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HomeMy WebLinkAbout22-5063City of Zephyrhilis W111110 I 5335 Eighth Street Zephyrhills, FL 33542 BNR-005063-2022 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 12/28/2022 Permit itding New (Residential) -0,0,\_ ""M 6493 Bar S Bar TrI 04 26 21 0140 00300 0150 w Name: LENNAR HOMES LLD -OWNER Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC Class of Work: SFR Construct Address: 4600 W Cypress St 200 Building Valuation: $365,520.00 TAMPA, FL 33607 Electrical Valuation: $54,828.00 Phone: (813) 574-5700 Mechanical Valuation: $25,586.40 4�- Plumbing Valuation: $36,552.00 Total Valuation: $482,486.40 Total Fees: $20,486.04 '01 Amount Paid: $20,486.04 . . . ......... Date Paid: 12/28/2022 4:08:01 PM CONSTRUCT SINGLE FAMILY 2584 SQ FT ' "'g 3M=W 2 !4_1 percent Fee $8328 3/4 Water Meter Fee (Calc) $732.71 Plumbing Plan Review Fee $0.00 Public Safety Impact Fee -Police $254.100 Irrigation 3/4 Meter (Cale) $732.71 Sewer Connection Residential Fee $2,090.00 Address Fee $30.00 Mechanical Permit Fee $167.93 Mechanical Plan Review Fee $0,00 Driveway Fee $45.00 Plumbing Permit Fee $222.76 Building Permit Fee $1,867.60 Public Safety Impact Fee -Admin $26.35 Transportation Impact Fee - City $3632 Water Connection Residential Fee $1,010.00 Building Plan Review Fee $180.00 Electrical Plan Review Fee $0.00 Park Impact Fee - Single Family/Townhome $769.56 Electrical Permit Fee $314.14 School Impact Fee - Single Family $8,328.00 Transportation Impact Fee 5.68 REINSPECTION FEES: (c) With respect to einspection 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. NO OCCUPANCY BEFORE C.O. NTRACTOR SIGNATURE PE IT OFFICEC) PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-00', City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting ( 908 ) 770 7763 Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813,574.5700 Owner's Address 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number®� Fee Simple Titleholder Address N/A JOB ADDRESS 6493 Bar S Bar Trail LOT # 0315 SUBDIVISION Abbott Square PARCEL ID# 04-26-21-0140-00300-0150 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK Single Family Residence ! Pool / Screen Enclosure / Fence BUILDING SIZE I U/R SF 3046 SQ FOOTAGE 2584 HEIGHT BUILDING L365520 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 54828 AMP SERVICE 1 PROGRESS ENERGY W.R.E.C. �) PLUMBING $ 36552®� MECHANICAL $ 255E6.4 VALUATION OF MECHANICAL INSTALLATION GAS ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS OU FLOOD ZONE AREA YES 0 BUILDER SIGNATURE Address ELECTRICIAN SIGNATURE Address PLUMBER SIGNATURE Address MECHANICAL SIGNATURE Address OTHER SIGNATURE Address I111111 RESIDENTIAL COMPANY Lennar Homes, LLC REGISTERED Y/ N FEE CURREN Y 1 N 1430 W Boy Scout Blvd Suite 600 Tampa, FL 33607 License # CGC1518166 ,Y Edmonson Electric, Inc. =D Y / N FEE CURREN License # EC13005408� ,Y Bayonet Plumbing, Heating & AC, Inc _D Y / N FEE CURREN I Y / N License # CFC042998 Y Bayonet Plumbing, Heating AC, Inc D Y/ N FEE CURREN Y/ N License # I CAC058062 Y C Sterling Quality Roofing, Inc, D Y/ N FEE CURREN Y/ N License # CCC057991 IIIIIIIIIIIIIIIIIIIIIIIi111111I111111111I111I1111111I111111 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 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 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 be subject 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 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 o/ intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised tocontact the Pasco County Building Inspection Division —Licensing Section at 727-847- 8009Furthermnn*, if the owner has hired a contractor or oontnao(ona, 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 contnactor, that may bean indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION |08PACTYUT|L|T|ESIMPACT 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|dingo, or expansion of existing bui|dinOe, as specified in Pasco County Ordinance number8Q-O7 and 00-07. as emended The undersigned also understands, that such 0*eo, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate 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, 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, as amended): |fvaluation ofwork is$2.5DOOOormore, | certify that |, the epp|ioant, have been provided with a copy of the "Florida Construction Lien Law —Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. 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. C<]NTRACTOR'S/OVVNER'SAFF|DAV!T: | certify that all the information in this application inaccurate and that all work will be done in compliance with all applicable |owa regulating consLrucdon, zoning and land development, Application is hereby made to obtain a permit to do work and installation as indicated. | certify that no work or installation has commenced prior to issuance of permit and that all work will be performed to meet standards of all |avve regulating conStruotion. County and City oodes, zoning regulations, and land development regulations in the jurisdiction, | also certify that | understand that the regulations ofother government agencies may apply to the intended vvork, and that it is myresponsibility ioidentify what actions | must take tobeincompliance. Such agencies include but are not limited to: Department ofEnvironmental Proteotion-Cypress Boyheada. Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. Southwest Florida Water Management District-VVe||e, Cypress Bayheado, Wetland Ansae, Altering Watercourses, - Army Corps ofEngineere-Geavva||s.Docks, Navigable Waterways. - Department of Health & Rehabilitative Sen/ices/Environmental Health Unit-VVe||a, Wastewater Treatment. Septic Tanks. - USEnvironmental Protection Agency -Asbestos abatement. - Federal Aviation Authority-Runvvaya. | understand that the following restrictions apply to the use of fill: Use offill ianot allowed inFlood Zone ''V^unless expressly permitted. If the fill material is to be used in Flood Zone ''A^, it is understood that a drainage plan addressing a ''oompenaoting volume" will be submitted attime ofpermitting which is prepared by a professional engineer licensed bythe State nfFlorida, If the fill material is to be used in Flood Zone ^A^ in connection with a permitted building using stem vva|| construction, | 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 hound to adversely affect adjacent pnopertieo, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots |eaa than one (1) acre which are elevated byfill, gnengineered drainage plan iarequired. 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 oepmrmha permit may be required for electrical vvork, p|umbing, signo, vveUs, poo|a, air conditioning, gaa, 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 as authority to vio|aha, oonmai a|ter, or set aside any provisions of the technical oodee, nor shall issuance of permit prevent the Building Official from thereafter requiring a correction of errors in p|ano, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is oumnnenomd within six months of permit iesuanoe, 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 vvritinQ, from the Building Official fora period not to exceed ninety (AU) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned, Nillill . 4inwavq 201vauvolol au Oil newalwakNmill L" =01 X41611711iTl 1:3LIK"okTinval OWNERORAGENT Subscribed and sworn to' (or affirmed) before me Th7i-s- 8/3/2022 _by Christopher Smith Who islare personally known to me or 94 -as identification. Notary Public Commission No. ss29GOsr Stephanie Farmer Name sTEPKWEMMER gm:] Subscribed and sworn m(or affirmed) befommethis 813/2022 by Who is/are personally known to me or has/have produced as identification. Commission No. GGz9uns7 Stephanie Farmer Notary Public WOE SD • Structure Table 4-2 SD MANHOLE TY p.:9153 EO 1:93.53 RIP ' RCP(N)IE:84.57 18, 54' 54" RCP(S)IE:84.57 0 PESCMPTI[Oft LOT 15, BLOCK 3, ABBOTT SQUARE PHASE !A SITE PLAN ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89, PAGE(SI28-35, OF THE PUBLIC RECORDS OF PASCO COUNTY, NOT A SURVEY, PLORiDiP ALL ELEVATIONS REFERENCED TO NORTH AMERiCAN VERT, ICAL DATUM OF 1988 `NAVD ERP Ell SITE PLAN Prepared IN, and Certified T. Leona, Homes LOT 14 BLOCK 3 E P1, I IPRO IF, 380 PROPOSED 2 STORYRES7DENCE PATIO'PLAN 2575 ELEVAI oI GARAGE L 0 T 15 BLOCK 3 ENTRY 'IX27 C S-A C 55 S 8 7'53 0 7- f IP= I l lino p I LOT 16 BLOCK 3 SEC. 4, TWP, 26 5, RNG 21 E. PASCO COUNTY, FLORIDA (ABBOTT SQUARE) �k Scale: I " = W L2 LOT _SCL FT LIVING AREA FT ENTRY .--35 --SO, FT GARAGE F1 COVERED LANAI ._N�A--so FT PATIO -_Zl_--SQ FT CONIC DRIVE --aQL--SQ FT , r/C & CORK PAD FT SIDEWALK FT. LOT OCCUPIED A 0 � 2` OAK AREA TO IRRIGATE -_§6 Sr, n = 10,00'PUBLIC UTILITY EASEMENT NOTES: LEGEND: PROPOSED: LOTGRADING TYPE m A - 1-1-1-1 PROPOSED DRAiNAGE FLOW MINIMUM FLOOR ELEVATIONS: PROPOSED PAD ELFVATiON n 95 40 100 00) G PROPOSED GRADE LIVING AREA: 96.07 FRONT SET MCK - 20 F-00 00 EXJSTiNG GRADE GARAGE AREA: SIDE SET BACK ' 7 5 PROPOSE 1 0 - ELFKATIO I NS A I ND I G I R 11 A I C I A N - G ELEVATIONS REFERENCED TO SOESETEHO.K�CORNERLOT'i �S SHOWN HEREON ARE TAKEN FORM ',HE NORTH AMERICAN VERTICAL ENGINEERING PLANS OF DATUM OF 1988 REAR SETBACK = 15 ABBOTT SOUARE RESIDENTiAL', PREPARED APPARENT FLOOD HAZARD ZONE AE STE = 89.7 COMMUNITY NO Q0235 RY'WRA'PRCAnDED BY CUENT 0 SURVEY ASSREVATIONS (MAP NUMBER 1210IC-02F9 F" EFFECT'VE SATE 9 262014 A, -raze cv e 1 eta> N rav R KAN7 (* ­eV1,- 's - ieVD LEGEND AWN01— t� 1aIiJJV - UEVATION L LW- (AK LIR N JF, NN r­�' MIR i; PWlCei I ',I - P00, 0,XPMi N' Pr6HI 01 KAL FLCYX) E,LY-01 1 (11' � UOf OF 1wNf N 7 IIIP as WI, PAY l % I l , Yc' Pl, � MIS N­V,T M I - FAVARNT I 4a C IVNII U)PNIR i iM, - aFASItWO I'd 0, 1111,Iw =IN q T Net AND: V tilYtIst M - Kslta) � ON(Ili It MB - WIRED 1 NII M i, �O,N 1 1 Y�, — dile,uPiia Ni'F - NO CORWR FChJNC I -pR0iTRTyrSrd I u31N. Nk FENCE �N �?r "I r I " r, Witr V 0,T4I'C2 CIAPPAN, -sa, *OF, TO' III BlVy UINCWTI l'Ol "I, W ON U11 (Ok"Itar, FOUND NA:� & L111i, 0 W—OWN-311 t tS, 0UND ONEN Nla F Nc "UN, 0, etle I AWNIIIIel I E NI I ONCREM iiAkl R�f% IjAvl F, Fn 108 #E543 SUPIVEYOR'S NOn, surwa 7708 Water Oak DI III, ficenlanon on the subject This cetlaf, tc f b Tarpon Sjonngs, Florida famished o nit, PI Point Land Rarveyteg, LIEP-o"'TIP Da to of Site _Pfan 6-7,22 , 7�, P. 111"NIV P he f"1331-1990 mopert Par SITE PLAN so lorolalli_57 123, 2wc, As I _58LIEEe t gmaflx 'arvivas e This sioetch was preparers without the benefit •of LB# FrES3 . . . . . . . No instruments of hersed reflecting ownelia"Pr F"PhY., Ka 'T 1 0 lk Ilignts,,of-way were Furnished to the unders;qhed, anA. othenYlsel 51 05 1, a Roth III e shown thertioN p tied 472 02 7, Helena State Drawn by WE �) Roads, walks. and Other vilralar iterm, Shown vinredIn were t1i"Ill Checked by JH from enge,eenng plans and dre sub 4.)} T . CITE PLAN dos Tot rofica For detva-P, ova—vPp _RTt id tune 6, T' Th. SITE PLANr, ,object to hFirtel, l,h—n no the Plat of ZIP 'ABBOTT SQUARE PHASE I A 6,) Denersexis shown hereon reso feet and d I Pon,.- SS OR �`' ��� thereof 7j Contractor Post owner are to verify all sedmcks, buIideig 23 L8 I drollenoonFanjlayout 5howN hereon onor to any construch NOT VA anti lmedrate'ly lP advNe Ina? Point Land SuYveyvig LLC of any SIGNATURE deviation from f form"Itesti, Shown hereon F111JUrP to do SO Valf be LICENSED SUR Initial Point Lind Surveying LLC, r'PASCO COUNTY, FLORIDA Ai�uiider Name/Owner Name �P� r /1 County Parcel No. 0 "2 � Control w �0 3p df SubDly: _ Address/Location L ( Ciassificatlo ype of Use TRANSPORTATION IMPACT FEE . Rate: ExemptYes No Sq. Ft Unit: How Determined Impact Fee Amount Zone No. T : Safi L i PA►T F E kocount () Single -Family Detached House (057) Mobile Home Amount $ �, (068) Other Residential �23) Collection Fee Exempt Yes D No How Determined PF 11, K °1r1 . Land A unt Land Credit Land Total Regreation Account Recreation Credit Recreation Total TOTAL AMOUNT �( Exempt DYes 13 NO HOW Determined LIS Y FEE Land Account Land Credit Facility Account Land Taal Facility Credit Facility Total Exempt Dyes ONO Now Determined Total Amount TOTAL AMOUNT ERU $,. ,$ PERFORMEDChocked By NO CERTIFICATE OF OCcUpAN . CY WILL BE UNTIL OR FINAL INSPECTION THE ,• )' TAL AMOUNTS LISTEc) HAVE D FOR BY A EN SSEN, PAID •. NTY -Ackr"OdOOMM below d.0 r :, owner I . m*CE1 V 5 BY RECEIPT NO. DATE BY wl Ij lk iiiiiiiika Cq 13 I 0 M. A, mummo 12 v "UAA- REVIEW ASStS` : F I - Notice to Building Official of Use of Private Provider Effective January 20, 2003 WMEMWIM 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. MyZaMMEW, the fee owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services indicated above. 351511!1� �pq� ig � li��' Private Provider Finn: Private Provider: DEBRA ANNE KLAHR Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601 Telephone: HEIMM; Email Address (Optional): deb@virtualreviewassist.com Fax: N/A 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. I. 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. "71=4 (signature) Print Name: Address: Telephone No.: Please use appropriate notary block. ST.ATEoF —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 LENNAR HOMES, LLC Print Corporation Name By:—,....., (signature) Print Name: Christopher Smith its: Authorized Aaent Address: 700 NW 107th Ave Miami, FL 33172 Telephone No. 813-574-5700 Corporation Before me, this 22ND day of MAY _20-22, personally appeared of Lennar Homes, 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. 0 (signature) Print Name: Its: Address: Telephone 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 IX - or Produced identli cation Type of identification produced Signature of Notar Print Name ASHLEE CALLAHAN Notary Public Stamp: ASHI EE CALLAHAN Commission Expires: Notary PubU State of F[orida, commissior. # cara 244456 NOVEMBER 30, 2022 Expl(es Nov 30, 1022 o u t"NWOW Notary A \/R/\ VIRTUAL REVIEW ASSIST Private Provider Plan Compliance Affidavit Private Provider Finn: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU 1967 Address: 747 Southwest 2 nd Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: ]Ltca,,,(&N,,irivalre�,ieNvassist, coin Project: New SFR Address(s): 6493 Bar S Bar Trail I hereby certify that to the best of my knowledge and belief the plans submitted were reviewed for and are in compliance with the Florida Building Code and all local amendments to the Florida Building Code by the following affiant, who is duly authorized to perform plans review pursuant to Section 553.791, Florida Statute and holds the appropriate license or certificate: Name: Debra Anne Klahr Plan Sheets: CS,1.0,1.1,2.0,3.1,3.2,FI,4.0,4.1,5.0,6.0,7.0,7.1,8.0, Dl,D2, SN, SNI,S3,S4,SS, ST,S5, S6,VvTI,PAI.0,PAI.1,PAI.2,PAI.3, SHLO, SH1.l,SHl.2,SHl.3,SH1.4,SH1.5 Florida License/Registration/Certification #(s) and description: FS468 Certified Standard Plan4xammer License #: PX2300 Signature of Reviewer: SWORN AND SUBSCRIBF�D�efore me by Debra Anne Klahr being personally knownor having produced as identification — and who being fully sworn and cautioned, state that the to e ling is true an coT-,ct to the best of his/her knowledge or belief. Lhnfl kvatj— igna' of Notary Print Name Notary Public: NOTARY STAMP BELOW My commission expires: ASH H I EE E C A! I A H AA N Notary Pubkc - State of Fionda [E= Commission # GG 244456 ty� My Comm. Expi, es Nov30, 202 2 Bonded through National Notary Assn. TRACKING # FOLIIli # 6493 Bar 5 Bar Trail I1011191M. 11"], U1 FOSTA33- Required Permits 5.� long "MMIM, IVBuilding E] Ins ection Only WPlumbing ❑ Inspection Only wMechanical 1:1 Inspection Only VElectrical - AMP E] Inspection Only Roof Ej Medical Gas El Fire Sprinklers ❑ On Site Piping EJ Fire Line Ej Irrigation 0 Fire Alarm E] Potable Backflow Assembly E] Fire Line Backflow Preventer El Irrigation Backflow Assembly El Demolition F-1 Walk-in Cooler El Refrigeration 0 Hood El Ansul El Fence/Wall Ej Grease Trap E] Other E] Other Type Construction: Risk Category: I Occupancy Load ss Day Care/Educational ,Facmy Hazardous Instimti,nal=❑ Mercantile OV,an CYClassification: AssemblyE== Business "Re,ide,tial Storage =RUtility Building Use: Single Family Alteration I —Level I Level 2 ❑ Level 3 Q, M VNew Construction n Interior Finish ❑ Interior Remodel ❑ Exterior Remodel ❑ Addition El Revision Overall Size: 40 X 43 Number of Stories: 2 Total Sq. Ft.: 3046 Living Area: 2584 Covered Area: 462 # of Bedrooms: 4 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof Type: Z Shingle ElTile El Metal El Other Squares: 19 Zoning: Wi❑ arise Debris: db ojnside Outside rJe Energy Code: 405-2020 I Flood Zone: AE Base Flood Elevation: 89.7'NAV088 Finish Floor Elevation: 96.07- NAV088 Hydrostatic Vents? ❑ Yes No Sq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: Total Sq. In. Permanent Openings 9 Central A/C 0 Heat Pump E] Window A/C El Gas A/C [j Gas Heat El Electric Heat F1711LITM-101 ME Sanitary Sewer Storm Sewer Catch Basins Potable Water Under round Fire Line Front Rear Left Right As per Approved Site Plan Comments: