HomeMy WebLinkAbout23-5690r ..
s i ii 1
Issue Date:
Permit Type: Building New (Residential)
:s • - r " r,
0150 00700 li:/ 36412 Garden
• • r � • r • •
I IILENNAR HOE ��' i = 1 Permit Type:
Building
•• New
(�. I Contractor:
t y. HOMES
I I� IC
Class of 11• Construct
'.r. .610 W Cypressli '. Building . • $271,440.00
TAMPA, r/ . !1
Phone:» 10 Mechanical Valuation: $191i1 '!
Valuation:Plumbing 4. !!
Total Valuation: $358,300.80
Total Fees: i rC,
.61
A • i$19,634.61
Date i 13:09:09PM
CONSTRUCTr4 SO FT ....
Mechanical Permit Fee $135.00 Building Plan Review Fee $180.00
,!Address Fee
/! Electrical Permit Fee $243.58
;Plumbing Permit Fee $175.72 Public Safety Impact Fee -Admin $26.35
Connection Res• ' 11 !! Plumbing Plan Review ! 11
Transportation Impact --$3,595.68 .. Impact FeeSingle• • rr r
ImpactPublic Safety * /1 Building Permit Fee $1,397.20
ReviewMechanical Plan ;! !! Water ConnectionResidential 1 it
Driveway Fee !1 r,
.92
:Transportation Impact Fee - City $36.32 SIF 1 percent Fee $83.28
Electrical Plan Review Fee i 11 School Impact/0
REINSPECTION respects Reinspection fees will comply• •. Statute 553.80(2)(c)
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 recordsof r and there may be additional permit required from other governmental
entities such as water manageor -r- agencies.
"Warning to • Your • record a noticeof • your paying
improvements • your property. r • to•• • consult with yourr or r
before recording your notice of commencement."
Complete r • •• fee Must AccompanyAll workbe performed, in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE
44 1-K i
- SIGNATURE 4_-AIT •
FFICEU
PERMIT
r EXPIRES
r r MONTHS WITHOUT APPROVED
rw+,r INSPECTION
CALL FOR INSPECTION HOUR NOTICE REQUIRED
813-7, 1�?020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting 763
Owners Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813.574.5700
Owners 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 N/A
JOB ADDRESS 36412 Garden Wall Way LOT # 0708
SUBDIVISION Abbott SquareI PARCEL ID#1 04-26-21-0150-00700-0080
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRF—] ADD/ALT SIGN 0 DEMOLISH
INSTALL REPAIR
PROPOSED USE uv u SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK O FRAME STEEL 0F_
DESCRIPTION OF WORK Single Family Residence I Pool / Screen Enclosure Fence,,,,�
BUILDING SIZE I U/R SF 2262 SQ FOOTAGE1764 HEIGHT 28
"7_'r7BU,LD,NG $ 271440 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
7TIf
$ 40716
/IPLUMBING
LXJ
$
27144
MECHANICAL
GAS
ROOFING
FINISHED FLOOR ELEVATIONS
M PROGRESS ENERGY = W.R.E.C.
AMP SERVICE
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY = OTHER
FLOOD ZONE AREA DYES Do
BUILDER COMPANY Lennar ]domes, 1-LC
SIGNATURE REGISTERED Y/ N FEE CURREN LI_LN_j
Address 4311 Boy Scout Blvd Suite 600 Tamp], FL =31607 License If =CI518166
ELECTRICIAN COMPANY =Edmonson Electric, Inc.
SIGNATURE REGISTERED LY_LN_j FEE CURREN I Y/N
Address License # I EIC1 3005408
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 #
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN Y / N
.. .....................
Address License # CCC05 '991
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 dater 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 If 0) working days after submittal date. Required onsille, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & I clumpster. 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.
. I I I I I I I I A I . . . . . . .
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (AJC 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 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.
I am I '[to g I I murtolasarm I aval In %110101ii Lei I at—MKOW61 11111111
OWNER CIRAGENT
Subscribed and swom o' (or affirmed) before me this
1112s by Christopher Smith
Who is/are personally known to me orlisAd
as identification,
11-,121 by Christopher Smith
Who is/are personally known to me or has/have produced
as identification.
Notary Public i s—Notary Public
Commission No. GG 296057 Commission No. GG 296057
Stephanie Farmer —Stephanie Farmer
Name Name of N
PKW FAMER
E*m F"My 115, 20 E*M Fetituay 15, 2023
brow Rim TMY I* %mum 01811*70119
Permit No, i
• date Permitted
Bui�er Na �rner Name _., -$~- � Control #
County Parcel No. r? �a l l 1 s f%t O SubCiu
Address/location f
Classification/Type of use
TRANSPORTATION IMPACT FEE Rate: So. Ft Unit
Exempt Ej Yes No Flow Determined
Impact Fee Amount — Zone No. T
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount $ l
(057) Mobile Fiume
(058) Other Residential
(123) Collection Fee
Exempt = Yes = No How Determined_
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone Total Amount $ ✓
Exempt =Yes =No Flow Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt Yes No How Determined Total Amount
RESOURCE FEE ERu
Prepared B
NO
„� x OR FINAL INSPECTION
PERFORMED UNTIL THE TOTALAMOUNTS HAVE
BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
ACKNOWLEDGEMENT• NOT IMPLY ACCEPTANCE OF CONCURRENCE, BUT SIMPLY REECEIPT OF A COPY OF T
FORM, PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR ISAM
ffm
RECEIPT NO DATE 6Y
\ / ro ` `IT 00
\ \ \ __
RESCRIPTION: LOT 8, BLOCK 7, ABBOTT SQUARE PHASE I B,
SITE PLAN
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89,
PAGES 57-62, OF THE PUBLIC RECORDS OF PASCO COUNTY,
AOT A SURVEY)
FLORIDA.
PROPOSED ELEVATIONS AND GRADING
his SITE PLAN Prepared for antl
Certified To:
( ALL ELEVAI IONS REFERENCED
SHOWN HEREON ARE TAKEN FORM THE
Lcnnar Homes
TO NORTH AMERICAN
ENGINEERING PLANS OF
VERTICAL DATUM OF 1988
'ABBOT? SQUARE RESIDENTIAL", PREPARED j
(NAVD 88)
BY "WRA" PROVIDED BY CLIENT
`---- ----- -- -
LOT
= 5516 SO. FT.
LIVING AREA
= 728 SO. FT.
PORCH
= 62 SOFT
GARAGE
= 379 SO FT.
COVERED LANAI
= 60 SQ, FT.
PATIO
=NSA SO, FT.
POOL AREA
= N_EASO, FT.
CONC. DRIVE
= 355 SQ. FT.
A/C & CONC PAD
= 10 SO, FT.
SIDEWALK
- 4Z SQ. FT
LOT SOP
= N/A SO, FT,
R/W SOD
= N/A SQ, FT.
LOTOCCUPIED = 30 %
AREA TO IRRIGATE = 70 %
j - 2" OAK
* = 10.00- PUBLIC UTILITY EASEMENT
* * = 10.00!CDD) DRAINAGE,' ACCESS EASEMENT
LEGEND:
_�- PROPOSED DRAINAGE FLOW
(00,00) = PROPOSED GRADE
E-00.00 - EXISTING GRADE
NOTES:
LOT GRADING TYPE - B
PROPOSED PAD ELEVATION 101,00
FRONT SETBACK = 20'
SIDE SETBACK = T5
SIDE SET BACK jCORNER LOT) =10'
REAR SETBACK= 15'
PROPOSED:
MINIMUM FLOOR ELEVATIONS:
LIVING AREA: 101.67'
GARAGE AREA:
ELEVATIONS REFERENCED TO
NORTH AMERICAN VERTICAL
DATUM OF 1988
ICDD) RIGHT-OF-WAY
TRACT"A"
GARDEN WALL WAY
N 89'48'04" E (P)
BASIS OF BEARING
16,6
5' CONC WALK N 89'48'04' E (P) 50,18' 1H
LOT 7 0
BLOCK 7 OF
A O
a
o t
0
0.0'
L
�\0
f Im
ti
3 CONC
18.7' WALK
63' 15,2
SEC. 4, TWP. 26 S, RING 21 E.
PASCO COUNTY, FLORIDA
(ABBOTT SQUARE)
Scale: 1 " = 20'
'f99 --il PC
.gd N 89'48'04" E IP)
39T61' (P)
ra
ENTRY�� �
6..3'
PROPOSED
2 STORY RESIDENCE
z
o LOT 9
PLAN 1763
_
BLOCK 7
'F ELEV 'A`
P
GARAGE R
LOT 8 w
BLOCK 7
25' 0'
25.0'
15A
0
3 S'X3.5
C/S-A/C
/o
i
s�
cc
I
N 89'4804' E(P) 50. 10' (P
TRACT "B-6'
(CDD) ACCESS/DRAINAGE/
LANDSCAPE/ WALL
MAINTENANCE AND FENCE AREA;
OPEN SPACE
APPARENT FLOOD HAZARD ZONE: "X` COMMUNITY NO. 120235
SURVEY ABBREVATIONS !MAP NUMBER 12101C-0289-F) EFFECTIVE DATE 09j26/2014
A) - ARCLENGT
IDI`DEED
NV=INVERT
PC- POD OF CURVL
IIRI=RECORD
LEGEND
A/C- 110DRIDr—ER
DE-DRANACI IAS'MEN7
I -LICENSED BIJSri
Pcc OINT OF COMPOJND CURVE
FORD
VINYL FENCE
1'.k�-CONC
AF-AWMIN JM FENCE
LORELEV EIF-a ON
F-iANDOAN EASEMEN'
PCP PE,NANENT CON PCE POINT
TO -DAL ROAD SPIKE
h �.,, � --Lt---.—��---
BE-BAS O(DEtvA O
LOPEDC O AVEMEN
`. tOWFS IOORE VAi DN
DE POCK EOUJPM NT
EW-F,Git 1 O=WAY
MaIN FIMARK
�CURVC
ESA:e -EAS MINT
.S-UC NS JSURVEYOR
°G CAGF
ROM
=S C ON
WOOD FENCE
C CALOUIITF1
F/C FENCE CORNER
FCM--FOUND CONCRETE
(M)-MEASURED
MES - Mr RED EON SECON
c- O NTERSECIlON
NE -PARDUR <PLON
SN&D St T NAIL AND DISK
L8`ki83
- CENTERL NF
NKFtNCE
MONUMENT
IP=FOUND IRON PIPE
NC= -NO CORNER FOUND
01A-OVFRAtI
4 'ROPNii'Y L'NE
POB DINT OF BEGINNING
SIR^SET 1L2 RON ROD LB#8I83
TBM=T NIJRARYSENCHMARK
CHA N LINK FENCE
I'B R
MP=CORRL GA CD META-
`IR=FOUND IRON ROD
CPHW- OVE RHEAD WIRE'S�
°OC 'O.NT OF COMMENCTMENT
TDB=IOIOF HANK
1—•�
COL=COLUMN
CONE•CO RFTF.
N&G-FOUND NA .&DSK
O.R.-OFI(:ALRECORDS
POL PONIONLINE
WIC= OWNE,ir>
ALUMINUM FE.N,
Ch -CONC, SLAB
F0 =FOUS OPEN°IRE
FIT FOUND PINCHED PIPE
(P} -I Jii
PB a PLAT BOOK
PR'_ 40N OF REVE2S( CURVE
PRO PE RMANENT Q `RINCE MONUMENT
J- -U IY, ASEMENT
=CGVERED _ _ E\
CST -CLEARS ,HT IRANGLE
I I
IV =V.NYLINCF.
JOB N6106
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.) This sketch was prepared without the benefit of a title search.
No instruments of record reflecting ownership, easements or
right—f-way were furnished to the undersigned, unless otherwise
hereon.
3.} Roads, walks, and other similar items shown hereon were taker
from engineering plans and are subject to survey.
d.) This SITE PLAN does not reflect nor determine ownership-
S. This SITE PLAN is subject to matters shown on the Plat of
SURVEYOR'S CERTIFICATE
This certifies that sketch of the hereon described
property wa&plA*fu9M4Mpervision and
meets th�Il blf of PracCcc f
survey b-b oard of Land
Sury ��It
�igileFife:
a {'F (yeshown
a t,/r S c on 47-zDrawn
R �IBY'rI
SYalF '
Date,C X022.12.15
E 0 a
9 1 yv -05 00
1708 Water Oak Drive.
Tar s on Springs, n Florida
R R i 9
Phone: (727)-831-1990
FforldzPLS7123@gmaiLcom
LBN 8183
'Dv'` T
t1,i,
Pate of Site Plan: I!-23-22
DWGA4P B s DO NTE
bv: DJB
-
Checked by.JH
REVISIONS
"ABBOTT SQUARE PHASE ! B"
w,- QA��r'T
6.) Dimensions shown hereon are in feet and decimal portions
Jeff / C?Dgi'e
FLOKIDkjj'I RAND
II��
V
thereof
Z) Contrac'tor and owner are to verify all setbacks, building
MAPPER
NOT VALID WITHOUT THE ORIGINAL
dimensions, and layout shown hereon prior to any construction,
and immediately advise Initial Point Land Surveying, 1 LC. of any SIGNATURE AND SEAL OF A FLORIDA 1d
deviation from information shown hereon- Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC.
at user s .to risk.
IS �es �iz- I
19
�-, �ffillffi
Project Name:
Parcel Tax ID:
v T U A L R F ASS V z F Vv A i
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
I III ill I I
Services to be provided: Plans Review— X
Inspections
Note: If the notice applies to either private plan review or private inspection services the Building
Official may require, at his or her discretion, the private provider be used for both services pursuant to
Section 553.791(2) Florida Statute.
I
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:
Private Provider:
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 #: (LTC # 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
The following attachments. are provided as required:
1, Qualification statements and/or resumes of the Private Provider and all duly authorized reprDsentafives.
I. Proof of insurance for professionaland corn�rehcnsive liability inthe, Mount of $1 million per
ow,urrencerel -9-ta i era ILL
of 5 yeaxs subseqaent to the pfrfpr1nance.of building code inspection services.
I=
-(signature)
Print
NaraD:
Address:
SD,TE OF FLORIDA
ufflw-• • WIM
Individual
BDfbrcmt-,,tbis 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, LLC—
Print CoipoTationName
(signature)
Print
Name. Christopher Smith
s nall -
Wrarlaw,
Telephone-
No.813-574-5700
Corporation
B,foreme,this 22ND day of
MAY 20 2_2
persona* appeared,
Of
Lennar Homes,.LLC
Corporation, on
behalf of the state corporation, who
executed the foregoing instrument and
d I
aclanowleged before me that same was
executed for the purposes therein
expressed.
Partnership
Print Partnership Name
By,
Print
Name:
Its;
Address;
Telephone
No.:�
Partnership
Beforeme'this day
of ,
pers6nally appeared
p artner/agent an b t-half of
a partnership, Who executed the
foregoing ' instrument and
acknowledged before me that same
was executed -for the purp o-s es therein
expressed.
Personally known X or_ Produced identification Type of identification produced
Signature of Not a� PxintName
ASHLER C.ALLA.HAN...
NotaryPublic Stamp, CA" LWM
My COMMIS$1014 # HH 291111
Commission Expirts: a. aqa EXPIRES ., tWembo 30,2026
Page 2 of 2
COMMERCIAL BUILDING SERVICES DIVISION SIDENTIAL
BUILDING PERMIT DATA SHEET
Miffflammw
Reauired Permits
DATE: 1-16-2023
Debra Klahr •
IWBuilding
❑ Inspection Only
V Plumbing
❑ Ins )ection Onl
V Mechanical
❑ Ins ecdion Only
'Electrical Amp
❑ In.r ,,lion Onl
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
giifft, ilt2-1�i'i.'
T e Construction:
FB
Risk Category:
Occupancy Load
Oupancy Classification:
❑,Factory
Residential -
[( Assembly J
_❑ Hazardous
<❑Storage
❑„Business �_ Day Care/Educational
❑ Institutional��,❑ Mercantile
❑Utility
...........
Building Use: Single Family residence / Alteration ❑ Level I ❑'Level 2 ❑,Level 3
VNew Construction ❑ Interior Finish ❑ Interior Remodel ❑ Exterior Remodel ❑ Addition ❑ Revision
Overall Size:
25 x 54
Dumber of Stories:
2
Total Sq. Ft.:
2265
Living Area: 1764
Covered Area:
501
# of Bedrooms: 4
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof T e: X❑ Shingle
❑Tile ❑ Built-u
❑ Metal ❑ Other Squares: 16
Zoning:
Wipdborne Debris:
❑Inside Outside
Energy Code;
405-2020
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents: ❑ Yes VNo
Sq. Ft. Enclosed Space Below BFE:
# of Vents:
Size of Vents:
Total Sq. In. Permanent Openings
M Central A/C
❑ Gas A/C
X Heat Pump
❑ Gas Heat
❑ Window A/C
❑ Electric Heat
•i4a,. r k.;
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Under round Fire Line
fY1Bii 11r
Front Rear Left Right
❑✓ Asper Approved Site Plan
Comments:
VIRTUAL REVIEW ASSIST
Private Provider
Plan Compliance Affidavit
Private Provider Firm: 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: .111i
Project: NewSf-fS�
Address(s): 36412 Garden Wall Way
I hereby certify that to the best of my knowledge and belief the plans submitted were reviewed for and are in
compliance with the Florida Building Code and all local amendments to the Florida Building Code by the
following 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: CS, 1. 1, l.2,2.l,2.2,3,4,5,6.l,6.2,7, SN, SNI,S3,S4,S5,S6, ST,SS,D1,D2,WP,PA L0,PA 1, 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:
SWORN AND SUBSCRIBED before me by Debra Anne Klahr
being personally known to m or having produced as identification
and who being fully sworn and cautioned, state that the
foregoing is true and correct to the best of his/her knowledge or belief.
N
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iiggn�ature of Notary Print Name
commission expires:
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88JON # 2950
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