HomeMy WebLinkAbout23-5694City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542BNR-005694-2023
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Gate: 02l21/2023
Plans,Specifications .. fee Must AccompanyApplication.
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CON ACTOR SIGNATURE PE, IT OFFICE
CALL
M INSPECTION
! 8 HOUR NOTICE REQUIRED
813-780-002.0 City of Zephyrhills Permit Application Fax-813--780-0021
Building Department
Owner's Address 1 23975 Park Sorrento, Ste. 220, Calabasas, CA 11302 Owner Phone Number
Fee Simple Titleholder Name IN/A Owner Phone Number
Fee Simple Titleholder Address NIA
JOB ADDRESS 36428 Garden Wall Way LOT# 0710
SUBDIVISION Abbott Square PARCEL ID# 04-26-21-0150-00700-0100
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED II�✓II 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 UIR SF 2605 SQ FOOTAGE 2073 HEIGHT 2$
-s- mrmm -m rrrrs�r-ram e-r-t-mP^°�rr°°
BUILDING $ 312600 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ 46$90 PROGRESS ENERGY W.R.E.C.
���g,
��AMP SERVICE �
tr l'PLUMBING $ 31260 ( �
LN,/ I� MECHANICAL $ 21882 VALUATION OF MECHANICAL INSTALLATION
GAS I • r ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES Do � Tj
BUILDER COMPANY I
Lennar Homes, LLC
SIGNATURE / REGISTERED Y/ N FEE CURREN Y I N
Address 431k Boy Scout Blvd Suite 600 Tampa, PI. 33607 License # CGCI518166
ELECTRICIAN j;)+T _-_--� COMPANY Edmonson Electric, Inc.
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License# EC13005408
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y 1 N FEE CURREN Y/ N
Address License # I CFC042998
Bayonet Plumbing, Heating & AC, Inc
MECHANICAL gy� COMPANY y g� g
SIGNATURE { REGISTERED Y / N FEE CURREN Y / N
Address License # CAC058062
OTHER COMPANY I C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y / N FEE CURREN LI.LN
Address License# CCC057991
Illilllllllillllllll IIIIIl1111111111111li11f116111111111111It11lII
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.
lo.i.�l.-�.L�6-14.•tiF-h4�-4-4J-11.4--
Directions:
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 (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.
OWNERORAGENT
Subscribed and sworn o (or affirmed) before me this
11523 by Christo herSmith
Who is/are personally known to me or#asA4av@-pFGdw�9#
as identification,
Notary Public
4_1 1-5-7-
Commission No. GG 296057
Subscribed and sworn to (or affirmed) before me this
V5;2023 by Christopher Smith
Who is/are personally known to me or has/have produced
as identification,
AT _ I— Notary Public
Commission No. GG 296057
Stephanie Farmer Stephanie Farmer
Name rex Name of NgMj
STUNWE"MER STO%" WMER
Egims F"my 15,
Feb"MY 15, M3
Re Wood TwTrqFW%%WX0
Permit NoA
Date Permitted 2, 0`-
Builder Name/Owner Name Control #
County Parcel No. � G Ci i %0 SubDiv:®
Address/Location
Classification/Type of Use
TRANSPORTATION IMPACT FEE Rate: Sq" Ft Unit:
Exempt 0 Yes No How Determined
Impact Fee Amount i 3 Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount $
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt =Yes = No How Determined_
PARKS AND RECREATION FEE
!wand Account Land Credit land Total
Recreation Account Recreation Credit Recreation Total //
Lone Total Amount $ �15
k
Exempt =Yes =No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt Yes No How Determined Total Amount
., r
Checked By
BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
x � r +
im
RECEIPT NO DATE BY
iCr ( io a m r` ci � ao
00 oa u In0 r� uy - - - = -<v ai n
---,----oo----- m-'-------- ev rri--- - -m
(n a) as o 0 0 0 0 0 0
I
I`
o f v v I o f v t e v v•f � e e v r r f e
TYPE B TYPE B TYPE B TYPE B TYPE B TYPE B TYPE B TYPE B TYPE B TYPE B 11TYPE
T:99.77 F:100.77 I FF:101.67 F:102.27 F:102.97 F:103.77 F:104.47 F:105.17 F:105.97 F:106.67 WFA07
�D:99.1 RADA00.10 I PAD:101.00 D:101.60INAD:102.30I@AD:103.10D:103.86, D:104.50 D:105.30IRMAD:106.00IMD:10
I
6 - 7 0 8 n 9 �a1 10 � 11 12 a)13 ern 14 (.015 0 16
1-0
ai o 0 0 0 0 0 0 0 0
0)
I (
13 -----*98_87 -❑ __ 99.83 100.56 101.30 102.03 1102.77-103.50®104.24 104.98 105.71
NOT INCLUDED
-
-_-,- - - - - -- - - - - -- -- _-B'..-OCK-40,-
98.59 99.68100.95 102.03�i103.11 104.19 . 105.27 106.35 107.43—
IjI ❑
DESCRIPTION: LOT 10, BLOCK 7, ABBOTT SQUARE PHASE 16, SITE PLAN
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOT( 89,
PAGE 57-62, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. (NOT A SURVEY)
PROPOSED ELEVATIONS AND GRADING his SITE PLAN Prepared for and Certified To:
ALL ELEVATIONS REFERENCED
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 WRA` PROVIDED BY CLIENT
1 _
LOT
= 4400 SO FT
LIVING AREA
= 952 SO, FT.
PORCH
= 32 SO. FT.
GARAGE
= 396 SQ. FT.
COVERED LANAI
= 104 SQ. FT.
PATIO
= N_ZSO. FT.
POOL AREA
= N/A SQ. FT_
CONC. DRIVE
= 355 SQ. FT.
A/C & CONC PAD
= 10 SQ. FT.
SIDEWALK
= 61 SO. FT.
LOT SOD
= N_,4ASQ- FT.
R/W SOD
= N/A SQ. FT.
LOT OCCUPIED
= 43 %
AREA TO IRRIGATE
= 57 %
2" OAK
* = 10.00 PUBLIC UTILITY EASEMENT
LEGEND:
'-' - PROPOSED DRAINAGE FLOW
(00,00) = PROPOSED GRADE
E-00.00 - EXISTING GRADE
NOTES:
LOT GRADING TYPE =B
PROPOSED PAD ELEVATION = 102,30'
FRONT SET BACK = 20'
SIDE SET BACK = Z5'
SIDE SET BACK (CORNER LOT) -10'
REAR SETBACK = 15'
PROPOSED:
MINIMUM FLOOR ELEVATIONS:
LIVING AREA: 102.97'
GARAGE AREA:
ELEVATIONS REFERENCED TO
NORTH AMERICAN VERTICAL
DATUM OF 1988
SEC. 4, TWP. 26 S, RNG 21 E.
PASCO COUNTY, FLORIDA
(ABBOTT SQUARE)
Scale: 1" = 20'
(CDD) RIGHT-OF-WAY
TRACT "A"
GARDEN WALL WAY
_-
-
N 89'48'04' E (P)
BASIS OF BEARING
a 22.0
N 89 4804' E (P) 40.00' (P) _ •�. •. (L__ -o
5CONC WALK
z
0j PC
030\
/
0
3/N 314604('(P) 89
t
f
—
I6.0'
I,-
N I
3.
CONC
T 5'
19.3' (.
i
WALK
0
5'
ENTRY
z
5.7'
z
LOT 9 0
o LOT I I
BLOCK
PROPOSED
BLOCK7
2 STORY RESIDENCE
-
PLAN 2074
p�
ELEV "B"
GARAGE R
LOT 10
0o
0
BLOCK 7
0
0
—
25'-0"
—
13.0'
q9\
OS
\�
Z 5'
�
12.0' 13.0'
7 _S'
�2
' 3.7X3.2
J
/C S
6
m � �
�N
0
I
__________
1'/1
30\
N 89°48'04` E (P) 40.00' (P)
\0�
\
TRACT "B-6"
i
(CDD) ACCESS/DRAINAGE/
LANDSCAPE/ WALL
MAINTENANCE AND FENCE AREA,
OPENSPACE
APPARENT FLOOD HAZARD ZONE: "X" COMMUNITY NO. 120235
SURVEY ABBREVATIONS (MAP NUMBER 12 10 1 C-0289-F) EFFECTIVE DATE: 09/26/2014
NI ARCLENGTH
(DI - DEED
INV=INVERT
PC^POINT OFCURVE
(RI - RECORD
LEGEND
A/C -AIR CONDITIONER
DE DRAINAGE EASEMENT
LB -LICENSED BUISNESS
PCC-POINTOF COMPOUNDCURVE
RNG-RANGE
VINYL FENCE
AF-ALUMINUM FENCE
E. OR ELEV- ELEVATION
LE- LANDSCAPE EASEMENT
PCP- PERMANENT CONTROL POINT
RRS - RAIL ROAD SPIKE
BFE- BASE FLOOD ELEVATION
EOP- EDGE. OF PAVEMENT
USE LOWEST f LOOP ELEVATION
P/E POCT EQUIPMENT
R/W-RIGHT OF WAY
BM - BENCHMARK
ESMT-EASEMENT
IS LICENSED SURVEYOR
PG PAGE
SEC -SECTION
WOOD FENCE
C -CURVEC/C
FENCE CORNER
- MEASURED
PI - POINT OF INTERSECTION
SN&D ° -SET NAIL AND DISI(
=ASPHALT _
\ \
ICI -CALCULATED
100
FCM=FOUND CONCRETE
ME SECTION
MS-
PI<^ -PARKER NALON
- CEN1tfII.IrvE
MONUMENT
NCF=NO CORNER FOUND
NO CORNER FOUND
2 -PRO PROPERTY UNE
SIR -SET i/2`IRON ROD �368183
SIR-SET?/2
CHAIN UNK FENCE
CIF=CHAIN UNK FENCE
FII-FOUND IRDN PIPE
O/A-OVERALL
POE - PONT OF BE GINNING
TSM- TEMPORARY BENCH MARK
CMP=CORRUGATED METAL PIP
COL=COLUMN
FIR=FOUND IRON ROD
OHW =OVERHEAD WIRES
POC=POINT OF COMMENCTMENT
TOB - TOP OF BANK
C/5 CONCRETETE
C/S=CONCRETE SLAB
FN&D-FOUND NAIL &DISK
FOP=FOUND OPEN PIPE
-
O.R. = OFFICIAL RECORDS
(PI =PLAT
P -SAT
POI. -POINT ON LINE
PRC- POINT OF REVERSE CURVE
PERMANENTPRM- REFERENCE MONUMENT
TWP- TOWNSHIP
UE=UTILITY EASEMENT
ALUMINUM FENCE
-COVERED
\�
EST a CLCARGGUITRIANGLE FIP-FOUNUPINCHEU� IPA B -.L BOO( - VF=V�NYLFENCE
JOB #6108 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive
1.) Current title information on the subject property had not been This certifies that the hereon described Tarpon Springs, Florida
Date of Site Plan: ll-232 'e N e �� P-g
furnished to Initial Point Land Surveying, LLC, at the time of this property w e e iily/ upervision and Phone: (727)-831-1990
SITE PLAN DA/GASPH1 B-L1 aBL7-S!TE TO Est It
e p�Practice for FlondaPLS7 123@ maiLcom
2.1 This sketch was prepared without the benefit of a title search. surveys 9a and of Land LB# 8183
No instruments of record reflecting ownership, easements or
File rights -of --way were furnished to the undersigned, unless otherwise( 1 a+* I �'ned
shown hereon. u o e i 4.i7f fLAEtl2y
Drawn by: DJB 3.} Roads, walks, and other similar items shown hereon were take Statflesp •-
Checked by:JH from engineering plans and are subject to survey. ♦ Date: 0X12.15
4.) This SITE PLAN does not reflect nor determine ownership.
REVISIONS 5.) This SITE PLAN is subject to matters shown on the Plat of t I 9:05 �'S�00�
"ABBOTT SQUARE PHASE 1B'� � t )DA
6.) Dimensions shown hereon are in feet and decimal portions Jeff M. }4j�_ pptS __ e !�
thereof. FLORIDA I O(J YORAND Q
7.) Contractor and owner are to verify all setbacks, building MAPPER NO. tij57 `gin++
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.
u
I ;�M I WAN 4 10 M�
U A I- R t V W A 3 S IS T
v Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
36428 Garden Wall Way
Project Name:
Parcel Tax ID: 04-26-21-0150-00700-0100
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 Finn:
Private Provider
Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
Fax: N/A
Email Address (Optional): deb@?virtualreviewassist.com
Florida License, Registration or Certificate #. (LIC # BU1967/ PX2300/ BN4615)
I have elected to use one or more private providers to provide building code plans review and/or inspection
services on the building that is the subject of the enclosed permit application, as authorized by s. 553.791, Florida
Statutes. I understand that the local building official may not review the plans submitted or perform the required
building inspections to determine compliance with the applicable codes, except to the extent specified in said law.
Instead, plans review and/or required building inspections will be performed by licensed or certified personnel
identified in the application. The law requires minimum insurance requirements for such personnel, but I
understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I
have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance
and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harmless the
local government, the local building official, and their building code enforcement personnel from any and all
claims arising from my use of these licensed or certified personnel to perform building code inspection services
with respect to the building that is the subject of the enclosed 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 atta.chments, are provided as required-
1. Qualification statements ' and/or resumes of the private, provider and all duly authorized representatives.
I. Proof of insurance for professional and comprehensive liability inthe, amount of $1 million per
o ccurrence relating to all services performed as a private provider, including tail coverage for a minimum
of 5 years subsequent to the perfprmance of building code inspection services.
.(signature}
Print
Name:
Address -
Telephone
Pleasense appropriatenotaxy block.
STAITE OF FLORIDA
COUNTY OF —HILLSBOROUGH
Individual
Btforeme,,this —day of
20— personally
appeared
who executed the foregoing instrument,
nf-Int,
and arknDWledged before me that same
was exe,,paitf,-d for the purposes therein
expressed.
qorporation
LENNAR HOMES LLC
Print CoiporationNamo
BY:
(signature)
print
Name. Christopher Smith
Authorized Acient
M =
Telephone.
No. 813-574-5700
Corporation
Be,fortnae,this 22ND day of
MAY, —2,022,
personally appeared, '
Of
Lennar HomesL.LC a
corporation, on
behalf of the state corporation, who
f,xe.cuttd the foregoing instrument and
acknowledged before me that same was
executed for the purposes therein
expressed.
Partnership
Print Partnership Name
1
(signature)
Print
Name:
Telephone
No.:
Partnership
B tfore, me, this -day
of
pers6nally appeared
a partnership, who exeouted the
foregoing instrument and
acknowledged before me that same
was exeouted.for the purposes therem
expressed.
Personally known X ;Dr.-, Produced identification— Type of identification produced
Signaturq of Not Print Name
ASLEF CALLAHAR—
NotaryPublir, Stamp: ASKMCALLMM
MY cOMMISSION # Wi 295960
CamHssion Expires,. 30,2026
Page 2 of 2
❑ COMMERCIAL BUILDING SERVICES DIVISION jeRESIDENTIAL
BUILDING PERMIT DATA SHEET
FIRE MARSHAL #01-
EXAMINER: Debra a ' !
-R �:,
Building
❑ Inspection Only
Plumbing
❑Ins �ectzon Onl
IVMechanical
Ins ection Only
Electrical Amp
Inspection Only
4Z Roof
❑Gas
❑ Medical Gas
❑ Fire Sprinklers
❑ On Site Piping
❑ Fire Line
❑ Irrigation
❑ Fire Alarm
❑ Potable Backflow Assembly
❑ Fire Line Backtlow Preventer
❑ Irrigation Backflow Assembly
❑ Demolition
❑ Walk-in Cooler
❑ Refrigeration
❑ Hood
❑ Ansul
❑ Fence/Wall
❑ Grease Trap
❑ Other
❑ Other
Gf Iff" ii 113117 L.1
T e Construction:
Risk Category:
Occupancy Load
Otpancy Classification:
Factory
Residential
_
❑, Assembly �E—��'''-''
�tlazardous t _�
❑Storage
....... _..
❑ Business ----� '❑,,,Day Care/Educational
❑,Institutional ❑ Mercantile
❑utility
....._..
Building Use: Sinale Family residence / Alteration ❑',Level I 'El Level 2 ❑ Level
VNew 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 T e: X❑ Shingle
❑Tile ❑ Built-up
❑ Metal ❑ Other Squares: 17
Zoning:
WipAborne 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 BFE:
# of Vents:
Size of Vents:
Total Sq. In. Permanent Openings
Central A/C
❑ Gas A/C
0 Heat Pump
❑ Gas Heat
❑ Window A/C
❑ Electric Heat
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
Wi(IiTkti7?
Front Rear Left Right
❑✓ Asper Approved .Site Plan
Comments:
VIRTUAL REVIEW ASSIST
Private Provider
Plan Compliance Affidavit
Private Provider Finn: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU 1967
Address: 747 Southwest 2d Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: I �k,_yjr
NtL _Lu
�y _AlrevJewassistqorn
Project: New5E`1!5e�—
Address(s): 36428 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.L6.2,7, SN, SN 1,S3,S4,S5,S6, ST,SS,D 1,D2,WP,PA I .O,PA 1. 1,
PAL2,PAL3,PAL4, SHI.0,SHI.1,SHI.2,SHI.3,SHI.4,SHI.5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300
Signature of Reviewer:
SWORN AND SUBSCRIBED before me by Debra Anne Klahr
being personally known to meZL-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.
C�v AA
igna re of Notary Print Name
Notary Public: NOTARY STAMP BELOW My
commission expires:
y
ASHLEE CALLAHAN
MY COMMISSION# HH 2M80
EXPIRES: November 30, 2026