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Home My WebLink About23-6187f fs- 5335 Eighth Street Zephyrhills, FL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 llrmlll o_ BNR-006187-2023 Issue Date: 05/08/2023 Per II Buildinlj 'Residential) 7 7 7 77 4, A, 7777, 38058 Fallstone Way '177 04 forint . . . . . . . . . . . . . . Name: LENNAR HOMES LLC Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC Class of Work: Townhome Address: 4301 W Boy Scout Blvd 600 Building Valuation: $250,320.00 TAMPA, FL 33607 Electrical Valuation: $37,548.00 N Phone: Mechanical Valuation: $17,522,40 Plumbing Valuation: $25,032.00 Total Valuation: $330,422.40 Total Fees: $14,333.47 Amount Paid: $14,333.47 Date Paid: 5/8/2023 1:55:41PM CONSTRUCT TOWNHOME 1634 SQ FT Park Impact Fee - Single Family/Townhome $769.56 Address Fee $30.00 SIF 1 percent Fee $3153 Transportation Impact Fee - City $34.80 Public Safety Impact Fee -Police $254.00 Public Safety Impact Fee -Admin $26.35 Electrical Plan Review Fee $0.00 Driveway Fee $45.00 Plumbing Valuation Fee $0.00 Mechanical Permit Fee $127.61 School Impact Fee - Single Family $3,353.00 Sewer Connection Residential Fee $2,400,00 Water Connection Residential Fee $1,140.00 Transportation Impact Fee $3,445.20 3/4 Water Meter Residential Connection Fee $794.92 Mechanical Plan Review Fee KOO Building Permit Fee $1,291.60 Fire Wall/Smoke Wall Inspection $15.00 Plumbing Permit Fee $165.16 Building Plan Review Fee $180.00 Electrical Permit Fee $22714 REINSPECTION FEES: (c) With respect to einspection fees will comply with Florida Statute 553.80(2)(c) the local government shall impose a fee of four times the amount of the foe imposed for the initial inspection or first reinspection, whichever is greater, for each subsequent roinspection. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to thisproperty that may be found in the public records of this county, and there may be additional permit required from other governmental entities such as water management, state agencies or federal agencies. "Warning to owner: Your failure to record a notice of commencement may result In your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed, in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. /A I A ---A CONTRACTOR SIGNATURE PE IT OFFICE 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 4 Building Department Date Received Phone Contac�fo�rPerrnitfin 308 770 __ 7763— Owner's Name Lennar Homes, LLC Owner Phone Number 813.574,5700 Owner's Address 4301 W Boy Scout Blvd Ste. 600, Tampa, FL 33607 Owner Phone Number _. Fee Simple Titleholder Name a! [ Owner Phone Number Fee Simple Titleholder Address 38056 Fallstone Way 0012 JOB ADDRESS LOT # SUBDIVISION Townes at Autumn Palm I PARCEL tD# 15-26-21-020-00000-0120 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED � NEW CONSTR ADD/ALT � SIGN � � DEMOLISH INSTALL REPAIR � PROPOSED USE 0 SFR COMM OTHER TYPE OF CONSTRUCTION 10 BLOCK FRAME STEEL DESCRIPTION OF WORK Multi -family I Soreen Enclosure I Fence BUILDING SIZE I UMSF 2C�6 SQ FOOTAGE 16-- HEIGHT 2� BUILDING $ 250320 1 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 378� PROGRESS ENERGY W.R.E.C, AMP SERVICE PLUMBING $ 25032 MECHANICAL $ 17522 VALUATION OF MECHANICAL INSTALLATION �a ) =GAS ROOFING E] SPECIALTY = OTHE`R—�� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES D0 BUILDERLermar Ifomes, �IEEIURREN SIGNATURE 21::�� COMPANY OMP REGISTERED Y t N hl Address I W Boy Scout Blvd Suite 600 `Pampa, FL 33607 License # CGC1518166 ELECTRICIAN " COMPANY EdmOnSOn Electric, Inc, SIGNATURE REGISTERED Y/ N FEE cuRREN Y 1 N Address License# EC13QQ5408 .......... . PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGIsrERED Y I N FEE CURRE Y I N Address Af License # CFC042998 MECHANICAL COMPANY Bayonet Plu�RIRREN��l SIGNATURE REGISTERED Y 1 N ,! Address License # GACQ58Q62 OTHER l �° COMPANY C sterling Quality Roofing, Inc SIGNATURE REGISTERED Y/ N FEE CURREN Y 1 N Address �License # CCC057991 tt�iF�EEiltE�il6t Ei1IOt�I@B[S&[11R1@1lt�109�!!lEEB61tt�ti&IIEE91S4 RESIDENTIAL Attach {2) Plot Pla ; (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 w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Wink 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. (AJC 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 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 IMPACTIUTILITIES 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, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment, Southwest Florida Water Management District -Wells, Cypress Baybeads, 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, alter, 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 n7r, c �� or afifirme;)� Subscribed and swor before me Who islaEe�known to me or#asA4aveWQ4uG@4 identification, r` —Zo� Notary Public Commission 6296057 Stephanie Farmer Name of Notary typed, printed or stamped Aalltl , §�WMKKOLUW Subscribed and sworn to (or affirmed) before me this _L1111113 by —Christopher Smith Who is/are personally known tome or has/have produced as identification. Notary Public Commission No. 6 7 —Stephanie Farmer Name of Notary typed, printed or stamped "SPEEDMON Ll 21 !! *i . `� ,O►� ICI �� DESCRIPTION: ITOTIS) 9-16, TOWNES AT AUTUMN PALMS, ACrCRC1#NG SEC, 15, TWP. Zia S, RNG 21 E, TO THE PLAT THEREOF, RECORDED IN PLAT BOOK $9, PAGE(S)113•1 14, PASCO COUNTY, FLORIDA OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. _______________-m_-m__-�,.w_a__-__ __ .� - ------ AUTUMN ------4 M51 ---- - O TRACT H° N laal LANDSCAPE BUFFER II NOTES: --------- iP B9°s6cs P q'1 o �) e— LOT GRADING TYPE = FL A I 1 1 I PROPOSED PAD ELEVATION = N/A o.' FRONT SET BACK - 15' �' SIDE SETBACK - 10' REARSETBACK -LANA(=26 ......... a o LANAI NAI NA! LANA N 1 ALL WALKS 3.0' UNLESS NOTED 180'PROP SED1$'q . 1$0..._... ALLA/C 3.2x3.218.3 1&0" 18.0' 1/E/U/D = INGRESS EGRESS/ 2 S RY ATfA HED UTILITY/ DRAINAGE ESM'T RESIDI NCES UNIT -A UNIT UNIT-C UNIT-C UNIT-C UNIT-C 1532 1516 1624 w 1624 1624 w 1624 CP LOT 16957 SO. FT. LIVING AR -_5336_, SO. ET, � y o ENTRY = 67Z SO. FT. z o GARAGE - fi848SOFTz COVERED LANAI 8b8 SCt. FT. LOT. LOT `" LOT LOT �4 LOT LOT LOT PATIO NA SO.Fr. 17 ' 16 15 14 13 12 11 POOL AREA NA SO. FT. 7.0' 63' 617 6.T z 6.7 6.T z CONC. DRIVE 2400 SO, FT. P z z A/C & CONC PAD 80 SO. FT. a SIDEWALK = 324 SC1. FT . SIDE YARD SWALE = NA SO. ET. u, w w w iu w 1 CONSERVATION AREA NA SQ. FT. LOT OCCUPIED 68 % , 11.3" 71 3 11.3 AREA TO IRRIGATE 32% { 1 9 3" 113 a t } t 3 a BLS. B9°54'08 E P i 13.4E P 911 % 283o' (PI f 1800'P I N$.00 P i '4 i 1800 P 7 47D law P F :. s89'56 QB'EjPJ o �.� ,. .'t 27 3 ...` � • �;, .� 16 . n ""'"` ',-„• ' '_ i7 �T ti.' q ,... j t 6 !.t, SITE PLAN 1708 Water Oak Drive (NOT A SURVEY) Tarpon Springs, Florida -------------------------- phone: (727)-831-1990 EloridaPLS7123@gmaii.com _ LB# 8183 2B: i %l i } > o; ... > nr 'WNA 5 l F� Scale: i Initial Point Land Surveying, LLC. UNIT-8 I UNIT -A 1516 1532 LOT i-v l 10 9 7.0' < Ino w iu 13' 1 P 3 E k 3. 0 P a fl 78,33 (P) A 4 `- s FAUSTONE WAY 259fi952flp1,$: iRCYl4PbPMAYTPiACT"e 589`56OB EiF4 32B.F9`(Pj BEARF-G ` %.595952fl015 PROPOSED: CITY OF ZEPHYRFRP.LS LOWEST FLOOR ELEVATIONE/Pt/D EASEMENT 2596}52£}#Yi& S L#VINGAREA:B4.B3' ( NOTE: CONSTRUCTION PROPOSED ELEVATIONS AND TYPE GARAGE AREA: ALL ELEVATIONS REFERENCED j GRADING PLANS GRADING SHOWN HEREON ARE TAKEN I TO NORTH AMER#CAN ELEVATIONS REFERENCED TO HAVE MINIMAL FORM THE ENGINEERING PLANS OF 'MASER VERTICAL 1 VER€ICAL DATUM OF 1988 NORTH AMERICAN DATUM OF GRADING/ELEVATION C£7N5#tlTtNrx P.A., `, PROVIDED BY CLIENT I98B. IVD BBJ J INFORMATION .---. -.-__. ___...,.„., __.-._.._._.—._.1 +q.BS' = NATIONAL GEODETIC VERTICAL -------- .----- DATUM Of 1929 drA SURV BOREi.0A7°1C( A/C-AIRCONDITIONER ---... (0)-OECD. NV —INVERT PC -PONT OF CURVE ITS W. L'ODD Drawn By;.CWC Farty.Chief:JH F_AFDA UM ENCEtEVAtiON 0E- AMAFt FAN`MNT U3-t(OWFD3FLOORfLEVAilON PCP- TPRMANFM(ONO 'ROL POINT RNG^PANNE ROSE ITT/ -POOL, N)UIPMENT TIRE -RAILROAD SPIKE Checked Byl lH FIM-BENCH MARK EOP-EDGE OF PAVEMENT L fKTNVDeJRVEYOR PG -PALL_ R/W - RIGHT OF WAY F[1C^ C_CORVE FSMl- FASEM`ENT IMi- MEASUR[PONT D ➢I^ POOr INTERSECTION SEC -SECTION {CI - CALCUTA.TED F/C - FENCE CORNER MF5- MIT FRED END SECTION PK-PARKER KALON SOLD - SET NAIL AND DISK LB#Tr 183 Date of Sit, PlaR.,0 „22 CWC 4 CENTRUNE FCM - FOUND CONCRETE MONUMENT CRT NO CORNER FOUND P09 POINT QF B f lNF INC SIR - SET 112- WON ROD LEE 8183 Et FOUND IR NPP A 1 P "F TOM FAPORARY BENCH MARK <PfAtN NK'cNCE O PIPE O OVERALL YOC O1N, O C9'NMENC:PA�N` E & O u/ WG L9-t6-TC�AF SITE DWGi CFO CORDUGP ED METAL PIPE S - FOUNDDONL A O R OF'F O EAD WIRED POI PNT ON REVERSE TITS OP Of WNSHIPNK n red for ^^— CO E-CON/IN PCH-ODUNUNAILSE RP O TCiPtRECORDS TD POINT ERMANNTEFECUtCUE ITF T'jTIYEAS L� ar Home Prepared EOr.efid Certified CONC-CONCi2(;E FPP-FONDIPNFHFDP Pi Al A. DM PUBLIC UrNTY EASEME MONUMk NT Jk^Uii 1YEASEMENT C/5 - CONCRETE STAB FPP -FOUND PINCHED PtVE PB ^ PtRT f30OK AU E ^ FffBUC W fiLITY EASEMENT' SURFACE TYPE FENCES AI UMlNUM FENCE CONC 6^ LOT -ASPHALT VINYL FFNCE - -- 8 -aftiU( Dr NIE S CHAINENK FENCE - d =SAND/DI,RI §;t..s. ..._._... .___._._._. OV11HEADpP�OWER ^COVERED _.%--- -- PROPOSED DRAINAGE FLOW f 00,00J PROPOSED GRADE E-0R04 *+EXISTING GRADE � 2` OAK 10' INGRESS EGRESS/U.E & D.E APPARENT FLOOD HAZARD ZONE X COMMUNITY No, 120235 (MAP NUMBER 12101C,04S2-FJ EFFECTIVE STATE' 09/26/2414 SURVEYOR' NOTES: 1,) Current title information on the subject property had not been famished to Initial Point Land SurVeying, LLC. at the rinse of this site plan 24 This sketch was prepared without the benefit of a title search, No instruments of record reflecting ownership, casements or rights-0froMy were furnished to the undersigned, Unless otherwise shown hereon., 34 Roads, walks: 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. 5.)This site plan is subject to matters shown on the Plat of "TOWNS 0 AUTUMN PALM" 6.) Dimensions shown hereon are in Feet and decimal portions thereof. 7.) Contractor and owner are to verify all setbacks, building dimensions, and layout shown hereon prior to any construction, and Immediately advise Initial Point Land Surveying, LLC. of any deviation from information shown hereon Failure to do so will be at user's sake risk E�s�t� '��ssrc�ssm=��r.�a- ♦xrc>1rFw>x PA. Hartley i iA:'. semis ur Date RIDA PR9€ESS UR' AND � LS#7IZ3 LB#81$3 NOT VALID V! ��,,?3..-ATUTRE AND SEAL j��j,� R O€A FLORICIl�riJ 4R AND MAPPER IMMUMMMM Services to be provided: v EViEW ASSIST Notice to uilding Official of Use of Private Provider Effective January 20, 2003 38058 Fallstone Way 15-26-21-0230-00000-0120 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. mom 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, INN Private Provider: DEBPA 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): de,b@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 . 5 5 3.7 9 1, 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; environmental or other codes.. The, following atta,oliments. are provided as required: 1. Qualifeation statements and/or resumes of the private provider and all duly authorized representatives. 2.: Proof of insurance for professional.and co#rehensave liability in,the.amount.of l million per o ccurrenoe relating to all services performed as a private provider, including tail coverage for ami-oinium of S years subsequent to the perfarinance ofbuilding code inspection services. Individual Corporation Partnership . �„ t y . (Signature) print Name: Address" telephone ND Please use appropriate notary block. S ATy, OF FLDRI.bA . COUNTY OF _-HILLS-BOROUGH 7LUMMMI Before. me,tlus day of 20___, personally appeared who exeouted the foregoing ills en% and acknowledged before me that same was executed for tiae puzposes therein expressed. Corporation Beforeme,this 22ND day of MAY 20 2 personally appeared ` of Ladner Horace LL a corporation, on behalf of the state corpurstion, who executed the foregoing instrument and aclaT owled'ged b afore ine that same was execut5dfor the proposes therein expressed. IMMEMMMmm- print Name: Its; Address: Partnership l3 afore me, thus day of0— 4 personally appeared p er/agent on behalf of foregoing instrument �mcl aolmowledgod Nrsonally known X orq Producedideri-#cation Typeofidenttilo4ionproduced sipat TD ofNotax�,I'rintNarne . A HL� ALLF�HAN NotasyPublic Stamp: ASHLEE CALLAHAN Coramission Expires: my COMMISSION # HH 295980 �r e XPI :,Novembe.r 30, 202 VR/\ VIRTUAL REVIEW ASSIST Private Provider Plan Compliance Affidavit Private Provider Finn: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU 1967 Address: 747 Southwest 2ni Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: Inc & iqualrevie)K4ssisugin Project: New SFR Address(s)- 38046,38050,38054,38058,38060,38064,38068�38072 Fallstone Way ............. A r__ M&Mr. L, 7TI10 1�i Utly =1101-14CU Lo pulTurni pium review pursumn LU >VUL1011 JJ-1. /Y1, ri• and holds the appro iate license or certificate: pri Name: Debra Anne Klahr Plan Sheets 1,2,3,4,5,6,7,8, 9,10,11,12,13,14,15,16,LI,SN,SNI, S3,S4,S5, S6,SS, ST,DI, WP,PAI.0,PAI.1, PAI.2^13^1.4, SHI.0,SHI.1,SHI,2,SHI.3,SHI.4,SHI.5 Florida License/Registration/Certification #(s) and description: FS468 Certified Standard Plans Examiner License #: PX2300 Signature of Reviewer: ILI- SWORN AND SUBSCRIBED before me by Debra Anne Klahr being personally known to me or having produced as identification and who being fully sworn and cautioned, state that the to ego' g is true and correct to the best of his/her knowledge or belief. Signature of Notary Print Name Not Public: NOTARY STAMP BELOW My commission expires: AS LEE CALLAHAN My COMMISSION # IiH 296480 FXPIRES: Novembor 3o, 2o26 [—COMMERCIAL BUILDING SERVICES DIVISION RESIDENTIAL BUILDING PERMIT DATA SHEET TRACKING FOLIO# 38058o EXAMINER: a Klahr PX230( Required ►i Plumbing Mechanical1►-Amp IIuilding �Ins ection On i D Inspectiony �� `` Inspection :� rIR� V Illire El�IIl�� Medical Gas ! �i�� y prinklers El On Site Piping Irrigation 0 Potable P� pw Assemb FireLine Backtiow Preventer Irrigation Rackflow AssemblyDemolition EWalk-in El Refrigeration �� Ansul °�r �hl� : Io El 0 ther a' ! I a s'_ T e Construction Occupancy Load t} aney Classification: Assembly 4 Business ay Care/Educational ._ Factory Hazardous nstitutional ®IVlercantile Residential PEI,Siora a g = ❑ :Utility Building Use:,. INGLE FA ILY i't�WNHQQ aE I Alteration Level I Level 2 IEJ;bevel 3 New Construction EI Interior Finish [l Interior Remodel ® Exterior Remodel [l Addition ® Revision Overall Size: Number of Stories: Total Sq. Ft.: 18 X 63 2 2086 Living Area: 1634 Covered Area: 52 # of Bedrooms: 3 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof e: Shin le Tile wilt-u Metal Other Snares: 1 Zoning: I borne Debris: Energy Code: [] Inside Outside 4(i5-202t� Flood Zone: X Rasa~ Flood Elevation: Finish Floor Elevation: FIydrastatie Vents l Yes FNo Sq. Ft. Enclosed Space BelowI3FE: # of Vents: Size of Vents: "Total Sq. In. Permanent Openings 50 Central A/O X Heat Pump Window A/O ® Gas A/C I Gas heat [ Electric heat Front Rear Left As per Approved Site Flan R we'un'., .. Permit No. — Date Permitted Builder Name/Owner Name Control # County Parcel No. .� € "ubDiv; ZeG S �2 Address/Location Classification/Type of Use Rate: Exempt 0 Yes No How Determined Impact Fee Amount Zone No, TAZ. SCHOOL IMPACT FEE Account (056) Single -Family Detached House Amount $ :�5 3j�� t (057) Mobile Home (058) Other Residential, (123) Collection Fee Exempt =Yes = No How Determined_ PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone Total Amount $ 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 6y _ Checked By NO CERTIFICATE OF OCCLIPANY WILL RE 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. IM rRifitaTiffimm RECEIPT NO DATE 6Y