HomeMy WebLinkAbout22-5059City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
BNR-005059-2022
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 1v03/2d22
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Name: LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC
Class of Work: SFR Construct
Address: 4600 W Cypress St 200 Building Valuation: $241,800.00<
TAMPA, FL 33607 Electrical Valuation: $36,270.00
Phone: (813) 574-5700
Mechanical Valuation: $16,926.00 (,
Plumbing Valuation: $24,180.00
Total Valuation: $319,176.00
Total Fees: $19,669.49
µ� Amount Paid: $19,669.49
Date Paid: 11/3/2022 10:05:36AM
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CONSTRUCT SINGLE FAMILY 1528 SQ FT
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Electrical Permit Fee $221.35 Sewer Connection Residential Fee $2,090.00
Transportation Impact Fee $3,595.68 Public Safety Impact Fee -Police $254.00
Plumbing Plan Review Fee $0.00 Mechanical Plan Review Fee $0.00
Driveway Fee $45.00 Water Connection Residential Fee $1,010.00
Address Fee $30.00 Building Plan Review Fee $180.00
Building Permit Fee $1,249.00 Irrigation 3/4 Meter (Cale) $732.71
Mechanical Permit Fee $124.63 School Impact Fee - Single Family $8,328.00
SIF 1 percent Fee $83.28 Public Safety Impact Fee -Admin $26.35
Park Impact Fee - Single Family/Townhome $769.56 Electrical Plan Review Fee $0.00
Transportation Impact Fee - City $36.32 3/4 Water Meter Fee (Cale) $732,71
Plumbing Permit Fee $160.90
EINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 53.80()(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.
NO OCCUPANCY BEFORE C.O.
e 1 TOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION IREQUIRED
I
813-780-0020 City of Zephyrhills Permit Application Fax,813-780-0021
Building Department
Date Received Phone Contact for Permitting 908 770 -
7763
1 1 1 1 1 1 1 1 I I I I I
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813.574.5700
Owner's Address 1 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number �� J
Fee Simple Titleholder Name NIA Owner Phone Number��
Fee Simple Titleholder Address N/A
JOB ADDRESS 6328 Bar Bar Trail LOT # 1423
SUBDIVISION Square PARCEL ID#
Abbott � 04-26-21-0150-01400-0230
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR F7 ADD/ALT SIGN DEMOLISH
PINSTALL Ej REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME t STEEL
DESCRIPTION OF WORK Single Family Residence / Pool / Screen Enclosure / Fence
BUILDING SIZE UIR IF 2015 SQ FOOTAGE 1528 HEIGHT 28`
(> f BUILDING $ 241$QQ VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ 36270 AMP SERVICE PROGRESS ENERGY W.R.E.C.
PLUMBING241$0
MECHANICAL $ 16926 VALUATION OF MECHANICAL INSTALLATION
GAS 10
I ROOFING SPECIALTY OTHER }�
FINISHED FLOOR ELEVATIONS- r FLOOD ZONE AREA DYES Do
BUILDER COMPANY Lennar Homes, LLC
SIGNATURE REGISTERED Y / N FEE CURREN Y ! N
Address 4301 oy Scout Blvd Suite 600 Tampa, FL 33607 License # CGC1518166
ELECTRICIAN COMPANY EdmonsOn Electric, Inc,
SIGNATURE REGISTERED I Y / N J FEE CURREN Y / N
Address License # I EC13005408
PLUMBER °' COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y J N FEE CURREN Y/ N
Address License # CGFC042998 ��
MECHANICAL Ar. COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED I Y / N J 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
I I I I I I I I I I I I I I i 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page, (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
"*`PROPERTY SURVEY required for all NEW construction.
Directions.
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500)
— Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways..needs ROW
NOTICE OFDEED RESTRICTIONS: The undersigned understands that this permit may besubject to^deed^restrictions"
which may bemore restrictive than County regulations, The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and |000| regulations. If the
contractor is not licensed as required by |aw, both the owner and contractor may be cited for misdemeanor violation
under state law. If the owner or intended contractor one 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 ot727-847-
80OA. Furthermone, if the owner has hired a contractor orcontractors, he is advised to have the contractor(s) sign
portions of the "contractor B|ook" of this application for which they will be responsible. If you, as the owner sign as the
oontnartor, that may bean indication that he is not properly licensed and is not entitled topermitting privileges in Pasco
County.
TRANSPORTATION |88PACT/UT|L|T|EGIMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply tothe construction of new bui|dinga, change of
use in existing bui|dingn, or expansion of existing bui|dinga, as specified in Pasco County Ordinance number80-O7 and
90-07. as amended. The undersigned also undamtanda, that such hyeo, as may be due, will be identified otthe time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving e "certificate of occupancy" or final power release, If the project does not involve a certificate of occupancy or
final power na|eaae, the fees must be paid prior to permit issuance. Furthermore. if Pasco 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, aoammended): |fvaluation ofwork io$2.5OD,00ormore, |
certify that |, the app|icnn(, 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 ''nvvner'. | certify that | have obtained e copy of the above described document and promise in good faith to
deliver it(wthe ^mwner^prior tncommencement.
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 |ewe regulating oonstmdion, zoning and land development. Application is
hereby made to obtain n 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
oonatmction. County and City ood*n, zoning nagu|etinna. 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 is
myresponsibility toidentify what actions | must take tobeincompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection -Cypress Bayheedo, Wetland Areas and Environmentally Sensitive
Lands, VVater8NostewoterTreetmont,
' Southwest Florida Water Management Oiatriut-VVe||o. Cypress Bayhmodo, Wetland Areos, Altering
Watercourses.
- Army Corps of Engineers -Seawalls, Docks. Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-VVe||a, Wastewater Treatment,
Septic Tanks.
- USEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation Authority-Runvvayn.
| understand that the following restrictions apply tothe use offiU�
Use offill isnot allowed inFlood Zone ^\runless expressly permitted.
If the fill 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 of permitting which is prepared by a professional engineer
licensed bythe State ufFlorida,
- If the fill material in to be used in Flood Zone ^A" in connection with m permitted building using stem vva||
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material 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 p,operti*e, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for |cka |eno than one (1)
acre which are elevated by fill, on 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 separate permit may be required for electrical vvork,
p|umbinQ, eigns, weUs, poo|s, air nonditioning, gas, or other installations not specifically included in the application, A
permit issued mheU be construed to be license hzproceed with the work and not as authority toviolate, mance|, aker, or
set aside any provisions of the technical codeo, nor eheU 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 six months of permit ioeuonce, 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 naquemted, in vvhdng. from the Building Official for o period not toexceed ninety (SO) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
ovvm oRms
Subscribed and sworn to (or affirmed) before me this
802022 by Christopher Smith
Who is/are personally known to me or hasihave pF9d61G
as identification,
Notary Public
AJ
Commission No. GGzyoosr
Stephanie Farmer
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
813/2022 by Christopher Smith
Who is/are personally known to me or has/have produced
as identification.
Notary Public
Commission No. GG 296057�
Stephanie Farmer
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D9$CMPn0A:LOT 23, BLOCK 14, ABBOTT SQUARE PHASE 18
ACCORDING TO THE PLAT THEREOF, RECORDED IN PEAT BOOK
PAGE - -, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORDA,
AL, ELEVATIONS REFERENCED
TO NORTH AMERICAN
VETTKAL DATUM OF 1988
NAVIS W
[P- SITE PiAN P,hpPleo for and Comfitri To
L—Le"10-1 10—me'
SITE PLAN
'NOT ASLOVE)'
SEC, 4, TWP. 26 S. RING 21 E.
PASCO COUNTY, FLORIDA
(ABBOrT SQUARE)
Scale, I" = 20'
LOT 24 LOT 13
'Ro BLOCK 14 BLOCK 14
N 89",340 E Pi 10 3C ip,
20, 54 -0
480 16
"oOPORED NA,
6: LOT 14
2 STORY REDDENCE
PLAN 1515 BLOCK 14
LOT 23
-1 155 ENTRY GARAGE L BLOCK 14
26i 3 2 X3 2
k! CONC
250 h"l 'WALK
------------
N'895t40 '7030 P P
LO- 22
BLOCK 14 i LOT IS
BLOCK 14
LOT -,A3.i2--SG FT
LIVING AREA F I
PORCH
F1
GARAGE FT
COVERED LANAI -_' AQ__- So F1
PATIO F1 PC
POOL AREA G4 SC FT
CONIC DRIVE - la—sa, F1'.
AIC & CONIC PAE) --!,Q--,SO F1
SIDEWALK
FT
LOT SOD
_SO FT
R,1W SOD --N48-- SO FT
LOT OCCUPIED 96
AREA TO IRRIGATE - TSB_ Pfrr 2'OAK
NOTES: 7000 OjflL U-:T Li_l EASEMEN7
TW BASE Of P, ALL
PROPOSED, LOT GRADING TYPE -A 9V BASE OF WALL
MINIMUM FLOOR ELEVATIONS PROPOSED PAD EJVAT;ON isso
LIVING AREA: 1 16. 5 7 FRONT SE? BACK Y 20 LEGEND?�
GARAGE AREA 11-*— PR0,USED ORA,NAGELOA'
ELEVATIONS REFERENCED TO SVE SE7 BAC, - 7 5 - PRO ICTSED E-EVATiONS AND GRADING
NORTH AMERICAN VERTICAL SIDE SET BACK;CORNE R,OT, —0000, ROPOSEDGRADE
0 SHOWN HEREON ARE TAKEN FORbt THE
DATUM OF 1988 REAR SETBAC&m 15 F 00 00 , EXIS T;NG GRADE EPIGINEERTNIG PLANS OF
ABS07-T SQUARE RESOENToPL. PREPARED
APPARENT FLOOD HAZARD ZONE X COMMUNiTYNO i2I235 B)"'JiRRA, PROVOED By CLIENT
SURVEY ABEREVATIONS i tMAP NUMBER 12 TO IC4289-r, EFFECTWE DATE P9 26 2014
LEGEND ...
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"""""""'""""a 1 1 Culfent title I001—Voll or, thA I.bjccz PoPPFny 1,,drw of,
Data of Sfte P p,ahia,, Thf, C CIS etch tth T—or, ' po,nq,, Fl.nd,
Suh,eymq, LLC Pf tihe 1-Une Of 011I
I'd PnwlA
'rLghnP0 to
SITE PLAN mr&z 'e PKC R, 'S' , S a ir FPxrdaPLS7)23
24 Tho, sketch was pmp—d wahour rhe IrPnofit PI a 011A ..... I
,• t ,`.a LBO 8 183
Noristroofonts at Twm.,ofl-voc; clwneh,hp, -"I'ghts or I Z"Oa set . hIdno, CCA SJ,1705rhmogh
nBiaof-Way Work, furnfshP to in e i inde-qnod, uniess eat o""'c"I 5,V70 , R—da Adna"Id"t"o Code,
Drdw" by Dja ------ 'ho-h hereon. to See ton 47Z 027, 1 ko-rd. Store
—KA, viaiks� no —Tl holor- wo, flow
REVISIOM 4) Th. SITE PLAN do of IPAP"n., dololr-�— —n-
--4 3,) R oth, �Iroflar ItrFol IT,
from engInceling piol and .1e sIblect to-r-y
IF
pint
If F,
5,1Th,,l SITE PLAN is subject to matu- shown, onthc at
? Al
ABBOTT SQUARE PHASE 18
6.) DtmQ Imons shown hereon an, ill ffretdod doCirn,fl poet ons IS
thereof ORi
7) COall-OCA T .And rovacr are to Von' orail setbacks ll,tirdmq
donmson aid layout shown hiaeoh pool to any const,actT.L. I NOTVAUDW, At.
.and rmoledwelyaclose hinal Point and SUNeylog LLC of an? 1 - i , A R AN -AL A 0 i
�Dla TU E SF OF PLO DA
dov"Itloo flon" Infon"Prol. Shown hereon. Fa iure to do so h b, LICENSED SURVEYOR AN,) NI T InfliaI Point Land Surveying, LLC.
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COUNTY,
FLORIDA
Permit No.
Date Permit
Alm
12 '
e
2-36 SubDiv
Address/Locaflon
ClassifiCation/Type of Use
.a
TRANSPORTATION IMPACT FEE Rate,
q Ft Unit: 1 a`2.
Exempt El V86 Na How Determined
Irtapct Fee Amount s�(� ,�.�--Zane No,
��
T
Account (056) SIngla®Family Detached House
(057) pile Homepunt �
(056) Other Residential
�,123) Collection Fey
Exempt[� j yes 0 NO How Determined
P K RECREATION F
Land Account Land Credit Land
Total
Recreation Account Recreation Credit
RZone ecreation Total
TOTAL AMOUNT %
o f Yas 0 No HOW Determined
L113 IY FEE
Land Account Land Credit
Land TotalFdoiiity
Ao untExeFacility Credit
Facility Total
rn t Yas No How Determined
Taal Amount .
` OT'AL OUNT
ERU
Prepared y
i�o�ad y
NO CERTIFICATE OF OCCUPANCY WILL BEJ$SUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
�. § ' ,� ,.
FOR 13Y A CENTRAL PERMITTING OFFICE. OF
implyAcknOWISOMent below does not
the building Psrmk owner on notice of yreOPIPLO(A
t Y *� Y Y
ifff"ll
RECEIVED 13Y
RECEIPT NO. DATE BY
V r R/\
v 1 ATUAL REVIEW ASSIST
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
MIN
ABBOTT SQUARE PHA5E 1B PB - PGS - BLOCK 14 LOT 23
Parcel Tax ID.
S ei vices 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 KLAHR
Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
Telephone:
MENr `ia«
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.
WHIM
(signature)
Print
Name:
Address:
Telephone
No.:
Please use appropriate notary block.
STATEOF —FLORIDA
COUNTY OF HILLSBOROUGH
Individual
B tfore me, thus day of
204, personally
appeared
who executed the foregoing instrument,
and acknowledged before me that same
was executed for the purposes therein
expressed.
Corporation
LENNAR HOMES. LLC
Print Corporation Name
By:
(signature)
Print
Name: Christopher Smith
its: Authorized Ant
Address: 700 NW I QZft Ave
Miami, FL 33172
Telephone
No. 813-574-5700
Corporation
Before me, this 22ND day of
MAY 20-22
personally appeared'
of
Lennar HomesL_LC 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
M3
(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 of Not Print Name ASHLEE CALLAHAN
Notary Public Stamp:
ASHLEE CALL
Commission Expires: Notary PV 1( state of F on a
CootmlWoc # GG 244456
NOVEMBER 30, 2022 44Conl � xpleei 0,430,.th2022
rD totion! NOWY
Page 2 of 2
VRA
VIRTUAL REVIEW ASSIST
Private Provider
Plan Compliance Affidavit
Private Provider Firm: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU 1967
Address: 747 Southwest 2nd Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: I assist,com
LU—C,Y
Project: New SFR
WMI
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:
Name: Debra Anne Klahr
Plan Sheets:
CS,1.1,1.2,2,3,4,5,6.1,6.2,7,SN,SNI,S3,S4,S5,S6,SS,ST,D1,D2,WPI,PA1.0,PAI. I,PAI.2,PAI.3,SHI.0,
SHI. I,SH1.2,SHI.3,SHL4,SHI.5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300
Signature of Reviewer:
SWORN AND SUBSCRIBED before 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
regrng is true and correct to the best of his/her knowledge or belief.
§IWre of Notary Print Name
Public: NOTARY STAMP BELOW My
ASHLEE CALLAHAN
Notary PLblic State of Florida
Commiwon GG 244456
n expires:
°, My Comm, Expifes Nov 30, 22022
Bor(lec throe .q'�. NiatiCra•Notiry Assn.
FQ-, COMMERCIAL BUILDING SERVICES DIVISION SIDENTIAL
BUILDING PERMIT DATA SHEET
TRACKING #
FOLIO # 6328 Bar 5 Bar Trail
DATE: 8/24/2022
EXAMINER: Debra Klahr PX230(4
1WBuilding
F-1 Ins ection Only
VPlumbing
R Inspection Only
V Mechanical
E] Inspection Only
VElectrical Amp
R Inspection Only
Roof
El Gas
I
I
E] Medical Gas
Ej Fire Sprinklers
E] On Site Piping
EJ Fire Line
E] Irrigation
E] Fire Alarm
[:] Potable Backflow Assembly
E] Fire Line Backflow Preventer
1:1 Irrigation Backflow Assembly
❑ Demolition
El Walk-in Cooler
E] Refrigeration
El Hood
Ansul
E] Fence/Wall
El Grease Trap
0 Other
El Other
Construction:
LLLLj
Risk Category:
� Occupancy Load
_Iype
ancy la sification:
C s E==
OV"' F
Factory
Residential
Assembly =� —Business Day Care/Educational
Hazardous E= Institutional [:],,Mercantile
1 4,
n Storage E::= ❑ Utility
Building Use: Single Family Alteration I❑Q ],Level 2 —Level I [E—]Level 3 [[--
Qf New Construction n Interior Finish E] Interior Remodel Ej Exterior Remodel R Addition E] Revision
Overall Size:
25 X 54
Number of Stories:
2
Total Sq. Ft.:
2015
Living Area: 1528
Covered Area: 487
# of Bedrooms: 3
—
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof Type: g Shingle
E]Tile El Built-up EJ Metal F1 Other Squares: 14
Zoning:
Worne Debris:
ro �, Ins i de Outside
--k—
Energy Code: 405-2020
Flood Zone: X Base Flood Elevation: Finish Floor Elevation:
Hydrostatic Vents? ElYes No Sq. Ft. Enclosed Space Below BFE:
# of Vents:
Size of Vents:
Total Sq. In. Permanent Openings
9 Central A/C
El Gas A/C
Heat Pump El Window A/C
❑ Gas Heat [:] Electric Heat
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
Setbacks
Front Rear Left Right
21 As per Approved Site Plan
Comments: