HomeMy WebLinkAbout23-5693City Zephyrhills
5335 Eighth Street
.
Zephyrhills, FL 33542BNR-005693-2023
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 02121/2023
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Address:sli W Cypress! • • r!! !!
Phone:Mechanical Valuation: $21,882.00
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Valuation:Plumbing •# !
Valuation:Total . 1
TotalLk
• 06
AmountPaid: • •!
Date Paid: 2/21/2023 3:25:06PM
CONSTRUCT SINGLE FAMILY
a•
BuildingAddress Fee $30,00 Mechanical Plan Review Fee $0.00
Park Impact Fee - Single Family/Townhome $769.56 Plumbing Plan Review Fee $0.00
Public Safety Impact Fee -Admin $26.35 Public Safety Impact Fee -Police $254.00
* ii M# 3/4 Water Meter Fee (Calc) $794.92
Building Permit Fee $1,603.00 Sewer Connection Residential Fee $2,400.00
Transportation Impact Fee $3,595.68 Electrical Plan Review Fee $0.00
SIF 1 percent Fee $8128 Water Connection Residential Fee $1,114000
Mechanical Permit Fee $149A1 Electrical Permit Fee $274.45
Plumbing Permit Fee $196.30 School Impact Fee - Single Family $8,32&00
Driveway Fee !! Transportation
REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c) the
local government shall Impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection, 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' public records of this county,! 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. you f. to obtain financing, consultyour ! or •
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.
CON A OR SIGNATURE PE IT OFFICE
PROTECT
tM r=,: •. WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
Phone Contact for Permittin '0' "0 77
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 1 574.5700
5' 4 5700
Owner's Address 1 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number
Fee Simple Titleholder Name I N/A Owner Phone Number F
Fee Simple Titleholder Address I N/A
JOB ADDRESS 136442 Garden Wall Way IOTI 0712
SUBDIVISION AiJottSquar@PARCEL ID#104-26-21-0150-00700-0120
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK Single Family Residence / Pool / Screen Enclosure / Fence
BUILDING SIZE I U/R SF 2605 SQ FOOTAGE2073 HEIGHT 25
. . . . . . . . . .
L,��JBUILDING 312600 VALUATION OF TOTAL CONSTRUCTION
f-/'ELECTRICAL 1$ F-K-1 PROGRESS ENERGY W.R.E C,
'.!'ELECTRICAL
46890 AMP SERVICE
PLUMBING $ 31260
0 MECHANICAL 21882 VALUATION OF MECHANICAL INSTALLATION
= GAS F,/] ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA D
YES 0 9'
Li
BUILDER Lennar I loes, LLC
I V
I
SIGNATURE L' COMPANY rn
REGISTERED L_LLN__j FFFTj1IRE1 YiL-i
Address 4301 #Boy Blvd Suite 600 Tampa, FL =33607, License # 8166
ELECTRICIAN ff COMPANY EdmonSonElectric, Inc.
SIGNATURE REGISTERED Y/ N FEE CURREN
Ey =N
Address License# =EC13005408
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE i REGISTERED L_ILN J FEE CURREN I Y/N I
Address License # CFC042998
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE T REGISTERED
Address License # I CAC058062
OTHER COMPANY C SterlingQuality Roofing, Inc
SIGNATURE REGISTERED Y/ N._FEE _c_u_R`R_ENy=
Address License # FCCCO57991
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 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.
64-64.4— 1 A
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C 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)
Reroals 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, Welland 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 "V" 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.
IMMI 10 Lm IPA 11011:11111101 M I 11i I zilaolym m 1:4 0 1 &N 1LOX&J111 -�JIJZI USJU 4ZI WM IML01111111 10 114 0 ION ILSK61:11 V-11 10 12 ILI FMA
OWNER ORAGENT
Subscribed and sworn fo- (or affirmed) before methis
nvzoza by Ghristopher Smith
who is/are personally known to me or#�c@4
as identification,
4 _Notary Public
Commission No. GG 296057
Stephanie Farmer
Name
W"IEFAVER
Cmiltonio # 00 29M
E*M FOMArY 115, 2023
414ROV
9", , M,q"Nft:j
Subscribed and sworn to (or affirmed) before me this
Vs121 by Christopher Smith
Who is/are personally known to me or has/have produced
as identification,
%Pr ;_----Notary Public
Commission No. GG
—Stephanie Farmer
Name of N
STEPWIE FAMER
3 ExpWws Fatimmy 16,
ZZ We
I ,:P ' 00*4 TW Iray I* W..a W441,74119
V-RA
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: lu st.com yinualreviewassi gy�& —
Project: New SFI!5fe—
Address(s): 36442 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,1.1,1.2,2.1,2.2,3,4,5,6.1,6.2,7, SN, SNI,S3,S4,S5,S6, ST,SS,D1,D2,Vv1P,PAI.0,PAI.1,
PAI.2,PAI.3,PAI.4, SHI.0,SHI,I,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 me or having produced as identification
and who being fully sworn and cautioned, state that the
for going is true and correct to the best of his/her knowledge or belief.
going
is "'
Signature of Notary Print Name
commission expires:
pa
M� t
Permit No.
Date Permitted
Builder Name/Owner Name Control #
County parcel No. � � � SubDiv: aab+�_jgcoj,
Address/Location tR/
Classification/Type of Use r�
TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: �~'�-` 7—
Exempt Yes 0 No How Determined
Impact Fee Amount— Zone No. TAZ:
SCHOOL IMPACT FEE jj� FFtt
Account (056) Single -Family Detached House Amount $
(057) Mobile Home
(058) Other Residential
(223) 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 Mow 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
EM
M*
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
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�___�_____��_L__ _____ ___-- ----\ --------�—�'----' —T—
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DESCRIPTION: LOT 12, BLOCK 7. ABBOTT SQUARE PHASE I B,
SITE PLAN
SEC, 4, TWP. 26 S, RING 21 E.
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOKER,
PASCO COUNTY, FLORIDA
PAGES 57-62, OF THE PUBLIC RECORDS OF PASCO COUNTY,
(NOTA SURVEY)
(ABBOTT SQUARE)
FLORIDA.
PROPOSED ELEVATIONS AND GRADING his SITE PLAN Prepared for and
Certified To.
ALL ELEVATIONS REFERENCED
1 SHOWN HEREON ARE TAKEN FORM THE Lennar Homes
TO NORTH AMERICAN.
ENGINEERING PLANS OF
VERTICAL DATUM OF 1988 '..
-ABBOTT SQUARE RESIDENTIAL', PREPARED
(NAVD 88)
BY WRAP PROVIDED BY CLIENT',
Scale,- 1 = 20
(CDD) RIGHT-OF-WAY
TRACT "A"
GARDEN WALL WAY
N ST48'04E IP)
BASIS OF BEARING
S CONC WALK
T15
N
89 4804" E (PJ 40.00�(P)
,� 02�
PC
Sp,
\
N 89-48'04" E (P)
0/
LOT
= 4400 SQ. FT-
23L61' (P)
_
LIVING AREA
=DSO. FT.
PORCH
-_�2 SQ- FT.
w i
GARAGE
= K SQ- FT
COVERED LANAI
= 104 SO, FL
-' 16.0" . , 3
PATIO
= N/A SO, FT,
7.S'
19.3' CONC
POOL AREA
= N^/A SO, FT,
WALK
CONC. DRIVE
= S SO, FT.
A/C & CONC PAD
= 10 SO, FL
o �'
SIDEWALK
= b I SO. FT.
ENTRY 7.5
LOT SOD
= N_/ASQ, FT.
PEW SOD
=NSA SO, FT.
z
LOTOCCUPIED
=�,.—o7R
o
LOT l l
PROPOSED
(
_
LOT 13
AREA TO IRRIGATE
= 57 %
BLOCK 7
2 STORY RESIDENCE
_
_
BLOCK 7
P
PLAN 2074
p.
ly ELEV "B"
_
jo GARAGE
a LOT 12
_
—
_
BLOCK 7
= 2" OAK
o
0
o
0
_
25'-0"---
* _ 10.00' PUBLIC UTILI7Y
EASEMENT
-"
LANAI I_
LEGEND: ,TabA
°
C
0 //ORRd
�..----�-_- PROPOSED DRAINAGE FLOW \ 7.5'
12.0' 13.0' 7.5
...;
00.00) = PROPOSED GRADE i
I 3,2X3.2'
C/S-A/C
E-00.00 = EXISTING GRADE
NOTES:
LOT GRADING TYPE =B
PROPOSED PAD ELEVATION = 103-80
FRONT SETBACK.:. 20 __________
�1R
__________
N 89'48'04" E (P) 40,00 (Pi 00
SIDE SET BACK -- 7.5
\SAY
TRACT "B-6"
SIDE SET BACK (CORNER LOT -10'
(CDD) ACCESS/DRAINAGE/
REAR SETBACK = 15'
LANDSCAPE/ WALL
MAINTENANCE AND FENCE AREA:
OPEN SPACE
PROPOSED:
MINIMUM FLOOR ELEVATIONS:
LIVING AREA: 104,47'
GARAGE AREA:
ELEVATIONS REFERENCED TO
NORTH AMERICAN VERTICAL
DATUM OF 1988
APPARENT FLOOD HAZARD ZONE:
'XX' COMMUNITY NO. 120235
SURVEY ABBREVATIONS I AP NUMBER 12101C-0289-FI
EFFECTIVE DATE. 09/26,2014
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RE .:RENCF MONUMENT
VFn VINYL FENCE
JOB #61 10
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
SURVEYOR'S CERTIFICATE
This certifies that ske the hereon described
1Q
property was Za�Lj"Ih oereI"an and
1708 Water Oak Drive
Tarpon Springs, Florida
Phone: (727)-831-1990
)ate of Site Plan: 1 1-28-22
rWG:AS-PHIB-L12-BUSTE
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 take
from subject to survey-
meets the All, d. ractice for
,°
d of Land
S lB i.�f
surveys T y�,,Klm
,8�� I d7ri'Yc'IY;Drawn
purl t to�Secnon 47 FN�t rtIe
at Date 2e�� 12.1
FloridaPLS7123� mail I.
9 -
P
LEY 8183 '
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tx : DJ8
y
=hceked by:JH
engineering plans and are
4.oes not ect nor ne ownership,
bu matters shownlonthe Pl tof
S.ABBOTT
�t
F� RADA W.g$ � 5�{���
MA
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2EVISIONS
SQUA EPHASEcI Bo
6.) Dimensions shown hereon are 1n feet and d p portion
ec��
FLORIDA FfSVETZANDQ
7 ) eContractor and owner are to verify all setbacks, building
MAPPER NO i(�9+ ij�11
dimensions, and layout shown hereon prior to any construction,
NOT VALID WITHOUT THE ORIGINAL
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.
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1 � A L R E V I E 'A A S b I S
v I I
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
36442 Garden Wall Way
Project Name:
Parcel Tax ID: 04-26-21-0150-00700-0120
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:
Telephone: 813-376-3088
Fax: N/A
Email Address (Optional): deb@virtualreviewQssist.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 perforin 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.
2, Proof of insurance for professional and comprehensive liability in.tlie. arnount of $1 million per
of 5 years subs equent to the per.formancD.of building code imspection. services.
r.
:(signature)
Print
Name:
Addresst
Telephone -
Please use appropriate notary block.
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
Individual
B efo rem t'.' this day of
20®, personally
appeared
who executed the foregoing instrument,
and acknowledged before me that same
was executed for the, purposes therein
expressed.
BY:
(signature)
print
Name. Christopher Smith
its: Authorized Agent
Ad&ess- 700 NW 107th Ave
FL 33172
Telephone.
No. 913-574-5700
Corporation
Beforeme,this 22ND day of
MAY 20 2_2
personally appeared
Of
Lennar Homes LLC a
J�
corporation, o . n
behalf of the state corporation, who
exeouted the f6regoing instrument and
aclonowltdged b Of= me that same was
executed for the purposes therein
expressed.
Print Partnership Name
(signature-)
Print
Name:
Address-, - ,
M
Partnership
B . eforDme,1his -day
Of
personally appeared
partner/agent on b ehalf of
a partnership, who executed the
foregoing instrument and
aclMowledged before me that same
was executed -for the pixrposes therein
expressed.,
Personally known —X;c)r- Produced identification Type of identification produced
Sig.natrq of NotP-rintName ASHLEE CALLAHAN
ar6'�J`
NotaxyPublic Stamp: CALLAWN
MY COMMISSION # HVJ 295980
Commission Expires, EXPIRES. Now," 31 2026
Page 2 of 2
E❑' COMMERCIAL BUILDING SERVICES DIVISION RESIDENTIAL
BUILDING PERMIT DATA SHEET
►. • 5+
EXAMINER: r Klahr + 0.::(
Building
❑ Inspection Only
Plumbing
❑ Inspection Only
Mechanical
❑ Inspection Only
Electrical Amp
❑Inspection Only
J1 Roof
❑ Gas
❑ Medical Gas
❑ Fire Sprinklers
❑ On Site Piping
❑ Fire Line
❑ Irrigation
❑ Fire Alarm
❑ Potable Backflow Assembly
❑ Fire Line Backflow Preventer
❑ Irrigation Backflow Assembly
❑ Demolition
❑ Walk-in Cooler
❑ Refrigeration
❑ hood
❑ Ansul
❑ Fence/Wall
❑ Grease Trap
❑ Other
❑ Other
Type Construction: E-B Risk Category:
Occupancy Load
Occupancy Classification:
Factory
Residential R-3
........
❑Assembly C::= IEJBusiness [].Day Care/Educational
Hazardous ❑,Institutional ❑ Mercantile
1❑ Storage -❑Utility
Building Use: Sinale Family residence / Alteration ❑ Level 1 ❑'Level 2 1❑ Level 3
New Construction ❑ Interior Finish ❑ Interior Remodel ❑ Exterior Remodel ❑ Addition ❑ Revision
Overall Size:
25 x 62
Number of Stories:
2
Total Sq. Ft.:
2605
Living Area: 2073
Covered Area: 532
# of Bedrooms: 4
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof Type: ® Shingle
❑Tile ❑ Built-up ❑ Metal ❑ Other Squares: 17
Zoning:
Wifiborne Debris: �....
❑'_Inside +Outside
Energy Code:
405-2020
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents? ❑Yes No
Sq. Ft. Enclosed Space Below BEE:
# of Vents:
Size of Vents:
Total Sq. In. Permanent Openings
® Central A/C
❑ Gas A/C
® Heat Pump ❑ Window A/C
❑ Gas Heat ❑ Electric Heat
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Under round Fire Line
Front Rear Left Right
❑ Asper Approved Site Plan
Comments: