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Home My WebLink About23-5531City of 1 Street s 5335 Eighth \1 4ti Zephyrhills, FL 33542BNR-005531-2023 Phone: (813) 780-0020 Issue Date:=- ' Fax: (813) 780-0021 - Permit Building New Si a t! l 15 26 210230 00000 0270 38106 Fallstone Way Name: LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential) Class 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: $17,522.40 Plumbing Valuation: $25,032,00 Total Valuation: $330,422.40 Total Fees: $13,831.26 Amount Paid: $13,831.26 Date Paid: 1/23/2023 2:56:57PM CONSTRUCT TOWNHOME 1634 SQ FT AS'" \\ Electrical Plan Review Fee $0.00 Address Fee $30.00 School Impact Fee - Single Family $3,353.00 Driveway Fee $45.00 314 Water Meter Residential Connection Fee $732,71 Water Connection Residential Fee $1,0%00 Sewer Connection Residential Fee $2,090.00 Transportation Impact Fee - City $34.80 Building Permit Fee $1,291.60 Park Impact Fee - Single FamilyiTownhome $769.56 Building Plan Review Fee $180.00 Mechanical Plan Review Fee $0.00 SIF 1 percent Fee $33,53 Transportation Impact Fee $3,445.20 Public Safety Impact Fee -Admin $26,35 Plumbing Permit Fee $165.16 Fire Wall/Smoke Wall Inspection $15,00 Electrical Permit Fee $227.74 Mechanical Permit Fee $127.61 Public Safety Impact Fee -Police $254.00 Plumbing Valuation Fee $0.00 I SPE TI FEES: (c) With respect to Reinspection fees will comply with Florida Statute 55 .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, 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 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 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 OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. I a JQ�� . 01 iojll_�,_ 4*r CONTRACTOR SIGNATURE PE IT OFFICE PERMIT w EXPIRES r ♦ MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT • O CARD FROM WEATHER 813-780-002C, City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date .. Received Phone Contact for Permitting 1� 908 1 770 7763 .. ... ... " F Y—F-F—F-11 .1 1 1 1 1 1 1 1 1 1 Owner's Name Lennar Homes, LLC Owner Phone Number 813.574.5700 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 I N/A JOB ADDRESS 138106 Fallstone Way LOT# 0027 I SUBDIVISION ITownes at Autumn Pal I PARCEL ID# 15-26-21-0230-00000-0270 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR F—] ADD/ALT SIGN DEMOLISH P INSTALL REPAIR PROPOSED USE 0 SFR COMM OTHER TYPE OF CONSTRUCTION 10 BLOCK Q FRAME 0 STEEL DESCRIPTION OF WORK n Enclosure / Fence BUILDING SIZE I U/R IF 2086 = SQ FOOTAGE1634 HEIGHT 28 . . . I I I I I I I _"�BULD,NG $ 250320 VALUATION OF TOTAL CONSTRUCTION PROGRESS ENERGY W�R.Ec. ,ULECTRICAL 1$ 37548 AMP SERVICE f PLUMBING $ '12YJ 1 25032 MECHANICAL $ 17522.4 VALUATION OF MECHANICAL INSTALLATION ,_--e =GAS F./I ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES Do BUILDER COMPANY I Lennar I comes, LLC SIGNATURE l i REGISTERED Y/ N FEE CURREN Address 1430 Boy Sco�vt`Blvd Suite 600 Tampa, FL 33607 1 License # ELECTRICIAN COMPANY lEdmonson Electric, Inc. SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N Address License# I EC 13005408 PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N Address License# CFC042998 MECHANICAL # COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE j REGISTERED ! N FEE CURREN I 7/N Address J License # OTHER COMPANY Sterling Quality Roofing, Inc SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N Address License# CCC057991 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. Direction Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $7600) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) Driveways -Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division —Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law —Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S/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, Weiland 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. FederalAviation 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 Subscribed and sworn To (or affirmed) before me this 12-22 by Christopher Smith Who is/are personally known to me orb as identification. 1216W22 by Christopher Smith Who is/ar�ersonally known to me or has/have produced as identification. Z Notary Public -Notary Public Commission No. GG 296057 Commission No. GG 296057 Stephanie Farmer Stephanie Farmer Name NM:J1 NameofN STEMOMFMIMER *".', M91ll"FAMER 4AIN fe N E *m Fetin" A 2023 4 -' E*U FOWUMY 16� iN *&"71 bon&d Twi Tmyf *Wwxw #*W�ms ,- DESCRIPTION: LOT(S) 25-32, TO W NES AT AUTUMN PALMS, ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 85 PAGEIS) 113-114, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. ALL ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 (NAVD 881 PROPOSED ELEVATIONS AND TYPE GRADING SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF "MASER CONSULTING PA', PROVIDED BY CLIENT J PROPOSED: LOWEST FLOOR ELEVATIONS: LIVING AREA: 84.80 GARAGE AREA: NIA ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 0.85= NATIONAL GEODETIC VERTICAL DATUM OF1929 LOT = 17969 SQ.FT. LIVING AREA = 5336 SO. FT'. ENTRY = 672 SO. FT. GARAGE = 1848 SQ. FT. COVERED LANAI = 868 SQ. FT, PATIO NA -SQ. FT'. POOL AREA - NA SQ. FT CONC. DRIVE - 1967 SO FT A/C & CONC PAD - 80 So, FT. SIDEWALK _ 324 SOL FT SIDE YARD SWALE ._ NA SO. FT. CONSERVATION AREA NA SO, FT, LOT OCCUPIED - 59 % AREA TO IRRIGATE = 41 % gq\ `g3 11 TRACT "I" SITE PLAN SEC. 15, TWP. 26 S, RNG 21 E. 1708 Water Oak Drive PRIVATE PARK PASCO COUNTY, FLORIDA NOT A suavEr) 1 TOWNES AT AUTUMN PALMS} Tarpon Springs, Florida N 89'31'57"W(P) 120.081Pj Phone. (727)-831-1990 40 4�9 LQT Cy FloridaPLS7123@gmaiLCom 24 rN LB# 8183 II 0 UI LTA L25 OT ENTRY 173' m 66/ /r r 111,1 S tn' L h i S F('11 tt 5. 10' IP) z UNIT B 516 LOT g Ee 26 ENTRY 17.3' IN STET z b UNIT C LOT C °J 1624 21 ENTRY 17.3' -- S89'25'15E(P).t03.9t (Pf `0 147 39.7' ........ z UNIT-C LOT b 1624 28 ENTRY 173' 8925" 15' E (Pi 103.08' (P) PROPOSED �— SZO' 2STORY r- ATTACHED RESIDENCES Z b UNIT{ LOT ENTRY C6 Q�I 1624 _ 29 17.317.3' S892515-E BI I?03.24'(P) I"^I "h/` tty�� _ o 0 - O V pp< 2jz 7 0 C24 t/7 Initial Point Land Surveying, LLC. / LEGEND SURFACE TYPE FENCES ASPHALT VINYL FENCE BRICK WOOD FENCE Ste' 7 f 19 66 m�wzi-mm� _.. .:� NOTES: �� m ¢ b 197 <mz rtq�6� p m m o b z UNIT- f LOT ENTr 7 3' L07 GRADING TYPE = N/A iU ^ m °� n' 1624 30 RY m o 00 _ ,, U PROPOSED PAD ELEVATION = N/A V ® r C: 7 S 692> 75 F (P) 157 40 (P} o o FRONT SETBACK = I5' W 0' ^ 397 4 7 N y = SIDE SET BACK 10 N C t7 't UNI7m B ,i 199 �_•, _j REAR SETBACK 20' V w . g 1516 LOT 173' M ALL WALKS 3.0 UNLESS NOTED p4- c m w t 31 uai ALL A/C 3.2x 3.2 ® - f+ ,. ��• - S 89.25' 15' F IPI 103.57' (P) I/E/U/D y INGRESS EGRESS/ LU y, \_ m o jj UTILITY/ DRAINAGE ESM'T Z Z `t Z I,UNIT-A LOT c . m 1532 17.3' m vl m ro m m in m / j 32 20. i'. C d M w 'J6S 5.0_'PM__._-__"1 SURVEY ABBREVATIONS u u v v LOT 33 S 89'5TIB' E (P) 103.82 (P — A/C-AIRCONDITIONER LA - DEED -__I— wV- INVERT P(-POINT Of CURVf (RI-FRCOtD Drawn By: DJB Party Chief: JH AF- ALUM INUM FENCE OF DRAINAGIFASIMFNT 8 E- BASE FLOOD ELEVATION R ORELEY •EILVATON LR-LICENSED BVISNf SS LFE-IOWFSTFLOORIL:VALON P(P-PFRMANEN7 OONTROI POINT RNG RANGE P/F - POOL FOUIPMI NI IRS - RAIL ROAD SPIKf Checked B 'JH y- JOB #6071 BM-BENCHMARK EOP - EDGE OF PAVEMENT C-CURVE FSMI-EASEMLNf IF—CFNSEDSURVEYOR lMl MEASURED PG_PACE R/W - RIGHT OF WAY PI- POINT OF INIIRSE(TION SEC-CI(TION File: ' IC^CALCULATED FEE - FENCE CORNER i=CENiERUNE F(M- FOUND CONCRETE MONUMENT MES MITERED END SF CNON NICE - NO CORNER I OUND PK-PARI(tRKAI.ON SN&D-SE:T NAZI. AND DISKL8NR193 POB- POIN r OF RI GINNING SIR -If 1112"IRON ROD LIIA &183 Dace Of Site Plan: l 1-8-22 CIE --CHAIN LINK FENCE FIP-POUND IRON PIPE O/A OVF RAI I. PO( - POINT OF COMMEN For NT IBM -[F. MPORAIRY 81 NC H MARK DWG'L25-32-T(&AP-SITE.DWG CMP- CORRUGATED METAL PIPE FIR - FOUND 114ON TROD COL -COLUMN FN&D=FOUND NAIL.&DISK OHW-- OVFRHf AD WIRE ISi OR ^ ENCIALRF(OFDS POL- POIN I ON t INL TOB-IOP OF RANK PR(- POINT OF RE Vt RV CURVE TWP-TOWNSHIP This SITE Plan Prepared for and Certified To. CONC- CONCRETE FOP -FOUND OPENPIPE EEL -PLAT PRO- RE RMANENT REEF RFEKI MONUMFNT U F- U Lit FLY f ASt'MENT Lennar Homes C/S- CONCRETE YAR "PP= FOUND PINCHED PIPF, _ PR - PLAT ROOK P 0 F- PUBLIC UM ITY IASFMENI �SA ND/DIRr CHAIN LINK FENCE x �-COVERED Oi�JERtREAD�PO�WER LEGEND: __ -- — PROPOSED DRAINAGE FLOW (00.00} PROPOSED GRADE E 00.00 = EXISTING GRADE - 2" OAK = 10" INGRESS EGRESS/LIE & D.E APPARENT FLOOD HAZARD ZONE: "X" COMMUNITY NO. 120235 (MAP NUMBER 12101C-0452-F) EFFECTIVE DATE: 09/26/2014 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-) 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.) This site plan does not reflect nor determine ownership. 5.) This she plan is subject to matters shown on the Plat of'ZEPHYR COURT" 6.1 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. This certifies that under m s edR Y UN s aS S REVISIONS: 5J-17.05 i t Section 47 .0 M. NOT VALI OFA ,as made of Practice for in Chapter pursuant to 1.28 y 10:28:0 foa' _ STATE OF p Date lAf`OMAAN ERLS#7123 LB#8183 #! ( w'�1GNATURE AND SEAL C$N1 t�YOR AND MAPPER \/R/\ R E �'� S S I S R I U A L : . W V v : Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 38106 Fallstone Way Parcel Tax ID: 15 -26 - 21- 023 0- 00000-0270 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 Firm: VIRTUAL REVIEW ASSIST, INC. Private Provider: DEBRA ANNE KLAHP Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601 Telephone: UEEEM-i Email Address (Optional): deb@virtualreviewassist.com Fax: N/A Florida License, Registration or Certificate #: (LIC # BU1967/ PX2300/ BN4615) I have elected to use one or more private providers to provide building code plans review and/or inspection services on the building that is the subject of the enclosed permit application, as authorized by s. 553.791, Florida Statutes. I understand that the local building official may not review the plans submitted or perform the required building inspections to determine compliance with the applicable codes, except to the extent specified in said law. Instead, plans review and/or required building inspections will be performed by licensed or certified personnel identified in the application. The law requires minimum insurance requirements for such personnel, but I understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harmless the local government, the local building official, and their building code enforcement personnel from any and all claims arising from my use of these licensed or certified personnel to perform building code inspection services with respect to the building that is the subject of the enclosed permit application. I understand the Building Official retains authority to review plans, make required inspections, and enforce the applicable codes within his or her charge pursuant to the standards established by s. 553.791, Florida Statutes. If I make any changes to the listed private providers or the services to be provided by those private providers, I shall, within I business day after any change, update this notice to reflect such changes. The building plans review and/or inspection services provided by the private provider is limited to building code compliance and does not include review for fire code., land use, environmental or other codes. 1. Qualification statements and/or resumes of the 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 services performed as a private provider, including tail coverage for a minimum of 5 years subsequent to the ptifprinance,of building code inspection strvices. Individual Corporation Partnership LENNAR HOMES. LLC Print Corporation Name PrintPartnership Name By: (signature) r, (signitu (signature) print print print Name: Name: Christopher Smith Name: Ad&ess;- its: Authorized Aa ent its Address: 700 NW 107Lh Av_eAddress: Telephone Miami, FL 33172 Telephone, Telephone No. 9137574-5700 No.: Please use appropriate notary block. STATF, OF FLORIDA COUNTY OF HILLSBOROUGH Individual BefOrelue, tl-IiS day of 20___, personally appearDd who executed the foregoing instrument, and acknowledged before me that s , ame was executed for the purposes therein expressed. Corporation Before me, this 22ND day of MAY 20 2_2 personally appeared. of Lennar Homes, LLC. a Corporation, on behalf of 1h6 state corpoTation, who executed the foregoing instrument and aclonowled ged before me that same was executed for the purposes therein Partnership Bafore me, this day of pers6naRy appeared partner/agent on behalf of a partnership, who executed the foregoing instrument and acknowledged before me that same was ex(.-cuted.for the purposes I therein expressed. Personally known X or Produced idenUcation Type of identification produced Signature ofNotare PrintNamD ASHLEECALLAHAN NotaxyPublic Stamp: ...... 11% W COMMISSION 0 HH 295980 Commission Expires: W Nwwr ASHLEE CNIAHAN EXPIRES. bla 30,2028, m0i 1�0 202"Co, Page 2 of 2 V�RA VIRTUAL REVIEW ASSIST Private Provider Plan Compliance Affidavit Private Provider Firm: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU1967 Address: 747 Southwest 2 d Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: l;--- qgygyirtua1reyiewqssist,coTn Project: New SFT Address(s): 38106 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: 1,2,3,5,6,7,8,9,10,11,12,13,14,15,16, L I,SN, SN LS3,S4,S5,S6, ST,SS,D LWP,PA L0,PA I . 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: V'v SWORN AND SUBSCRIBED before 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 I? rego �ug is true and correct to the best of his/her knowledge or belief. Signature o otary Print Name Notary Public: NOTARY STAMP BELOW My commission expires: n,COMMERCIAL BUILDING SERVICES DIVISION BUILDING PERMIT DATA SHEET TRACKING # FIRE MARSHAL #01 - FOLIO # 38106 Fallstone Way Required Permits VA, I DATE: 12/10/2022 EXAMINER: -bebra Klahr PX230( 1VBuilding El Inspection Only VPlumbing El Ins ection OnL WMechanical E] Inspectioi Qn�y WElectrical Amp F] Inspection 0 ly JZ Roof I I El Medical Gas ❑ Fire Sprinklers ❑ On Site Piping El Fire Line E:1 Irrigation ❑ Fire Alarm ❑ Potable Backflow Assembly [I Fire Line Backflow Preventer 1:1 Irrigation Backflow Assembly ❑ Demolition EJ Walk-in Cooler El Refrigeration El Hood ❑ Ansul E] Fence/Wall [:1 Grease Trap E] Other E] Other Type Construction: IV-S I Risk Category: Occupancy Load OWancy Classification: Facto a'sidlial Assembly E__::� Hazardous E:= Storage E= Y Care/Educational Institutional E::=PO�emantile R Building Use: Single Family Alteration I❑ —Level I Level 3 Q", [[J Level 2 VNew Construction ❑ Interior Finish E] Interior Remodel ❑ Exterior Remodel E] Addition ❑ Revision Overall Size: 18 x 63 Number of Stories: 2 Total Sq. Ft.: 2086 Living Area: 1634 Covered Area: 452 # of Bedrooms: 3 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof Type: Shingle -]Tile 0 Built-up [] Metal E1Other Squares: 14 Zoning: W, orne Debris: 1n s i d e --I Outside — Energy Code: 405-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? rE]Yes )PNO T-- S q Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: =LTotal Sq. In. Permanent Openings 0 Central A/C El Gas A/C Heat Pump El Gas Heat 0 Window A/C F] Electric Heat [1171=13—Ij in MI. SanitaKy Sewer Storm Sewer Catch Basins Potable Water Under ground Fire Line Setbacks Front Rear Left Right Asper Approved Site Plan Comments: PASCO COUNTY, FLORID A Permit No. Date Permitted Builder Name/Owner Name Control # County Parcel No. ur I KANUFORTATION IMPACT FEE Rate: Sq,FtUnit: U TOM L_J-+Io HOW Determined Impact Fee Amount Zone No. TAZ: aci: 10 E unt (056) (057) Single -Family Detached House Amount Mobile Home $ (058) Other Residential 123) Collection Fee Exempt dyer, El No How Determined r'^K#%* AMU KF-GREATION LancrAc-count --. Land Credit Land Total. Recreot! I on Account Recreation Credit . Recreation Total Zone TOTAL AMOUNT Land Accounf Land Credit Land Tots I I Facility Account Facility Credit Facility Total Exempt yes No How Determined Total Amount TOTAL AMOUNT NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN, PAID AND * RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY -AcknOwimVement below does not imply ampWce of co b"N ncurrence, but mit &Imply receipt Ole oopy of We brmiecin perowner' on notice Of #6 088- nt and the conditions of pgyMenj for sam, pg e. I DATE — — — — — — — — — RECE—IV—E—DB—Y---- RECEIPT NO. ---. DATE ------- BY