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HomeMy WebLinkAbout22-5424City 1 5335 Eighth Street j ephyrhills, FL 352BNR-00542 Phone: (313) 730-0020 Issue E Fax.-(8f3) 730-0021 ate' \\ 2 1 .' vv v !z ..v\ \�. 04 26 210150 0200 0220 3639 Garden Wall Way e \l z v z v v v Name: LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLB Mass of Work: Townhome Address: 4600 W Cypress St 200 Building Valuation: $250,320.00 � TAMPA, FL 33607 � Electrical Valuation: $37,548.00 Phone: {813} 574-5700 Mechanical Valuation: $7,522.40 (� Plumbing Valuation: $25,032.00 Total Valuation: $320,422.40 Total Fees: $13,781.26 Amount Paid: $13,781.26 f w� Date Paid: 1/23/2023 2:56:57PM CONSTRUCT TOWNHOME 1634 SQ FT **AS Transportation impact Fee - City $34,80 Public Safety Impact Fee Police $254.00 3t4 Water Meter Residential Connection Fee $732.71 Fire Wall/Smoke Wall Inspection $15,00 Electrical Permit Fee $227.74 Electrical Plan Review Fee $0.00 Plumbing Valuation Fee $0.00 Building Permit Fee $1,291.60 Mechanical Permit Fee $77.61 Address Fee $30.00 Building Plan Review Fee $180.00 Plumbing Permit Fee $165.16 SiF 1 percent Fee $33.53 School Impact Fee - Single Family $3,353.00 Sewer Connection Residential Fee $2,090.00 Public Safety Impact Fee -Alin $26.35 Water Connection Residential Fee $1,0%00 Driveway Fee $45..00 Park Impact Fee - Single Family{Townhome $769.56 Transportation Impact Fee $3,445.20 Mechanical Plan Review Fee $0.00 IN p °ION FEES: (c) With respect to Rei spection fees will comply with Florida Statute 553.80(2)( ) the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection, whichever is greater, for each subsequent reinspection. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit required from ether governmental entities such as water management, state agencies or federal agencies, "Warning to owner: Your failure to record a notice of commencement may result In year paying twice for improvements to year property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCYF C.O. NO OCCUPANCY BEFORE C.O. CONTRAC O�SIGNATU�RE PtIT OFFICE PERMIT EXPIRES«.INSPECTION e; * HOUR NOTICE REQUIRED PROTECT, 813-7800020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting 908 770 __ 7763 10he POOL 03-L P �813_574�57�00�L Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Nu�mber Owner's Address 23975 Park CA 91302 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address I N/A JOB ADDRESS li LOT # SUBDIVISION Abbott CUare PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH INSTALL REPAIR 8 PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK EM.1t,:f:.-,Iy �/Scr-n Enclosure /Fence BUILDING SIZE SO FOOTAGE HEIGHT BUILDING r250320 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL PROGRESS ENERGY W.R.E,C. AMP SERVICE PLUMBING 0 MECHANICAL VALUATION OF MECHANICAL INSTALLATION GAS ROOFING 0 r t SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES Do BUILDER COMPANY Lennar I lornes, 11C E���F �DURREN��� SIGNATURE REGISTERED L_Ll NEE YIN Address 4301 W Bov it Blvd State 600Tarnpa, FL 33607 License # I CCC 151816( ' ELECTRICIAN COMPANY Edmonson Electric, Inc. SIGNATURE REGISTERED Y/ N FEE CURREN YIN Address License# PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Address License# CFC042998 MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE - W--- REGISTERED Y/ N FEE CURREN YIN Address License # OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE REGISTERED NC Address License If 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 wt 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 If 0) working days after submittal date. Required onsite, Construction Plans, Storrnwater Plans w/ Silt Fence installed, Sanitary Facilities & I 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 $2600, 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) Remote 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, Weiland 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 "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 CONTRACTOR Subscribed and sworn o (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this by Christopher Smith by Christopher Smith Who is/are personally known to me or4as4iavo-prQduG" Who isfare personally known to me or has/have produced as identification. as identification. 7- Notary Public Notary Public Commission No. GG 296057 Commission No. GG 296057 Stephanie Farmer Stephanie Farmer Name Name ofNto NM:j Arm% P! E*WF$bMW1$,203 ow" TW TM, I W 00 cv DESCRIPTION: LOTS 19-24, BLOCK 23, ABBOTT SQUARE PHASE I B, SITE PLAN SEC, 4, TWA 26 S, RING 21 E. ACCORDING TO THE PLATTHEREOF, RECORDED IN PLAT BOOK 89, PASCO COUNTY, FLORIDA PAGEPa57-62, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. (NOT A SURVEY) (ABBOTT SQUARE) LOT F I. his SITE PLAN Prepared for and Certified To _SOL LIVING AREA = 4010 SQ. FT, Lennar Homes ENTRY = 476 SO, FT GARAGE =:_I_356 SQ. FT. COVERED LANAI - 652 SO. FT, PATIO = NA SO. FT. POOL AREA =_IS[A___SOE FT. CONIC. DRIVE -N200 SO, FT. Scale' III= 20' A/C & CONC PAD = 54 S(CL FT. SIDEWALK = 272 SO. FT. SIDE YARD SWALE =NA SO, FT. CONSERVATION AREA =--NA—SQ. FT. LOT OCCUPIED = 64 % AREA TO IRRIGATE = 36 _% TRACT 13-7" ICED) PARKING AREA AND OPEN SPACE - N 89-48 04' E (P) 121F68 (P) ----------- q\ 28,34 (P) T 1 IS TRf 9, is,00 let I 1-8 00 P) T 2834 ?P) ,,Q / er DliFl T 1 10,0' 10,0' UNPLATTED al 0 0 -zG 10.01 18.3, TILE) IfFor 180' 18,0 1 18.3 UNIT -A UNIT-C z UNIT-C UNIT-C UNIT-C I UNIT -A 1532 z 1624 1624 z 1624 PROPOSED c 1624 PROPOSED ZI 1532 PROPOSED PROPOSED 2STOPY PROPOSED 2STORY ATTACHED PROPOSED 2STORY ATTACHED 2STORY ATTACHED 2STORY ATTACHED v - 2 STORY ATTACHED ATTACHED RESIDENCE a RESIDENCE vRESIDENCE v RESIDENCE RESIDENCE A -EE RESIDENCE LOT 24 11 W LOT 23 LOT22 a, LOT21 g LOT20 T19, di 3 BLOCK 23 6 BLOCK 23 BLOCK 23 lo 3 BLOCK 23 - 'BLOCK 23 -o LOCK23 BLOCK ENTRY 13tT ENTRY I ENTRY 113' ENTRY 1 1 ENTRY --77- 6 IN 89-48 04- E FR U` 2,22 JP) 2834 PT 273' Z8 LOT 18 BLOCK 23 10.0 6.7 7 /6,7 113 11.3 1.3 ITTBUT 'CE lao", I,j IEBFET I 10.0' F III 1 .1800 ip) �28 34 IF) 3qg E-48'04- W (P) 128,68 (P) s 5CONC WALK GARDEN WALL WAY TRACT "A T1 (CDD) RIGHT-OF-WAY NOTE: ENTRY WALKS ARE 3.0 CONC PROPOSED: NOTES: C/S-A/C UNITS ARE 3 2X3,2 i ALL ELEVATIONS REFERENCED MINIMUM FLOOR ELEVATIONS: TO NORTH AMERICAN LIVING AREA: 97.67' LOT GRADING TYPE -A 2" OAK VERTICAL DATUM OF 1988 1 GARAGE AREA: PROPOSED PAD ELEVATION ,, 97,00 10.00 PUBLIC UTILITY EASEMENT (NAVD 88) ELEVATIONS REFERENCED TO FRONT SETBACK - 20 LEGEND: NORTH AMERICAN VERTICAL SIDE SETBACK ;, T5 : PROPOSED DRAINAGE FLOW PROPOSED ELEVATIONS AND GRADING DATUM OF 1988 SIDE SET BACK CORNER LOT) - 10 11)(1001 7, PROPOSED GRADE SHOWN HEREON ARE TAKEN FORM THE I REAR SETBACK � 15 1 1 ENGINEERING PLANS OF E-00.00= EXISTING GRADE ABBOTT SOUARE RESIDENTIAL', PREPARED APPARENT FLOOD HAZARD ZONE: X COMMUNITY NO. 120235 BY WRAP PROVIDED BY CLIENT SURVEY ABBREVATIONS (MAP NUMBER 12101 C-0289-F) EFFECTIVE DATE: 09/26/20 14 AI-ARCLENGNI ID) - DEED N—PsVERT PC -POINT OF CURVE is) -R-CORD LEGEND A/C-ASLECONDLEONER AC-,F1u.NUEIFtN'E D F- DRAINAGE EASEMENT Ji -LLCENSED RIPENESS IRX - PONT OF COMPOUND CURVE RED -,EIANGF ELNULF-INCE CONC LEE � FASS FLOOD I LEESEEIGN EL 01 FLEV - E - VAEON POP.. EDGE 0 !- F - LANDSCAPE EASEMENT LEE - LOWEST FLOOR UE—TION PCP- PERMANENT CCC,7, SOL PONT Ura PTA- POOL EOPd-, REES - RAIL ROAD SPIKE R/W - KG1,T Of WAY PM_FDN. MARK TC C - c11R\`E END I - EASE ME TO: - FENCE CORNER S - LICENSED SURVEYOR MEASURED P6, - PA0 T OF INTER ECTION POFNf SEC - SECTION SN&D �SET NAIL AND FNSX WOOD PENCE ASPHALT M - CAE CUIoST D HOE-FOUNDCONCRETE MES - METERED END SL SUCRE PX -PA I<NlKPt ON I ASLICE ,C-1 C"N' MONUMORT NCF -NO CORNER FOS NO I -PROPERF-YUNE SRN SET 112- RON ROD L84 8183 CI AID END D_NCT I FE11 L, � Lorne �ION FEEL ' QLA - OVERALL 1108 - POINT OF 9FONERNIG TIED - T EMPORARY 91 NC H MARK CMP-CORINEGAIrDSPE TAL D H11 FOUND ONRO11 OF1W-OVLRE­CADWMLCI POC - POINT OF COMMENCTMEN7 T08 - TOP OF 9ANP A C,=�,,,, ON&D - FOU'RDNAL, & DSK O.R.-OFFECALRECORDS POL-POINTONLINE TWI­ TOWNSI N UNINUM FENCE CONCRETE SLAB 'a " �N':1=1012FEEIPLIE (PI -PLAT - PEAT BOOK PRC - POINT Or REVERSE CURVE FLM- ERWNFMRFFERENCEMONUMEN1 LE F - UTILITY EASEMENT .11"In CSt-ILEARS[Gl TRIANGLE UYLIENCE I I vt I ��El JOB IY5738 SURVEYOR'S NOTES: SURVEYOR'$ CERTIFICATE 1708 Water Oak Drive I-) Current title information on the subject property had not been ]END rectifies that ske il%% he hereon described Tarpon Springs, Florida r 74ip -831-1990 Date of Site Plan: 7-13-22 furnished to initial Point Land Surveying, ELF, at the time of this prop 6, en,Pslon and Phone: (727) 2W6 AS PH I IS L 19 ?q BL23 SITE -SITE PLAN meet t act,ce for FloridaPLS71230q gmaiix 2.) This Sketch was prepared without the benefit of a title search. surveyso �,40rltw�bag d of Land HER 8183 No instruments of record reflecting ownership, easements or Laid File: rights -of were furnished to the undersigned, unless otherwise Ad;� r I a shown hereon. 'r, "', �eeubn 147 yv 9e, all Own by DJB 3.) Roads, walks, and other similar items Shown hereon were taker Statu Checked by:JH from engineering plans and are subject to survey. Da F8.1 determine ownership. H ey,,T, 1 FOU REVISIONS 4.) This SITE PLAN does not reflect For dete 5,) This SITE PLAN is subject to matters shown on the Plat of -"r 'P, 'FLO K ABBOTT SQUARE PHASE I B' Jeff M H 6.) Dimensions shown hereon are in feet and decimal portions P AND thereof. FLORlDE 7,) Con ractor and owner are to verify all setbacks, building MAPPER NO. IAS0411 ..... .. . ........ 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 Surveying, LLC. at users sole risk. iii I Im a a n w VR/\ VIRTOAL 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: IqL :,yet,,Mirllillreviewassist.com Project: New SFT Address(s): 36359 Garden Wall Way 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 Florida License/Registration/Certification #(s) and description: FS468 Certified Standard Plans Ex iner License #: PX2300 Signature of Reviewer: SWORN AND SUBSCRIBED before rne''�y 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 e correct to the best of his/her knowledge or belief. / Signature Print AN XP—Y LUCEROK114G MYC0MMJS$J0t4#HH3i0M39W0 2"20 EXMREVJU v I RI UAL HEVI EW ASSIST Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: V 1151'11i)'- i VVi!!1�1!1JMi'1!!' Parcel Tax ID:04-26-21-0150-02300-0220 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. Private Provider Firm: VIRTUAL REVIEWASSIST 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 Florida License, Registration or Certificate #: (LIC # BU 1967 / 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 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 No.: COUNTY OF HILLSBOROUGH 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 ekpressod. t is 11 11 ITH " , w��inYY '' (signaturo) print N.,: Christopher Smith its: AuthbriZed Agent Miami. FL 33172 Telephone No. 813-574-5700 Corporation Before me, 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. Print Partnership Name M (signature) Print Name: Its: Address: M XSEEW. Before me, this day Of 20—, pers-6nally appeared partner/agent on behalf of a partnership, who executed the foregoing instrument and acknowledged before me that same was executed,for the purposes therein expressed. Personally known X U;,or Produced identi cation�— Type of identification produced Signature of Notar Print Name, ASHLEE CALLAHAN NotaryPublic Stamp: ASHl EE MLA I0 ry PUWIC?� Wte of Nonda Commission Expires: t4ota I I N G6 244456 co�lm SSW, "I 'Dry1m. N NOV EMBER 30, 2022 W Dup t4ationt Page 2 of 2 COERRBUILDING SERVICES DIVISION Of"RESIDENTIAL BUILDING PERMIT DATA SHEET TRACKING # F-41 Required Permits Building VI'lumbing YMechanical mp Electrical AII Ej In�pecfion Only El Inspection Only El -Ins ection t)-7 )n On�y Medical Gas E] FiII' re SprIIIIiI inklers Ej On Site Piping Ej Fire Line EJ Irrigation E] Fire IIV Alarm �,tOie �ackfiow Assembly Fire Line Backflow Preventer E] Irrigation Backflow Assembly E] Demolition El Walk-in Cooler :PE1 Refrigc�ration E] Hood D Ansul El Grease Trap El Other Other nlqrlffmF, _Ty p e Construction:V- 11 Risk category: Category: Occupancy Load _IB ancy Classification: Assembly E= Day Care/Educational ow� E] �Mereantile Tactory Hazardous E= nal E= 'Residential Storage E= ... . .. .... . .... 5=� Building Use: 5ingle Family townhouse Alteration Level I Level 2 Level 3 VNew Construction F1 Interior Finish DInterior Remodel E] Exterior Remodel E] Addition Ej Revision Overall Size: Number of Stories: Total Sq. FL: 18 x 63 2 2086 Living Area: 1634 Covered Area: 452 # of Bedrooms: 3 # of Baths: 2,5 Cost per square foot: Estimated Value: Roo�e, 9 Shin le Tile El Built-up El Metal El Other . S uares�.--f3 Wis: — Zoning: orne Debris: Energy Code: r[EdTli' Inside Outside 405-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? jff,,"',--Ve--s—W, No Sq, Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: Total Sq. in. Permanent Openings Central A/C Heat Pump Window A/C El Gas A/C El Gas Heat D Electric Heat On Site Piping Sarrita Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line ml� Front Rear Left Right Asper Approved Site Plan Comments: � =a �& Permit NO, Date PerrItte Builder Narnvner Name Cl County Parcel No. ubv: Address/Location ' t Classification/Type of Use TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: Exempt o Yes 0 No How [determined Impact Fee Amount � Zane NO. TAZ. SCHOOL IMPACT FEE Account (0 6) Single -Family Detached House Amount (057) Mobile Home (058) Other Residential (1 3) Collection Fee Exempt = Yes = No How Determined - PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account - Recreation Credit Recreation Total z Zone Total ,Ara aunt Exempt =Yes = No How Determined LIBRARY FEE Land Account Land Credit Lased Taal Facility Account Facility Credit Facility Total Exempt 11Yes No How Determined Total Arnoun � RESOURCE FEE ERtI Prepared By Checked By NO CERTIFICATE OF OCCUPANY WILL BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR RN A CENTRAL PERMITTING OFFICE OF PASCO COUNTY ACKNOWLEDGEMENT BELOW DOES NOT IMPLY ACCEPTANCE OF CONCURRENCE, OUT SIMPLY REECEIPT OF A COPY OF THIS FORM, PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CC«N[)MONS OF PAYMENT FOR SAME. RM RECEIPT NO DATE 4Y