HomeMy WebLinkAbout22-5101I mwiimim
N r� 0 y 0� - 2 1' J2
Issue Date: 12/06/2022
iM
Permite: Building Newesi i I
6857 Ripple Pond Lp 04 26 21 0140 00100 0770
x , l ,i , :$ i r ?,r i S"A ?
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: $228,120.00
TAMPA, FL 33607 Electrical Valuation: $34,218.00
Phone: (813) 574-5700 Mechanical Valuation: $15,968.40
Plumbing Valuation: $22,812.00
Total Valuation: $301,118.40
Total Fees: $13,684.74 a
Amount Paid: $13,684.74`-
Date Paid: 12/6/2022 11:23:26AM fie ( C,1.
„aye: .,�..,i' , v�r'i>?v,,,4.,ata..1..,b,�}...,:.h.ct . v\ sas\?;?"y�l\�§:t L~•N.".r(?1.,,,l;�-x\`l.. \v. `tv, v. i<A`v§\��sv §�:�.T,.S.A�3�:.krtL�;.1.Z."�4.,,,`. ';;.t..ii. v�,.'�.v'l. ��Zri,�xx.^,,. z�.1;i\:\s��ds.?t� ..., �`.zi�,t.,��. x?.2,.Ass,.?.S,�t;,v 1o,�b..(s. �,�.ei', t i '114vhvd�..x S\s�`�S §x..�§.`.:�*'.,`..zfi r`.,.`1`t\�x,r. o;z\�.,,..`,;.�.'.4 ,.,Q}. �\�;. .�:{?}. ?.�S;u7,,.`'unr`,. .,ii A,em�.,,3�;,xiv'l*� :�}\. 2uat�., :.�:,�4 .�2�?l\�LVi..ua§ �, ..�a:�,t,. , , ,u>.',.':.-�qr.� .���u•i,;,,nh�.s.1',?.1..,�. :`:;ae�..,.xl.:,.„..,�v �'€�,..,.,:, t,4 ,a.. r�v�� x €z
CONSTRUCT TOWNHOME 1517 SO FT
x.�.:.
fix..
? i r ?� 1 ti`.ti t ?� l \ ♦ � a�s �c 3
`\x;.}
Building Plan Review Fee $180.00 Public Safety Impact Fee Admin $26.35
Sewer Connection Residential Fee $2,090.00 Plumbing Valuation Fee $0.00
SIF 1 percent Fee $33.53 Address Fee $30.00
Water Connection Residential Fee $1,010.00 Mechanical Plan Review Fee $0.00
Fire Wall/Smoke Wall Inspection $15.00 3/4 Water Meter Residential Connection Fee $732.71
Transportation Impact Fee $3,445.20 Transportation Impact Fee - City $34.80
Public Safety Impact Fee -Police $254.00 Electrical Plan Review Fee $0.00
Plumbing Permit Fee $154.06 Driveway Fee $45.00
Park Impact Fee - Single Family/Townhome $769.56 School Impact Fee - Single Family $3,35300
Mechanical Permit Fee $119.84 Electrical Permit Fee $211.09
Building Permit Fee $1,180.60
EINSPECTION 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.
NO OCCUPANCY BEFORE C.O.
L�PIjww, 14LW4%t*z-
0014TRAC OR SIGNATURE PE f1IT OFFICE
PERMIT
r EXPIRES
w; * MONTHS WITHOUT APPROVED
r> w, INSPECTION
CALL r INSPECTION 8 w NOTICE REQUIRED
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 813.5743700
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 6857 Ripple Pond Loop LOT # A077
SUBDIVISION Abbott Square �A PARCEL ID# 04-26-21-0140-00100-0770
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH
P INSTALL REPAIR
PROPOSED USE Il r u SFR COMM OTHER
TYPE OF CONSTRUCTION tl_Y__ll BLOCK FRAME STEEL
DESCRIPTION OF WORK Multi family / Screen Enclosure / Fence
BUILDING SIZE U1R SF 1 g01 So FOOTAGE 1517 HEIGHT 18�
V BUILDING $ 22812U I VALUATION OF TOTAL CONSTRUCTION f l lle o
ELECTRICAL
$
PROGRESS ENERGY W.R.E.C.
34218
(
AMP SERVICE
PLUMBING
�1
$ 22812
,�.
(��/
0
MECHANICAL
$ 15968 4
VALUATION OF MECHANICAL INSTALLATION
GAS
® ROOFING
SPECIALTY
OTHER
FINISHED FLOOR ELEVATIONS
® _, _��
FLOOD ZONE AREA YES Do
BUILDER
COMPANY
Lermar Homes, LLC
SIGNATUREJI/
REGISTERED
L_LLN_j FEE CURREN
Address
4301 W B y
Scout Blvd Suite 00 Tampa,
FL 33607
License #
CGC1518166
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 / N
Address
License# I CFC042998A
MECHANICAL
COMPANY
Bayonet Plumbing, Heating & AC, Inc
SIGNATURE
,
REGISTERED
FEE CURRENYNN
Address
License # I CAC058062��
OTHER
COMPANY
C Sterling Quality Roofing, Inc
SIGNATURE
REGISTERED
Y l N FEE CURREN Y/ N
Address
License #
�CCCO57991
I I I I I I I II I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I
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-OW 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
U CrIA—TR 10 5 ,-
(F. S. 117.
OWNER OR AGENT
Subscribed and sworn r,4(or affirmed) before me this
802022 by Christopher Smith
Who is/are personally known to me or hava pfGd4Gqd_
as identification.
-Notary Public
Commission No. GG 296057
Stephanie Farmer
Subscribed and sworn to (or affirmed) before me this
81312022 by Christopher Smith
Who is/are personally known to me or has/have produced
as identification.
Notary Public
Commission No. GG 296057
Stephanie Farmer
DESCRIPTION: LOTS 77-82. BLOCK 1, ABBOTT SQUARE PHASE !A,
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89.
PAGE(S)28-35, OF THE PUBLIC RECORDS OF PASCO COUNTY,
PROPOSED ELEVATIONS AND GRADING )
SHOWN HEREON ARE TAKEN FORM THE 1
ENGINEERING PLANS OF 1
'ABBOTT SQUARE RESIDENTIAL`, PREPARED 1
' BY'WRA' PROVIDED BY CLIENT
i
f
This SITE PLAN Prepared for and Certified To:
Lennar Homes
bb\
O
LOT = 20235 SO- FT.
LIVING AREA = 8634 -SO - FT.
PORCH = 124 SQ. FT o r^�
GARAGE = 1484 SQ. FT.
COVERED LANAI = 612 SO. FT.
PATIO = N/A SO, FT. 3.z X_
POOL AREA = NJ_ SO. FT. C/SHC
CONC. DRIVE = 1418 SO, FT.
A/C & CONC PAD -�_SQ, FT. .�,� 19_s -
SIDEWALK = 582 SO, FT.
LOT OCCUPIED - 64 %
AREA TO IRRIGATE = 36 4/0
a
3.2'X3.2'
z C/sA/C
z
G m 3.2X3.2'
z C/S A/C
Sole: i " = 20'
SITE E PLAN V j ALL. ELEVATIONS REFERENCED
SEC. 1 1, TWP" 25 S, RING 21 E.
(NOT A SURVEY) Tp NORTHAMERICAN
PASCO COUNTY, FLORIDA
VERTICAL DATUM OF 1988
(ABBOTT SQUARE)
(NAVD 88)
I
3a
TRACT 'EL I'
ACCESS/DRAINAGE/(ANDSCAPE/WALL MAINTENANCEil
J
FE AND NET AREA: OPEN SPACE
I-,{
1
J8
J 0
D
S 87'4953" E (P) 112,00 (P)
G
3.0 /0 19.8' 20I5........`
I o-�
ENTRY 41
_
PROPOSED
- 9
NA I STORY VILLA LOT 77
! d
LO PLAN 1500 BLOCK)
ELEV'TH'
GARAGE L
S 87'49"53" E 1P) 112.00' )PI
9.8'
,I 1
~
_ PROPOSED
A I STORY VILLA ENTRY 13.&'
4 '
PLAN )397
9 LOT 78-
ELEY "T
BLOCK 1
GARAGE R 5.3
1
a
S 87.49S3" E lPJ 112.00' (PI
N ��
62.5'
PROPOSED
1 ee+-
I
rjLL. �u S8]4953"EIP 112.00'FEE
80- d3.0
N o C
63.0' _
l
m Q
o n �
1
L PROPOSED p
Q NA� I STORY VILLA ENTRY 138'
2" OAK
S.o PLAN 1397L LOT 80 a --___._ -r ..=- ..,... iv , II
ELEWTH 21,5 u'
BLOCKS
TW= TOP OF WALL _ a
32X32 GARAGE R 53
10. 00' PUBLIC UTILITY EASEMENT c/s AlC -
NOTE. ENTRY WALKS ARE 3' CONC ___ 7 5874 G I N 1
_SE)P1112.00yP)
---------7---a �q''.
LEGENQ: 3 cisw c
a PROPOSED
„__.--i-- PROPOSED DRAINAGE FLOW I STORY VILLA 5.3
8Q
(00.00) -PROPOSED GRADE PLAN 1397 LOT 81 NA. '
^' a
ELEV'TM BLOCK t - -- 215
E-00.00 =- EXISTING GRADE ti� ry GARAGE L E1vTRv i3-8.
I 0 )
_
S 87'49'53E (P) 112.00' (P) - -
9 5' „ 1'
63
NOTES:
698
LOT GRADING TYPE =- A
_ PROPOSED
PROPOSED PAD ELEVATION =- 103.30 1 STORY VILLA u
.1
FROM SETBACK -= 20 8-0' PLAN 1500
3 2X3.2 0
c7sn C
/ b GARAGER LOT82
BACK (CORNER LOT ° 15 m BLOCK I
- ENTRY 4IT
SOER
0] c,
SE BAC 80 ff a
_....._ 19.8' M z
2C''
S M
.
PROPOSED_Jr
MINIMUM
MINIMUM FLOOR ELEVATIONS: - _�
LIVING AREA: 103.97'87'49s3 E (P) 112,00 P({ °_iPI___._,
o
GARAGE AREA: s
Q O 1 W100.16
! a
ELEVATIONS REFERENCED TO W 10094 1W 100.33 -
NORTH AMERICAN VERTICAL BpQeS3t
DATUM OF 1988 I
1 APPARENT FLOOD HAZARD ZONE. `X` COMMUNITY NO. 120235
i
�.
SURVEY ABBREVATIONS (MAP NUMBER 12101C-0289-F) EFFECTIVE DATE: 09/26,,2014
Al -ARC TNGTF I
(D) - DEED
NV v INVER:
PC - POINT OF CURVE
IS) .. RECORD
LEGEND v NYl PENO_
/C - AIR COKERIONER
DE> DEONA(E t ASEMEN
B�L'Ct LASED AI-SNESS
PCC POIN OFCOMIOJN.CURVE
R'vG=RANGE
AF=ALUMINUM FENCE
SEE - BASE FLOODL FVA110N
E_OR ELEY LEVA`ON
E-LAN>SCAPE EASEMENTPCP
PERMANENT CONTRO.OINT
REV- RAIL ROAD SPIKE
RM BENCH MA.R:(
EDP ^EDGE OF IAVLMEN
ESM -EAS MIN
!E- LOWEST rLpORE EVA ION
..S - LTC FS DSURVEYOR
P/C - POO OI.PM.Ni
"G^TAG
R'W^RTC i 0. WAY
SEC 4S f ON
�R ASPHALT
WOOD'ENCE
1
C CLEV`
( 7 CALCJ.A[In
( C`D BEING
C FEN (ORDER
CM- FOUND CONCRETE
MONUM19E Wi
(M-M ASURED
MFS Nl R DEND SEC=ON
VCF^Nf. CORNER FOUND
°+^fON O NT_.OF LION
PC =PARKERKA ON
PROPERTY LINE
SN&D^S NA ANOOSK
BA91 P3
SIT -SE 1 7 SCER ROD.B S'B3
CtINN. INK rENCE
CLt ^CFIAN�NICi LNCE
CM - CORRUGAT'D META.PYP
FIP FOUND iRONPPE
O/A-OVERALL
POB RDO OE BEGNNING
IBM- TEMPORARY BENCl i MARK
�^9RILK -k
X
COL COLUMN
C/S,CONE CONCRETE
FIR-FOUNDIRON TROD
N&D-FOUN Bell &DSK
OHW•' OVERHEAD WIRES!
O.R. , OHICVALRECORDS
POC ONTOECOMMENCINIENT
POE -POINT ON FINE
TOR - TOP OF BANK
TOWNSHIP
AL'UMINIIM FENCE
CLEAR T, SLAB
FOP - FOUND OPEN PIPE
(PI 'PLAT
PEC PONT OF REVERSE CURVE
UE>UT IIYEASEMEM
aCOVLRED _
��
Di -
CSi-CLEAR SIGI`TRVANCLF
PP FOUND PNCHEDPIPE
PB - PLAT BOOK 1
PRM PERMANENT RI HERE MONUMENT
VI =VINY, FENCE
JOB #5629
SURVEYOR'S NOTES:
1.) Current title information on the subject property had not been
furnished to Initial Point Land Surveying, LC at the time of this
Y 9. L
SURVE,((R41TIFICATE
This certifi at e reon described
'
propert a wision and
1708 Water Oak Drive
Tarpon Springs F)o•.da
Phone: (727)-831-1990
Date of Site Plan 65-22
)WC, AVI 1 82 BI zrrE
SITE PLAN
2.) This without the benefit of a title search.
meets,1c4-y{9t �bfi7factice for
FlondaPLS7123iEgrea0.com
sketch was prepared
No instruments of record reflecting ownership, casements or
surv$"S as t ith %'fie r a B(lyd of Land
t'
LBO 8183
-Ile:
rights -of -way were furnished t'o the undersigned, unless otherwise
S� a er -DI r i12d
c1_ Fl on irldtr Iv
Drawn by: DJB
Drawn
shown hereon.
ur oSection 47, i rartle
3.) Roads, walks, and other similar items shown hereon were taken
^"
to 9
Matey
Checked by.JH
4EVISIONS
from engineering plans and are subject to survey.
A.}This SITE PLAN does not reflect nor determine ownership_
E .07.29
� 'PA. 'l ^7�1�U 04'00'
"'""
- � f .t � '
s
Th SITE
s subject to matters shown on the Plat ofABB
1."�p� T"2i:
JJ �0���
P I'llr
1`T`yn Z1N�
6S.
TT SQUARE PHASE IA'
. D� ensions shown hereon are in feet and decimal portions
.Jeff M. Ha �Surve 0
FL DRIDA R 02ffy VEYOR AND
Q
thereof.
Qh
MAPPER NO. LS#7123 LB#8183
7.) Contractor and owner are to verify all setbacks, building
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
d"
deviation from information Shown hereon. Failure to do so will be
at users sole risk
LICENSED SURVEYOR AND MAPPER
Initial Point Land Surveying,
LLC.
Permit No
Date Pe
Builder Name/Owner Name Control #
County Parcel No,0 SubDiv:
Address/Location &957'X'vz 4.jlj?
Classifloation/Type of Use
TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit:
Exempt El Ves 0 No How Determined
Impact Fee Amount Zone No, _ TAZ:
Account (056) Single -Family Detached House Amount $
(057) Mobile Home
(058) Other Residential -----------
23) Collection Fee
Exempt 6 Yes 0 No How Determined
I-AKK-5 AND RECREATION F
Land Account Land Credit - Land Total
Recreation Account - Recreation Credit _ Recreation Total
Zone I TOTAL AMOUNT $ 74f,�-Z
Exempt 0 Yes 0 No How Determined
Land Account Land Credit — Land Tota I I
Facility Account Facility Credit Facility Total
Exempt OYes ONO How Determined Total Amount-z'�"'
TOTAL AMOUNT ERU
Prepared By v Checked By
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UN11L THE TOTAL AMOUNTS LISTED HAVE
]BEEN, PAID AND '
RECEIPTED FOR 8Y A CENTRAL PERMITTING OFFICE, OF PASCO COUNTY
0uuqFt*'1vv Qf concurrence, but SIMPlY M001008,00 ofthla,
the building pennit owner, on notice of this assessment and copy
the o6ndftns b(PSyment for sam
SATE WC VEI V—E—D—B �Y
ml�M.s
____=
v -UAL R E V F A/ A S S C S
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 6857 Ripple Pond Loop
Parcel Tax ID: 04-26-21-0140-00100-0770
Services to be provided: Plans Review X
Inspections
Note: If the notice applies to either private plan review or private inspection services the Building
Official may require, at his or her discretion, the private provider be used for both services pursuant to
Section 553.791(2) Florida Statute.
I STEVE SMITH , the fee
owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services
indicated above.
Private Provider Firm:
Private Provider:
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.
(signature)
Print
Name:
Address:
Telephone
No.:
Please use appropriate notary block.
STATE OF —FLORIDA
COUNTY OF HILLSBOROUGH
Individual
Before me, this day of
20®, personally
appeared
who executed the foregoing instrument,
and acknowledged before me that same
was executed for the purposes therein
expressed.
Corporation
LENNAR HOMES LLC
Print Corporation Name
By:
(signature)
Print
Name: Christopher Smith
its: Authorized Aaent
Address: 700 NW 107lb-Ave
Miami, FL 33172
Telephone
No. 813-574-57QO
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.
Print Partnership Name
1
(signature)
Print
Name:
Its:
Address:
Telephone,
No,:
Partnership
Before me, this
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 Notar Print Name ASHLEE CALLAHAN
Notary Public Stamp:
ASHLEE CALLAW
Commission Expires: Notary pubilF T State of Ftorida
WI)mIssior. # QG 14056
NOVEMBER 30, 2022 rnm EXPI(e5 Nov 50, 1022
jhroqh NWOW NOUN AM!
VR/\
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,d Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: I �'�)vLirLuqhje >iewassist,com
Project: New �w5tp(-
Address(s): 6857 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 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: 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
Signature of Reviewer: zc�
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
foreg ing is true and correct to the best of his/her knowledge or belief.
I i I Ok IW" Vr'V-\\PP On�'tnVIM
Signature of Notary Print Name
Notary Public: NOTARY STAMP BELOW My
commission expires:
pt CALLAHAN'
Florida
G
C.C.2
"o, 3C' 20
Ir E�15-1'---��"�' "".
COMMERCIAL BUILDING SERVICES DIVISION VRESIDENTIAL
BUILDING PERMIT DATA SHEET
ljlfja�--�=Jx =..!m
Required Permits
DATE:
EXAMINER: Debra Klahr PX230(
Building
❑ Inspection Only
Wflumbing
❑ Ins ection Onl
WMechanical
❑ Inspection Only
WElectrical Amp
❑ Inspection Onl
IV Roof
❑ Gas
❑ Medical Gas
❑ Fire Sprinklers
❑ On Site Piping
❑ Fire Line
❑ Irrigation
❑ Fire Alarm
❑ Potable flackflow Assembly
❑ Fire Line Backflow Preventer
❑ Irrigation Backflow Assembly
❑ Demolition
❑ Walk-in Cooler
❑ Refrigeration
❑ Hood
❑ Ansul
El Fence/Wall
❑ Grease Trap
❑ Other
❑ Other
T e Construction:
V-B
Risk Category:
Occupancy Load
O ancy Classification:
Factory
Residential
Assembly E
Hazardous __- __ __
Storage
ay Care/Educational
'"3usiness �ryF
Institutional Mercantile
❑;L7tility
Building Use: Single Family 1 Alteration ❑ Level 1 ,Level 2 IQLevel 3
Pf New Construction ❑ Interior Finish ❑ Interior Remodel ❑ Exterior Remodel ❑ Addition ❑ Revision
Overall Size:
27 x 70-10
Number of Stories:
1
Total Sq. Ft.:
1901
Living Area: 1517
Covered Area:
384
# of Bedrooms: 2
# of Baths: 2
Cost per square foot:
Estimated Value:
Roof Type: tK Shingle
❑Tile ❑ Built-up
❑ Metal ❑ Other Squares: 21
Zoning:
Wi orne Debris:
❑;Inside
Outside
Energy Code:
405-2020
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents? (;`Yes
No
Sq. Ft. Enclosed Space Below BFE:
# of Vents:
Size of Vents:
Total Sq. In. Permanent Openings
® Central A/C
❑ Gas A/C
N Feat Pump
❑ Gas heat
❑ Window A/C
❑ Electric Neat
SanitaKy Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
Front Rear Left _ Right
2✓ Asper Approved Site Plan
Comments: