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HomeMy WebLinkAbout22-5287B 1 Date:Issue A IVY Ii Name: LENNAR HOMES 11-1-C-OWN!", Permit yp� BuildingyAii New (Residential)� � i IM IIII �N Il o I �L N M�A uR �O u ,Irl i CI Class of Type: f ork: SFR Construct Address: 4600 W Cypress St 200 Building Valuation: $271,440.00 h�Mechanical Valuation: $19,000.80 Total Valuation: $358,300.80 Total Fees: $19,865.11 Amount Paid: $19,865. 11 Date Paid: 12/14/2022 3:45:28PM Mechanical Permit Fee $13500 Public Safety Impact Fee -Admin $2635 Sewer Connection Residential Fee $2,090.00 Plumbing Permit Fee $175.72 Transportation Impact Fee $3,59568 Transportation Impact Fee - City $36.32 Building Permit Fee $1,397.20 School Impact Fee - Single Family $8,328.00 SIF 1 percent Fee $83,28 Public Safety Impact Fee -Police 1 Irrigation 3/4 Meter (Calc) $732,71 Building Plan Review Fee $180.00 Park Impact Fee - Single Family/Townhome $769.56 Water Connection Residential Fee $1,010.00 impose3/4 Water Meter Fee (Calc) $73211 Plumbing Plan Review Fee $0,00 Mechanical Plan Review Fee $0.00 Electrical Permit Fee $24&58 REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80l the local government shall # t# forn or greater,first reinspection, whichever is each .# reinspection. requirementsNotice: In addition to the of - to this property that agencies.may be found in the public records of this county, and there may be additional permit required from other governmental entities such as water management, state agencies or federal improvements"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for R intend to obtain financing, consult with youri or # , before# your Complete Plans, Specifications add fee Must Accompany Application. All a. accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. '' CONTRACTOR SIGNATURE RIMt�l " PE IT OFFICE THOUT APPROVED 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting 908 770 7763 Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L nP Owner Phone Number 813.5745700 Owner's Address 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number Fee Simple Titleholder Name I/A Owner Phone Number Fee Simple Titleholder Address N/A 6312 Ten Acre Court 1104 JOB ADDRESS LOT # Abbott Square 04-26-21®0150-01100-0040 SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED 11./ II NEW CONSTR ADD/ALT SIGN DEMOLISH INSTALL 8 REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK O FRAME STEEL DESCRIPTION OF WORK Single Family Residence / Pool / Screen Enclosure / Fence BUILDING SIZE UF SCI FOOTAGE HEIGHT 22$' (BUILDING $ 271440 �� VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 40716 PROGRESS ENERGY W.R.E.C. 30 �j AMP SERVICE PLUMBING $ 27144 I III )MECHANICAL $ 19aao.8 VALUATION OF MECHANICAL INSTALLATION _ =GAS �/ I ) ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS - —� FLOOD ZONE AREA Li YES Do BUILDER COMPANY Lennar Homes, LLC SIGNATURE _ REGISTERED Y / N FEE CURREt` Y / N Address 430VW Boy Scout Blvd Suite 600 Tampa, FL License # 33607 CGC1518166 ELECTRICIAN COMPANY Edmonson Electric, Inc. SIGNATURE REGISTERED LLL N FEE CURREN Y / N Address License # EC13005408 PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address License # CFC042998 m� MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE =JREGISTERED LLLN J FEE CURREN Y / N Address License # I CAC058062 OTHER °° COMPANY C Sterling Quality Roofing, Inc SIGNATURE t REGISTERED Y/ N FEE CURREN Y/ N Address r 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 K]FDEED RESTRICTIONS: The undersigned understands that this permit may besubject ho"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 e contractor or contractors to undertake wnrk, they may be required to be licensed in accordance with state and local regulations, If the contractor in not licensed as required by |ovv, both the owner and contractor may be cited for e 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.Fuhhermono, if the owner has hired e contractor or oontnaotnra, he is advised to have the contractor(s) sign portions of the "contractor B|uok" of this application for which they will be responsible. If you, as the owner sign as the oontrautor, that may be an indication that heienot properly licensed and is not entitled 1opermitting 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 tuthe construction of new bui|dings, change of use in existing bui|dingo, or expansion of existing bui|dingo, as specified in Pasco County Ordinance number8B'U7 and 90-07. as amended The undersigned also undamtando, that such feen, as may be due, will be identified etthe 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 o certificate of occupancy or final power re|eaoe, the fees must be paid prior to permit issuance. Furthermona, if Pasco CnuntyVVa\er/8ewer 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 io$2.50U.00ormore, | certify that |, the app|icani, 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 ''mwner''. | certify that | have obtained a copy of the above described document and promise in good faith to deliver ittnthe ''mwner''prior tocommencement. CONTRACTOR"S/OVVNER'SAFRDAV|T: | certify that all the information inthis application iaaccurate and that all work will be done in compliance with all applicable laws regulating onnstmotion, zoning and land development. Application is hereby made to obtain e 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 laws regulating conytruotion. County and City codeo, zoning regulations, and land development regulations in the jurisdiction. | also certify that | understand that the regulations ofother government agencies may apply to the intended work, and that it is myresponsibility toidentify what actions | must take tobeincompliance. Such agencies include but are not limited to� - Department ofEnvironmental Protection -Cypress Bayheeds, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment, - Southwest Florida Water Management Distriot-VVm||o, Cypress Bayheeda, Wetland A,moo, Altering Watercourses. - Army Corps of Engineers -Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-VVe||a, Wastewater Treatment. Septic Tanks. - UGEnvironmental Protection Agency -Asbestos abatement. - Federal Aviation Authority-Runwaya. | understand that the following restrictions apply tuthe use offill: - Use offill ienot allowed inFlood Zone ^V~unless expressly permitted. - If the fill ma#*/io| is to be used in Flood Zone ''A^, it is understood that o drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a 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 abym wall construction, | certify that fill will be used only tofill the area within the abam wall. If fill mahaho| is to be used in any area, | certify that use of such @| will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent propodies, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots |emo 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 to commencing construction, | understand that e separate permit may be required for electrical vvork, p|umbing, eigno, weUs, pno|s, air conditioning, gea, orother installations not specifically included in the application. A permit issued shall be construed to be license to proceed with the work and not aoauthority tnviolate, conce|, a0er, or set aside any provisions of the technical codes, nor shall issuance of a 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 iaauonoe, 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 oaqueated, in whtinQ, from the Building Dffioie| for o period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. FLORIDA JunAT(r.n. 117.03) OWNER OR AGENT Subscribed and sworn fo (or affirmed) before me this 1011412022 by Christopher Smith Who is/are personally known to me or hasihave pF as identification. Public Commission No. GG 296057 -ZT Notary Stephanie Farmer CONTRACTOR Subscribed and sworn to (or affirmed) before me this 1011412022 by Christopher Smith Who is/are personally known to me or has/have produced as identification. Notary Public — 12— -_ E >-- Stephanie Farmer TYPE `A' 1-0 FF:101.97 PAD:101.30 � ' i 99.63 TYPE 'A' FF:101.77 , PAD:101.10 k 99.39 I TYPE 'A' FF:101.67 0 PAD:101.00 t 99.14 > a k 00 > s�i 3 19 18 j TYPE 'A' TYPE 'A' FF:104.19 FF:102.67 PAD:103.5 PAD:102.00 SD8-18 LO 00 DESCRIPTION: LOT 4, BLOCK 11, ABBOTT SQUARE PHASE 1 B, SITE PLAN ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89, PAGE(S)57-62, OF THE PUBLIC RECORDS OF PASCO COUNTY, (NOTA SURVEY) FLORIDA. LOT = 4800 SO, FT. PROPOSED ELEVATIONS AND GRADING LIVING AREA = 728 SO. FT. SHOWN HEREON ARE TAKEN FORM THE ENTRY 62 SO. FT. ENGINEERING PLANS OF j "ABBOTT SQUARE RESIDENTIAL`, PREPARED GARAGE _379 SO. FT. BY "WRAPROVIDED BY CLIENT COVERED LANAI = 60 SO. FT. PATIO = NA SO. FT. POOL AREA = NA SO. FT_ CONC. DRIVE = 328 SO, FT. ALL ELEVATIONS REFERENCED A/C & CONIC PAD = 10 SO- FT, TO NORTH AMERICAN SIDEWALK = 42 SO, FT VERTICAL DATUM OF 1988 SIDE YARD SWALE _ _ NA SO, FT. (NAND 88) CONSERVATION AREA = NA SO, FT 0 LOT OCCUPIED = 3/o 4 AREA TO IRRIGATE = 66 _ % his SITE PLAN Prepared for and Certified To: Lennar Homes SEC. 4, TWP. 26 S, RING 21 E. PASCO COUNTY, FLORIDA (ABBOTi SOUARE) LOT BLOCK i I a 1 N ST51'5O" E (P) 120.00' (P) ,ss _ rt1 J3 CONC a mm L '', WALK �� .: _. P 333�— I. 32X3.2' 51,5 _., a o z m O o N �. - 2 5' C/S-A/C PROPOSEp m O A o a s +� d 0 _ o 14.T ENTRY 2 STORY RESIDENCE n zn T as ti N LOT 4 ?� PLAN 1763 In, LANAI 'c, ELEV A a q B. BLOCK 1i n D mod O y I GARAGE R o �, v m T = `^ Z Q —G1 _0 o 4 --__A — > — — mm 20�� 0 (P) I _, _— —. N 89.51 50' E (P) 120-00' (P) 9 9 /A I i i LOT 3 BLOCK 11 I bPC NOTES: PROPOSED: MINIMUM FLOOR ELEVATIONS: LOT GRADING TYPE =B3 = 2"OAK LIVING AREA: 100.87' PROPOSED PAD ELEVATION °- 100.20 = 10.00 PUBLIC UTILITY EASEMENT GARAGE AREA: FRONT SET BACK -- 20 ELEVATIONS REFERENCED TO SIDE SET BACK 7 5 LEGEND: NORTH AMERICAN VERTICAL SIDE SET BACK (CORNER LOT) -=10' _-_ -.-= PROPOSED DRAINAGE FLOW DATUM OF 1988 REAR SETBACK = 15' (OO.00) =PROPOSED GRADE APPARENT FLOOD HAZARD ZONE: 'X' COMMUN!T' NO. 120235 SURVEY ABBREVATIONS (MAP NUMBER 12101C-0289-F) EFFECTIVE DATE 0926/2014 E-00.00 EXISTING GRADE A ARCLLNGTH O DEED OV-1NvRT PC'OFSC Of CURVE I,, - RECORD LEGEND vNY..FENCe A/C -AIR CONDTIONER DE DRANAGE FASEMENT Di LICENSE`) BUSNESS PCC POINT OF COMPOUND CURVE HRMAENTCONTROL tNG -PANGE LY, ' CON( t-ALUMINUM ENCE B -SA$ OOp IEVA CN O ELV FU—TION TO -cOC O PAVEMEN --LANDSCAPE EASEMENT £=LOWES I1 OORE VA ON °CP I POINT P/E IOD..QUIPM:NT RCS-CEAH ROADENO�-- I/Sl -RGHi OF WAY WOOD FENCE 6Rf BENCH MA C CURVE ESMI FAS-M_NT S, ( NSFED ERVEY02 G IAGE SEC=SECTION �ASPI iALr C i'CAIC A ) CENTRLNF F/1, FENCt CORNER CM--FOl1ND CONCRETE IM)=MASUR`D M-:S - MIT 4 DFNO SEC.ON f= POINT OF I.NTERSECION PK MARKER RALON SN&D I SET NAIL AND DI$K 348I83 CHA'N LINK FENCE C'-Ci1A N LINK SINCE ggONUME`vl =IPa FOUN0I RONPIPE WC - NO CORNEROUND CeA=O—AE' e ROPERTYUSIf POB ONT OF BEGINNING S!R=SCI iJ2-IRLN ROD �K BIFi TBM- HEMPORARYSEN(il MARK (� 1-BRICK —lC ^- IMP -CO RUGITEJ METAL. P FIRx FOUNDWON ROD 04W=OVPR4EADW!REISI POC-POIN OF COMMLNCWENT rOB-10POF BANK COS - COL CONc=<oNCR E N&D--`O JND ES & DISK OR � Ot ICtAL RECORDS P0: CFNI .1 LING W - 10-11-I P A ALUMINUM FENCE E'TS C/S-CLEARS TUT Foy 11ND OISNe1PE (II �'TAI RC POINT O=REV RSL CURVE U_ -LE Iry EAKEOLPF \� FR CSi - CLEAT TRIANGLE FPP^FOUNDI INCIEDPRL fS-Ill COOK PRM PERMANENT REl CREWS MONUN'EM VF-ViNY�FCNCE JOB #5606 SURVEYOR'S NOTES: 1.) Current title information on the subject property had not been furnished to Initial Point Land Suwe in LC at the time of this Y 9-- SITE PLAN 2,) This sketch was without the benefit of a title search. SURVEYOR'S CERTIFICATE This certifies that sketch of the hereon described property was rjytFak11r1.Nii+IRtjylsupervision and meets the c WW��Practice for `W+p 1708 Water Oak Drive Tarpon Springs, Florida p- Phone (727-831-t990 FlondaPLS7123C-reaitcom 9 Date of Site Plan: 7-12-22 7WG:AS-PH 18-L48L11-SITE prepared No instruments of record reflecting ownership, easements or rights-ofway were furnished to the undersigned, unless otherwise hereon.Dnwn surveysW {aarrd of Land Sury 'i12C( P 3yd4'shown t tt Q91$�Ey b#Rm LB# 8183 Fjle: by: DUB 3.) Roads, walksand other similar items shown hereon were taken from and are subject to Survey_ Stattgs e "fl ` Ddi@, Z A7,29 Checked by.JH engineering plans 4.) This SITE PLAN does not reflect nor determine ownership_ Plat /�..^YY} LL��}g'' W To. 4: "" 1001 { �S F: REVISIONS 6. This SITE PLAN is subject to matters shown on the of 'ABBOTT SQUARE PHASE 1 B" 6.) Dimensions shown hereon are in feet and decimal portions -- - Jeff M a¢' FLOR'I/j-S l��R AND thereof MAPPER N 7.) Contractor and owner are to verify all setbacks, building NOT VALID WITHOUT THE ORIGINAL dimensions, and layout shown hereon prior to any construction, 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. mm"Im, �- �f "46-19 R A S3 1 S v : Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: Parcel Tax ID: 04-26-21-0150-01100-0040 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. fflimnqpc� I owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services indicated above. Private Provider Finn: Private Provider: DEBPA ANNE KLAHP Address: 747 SW 2ND AVE- 5UITE 170,301,357,& 358, GAINESVILLE, FL 32601 —1 Fax: N/A Email Address (Optional): 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 perfonned 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 arii 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 Corporation LENNAR -HOMESLLC Print Corporation Name By: (signature) (signature) Print Print Name: Name: Christopher Smith Address: its: Authorized Aaent Address: 700 NW 107#1 �v Telephone Miami, FL 33172 No.: Telephone No. 813-574-5700 Please use appropriate notary block. STATEOF —FLORIDA fl�� 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 Before me, this 22ND day of MAY 2o_Z2— 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 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 cation Type of identification produced Signature of Notax1A�o -L Print Name ASHLEE CALLAHAN Notary Public Stamp: r0`V'9", A HL CALLAHAN .' '4 1 ry pubtic, State of Ftorida Commission Expires: GG 144456 NOVEMBER 30, 2022 *Urljm. expires Now 30,2022 V-R/\ 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: Project: New SFR Address(s): 6312 Ten Acre 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 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: CS,1.1,1,2,2.1,2.2,3,4,5,6.1,6.2,7, SN, SNI,S3,S4,S5, S6,ST,SS,D1,D2, WPI, 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 Ex finer License #: PX2300 Signature of Reviewer'. 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 fo going is true did correct to the best of his/her knowledge or belief. 8i0M&e of NoPrint Name commission expires: ti ❑ COMMERCIAL BUILDING SERVICES DIVISION IVRESIDENTIAL BUILDING PERMIT DATA SHEET TRACKING FOLIOTen Acre C u� FIRE MARSHAL #01 - DATE: 10/18/2022 Ir,.. Klahr PX2304 Building ❑ Inspection Qnl WPIumbing Q Inspection Qnl WMechanical ❑Ins ection Qnl Electrical Amp ❑ Inspection Qnl Roof ❑ Gas I I ❑ Medical Gas ❑ Fire Sprinklers ® On Site Piping ❑ Fire Line ❑ Irrigation ❑ Fire Alarm ❑ Potable Backflow Assembly © Fire Line Backilow Preventer ❑ Irrigation Backflow Assembly ❑ Demolition El Walk-in Cooler ❑ Refrigeration ❑ Hood ❑ Ansul ❑ Fence/Wall ❑ Grease Trap ❑ Other ❑ Other Type Construction: V-� Risk Category: Occupancy Load O ancy Classification: Factory rc Residential R-3 'Assembly usmoss Day Care/Educational stitutional ❑Mercantile Hazardous rEj ❑ tility Building Use: Sinale Family residence / Alteration ❑ Level I �Leve12 5Leve13 New Construction ❑ Interior Finish ❑ Interior Remodel ❑ Exterior Remodel ❑ Addition ❑ Revision Overall Size: 25 x 54 Number of Stories: 2 Total Sq. Ft.: 2265 Living Area: 1764 Covered Area: 501 # of Bedrooms: 4 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof Type: ® Shingle ❑Tile ❑ Built-up ❑ Metal ❑ Other Squares: 16 Zoning: orne Debris: Wi!J1nside W1,111,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 ® Heat Pump ❑ Window A/C F1 Gas Heat ❑ Electric Heat SanitaEy Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line Setbacks Front Rear Left Right ❑✓ Asper Approved Site Plan Comments: P s A CO COUNTY, FLORIDA Permit No. Date Permlti;d� _13-uider Name/Owner Name "-f- Control # County Parcel No., 2 Co SubDIv: Address/Locaflon �0 A CT Clessfficatlonrrype of Use TRANSPORTATION IMPACT FEE Rate: Sq, Ft Unit: ZZ Exempt El Yes E] No How Determined Impact Fee Amount 343-_7_ Zone No. — TAM Account (056) Single -Family Detached House Amount $ (057) Mobile Home (068) Other Residential 23) Collection Fee Exempt Yes E) Na How Determined K Ti1 FEE - Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone TOTAL AMOUNT Exempt El Yes Ej No How Determined Li Y Land Account Land Credit Land Tota'l Facility Account — Facility Credit Facility Total Exempt El Yes []No How Determined Total Amount RESOURCEFEE— ERLI TOTAL AMOUNT Prepared By Chocked By ...... . . . . . . SC Ackr'004808ment below does not imply ep acctan ft�L 00 Of concurrence, but $Imply re N __ATE RECEIPT NO. --DATE BY