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Home My WebLink About22-541904 26 210140 00100 0470 Name: LENNAR HOMES ILLC-OWNER Address: 4600 W Cypress St 200 TAMPA, FL 33607 0111HEMMUSHM City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 BNR-005419-2022 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 01123/2023 Class of Work: Townhome Building Valuation: $257,760.00 Electrical Valuation: $38,664.00 Mechanical Valuation: $18,043.20 Plumbing Valuation: $25,776.00 Total Valuation: $340,243.20 Total Fees: $13,880,37 Amount Paid: $13,880.37 Date Paid: 1/23/2023 2:56:57PM 1666 SO FT '******'***AS Building Plan Review Fee Mechanical Plan Review Fee Plumbing Valuation Fee SIF 1 percent Fee Driveway Fee Transportation Impact Fee - City Building Permit Fee Plumbing Permit Fee Mechanical Permit Fee Park Impact Fee - Single Family/Townhome Sewer Connection Residential Fee Contractor: LENNAR HOMES LLC Z"" $180.00 Water Connection Residential Fee $1,0%00 $0.00 Public Safety Impact Fee -Police $254.00 $0.00 Electrical Plan Review Fee $0.00 $33.53 3/4 Water Meter Residential Connection Fee $732.71 $45.00 School Impact Fee - Single Family $3,35100 $34.80 Public Safety Impact Fee -Admin $26.35 $1,328.80 Electrical Permit Fee $23332 $168.88 Fire Wall/Smoke Wall Inspection $15.00 $130.22 Transportation Impact Fee $3,445.20 $769.56 Address Fee $30.00 $2,090.00 I I I1IIII!!I IFIM ill! 111 11 1 11 accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTPACTORSI �NATU �E�� NNFW PEfi1T0FFj10E 26 Jill 813-780-0020� City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received phon�C�ontact or Permitting ( 408 ) 770 __ 7763 -ingOwner's Name CAL HEARTHSTONE LOT OPTION PP Owner Phone Number 813.574,5700 Owner's Address 23975 Park Sorrento, Ste. 220, Calabasas, CA 913C2 Owner Phone Number Fee Simple Titleholder Name N!A Owner Phone Number �mm Fee Simple Titleholder Address I N/A JOB ADDRESS 6964 Ripple Pond Loop LOT# AQ47 SUBDIVISION Abbott Square PARCEL to# 04-26-21-014Q-QQ10Q 047Q (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q DEMOLISH INSTALL REPAIR PROPOSED USE 0� SFR � COMM OTHER TYPE OF CONSTRUCTION tl»_..0 BLOCK FRAME STEEL DESCRIPTION OF WORK Multi -family 1 Screen Enclosure 1 Fence Ulxsr 2148 1666 26' BUILDING SIZE SO FOOTAGE HEIGHT -7-i°'re'^�v�°m��C^trr�'°'v^'t^��°e�a�a�e-�e�®e�^�'�^'r-s°^rssm BUILDING $ 257760 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 38664 �� AMP SERVICE PROGRESS ENERGY W.R.E.C. PLUMBING MECHANICAL $ 180412 VALUATION OF MECHANICAL INSTALLATION =GAS 10 ROOFING SPECIALTY = OTHER �--y FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA If IL-iYES �0 r BUILDER *� COMPANY Lennar Homes, I.I.G SIGNATURE REGISTERED Y / N FEE CURREM1 Y / N 4301 W Hoy Scout B rd S ute C00 "Pampa, FL 33607 CGC1518166 Address Licenso # �� ELECTRICIAN COMPANY F_dmonSOn Electric, Inc. SIGNATURE - REGISTERED Y / N FEE CURREN Y / N ....-.. Address License# EC130054Q8� PLUMBER COMPANY Bayonet Plumbin�Heati�ng&C, Inc SIGNATURE REGISTERED Y / N FEE C Address License # CFC042998 MECHANICAL .--COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE 4`° REGISTERED Y / N FEE CURREN Y / N Address License # CAC058062 OTHER �� COMPANY C Sterling (duality Rooting, Inc SIGNATURE REGISTERED Y / N FEE CURREM1 Y / N Address License # CCC057991 80Y1@t6F666819d1ElitFlR6fF[iI199iAei0160&1811tFt&ROa9FiI&169FII.i.1..�. 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, Stonnwater 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) Retools if shingles Sewers Service Upgrades A/C Fences (PloUSurvey/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. [IrTlyd I 011tatTITAI L"0y1A*•I&V M-10140 10111 RN CRILOX03MA V121M-1,101 161 OWNER OR AGENT CONTRACTOR____,��. Subscribed and sworn o (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this 10Q6=2 by Christoriher Smith 1012612022, by Christooher Smith as identification, Notary Public Commission No.. GG 296057 Commission No, GG 296057 identification, Stephanie Farmer Stephanie Farmer NameRKName ofN 00 $TWd" FAMER StEPH"FAWER �* T, Go 2"W ExiiWfobmW IS. 20 Vf E*WF*U41y16,203 Notary Public a 2 r I=, 0 0 2 11 Permit too. V ' Data Perm€tted - -7-- Bu€lder NarnetOwner Name L% - 2 Yam' Control County Parcel No. 2- i SubCtiv; Address/Location Classification/Type of Use TRANSPORTATION IMPACT FEE Rate: Sq, Ft Unit: Exempt Yes 0 No low Determined Impact Fee Amount Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single -Family Detached blouse Amount $ (057) Mobile Home (056) Other Residential (12) Collection Fee Exempt CD Yes = No Flow Determined_ PARRS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone Total Amount $ Exempt =Yes =No How Determined Land Account land Credit Land Total Facility Account Facility Credit Facility Total Exempt Yes No Flow Determined Total Amount RESOURCE FEE ERU Total Amount PERFORMED UNTILTFIE TOTAL AMOUNTS LISTED "AVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY ACKNOWLEDGEMENT BELOW DOES NOT IMPLY ACCEPTANCE OF CONCURRENCE, BUT SIMPLY REECEIPT OF A COPY OF THIS FORM, PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME. mm RECEIPT NO DATE RY DESCRIPTION: LOTS 45-48, BLOCK 1, ABBOTT SQUARE PHASE IA, SITE PLAN SEC. 11, TWR 25 S, RNG 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. PROPOSED ELEVATIONS AND GRADING )NOT A SURVEY) F__ -_ ____ —_ ____ ALL ELEVATIONS REFERENCED (ABBOTT SQUARE) SHOWN HEREON ARE TAKEN FORM THE TO NORTH AMERICAN Enna: Homes ENGINEERING PLANS OF VERTICAL DATUM OF 1988 ABBOTT SQUARE RESIDENTIAL, PREPARED (NAVD 88) BYWRA'PROVIDED BY CLIENT LOT =9737 SOLFT. LIVING AREA 2866 SO, FT CURVE DATA (P) Scale: 1 = 20' ENTRY 220 SO, FF ' GARAGE =I05q__SO, FT, CURVE t IL9DIUS I ARC LENGTH CHORD LENGTH CHORD BEARING DELTA RNGLE COVERED LANAI = 374—SCL FT, PATIO NA SO. FT POOL AREA =_ NA SO, FT, CONIC. DRIVE -_820 SO, FT TRACT "8- 1 A/C & CONIC PAD =_36___SO. FT ACCESS RDRAINAGI&ANUSCAPE 1XIN-2 MANTENANCt SIDEWALK =S_9_0SQ. FT AND FENCE AREA OPEN SPACE SIDE YARD SWALE NA -SO. FT -59 CONSERVATION AREA =_I�sLA SOL FT.N 16 F 89 IF) 108,72 (P) ---------- LOT OCCUPIED 61 % 30 25 P) 20 00 1 P) 20 00 1 P; 3847 P) AREA TO IRRIGATE = 49 % n O C/ 6,7 LANAI 8 .1 LANAI 6.7 LOT 48 6 6 LOT LOT 46 LOT45 BLOCK I BLOCK I BLOCK I BLOCK 1 LOT 44 PLAN PLAN PLAN PLAN BLOCK ILOT49 1787 1666 1666 1787 BLOCK I E- 8.6.23 23 1 83-4 w ENTRY ENTRY 0.9 ENT I 23 23 - 6 7 6,7 - 23 EN TRY 2 to ENTRY _X _X ENTRY 10 2" 63 6. 1,4 Z�, in ul "1 1, 137 133' 133 1317 3,0" 10) ICO' r Too I I 10,0 C11 I I C,"_7 I ul IF 30,25 W4 2000 (P) I 200 tc i I 199 (nit C 14 .5 CONCWALK �' S 89-5916 W (P) 90,22 ( BASIS OF BEARING S ST591 6' W (P) RIPPLE POND LOOP TRACT "A -I" (CDD) RIGHT-OF-WAY 2" OAK PROPOSED: 10,00 PUBLIC UTILITY EASEMENT MINIMUM FLOOR ELEVATIONS: NOTES: LIVING AREA: 106.87' LEGEND: LOT GRADING TYPE A GARAGE AREA: PROPOSED DRAINAGE FLOW PROPOSED PAD ELEVATION 106,20 ELEVATIONS REFERENCED TO (00,00) PROPOSED GRADE NORTH AMERICAN VERTICAL E-00.00 EXISTING GRADE FRONTSETBACK 20 DATUM OF 7988 SIDE SET BACK = 7,5 APPARENT FLOOD HAZARD ZONE X COMMUNITY NO. 120235 SIDE SET BACK (CORNER LOT) 15 SURVEYABBREVAT(ONS� (MAP NUMBER 12 10 IC-0289-F) EFFECTIVE DATE: 09/26/2014 REAR SETBACK = 15 AJ-AR_ENGTFf ID) - DEFO Ne, !NVER7 JR! - RD:CCRr LEGEND A/C ` AIR CONDCLIONER D �- DRAPRA6E f ASENF N7, e -UCENSED ELESNP SS ;:,C(- M - CONIC POI TOFOOMPOUNDCURVE RNG - PANIC,! A- AtUtANTRA, FENCE iE'OP [1-1 1 � EIVIA LON LF - I-ANDSCAM' �VOFNT ItCr - PERMANONT CON ROL POINT IRS - RNI, ROAD ANNE ------ 9FE - EASE R O�DELEVAI E ION POP- OGLE) PAVEMENT i FE - LOWEST 1LOOR EI-EVAI:OD PIC - ROCS ODUINti RTRV-,ROHFOFeSAY W-ENCI NEEPit PSM! - EASUAEN I IS - LICE SED D_RVTYOR PC,- PACE SEC - SECTION CIOD F"ENCE `7 - CURVE AS11ALT P, SIC - FENCE CORNER f%F�-Mi SOLD P ROM CENTI RSECT�ON ROSSI - SE' NAIL AND NSK I FILM— FOUND (ONE CIFTt Mi ERF CIA SECTION -K -PARKER KNON (HAFFLINKFENCE ��IRN�71NPFFNCL MONUMENT NOF - DO ER FOUND I - PRONDIFFE'LINE SIR RETI,,PHcANRCDI_3k8i CLF - FOUND IRON PHIL OFF, - OVERALL FOR - POINI OF BEGINNING T S M - 11, NI P 0 RA P y S OJ I � HNI A R`K' =-.RICK �Clnl - CORRUGA LED RIFT AT PE PIR IOINDIIONROD CrTW - OVERUPAD WIREDI :IOC - POINT OF COMMENCTMENT TOR TOP OF PAIRS CAL - COLIMI ON&I, - FOUND - OFFICIAL RECORDS POL, - POINT ON LINE TOWNSI In A; UMNUM FENCE ONC - CONCRETE OF) NAC, & DISK 0 R TA/P CIS -CONCRETE SIB R, 1,I)IR "I�, , "%T PAC- POIN7 OF REVERSE CURVE (I F - I MUTY EASIMICS" [2<-1CP,1AED % CST- PLEAD S*i 11 1RInN6i_F LD ", 00, IERM - DFRMANENT RE-ERENCE MONUMENT of—VINYLL FENCE JOB #5807 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive 1.) Current title information on the subject property had not been This certifies Date of Site Plan: 8-5-22 eon described Tarpon Springs, Florida furnished to Initial Point Land Surveying, LLC. at the time ofthis Property v�44Md*nHAffir ion and Phone: (727)-831 1990 TWO AS-L45-48 B I STE SITE PLAN O meets 1RQ r once for FloridaPLS7 I 236Kgrril Core 2.) This sketch was prepared without the benefit of a title search. s By_ Bo ofLandLEN 8183 Y_ No instruments of record reflecting ownership, easements or S ned I rights-orway were furnished to the undersigned, unless otherwise 5 1 t do �?, V, i via t shown hereon. rtle� Drawn by: DUE pursi-prV40 Section 4- 2, , I — 3.) Roads, walks, and other similar items shown hereon were take S . - Efate: 08.310 — 4.) This SITE PLAN does not reflect nor determine ownership. T W V00' aS S�1[11 -hocked BBJH from engineering plans and are subject to survey, I IEWSIONS S.I This SI t E PLAN is subject to matters shown on the Plat of 'ABBOTT SQUARE PHASE LA" Jleff_M. He 6.) Dimensions shown hereon are In feet and decimal portion 'LORI A P ORAND ao thereof. 4, 7.) Contractorand owner are to verify all setbacks, build 9 MAPPER N L 83 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 frominformation shown hereon Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC. at users solnsk. 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: Q to rtg, nZ I S,31�yL _qL pgk lLn Project: New SFT Address(s): 6964 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: 1,2,3,4,5,6,7,8,9,9.1,9.2,10,11,12,13,14,15,14,1,16, L-LL-2,SN, SN-1,S3,S4,S5,S6,SS,ST,D1,D2, WP,PAl.0,PALl, PAI.2,PAI.3,PAI.4, SHI,O,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 me. U7 or having produced as identification and who being fully sworn and cautioned, state that the foregoing is ,pd correct to the best of his/her knowledge or belief, LI Signature Notary iPrnt ame Notary Public: NOTARY STAMP BELOW My L C-L ntVw— commission expires: LUGS KING My CO MISSION # HH 3110390 EXPIRE& J* 2,2026 %Z,A ;gF EEI VRA v I R iUAL REVIEW ASSIST Notice to Building Official of Use of Private Provider Effective January 20, 2003 ProjectName: ii'�'9"`ill —0 Ir Parcel Tax ID: 04-26-21-0140-00100-0470 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— Steve Smith , the fee owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services indicated above, VIRTUAL REVIEW ASSI 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. 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. I. Proof of insurance for professional and comprehensive liability in.the. amount of $1 million per ccurrenec, relating to all ser7kps perfbrm--I as a private provider, including tail c*verag---4r s xninimurn of 5 years subsequent to the performance of building code inspection services. (signature) Print Name: Address: Please use appropriate notary block. ST TE OF FLORIDA Individual Before me, this day of 20—, personally appeared who executed the foregoing instrument, and acknowledged before me that same was executed for the purposes therein expressed. Corporation Print Corp oration Name By: (signature) Print Name:Shristopher Smith its: Authorized Agq�. Address:_7QD_NW 1-07th-AV MLiamj FL 33172 Telephone No. 813-574-5700 Corporation Before me, ibis 22ND day of2 -2o 2 MAY , personally appeared of Leaner Homes LLC a corporation, on behalf of the state corporation, who executed the foregoing instrument and acknowledged before me that same was executed for the purposes therein expressed. ME= Print Partnership Name (signature) Print Name: Its: Address; Telephone AT,, � Partnership Beforeme, this day Of personally appeared partner/agent on behalf of a partnership, who executed the foregoing instrument and acknowledged before one that same was executed for the purposes therein expressed, Personally known X ;or Produced idemi cation— Type of identification produced Signature of Notar Print Name ASHLEE CALLAHAN Notary Public Stamp: N Commission Expires: fit- ASKEE C. LA tqotarypubjjc�� tateo[Flaflda, 01'e-111411 A 1 ;114 GG 244456 NOVEMBER 30,2022 Explfe$ Nov �0' 2022 [—COMMERCIAL BUILDING SERVICES DIVISION 'RESIDENTIAL BUILDING PERMIT DATA SHEET TRACKING # FOLIO # jai14 Ri DATE: 10/28/2022 akbi. �►� -11-11,11,11---- - --------- WBuilding -�anic Mec� ical — Electrical Amp E01 Ins ection On El Ins ection On. El Inspection On1v IV Roof E] Medical Gas E] Fire Sprinklers El On Site Piping El Irrigation Fire Alariiiili D Potable Backflow Assembly Fire Line Rackflow Preventer Irrigation Rackflow Asse I El Walk-in Cooler I L E] Refrigeration El Fence[Wall El Grease Trap WMMM= jype�nstrucflou: IV-8 Load n la sification: C a cy E== OW,"'Factory Assembly E ; ay Care/Educational RD Institutional N Hazardous Ej Mercantile Residential —'Storage Building Use: 5fnale Fct.Mily townhouse Alteration I Level 1 Level 2 'Level 3 I FQ, WfNew Construction E] Interior Finish Ej Interior Remodel E] Exterior Remodel D Addition Ej Revision Overall Size: Number of Stories: Total Sq. Ft.: 20 x 58 2 2148 Living Area: Covered Area: # of Bedrooms: 3 1666 482 # of Baths: 2.5 Cost per square foot: Estimated Value: Ro2Llype: Slain le [!Tile B Uilt-UD El metal Other Zoning: Wi orne Debris: Energy Code: Qinside Outside 405-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: --W Vents` Hydrostatic Vents? �Yes No Sq. Ft. Enclosed Space Below BFE: ,,V # of Vents: Size of Vents: —0 Central —A/C 9 Heat Pump E] Window A/C Cl Gas AIC El Gas Heat Icetric Heat M� Front Rear Left Right As per Approved Site Plan Comments: