HomeMy WebLinkAbout23-6080City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
BNR-006080-2023
Phone. (313) 70-0020
Fax: (313) 730-0021
Issue Date. 05102/2023
Pla!irmitBuilding (Residential
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04 26 210160 00400 0030 36365 Flats Street
Name: LENNAR HOMES LLC Permit Type: Building New (Residential) Contractor: LE.NNAR HOMES LLC
Class of Work: SFR Construct
Address: 4301 W Boy Scout Blvd 600 Building Valuation: $365,280.00
TAMPA, FL 33607 Electrical Valuation: $54,792.00
Phone: Mechanical Valuation: $25,569.60
Plumbing Valuation: $36,528.00
Total Valuation: $482,169.60
Total Fees: $21,048.88 4
Amount Paid: $21,048.88 A,e...
Date Paid: 5/2/2023 11:37:50AM
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CONSTRUCT SINGLE FAMILY 2582 SO FT
"-
„x.�<,..
Public Safety Impact Fee -Police $254.00 Mechanical Flan Review Fee $0.00
Transportation Impact Fee $3,595.68 Building Plan Review Fee $180.00
Water Connection Residential Fee $1,140.00 SIF 1 percent Fee $83.28
Irrigation 3/4 Meter (Cale) $794.92 Plumbing Permit Fee $222.64
Public Safety Impact Fee -Admin $26.35 School Impact Fee - Single Family $8,328.00
3/4 Water Meter Fee (Cale) $794.92 Sewer Connection Residential Fee $2,400.00
Building Permit Fee $1,866A0 Park Impact Fee - Single Family/Townhome $769.56
Transportation Impact Fee - City $36.32 Electrical Permit Fee $313.96
Address Fee $30.00 Plumbing Plan Review Fee $0A0
Electrical Plan Review Fee $0.00 Driveway Fee $45.00
Mechanical Permit Fee $167.85
REIN PECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c) the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinpection, whichever is greater, for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
4ONTRACTOR SI T E PS IT OFFICE
PERMIT
' t: EXPIRES
'.k'R` 6MONTHS WITHOUT A
_.fir,:. J.;. 11tr, . ,2 ` is : `.
FOR
INSPECTION 8
h. REQUIRED
> r:. �R
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permittin 90$ 1 770 7763
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813.574.5700
Owner's Address 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number
Fee Simple Titleholder Name
L NIA
Owner Phone Number
Fee Simple Titleholder Address
NIA
3�3 FIatS Street
Q4Q3
JOB ADDRESS
LOT#
SUBDIVISION Abbott Square
PARCEL to#
Q4-2 a-� I -Q (6Q-QQ4QQ-QQ3Q
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTR
ADD/ALT SIGN DEMOLISH
INSTALL =
REPAIR
PROPOSED USE SFR
COMM OTHER
TYPE OF CONSTRUCTION BLOCK �
FRAME STEEL
BUILDING $ 365280 VALUATION OF TOTAL CONSTRUCTION(
t
�
BELECTRICAL rz PROGRESS ENERGY W.R.E,C.
tb�= rP 54792_ AMP SERVICE
PLUMBING $ 36528� u
.��..I .0
MECHANICAL $ 25569 6 VALUATION OF MECHANICAL INSTALLATION
GAS L® P ROOFING SPECIALTY = OTHER �
FINISHED FLOOR ELEVATIONS [ � FLOOD ZONE AREA Li YES D0
BUILDER � COMPANY � LennarHomes,LL�CURREN
SIGNATURE REGISTERED L_ 1N FY 1 N w
Address 430 Boy Scout Blvd Suite 600 Tampa, FL 33607 License # Ct C151$166
ELECTRICIAN COMPANY EdmtanSOn Electric, Inc.
SIGNATURE REGISTERED YIN FEE GURREN Y 1 N
Address License# EC13005408
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED YIN FEE GURREN YIN
Address License # OP0042998
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED YIN FEE GURREN Y 1 N
Address License # CAC058062
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED
Y 1 N FEE GURREN Y 1
Address License # CCC057991
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Enemy 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 Pennit 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 now 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.
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 (PlotlSurvey/Footage)
Driveways -Not over Counter if on public roadways..needs ROW
I - .
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 re - ulations. 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
iritendpd ujork. t!iPv.Tre Ruiltih-r* hisnention Division-1 inpisito SectionAt 727-847-
19: W.. WIN MINIMUM, wiaiwwlminl9.164,11lomi
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Trans ortation Im act Fees and Recourse Recove Fees ma a I to the constru * n
Dwa
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
deliver it to the "owner' prior to commencement.
CONTRACTORVOWNER'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
certif*,,4*;?.t I u**'erst2*i th?t t!*e reguI9.tiox--.*f *t*er 9*vernKient awencies *i2y ap,#Iy t* tke iAterrOei w*rk, 2.nx-A2t 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 "Ait is understood that a drainage plan addressing a
11 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 fifl� an engineered drainage plan is required.
1910 R116 WIN WHO .10. W11 I P. .406.000 •IffiffiEffilim. .0. 1, IF ON
ri # # t r!W.; ...•- - - - - - - -
OWNER ORAGENT
Subscribed and sworn o (or affirmed) before me this
_L1812013 by Chr
Who ista�eq[sonally known to me or
as identification.
Notary Public
Commission t G 296057
Stephanie Farmer
Name of Notary typed, printed or stamped
ELIMMMOLLERAN
4i E*m June 6.2024
ryas
_4Q WAIMLOJU V-11 IM 2 W1111 IN It' 1 0
Subscribed and sworn to (or affirmed) before me this
vzanoza by Ghri5taJiher Smith
Who istare personally known to me or hasthave produced
as identification.
—Notary Public
Commission No.*6 7_
—Stephanie Farmer
Name of Notary typed, printed or stamped
DESCRIPTION: LOT 3, BLOCK 4, ABBOTT 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:
Lennar Homes
LOT
= b050 SO, FT,
LIVING AREA
1093
SO. FT.
ENTRY
= 35
_SCR. Fr.
GARAGE
= 427
SCR. FT.
COVERED LANAI
=NIA
SO- FT.
PATIO
-_?4.._._.SO.FT.
POOL AREA
—SCI.
FT.
CONIC, DRIVE
= 408
SO. FT,
A/C & CONIC PAD
= 14
SQ_ FT.
SIDEWALK
= 31
SQ. ET,
SIDE YARD SWALE
= NL?
_SO. FT.
CONSERVATION AREA = NA _SQ_
FT.
LOT OCCUPIED
= 34
%
AREA TO IRRIGATE
= 66
%
NOTES:
LOT GRADING TYPE = 8
PROPOSED PAD ELEVATION = 94,40'
FRONT SET BACK - 20'
SIDE SET BACK -= 7.5'
SIDE SET BACK (CORNER LOT) =10'
REAR SETBACK = 15'
PROPOSED:
MINIMUM FLOOR ELEVATIONS:
TRACT "B-1 "
(CDD) ACCESS/DRAINAGE/LANDSCAPE/
WALL MAINTENANCE AND FENCE AREA;
OPEN SPACE
APPROXIMATE LOCATION \ "AE"
—% X" �5.89'48'04" W jP) 55.00' (P
OF FLOOp.2lQNE_____
�301 "--� ^AE..
"X \
c
VI LOT 3
BLOCK 4
g0/
'AE"
2.TX2T !
LOT 4 4.0'Xb.O' C/S-AlC � LOT 2
BLOCK C/S-A/C (2) LJ i BLOCK4
f9p
7.5' 40.0'
T5'
291,
4Q`-0"
/9Rf�
�
� f
n
PROPOSED
v
2 STORY RESIDENCE
w
m
w
m PLAN 2575
�, U,
a;
O ELEV "Bi'
I'`I O
GARAGEL
o
—�
J
p
1
6
7.540.0' ENTRY
7.5'
Ai
3CONE
WALKial
P_ —
4
N 89°48'04" E IP) f93
173,23' (P)
PCP
--
..
N 89'4804° E (P) 55.OQ (Pl.. 5OD
BASIS OF BEARING
N 89'48'04' E jP)
FLATSiTREET
TRACT "A"
(CDD) RIGHT-OF-WAY
SEC, 4, TWP. 26 S, RNG 21 E.
PASCO COUNTY, FLORIDA
(ABBOTT SQUARE PHASE 2)
Scale: 1 ° = 20'
ALL ELEVATIONS REFERENCED 1
TO NORTH AMERICAN
VERTICAL DATUM OF 1988
(NAVD 88)
LIVING AREA: 95.07 LEGEND;
GARAGE AREA: as = PROPOSED DRAINAGE FLOW PROPOSED ELEVATIONS AND GRADING
ELEVATIONS REFERENCED TO SHOWN HEREON ARE TAKEN FORM THE
NORTH AMERICAN VERTICAL (00,00) = PROPOSED GRADE ENGINEERING PLANS OF
DATUM OF 1988 E-00.00 = EXISTING GRADE BOTT SQUARE RESIDENTIAL', PREPARED
or' 11" PROVIDED BYCUEN'1
APPARENT FLOOD HAZARD ZONE: "X&AE" BFE=89.7' COMMUNITY NO. 120235
RB V QN (MAP NUMBER 12101C-0289-F) EFFECTIVE DATE: 09j2612014 — ------ ----
r = 10,00' PUBLIC UTILITY EASEMENT
SUVEY AB RE ATI
S
Aj=ARCLENGI'H
(D)-()FEU
INV- INVERT
PC=POINT OF CURVE
IRS - RECORD
A/C-AIRCONDIIONER
AF^ALUMINUM FENCE
DE-DRAINAGEF SLMENT
EI.OR CUPS/ - EL'VATION
UP -LICENSED BUISNESS
LE = LANDSCAPEEASEMENT
PCC- POINT OF
PCP= PERMANENT
COMPOUND CURVE
CONTROL POINT
RNG=RANGE
RRS - RAIL ROAD SPIKE
SE'E- BASE FLOOD ELEVATION
EDP„ EDGE OF PAVEMENT
LEE. LOWEST FLOOR ELEVATION
P/E=POOL EQUIPMENT
RAW - RIGHT OF WAY
BMyflENCH MARK
WCUP F,
ESM'T-EASEMENT
F/C - FENCE CORNER
LS-- LICENSED SURVEYOR
IM)=MEASURED
PG=PAGE
PI- POINT OF INTERSECT ION
SEC -SECTION
SN&D-SET NAIL AND DISK
I C)-CA,CULATEll
FCM-POUND CONCRETE
MGS- MITERED END SECTION
PK-PARKER KALON
LB#8183
-CENTERLINE
MONUMENT
NCF-NO CORNER FOUND
a ^PROPERTY
LINE
SIR- SET 712' IRON ROD LB#8183
C�-`CCT%UINKEFNCE
RP„FOUND IRON PIPE
C/A -OVERALL
POS- POINT OF
BEGINNING
TSM- TEMPORARY BENCH MARK
CM° -CORRUGATED METAL. IP
COL'COLUMN
FIR ^FOUND IRON ROD
OHW-OVERHEAD WIRES)
POC- POINT OF
COMMENCTMENT
TOB-TOPOFBANK
CONC:-CONCRETE
EN&Dt FOUND NAIL&DISK
OR -OFFICIAL RECORDS
POL�PDINT ON LINE
TWP-TOWNSHIP
CAS-CLEARSIGHTTSLAH
FOP^FOUND OPEN PIPE
(P) -PLAT
Par - POIN'LOF
REVERSE CURVE
UE- UTILITY EASEMENT
CSr«CLEAR SIGHT TRIANGLE.
EI'P4fOUND PINCHED PIPE
PB - PLAT BOOK
PRM- PERMANENT REFERENCE MONUMENT
VF=VINYL FENCE
DB #15909520403
SURVEYOR'$
(NOTES:
SURVEYOR'S CERTIFICATE
9.) Current title information on the subject property had not been
This certifies that sketch of the hereon describes
ate of Slte Plan: 3-20-23
furnished to Initial Point I a nd Surveying, LLC. at the time of this
property was au}p % yI upervision 'Ind
W6;AS-PF12 L3-8L4-SITE
SITE PLAN
meets the ce Practice for
2.) This sketch was prepared without the benefit of a title search.
No instruments record reflecting ownership, easements or
s Eve v i a;d of L r
4
ie
of
rights-of-way were furnished to the undersigned, unless otherwise
shown hereon.
S (Te
Al�r i Tt(ey
)raven b DJ8
y
3.) Roads, walks, and other similar Items shown hereon were take
pursS m t Sectron 4- 2:+J2'7, o da S e
a a date 04.04
necked by:JH
from engineering plans and are subject to survey.
4.) This SITE PLAN does not. reflect nor determine ownership.
,. 1 nq 0)
&. Zg: 4'00'
EV15183IVS
S.) This SITE PLAN is subject to matters shown on the Plat ofih
$ I}F
;i' TE �p
"ABB07T SQUARE PHASE 2"FLORIDA
6.) Dimensions Shawn hereon are in fee[ and decimal portions
9
Jeff M. i
FLORIDA����'q$CYtXfS RI1 RAND
MAPPER NO' ' k4e
Contractor and owner are to verify all setbacks, building
:`
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
NNYLFENY�C^I't_____
-CONC
LJ-IJ
ASPHALT -^—
WOOD FENCE
S, ""-.." ` _.-
-BRICKCOVERED —ie—�X—
CHAIN LINK FENCE
'—°�
ALUMINUM FENCE
1708 Water Oak Drive
Tarpon Springs, Florida
Phone; (727)-831-1990
FlondaPLS7123"mailcomn
LB# 8183
'Atip'
ll
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1�f
Initial Point Land Surveying, LLC.
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LEGEND
CONSTRUCT STRUCTURES PIPES IA
DOUBLE FORA{ REQUIRED {SEE SH
LOT RETAINING MALL
m
Plan Model Elevation
4,26)nm 6"1
Garage
Lot Size
Block
Lot
1"'
t5
0 LI
C) 3
New Development Check List
& -2
Pare! 0 9- .2, ) 001/00
Address: ,
Setbacks: Front A0 - Rear q6 - Sides
1 -1
Elevation: Garage:
Roof Shingle Dime nsion/Architectural:
VR/\
VIRTUAL. REVIEW ASSIST
Private ovi er
Plan Compliance Affidavit
Private provider Firm: Virtual Review Assist, Inc.
Private provider: Debra Anne Klahr, BU1967
Address: 747 Southwest 21 Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: lg° viMialreview ssist.com
Project: New SFR
Address(s): 36365 FIATS 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 wilding Code by the
fallowing affiant, who is duly authorized to perform plans review pursuant to Section 553.791, Florida Statute
and holds the appropriate license or certificate:
1 f #
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard flans Examiner
License #: PX2300
Signature of Reviewer: .'
SWORN ANDSUBSCRIBED be the by Debra Anne Klahr
being personally known to me or having produced as identification
and who being fully sworn and cautioned, state that the
reg "ng is true aa ct to e best of his/her knowledge or belief.
Signature of Notary int Name
Notary public: NOTARY STAMP BELOW My
commission expires: 1, s y CON41SSION # Hy 296980
,Ae EXPIRES: November 30,2020
Services vices to be provided:
v : R 1' L" A !- REV � _`A! A S S I S
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
36365 Flats Street
04-26-21-0160-00400-0030
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.
owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services
indicated above.
Prbyw,te P rovi der Firm � VIRTUAL REVIEW ASSIST, INI
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 detennine compliance with the applicable codes, except to the extent specified in said law.
Instead, plans review and/or required building inspections will be perforined 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 any 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
The following attar outs are provided as required;
1. Qualification statements and/or resumes of the PIN ate provider and all duly: authorized represexitadves.
2.: Proof of insurance forprofessionaland comlarehenszve lia`bility an:tlle.azaaourlt.of 1 million per
o courre=e relating to all services p erfoimed as a private provider; including tail'coverage for aminimum
Of 5 years subsequent to the performance of building code inspection. services,
Individual
;(signature).
print
Name:
Pleaseuse appropriate notary block.
STATF, of FLORIDA.
.
BefonmQ�,tb.iS day of
20. personally
appeared
who executed the foregoing ins ant,
aUd aoltnowledged before me that same
'was executed for the purppses therein
express�dm , "
Corp oration
Befc,mme,this 22ND day of
MAY _ 2.0 2
personally appeared '
of
Lennar HomesLLC a
c orporat%ort, o� .
behalf of state corporation, who
executed the foregoing Instr ant and
aclu�owled gad b afore me that same was
executed for the p oses t'Siereia
expxessad.
Partnership .
Print P artn erslup Naan e
By: '
(signature)
Print
Name.
xtsa
Fersonalllyknowil_}` or® Pro ducedidentitoatspn 'Type of idDaldfication produced
Signature, ofNotan PriiatNasne A.S -HLEE CALLP.1- AN
Notat Public Stamp;
< �u
Commission Empires; a4 ASHLCALLAHAN
SAY Co SION HH 296980
XPl o N�v�mber 30, 2026
Address,,
Telephone
No,
,.
Bofoxee,tbis day
of 2,0,
personally appeared
p er/a.gent onbehalf of
a partnership, who exDPirted the
foregoing instrument and
acinowledgedbd=,Metbt same
COMMERCIAL
BUILDING SERVICES DIVISION
RESIDENTIAL,
BUILDING PERMIT DATA SHEET
TRACKING #
FIRE MARSHAL ##0 -
DATE: /10/2023
FOLIO# 36365 FLATS STREET EXAMINER: 6ebra Kl hr P 23 C
Re tired
Permits
ailing
I'lurxibing
lYlectrarrical
Electrical Amp
Ins action Cinl
� Ins ection Onl
❑Ins' action Cinl
El Ins eetaan (?nl
Roof
�] Gas
] Medical Gas
El Fire Sprinklers
[l On Site Piping
—ffNotable
[l Fire Line
® Irrigation
El Fire Alarm
Backflow Assembly
Fire Line fincliflow Preventer
Irrigation Backilosu Assembly
D Demolition
E Walk-in Cooler
[l Refrigeration
El Hood
El Ansul
El Fence/Wall
[:1 Grease Trap
El Other
{l Other
Type Constr°uetiorr: V-8 IRisk Category: Occupancy Load
(I ancy Classification: Assembly nsiness ay Care/Educational
Factory Hazardous ° nstiitational �.>Mexeanlilc
. e _ amM,
Residential Storage ®Utility
Building Use: SINCLE'FAMILY RESIDENCE 1 Alteration ❑„Level I Level 2 FDLevel 3
New Construction 0 Interior Finish ❑ Interior Remodel. ® Exterior Remodel ® Addition ❑ Revision
Overall Size: Num- her of Stories: Total S . Ft.:
40 X 43 2 3044
Living Area: 25$52 Covered Area � 2 # of Bedrooms: 4
# of Baths: 2.5
Cost per squire foot: Estimated Value:
Roof : Shin le Ti1c ®Built a Metal ❑ Other Squares: 2
Zoning: W ' orne debris: Energy Code:
®Inside Outside 40a2020
Flood Zone: XIAE Base Flood Elevation: Finish Floor Elevation:
It�drostatic V�nts°� ®Yos No Sq. F't. Enclosed See Ilelo RFE:
# �f Vents: Sipe of Vents: Total Sq. In. l�ernrarrerrt eriings
central A1C ®heat lE�rri ®�Vindo AIC
i� Cas A1C �] Cas ITeat ®Electric Ilat
Front Rear Left Right
® As per Approved Site Plan
Comments: CITY OF ZEPHYRHILLS TO VERIFY FLOOD ZONE INFORMATION
l
F" Atz"lu,
Permit No, 0
Date Permitted"
Builder Name/Owner Name _L&hAr Control #
County Parcel No. / _ T SubDiv:
Address/Location
Classification/Type of Use ! 7tJ
TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: 6 -
Exempt 0 Yes No How Determined
Impact Fee Amount _s 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
Land Account Land Credit Land Total
Recreation Account
Recreation Credit
Recreation Total
Zone
Total Amount $ 767,16b
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 ,-
RESOURCE FEE ERU
Prepared By - Checked By
NO CER*ICATE 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