The URL can be used to link to this page

Home My WebLink About23-6081ty of Zephyrhilis ® 5335 Eighth Street 1 \1l 1 11\ 1 t Zephyrhills, FL 33542BNR-006081-2023 Phone: (813) 780-0020 Issue Date: 05/02/2023 Fax: (813) 780-0021 II 1 \1 1 11 s1 \.a 1 •r'1 .,, \ 1 t fitit: t c (:. �1, ,.111 ., ,.�, ,..� s t\ 1 04 26 210160 01600 0010 36382 Fiats Street 1 yt1�\ Cgpg\1 y11�:1 "I'll, 11111111- 1 \1\ 1 \ 1 1 i1�rc 1g:w t��t'faSll7f�1Lt. 1� Name: LENNAR HOMES LLC Permit Type: Building New (Residential) Contractor: L NNAR HOMES LLC Class of Work: SFR Construct Address: 4301 W Boy Scout Blvd 600 Building Valuation: $402,480.00 TAMPA, FL 33607 Electrical Valuation: $60,372.00 Phone: Mechanical Valuation: $28,173.60 Plumbing Valuation: $40,248.00 Total Valuation: $531,273.60 Total Fees: $21,294,40 � *' Amount Paid: $21,294.40 Date Paid: 51212023 11:37:50AM ��1Li F '• CONSTRUCT SINGLE FAMILY 2092 SO FT Public Safety Impact Fee -Admin $26.35 Building Plan Review Fee $180.00 School Impact Fee - Single Family $8,328.00 Sewer Connection Residential Fee $2,400.00 Driveway Fee $45.00 SIF 1 percent Fee $83.28 Electrical Plan Review Fee $0.00 Mechanical Plan Review Fee $0.00 Plumbing Plan Review Fee $0.00 Park Impact Fee - Single Family/Townhome $769.56 Electrical Permit Fee $341,86 Transportation Impact Fee - City $36.32 Irrigation 3f4 Meter (Cale) $794.92 Transportation Impact Fee $3,595.68 Public Safety Impact Fee -Police $254.00 Plumbing Permit Fee $241.24 Water Connection Residential Fee $1,140.00 Address Fee $30.00 Building Permit Fee $2,052,40 314 Water Meter Fee (Cale) $794.92 Mechanical Permit Fee $180.87 R INSPECTION 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 reinspection, 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 F° C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE ;PEIT OFFICE PERMITIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION IREQUIRED 813-780-0020 City of ZephymillS Permit Application Fax-813-780-0021 Building Department Owner's Address 1 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number Fee Simple Titleholder Name NIA Owner Phone Number Fee Simple Titleholder Address NIA 3�7^J FIatS Street 1601 JOB ADDRESS LOT# SUBDIVISION Aiil3Qttt�uare� PARCEL ID# 04-26-21-0160-Q16Qa-Q010 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR F--1 ADD/ALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL 66 BUILDING $ 402480 VALUATION OF TOTAL CONSTRUCTION 1 7 "N3� _ 4'{:? ELECTRICAL $ 80372 PROGRESS ENERGY W.R.E.C, AMP SERVICE PLUMBING a.A (MECHANICAL 8173.6 VALUATION OF MECHANICAL INSTALLATION GAS 10 r ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS E= FLOOD ZONE AREA YES O 1 I..ennar I Iumes, L�CIIRREN�� BUILDER °" � COMPANY SIGNATURE REGISTERED Y 1 N Address 430I oy Scout Blvd Suite 6Q0 Tampa, FL 33607 _ License # CGC1518166 ELECTRICIAN , COMPANY EdmonSOn Electric, In�Y/N�� SIGNATURE REGISTERED Y / N FEE CURREN Address License # EC1 BdQ54pB PLUMBER r'° COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE ' REGISTERED Y / N FEE CURREN Y / N Address i License # CFG042998 MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y LN_J FEE CURREN Y (iv IwM Address License # CAC05$062 OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE REGISTERED Y /T®N� FEE CURREN Y / N Address License # CCC057991 tltl!'BIi6tIMlII1I�OfIiI'IIIIIi19Bi�C19BYMIBttBIBtBIt�911i11991119ttiB 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, Storrwater 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 If 0) 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. (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 (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 intwi,ip• * c*4t2ct the P2,SC0 CQUntv BrA+4i i* hisnertion Sivision—Livensinw Serti*v at 727-847- K11 I W11 R. MINN WIMN. 9 MI. KIM .0 WIN MINN. ME - M I a 11MININ, NOW '0011 County, TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands th t Trans ort tion Im: , t F: , d Re R co e Fe s ma a I to t e construction of new buildin 11 11 111 MINN I - NEW, W.H. 011IN. P.11 NOW WIN IN -.11milwAlli 1 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 Se rvices/Envi ron mental 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 "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 t*e AGENT F*R TME *WNER, I �trtmise iFj4pQ9 fpit*, toi inftm tX�twn-_r-sf-tI*rq iv;:ninitdnb r.*,Aliiti*ns set f*rt* 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 • NAW "il R . . . . . . • I MA ft. requiring a correction of errors in plans, construction or violations of any codes, Every permit issued shall become invalid 6& AWAMi111 111110 INFAINI -- - -- - ---------- OWNER OR AGENT Subscribed and sworn o (or affirmed) before me this W28=3 by Christopher Smith as identification. Notary Public Commission t Yg G 296057 Stephanie Farmer Name of Notary typed, printed or stamped 9m:J Subscribed and sworn to (or affirmed) before me this 112@Q023 by Lheistopher Smith Who —is/are personally known to me or has/have produced as identification. —Notary Public Commission No.. 6 7 Stephanie Farmer ' Name of Notary typed, printed or —stamped ,A1 BMW T*v 140 FO K"m 04W7410 DESCRIPTION: LOT 1, BLOCK 16, ABBOTT SQUARE PHASE 2, ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 90, PAGES 28-33, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. LOT GOSQ SO. FT. LIVING AREA = t 793 SO, FT. ENTRY --16-SCE FT. GARAGE 437 SO. FT. COVERED LANAI JA ---N SOE FT. PATIO = 24v SO. FT, POOL AREA = N/A SO. FT, CONC- DRIVE = 336 SO. FT A/C & CONIC PAD = 14 SO. FT, SIDEWALK 32 SCI. FT, SIDE YARD SWALE _- NIA _SC>. FT CONSERVATION AREA NA SO. FF- LOT OCCUPIED =. 44 %, AREA TO IRRIGATE = 56 % NOTES LOT GRADING TYPE = A PROPOSED PAD ELEVATION = 95.40' FRONT SET BACK = 20' SIDE SET BACK = 7-5` SIDE SET BACK (CORNER LOT) =10 REAR SETBACK = 15' PROPOSED: MINIMUM FLOOR ELEVATIONS: LIVING AREA: 96.07' GARAGE AREA: ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 SURVEYABBREVATIONS� AJ-ARC LENGTH to) - DEED prC-AIR CONDITIONER 01- DRAINAGE EASEMENT AF-ALUMNUM FENCE EL OR ELEV-ELEVATION BF, - BASE FLOOD ELEVATION FOP^ EDGE OF PAVEMENT BM -BENCHMARK ESM'T-EASEMEN C^CURVE fi/L - FENCE CORNER =CENTRLI IChAERLINE FCM-FOUND CONCRETE MONUMENT CLF-CHAIN LINK FENCE FIP=-DUNOtRON PIPE CMI'=CORK-i1GATE.`J METAL RIP FIR_ POUND IRON ROD CO -COLUMN FN&D-FOUND NA;L&DISK CONC-CONCRET FOP ^FOUND OPEN PIPE �/ca .. �a %oR�ruT�rmanr�,E EPP- FOUND PINCHED PIPE N 89-48'04" E (P) f 272,61' IP) SITE PLAN (NOTASURVEY) This SITE PLAN Prepared for and Certified To: Lorimar Homes TRACT "A" (CDD) RIGHT-OF-WAY FLATSSTREET N 89'48'04" E (P) BASIS OF BEARING SEC, 4, TWP. 26 S, RNG 21 E, PASCO COUNTY, FLORIDA (ABBOTT SOUARE PHASE 2) OV, �—. 3' CONC 160 ] "� WALK 5 18.8' -2.2` 0'Z2- 1 L8' 75 ENTRY PROPOSED 2 STORY RESIDENCE o PLAN 2889 ELEV'B I' P P GARAGER LOT 2 m LOT i BLOCK 16 1 BLOCK16 . 0 1 O 9 40'-0' 40.6 7.5 4.0'X6.0' �._ r C/S-A/C (�'•'•••...) 2.7 X2.7 C/S-A/C, w 12) w o b, 1 - - N 89'48'04" E (P) E LOT 13 BLOCK16 j LOT 14 BLOCK 16 I I I I m TRACT 'B-9" (CDD) OPEN SPACE a LOT 15 BLOCK 16 Scale, 1 " = 20' ALL ELEVATIONS REFERENCED TO NORTH AMERICAN = 10.00PUBLIC UTILITY EASEMENT VERTICAL DATUM OF 1988 (NAVD 88) LEGEND: _T PROPOSED DRAINAGE PLOW F PROPOSED ELEVATIONS AND GRADING (OQAO) =PROPOSED GRADE SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF E-00.00 = EXISTING GRADE 'ABBOTT SQUARE RESIDENTIAL", PREPARED BY "WRA" PROVIDED BY CLIENT APPARENT FLOOD HAZARD ZONE "X' COMMUNITY NO. 120235 (MAP NUMBER 12101G0289-P) EFFECTIVE DATE' 09/26'T2014 — INV=INVERT PC - POINT OF CURVE IRJ-RECORD LB-IXENSEDBUISNESS PCC- POINT OF COMPOUND CURVE ROD -RANGE LE^ LANDSCAPE EASEMENT PCP PERMANENT CONTROL POINT RRS a RAIL ROAD SPIKE LEE- LOWEST FLOOR ELEVATION P/E POOL EOULARENF RjW-R;GH'-OF WAY IS- LICENSED SURVEYOR PG^PAGE SEC =SECTION JET -MEASURED P!- PO PIT OF INTERSECTION SN&D-SEI NAIL AND DISK MES - MITERED END SECTION RK ^ ARK .R KALON 11368183 NCF-NO CORNERFOUND R PROPERTY LINE SIR - SEC 1/2" IRON ROD tBB 8183 OVA -OVERALL ROB- POINT OF BEGINNING T8M- TEMPORARY BE NCH MARK OHW- OVERHEAD WIRE(SI POC-POINTOECOMMCNCTMENT LOS - TOP OF BANK O.R.-OFFICIALRECORDS POL - POINT ON LINE TVP^TOWNSHIP RE -PLAT P8- PLAT BOOK PRC- POINT OF REVERSE CURVE PRM- PERMANENT REFERENCE MONUMENT HE- UTILITY EASEMENT VF a VINYI FENCE JOB #15909521601 'Nu ve"Off I70IES: SURVEYOR'S CEIRTIF'ICA7 Dale of Site Plan 3-20-23 1.) Current title information on the subject property had not been This Certifies m the hereof `�� f4 furnished to Initial Point Land Surveying, LLC- at the time of this SITE PLAN property w�i.+A'4r+�,�� %- pen, "'Alictlti DWGAS-PH2t.1BLt6-SITE 2.) This sketch was prepared without the benefit of a title search. meets t fit Pe No instruments of record reflecting ownership, easements or SUrve'`.i r t Iplm� ii�� tt Burg Fife rights -of -way were furnished to the undersigned, unless otherwise S ' FI 710,1j?Era v qq"c shown hereon. Drawn by DJB Checked by:JH 3.) Roads, walks, and other similar items shown hereon were taken from engineering plans and are subject to survey. Our ant a Section 47'�ii3f# to "`s Dateyl *' REVISIi9PIS: 4_) This SITE PLAN does not reflect nor determine ownership. 5.) This SITE PLAN is subject to matters shown on the Plat of Ku RIDA 'ABBOTT SQUARE PHASE 2' 6.) Dimensions shown hereon are in feet and decimal portions M� Jeff M. 6`�.J� OR MAPPER NAll 4�3 7.)eContractor and owner are to verify all setbacks. building 0 and :e for of Lar AND '-'-`-"-•"^' ONYLFENCE CONC -4S--L "ASPHALT WOOD FENCE \ .,...,.- \ — BHiCK -T- CHAIN UNK FENCE ALUM LF11 FENCE •, COVERED 1708 Water Oak Drive Tarpon Springs, Florida Phone: (727)-831-1990 F to ri da PLS 7 123 @ gm a f I. corn UBN 8183 'a Q 0%,PP},;:,. t s r PC,,ax5.1'' 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 dev cation from information shown hereon. Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC. tlo In C) '7! SILT FENCE 9 1; 1 1 INKIM, A Plan Model Elevation Garaget Size Blockt . - New Development Check List Parcel M OM 0 0)12 Address:---jkaA-)- Setbacks: Front A ) Rear 33 Sides J-") 7 Elevation: i Garage: —?I. le 19Cr (V)IAM,jlj�4 Roof Shingle Dime nsion/Architectu ral: Osb, n!:�- �Iye U V -RA VIRTUAL REVIEW ASSIST Private Provider Plan Compliance Affidavit Assist,rivate Provider Firm: Virtual Review Private Address: Gainesville, FL 32601 Phone: 813-391-2959 Project: New SFR « FLATS compliance with the Florida Building Code and all local amendments to the Florida Building Code by the I hereby certify that to the best of my knowledge and belief the plans submitted were reviewed for and are incct�� I, Florida Statute appropriateand holds the or Name: Debra Anne Klahr Plan Sheets CS, 1.1,1.2,2,3.1,3.2,F1,4.1,4.2,5,6,7.1,7.2, 8,SN, SNI, S3,S4,S5;S6, ST, SS, DLD2, 1, 2, 2.1PA1.0,PA1,1, PAL2,PA1.3,PA1.4, SHI.0,S1-11.1,S 1.2,SHI.3,SH1.4,SHI.5 Florida Lip:,ense/Registration/Certification #(s) and description. FS468Certified Standard Plans Exarniner License #: PX2300 Signature of reviewer: 7(7777 SWORN AND S1:TBSCRIBEDb ore me by Debra Anne Klahr being personally known to m or having produced as identification and who being fully sworn and cautioned, state that the regoi g is true and 'c 7ect to the best of his/her knowledge or belief i r e ignatu e of Notary Print Name Notary Public: NOTARY STAMP BELOW My commission expires: ASHLEE CALLAHM * *' y COMMISSION# HH of �� SPORES: November so, v -L At, R r V " E l� I � N A S 1 5 S, : Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 36382 Flats Street Parcel Tax ID: 04-26-21- 0160-01600-00 10 Services to be provided: 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. WWI owner, afthin I have entered into a contract with the Private Provider indicated below to conduct the services indicated above. Private Provider Finn: VIPTUAL PEVIEW ASSIST, INC. Private Provider: DEBRA ANNE KLAHR Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601 Telephone: 813-376-3088 Fax: NIA Email Address (Optional): deb@virtualreviewassist.c®m Florida License, Registration or Certificate #. (LIB # B111967/ PX2300/ BN4615) I have elected to use one or more private providers to provide building code plans review and/or inspection services on the building that is the subject of the enclosed permit application, as authorized by s. 553,791, Florida Statutes. I understand that the local building official may not review the plans submitted or perform the required building inspections to determine compliance with the applicable codes, except to the extent specified in said law. Instead, plans review and/or required building inspections will be performed by licensed or certified personnel identified in the application. The law requires minimum insurance requirements for such personnel, but I understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harmless the local government, the local building official, and their building code enforcement personnel from any and all claims arising from my use of these licensed or certified personnel to perform building code inspection services with respect to the building that is the subject of the enclosed permit application. I understand the Building Official retains authority to review plans, make required inspections, and enforce the applicable codes within his or her charge pursuant to the standards established by s. 553.791, Florida Statutes. If I make any changes to the listed private providers or the services to be provided by those private providers, I shall, within I business day after any change, update this notice to reflect such changes. The building plans review and/or inspection services provided by the private provider is limited to building code compliance and does not include review for fire 'code, land use- enviT ' onmental or other codes. The following atta.cluents are, provided as required: n 1. Qualifoation statements and/oxiesumes of theprivate provider and all duly. authorized representatives. 2.. Proof of insurance for profes siona1and comprehensive I ahilit i y in,the.ainount of $1 million per occurrenoe relating to all serviDdspoxfoirned as a private provider; including tail coverage for a minimum of 5 -years subsequent to the pmfp of building code inspection services' Individual Pqrporation Partnership LENNAR HOMES LLQ Print CoiporationNamo PrintPartnershipNama By- (sign*re) (sipatum) Plint Print Print Na= 'Nzmfx_h �Istq her S�rrfth Name,- Addms, Its: Authorized AcLent Addremj00 NW 107th Ave.Address: Telephone MlaffiFL 33172 Telephone, Telephone Ple0ense appropr late notary bl'o ck. STATE OF FLORIDA COUNTY OF HILLSBOROUGH 1951MMI M010rot-,,thiS day of . wappeared ho executed the foreg6ing i4stinnent, an , d aokaDwl Ddgfd baforo mo that same ame was executed for the purposes therein No, 8137574-5700 No.- CorpDratioin Bt,foMme,tys 22ND day of MAY, 12o M personally appeared Of Lannar Homes, LLCa. eDrporiiion,orl -'behalf Df the state corporation, who executeatlao f6rDgoing kstruml-111t and acloiowledigodbef= me that same was executDd for the purppses-flipitin e)Tlessed, am�R B dorD me, this day per&6naUy appeared paitnerlagent on -behalf of apartnership, WhD ext,.outed the forekohlZ instrummt arid aclouowled&Da before me that same was executedfor ffiolyurp9ses therein Personally known )(toy-ProduGedid raf idrntir, fiationpTodixtd op# don Typeo -. Sipai re of Notary hintNamD ASHLEE CALLAHAN NotaxyPublio Stamp; I AHAN Commission Expirtsi WcommiSSION#HH296980 EXPIRES:November 30, 2026 %[—COMMERCIAL BUILDING SERVICES DIVISION BUILDING PERMIT DATA SHEET "TRACKING # FIRE MARSHAL #O aBuilding Plumbing In 0 IV Inss� plll�lMM IIII � IIII I III�I� On Site m i Piping I� I I �ii El ii IA Potable I ! � BackflowIo I) Assembly i.l�ll ih 111 l �� II 4111111 , El Walk-in Cooler El Refrigeration RESIDENTIAL LATE: 4/10/2023 EXAMINER: Debra Klahr PX230t Electrical Amp EEJ Ins ection C> � Ej Medical Gas [] Fire Sprinklers ] Irrigation Fire Alarm E] Irrigation Rackftow Assembly E] Demolition [� Hood Ansel E] tither E] Other ,Tffmffl� I De Construction: Risk Category: I Occupancy Load {Oancy Classification: Assembly _ business ay Care/Educational Hazardous ristitutional 11 ,Mercantile Rm3 ®� [µStorage �I Utility Building Use: SINGLE FAMILY RESIDENCE Alteration Level 1 ®'•Level 2 Level 3 if New Construction El Interior Finish [ Interior Remodel ® Exterior Remodel Addition ® Revision Overall Size: Number of Stories: Total Sq. Ft.: 40 X 56 2 3354 Living Area: 2902 Covered Area: 452 # of Bedrooms: 5 # of Baths: 2.5 Cost per square foot: Estimated Valuei Roof T' e: X Shin le file ❑ Built®u t%Ietal [� Other S dares: 22 Zoning: Wi ore debris: Enemy Code: ®;Inside Outside Cis-2 2 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: hydrostatic Vents r ®;Yes Na Sq. Ft. Enclosed Space Below HFE: W # of Vents: Size of Vents: Total Sq< Ina Nerrnanent t�peniils Central A/C X Beat Pump "Window A/C heat E] Electric Heat On Site Pi in Sanity Sewer Storm Sewer Catch Basins Notable Water Under round Fire Dine Front Rear Left Right 2 As per Approved Site Plan Comments Permit No. Date Permitted Builder Name/Owner Name A.. 11 a' Control # County Parcel No. %/C [?00( SubDiu: ` Address/Location � � T,51 Classification/Type of Use i TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: - Z) Exempt 0 Yes No How Determined Impact Fee Amount J` Zone No. TAZ: SCHOOL IMPACT FEE Account (055) Single -Family Detached House Amount $ (057) Mobile Home (058) Other Residential (123) Collection Fee Exempt =Yes = No How Determined_ Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total 77 Zone Total Amount $ Exempt =Yes No How Determined LIBRARY F££ Land Account Land Credit Land Total Facility Account Facility Credit Facility Total ExemptEl Yes No How Determined Total Amount RESOURCE FEE ERU Total Amount Prepared By r � Checked By r N CERTI CATE DF 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