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HomeMy WebLinkAbout23-6084pgP tl Zephyrhills S 5335 Eighth Street .. . Zephyrhills, FL 33542 N R-00 084- i123 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 05t0212023 Permi Building i i 1 � .,<. .. �td^ 04 26 21 0150 00600 0100 6207 Back Forty Loop } �t� �tiv� �,v1 .,.ta vt. .,,.A. Name: LENNAR Fli?MES LLC Permit Type: Building New {Residential} Contractor: LNN1�FZ FI?M1= 1_LC Class of Work: SFR Construct Address: 4301 W Boy Scout Blvd 600 Building Valuation: $339,960.00 TAMPA, FL 33607 Electrical Valuation: $50,994.00 Phone: Mechanical Valuation: $23,797.20 Plumbing Valuation: $33,996.00 Total Valuation: $448,747.20 Total Fees: $20,881 J7 Amount Paid: $20,881.77 Date Paid: 512f2023 11:37:50AM` CONSTRUCT SINGLE FAMILY 2389 SO FT 1,.v v v 1 . ts1. A a,C41 v1. 1A z� vA 1. 1.A..� t 1i �.,� t� v ,`•yA.`' <i ;v�.��lsl,c*. .tiu:... A... .2, iv ti\., v�...ztv+`...,, v1, ,�.ta, ��;�1.1<.,\a U1 �v..A. ,�,i Avv 1\g,. ,i,. �tdtahv Building Permit Fee $1,739.80 Transportation Impact Fee $3,595.68 Sewer Connection Residential Fee $2,400.00 Mechanical Permit Fee $158,99 SIF 1 percent Fee $83,28 Park Impact Fee a Single Familyirownhome $769.56 School Impact Fee ® Single Family $8,328.00 Electrical Plan Review Fee $0.00 Public Safety Impact Fee -Police $254.00 Irrigation 314 Meter {Cale} $794.92 Plumbing Permit Fee $209.98 Transportation Impact Fee - City $36.32 Mechanical Plan Review Fee $0.00 Plumbing Plan Review Fee $0.00 Address Fee $30.00 Driveway Fee $45.00 Water Connection Residential Fee $1,140.00 314 Water Meter Fee {Cale} $794.92 Public Safety Impact Fee -Admin $26.35 Building Plan Review Fee $180.00 Electrical Permit Fee $294.97 REINSPECTION 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 BEFORE NO OCCUPANCY BEFORE C.O. 4PEOFFICE CONTRACTOR SIGNATURE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department CA 91302 Owner's Address23975 Park Owner Phone Number Fee Simple Titleholder Name N/A Owner Phone Number Fee Simple Titleholder Address NIA JOB ADDRESS 62�LOT # SUBDIVISION�gUare Abbott PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTRF---1 ADD/ALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK Single Family Residence !Pool /Screen Enclosure !Fence BUILDING SIZE SO FOOTAGE 2 89 HEIGHT BUILDING 339960 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 50994 AMP SERVICE PROGRESS ENERGY W.R.E.C. PLUMBING IT ----------------- 33996 MECHANICAL VALUATION OF MECHANICAL INSTALLATION, =GAS ROOFING SPECIALTY = OTHER Z 76 FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES Do a. BUILDER COMPANY Lennar I lornes, LLC SIGNATURE REGISTERED Address 4301 t13Try Scout Blvd Suite 600 Tampa, FL 33607 License f CGC1518166 ELECTRICIAN COMPANY Edmonson Electric, Inc. SIGNATURE REGISTERED K�Y�/ �NFEE Electric, �Y / N�� Address License # PLUMBER a. COMPANY [Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED --7=::r N FEE CURREN Address L"�License# MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Bayonet / �N FEE E �10 U R R E NY / �N� Address License # OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE REGISTERED E����Y / �N� E Y/ N FEE CURREN Address License# RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Farms; 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 & I clumoster; 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 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. (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" restrictio which may be more restrictive than County regulations, The undersigned assumes responsibility for compliance with a applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If I contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violati under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for 7- 8009, Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) si portions of the "contractor Block" of this application for which they will be responsible, If you, as the owner sign as t contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pas County. TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understan MINN. INNER MORE, W-111A. I 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 w will be done in compliance with all applicable laws regulating construction, zoning and land development. Application hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation h commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulat'i construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I al I undemtand that the revuL2A*_ns_Pi %ther government ag i ma a. , to the intended work and that it 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 Sensiti Lands, Water/Wastewater Treatment, Southwest Florida Water Management District -Wells, Cypress Bayheads, Wetland Areas, Alted Watercourses, Army Corps of Engineers -Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Services/Environmental Health Unit -Wells, Wastewater Treatme 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 "compensating volume" will be submitted at time of permitting which is prepared by a professional engine 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 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 adjac properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violati the conditions of the building permit issued under the attached permit application, for lots less than one acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I oromise in coed faith to inform the owner of the oermittina conditions set forth I ROOM, MMMMME1111 6- WIN 11611911 011001111 M"IMMUMM71M wok 9 o "• 07o7 '; requiring a come in of errrs in plans, construction or violations of any codes, Every permit issued shall becom inval unless the work authorized by such permit is commenced within six months of permit issuance, or if work auth rized OWNER ORAGENT s� o�� __ ___ Co0 (or aW Jrme�) a ef f Subscribed and swornfore me this 1128=3 by ChnstopherSmith Who is/are personally known to me or-h�rdueed as identification. Notary Public Commission G296057 Stephanie Farmer Name of Notary typed, printed or stamped 9 ff : I Subscribed and sworn to (or affirmed) before me this 11,1112, by Christopher Smith Who is/are personally known to me or has/have produced as identification. 1164?40 —1-7— Notary Public Commission No. 6 7 Stephanie Farmer / Name of Notary typed, printed or stamped Emum, HOLLOW /7r'y { 9/.73 96. 71 — / `� I { TYP€'A' { o FF:98.57 99 99 I PAD:97.90 SD7-2 I I TRACT "A" ( { 63 SILVERAAD4 PHASE 1A I { 9758-- PS 51, PC 71 { DWNER: I I I I E R A D O SILT FE CE _ V 97.77— Fc WAkI ESA9T,�P8 61, PC 71 j ELOPMENT i aw )ISTRICT �I I r- I1 1 SD14-1 h � _ I t I I _— 71'- I 18" REP @ a.30°fo { 5414-0 18" FES .. INV: $7,85 TYPE'8' CS-5O I 0 FF:98.47 T; PAD:97.8a �72 1 -97.75 96,94 y 95.09 I TRACT 142 49` - 24" REP @ 5.35% 96.11 rn - SD7-14 (C TYPE `B' 27' -18" REP @ 0.17% AD:9 . PAD:97.80 TYPE'A' I 136' - 60" RCP @ 0.30% -/ 96.48 96.24 sok FF:98.57 I 96.19 97.a2 - - --- 4a' PAD:97.90 { y, 'lNV: 83. TYPE FF:97.77 F,a �� FAD:97.14 TYPE `A' FF:98.570 y 96.00� - 96.720----..96.14 PAD:97.90 65' - PARCEL 2 96�2 0 co 1 - m c49'\ SD-7-1 -96 �'lgxq .4S7g 10 4' WOAD AIL FENCE a p°sa NIL COLONY COMPANY Z =7�4 �' 72 �}m PAGE 5 b � l� O 191' - 60" RCP @ 0.24% u> y POND 5 _ rog:95,00 DESCRIPTION: LOT 10, BLOCK 6, ABBOTT SQUARE PHASE 18, SITE PLAN SEC 4, TWP. 26 S, RNG 21 E. ACCORDING TO THE PLATTHEREOF, RECORDED IN PLAT BOOK 89, PASCO COUNTY, FLORIDA PAGES 57-62, OF THE PUBLIC RECORDS OF PASCO COUNTY, (NCO A SURVEY) FLORIDA. fABBOTT SQUARE) CURVE DATA (P) ALL ELEVATIONS REFERENCED 1 ____7LENGTH- - - 7 ____ F TO NORTH AMERICAN F ­CuRVE I RADIUS _ARC —CCHORD LENGTH I CHORD I DELTA VERTICAL DATUM OF 1988 C53 1 60,00' 1 13,33' (NAVD 88) his SITE PLAN Prepaeed for and Certified Tp: Lennar Homes 111� Scale. I" = 20' LOT 9 BLOCK6 Id IS, SBEE0816-EIP) 112,42'IP) C6 29,0 0 4,0YX37T_ 52�O 3 CON-- C/SA/C g U, WALK 0 PROPOSED 22.8 2STORY R RESIDENCE PATIO PLAN ENTRY .0 b 2382 C, 'K. '. 0 ELEV'Br <UT 6 © LOT 158 0 GARAGEL 1B BLOCK 6 0 :2, � " I PCP 2-5& (P) PCP IJ U zz W8_8=01; _16' I.- ------- ,0 U 2 cz S79-07A LOT I I BLOCK 6 LOT --6-QU—SO. FT. LIVING AREA =_IZ6_9_SQ FT PORCH -3D_SQ. FT. GARAGE -_A_I _4SCL FT COVERED LANAI FT, PATIO SQ.FT. POOL AREA FT. CONIC. DRIVE FT A/C & CONC PAD FT. SIDEWALK FT. LOT SOD �_N�A_SOFT. R/W SOD =_N4A_SOE FT. 10,00 PLFIJC UTILITY EASEMENT LOTOCCUPIED SE AREA TO IRRIGATE 64% NOTES: LEGEND: PROPOSED: LOT GRADING TYPE -A PROPOSED DRAINAGE FLOW MINIMUM FLOOR ELEVATIONS: PROPOSED PAD ELEVATION = 97,90 (00,00) = PROPOSED GRADE LIVING AREA: 98,57' FRONT SET BACK = 20 E-00r00 - EXISTING GRADE GARAGE AREA: SIDE SETBACK - 7,5 ELEVATIONS REFERENCED TO PROPOSED ELEVATIONS AND GRADING NORTH AMERICAN VERTICAL SIDE SET BACK (CORNER LOT) -10 SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF DATUM OF 1988 REAR SETBACK =- 15 ABBOT( SQUARE RESIDENTIAL' PREPARED E APPARENT FLOOD HAZARD ZONWCOMMUNITY NO. 120235 BYWRA' PROVIDED BYEIENT SURVEY ABBREVATIONS (MAP NUMBER 12 TOIC-0289-F) EFFECTIVE DATE: 09/26/2014 A)-ARCIENGTH FK - DEED NV-PVVERT PC - PON F or CURVE (R) - RECORD LEGEND AIC - AIR CONDITIONER D F- DRAINAGE EASEMENT He -LICENSED SUISNESS PCC = POINT OF COMPOUND CURVE LING -RANGE VNYi_ FENCE AF - ALUMINUM PENCE EL OR ELEV - ELEVATION LE- LANDSCAPE EASEMENT PCP- PERMANENT CONTROL POINT RRS - RAIL ROAD SPIKE cOINc SEP _ BASE FLOOD EI`VAUON EOII�F GEOFPAVEMENT LEE- LOWEST FLOOR FLFVATION P/E -POOL EOUIP.ENT re_1 R/W - RIGHT OF WAY C _ CLENCH MARK ESM - EASEMENT SURVEYOR PG - PAGE SEC - SECTION WOOD FENCE 'VE F/C - PENCE CORNER IM) - MEASURED PI- POINT OF INTERSECT, ION SERD -SET NAIL AND DISK IS i,C2 - CALCULATED FC. - FOUND CONCRETE MES - MITERED END SECTION PK -PARKER "LON LSE,8183 CENTERLINE CHAIN LINK FENCE OF CHAINLINK PENCE MONUMENT NCF - NO CORNER FOUND -PROPERIYLINE Sift- SE r I L 2- IRON ROD LED 8; 83 C HP -FOUND FOUND IRON PIPE C/A - OVERALL PO -PDINTOF8EGINNING TBM - TEMPORARY 8ENCI I MARK MP - roL�RUGATED METAL TIP C = - BRICK CoL jMN tr. OUNDIRONROD OHW-OVFRHEADWtRP.(S) PO,-PaNIOFCOMMEN(IMENT TOB - TOP OF BANK CUBIC - CONCRIFTC ENo&D - FOUND NAIL A DISK O.R. -OFFICIALRECORDS POL - POW ON LINE �,P - TOWNSHIP c FOUND OPEN PIPE fA -PLAT PRC PCINTOF REVERSE CURVE - UTIUTYEASEMENT [Z]-CCSV1RIU AUIIINI FENCE /S - CONCRETE, SLAB LE P P U,E % CST- CLEAR SIGHT TRIANGLE I, P- FOUND PINCHED PIPE P -PLAT BOOK RM - PERMANENT REFERENCE MONUMENT I , BE - VINYL FENCE_ JOB #ISE0852DC0 SURVEYOR*$ morrm SURVEYOR'S CERTIFICATE 1708 Water Oak Drive 1.) Current title information on the subject property had not been This certifies tqao�� ,* , biliq hereon described Tarpon Springs, Florida Date of Site Plan: 8-15-23 furnished to Initial Point Land Surveying, LLC, at the time of this property a ,u ervelon and Phone: (727)-831-1990 221G AS -PH I B SIT E PLAN meet, c ractice for FIondaPLS7I23@SgmajEco -LTO-BL6SITE 2.) This sketch was prepared without the benefit of a title search, surve s B rd of Land LB# 8183 No instruments of record reflecting ownership, easements or Survelors, I of-, 11317,11t 1 hro IT File: rights -of -way were furnished to the undersigned, unless otherwise S'_ SO d-i -�i I — Down hereon. 2 ned _Drawn by DJB s on Mn "1 1 3.) Roads, walks, and other similar items shown hereon were taker S�&WWcc y Je Partley Checked by.JH from engineering plans and are subject to survey. 6TAI F CC) .03.17 REVISIONS 4.) This SITE PLAN does not reflect nor determine owners tat ownership. AID 6.) This SITE PLAN is subject to matters shown on the Plat of _'y 00, 'ABBOTT SQUARE PHASE I B' G.) Dimensions shown hereon are in feet and decimal portions thereof, FLORIDA Qfi AWNAN ORAND 7.) Contractor and owner are to verify all setbacks, building MAPPER NO. L Of 83 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. Garage Lot Size Block Lot t �5 00- a New Development Check List r, " I Parcel #: 2 - 0 1 / t) — , rp ,',' ) 7 Address: , C, - Setbacks: Front '� 2 1 9 d � )� - 9 Rear 31 - - )- Sides �f) 7- 6 (PI ) ' 1 1; ) 9 S Elevation: Garage: —L,14— Roof Shingle Dimension/Architectural: 0.�� I rl '? -FI jLL4Z- VIRTUAL REVIEW ASSIST Private Provider 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: 1pZ@virwalreviewassist.com Project: New SFR 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 and holds the appropriate license or certificate: Name: Debra Anne Klahr Plan Sheets CS,Al,A2,A3,A4,A5,A6,A7, SNO,SNI, S3,S4,S5,S6, ST,SS,SII, SI2, I,PAI.O,PAI.1, PAI.2,PA1.3,PAI.4, SHI.O,S I.I,SHI.2,SHI.3,SHl.4,SII1.5 Florida License/Registration/Certification #(s) and description: FS468 Certified Standard Plans Examiner License #: PX2300 N n Signature of Reviewer: SWORN AND SUBSCRIBED before me by Debra Anne Klahr being personally known to or having produced as identification and who being fully sworn and cautioned, state that the ore ing is true and correct to the best of his/her knowledge or belief. gnaiure of No Print Naive commission expires: ASHM CALLAHAN ` EXPIRM NW01twM 2010 Project Name: Services to be provided: R I U A, 1- R, E V E W A S 8 i S T Notice to Building Official of Use of Private Provider Effective January 20, 2003 6207 Back Forty Loop Plans Review X MMMMMM 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 Finn: VIRTUAL REVIEW ASSIST, INC. Private Provider: DEBRA ANNE KLAHR Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601 Email Address (Optional): deb@virtucilreviewassist.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 bmildi i-s-ections to det rmine comyliance with t c a,, licable codes, exceyt to the extent s!2ecified in said law. Instead, plaris 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 insurance to 'iti iiiiiii ji i njwledge that w4wW 111, ARC Havc 111du Sill 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, enviro ental or other codes.. The following atta,clunents. are provided as required: 1. Qualification statements and/or resumes of the private provider and all dulyy authorized representatives. 2.. Proof of insurance for professional, comprehensive liability in,the. amount of $1 million per o ccurrence relating to all serv3c s p erf-timed as a private providDr,'inclu.ding tail coverage for a minim -am of 5 years subsequent to tho performance of building code inpection services' Individual. ggrporatlon Partnership , • ;(signature). Print Name" Address. . Telephone No. PleaWase appropriate notary block STkTB OF FLORIDA . Individrtal Moxemf_-,this day of 20 _®, pexsonaRy appeared who executed the foregoing ins ant, and acknowledged before me that same was executed for the purposes therein ` expressed. Corp oration Befoirtae,this 22ND day: of MAY . 2 personauy appeared of Lennar Home LLB a crix°pora�ioxt, �n b-ehalf of the state corporation, who executedthe foregoing ins ent and acloiowle gedbefoxe one that SaMD was executed for the puiposes therein expz�essed. Prints ershipNarne Bye (Signature) Print Name, - its - _ .Address: Telephone No. WMEBMWE Before v, ibis day of��, personally appeared p erlagent onbehalf of partnership, foregoing instroinDat and ncknowlodgDd b 60Te :Personallyknown X or Pro ducedidenti-gcatinn Type ofidentiRcationproduced Sipatr rq ofNotar`' I'xintNarne ASHLEE CALLAHAN Notasyl'ublic Stamp: ?aa%asv ASHLEECALLAHAN CDISa MSSZon Expires; *n W OOM ISSION # HH 295980 _ e ° EXPIRES', Noes b r 3b, 2025 Fob#w�da^ -, [—COMMERCIAL MERCIAL BUILDING SERVICES DIVISION BUILDING PERMIT DATA SHEET TRACKING # FIRE MARSHAL ##01 FOLIO # 6207 BACK FOR GP Reau I3�silding Ialtinlain �] ]gins Qnl ® In ecoZ n 0 1 Roof �] Gas On Site Piping E ,Fire Line El Potable Backilow Assembly [l Fire Line llacktlow Preventer Walk-in Cooler [I Refrigeration ® Fence nil ® Grease Trap 4/08/2023 EXAMINER:a �] Medical Gas ® Irrigation D Irrigation ilaektlow Assembly El Hood El Other El Fire Sprinklers [l Fire Alarm [l Demolition Ansel El Other T e Construction: V-B RiskCategory: Occupancy Load (? an, Cs la Assembly �I Business bay Care/Educational Factory Hazardous nstitutional [� Zvlercantile Residential R�� Storage®� ®i7tility Building Use: SINGLE FAMILY RESIDENCE / Alteration [—Level I ;Level 2 Level 3 New Construction ® Interior Finish El Interior Remodel ® Exterior Remodel ® Addition ® Revision Overall Size: Number of Stories: 'Total Sq. Ft.: 30 X 53 2 2533 Diving Area: 2389 Covered Area: 444 # of Bedrooms: 5 # of Baths: 2.5 Cost per square foot: Estimated Values bof T e: Shingle Tile Hunt-u [� Metal ❑Other S cares: �9 Zoning: Wro o e Debris: Energy Code: nside Outside 4�05-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? r [ Yes iNo S€l, Ft, Enclosed Space Below IIFE. # of Vents: Size of Vents: Total cI, In. I'rtnanent Opehilgs Central A/C X Heat Pump ® Window A/C ® Gas A/C ®Gas lFleat [] Eleetrie Beat Front Rear Left Right As per Approved Site Plan g ON Rijiider Name±/Owner Name n,Yt kt _w. (.nntmi It County Parcel N�} G ( G? SubDiv: ` f' Address/location Classification/Type of Use I TRANSPORTATION IMPACT FE Rate: Sq, Ft Unit: Exempt = Yes = No How Determined Impact Fee Amount Zone No. 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 TOW 7 Zone `total Amount Exempt =Yes = No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt Yes No How Determined Total Amount RESOURCE FEE ERU Prepared By I `=FOCCU�PANY Checked By N CERTIFI ELL 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