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Home My WebLink About23-6704City of Zephyrhills 5335 Eighth Street Zephyrhills, FIL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 BNR-006704-2023 Issue Date: 08/0212023 1i 1 1 1M "l I 04 26 21 0160 01600 0070 36339 Well Hill Way N �22121111Ml 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: $312,600.00 -U Tampa, FL 33607 Electrical Valuation: $46,890.00 Phone: (813) 574-5700 Mechanical Valuation: $21,882.00 Plumbing Valuation: $31,260.00 Total Valuation: $412,632.00 Total Fees: $20,701.19 Amount Paid: $20,701.19 Date Paid: 8/2/2023 11:06:37AM "sii'mw CONSTRUCT SINGLE FAMILY 2073 SID FT ong mumn 'u, School Impact Fee - Single Family $8,328.00 3/4 Water Meter Fee (Cale) $794.92 Irrigation 3/4 Meter (Calc) $794.92 Admin Fee / (Provider Service) $180.00 Sewer Connection Residential Fee $2,400.00 Mechanical Permit Fee $149.41 Transportation Impact Fee $3,595.68 Transportation Impact Fee - City $36.32 Public Safety Impact Fee -Admin $26.35 Water Connection Residential Fee $1,140.00 Driveway Fee $45.00 Address Fee $30.00 Building Permit Fee $1,603.00 SIF 1 percent Fee $83.28 Park Impact Fee - Single Family/Townhome $769.56 Electrical Permit Fee $274.45 Plumbing Permit Fee $196.30 Public Safety Impact Fee -Police $254.00 ITT 1LjLj2EjM§M 1WNkU0&"A= IC311 1-11#101:14F2=0 Alma 1WI I I W lig,iiiiiiiiiwws 11 1 W^ 111011001M. MU"NOININW11611 a I "I e(;QF1J5 loll U`115 U0,11"It , III'Llif Irleff] 1411cr e I# wer er I entities such as water management, state agencies or federal agencies. 1!111 1111111111MIll 11 :• 11 11111 1 : 1 11 111111111 1171114111173 I'll ! [0♦. ` is HEMB771=1 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. A 010 1A )L�4IT OFFICE I CONTRACTOR SIGNATURE PE f PERMIT EXPIRES IN 6aiONTHS WITHOUT APPROVED IfISPECTIO11, 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 1-I-4I 11 I I - - I I i.i__I Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813.574.5700 Owner's Address 1 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number Fee Simple Titleholder Name I N/A I Owner Phone Number Fee Simple Titleholder Address I N/A JOB ADDRESS 36339 Well Hill Way I LOT# 1607 SUBDIVISION Abbott Square PARCEL ID# 1 04-26-21-0160-01600-0070 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED II./ II NEW CONSTR 8 ADD/ALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE u v u SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK ® FRAME STEEL DESCRIPTION OF WORK Single Family Residence / Pool / Screen Enclosure / Fence BUILDING SIZE [U/R SF 261 SQ FOOTAGE 2073 HEIGHT 28'� BUILDING $ 312600 VALUATION OF TOTAL CONSTRUCTION Li " f 'ELECTRICAL $ 46890 PROGRESS ENERGY W.R.E.C. AMR SERVICE PLUMBING $ 31260� jry�jf� o�� 0MECHANICAL $ 21882 VALUATION OF MECHANICAL INSTALLATION =GAS ® ROOFING Q SPECIALTY I� OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA EYES CIO BUILDER �°� � COMPANY Lennar Homes, LLC SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address 43hl W Boy Scout Blvd Suite 600 Tampa, FL 33607 License # I CGC1518166 ELECTRICIAN COMPANY Edmonson Electric, Inc. SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address License # I EC13005408 PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address License # I CFC042998 MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN Address License # CAC058062 OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address License # CCC057991 11I1/1111111111/1111/1111 " " ,/ „ " 1/11 " " 'I " " I11111/11111111111 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 subdivisions/large projects COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ****PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (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 @FDEED RESTRICTIONS: The undersigned understands that this permit may bmsubject hn"deod^restrictions" which may bomore 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 fora misdemeanor violation under ntuha law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised tocontact the Pasco County Building Inspection Division —Licensing Section ot727-847- 80U9. Furthermnre, if the owner has hired e contractor or contractors, he is advised to have the contractor(s) sign portions of the ''non\roohor B|nok" of this application for which they will be responsible. If you, an the owner sign as the uonbookor, that may bean 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 hu the construction of new bui|dingo, change of use in existing bui|dingo, or expansion of existing bui|dinga, an specified in Pasco County Ordinance numbor8Q-O7 and A0-O7.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 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 oartiDoaha ofoccupancy nr final power release, the fees must be paid prior to permit issuance. Furthermore, ifPasco 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, emmrnended): |fvaluation ofwork io$2.5OO.UUormore, | certify that |. the app|ivant, 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 itiothe ^mwner"prior hncommencement. CONTRACTOR'G/OVVNER^SAFF|DAV|T: | certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating oonatruotion, zoning and land development. Application is hereby made to obtain o permit to du work and installation as indicated. | certify that no work or installation has commenced prior to issuance of permit and that all work will be performed to meet obendovda of all laws regulating oonntruotion. County and Qh/ oodoa, zoning regulations, and land development regulations in the jurisdiction. | also certify that | understand that the rogu|uUnno ofother government agencies may apply to the intended vvork, and that it is myresponsibility hoidentify what actions | must take bobeincompliance. Such agencies include but are not limited to: - Department ofEnvironmental Protection -Cypress Beyheeda, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management Oimthnt-WaUs, Cypress Bayhaadn. VVeA|end &roao. Altering VVetenx>uroeo. - Army Corps ofEngineers-SenwmUo.Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Un|t-VVeUo, Wastewater Treatment, Septic Tanks. - USEnvironmental Protection Agency -Asbestos abatement. - Federal Aviation Authohty-Runvvaya. | understand that the following restrictions apply 0nthe use offill: - Use offill ionot allowed inFlood Zone ''V~unless expressly permitted. - If the 0| mohaha| is to be used in Flood Zone ^A^, it is understood that e drainage plan addressing a "compensating volume" will be submitted at time ofpermitting which is prepared by professional engineer licensed bythe State ofFlorida. - If the fi|| material is to be used in Flood Zone ^A^ in connection with a permitted building using stem vvaU construction, I certify that fill will be used only to fill the area within the stem wall. - If fill mahahe| is to be used in any area. | certify that use of such fi|| will not adversely affect adjacent properties. if use of fill is found to adversely affect adjacent pnopartiom, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots |aoo than one (1) acre which are elevated byfill, enengineered drainage plan iarequired. 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. | understand that separate permit may be required for electrical work, p|umbing, signs, wells, poo|o, air conditioning, gam, o/other installations not specifically included in the application. A permit issued shall be construed to boa license to proceed with the work and not as authority \oviolate, oanoo|, a/ter, 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 isouanoo, 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 maybe nequeahad, in writing, from the Building Official fora period not toexceed ninety (QO)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 NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT nr OWNER OR AGENT Subscribed and sworn rb.(or �affirmed) before me this 7/10/2023 by —Christopher Smith Who is/are pe nally known to me or hasihave pizedwG94 as identification. Z�Zf__ Notary Public Commission 29605 Stephanie Farmer Name of Notary typed, printed or stamped Subscribed and sworn to (or affirmed) Name of Notary typed, printed or stamped DESCRIPTION. LOT 7, BLOCK 16, ABBOTT SQUARE PHASE 2, SITE PLAN SEC. 4, TWP. 26 S, RNG 21 E. ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 90, PASCO COUNTY, FLORIDA PAGES 28-33, OF THE PUBLIC RECORDS OF PASCO COUNTY, (NOT A SURVEY) FLORIDA. (ABBOTT SQUARE PHASE 2) LOT = 5889 SO. FT. LIVING AREA = 952 —SO. FT. ENTRY = 32 SO, FT. GARAGE = 396 SO. FT. COVERED LANAI = 104 SO. FT. PATIO = N/A SO. FT. POOL AREA =--NZA SO. FT. CONC. DRIVE = 328 SO. FT. A/C & CONC PAD = 10 SO. FT. SIDEWALK = 61 SO. FT. SIDE YARD SWALE = N/A S0. FT. CONSERVATION AREA = NA SQ. FT, LOT OCCUPIED = 32 AREA TO IRRIGATE = 68 % * = I 0.00'PUBLIC UTILITY EASEMENT LEGEND: PROPOSED DRAINAGE FLOW (00.00) = PROPOSED GRADE E-00.00 = EXISTING GRADE Prepared for and Ce, HITed To. Lennar Homes CURVE DATA (P) CURVE RADIUS ARC LENGTH CHORD LENGTH � CHORD BEARING I DELTA ANGLE C25 15.00' 1 24.10' 1 92-03-34- P1 Nf I )2.3' 41). W LOT 6 BLOCK 16 3MUMEW 3.2'X3.2' C/S-A/C El PO 12.0' 75 0 13.0' 25'-0" PROPOSED 2 STORY RESIDENCE PLAN 2074 ELEV "A" GARAGE b C, N LOT C? BLOCK 16 51' /I ENTRY 3 b N 9%41 1�c LOT 8 BLOCK 16 eCbNCVMI. 01 . . I - . 1 4r ry , NOTES: BASIS OF BEARING LOT GRADING TYPE = B N 89'48D4- E IP) PROPOSED PAD ELEVATION = 9T20' FRONT SET BACK = 20' WELL HILL WAY SIDE SET BACK = 75 TRACT "A" (CDD) RIGHT-OF-WAY SIDE SET BACK (CORNER LOT) = 10' REAR SETBACK = 15' ALL ELEVATIONS REFERENCED TO NORTH AMERICAN PROPOSED: TO DATUM OF 1988 MINIMUM FLOOR ELEVATIONS: (NAVD 88) LIVING AREA: 97.87' GARAGE AREA: PROPOSED ELEVATIONS AND GRADING ELEVATIONS REFERENCED TO SHOWN HEREON ARE TAKEN FORM THE NORTH AMERICAN VERTICAL ENGINEERING PLANS OF DATUM OF 1988 "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 (R) - RECORD LEGEND A/C — AIR CONDITIONER D.E= DRAINAGE EASEMENT LB =UCENSED BUISNESS PCC = POINT OF COMPOUND CURVE RNG = RANGE VINYL FENCE CE AF = ALUMINUM FENCE EL OR ELEV = ELEVATION LE = LANDSCAPE EASEMENT PCP = PERMANENT CONTROL POINT CONC BEE BASE FLOOD ELEVATION RRS = RAIL ROAD SPIKE 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 (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 = CENTERUNE CHAIN LINK FENCE CLF = CHAIN LINK FENCE MONUMENT NCF = NO CORNER FOUND t = PROPERTY LINE SIR = SET 112- IRON ROD LB# 8 183 COP = CORRUGATED METAL PIP LIP = FOUND IRON PIPE O/A = OVERALL POB = POINT OF BEGINNING TBM — TEMPORARY BENCH MARK = BRICK COL —COLUMN FIR = FOUND IRON ROD OH OVERHEAD WIREIS) POC = POINT OF COMMENCTMEN'T 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 MONUMENI VF =VINYL FENCE DK JOB 15907521607 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive ee Date of Site Plan: 6-23 1.) Current title information on the subject property had not been This certifies thal N sq -23 %�Wftiehthe hereon described Tarpon Springs, Florida 444t I �Pjl N �Pll N furnished to Initial Point Land Surveying, LLC. at the time of this property w, I uInde &Pervision and Phone: (727)-831-1990 RG W RG E SITE PLAN meets th4s is L%1 - - E, DWG:AS-PH2-L7-BL I 6-SITE - c le Practice for FloridaPLS7123@gmail.co �Pjs 2.) This sketch was prepared without the benefit of a title search. survey%/_0%97s OR ard of Land LB# 8183 RG I W, Zp I'E' No instruments of record reflecting ownership, easements or Survair6rs i thr h File: rights -of -way were furnished to the undersigned, unless otherwise shown hereon. J_ 1 40JP3, 1 1 1.7 sgyliy# ned Drawn by: DJB dfl coon 4Z. ' �eFa t 3.) Roads, walks, and other similar items shown hereon were taker by rile y Checked byJH from engineering plans and are subject to survey, 4.) This SITE PLAN does not reflect nor determine ownership. te: 6.27 '00 REVISIONS R 5.) This SITE PLAN is subject to matters shown on the Plat of H e YATE I LORI :4 -04'00' % "ABBOTT SQUARE PHASE 2" ft 6.) Dimensions shown hereon are in feet and decimal portions Jeff M. e FLORIDA i4 OCR R AND thereof. 7.) Contractor and owner are to verify all setbacks, building MAPPER NO. 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. U | � LA | | | | | mm Y �-----�-----to'----�-----�— cn m m cn W.V.. W.-i 1, ' / / 17 16 15' --14 TYPEW PAD 00.70 33 Plan Model Elevation 0 Garage Lot Size Block Lot Parce I M 6119 O Cj �/17 JCL Address: —IL 3 3 Setbacks: FrontRear7, 5 _ Sides�(9) Elevation: Q � ...... 4j, - Garage: Roof Shingle Dimension/Architectural: P, 1- U A L P E V S Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 36339 Well Hill Wa 1!'arcel Tax ID: 04-26-21-0160-01600-0070 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 ASSIST, INC. Private Provider: DEBRA ANNE KLAHR Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601 Telephone: 5FORY13KI M*..* Email Address (Optional): deb@virtualreviewassist.com Fax: N/A 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, i1thin I business day after any change, update this notice to reflect such changes. The building plans review and/or spection 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 atta.chments. are providtd as required: 1. Qualification statements and/or resumes of the private provider and all duly authorized representatives. I. Proof of insurance for professional and comprehensive liability in..the. amount of $1 million per o couTrence- relating to all service's performed as a private provider, including tail coverage for a minimum of 5 years subsequent to the performance of building code inspection services. . Individual Corporation Partnership LENNAR HOMES. LLQ Print Corp oration Name PrintPartnership Name B By, y: _(signature-) (signature) (signature) Print print Print Name:-- Christopher Smith Name: Address. Its:Authorized Agent Its: Address: 700 NW 107ib Ave Address: Telephone Miami, FL 33172 Telephone Telephone. Te, No, .. 913,574-5700 No.: Please use appropriate notary block. STATE OF FLORIDA COUNTY OF HILLSBOROUGH Individual B efore me, this - -day Of 20_, personally appear5d who executed the foregoing instrument, and acknowledged before me that s.wnt, was executed for the purposes therein Corp oration Be,for,int,tbis 22ND day. of MAY 20 personally appeared, Of Lennar Homes, ffl.�_ a corporation, on behalf of the state corporation, who executed the foregoing instrument and aciciowledged before me that same, was executed for the purposes therein expressed. Personally known Produced iden# cation Type of identification produced Signature of Notai�PrintName ASk ASHLEE CALLAHAN NotaryPublic Stamp: MAY COM,AjSSJJiN # HH 295980 EXPRIES* November 30 2026 Commission Expires: Partnership B efore me, this day of personally appeared partner/agent on behalf of a partnership, who executed the foregoing instrument And a= ("WI"' "'fore me that same w xtculted for the purposes therein expressed.. VIRTUAL REVIEW ASSIST Private Provider Plan Compliance Affidavit Private Provider Firm: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU1967 Address: 747 Southwest 21 Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: luc ,.v' alreviewassist,com Project: New SFR Address(s): 36339 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,1.1,1.2,2.1,2.2,3,4,5,6.1,6.2,7, SS,ST,SN1, SN ,S3,S4,S5,S6,D1,D2,WP, PA1.0,PA1.1, PA12,PAL3,PAIA, PA1.5,SHl.0,SH1.1,SH1.2,SH1.3,SH1.4,SH1.5 Florida License/Registration/Certification #(s) and description: FS468 Certified Standard Plans Examiner License #: PX2300 Signature of Reviewer:t SWORN AND SUBSCRIBED before me by Debra Anne Klahr being personally known to meV or having produced as identification and who being fully sworn and cautioned, state that the for, goillkis true and orre t to the best of his/her knowledge or belief. Ashlee Callahan ig a6 otary Print Name Notary Public: NOTARY STAMP BELOW My commission expires: ASHLEE CGALLAHAN `. my C h1MISSION # Nki 295980 2026 EXPRE.S: November 30, [—COMMERCIAL BUILDING SERVICES DIVISION RESIDENTIAL BUILDING PERMIT DATA SHEET TRACKING # FIRE MARSHAL #01 - DATE: 7/15/2023 FOLIO # 36339 WELL HILL Wy EXAMINER: -Debra Klahr PX230C Reauired Permits IV Building Ej j!Lspection Only IV Plumbing E] Inspection Only IV Mechanical 0 Inspection Only V Electrical Amp ❑ Inspection On 44 Roof 1 [:1 Medical Gas El Fire Sprinklers El On Site Piping E] Fire Line 0 Irrigation E] Fire Alarm El Potable Backflow Assembly D Fire Line Backflow Preventer El Irrigation Backt1ow Assembly ❑ Demolition ❑ Walk-in Cooler El Refrigeration El Hood El Ansul El Fence/Wall [:] Grease Trap El Other Fj Other Building Data Type Construction: IV-8 Risk Category: Occupancy Load ancy Classification: Factory 1 0 11 'Residential Assembly E-—1 Business J)ay Care/Educational Hazardous E= nal E::= 0 Mercantile Storage ❑ ❑yiJtility - Building Use: single family residence Alteration I❑Level I IaLevel 2 [E—]Level 3 io New Construction E] Interior Finish E] Interior Remodel F-1 Exterior Remodel E] Addition F-1 Revision Overall Size: 25 x 62 Number of Stories: 2 Total Sq. Ft.: 2605 Living Area: 2073 Covered Area: 532 # of Bedrooms: 4 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof j1pe: DTile El Built-up El Metal El Other Squares: 17 Zoning: Wi orne Debris: QlInside "Outside Energy Code: 405-2022 sup Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? r Yes No I Sq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: Total Sq. In. Permanent Openings Central A/C ❑ Gas A/C El Heat Pump M Window A/C 0 Gas Heat El Electric Heat On Site Piping Sanitary Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line Setbacks Front Rear Left Right QQ As per Approved Site Plan Comments: Permit No._4z�L Date Permitted 17 Builder Name/Owner Name /a4'q Control # County Parcel No. /) q 262 �?-Z /6O ol/,20 6(VnSubDiv:_ A �/ Address/Location � L33 1 Zdf/l fi"17V1 11-1,10 Classification/Type of Use UC/ TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: 2--z:15 Exempt 0 Yes F--j No How Determined Impact Fee Amount Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single -Family Detached House Amount zzz' (057) Mobile Home (058) 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$ Z� Exempt =Yes = No How Determined W�- Land Account Land Credit Land Total Facility Account _ Facility Credit Facility Total Exempt 0 Yes No How Determined Total Amount RESOURCE FEE ERU Total Amount Prepared By Checked By NO CERTaICATE 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 Classification/Type of Use (� TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: Exempt Yes No/ 7 How Determined Impact Fee Amount Zone 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 How Determined_ PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total _ Total Amount $ Zone 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 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. mm RECEIPT NO DATE BY