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22-4904
� y -• rN-014904i r: .! 1! Issue D10/13/2022 t \: y`. �+ yyy+y ] y .y�+y ■ 38234 Fallstone Way 1y`5�26 y21 0y0?30 08100 0010 \ SL1 } \S S Name: LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC Class of Work: Townhome Address: 4600 W Cypress St 200 Building Valuation: $250,320.00 w TAMPA, FL 33607� Electrical Valuation: $37,548.00 �,„: Phone: (813) 574-5700 Mechanical Valuation: $17,522.40 Plumbing Valuation: $25,032.00 Total Valuation: $330,422.40 Total Fees: $13,831.26 r Amount Paid: $13,831.26 - `J Date Paid: 10/13/2022 7:39:34AM tee. Iir�eite3tJ«1 .S SS .:o �`= 2 ,:1 S Sig ,,... r ..�, .,,5 CONSTRUCT TyyyOy�yW�yNHOME 1634 SQ FT TAP School Impact Fee - Single Family $3,353.00 Address Fee $30.00 Electrical Permit Fee $227.74 Park Impact Fee - Single Family/Townhome $769.56 Public Safety Impact Fee -Admin $26.35 Admin Fee / (Provider Service ) $180.00 Building Permit Fee $1,291.60 Water Connection Residential Fee $1,010.00 Driveway Fee $45.00 Transportation Impact Fee - City $34.80 Sewer Connection Residential Fee $2,090.00 314 Water Meter Residential Connection Fee $732.71 Transportation Impact Fee $3,445.20 Public Safety Impact Fee -Police $254.00 Fire Wall/Smoke Wall Inspection $15.00 Mechanical Permit Fee $127.61 SIF 1 percent Fee $33.53 Plumbing Permit Fee $165.16 REINPECTION 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 financing, consult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. OCCUPANCYNO BEFORE C.O. t CONTRACTOR SIGNATURE PE IT OFFICE PERMIT • EXPIRES •: • MONTHS WITHOUT : a APPROVED •:r, INSPECTION PROTECTCALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED r i , I:1 _l __ _i_ 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting 908 770 _ 7763 Owner's Name Lennar Homes, LLC Owner Rhone Number 813.574.5700 Owner's Address 4301 W Boy Scout Blvd, Ste. 600, Tampa, FL 33607 owner Phone Number Fee Simple Titleholder Name I N/A Owner Phone Number Fee Simple Titleholder Address I N/A JOB ADDRESS E8234 Fallstone Way LOT # 0058 SUBDIVISION Townes at Autumn Palm PARCELID# 15-26-21-0030-08100-0010 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED II./ 11 NEW CONSTR 8 ADD/ALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK Multi -family / Screen Enclosure / Fence BUILDING SIZE u/R IF 2086 SQ FOOTAGE 1634 HEIGHT 28' BUILDING 1 $ 250320 ^� VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 48 AMP SERVICE PROGRESS ENERGY W.R.E.C. ....., PLUMBING $ 25032� MECHANICAL $ 17522.4 VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES Do 0 BUILDER COMPANY Lennar Homes, LLC SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address 01 W Boy Scout Blvd Suite 600 Tampa, FL 33607 License # I CGC-1518166 A 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 FEE CURREN Y I N Address License # CFC042998 MECHANICAL COMPANY Bayonefi Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN I Y / N Address License # I CAC058062 OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address License # 1 CCC057991 _ RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster, Site Work Permit for subdivisions/large projects COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ****PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely, Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500) — Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) Driveways -Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may besubject to"deed^restrictions" which may be more 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 |oue| regulations. If the contractor is not licensed as required by |avv, 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. Furthennona, if the owner has hired o contractor or contractors, 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 oontnador, that may boan indication that he is not properly licensed and is not entitled tu 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 buildings, change of use in existing bui|dinga, or expansion of existing bui|dinga, as specified in Pasco County Ordinance number8S-D7 and 90-07. as amended. The undersigned also understmnda, that such feea, as may be due, 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 na|aame. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVoter/Smwer 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, aeammanded): |fvaluation ofwork ia$2.50OOUormore, | 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", I certify that I have obtained a copy of the above described document and promise in good faith to deliver itiothe ''mwner'prior tocommencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application ioaccurate and that all work will be done in compliance with all applicable laws regulating constmotiun, zoning and land development. Application is hereby made to obtain e 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 meet standards of all laws regulating oonotruotion. County and City codes, zoning regulations, and land development regulations in the jurisdiction. | also certify that | understand that the regulations ofother government agencies may apply to the intended wmrk, and that it in my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department ofEnvironmental Protection -Cypress Beyheado, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. ' Southwest Florida Water Management District -Wells, Cypress Bayheadn, Wetland Aneas, Altering Watercourses. ' Army Corps of Engineers -Seawalls, Docks, Navigable Waterways. - Deportment of Health & Rehabilitative Semiuea/Environmental Health Unit-VVe||n, Wastewater Treatment, Septic Tanks. ' USEnvironmental Protection Agency -Asbestos abatement. - Federal Aviation Authority'Runvvayo. | understand that the following restrictions apply tothe use offill: - Use offill ianot allowed inFlood Zone Wrunless expressly permitted. ' If the fill material is to be used in Flood Zone ^A'', it is understood that e drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by o professional engineer licensed by the State ofFlorida. - If the fill material is to be used in Flood Zone ''A" in connection with o permitted building using stem xva|| construction, | certify that fill will be used only tofill the area within the stem wall. - If fill mab*he| 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 propertien, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots |eao than one (1) acre which are elevated by fill, an engineered drainage plan is required. If | am the AGENT FOR THE {3VVNER, i promise in good faith to inform the owner ofthe permitting conditions set forth in this affidavit prior tocommencing construction. | understand that aseparate permit may berequired for electrical work, p|umbing, signe, vveUa, poo|a, air conditioning, goa, or other installations not specifically included in the application. A permit issued shall be construed to be license to proceed with the work and not as authority toviolate, uanoe|, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes, Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit iaauanoe, 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 wrihng, from the Building Official for a period not to exceed ninety (SO) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. OWNERORAGENT- Subscribed and sworn fo- (or affirmed) before me this 7/28/2022 by Christopher Smith Who is/are per onally known to me or identification, Notary Public Commission No. cG 296057 Stephanie Fa CONTRACTOR Subscribed and sworn to (or affirmed) before me this 7128/2022 bv Christopher Smith Who is/are persor�ally_��n to m�e or has/have produced as identification. Notary Public Commission No. GGzesVs7 DESCRIPTION: LOT1S) 55-62, TOWNES AT AUTUMN PALMS, SEC. 15, TWP. 26 $, RNG 21 E. PLAN rt ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK PASCO COUNTY, FLORIDA SITE t71 LA V 1708 Water Oak Drive PAGE(S�_...., Or THE PUBLIC RECORDS OF PASCO COUNTY FLORIDA on Tar Springs, Florida ( TOWNES AT AUTUMN PALMS) (NOTA suavEv) P ROADWAY TRACT "C Phone: (727)-831-1990 O _ — - _ — -.-—Sow14E WW - �w rN - -- - FlordaPLS 3 g ali.com „ „" ' CITY OF ZEPHYRHILLS BASIS OF BEARING I sue""" „ 1/E/U/D EASEMENT 89 58 34 W (P) 446 63 IPI „ LBO g 18 „o oa c; 3 r., i �— ti 1 r: 773 ;.y 16 — s 273• / _ '. • f6' i V 1 5 0 `; N 89`5842" E (P) a"Q — TIL_ f 2830 (P1 I800 P1 I^ I800 P1.. h :1800 1PJ 1800 (P 1860-IPI I Z8 3 (PI •L8j PCIPI N 89'5834" E P 123,55 P by 3 k " Initial Point Land Surveying, LLC. tio� oo� 10o �iloo�i Too o�o.� T�1oo it.foo ,"� LEGEND LOT =_ 16958 SO. FT. \(G°> 11 3 11 3 11 3 113 11 3 11.3 113 113 SURFACE TYPE FENCES LIVING AREA 5336 SO. FT. ENTRY 672 _ — v SQ. FL � GARAGE 1848 SQ. I-T_ 10.0 + • —.0 Z Z o vI �z Z w iuz ° -+ V w O 10.0 o Z D sari ANY /If Nce COVERED LANAI 868 _ SO, FT. m m V m w Z r PATIO NA SO F7_ D n _ _ —I o G) —.._--- �r----.. POOL AREA NA o 7.0 < < C 9 < 6.T 6 T < G.7 (T < G.T 7.0' m SQ FT- his ""-emcic woOon N<t. CONC. DRIVE 2400 SO ET. o LOT LOT a A/C & CONC PAD 80 SQ. FT. LOT 1 5S LOT LOT LOT LOT LOT m D aNI NurNce SIDEWALK 324_SO, FT. 54 ° LOT o 56 sa 57 58 59 60 61 0 62 m "snNo7olrtr SIDE YARD SWALE NA SO, FT. FE _ � � "' ovl Itl uao r'owr_a CONSERVATION AREA NA_ SQ. FT-° w" — — v, 144-8 — -- w — — — o-covrarD __ LOTOCCUPIED 68 % v w w -.-.. ._.. OHP OHP AREA TO IRRIGATE = 32_ % wo UNIT -A UNIT-B UNIT-C v UNIT-C I UNIT-C v. UNIT-C UNIT-B UNIT -A y LEGEND. 0 1532 1516 1624 1624 7624 1624 I516 1532 —PROPOSED DRAINAGE FLOW PROPOSED 2 S ORY (00.001 -- PROPOSED GRADE NOTES: ATT CHED E-00.00 EXISTING GRADE 2 OAK RESIDENCES L07 GRADING TYPE = N/A 18.3 18-0 180 18-0' 18-0' 18.0" 18.0' _ 18.3 _ 10 INGRESS EGRESS/U.E & D.E PROPOSED PAD ELEVATION - 83.80' TOO- - o LANAI N NA ANA LAN LAN LANAI LANAI co APPARENT FLOOD HAZARD ZONE: "X" COMMUNITY NO. 120235 IMAP NUMBER 12 TO I C-0452-0 EFFECTIVE DATE: 09/26/20 74 FRONT SET BACK = 15 I �Y� h `� 1 •'{I� 1T,'I I �{ "� SURVEYOR'S NOTES: SIDE SET BACK = 10' D I S I A I D I D I A Y 1. Current title informatfort on the subject ct property had not been ) j+ P P' Y REAR SETBACK = ZO' a n f o furnished to Initial Point Land Surveying, LLC. at the time of this site plan ALL WALKS 3 0' UNLESS NOTED Q I Q d I 2.) This sketch was prepared without: the benefit of a title search. No instruments of record reflecting ownership, easements or rights -of wa ALL A/C 3.2k 32" 50/, 2 30" P' 1 18.00- IP I8-00- P 18.00' P 18.00" P I8-00 P' 18-00' Pl 28 33 P - Lax were furnished to the undersigned, unless otherwise shown hereon. y __________ r/T/U/D = INGRESS EGRESS/ N 89'58'4 " E (P) 3.) Roads, walks, and other similar items shown hereon were taken from TRACT "H" engineering plans and are subject to survey. UTILITY/ DRAINAGE ESM'T LANDSCAPE BUFFER 100 1) Tha site pinn does not reflect nor determine ownership. __________.______________________________-,___ �_________________________ _____________________________________ 5.1 Thu site plan is subject to matters shown on the Plat of"TOWNS@) _ PROPOSED: AUTUMN PALM' 6.) Dimensions shown hereon are in feet and decimal portions thereof LOWEST FLOOR ELEVATIONS: 7,) Contractor and owner are to verify all setbacks, building dimensions, NOTE CONSTRUCTION LIVING AREA :8430 and layout shown hereon prior to any construction, and immediately GRADING PLANS GARAELEVATIONS ONS REFERENCED TO E AREA advise Initial shown hereon failure to do so will be from HAVE MINIMAL --- --- PROPOSED ELEVATIONS AND TYPE itial Point Land Surveying, r y information user s sole risk. GRADING/ELEVATION AI_t. ELEVATIONS REFERENCED GRADING SHOWN HEREON ARE TAKEN NORTH AMERICAN VERTICAL DA7"UM or INFORMATION TO NORTH AMERICAN FORM THE ENGINEERING PLANS OF MASER 19g8 SUR jj'SMTEVERTICAL DATUM OF 1988 CONSULTINGPA PROVIDED BY CLIENT .085 NATIONAL GEODETIC VERTICAL Thls'Artifiesthaj s fish e n,,��,made (NAND 881 DATUM OF 1929 under m> .S$ililtir93-t)fPractice for SURVEYABBRE10AT1ONS y FSYA/( "AIRU)NDIIIONfR Fol-Df n) INv INvt aT r(POINI of anmr a m<<IRr) UrawnB :CWC Pa Chief:lH surveys s b n yq Chapter (I Y nY REVISIONS: gj +$ 'atursuant to A -A UFANUFAFFINE e )vVNAGF FAY M^NT ,� (fe"IL USNI ss < FL R.—v-ron1 x) r,)N; RN< -RVNIF 5-L17.051 throu ) FIT 7053 F..e o e, R BASF Fioo01 var<rN .oar v LFvm oN -fr ow=s*moo<arvaTloN / goocoulMENI .rzas YAi. RoarRSPill Checked BylH IIOB#S532 Section 2 2P'FI i, State Srat-Date:2d4.d6.26 FOP"i I)U OF RAVI FAT 11 I(f NSfn SUINt YOfY (, PAU R/se "FYIl�iii OF WAY file ___ .. __...__ --_-_. ( "(IIRVF FSMi - I all MINT ej, MI"'RED PI POINI OF INIFRSf IHON "I - IT(iION J 07,56.7 �t � ArOltl J V ',! tir. Y 11 - (AI(fl ifl) rC II N(r CORNIR MIT (nDFNn SE(NN I 1, P011(If at SNbD -SIINAII. ANn )ISI(I. RS IH) � 1(I F . ).A / Date of Site Plan CWC -- — --- <F NTe.rzl wl rcM - r<xlNn coN<af Tf: MONtIMr:NT N<r - NO (oanllaY � oulvo Ott - o Nr or at o NN N , sia v � I/r Iaov aoI) ax H las Jeff M. Hartley � co ,��AE OF�p�q h, % O _= Date CI( (HAIN;NKf N(E r IOUNDIRON'�IPI O/A"()VNIA 1. O( POINT OI COMMr m rTNT nol '{-MPORARYMNCF;MARK DWG,L55_62-T,a.AP- SITE. DWG FLORIDA PROFLS 'SHff< MK`)4('nN RLS#7123 L.B#8183 (MI - (ORFTWCA M iAi. Pitt R I OUN!} RON ROD O {W OVF RHLAD W RT fr) OI O M ON o, FOR ROOF BINtt ��p� —_ ... an-<0 eme Nh)" FOUND NAI. h DIR oa Of-FAI. RFCORos R< R<)INttr er vF arf nlYvl Twr �TowNsrnP This SITE Plan Prepared for and Certified To: NOT VALID WN'j T,�HE4R(C�1t L� NATURE AND SEAL CON(�CONCR(I(-. TOP (OUN)OPFNPIPf: (P -FIAT RM PrRMANIMRFIIaI NCE MONI)MI:NT U.[ UII IYEASEM[Ni Lennar Homes (rr <ONCRi: TI SlAH IRR- FOUND PIN,',[)PIM RI3-ITArf300K PFFI-rU6uc tra TYf Art MT NT OFA FLORf�/9,,Ll�t-1gY�YA�g YOR AND MAPPER Vv A S S, I S Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 38234 FALLSTONE WAY Parcel Tax ID: TOWNES AT AUTUMN PALM 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 Finn: VIRTUAL REVIEW ASSIST, INC. Private Provider- ZEBRA ANNE KLAHP Address: 5 A11511 11 , l� I 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 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 $1 million per occurrence relating to all services performed as a private provider, including tail coverage for a minimum of 5 years subsequent to the performance of building code inspection services. Individual Corporation LENNAR HOMES LLC Print Corporation Name By: ' (signature) (signature) Print Print Name: Name: Christopher Smith Address: Its: Authorized Agent Address: 700 NW 107th Ave Telephone Miami FL 33172 No.: Telephone No. 813-574-5700 Please use appropriate notary block. STATE of FLORIDA i Individual Before me, this day of 20_, personally appeared who executed the foregoing instrument, and acknowledged before me that same was executed for the purposes therein expressed. Corporation Before me, this 22ND day of MAY , 20 22, personally appeared of Lennar Homey LLC a corporation, on behalf of the state corporation, who executed the foregoing instrument and acknowledged before me that same was executed for the purposes therein expressed. Partnership Print Partnership Name I: (signature) Print Name: Its: Address: Telephone No.: Partnership Before me, this day Of 20_, personally appeared partner/agent on behalf of a partnership, who executed the foregoing instrument and acknowledged before me that same was executed for the purposes therein expressed. Personally known X ;or Produced identi cation Type of identification produced Signature ofNotar Print Name ASHLEE CALLAHAN Notary Public Stamp: - �� ASHLEE CALLAHAN sir � Notary Pubii�9 State of Florida Commission Expires: i Cpn�missiae. N GG 244456 NOVEMBER 30, 2022 '' ,lKy COMM, £aPlte$ Nov a01 2022 .throe h.Natlanal Not&ry A, s ! Page 2 of 2 Private Provider Firm: Virtual Review Assist, Inc. Private Provider, Debra Anne Klahr, BU 1967 Address: 747 Southwest 211 Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: 1 Project: New SFT 8 unit Address(s): 15969760055-0055 thru 0062 Lots 55 - 62 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: 1,2,3,4,5,6,7,8.9,l0j 1,1.2,13,14,15,16,1-1,S-N',SNI,S3,S4,S5,S6,SS,ST,D],-kVP,PAI.0,PAI.1,PAI,'—), P,),1,3,SHI.0,SHI.I,SHI.2,SHI.3,SHI.4,SHI.5 Florida License,Registration/Certification #(s) and description: FS468 Certified Standard Plans Examiner License ft: PX2300 Signature of Reviewer: SWORN AND SUBSCRIBED beforeme by- Debra Klar being personally known to me XXX or having produced as identification and who being fully sworn and cautioned, state that the f , Cgegoinl- is true and cogect tip the best of hisfiier knowledge or belief. Ashlee Callahan 40 Print Name Tana kk Notary Public: NOTARY STAMP -,BELOW My ASHLE-E CALLAHAN � k - Sta,Ee of Flodda commission expires: Tr Co-1111frissior, � GG 244456 o,- F,9 mv C'-'MrrI. Exgyres Nov 30, 2022 o r c e d through Natic, a.i "01'ary Assn. ❑',COMMERCIAL BUILDING SERVICES DIVISION VRESIDENTIAL BUILDING PERMIT DATA SHEET TRACKING # FOLIO # • 58 �•1� ItTIT"fr7lipalaw 17/22/2022 bebra Klahr Building ❑ Inspection Only Plumbing ❑ Ins ection Only Mechanical ❑ Inspection Only Electrical Amp ❑ Ins ection Only Roof ❑ Gas ❑ Medical Gas ❑ Fire Sprinklers ❑ On Site Piping ❑ Fire Line ❑ Irrigation ❑ Fire Alarm ❑ Potable Backflow Assembly ❑ Fire Line Backilow Preventer El Irrigation Backflov Assembly El Demolition ❑ Walk-in Cooler ❑ Refrigeration ❑ Hood ❑ Ansul ❑ Fence/Wall ❑ Grease Trap ❑ Other ❑ Other Type Construction: -g Risk Category: Occupancy Load Ogg pancy Classification: Factory Residential ❑Assembly Hazardous I ❑ Storage ❑business ❑ Day Care/Educational y.. ❑,Institutional `❑ Mercantile 'Utility Building Use: Single Family Townhome / Alteration ❑'Level I ❑ Level 2❑',Level 3 ,/New Construction ❑ Interior Finish ❑ Interior Remodel ❑ Exterior Remodel ❑ Addition ❑ Revision Overall Size: 18' x 63' Number of Stories: 2 Total Sq. FL: 2086 Living Area: 1634 Covered Area: 452 # of Bedrooms: 3 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof Type: © Shingle ❑Tile El Built-up ❑ Metal ❑ Other Squares: 13 Zoning: PD Wipdborne Debris: ❑Inside Outside 'Outside Energy Code: 405-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? 10',Yes No 'Vi# Sq. Ft. Enclosed Space Below BEE: of Vents: Size of Vents: Total Sq. In. Permanent Openings © Central A/C ❑ Gas A/C Z Heat Pump ❑ Gas Heat ❑ Window A/C ❑ Electric Heat RMLITI-312o Sanitary Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line Setbacks Front Rear Left Right 2✓ Asper Approved Site Plan Comments: Z N yy Permit No. Date Permitted Builder Name/Owner Name Control # County Parcel No. 0,03L2 Q L Ev)m SubDiv Address/location 3 Classification/Type of Use TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: Exempt 0 Yes No How Determined Impact Fee Amount L Zone No. TAZ: SCHOOL IMPACT FEE Account (055) Single -Family Detached House Amount $ ` (057) Mobile Home (058) Other Residential (123) Collection Fee Exempt =Yes = No How Determined_ = M Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone Total Amount $ i 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 Amoun RESOURCE FEE ERU Total Amount Prepared By ' riU__� Checked By NO CERTIFICATE OF OCCUPANY WILL BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN 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 RECEIPT NO DATE RECEIVED BY !•l'1