HomeMy WebLinkAbout23-61860
City of Zephyrhilis
5335 Eighth Street
ephyrhills, FL 33542
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Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 05t08/2023
Perm 1 it i'Residential)
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15 26 21 0230 00000 0110 38054 Failstone Way
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Name: LENNAR HOMES LLC Permit Type: Building New (Residential) Contractor: L NNAR HOMES LLC
Class of Work: Townhome
Address: 4301 W Boy Scout Blvd 600 Building Valuation: $250,320.00 A
TAMPA, FL 33607 Electrical Valuation: $37,548.00
Phone: Mechanical Valuation: $17,522,40
Plumbing Valuation: $25,032.00
Total Valuation: $330,422.40
Total Fees: $14,333.47 U�
Amount Paid: $14,333.47 }tf
Date Paid: 518t2023 1:55:41PM
CONSTRUCT TOWNHtME 1634 SO FT
1 \ l \ \
Sewer Connection Residential Fee $2,400.00 Plumbing Valuation Fee $0.00
Public Safety Impact Fee -Police $254.00 Address Fee $30.00
Transportation Impact Fee - City $34.80 Building Permit Fee $1,291.60
Driveway Fee $45.00 Park Impact Fee - Single Family/Townhome $769.56
Mechanical Permit Fee $127.61 Electrical Permit Fee $227.74
Electrical Plan Review Fee $0.00 Public Safety Impact Fee -Admin $26,35
SIF 1 percent Fee $33.53 School Impact Fee - Single Family $3,353.00
Fire Wall/Smoke Wall Inspection $15.00 Water Connection Residential Fee $1,140,00
Mechanical Plan Review Fee $0.00 314 Water Meter Residential Connection Fee $794.92
Building Plan Review Fee $180.00 Transportation Impact Fee $3,445.20
Plumbing Permit Fee $165.16
El SPE T°I N 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 reinspection4
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."
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accordance. NO OCCUPANCY BEFOREC.O.
OCCUPANCYNO C.O.
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CONTRACTOR SIGNATURE
PE IT OFF16EJ
ITHOUT APPROVED INSPECTION
a
813-780-0020 City of Zephyrhills Permit Application
Fax-813-780-0021
JvBuilding Department
Date Received
Phone Contact lermitti
908 770 --7763
�forF
Owner's Name Lermar Homes, LLC
Owner Phone Number
811574,5700
Owner's Address 14301 W Boy Scout Blvd, Ste. 600, Tampa, FL 33607
Owner Phone Number
Fee Simple Titleholder Name I N/A
Owner Phone Number
E====
Fee Simple Titleholder Address
I NIA
JOB ADDRESS
38054 FailStone UVayLOT
#
SUBDIVISION
PARCEL ID#1
15-26-21-ono-00000-011 o
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTRF] ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK E] FRAME STEEL
DESCRIPTION OF WORK
r--------- I
BUILDING SIZE [ U/RSF 2086 SO FOOTAGE 1634 1 HEIGHT
L ---------- J
10BUILDING $ 250320 VALUATION OF TOTAL CONSTRUCTION
L------------------- J
OELECTRICAL 37548 AMP SERVICE PROGRESS ENERGY W,R,E.C,
OPLUMBING 25032�^�
i
X2
,IMECHANICALI$ 17522A 1 VALUATION OF MECHANICAL INSTALLATION
L-------------------- J
=GAS 0 ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES Do
L!��
BUILDER COMPANY Lennar I Tomes, LLC
SIGNATURE REGISTERED Y, Noures' LIELE
Address E30 W I 'y Scout Blvd Suite 600 Tampa, License #
ELECTRICIAN COMPANY Edmonson Electric, Inc,
IT:= nSon E' SIGNATURE REGISTERED K��=FEE CURREN
Address 7 7 License#
PLUMBER COMPANY Bayonet Plumbing, Heating Si AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y/N
Address License #
MECHANICAL COMPANY [Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED K�� Plumbing, Heating
Address I License #
OTHER COMPANY C Sterling Quality Roofing, Inc
Y/ N FEE CURREN Y/N SIGNATURE REGISTERED
Address License #
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, Storrnwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 clumpster. 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 the a be FU uffud to be licensed in accordance with state and local re ulations. If the
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law —Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs, If the applicant is someone
other than the "oWner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the "owner" prior to commencement.
CONTRACTOR'S/OWN ERIS 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
;I
WA. 1110160.44. 1"* mi 100. NO .41 ".1h 1 ".1 "*,* 0.60*41 Miiftliwl W2 Wilk .4 i,
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 "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 2.m t�t AG ENT FOR TPE IVINEA, I pr#mise in ga*orm tXe*wm-:.,r *At-rmiXiAt CQi-,6A*F.S Sz.-t f#xx iA
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
Im" w Itarri M ago] ze I ml U :'Lon =1 J, mi'm I'm LoAlmol 1is matowl-.1 yj lill 2 1 grag, I" I g I
OWNER OR AGENT
Subscribed and sworn 7o-(or affirmed) before me this
N1111121 by _J16stopher Srmth
Who is/arepersonally known to me or
as identification.
;7
Z Notary Public
Commission 6296057
Stelphartie Farmer
Name of Notary typed, printed or stamped
Subscribed and sworn to (or affirmed) before me this
by htEstopherSnirth
Who is/are personally known to me or has/have produced
as identification.
—Notary Public
Commission No. 7
Stephanie Farmer
Name of Notary typed, printed or stamped
gisi" EL"W"MmN
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DESCRIPTION: LOT(S)9.16, TOWNES AT AUTUMN PALMS, ACCORDING
SEC. 15, TWP. 26 S, liNG 21 E,
TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89, PAGE(5)113-114,
PASCO COUNTY, FLORIDA
OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
I TOWNES AT AUTUMN PALMS)
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LANDSCAPE BUFFER
P
008'
�-- LOT GRADING TYPE =N/A
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PROPOSED PAD ELEVATION == N/A
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FRONT SETBACK � 15'
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N SIDE SET BACK - 10'
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REAR SETBACK° 20' -- m
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LANAI LANAI
.ANAL
NAI LANAI N k
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NAt,
ALL WALKS 3.0' UNLESS NOTED
.iaFPROP
18.31II.0'
18.0'
18.0'
180
ALL A/C 3.2'x 3.2,
SED"t6
yE/U/D = INGRESS EGRESS/
2 S RY
ARA HED
UTILITY/ DRAINAGE ESMT
RESID NCES
LOT
= 16957 SQ.FT,
LIVING AREA
= 5336
SQ.FT.
ENTRY
= 672
SO. FT.
GARAGE
= 1848
_SQ. FT. '.
COVERED LANAI
= 868
SO. FT. LOT
PATIO
= NA
SCL FT. 17
POOL AREA
= NA
SQ. FT.
CONIC. DRIVE
2400
SO. FT -
A/C & CONIC. PAD
= 80
SQ. FT,
SIDEWALK
324.--
SQ. FT,
SIDE YARD SWALE
- NA
SO. FT,
CONSERVATION AREA
NA
SO, FT,
LOT OCCUPIED
68 -
% 41944/
AREA TO IRRIGATE
32
_ %
UNIT -A UNIT-3 UNIT{ ( UNFT{
1532 1516 .. 1624 w 1624
LOT " LOT
16 is
TO
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0
LOT LOT
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SITE PLAN 1708 Water Oak Drive
INOTASURVEY) Tarpon Springs, Florida
-- -____a-__-,._------ Phone: (727)-831-1990
FloridaPLS71 Z3@gmaiLcom AA
LB# 8183
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Initial Point Land Surveying, LLC.
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SURFACE TYPE
FENCES
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OVERHEAD POAW11
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BA'SIS"3FHARI9G15869529014
159695201
PROPOSED: C➢�Y/Y OF BEPFSYRHOLSS
LOWEST FLOOR ELEVA"flCYNEPID EASEMENT
%59695200k5
NOTE CONSTRUCT"!ON PROPOSED ELEVATIONS AND TYPE i
GRADING PLANS j GRADING SHOWN tiRE£ON ARE TAK€N
GARLIVING E AREA4.83' �
GARAG£AREA:
ELEVATIONS REFERENCED TO
_... ... ...
ALL ELEVATIONS REFERENCED
TO NORTH AMERICAN
HAVE MINIMAL FORM THE ENGINEERING PLANS OF `MASER
�
VERTICAL DATUPAOF t488
t
GRADING/ELEVATION CONSULTING PA.', PROVIDED BY CLIENT
NORTH AMERICAN VERTICAL DATUM OF
p, 8
(NAVii 8$)
- - --
INFORMATION
10,85-NA7iONAC GEODETIC VERTICAL
-
DATUM OF 1929
A/C -AIR CONDITIONER FRI`DEED INV-INVFRT
AE=ALUM INUM FENCE DF- DRAINACE EASEMENT i 6 �IICFNSFO SUISNESS
P(- PO)NFOF CURVE JR)- RFCORD
P(P-. PERMANFNT CONTROL POINT RNG-•RANGE
Drawn By: CWC Pat
1r3
v .(aeif�
IF
q b � ,,5
(P)
.�^"- PROPOSED DRAINAGE FLOW
(00,00)=PROPOSED ORAO£
E,00 00 = EXISTING, GRADE = 2„ OAK
- 10' INGRESS EGRESS/U.E & DC
APPARENT FLOOD HAZARD ZONE, M`€-QibgMUN1TY NO. 120235
1MAPNUDA4ERi21RfC-043 FIF6F£GTiVFDATE09f2bfM14
SURVEYOR'S NOTES.
Current Y€Ike Information an the ,object property had not oven
tea- ----°-
furnished tointtia( Point Land Surveying, LLC elf the limit of this site Plan
' Z 0
This skerchi was prepared without the benefit of as title soarer, rNo
`
instruments of record-cefiectlng ownership, easements or rights -caYwa/
were furmohed to the undersigned, unless otherwise shown hereon
34 Roads, wracks, and other similar items shown hereon were taken from
*
engineering plans and are subjectto survey;
4.) This site plan does not reflect nor determine ownership.
54 This site plan is subject to matters shown on the Plat of TOWNS Is
AUTUMN PALM
64 Dimensions shown hereon are in feet and decimal portions thereof.
7-) Contractor and owner are to verify all setiesciu, building dimensions,
and layout shown hereon prior to any construction, and immediately
advise Initial Point band Surveying; LI C, of any deviation from
information shown hereon. Failure to do so will be at user s so!- es
BEE- BASE FLOOD ELEVATION NOR ELF.V-ELEVATION IFF - I OWEW FI-OOR ELEVATION P/t - POOL EOUIPMENT (IRS^RAP L ROAD SPIKE Checked By: JH
BM=B_NCH MARK EOP - EDGE OF PAVEMENT I.S- I ICENSFD SURVEYOR P6-PACE FEW - RIGHT OF WAY .File:
CCDRVE FED 1-EASEMENT (M)^MEASURED M-POIN'r CA INTERSECTION SFC- SECTION
NI'^CALCULATED F/C - FENCE CORNER MPS- MI FERED END SECTION PK-PARKER KALON SN&D - SET PAP, AND DISK LBt.8 183 Dateof Site P)an:46,08.22CWC a
C-CENTERLINE ARCM, FOUND CONCRETE MONUMENT N(F-NO CORNER FOUND POD- POINt' OF BEGINNING SIR, -SET 3/2" IRON ROD LEFT 8183
C[F-CHAIN k'NKFFNCE UP=FOUND IRON PIPE O/A-COTRAI.S. POC- POINT OF COMEAENCTMENT TAM^ TEMPORARY BENCH MARK WG;L9-i6-TS+'CAP-SfTE,DWG
CSAP- CORRUGATED METAL PIPE FIR - FOUND IRON ROD OHW OVFRHEADWFOjS) POI .^POINT ON I INE 1'08-TOPOFBANK
TO COLUMN FN&D'-EOtJND ONL b DISK OI? H OAL RECORDS INC - POINT OF REVERSE CURVE P, P - TowNETHIP This SITE Plan Prepzred for and Certified To
CONC=CONCRETE FOP'^ FOUND OPEN PPE I") =PEAT PAID - PERMANENT REFERENCE MONUMENT U.E-UTILITY ASE,MENT Lennar Homes
C/S=CONCRETE SLAG `P.P- FOUND PINCHED PIPE AT - PEAT BOOK PUI-PUBE1(: UTII ITT EASEMENT
NOT OVP ADFL4RI
ijO AND MAPPER
Services to be provided:
v 'r
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
38054 Fallstone Wa
15-26-21-0230-00000-0110
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,
Private Provider Firm: VIRTUAL REVIEW ASSIST, INC.
Private Provider: DEBPA ANNE KLAHR
Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32604
Telephone: 813-376-3088
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 pen -nit 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 attachments. are, provided as required:
1. Qualification statements and/or resumes of the, private provider and all duly authorized representatives.
I - Proof of insurance for professioualand comprehensive liability in.,the,arnountof $1 million per
o ccurr:enoe relating to all services performed as a private provider, including tail coverage for. a minimura
of 5 years subsequent to the prfo nanc inspection services.'
ri e.of building code
Individual. Corporation Partnership
LENNAR HOMES. LLQ
Print CorporationName PrintPartnership Name
By: Bye
:(Signature) (signature} (signature)
Print Print Print
Name, -th Name,
Name:— _�h�rlsto �he r S �r0i.
s: Authorized qer It - Address, lt _A_
Address:_100 NW 107th Ave Address;
Telephone MiaHFL 33172
Igo__
Telephone� Telephone
No, 813-574-5700 No..
Please use appropriate notary block,
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
flw�
D f-,f= Me, this day Of
20— personally
appeared
Who executed the foregoing instrument,
and, acknowledged before me that same
was executed for the purposes therein
Corporation
22ND
Partnership
,
B6ism, —day of
B DfOrD me, this day
MAY 20 2-2
of -------------- 20�
personally appeared,
personally appeared
Of
Lennar Homes LLQ a
p er/agent on b 6half of
Corporation,' on
..'behalf of the -state oorporadon, who
a partnership, who executed the
executed the f6regoing instrument and
foregoing instrument and
acicno-witcliDd b efloTe me that same was
acknowledged before me that same
executrd for the purppses therein
was executodfor thopurposes therein.
expressed,
oxprtwed..
-Personall.ykno',Arn )(tor- gProdurodidm*t0vtion_ TypDof"identiflrationprodurt-,d
Signature OfNota]N' P�rintNam_D ASHLEE CALLMAN
NotaTyPublio Stemp: ASHLEE CALLAHAN
IiiiIy ComMISSION # HK 295980;
'Commission Expires;
EXPIRES: Noi 30,2026
VR/\
VIRTUAL REVIEW ASSIST
Private Provider
Plan ComplianceAffidavit
Private Provider Finn: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU 1967
Address: 747 Southwest 2,d Avenue
Phone: 813-391-2959
Email- lu_cyjgviitualrey�iiewa�sist.cQM
Project: Now SFR
Address(s): 36046,36050,36054,36053,33060,38064,36066,3 072 F ll tone 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 affiant, who is duly authorized to perform plans review pursuant to Section 553.791, Florida Statute
and holds the appropriate license or certificate.
Name: Debra Anne Klahr
Plan Sheets 1,2, 3, 4,5,6, 7,8, 9,10,11,12,13,14,15,16,LI,SN,SN1, S3,S4,S5, S ,SS, ST,D1, P,PAI.0,PAI.1,
PAL2,PAL3,PA1.4, SHI.0,SHI.I,SHI.2,SHI.3,SHI.4,SHI.5
Florida License/Registration/Certification #(s) and description:
FS468 CertifiedStandard Plans Examiner
License #: PX2300
Signature of Reviewer. A..._
SWORN AND SUBSCRlBEl b ore me by Debra Anne Klahr
being personally known to me or having produced as identification
d who being fully sworn and cautioned, state that the
Ja
is true and correct to the best of his/her knowledge or belief.
a
)l r
e of No rittt N e
Notary Public: NOTARY STAMP BELLOW My
commission expires:
,I MYCOMMIMON#HH296980
}
t
[—COMMERCIAL BUILDING SERVICES DIVISION VRESIDENTIAL
BUILDING PERMIT DATA SHEET
TRACKING # FIRE MARSHAL #01 - DATE: 3/29/2023
FOLIO# 38054 Fallstone Wgy_ EXAMINER: '-6—ebra Kiahr PX230(
Re airedPermits
V i V
Building Zulu Bing Mechanical Electrical —Amp D Ins ection Ounly El Insvection 0n1V El Ins ection OnI E] Inspection Only
Roof ::ED:] �Gas Medical Gas El Fire Sprinklers
El On Site Piping El Fire Line [I Irrigation El Fire Alarm
El Potable Bacliflow Assembly Fire Line Backflow Preventer E] Irrigation Bacidlow Assembly Demolition
El Walk-in Cooler El Refrigeration El Hood El Ansul
El Fence/Wall El Grease Trap 0 Other E] Other
Buildine Data
T e Construction: V-8 Risk Category: Occupancy Load
Oga Classification: "Assembly ,,bay Care/Educational
acy E= DMercamile
-',Fac Hazardous nal E=
Factory
E=
;'Residential FEI-Storage
Building Use: I NGLE.TOW Alteration Level I eveeve FAMLY I. NHO.USE I [`Level 2 Leve13
New Construction El Interior Finish E] Interior Remodel El Exterior Remodel E] Addition E] Revision
Overall Size: Number of Stories: Total Sq. Ft.:
18 X 63 2 2086
Living Area: Covered Area: # of Bedrooms:
1634 452 # of Baths: 2.5
Cost per square foot:
REstimated V
alue:
o! l' _upmeta1] Other
,
Zoning: Wj - orne Debris: Energy Code: 405-2020
=E1,,,,jnside Outside
Flood Zone: X Base Flood Elevation: Finish Floor Elevation:
Hydrostatic Vents? Yes No Sq. Ft. Enclosed Space Below BFE:
# of Vents: Size of Vents: Total Sqe Irr> Per anent Openings
Central A/C Heat Pump El Window A/C
0 Gas A/C El Gas Heat o �Iectric �Heat...�
Front Rear Left Right
R1 As per Approved Site Plan
Comments:
11 gggg g
A
ht
Permit No,
Date Permitted
Builder Name/Owner Name _ Control #
County Parcel No, 17 2 02 2: 30 6—(= 2V J)'1
SubDiw,�T t
Address/Location 3t-
Classification/Type of Use d TRANSPORTATION IMPACT FEE Rate: Sq. Ft unite LiF
Exempt 0 Yes No How Determined
Impact Fee Amount`7" Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount $(
(057) Mobile Home
(058) father Residential
(123) Collection Fee
Exempt =Yes = No How Determined -
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit
Zone
Exempt =Yes = No How Determined
LIBRARY FEE
Land Account Land Credit
Facility Account Facility Credit
Exempt Yes No How Determined
_ Recreation Total
Total Amount $ Z
Total Amount
RESOURCE FEE ERU
1
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MINNIREM
Checked By_
BEEN PAID AND FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
IM
0