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Home My WebLink About23-6702City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 BNR-006702-2023 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 08/02/2023 04 26 21 0160 01600 0150 36403 Well Hill Way Name: Lennar Homes, LLC Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC, Class of Work: SFR Construct -7 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 ? JLAC'� Total Valuation: $319,176.00 Total Fees: $20,233.91 Amount Paid: $20,233.91 Date Paid: 8/2/2023 11:06:37AM M CONSTRUCT SINGLE FAMILY 1528 SO FT Water Connection Residential Fee $1,140.00 Address Fee $30.00 Sewer Connection Residential Fee $2,400.00 Public Safety Impact Fee -Police $254.00 SIF 1 percent Fee $83.28 Mechanical Permit Fee $124.63 Building Permit Fee $1,249,00 Plumbing Permit Fee $160.90 Transportation Impact Fee $3,595.68 Park Impact Fee - Single Family/Townhome $769.56 3/4 Water Meter Fee (Cale) $794.92 Driveway Fee $45.00 Admin Fee / (Provider Service) $180.00 School Impact Fee - Single Family $8,328.00 Irrigation 3/4 Meter (Cale) $794.92 Electrical Permit Fee $221.35 Transportation Impact Fee - City $36.32 Public Safety Impact Fee -Admin $26.35 REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c) the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection, whichever is greater, for each subsequent reinspection. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit required from other governmental entities such as water management, state agencies or federal agencies. 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. NTRACTOR SIGNATURE PEfIT OFFICEf) PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permittingg 908 770 -_ 7763 I I I I FI 11 [ I 1"i_L. Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813.574.5700 Owner's Address 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number �- Fee Simple Titleholder Name I N/A e � I Owner Phone Number Fee Simple Titleholder Address N/A JOB ADDRESS 36403 Well Hill Way LOT# 1615 SUBDIVISION Abbott Square �1 PARCEL ID# 04-26-21-0160-01600-0150 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN DEMOLISH P INSTALL REPAIR PROPOSED USE u r u SFR COMM 0 OTHER TYPE OF CONSTRUCTION 10 BLOCK FRAME STEEL Q DESCRIPTION OF WORK I Single Family Residence / Pool / Screen Enclosure / Fence BUILDING SIZE U/R SF 2SQ FOOTAGE 1528 HEIGHT 28' BUILDING $ 241800 VALUATION OF TOTAL CONSTRUCTION (ELECTRICAL $ 36270 L� J PROGRESS ENERGY W.R.E.C. � � ! AMP SERVICE PLUMBING $ 24180 ' ZMECHANICAL $ 16926 VALUATION OF MECHANICAL INSTALLATION =GAS 0 ROOFING SPECIALTY O OTHER ° FINISHED FLOOR ELEVATIONS 1 FLOOD ZONE AREA DYES Do BUILDER COMPANY Lermar Homes, LLC SIGNATURE REGISTERED Y / N FEE CURREN Address 4301 W Aoy Scout Blvd Suite 600 Tampa, FL 33607 License # I CGC1518166 ELECTRICIAN COMPANY I Edmonson Electric, Inc. SIGNATURE REGISTERED Y / N FEE CURREN Y ! N Address License # EC13005408 PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y/ N FEE CURREN 7 Y I N Address I License # I CFC042998 MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN I Y / N Address License # ( CAC058062 OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE REGISTERED Y / N FEE CURREN I Y / N Address License # CCC057991 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111[IIIIIIIIIIIIII111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge 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. (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 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 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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT ». Subscribed and sworn o (or affirmed) before me this 7/10/2023 by Christopher Smith Who is/are personally known to me or as identification. Z�Z, ___� Notary Public Commission G 296057 Stephanie Farmer Name of Notary typed, printed or stamped Subscribed and sworn to (or affirmed) before me this 7/10/2023 by Christopher Smith Who is/are personally known to me or has/have produced as identification. Notary Public Commission No. 7 Stephanie Farmer Name of Notary typed, printed or stamped ^ EL M HOLLMM ExOm June 6, M4 BMW Tin TMY s1s I DESCRIPTION. LOT 15, BLOCK 16, 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. LOT = 4400 SO. FT. LIVING AREA = 721 SO. FT. ENTRY = 30 SQ. FT, GARAGE = 397 SQ. FT. COVERED LANAI = 60 SQ. FT. PATIO = N/A SQ. FT. POOL AREA = N/A SO. FT. CONC. DRIVE = 328 SO. FT. A/C & CONC PAD = 10 SO. FT. SIDEWALK = 57 SQ. FT. SIDE YARD SWALE = N/A SO. FT. CONSERVATION AREA = NA SO. FT. LOT OCCUPIED = 36 % AREA TO IRRIGATE = 64 % * = 1 0.00'PUBLIC UTILITY EASEMENT LEGEND: _-- PROPOSED DRAINAGE FLOW (00.00) = PROPOSED GRADE E-00.00 = EXISTING GRADE NOTES: LOT GRADING TYPE = B PROPOSED PAD ELEVATION = 98.90' FRONT SET BACK = 20' SIDE SET BACK = 75 SIDE SET BACK (CORNER LOT) = 10' REAR SETBACK= 15' PROPOSED: MINIMUM FLOOR ELEVATIONS: LIVING AREA: 99.57' GARAGE AREA: ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 SITE PLAN (NOT A SURVEY) Prepared for and Certified To: Lennar Homes LOT I TRACT "B-9" I BLOCK 16 I (CDD) OPEN SPACE I N 89' 8-04-IE (P) 40.00� (P) ----------- ---------- Od/ LOT 14 BLOCK 16 vi 01: .T 0 N 89*48'04"E (P) /J> PC 320.44'(P) rr W W yl un Ul U7 in 3.2'X3.2' j. 7.5' C/S_A/ 0, C 7.5' 25.0, LANAI 25-0" PROPOSED 2 STORY RESIDENCE W Iv PLAN 1525 Ln ELEV T" jjj GARAGE Ul Z,, 8 LOT 16 6 LOT 15 90 BLOCK 16 BLOCK 16 P n; ENTRY Lin 75 3 WAD 19.7' W 16.0' C) N .89-48'04' E JPJ 40.00- (P) ':22'*O' :2 BASIS OF BEARING N 89-48-04- E (PI 11 WELL HILL WAY TRACT "A" (CDD) RIGHT-OF-WAY 5CONC WALK SEC. 4, TWP. 26 S, RNG 21 E. PASCO COUNTY, FLORIDA (ABBOTT SQUARE PHASE 2) ALL ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 (NAVD 88) PROPOSED ELEVATIONS AND GRADING SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF "ABBOTT SQUARE RESIDENTIAL", PREPARED BY "WRA" PROVIDED BY CLIENT APPARENT FLOOD HAZARD ZONE: "X" COMMUNITY NO, 120235 SURVEY ABBREVATIONS (MAP NUMBER 12101 C-0289-F) EFFECTIVE DATE: 09/26/2014 A) = ARC LENGTH (D) = DEED INV= INVERT PC = POINT OF CURVE JR) =RECORD LEGEND A/C = AIR CONDITIONER D.E= DRAINAGE EASEMENT LB =LICENSED BUISNESS PCC = POINT OF COMPOUND CURVE VINYL FENCE AT = ALUMINUM FENCE RNG = RANGE tcq, CONIC EL OR ELEV = ELEVATION L.E = LANDSCAPE EASEMENT PCP = PERMANENT CONTROL POINT RRS = RAIL ROAD SPIKE D ------- U— BEE = BASE FLOOD ELEVATION EDP = 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 r WOOD FENCE C = CURVE F/C = FENCE CORNER (M) = MEASURED Pi = POINT OF INTERSECTION SN&D = SET NAIL AND DISK ASPHALT (C) = CALCULATED FCM = FOUND CONCRETE MES = MITERED END SECTION PK =PARKER KALON LB#8 183 'i = CENTERLINE CLF = CHAIN LINK FENCE MONUMENT NCF = NO CORNER FOUND q = PROPERTY LINE SIR = SET 1/2- IRON ROD H3# 8 183 CHAIN LINK FENCE CM - CORRUGATED METAL PIP[ HP = FOUND IRON PIPE O/A = OVERALL POB = POINT OF BEGINNING TBM = TEMPORARY BENCH MARK BRICK X X COL - COLUMN FIR= FOUND IRON ROD OHW = OVERHEAD WIRE(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 fP) = PLAT PRC = POINT OF REVERSE CURVE U.E - UTILITY EASEMENT COVERED CST = CLEAR SIGHT TRIANGLE FPP = FOUND PINCHED PIPE PB = PLAT BOOK PRM = PERMANENT REFERENCE MONUMEN] VF =.VINYL FENCE JOB# 15907521615 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive SE 1.) Current title information on the subject property had not been ' Date of Site Plan: 6-24-23 furnished to Initial Point Land Surveying, LLC. at the time of this This certifies that S f the hereon described Tarpon Springs, Florida TWP IN �P I N, DWG:AS-PH2-L I 5-Bub-SITE 6-SITE SITE PLAN property a pervision and Phone: (727)-831-1990 RG1W RGIE E �� meets th Practice for FloridaPLS7]23@gmaii.com �PIS �p I S _ 2.) This sketch was prepared without the benefit of a title search. survey and of Land 4B# 8183 RGIW, RGIE No instruments of record reflecting ownership, easements or Su y sign File: rights -of -way were furnished to the undersigned, unless otherwise J is',r tiv o Drawn by: DJB shown hereon. pur Section 472.02.71 Hari ley 3.) Roads, walks, and other similar items shown hereon were taker S tw Sit Checked by:JH from engineering plans and are subject to survey. Dat 23.06.27 t gy 4.) This SITE PLAN does not reflect nor determine ownership. oF 12- -04T 0' REVISIONS5.) This SITE PLAN is subject to matters shown on the Plat of WRIDA "ABBOTT SQUARE PHASE 2" F 6.) Dimofensions shown hereon are in feet and decimal portions Jeff MAV�, there. FLORIDA RVR AND 7.) Contractor and owner are to verify all setbacks, building MAPPER 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. JIL �^ Plan Model Elevation Garage Lot Size Block Lot Parce I M �f —01�6700 I Setbacks: FrontRear —3s—.-i— Sides-21—s— Elevation: Garage: Roof Shingle Dimension/Architectural: --L &L?12�A U R V A 3 S 1 S Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 36403 Well Hill Wa Parcel Tax ID: 04-26-21-0160-01600-0150 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. 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 A55I5T, INC. Private Provider: DEBRA ANNE KLAHR Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601 Telephone: 813-376-3088 Fax: N/A Email Address (Optional): debevirtualreviewassist.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 pen -nit 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 perfon-ned 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: 1. Qualification statements ' and/or resumes of the private provider and all duly authorized representatives,2.. Proof of insurance for professional and comprehensive liability 4the,anlount of $1 million per o ccuTrence relating to all services performed as a private provider, including tail coverage for, aminimum of 5 years subsequent to the, performance of building code inspection services. Individual :(signature) Print Name: Address, Telephone please use appropriate notary block. STATF, OF FLORIDA. COUNTY OF. HILLSBOROUGH Individual Btforeme,this -day of 20_, personally appeared who executed the forego'ing instrument, an ' d acknowledged before me that same was executed for the purposes therein Corporation LENNAR HOMES, LLa-- Print Corporation Name By: Print Name: Christopher Smith Its: Authorized Agent Address: 700 NW 1 07bth-Ave Miami, FL 33172 Telephone - No. B13-574-5700 Corporation Bef,reme,this 22ND day of MAY 2OZ:3 personally appeared Of Lennar Homes, LLC a —Corporation,, on behalf of the state corporation, who executed the f6regoing instrument and acicnowltd . ged before me that same was executed for the purposes therein expressed. Partnership PrintPartnership Name 1-2 I (signature) Print Name: Its: Address: Telephone No.: Partnership B tforeme, this day of 20_ pors6naHy appeared partner/agent on b fhalf of a partnership, who executed the foregoing instrument and acknowledged before me that same was txtcuted.for the purpo-ses therein expressed. Personally known X or- Produced idcrtitcation Type of identification produced Signature of Notan L PiintName ASHLE.E CALLAHAN ASHLEECALLA N HA MY Co"ISSION # Hjj EXPIRES: N 295980, No umber NotaryPublio Stamp: comnission Expires: Page 2 of 2 VIRTUAL REVIEW AS$IST Private Provider Private Provider Firm: Virtual Review ,igist, Inc. Private Provider: Debra Anne Klahr, B1,W67 Address: 747 Southwest 2,d Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: lug Project: New SFR Address(s): 36403 WELL HILL WAY 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,1.1,1.2,2,3,4,5,6.1,6.2,7, ST,SS,SNI, SN,S3,S4,S5,S6,DI,D2,WP1, PAI.0,PAI.1, PAI.2,PAI.3,PAI.4, PAI.5,SHI.0,SHI.1,SHI.2,SHI.3,SH1.4,SHI.5 Florida License/Registration/Certification #(s) and description: FS468 Certified Standard Plans Examiner License #: PX2300 Signature of Reviewer: ---7T--7-7— SWORN AND SUBSCRIBED be* me by Debra Anne Klahr being personally known to me i or having produced as identification and who being fully sworn and cautioned, state that the reg*g is true d c ect to the best of his/her knowledge or belief. Ashlee Callahan Sig a e of Notary Print Name Notary Public: NOTARY STAMP BELOW My commission expires: HLE�- CAILLAH M my co 'DN # Hii 2959BO 2026 COMMERCIAL BUILDING SERVICES DIVISION RESIDENTIAL BUILDING PERMIT DATA SHEET UZZIM f -M FIRE MARSHAL #Q1- Required Permits DATE: EXAMINER: ra Klahr ' IV Building ❑ Ins action Only IV Plumbing Inspection Only Mechanical ❑Ins ection Onl IV Electrical Amp ❑Ins action Onl 46 Roof ❑ Gas ❑ Medical Gas ❑ Fire Sprinklers El On Site Piping ❑ Fire Line ❑ Irrigation ❑ Fire Alarm ❑ Potable Backflow Assembly ❑ Fire Line Backtlow Preventer ❑ Irrigation Backnow Assembly ❑ Demolition ❑ Walk-in Cooler ❑ Refrigeration ❑ Hood ❑ Ansul ❑ Fence/Wall ❑ Grease Trap ❑ Other ❑ Other Building Data Type Construction: y-B Risk Category: Occupancy Load O ancy Classification: Assembly $usiness Care/Educational =Factory `Hazardous , nstitutional R;Day Mercantile Residential Storage ❑Utility Building Use: SINGLE FAMILY RESIDENCE / Alteration I Level 1 Level 2 ❑Level 3 %Z New Construction ❑ Interior Finish ❑ Interior Remodel ❑ Exterior Remodel ❑ Addition ❑ 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: ® Shingle [-]Tile ❑ Built-up ❑ Metal ❑ Other Squares: 14 Zoning: Wi❑Inorne Debris: side Outside Energy Code: 405-2022 SUP Flood ,Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? ❑ Yes 1,No Sq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: Total Sq. In. Permanent Openings 9 Central A/C ® Heat Pump ❑ Window A/C ❑ Gas A/C ❑ Gas Heat ❑ Electric Heat Sanitag Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line Front Rear Left Right As per Approved Site Plan Comments: Builder Name/Owner Name �zu / ` �"1� - Control # County Parcel No.0 CJ , �) 4� �> SubDiv: ,644 Address/Location c ill } Cam/ Classification/Type of Use d 7 TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: _ Exempt Yes El NoHow Determined 3/ ` Impact Fee Amount $ Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single -Family Detached House Amount $ (057) Mobile Home (058) Other Residential (123) Collection Fee Exempt =Yes = No Haw Determined_ PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone _ 11 Total Amount $ 7` Exempt =Yes =No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt 0Yes No How Determined Total Amount RESOURCE FEE ERU Total Amount Prepared B�, J, F f Checked By NO CERTIFICATE OF OCCUPANY 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. DATE RECEIVED BY RECEIPT NO DATE BY