HomeMy WebLinkAbout23-6604|Address: 4xU1VYBoy Scout Blvd Suite Uon
| Tampa, FL 33807
�CONSTRUCT SINGLE FAMILY 1541SOpr
Water Connection Residential Fee
S|F 1 percent Fee
Address Fee
Public Safety Impact Fee -Police
3/4Water Meter Residential Connection Fee
Park Impact Fee - Single Fami|y/Townhomu
Fire Wall/Smoke Wall Inspection
Driveway Fee
Building Permit Fee
Building Valuation: $2n2.580.O0
Electrical Valuation: $04902o0
Mechanical Valuation: $16.287.60
Plumbing Valuation: s23.2O8.00
Total Valuation: $307.137.60
Total Fees: *14,217.O5
Amount Paid: $14,217.05
Date Paid: 7/17/2O23 1:55:18PM
CID
Issue Date: 07/17/2023
` 2 — 27����
$1.148.00 Plumbing Permit Fee
$156.34
$33,53 Electrical Permit Fee
$214.51
$30.00 AdminFee / (Provider Service )
$180.00
$254.00 Transportation Impact Fee
$3.*4520
$794.92 Mechanical Permit Fee
$121.44
*708.50 School Impact Fee 'Single Family
$3.353.00
$1580 Transportation Impact Fee 'City
$34.80
$45.00 Public Safety Impact Fee -Admin
$20.35
$1.20140 Sewer Connection Residential Fee
%2.400.00
entities such as water management, state agencies or deral agencies.
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.
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER I
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permittin F9=08770 -_ 7763
1 1 1 IIt I I I a , , I I a I a I I I
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P I Owner Phone Number 813.574.5700
Owner's Address23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address I N/A
36 432 Camp Fire Terrace
JOB ADDRESS E LOT# [2101
SUBDIVISION Abbott Square PARCEL ID# 04-26-21-0160-02100-0010
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRF--1 ADD/ALT SIGN DEMOLISH
PINSTALL F__] REPAIR
PROPOSED USE u r u SFR F__J COMM OTHER
TYPE OF CONSTRUCTION BLOCK F__] FRAME STEEL
DESCRIPTION OF WORK Multi -family / Screen Enclosure / Fence
BUILDING SIZE I U/R SF 1939 SQ FOOTAGE1541 HEIGHT 128'
�6 BUILDING 1 $ 232680 1 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL 1$ 34902 AMP SERVICE FX_1 PROGRESS ENERGY W.R.E.C.
0 PLUMBING $ 23268
MECHANICAL $ 16287.6 VALUATION OF MECHANICAL INSTALLATION
GAS ROOFING Q SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA DYES Do
BUILDER 1 COMPANY Lermar Homes, LLC
SIGNATURE REGISTERED I Y/ N J FEE CURREN L_Y_LN_j
Address 301 W Boy Scout Blvd Suite 600 Tampa, FL 33607 License# I CGC1518166
ELECTRICIAN �COMPANY Edmonson Electric, Inc. i
SIGNATURE REGISTERED Y/ N FEE CURREN
I �=
Address y License# I EC1 3005408
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, =Inc
SIGNATURE REGISTERED Y/ N J FEE CURREN Y_LN —1
Address License# I CFC042998
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN
Address I License #
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N
Address License# 1 CCC057991
RESIDENTIAL Attach (2) Plot Pl.ns;Y(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 & 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. (A/C 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 OFDEED 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 e contractor or
contractors to undertake wmrk, they may be required to be |ioanood in accordance with state and local regulations. If the
contractor is not licensed as required by |avv, both the owner and contractor may be cited fora misdemeanor violation
under state |ovv. 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. Furthormora, if the owner has hired a contractor or oontnactono, 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
oonbactnr, that may be on indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION iK8PACT/UT|L!T/ESIMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Faou may apply to the uonobuoUun of new bui|dingu, change of
use in existing bui|dingu, or expansion of existing bui|dingy, on specified in Pasco County Ordinance number8O-07 and
AO'07.aoamended. 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 F000 and Resource Recovery Fees must be paid prior to
receiving o "certificate of occupancy" or One| power no|aaee. If the project does not involve e certificate of occupancy or
One| power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco Counk/VVahar/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter T13'Florida Statutes, mmarnemded): |fvaluation ufwork io$2.5O0.00nrmore, |
certify that |, the app|ioan(, 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 itbothe ^mwner"prior hucommencement.
CgNTFWACTOR'SAOVVNER"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. | certify that no wmMh or installation has
commenced prior to issuance of permit and that all work will be performed to meet standards of all laws regulating
onnatruotion. County and City ondnn, zoning regulations, and land development regulations in the jurisdiction. | also
certify that | understand that the regulations ofother government agencies may apply to the intended work, and that it is
myresponsibility hnidentify what actions |must take tobeincompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection -Cypress Bayhoada, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida VVakar Management Diotrict-WeUn, Cypress Boyheado, Wetland Aneaa, Altering
Watercourses.
- Army Corps ofEnQineero-SoawoUa.Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-VVe||m, Wastewater Treatment,
Septic Tanks.
- USEnvironmental Protection Agency -Asbestos abatement.
' Federal Aviation Auihnhty+Runwayo.
| understand that the following restrictions apply bothe use nffill:
- Use offill ianot allowed inFlood Zone ^\runless expressly permitted.
- U the DU material is to be used in Flood Zone ^A^, it in understood that o drainage plan addressing a
"compensating volume" will be submitted at time ofpermitting which is prepared by professional engineer
licensed bythe State ofFlorida.
- If the 5U material is to be used in Flood Zone ''A^ in connection with a permitted building using nhom wm||
construction, | certify that fill will beused only tofill the area within the stem wall.
- If fill mo0mhal is to be used in any area, | certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent pnnpedioo, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |eoe than one (1)
acre which are elevated byfill, anengineered drainage plan iarequired.
|f|omthe 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. | understand that a separate permit may be required for o|echoa| work,
p|umbing, signn, wm||a, poo|o, air conditioning, goy, or other installations not specifically included in the application. A
permit issued ohoU be construed to be license toproceed with the work and not eoauthority Vuviolate, menma|, o|her, 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 issuenoe, 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 fora period not to exceed ninety (QU) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
OWN
Subscribed and sworn to (or affirmed) before me this
6/29/2023 by _Christopher Smith
Who is/are pe onally known to me or hasihave pF9dwGe4
as identification.
_Notary Public
N�X-
Stephanie Farmer
Name of Notary typed, printed or stamped
ELISSAKHOUDM
suuuunmm and sworn to kv affirmed) before me this
Name of Notary typed, printed or stamped
Permit No,—ILO(�
Date Permitted
Builder Name/Owner Name
Control #
County ParceiNo. 0V 7� 24 0(60 02-100 WOSubl)iv
Address/Location 06
1-;
Classification/Type of Use /
TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: --Lz�z—
Exempt Yes No How Determined
Impact Fee Amount i—i—"o
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount
(057) Mobile Home
(OS8) 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
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
291=0A
M
XWWRam
RECEIPT NO DATE BT
iO&01
DESCRIPTION: LOT /~6,BLOCK 2|.xoBOTrSQUARE PHASE 2, �/l-�� PLAN SEC. 4' T\�P26S, RNG27E
x�O�,�TD�s��m�0 n���o|m�m��n�� ~''�'�~^
�'
PAGES 78']3'DFTHE PUBLIC RECORDS OppxScoCOUNTY, (NOT *SURVEY) PAICOCOUNTY, FLORIDA
FLORIDA. (/\B8C}TTSC}U/\�EPH/\��2)
This SITE PLAN Prepared for and cc�mrdTo:
PROPOSED ELEVATIONS AND GRADING Lcnnarxomcs
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 1988
�C�.�� ^ '�/l Scale: �'' '
=�°
TRACT "A"
([DD) RIGHT-OF-WAY
CAMP FIRE TERRACE
--------- --------------------------- ---------------'-------------------------'----
w8p`v8n*'E(P)
BASIS DFBEARING
AIL
NJ PARKING
391.43'(P) NJ NJ Ni SPACE
-----------------
11.0, Fr 1! F 1 1.01 11.0,
z z z . V
LA -
LOT 7 M BLOCK21 BLOCK21 BLOCK21 �4 BLOCK21 BLOCK 2 1 IJ BLOCK 21 111 OPEN SPACE
Za
PROPOSED PROPOSED PROPOSED - PROPOSED W 90
2STORY 2 STORY 2 STORY 2 STORY 5 2 STORY
ATTACHED ATTACHED ATTACHED ATTACHED ATTACHED TTACHED
RESIDENCE RESIDENCE RESIDENCE RESIDENCE RESIDENCE RESIDENCE
15905522101
LANAI LANAI LANY I
NOTES: 1!0
TRACT "1131-7"
LOT GRADING TYPE =A (CDD)
PROPOSED PAD ELEVATION 104. 10' OPEN SPACE
FRONT SET BACK = 20'
SIDE SET BACK = 75 NOTE: ENTRY WALKS ARE 3.0'CONCRETE LOT 12611 SO. FT.
SIDE SETBACK (CORNER LOT) =I 0- 0.7'CONCRETE WALLS SEPARATE INDIVIDUAL UNITS LIVING AREA 4010 SQ. FT.
GARAGE 1356 SO. FT.
COVERED LANAI 652 SO. FT.
PROPOSED: PATIO NA SO. FT.
MINIMUM FLOOR ELEVATIONS: I 0.00'PUBLIC UTILITY EASEMENT POOL AREA NA SO. FT.
LIVING AREA: 104.77' LEGEND: CONC. DRIVE 1200 SO. FT.
ELEVATIONS REFERENCED TO PROPOSED DRAINAGE FLOW SIDEWALK = 272 SO. FT.
NORTH AMERICAN VERTICAL (00.00) PROPOSED GRADE SIDE YARD SWALE = NA SO. FT.
DATUM OF 1988 E-00.00 EXISTING GRADE CONSERVATION AREA = NA SO. FT.
APPARENT FLOOD HAZARD ZONE: 'X" COMMUNITY NO. 120235 AREA TO IRRIGATE = 36 %
SURVEY ABBREVATIONS (MAP NUMBER 12 10 1 C-0289-F) EFFECTIVE DATE: 09/26/2014
A) = ARC LENGTH (D) - DEED INV - INVERT PC - POINT OF CURVE (R) - RECORD LEGEND VINYLFENCE
A/C = AIR CONDITIONER D.E= DRAINAGE EASEMENT LB =LICENSED BUISNESS PCC = POINT OF COMPOUND CURVE RNG = RANGE CONC
AF = ALUMINUM FENCE EL OR ELEV = ELEVATION L.E = LANDSCAPE EASEMENT PCP = PERMANENT CONTROL POINT RRS = RAIL ROAD SPIKE
BEE BASE FLOOD ELEVATION EOP = EDGE OF PAVEMENT LEE = LOWEST FLOOR ELEVATION P/E POOL EQUIPMENT R/W RIGHT OF WAY
BM BENCH MARK ESMT = EASEMENT LS = LICENSED SURVEYOR PG PAGE SEC SECTION WOOD FENCE
C CURVE F/C = FENCE CORNER fM) = MEASURED PI = POINT OF INTERSECTION SN&D = SET NAIL AN ASPHALT
C) = CALCULATED FCM = FOUND CONCRETE MES = MITERED END SECTION PK =PARKER KALON LB#8 183 D DISK
IL CENTERLINE CHAIN LINK FENCE
CLF = CHAIN LINK FENCE MONUMENT NCF = NO CORNER FOUND PROPERTY LINE SIR = SET 112- IRON ROD LB# 8183 BRICK X x
CMP = CORRUGATED METAL PIPf FIP = FOUND IRON PIPE O/A = OVERALL POB = POINT OF BEGINNING TBM =TEMPORARY BENCH MARK
COL - COLUMN FIR = FOUND IRON ROD OHW = OVERHEAD WIREI[S) POC = POINT OF COMMENCTMENT TOB = TOP OF BANK
CONC = CONCRETE FN&D = FOUND NAIL & DISK O.R. = OFFICIAL RECORDS POL = POINT ON LINE TWP = TOWNSHIP ALUMINUM FENCE
C/S = CONCRETE SLAB FOP FOUND OPEN PIPE (P) = PLAT PRC = POINT OF REVERSE CURVE I U.E UTILITY EASEMENT =COVERED
CST = CLEAR SIGHT TRIANGLE EPP FOUND PINCHED PIPE PB = PLAT BOOK PRM = PERMANENT REFERENCE MONUMEN] VF VINYL FENCE
SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive SEE
1.) Current title information on the subject property had not been This certifies that sketch of the hereon described Tarpon Springs, Florida N
Date of Site Plan: 6-14-23 furnished to Initial Point Land Surveying, LLC. at the time of this property was maqauw , supervision and Phone: (727)-831-1990 RG1W RGIE
DWG:AS-PH I B-L I -6-BL2 I -SITE SITE PLAN meets the Ule & of Practice for FloridaPLS7123@gmaii.com �p I'S �p I S
&.1 it its sketch was prepared without the benefit of a title search. surve s clard of Land LB# 8183
No instruments of record reflecting ownership, easements or S * Ihed S
File: rights -of -way were furnished to the undersigned, unless otherwise 3 1 -0
3.) Roads, walks, and other similar items shown hereon were take Staitdl—
Checked byJH from engineering plans and are subject to survey. Date: 2 23. 6.19 M
4.) This SITE PLAN does not reflect nor determine ownership. loot
REVISIONS a k- V 2:0 "R,
5.) This SITE PLAN is subject to matters shown on the Plat of S*AT
"ABBOTT SQUARE PHASE 2" Jeff M. &
6.) Dimensions shown hereon are in feet and decimal portions FLORII 9WAND to
thereof MAPPER 1
7.) Contractor and owner are to verify all setbacks, building Is. 161 A
dimensions, and layout shown hereon prior to any construction, NOT VALID \0149M49MRIGINAL
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. I
v
V C),
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 36432 Camp Fire Terrace
Parcel Tax ID: 04-26-21-0160-02 100-00 10
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 Firm: VIRTUAL REVIEW ASSIST, INC.
Private Provider: ZEBRA ANNE KLAHR
Address: 747 SW 2N[) AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
Telephone:
491901KIT-1r;
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 Dodo, land use-, environmental or other codes.
The, following attachme-nts. are, provided as required,
1. Qualification statements and/or resumes of the private provider and all duly authorized representatives.
2.. Proof of insurance for professional and comprehensive liabilityf. in..the. amount Of $1 million per
o ccurremee relating to all services performed as a private provider, including tail coverage for. a minimum
of building code inspection services. of5yeaxssubsequtnttotlibperforinanc - * e
Individual Corporation Partnership
Print
Name:
Telephone
LENNAR F1U1V11__%D.
Print Coilp oration Name
By:.
?lint
Name: Christopher Smith
Its: Authorized Agent
Address: 700 NW 107th Ave
Miami, FL 33172
1`51&phone•
No. . . ....... 91.3-574-5700
Print Partnership Name
By:
(signature)
Print
Narne-
Its
Address:
Please use appropriate notary bliock.
STATF, OF FLORIDA
COUNTY OF —HILLSBOROUGH
Individual
Corporation
22ND
Beforeme-,tis_ _7 -day of
Befomm,,this day of
20—__ personally
MAY 202:3
appeared
personally appeared
Who execrated the foregoing instrument,
of
and acknowledged before me that same
Lennar Homes, LLC
was executed for the purposes therein
—corporation, on
behalf of the state corporation, who
executed the f6regoing instrument and
acknowledged before me that same was
executed
expressed.
Personall.yknown"or_ Produced idm# cation Type of identification produced
.
Telephone
U�E
BtforDme, this day
of 120—
personally appeared
p arta.tr/a-gmt on behalf of
a partnership, who executed the
foregoing instrument and
acknowledged before me that same
was executtdfor the parposestherem
expressed..
Sig.mture, of Notar-,- Print Name ASHLEE CALLAHAN
NotavPublic Stamp-,
Expires:Gg`ASHLEE CALLAHAN
commission Expi
MY COMMISSION ft HH 29.51980
EXPIRES: November
P age 2 of 2
VIRTUAL REVIEW ASSIST
Private Provider
Private Provider Finn: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU 1967
Address: 747 Southwest 2,d Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: lu 1pcy@.yfttuq1reviewassist.com
Project: New SFT
Address(s): 36432 CAMPFIRE TER
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 1,2.1,2.2,3,4,5,6,7.1,7.2,8,9,10,11.1,11.2,12, LI,SS,ST,SNI, SN,S3M,S4,S5,S6,DI,WP, PAI.0,PAI.1,
PAI,2,PAl.3,PAIA, 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: 61
✓
SWORN AND SUBSCRIBED b9f6re 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
:ego , :se and7ect to the best of his/her knowledge or belief.
I A
I ': , As
Ashlee Callahan
Afgnat6e of Notary � Print Name
Notary Public: NOTARY STAMP BELOW My
ASHLEE CALI JkHAN
commission expires: M jg
My COMMISSION # HH 295980
EXPIRES, November 30, 2026
L
COMMERCIAL BUILDING SERVICES DIVISION :RESIDENTIAL
BUILDING PERMIT DATA SHEET
FIRE MARSHAL #01 -
Reauired Permits
DATE: 7/03/2023
EXAMINER: Debra Klahr PX230(
Building
[:1 !n�Section OnLy
Plumbing
V
D inspection Only
Mechanical
V 0 Inspection Only
r*-zElectrical —Amp
Vi D Ins ection Only
Roof
—
[_1 Gas
1
1
0 Medical Gas
E] Fire Sprinklers
El On Site Piping
El Fire Line
E] Irrigation
❑ Fire Alarm
E] Potable Backflow Assembly
❑ Fire Line Backilow Preventer
El Irrigation Backfiow Assembly
F] Demolition
El Walk-in Cooler
❑ Refrigeration
El Hood
El Ansul
R Fence/Wall
El Grease Trap
El Other
El Other
Type Construction:
Risk Category:
Occupancy Load
0 ancy Classification:
Fa c
tory Residential
Assembly E
Hazardous E=
'Storage
Business ay Care/Educational
tit b 'nal ❑ Mercantile
'Utility
Building Use: single family townhouse l Alteration ❑ Level I lQ'I'Level 2 [E—]Level 3
Z
%Z New Construction ❑ Interior Finish E] Interior Remodel E] Exterior Remodel ❑ Addition E] Revision
Overall Size:
18-4 X 63
Number of Stories:
2
Total Sq. Ft.:
1939
Living Area: 1541
Covered Area:
398
# of Bedrooms: 2
# of Baths: 2.5
Cost per square foot:
Estimated Value:
R :91 Shin le
[-]Tile ElBuilt-up
F1 Metal F-1 Other Squares: 13
Zoning:
orne Debris:
Wi❑Inside
ff
0 ut s i d e
Energy Code: 405-2022 SUP
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents?
❑Yes
1i
q. Ft. Enclosed Space Below BFE:
# of Vents:
Size of Vents:
I Total Sq. In. Permanent Openings
9 Central A/C
D Gas A/C
Z Heat Pump
El Gas Heat
❑ Window A/C
E] Electric Heat
On Site Pivine
Santa Ky Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
Setbacks
Front Rear Left Right
As per Approved Site Plan
Comments: