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Home My WebLink About23-5523City of ® , lls 5335 Eighth Street Zephyrhilis, FL 33542 BNR-005523-2023 Phone: (813) 780-0020 issue Gate: -° Fax: (813) 780-0021 210230 - 000 0330# , 41 III III . k "°s Permit ICI u� Type: � Building I � (Residential) Contractor: �.! NR HOMES ! Class# # !!! + ♦Electrical Valuation:i ! * # i Plumbing ## Valuation: !0 Total Valuation: f Total:.« •i Amount# '! Date Paid: « ^ # # CONSTRUCT _ « M FT AS Fire Wall/Smoke Wall Inspection Transportation # , ! +•Connection Driveway w ! Public Safety Impacta# ImpactElectrical Plan Review Fee $000 Transportation ., PermitElectrical $231.79 Building«! Impacti Park b • • School Impact Fee - Single!! Connectioni SIF 1 percent Fee $3153 Building Plan Review Fee $180.00 :,Mechanical Plan Review Fee K00 Sewer Connection Residential Fee $2,090.00 Water Residential Fee $1,010.00Address! PermitMechanical « ! Public Safety Impact! PermitPlumbing r REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c) the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,greater,# : each subsequent! # 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 other 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 your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recbl • b your of # Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. wa�� 813-780-0020 Date Received Owner's Name Lennar Homes, LLC City of Zephyrhills Permit Application Building Department n(( 908 770 7763 i i'TT mmr Owner Phone Number 813.574.5700 Owner's Address 1 4301 W Boy Scout Blvd, Ste. 600, Tampa, FL 33607 Owner Phone Number Fax-813-780-0021 Fee Simple Titleholder Name I NIA Owner Phone Number Fee Simple Titleholder Address I N/A JOB ADDRESS 38130 Fallstone Way —71 LOT# 0033 SUBDIVISION Townes at Autumn Palm PARCEL to# 15-26-21-0230-00000-0330 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED II,Z 11 NEW CONSTR 8 ADD/ALT INSTALL REPAIR SIGN DEMOLISH PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION U� BLOCK 0 FRAME STEEL DESCRIPTION OF WORK Multi -family (Screen Enclosure / Fence I U' R SF 1939 1541 28 BUILDING SIZE SQ FOOTAGE HEIGHT 'ram m f—BUILDING $ m® 232680 VALUATION OF TOTAL CONSTRUCTION I.! I !ELECTRICAL � • $ 34902 � PROGRESS ENERGY W.R.E.C. AMP SERVICE ViPLUMBING $ 23268 ,s f IMECHANICAL $ g6287 6 VALUATION OF MECHANICAL INSTALLATION C, GAS ® ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS r FLOOD ZONE AREA DYES Do BUILDER COMPANY LennarITomes,LLC SIGNATURE "r REGISTERED Y/ N FEE CURREN LILN 4301 W Boy ut Blvd Suite 600 Tampa, FL 33607 CGC1518166 Address License # ELECTRICIANJg COMPANY Edmonson Electric, Inc SIGNATURE REGISTERED Y/ N FEE CURREN I Y / N- Address i` 7 License# I EC13005408 PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y/ N FEE CURREN I Y / N 7. CFC042998 Address !�°' ,�°License# MECHANICAL f COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE O°° REGISTERED Y/ N FEE CURREN Y I N Address License # CAC058062 ----� OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE REGISTERED Y/ N FEE CURREN I Y I N Address License # I CCCO57991 s 11111lIII1111111111111tIIIIIIIIl11111I1I111III111111111111111111111 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 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. M1 1 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 (PloUSurvey/Footage) Driveways -Not over Counter if on public roadways.. needs ROW M 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 "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 ORAGENT Subscribed and sworn to- (or affirmed) before me this i by Christopher Smith who is/are personally known to me orb as identification. Notary Public Commission No. GG 296057 Subscribed and sworn to (or affirmed) before me this 12ffi,7022 by Christopher Smith who is/are personally known to me or has/have produced as identification. Notary Public Commission No. GG 296057 Stephanie Farmer Stephanie Farmer Name Name ofN ffmm "MER %WtM FAMER ' Q.. cww"" 0 ( ebb W1 * MW E*msFobmvy*2023 E*M Fabruivy 15,= Am , f BMW Xul P�� 60W Tin TMI F*VMM$*4*?01l9 F;7 Bob 010 p.r-- DESCRIPTION: LOTS) 33-38, TOWNES AT AUTUMN PALMS, SEC. 15, TWP. 26 S, RNG 21 E. ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89, PASCO COUNTY, FLORIDA PAGES) 113-114, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. I I I I TOWNES AT AUTUMN PALMS) I ,Yw SITE PLAN i i LOT )NOTA SURVEY) j j 32 8 3 0 V ALL ELEVATIONS REFERENCED i I S 89"5T 18" E (P) 103.82(P) 0� SIT __-.,_ cS TO NORTH AMERICAN j y°� VERTICAL DATUM OF 1988 (NAVD 88) 31.3' - ..._ PROPOSED ELEVATIONS AND TYPE I d 20.9" '0' UNI7.,A 39.T o 6.0 `W GRADING SHOWN HEREON ARE TAKEN I "MASER cc^�� Q Z I592 m PROPOSED LOT I'Vi 20 0' ENTRY ) 7 FORM THE ENGINEERING PLANS OF i 4,r S cd 2 STORY - 33 3' CONSULTING P.A. -, PROVIDED BY CLIENT i ATTACHED RESIDENCE 63'-0' I � S 69°56'08' E (P) 704.08' PI PROPOSED: i w ----- 6.0' uN -c 5To' -,---�= LOWEST FLOOR ELEVATIONS: 1 w I624 m 17 o LIVING AREA: 8450 cc^^�� Q o PROPOSED LOT o •' GARAGE AREA: N/A I = m o 4,2 Z S 16 - z sTo2Y ATTACHED 34 ENTRY 17.3' ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1 - w I 'I- U Q m - RESIDENCE S 89-56'08" E (PI 104.24' P) irl 1988 I Q U _ _ - +----- C u1624 +0.85'=NATIONALGEODETIC VERTICAL i H 0 °o� 6.0' 39.T DATUM OF 1929 1 Z a a - b PROPOSED LOT TRACT 81 I d m Z of ?STORY o - ENTRY 17.3' ' _ LOT - SO. FT. PB 1, PG 55 i - S - ATTACHED 35 RESIDENCE M o - LIVING AREA - 4010 4010 SQ. FT. I " S89_56 08. EIPy io4.4o' ENTRY - 476 _SO. FT. TRACT 96 6.0 57 6 GARAGE 1356 SO, FT. I y;\ UNIT ( (az 101 COVERED LANAI 652 SQ, FT. PET 1, PG 55 I \°a < o PROPOSED LOT' m o " PATIO - NA SO. FT, m o Z °' 2 STORY ENTRY I T3' •' . m p POOL AREA = NA SQ. FT. I b m S ATTACHED 36 20.0` CONC. DRIVE = 1500 FT. j o ! o A/C & CONC PAD = 54 _SQ. FT. '^ 9.5608GIDEN s se°ssos E IPI 1o4s6' IP) ;., -3 -- - - z SIDEWALK = 272 _SO. SQ. FT. i °� G.0' uNlaC 39.7' - 4.7' SIDE YARD SWALE = NA sQ. FT, - ¢ a 1624 LOT - CONSERVATION AREA = NA SO. FT. Z RoroSED z STORY ENTRY 17.3' LOT OCCUPIED = 62 % I I ATTACHED 37 ACHE m _ AREA 70 IRRIGATE = _ 38 % I RESIDENCE - .� 0� S 89`56'08" E IP) 104,72' (PI 2" OAK I �7 _ J G.0' NIT A ST ' U532 53Z o '' NOTES: i Q i*t PROPOSED LOT LOT GRADING TYPE I - Z S 6 2 STORY ENTRY 173 •..: - N/A mN. ATTACHED 38 200' PROPOSED PAD ELEVATION -= N/A 1 11 21.9' G.0' RESIDENCE 39.7' o G ' ---L FRONT SETBACK = 15' 1 SIDE SETBACK = 10' j o 00 REAR SETBACK -°20" I N 89"5608" W (P) 104,98' (PI ALL WALKS 3.0' UNLESS NOTED i ,by I ALL A/C 3.2z 3.2' i j LOT II/E/U/D= INGRESS EGRESS/ I 39 UTILITY/ DRAINAGE ESM'T SURVEY ABBRIEVATIONS A/C -AIR CONDITIONER (DJ ^-DEED INV=INVERT PC - POINT OF CURVE )R)-RECORD AT = ALUMINLIMFENCE DF- DRAINAGE EASEMENT LB-LICENSEDSUISNESS PCP -PERMANENT CONTROL POINT RUG -RANGE BEE - BASF FLOOD FLEVATION FI OR EL EV^ELEVATION LEE-- LOWEST FLOOR ELEVATION P/F - POOL EQUIPMENT RRS - RAIL ROAD SPIKE BM -BENCHMARK FOP - EDGE OF PAVEMENT LS- LICENSED SURVEYOR PG - PAGE A/W -RIGHT OF WAY C-CURVE FSMT- EASEMENT (M MEASURED PI - POINT OF INTERSECTION SEC SEC LON ICI- CALCULATED F/C--f ENCE CORNER KIES- MITERED END SECTION PK-PARKER"LON SN&D- SEI' NAIL AND DISK _E#81 -CENTERLINE CIF -CHAIN UNKF'ENCE FCM- FOUND CONCRETE MONUMENT HP FOUND IRON PIPE NCf NO CORNER FOUND OVA OVERALL / POB POINT OF BEGINNING POP, OF COMMENCTMENT SIR--SFT 1/2"IRON ROD Litt 8183 TRIM t BENC i MARK COT CORRUGATED METAL PIPE FIR RODIL& OHW PRC ^POINT ON LINE TOB-TOWNSHIPK COL -COLUMN N&D- FNDIRON orFICAADWIRDS) - OFFICIAL RF,COROS PRC POINT OF REVERSE CURVE TOITYEAS C/S _ C CONCRETE C/S�CONCRETE SLAB IOP- FFOUNDPENPIE EP P=FOUND OPEN PIPE rPP=FOUND PINCHED PIPt )P) "AT (1) P6-PIAT BOOK REFERENCE MONUMENT P U PERMANENT PC UTILITY PUE>PUBt,IC t1TI11TV EASEMENT UE- UE -UTILITY EASEMENT �-- � 20.0' (P) 31.3' I o� i IB PartyChief:JH REVISIONS: Checked By: JH JOB #6054 File: Date of Site Plan :l 1-3-22 DJB is SITE Plan Prepared for and Certified To: roar Homes 1708 Water Oak Drive II Tarpon Springs, Florida Phone: f 7271-831-1990 0�0 Florida PLS 7123 @gmail. com LB# 8183 ix Q Scale. 1 = 20 Initial Point Land Surveying, LLC. LEGEND SURFACE TYPE FENCES CONC ALUMINUM FENCE '..... =a ASPHALT VINYL FENCE -BRICK WOOD FENCE -SAND/DIRT CHAIN uNK FENCE UHP - OVERHEAD UHP - POWER covERED - LEGEND: _--'-►= PROPOSED DRAINAGE FLOW (00.00) =PROPOSED GRADE '. E-00.00 =EXISTING GRADE C3 - 2" OAK 10' INGRESS EGRESS/LIE & DE APPARENT FLOOD HAZARD ZONE: 'X' COMMUNITY NO. I20235 (MAP NUMBER 12101C-0452-F) EFFECTIVE DATE: 09/26/2014 SURVEYOR'S NOTES: 1.) Current title information on the subject property had not been '.. furnished to Initial Point Land Surveying, LLC at the time of this site plan 2.i This sketch was prepared without the benefit of a title search No instruments of record reflecting ownership, easements or rights -of -way were furnished to the undersigned, unless otherwise shown hereon 3,}Roads, walks, and other similar items shown hereon were taken from engineering plans and are subject to survey. 4.1 This site plan does not reflect nor determine ownership. 5.) This site plan is subject to matters shown on the Pia[ of "ZEPHYR COURT" 6.) Dimensions shown hereon are in feet and decimal portions thereof. 7.} Contractor and owner are to verify all setbacks, building dimensions, and layout shown hereon prior to any construction, and immediately advise Initial Point Land Surveying LLC. of any deviation from information shown hereon. Failure to do so will be at user's sole risk. 8183 NOT This certifies that sk f WW �ibed property was made under my upe e Standards of Practice for surveys d §j in Chapter SJ-, TO ,%fjI$,�2+�C,� d "s(t�ytyveagde�, pursuant to Section 472.039, FT Ida Stale Sr�E=3d Je �79tgVGjPi�91 �riLt jpp/ w 'O Date: I6Ai' $G. � � .20 Jeff M. H rtI - Qt8:1 =05'00' Date FLORIDA PROF �� AN�j RYER LS#7123 NOT VALI � �I SIGNATURE AND SEAL ;��il OF A FLCf D'�U VOR AND MAPPER "fir„ �r�♦ WEEMIM u Notice to Building Official of Use of Private Provider Effective January 20, 2003 38130 Fallstone Way 15 -26 -21- 0230- 00000 -0330 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. 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 Finn: VIRTUAL REVIEW ASSIST, INC. Private Provider: DEBRA ANNE KLAHR Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601 Telephone: MEM03M 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. a. =� 1. Qualification statements ' and/or resumes of the private provider and all duly authorized representatives. 2.. Proof of insurance for professional and comprehensive liability 4the. 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.: Please use appropriate notary block. STATE 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 Corporation LENNAR HOMES. LLQ Print Corporation Name By: (slgna�ur'-) Print Name: Christopher Srnith its: Authorized Agent- I Address: 70 0 NW 1 071b_Ave Miami, FL 33172 WeplIone. No.-81 3-574-5700 Corporation Beforeme,this, 22ND day of MAY 20 2-2 personally appeared Of Lennar Homes, LLQ � a corporation, on behalf of the state corporation, who executed the foregoing instrument and acIcoowledged before me that same was executed for the purposes therein expressed. Personally known X or.-- Produced identif cation— Type of identification produced U GS�M Print Partnership Name (signature) print Name-, its Address: Telephone No.: Partnership B efore me, this day of _20— pers6nally 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. Signature of Notar. I N PrintName . \k 'ji V ASHLE,E CALLAHAN AfflLUCAUAW NotaiyPublic Stamp: Myl MYCOMMUMMMM, comnission Expiresi AEXI EXPRES: November 30,2026 %� mv Page 2 of 2 VR//\ VIRTUAL REVIEW ASSIST Private Provider Plan Compliance Affidavit Private Provider Firm: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU1967 Address: 747 Southwest 21 Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: lq�y� irtualreviewassist,com WMMMM� Address(s): 38130 Fallstone 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 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: 1,2,3,5,6,7,1,7,2,8.1,9,10.1,11.1,11.2,12,L1,SN, SNI,S3,S4,S5,S6, ST,SS,D1,WP,PA1.0,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: --7 SWORN AND SUBSCRIBED befiare me by Debra Anne Klahr being personally known to in or having produced as identification and who being fully sworn and cautioned, state that the If, ego g is true orrec t to the best of his/her knowledge or belief. of at: i i ureof Not Print Name commission expires: -ell AMLU CAUAHM ANY COMMM" # HH 2MW EXPRES:Noftriw30,2026 0110192 9 WHO I I N MIN Required Permits building (❑ Inspection Onl Wflumbing ❑ Inspection Only Mechanical ❑ Ins ection Only WElectrical Amp ❑ Inyection Only JZ Roof ❑Gas ❑ Medical Gas ❑ Fire Sprinklers ❑ On Site Piping ❑ Fire Line ❑ Irrigation ❑ Fire Alarm ❑ Potable Backflow Assembly ❑ Fire Line Backflow Preventer ❑ irrigation Backflow Assembly ❑ Demolition ❑ Walk-in Cooler ❑ Refrigeration ❑ Hood ❑ Ansul ❑ Fence/Wall ❑ Grease Trap ❑ Other ❑ Other Type Construction: V-8 Risk Category: Occupancy Load 0 ancy Classification: Assembly Care/Educational Factory Hazardous Institutional �:7,Day ercantile Residential ❑;.'Storage 0 R11ugmess Utility Building Use: Single FAt tilt l Alteration Level 1 ❑;Level 2 !Level 3 New Construction ❑ Interior Finish ❑ Interior Remodel ❑ Exterior Remodel ❑ Addition ❑ Revision Overall Size: 18-4 x 63 Number of Stories: 2 Total Sq. Ft.: 1939 Living Area: 1541 Covered Area: 398 # of Bedrooms: 2 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof T e Shin le ❑Tile ❑ Built-u ❑Metal ❑ Other Squares: 13 Zoning: Wi orne Debris: .Inside Outside Energy Code: 405-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? Yes Na Sq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: Total Sq. In. Permanent Openings ® Central A/C ® Heat Pump ❑ Window A/C ❑ Gas A/C ❑ Gas Heat ❑ Electric Heat I Sanitary Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line SCHOOL IMPACT FEE Account (056) Single -Family Detached House Amount $ 3 6 6, 63 (057) Mobile Home (058) 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 $ Exempt =Yes = No How Determined LIBRARY FEE Land Account land Credit Land Total Facility Account Facility Credit Facility Total a Exempt Yes No How Determined Total Amount _ RESOURCE FEE ERLI AMOUNTSPERFORMED UNTILTHE TOTAL Alm RECEIPT NO DATE BY