HomeMy WebLinkAbout22-5185BNR-005185-2022
Issue Date: 12/06/2022
Perl it Type: Building New (Residential)
MIMI
6462 Beverly Hills Dr
:771 14 1 OR,, NA
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: $461,400.00
TAMPA, FL 33607 Electrical Valuation: $69,210.00
Phone: (813) 574-5700 Mechanical Valuation: $32,298.00
Plumbing Valuation: $46,140.00
Total Valuation: $609,048.00
Total Fees: $21,118.85
Amount Paid: $21,118,85
. .........
Date Paid: 12/6/2022 10:19:46AM w, axe 1,
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CONSTRUCT SINGLE FAMILY 3326 SQ FT AS
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Sewer Connection Residential Fee $2,090.00 School Impact Fee - Single Family $8,328.00
Water Connection Residential Fee $1,010.00 3/4 Water Meter Fee (Cale) $732.71
Plumbing Permit Fee $27070 Park Impact Fee - Single Family/Townhome $769.56
Electrical Plan Review Fee $0.00 Address Fee $30.00
Electrical Permit Fee $386.05 SIF 1 percent Fee $8128
Driveway Fee $45.00 Public Safety Impact Fee -Police $254.00
Transportation Impact Fee $3,595.68 Transportation Impact Fee - City $36.32
Public Safety Impact Fee -Admin $26.35 Building Plan Review Fee $180.00
Irrigation 3/4 Meter (Calc) $732.71 Plumbing Plan Review Fee $0.00
Mechanical Plan Review Fee $0.00 Building Permit Fee $2,347.00
Mechanical Permit Fee $201.49
REINSPECTION 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.
A I
M L4�zm
��C'TO'�RSIGNATURE PE IT OFFICEt)
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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 1 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 6462 Beverly Hills Drive -®-- - LOT #
SUBDIVISION Abbott Square PARCEL ID# 1 04-26-21-0140-01200-0390
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR 8 PADD/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 SF 3645 SO FOOTAGE 3326 HEIGHT
BUILDING $ 461400 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ 69210 PROGRESS ENERGY W.R.E.C.
AMP SERVICE
PLUMBING $ 46140 f ~—
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION C
32298
=GAS Z ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 11 EYES O
BUILDER COMPANY Lermar Homes, LLC
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address V01 Boy Scout Blvd Suite 600 Tampa, FL 33607 License # I CGC1518166�
ELECTRICIAN COMPANY Edmonson Electric, Inc.
SIGNATURE REGISTERED LLLN_j FEE CURREN
Address License# EC13005408T^'��
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # I CFC042998
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN
Address License # I CAC058062 T
OTHER 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 b*subject 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 o contractor or
contractors to undertake vvork, they may be required to be licensed in aoonndanms with state and local regulations. If the
contractor is not licensed as required by |aw, both the owner and contractor may be cited for o misdemeanor violation
under state |evv If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised tocontact the paoom County Building Inspection Division —Licensing Section at727-847-
8OOS Furthermmne, if the owner has hired a contractor or contractors, 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
ountractor, that may baan indication that he is not properly licensed and is not entitled topermitting privileges in Pasco
County.
TRANSPORTATION |K89ACT/UT|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|dingo, change of
use in existing bui|dings, or expansion of existing bui|dingo, as specified in Pasco County Ordinance numbe'OQ-O7 and
90-07. as amended. The undersigned also undermtanda, that such feea, 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 ofoccupancy" or final power release. If the project does not involve e certificate of occupancy or
final power ne|aane, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVater/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, aeanmended): |fvaluation ofwork iu$2.5000Uormore, |
certify that |, the app|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 ''uvvner''prior tocommencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application in accurate and that all work
will be done in compliance with all applicable |avve regulating conatruution, zoning and land development. Application is
hereby made to obtain o 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 |ovvm regulating
conotruction. County and City cndes, 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 toidentify what actions | must take toboincompliance. Such agencies include but are not limited to:
Department of Environmental Protection -Cypress @oyheads. Wetland Areas and Environmentally Sensitive
Lands, VVatenWamtevva1erTroaimant.
- Southwest Florida Water Management Diatriot-VVe||s, Cypress Bayhaadm, Wetland Aneaa, 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-Runwayo,
| understand that the following restrictions apply tothe use offill:
- Use offill ionot allowed inFlood Zone Wrunless expressly permitted,
- If the fill material is to be used in Flood Zone ^A^, it is understood that e drainage plan addressing o
"compensating volume" will be submitted at time of permitting which is prepared by e professional 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 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 pnopertien, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |eeo than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
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 tocommencing construction. | understand that eseparate permit may berequired for electrical work,
p|umbing, aigne, weUn, puo|o, air oonditioning, gaa, or other installations not specifically included in the application. A
permit issued shall be construed to be license to proceed with the work and not aaauthority h/violate, osnoei alter, or
set aside any provisions of the tochn,ica| codes, nor shall 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 ieauance, 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 roquented, in writing, from the Building Official for e period not toexceed ninety (AU) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
FLORIDA JunATU=.s.nr.m0
OWNER OR AGENT_
_
Subscribed and sworn Ro (or affirmed) before me this
8/3,'2022 by Christopher Smith
Who is/are personally known to me or'
as identification,
Public
Commission No. GG 296057
Stephanie Farmer
CONTRACTOR 992f;i��
Subscribed and sworn to (or affirmed) before me this
8/3/2022 bv Christopher Smith
Who is/are personally known to me or has/have produced
as identification.
Stephanie Farmer
Commission No. __GG 296057�
Name of N
$TEPWIE FARM
,;S�, X'o
9MJ
Notary Public
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DESCRIPTION; LOT 39, BLOCK 12, ABBOTT SQUARE PHASE I A, SITE PLAN
SEC 4, TWP 26 S, RNG 21 E.
ACCORDING TO THE PLAT THEREOF. RECORDED IN
PLAT BOO_ ,
K
PASCO COUNTY, FLORIDA
PAGE OF THE PUBLIC
RECORDS OF PASCO COUNTY,
FLORlDA
/NOT A, SURVEY!
tABBOTT SOUARE)
'h., SITE PORN Prepared
to, and CKothod To
Lflnna,, Llonte,
LOT
-_A!2-5SO FT
Scale.- I"= 20'
LIVING AREA
18I6i _SO FT
ENTRY
FT
GARAGE
53 SO FT
COVERED LANAI
_NSO FT
PATIO
FT
CONC. DRIVE
444--SO FT
ACC & (ONC PAD
s,-_LB_SQ FT
SIDEWALK
-2-7 so FT.
LOT OCCUPIED
!!�!F, -y,
AREA TO IRRIGATE
LOT40
BLOCK 12
Nj 81'F3 07 71, P, I F5.0Q Ipi
329
Le
c,
3l,
F.
" N I
DPOS zc
2 SlOpy RESIDENCE
PLAN 3326
IS c
.4 of
201
E,,FV'B I -
LOT 39
kU
GARAGE ,
BLOCK 12
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Co
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—A
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Ip
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B7,5307 W,P, :150C ;p
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'YA,
LOT 38
BLOCK 12
NOTES:
IS)T GRADiNG TYPE 4A
PROPOSED PAD ELFVATI0,1,, m 96 30
FROM SET BACK = 20
SIDE SET BACK - 75
SIDE SET BACK CORNIER LOT; '!I,
REARSETBACKa is.
PROPOSED.
MINIMUM FLOOR ELEVATIONS,
LIVING AREA: 96 97
GARAGE AREA
ELEVATIONS REFERENCED TO
NORTH AMERICAN VERTICAL
DATUM OF 1986
0, - 2'OAK
7SK-TOP OF WALL
... 1000 PJ8LK UNUTY EASCMEN-
LEGEND:
I -FROP0SVCURA NAGS vf()*
,00 00� PROPOSED GRADE
E-00 00 N EXI TING GRADE
Au ftEVA7RDPKRE1ER1NCEV
To NORTH ANIER)CAN
VERNCALL)A7UM OF 1988
AAVD 8EF
PROPCOLL) E "EVATO)PIS AND GRADING
SHOWN HErEON ARE TAKEN FORM "HE
ENDAKERING PLANS OF
AR80T7 SQUARE RESIDENTIAL, PREPARED
8Y'PVRA'KRC1V1DED BY CI DENT
APPARENT ILCOX) HAZARD ZONE X COMMUNITY NO '2035
SURVEY ABEIREVATIONS MAPNUMBER 2 10!C-0289 FEPFECT�VL NATE 09 26 20'4
-AA11-1-1 ------ T 1, "r in LECiEND
YI - fat
Zl 1i-NAM.1ENI1- .,, 111W,R-i&1�1�oa-1-11Nal
YIt,R,oN E3U1, ANJ1(PX11 iHI- ,t011TOU.
0,V
NPAtICKP11N WAVtW1 i1 OWEW1 �VI"111 A, *A,1' 1
Wh,rz 111
N",_Nn: £,N!,1,GR7 V A(I II ON V-A,'
1NU CNR N1, orAVALD InI
ONCAI N, a (N 1 L!Irr 1W I
-(X,w, Nr a' ".0111 w � No "op",
--NDIONIOC I I-
ON"' D,A-
-01 PCI-11 I Claa,'N-11 W
-,&Nar,
I CNC o' k 101IND ON! 0, �,Nt 1 N. f
I
"A I An "f
SURVEYOR'S NOTES: $Up TV 1708 Water Oak Drive
Itt 'aRR,Up,NP`,1yf-cn0Nal1 MN 1111ufi Ec f T,rp- owal9s, Fl.ird, c"r-t tiv, ief-Y"we . 0-,
2,11, of S,�, P �- 122 fwei'hwto i,,vNIf lorM LINd Sollyfi-ig, LLC It Fill Ullo 0 ')1' m.pott and 'I Mono ;727i-831-1990
L—�Nl, I I'll /I ;
SITE PLAN e Stan r 1 HoroMPLS7T23V,3mai
Kota, was prepfired witi-toor Inc b-ofa of I title sna-i "i"o, ars s is IV 8)83
,4' N-�IM o lnsl5 o- f OU1'effectINg owner ship eIser-nNoI Sr.ryars
C or 5 17 051
,Othts-os-y -N, fIe,,h,d 1. Inc underaq-,d N,,K,, ott--oO Sjw 0 ,,a
for AdrrlFrs Ic Ise.
hereon.shown I So, 4' C2 0.17 Honda SRI,
�L) RiAMit. ovalks, an,- otho, onlio, 1te,fV,h.- hvivor, wem Fawrl e
from engnccriNg plans and are, sutrjcet TO I" I
tLIlhi, SITE PLAN O-,ow,ofl-f - d,
REVISIONS 6.) ThIs SITE PLAN is Iabj"t to -tw" sh-o - d" Mat of
ABBOTT SQUARE PHASE IA
fiot
F
6.) DaN ........r. sho-n nerNon are in alld do c ma'PoMon Py Opafc4b
I the of MA lt23 t M3 s;If
7,)Cwd1IeNx cj
T V�
aiid immediately acivisi, - InaPoint Lara SIfiVe King -1,C of .b StC NAiU.F
di,vi.ji- KNI, iff-POin—hNnn, hereon lasi- toJ.in , -I b"; -i RED Su Inctial Point Land SUrveying, LLC at --, sole nsk I
i Its Dri
v
9
w
PASCO COUNTYj FLORIDA
Permit No, Date Permitted
_13-ulkler Name/Owner Name Control #
County Parcel No. r Nam
Address/Location
Classfflcationfrype of Use
TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit:
Exempt [I Yes
E] No How Determined
Impact Fee Amount
Zone No.
TAZ:
Account (056)
Single -Family Detached House Amount
'
$ 7 00
(057)
Mobile Home
(058)
Other Residential
123)
Collection Fee
Exempt Yes
E] No How Determined
FC M;
Land Account
Land Credit - Land Total
Recreatl on Account
- Recreation Credit -
Recreation Total
Zone
TOTAL AMOUNT
7
A-W I-IS-r-
Exempt Yes
E] No How Determined
Land Account
Land Credit Land Tntggf
Facility Account . Facility Credit Facility rots!
Exempt El Yes No How Determined Total AmougE�_�
TOTAL AMOUNT ERU
Chocked BY
Itflotalk-OF PASCO COUNT,
aiccOptance of concurrence, but simply fac9l.0t
facelo-
the bulwN Permit Owns"n nOkO Of this assessment and the condINNons of,
RECEIPT NO. --.DATE BY
Project Name:
\/-RA
1 7 U A L R � v �
v I R i I E 'A! A S S I S, T
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
1462 Beverly Hills Drive
04- 26- 21-0140-01200-0390
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.
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: DEBRA ANNE KLAHP
Address: 747 5W 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
Telephone:
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
No.:
Please use appropriate notary block.
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
Individual
Before in(,, 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
1-0�rint Corporation Name
By:.
(signature)
Print
Name: Christopher Smith
Authorized Acient
Address:_701_AVe
Mia ri�i FL 33172
Telephone
No, 813-574-5700
Corporation
Before me, this 22ND day of
MA-Y,, 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.
Personally known X ; or Produced identi cation Type of identification produced
LEW=
Print Partnership Name
(signature)
Print
Name:
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.
Signature of Notarya
Of Print Name ASHLEE CALLAHAN
Notary Public Stamp:
Commission Expires:
I qp ASHI.EE CALLAHAN
11M Notary public - State of Florida
GG 244456
2022
NOVEMBER 30, 2022
COITIM, Expires N®V 10,
VR//\
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 21' Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: Lu 4q.—yinualreviewassist,com
Project: New SFR
Address(s): 6462 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,1.0,1. 1,2.0,3.1,3.2,FI,4.2,4.1,5.0,6.0,7.1,7.2,8.0,SN,SNI,S3,S4,S5,S6,SS,ST,D1,D2,D3,VVP,PAI.0,PAI. 1,PAI.
2, PAI.3,PAI.4,SHI.0, SHI.1,SHI.2, SHI.3,SHI.4,SHI.5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300
Signature of Reviewer: 41 C
SWORN AND SUBSCRIBED before me by Debra Anne Klahr
being personally known to meZ or having produced as identification
and who being fully sworn and cautioned, state that the
Ifoegoing is true and q rrect to the best of his/her knowledge or belief,
of Notary Print Name
MREMZ�
commission expires:
M',
113111111RU10090IN 1111111MIN .
FIRE MARSHAL #01 -
Required Permits
DATE: 10/07/2022
EXAMINER: Debra Klahr VX23011
Building
Ins action Onl
IV Plumbing
0 Inspection Only
V Mechanical
[:1 Inspection Qnl
V Electrical Amp
F-1 Inspection OnLy
Roof
_
F1 Gas
F
[:1 Medical Gas
El Fire Sprinklers
El On Site Piping
Fire Line
E] Irrigation
0 Fire Alarm
• Potable Backflow Assembly
Fire Line Backflow Preventer
E] Irrigation Backflow Assembly
El Demolition
• Walk-in Cooler
El Refrigeration
E] Hood
0 Ansul
• Fence/Wall
E:1 Grease Trap
n Other
❑ Other
[Iffffiriff 1' 1�11 ,
Type Construction:
V-B—L]
Risk Category:
Occupancy Load
0 vWancy Classification:
'Factory
Residential
Assembly E-== Business Care/Educational
Hazardous lntittional E=FkCyrcantilc
Storage Utility
Building Use: Sincile Family l Alteration FLevel I El Level 2 El Level 3 Q F F
1,6 New Construction ❑ Interior Finish E] Interior Remodel E] Exterior Remodel E] Addition ❑ Revision
Overall Size:
40 X 62
Number of Stories:
2
Total Sq. Ft.:
3845
Living Area: 3326
Covered Area: 519
# of Bedrooms-, 6
# of Baths: 3
Cost per square foot:
Estimated Value:
Roof T e;
DTile El Built-up 0 Metal ❑ Other :u 26
:j:ares:
Zoning:
Wi orne Debris:
D'Inside Outside
=0
Energy Code: 405-2020
Flood Zone: X Base Flood Elevation: Finish Floor Elevation:
Hydrostatic Vents? Yes No -F—Sq. Ft. Enclosed Space Below BFE:
# of Vents:
Size of Vents:
Total Sq. In. Permanent Openings
Central A/C
El Gas A/C
Z Heat Pump E] Window A/C
E] Gas Heat EJ Electric Heat
9E1Xr_3W=
Sanita!j Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
Setbacks
Front Rear Left Right
0 As per Approved Site Plan
Comments: