HomeMy WebLinkAbout23-5832City
5335 Eighth Street
,Zephyrhills, FL 33542BNR-005832-2023
Phone: (13) 7 0-0020
Issue
Fax: (313) 730-0021 [gate: 03(1412023
.14+.
�
04 26 210160 00300 0200 36501 Flats Street
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Name: LENNAR HOMES LLC-OWNER Permit Type: wilding New (Residential) Contractor: L NNAR HOMES LLC
Class of Work: SFR Construct
Address: 4600 W Cypress St 200 wilding Valuation: $73,120.00
TAMPA, FL 33607 Electrical Valuation: $40,968.00
Phone: (813) 574-5700 Mechanical Valuation: $19,118.40
Plumbing Valuation: $27,312.00
Total Valuation: $360,518.40
Total Fees: $20,440.62 )
Amount Paid: $20,440.62
Date Paid: 3114/2023 11:27:42AM
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CONSTRUCT SINGLE FAMILY 1817 SO FT
Water Connection Residential Fee $1,140,00 Sewer Connection Residential Fee $2,400.00
School Impact Fee - Single Family $8,32&00 Public Safety Impact Fee -Police $254.00
3(4 Water Meter Fee (Cato) $794.92 Electrical Permit Fee $244.84
Public Safety Impact Fee -Admin $26.35 Driveway Fee $45.00
Transportation Impact Fee - City $36,32 Plumbing Plan Review Fee $0,00
SIF 1 percent Fee $8128 Irrigation 3(4 Meter (Cale) $794.92
Mechanical Plan Review Fee $0.00 Mechanical Permit Fee $135. 9
Plumbing Permit Fee $176.56 Transportation Impact Fee $3,595.68
Park Impact Fee - Single Family(Townhome $769.56 Electrical Plan Review Fee $0,00
Address Fee $30.00 Building Permit Fee $1,405.60
Building Flan Review Fee $180.00
I SPECTIOFEES: (c) With respect to Reinspection fees will comply with Florida Statute 5 3.8 (2)(c) the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first rein pection, whichever Is renter, for each subsequent rein pection®
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state ,agencies or federal agencies,
"Warning to owner: Your failure to record a notice of commencement may result in your paying ice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Flans, Specifications add fee Must Accompany Application. All work shall be performed in
accordance with city Codes and Ordinances. NO OCCUPANCY FO C.O.
NO OCCUPANCY BEFORE C.O.
co CTOR SIGNATURE PE VIT OFFICE
PERMIT EXPIRES WITHOUT INSPECTION
CALL FOR INSPECTION 8 HOUR NOTICE REQUIRED
PROTECT
, D FROM
WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permittinq 908 770 7763
— - D' I -4--r- -_ ir`[���8�- 7� Owner's Name Owner Phone Number 813374�5700 CAL HEARTHSTONE LOT OPTION POOL 03 L P
Owner's Address, 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number
Fee Simple Titleholder Name [ /A Owner Phone Number I
Fee Simple Titleholder Address I N/A
JOB ADDRESS 36501 Flats StreetLOT # 0320
SUBDIVISION Abbott SquarePARCEL to# 104-26-21-0160-00300-0200
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR F—] ADDIALT 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 SQ FOOTAGE [1317 HEIGHT
�BUILDING $ 273120 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL EK] PROGRESS ENERGY W.R.E.C,
40968 AMP SERVICE
PLUMBING $ 27312
MECHANICAL EE= VALUATION OF MECHANICAL INSTALLATION
GAS 10 ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES Do
1""'I 1 11-11 1 A . . . . . .
BUILDER COMPANY I I-ximar Homes, LLC
SIGNATURE REGISTERED L_IL NFEE CURREN YIN
Address I W Boy Scout Blvd Suite 600 Tampa, FL 33607 License # FCC-�18166
'lot E
ELECTRICIAN COMPANY lEdmonson Electric, Inc.
SIGNATURE REGISTERED Y/ N FFECU_RREN_�]
K,,N,V — EC
Address License #E13005408
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED �( N FEE -,RREN
Address License#
MECHANICAL COMPANY�ayOnetDing, Heating & AC, Inc
SIGNATURE RE.ISTERE. Y/ N FEEC_U_R_REN ---- [:=
-------------
Address License # I-CAC058062 -------------- 7
OTHER COMPANY C SterlingQuality Roofing, Inc
SIGNATURE I REGISTERED LILN _J FEE CURRENY/ N
Address License #
!d! RESIDENTIAL Attach (2) Plot Plans; sets of Building Plans; (1}set of Energy Forms; R-0 -W Permit for new construction,
Minimum ten (10) w3 Zinc days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 clumpster; 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, Storrnwater Plans wl Silt Fence installed,
Sanitary Facilities & 1 clurrhoster. 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.
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. TAX 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
. - 0
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'SIOWNER'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, after, 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.
—by
_ ChristopherSmith
Who is/are personally known to me or_�sdase
—as identification.
Notary Public
Commission G 296057
Stephanie Farmer
Name of Notary typed, printed or stamped
9ff:J
snrzoza -by Chnstoipher Smith
Who is/are personally known to me or has/have produced
as identification.
__—Notary Public
Commission No. 60 7
Stephanie Farmer
Name of Notary typed, printed or stamped
CM*ft #M owe
E*M JIM 6, =4
. ,
Permit No. 1156,57,
Date Permitted
Builder Name/Owner Naha ~
Control
County Parcel No. •_
ubDiv: �S
Address/Location i P6
Classification/Type of Use � �
TRANSPORTATION IMPACT FEE Rate:
Sq. Ft Unit:
Exempt 0 Yes 0 No How Determined
Impact Fee Amount Zone No,
TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House
Amount
(057) Mobile Horne
(058) Other Residential
(123) Collection Fee
Exempt = Yes = No How Determined_
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone Total Amount
Exempt =Yes = No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt Yes No Flow Determined Total Amount
RESOURCE FEE ERU
Prepared By wY. Checked By
CERTIF TE F O UPANY WILD. BE I SUE R FINAL INSPECTIO
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
ACKNOWLEDGEMENT BELOW DOES NOT IMPLY ACCEPTANCE OF CONCURRENCE, BUT SIMPLY REECOPT OF A COPY OF THIS
FORM, PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME,
mm
RECEIPT NO DATE BY
88-
- 4-0-
-:L9 91-
92-
93
26'- 19" RCP @ 030%
N
261'- 24" RCP @ 030%
FF:96,77
NEMEMMEM,
DESCRIPTION: LOT 20, BLOCK 3, ABBOT SQUARE PHASE 2, SITE PLAN
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 90,
PAGES 28'33, OF THE PUBLIC RECORDS OF PASCO COUNTY, (NOT A SURVEY)
FLORIDA - ------ --- __ - - --------- --- __ This SITE PLAN Prepared for and Certified To
PROPOSED ELEVATIONS AND GRADING Lannar Home-,
SHOWN HEREON ARE TAKEN FORM THE ALL ELEVATIONS REFERENCED
BOTTENGINEERING PLANS OF
AB SQUARE RESIDENTIAL, PREPARED I TO NORTH AMERICAN
BY "WRA" PROVIDED BY CLIENT VERTICAL DATUM OF 1988 APPARENT
OOL) ? FCFFE
!NAND 88) -1 N11
TRACT BL I
(CDD) ACCESS/DRAINAGE/LANDSCAPE//
WALL MAINTENANCE AND FCENCE AREA, OPEN SPACE
ZONE -A' SOUTHERLY SoISISDARY OF
31 1, = ERIS ABBOTTSQU,XRE PHASE IA
NOTES
LOT GRADING TYPE -A
PROPOSED PAD ELEVATION �97.40
FRONT SET BACK - 20
SIDE SET BACK = 7, 5
SIDE SET BACK (CORNER LOT) - 10
REAR SETBACK- 15
PROPOSED:
MINIMUM FLOOR ELEVATIONS:
LIVING AREA: 98.07
GARAGE AREA:
ELEVATIONS REFERENCED TO
NORTH AMERICAN VERTICAL
DATUM OF 1988
SURVEY ABBREVATIONS
----------
YONE x
LOT 20
BLOCK 3
t
US
q OX5.7 10 X3,0
FATED C/S-A/C
-7 5-
400
40 0"
PROPOSED
IS TORY RESIDENCE
PLAN 1791
ELEV B
LOT 21 o
GARAGE w
a LOT 19
BLOCK 3
LOCK3
B
IF
ENTRY
3
q
WALK
20,0 14I Y5_
6d 160
T
N89'48 04 E jPj
P'P�, 117,81 111
1 PC
5' CQNC WALK N,624804 Em! 5560IP)
12 0
SEC. 4, TWP. 26 S, RNG 21 E.
PASCO COUNTY, FLORIDA
(ABBOTT SQUARE PHASE 2)
Scale: I"= 20'
BASIS OF BEARING
N891804 . . . . . .
t—
FLATSSTREET
TRACT "A"
LOT
= 6050
SO, FT,
(CDD) RIGHT-OF-WAY
LIVING AREA
=18 17
SO, FT,
ENTRY
= 32
SO. FT
GARAGE
= 427
_SO FT
COVERED LANAI
=-NA
SO, FT
10.00 PUBLIC UTJLrFY EASEMENT
PATIO
= 23
SO, FT
POOL AREA
NA
SO. FT
LEGEND:
CONIC. DRIVE
= 339
SO, FT
PROPOSED DRAINAGE FLOW
A/C & CONIC PAD
=9—SO.
FT
SIDEWALK
73
SO, FT
100,00) PROPOSED GRADE
SIDE YARD SWALE
= NR
SO, FT,
E-00 00 = EXISTING GRADE
CONSERVATION AREA
= NA
SO, FT
LOT OCCUPIED
= 45
Sic
APPARENT FLOOD HAZARD ZONE. X COMMUNITY NO. 120235
AREA TO IRRIGATE
55
IS
fMAP NUMBER 12101 C-0289-FI EFFECTIVE DATE. 09/26P2014
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VF , ONO, FLLu
JOB #6290
SURVEYOR'S NOTES:
1.) Current title information on the subject property had not been
Kit Dished to Initial Point Land Surveying, LLC at the time of this
SITE PLAN
2.) This sketch was pi:oared vathout the benefit ofa title search
No instruments of record reflecting ownership, easements or
rights -of -way were furnished to the Undersigned, Unless otro—Ol
shown h—ori.
3.) Read,, walks, and other similar Items shown hereon were taker
from engineering plans and are subject to survey.
4.)This SITE PLANdoes notratlectnia determine ownerhy.
PLAN
SURVEYOR'S CERTIFICATE
This certifies that sketch of the hereon described
property was Ph and
meets th bo$LWAR%s %Practice for
"naIV, o p
,�;
I � MhOr a
ra No �, red
10- de,
.'sualFi ectIRD r ey
Statui I
D te; 2023.11 2.17
J a STAJEJ 326:1$ 69FOO'
1706 Water Oak Drive
Tarpon Springs, Florida
Phone: (727)-831-1990
Hord PLS71230-cimmix.
U3# 183
F q
Date &S,tePlan 12-24-22
L)WGAS-'H,ZR LO) BL2ISFTE
Drawn by: DJB
Checked byJH
REVISIONS
6.) This SITE is Subject to matters -Known on IF
-ABBOTT SQUARE PHASE 2B
-- -JFL0R1DA1
6.) Dimensions shown hereon are in feet and decimal portions
thereof,
Jeff M, H -Aes F LO 'AND
RI
MAPPER N07.�9f;4r
7.) Contractor and owner arc, to verify all setback,, building
�9,
dimensions, and layout shown hereon prior to any construction,
NOT VALID WITHOUT THE ORIGINAL
and immediatelyadvine Initial Point Land Surveying, LLC of any
SIGNATURE AND SEAL OF A FLORIDA
deviation from information shown hancon. Failure to do so will be
LICENSED SURVEYOR ADD MAPPER
Initial Point Land Surveying, LLC.
I users sole risk.
New Development Check List
Parcel#: 0410— 003 ov —O"AOO
Address: �x -,4,5' S,4 r e, -e 4-
Setbacks: Front ), - S Rear ;4,Sides___2,:_�..
Elevation: Garage:
Roof Single Dimension/Architectural: 4t r
Services to be provided:
V
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Plans Review X
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.
H=
owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services
indicated above.
l'i P 311,111IR111 ii i 11 111
Private Provider Firm:
Private Provider: DEBRA ANNE KLAHP,
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 #: (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 deterniine 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, envirorrnenW or other codes.
The followitig attachments. axe provided as required:
1. Qualification statements and/or resumes of the private provldex and all duly authorized representatives.
I. goof of insurance for professional end oomn rehensxve liability in:the. amount .of $1 million per
occurrence relating to all services perfoimod as a private prodder; including tail coverage for. a Minimum
of 5 years subsequentto the performance of building code inspection serviceso
Individual Corporation Partnership .
(signatux e}
Print
Name;
Address
lelepaone
Please use appropriate notary block.
STATE ®F FLORIDA .
COUNTY OF _HILLSBOROUGH
IR"L 12m]
B afore, me, tl ds day of
20� personally
appealed •
who eacouted the foregoing ins eft,
and acknDwledgcd before me that same
'was e :ecutod for the, purposes therein
expressed.
Print Partnership Name
M
(signat m)
Print
Name:
Is,
Address;
afore rne, ti�is day
of
pers6nally appeared
p ex/agent onbelialf of
a partnership, who executed the
foregoinginstnunent and
acknowledged before me that same
e
was executed.forthe pmposestherein
expressed.
personally known X or® Produced iden#cation Type of identification produced
Signature ofNotatl PsintName ALECALLA�tRI I�1
NotaryPublic Stamp; n � Y"" ASHLEECALLAHAN
* m My COMMISSION HH 296980
Commission Expires: ( 30, 202
• _... P1 era:..:
Corporation
Be,foxerae,tbs 22ND day of
MAY 20 22,
personally appeared `
Of
corporatiozz, oh
behalf ofthe state corporation, who
executedthe foregoing instrument and
aolaiovledged befoxo me that same was
executed for the purppses tlxerein
e�pressed.
VR//\
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 2,d Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: Luc t lvzrt a lreviewassist.com
Project: New SFR
Address(s): 36501 Flats Street
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 afflant, 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, 1,2,3.1,3.2,FI,4,5,6,7,8,SN,SNI, S3,S4,S5,SS, DI, WP,PAI.0,PA I . 1, PA 1.2,PAI .3,PAI A,
SHI.0,SHI. l,SHl.2,SHl,3,SHl.4,SHI �5
Florida License/Registration/Certification 9(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300
Signature of Reviewer:
SWORN AND SUBSCRIBED b�cefnc by Debra Anne Klahr
being personally known to me or having produced as identification
and who being fully sworn and cautioned, state that the
;ego' g is true and correct to the best of his/her knowledge or belief.
ig hielcoh Notary k-A' Print Name
commission expires:
MY C►
OMMISSION # HH 295980
EXPIRES: November 30, 2020
ASHLEE CALLAHAN
11-5 COMMERCIAL
TRACKING #
FOLIO# 36501 Flats Street
I'A'AR]SUAMSMat", N AW
Required Permits
Building
El pection Only
P I umbin g
Inyeqion Onl
y
Mechanical
In
2tv2ection Only
Medical Gas
Electrical Amp
El ln�s e—ction OnI
El Fire Sprinklers
El On Site Piping
n
E] Fire Ala r
El Potable Backflow Assem ly
E] Fire Line Rackflow Preventer
E] Irrigation Rackilow Assembly
El Demolition
El Walk-in Cooler
E] Refrigeration
T,
El Fence[Wall
Grease Trap
jype�nstru�ction:F
Risk Category:
Occupancy Load
ancy Clas
Classification:
OVFa
Factory
Assembly
1-1111, 'Hazardous
� Day Care/Educational
nal ®Mercantile
E:�
Residential
�Storage
Building Use: _Sin gle_Family Residence I Alteration I'Level I Q, [[],Level 2 FE]Level 3
1,6New Construction Interior Finish E] Interior Remodel
E] Exterior Remodel E] Addition Ej Revision
Overall Size:
Number of Stories:
Total Sq. Ft.:
40 x 5®4
1 2276
Living Area:
Covered Area:
# of Bedrooms: 4
1817
459
# of Baths: 2
Cost per square foot:
Estimated Value:
e*
Roo e: ®Shin
�[]Tile��E] Built-up
0 Metal El Other
honing: g:
Wirtne Debris:
n
Energy Code:
405-2020
T
Ej, Inside
Outside
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents? Q,'T—es
V�No Sq. Ft. Enclosed Space Below BFE:
# of Vents:
=����X
Size of Vents:
Heat
Total Sq. In. Permanent Openings
[R Central A/C
Pnmp
El Window A/C
El Gas A/C
D Gas Heat
El Electric Heat
Sanity Sewer
Storm Sewer Catch Basins
Potable Water
iJnder round Fire Dine
Front Rear Left Right
As per Approved Site Plan
Comments: