The URL can be used to link to this page

Home My WebLink About23-5835City of Zephyrhills t? 5335 Eighth Street Zphyrhill, FL 33542 Phone: (313) 7 0-0020 Fax. (313) 730-0021 Issue Date. 03l14I2023 Perm e: ll1 'Residential 04 26 210160 01500 0030 36504 Flats Street Name_ LENNAR HOMES LLC-CWVE R Permit Type: Building New (Residential) Contractor'. I ENNAR HOMES LL Class of Work: SFR Construct Address: 4600 W Cypress St 200 wilding Valuation: $285,1 0,00 TAMPA, FL 33607 Electrical Valuation: $42,768.00 Phone: (813) 574 5740 Mechanical Valuation: $19,958.40 Plumbing Valuation. $8,51.00 Total Valuation: $376,358,40 Total Fans: $20,519,82 Amount Paid: $20,519.82 IJate Paidt 3f141 023 11:27:42AM CONSTRUCT SINGLE FAMILY 1936 SO FT 1 77,1177 \ School Impact Foe - Single Family $8,328,00 Electrical Permit Fee $253.84 $IF 1 percent Fee $83.28 Plumbing Plan review Fee $0.00 Mechanical hermit Fee $139.79 Transportation Impact Fee $3,59.68 Plumbing Permit Fee $182.56 Electrical flan Review Fee $0.00 Irrigation 314 meter (Cale) $794.92 Address Fee $30,00 Public Safety Impact Fee -Admin $26.35 Building Plan Review Fee $180.00 3/4 Water deter Fee (Cale) $794.92 Public Safety Impact Fee -Police $254,00 Transportation Impact Fee - City $36.32 mechanical Plan Review Fee $0,00 Water Connection Residential Fee $1,140.00 Building Permit Fee $1,465.60 Driveway Fee $45.00 Sewer Connection Residential Fee $2,400.00 Park Impact Fee - Single Family/Townhome $769.56 REINSPECTION FEES® (cWith respect to Reinspection fees will comply with Florida Statute 553.80(2)(c) the local government shall Impose a fee of fear times the amount of the fee imposed for the initial Inspection or first r in p cti n, whichever is greater, for each subsequent r in pecti ne 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 twice 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 plans, Specifications add fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, NO OCCUPANCY BEFORE C.0, NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGN TUR PE IT OFFICE t 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 1 Building Department Date Received Phone Contact for D Permittinji 908 770 -_ 7763 - "a770 Owner's Name GAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813,574_5700 Owner's Address 23975 Park Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address N/A 36rJ04 FIatS StreetLOT JOB ADDRESS # SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR F__] ADD/ALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION 10 BLOCK FRAME STEEL E==== DESCRIPTION OF WORK 7 BUILDING SIZE SO FOOTAGE HEIGHT 18 0 BUILDING 1 285120 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL AMP SERVICE PROGRESS ENERGY W. R, E, C, PLUMBING 1' 28512 MECHANICAL 19958.4 VALUATION OF MECHANICAL INSTALLATION c5s ------------------------- GAS 0 IN ROOFG SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS [= FLOOD ZONE AREA FYES L2r ---- 10 `L_J Lemur I lorries I I C BUILDER COMPANY SIGNATURE REGISTERED CG(A-918166 Address V301 NWNT Boy Scout Blvd Suite 600 Tampa, FL336077 F cense ELECTRICIAN COMPANY I Edmonson Electric, Inc. SIGNATURE 10V REGISTERED Y/N _11 N_J FEE CURREN Address License PLUMBER COMPANY D!Ia y n Et or u , b I ng, Heating _ AC, Inc SIGNATURE REGISTERED YO/N 'EDmCuRRF,YIN Address License # MECHANICAL COMPANY Bayonet Plumbing, Heating (xK A I In c SIGNATURE REGISTERED N FEE CURREN Y /N Address License # OTHER COMPANY (I nri];� 0 Sterling Quality VUf; "y I SIGNATURE REGISTERED I Y/ N I FEE CURREN-7—Y _/N ----------- Address License # FCCC057991_______7 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 onste, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & I 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, (AIC upgrades over $7500) ** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) Driveways -Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division —Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County, TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law —Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs, If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: Department of Environmental Protection -Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. Southwest Florida Water Management District -Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. ArmyCorps 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. 9&114LIN&INCON)LOIIJ"41:1"101uzl�qlkMlwtolgnlzlll;I Y1141041KIM111 M in 2111000 OWNER OR AGENT m Subscribed and swo-ro'0(o!r2aff-6rmed) beforemethis by Christopher Smith Who is/are personaii known to me or#aa�� as identification. Notary Public Commission G 296057 Stephanie Farmer Name of Notary typed, printed or stamped , E q%KHOLLERAN LL 11 comws*n 0 W4 000 W' E*WA"6,2024 RM *1 am 8MiWTlnJWftk1MWs*W Subscribed and sworn to (or affirmed) before me this --by ---Christopher Smith Who islare pe sonally known to me or has/have produced as identification, Notary Public Commission No.46 7 Stephanie Farmer Name of Notary typed, printed or stamped ON Eusmmmoutuft E*ft 4W* 6, 2024 Exempt 0 Yes El No How Determined Impact Fee Amount _ Zone No, TAZa SCHO L IMPACT FEE Account (05) Single -Family Detached House Amount (57) Mobile Florae (058) Other Residential (12) Collection Fee Exempt Yes = No Flaw Determined PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone "total Amount $ 6f�� Exempt =Yes =No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt 1=1Yes No How Determined Total Amount RESOURCE FEE ERl1 Total Amount Prepared By _ Checked By NO CERTIFICATE of OCCUPANY WILL RE 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, Our 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 RECEIPT NO CRATE 9Y MW I It 261' - 24" RCP @ 0.30% :aids, DESCRIPTION: LOT 3, BLOCK 15, ABBOTT SQUARE PHASE 2, ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOT( 90, PAGES 28-33, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. LOT =_ 6Q50 SQ. FT. LIVING AREA = 1936 SQ. FT. ENTRY = 24 SQ. FT. GARAGE = 4I6 SQ. FT. COVERED LANAI = NIA SQ. FT. PATIO - 23 SO, FT, POOL AREA N/A SQ. FT, CONIC, DRIVE - 475 SQ. FT. A/C & CONIC PAD =. 7 SQ. FT. SIDEWALK = 30 SQ. FT, SIDEYARD SWALE =�N�A _SQ. FT. CONSERVATION AREA = N/A SO. FT. LOT OCCUPIED = 48 ER AREA TO IRRIGATE _ -52 FR * _ 10.00 PUBLIC UTILITY EASEMENT TW = TOP OF WALL BW = BASE OF WALL LEGEND: PROPOSED DRAINAGE FLOW (00,00) = PROPOSED GRADE E-00.00 - EXISTING GRADE NOTES: LOT GRADING TYPE =A PROPOSED PAD ELEVATION-97.60' FRONT SET BACK =20' SIDE SET BACC = 7.5' SIDE SET BACK (CORNER LOT) ==10 REAR SETBACK- 15' SITE PLAN (NOT A SURVEY) This SITE PLAN Prepared for and Certified To: Lenear Homes JCDD) RIGHT-OF-WAY TRACT "A" FLATSSTREET N 89-48'04" E iR' BASIS OF BEARING SEC, 4, TWR 26 S, RNG 21 E. PASCO COUNTY, FLORIDA lABBOTT SQUARE PHASE 2) Scale,- 1 " = 20' 5CONC WALK �N 89`48'04' E PI 55.00 P I N. PC N 89°480T E IPJ �P 106.08'IPI 3 CONC W ALK1---.��.,. 4 1 7.S 16.0 6. TS 20.7' w s ENTRY 4.5 w c PROPOSED I I STORY RESIDENCE PLAN 1941 ELE V 'B I' o GARAGE R J J LOT 4 m 4 BLOCK 15 ZS PATIO LOT 3 ! BLOCK 15 0 $4 I e E P { LOT 2 BLOCK 15 M 1 ,S ' �TA N 89'48'04" E (PI -A` SSA 1 -t 55-00' fP) '�Oa\C5 e I A LOT 21 LOT19 LOT20 i BLOCK 15 BLOCK 15 BLOCK 15 PROPOSED: MINIMUM FLOOR ELEVATIONS: LIVING AREA: 98.27' GARAGE AREA: ALL ELEVATIONS REFERENCED ELEVATIONS REFERENCED TO TO NORTH AMERlCAN PROPOSED ELEVATIONS AND GRADING NORTH AMERICAN VERTICAL VERTICAL DATUM Or 1988 SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANSOF DATUM OF 1988 (NAVD 88) "ABBOTT SQUARE RESIDENTIATIAL', PREPARED ' -_--_ _ APPARENT ROOD HAZARD ZONE: A COMMUNITY NO. 120235 BY'WRA' PROVIDED BY CLIENT SURVEY ABBREVAT(QNS jMAP NUMBER 12101C-0289-Fi EFFECTIVE DATE: 09/26/2014 A)ARC EN<11 (D, NCT) ne INVERT FC= POINH Of CURVE (RI -RECORD LEGEND VINY. Ff NCE FC-AIRCONTONER '> A-ALUMINIM F ENCE aL DRAINAGE EASEMENT B -LICENSED BUISNE0 FCC Poor OF COMPOUND CURVE °CP RNG -SAWA CONC r�-- 3 - EASE FO)D,.t`.VA'ION EL OR I:Lto ELEVATION L :- IANDSCAD EASE M N PERMANENT CONTROL POINR P/E POCS, E QUIPMENT, RRS - RA ROAD PIKE 3R BENCI MM21< CURV EOP D( OF PAVEMENTFF ISM, EAS MEN1' - L CAVIEST FLOORE.VATI)N S UC NS SUI VEYOI' G -PAC O N O NT ERSEC' ON R'W -RTC i I?WAY S C -SCION lC JOT -ENCE _ ' ASP-tAL: 1 CRLCULA hD C I ENc CHIN 2 CM=FOUND ON ROTE (MI - M ASUR D M14tS-M RED ND aC ION r= PK-AX KA ON SN&D ^ E NAt W? D SK ,}_gig AN NH FENCE _NT.RLN C'. CHAIN LINKf ENCE MONUMENT OFF -NO CORNER FOUND DROP ITY IF S2 SE d OICIROD 9x518x .MI>> CO2RUGA tO MFTA_FF I° -FOUND RONI E VIA-OV RRL DOB PONT 0-BEGINNING TBA.n TEMPORARY BENCH MARK COI -COLUMN FIR=F OUND IRON ROD OHW-OVERHEAD WDE(S) POE -POINT Or COMME N, I -NI TOP -OI OF BARD CONC=CON R, C/t=CONCRI £'LAP FNkp-�FOINI NAIL OP, FOUND OPEN PIPE OR -OFFICIALRECO2JS Ol =PLAT PHL PON ON PRC POINT Of'EV VERSE CURVE Do, TOWNSHIP UE A mN ITS EASEMENT !� ALUMINUM FENCE }R' =COV(Rt iJ Sr�CL-AD S<�HT1'.2IANC�E PP FOUND P.NCHED PIPE P3-PLAT BOOK FRM- PERMANENT RE ESENCE MONUMENT VIE =VINY,. FENCE " JOB #6294 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak UP ve Date of Site Plan: 12-25-22 1.) Current title information on the subject property, had not been to initial Point Lind Surve >in LLC, at the time of this g This certifies tha y f the hereon described property w.4,Ci41�% e 'n% upewlsion and Tarpon Springs, Florida p Phone, (727)-831-1990 1WG:ASPH28 L3-BL 15SITESITE SITE Pled PLAN 2.) This sketch was without the benefit of a title search. meets II I e' s7 J,Practice for FloridaPLS7123v rnaR.com g prepared No instruments of record reflecting ownership, easements or rights -of -way were furnished to the undersigned, unless otherwise own similae items shown hereon were taker SRoads e curve ofand of Land 4 - ig 3 h'stra ) �➢ n � pur�antha Secton 47L:�� IBft 8183; File ( Drawn by DJB y F Checked by:.IH ) walks, and other from engineering plans and are subject to survey. 4.) This SITE PLAN does not reflect nor determine ownership. 5.) This SITE PLAN is subject to matters shown on the Plat of "ABBOTT Sa6eo Date:! „ .� 0f Q ��p� m� S 1'LO DAs,#I\:sr 's v�III , PC " REVISIONS ` SQUARE PHASE 2` Jeff Mt�g5e_ 6.) Dimensions shown net are in feet and decimal portions FLORIDHID IF OOR AND the, MAPPER BRYIdfY 7 3 7.) Contractor and owner are to verify ali setbacks, building pTj — 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. New Development Check List Parcel#: 0�- '-00 —00 10 -�- /0 Elevation: Garage: --!�7A � e", Roof Single Dimension/Architectural: Y)CI M, VIPTUAL !:,"-VlEW ASSIST Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 36504 Flats Street 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, owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services indicated above. Private Provider Firm: VIRTUAL REVIEW ASSIST, INC. Private Provider: DEBRA ANNE KLAHR ='I 301MMWIM-fflfflffia��Mll M "M 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 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 perforni 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; environ triental or other codes. The following attachments, are provided as required, 1. Qualification statements and/or resumes of the private provider and all duly authorized representatives. 2.: Proof of insurance for professionaland ooruprehensive liability ° ,the. amount .of $1 million per o ocurrenee relating to all servic6s perfoirried as a private provider; including tail coverage for aminfinum of 5 years subsequentto the perforraance ofbuilding code inspection services. Individual gorpaoration Partnership . Print CosporationN e PrintPastnershipName I3y: By, (signature) (signature) (signature) Print Print Print Name; Name: OC15o her iY1i Name. Address. its: Authorized rat its; Address: 00 NVV 107th VQAddress; Telephone Mimi FL 33172 No. Ielephosre- `Telephone No. 313-57 -5700 No.: Please use appropriate notary block. STATE OF FLORIDA . COUNTY OF HILLSBOROUGH MIRFAMI B efore me, this by of 20•____, personally appeaied who executed the foregoing instrumeirt, and acknowledged before sane that salve was executed for the purposes therein expressed. Corporation Before ire, this 22ND day of MAY . 20 2 personally appeared Of c.ox°poxatron, oss ., ehalf ofthe state corporation, who executed the foregoing instrument and ack owledged before me that saraD was executed for the p oses tharein reseed. Partnership Beforem.e,tbis day of 20®, persdnally appeared p erlagent onbehalf of a partnership, who executed the foregoing inst=ent and aoknowledged before me that same was executed.forthe purposestherein expressed. ;Personallyknown X or- Produced identi cation T~peofidentification produced s 5ignatlroofNotaxj ' 1?rintNarne A $1LFE CP.i 1 A IAiV NotaryPublic Stamp: t�ASHLEE commission Expires; *e I I \/R/\ VIRTUAL REVIEW ASSIST Private Provider Plan Compliance Affidavit Private Provider Finn: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU1967 Address: 747 Southwest 2,d Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: 1-u 11gy4yjagalreviewassist.com Project: New SFR Address(s): 36504 Flats Street WOUNIMIL, WrT Ito is (11111 aumortzme.-T 0 periorin .31 IL U) 00.3. r tortua 51 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,O,PAI.1, PAl.2,PA1,3,PA1.4, SHI,O,SHI.1,SHI.2,SHI.3,SHI.4,SHI.5 Florida License/Registration/Certification #(s) and description: FS468 Certified Standard Plans Examiner License #: PX2300 6-11 Signature of Reviewer: SWORN AND SUBSCRIBED bef�r 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 foregoing is true and correct to the best of his/her knowledge or belief. store �of NotaryriritVN-ame Notary Public: NOTARY STAMP BELOW My commission expires: 0stjLEra CAL�kHAN # liki 2959W My C'OMMISS10,N EXPIRES'NovemW 30,2026 COMMERCIAL BUILDING SERVICES DIVISION OIRESIDENTIAL, BUILDING PERMIT DATA SHEET FIRE MARSHAL #01 - Building J1ns ection Only ;otumblng Ins ection OnI Mechanical Gas Electrical Amp El Fire Sprinklers El On Site Piping Ej Irrigation El Fire Alarm El Potable Backflow Assembly E] Fire LIi� II ine Backilow III Preventer D Irrigation Backilow Assembly D Walk-in Cooler E] Refrigeration E] Fence/Wall Grease Trap 1011"Al 17m, TV-B ype Constrpctiow. Risk Category: Occupancy Load n ssification: a ey "as Factory OgFa_t E= Assembly E::� Hazardous E= ilulmoss Day Care/Educational 1st1t tio nal E:::= Mercantile Residential 'Storage ttil, Building Use: SINGLE FAMILY RESIDENCE Alteration 10"Level I Fn,Level 2 IQ,- Level 3 1,6New Construction ❑ Interior Finish E] Interior Remodel Exterior Remodel E] Addition El Revision Overall Size: Number of Stories: Total Sq. Ft.: 40 X 65 1 2376 Living Area: Covered Area: # of Bedrooms: 4 1936 440 # of Baths: 2 Cost per square foot: Estimated Value: -------------- Roof T e: Shin le fjjpL. []Tile —Built-up E] Metal Other Zoning: WirOorne Debris: Energy Code: 405-2020--M— Ins ®'Inside Outside --flood Zone: X Base Flood Elevation: — Finish Floor Elevation: Hydrostatic Vents? .,,Yes ,,No Sqe Ft, Enclosed Space Below BFE: of Vents: Size of Vents: Total Sq. In. Permanent Openings Central A/C Heat Pump Window A/C El Gas A/C Gas Heat ❑ Electric Heat 0= Front Rear Comments: On Site Pi 31n Storm Sewer - Underground Fire Line Setbacks Left As per Approved Site Plan LIM