HomeMy WebLinkAbout23-6085City of Zephyrhilis
5335 Eighth Street
Zephyrhills, FL 33542
R-0060 5- 023
Phone: (313) 780-0020
Fax: (313) 730-0021
Issue gate: 05/02/2023
Pe
r i it i ,Residential
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04 26 210150 00600 0230 36300 Garden Wall Way
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Name: LENNAR HOMES LLC Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLCM
Class of Work: SFR Construct
Address: 4301 W Boy Scout Blvd 600 Building Valuation: $312,600.00 01
TAMPA, FL 33607 Electrical Valuation: $46,890.00
Phone: Mechanical Valuation: $21,882.00�
Plumbing Valuation: $31,260.00
/
Total Valuation: $412,632,00 . A,
Total Fees: $20,701.19 t"
ti
Amount Paid: $20,701.19� �
bate Paid: 5/2/2023 11:37:50AM
1yA,.,, z 5y 4 V 1 �t v 1 1
CONSTRUCT SINGLE FAMILY 2073 Sty FT
c
`
Building Plan Review Fee $180.00 School Impact Fee Single Family $8,328.00
Plumbing Permit Fee $196.30 SIF 1 percent Fee $83.28
Driveway Fee $45.00 Public Safety Impact Fee -Police $254.00
Electrical Plan Review Fee $0.00 Transportation Impact Fee $3,595.68
Water Connection Residential Fee $1,140.00 Park Impact Fee - Single Family/Townhome $769.56
Public Safety Impact Fee -Admin $26.35 Mechanical Plan Review Fee $0.00
Irrigation 3/4 Meter (Cato) $794.92 Address Fee $30.00
Building Permit Fee $1,603.00 Mechanical Permit Fee $149A1
Plumbing Plan Review Fee $0.00 Electrical Permit Fee $274A5
Sewer Connection Residential Fee $2,400.00 Transportation Impact Fee - City $36.32
3/4 Water Meter Fee (Calo) $794.92
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 tires the amount of the fee imposed for the initial inspection or
fiat reinspection, whichever is greater, for each subsequent reinspetiona
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 acid fee Must Accompany Application. All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFOREC.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE PE IT OFFICE
EXPIRESPERMIT IN 6 MONTHS WITHOUTINSPECTION
CALL FOR 1 - 8 HOUR NOTICEREQUIRED
8780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permittinsir, 908 770 __ 7763
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813 574
Owner's Address 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number
Fee Simple Titleholder Name N/A I I Owner Phone Number
Fee Simple Titleholder Address I N/A
JOB ADDRESS LOT # 0623
SUBDIVISION Abbott SquarePARCEL to# 104-26-21-0150-00600-0230
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR F__] ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK Single Family Residence 1 Poal /Screen Enclosure 1 Fence
BUILDING SIZE E/R SF 2605 � SQ FOOTAGE 2073 HEIGHT 28
BUILDING $ 312600 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL 46890 AMP SERVICE PROGRESS ENERGY W.R. E.C.
PLUMBING $ 31260 "o
0 MECHANICAL $ 21882 VALUATION OF MECHANICAL INSTALLATION ZIP
=GAS ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA UYES Do
BUILDER COMPANY
OM PAN
SIGNATURE REGISTERED
3
Suite 600 Tampa, FL 3 607
'Boy� �S Address A 4301 �NN'Scout Blvd
ELECTRICIAN COMPANY
SIGNATURE REGISTERED
Address II
PLUMBER COMPANY
SIGNATURE REGISTERED
Address
MECHANICAL
COMPANY
SIGNATURE
REGISTERED
Address
I
OTHER
COMPANY
Z
SIGNATURE
REGISTERED
Address
Lennar I lorncs, LLC ,
_—EYIET FEE CURREN
-------------------------
License # [ CGC 1518166
Edmonson Electric, Inc.
Y/ N FEE CURREN L_XLN
License #
Bayonet Plumbing, Heating & AC, Inc
Y/ N FEE CURREN Y/N
License #
Bayonet Plumbing, Heating & AC,Inc
License #
C Sterling Quality Roofing, I
License # 1 CCC057991
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 wl Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stonnwater 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.
_41.1-1-11-11-4-6 4 It
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)
Retools if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways..needs ROW
0
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division —Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law —Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs, If the applicant is someone
other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the "owner" prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
Department of Environmental Protection -Cypress Bayheads, Welland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Southwest Florida Water Management District -Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses,
Army Corps of Engineers -Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit -Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency -Asbestos abatement.
Federal Aviation Authority -Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone W" unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, after, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
OWNER OR AGENT
Subscribed and sworn o �W�trmkch) befo�e m this
yvzozs by Chris,
1"o herSnrurth
Who is/are personally known to me or-h�edu8®d
as identification.
X Notary Public
Commission G 296057
Stephanie Farmer
Name of Notary typed, printed or stamped
9MJ
Subscribed and sworn to (or affirmed) before me this
z11121 by
ChristopherSmith _--
Who is/are personally known to me or has/have produced
as identification.
If:f-- —Notary Public
Commission No. 60 7
— Stephanie Farmer /
Name of Notary typed, printed or stamped
oln
E*MAft 6, 2024
Lr)
cy)
—51'- 24"RCP @ 030%
SILT FENCE
Ln
TYPE
FF:97A7
PAD:96.80
Li
DESCRIPTION: LOT 23, BLOCK 6, ABBOTT SQUARE PHASE IB,
SITE PLAN
SEC 4, TWP. 26 S, RNG 21 E.
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89,
PASCQ COUNTY, FLORIDA
PAGES 57-62, OF TI IF PUBLIC RECORDS OF PASCO COUNTY,
(NOT A SURVEY)
FLORIDA.
[ABBOTT SQUARE)
PROPOSED ELEVATIONS AND GRADING
his SITE PLAN Prepared for and
Certified To:
',, ALL ELEVATIONS REFERENCED
SHOWN HEREON ARE TAKEN FORM THE
Lennar Homes
'�, TO NORTH AMERICAN
ENGINEERING PLANS OF
- - --
VERTICAL DATUM OF 1988 '..
ABBOTTSQUARE RESIDENTIAL, PREPARED
E
NAVD
(88)
BY "WRA" BY CLIENT
Scale: 1 = 20
LOT
= 44.��.50. FT.
LIVING AREA
=.22SQ_ FT.
PORCH
=�_SQ. FT.
GARAGE
_ ?96 SQ. FT.
COVERED LANAI
=_LQ4 SO, FT.
PATIO
N/A SQ. FT.
POOL AREA
=_y/8_SQ. FT.
CONIC DRIVE
= 32fi SQ FT.
A/C is CONC PAD
=��SQ. FT.
SIDEWALK
= 61 SQ. FT.
LOT SOD
N1A SO. FT.
R1W SOD
=—N/,8—SQ. FT.
LOT OCCUPIED
=...g3%
AREA TO IRRIGATE
=, 57 ryo
- _ l0.00' PUBLIC UTILITY EASEMENT
LEGEND
_�--�- PROPOSED DRAINAGE FLOW
(00.00) = PROPOSED GRADE
E-00.00 = EXISTING GRADE
NOTES:
LOT GRADING TYPE -�B
PROPOSED PAD ELEVATION - 97,10
FRONT SET BACK t 20'
SIDE SET BACK 2 75
SIDE SET BACK KORNER LOTI - 10'
REAR SETBACK r 15'
PROPOSED:
MINIMUM FLOOR ELEVATIONS:
LIVING AREA: 97.77'
GARAGE AREA:
ELEVATIONS REFERENCED TO
NORTH AMERICAN VERTICAL
DATUM OF 1988
SURVEY ABBREVATIONS
5CQNC WALK
PC N 89`48'C,4 E )PI FE c T
4T71'(P) AP
ZONe `X'
i.
0
a
LOT 22
BLOCK 6
a
06
\9�
(CDD) RIGHT-OF-WAY
TRACT "A'
GARDEN WALL WAY
N 89'48'04" E (PI
BASIS OF BEARING APPARENT
FLOOD ZONE
® LINE:
.T
./
N 89'48'04' V (P; 40.00' IF)
9/
fio �, m
5 19.3 3
CONC
WALK
ZONE 'AE'
HT- 92'
ENTRY7.5
5.7'
PROPOSED Cs LOT 24
2 STORY RESF)' NICE BLOCK
LAN 2074
N ELEV `A' c
o GARAGE R
LOT 23 a
BLOCK6
25-0"
a
13.0'
� NA
75 12.0 c �3.0' o
4 3.2X32
C;S-A V
T5
____ n._�
VgE3PA N89°48'04`E;Pj 40,00')PI
LOT 21
BLOCK 6
b
0
APPARENT FLOOD HAZARD ZONE: X' & AE" BFE=92' COMMUNITY NO, 720235
IMAP NUMBER 12101C-0452-FI EFFECTIVE DATE: 09, 26;2014
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-BASE FLOOD E..VA.CN
POP EDGE OT PA—SH
- LOWED FLOOR ELEVATION
PIF- OC O'MN'
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3M BENCH MAKE
C CURVE
S-1 AM N
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i LIC NS DSURVEYOR
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WOOD: NE
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III = SET 12" IPON RODIFN 81 R3
C SIN LINK -ENCE
CMC-CORRUGATED META PIPE
IVI FOUND IRON PIPE
FR-FOUNWRONROD
CIA ^-OVFIALL
OHW-OVERHEAD WIRED)
POE OIN OF BEGINN,NG
POC POINT OF COMMUSCT MENT
Can- TEMPORARY BENCH DARK
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COI.=COLUMN
CONC
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COI -FOUND OPEN PIPE
-PI
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-COVERCD IS
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B
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PRM PERMANENT RCEI RCNCE MONUMENT
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VF VINYI It NCE
IJOB #6280
SURVEYOR'S NOTES:
t.) Current title information on the subject property had not been
SURVEYOR'S CERTIFICATE
This Pertrfies that oRLi{b*4� � hereon described
1708 Water Oak Dove
Tarpon Sonngs, do
Date of Site Flan 12-242
furnished to Initial Point Land Surveying, LLC. at the time of this
property w `=,NN11! da�tn , `1P4p'Calsfo I and
1_ 199
Phone: (727)-831-1990
DWGAS- HILT 123 Bt �vSITh
SITE PLAN
2.} This sketch was prepared without the benefit of a title search.
No instruments of record reflectingownershi easements or
P,
rights -of way were furnished to the undersigned unless otherwise53{,
shown hereon.
K, ;hi for
s
urv- od of i_and
Meets th CIT—do
SrpUa,[e:
epde
11sL�nt L4�/ ecti, n 7 Roll a S
p `i ` '
I.
FlorldaPLS7123@gmai, COro
LBR 8183
Drawn by DJB
Roads, walling and other s items mown hereon were taken
�g
fe
Checked b :JH
y
Il are survey,
engineering Ions and are subject
4) This
2 O2 1 � � b
��; r"t"r`
of
REVISIONS
SITE et
7E PLAN does not reflect nor determine ownership,
p
b.) This SITE PLAN Is to the Plat
` ,,
F, E
�� 0, FL84 c? 1/ i0i
f L t
subject matters shown on of
"ABBOTT SQUARE PHASE IB"
— a'O� -��--: --
a t o t? §CiS`d" t
6.) Dimensions shown hereon are In feet and decimal portions
Jetf M. HaPrr�e /?
Q
thereof.
FLOR(DA PtiC'p��JJ?[[?--S�p�,�'�611VJR AND
710'
7.) Contractor and owner are to verify all setbacks, building
MAPPER NO. jij,jj�
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, L-C.
it user's sole risk.
Garage
Lot Size
Blockt
W
Parcel #: 5-C) - 0 06 oo -
Address: 3 �--3 0 0 al, 11 ,
Setbacks: Front '2 Rear-- . , 7.-.c, - Sides
Elevation: Garyge: 41
Roof Shingle Dimension/Architectural: �i & r 0" !,Js-
)NP V F U A L R, P
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 36300 Garden Wall Way
Parcel Tax ID: 04-26-21-0150-00600-0230
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,
I STEVE SMITH , the fee
owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services
indicated above.
Private Provider Finn: VIRTUAL REVIEW ASSIST, INC,
Private Provider: DEBM ANNE KLAHR
Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
Telephone: 813-376-3088 Fax: N/A
Email Address (Optional): deb@virtualreviewassist.com
Florida License, Registration or Certificate #: (LIC # BU1967/ PX2300/ BN4615)
I have elected to use one or more private providers to provide building code plans review and/or inspection
services on the building that is the subject of the enclosed permit application, as authorized by s. 553.791, Florida
Statutes, I understand that the local building official may not review the plans submitted or perform the required
building inspections to determine compliance with the applicable codes, except to the extent specified in said law.
Instead, plans review and/or required building inspections will be performed by licensed or certified personnel
identified in the application. The law requires minimum insurance requirements for such personnel, but I
understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I
have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance
and 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
M
The following attar eats. are provided. as required:
I. Qualification statements and/or resumes of the private provider and all duly authorized representatives.
2,. Proof of insurance for professional and comprebonsive liability
y in,the, amount of $1 million per
o ccurrence relating to all services peixfoimod as a private provider, including tail coverage for a minimum
of 5 years subsequent to the perfprrnancopf building code inspection services.,
individual Corporation Partnership
_LENNAR±IDMEaLLQ_
Print CoiporationNamo Print Partnersbip Name
By:, By-,
,(signature) (signature) (signature}
Print print Print
Name: Chrligppher Smith Name:
its: Authorized Aggpt_ 1ts.
Address: 00 NW_1Q7th_AVB, Address:
Telephone Miami, FL 33172
Telephone. Telephone
No, 913-574-5700 No.:
?lease; use appropriate notary block.
STATE OF FLORIDA
Individual Corporation Partnership
Boforoone, this day of Bffore me, this 22ND day of Beforome,this day
20— personally MAY 20 2-2 of 20___,
appealed personally appeared personally appeared
who executed the foregoing instrumDnt, Of
and aoknowledged before me that same Lennar Homes, LLC a partuer/agentonbehalf of
was executed for the purposes therein corporation,. on
eXpressed. behalf of the state corpoTalion, who a partnership, who executed the
exetartod, the f6rogoing instrument and foregoing iMstrument and
aeluiowlodgod before me that same was acknowledged before me that same
exe outed for the pmTp s es therein -was exemiod-for the purposes therein
expressed, expressed.
Personally la own X or- Produced iden#oation Typo of identifirition, produced
Sipaturo of Notars PrbatNamo —ASHLEE CALLAHAN
Notalypublic Stamp:
AsliLEE CNOW
W #so
Commission Expires;% r
W
30,2026
EXPIMS: Nwoaiw
Page 2 of 2
VR/\
VIRTUAL REVIEW ASSIST
Private rovi r
Plan ® lie ce Affidavit
Private Provider Finn: Virtual Review Assist, Inc.
Private Provider: Debra Anne Ill , BU1967
.Address: 747 Southwest 2°d Avenue
Gainesville, FL 3201
Phone: 813-391-2959
Email: Lu U rD aztualre i w si*,t.
Project: New SFR
Address(s): 36300 Garden Wall Way
I hereby certify that to the best of my knowledge and belief the plans submitted were reviewed for and are in
compliance with the Florida Building Code and all local amendments to the Florida Building Code by the
following 4ffiant, who is duly authorized to perform plans review pursuant to Section 553.71, Florida Statute
and holds the appropriate license or certificate:
Name: Debra Anne Klahr
Plan Sheets CS;1.1,1.2,2.1,2,2, 3, 4,5,6.1,6.2, 7, SN,SNI, S3,S4,S5, S6,SS, ST,DI, D2,WP1,PAL0,PA1.1,
PAI.2,PAl.3,PA1.4, SH1.0,SHI.I,SHI.2,SHI.3,SHI.4,SHI.5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License #: PN2300
Signature of Reviewer: a ...
SWORN AND SUBSCRIBED b fore me by Debra Anne Klahr
being personally known tom or having produced as identification
and who being fully sworn and cautioned, state that the
fc en9 is true a correct to the best of his/her knowledge or belief:
igna of Notary Print Name
Notary Public: NOTARY STAMP BELOW My
commission expires:
ASHLEE CAL AN
ZyAl EXPIRES: Noveriter 3c€ , ,:u25
BUILDING SERVICES DIVISION
BUILDING PERMIT DATA SHEET
FIRE MARSHAL
DATE: 4/05/2023
EXAMINER: Debra Klahr PX230(
0 Inspection Only
Plumbing
D Inspection Only
Mechanical
Elpmeectiontion
Amp
El Medical Gas
El Fire Sprinklers
On Site Piping
E] Irrigation
E] Fire Alarm
El Potable Rack1low Assembly
Ej Fire Line Backilow Preventer
El Irrigation Backflow Assembly
El Walk-in Cooler
El Refrigeration
El Hood
Grease Trap
El Other
RI.P.M.'",
TMe Construction:
Risk Category:
Occupancy Load
ancy Class
act ry
OFactory
id,, tial
,Assembly
�Hazardous E:
Storage
Institutional E:::=Fn ay Care/Educational
Building Use: single family residence Alteration I❑ Level I Q'iLevel 2 ID -Level 3
New Construction El Interior Finish E] Interior Remodel E] Exterior Remodel El Addition El Revision
Overall Size:
25 x 62
Number of Stories:
2
Total Sq. Ft.:
2605
Living Area: 2073
Covered Area:
532
# of Bedrooms: 4
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof Type: 9 Shingle
OTile El Built®u
El Metal El Other Sqwares: 17
Zoning:
Wrorne Debris:
E�,inside
Outside
Energy Code:
405-2020
Flood Zone: X/AE
Base Flood Elevation:
92- NAVD
Finish Floor Elevation: 97.77- NAV[)
Hydrostatic Vents? r Yes
No
ied Space Below BFE:
# of Vents:
Size of Vents:
'Total Sq. In. Permanent Openings
9 Central A/C
D Gas A/C
Z Heat Pump
D Gas Heat
El Window A/C
El Electric Heat
r11T1LTrA--j,fT1M
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Under ground Fire Line —
0741
Front Rear Left Right
R] As per Approved Site Plan
Comments: "HERNANDO COUNTY To VEPIFY FLOOD ZONE INFORMATION'
Permit No, O�
Date Permitted
Builder Name/Owner Name Control #�
County Parcel No. T 5ubDiv:
Address/Location
Classification/Type of Use
TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: 6
Exempt 0 Yes No How Determined
Impact Fee Amount 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 TotaI
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
*
PERFORMED* } t
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,
)UM
RECEIPT NO DATE BY