HomeMy WebLinkAbout18-20604 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20604
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
PERMIT INFORMATION LOCATION INFORMATION
Permit#:20604 Issued: 12/27/2018 Address: 2963 MOULDEN HOLLOW DR
Permit Type: NEW SINGLE FAMILY DWELLING ZEPHYRHILLS, FL.
Class of Work: 101-NEW CONST/SFR Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 225,863.25 Total Fees: 17,557.97 Subdivision: HIDDEN RIVER
Amount Paid: 17,557.97 Date Paid: 12/27/2018 Parcel Number: 25-26-21-0100-00000-0570
CONTRACTOR INFORMATION, OWNER INFORMATION
Name: LENNAR HOMES LLC Name: LENNAR HOMES
Addr: 4600 W. CYPRESS ST STE 200 Address: 4600 CYPRESS ST STE 200
TAMPA, FL. 33607 TAMPA FL 33607
Phone: (813)574-5743 Lic: Phone: 813-574-5700
Work Desc: CONSTRUCT SINGLE FAMILY 2,005 SQ FT
APPLICATION FEES
BUILDING FEE 1,268.40 ELECTRICAL FEE 263.26 PLUMBING FEE 175.50
MECHANICAL FEE 122.85 SEWER CONNECTION RESIDEW 2,090.00 WATER CONNECTION RESIDENI 1,010.00
WATER METER RES 3/4" 473.78 POLICE IMPACT FEE 254.00 FIRE IMPACT FEE _ 273.00
PUBLIC SAFETY 5% 26.35 PARK FEES SF 769.56 SCHOOL IMPACT FEE NEW 7,128.00
SCHOOL-SFR NEW 1% 71.28 TRAFFIC IMPACT FEE 99% 3,595.68 TRAFFIC IMPACT FEE 1% 36.32
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Ins ection R uired
-FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH,PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
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 such subsequent reinspection.REINSPECTION FEES:
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 permits required from other governmental
entities such as water management, state agencies or federal agencies.
"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 with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications and 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.
4CMTRACTORS SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: 14,1A,
Date Received:
Site: Inatrldea 1 66o
Permit Type: cS I1 7�mi e! Lo
Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑
f
This comment sheet shall be kept with the permit and/or plans.
/ DEC 2'�
Kalvi witzer—Plans Examiner Date Contra or and/or Homeowner
(Required when comments are present)
Lennar Homes-2963 Moulden Hollow Dr-2005 sq ft
Column ts
SQ. FEET PRICE
MAIN OR LIVING: 2,005 $ 112.65
OTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $ -
VALUATION $ 225,863.25
FEE SHEET $ 1,170.00
ADDRESS $ 30.00
DRIVEWAY1 $ 45.00
BUILDING: $ 1,268.40
ELECTRICAL: $ 263.25
PLUMBING: $ 175.50
MECHANICAL: $ 122.85
SUB-TOTAL $ 1,830.00
TOTAL $ 1,830.00
SEWER: $ 2,090.00
WATER: $ 1,010.00
IRRIGATION: $ -
TOTAL: $ 3,100.00
WATER METER: $ 473.78
IRRIGATION METER $ -
FIRE DEPARTMENT FEES
PLANS TOTAL: n/a
INSPECTION TOTAL:
PERMIT TOTAL
TOTAL: $ -
PUBLIC SAFETY IMPACT FEES
POLICE $ 254.00
FIRE $ 273.00
5% $ 26.35
TOTAL: $ 553.35
SUB-TOTAL $ 5,957.13
PARK IMPACT FEES $ 769.56
SIF'S: $ 7,128.00
100.0% $ 7,128.00
1.0% $ 71.28
TOTAL: $ 7,199.28
T 1 F'S: $ 3,632.00
99% $ 3,595.68
1% $ 36.32
TOTAL: $ 17,557.97
Lennar 2963 Molden Hollow Dr.-2,005 sq ft
Column
SQ. FEET PRICE
MAIN OR LIVING: 2,005 $ 112.65
OTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $ -
VALUATION $ 225;863.25
FEE SHEET $ 1,170.00
ADDRESS $ 40.00
DRIVEWAY $ 40.00
BUILDING: $ 1,273.40
ELECTRICAL: $ 263.25
PLUMBING: $ 175.50
MECHANICAL: $ 122.85
SUB-TOTAL $ 1,835.00
Public Fee 1%
TOTAL $ 1,835.00
SEWER: $ 2,090.00
WATER: $ 1,010.00
IRRIGATION: $ -
TOTAL: $ 3,100.00
WATER METER: $ 473.78
IRRIGATION METER $ -
FIRE DEPARTMENT FEES
PLANS TOTAL:
INSPECTION TOTAL:
PERMIT TOTAL
TOTAL: $ -
PUBLIC SAFETY IMPACT FEES
POLICE $ 254.00
FIRE $ 273.00
5% $ 26.35
TOTAL: $ 553.35
SUB-TOTAL $ 5,962.13
PARK IMPACT FEES $ 769.56
SIF'S: $ 7,128.00
100.0% $ 7,128.00
1.0% $ 71.28
TOTAL: $ 7,199.28
T I F'S: $ 3,632.00
99% $- 3,595.68
1% $ 36.32
TOTAL: $ 17,562.97
Single Family Dwelling
Plan Review Comments
1: F.F.E..shall be a minimum of:8" above the road elevation and an engineered site plan.
2: Lots shall be.graded to comply with R401.3 of the F.B.C.
3. Compaction fest required.if,24" or more of fill dirt is brought in at any one place.
4: Tie in survey required before pouring concrete.
5. Driveways require a R.O.M. use permit. All 4 sides of driveway thiu the sidewalk shall have
expansion material.
6. All setbacks shall be met:
7. All.property markers shall be uncovered and marked at time of first inspection.
8, All A:D.A. requirements shall be met.
9: No electric, plumbing,mechanical; or framing shall be covered without an inspection and
approval first.
10. All Garages shall comply with section R302,6 of the F.B.C. (Fire-Separation).
11. Appliances shall not be installed in a location where subject to mechanical damage.unless
protected by-approved barriers. M303.4 of the F.B.0
12. Water.heaters shall comply with section P607.3 of the F.B.C.
13. Foundation supports for A/C units shall be raised at least 3" above finished grade, M13.08.1
14. Return air in all bedrooms. F.B.C. M1620.4
15. Smoke detectors'are to be installed in accordance with R313.1 of the F.B.C.
16. All.glazing requirements are to be in accordance with R..308.4.of the F.B.C.
17. All means of egress are to be in accordance with R311 of the F.B.C.
18: "Green gypsum board"shall riot be used as a backer in showers or tubs,R702.4:2:F.B.C.
19. Combination-type AFCI breakers are required at all locatio1.ns requiring an AFCI type breaker.
20. Carbon-monoxide alarms will be required in new construction that uses fossil,burning heating
or appliances or an attached garage: They shall be;installed in accordance with the F.B.C.
21. All plumbing, mechanical, and electrical shall be separate from unit W.unit- This includes all
underground plumbing and electric.
22. All 2616 N.E.C. Codes will be enforced.
23.Tamper=Resistant Receptacles in accordance with 406.11-of the 2016 N:E.0
24. In accordance with the Land Development Code, lots shall be-sodded before final at least 10
feet around the structure:
25. Blower door test and blown in insulation card shall be provided before C.O.
26.A copy of the enerky cacls shall be'with permit at all times
27 Copy.of final insulation r-epori shall be provided with permit before.final
28:No fence.:pool or screen enclosure -is.issued with this permit
F.F.E.-Finished Floor Elevation
F.B.C- Florida Building Code 6t'Edition
R.O.W.-Right of Way
A.D.A:-Americans with Disabilities Act N.E.C.-National Electric Code(2016)
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received NOV 3 0 20.18 Phone Contact for Permittingg 813 363 _ 2891
1 1 1 1 1 1 1 1 I l l s :.
Owner's Name Lennar Homes,LLC Owner Phone Number r_L_�
574,5700
Owner's Address 4600 W.Cypress St.Ste.200,Tampa,FL 33607 Owner Phone Number
Fee Simple Titleholder Name I N/A Owner Phone Number
Fee Simple Titleholder Address N/A
JOB ADDRESS 2963 Moulden Hollow Drive LOT# 0570
SUBDIVISION Hidden River Phase One B PARCEL ID#1 25-26-21-0100-00000-0570
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED �/ NEW CONSTR ADD/ALT SIGN Q 0 DEMOLISH
INSTALL E REPAIR
PROPOSED USE SFR Q COMM 0 OTHER
TYPE'OF CONSTRUCTION BLOCK 0 FRAME STEEL Q
DESCRIPTION OF WORK Single Family Residence/Pool/Screen Enclosure/Fence
BUILDING SIZE U/R SF 2005-8 SQ FOOTAGE 1555 HEIGHT 1 Story
OBUILDING $ Q (n VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ o lY ® PROGRESS ENERGY Q W.R.E.C.
AMP SERVICE
PLUMBING $
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
OGAS W1 ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES �0
I BUILDER COMPANY Lennar Homes,LLC
r SIGNATURE REGISTERED Y/ N FEE CURREN LY/N
Address 4600 W.C e St.Ste.200 pa,FL 33607 License# CGC1518166
ELECTRICIAN FCOMPANY Edmonson Electric, Inc.
SIGNATURE REGISTERED Y/ N J r FEE CURREK Y/N
Address 1034 Skipp oad, TaqVa, FL 33613 License# EC13005408
PLUMBER COMPANY Bayonet Plumbing, Heating &AC, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address P.O. Box 5308, ayonet, 4674-5308 License# CFC042998
MECHANICAL COMPANY Bayonet Plumbing, Heating &AC, Inc
SIGNATURE F REGISTERED Y/ N FEE CURREN Y/N
Address P.O. Box 530 ayonet, F 674-5308 License# I CAC058062
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE F REGISTERED Y/ N FEE CURREN
Address 4211 Shoal Lined, Spring Hill, FL 34607 License# CCC057991
11111.1111111 .1111 1111111111111111111111111111111111111111111111111
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 0PDEED RESTRICTIONS: The undersigned understands that this permiti be' ^
wh�hmay ba more reathcUvethan 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 he required tobe |icanaedinauoundonooxvithotateond |oca| nagu|ationo. If the
contractor is not licensed as required by /aw, 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. Furthemnona, if the owner has hired a contractor or nontoyutons, he is advised to have the contractor(s) sign
portions of the "con tnaotor Block" of this application for which they will be responsible. If you, as the owner sign as the
uontnactor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TR\0SPQRTATION |K0PACT/OT|LIl7ES 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 bui|dingo, or expansion of existing bui|dinga, as specified in Pasco County Ordinance number88-U7 and
80-07. as amended. The undersigned also undanotando, that such fees, no may be duo, 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. |f the project does not involve o 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, mmamnendmd): |f valuation of work is $2.6OO.00ormore, |
certify that |, the app|ivant, have been provided with o copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant iesomeone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver itto the"mwner"prior hocommencement,
CO0TRACTC>R`SXOVV0ER'SAFF|DAV|T: 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 work or installation has
commenced prior to issuance of permit and that all work will be performed to meet standards of all |ewa regulating
. construction, County and City codes, zoning regulations, 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
my responsibility to identify what octiono| must take tobainoonnp}ianuo. Such agencies include but are not limited to:
- Dapo�n�entnfEnvironmonta| Protection-Cypress Bayheado. Wetland Areas and Environmentally Sensitive
Lands, VVoter88aotawaterTneotmenL
- Southwest Florida Water Management Oiothnt4/VeUa, Cypress Bmyheado, Wetland Anaoo, Altering
Watercourses.
- Army Corps nfEngineera'SbowaUe. Docks, Navigable Waterways.
- Department of-Health & Rehabilitative Services/Environmental Health Unit-&eUn, Wastewater Treatment,
Septic Tank p.
- UGEnvironmenta| Protection Agency-Asbestos abatement.
- Federal Aviation Authority'Runvvnyo.
| understand that the following restrictions apply bz the use offill:
- Use offiUia not allowed in Flood Zone"V~unless expressly permitted,
- If the fill material is to be used in Flood Zone ^/\", it is understood that a drainage plan addressing a
°componooting volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State ofFlorida.
- If the hU material is to be used in Flood Zone "A" in connection with m ponnK±ed building using mtarn vvaU
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, | 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 |eeo than one (1)
acre which are elevated by fill, an engineered drainage plan }srequired.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permittingconditions set forth in
this affidavit prior to commencing construction. | understand that o separate permit may be required for electrical vvorh�
p|unnbing, signs, vve||a, pno1a, air conditioning. gas, or other inodo||aUono not specifically included in the application. A
permit issued shall be construed to be o license to proceed with the work and not as authority toviolate, canoe|, a/tar, 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 naquaated, in writing, from,tho Building Official for o 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
WITH YOUR LENDER OR AN ATTORNE"EFORE RECORDING YOUR NOTICE OF COMMEN—CEMENT.
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirme fore me this Subscribed and sworn to(or ie this
Who is/are personally known to mg or haslhava-p� Who Is/are personally kno me or+ias#eve-pfedaee6
as Identification. as identification.
Notary Public Notary Public
IlbouM,Holleran 8liaouM.Holleran
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PASCO COUNTY, FLORIDA
Permit No. 2-06 0
Date Permitted 2,-z -�
Builder Name/Owner Name 1...Q-"0t r Control#'
County Parcel No. 2.1�-24-V -6100 DOODO-0570 SubDiv: n
Address/Location
Classification/Type of Use S I P "
TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit:
Exempt [:] Yes ❑ No How Determined
I
Impact Fee Amount $. 3,(o32• dD Zone No. TAZ:
SCHOOL IMPACT FEE 6
Account (056) Single-Family Detached House Amount $ 7t �QQ Zp
(057) Mobile Home
(058) Other Residential
23) Collection Fee
Exempt a Yes ❑No How Determined
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone TOTAL AMOUNT $ -769. 5 6
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"O.
RESOURCE FEE ERU
TOTAL AMOUNT
Prepared By Checked By
NO CERTIFICATE OF OCCUPANCY 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 receipt of a copy of this form,placing
the building permit owner on notice of this assessment and the conditions of payment for same.
DATE RECEIVED BY
RECEIPT NO. DATE BY
2018215511
Rcpt:2015793 Rec: 10.00
DS: 0.00 IT: 0.00
12/26/2018 L. S. , Dpty Clerk
PAUL
12/ /2, . IL,Ph.D-PASCO CLERK & COMPTROLLER
12/26/2018 02:04 m 1 of 1- - _—OR BK ,83g PG 2978
Permit No. Parcel ID No 25-26-21-0100-00000-0570
NOTICE OF COMMENCEMENT
State of Florida County of Pasco
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713, Florida Statutes,
the following information is provided in this Notice of Commencement:
1. Description of Property: Legal HIDDEN RIVER PHASE ONE B PB 76 PG 77 LOT 57
Street Address: 2963 Moulden Hollow Drive Zephryhills FL 33541
2. General Description of Improvement Single Family Residence/Pool/Screen Enclosure/Fence
3. Owner Information: Lennar Homes, LLC.
Name
4600 W Cypress St, Ste 200. Tampa FL. 33607
Address City State
Interest In Property:
Name of Fee Simple Titleholder: N/A
(If other than owner)
Address City State
4. Contractor: Lennar Homes, LLC
Name
4600 W Cypress St, Ste 200 Tampa FL, 33607
Address City State
Contractor's Telephone No.: 813-574.5700
5. Surety: N/A
Name
Address City State
Amount of Bond: $ Telephone No.:
6. Lender: N/A
Name
Address City State
Lender's Telephone No.:
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes:
Lennar Homes LLC
Name
4600 W Cypress St, Ste 200 Tampa FL, 33607
Address city. State
Telephone Number of Designated Person: 813.574.5700
8. In addition to himself,the owner designates N/A of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner:
9: Expiration date of Notice of Commencement is one year from the date of recording unless a different date is specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA
COUNTY OF PINELLAS
Signature of Owner or Owner's Authorized Officer/Director/Partner/Manager
Vice President
Signatory's Title/Office
The foregoing instrument was acknowledged before me this 5 day of November by
Steve Robert Smith as Vice President (type hority,e. fficer,trustee,attorney in fact)for
Lennar Homes. LLC (name of p half of whom instrument was executed).
Personally Known OR Produced Identification❑ Notary Si ature
Type.of Identification Produced Name mt) Ell sa Holleran
Verification.pursuant to Section'92.525,Florida Statutes. Under penalties of perjury,I declare that I have read the foregoing and that the facts stated in
it are true to the best of my knowledge and belief.
ELISSAM.HOLLERAN Signature of Natural Person Signing Above
{,� .,�Cemminlon�FF 085831
:Expires June 6,2020
wpdata/bcs/bcsformi gyp„ BondW7bruTmyFdnlmurencolDo.3Lrjo10
�B STATE OF FLORIDA, ,®LINTY OF PASC®
THIS IS TO CERTIFY THAT THE FOREGOING IS A
m TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLI R6_CORd IN THIS OFFICE
usi a WIT S PJiY HAND
OFFICIAL SEAL �I
rnCa���Q�r DAY OF
PAU A SL:O'N C RK&COMP OLL R
DEPUTY CLERK
BY
91papi /<oEgc evrS-7
PASCO COUNTY
DEVELOPMENT SERVICES
JU-L ISC 8731 Citizens Drive Date:2/12/2019
COUNTY FLORID New Port Richey, FL 34654
Uri:';5VAI u.I nnctvi Pini'i'�. 727-847-2411
NOT A PERMIT
Receipt#: 1830228
FEE DESCRIPTION ACCOUNT CODE UNITS INVOICE# FEE AMOUNT PAID RECEIPT# DATE
Impact Fee Residential Solid 24503100-329010 1.00 1427596 $60.30 $60.30 1830228 2/12/19
Waste Single Family
TOTALS: $60.30 $60.30
Receipt# Paid By Check# CC Auth# Cashier ID Workstation Receipt Date Amt.Paid
1830228. Check 1155448 BCCCP50W 02/12/2019 $80.30
Total Payments: $60.30
Pavor Address Phone
Lennar Homes, LLC
Comments:
2963 Moulden Hollow DR
While you will be paying your bill with Pasco County Development Services,the full amount of the credit card or a-check fees;NOT shown above,is collected by -- - -
First Billing payment services.
MyReports/reports//PASCOPROD/PASCO/ReceiptPOS V6.rpt 2/12/2019 Page 1 of 1
Jacgoeline Boges
From: Jordon Davis (City of Zephyrhills Support) <support@zephyrhillsfl.zendesk.com>
Sent: Friday, December 28, 2018 12:14 PM
To: Jacqueline Boges
Subject: [FATHOM] Re:2963 Moulden hollow dr by#20604
##- Please type your reply above this line -##
Your request (#257077) has been updated. REPLY TO THIS EMAIL or click the link below:
https://zephyrhillsfl.zendesk.com/hc/requests/257077
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C Jordon Davis (City of Zephyrhills Support )
` - Dec 28, 10:13 AM MST
Account has been added and is currently being mapped. a meter install order will be created
upon completion. Account number 0000889145-003123189
Best Regards,
Jordon I FATHOM Support
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{ . Jacqueline Boges
Dec 28, 9:57 AM MST
service for 2963 Moulden hollow dr by#20604
This email is a service from City of Zephyrhills Support .
1
JacgOeline Boges
From: City of Zephyrhills Support <support@zephyrhillsfl.zendesk.com>
Sent: Friday, December 28,2018 11:58 AM
To: Jacqueline Boges
Subject: [Request received] 2963 Moulden hollow dr by#20604
##- Please type your reply above this line -##
Hello Jacqueline Boges,
We are working to resolve your request promptly and will keep you updated. One of our Support Analysts will keep
you updated on the progress of your request.
Best Regards,
FATHOM Support Team
TO ADD ADDITIONAL COMMENTS, reply to this email or click the link below:
https://zephyrhillsfl.zendesk.com/hc/requests/257077
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:.? Jacqueline Boges
Dec 28, 9:57 AM MST
service for 2963 Moulden hollow dr by#20604
This email is a service from City of Zephyrhills Support .
1