HomeMy WebLinkAbout22-5403M
7M
TAMPA, F� 33607
Phone: (813) 574-5700
City of Zilaphyrhills I`
5335 Eighth Street
Zephyrhills, FL 33542 BNR-005403-2022
Phone: (813) 780-0020 Issue Date: 01/10/2023
Fax: (813) 780-0021
M.W=
Class of Work: SFR Construct
Building Valuation: $320j640.00
Electrical Valuation" $4096,00
Mechanical Valuation: $2,244.80
Plumbing Valuation: $32,064.00
Total Valuation: $403,044.80
Total Fees: $2008,83
Amount Paid: $20,011
Date Paid: 1111/2023 7:2419AM
36561 Smithfield Lane
CONSTRUCT SINGLE FAMILY 2217 SO FT ******'AS
77, -71 771 7`77MM7, 7
777-1 " '7, 77.777sik '17 7, F
7.171
School Impact Fee - Single Family
$8,328.00 Water Connection Residential Foe
$1,010i,00
Plumbing Permit Fee
$20032 Building Plan Review Fee
$180.00
Mechanical Plan Review Fee
$0.00 Transportation Impact Fee ® City
$36,32
Sewer Connection Residential Fee
$2,090.00 Electrical Plan Review Fee
$0.00
Driveway Fee
$45,00 Plumbing Plan Review Fee
MOO
Irrigation 314 Meter (Cate)
$732.71 Mechanical Permit Fee
$5122
Address Fee
$30,00 Park Impact Fee - Single FamilytTownhome
$769=56
3/4 Water Meter Fee (Cale}
$732.71 Building Permit Fee
$1,64120
Public Safety Impact Fee -Police
$254:00 SIF I percent Fee
$83.28
Transportation Impact Fee
$3,595.68 Public Safety Impact Fee -Admin
$2635
Electrical Permit Fee
$280.48
11 11111- 11 111111 1:111 lIpJgJgJIJJ�iIIjIl 111INII 1111 Ill g 11111 1111111 1 111 111 111111 1 1 Jill illill I 1 111111 1 !11
IlR Ill :11 RIFT lill 1111111 1 1 i 11
accordance milith City Codes and Ordinances. NO OCCUP NC BEFORE Ill
NO OCCUPANCY BEFORE C.O.
CCrArTFtRCTCSR SIGNATURE
T
71
0
813-780-0020
C) (qi y of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
Phone Contact for Permitting 908 770 __ 7763
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 1813.574.5700
Owner's Address 23975 Park CA 91302 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
NIA
JOB ADDRESS
36561 Smithfield LaneLOT
# 004
SUBDIVISION AbbQttSquarePARC E L I D#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTR ADDIALT
INSTALL REPAIR
SIGN
DEMOLISH
PROPOSED USE SFR COMM
OTHER
TYPE OF CONSTRUCTION BLOCK FRAME
STEEL
DESCRIPTION OF WORK
Single Family Residence I Poal /Screen Enclosure /Fence
BUILDING SIZE SQ FOOTAGE 2217
HEIGHT 28,
"—'BUILDING
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
48096
PROGRESS ENERGY
W,R.E,C,
AMP SERVICE
PLUMBING
5
�' V 63
MECHANICAL
22444.8
VALUATION OF MECHANICAL
INSTALLATION
=GAS 0 ROOFING 0 SPECIALTY =
OTHER
FINISHED FLOOR ELEVATION$
FLOOD ZONE AREA
.r----1
uYES Do
BUILDER /1' COMPANY Lennar I lornes, LLC
SIGNATURE 11/7 REGISTERED EE�� �FEr.URRGNN�
Address 4301 W Boy S Blvd SV-e�00 Tampa, FL 134r,7
License# ('�C'C'51816�6�
ELECTRICIAN COMPANY on Electric, Inc.
SIGNATURE REGISTERED g�� Electric,
R�RrlY / N��
Address License # [E:C:1:3:0:0:54�08��
PLUMBER COMPANY Bayonet Plumbing, �Plumbin�g,Heating& AC, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License #
MECHANICAL COMPANY JFBayor et Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED L12 N _J 1EE.U11R11
Address License #
OTHER COMPANY C Sterling Quality Roofing, Inc
C SIGNATURE REGISTERED Y/ N FEE CURREN Y IN�_�
Address License#
RESIDENTIAL Attach(2)Plot lans; (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 & I 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 $7600)
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 be subject to "deed" restrictions„
which may be more 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 work, they may be required to be licensed in accordance with state and local regulations, if the
contractor is not licensed as required by law, both the owner and contractor may be cited for a 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. Furthermore, 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
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting 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 to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings„ as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, 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 of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/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, as amended): if valuation of work is $2,500.00 or more, I
certify that 1, the applicant, 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", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the "owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: i certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated, i certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
Department of Environmental Protection -Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Southwest Florida Water Management District -Wells, Cypress Bayheads; Wetland Areas, Altering
Watercourses,
Army Corps of Engineers -Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit -Wells, Wastewater Treatment,
Septic Tanks,
US Environmental Protection Agency -Asbestos abatement.
Federal Aviation Authority -Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
if fill material is to be used in any area, I 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 by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, i promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, 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 issuance, 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 requested, in writing, from the Building Official for a 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.
OWNER OR AGENT _
Subscribed and sworn o (pr affirmed) before me this
,on>¢ozs by Christopher Smith
Vdho islare personally known to ma orkas�aaue-prsdiioer�
as identification.
- Notary Public
Commission No. GG 206057
Subscribed and sworn to (or affirmed) before me this
vonrtzozz by Christopher Smith
Who is/are personaall known to me or has/have produced
as identification.
.-w w Notary Public
Commission No. GG 295057
Stephanie Farmer Stephanie Farmer
Name Name of N
E
9m:J
;n. i. f 'l9
DESCRIPTION: LOT 4, BLOCK 8, ABBOTT SQUARE PHASE I B, SITE PLAN
SEC, 4, TWP, 26 S, RNG 21 E.
11
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89,
PASCO COUNTY, FLORIDA
PAGEIS)5I-62, OF THE PUBLIC RECORDS OF PASCO COUNTY, hNOT A SURVEY)
FLORIDA
(ABBOTT SQUARE)
I—-
PROPOSED ELEVATIONS AND GRADINGha SITE PLAN prepared for and Certified 70:
ALL ELEVATIONS REFERENCED
[
T
SHOWN HEREON ARE TAKEN FORM HE
TLE
TO NORTH AMERICAN
ENGINEERING PLANS OF
VERTICAL DATUM OF 1988
'ABBOTT SQUARE RESIDENTIAL', PREPARED I
(NAVD 88)
BY'WRA PROVIDED BY CLIENT
Scale: 1 = 20'
TRACT'B-6`
(CDC) ACCESS/DRAINAGE,/
LANDSCAPE/WALL
MAINTENANCE AND FENCE AREA;
OPEN SPACE
N 89-45 3 Y E (P) 45,00 IF)
b
C3
LOT
0 5400 —SO, FT
LIVING AREA = _93-0—SCL FT,
�/F
PORCH - _51—SO. FT
GARAGE =_A01—SO. FT.
COVERED LANAI -_N46�SCL FT,
PATIO = 19 SO, FT,
3,5X35
LOT 3
POOL AREA NSA SO. FT.
LOT 5
PATIO
BLOCK8
CONC, DRIVE371 SO. FT
BLOCK8
AIC & CONIC PAD FT.
30.0 75
SIDEWALK FT.
30-C)"
LOT SOD
R/W SOD _%A_SQ. FT,
PROPOSED
LOT OCCUPIED - Jj_ %
2 S TORY RESIDENCE
AREA TO IRRIGATE = 66 FBI
PLAN 2216
E I-EV'A'
GARAGER
LOT 4
BLOCK8
2" OAK
10.00'PUBLIC UTILITY EASEMENT
1010 ENTRY
2.,OT5
LEGEND:
,
169,
PROPOSED DRAINAGE FLOW
3
100J00) = PROPOSED GRACE
CONC
WALK 011
E-00L00 - EXISTING GRADE
b,
PIT0
0
NOTES:
qS31 wip)
�48 P
_L�BC
LOT GRADING TYPE -B
5 CONC WALK
S89-4531'W (P) 45.00'IP)
PROPOSED PAD ELEVATION = 107,80
FRONT SET BACK - 20
SIDE SET BACK - T5
SIDE SET BACK (CORNER LOT) = 10
BASIS OF BEARING
REAR SETBACK - 15
SMITHFIELD LANE
PROPOSED:
TRACT" A"
MINIMUM FLOOR ELEVATIONS!
FOOD) RIGHT-OF-WAY
LIVING AREA: 108.47'
GARAGE AREA:
ELEVATIONS REFERENCED TO
NORTH AMERICAN VERTICAL
DATUM OF 1988
APPARENT FLOOD HAZARD ZONE: 'X COMMUNITY NO. 120235
S�URVEY �ABBRE�VATIONS� LMAPNUMBER 12101C-0289-F) EFFECTIVE DATE:09/26/2014
AJ -ARC! ENGTH fID-DELD INV - INVERT PC - P ON OF OAVE (Ri - FILL ORD
A�C - Ak COND FXYDR D F- [SAANAGE EASEMENT LE3 -I,ICENSED SLASNI SS OCC - POINT OF COMPOUND CURVE R EmOc LEGEND VNI FEN
A' ALL -NUM -ENCL [F ORE EV - ELEVATION L E - LANDSCAPI. EASEMENT PCP - PERMANENI CONTROL POINT , NO -,RANGE
rrrr BAKEFOOD 1-1 F VATICIN Oil 'BE - RAIL ROAD WIFE
EDGE -PAVEMENT PAVEMENT I,u � LORNFS1 FLOOR EVATICER P/1 - POOL EQUIrEfful OW - MCILIT n- WAY
NM-BENCHMARKESSAT-SASEIMENT LS - LICENSED SURVEYOR PG --PAGE W OD FENCE
C_ CURVE SEC,,, S EC I I ON "P, RIT,
(C 1 _ - ) i CC - -FNE' CORNER (MI I MEASURED III - POINT OF IND RSFC7 I ON SN&D � SET NAIE EVIL) DISK is
C CALCUIAM /N;2,muN CONCRETE MER - mtTERED END SECTION NK -LARFAR KALON LiN3183
ENTERLN, N -NOCCRAGIRFOUND - PROFCq I -M CUAfNLFSKTLN(F
CIL CHARFILID111OIE MONUMENT 0' 1 , TY LINE AN -1 1/2'DONRODILB
,mE-CCKAUaT,,DRIE'IALPI1 FIP -FOUND 'RON FIN O/A-CAF-R Lr_ LOS - POINI Of IVOWRING 181A - TEMPORARY MOO J= F BRICK
KCYOT C� COMMENCTMENT TOFF -� I OR OF BANK
-Iii - FOUND III
101, 1OFUMN CIN POD OF We - OVERHEAD RHNEDI DOC
TAO - TOWNS11W AWICKRI-IM rNO1
CONC CN6 0 ,l]"DoUEND NAF A Onri I - .1ROA1 1111 Co_ I DDL POINT ED ONE
'I IN.
I/S - C_1`NCRI PUNPIPF PLAT PFV - POINI or R[VFR&F CURET, Ut wUNLrFYEASFOENT
FF
'
A
CO-CEARAGUT 1BANALIHIT-FOUNDPSNO41DMPE Il-PLAT 800K Re-PERARDENT REFERENCE MONUMENT VP, VINYL FENCE
JOB #5734 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak DGvV e.
Current title Information on the subject property had not been This certifies ' that k ti� title hereon described Tarpon SIFF iGsFlorida
le
Date of Site Plan: 7-12-22 9-
furnished to Initial Point Land Surveying, LLC at the time of this plop�Sva, n, 0 -,,,.n Dl 11trine: (727)-831-1990
C meets the
SITE PLAN S�� AVractice for
QJV�L 8 SITE S �) — FrondaPI-S7123RDgmal.com F I IF -
2 This sketch was prepared without the benefit of title search. , ek 0 W, W, � I
surveys i0c, 4P f Land LBO 8183
No instruments of record reflecting ownership, easements or a Yo il�
muN
rights -of -way were furnished to the undersigned, unless otherwise I d c,19 #R ' Po- d
4 '2
hereon.;k
t b'y'Je'#rM '&y
Drawn by: DJB e�M
— shown
, and other similar items shown hereon were taker Statue5 'o I
Checked byPJH from engineering plans and are subject to survey, , T Date:20
— 4,) This SITE PLAN does not reflect nor determine ownership, - .1 1 1 Yk,
REVISIONS 01
6.) This SITE PLAN is subject to matters shown on the Plat of
0 rr�
'ABBOTT SQUARE PHASE 18
W FAND
Jeff M, H1%
6,) Dimensions shown hereon are in feet and decimal portions}
; FLORIDA P J, IV A
'a,
7.) Contractor and owner are to verify all setbacks, bu Rod 9 MAPPER NO, L. W-
dimensions, and layout shown hereon prior to any construction, NOT VALID WITHOUT THE ORIGINAL
and immediately advise Initial Point Land Surveying, LLC, of any SIGNATURE AND SEAL OF A FLORIDA
deviation from information shown hereon. Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surve ying, LLC.
SEE SHEET C210
MATCH LINE
6
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1
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10
9
8
7
6
5
4
3 - 2
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TYPEW
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TYPE'B' B,
TYPE'B'
TYPE'B'
I TYPE'B'
TYPE'B'
1
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1 1
P
FFA10,67
)9,57
701
FF:101.97
FF:103.07
10 0
FF:104.17
FF:106.37
FMI
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.110�67
'AD:110,00
9&90
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PAD:1013C
PAD:102AO
P 6,10 0
A .
�AD:105,70
�AD:108,901
PAD: 110.001
0
0
c6
287'-42"RCP@O
Z---97,37
SD8-2
270'- 42" RCP
@ 0.30%
103.85fflai
- ,
oq
- — — — — —
— — — — —
-
— — — —
—
-
— — — — —
-
— — — — —
to
35'- 18' RC R @ 2.01%
U
TYPE'B'
TYPE'B' VTYPE'B' l
TYPE'B'
TYPE'B'
TYPE'B'
TYPE'B'
TYPEW
I
FF:::
'1.00
F17:10237 OPF:103,87 I
FF:105.97
FF:107.07
FF:108J7
FF:109.47
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FF:110.37
:�.1.00
*AAD::�1103.20
AD:105.30
AD:106,40
AD:107�5C
AD:108.80
AD:109,70
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r,4 z TYPE 9 CURB INLET
EOP:97,37
ui X RIM:97.20
LLJ U 48" RCP(SW)IE:84.33
r
vi < 42" RCP(E)IE:85.67
F-1
TYPE'B' j
[PAD:110.801
24' - 18"RCP @ 0.30
-,
V-V/\
V I R-I UAL REVIEW ASSIST
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 13515-1
Parcel Tax ID: 04-26-21 - 0
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— St Srrtit —, the fee
owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services
indicated above.
Pr'-v ProviderFi= VIRTUAL REVIEWASSIST, INC.
Private Provider: DEBRAANNEKLAHR
Address: 747 SW 2ND AVENUE - SUITES 170, 301, 357 & 358, GAINESVILLE L. 32601
Telephone: 813-376-3088 Fax: N/A
Email Address (Optional): deb@virtualreviewassist.com
III I I I I I I III I I I I I'111'' I I! III I lic 1,11 Ig I I I IM1121
1110
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 a] I
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 perrnit 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,
M �
I . 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
Individual
Befoierne,tliis day of
20— personally
appeared
who executed the foregoing instrument,
and acknowledged before me that same,
was executed for the, purposes therein
expressed.
(signature)
print
Name:-�;h �Isto �her S�ryfth.
its: Authorized Aqent
Address:-ZQQ-t[N6L-jQjjb-AYQ--
MiarTij, FL 33172
Telephone
No, 813-574-5700
Corporation
Beforeme,this 22ND day of
MAY 20 2_2
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.
wm��
Print Partnership Name
By:
(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 forthe 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 CALLAHAN
V
y Pubft m. SWe of F(otida
Z
Commission Expires: War
G6 244456
NOVEMBER 30, 2022 Comm#j, elpleei Nov 10, 2022
. . . . . . . . . .
I—COMMERCIA,L BUILDING SERVICES DIVISION V111RESIDENTIAL
BUILDING PERMIT DATA SHEET
FIRE MARSHAL #01 -
DATE: 10/28/2022
lie
!. Vli
Inspection Only
161 Roof
I
E] In's ection Only
[:1 Gas
ch�.�'n♦1I
lWl�ii�P{,I��]AE]
spection Only
E] Medical Gas
InTeyion iifiOnI
El Fire Sprinklers
El On Site Piping
[:]Fire Line
El Irrigation
E] Fire Alarm
0 Potable Backilow Assembly
Fire Line Backflow Preventer
El irrigation Rack1low Assembly
I[X0170i
Ej Walk-in Cooler
El Refrigeration
El Grease Trap
=110PLIM
T e Construction: V-B
Risk Category: Occupancy Load
Ovancy Classification:
'Factory
'I
Assembly Business
Hazardous n, nal El Day Care/Educational
Residential
Storage E= 0,�Uu lity
Building Use: Single EarnilY
Alteration IQ""" Level 1 Level 2 El, Level 3
IQ—,F
VNew Construction El Interior Finish E] Interior Remodel Exterior Remodel Addition Ej Revision
Overall Size:
Number of Stories: Total Sq. Ft,:
30 X 46
2 2672
Living Area:
Covered Area: # of Bedrooms: 5
2217
455
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Rootjyp��:�Z Shin je,
EjTile 0 Built-up E1Metal -:-:-_-_-E-1 0�ther Squares: 18
[
Zoning:
Wi orne Debris: Energy Code:
i Inside W,!Outside 405-2020
-To!-
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents? ®;Yes
No
Sq. Ft, Enclosed Space Below BEE:
# of Vents:
Size of Vents:
Total Sq. In. Permanent Openings
Central A/C
Z Heat Pump Ej Window A/C
D Gas A/C
El Gas Heat OXLectric Heat_____________]
Sanit
�ia Sewer
Storm Sewer Catch Basins
_�
Potable Water
Underground Fire Line
21=
Front Rear Left Right
21 As per Approved Site Plan
Comments:
VR/\
VIRTUAL REVIEW ASSIST
Private Provider
Plan Compliance Affidavit
Private Provider Firm: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU1967
Address: 747 Southwest 211 Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: IggyC(aivirtuairg �ie a.ssi t'collmll
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and holds the appropriate license or certificate:
Name: Debra Anne Klahr
7ml
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:
SWORN AND SUBSCRIBED before me by Debra Anne Klahr
being personally known to meor having produced as identification
and who being fully sworn and cautioned, state that the
foregoing is true d orrect to the best of his/her knowledge or belief
Signature o otary Print Name
Notary Public: NOTARY STAMP BELOW My
commission expires:
LUCERO KING
% My COMMISMON # jjH SiO390
EXPIRES: JuV 2,2026
Permit No. c�/n
Date Permitted � �2
Builder Narne/Owner Control
County Parcel No. SubDiv:
Address/Location
Classification/Type of Use
TRANSPORTATION IMPACT FEE Rate; Sq. Ft Unit:
Exempt Yes El No How Determined
Impact Fee ount Zone No. TAZ:-
SCHOOL IMPACT FEE
Account (056)
Single -Family Detached douse Amount
(057)
Mobile home
(05)
Other Residential
(123)
Collections Fee
Exempt 1= Yes
= No How Determined
PARKS t RECREATION
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone Total Amount
Exempt =Yes No Now Determined
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt Yes No How Determined Total Amount
RESOURCE FEE ERII
Total Amount
Checked By
No CERTIFICATE OF OCCUPANY WILL BE ISSUED OR FINAL INSPECTION
!.,