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HomeMy WebLinkAbout23-6484Address: 4301 W Boy Scout Blvd Suite 600 Tampa, FL 33607 Phone: (813) 574-5700 CONSTRUCT TOWNHOME 1634 SO FT Water Connection Residential Fee Address Fee Public Safety Impact Fee -Admin Transportation Impact Fee - City Plumbing Permit Fee .P—qnLLjjiI Fpf- - I.Ringlp ILIXITA"wi• BNR-006484-2023 Issue Date: 47013MOM11011=1 Building Valuation: $250,320.00 Electrical Valuation: $37,548.00 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: 6/30/2023 7:23:59AM $1,140.00 Building Permit Fee $1,291.60 $30.00 SIF 1 percent Fee $33.53 $26.35 Mechanical Permit Fee $127.61 $34.80 Sewer Connection Residential Fee $2,400.00 $16516 Fire Wall/Smoke Wall Inspection $15.00 $769.56 Admin Fee / (Provider Service $180.00 $794.92 Transportation Impact Fee $3,445.20 $254.00 Electrical Permit Fee $227,74 $3,353,00 Driveway Fee $45.00 . a '19 M-17101MMM-111111 11t)[1-11MIlh-Unim IRMO-glli-onom all 4-9-9- R-471- M-1 01 1 NOW il 1141 entities such as water management, state agencies or federal agencies. '11111119 1111111 111 1 FIN I �l!� m... I i I! 1 11 I'll 11111 �" ��� III III " !! P I r V W. V I rm P-9 R. "M F. mn= I nom tm�� . 0 6 • I accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CO OR �SIGN PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Owner's Address [L3975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number Fee Simple Titleholder Name [ N/A Owner Phone Number Fee Simple Titleholder Address NlA JOB ADDRESS 136464 Camp Fire Terrace LOT # 2218 SUBDIVISION Abbott Square PARCEL ID#[04-26-21-01 60-02200-0180 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED 0 NEW CONSTR ADD/ALT SIGN DEMOLISH INSTALL 8 REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL DESCRIPTION OF WORK I Multi -family Screen Enclosure / Fence SIZE I UIR IF 2086 SO FOOTAGE1634 HEIGHT 28 BUILDING BUILDING $ 250320 jI VALUATION OF TOTAL CONSTRUCTION IJ ELECTRICAL PROGRESS ENERGY W.R.E.C. AMP SERVICE PLUMBING $ 25032 U�i MECHANICAL 17522.4 VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES Do BUILDER COMPANY I Lorimar I lornes, LLC SIGNATURE REGISTERED Y/ N FEE CURREN /N Address 42 W Boy S�2�d Suite 600 Tampa, FL 136=01 License# C15 ELECTRICIAN COMPANY Edmonson Electric, Inc. SIGNATURE REGISTERED Y/ N FEE CURREN YIN Address License # PLUMBER COMPANY BayonetPlumbing, Heating & AC, Inc SIGNATURE REGISTERED Y/ N FEE CURREN --LYTN-- Address License # I CFC042998 MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y/ N FEE CURREN LILN J Address Lirense# =CO58062 OTHER COMPANY LC Sterling Quality Roofing, Inc SIGNATURE F_ REGISTERED I Y/ N FEE CURREN I Y/N Address License # 1 CCC057991 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms, R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wl Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & I 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. (AIC upgrades over $7500) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades AIC Fences (PloUSurvey/Footage) Driveways -Not over Counter if on public roadways..needs ROW "NCTICL*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 contractors) 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 property licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law —Homeowners 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, Welland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District -Wells, Cypress Bayheads, Welland 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. 0 . I .-• in IA I I &N llowifoi I I MU1.401U4311111M I W01 I III 11! IV A Z 11112 ILOX01Z I IF-1 1011112 1 Of-, ILI Lm" 10• OWNER ORAGENT Subscribed and sworn ro (or affirmed) before me this uvzoza by _Christopher Smith Who is/are personally known to me or hasihave PFOduGed as identification. Notary Public Commission N� G 296057 Stephanie Farmer Name of Notary typed, printed or stamped EUSUKHOLLEW c M on DOIJ-11e 6rl ommWon # HH 000460 F Ex `4 of8" W W ft TMY fWA bwara 8*,%*7 or 9 Ty Subscribed and swum to (or affirmed) before me this 4N2G23 by Christopher Smith Who is/are personally known to me or has/have produced as identification. 1­7 _Notary Public Commission No. 6 7 —Stephanie Farmer Name of Notary typed, printed or stamped '6 ELISSAM. HOLM, %Jt�FV Witrer JunK 2024 DESCRIPTION: LOT 17-22, BLOCK 22, ABBOTT SQUARE PHASE 2, SITE PLAN ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 90, PAGES 28-33, OF THE PUBLIC RECORDS OF PASCO COUNTY, INOT A SURVEY) FLORIDA This SITE PLAN Prepared for and Certified To: PROPOSED ELEVATIONS AND GRADING Lennar Homes SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF - ALL ELEVATIONS REFERENCED 'ABBOTT SQUARE RESIDENTIAL", PREPARED TO NORTH AMERICAN BY -WRA' PROVIDED BY CLIENT VERTICAL DATUM OF 7988 )NAVD 88) 5 CONE .WALI4 • ` \\Ob3b\ �2834 ((10 • o r 1 Y 1 wI, 10.0 •" i �,• 10 0 TRACT "B-7" (CDD) OPEN SPACE 10.0' P 7.0' ENTRY m 6 LOT 22 BLOCK 22 PROPOSED y 2 STORY ATTACHED RESIDENCE UNIT -A 1 1532 LOT 21 BLOCK 22 PROPOSED g2 STORY ATTACHED - RESIDENCE ? UNiK 1624 a AI7 10.0' o,,.,-�NAI o.LA A/CI A/C 1 O I NOTES: LOT GRADING TYPE =A PROPOSED PAD ELEVATION = 109.20' TRACT "A" (CDD) RIGHT-OF-WAY CAMP FIRE TERRA N 89'48'04- E (P) BASIS OF BEARING SEC. 4, TWP. 26 S, RNG 21 E. PASCO COUNTY, FLORIDA (ABBOTT SQUARE PHASE 2) Scale: 1 " = 20' N139'4&D4' E IP) 128.68IP) Be'IP)•,: sl 2s.34. 1 ,Xl� . f PRM Q82N 89'48'04- E (P) I I I S 350.20' (PI 16.0 i 10.0 1 10.6 - 1 I0"u 3' ENTRY LOT 20 108 L_8 K ZZ ENTRY 6.3' v LOT 19 O BLOCK 22 6.3' ENTRY LOT 18 �''I BLOCK 22 Q ENTRY 7.0' LOT I I a BLOCK 22 PROPOSED g PROPOSED PROPOSED PROPOSED w 2 STORY 2 STORY 2 STORY 2 STORY ATTACHED ui ATTACHED ATTACHED -ATTACHED RESIDENCE ? RESIDENCE RESIDENCE a RESIDENCE UNIT-C UNIT-C - 1624 — 1624 UNIT-C UNIT -A 1624 1532 B _ 6 8 B 17.3' 17.3' 17.3' I8 n' j A/C A/C i A/C A/C i I I i I i 1 I I i i I I I I i 18,00' (P) ®18,00' (P) ` 18,00' IF) 2 N 89-48'04' E (P) 128J58' IP) TRACT "84" (CDD) OPEN SPACE 1 ;n LOT ib BLOCK 22 JOB IF w 15905522217 15905622218 15905522219 15905522220 15905522221 15905522222 2S/ FRONT SET BACK =20' LOT = 12611 SQ.FT. LIVING AREA = 4010 $Q, FT. SIDE SET BACK = T5' NOTE: ENTRY WALKS ARE 3.0' CONCRETE 0.7' CONCRETE WALLS SEPARATE INDIVIDUAL UNITS ENTRY = 476 SO. FT. SIDE SET BACK )CORNER LOT) =10' C/S-NC UMTSARE 3.2X3.2' GARAGE = 135b SQ. FT. REAR SETBACK = 15' COVERED LANAI = 652 SO. FT. PATIO = NA SQ.FT, POOL AREA = NA SO, FT. PROPOSED: + = 10.00' PUBLIC UTILITY EASEMENT CONC. DRIVE = 1200 $Q. FT. MINIMUM FLOOR ELEVATIONS: A/C & CONC PAD = 54 SQ. FT. LIVING AREA: 109.87' LEGEND: SIDEWALK = 272 SO. FT. GARAGE AREA: SIDE YARD SWALE = NA SO. FT. ELEVATIONS REFERENCED TO -= PROPOSED DRAINAGE FLOW CONSERVATION AREA = NA SQ. FT. NORTH AMERICAN VERTICAL (00.00) = PROPOSED GRADE LOT OCCUPIED = 64 % DATUM OF 1988 E-00.00 = EXISTING GRADE AREA TO IRRIGATE = 36 APPARENT FLOOD HAZARD ZONE: 'X' COMMUNITY NO, 120235 SURVEYABBREVATIONS (MAP NUMBER 12 10 1 C-0289-F) EFFECTIVE DATE: 09/26/2014 Al- ARCLENGTH (D( - DEED INV-INVERT PC -POINT OF CURVE IRI- RECORD LEGEND VINYL FENCE A/C-AIRCONDITIONER AF- ALUMINUM FENCE D.E- DRAINAGE EASEMENT EL OR ELEV- ELEVATION LB -LICENSED BLPSNESS LE- LANDSCAPE EASEMENT PLC- POINT OF COMPOUND CURVE PCP- PERMANENT CONTROL. POINT RNG-RANGE RRS - RAIL ROAD SPIKE +"® .. 'r7+�• CONC ---0 ------ 0- SEE - BASE FLOOD ELEVATION EOP-EDGEOF PAVEMENT LE- LOWEST FLOOR ELEVATION P/E^POOL EQUIPMENT K/W - RIGHT OF WAY BM -BENCHMARK C-CURVE ESMT-EASEMENT LS- LICENSED SURVEYOR PG PAGE SEC - SECTION WOOD `ASPHALT , FENCE --- ICI -CALCULATED F/C - FENCE CORNER FCM - FOUND CONCRETE (M_MEASURED ME -MITERED END SECTION PI- POINT OF INTERSECTION PK-PARKER KALON SN&D-SET NAIL AND DISK LBM8183 - CENTERLINE CLF - CHAIN LINK FENCE MONUMENT FIP-FOUND IRON PIPE NOT =NO CORNER FOUND O/A-OVERALL 0.-PROPERTYUNE POB^ POINT OF BEGINNING SIR =SET 1/2' IRON ROD LBE 8183 TBM-TEMPORARY BENCH MARK CHAIN -BRICK K LINK FENCE CMP- CORRUGATED METAL PIP COL=COLUMN FtR-FOUNDIRONROD OHW-OVERHEAD WIROSI POC-PONTOFCOMMENCTMENT TOB - TOP OF BANK ��....11 CONC-CONCRETE FN&D^FOUND NAIL&DISK O.R. - OFFICIAL RECORDS POL-POINTONLINE TWP-TOWNSHIP ALUMINUM FENCE CS - CONCRETE SLAB FOP - FOUND OPEN PIPE III) -PLAT PRC- POINT OF REVERSE CURVE UE^ UTILITY EASEMENT -COVERED � `\ CST- CLEAR SIGHT TRIANGLE EPP' FOUND PINCHED PIPE P@ - PLAT BOOK PRM^ PERMANENT REFERENCE MONUMENT VF-VINYL FENCE SURVEYOR'$ NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive Date of Site Plan: 5-20-23 t.) Current title information on the subject property had not been furnished to Initial Point Land Surveying, U.C.at the time of this y g- SITE PLAN This certifies that s�ttrtf, of the hereon describe property w�r,Ni2r�ey �Mq�supervision and tYth II k' Practice for Tarpon Springs, Florida p Phone: (727)-831-1990 PLS7123@gmziLcom `\o uWGAS-PH76-u 7-22-BL23-SITE Z) This sketch was prepared without the benefit of a title search. meets ccH�bb c7j �f rve� e�(ind LB# 81 LBN 8183 No instruments of record reflecting ownership, easements or r � - r °roe File rights -of -way were furnished to the undersigned, unless otherwise J 5 d �L t ( ('t)ey Drawn shown hereon. u ant o Section 47 ' 77 FI by DJB 3.) Roads, walks, and other similar items shown hereon were take IO: 6 Checked by:JH from engineering plans and are subject to survey �/ � 0.5 • ..4t..�. Tap, REVISIONS 4. This SITE PLAN does not reflect nor determine ownership`\\ ) �t' a'•J!i'lY+ Y sT E OF t t I 6.) This SITE PLAN is subject to matters shown on the Plat of FLORIDA 'ABBOTT SQUARE PHASE 2' 6.) Dimensions shown hereon are in feet and decimal portions thereof. Jeff M FLORID @�{ x�'>ORANDi 7.) Contractor and owner are to verify all setbacks, building MAPPER N I 2 dimensions, and layout shown hereon prior to any construction, NOT VALID WITHOUT THE ORIGINAL and immediately advise Initial Point Land Surveying, LLC. of any SIGNATURE AND SEAL OF A FLORIDA deviation from information shown hereon. Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, L-C. at user's sole risk H, T U A, - R E-- V = E "A,,� A S) S I Q T Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: Parcel Tax ID: 04-26-21-0160-02200-0180 Sei vices 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. plvd�� 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: Private Provider: IF-3 a Email Address (Optional): deb@virtualreviewassist.com # Florida License, Registration or Certificate #. (LIC 8111967/ PX2300/ BN4615) I have elected to use one or more private providers to provide building code plans review and/or inspection services on the building that is the subject of the enclosed permit application, as authorized by s. 553.791, Florida Statutes. I understand that the local building official may not review the plans submitted or perform the required building inspections to determine compliance with the applicable codes, except to the extent specified in said law. Instead, plans review and/or required building inspections will be performed by licensed or certified personnel identified in the application. The law requires minimum insurance requirements for such personnel, but I understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harmless the local government, the local building official, and their building code enforcement personnel from any and all claims arising from my use of these licensed or certified personnel to perform building code inspection services with respect to the building that is the subject of the enclosed permit application. I understand the Building Official retains authority to review plans, make required inspections, and enforce the applicable codes within his or her charge pursuant to the standards established by s. 553.791, Florida Statutes. If I make any changes to the listed private providers or the services to be provided by those private providers, I shall, within I business day after any change, update this notice to reflect such changes. The building plans review and/or inspection services provided by the private provider is limited to building code compliance and does not include review for fire code, land use', environmental or other codes. The following attachments. are provided as required: I. Qualification statements * and/or resumes of the private provider and all duly authorized representatives.* 2,- Proof of insurance for professional and comprehensive liability in.the. amount of $1 million per occurrence relating to all services performed as a private provider, including tail coverage for a minimum of 5 years subsequent to the performance of building code inspection services, (signature) Print Name:— Address. - Telephone No.: Please use appropriate notary block. Logo M11 B efore me,, this day of 20— personally appeared who executed the foregoing instrument, and acknowledged before me. that same was executed for the purposes therein expressed. Corporation LENNAR HOMES. LLC Print Corporation Name By: (sign6ture.) print Name: Christopher Smith Telephone. No. 813-574-5700 Corporation Beforem,,t3is 22ND day of MAY 20-22 personally appeared ' of Lannar Homes, LLC — a corporation, on behalf of the state corpomlion, who executed the foregoing instrument and acknowledged before me that same was executed for the purposes therein expressed. 0=11 M (signature) Print Name: Address: - Telephone No.: Partnership Beforeme, this —day of , , 20_ personally appeared p artner/agent on b ehalf of a partnership, who fmeoute,d the otbregoing instrum_ud acknowledged before, me that same Personally known X- or- Produced identitcatioq_ Type of identification produced A SipaturD of Notaxy P rint Name ASHLEE -CALLAHAN Notary Public Stamp: Commission Expires: ASHLEE CALLAHAN My cOMMISSION # HH 295980 "EXPIRES: November 30,2026. Page 2 of 2 VRA VIRTUAL REVIEW AMST Private Provider Private Provider Finn: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU 1967 Address: 747 Southwest 2nd Avenue Gainesville, Fl, 32601 Phone: 813-391-2959 Email: 1pgy4a,)virW,a1reviewassist.com Project: New SFT Address(s): 36464 CAMPFIRE TERRACE 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. l,2.2,,3,4,5,6,7.L7.2,8,9, 10,11. 1,11 .2,12,LI,SN, SNI, S3M, S4,S5,S6,SS,ST, D lWP, PAI.0,PAI.1, PAL2,PAL3,PAL4, PAI.5,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: SWORN AND SUBSCRIBED bfore 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 fb�egol g is true and rrect to the best of his/her knowledge or belief, AA Ashlee Callahan 41i'kURf 'Notary Print Name commission expires: Z5 W my COSSION # HH 295980 2026 eones" t4ovOmbet M OCOMMERCIAL BUILDING SERVICES DIVISIONRESIDENTIAL BUILDING PERMIT DATA SHEET TRACKING # FOLIO # 36464 Camp Fire Ter FIRE MARSHAL #01 - Renuired Permits DATE: 6/17/2023 �6116iuilding Inspection OnLy Plumbing i IV F-1 Ins ection On p 4ecIII anical 1 Ej Inspection Only BIG= UI JZ Roof E] Medical Gas E] Fire Sprinklers E] On Site Piping E] Irrigation E] Fire Alarm El Potable Backflow Assembly Fire Line Backflow Preventer E] Irrigation Bacliflow Assembly El Demolition El Walk-in Cooler El Refrigeration E] Hood El Fence/Wall El Grease Trap F� Other KOJI 1, Fliff i7i'Mr-AF17M. pe Construction: I V-8 Category: Occupancy Load _TyRisk O Wpancy Classification: Factory Residential Assembly E--= Hazardous ralStorage©Utility business ay Care/Educational itutional ❑Mercantile Building Use: sinalefamilytownhome Alteration FLevell ETLeve12 Leve13 IIQ", New Construction El Interior Finish E] Interior Remodel E] Exterior Remodel E] Addition Ej Revision Overall Size: 18 x 63 Number of Stories: 2 Total Sq. Ft.: 2086 Living Area: 1634 Covered Area. 452 # of Bedrooms: 3 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof Type: 9 Shingle ElTile —=Built-up E] Metal F-1 Other Squares: 14 Zoning: Wir ftorne Debris: nside j Outside Energy �ode: 405-2022 sup Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? [Dyes 0 Ro— Sq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: I Total Sq. In. Permanent Openings 9 Central A/C El Gas A/C —0—Heat Pump M Gas Heat 0 Window A/C El Electric Heat 76=9rlm-off mt. Sanitary Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line L17MI'ST" Front Rear Left Right As per Approved Site Plan Comments: Permit No. t builder Name/Owner Name Control # County Parcel No. 2- bRiv: dy Address/Location1 Classification/Type of Use Rate: Sq. Ft Unit: Impact Fee Amount__$_ SCHOOL IMPACT FEE Account (056) Single -Family Detached House Amount $ (057) Mobile Home (058) Other Residential (123) Collection Fee Exempt =Yes = No How Determined_ '1a1:�:t � i 1i1� M 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 Total Amount Prepared By Checked By NO CERTIFICATE OF QCCUPANY WILL BE 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. Y RECEIPT NO DATE BY