HomeMy WebLinkAbout23-6194City of Zephyrhills
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5335 Eighth Street
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Zephyrhills, FL 33542
NR-006194-2023
Phone: (813) 780-0020
Fax: (813) 780-0021
issue Cate: 0510812023
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15 26 21 0230 00000 0030 38028 Fallstone Way
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Name: LENNAR HOMES LLC Permit Type: wilding New (Residential) Contractor: LENhiAR HOLES LLC
Class of Work: Townhome
Address: 4301 W Soy Scout Blvd 600 Building Valuation: $250,320.00
TAMPA, FL 33607 Electrical Valuation: $37,548.00
Mechanical Valuation: $17,522.40
Phone; Plumbing Valuation: $25,032.00
Total Valuation: $330,422.40o-x' l
Total Fees: $14,333.47t , U
Amount Paid: $14,333.47'
Cate Paid: 51812023 1:55:41PM
t y v CONSTRUCT TOWNHJME 1634 SQ FT
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Transportation Impact Fee $3,445.20 Mechanical Plan Review Fee KOO
Public Safety Impact Fee -Police $254,00 Address Fee $30.00
Electrical Permit Fee $227.74 [driveway Fee $45.00
Transportation Impact Fee - City $34.80 Building Plan Review Fee $180.00
Building Permit Fee $1,291.60 Electrical Plan Review Fee $0.00
Plumbing Valuation Fee $0.00 Sewer Connection Residential Fee $2,400.00
Park Impact Fee - Single Family/Townhome $769.56 3/4 Water Meter Residential Connection Fee $794.92
SIF 1 percent Fee $33.53 Water Connection Residential Fee $1,140.00
Mechanical Permit Fee $127.61 School Impact Fee - Single Family $3,353.00
Plumbing Permit Fee $165.16 Public Safety Impact Fee -Admin $26.35
Fire WalllSmoke Wall Inspection $15.00
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."
,; t -
accordance with City Codesand Ordinances. O OCCUPANCY BEFORE C.O.
G RACTOR SIGNATURE
PE IT OFFICE
ITHOUT APPROVED INSPECTION
f,' .. .. SYi .y1 � � ii► � ... �'" ::Y1, �z �` ilY� : .�1, . �lli. .
813-780-0020 City Of ZephyrhlllS Permit Application IFax-813-780-0021
Building Department
Date Received Phone Contact for Pormittin 908 770 _ 7763
Owner's Name Lennar Homes, LLC Owner Phone Number13.574:5700
Owner's Address 1 4301 W Boy Scout Blvd, Ste. 600, Tampa, FL 33607 Owner Phone Number —
Fee Simple Titleholder Name — Owner Phone Number
Fee Simple Titleholder Address 24ifA
JOB ADDRESS 38028 Falitone Way LOT # 0003
SUBDIVISION Townes at Autumn Palm PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR E3 COMM OTHER
TYPE OF CONSTRUCTION EIy &1 BLOCK 0 FRAME STEEL
a rt,j Multi -family / Screen Enclosure / Fence
,BUILDING''
$ 250320
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
$ 375�g
PROGRESS ENERGY
W.R.E.C.
AMP SERVICE
PLUMBING
Is 25032
d
MECHANICAL
$
VALUATION OF MECHANICAL INSTALLATION
=GAS
17522.4
[� t ROOFING
E,
E SPECIALTY = OTHER }
FINISHED FLOOR ELEVATIONS L*...t
y—�
FLOOD ZONE AREA DYES l 0
[1
BUILDER COMPANYtantes,if.0
I,enrrar 11
SIGNATURE REGISTERED
Address 43 W Boy Scant Blvd Suite 600 Tampa, FL 33607 License #isll3t66
ELECTRICIAN COMPANY dmonson Electric, Inc.
SIGNATURE REGISTERED EE CURREN Y! N
Address f' License# EC13005408
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE LL REGISTERED YN FEE CURREN
/ Y t N
Address License # IF CFC ------
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE P REGISTERED L11 N J FEE CURREN Y/ N
Address License # GAC058062
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED YIN FEE CURREN Y ! N
Address License # I CCCO57991
II6FiIIE6IItElittlllE[AEEiMPIiEIlfili1f1t0E��lEtIEFFE��9BE;l�[1��It�
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 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 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. (A1C 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 (PloUSurveytFootage)
Driveways -Not over Counter if on public roadways..needs ROW
NOTICIi 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 RESPONSIBILITIE& 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 reouiredlay law. both the owner and contractor mav be cited for a misdemeanor violation
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Trans ortation Im act Fees and Recourse Recove Fees ma at.11 to the construction rn)f nip,.w hidirlin
deliver it to the "owner" prior to commencement,
CONTRACTOR'S/OWNER'S AFFIDAormation in this application is accurate and that all work
will be done in comoliance with all armlicable laws reaulatina construction, zonina and land develooment. Armlication is
re p n ibility 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/E nvi ron mental Health Unit -Wells, Wastewater Treatment,
Septic Tanks,
US Environmental Protection Agency -Asbestos abatement.
Federal Aviation Authority -Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone'V" unless expressly permitted.
If the fill material is to be used in Flood Zone "Ait is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I aA1 tXe AGENT F*R T14E QW�X-R, I pr,#mise in g66O. f?,it� I# iitf#•r-m t�,,�6wAer 6f tXt ptirmitting conditi#ns set 40 1[-.
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
zM101"17,10401141 M I
OWNER OR AGENT
Subscribed and sworn o (or affirmed) before me this
31281202 , .3 by ChristoDher Smith
Who islare personally known to me orkastkty� p�eddrad
as identification.
— / Notary Public
Commission G 296OS7
Stephanie Farmer
-Name of Notary typed, printed or stamped
Tit
Subscribed and sworn to (or affirmed) before me
112./2— by _Christqphw Smith
Who is/are Pei nally known to me or has/have produced
as identification.
Notary Public
Commission No. 7
Stephanie Farmer
Name of Notary typed, printed or stamped
Permit No.
Date Permitted 15 . 6— Z3
Builder Name/Owner Name _- - Control
County Parcel No. �'2/ (b Cb" SubDiv:JN , y -1 y M t�M
Address/Location � 2-- � (
Classification(Type of Use MON,
TRANSPORTATION IMPACT FEE Rate: Sq. Ft Chit:
Exempt 0 Yes No Novo Determined
Impact Fee Amount c t 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 Total
Zone Total Amount $_��
Exempt =Yes =No How Determined
LIBRARY FEE
Land Account Land Credit
Facility Account Facility Credit
Exempt Yes No How Determined.
Facility Total
Total Amount
RESOURCE FEE ERU
Prepared By o Checked By
NO CERLCATE =CCUP�ANYWILL RE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTEN HAVE
BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
ACKNOWLEDGEMENT BELOW DOES NOT IMPLY ACCEPTANCE OF CONCURRENCE, BUT SIMPLY REECEIPT OF A COPY OF THIS
FORM, PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME,
m
RECEIPT NO DATE --- _ BY
DESCRIPTION: LOTD) 1-6, TOWNES AT AUTUMN PALMS, ACCORDING
TO THE PLAT THEREOF, RECORDED IN PLAT BOOK _._, PAGEjSJ_, OF THE
PUBLIC RECORDS OF PASCO COUNTY, FLORIDA,
TRACT "H"
N
e$ /
LANDSCAPE BUFFER
3 'PI i
t 18.00 i
I
1 L
d;
A
a LANAI
LANAI
'�2ANA1
LOT =
16969
SQ. FT.
183
18.0'
18.0,
LIVING AREA =
5336 -_-
SOFT
ENTRY =
672
SOL FT.
GARAGE =
1848
SOL FT.
COVERED LANAI =
868
SOL FT.
UNIT -a
UNn-B
UNIT C
PATIO =
NA
SO. FT,
°'
w 1532
1516
1624
POOL AREA =
IN
SQ. FT.
w
CONC. DRIVE =
2400
SO. FT.
o
V
y
FyC & CONIC PAD =
80 ----SQ.
FT.
SIDEWALK =
SIDE YARD SWALE
324
NA ---
SQ. FT.
LOT a-
3:
LOT
"'
LOT
LOT
CONSERVATION AREA =
NASQ,
SO. FT.
FT.
9 1
8
7
6
LOT OCCUPIED =
68
SK
7.0'
6.7'
6 7
AREA TO IRRIGATE =
32
%
o
o.
SEC, 15, TWP. 26 S, RNG 21 E.
PASCO COUNTY„ FLORIDA SITE PLAN
TtJWNES AT AUTt iMiV PALTt4S (NOT A SURVEY)
,�J__-m_..-----_.w.---------
i I i I A o
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2
AT
RES
UNIT-C
1624
__.144•_8`_-
LOT
5
6,7
z
{
8T)
IN'L-C UNIT-C UNIT-B UNIT -A
1624 w 1624 1516 15.32
LOT LOT
4 3
6T 6.T ")
Z
ALL. ELEVATIONS REFERENCED LS
TO NORTH AMERICAN l`R`3g67,.. I, i t 3 ! 1 3 L. 7} 3 (` I i 3 ! 1 3
100 j 100 1 j;, F00 4-.I i f04 iJ•#0.0 t VERTICAL DATUM OF 1988 I k�
77 JNAVD 88)
NOTES. n
LOT GRADING TYPE=N/A 2830 P s t ?$00 k 'i800.P. I iB. 6" P I 1$.gt3IPI
PROPOSED PAD ELEVATION = 84,25 z �s--;:--- . 'i ; • S $9"5608" E IPf
9 y*
FRONT SETBACK =t5' "`�"""`S"-'�"'-' 273 'c�"`96 -�T y 3 77-
SIDE SETBACK = 10'-.%."-__'-`---.�-».._,....�...-,-,,.,,a.,
REAP, SETBACK = 20'�
ALL WALKS 3C' UNLESS NOTED
ALL A/C 3.2'x 3.2' ROA8DIA/AYTRACT"C
IJEJU/D = INGRESS EGRESS 50' WfDE i7/Yli S 89'S608 E jRj 328.$9 IP)-r
/ �F BASIS OF BEAD! iNG
UTILITY/ DRAINAGE ESM'T I/E/U/0 EASEMENT
PROPOSED:
-. LOWEST FLOOR ELEVATIONp,P,
NOTE CONSTRUCTION TION wFROPC>SEp Et EVATIONS AND TYPE LIVING AREA;84.75' &
GRADING PLANS GRADING SHOWN HEREON ARE TAKEN GARAGE AREA;f.�
HAVE MINIMAL FARM THE ENGINEERING PLANS OF'MASER ELEVATIONS REFERENCED TO C'9
GRADING/ELEVATION CONSULTING IRA,',PROVIDED BY CLIENT FORTH AMERICAN VERTICAL DATUM OF 3�(.
INFORMATION
1'3$$
*0.85 NATIONAL GEODETIC VERTICAL
SURVEY ABBE ° i&i iSj DATUM OF 1929
AIC-AIR CONDt ONER TTR -Dt ED INS INVERT PC POINT OF CURVE 1tJ-RECORD
AT-ALUNRNUM ENCE DE- DRAINAGE EASE SALNT Ld t4CFNSED RUtShif SS PC - PERMANENT CONTROL, POINT RNG RANGE
LEE^ BASE FL00CLUEVA11ON LL ORE IEV - ELEVATION IFF- LOWEST FLOOR ELE.VA{ION ICE -POOL EGUfPMFNT RRS-RAI'ROADSBKE
6M-6ENCN MARK EDP - EDGE OF PAVEMENT IS-IJCENSEDSURVEYOR PG -PACE R/Se - RIGHT OF WAY
C^CURVE ESM'I4 EASEMENT (Mi-MFASURED PI- POINT OF INTERSECTION SECNSECTION
(CI -CALCULATED F/C-FENCE CORNER MES- MITERED END SECTION PIT -PARKER SALON SN&D- SET NAIL AND DRK LP#81
4 ( LNTERLINE FCM . FOUND CONCRETE MONUMENT NCF NO CORNER COUNT) POS POINT OF BEGINNING SIR SET / T IRON ROD L B# 8183
C,F^CORRUAEENCE FI-FOUNDRONPPE OIq CAPON POP POINT OFCOMMiFNCTMF.PIT TOR TEMPORARY BENGi MARK
CM➢-CORRU6ATFD M£IAt Piet - &D-ECUN MVE&NROD OHW OV-RALRECIFID IS)Sj POL-POINIONLNF T06 T—TEHI,
COL( -CON N OP - a FOttNDPENPI F OR P>AT ALRKCRI?"s PRC PORMAN RLVSEFERENCE TUE TOITYEAS
CONC-CONCRESI FEE - FOUND [PEN FI M PS - Pi AT EUF PUSDC ENTRPEAEME MONUhAEN"! U-E-UTItiTY EJiSEMZNt
C/S-CONCRETE SLRB PPP -•FOUND PINCHED PIPE PB^PIf TBOO,K PUE^f'UHUC U'INtY EASEMENT
71.3'
fY 0
LOT 47 LOT
2 1
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L
113 1L3 1
00 4} H
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18.00 al i`v' 2y63'fb
Date of Site Pfan:%-0$-22 CW[
WG"i,l-$-TtP_AP SITE iiWG _ _
This SITE Plan Prepared for and Certified To:
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140 I
1708 Water Oak Drive
Tarpon Springs, Florida
Phone: (727)-831-1990
FioridaPLS7123@gmail.com
LB# 8183
Scale. i = 20
�f.
Initial Point Land Surveying, LLC.
SURFACE TYPE FENCES
;". !,,.ly11.-1-NC ALUPP.INUM FENCE
!il <.DASPNALT VINYJ-FENCE
-BRICK WOOD FENCE
` u' -SAND/DIRT CHAIN LINK FENCE
-x __
^COVERED OVpERHEAD{�POWER
e..._ I]!�i.. — 4nf _.._""
LEGEND:
_-- PROPOSED DRAINAGE FLOW
100.001 - PROPOSED GRADE
E 00.00 = EXISTING GRADE a 2'OAK
-- 10 INGRESS EGRESS/U.E & D.E
APPARENT FLOOD HAZARD ZONE "X COMMUNITY NO, I2OZ35
{MAP NUMBER 1210IC-0452-Fj EFFECTIVE DATE` 09/26/2014
SURVEYOR'S NOTES;
1.) Current title Information on the subject property had not been
furnished to Initial Point Land Surveying, LLC, at the time of this site plan
2,) This sketch was Prepared without the benefit of a title search. No
instruments of record reflecting ownership, easernents or rights -of -way
were furnished to the undersigned, unless otherwise shown hereon-
3.) Roads, walks, and other similar items shown hereon were taken from
engineering plans and are subject to survey.
44 This site (clan does not reflect nor determine ownership.
1L) This site plan is subject to matters shown on the Plat of "ZEPHYR
COURT'
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 Lana Surveying, LLC of any deviation from
information shown hereon Failure to do so will be at user's sate risk,
This certifies that zketr,�O'i Pqe ft ' F` ', 4 praperty was made
under my sups isio ndards of Practise for
surve}rs as set f t�, Chapter
5.b17.OS1 She T 0 , i culotW
Section 432.027, IdSe:#r. Statu as
VALID W 1i` fiaRK'i NATURE AND SEAL
OFAFLORt:: F _.: 4 RAND MAPPER
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
38028 Fallstone Way
Parcel Tax ID: 15-26-21-0230-00000-0030
Services to be provided: Plans Review X Inspections
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: I)EBPA ANNE KLAHR
Address: 747 SW 2N[) 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.
Z�'
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, envirommentaI or other codes.
1. Qualification statements and/or resuinas of the private provider and all duly authored representatives.'
2...Pro of ofinsurance for professio a.l and comprehensive liability in.,the, amountof 1 millionper
o ccurrenoe relating to all services performed as a private provider, including tail'coverage for a minimum
of 5 years subsequent to the pexformance of building code inspection services,
Individual
(signature)
Print
Name;
Address°
Telephone
No.
?lease use appropriate notary block.
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
B,foreme,thisday of
20— personally
appeaed
who executed the foregoing iris ent,
and acknowledged before ma that same
vas executed for the purposes therein
expressed.
Corporation
Beforeme,tbis 22ND day of
MAY 2 o 2
personally appeared
Of
L nnar Homes LLC a
eorpsoriilon, on
.' behalf of the state corporation, who
executed the foregoing instrument and
acla ow.ledged before me that samewas
executed for the purposes therein
expressed,
Partnership .
PrintPartnershipName
By;
(signature)
Print
Nome.
z�.
Address,•
Telephone
No.
B ,fore me, this day
of
personally appeared
p er/agent onbebalf of
a partnership, who emeouteathe
fbmkoing instroment and
was executed for the purposes therein
Personally known X or, gProducediden#oafion Type of identification produced
Sipatue ofNotary L PH-atName� i-1L� ALL A.i�A�1
4 .
NotayyPublic Stamp; ve {*^4 ASHLEE CALLAHAN
* *i MY COMMISSION #`HH 295980
�°° Cornmission Expires; ����a� k EXPIRES: November 30, 2025
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 21 Avenue
Gainesville, FL 32601
Phone-i
Project: New SF
• .t `, 1
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
Name: Debra. Anne Klahr
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License #` PX2300
Signature of Reviewer:
SWORN AND SUBSCRIBED befibte 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
fo egging is true an orrect to the best of his/her knowledge or belief
ignat re of Notary Print Name
commission expires: � W'1% A NiEE CALLAHAN
EXPIRES: November 30, 2026
�(; COMMERCIAL. BUILDING SERVICES DIVISION RESIDENTIAL,
BUILDING DING PERMIT DATA SHEET
TRACKING # FIRE MARSHAL, #01 - DATE: 3/29/2023
FO It # 38028 Fallstone Way EXAMINER: -ebra later PX230t
Re aired Permits
Building VUPlumbing Mechanical Electrical Amp
[� Inspection On ❑ Inspection Only®Irt action Onl In ection Onl
Roof Gas El Medical Gas El Fire Sprinklers
On Site Piping ® Fire Line ❑ Irrigation E] Fire Alarm
El potable Back1low Assembly Ej Fire Line Backilow Preventer ❑ Irrigation Backilow Assembly E] Demolition
E Walk-in Cooler [l Refrigeration El Hood Q A sul
Fence all E] Grease Trap ® Other E Other
Buildine Data
i e Constrizctione V-8 Risk Category: Occupancy Load
ancy Classification. lAssembly business Care/Educational
:Factoryhazardous nal F�Day
ercantile
Residential - [ storage �]:'CJtility
Building Use: SINGLE FAMILY TOWNHOiU E / Alteration [;Level I IQ ---,,Level 2 FEJ Level 3
vf New Construction El Interior Finish [] Interior Remodel ® Exterior Remodel ® Addition E] Revision
Overall Size: Number of Stories: Total Sq. Ft.:
18X 63 2 2056
Laving Area: 1634 Covered Area: 4 2 # of Bedrooms: 3
# of Baths: 2b
Cost per square foot: Estimated Value:
Roof is Shin le [Nile ® Ba !,no Metal Other Scares: 1
Zoning: WiIborne Debris: Energy Code: 40 -2020
[inside ;Outside
Flood Zone: X Base Flood Elevation: Finish Floor Elevation:
Hydrostatic Vents? Yes No Sq. Ft. Enclosed Space 13e1�v BFE:
of Vents: Size o dents: Total Sq> In Per 7indow
ntaenings
Central A/C ® Beat Pump A/C
Gas A/C ❑ Gas Beat [ Electric Beat
Front Rear Left Right
21 Asper Approved Site Plan