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Home My WebLink About23-6195City of 8 lls 5335 35 EighthStreet ephyrhills, FL 33542 BNR-006195-2023 Phone. (313) 70-0020 Fax. (813) 730-0021 Issue Date: 05/08r2023 M" i ® Buildin N i 'Residential \1'}`:`\ `, l ti...\ t.»,.,.. . S . :\. t S if c 1: 2\\ 15 26 21 0230 00000 0040 38030 Fallstone Way 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: $37,548.00r Phone: Mechanical Valuation: $17,522.40 Plumbing Valuation: $25,032.00 z Total Valuation: $330,422.40 Total Fees: $14,333.47 Amount Paid: $14,333.47 Date Paid: 51812023 1:55:41PM \ \ d. „3 .\ kS, ..N l \ 1 777\\ is z? \, c \ 1 It t , t \ . tti � l\ z`a. .,.,:.\ 'Y ,�``\%�, CONSTRUCT TOWNNOME 1634 SO FT \ \ 1 \ \ 4 . .., ,: .<.,,, ,,:,�r„�\t,,,rs\t \.. , ,z,l. ..�}.-.� ,,.�\� t�.t?Z\\\\` , . �,l',1., \ �Z�,\�t. a\�:ti,tt`�ii,�ti\ l f tia», t �, .L1.,, E;S� ;t t`•••t�. �.\�\� ,�\\4. ., ,�.C\``,,t :,`. ,�.,�:. ,� �a''�:'3 � 4»�� \;.�� l\�,>l, >,. Address Fee $30.00 Transportation Impact Fee - City $34.80 Transportation Impact Fee $3,445.20 Plumbing Permit Fee $165.16 SIF 1 percent Fee $33.53 Fire Wall/Smoke Wall Inspection $15,00 Electrical Plan Review Fee $0,00 Park Impact Fee - Single Family/Townhome $769.56 Public Safety Impact Fee -Admin $26.35 School Impact Fee - Single Family $3,353.00 Sewer Connection Residential Fee $2,400.00 Public Safety Impact Fee -Police $254.00 Electrical Permit Fee $227.74 Water Connection Residential Fee $1,140.00 Mechanical Permit Fee $127.61 Building Permit Fee $1,291.60 3/4 Water Meter Residential Connection Fee $794.92 Mechanical Plan Review Fee $0.00 Plumbing Valuation Fee $0.00 Driveway Fee $45.00 Building Plan Review Fee $180.00 REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.30(2)(c) the local government shalt 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 toowner: 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. It A/U_A erg° CONTRACTOR SIGNAT E NEWAAROFFICEPME THOUT APPROVED INS"" 813-780-0020 City df Zephyrhills Permit Application Fax-813-780-0021 Building Department r--------------------------- I Owner's Address 1 4301 W Boy Scout Blvd, Ste. 600, Tampa, FL33607 Owner Phone Number Fee Simple Titleholder Name NIA Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 38030 Fallstone Way L0T# 10004 1 L----------- I SUBDIVISION PARCEL ID#[15-26-21-0230 11 -00000-0040 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED 1NEW CONSTR ADD/ALT = SIGN DEMOLISH q INSTALL REPAIR PROPOSED USE SFR 1:3 TYPE OF CONSTRUCTION BLOCK E:1 DESCRIPTION OF WORK Fm-.lt,-f..,,y / Screen Enclose BUILDING SIZE SQ FOOTAGE _rllrxx�_ V1r1r1r1li OBUILDING E032Q OELECTRICAL Ei= OPLUMBING 1 $ 25032 1 OMECHANICAL EE= =GAS W] ROOFING E:] FINISHED FLOOR ELEVATIONS I Comm OTHER FRAME STEELED HEIGHT [2� VALUATION OF TOTAL CONSTRUCTION [X] PROGRESS ENERGY W.R,E.C, AMP SERVICE VALUATION OF MECHANICAL INSTALLATION It SPECIALTY = OTHER FLOOD ZONE AREA C) YES Do I BUILDER COMPANY SIGNATURE REGISTERED 30ft Boy S L 3- - - -] Address Fo,� �dut Blvd Suite 600 Tampa, 3607 ELECTRICIAN I V COMPANY SIGNATURE REGISTERED Address MEMO= 0 Address OTHER SIGNATURE COMPANY REGISTERED COMPANY REGISTERED COMPANY REGISTERED Lerman I lornes, LLC��FEE CIRREI License # Edmonson Electric, Inc, Y/ N FEE CURREN License #EE C:1 3:0:0 5:4 0:8 [Bayonet Plumbing, Heating & AC, Inc YIN FEE CURREN�� License # EE2998�� [ Bayonet Plumbing, Heating & AC, Inc * I �N Plumbing URR��IY I License # I CAC058062 C Sterling Quality Roofing, Inc 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, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & I 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. (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'S/OWNER'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 Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers -Seawalls, Docks, Navigable Waterways_ Departmentof 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 "N' 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 - _Wn e _? (or affirmed) Subscribed and sworn o M,.ffi�md) before me this 31z8,QN3 by Who islare personally known to me orh4s4ia�� as identification. Notary Public Commission G 296057 Stephanie Farmer Name of Notary typed, printed or stamped 9ff:J Subscribed and sworn to (or affirmed) before me this _2118-13 by Who istare ersonaii known to me or has/have produced as identification. —Notary Public Commission No._,� 6 7 Stephanie Farmer Name of Notary typed, printed or stamped �a r b uelf y n A MEGWNW dryu 84 a � T-77 4.30 83.80 "i.10 FaF.EL.. = 84.rw -, r f 83 DESCRIPTION: LOTfSI 1.8, TOWNES AT AUTUMN PALMS, ACCORDING SEC, 15, TWP, 26 S, RNG 21 E. TO THE PLAT THEREOF, RECORDED IN PLAT BOOK PAG€(Sl , OF THE PASCO COUNTY, FLORIDA PUBLIC RECORDS OF PASCO COUNTY, FLORIDA, Tc3tY14 5 T F4L1Ti. fY P #i S�__ TRACT 'H' N e / LANDSCAPE BUFFER 89'Sb'oB" P II _________ a . { f is.o 1 I8.0o"rP a.o; MEIN ;PL a_oa, B.60,I I flI U /I Vi LOP = LIVING AREA - ENTRY = GARAGE - COVERED LANAI - PATIO = POOL. AREA CONC. DRIVE A/C & CONC PAD = SIDEWALK SIDE YARD SWALE CONSERVATION AREA LOT OCCUPIED AREA TO IRRIGATE - ALL. ELEVATIONS REFERE TO NORTH AMERICA VERTICAL DATUM OF 1 INAVD 86) SITE PLAN {NC:T�a SURVErl I i L i I a 1 1ITS' o LANAI LANA! ___LANAI_ NA! LANAI N I N LANAI o D Sm 16969 SO. FT. 183' ISTU 18.0' 18.0' PROF SED18.0 18.0' 18.0 183' �..,_ U 5336 SQ. FT. 2 s ORY 672 S0. FT, ATT HED 1848 SO. FT, RESID NICER O 868 SO. FT. UNIT -A UNFUB UNIT{ UNFOC UNIT UNIT{ UNIT-B UNIT -A NA SO FT_ °' 1532 1576 w T624 1624 w 7624 7624 7516 1532 ..NA SQ FT, �. 2400 So- FT. 80 SC1. FT. "' b of 324 SO. FT. NA SO. FT. LOT LOT LOT LOT 3; LOT LOT o LOT LOT LOT L NA SO FT. 9 8 7 6 5 4 3 2 68_._._% 7:0' 6,7 ' Z ${T 6.7" Z 6. T 6.7 Z .C9 Z Z 7.0' 32 % dCED `�' d 1a,�Sb/ 113 11 3 Ell 1 1 3 i 113 I L3 io t 11.3 113 113 '.lo0 1 •70.0 b A eE1 I 1`. li I I X I 1 i i 1 I 28.30 P t1800'�P °;`I8 D0' P 18. 10' (PI ' i$,db�+ 18. 0' P IET O.EP .�`'2`.I 3. P NOTES: LOT GRADING TYPE .-- N/A PROPOSED PAD ELEVATION -- 84,25 ° ,. FRONT SETBACK a 15' SIDE SETBACK = 10' REAR SETBACK = 20 r , ALL WALKS 3.0UNLESS NOTED ALL A/C 3.2'x 3.2' ROADWAY TIRACT "C 1 -WIDE R S 89'5608' E fPf 32asig. 7/E/U/D ^ INGRESS EGRESS/ : B S C7F 2E' 2TNG - UTILm/DRAINAGE ESMT I/E/U/D EASEMENT PROPOSED: LOWEST FLOOR ELEVATIONS: NOTE: CONSTRUCTION PROPOSED ELEVATIONS ANDTYPEI LIVING AREA;84.75 GRADING PLANS GRADING SHOWN HEREON ARE TAKEN GARAGE AREA; HAVE MINIMAL FORM THE ENGINEERING PLANS OF "MASER) ELEVATIONS REFERENCED TO . GRADING/ELEVATION !.. CONSULTING P A. ', PROVIDED SY CLIENT NORTH AMERICAN VERTICAL DATUM OF INFORMATION i 1998 *0.85 NATIONAL GEODETIC VERTICAL ` SURVEY ABBREVATI" � �_ DATUM OF 1929 K __. ND „..-- CUR A/C LUMINNDITIONE IDI DEED tBVIE( 1/FR't' PC POINT Of NET CO IRI- ftFCORD F1^ ROEFLO LOGO DF DRAINAGE ORFITV- ELEASEMENT LEE ILOWFD RI IIINF�lnOCRN PCP- PLRMANEIPMENTROL POINT ME_RAf GE ROAD BM-BENCIitOOD Cl EVA ON FOP-EIDG =ELEVATION LIE -LOWEST DAROF ELEVATION P - AGE ME RAIL ROAD SPIKE :-MARK FOPOF -EDGEMENi tS^ L Cf ASUR SUIiVEYUR PG POINT R/WwRICE iTOF WAY C^CURVE F/C-F EASEMENT MEI MEASURED PK POINTROF IN fFALORSCCTION SN&I-STION - CTFRHNiED FCM FENCE CORNER MET-NOCCITFRI:DEND SUND D -PARKER OF SN&D-S1/2IT NAIL DOAND DICK IRER181 4L-CHINFCFIR - -FOUNFOUNDDCONCRETEMONUMENT NC!-NORA1J fOUN[J DOE POINT OF BEGINNING SIR-SEi TEMPORARY ARK Cif ^ CHAIN LINK EO ME FE- FOUND IRON G PIPRO OE Ta` - OVFRH POL - POINH ON LINE COMMENCEMENT TOM a TERMORA2Y 3QJCH MARK (MP ^ coUTE GAikD METAL PIPE F R- FOUND I D NAIL A OHW ^ OVFRHFI M ODEDC POL- POINt' ON LINE T06 -^ TOP OF K COL COLUMN FOPD FOUND OPEN PIE O.R. rFIAT FlE RECORDS PREC TOM PERMANIEOINT OF REVERSE CURVE UE ^UMITNSHIP CONIC -CONCRETE FOP- FOUND PiPENPIPE US 11B TOM PUBMNENTREFERENCEMONIIMENi UE-UTIt ITY EASEMENT C/5 .,ONCRF tE SLA.? FPP=FOUND PtNCt1ED P19L PB - PEA TBOON P.U.F=PUO!.iC U£iUTY.;F.SEMF,Ni 1 708 Water Oak Drive Tarpon Springs, Florida p.,•r Phone: (727)-831-1990 FloridaPLS7 , 23�egmaiLcorrl LB# 8183 Scale: III = 2(i' d^" Initial Point Land Surveyincl, LLC. SURFACE TYPE FENCES AtUMNUMF N(f M-AIII IALT VINA F NCF -- BRICK ..IT FFNC:E SAND/DIRI' CHAIN I INKFENCE OVERl1EADPOWER -COVERED ., ._ ......_.. �... LEGEND: _._.._._....„ ,__.w.__.__, ,.....,_...._. PROPOSED DRAINAGE FLOW (00 00l - PROPOSED GRADE E 0000-EXISTING GRADE `�" � 2' OAK 10 INGRESS EGRESS/U E & DC APPARENT FLOOD HAZARD ZONE: X' COMMUNITY NO, IZ0235 f MAP NUMBER 12 101 C-0452-F1 EFFECTIVE DATE: 44/26/2014 . 16'�.. i SiA 5811'S N®TES: t J Cunneen title information on the sra#IerE had not been x -^3.�'^:.. ,r.^,.-�--.-•.. • ..- - psopett}+ furnished to Initial Point Land Suiveyinri, Lt,C, at the time of this site Plan 2 0 ", 1 2.) This sketch was primamd without the benefit did title search, No 1 Instruments of record re4teconey ownership, easements or ughtS-of- way .. w i were famished to the undersigned, defers other+,whe shaven hereon 3A Route, Wailes, and other similar items shown hereon were taken from S BeL engineering playas and are subJect to survey q 4.) This site plan does not miner nor determine ownership, i a S.} This site plan is subject to matters shown on the Plat of "ZEPHYR / y Q COURT V B.) Dimensions shown hereon are in feet and decimal Portion, therf 7.} Cisroraincir and termer are to verify all setbacks, builglncd divnensUrnS. T j and layout shown Hereon Prior to any construction, and rmn+ediateLy Initial Point Land Surveying, LLC, deviation from advise of any information shown hereon. Failure to do so will be at ever's rote risk. v 1 This certifies that sketck} (to t i property was made under my Sup isfo ' ndards of Practice for 10cimay [WC Party Chef JIFt REV@ONS surveys as set f - S^r. aChapter 5,117051thr i 9 , I r rI „yrTuantto Checked BICJH JO$#5530 Sectlon472,027, nd..State Statu:# File. Date: 06,26 late of Site Plan,oli OBr22 CWC. - .Jeff M Hartley tat — sWQI,L8=T0AP SITE.DWra S R 1 FLORIDA PRC#€E 51 aka � :. LT.r#7iZ3 Ir6#8 83 This SITE Plan Prepared for and Certified To: NOT VALID WI TUR€ AND SEAL ....R ,enner Homes OF FLORI. SC _... ..� AND MAPPER Notice to Building Official of Use of Private Provider Effective January 20, 2003 38030 Fallstone Way Parcel Tax ID: 15-26-21-0230-00000-0040 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. MWERIffigm 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 KLAHP Address: 747 SW 2Nb 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 any 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 review for fire code, land use; envirommental or other codes. The, following attachments. are provided as tequuireda 1. Qualification statements and/or resumes of the private provider and all duly authorized representatives 2. Proof of insurance for professionaland comprehexisive liability ' ,the.amount.of 1 million per o ccurrence relating to all services per€orrned as a private provider, including tail coverage for .a numinum of 5 years subsegiaerztto ili perforixxance of building code inspection services. Individual gorporation Partnership . {signature), _ Print Name; Address, Telephone FLORIDA. LINEN Iday of was extruted forthe purposes therein CorpDratidn B efore me-, this 22-ND day of MAY . zo personally appeared ' of Lenn r domes LLC a �Drpor��ion, on behalf of the state corpoxation,who exeouted the foregoing instrwnent and aclaiowledged before me that same was executbdfor the piuppses therein expressed, PrintPartnership Name W (signature) Print Name: its> Address: ' Telephone No. a B afore me, this day personally appeared p et/agent onbff alf of partnership, forei :'tti �, Igo acl�nowledpdbeforemeths:t was executed for the P'Urpo.ses therein Pusonallyknowa }i or_ Pxoducedidentztoatioia T-Ype of,idtntificationproduced signature ofNotax` L PrintNama A HLEE CALLA AA NotaryPublic stamp; °? A Ht S A LAAHAN Caxnmission Expires; �m Y COMMISSION HH 295980 , � ��° EXPIRES Novambw 30, 2026. - VR VIRTUAL REVIEW ASSIST Private Provider Plan Compliance vit Private Provider Finn: Virtual Review Assist, Inc. Private Provider: Debra k. Address: 747 Southwest 2nd Avenue Gainesville, FL 32601 Phone: 813-391-2959 Florida I hereby certify that to the best of my knowledge and belief the plans submitted were reviewed for and are in compliance with the folloming affiant, who is du i thorizedtomrformylansre and holds the appropriate license or certificate: Name: Debra Anne Klahr Florida License/.Registration/Certification egistration/Certification #(s) and description. FS468 Certified Standard Mans Exam'er License-#: I'2300 Signature of Reviewer: .°.. ------ SWORN AND SUBSCRIBED before me by Debra Anne Klahr being personally known to me .y..,_" or having produced as identification and who being fully sworn and cautioned, state that the for goLof e d correct to the best of his/her knowledge or belief. Sign are Notary Print Name Notary Public: NOTARY STAMP BELOW icy commission expires: ASHLEE CALLAHAN My COMMISSION # NH 295' 980 `A : t tt 4 EXPIRES: NOVOM �r59,2029 Cfill MERCIAL BUILDING SERVICES DIVISION RESIDENTIAL BUILDING PERMIT ?ATA SHEET TRACKING # FIRE MARSHAL # l ® DATE: 3/29/2 23 FtiL I # 38030 FallstoneW v EXAMINER: Co bra Klahr PX23 C Re ermits Building Plumbing mechanical Electrical Amp ® Inspection Onl Inspection Only Ins ection Onl Ins ection Onl Roof E:] Gas [1 Medical Gas El Fire Sprinklers On Site Piping C] Tire Line E] Irrigation El Fire Alarm Potable Rackituw Assembly El Fire Line Backilow Preventer E] Irrigation Backflow Assembly Demolition Walk-in Cooler [ Refrigeration ® Mooed El Ansul Fence/Wall ® Grease 'Trap ❑ Other ❑ Other Buildina Data I e �onstru�ction: Risk category: i3ooupancy Load it azaeylassiicatia�z�. Assembly _ business ay Care/Educational ! ,.-,,,,"-,Hazardous ` :Institutional �[1lercantile ;Residential p3_ ;StorageE=®CTtility Building Use: Ihl LE. AIs� L T N�dO E 1 Alteration Level I Level ,%evel3 New Construction ® Interior Finish E] Interior Remodel Exterior Remodel ED Addition IJ Revision Overall Size: Number of Stories: Total Sq. Ft.: 18X 63 2 2086 Laiving Area: Covered overed Area: 52 # of Bedrooms: 3 # of Baths: 2.5 Cost per square foot: Estimated value® Roof e: X Shin to Tile] Built-u Retal ❑ tither S waxes: 14 Zoning: Wi orne Debris: Energy Code: ❑rinside Cixxtside 45�22 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? [ Yes Na Sq. Ft, Enclosed Space eltavv FE: # of Vents: Size of Vents: Total q. In. Permanent Openings Central A/C ?� Meat Pump ®Window Ali has AlC ®s Heat Electric Heat Front Rear Left Right 21 As per Approved .Site Plan Comments: Builder Name/Owner Name �i „ Control # County Parcel No. i {� �a 2 30 �� SubDfvr Gl� � ��G f � ✓� Address/Location eo� Classification/Type of Use Xi TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: Exempt Yes 0 No How Determined Impact Fee Amount 5 C Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single -Family Detached House Amount $ (057) Mobile Florae (058) Other Residential (223) Collection Fee Exempt =Yes = No Flow Determined_ 1 4 Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone Total Amount $ Exempt =Yes No Flow Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt El Yes No Flow Determined Total Amount RESOURCE FEE ERU MiNK Checked By PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY • l RECEIPT NO DATE BY