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HomeMy WebLinkAbout22-5406Phone: (813),574-5700 Transportation Transportation Impact Fee - City Address Fee Electrical Plan Review Fee Mechanical Permit Fee Park Impact Fee - Single Family/Townhome Building Plan Review Fee Sewer Connection Residential Fee Electrical Permit Fee R 1t t ®of Zephyrhills1i1 5335 Eighth Street eph rhills, Ft. 33 Phone: (813) 780- 020 Fax. (81 ) 78 -0021 Issue Date: 01t1112023 En $34.80 Public Safety Impact Fee -police $254.00 $30.00 School Impact Fee - Single Family $3,353.00 $0.00 Public Safety Impact Fee -Admin $26.35 $114;05 Mechanical Plan Review Fee $0.00 $769,56 SIF 1 percent Fee $33.53 $18U0 Water Connection Residential Fee $1,010.00 $2,080.00 Plumbing Permit Fee $145,78 $198.77 Driveway Fee $45.00 $3,445.20 Building Permit Fee $1,097.80 $732.71 Plumbing Valuation Fee $0=00 $15.00 «•derall agencies, Codesaccordance with City ainances. N6'OCCUPANCY BEFOREC.O. . OCCUPANCYce,, 4 L_ NT �OTURe��� T R Rill', CE :�► -. 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 e d Building Department Date Received Phone Contact for Permitting 908 770 __ 7763 -rC_X' `H` _ _9'_YT8 "'�T 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/ Owner Phone Number Fee Simple Titleholder Address NfA JOB ADDRESS 6868 Ripple F'and Loop LOT# A020a SUBDIVISION Abbott Square PARCEL ID# 04-26-21-0140-00100-0260 (OBTAINED FROM PROPERTY TAR NOTICE) WORK PROPOSED NEW CONSTR e ADD/ALT SIGN 0 0 DEMOLISH INSTALL REPAIR PROPOSED USE f SFR 0 COMM OTHER TYPE OF CONSTRUCTION 0 BLOCK FRAME STEEL DESCRIPTION OF WORK Multi -family /Screen Enclosure (Fence BUILDING SIZE U/R SF 1763� 1 SQ FOOTAGE 1400 HEIGHT 1 ' BUILDING $ 211560 VALUATION OF TOTAL CONSTRUCTION lob 6ELECTRICAL $ 31734 PROGRESS ENERGY W.R.E.C. ji......".�i AMP SERVICE (PLUMBING $ 21156 MECHANICAL $ 14809.2 VALUATION OF MECHANICAL INSTALLATION GAS Z ROOFING El' --SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES ! tv0 BUILDER COMPANY Lennar Homes, LLC SIGNATURE REGISTERED Y/ N FEE CURREN Y I N .::M—..U.....�_,.._... ._ Address 4301 W Bo Scout Bt -d SCII 600'1'aarpa License # FL 33607 GGC1518166 � ELECTRICIAN COMPANY nn Edmonson Electric, Inc. SIGNATURE REGISTERED Y I N IRREI Address xµ .w. License# EC13005408 —� PLUMBER COMPANY Bayonet Plumbing, heating & AC, Inc SIGNATURE REGISTERED Y / N FEE GURREF Y / N Address CFC042998 License # MECHANICAL COMPANY Bayonet Plumbing, heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN Address License # CACQS$062 �� OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE REGISTERED Y i N FEE cuRREh Y 1 N Address License # CCC057991 ��� 61lB�IBIBIl6EEli1lillEi6911fIilB91ai�8I1118Iii6t9il�F6![I9itPt9iEBR 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. (AIC 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 -Nat 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, Welland 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 W" 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, imuli"WITIL01 Z41 V, W t01TJ A 61,14 it **.S 110KI1111111111 :A a Z,1141 ZIA 13� 10101; M I k3 I Ali 11112'"luo 01111411 Z a 1211 Z FIM LIN IN R OWNERORAGENT Subscribed and sworn a (or affirmed) before me this _L111111111 by Christophar Smith Who islare personally known to me or#a4bave-prect�us:ad as identification. Notary Public Commission No. GG 296057 Subscribed and sworn to (or affirmed) before me this _L111111111 by Wflo islare personaii�known 4o mo or has/have produced as identification, Notary Public Commission No. GG 296057 Stephanie Farmer Stephanie Farmer Name Name ofN IM E*N Folm" IS, 20 2-f E VW I lam■ \� \ \� � gc c NO, 67540 STATE OF > /ONAI- DESCRIPTION: LOTS 25-30, BLOCK 1, ABBOTT SQUARE PHASE IA, SITE PLAN( SEC, 11, TWP. 25 S, RING 21 E. ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89, PASCO COUNTY, FLORIDA PAGES 28-35, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. )NOT A SURVEY) _ AaBOTTsouAREj PROPOSED ELEVATIONS AND GRADING SHOWN HEREON ARE TAKEN FORM THE �•` LOT31 ENGINEERING PLANS OF ( �, BLOCK 1 `ABBOTT SQUARE RESIDENTIAL', PREPARED BY "WRA' PROVIDED BY CLIENT �3 ,.... S87.49'S4'E P 112.00P ors. j his SITE PLAN Prepared for and Certified To: Lennar Homes a 20.5' 20 7 ALL ELEVATIONS -RE FE-RE NGEQ i I �- 35 4 ENTRY ttA. � TO NORTH AMERICAN a o 4 1` vERfiCAL DATUM OF 1988 j •.� -� LOT jQ PROPOSED (NAND 88j 1 i + 1.0' BLOCK 1 I STORY VILLA PLAN 1500 LANAI Be ELEV'TH' GARAGE R m S 87-49'53- E (P) I IZ.0o' Ill) s m Np_ _ 69.8' 12S 63.0'. T PROPOSER ` -1 13.8' ENTRY I STORY VILLA N w :.. +.I d ( �! 1 o a 21(S �- . F o LOT 2c% PLAN 1397 _ z Scale: 1 " = 20' 0 � _� � � ELev H' LANAI 8.0� Or Ww �, S.3` BLOCK 1 GARAGEL F= 2 � a h N N � E TW TOP OF WAIL }�-. i� "` S 87"49'S3" E (P) i,5 (P) C V�fi, �© i -- m _ +? 62.5 - --- B-- W BASE OF WALL o ~ m _ _ F 53' 1 STORY VILLA ro j = 2` OAK 21 o LOT 2$ PLAN t397 - a` BLOCK ELEV"TH" LANAI 8.p' + L mT� f3.8 .1 e _= 10.00' PUBLIC UTILITY EASEMENT .ENTRY GARAGE R rv. .1 e = S 87'49'53` E (P) 1 12.00' (P) = N LEGEND: 63.01 PROPOSED DRAINAGE FLOW r 4 )-= o' PROPOSED 00.00 PROPOSED GRADE o�_ _ l STORY VILLA m ? E-OO.OD =EXISTING GRADE "" o Z t 5 - 13.8" LOT 27 PLAN OW a V' e BLOCK 1 EL.EV'TH'' o ae NOTES. s.3' GARAGE LANAI s.o'C3 z c LOT GRADING TYPE =A 0 M PROPOSED PAD ELEVATION = 10650' S 87°49'53" E (P) 11 2,pp(p) FRONT SET BACK =20' SIDE SET BACK = 7.5' PROPOSED �- I STORY VILLA SIDE SET BACK (CORNER LOT) 15' j I�I' 53 LOT 26 PLAN 1397 m REAR SETBACK IS' ( Jr.�. .-,� - o BLOCK 1 ELEV'TH" LANAI • s" GARAGE R �r+� LOT f13�8 ENTRY 8.0' 4p - ZQ2 5 SQ. FT �` a b LIVING AREA = x _SCL FT_ I o `" S 87°44'S3' E (P) 1 12.00' (P) M PORCH x SQ.FT. W ^ GARAGE x So FT. 69.81 COVERED LANAI x _S1 FT. �. of iv PROPOSED PATIO SO FT FT. p i STORY VILLA T+i POOL AREA = NJA St0-FT. %"' PLAN 1500 CONIC, DRIVE = x SO. FT. I : �i _ I R' LOT 25 ELEV "TH" LANAI 8.0'� A/C & CONIC PAD = x _SQ. FT. ` BLOCK 1 GARAGEL _. SIDEWALK x SQ. FT. oL. o r^s LOT SOD .ENTRY x _..__ SO. FT. '� _ 4. R/W SOD x SO. FT, I , w .a.5 3`".4 as to LOT OCCUPIED X % �- .._'�.-•---�-- ) "t 19.8' 80F, 20.7' P AREA TO IRRIGATE x Talo �! )• o --'--= __ 4 PROPOSED: r � ""--^-C17NC RETAtA9NG WALL -i----- ELEVATIONS: t S 87'49'53' E (P) 112.00 ICI LIVING AREA: 107.17' 1 1 W:to346 MINIMUM FLOOR ELES 6i �\Q3 GARAGE AREA: � I ; yy77 LOT 24 TW: 103-74 � ELEVATIONS REFERENCED TO r •' J NORTH AMERICAN VERTICAL BLOCK 1 DATUM OF 1988 APPARENT FLOOD HAZARD ZONE: "X` COMMUNITY NO. 120235 SURVEYABBREVATIONS ;MAP NUMBER 12 TO IC-0289-F) EFFECTIVE DATE 01t/26/2014 AT ARC LENGTH DI DEED -INVIER,' IS ^ POINTO CURVERECo`P LEGEND V.NYt FENCE, A/C At,C'NLI 'ONCE DE DRAINAGE AGE EASEMENT J UCENSCf4JS SE PCC IONA CTC OJND CJRV£ ITN SAIL ROAD YNI At A,.iJMINUM F:NG: R'E- RASE FLOOD ELEVAT OY Et O2 FDC LPAV ION L mtLoWESI F ARO EVA Or PERMANENT DQUI i ENT RO, FO,Nt TV -EIGHT 01T AY I FO EUC O PAVEMENT LS"i LC NSEDS.OGRE it R110N P/G fDOC LOUIRMENT 2, V1-R -EIGHT OF WAY i M 41 Rf Neff IRA ESM -EASIMtNT L4•I.IC!NSCUSURVEYOR ;:6 IACE S:C-.SECTION WOODICNC( c -CA', ASPHaLr (C-<ALCtJIAtF!J /C �: CNC.: CORNER fMj-MCASU L> ITt^ DINT OF INTERSECTION SNSD -S..T NAIL C)SK CMS• FOUND CONCRETE KAES- SATE RED END SECTION MR -PARKER KALON 14..8tP3 CENT[ RI N: R CI IAIN LINE FENCE (.'* CHAIN LINK ftNCE MONUMENT NO--N CORNER FOUND PROPERTY LINE SIR SEC t/Z"IRON RODT Bk BIkt3 FIP=FNJNDTRONPKE O/A- OVCRALL POB, POI NT OF BEGINNING TSM- TEMPORARY BENCIi MARK "t3RICK--X- cMt,-CORRUGATED METAL PIP �I12^FOUNURON ROD OT IW- OVERHEAD VOREIS"1 POC^1'OIMOFCOMMENCTMENT TOE TOP OF BANS GO;. -COLUMN N&D FOUND NAIL OR ^O {CIA!-RECORQS POL POINT ON :N WP =TOWN4,4tP ALUMINUM FENCE CONC-CONCRETE FO FOUNDO EN PIP[ 1p) -PEAT P2C POINTOF R`.VERSECJRVE U.E=J* tASET-1ENT �COVCREu- CSS�CONCRAGHL'9 PPaFOUNDPINCHEDEPL PS - PLAT BOOK PRO P.-RMAN,NT REFERENCE MONUMENT Vp- �\ CST tLFAI'4-GHt iWAN6.E VT13Y FENCE JOB #5829 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Dnve 1.I Current title information on the subject property had not been This certifies that sketch of the hereon described Tarpon S r n s Florida Date of Site Plan: 8-10-22 P P' 9 furnished to Initial Pont Land Surveying, LLC, at the time of this property was upervision and Phone: (727)-831-1990 DWG ASL24368'.-ATE SITE PLAN meets the 6w,^y�, a* 9%Practiee for FdncaPLS7123@gmaEx re 2.) This sketch was prepared without the benefit of e title search. su�+eys X rd of Land LB# 818.3 p° No instl umenu of record reflecting ownership easements or 5, ,,.g 4r :fi,%igt7ed �- File rights -of way were furnished to the undersigned, unless otherwise 5 --'.rW rl shown hereon. artle Drawn by :-DJB 3.) Roads walks and other similar items shown hereon were take St t St t stunt t Section 477 C . F r - " i Date ti # •(j$•�' Checked byJH from engineering plans and are subject to survey. REVISIONS L) This SITE PLAN does not reflect nor determine ownership_ s P 31 4'00' /LY z ``/L L 1` `l 5.) This SITE PLAN is subject to matters shown on the Plat of f (l+ 3 `ABBOTTSQUARE PHASE tA" --- 6.) Dimensions shown hereon are in feet and decimal portions Jeff M thereof. FLORIDA}it AND 7.) Contractor and owner are to verify all setbacks, building MAPPER N . ��v I� dimensions, and layout shown hereon prior to any construction, NOT VALID WITHOUT THE ORIGINAL and immediately advise Initial Point Land Surveying, L-C. of any SIGNATURE AND SEAL OF A FLORIDA d'r deviation from information shown hereon. Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC. at user's sole nsk y �' 4 `l i .4o -n, ot o �o- �0: 2 i m VR/\ VIRTUAL REVIEW ASSIST Private Provider Plan Compliance Affidavit Private Provider Finn: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU 1967 Address: 747 Southwest 2,d Avenue Gainesville, Fl, 32601 Phone: 813-391-2959 Email: lac Lgat W-_yiewa,ssist.com Project: New SFT Address(s): 6868 Ripple Pond Loop I hereby certify that to the best of my knowledge and belief the plans submitted were reviewed for and are in compliance with the Florida Building Code and all local amendments to the Florida Building Code by the following 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: 1,2,3,4,5,6,7,8,9,I0,I0.1, LI, FP-1,SN, SNI,S3,S4,S5,SS,D1,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: 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 foregoing is _7 dcorrect to the best of his/her knowledge or belief ' A/Y Signature ofNo* Print Name <7 Notary Public: NOTARY STAMP BELOW My commission expires: LUCERO KING EMCOMMISSION # HH 310390lEXPIRES: July 2, 20'26 v ' R FUAL REVIEW ASSIST Notice to Building Official of Use of Private Provider Effective January 20, 2003 Mil MA 7 ii Project Name: Qiii ( D Parcel Tax ID: 04-26-21-0140-001 QO-0260 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— Ste , 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 REVIEWA Private Provider: DEBRA ANNE KLAHR Address: 747 SW 2ND AVENUE - SUITES 1 Telephone: 813-376-3088 Fax: N/A Email Address (Optional): deb@virtualreviewassist.com 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. 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 mimimum of S years subsequent to the pc6prinance of building code inspection services. Individual (signature) Print Name: Address: Telephone No. 313-574- 700 STATE OF FLORIDA COUNTY OF -HILLSBOROUGH Print Partnership Name ffla (signature) Print Name: Its: Address: Telephone No. Individual Corporation 22ND Partnership B eforeme, this day of Before me, this day of B3 fore me, this day 20_.._, personally MAY , 20 2.2 of 20 , appeared personally appeared personally appeared who executed the foregoing instrument, of and acknowledged before me that same L nn r Names LLB a partner/ago nt on behalf of was executed for the purposes therein corporation, on expressed. behalf of the state corporation, who a partnership, who executed the executed the foregoing instrument and foregoing instrument and acknowledged before me that same was acknowledged before zTae that same executed for the purposes therein -vas executed for the purposes therein expressed. expressed. Personally known X -or Produced identi cation Type of identification produced Signature ofNotar Print Name A NLE.E CALLAHAI1I NotaryPublic Stamp: � ASNLE� �ALI.A�APd /� Pu��t.5tat �f t4arida '. Commission Expires:' . 9 � fiatarY G4 rt l i0ti # G6 244456 EXPk05 Nov 30, 2022 ofOVEMBER 30, 2022 ��, Can; �trlroui� ikldn�;otry �3ti .•. 'age 2 of 2 JQCOMMERR IAL BUILDING SERVICES DIVISION VIRESIDENTIAL BUILDING PERMIT DATA SHEET W FIRE MARSHAL #01 - Reoulred Permits ding Plumbing V ec Electrical Amp V El Inspection Only Inspection Only El ln�pecti �n On El In 1 Only Roof El Medical Gas Fire SprinklerMM s El On Site Piping El Fire Line El irrigation El Fire Alarm El Potable Backflow.Assembly Fire Line Rackilow Preventer Lj irrigation Backflow Assembly E] Demolition EJ Walk-in Cooler■Refrigeration El Hood El Ansul, Fence/Wall i� E] Grease Trap El Other El Other e Construction Occupancy Load any Classification: sification: Assembly Business ay Care/Educational Hazardous ,Institutional El mercantile E--= OV',Resact Factory ciodemial E== ity BFE111"uilding Use: Sinale Family townhouse Alteration Level I I— Level 2 Level 3 VNew Construction El Interior Finish El Interior Remodel El Exterior Remodel [] Addition Ej Revision Overall Size: Number of Stories: Total Sq. Ft.: 26-8 x 71 1 1763 Living Area: Covered Area: # of Bedrooms: 2 1400 363 # of Baths: 2 Cost per square foot: Estimated Value: Roof T e: Tile Bu t-u Other —S�es- --1-9 Zoning: Wi ulhorne Debri —] —Estim—sted Va I ml �-up�Metal�00�ther �s� Energy Code: 405-2020 ueov�:Outside Eljn Inside Flood Zone: X Base Flood Elevation: Finish Floor Elevation: hydrostatic ,c Vents? e Hydrostatic Vents? Q�V-es Sq. Ft. Enclosed Space Below CFI : # of Vents: Size of Vents: — Central A/C Heat Pump Win dow AIC eat El Electric Heat Rear Left 21 As per Approved Site Plan mmm� mm Permit No. '^' ." Irate Permitted 27 Builder Na lner N Control County Parcel No. eiiv; TRANSPORTATION IMPACT FEE Rate, Sq. Ft Unit. , Exempt Yes E3 No How Determined Impact Fee Amount i� Zone No. TAZa 4 L IMPACT FEE o Account (056) Single -Family Detached House Amount $ ' (57) Mobile Home (5S) Other Residential (123) Collection Fee Exempt Yes No How Determined. PARKS AND RECREATION FEE Land Account land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone Total Amount $ 1 Exempt OYes No How Determined Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt ElYes El No titan Determined Total Amount RESOURCE FEE ERLI Total Amount 111 DATE Checked By NO CERTIFICATEF OCCUPANY WILL OE ISSUED R FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISPED HAVE RECEIPT NO DATE BY