HomeMy WebLinkAbout22-5098CONSTRUCT TOwNH0ME1400GQpT
Building Permit Fee
School Impact Fee-Skngle Family
Building Plan Review Fee
Electrical Permit Fee
Public Safety Impact Fee -Police
Mechanical Plan Review Fee
Plumbing Permit Fee
Address Fee
Fire Wall/Smoke Wall Inspection
Mechanical Permit Fee
Park Impact Fee - Single Fami|y/Townhome
Issue Date: 12/0612022
Permit Type: Building New (Reoidontia|)
Class of Work:Townhmn
Building Valuation: $211.560.00
Electrical Valuation: $31.734D0
Mechanical Valuation: $14.809.20
Plumbing Valuation: $21.158.00
Total Valuation: $279,2e9.20
Total Fees: %13.575.4o
Amount Peid:*1o.57545
Date Paid: 12/6/2022 10:19:46AM
$1,097.80 Electrical Plan Review Fee
$0D0
$3.353I0 Plumbing Valuation Fee
*0l0
*180.00 Transportation Impact Fee 'City
$34.80
$198.07 Driveway Fee
%45.00
$254.00 Water Connection Residential Fee
$1.010.00
$0�00 Sewer Connection Residential Fee
$2.090.00
*14578 3/^Water Meter Residential Connection Fee
%73271
%nO.00 3|F1 percent Fee
$33.53
$15.00 Transportation Impact Fee
$3.445.20
*11*.0e Public Safety Impact Fe*-Admin
$26.35
*789.5O
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.
CONTRACTOR SIGNATURE
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 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 N/A Owner Phone Number
Fee Simple Titleholder Address N/A
JOB ADDRESS 6841 Ripple Pond Loop LOT # A080
SUBDIVISION Abbott Square PARCEL ID# 04-26-21-0140-00100-0800
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR 8 PADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM I OTHER
TYPE OF CONSTRUCTION BLOCK FRAME U STEEL
DESCRIPTION OF WORK Multi -family / Screen Enclosure / Fence
BUILDING SIZE U/K SF 1763 SQ FOOTAGE 1400 HEIGHT 18'
BUILDING $ 211560 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ 31734 ( PROGRESS ENERGY W.R.E.C.
1 AMP SERVICE
[yJFPLUMBING $ 21156
MECHANICAL $ 14809.2 VALUATION OF MECHANICAL INSTALLATION
w,
GAS YJ
ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA El YES Do
BUILDER COMPANY Lennar Homes, LLC
SIGNATURE REGISTERED Y ( N FEE CURREN Y / N
Address 4301 Boy Scout Blvd Suite 600 Tampa, FL 33607 CGC1518
License # ----166 —�
ELECTRICIAN ` COMPANY Edmonson Electric, Inc.
I
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # I EC13005408
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address "" License # CFC042998
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED L_Z_L N FEE CURREt Y 1 N
Address License# CAC058062—�
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED L__LLN_j FEE CURREN I 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. (AtC 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
LAW k i
&XV1 I I M a :11:43 VM I 210-IIJ I Z 19:1 il 1011 IM01: I F-11 I LIN 21 U-11 0 M ILI M
iwxyj I L I I
M"306'111111
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
813/2n22 by Christopher Smith
Who s/are "personally known to me or haslhav&jwG�
as identification.
Notary Public
Commission No. GG 296057
Stephanie Farmer
CONTRACTOR___,g;L-�—��..
Subscribed and sworn to (or affirmed) before me this
8/3/2022 - by Christopher Smith
Who Oare personally known to me or has/have produced
as identification.
Notary Public
Commission No. GG 296057
Stephanie Farmer
Name of N
MAMIE FAMER
$Go MW
w DOM Fabruoy 115,20n
gmftd TWd Tmy F* bmM M"W#jq
1
rif-AMOMMENIONM
DESCRIPTION: LOTS 77-82, BLOCK 1, ABBOTT SQUARE PHASE IA, SITE PLAN FALL ELEVATIONS REFERENCED l SEC. 1 1, TWP. 25 S, RNG 21 E.
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89,
EAGE(S)28-35, OF THE PUBLIC RECORDS OF PASCO COUNTY, (NOT A SURVEY)
TO NORTH AMERICAN PASCO COUNTY, FLORIDA
VERTICAL DATUM OF 1988 (ABBOTT SQUARE)
(NAVD 88)
PROPOSED ELEVATIONS AND GRADING _ __.__.____ a v
ao
, SHOWN HEREON ARE TAKEN FORM THE
ENGINEERING PLANS OF o: 1
'ABBOTT SQUARE RESIDENTIAL`, PREPARED 1
i
BY WRA" PROVIDED BY CLIENT o N 1
'--"-- - -
TRACT " 3-1 "
I ACCESS/DRAINAGE/LANDSCAPE/WALL MAINTENANCE
I--- ------ "'-'----1 \ AND FENCE AREA: OPEN SPACE
Z
This SITE PLAN Prepared for and Certified To: 1 -X //0�7a
�. g S 87'49'53' E (Pl 112.00 ' (P)
Lennar Homes -+----- '
k
LOT = 20235 SO, FT. ��� ._ 20.7
;...... 80 i 19.86 >_— --- 205 _....
LIVING AREA - 8634 SQ. FT. °- o ENTRY a�l "4 3s a ..
PORCH = 124 SO_ FT. o ram, f E
GARAGE = 1484 SQ. FL ``�' PROPOSED
"I o i STORY VILLA LOT 77
COVERED LANAI - 612 SO. FT. r_.I 8.0 PLAN 1500 BLOCK i
PATIO N_J—SO, FT. 3.z x3.2' ELEV'TH' 0 1• rt 1 si ";
POOL AREA
CONCPAD 4 SO FT. _ 19s YAYL - se7A'49sGFgL)PI 1rz.00(P LL.•-• f
NA
CONC. DRIVE I418
A/ 60 SO, F1, 1
SIDEWALK 8� 2 SO, FT. s.0
LOT OCCUPIED -�4 v/o 630 ,
AREA TO IRRIGATE = 36 0/6 _ PROPOSED I I�
' m NA N I STORY VILLA ENTRY 13.8'
D 9.0' PLAN 7347 LOT 78
'D ELEV "TM
BLOCK i d
- N 'w
3.2x3.2' GARAGE. R v 5.3
v GZ
CSA C - 8'953(PIw ' 1 1200
_ ------
' o I
___I__ _
V � 625 1 }
62
3.7X3.2'
9 ''yy/� o CIR C die
Scale: 1 — LV F3 a 80 STORYQVILLA 53
V Q w PLAN 1397 LOT 79 _ -- ,Q 2 I Q
Q N N ( ELEV"i'H` BLOCK t --
®-
C z GARAGE L ENTRY 13.$.. - .� w ^ IZF-
IOU
N S 87'49"53" c IP7 7 12.00' 1' o .. I Qe Ly Ly
66
N
c
^T 63.0 m -
e to
N
PROPOSED o �.
GIT,ANA� (STORY VILLA ENTRY 139'
r H
N 80 ELEV "TH BLOCK 1 s RE "�
PLAN 1397 LOT80 zi
TW= TOP OF WALL < i
3 2X3 2 GARAGE 53
* = 10.00 PUBLIC UTILITY EASEMENT OS p7E -
NOTE: ENTRY WALKS ARE 3 CONC s 87.4q';3' E (a 112.00' el N 1,
c
62.5' _ _ 1 I
------- _ .. '..
LEGEND: 32x32
C/SNC PROPOSED
PROPOSED DRAINAGE FLOW ;0 1 STORY VILLA 53
80
j00.00) =PROPOSED GRADE PLAN 1397 LOT81
ry NA ELEV "TH" BLOCK I ` 21.5
E-00.00=EXISTING GRADE ti� ,� m, GARAGEL ENTRY 138'
O"
.-.,...�9 5 S B]'a9'S3" F. 112.00' PP
63.0
NOTES:
LOT GRADING TYPE = A
,
PROPOSED PAD ELEVATION = 103.30" - PROPOSED F �
i STORY VILLA
FRONT SET' BACK = 20 a fro' PLAN 1500 ) _U-
32x3.7 N ELEV-TH" 1.0
SIDE SET BACKZS c9i CTs7S/c GARAGER LOT 82 -
o 0
SIDE SETBACK (CORNER LOT) =15 ^� = r m ENTRY 4. BLOCK 1
o
REAR SETBACK - I5 _..,_ o 8_0 - o
Z7
19.8 '^ 35.4' In i
PROPOSED: `-- — —
_ d
MINIMUM FLOOR ELEVATIONS:
LIVING AREA: 103.97' S87°4953`1' P) 11200 (P) "- ) .......I
GARAGE AREA: i o 1 W 100.16 i I
ELEVATIONS REFERENCED TO I w LOT83 TW feea 1W:100.33--/ a
NORTH AMERICAN VERTICAL BLOCK 1
DATUM OF 1988
l
APPARENT FLOOD HAZARD ZONE. "X' COMMUNITY NO. 720235
SURVEY ABBREVATIONS (MAP NUMBER 12IOIC-0289 F) EFFECTIVE DATE:09/26,,2014 i
E ,ARC ENc " IDI - DEED wv-;NVFrr Pe•PO NT ofa1RVF 1Ri-aEeOPD LEGEND
SVI KRCONDTONER [I-DRAIVACEEASEMEN 13-LICENSE`ROICNESS PCC °ON' OF COMPOUND CURVE RNG - RANGE VIVY. fLNCE
AE -ALM "'ORCE IL OR ELEV UFFVATION 1 E- LANDS(APF LASEMFNT PCP PERMANF PIT CONTROL. POINT RRP - RAIL ROAD SPIKE ayrr':/•CONC �—
IIII- BASE `LOOD fI EVATION EOI -EDGE Of RAVEMENT IIE =I.OWFS FLOORELEVAIION P/E ROD EQUIPMENT R/W=PGHT OF WAY
R-BEN"(MARK ESMEASEMENT is- LICENSED SURVEYOR 'G•PAGE SL(- SECTOV WOODPENCE
C CU.V£&D=SET NAL AND DISK-AS;'HALT ^-
[C1 ULCULA IFD C=FENC CORNER MI-MEASREDF PONT.-PORN O IN
C'NTERUNC MCOLMFN' e:}t1C RETL NCFME N fFR PS)SECTIONPK -A DR)PPKLIZ E,.O:V U1-183 CARJUNK'EVNCE
C ^CI-tA1N.NK"NCE MONUMFN NCF=NO CORNER FOUND R PROPE 2TY FJN� CR-SF TEMPORARY
FIT NUI
di&3
CMP CORRUGATElT METALER FI -FOUNDRONPIPE CJ/A-OV RA POB POM('E BEGINNING gM=T MPO(UiRY RE(vCMf APS "BRICK
SOLq COLUMN fl FOUNDIRONROD OHW-OVFRHEADW}RE(SI POC °ONI OF COMML NCTME NT IOB=TOP OF BANK
CONC -CO -CONCRETE IPAD -FOUND NAIL &DISK O.I. -C FLOAL BE M POL OINIONLIN TWP=TOWNSHR AIUMINLRFENCE
CONCRETECIS -0AS IOR--FOUND OPEN PPE '1 -a,- PRC POINTO REVERSE CURVE UI, UTULTY EASPER1N'' X ^COVERED _ % _
CS:-C;CARSDTTRANGLE FII -FOUND NCH[DP{ E a9-'1B 900K 1 PRM "ERMANtNa REFFRFNCI MONUMENT VF=VINY., ..NCI ta_1
OR #5629 SURVEYOR'S NOTES: SURVE TIFICATE 1708 Water Oak Drive
1. Current title information on the subject property had not been ♦♦♦�
'Date of See Plan: b-S22
l P P Y This certifi a et�� Ron described Tarpon Springs Fforida
furnished to Initial Point land Surveying, LLC at the time of this properta r FtJtlie iaion and Phone: 1727)-831-199C
1WGAS=na2H1 YIP SITE PLAN meetsje7ypp11 &&stO, f''� acbce for FlondaPLS7123@gmaii_com
2.) This sketch was prepared without the benefit of a title search. surrv}��rs as [�b�1Yh•pµ e r a BAt rd of and 113418183 '� C
No instruments of record reflecting ownership, easements or S " (�adF¢1'r•IJ' Q)f t I• ned
=Ile: rights -of -way were furnished to the undersigned, unless otherwise 5 - FI l do i ist 1v s
shown hereon. purl 'o Section 4, ,. / i artley
Drawn by DJB 3t Roads walks and other similar items shown hereon were take r
SO
tat
-hocked byJH from engineerTg plans and are subject to survey ' E fete .a7.24
4.) Th :s SITE PLAN does not effect nor determine ownership. _ OIL'` ��T
xEVrsloNs ,• �t0 �� �04'00' " T
6.) This SITE PLAN is subject to matters shown on the Plat of 41, O %a(� k :.i R"M
-ABBOTT SQUARE PHASE I A' - -A �6 - -
6.) Dimensions shown hereon are in feet and decimal portions Jetf M_ HarUCV8y0 ♦♦♦ -Ito
thereof FIORIDA PRIiINi�VEYOR AND
7.) Contractor and owner are to verify all setbacks, building MAPPER NO. LS#7123 LB#8183
dimensions, and layout shown hereon prior to any construction, NOT VALID WITHOUT THE ORIGINAL
and immediately advise Initial Point Land Surveying, LLC. of any SIGNATURE AND SEAL OF A FLORIDA
deviation from information Shown hereon. Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC.
at users sole risk
2
PASCO COUNTY, FLORIDA
Permit No.
Date Permltted—
Builder Name/Owner Name '&/L/I
Control#
County Parcel No.
Address/Location
Classification/Type of 11s
TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit:
Exempt [I Yes [] No How Determined
Impact Fee Amount Zone No. TAZ:
Account (056) Single -Family Detached Hous® Amount $
(057) Mobile Home
(058) Other Residential
23) Collection Fee
Exempt 6e Yes No How Determined
Land Account Land Credit Land Total
Recreation Account — Recreation Credit — Recreation Total
Zone TOTAL AMOUNT $
Exempt [:]Yes No How Determined
Land Account Land Credit — Land Total
Facility Account Facility Credit Facility Total
Exempt []Yes No How Determined — Total Arrlountl--'
TOTAL AMOUNT ERU
a=
ia Acknowledgement below does not imply acceptance of concurrence, but simply receipt of copy of this form, placing
the building Permit owner, on notice of this assessment and the conditions of payment for some.
HATE DECEIVED YBY
RECEIPT NO. DATE BY
10.
FIROMETO
a
0
a
Project Name:
\/-RA
v IR TUAL RE'VIEW ASSIS i
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
6841 Ripple Pond Loop
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.
the fee
owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services
indicated above.
Private Provider: DEBRA ANNE KLAHR
Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
UMMM
MMUMM-
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
(signature)
Print
Name:
Address:
Telephone
Please use appropriate notary block.
�Uwffbjz
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 Aft
Address: 700 NW 107th Avg
—
Miami, FL 33172
WMMMM
Print Partnership Name
In
(signature)
Print
Name:
Its:
Address:
Telephone Telephone
No, 813-574-5700 No.:
Corporation 22ND
Before me, this day of
MAY 12o22'
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.
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 identication— Type of identification produced
Signature of Notar Print Name
on_ ASHLEE CALLAHAN
Notary Public Stamp:
n4 kAN
ASHLEE CALLA
Commission Expires: Notary pubilc - State of Florida
conimlsslor N GG 244456
NOVEMBER 30, 2022 AyCorflm- EIRV05 N®4 30,2022
oned. tmqh NnI
t onfli Notary Assn,
\/RA
VIRTUAL REVIEW ASSIST
Private Provider
Plan Compliance Affidavit
Private Provider Firm: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU1967
Address: 747 Southwest 2,d Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: I irtualreviewassist,com
Project: New 5FK-I;Fr
Address(s): 6841 Ripple Pond Loop
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: 1,2,3,4,5,6,7,8.9,10, 10.1, LI,FP-1,SN,SNI,S3,S4,S5,SS,D1,WP,
PAI.0,PAI.1,PAI.2,PAI.3,PAI.4,SHI.0,SHI.1,SH1.2,SHI.3,SHI.4,SHI.5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300 --k Signature of Reviewer: / a
7K��
SWORN AND SUBSCRIBED before me by Debra Anne Klahr
being personally known to me v' or having produced as identification
and who being fully sworn and cautioned, state that the
Lf" i
s true and correct to the best of his/her knowledge or belief.
)
Signature of Notary Print Name
Notary Public: NOTARY STAMP BELOW My
commission expires:
rr
-Stl'te of F�ondda
o"
GG 244456
45
"'v
30, 2022
TRACKING #
FOLIO • 6841 Ripple '• • of
Required Permits
DATE:
Debra Klahr► l
Building
Q inspection Only
Plumbing
❑ Inspection Onl
Mechanical
❑ Inspection Onl
Electrical Amp
❑ Ins ection Onl
10 Roof
❑ Gas
❑ Medical Gas
❑ Fire Sprinklers
❑ On Site Piping
❑ Fire Line
0 Irrigation
❑ Fire Alarm
❑ Potable Backflow Assembly
❑ Fire Line Backflow Preventer
❑ Irrigation Backflow Assembly
❑ Demolition
❑ Walk-in Cooler
❑ Refrigeration
❑ Hood
❑ Ansul
❑ Fence/Wall
❑ Grease Trap
❑ Other
❑ Other
E. �
Type Construction:
V-8 =
Risk Category:
Occupancy Load
O ancy Classification:
Factory
;Residential -
Assembly
Hazardous
❑ SStorage
Business Care/Educational
Institutional FDay
Mercantile
❑ Utility
Building Use: Single Family !Alteration ❑'Level 1 Level 2 Level 3
New Construction ❑ Interior Finish ❑ Interior Remodel ❑ Exterior Remodel ❑ Addition ❑ Revision
Overall Size:
26-8 x 71
Number of Stories:
1
Total Sq. Ft.:
1763
Living Area: 1400
Covered Area:
363
# of Bedrooms: 2
# of Baths: 2
Cost per square foot:
Estimated Value:
Roof Type-, Shin le
❑Tile ❑ Built-up
❑ Metal ❑ Other Squares: 19
Zoning:
Wi orne Debris:
❑°Inside:Outside
Energy Code:
405-2020
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents?
Q Yes
VNo
Sq. Ft. Enclosed Space Below BFE:
# of Vents:
Size of Vents:
Total Sq. In. Permanent Openings
Central A/C
❑ Gas A/C
® Heat Pump
❑ Gas Heat
❑ Window A/C
❑ Electric Heat
Sanita Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
Front Rear Left Right
❑✓ Asper Approved Site Plan
Comments: