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HomeMy WebLinkAbout23-5539rN CONTRACTOR SIGNATURE City of Zephyrhills 1 5335 Eighth Street Zephyrhills, FL 33542 BNR-005539-2023 Phone: (813) 780-0020 Issue Date; "�:' Fax: (813) 780-0021 PEIA IT OFFICE() THOLIT APPROVED .e1`2\20 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting 908 770 __ 7763 Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813.a74.5700 Owner's Address 23975 Park Sorrento, Ste. 220. Calabasas, CA 91302 Owner Phone Number Fee Simple Titleholder Name I N/A Owner Phone Number Fee Simple Titleholder Address I NIA JOB ADDRESS 36532 Camp Fire Terrace LOT# 2202 SUBDIVISION Abbott Square PARCEL ID# 04-26-21-0160-02200-0020 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR 8 ADD/ALT 0 SIGN DEMOLISH P INSTALL REPAIR PROPOSED USE 0� SFR (� COMM 0 OTHER .._..II TYPE OF CONSTRUCTION 4BLOCK FRAME STEEL DESCRIPTION OF WORK I Multi -family ! Screen Enclosure / Fence BUILDING SIZE I UIR IF 2086 SO FOOTAGE 1634 HEIGHT 28 -r rrrrrrmTrv". . rum r-s^ f BUILDING $ 250320 VALUATION OF TOTAL CONSTRUCTION ,, ELECTRICAL 1" 37548 AMP SERVICE ® PROGRESS ENERGY W.R.E.C. t_ PLUMBING $ 25032 -p II./ (MECHANICAL $ 17522 4 VALUATION OF MECHANICAL INSTALLATION Y♦ r GAS ® ROOFING SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA DYES Do -.-.�1-F-g-1-i-1..-5,-S�.i-C 6-W-. . .-. . 1-.1°.-8...- . FAO- .-.-.-.., .-.-.-.-:-1... . Fri-:-. BUILDER COMPANY Lennar LC SIGNATURE REGISTERED Y / N FEE CURREN I Y / N Address 43 1 N Soy _ out Blvd Suite 600 Tampa, FL 33607 License # -C C1518166 ELECTRICIAN COMPANY Edmonson Electric, Inc. SIGNATURE REGISTERED Y / N FEE CURREN I Y / N Address License# EC13005408 PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN I Y / N Address License# I CFC042998 MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN I Y / N Address I License # cAC058062 OTHER COMPANY C Sterling Quality Roofing, Inc ^1 SIGNATURE REGISTERED Y / N FEE CURRE< Y / N Address License# CCC057991 Illlliillllllllllll IIIIIIIIIIIEif1111B1111111111111111111111111/1111 RESIDENTIAL Attach (2) Plot Plans; sets of Building Plans; (1) set of Energy Forms, R-O-W Permit for new construction, Minimum ten (10) work Ig 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 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. 1-4 /.-"-4a-. . . . . 1�1®• • 15irections: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (AtC 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 ASCO FLORIDA a COUNTY! Permit No. 5 Date Feit d �� — Builder Name/Owner game Con trol # County Parcel No, < , ubDiv. Address/Location ClassificatioriType Of Usq TRANSPORTATION IMPACT FEE Rate. So. Ft Unit: Exempt Yes No How Determined Impact Fee Amount Zone No, Account (55) Single-Farrilly Detached House Amount (057) Mobile Horne (3) Other Residential 123) Collection Fes Exempt Yes No How Determined TI F Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone TOTALAMOUNT $ Exempt Y8s How Determined LI Y F Land Accounf Land Credit Land Tout Facility Account Facility Credit Facility Total Exempt 0 Yes E] NO HOWDetermined TotgjAmount TOTAL AMOUNT Eta Crocked By Vn� RECEIVED EY EC IFT NO, DATE BY 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. 19,04 11, fficilSkIel I Wou.011 RN I Ul R.R."RTA -4. 1711 =1 0 1 *M COX101 I I = 1.401:14:4 rm I W101 I M ILI IN 4 0111112 &X93 .1 r-A I kin a I k, 010"11 a OWNER OR AGENT Subscribed and sworn r0 (0r affirmed) before me this 11­12U2 by Christopher Smith Who is/are -personally known to me or#asA4av&-pro4uGQ4 as identification, Notary Public Commission No. GG 296057 111112­ by Christopher Smith Who is/are personally known to me or has/have produced as identification. Commission No. GG 296057 Stephanie Farmer -Stephanie Farmer Name 8T~IE "ER Name of NJ Si ER ow"Yosewn IGO Mile a* f E*m Fewmy 15, 20 EVIM February15,2023 .7 Notary Public DESCRIPTION: LOT 1-4, BLOCK 22, ABBOTT SQUARE PHASE 2, ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK PAGE , OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. PROPOSED ELEVATIONS AND GRADING SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF (-ABBOTT SQUARE RESIDENTIAL', PREPARED By 'WRA PROVIDED BY CLIENT r ALL ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 NAVD 881 NOTES LOT GRADING TYPE •-A PROPOSED PAD ELEVATION-11350' FRONT SETBACK -- 20' SIDE SET BACK -= Z5' SIDE SET BACK (CORNER LOT) = 10' 28.3�. 1v, SITE PLAN (NOT A SURVEY) This SITE PLAN Prepared for and Certified To: Leona, Homes (CDD) RIGHT-OF-WAY TRACT "A" CAMP FIRE TERRACE N 89'48'04` E (P) BASIS OF BEARING SEC. 4, TWP. 26 S, RNG 21 E. PASCO COUNTY, FLORIDA (ABBOT( SQUARE PHASE 2) Scale.- 1 " = 20' -.- 271 27.7' N 89.48'04 E (P) 92,68 (P) •..I 18.00'IP)i ) ila 00(P) I)'E, 2834 P) 7JZS0PC ) { 1 4 I N 89 48'04E (P) QS'(P) TRACT "B-7A" ry ICED) PARKING AREA 100 "'l100 (�{{f_,' 100, �h 100 ' 11,0' 1 1 0 1,0 I I 0 4 w ENTRY w Lt ENTRY ENTRV w ENTRY 10.0100 Z -' m TO 63 obi' TOCis o_ 4b ° m o PROPOSED IZR PROPOSED PROPOSED o PROPOSED w o� W Q -' ISTORY TOWNHOME ISTORY ETOWNHOME _= ISTORY TOWNHOME (STORY o OWNHOME b - y �' PLAN 1532 RI PLAN 7624 1 o PLAN 7624 ,p o PLAN 7532 rnrl ' ELEV'TH" �' ELEV "TH' = ELEV "TH" v ELEV "TH" GARAGEL GARAGE w L„ GARAGEL GARAGER LOTS ( LOT 4 LOT 3 LOT 2 BLOCKLOT22 k BLOCK 22 BLOCK 22 BLOCK 22 BLOCK 22 1 18.0' 173 17.3 18.0' J ANA ;., w Nam^ (ANAL U NAI�^C 0.0' 73 j`\ 3 3 3 3 / ; 3\ I 31 13 � I Q O' f— it I I �'I I I 2834-IP) 1 I8-00-jPl 1 1800'El 1 28,34'(P)) N 89.48'04" E (P) 92,688 (P) TRACT "B-T" (CDD) OPEN SPACE LOT = 9083 SQ. FT. LIVING AREA = 2682 SQ. FT. ENTRY = 280 SOL FT. GARAGE = 9S4 SO. FT, REAR SETBACK = 15' NOTE: ENTRY WALKS ARE 3.0' CONC COVERED LANAI = 436 SO, FT. C/S-A/C UNITS ARE 32X3.2' PATIO = NA SQ. FT POOL AREA =_ NA SQ. FT. PROPOSED: -- 10.00- PUBLIC UTILITY EASEMENT CONC. DRIVE = 800 SQ. FT. MINIMUM FLOOR ELEVATIONS: A/C & CONC PAD 40 SO, FT. LIVING AREA: 1 14,17' LEGEND: SIDEWALK = 186 SO, FT GARAGE AREA: --- PROPOSED DRAINAGE FLOW SIDE YARD SWALE = NA SO, FT, ELEVATIONS REFERENCED TO (00.00) -�PROPOSED GRADE CONSERVATION AREA = NA SO, FT, NORTH AMERICAN VERTICAL LOT OCCUPIED =- 60 % E-oo.00==ExlsrwGGRADE AREA TO IRRIGATE __ 40 % DATUM OF 1988 APPARENT FLOOD HAZARD ZONE: 'X" COMMUNITY NO. 120235 (MAP NUMBER 12101C-0452-F) EFFECTIVE DATE: 09/26f2014 SURVEY ABBREVIATIONS A ARC LENGTH ID) - DEED INV-INVERT PC -IONI Of CURVE (R!=RECORD LEGEND A/C -AIR CONDITIONER DI - DILINAGL EASEMENT LB -LICENSED Fusaff SS PCC POINT OF COMPOUND CURVE KING -RANGE } VINYL FENCE t ALUMINUM FENCE EL OR ELEV -- ELEVATION L_E- LANDSCAPE FASEMENT PCP PERMANENT CONTROL POINT IRS =RAIL ROAD CPCE B (INC --� RE- BASE FLOOD ELEVAT ION LOP EDGE HE PAVEMENT E- LOWEST FLOOR ELEVATION PCE POOt IQUIPMTO R/W -RGHT OF WAY BU BENCHMARK C'rtiV' SMT- EASMENT T`ENC_CORNER LS- LICENSE[) SURVEYOR MUERI 'J °G-PAC, PI=PAN O iNTERS�LTION SEC -SECTION AND DI4K iB#8183 wASPITALI WOOD FENCE fC) CALCUJi IED F N=MENT CONCRETE C M.S-M R t ION IFS HE -PARKER KALON ,NAIL CyAl,N LINK FENS€ c CENT-li. N. I E=-CHAR NXFENCE MONUMENT .ice>FOLND RON"CIF ErFSEC NC =NO CORNER FOUND O/A-OVE4A L t01 t'iY UNF POP POINTOf TIEGNN,NC, VI -SE 12-¢ON ROp LpF 8183 SO - HET 9M-TEMPORARY RENCH MARK FEEL" -----3( CMP=CORRt CA -D rvi`TA P F2=FOUND'RON ROD OHW>OVERHEADVIPREIS' POC PC) O`COMMENCTMENT OB-TCP OF BANK COLTCOLUMN CONC-LONE ROTE C/S couch"" SL48 FN&D=FOUND DATE&DIS f0-FOLINO OPEN PIPE 0.2-OFFICiALRF.CORDS ( P =PEA PDi POINT ON LINE PRC POINT OF REVERSE CURVE TWP= CA NSHIP L.E=UTE-TY ASEMENR COVERED ALUMINUM FENCE % _ CST- CI EAR SIGHT TRIANGLE R'PP- FOUNO PINCHED PI PE P8 A PLAT BOOK PRIM PERMAWPit REFERENCE MONUMLN I V-=VINYL FENCE JOB #5927 SURVEYOR'S NOTES: 1.) Current title information on the subject property had not been furnished to !nitidl Point Land Surveying, LLC. at the time of thisppv SITE PLAN 2.) This sketch was prepared without the benefit of a title search. SURVEYOR'S CERTIFICATE This certifies th- %&A hereon described property we'd � �ervision and meets th a s �� active for � j survey S,p� s t 0*4114 t/ tx Nd of Land 1708 Water Oak Drive Tarpon Springs, Florida Phone: 727-871-1990 ( ) FIOr)daPIS7123F rr iLcom �i LBH 8183 Date of Site Plan: 4-8-22 DWG ASPF BEl +-3L22-S:TE No instruments of record reflecting ownership, easements or rights -of -way were furnished to the undersigned, unless otherwise hown hereonDrawn 3.) Roads, walks, and other similar items shown hereon were take from engineering plans and are subject to survey. 4. This SITE PLAN does not reflect nor determine ownership,} 6.) This SITE PLAN is to the Plat Su eyp e, 7_ raU 5J o r dr.rt d sS c o 4 2�77);FTey S[atu -a !Checked 1date: 24�9.13 �t1 7RIUA9'�a� T �'y, �r"" (L'J1An 4T }X. "le by. DJB byJH REVISIONS subject matters shown on of "ABBOTT SQUARE PHASE 2" Jeff M- H �' �' P( 6,) Dimensions shown hereon are in fee[ and decimal portions thereof- FLO RIDA �7ntdRin'@�'�"8.(t�,(!'�R AND 7,1 Contractor and owner are to verify all setbacks, building MAPPER NO C i�t, NOT VALID WITHOUT THE ORIGINAL dimensions, and layout shown hereon prior to any construction, 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 user s sole risk. .Lz o o �5c IN -ml 0 111 , I M ror,t Kecxr I oq v a V1i R7 UAL REV4 ASSIST Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 36532 Camp Fire Terrace 04-26-21-0160-02200-0020 Parcel Tax ID: 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. MIT= — owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services indicated above. 151 � V1111 I 111 IFF1 I Private Provider Firm: Private Provider: Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINE5VILLE, FL 32601 riiii►M Email Address (Optional): 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. The following attachments are provided as required: 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. Individual (signature) Print Name; Address: Telephone Please use appropriate notary block. Individual B c fo r e me, this -day of 1 20_, personally appeared who executed the foregoing instrument, and acknowledged before me that same was executed for the purposes therein expressed. Corporation LENNAR HOMES. LLC Print Corporation Name W (signature) print Name: Christopher Smith_ Authorized Ment Address: 700 NW 1071b-A—ve— Miami, FL 33172 Telephone No. 813-574-57QO Corporation Beforeme,this 22ND day of MAY 20 2_2 personally appeared Lennar Homes, LL_C a —corporation, on behalf of the state corporation, who executed the foregoing instrument and acRnowledgod before me that same was executed for the purposes therein expressed. Partnership Print Partnership Name 1-0 (signature) Print Name: Its: Address: Telephone No.: Partnership B efore me, this day of 20— personally appeared p artner/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 or Produced identi cation_ Type of identification produced Signature of Notar Print Name � U mi Z ASHLE.E CALLAHAN Notary Public Stamp: E CALLAH-A ASHLE Notary PUbft? St4te of Frtc)rida, Commission Expires: Conjmjssi6r. # GG 244456 NOVEMBER 30,2022 EXPI(ej soy 10, 2022 NVO Notary AkP! ..... . . . . . O. Page 2 of 2 VR/\ VIRTUAL REVIEW ASSIST Private Provider In 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: I iL-y L C(vvi viewassist.com Project: New SFIr Address(s): 36532 Camp Fire Terrace 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, Ll,SN, SN1,S3,S4,S5,S6, ST,SS,Dl,Vv`P,PAl.0,PAl.1, PA1.2,PAL3,PAIA, 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: SWORN AND SUBSCRIBED�b fore 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 e an ing is true d correct to the best of his/her knowledge or belief ia g is gL M�tllsl� i g ature of Notary Print Name commission expires: AL; AHAN pi t�j� S��i� e of [orIda [3 COMMERCIAL BUILDING SERVICES DIVISION VRESIDENTIAL BUILDING PERMIT DATA SHEET DATE: 11/16/2022 Renuired Permits 1WBuilding [:1 Inspecq!2n Qnly_ V Plumbing E] Inspection Only VMechanical El lnspection QAIL_ WElectrical - Amp . -- ❑Ins e -ti!2n Onl IV Roof ❑ Gas F 0 Medical Gas E] Fire Sprinklers E] On Site Piping 0 Fire Line E] Irrigation El Fire Alarm 1:1 Potable Backflow Assembly E] Fire Line Backflow Preventer E] Irrigation Backflow Assembly E] Demolition E] Walk-in Cooler E] Refrigeration E] Hood El Ansu I Ej Fence/Wall 0 Grease Trap E] Other E] Other BuildinLy Data Construction: V- 8 Risk Category: Occupancy Load _Type ancy Classification: 'Factory :Residential Assembly Day Care/Educational Hazardous Institutional I== FED'Mercantile PStorage E= Building Use: Single family Alteration 1Level 2 Level 3 �11 Level I VNew Construction E] Interior Finish Ej Interior Remodel ❑ Exterior Remodel ❑ Addition El 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: Z Shingle E]Tile El Built-up ❑ Metal ❑ Other Squares: 15 Zoning: Wirdborne Debris: 0, ,Inside Outside Energy Code: 405 -2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? Yes No Sq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents. Total Sq. In. Permanent Openings Central A/C Z Heat Pump E] Window A/C Heat E] Electric Heat I ,1T1WT?-JF2TM1M- Sanitary Sewer Storm Sewer Catch Basins Potable Water Under round Fire Line NMT11" Front Rear Left Right 21 Asper Approved Site Plan Comments: