Energy Code: ]'Inside Outside Flood Zone: Ease FloodElevation: FinishFloor Elevation; Hydrostatic Vents [I Yes No Sq. Ft. Enclosed Space Below BFE: of Vents: Size of Vents; 'Total Sq. In. Permanent Openings entx°al Ali Feat l�hmp 'ina�o AID [,�;�as Al � has Read Electric heat On Sits i in Sa kitary Sewer Storm Sewer Catch Basins Notable Water Underground Fire Line Setbacks Front Rear Deft RightAs per Approved Site Plan Co eats:' 551V 1 C// t t ¢ l f Permit No. 7 ,f w" Date Permitted 1 2 Builder Name/Owner Name ; I I?Arl Control # County Parcel No. bDiv, Address/Location / G} � ? Classification/Type of Use �1 c TRANSPORTATION IMPACT FEE Rate: Sq. Ft unit: Exempt El Yes No How Determined Impact Fee Amount t k3 Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single-Famlly Detached House Amount $ < (057) Mobile Home (05) Other Residential (123) Collection Fee Exempt = Yes = No How Determined_ P�RKi�D RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone Total Amount $ E Exempt =Yes =No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt ElYes No How Determined Total Amount � RESOURCE FEE ERU Total Amount Prepared By ` Checked By NO CERTIFICATE OF OCCUPANY WILL RE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRALPERMITTING 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 SANE. DATE RECEIPT NO DATE BY