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Home My WebLink About22-5410Name. LENNAR HOMES LLC-OWNER 0 Cypress St 200 sMIGERIOZEM Public II � Po lice Transportation Impact Fee Building Plan Review Fee Plumbing Valuation Fee Public 1Safety +« 6�V InspectionFire Wall/Smoke Wall Mechanical Plan Review Fee Electrical Permit Fee Driveway Fee Transportation City of Zephyrhilis 5335 Eighth Street C, Zephyrhills, FL 33542 BNR-00541 Phone: (81 ) 780-0020 Fax; (313) 780-00 Issue pate; BuildingClass of Work: Townhome Electrical Valuation: $31,734.00 Mechanical Valuation: 0♦ Plumbing,20 Total Valuation: a Fees:.20 Total $ Amount P. Date Paid: 1/11/2023 7:24-119AM $254.00 Building Permit Fee $1,097.80 $3,44U0 Mechanical Permit Fee $114=05 $18U0 Plumbing Permit Fee $145,78 $769. 6 Sewer Connection Residential Fee $2,090.00 $0.00 Address Fee $30.00 $26.35 3/4 Water Meter Residential Connection Fee $732.71 $15.00 Water Connection Residential Fee $1,010.00 $0.00 SIF 1 percent Fee $33.53 $198.67 Electrical Flan Review Fee $0.00 $45.00 School Impact Fee - Single Family $3,353.00 $34.80 • .' t R +III III I IIIIIRI 11111! 1 # { �(?NTRACT SiGNATUi2 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 _A� Building Department Owner's Address 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number Fee Simple Titleholder Name I N/A Owner Phone Number Fee Simple Titleholder Address NIA JOB ADDRESS 6884 Ripple Pond i oop LOT# [A029 SUBDIVISION AbbOtta�tjUare PARCEL ID# 04-26-21 ii140-001C1�-029Q (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED 7 NEW CONSTR ADDIALT INSTALL REPAIR SIGN DEMOLISH PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK t] FRAME STEEL DESCRIPTION OF WORK Multi -family I Screen Enclosure 1 Fence BUILDING SIZE L1R SF 1 %Ej�— SQ FOOTAGE 14 QQ HEIGHT 1 �� BUILDING $ 211560 VALUATION OF TOTAL CONSTRUCTION IaI NELECTRICAL $ 31734 PROGRESSENERGY W.R.E,C, AMP SERVICE I✓ 6PLUMBING MECHANICAL 2 VALUATION OF MECHANICAL INSTALLATION r$-14809 GAS (v{ 1 ROOFING Q SPECIALTY OTHERr FINISHED FLOOR ELEVATIONS �F 71 FLOOD ZONE AREA DYES DO BUILDER �� COMPANY Lemur Hc�nllcs, �F.E..RRSN�� SIGNATURE REGISTERED Y I N 4301 W B �T" but Blvd S>rife 600 'Pampa, FL 3360? C ( C1518166 7 Address License # ELECTRICIAN ? COMPANY EdmonSOn Electric, Inc. YINSIGNATURE REGISTERED E euRREnE �t Address License# EC13005408 — — �� Ba onet Plumbing, Heating & AC, Inc PLUMBER COMPANY Y g, g SIGNATURE REGISTERED Y 1 N FEE CURREN Y I N Address 87 License# CFC042998 __�� MECHANICAL COMPANY FBayonet Plumbing, Hewing & AC, Inc SIGNATURE REGISTERED _Y / N FEE cuRREn Y 1 N Address` License# CAG058062�—� OTHER � COMPANY �Sterling �Quality SIGNATURE REGISTERED Address , / License # CCG057991 I4ltEI@BtIIt9i6111i0i1i1F1E661I1B8[616181ElIfF8tliEtftt@![il[85ii1� 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 wl 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 wt 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 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/OWN ER'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 "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 "K 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. 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 3'''TH YOU R LEND ER O R AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO ENCBMENT. FLORIDA JURAT('S11,0) OWNER ORAGENT - CONTRACTOR Subscribed and 'worn o (a, aff,rmed} before me this Subscribed and sworn to (or affirmed) before me this 202-111-011 by Christopher Smith 27v2 by Christopher Smith Who is/are personally known to me who is/are personally known to me or has/have produced as identification, as identification. Notary Public Commission No 296057 Commission No, GG 296057 Stephanie Farmer Stephanie Farmer Name Name ofN .1 E*m Fstimmy 15, 20 Notary Public Permit No, � Date Permitted — Builder Narne/Owner Name C ntr l County Pamel No. Address/LocationLa Classification/Type of Use TRANSPORTATION IMPACT FEE Rate, 5q. Ft Unit: Exempt ci Yes 0 No Hew Determined Impact Fee Amount � Zane No. TAZ: OOL IMPACT FEE Account (05) Single -Family Detached House Amount b (057) Mobile Home (0 5) father Residential (223) 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 - , Exempt =Yes No How Determined LISRARY FEE Land Account Land Credit Land Total Facility Account Facil€ty Credit _ Facility Total Exempt DYes No Flow Determined Total Amount RESOURCE FEE ERU Total Amount checked sy OF OCCUPANY WILL RE ISSUED OR FINAL INSPECtION a DATE RECEIVED BY RECEIPT NO DATE BY f,;Jj U, fr E z S - ' U P CY i V1 H J it+ W S ;.. r) �"�{dT-iOtVy vet i a � tCF1VSg 'zi+ �7 O# L., NO.67540 o STATE OF i� �NAL Datum: NAVD88 C201 DESCRIPTIONI LOTS 25-30, BLOCK 1, ABBOTT SQUARE PHASE )A, SITE PLAN SEC. 1 1, TWP. 25 S, RING 21 E. ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89, PAGES 28-35, OF THE PUBLIC RECORDS OF PASCO COUNTY. FLORIDA (NOT A SURVEY) PASCO COUNTY, FLORIDA (ABBOTT SQUARE! PROPOSED ELEVATIONS AND GRADING SHOWN HEREON ARE TAKEN FORM THE LOT 31 ENGINEERING PLANS OF I BLOCK I ABB07T SQUARE RESIDENTIAL, PREPARED BYWRA'PROViDED BY CLIENT S87'49'- si his SITE PLAN Prepared for and Certified To: i � - 1Ica �-� �_ 2tSS 207 ALL TO REFERENCED ENTRY F In 1918, Re TO NORTH AMERICAN 1 b 4 VERTICAL DATUM OF 1988 In (NAND 86) LOT 30 PROPOSED BLOCK I I STORY VILLA b PLAN 1500 ,0 ELFV TFF LANAI 8 "'ib GARAGE R in cs S87`4953-E(P) 112,00,(P) Ny 69.8' 195 610 6,8' >_ 81 PROPOSED I, < 13.8' ENTRY I STORY VILLA 2! O 211b LOT 29 15, 7-7 PLAN 1397 Scale: 1 20' U. a FUEV'TH' < 3' BLOCK I GARAGE L LANAI Re' Fa 0 N 5 87°49 53 E (P) 1 1200 (PI ---------- TW I OP OF WALL BW= BASE OF WALL 6ZS' --------- PROPOSED 53 STORY VILLA U LOT 28 PLAN 1397 2" OAK Or ELEV"TH" LANAI 8.0 10.00 PUBLIC UTILITY EASEMENT ENTRY BLOCK I GARAGE R �n G, LEGEND: IK * BJ IzS87'4953EfP) 12.00 P) � PROPOSED DRAINAGE FLOW (Q0,00) PROPOSED GRADE PROPOSED r, F, E-00 00 EXISTING GRADE 21,5 STORY 1397 VILLA r\i 13� ROY LOT 27 'PLAN NOTES: BLOCK I ELEV'TH' 13 GARAGEL LANAI 8,0' 2 < LOT GRADING TYPE = A PROPOSED PAD ELEVATION = 106.50 S 87-49'53 E (R) 112.00 FRONT SETBACK 20 4------- SIDE SETBACK � T5 PROPOSED - I STORY VILLA SIDE SET BACK (CORNER LOT; 15' 1, 53 LOT 26 PLAN 1397 11 2115 ELF.V-TEF - REARSETBACK 15 BLOCK I GARAGE LANAI LOT = 20235 SCEFT b ENTRY 8,0 LIVING AREA = X So FT S 8T49,53, E (P) 112.00, (PI In PORCH = x SO. FT 63.0' GARAGE =X SO FT. COVERED LANAI =XSol FT PATIO PROPOSED FT I STORY VILLA POOL AREA 0 PLAN 1500 _NLA S :FT Y_ CONC. DRIVE x _SO. FT LOT 25 ELEV TH" LANAI 8 0 A/C & CONC PAD x -SCL FT BLOCK I GARAGEL SIDEWALK X SO, FT b LOT SOD- x SO, FT I P I SLI .ENTRY 'i M, SOD I R/W X 20,5' 3SA' SIZL FT 19.8 8F)" Na LOT OCCUPIED X 'K, 2,TT AREA TO IRRIGATE x % —CONC RETAINING WALL -- PROPOSED: MINIMUM FLOOR ELEVATIONS: 87'49E53 E (P) 112,00 P,iJ LIVING AREA: 107.17' TDO 10146 \— TEV 103 74 GARAGE AREA: LOT 24 IlS51 ELEVATIONS REFERENCED TO s BLOCK I NORTH AMERICAN VERTICAL DATUM OF 1988 APPARENT FLOOD HAZARD ZONE: X COMMUNITY NO. 120235 SURVEYABBREVATIONS� (MAP NUMBER 12 10 1 C-0289-F) EFFECTIVE DATE: 09/26/2014 AARC I UNGTH Ea - DEED INV - INVERT P—POINTOECURvE SRI - I=CORD LEGEND ON, FENCE ,L 1,1 - All COGIETtOrI D.E- DRAINANCIDO, WENT L -LAC LLENSED BURGESS P C - POINT OF COMPOUND CURVE RNG - RALSO, AAIUMINLIN rrNDE .'OR ELFV - ELVIGS I ION 1, E - DENDSCAIG EA5ENIEN7 UCP - PERMANEEP COW SOL HOW KID -RAID ROAD SPIKE "CONE SHE - EASE H.00D Ei,FVAT*N E P - EDGE OAVL ESENi E LCAVEST FLOOR ELEVATION PIE - -00 EQU(POLENI ROY - RIGHT OF WAY 911 , SE1,11 NIALIK �Skl T - LS - LICENSE D SURVEYOR PG PAGE WOOD FENCE SC - SECTION SECTION Asir iAI T C, NENCE CORNFIr RY - LaEASLARED ED N! GAIN .RSECTION Sn&D , I I NAII, AND DISK - CA'CUAi DO ECM - �OIINTL CONCRE LE MES - METERED END OC11ON -PARKER "LON LEES 183 CEN1111111 fristaGint Fri C"Arr'lu'r, -GOODS I - IET ' I CHAIN LIPS FENCE _a', MONUMENT IRON NICE ERFOUND I SIR 1/,1.RDcB llIIB'111�1'1 D PIN a , F - IOB - PCIOLL 01 BEONNING ar Y LN RES BRNA cW - LFkRUGA7FD hr`�AL PIE c;p For, L) QJA Cr4OALI TSM - 11 0 -OVER DEAL WIRID$) POC-POINTORCOMMENC7 TOR --a 701101 BANK COL=CCEUMN GUNS RON ROD OHW R T c.NC-CONCI T1 ED D - FOUND SIM & DISK 0 R OFFICIAL RECORDS POI - POINT ON LINE TWP - ALUMINUM FENCE VZS 'I- F P REVERSE CURVE UE-USOWNS "IMENIT - COLION, I E SIAS ESE - FOUND OPEN PIPE (P) - PESO PC YONTOF TILITY -A-1 _LET - r I ZAP SR� IT rRIANGLEPIPE NO REFERENCE MONUMENT VF - INYL HUSCE JOB W5829 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive 1.) Current title information on the subject property had not been This certifies that sketch of hereon described Tarpon Springs, Florida DataofSrePlan 8-10-22 furnished to Initial Point Land Surveying, L LC, at the time of this — properly OR upervision and Ph000: i727)-831-1990 cim meets the SJE SITE PLAN Practice for . 'Jc,ndSEPLS7T231GqmaB.c 2.) This sketch was prepared without the benefit of a title search cy, cys rd of Land UO 8183 No -Instruments of record reflecting ownership, easements or K3 'signed -way, were furnished to the undersigned, unless otherwise 5 n rights -of n shown hereon. artle i purl jnttq Section 47,.(,. , Drawn by _DJB 3.) Roads, walks, and other similar items shown hereon were taken St t ' 4[late: 0 .08.30 ::hecked )yJJ-I from engineering plans and are subject to survey. I q, . 4.5.;T1his SITE PLAN does not reflect nor determine ownership, J031.tAI04`00' REVISIONS lgxy This SITE PLAN is subject to matters shown on the Plat of li"51 `ABBOTT SQUARE PHASE I A" _IcL0,RtDA__,_ 6.) Dimensions shown hereon are in feet and decimal portions Jeff_M % . - thereof, FLORIDA AND 7.) Contractor and owner are to verify all setbacks, building MAPPER IN 9 — 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 CIO so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC. at users sole risk. 0 0 { \/RA 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: CaLvirtgaA1 lu ac Iki iat-qoln ylLe -'1— Project: New SFT Address(s): 6884 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 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: 1,2,3,4,5,6,7,8,9,10,10.1, 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 by Debra Anne Klahr being personally known to mc--Af!:" or having produced as identification and who being fully sworn and cautioned, state that the foregoing is true a97,t� rurect to the best of his/her knowledge or belief. Signature of Notary Print Name \/-RA 'v' R] UAL REVIEW ASSIST Notice to Building Official of Use of Private Provider Effective January 20, 2003 ProJ LOOP ject Name: ! !i, piiii�''! Parcel Tax ID: 04-26-21-0140-00100-0290 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, 1— Steve Smith , the fee owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services indicated above. Private Provider: DEBRAANNEKLAHR Address: 747 SW 2ND AVENUE - SUITES 1 Telephone: 813-376-3088 Fax: N/A Email Address (Optional): deb@virtualreviewassist.com Florida License, Registration or Certificate #: (LIC # BU1967 / PX2300 / BN4615) I have elected to use one or more private providers to provide building code plans review and/or inspection services on the building that is the subject of the enclosed permit application, as authorized by s. 553.791, Florida Statutes. I understand that the local building official may not review the plans submitted or perform the required building inspections to determine compliance with the applicable codes, except to the extent specified in said law. Instead, plans review and/or required building inspections will be performed by licensed or certified personnel identified in the application. The law requires minimum insurance requirements for such personnel, but I understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harmless the local government, the local building official, and their building code enforcement personnel from any and all claims arising from my use of these licensed or certified personnel to perform building code inspection services with respect to the building that is the subject of the enclosed permit application. I understand the Building Official retains authority to review plans, make required inspections, and enforce the applicable codes within his or her charge pursuant to the standards established by s. 553.791, Florida Statutes. If I make any changes to the listed private providers or the services to be provided by those private providers, I shall, within I business day after any change, update this notice to reflect such changes. The building plans review and/or inspection services provided by the private provider is limited to building code compliance and does not include review for fire code, land use; environmental or other codes. 1, Qualification statements and/or resumes of the priv ate provider and all duly authorized representative 2.. Proof of insurance for professionall and comprehensive liability in the, amount of $1 million per of 5 years subsequent to the performance of building code inspection services, RMMMM :(Signature) Print Name, :Address: Telephone No:: Please use appropriate notary block. STATE OF FLORIDA COUNTY OF ALLSBOROUGH Individual Before me, this day of 20_, personally appeared who executed the foregoing instrument, and acknowledged before me that same was executed for the purposes therein expressed. Corporation LLENNAREQMES.� Print Corporation Name Telephone - No, 813-574-5700 Corporation re Beforeme,this 22ND day of 'Ofo MAY 2o22 por m a 0 r t" t e h M ar 22ND day 20 22 personally appeared of . LU LLG Of Lennar Homes LLG n c 1 orporation, on c, behalf of the state corporation, who or the p os, uted f _8 erein "17e sed. executed for the purposes therein expressed. Personally known X ; or Produced identi cation_ Type of identification produced Partnership Print Partnership Name La (signature) Print Name: M MMEEWT Before me, this day of . 20 personally appeared p artner/agont on behalf of a partnership, who executed the foregoing instrument and acknowledged before me that same was executed for the purposes therein expressed. SignaWre of Notar Print Name ASHLEE CAL-LAHAN Y�u Notary Public Stamp: Commission Expires: . NOVEMBER 30,2022 HLEE CALLAKAN ft?. state of Ftoriaa 6 Expleej soy 50, 2022 IF . . . . . . . . . . . . . !l-•� Cc ERR BUILDING SERVICES DIVISION BUILDING FIRE MARSHAL l ,, RESIDENTIAL Building Plumbing Vmechanical VElectrical Arne El Ins ection i?nl C] Ins ection Only � Ins ection Only [j In ction Only Roof ] Gas [ Medical Gas Fire Sprinklers On Site Piping ® Fire Line ® Irrigation ® Fire Alarm El Potable Backilow Assembly ® Fire Line Backflow Preventer ® Irrigation Rackfion, Assembly ❑ Demolition [l Walk-in Cooler [j Refrigeration E] Hood El Ansul Fence all ❑ Grease Trap ® Other ❑ Cher Ruildino Data e Construction: V-B Risk Category: Occupancy Load ancy Classification- Assembly usiness 'day Care/Educational Factory Hazardous E] Mercantile Residential StorageE==�] ;Utility Building Use: Sinale Family townhouse / Alteration Level I Level 2 ,Level 3 New Construction ® Interior Finish Interior Remodel Exterior Remodel [j Addition ® Revision Overall Size: Number of Stories: 'Total Sq. Ft.: 26-3 x 71 1 1763 Living Area: Covered Area: # of Bedrooms: 2 100 363 # of Baths: 2 Cost per square foot: Estimated Value: oof T e: Shin le Tile �] Built-u [J Metal Other Squares: 19 orne Debris: Energy Code: Zoning: WiClnsideOutside 405-2020 —--...___..,... Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents' [:Yes No Sq. Ft. Enclosers Space Below BITE: rli , of Vents: Size of dents: Total Sq. In, PermanentOpenings Central A/C ®Pleat Pump E] Window A/C Gas AZC ®Gas Heat ❑ Electric Heat otable Water 1 Under ground Fire Line Setbacks ront Dear Left Right 21 Asper Approved .Site plan