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Home My WebLink About22-4312City of Zephyrhilis 5335 Eighth Street `i EW11 Zephyrhills, FL 33542BNR-004312-2022 Phone: (313) 730-0020 Fax: (313) 730-0021 Issue Date, 10/04/2022 r I Building i i a 1 OW,NN 37717 Leafside Ln 04 26 210000 00000 0000 7 g \,\m; Name: LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential) Contractor: LFNNAR HOMES LLC Glass of Work: Townhome Address: 4600 W Cypress St 200 Building Valuation: $221,357.25 TAMPA, FL 33607 Electrical Valuation: $33,203.59€ Mechanical Valuation: $15,495.01 Phone, (813) 574-5700 f Plumbing Valuation: $22,135.73 Total Valuation: $292,191.58 Total Fees: $14,372.83 v . Amount Paid: $14,372.83. Date Paid: 101412022 4:35:07PM CONSTRUCT TOWNHOME 1,513 SQ FT Irrigation 3/4 Meter $73.71 Building Permit Fee $1,146.79 Public Safety Impact Fee -Police $254.00 Public Safety Impact Fee -Admin $26.35 Mechanical Permit Fee $117.48 Plumbing Permit Fee $150,68 Fire Wall/Smoke Wail Inspection $15.00 Water Connection Residential Fee $1,0%00 Driveway Fee $45.00 Transportation Impact Fee $3,445.20 Transportation Impact Fee - City $34.80 Electrical Permit Fee $206.02 3/4 Water Meter Residential Connection Fee $73211 school Impact Fee - Single Family $3,353.00 SIF 1 percent Fee $33,53 Sewer Connection Residential Fee $2,090.00 Park Impact Fee - Single Family/Townhome $769.56 Address Fee $30.00 Admin Fee / (Provider Service ) $180.00 REINSFFCTION 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. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financings consult with your lender or an attorney before recording your notice of commencement." Complete Flans, Specifications add fee Must Accompany Application. All work shall be performed In accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.Q. NO OCCUPANCY BEFORE C.O. �t 1 1 N ORSIGNATURE rPE IT OFFICE 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting 908 7�7O -- 7763 1 1 1 1 1 1 1 1 1 1 1 1 Owner's Name Lennar Homes, LLC Owner Phone Number 813.574.5700 Owner's Address 4301 W Boy Scout Blvd Ste 600 33607 Owner Phone Number Fee Simple Titleholder Name I N/A Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LOT # 0007 SUBDIVISION Zephyr Court__] PARCEL to# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTRF--] ADD/ALT SIGN DEMOLISH P INSTALL E:] REPAIR PROPOSED USE 0 SFR E::] COMM OTHER TYPE OF CONSTRUCTION [[a BLOCK E:] FRAME STEEL DESCRIPTION OF WORK Single Family Residence I Pool / Screen Enclosure / Fence BUILDING SIZE SCI FOOTAGE 1 HEIGHT BUILDING $ $221,357.25 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL 1$ $33,20159 AMP SERVICE PROGRESS ENERGY W.R.E.C. PLUMBING $ $22,135,73 MECHANICAL L$l �,495 �01 VALUATION OF MECHANICAL INSTALLATION =GAS Z ROOFING E::] SPECIALTY OTHER J1 FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 11 IYES 0 BUILDER COMPANY Lermar Homes, TALC SIGNATURE REGISTERED Lt�� CURREN E YIN FEE C Y/N Address 4301 W oy Scout Blvd Suite 600 Tampa, Fl, 33607 License# I CGC1518166 ELECTRICIAN COMPANY Proven Electrical Concepts, L�LC. SIGNATURE REGISTERED FEE CURREN Y/N Address 5728 Golden Owl Loop, Land 0 Lakes, FL 346389 License# EC13 09068 PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED _LN_j Address [P:.:O:,Box :5308, Bayonet, FL 34674-5308 License# [ C - FC042 - 998 COMPANY REGISTERED L N FEE CURREN L /N Bayonet Plumbing, Heating & AC, Inc MECHANICAL COMPANY F SIGNATURE C7_ _Y� � ��N Address F.O..0. Box 5308, ayonet, FL 34674-5308 License 4 CAC058062 OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address 4211 Shoal line Blvd, Spring Hill, FL 34607 License # 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 clumpster; 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 clumpster. 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 than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired u contractor or contractors to undertake work. they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by |avv, both the owner and contractor may be cited fora misdemeanor violation under state law. If the owner or intended contractor are uncertain as to vvhui licensing requirements may apply for the intended work, they are advised tocontact the Pasco County Building Inspection Division —Licensing Section at727-847- 8OOS. Furthermore, if the owner has hired a contractor orcontractors, 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 con\rodor, that may be on 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 0othe construction ofnew buildings, change of use in existing bu||dinga, or expansion of existing bui|dings, as specified in Pasco County Ordinance number8&-U7 and 90-07. as amended. The undersigned also underatonde, 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 o ''cehifioe(m of 000upanoy" or final power release. If the project does not involve a oert|Dmahs of occupancy or final power re|eame, the fees must be paid prior to permit issuance. Furthermore. if Pasco CountyVVa(er/Sevver 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 is$2.50O.O0ormore, | certify that |, the app|icant, 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 a copy of the above described document and promise in good faith to deliver ittothe ^mwner^prior tocommencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application is accurate and that all work will be done in compliance with all applicable |owm regulating oonstnuntion, zoning and land development, Application is hereby mode to obtain o permit to do work and installation as indicated. | certify that no work or installation has commenced prior to issuance of penn|\ and that all work will be performed to meet standards of all |omm regulating oonnbnction. County and City codeo, zoning n*Uu|aUune. and land development regulations in the jurisdiction. | also certify that | understand that the regulations nfother government agencies may apply to the intended wmrk, and that it is myresponsibility toidentify what actions | must take hobeincompliance. Such agencies include but are not limited to: - Department ofEnvironmental Protection -Cypress Bayheads, Welland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management Diairiot4Ne||a, Cypress Boyheada, Welland Aream, Altering Watercourses, - Army Corps of Engineers -Seawalls, Docks. Navigable Waterways. Department of Health & Rehabilitative Semicea/Environmental Health Unii-VVe||s, VVam(evvatar Treatment, Septic Tanks. - USEnvironmental Protection Agency -Asbestos abatement. - Federal Aviation Autho/ity-Runvvaya. Iunderstand that the following restrictions apply 1uthe use offill: - Use offill |anot allowed inFlood Zone ^V^unless expressly permitted. - If the 0U material is to be used in Flood Zone ^A^, it is understood that o drainage plan addressing u "compensating volume" will be submitted ottime ofpermitting which is prepared by professional engineer licensed bythe State ofFlorida. - If the DU material is to be used in Rood Zone ^A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. - If fill mekoho| 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 propertioo. the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots |eae than one (1) acre which are elevated byfill, onengineered drainage plan isrequired. If | am the AGENT FOR THE OWNER, | 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 wmrk, p|umbing, uiQno, vveUs, pools, air conditioning, Qea, or other installations not specifically included in the application, A permit issued shall be construed to be a license to proceed with the work and not eaauthority ho v|o|a1e, canma|, a|1er, or set aside any provisions of the technical codme, nor shall issuance ofa 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 pann|i is commenced within six months of permit isauenoe, 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 requeated, in writing, from the Building Official fora period not to exceed ninety (QU) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this Who is/are personally known to me or#a&4iava-prod4Ge4 as identification. ----_Notary Public Commission No. HH 000460 NissuM.Holleran Name of Notary typed, printed or stamped : 9 ELISSAM, HOLLERAN WN 0:J CONTRACTOR Subscribed and sworn to (or affirmed) before me this 28-Ap,22 by Ashlec Callahan as identification, _Notary Public Commission No. HH 000460 BlissM.Holleran Name of Notary typed, printed or stamped 4Expires June 6, 2024 1 �VP, BoWW Ita Troy Ftla Inours000 WU&7Qi9 DESCRIPTION: LOTS) 1-8, LEAFSIDE TOWNHOME PLAT, ACCORDING f TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 88, PAGE(S)97-98, OF SEC, 15, TWP, 26 S, RNG 21 E. SITE PLAN 1708 Water Oak Drive THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. GARDEN COURT LOT 9 PLAT BOOK 3, PAGE 103 LOT 10 PASCO COUNTY, FLORIDA (NOT A SURVEY) Tarpon Springs, Florida ------------- BLOCK6 BLOCK --------------------------- ------------------------------------------------------ _T TRACT "E" LANDSCAPE BUFFt�� (ZEPHYR COURT) Phone: (727)-831-1990 N 7.0' (PRIVATE) S 89'58'50" E (P) j 54.67'(P) TLANDSCAPE BUFFER Florida'PLS71239gmail.com II -------- 2833'(P) T_ 1 - 8 -5-07-(p-) T 18.00'(p) T 18.00'(p) T 18.00'(p) T 18.00' (_p) T 18,00, (p) T 18,33'(P) LB# 8183 15.0'1 D-E (P) > 1 , > > C) 0 Z a. U N�b r-L ,, -,,r F�iD r Ell FT�11�1 0 z 71 o LANAI 18-3 15 T D.E (P) I r-75- -757 LOT = 15931 SQ. FT. LIVING AREA = 5336 SQ. FT. ENTRY = 672 SQ. FT. GARAGE = 1848 SO, FT. COVERED LANAI = 868 SO. FT. PATIO = NASQ. FT. POOL AREA = NA SQ. FT. CONC. DRIVE = 2400 SO. FT A/C & CONC PAD = 80 SQ. FT. SIDEWALK = 324 SQ. FT. 9'' -in n, M 18,0' 18-0' 18.0' PRO OSED18.0' 18.0' 18.0 2 S FORY ATTACHED REST C ENCES UNIT-B UNIT-C UNIT-C UNIT-C UNIT-C UNIT-B 1516 1624 1624 1624 1624 1516 Ul -144'-8" LOT 8 LOT 7 LOT 6 � LOT 5 Z7 0' 6.7' Z M 6 7' 6.7' M z 7-- < < LOT 4 LOT 3 P LOT 2 6.7' 6,7' rn Z,q M 18.3' E: 0 0 UNIT -A rn 1532 UJ LOT I O O z7 0' < I 0 Scale.- 1 20' Initial Point Land Surveying, LLC. LEGEND SURFACE TYPE FENCES CONC ALUMINUM FENCE ASPHALT VINYL FENCE BRICK WOOD FENCE SAND/DIRT CHAIN LINK FENCE SIDE YARD SWALE = NA SO, FT Z OVERHEAD POWER LU u CONSERVATION AREA = NA SO. FT. �LU OOJ COVERED OHP OHP LOT OCCUPIED = 72 % = 28 o/. 0 AREA TO IRRIGATE 11.3' 1 IJ 11.3' IIJ 11.3 LEGEND: 10.04- 10.0, 10.0, F U < PROPOSED DRAINAGE FLOW < rw (00.00) PROPOSED GRADE 4_-'t 2" OAK 11 A I Ib b I O'INGRESS EGRESS/U.E & D.E Ij I 28-33't 1 18.00,11p) P)-, 18'.�00 1p) 18.6 18.00'(P) 18.�_ 0�*f,pj,' 11' 18. bo, P) 18.33 fP) 5. 0, APPARENT FLOOD HAZARD ZONE: X" COMMUNITY NO. 120235 .9 89 154�67'(P)G. N '58'50" W fP) (MAP NUMBER 12 10 1 C-0452-F) EFFECTIVE DATE: 09/26/2014 A io � 11 a273 NOTES- 7 I . . ' 1.) Current title information on the subject property had not been (38.00'PRIVATE R.O.W.) NOTE: CONSTRUCTION PROPOSED ELEVATIONS AND TYPE GRADING PLANS GRADING SHOWN HEREON ARE TAKEN HAVE MINIMAL FORM THE ENGINEERING PLANS OF "MASER) GRADING/ELEVATION CONSULTING P.A. ", PROVIDED BY CLIENT INFORMATION PROPOSED: LOWEST FLOOR ELEVATIONS: LIVING AREA: 81.65' GARAGE AREA: ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL 10'INGRESS EGRESS/UTILITY i LJ/Ilk I U OF 1988 ALL ELEVATIONS REFERENCED +0,85'= NATIONAL GEODETIC DRAINAGE EASEMENT TO NORTH AMERICAN VERTICAL DATUM OF 1929 VERTICAL DATUM OF 1988 (NAVD 88) SURVEY ABBREVATIC)NS I i A/C - AIR CONDI-1 IONER (D) = DEED INV = INVERT PC = POINT OF CURVE (R) = RECORD Drawn By: C\k JH REVISIONS: AF =ALUMINUM FENCE D.E= DRAINAGE EASEMENT LB =LICENSED BUISNESS PCP = PERMANENT CONTROL POINT RNG = RANGE Checked By: BEE - BASE FLOOD ELEVATION EL OR ELEV = ELEVATION LEE LOWEST FLOOR ELEVATION P/E - POOL EQUIPMENT RRS RAIL ROAD SPIKE J1 REMOVED BUFFER BM = BENCH MARK EOP = EDGE OF PAVEMENT LS = LICENSED SURVEYOR PG = PAGE R/W = RIGHT OF WAY File: EASEMENT REAR PROPERTY C - CURVE ESM'T = EASEMENT fM) - MEASURED PI - POINT OF INTERSECTION SEC SECTION 8-26-22 (C) = CALCULATED F/C = FENCE CORNER MES = MITERED END SECTION PK =PARKER KALON SN&D = SET NAIL AND DISK LB#B 183 Date of Site Plan� IL = CENTERLINE FCM = FOUND CONCRETE MONUMENT NCF - NO CORNER FOUND POS = POINT OF BEGINNING SIR = SET 112- IRON ROD LB# 8183 CLF = CHAIN LINK FENCE FIP - FOUND IRON PIPE O/A = OVERALL POC = POINT OF COMMENCTMENT TBM = TEMPORARY BENCH MARK DWG:L 1-8-ZEPHYR-SITE CMP - CORRUGATED METAL PIPE FIR = FOUND IRON ROD OH = OVERHEAD WIRE(S) POL = POINT ON LINE TOB - TOP OF BANK COT - COLUMN FN&D = FOUND NAIL & DISK O.R. = OFFICIAL RECORDS PRC = POINT OF REVERSE CURVE TWP - TOWNSHIP This SITE Plan Prepared for and Certified To: CONC = CONCRETE FOP - FOUND OPEN PIPE (P) = PLAT PRM = PERMANENT REFERENCE MONUMENT U.E = UTILITY EASEMENT Lennar Homes C/S � CONCRETE SLAB EPP -FOUND PINCHED PIPE PB = PLAT BOOK P.U,E = PUBLIC UTILITY EASEMENT furnished to Initial Point Land Surveying, LLC. at the time of this site plan 2.) This sketch was prepared without the benefit of a title search. No instruments of record reflecting ownership, easements or rights -of -way were furnished to the undersigned, unless otherwise shown hereon. 3.) Roads, walks, and other similar items shown hereon were taken from engineering plans and are subject to survey. 4.) This site plan does not reflect nor determine ownership- 5.) This site plan is subject to matters shown on the Plat of "LEAFSIDE TOWNHOME PLAT" 6.) Dimensions shown hereon are in feet and decimal portions thereof. 7.) Contractor and owner are to verify all setbacks, building dimensions, and layout shown hereon prior to any construction, and immediately advise Initial Point Land Surveying, LLC. of any deviation from information shown hereon. Failure to do so will be at user's sole risk. d1bf 11ractice for veyors in Chapter ritode, pursuant to 20 .08.26 -5 � ,4 0' Cl - STAT 0 Date 3 LB#818 S#7123 NOT VALID NATURE AND SEAL OF A FLO OR AND MAPPER 'I VIRTUAL R TUAL REVIEW ASSIST to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 37717 LEAFSIDE LANE Parcel Tax ID.- 04-26-21-000-00300-0000 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. I— 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 REVIEWA Private Provider: DEBRA ANNE KLAHR Telephone: 813-376-3088 Fax: N/A Email Address (Optional): deb@virtualreviewassist.com Florida License, Registration or Certificate #: (LIC # BU 1967 / 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 79 1, 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 pen -nit application. 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 $1 million per occurrence relating to all services performed as a private provider, including tail coverage for a minimum of 5 years subsequent to the performance of building code inspection services. (signature) Print Name: Address: Telephone No.: Please use appropriate notary block. STATE OF FLORIDA COUNTY OF HILLSBOROUGH Individual Before me, this day of 20—, personally appeared who executed the foregoing instrument, and acknowledged before me that same was executed for the purposes therein expressed. Corporation Partnership JENNAR_HDME$�� Print Corporation Name Print Partnership Name B By:, y: (signature) (signature) Print Print Name: ;hrist�ph�r 5rrlith Name: its: Authorized A ent Its: Address:_70Q_k4� 1 7 � Address: Miami, FL 33172 Telephone Telephone No, 813-574-5700 No.: Corporation Before me, this 22ND day of MA-Y,, 20 22, personally appeared of Lennar HomesLLC 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. Personally known X ;or Produced identi ication_ Type of identification produced 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. Signature of Notar Al Print Name ASHLEE CALLAHAN Notary Public Stamp: 4, ASRLEE CALLAHAN Commission Expires: Notary Public - State ®i F(OrIdB Con1m# G6 AyCotnmlssior,jxpjr sN 244456 30,1022 NOVEMBER 30, 2022 Nntlonol Notary AiM, Private P-rovider 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: Lucy@virtualreviewass sist.com Project: New SFT 8 unit Address(s): 37711,37717,37721,37725,37729,37733,37737,37741 Leafside Lane 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: 01��_Vtm I I'll 11115111111161111 1, 1111111 1111111111 1 111 Florida License/Registration/Certification #(s) and description: FS468 Certified Standard Plans Examiner License #: PX2300 Signature of Reviewer: before me SWORN AND SUBSCRIBED before being personally known to me a or having produced as identification - and who being fully swornand cautioned, state that the i for go' s true and, correct to the best of his/her knowledge or belief. s v S ganature of Not Print Name Not Public: NOTARY STAMP BELOW My ASHLEE CALLAHAN Notary Public - State of Florida commission expires: E�r::= Commission # GG 244456 My Comm, Expires Nov 30, 2022 Bonded through National Notary Assn, ! u I` COMMERCIALDIN SERVICES DIVISION BUILDINGE DATA SHEET °OLIO # EXAMINER: % n Required Permits alBuild Electrical Amp 1ns cto arX ctectian kl [A -Roof s Medical gas Fire Sprinklers n site piping El Eire Line [I Irrigation El Fire Alarm El Potable Backnow Assembly El Fire Line Naeblow Preve ter Irrigation Dgeittlow Assembly Demolition El Walk-in Cooler refrigeration 0 Hood El Ansul El Fence/Well El Grease Trap El Other El Other Bulldinlw Data ®rrs etioram s otoryP1 'oup cy L osd aney talassitiesiiorr: Assembly ��Fay Care/ duoational tpry does ro;sess asiirzsl a Merl file i2esider " `Stor e t, .ty Building Use. 1 Alteration Level l JEI Level Level New Coustraction Interior Finish El Interior Remodel El Exterior Remodel El Addition El Revision Overall Size; Number ofStories* Total Sq. Ft„ / I f w Living Area: Covered Area: a of Bedrooms: ofBaths: Cost per square foot: Estimated Value: oaf e S ii l Lai ails-rz a E Other tares; Zoning: i orneDebris: Energy Code. [,:side Outside IFlo d o e; ase Mood Ele t.on: Finish Floor Elevation. yd s iie dents`? 'es cs ° Enclosed Space Below BFE: o �errtsa berets; Total Sq. In. Permanent"Openings went 1`At� �t Errrrtp ino has Al s EI tie l t On Site lei In dit Seer toe telr basins Potable Water Underground Fire Line Setbacks Front rear Left Right 2�As: per . r°ov Site Plan Comments: . Res&t Form Permit No. Date Permitted Builder Name/Owner Name Control County Parcel No. C��?�iP SubDiv: l Address/Location � t Classification/Type of Use TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: � t Exempt Yes No How Determined Impact Fee Amount _ _ Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single -Family Detached House Amount $7a� (057) Mobile Home (058) Other Residential (123) Collection Fee Exempt . Yes = No How Determined_ PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone Total Amount $ -570 Exempt =Yes = No How Determined Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt Yes No How Determined Total Amount, RESOURCE FEE ERU Total Amount M PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE DATE RECEIVED BY RECEIPT NO DATE BY-