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Home My WebLink About23-5526City 1" 1 5335 Eighth Street E Zephyrhios, FL 33542 BNR-005525-2023 Phone. (813) 780-0020 Fax: (813) 780-0021 issue Date. PermitBuilding(Residential) Class � � II . � "1 +1 1 �, • !"!! - «� �t � �. � � f � �.��1 � � R . � t � i >Ir I �, . � • � � �� i� f Work: f Address: !.!! W CypressSt 200 Building Valuation: TAMPA, FL 33607 Electrical Valuation: !! wR 8! Mechanical Valuation: Plumbing Valuation: $25,032.00 Totalt fn: $330,422.40 Totalk Amount.: R t Paid:1 Date ! : iiiiiiii ME! CONSTRUCT TOWNHOME1634 SID FT AS tM MHill Electrical Permit Fee $227.74 Sewer Connection Residential Fee $2,090.00 S IF 1 percent Fee $3353 Mechanical Plan Review Fee $0.00 Mechanical Permit Fee $127.61ff fr {! Electrical Plan Review Fee !! Plumbing Valuation Fee ! ! Transportationf •! Building Plan 'a! !0 Transportationt Driveway Fee $45,00 3/4 Water Meter Residential Connection Fee $732.71 Water Connection Residential Fee $1,010,00 Plumbing Permit Fee $165,16 Address Fee $30.00 -PoliceBuilding Permit Fee $1,291.60 Park Impact Fee - Single Family/Townhome $769.56 Public Safety Impact Fee !! Public Safety Impact Fee -Admin $26.35 Fire Wall/Smoke Wall Inspection $15.00 REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c) the local government .: imposex "' of four times '. amount of :• fee imposed for - initialor first reinspection,greater, for each subsequent•' R Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property thal 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 M your property. you intend M obtain f,. consultyour lenderor R before recording your . of f 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 BEFOREC.O. FV� �rONTRACTOR SIGNATURE P PEJAIT OFFICE( PERMIT I .. EXPIRES w APPROVED RN!: INSPECTION 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Owner's Address 4301 W Boy Scout Blvd, Ste. 600, Tampa, FL 33607� Owner Phone Number Fee Simple Titleholder Name N/A Owner Phone Number �� Fee Simple Titleholder Address N/ JOB ADDRESS 38142 Fallstone Way LOT# 0036 SUBDIVISION Townes at Autumn Palm PARCEL ID# 15-26-21-0230-00000-0360 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED PINSTALL NewCON5TR8 ADDIALT 0 REPAIR SIGN DEMOLISH PROPOSED USE SFR COMM u OTHER TYPE OF CONSTRUCTION u v 0 BLOCK FRAME STEEL DESCRIPTION OF WORK Multi -family / Screen Enclosure / Fence BUILDING SIZE U/R SF 2086 =SO FOOTAGE 1634 HEIGHT 28 BUILDING $ 250320 rr'rmmr m°� VALUATION OF TOTAL CONSTRUCTION - ELECTRICAL $ 37548 ® PROGRESS ENERGY W.R.E.C. AMP SERVICE PLUMBING $ 25032 HJ (MECHANICAL 9 ♦=GAS $ 17522.4 VALUATION OF MECHANICAL INSTALLATION IV]ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS I _ FLOOD ZONE AREA Li YES Do BUILDER COMPANY Lennar homes, LLC SIGNATURE Qt a REGISTERED LLLN__j FEE CURREF Y/ N Address 4 I W Boy Sc Blvd Suite 600 Tampa, FL 33607 License # CGC1518166 ELECTRICIAN COMPANY Edmonson Electric, Inc. SIGNATURE REGISTERED Y J N FEE CURREN I Y/ N Address License# I EC13005408 PLUMBER °: COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE '` REGISTERED Y J N FEE CURREN Y J N Address License# FCFC042998 MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE �"{F REGISTERED Y / N FEE CURREN I Y / N Address License# I CAC058062 OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE REGISTERED Y / N FEE CURREN I Y / N Address License# I CCCO57991 IIIIIIIII11lIII�'IIIIIIIIIIIIIIIIIIIIIIIIIIIIlIIIIIIIti1111111I1111I RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms, R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wJ 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. H—F-a—:—FI—' Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (AIC upgrades over $7500) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) Driveways -Not over Counter if on public roadways.. needs ROW NOTICE OF DEED RESTRIC'14IONS: Ae 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. 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 OWNER ORAGENT Subscribed and swo (or affirmed) before me this 12 by Christopher Smith Who is/are personally _k�nto me or4a&44ava-pro4wGe4 as identification. 1022 by Christopher Smith Who is/are personally known to me or has/have produced as identification. Notary Public Notary Public Commission No. GG 296057 Commission No. GG 296057 Stephanie Farmer Stephanie Farmer Name Name ofN i STEPHWE "ER STS%"FAMER C=ffd2s* # 00 29M E*m FdM41Y 15, 202$ W- E*M FebruWy 15, 14A. DoW rw Troy I* *MOW Nm:j m 0 1 "MM. m. a DESCRIPTION: LOT(S) 33-38, TOWNES AT AUTUMN PALMS, SEC. 15, TWR 26 S, RNG 21 E. ACCORDING TO THE PLATTHEREOF, RECORDED IN PLAT BOOK 89, 17 THE PASCO COUNTY, FLORIDA 1708 Water Oak Drive PAGE(S) 3-114, OF PUBLIC RECORDS OF PASCO FLORIDA. COUNTY, (TOWNES AT AUTUMN PALMS) Tarpon 1p,ing,, Florida 1� II I Pho 727)-83 1-1990 SITE PLAN LOT Ic b FlondaPLS7123@gmail.com of (NOT A SURVEY) 32 z II rN LB# 8183 19 S89-57 18 E (P) 103,82 lPJ 0 F, 111 ALL ELEVATIONS REFERENCED To NORTH AMERICA N VERTICAL DATUM OF 1988 lb 101F 0 - Fl-IS y PD __(NAvD88) _O co 209 60 UNIT A 39,7 U PROPOSED E LEVATIONS AND TYPE 1131 GRADING SHOWN HEREON ARE TAKEN [FORM -MASERI < Z PROPOSED LOT ENTRY IT3 zaa Scal, Scale: 1 20' THE ENGINEERING PLANS OF cd 2 STORY 33 ATTACHED q CONSULTING PA.', PROVIDED BY CLIENT C A ISIDINCI 13'F0F_ 'a. Initial Point Land Surveying, LLC. E lPE 10408 RE PROPOSED: _TS608- ON -C 570 LEGEND LOWEST FLOOR ELEVATIONS u- D/ 16[2T4 PROPOSED LOT SURFACE TYPE FENCES LIVING AREA: 84.50 C3 < z b 2 SIORY ENTRY 173 GARAGE AREA: N/A co 2 ATTACHED 34 POOL ALUMINUM FLUFF ELEVATIONS REFERENCED TO RESIDENCE k--- 1, 1 20,0 ____ \ ____ NORTH AMERICAN VERTICAL DATUM OF < ----------- S 89-56 SEC E (P) !P) rl > =IP—IT VINYL FENCI 198 - 60 UNITC 3917 H3r85 NATIONAL GEODETIC VERTICAL DATUM OF 1929 Z 1 624 PROPOSH], < q 2 STOW LOT ENTRY TRACT 81 z 16 E) 77 3 ATTACHED 35 (FAINIINK 'ENCE LOT - 13431 $O, FT — PB 1, PG 55 RESIDENCE SAND/DIPT - x LIVING AREA - 40 10 SO, FT ENTRY 476 SOL FT — TRACT 96 0' 9_56 08" E tPPL LGILRO' EP STO OVEIIIIADIOSSEEP GARAGE = 1356 SO, FT. PP 0 0HP OHP CO LANAI = 652 SO, FT. COVERED PB 1, PG 55 e < ,NET;C PROPOSED LOT V — ------ LEGEND: PATIO NA SO. FT, NA Z !S\ 2 STORY 36 ENTRY 173 AITACHIII W PROPOSED DRAINAGE FLOW POOL AREA SO, FT, CONC. DRIVE = 1500 SO, FT P,EC & CONC PAD- 54 CL FT, ------ S RESIDENCE 89PSLSYEBTE (P) 10456 (P) ------------- 40 I00,00) PROPOSED GRADE 272 \6 0/ 39 7 Z' E-00,00 = EXISTING GRADE 2" OAK S D WALK = SQ. FT. E YARD SWALE NA SCL FT SIDE UNIT C 1624 2, Cr '.V � 10 INGRESS EGRESS/U.E & DL CONSERVATION AREA IRA $O, FT, < b PROPOSED LOT ENTRY 3 7STORY 37 7''L b V_ APPARENT FLOOD HAZARD ZONE: 'X'COMMUNFTY NO. 120235 62 LOT OCCUPIED % ATTACHED (MAP NUMBER 12I0IC-0452-F) EFFECTIVE DATE: 09/26/2014 AREA TO IRRIGATE 38 % RESIDENCE S 89-56 08 E JPI 704 721fPq SURVEYOR'S NOTES: 2" OAK 6 IT UNIT A 57,� E 1.) Current title information on the subject property had not been 1532 M, 0 furnished to Initial Point Land Surveying, LLC. at the time of this site plan NOTES: < `I PROPOSED LOT 2.) This sketch was prepared without the benefit of a title search. No LOT GRAD fNGTYPE N/A SO 2 STORY ENTRY IT3 ATTACHED 38 InsE, uments of record reflecting ownership, easements or rights -of -way were furnished to the undersigned, unless otherwise shown hereon. PROPOSED PAD ELEVATION - N/A ci 21,9 RESIDENCE CIFF-7-7, 39F7 '1,60',r- 3.) Roads, walks, and other similar items shown hereon were taken from + Lo engineering plans and are subject to survey, FROM SET BACK - 15 31 3' 4.) This site plan does not reflect nor determine ownership SIDE SE7BACK 10' ol 5.) This site plan is subject to matters shown on the Plat of "ZEPHYR COURT REAR SETBACK - 20 11 61 Dimensions shown hereon are in feet and decimal portions thereof, ALL WALKS 3.0 UNLESS NOTED N 89-56'08r W (P) 104,98 (P) 7' Contractor and owner are to verify all setbacks, building dimensions, LOT and layout shown hereon prior to any construction, and immediately ALL A/C 3,2 K 3 2 advise Initial Point Land Surveying, LLC. of any deviation from /E/LJ/D - INGRESS EGRESS/ 39 information shown hereon. Fail., to do so will be at user's sole risk. UTILITY/ DRAINAGE ESM T Su 1 ICATE SURVEY ABOREVATIO This certifies that S Ebed property was made "i I Bpe Standards of Practice for A/c-AIRCONDIIIONFR P)) - DEED R'- - IOIUL 1), 11-1 PI - RE( ORD Drawn By: DEB Party Chief JH REVISIONS survey) a $4j%ed in Chapter AF ALUMINUM PENCE DE-DRANAGEFAFFMFNT -BASE FLOOD E I OR - TIE -1 CONSIST .111W 11 P(F, PERMANENT CONTROL POINT ,RANG CheEked8y:JH JJOB#6054 Am A �,Ciarrt to 8 1 F J VATON FTEV F LF—TON 8 - BEN' FT WIN I Of' - EDGE OF SAVE ME NT C - (IDSO FS.1 - FAIESSENT LFf - 1OWIST FLOOR F] ELEVATION I S I I ICENSf 1) EURP/F YOR I.) , m-sur, EP P/f -POOL F OUfPMr NT PP, , IVG[ PI- POINT Of NORIF-ON FER, _ PAR FROAD %NEEF R/W - RIGHT Of WAY IF C - SICTLON Fire. Section 472.02F 'Fit idastatost, .ice ate. .11.28 112 - 11LCI1^1ED 1/1 - IENCF CORN"' IFNI E RI IDE F(M - FOUND OCLNCRr I E BODUNR UPS - BUUEFD FND SECTION HE NO - NO CORNER FOUND PS -FARKEFE FULL ON POT -POINT OF BEGINNING I DID - IF I NAIL AND DISK 19.8,183 III - IF T 112 'ROD ROD I FRI 8183 Date of Site Plan: 11-3-22 DUB _LLAJ Jeff M. Hirt] 4-1 08:17- - 05F001 Dace CLf, , HALN I INK FENCE F IP - F OUND IRON PIPE "/A - F PA" PO -POLNISPFCONENSFIISTMENT TW-TEMPOELARYBENC—AREE DWCcL33-3&T9AP SFEEDWG FLORIDA PROF �F ANP ER LS#7123 LBIB 183 CMP, CORRUGATHISTIA1 FIR - FOUND IRON ROD COL _ C I UMN f N&D - HYUND NAJf & DISK CUSBC 0 CRL7F I Of' - FOUND OPEN PIPE 011. - CST111FA. FORE11, OR -OFFFOALIEF(ORDS I") PLAT POI.- FPIFNT ON. LIFE PPC - POIN 7 OF RFE/f ESE CURVE PRO- PHESERENFIBLE RE I FRFN(f MONUMENT TOB-TOLOFSANK Iwl - 111-5111 U F - U711 L I Y FARFMFNT This SITE Plan Prepared for and Lennar Homes Certified To NOT VALI IGNATURE AND SEAL ,/, - I ON0411 SLAB 'PE-FOUNDPINCEffDPIPP PS - FIATBOOK OF - PUBI IT UTCFTY CAITIFF UT 41FAI 0 YOR AND MAPPER OF A FL 'D �Fftjn WEMUSIM � (' A !- R E V Z 'E V ASS! S, T Notice to Building Official of Use of Private Provider Effective January 20, 2003 38142 Fallstone Way 15-26-21-0230-00000-0360 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. the fee owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services indicated above. 1911111!1�g �� pligil I Private Provider Firm: Private Provider: DEBRA ANNE KLAHP Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601 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 pennit 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, .1 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. The following attacbirients, axe provided as required- 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 $1 million per occurrence relating to all service's performed as a private, provider, including tail coverage for a minimum of 5 years subsequent to the performance of building code, inspection services, Individual Corporation Partnership .(signature) Print Name;_ Address Telephone Please use appropriate notary block. STATE OF FLORIDA COUNTY OF. HILLSBOROUGH Individual Beforeme, this day of 20— personally appeared who executed the foregoing instrument,, and acknowledged before methat same was executed for the purposes therein okprnsvd. LF-1141WAM nUMM0. Print CmpoTationNamo By: (signature) print N=,: Christopher Smith its: Authorized Aa ent Addrem 700 NW 10' ' Miami, FL 33172 Telephone. 81 3-574-5700 Corporation Beforcme,tbis 22ND day of — MAY, 20 22 personally appeared Of Lennar Homes, LLC a _corporation, on behalf of the state corporation, who executed the foregoing instrument and acknowledged before me that same was executed for the purposes therein expressed. Personally known X or- Produced identification — Type of idontifloation produced PrintPartnership Name MA print Name,. Address: Telephone No.: Partnership B efore me, this day of personally appeared p artner/agent on b6half of a partnership, who exeouted the foregoing inst.ument and acknowledged before the that same was oxecuted.for the purpo.sesthorein expressed. Signature of otar PrintName ASHLEE,CALLAHAN NotaTyPublic Stamp: ASHLEE CALLAHAN comnission Expires: WCOMMI$SIONIHH29M 0 202,C0 EXPRES: No"mber 30,2020 Page 2 of 2 V-R/\ 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: lucy-�lit),virtualreviewassist.coin Project: New SFT Address(s): 38142 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, LLSN, SNLS3,S4,S5,S6, ST,SS,D1,WP,PAI.0,PAI.1, PAL2,PAL3,PAL4, 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 eu Signature of Reviewer: /IJ SWORN AND SUBSCRIBED befog "me by Debra Anne Klahr being personally known to me or having produced as identification and who being fully sworn and cautioned, state that the fo eging is true and correct to the best of his/her knowledge or clief. ig fNot�� "Prih(Name commission expires: ASHLEE CALLAHAN My COMMIMON # HH 29M EXMES-, NovwW 30,2026 TRACKING # FOLIO# 38142 Fallstone Way "111" =1 rIT1110NOW-1 -0. KININ U k1rovat'40111a RAIKWU was Re aired Permits DATE: 1211012022 EXAMINER: Debra Klahr PX230( IVBuilding [j Ins ection Qnb WPlumbing ❑ Inspection Only Mechanical El Ins ection OnIj r Electrical -Amp ❑ Ins ection Qnb� J1 Roof ❑ Gas I 1 [:1 Medical Gas E] Fire Sprinklers El On Site Piping ❑ Fire Line 0 Irrigation E] Fire Alarm E] Potable Backflow Assembly El Fire Line Backflow Preventer 1:1 Irrigation Backflow Assembly F-1 Demolition El Walk-in Cooler ❑ Refrigeration El Hood F-1 Ansul F] Fence/Wall ❑ Grease Trap [:] Other El Other wm�- . Type Construction: JV-B I Risk Category: Occupancy Load 0 ancy Classification: . ... 'Factory Factory 'Residential Assembly Hazardous E=:= Storage E= usiness Day Care/Educational Institutional FE Mercantile Building Use: Single Family /Alteration Level 2 ❑ Level 3 VNew Construction E] Interior Finish ❑ Interior Remodel E] Exterior Remodel ❑ Addition ❑ Revision Overall Size: 18 x 63 Number of Stories: 2 Total Sq. Ft.: 2086 Living Area: 1634 Covered Area: 452 # of Bedrooms: 3 1 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof Type: Z Shingle E]Tile El Built-up El Metal El Other Squares: 14 Zoning: Wifforne Debris: , 0,,,nside Outside Outside Energy Code: 405-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? QYes VNo Sq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: Total Sq. In. Permanent Openings 2 Central A/C El Gas A/C — [g Heat Pump 0 Gas Heat El Window A/C El Electric Heat Sajrj1!iLtaa Sewer Storm Sewer Catch Basins Potable Water Under round Fire Line RM= Front Rear Left Right 21 Asper Approved Site Plan Comments: Builder Name/Owner Nam - Control # County Parcel No. Subl)ly: Address/Location f � Classification/Type of Use TRANSPORTATION IMPACT FEE Rate; Sq. Ft Unit � � T Exempt 0 Yes 0 No How Determined Impact Fee Amount Ci Zone No, TAZ: SCHOOL IMPACT FEE Account (056) Single -Family [detached House Amount s (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 Exempt Yes No How Determined Total Amounv: RESOURCE FEE ERU PE RFORMED UNTIL THE TOTAL AMOUNTS U W114* mm RECEIPT NO DATE BY