HomeMy WebLinkAbout23-6515it of Zephyrhilis
5335 Eighth Street
Zephyrhills, FL 33542
BNR-006515-2023
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date:
=7 04 gimv
L11 LEM
04 26 21 0160 02500 0130 6732 Back Forty Loop
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Name: Lermar Homes, LLC
Permit Type: Building New (Residential)
Contractor: LENNAR HOMES LLC
Class of Work: SFR Construct
Address: 4301 W Boy Scout Blvd Suite 600
Building Valuation: $241,800.00
Tampa, FL 33607
Electrical Valuation: $36,270.00
Phone: (813) 574-5700
Mechanical Valuation: $16,926.00
Plumbing Valuation: $24,180.00
Total Valuation: $319,176.00
Total Fees: $20,233.91
Amount Paid: $20,233.91
Date Paid: 7/10/2023 9:49:23AM
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CONSTRUCT SINGLE FAMILY 1528 SID FT
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Public Safety Impact Fee -Admin $26.35 Admin Fee (Provider Service) $180.00
Park Impact Fee - Single Family/Townhome $769.56 SIF 1 percent Fee $83.28
School Impact Fee - Single Family $8,328.00 Plumbing Permit Fee $160.90
Driveway Fee $45.00 Public Safety Impact Fee -Police $254.00
3/4 Water Meter Fee (Cale) $794.92 Sewer Connection Residential Fee $2,400.00
Mechanical Permit Fee $124.63 Building Permit Fee $1,249.00
Water Connection Residential Fee $1,140.00 Irrigation 3/4 Meter (Cale) $794.92
Transportation Impact Fee $3,595.68 Electrical Permit Fee $221.35
Transportation Impact Fee - City $36.32 Address Fee $30.00
REINSPECTION FEES: (c) With respect to Relinspection 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 inal inspection or
first reinspection, whichever is greater, for each subsequent reinspection.
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TIdy fe dUoRlunai pen-1111 reqUIreU TFOM ofner governmental
entities such as water management, state agencies or federal agencies.
1 frcft L It .
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
Al iA�lII
V COWTRACTOR SIGNATURE PEJAIT OFFICEU
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHET
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
a Building Department
Date Received Phone Contact for Permitttn 908 770 __ 7763
r tl rnr r tr r,r r
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 8i3.574:5700
Owner's Address 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number y
Fee Simple Titleholder Name NIA Owner Phone Number l
Fee Simple Titleholder Address I NIA
JOB ADDRESS 6732 Sack Forty Loop LOT # 2513
SUBDIVISION Abbott Square PARCEL ID# 04-26-21-0160-02500-0130
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
9
NEW CONSTR ADD/ALT E=
SIGN ® [ DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM
OTHER
TYPE OF CONSTRUCTION BLOCK FRAME
STEEL
DESCRIPTION OF WORK
Single Family Residence / Pool / Screen Enclosure / Fence
BUILDING SIZE
I U'/ SF 2015
SQ FOOTAGE
1528
HEIGHT
28
BUILDING
$ 241800
t •... r/ I ELECTRICAL
^
$ 36270
OPLUMBING
$ 24180
vi MECHANICAL
$ 16926
=GAS
10 ROOFING
FINISHED FLOOR ELEVATIONS
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
M
PROGRESS ENERGY = W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY = OTHER--y
FLOOD ZONE AREA DYES DO
BUILDER a COMPANY LAn ar I Iomes, LLC
SIGNATURE, REGISTERED Y / N FEE CURREN Y / N
Address 430 W Boy Sc ut Blvd Suite 600 Tampa, FL 33607 License # FGCI518166 �
ELECTRICIAN COMPANY t�mQnSOn Electric, Inc.
SIGNATURE REGISTERED Y / N FEE CURREN I Y / N
Address License # EC13005408
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # [CFC042998
MECHANICAL COMPANY =aYanet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # CAC058062
OTHER � � COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED I Y / N FEE CURREN I Y / N
Address U/ License # CCC057991
1I111ii1111l111l11111l1111IIIIIIJIIIJ#IIIIITLII�11/ii�llltllllllft
RESIDENTIAL Attach (2) Plot Plans; ( 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 ons)te, 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. (AIC upgrades over $7600)
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 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 properly 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 —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.
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 ORAGENT
Subscribed and sworn o (or aff rmed) before me this
415W23 by _Christopher Smith
Who is/are personally known to me or hasihaye PFOIJUGOd
as identification.
Notary Public
Commission N�q�XZ29fi057
Stephanie Farmer
Name of Notary typed, printed or stamped
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Subscribed and sworn to (or affirmed) before me this
_LI&2u3 by Christopher Smith
Who is/are personally known to me or has/have produced
as identification.
Notary Public
_�a'on No 6 7
Commission No. 6 7
Stephanie Farmer
Name of Notary typed, ptinted or stamped
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DESCRIPTION: LOT 13, BLOCK 25, ABBOTT SQUARE PHASE 2,
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 90,
PAGES 28-33, OF THE PUBLIC RECORDS OF PASCO COUNTY,
FLORIDA.
PROPOSED ELEVATIONS AND GRADING
SHOWN HEREON ARE TAKEN FORM THE
ENGINEERING PLAINS OF
'ABBOTT SQUARE RESIDENTIAL', PREPARED
BY'WRA'PROVIDED BY CLIENT
NOTES
SITE PLAN
(NOT A SURVEY)
This SITE PLAN Prepared for and Certified To:
Lennar Homes
SEC, 4, TWP. 26 S, RNG 21 E.
PASCO COUNTY, FLORIDA
(ABBOTT SQUARE PHASE 2)
Scale: 1 20'
PCP
BLOT 14
LOCK 25
0
LOT 23
BLOCK 2I qb5 q7N
---------- -
N 88*08' 23'W (P) 110,50'IPI
:r
0
In
_-j 32.S
0.4
3' ONC•
U
LOT 13
12X3.2
I
zo
LOT 24 iZ'
BLOCK 25
C/S-A/C PROPOSED
rLK
ENTRY 15,5 L z
BLOCK 25
b 02 STORY RESIDENCE
(CDD) RIGHT-OF-WAY
36.0'
PLAN 1525
"S'
TRACT "A"
ELEV
-0' LANAI GARAGEL
6,
WELL HILL WAY
54
---------- -
LOT 25
N 88-08'
BLOCK 25
LOT12
BLOCK 25
LOT GRADING TYPE = A
PROPOSED PAD ELEVATION =97.40'
FRONT SET BACK = 20
SIDE SET BACK - 7.5
SIDE SET BACK (CORNER LOT) - 10
REAR SETBACK= 15'
PROPOSED:
MINIMUM FLOOR ELEVATIONS:
* = 10.00 PUBLIC UTILITY EASEMENT
ALL ELEVATIONS REFERENCED 1, R TO NORTH AMERI7CAN IF , '..
VERTICAL DATUM OF 1988
(NAVD 88)
LOT
= 4420 SO. FT.
LIVING AREA
SO. FT.
ENTRY
=-10—SQ,
FT.
GARAGE
= 397
SOFT.
COVERED LANAI
=--§J0—SO.
FT.
PATIO
= NA
SQ. FT.
POOL AREA
-NASO.
FT
LIVING AREA: 98.07 LEGEND: CONC. DRIVE FT,
GARAGE AREA: PROPOSED DRAINAGE FLOW A/C & CONC PAD FT.
ELEVATIONS REFERENCED TO SIDEWALK = 57 so. FT.
NORTH AMERICAN VERTICAL (00.00) = PROPOSED GRADE SIDE YARD SWALE FT.
DATUM OF 1988 E-00.00 = EXISTING GRADE CONSERVATION AREA FT.
LOT OCCUPIED = 36 %
APPARENT FLOOD HAZARD ZONE: WCOMMUNITY NO. 120235 AREA TO IRRIGATE %
SURVEY ABBREVATIONS (MAP NUMBER 1210IC-0289-F) EFFECTIVE DATE 09/26/2014
A)-ARCLOSGTH (D) - DEDD INV - INVERT PC -POINT OF CURVE (RI -RECORD LEGEND VINYLFENCE
A/C -AIR CONDITIONER OE- DRAINAGE EASEMENT LB -LICENSED ED SNESS PCC - POINT OF COMPOUND CURVE RNG - RANGE M-CONC
AF - ALUMINUM FENCE EL OR ELEV - ELEVATION LE LANDSCAPE EASEMENT PCP- PERMANENT CONTROL POINT RRS - RAIL ROAD SPIKE ------ D ------ SEE- BASE FLOOD ELEVATION EDP - EDGE or PAVEMENT LEE^ LOWEST FLOOR ELEVATION P/E - POOL EQUIPMENT RIW RIGHT OF WAY
am - BENCH MARK E T-EASEMENT LS - LICENSED SURVEYOR PG -PAGE SEC SECTION WOOD FENCE
C . IC RV` F/C - FENCE CORNER (M) - MEASURED PI- POINT OF INTERSECTION SN&D - SETNAIL AND DISK ASPHALT
I TCALCULATED FCM- -FOUND MES - MITERED END SECTION PK -PARKER KALON 048183
I - CENTERLINE NCF - NO CORNER FOUND I -PROPERTY FINE SIR -SET 112 IRON ROD L CHAIN LINK FENCE
C MONUMENT BRICK
CIF -CHAIN CHAIN LINK FENCE F1ICUNII IRON PIPE 01A-OVER L POB - POINT OF BEGINNING TSM - TEMPORARY BENCH
OMP CORRUGATED METAL PIP H' -FOUND IRON ROD OHM OVERHEAD WIRE(S) POC - POINT Or COMMENCTMENT -TOPOFBANK
CU, cuLR TOB
UMN FN D - FOUND NAIL & DISK OR OFFICIAL RECORDS POL-POIWONUNE TSVP - TOWNSHIP ALUMINUM FENCE
CONC - CONCRETE Fop - FOUND OPEN Pips (P) 'PLAT PRE- POINT OF REVERSE CURVE U E - UTILITY EASEMENT COVERED
C/S - CONCRETE SLAB HEDPiPE PIT - PiIAT BOOK PRIM _ PERMANENT REFERENCE MONUMENd
CST -CLEAR SIGHT MANGLE EPP - FOUND PINC VF - VINYL FENCE
JOB #1507522513 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive
2 1.) Current title information on the subject property had not been This certifies thafs f the hereon described Tarpon Springs, Florida Property wae
Date of Site Plan: 5-8- 3 furnished to Initial Point Land Surveying, LLC. at the time of this pentision and Phone: (727)-831-1990
c e
DWGASPH2-L13-I3L25-SH`E SITE PLAN meets, th c le Practice for FloridaPLS7123@gmaii.c in
2.) This Sketch was prepared without the benefit of a title Search. I ��. TZM1
A ard of Land LB# 8 183
No instruments of record reflecting ownership, easements or Id
tile rights -of -way were furnished to the undersigned, unless otherwise is t I
Drawn by: DJB shown hereon. hereon were taken or ant Section 0 11 they
— 3.) Roads, walks, and other similar items shown hereon were taken 8
C from engineering plans and are subject to survey. ey Date: 2 5.1
Checked by.JH — E 100 1
REVISIONS 4.) This SITE PLAN does not reflect nor determine ownership, I C&56: 44.
FL RI 2
6.) This SITE PLAN is subject to matters shown on the Plat of DA sin ce t 0I, "i.P.
'ABBOTT SQUARE PHASE 2Jeff M.
6.) Dimensions shown hereon are in feet and decimal portions
thereof. FLORI R AND
7.) Contractor and owner are to verify all setbacks, building MAPPER N
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, LLC.
at user's sole risk
Im
m
Plan Model Elevation
Garage
Lot Size
Block
Lot
0
Address: A G i c'
Elevation: --S- Garage:
Roof Shingle Dime o,
v Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 6732 Back Forty Loop
Parcel Tax ID: 04-26-21-0160-02500-0130
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.
RUSTARMWE
the fee
owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services
indicated above.
551111111 �� 111,10111011;
Private Provider Firm:
Private Provider:
Address: 747 SW 2ND 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.
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 required:
1. Qualification statements and/or resumes of the private provider and all duly authorized representatives.'
1. 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 pe-rforinance,of building code inspection services.
Individual
(signature}
Print
Name:
Address;
Telephone
Please use appropriate notary block.
STATE OF FLORIDA
Individual
Before me, this day of
20`, personally
appeared
who executed the forego*ing instrument,
and acknowledged before me, that same,
was executed for the purposes therein
expressed.
Corporation
LENNAR HOMES. LLQ
Print Corporation Name
BY:
(signaure.)
Print
Name. Christopher Smith
its: Authorized Agent
Address: 70Q NW 1 01th Ave
Miami, FL 33172
Telephone.
No. 813-574-5700
Corporation
Before me, this 22ND day of
MAY 20 2_2
personally appeared
of
Lennar Homes -LLC a
corporation, on
behalf of the state corporation, who
executed the foregoing instrument and
acknowledged before me that same was
executed for the purposes therein
expressed.
Partnership
Print Partnership Name
M-
(signature)
Print
Name:
Its:
Address;
Telephone
No.:
Partnership
B efore me, this day
of
personally appeared
partner/agent on behalf of
a partnership, who executed the
foregoing instrument and
acknowledged before me that same
was exeauted-forthepurpo-ses therein
expressed.
PersonallyknownX or Produced ced identif cation Type of identifGition produced
Sipaturcof Notary PrntName
ASHLEE CALLAHAN
NotaryPublic Stamp:
cornmission Expires:
ASHLEE CALLAHAN
MY COMMISSION # HH 295980
EXPIRES: November 30,2026
Page 2 of 2
A
VIRTUAL REVIEW ASSIST
Private Provider
PIA7V Cffi-ff - I . le e 4, ffi d m4t
Private Provider Finn: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU 1967
Address: 747 Southwest 21 Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: 'LucyQa,�virtualr_eviewassiLst.com
Project: New SFR
Address(s): 6732 BACK FORTY LP
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 CS, 13,1.2,2,3,4,5,6.1,62,7, SN, SNI, S3, S4,S5,S6,SS,ST, DI,D2WPI, PAI.0,PAI.1,
PAI.2,PAI.3,PAI.4, 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 4
Signature of Reviewer:
SWORN AND SUBSCRIBED before me by Debra Anne Klahr
being personally known to me-/ having produced as identification
and who being fully sworn and cautioned, state that the
re ing is true and correct to the best of his/her knowledge or belief.
Ashlee Callahan
ig&e of Notary Print Name
commission expires:
ASHLEE CALLAHAN
C%AJISSIONI# Hii 295980
L PRfE.,3:NovoT-ber3 12026
-X
r—COMMERCIAL BUILDING SERVICES DIVISION 01"", RESIDENTIAL
BUILDING PERMIT DATA SHEET
M M M.
FIRE MARSHAL #01 -
Required Permits
1111
I amil I 10-31,Wbn- 0174,04 in it
-;0—lulin Ing
El Inspection Only
Mechanical
[] ALseection On!Ly
ElectlMtrical Ip
Amp
El ALspection OnbL_,_,
F� Medical Gas
E] Fire Sprinklers
El On Site Piping
E] Irrigation
El Fire Alarm
Potable Backflow Assembly
Fire Line Raekflow Preventer
El Irrigation Baekflow IIIAssembly
El Demolition
Walk-in Cooler
Refrigeration
M
NNW =110,711
E] Grease Trap
fflm�- M.
Type Construction:
Risk Category:
Occupancy Load
OWaney Classification:
Factory
;Residential
--,----�Assembly
Hazardous
Storage
BusinessI�)ay Care/Educational
nal=Mercantile
Building Use: SINGLE FAMILY RESIDENCE Alteration Level I Level 2 [Q"Level 3
Q�New Construction El Interior Finish Ej Interior Remodel El Exterior Remodel F-1 Addition n Revision
Overall Size:
25 X 54
Number of Stories:
2
Total Sq. Ft.:
2015
Living Area: 1528
Covered Area:
487
# of Bedrooms: 3
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof Type:
[:]Tile [I Built-up
El Metal El Other Squares: 14
Zoning:
?orne I
W* Debris:
M
njInside JZ1
Outside
Energy Code:
405-2022 SUP
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents?
❑ Yes
No
Sq. Ft. Enclosed Space Below BFE:
# of Vents: ---FSize
ofVents:
Total Sq. In. Permanent Openings
9 Central A/C
El Gas A/C
FX-1 Heat Pump
El Gas Heat
0 Window AIC
EJ Electric Heat
WITT M-lin, M1.
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
Front Rear Left Right
As per Approved Site Plan
Comments:
Permit No.—L5—L-5—
Builder Name/Owner Name �C'AV\ar- Date Permitted-2::-5ie-3
Control #
County Parcel No. 21 AhgT4�q�
SubDiv:
Address/Location—L-2'32--��ac��,'��Wie Hb-,7�
TRANSPORTATION IMPACT FEE �—j Rate:— 0 Sq. Ft Unit:
Exempt 0 Yes El No How Determined
Impact Fee Amount a Zone No, TAZ:
971
Account (056) Single -Family Detached House Amount $
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt =1 Yes = No How Determined®
----------------
PARKS AND RECREATION FEE
Land Account Land Credit _ Land Total
Recreation Account — Recreation Credit . Recreation Total
Zone
Total Amount $ 6
Exempt =Yes r--1 No How Determined —
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account — Facility Credit . Facility Total
Exempt 1:1 Yes No HOW Determined Total Amount
RESOURCE FEE
ERU
Total Amount
wa=
om
9=
NO CERTIFICATE 6F OCCUPANY WILL BE ISSUED Oft FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND RECEIPTED FOR BY A Cg'T
ACKNOWLEDGEMENT BELOW DOES NOT IMPLY ACCEPTANCE OF CONCURRE Y-1 L EC&&&-o im lo
ASSESSMENT AND THE CONDITIONS OF PAYMENT FoR SAN
Nmv
BY