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HomeMy WebLinkAbout22-5157Eiiiia-0 1, • art "r'q�.�12 Issue • :i ii Date: r i• 0R Permit Building New (Residential) 6474 Beverly Hills Dr 04 26 210140 01200 0400 IN } " 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: $433,440.00 TAMPA, FL 33607 Electrical Valuation: $65,016.00 Mechanical Valuation: $30,340.80 Phone: (813} 574-5700 Plumbing Valuation: $43,344.00 ���'� Total Valuation: $572,140.80 Total Fees: $20,934.31 Amount Paid: $20,934.31` Date Paid: 12/612022 10:19:46AM j 7s .\::'.\ 'v iS f; `. ,.;sT lCH t: a: " 4 .. "� .1 Ax �.,:; 4 b 'Yi : '� ) r \ �. '+' `=t. i t ,.1, ti \ ia. ,bS C 4c `j ��4.oti. t x, ,., ,U,.) \.j?.'= s Si j+.. jL ,s\.�.. a >.1s `', t �S<.., ..r.,*. 4.. `�....`.. c \j.."z`�. .1.``i�...'t L fi.:; 1. ..,it. NtS� `' Ali j.. . 1 �, `j i 3\, "o-4',.`�'��\..'i M'vs„';7Y §t„�}`\1; CONSTRUCT SINGLE FAMILY 3086 SO FT ZL "; A..,F ..\,..ti.,.jyF.\i<il��A.4`��.t��.s�i��,�tt�,�����s��4j�t£C��<�:j,,,; `s'ti?.,";�ye �.�s,iN.tVs;.';�,3,j'ti����.�`?.i"'\..?���jii�.`2,,;��,•��1 i1��i, ,h'�. 14� �e`„,3.?;�`h,`a��1;., .. "tti �i�. Sewer Connection Residential Fee $2,090.00 School Impact Fee - Single Family $8,328.00 Transportation Impact Fee $3,595.68 Irrigation 3/4 Meter (Cale) $732.71 SIF 1 percent Fee $83.28 Driveway Fee $45.00 Building Plan Review Fee $180.00 Public Safety Impact Fee -Admin $26.35 Mechanical Permit Fee $19130 Park Impact Fee - Single Family/Townhome $769,56 Plumbing Permit Fee $256.72 Address Fee $30,00 Building Permit Fee $2,207.20 Plumbing Plan Review Fee $0.00 Electrical Permit Fee $365.08 Mechanical Plan Review Fee $0.00 3/4 Water Meter Fee (Cale) $732.71 Water Connection Residential Fee $1,010.00 Public Safety Impact Fee -Police $254.00 Electrical Plan Review Fee $0.00 Transportation Impact Fee - City $36.32 EINSPEC'TION FEES, (c) With respect to Reinspection fees will comply with Florida Statute 553.8()(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.Q. NO OCCUPANCY BEFORE C.O. uj-\� /I I Q�j �,* r. CONTRACTOR SIGNATURE PE IT OFFICER I PERMIT EXPIRES IN 6 MONTHS WITHOUT NSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE 1 813-780-0020 Building Fax-813-780-0021 Date Received Phone Contact for Permitting 908 770 7763 I a I B I I a I a I I/ I/ 1 1 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 FeeSimple Titleholder Name Owner Phone Number Fee Simple Titleholder Address N/A JOB ADDRESS 6474 Beverly Hills Drive LOT # 1240 SUBDIVISION Abbott Square PARCEL ID# 04-26-21-0140-01200-0400 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR e 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 U/R IF 3612 SQ FOOTAGE06 HEIGHT 28 BUILDING $ 43344C VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 6 0016 AMP SERVICE PROGRESS ENERGY W.R.E.C. PLUMBING r:433:44: w� MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ✓ 30340.8 GAS I • r ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS ••• rrr M- FLOOD ZONE AREA 11 YES O g iii����ll �• BUILDER �,*' COMPANY Lennar Homes, LLC SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address 4301 Boy Scout Blvd Suite 600 Tampa, FL 33607 License # I CGC15181666 - ELECTRICIAN Edmonson Electric, Inc. .,�`"� COMPANY SIGNATURE REGISTERED I Y / N J FEE CURREN Y / N Address 1 7 License # EC13005408�� PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc___] SIGNATURE e'�J REGISTERED Y / N FEE CURREN Y / N Address '`�� License # I CFC042998� MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address License # I CAC058062 — OTHER f _ COMPANY C Sterling Quality Roofing, Inc SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address License # 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 hm^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 wmrk, they may be required to be licensed in accordance with state and |ooe| regulations. If the contractor is not licensed as required by |mw, both the owner and contractor may be cited form 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. Fudhennove, if the owner has hired o contractor or umntnonbzro, 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 cnntnaob`r, that may bean indication that hoianot properly licensed and is not entitled topermitting 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 tothe construction of new bui|dinga, change of use in existing bui|dinga, or expansion of existing bui|dinga, as specified in Pasco County Ordinance number89-O7 and 90-07. as emended. The undersigned also undorstands, that such fomo, as may he 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 na|eaae, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVoter/8mwor 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, aaarnendnd): |fvaluation nfwork iu$2.5OUUUormore, | certify that |, the app|ioant, have been provided with e copy of the "Florida Construction Lion Law —Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant in 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 ittothe ''mwner'prior tucommencement, CONTRACTOR'S/(]VVNER'SAFF|DAV|T: | certify that all the information in this application is accurate and that all work will be done in compliance with all applicable |mwn regulating oonatruotion, zoning and land development. Application is hereby made to obtain a permit to du 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 oonotructiun. County and City oodea, zoning regulations, and land development regulations in the jurisdiction. | also certify that | understand that the nagu|odona ofother government agencies may apply to the intended vvork, and that it is myresponsibility tuidentify what actions | must take tuboincompliance. Such agencies include but are not limited to: - Department of Environmental Protection -Cypress Beyheedm, Wetland Areas and Environmentally Sensitive Lands, VVe(er/WaotewoterTramtment - Southwest Florida Water Management Dietrict-VVe||o, Cypress Bayheede, Wetland Anaeo, Altering Watercourses. - Army Corps of Engineers -Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Sen/iueo/Environmental Health Unit-VVe||s, Wastewater Tnaatment, Septic Tanks, USEnvironmental Protection Agency -Asbestos abatement. - Federal Aviation Authority-Runwayo | understand that the following restrictions apply tothe use offill: ' Use offill ionot 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 u "compensating volume" will be submitted at time ofpermitting which is prepared by a pnoh*ooiono| engineer licensed bythe State ofFlorida. - If the fill material is to be used in Flood Zone ^A^ in connection with a permitted building using stem wall construction, | certify that fill will be used only tofill the area within the stem vvoU. - If 0| 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 properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated byfill, anengineered 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 a aeperehs permit may be required for electrical wmrk, p|umbing, aigna, weUo, poo|a, air oonditioning, goa, or other installations not specifically included in the application. A permit issued shall be construed to bee license to proceed with the work and not as authority to vio|ahe, cenoe|, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring o correction of errors in p|ans, construction or violations cfany codes, Every permit issued aheU become invalid unless the work authorized by such permit is commenced within nix months of permit isouanco, or if work authorized by the permit iosuspended orabandoned for operiod ofsix (G)months after the time the work iocommenced. An extension may be requested, in writing. from the Building Official for o period not to exceed ninety (00) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. OWNER OR AGENT ' 7- Subscribed and sworn fo (or affirmed) before me this 8/3/2022 by Christopher Smith Who is/are personally known to me or 4as�14ave_j as identification. Notary Public Commission No. sGzysVn7 Stephanie Farmer Subscribed and sworn m(or affirmed) before oethis R1312022 bv Christopher Smith Who is/are personally kDqwn to me or has/have produced as identification. Notary Public Commission No. GG 296057 Stephanie Farmer , f . 1111tum aRR,, Builder Name/Owner Name ZvA^A1_ Control # County Parcel No. /7 al.1., AddroWLocation ell ky— AW, f Classification/Type of sift 1_1" V�6"j TRANSPORTATION IMPACT FEE Rate: q.FtUnIt: Exempt []Ves []No How Determined Impact Fee Amount Zone No, TAZ: Account (056) Single -Family Detached House Amount $ (057) Mobile Home EESq Ft U n I t, AS4 rl '0"r Z. ne No, TA (058) Other Residential 23) Collection Fee 'Exempt Yes [I No How Determined TA�RKS"� Land Account Land Credit - Land Total Recreation Account Recreation Credit _ Recreation Total Zone TOTAL AMOUNT 7" Exempt Yes No How Determined Land Accouni Land Credit Land Total Facility Account - Facility Credit Facility Total Exempt Yes NO How Determined Total Amount 457' ERU TOTAL AMOUNT ------------ 2�� Chocked By MWWTFIFE�TMII Alai= ai IS' ,T­ CO CJ -AcknOwlOdgeMent below 4003 not Imply accOPtence of concurreWA, QV UIM`77 Ww; RECEIPT NO. DATE BY 94.91- rF p 0 P� 40 94.90- T PA 95.09- F �PA[ ----------*95.74- [Ty FF: Tv 97,38� IFF-I -931.43 -93.61) 93-80m 1 -931.98 94.63 961.28 :97.45 '1'11�4 ' - LZA6, 9 .801 TW:97.30 -1. 1.- - - 00CMIRnOft, LOT 40 BLOCK I ABBOTT SQUARE PHASE !A, ACCORDING T07 HE PLAT THEREOF, RECORDEDN PLAT BOOK PAGE OF THEPUBLIC RECORDS OF PASCO COUNTY FLORIDA LOT =b325 SO FT LIVING AREA =_j 324_-SQ FT ENTRY - 30 _SO F! GARAGE 496 -SO FT COVERED LANAI -__N �'A __SC) FT RATIO FT CONIC DRIVE �__235 SO FT A/C & CONE PAD = 14 --SO FT SIDEWALK 36 SO F' LOT OCCUPIED SE AREA TO IRRIGATE _64 SR OEM LOT GRADING TYPE, A PROPOSED PAD ELEVATION t 95.50 FRONT SETBACK - 20 SIDE SET BACK - 7 5 S,DE SETBACK COPPER (TT .!S REAR SETBACK s 15 PROPOSED: MINIMUM FLOOR ELEVATIONS: LIVING AREA 96 17 GARAGE AREA. ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 0 - 2- OAK SITE PLAN iNO7, A SUACFY! LOT 41 BLOCK 12 8T,53 P 1 5 00 1p Tc Av, ilo, 0 I "El 87'53 07''w P 175 VR p LOT 39 BLOCK 12 . 10 0S) PUBLIC Cent IT' E ACEME PIT LEGEND: nwPROPOSED DRAINAGEFLORC ?00 Doi , PROPOSED GRADE E-00 00- EXISTING GRADE PASCO COUNTY, FLORIDA (ABBOTT SQUARE) 447 < < 7XI 7 IPCQ I A C < 4BLOT 40 c, 41 > BLOCK 12 ti ALI. ILTi EVAONS REFERENCE-- 0 NORTH ANSE RICAN VERTICAL DATUM OF 1988 ;NAVD BSK PROPOSED ELEVATIONS ANDGRADING SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF ABBO',7 COLFARE RESIDENTIAL, PREPARLD By'WRA -ROV4 DEDEcYCOENT Pia'ARLIfT FLOOD HAZARD ZONE X COMMUN(l)'NO l 20235 SURVEY ABBREVATIONS I WIAP NUMBER T2!0 1&0289F' I"FECTroE DATE 09 26 2014 LEGEND I, I All Ar - --te IENU OPIN-11 llof N I-IM61- I,— voc, - IF— Ppk lifoc IXUL�r­" ill — v tv(IN 1,01 Or 1AGvi:N' LAIN, DIF 0(r`NMD1,iRVf,1(rP n' d n, � I, I Ion r all r I - r SKI: 11 C oil", he&IUM D !SN&r) - V'­L err,'Is' RSPttF+I. M I _11NF) CORT11 ON aw K) 11— J11 ILICE loll L "I' In, 4 , �P'- �""o " 11,A - OW R1 "e" "OM (X W,',,INN N1, T L Cot, - t C N��Ilrti ME ZA, a� Ca 'w I'll- —1-1 110� I" I ��Wc IS In, N' i r0c, - 71W 01 ON- e, , ­IM i F1,11 ^)�­ND 01--f PIE lrk­li -KA- 11­'1­NL PI'll (11 e 1 'vo, W,r I I SURVEYORS NOTES ,0645508 , TYE 1708 Water Oak D­ It r .'rent vtj"nR,"'KTo M r.n n,suf jest pop,,q), had oW for, n This c faNett440k ',.,Pozn n SE Fln,ido V bate of Sill, Sol! 31 2 2 furonhod to Initiai Point Lonrl So—VIng, LLc It the nail, of thr, Drop "me" TIV�_ A' 1, 4I) 6 1 S R,,ANv STE PLAIN er". e or V FiondaRLS7123491111I cam e� 2,) Too d Itud, ­oof) 11 prop thes"t i', bRaefq of I "a c", f y the 8 r a d LEE 8!133 No Ins'lurcent, of cola lefleltIng o,,nelsivic, NAe—at, .1 rn 0 to, 51 File 9hv,,,f.vv.y—, 'f .11ahnot, the nOe-go—, -less the 2r p a Fund a'Adrmn. dvacicod�(S' eNre, 4 72 02 7 vf.nd, Sta Dr,rw, Its, 8 1) Road, Yvaia, indothor _-0—Wo, ho— from enWrie.enng plans and arc satteff to nanvoy 4.� Th:s SITE PLAN does not reflect asdetormine cv,nership 5, Th I -TE PLAN is subject to matters shevvri on the PCP of A68077 SQUARE PHASE I A ELI D7"no" Shown ""o"' are r' feet ano diatcflal patrons 'FE VEY a, [he of REP 123 LS#8 I 7.) contractor and owne, are to verify nit,Nbt­k,, ba,ldin aimcnsians 'no RiyOntYhronhoreen Pan' to ooY r-oln 1 1 NOT V TV ry"'t nd'ramedtatcly id—K n,U,! railt Land S—EysIg L�C an, i SZGNRTLjR 1 Pr I o 1 InItIvii Point Land Surveying, LLC, —ation from information show', hereon raiI,e to do co KIF 1,, 1 oCHNSE ki 010A ! RR e t ,r _ TWO m 1 L4,9 ,, lra Project Name: v R U A L R �- � ' 1 E V � �'A' A I - S S S F Notice to Building Official of Use of Private Provider Effective January 20, 2003 6474 Beverly Hills Drive 04-26-21-0140-01200-0400 Parcel Tax ID: 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. MUMNAMMI 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: Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601 Telephone: 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 $1 million per occurrence relating to all services performed as a private provider, including tail coverage for a minimum of 5 years subsequent to the performance of building code inspection services. (signature) Print Name: Address: Telephone Please use appropriate notary block. Individual Before me, this day of 20_, personally appeared who executed the foregoing instrument, and acknowledged before me that same was executed for the purposes therein expressed. Corporation LENNAR HOMES. LLC Print Corporation Name By: (signature) Print Name: Christopher Smith its: Authorized Acient Address: 700 NW 107th Ave Miami, FL 33172 Telephone No. 813-574-5700 Corporation Before me, this 22ND day of MAY -,2o22, personally appeared of Lennar Homes L �LC a —corporation, on behalf of the state corporation, who executed the foregoing instrument and acknowledged before me that same was executed for the purposes therein expressed. UMM=l Print Partnership Name M (signature) Print Name: its: Address: Telephone No.: Partnership Before me, this day of 20—, personally appeared partner/agent on behalf of a partnership, who executed the foregoing instrument and acknowledged before me that same was executed for the purposes therein expressed. Personally known X ;or Produced identi cation Type of identification produced L Signature of Notar Print Name ASHLEE CALLAHAN Notary Public Stamp: ASHLEE CALLAHAN V NOW pubijc . State of Ftodda Commission Expires: GG 244456 Explfq$ Nov 10, 2022 N OVEM B ER 30, 2022 thr L National Notary Am, Page 2 of 2 V� 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 2,d Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: lqg k�NJrtuq1reyiewqssist.com Project: New SFR Address(s): 6474 Beverly Hills Ct 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, 1. 1,,2,3.1,3.2,F 1,4,4.1,5,6,7,7.1,8,SN,SNI,S3,S4,S5,SS,D 1,D2,WP,PA 1.0,PA 1. I,PA 1.2, PAI.3,PAI.4,SHI.0, SHLI,SHL2, SHI.3,SHI.4,SHI.5 Florida License/Registration/Certification #(s) and description: FS468 Certified Standard Plans Examiner License #: PX2300 Signature of Reviewer: SWORN AND SUBSCRIBED be"fore by Debra Anne Klahr being personally known to me or having produced as identification and who being fully sworn and cautioned, state that the fo ego' is true and rrect to the best of his/her knowledge or belief. giglaffiu-2-of Notary Print Name commission expires: sn"- CG 2,1445'i M", COMMERCIAL BUILDING SERVICES DIVISION RESIDENTIAL, BUILDING PERMIT DATA SHEET �, . ►. -MM2111M FIRE MARSHAL #01 - Required Permits 10/07/2022 Debra Building ❑ Ins ection Only IV Plumbing ❑Ins ection Only Mechanical ❑ Ins ection Only Electrical Amp ❑ Inspection Onl Roof ❑ Gas ❑ Medical Gas ❑ Fire Sprinklers ❑ On Site Piping ❑ Fire Line ❑ Irrigation ❑ Fire Alarm ❑ Potable Backflow Assembly ❑ Fire Line Backflow Preventer ❑ Irrigation Backflow Assembly Ej Demolition ❑ Walk-in Cooler ❑ Refrigeration ❑ Hood ❑ Ansul ❑ Fence/Wall ❑ Grease Trap ❑ Other ❑ Other UMIDIMME Ty e Construction: V-8 Risk Category: Occupancy Load O ancy Classification: --tt Assembly PBuinesssay Care/Educational Factory ®®.�I Hazardous nstitutional ®lYlereantile ,Residential 12-3 `;Storage tility Building Use: Single Family / Alteration Level I ❑;Level 2 ❑Level 3 New Construction ❑ Interior Finish © Interior Remodel ❑ Exterior Remodel ❑ Addition ❑ Revision Overall Size: 40 X 48 Number of Stories: 2 Total Sq. Ft.: 3612 Living Area: 3086 Covered Area: 526 # of Bedrooms: 6 # of Baths: 3 Cost per square foot; Estimated Value: Roof T e: 1 Shingle ❑Tile ❑ Built-u El Metal ❑ Other Squares: 24 Zoning: Wi orne Debris: ❑Inside Outside Energy Code: 405-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Vents? 7 Yes +No Sq. Ft. Enclosed Space Below BITE:Hydrostatic # of Vents: Size of Vents: Total Sq. In. Permanent Openings M Central A/C X❑ Heat Pump ❑ Window A/C [j Gas A/C ❑ Gas Heat ❑ Electric Heat SanitaKy Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line Setbacks Front Rear Left Right ❑ As per Approved Site Plan Comments: