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Home My WebLink About23-6806City of Zephyrhilis 5335 Eighth Street Zephyrhills, FL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 o �A 17,14 ��' �l 00 111 Y1, 71 04 26 21 0160 02600 0160 6462 Back Forty Loop R11"" 4" Name: Lennar Homes, LLC Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC Class of Work: SFR Construct 1" -7 Address: 4301 W Boy Scout Blvd Suite 600 Building Valuation: $282,120.00 Tampa, FL 33607 Electrical Valuation: $42,318.00 Phone: (813) 574-5700 Mechanical Valuation: $19,748.40 Plumbing Valuation: $28,212.00 Total Valuation: $372,398.40 Total Fees: $20,500.02 Amount Paid: $20,500.02 Date Paid: 8/21/2023 3:02:10PM RNNI 1 CONSTRUCT SINGLE FAMILY 1870 SQ FT Mechanical Permit Fee $13874 SIF 1 percent Fee $83.28 Admin Fee / (Provider Service) $180.00 Sewer Connection Residential Fee $2,400.00 Irrigation 3/4 Meter (Cale) $794.92 Park Impact Fee - Single Family/Townhome $769.56 Driveway Fee $45.00 Building Permit Fee $1,450.60 Address Fee $30.00 Electrical Permit Fee $251 .59 Public Safety Impact Fee -Admin $26.35 3/4 Water Meter Fee (Cale) $794.92 School Impact Fee - Single Family $8,328.00 Transportation Impact Fee - City $36.32 Public Safety Impact Fee -Police $254.00 Water Connection Residential Fee $1,140.00 Plumbing Permit Fee $181.06 Transportation Impact Fee $3,595.68 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. 111111 ! 1 11,11,11 1 1 !1111 :111 111 1 1 111 1 I I i KIPPI I I 111 IL74 1141 K-1 Ila I IFYA Z- I• 230��M! accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE PE f IT OFFICEU ITHOUT APPROVED INSPECTION I z M1 =" Fro MWE [oil] :1 F 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting 908 770 7763 1 r 1 1 1 I 1 r_ 1 I _i_r. 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 /A Owner Phone Number Fee Simple Titleholder Address N/A JOB ADDRESS 6462 Back Forty Loop LOT # 1 2616 SUBDIVISION Abbott Square PARCEL ID# 1 04-26-21-0160-02600-0160 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR H ADD/ALT SIGN O DEMOLISH P INSTALL REPAIR PROPOSED USE SFR Q COMM OTHER TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL DESCRIPTION OF WORK Single Family Residence / Pool / Screen Enclosure / Fence BUILDING SIZE U/R SF 2351 T� SO FOOTAGE 1 1870 HEIGHT 28' BUILDING $ 282120 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 42318 AMP SERVICE ® PROGRESS ENERGY W.R.E.C. � • r PLUMBING $ 28212 MECHANICAL $ 197 48.4 VALUATION OF MECHANICAL INSTALLATION (0 --�n =GAS W1 ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS I� FLOOD ZONE AREA DYES Do BUILDER � �-� COMPANY Lennar Homes, LLC SIGNATURE REGISTERED Y/ N FEE CURREN Y / N Address 4 O1 W Boy Scout Blvd Suite 600 Tampa, FL License # 33607 CGC1518166 v ELECTRICIAN t COMPANY =Edmonson Electric, Inc. SIGNATURE REGISTERED Y/ N FEE CURREN Y / N Address I License # EC13005408 PLUMBER COMPANY I Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y/ N FEE CURREN I Y I N Address License # CFC042998 MECHANICAL ;' COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE Z Z REGISTERED Y/ N FEE CURREN Y/ N Address V License # I CAC058062 OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE REGISTERED Y/ N FEE CURREN Y ! N Address License # 1 CCC057991 11111111/11111111111111111111111111111 „ 11111 " 1111 " 1111/111111111 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 OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may bamore 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 o 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 b* cited fora misdemeanor violation under state |nvv. 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 o contractor or ronUaoinno, 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 uontrmoiur, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in P000n County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fuao may apply tuthe construction ofnew buildings, change of use in existing bui|dings, or expansion of existing bui|dinQa, as specified in Pasco County Ordinance number80-O7 and 80'07, an amended. The undersigned also undernbonds, that such feeo, 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 ofoccupancy" orfinal power release. |fthe project does not involve acertificate ofoccupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVohar/Sawer 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, osmmnmnded): |fvaluation nfwork iu$2.5U0.O0urmore, | certify that |, the applicant, have been provided with e 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 ii10the ^mwnor"prior Uucommencement. CONTRACTOR'SNOVVNER'SAFFIDAV|T: | certify that all the information inthis application iaaccurate and that all work will be done in compliance with all applicable |owm regulating nonotru/tion, zoning and land development. Application is hereby mode to obtain a permit to do work and installation as indicated. | certify that no work or installation has commenced prior to issuance of permit and that all work will be pohbnned to meet standards of all |owo regulating cons(ruction. County and City oodes, zoning nogu|oUnns. and land development regulations in the jurisdiction. | also certify that | understand that the regulations of other government agencies may apply to the intended wmrk, and that it is myresponsibility 0nidentify what actions | must take (obeincompliance. Such agencies include but are not limited to: - Department ofEnvironmental Protection -Cypress Bayheodo, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida VVahor Management District -Wells, Cypress Bayheada, Wetland Areao, Altering VVehenuuuroen. - Army Corps ofEngineero-SoawaUn.Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-VVe||o, Wastewater Treatment, Septic Tanks. - USEnvironmental Protection Agency -Asbestos abatement. ' Federal Aviation Authorih/-Runwaya. | understand that the following restrictions apply 0rthe use offill: - Use offill ienot allowed inFlood Zone ^\runless expressly permitted. - If the 5U mohaha| is to be used in Flood Zone ^A^, it is understood that a drainage plan addressing o "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 Rood Zone ''A^ in connection with a permitted building using stem vva|| construction, I certify that fill will be used only to fill the area within the stem wall. - If fill mobaho| 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 pnopertias, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots |*oo than one (1) acre which are elevated byfill, onengineered 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 e separate permit may be required for electrical wmrk, p|umbinQ, aigns, weUn, pon|a, air conditioning, gon, nrother 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 isouanoe, 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 requeshed, in writing, from the Building Official fora period not to exceed ninety (Q0)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. |FYOU INTEND TO OBTAIN FINANCING, CONSULT OWNER OR AGENT Subscribed and sworn to' (or affirmed) before me this 415/2023 y Christopher Smith Who is/are personally known to me or hasAhave prodwG94 as identification. —Notary Public Stephanie Farmer Name of Notary typed, printed or stamped Subscribed and sworn to (or affirmed) before me this Name of Notary typed, printed or stamped DESCRIPTION. LOT 16, BLOCK 26, ABBOTT SOUARE PHASE 2, ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 90, PAGES 28-33, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. ALL ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 (NAVD 88) SITE PLAN (NOT A SURVEY) Prepared for and Certified To: Lennar Homes SEC. 4, TWP. 26 S, RNG 21 E. PASCO COUNTY, FLORIDA (ABBOTT SQUARE PHASE 2) LOT 15 11 0. BLOCK 26 I LOT /i BLOCK 26 N88*08'23'W(p) 110.50-(p) qb- IL---------- 0 .5' I c 15'X3-5' 48.0' 9 PROPOSED C/S-41C 9 2 STORY RESIDENCE Vi Lift V, U- PLAN 187 1 3.0'X6.9 LOT16 0 6 �0 ELEV"A" 6 PATIO BLOCK 26 E' LOT2 Ce All 4.3GARAGE M uj BLOCK 26 TCOPC ENTRY W A K tic (xi 4Z-0" 20.5' 37.7' 48.0' 0 LA z 25. P) N88*08'23"W(P) 110.50-(p) ---------- .50 (P) LOT 17 LOTI BLOCK 26 1 BLOCK 26 Ln L-1 6PCP NOTES: LOT GRADING TYPE = B PROPOSED ELEVATIONS AND GRADING PROPOSED PAD ELEVATION SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF FRONT SET BACK = 20' "ABBOTT SQUARE RESIDENTIAL", PREPARED SIDE SET BACK = 75 BY "WRA" PROVIDED BY CLIENT SIDE SET BACK (CORNER LOT) 10- LOT = 4973 SO. FT. LIVING AREA = 780 SQ. FT. REAR SETBACK= 15' ENTRY = 38 SO. FT. GARAGE = 443 SO. FT. PROPOSED: = 10.00' PUBLIC UTILITY EASEMENT COVERED LANAI = N/A SO. FT. MINIMUM FLOOR ELEVATIONS: PATIO = 18 SO. FT. POOL AREA = NA SO. FT. LIVING AREA: 97.47' LEGEND: CONC. DRIVE = 354 SO. FT. GARAGE AREA: PROPOSED DRAINAGE FLOW A/C & CONC PAD = 12 SO. FT. ELEVATIONS REFERENCED TO SIDEWALK = 34 SO. FT. NORTH AMERICAN VERTICAL (00.00) = PROPOSED GRADE SIDE YARD SWALE = N/A SO. FT. DATUM OF 1988 E-00.00 = EXISTING GRADE CONSERVATION AREA = N/A SO. FT. LOT OCCUPIED = 34 % APPARENT FLOOD HAZARD ZONE: "X"COMMUNITY NO. 120235 AREA TO IRRIGATE = 66 % SURVEY ABBREVATIONS (MAP NUMBER 12101 C-0289-F) EFFECTIVE DATE: 09/26/2014 A) = ARC LENGTH fDJ = DEED INV = INVERT PC - POINT OF CURVE fRI = RECORD LEGEND VINYL FENCE A/C = AIR CONDITIONER D.E= DRAINAGE EASEMENT LB =LICENSED BUISNESS PCC = POINT OF COMPOUND CURVE RNG = RANGE AF = ALUMINUM FENCE EL OR ELEV = ELEVATION L.E = LANDSCAPE EASEMENT PCP = PERMANENT CONTROL POINT RRS = RAIL ROAD SPIKE CONC 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 (M) = MEASURED PI = POINT OF INTERSECTION SN&D = SET NAIL AND DISK ASPHALT (C) = CALCULATED = CENTERLINE FCM = FOUND CONCRETE MES = MITERED END SECTION PK =PARKER KALON LB#8 183 - IRON ROD LB# 8183 HP -FO CHAIN LINK FENCE CLF = CHAIN LINK FENCE MONUMENT NCF = NO CORNER FOUND PROPERTY LINE SIR= SET 112 CMP = CORRUGATED METAL PIP.f LIND IRON PIPE O/A = OVERALL POB = POINT OF BEGINNING TBM = TEMPORARY BENCH MARK BRICK X -----X— COL = COLUMN FIR = FOUND IRON ROD OHW = OVERHEAD WIREIS) 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 MONUMENJ VF = VINYL FENCE JOB 15908522616 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive N 1.) Current title information on the subject property had not been This certifies thakOgi f thehereon described Tarpon Springs, Florida WPIN N, SITE PLAN property e upervision and Phone: (727)-831-1990 RG1W RGIE E DWG:AS-PH2-L 16-BL26-SITE meets t Ii 1,01, Practice for FloriclaPLS71239gmail.com mpll Date of Site Plan: 6-13-23 furnished to Initial Point Land Surveying, LLC. at the time of this RG , W RG E — 2.) This sketch was prepared without the benefit of a title search. s e a and of Land LB# 8183 No instruments of record reflecting ownership, easements or Su File: rights -of -way were furnished to the undersigned, unless otherwise J- I I FIB ra W�d Drawn by: DJI3 shown hereon. puiSuan 0 Section I@y — 3.) Roads, walks, and other similar items shown hereon were taker st Date; 2 .14 Checked byJH from engineering plans and are subject to survey. — 4.) This SITE PLAN does not reflect nor determine ownership. rt W 13: Roo, A`C REVISIONS 5.) This SITE PLAN is subject to matters shown on the Plat of z "ABBOTT SQUARE PHASE 2" Jeff FLORIDA dffimm 6.) Dimensions shown hereon are in feet and decimal portions FLORID RAND 10 thereof. MAPPER N 7.) Contractor and owner are to verify all setbacks, building 3 4% 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 09-11 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 Plan Model Garage Lot Size Parcel: 0 f1 L-0 ^('k 11-f) r - /'0 C) Setbacks: Front �O , �' Rear----- �/) 4,0 Sides 715 Elevation, '0 /, P Garage: Roof Shingle Dimension/Architectural: 5-A ic)je pu 0 V R T U A L R E V `VV A S S i Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 6462 Back Forty Loop Parcel Tax ID: 04-26-21-0160-02600-0160 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. 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 KLAHP Address: 747 SW 2N[) 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 perforrn the required building inspections to deten-nine 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 1 1 led' 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 1 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 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 ocuirence relating to all servieds performed as a private provider, including tail coverage for a minimum of 5 years subsequent to the performance of building code inspection services. an , ce, Individual qorporation Partnership LENNAR HOMES -(signature) Print Name: Telephone No.: Pleaseus e appropriate notary black. STATE OF FLORIDA COUNTY OF HILLSBOROUGH Before me, this -day of 20. personally appeared who executed the foregoing instrument, and. acknowledged before me that same e. was executed for the p-arposes therein Print CorporationNamD By: Print .Name: Christopher Smith Its: Authorized Ment Address: 700 NW 107Lh Ave. Marni, FL 33172 Telephone. Corporation Beforeme,this, 22ND day of MAY 20Z3 personally appeared. Of Lennar Homes, LLG a CDrporaiion, an .,behalf of the -state corporation, who executed the foregoing instrument and aclanowledged before me that same was executed for the purposes therein -personally known X or- Produced identification . Type of identification produced Signature offotary PTintNaMer ASi -a -7,77777 NotayyPublic Stamp: ASI R. CA"' JkHM4 L41A _980 C VM Commission Expires: j ERES11)V(''*er 02�; Print P artnership Name -0 . (signature) Print Name - Its Address; Telephone No.: Partnership B fffort me, this -day Of 20— per&6nally appeared p artnor/agerit on behalf of a partnership, who executed the foregoing instrument and acknowledged before me that same was exruuted for thtpurposts . therein Page 2 of 2 VIRTUAL REVIEW ASSIST Private Provider 1: 1 .. ii Private Provider Firm: 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: Inc v girevigwassist.qoin Project: New SFR Address(s): 6462 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,AI,A2,A3,A4, A5,A6,A7,SNO,SNI,S3,S4,S5,S6,SS,ST,SII,SI2,WPI,WT2,VvT2.1,PAI.0,PAI.1, PA1.2,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 Signature of Reviewer: SWORN AND SUBSCRIBED befo 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 fob g is true an t to the best of his/her knowledge or belief. go g n Ashlee Callahan e of i e of otary Print Name Notary Public: NOTARY STAMP BELOW My commission expires: LA SIR ICE CALLA 1-1 �2 f, '50 -NIS' IH 95 80 My CON, ON # I H 2 0, � I ' �] 0 EXNRES' NovemDer 330112026 it I .In IM] 19142 W 01:10 1 In 1XV KV-111 In By I FIRE MARSHAL #01 - 1* -111MVER103111 It 1n M&NO24RUTA Required Permits Building ❑ PELection Only JZ Plumbing F-1 Ins ection Only Mechanical ❑ Inspection Only Electrical_Amp ❑ jnspection 0 ly Roof El E] Medical Gas E] Fire Sprinklers El On Site Piping Ej Fire Line E] Irrigation E] Fire Alarm E] Potable Backflow Assembly El Fire Line Backflow Preventer E] Irrigation Backflow Assembly Ej Demolition ❑ Walk-in Cooler El Refrigeration Ej Hood El Ansul El Fence/Wall El Grease Trap Ej Other E] Other X'"rot M1. ITWI Type Construction: I V-B Risk Category: Occupancy Load 0 ancy Classification: Factory Residential V- 'Assembly Hazardous pa" Storage '11usmess 'y care/Educational 't. tio nal E Mercantile RE] jtil� ny — — — Building Use: SINGLE FAMILY RESIDENCE Alteration F]"-'Level I ❑ Level 2 0 Level 3 ,6New Construction El Interior Finish Ej Interior Remodel F-1 Exterior Remodel El Addition ❑ Revision Overall Size: 30 X 42 Number of Stories: 2 Total Sq. Ft.: 2351 Living Area: 1870 Covered Area: 481 # of Bedrooms: 4 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof Type: 91 Shingle [:]Tile El Built-u El Other Squares: 16 Zoning: Wi❑ orne Debris: Inside =Outside Energy Code: 405-2022 SUP Flood Zone: X Base Flood Elevation: I Finish Floor Elevation: Hydrostatic Vents? Yes No Sq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents.. Total Sq. In. Permanent Openings [R Central A/C 0 Gas A/C Z Heat Pump D Gas Heat F-1 Window A/C El Electric Heat Sanitary Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line Setbacks Front Rear Left Right As per Approved Site Plan Comments: