HomeMy WebLinkAbout23-5834City of Zephyrhills
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5335 Eighth Street
ephyrhills, FL 33542
Phone: (13) 780-0020
Fax: (313) 730-001
issue Date: 0311412023
Buildincl New (Residen1 1
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04 26 210150 00800 0100 3 503 Smithfield Lane
Name: LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential) Contractor: LFNNAR HOME LLC
Class of Work: SFR Construct
Address: 4600 W Cypress St 200 Building Valuation: $320,640,00
TAMPA, FL 33607 Electrical Valuation: $48,096.00
Phone: (813) 574-5700 Mechanical Valuation: $22,444.80
Plumbing Valuation: $32,064,00
Total Valuation: $423,244.80
Total Fees: $20,754.25 �.
Amount Paid: $20,754,25 ( ..
Date Paid: 3/1412023 11:27:42AM I
CONSTRUCT SINGLE FAMILY 2217 SQ FT
SIF 1 percent Fee $8328 Electrical Permit Fee $2�k48
Mechanical Plan Review Fee $0.00 Mechanical Permit Fee $152.22
3t4 Water Meter Fee (Cale) $794.92 Building Plan Reviews Fee $180.00
Electrical Plan Reviews Fee $0.00 Water Connection Residential Fee $1,140.00
Plumbing Permit Fee $200.32 Irrigation 314 Meter (Cale) $794.92
Transportation impact Fee - City $36,32 Address Fee $30.00
School Impact Fee - Single Family $8,328.00 Park impact Fee - Single Family/TowFnhome $769.56
Driveway Fee $45.00 Public Safety Impact Fee -Police $254.00
Transportation Impact Fee $3,595.68 Public Safety Impact Fee -Admin $26.35
Building Permit Fee $1,643.20 Plumbing Plan Review Fee $0.00
Sewer Connection Residential Fee $2,400.00
REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553e80(2)(c) the
local government shall impose a fee of four tunes the amount of the fee imposed for the initial inspection or
first reinspection, whichever is greater, for each subsequent r inspection.
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 ether 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 year property® If you intend to obtain financing, consult with your lender or an attorney
before recording year 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.
s �
T CT SIGNATlti2E PE (T OFFICE
?ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED Pt
CALL FOR INSPECTION - 8 HOUR NOTICE
<;
813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Crate Received _ Phone Contact for Permittin 908 770 __ 7763
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813.574.5700
Owner's Address 1 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number
Fee Simple Titleholder Name �'T
/A Owner Phone Number
Fee Simple Titleholder Address N/A
JOB ADDRESS�Q Smlthfleid l ane LOT # ®81
SUBDIVISION Abi3ott 5{�Uare PARCEL to#4-2-21-0150-QE}800-i1Q{}
(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 0 FRAME STEEL
DESCRIPTION OF WORK Single Family Residence / Pool / Screen Enclosure ( Fence
BUILDING SIZE U/RSF 26%2 So FOOTAGE �217 HEIGHT
BUILDING $ 320640 -� VALUATION OF TOTAL CONSTRUCTION
(ELECTRICAL $ 48096 ® PROGRESS ENERGY W.R. E.C.
AMP SERVICE
PLUMBING $ 32064
MECHANICAL 2
�-$�2444 8 VALUATION OF MECHANICAL INSTALLATION
Iw� .
=GAS J I ROOFING Q SPECIALTY = OTHER ff
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES D0
BUILDER COMPANY Lenmar Homes, LLC
SIGNATURE REGISTERED Y ( N�— FEE GURREN Y / N
Address
01 W Boy Scout Blvd Suite 600 Tampa, FZ, 33607
License # CGC1518166
ELECTRICIAN COMPANY �dmanson electric, Inc.
E cuRREN Y�I NSIGNATURE REGISTERED
Address I License# EC13005408
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED LILN FEE cuRREN Y I N
Address License # GFC042998
MECHANICAL. — COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y ( N FEE GURREN Y ( N
Address License # CAC058062—�
OTHER COMPANY C Sterling Quality Roofing�Inc
SIGNATURE REGISTERED YIN FEE GURREN
Address License # CCC057991--mm�
91911t19i01t1�ilI16lFl6I81i9iIlbPlitEliil!IBi@66�9�iliYt9t1�1111lBBI
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 wl 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.
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)
Reroofs if shingles Sewers Service Upgrades A/C Fences (PloUSurvey/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'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, 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.
OWNER ORAGENT '_ , -Z�
Subscribed and sworn o (or affirmed) before me this
�1,2023 - by Christopher Smith
Who is/are personally known to me or-ha6redosed
as identification.
Notary Public
Commission 4 G 296057
Stephanie Farmer
Name of Notary typed, printed or stamped
EUMMMOLLF"
CommisitkinfliH000460
6, 2024
Subscribed and sworn to (or affirmed) before me this
3,1rm21 by _Christopher Smith _
Who is/are personally known to me or has/have produced
as identification.
Public
Commission No, I�G6 6 7 0
Stephanie Farmer0r_
Name of Notary typed, ported or stamped
W1,
Permit No.
Date Permitted
Builder Name/Owner Name i antral
County Parcel No. 4- Cy 0 I0 Sub lv.
Adresstocatiln
Classification/Type of Use
TRANSPORTATION IMPACT FEE
Rate:
S. Ft Unit:
Exempt 0 Yes 0 No How Determined
Impact Fee Amount Zone No. TAZ
HOOL IMPACT FEE �
Account (056) Single -Family Detached House Amount
(057) Mobile Home
(055) Other Residential
(123) Collection Fee
Exempt =Yes = No Haw Determined -
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit
Zane
Exempt =Yes = No How Determined
LIBRARY FEE
Land Account Land Credit
Facility Accent Facility Credit
Exempt Yes No How Determined
Recreation Total
Total Amount $
Land Total
Facility Total
—Total Amount
RESOURCE FEE E U
Total Amount
Prepared R„�, ® Checked By
NO CERTIFICATE OF OCCUPANY WILL BE ISSUED OR FINAL INSPECTION
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 REECEIPT OF A COPY OF THIS
FORM, PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME.
DATE RECEIVED BY
RECEIPT NO ---- DATE _ _ - — BY
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DESCRIPTIOM LOT 10, BLOCKS, ABBOTT SQUARE PHASE I B, SITE PLAN
ACCORDING TO THE PLAT THEREOF,RECORDED IN PLAT SOONER,
PA 'ES 57-62, OF THE PUBLIC RECORDS OF PASCO COUNTY, NOT A SURVEY)
C
FLORIDA.
--- — -----
11 PROPOSED ELEVATIONS AND GRADING
rh,, 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
LOT
FT,
LIVING AREA
= 930 SQ.FT.
PORCH
= 26 SO, FT,
GARAGE
= 401—SO. FT.
COVERED LANAI
=-N/ASCF FT
PATIO
SOFT.
POOL AREA
=-N4&—SO. FT.
CONIC, DRIVE
--1-55--.SQ. FT.
A/C & CONK PAD
= 12 --SO, FT,
SIDEWALK
FT.
LOT SOD
FT.
R/W SOD
FT.
LOT OCCUPIED --2B— (ST
AREA TO IRRIGATE =_Z2 I/,
10,00 PUBLIC UTILITY EASEMENT
10,00 (Coo) DRAINAGE, ACCESS EASEMENT
LEGEND:
PROPOSED DRAINAGE FLOW
(00,00) = PROPOSED GRADE
E-00,00 = EXISTING GRADE
NOTES:
LOT GRADING TYPE
PROPOSED PAD ELEVATION 10 1,30
FRONT SET BACK = 20
SIDE SET BACK = T5
SIDE SET BACK (CORNER LOT) = 10
REAR SETBACK = 15
PROPOSED:
MINIMUM FLOOR ELEVATIONS:
LIVING AREA: 10 1.97'
GARAGE AREA:
ELEVATIONS REFERENCED TO
NORTH AMERICAN VERTICAL
DATUM OF 1988
LOT I I
BLOCK 8
S 89'45 3 I"W i PJ
103 76 S)
PC JI
fNO
COP
TRACT "B-6"
(CDD) ACCESS,'DRA NAGE,
LANDSCAPE, WALL
MAINTENANCEAND FENCE AREA,
OPENSPACE
N 89'45'3 I'E IF) 53,46 Fo
LOT 10
BLOCK 8
I t
3.O X6 0
PATIO
130
30F0 1 105
PROPOSED
2 STORY RESIDENCE
PLAN 2216
ELEV'B'
GARAGEL
ENTRY 10.0 1005
13,0
Sara EL
3
jCONC
S89'453'T'WlPJ S3146 (P)
22T)
BASIS OF REARING
NBT4531 EF)
SMITHFIELD LANE
TRACT "A'
(CDD) RIGHT-OF-WAY
SEC. 4, TWP. 26 S, RNG 21 E.
PASCO COUNTY, FLORIDA
(ABBOTT SOUARE)
Scale: 1 20'
----------
o LOT 9
BLOCK 8
APPARENT FLOOD HAZARD ZONE:'X COMMUNITY NO. 120235
SURVEY ABBREVATIONS IM AP NUMBER 12 I01C-0289-F) EFFECTIVE DATE: OP, 26, 2014
', T REOCRETWE MONUMENT
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.JOB #6285
SURVEYOR'S NOTES:
SURVEYOR'S CERTIFICATE
1708 Water Oak Drive
,
1.) Current title information on the subject property had net been
This certifies that A g", of the hereon described
Tarpon Springs, Florida
Tate .1'steek," 11 -28-22
furnished to Initial Point Land Surveying, LLC. It the time of this
SITE PLAN
2,) This sketch was prepared without the benefit of a title search.
No instruments of I ecord reflecting owneiship, easements or
property weqje' y"a,'lls%upervislon and
meein a -4, fP,,act,cefo'
1
Saw ro A of Land
ai*igned
Phone: (727)-831-1990A
FlondiPLS712309-FRI am
LB# 6183
DWG ACPH 1 B L 10 Me Si I
—F,I,:
rights -of way were furnished to the undersigned, unless otherwise
hewn hereon,
.4. -IW�tley
4�'�q Ni
Drawn by: DJB —
3_) Roads, walls, and other similar Acres shown hereon were taken
puJI Section 472.
Sf tDke:,2g2$.02.17
Chocked byJH
from engineering plans and are subject to survey,
4.) This SITE PLAN does not reflect nor determine ownership,
6,) This SITE PLAN is to the Plat
Y,)�03�' :J Jb5'00'
A,
—
REVISIONS
subject matters shown on of
SP
ABBOTT SQUARE PHASE I B
6.) Dimensions shown hereon are in feet And decimal portions
thereof.
H-'I / GRAND
7. Contractor and ownei are to verify all setbacks, building
MAPPER N444
c'menao-, and layout shown heIeon priorto any construction,
NOT VALID WITHOUT THE ORIGINAL
And Immediately advise Initial Point Land Surveying, LLC. of Any SIGNATURE AND SEAL. OF A FLORIDA I A
deviation Prom information shown hereon. Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC.
New Development Check List
Parcel#:
'7 6; ii;;i
Address: I> � / C/ e,
Setbacks:Front Rear Sides /3 0 d-10
Elevation: Garage:
Roof Single Dimension/Architectural:
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 36503 Smithfield Lane
Parcel Tax ID: 04-26-21-0150-00800-0100
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,
I 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: VIRTUAL PEVIEW ASSIST, INC.
Private Provider: DE RA 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 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 arn 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 pro ided by those private providers, I shall,
within I business day after any change, update this notice to reflect suchJ,hanges. 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 file code, land use, enviromnent&l or other codes.
The following attachments, are providod as required,
1. Qualification statements ' and/or resumes of the private provider and all duly authorized representatives.2. Proof of insurance for professidnaland coixiprehensivel abilit amo lonper
i y in,the.' unt of $1 ill' m
occurrence relating to all services performed as a private provider, facluding tail coverage foT a minimum
of 5 years subsequtirtto the performance of building code inspection services.
individual Corporation Partnership
Print CoiporationNaro.D PrintPartnership Name
By-
By��
(Signature) (signature)
Nut Print print
Name: N.ame.. Christ �iq �her S�rnith Name,
Addxesse Its; Authorized Agent- its;
Addrem (00 NW 107 Address:
Telephone M1qrTiiFL 33172
Telephone. Te,-15phone
No, 813,574-5700 No.:
?lease use appropriate notary Me&
STATR OF FLORIDA
COUNTY OF HILLSBOROUGH
LIE=
B ofore rat', this day of
20�, personally
aplioaiDd
who executed the foregoing instrument,
and acknowledged before me that same
was exDoated fox the purposes therein
Corporation
B efoxe In, thig 22ND day of
MAY 20 2.2
personally appeared,
of
Lennar Ho
rdes LLC � a
behalf of th6state corporation, who
executed the fbmgoing instrument and
aolanovledgca before me that same was
executed for the purposes therein
ex .. presseI
5MEM
Before me"tins day
of
personally appeared
p artner/agent on behalf of
a partnership, who executtdthB
foregoing instument aucl
aolmowlodged before me that same
Personally known X or- Pxoduced idenfz cation Type of'identificationplDduced.
Signature of Notaxi PxbatNam0 ASH.LE1__- C.ALLA.HAN...
lk
NotaxyPublic Stamp:
MM
V . ASH
commission Expires 1 myCOMMLEE
CALLAHAN
IS ION # HH Z45980
7 AM.
2026
EXPIR.-0
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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 n' Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: lucytC�,virttialreviewassist,com
Project: New SFR
Address(s): 36503 Smithfield Lane
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,A1,A2,A3,A4,A5,A6,A6.1,SN0,SNI, S3,S4,S5,S6,SS, ST,S1 1,S12,WPL0,PAI,0,PAI.l,
PAI.2,PAI.3,PAI.4, SHI.0,SHI.1,SHI.2,S1II.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
I and who being fully sworn and cautioned, state that the
foreg, ing is true and correct to the best of his/her knowledge or belief.
A kJ
I lure of No Print Name
Notary Public: NOTARY STAMP BELOW My
commission expires:
'El COMMERCIAL
BUILDING SERVICES DIVISION
BUILDING PERMIT DATA SHEET
FIRE MARSHAL #01 -
Renuired Permits
DATE: 3/04/2023
EXAMINER.'Debra Klahr VX230(
Building
Plumbing
Mechanical
Electrical Amp
Inspection OnI
Ins ec�
tion OnI
Ins ection Opt
El Ins ection On!
El
El P4ii��,Y
�R� o �of
0 Gas
El Medical Gas
El Fire Sprinklers
❑ On Site Piping
❑ Fire Line
[:1 Irrigation
El Fire Alarm
El Potable Backflow Assembly
Fire Line Backilow Preventer
Irrigation Backflow Assembly
El Demolition
El Walk-in Cooler
Refrigeration
El Hood
[] Ansul
El Fence all
®Crease Trap
El Other
E] Other
Rivildina Dnta
V-8
j
Fisk Category:
Occupancy Load
_Construction:
C s
a la sification:
ney E=
OV,'Fac
:Factory
Assembly
Hazardous
PStorage
usiness ay Care/Educational
Institutional 0,;Mercantile
Residential
E=
Building Use: -gingle family reSidence Alteration Level I 'Level 2 1:1'Level 3
Vf New Construction El Interior Finish El Interior Remodel
Ej Exterior Remodel 0 Addition E] Revision
Overall Size:
Number of Stories:
Total Sq. Ft.:
30 x 46
2
2644
Living Area:
Covered Area:
# of Bedrooms: 6
2217
427
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof T e: nX Shin le
❑Tile 11 wilt®u
El Metal Other Squar s: 17
Zoning:
Wi orne Debris:
=EQJ-,LLnside
Energy Code:
405-2020
Outside
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents? Nes
No Sq. Ft. inclosed Space Below BFE:
# of Vents: -T
—Size of Vents:
Total Sq. In. Permanent Openings
Central —A/C
X Heat Pump
El Window A/C
El Gas A/C
El Gas Heat
Electric Heat
M.
Sanity Sewer
Storm Sewer Catch Basins
Potable Water
Under round Fire Line
M
Front Rear Left Right
As per Approved Site Plan
Comments: