HomeMy WebLinkAbout20-1055 m
City of Zephyrhills PERMIT NUMBER
. .+ , 5335 Eighth Street
Zephyrhills, FL 33542 BNR-001056-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 05/25/2021
•
Permit Type: Building New (Residential)
Property Number Street Address
1126 21 0010 13800 0191 15460 11Th Street
Owner Information Permit Information Contractor Information
Name: RYMAN CONSTRUCTION INC Permit Type:Building New(Residential) Contractor: RYMAN CONSTRUCTION O
Class of Work:SFR Construct FLORIDA INC
Address: 36413 Sr 54 Building Valuation:$129,000.00
ZEPHYRHILLS,FL 33541-2275 Electrical Valuation:$7,000.00
Phone: (813)782-0825 Mechanical Valuation:$8,000.00
Plumbing Valuation:$6,000.00 l
Total Valuation:$150,000.00
Total Fees:$18,350.90 / i�
Amount Paid:$18,350.90
Date Paid:5/25/2021 12:12:34PM ✓✓
Project Description
CONSTRUCT SINGLE FAMILY 2,164 SQ FT
Application Fees
Electrical Plan Review Fee $37.50 Sewer Connection Residential Fee $2,090.00
SIF 1 percent Fee $83.28 Park Impact Fee-Single Family/Townhome $769.56
Transportation Impact Fee $3,595.68 Public Safety Impact Fee-Admin $26.35
Transportation Impact Fee-City $36.32 Mechanical Permit Fee $80.00
Building Permit Fee $675.00 3/4 Water Meter Fee(Calc) $732.71
Plumbing Permit Fee $70.00 Building Plan Review Fee $337.50
Mechanical Plan Review Fee $40.00 Public Safety Impact Fee-Police $254.00
Plumbing Plan Review Fee $35.00 Address Fee $30.00
Driveway Fee $45.00 Electrical Permit Fee $75.00
Water Connection Residential Fee $1,010.00 School Impact Fee $8,328.00
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.
"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 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.
Do d tj)Qg6��
CONTRAO OR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
C Y
Q
1
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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 test required if 2411 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.W. use permit. All 4 sides of driveway thru 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.
& 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 offthe.F.B.C:
13. Foundation supports for A/.0 units shall be raised at least 3" above finished grade. M1308:1
14:.Return air iri all bedrooms. F.B.C. M1620:4
1.5. Smoke detectors.are to be installed in accordance with R313:1 of the F.B.C.
16: All glazing requirements are to b. accordance with R308.4 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 locations 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:
2:1. All plumbing,mechanical, and electrical shall be separate from unit to unit. This includes all
underground plumbing and electric.
22. All 2016 N.E.C. Codes will be enforced.
23.-Tamper=Resistant.Receptacles in accordance with 406.11 ofthe 2016 N.E.0
24. In accordance with the Iarid Development Code, lots shall be sodded before final at least 10
feet around the structure.
25. R403.5.3Hot water.-pipe insulation
Insulation for_hot.Water pipe with a minimum thermal-resistance (R-value) of R-3 shall.tie applied to the
following:
Piping�1.inch (19.1 mm)and larger in.nom Mal diameter.
Piping serving more than one dwelling unit.
Piping located outside'the conditioned space:_
Piping from the:water"heater to:a distribution manifold:.
Piping located under a floor slab:
Buried in piping.
Supply and return piping in recirculation systems other than demand recirculation systems,
25: Blower:door test shall be provided before C,O:
26 A copy of the enemy.cacls'shall be with'permit at all tunes
27. Copu ofrinal.:insulation report-sli alhbe provided ivith permit before rinaL
28.No fence,pool onscreen enclosure :is issued with ahis permit
F.F.E.-Finished Floor Elevation
F.B.C-:Florida Building Code 6ffi Edition
R.O.W.-Right of Way
A.D.A.-.Americans with Disabilities.Act N.E.C.-National Electric Code (2016)
INVOJG� 1111
• •
BILLING CONTACT
KEVIN-GC RYMAN
RYMAN CONSTRUCTION OF FLORIDA INC �.
36413 S.R. 54 W
ZEPHYRHILLS, FL 33541
INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION
INV-00003362 05/17/2021 05/17/2021 Due NONE
REFERENCE NUMBER FEE NAME TOTAL
BNR-001055-2020 3/4 Water Meter Fee(Calc) $732.71
Address Fee $30.00
Building Permit Fee $675.00
Building Plan Review Fee $337.50
Driveway Fee $45.00
Electrical Permit Fee $75.00
Electrical Plan Review Fee $37.50
Mechanical Permit Fee $80.00
Mechanical Plan Review Fee $40.00
Park Impact Fee-Single Family/Townhome $769.56
Plumbing Permit Fee $70.00
Plumbing Plan Review Fee $35.00
Public Safety Impact Fee-Admin $26.35
Public Safety Impact Fee-Police $254.00
School Impact Fee $8,328.00
Sewer Connection Residential Fee $2,090.00
SIF 1 percent Fee $83.28
Transportation Impact Fee $3,595.68
Transportation Impact Fee-City $36.32
Water Connection Residential Fee $1,010.00
5460 11Th Street Zephyrhills, FLORIDA 33542 SUB TOTAL $18,350.90
REMITTANCE INFORMATION TOTAL $18,350.90
City of Zephyrhills
5335 8th Street
Zephyrhills, FL 33542
May 17,2021 �_� �� 5335 8th Street,Zephyrhills,FL 33542 Page 1 of 1
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received s V phone Contact for Permitting -
I€€€Ialal €€€€€
Owner's Name kevin and Tammy Ryman Owner Phone Number 813-782-0825
Owner's Address 136413 SR 54, Zephyrhills, FL 33541 Owner Phone Number
Feb Simple Titleholder Name Owner Phone Number
Fee Simple.Titleholder Address
JOB ADDRESS TB15— LOT#
SUBDIVISION PARCEL ID# 11-26-21-0010-13800-0191
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED a NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR 0 COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL Q
DESCRIPTION OF WORK H I 1 J e-,.., C1i rv. ;VrL,J/3o"v _
BUILDING SIZE 30x81' '
SQ FOOTAGE 2164 HEIGHT 8
®BUILDING r 129,000.00 VALUATION OF TOTAL CONSTRUCTION
®ELECTRICAL $7000 0o AMP SERVICE PROGRESS ENERGY Q W.R.E.C.
[PLUMBING $6000.00 ®� V/
W (D Z5r 6/
®MECHANICAL $8000.00 VALUATION OF MECHANICAL INSTALLATION `e
=GAS Q ROOFING 0 SPECIALTY OTHERJW
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FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO w,` �i
BUILDER COMPANY =Rymannstruction,Inc.
SIGNATURE REGISTERED Y/N FEE CURREN Y/N 1 Lam"
��� CGC1517771
Address Zi S y � ��5 License#
ELECTRICIAN COMPANY =Eastasco Electric, Inc
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
PLUMBER COMPANY JJ's Plumbing
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY =Sonnys HVAC
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
1B 1E 1E! ; _t:_)f.:1[,1€€i`1f 1f 1�€€'i;� :1E, 1F 1f.1E 1F s a t t a €I Isis€1€1€.1[ €€ -1 -11,4.44— 3 1 2:1-1I 1[ 1i 1f:11-1[1�9-
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/SiltFence installed,
Sanitary Facilities8�1'ddm�,ster;.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 Permitfor new construction.
Minimum fen'(10)working,days after submittal date.Required onsite,Construction Plans,Storrriwifer Plans w/Silt Fence installed,
SanitagFacilities'&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.
Directlons:
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
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
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 I,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 AuthorifV-Runways.
I understand that the following restrictions apply to the use bf 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 a'ny 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AG CONTRAC
�Z���
S scr bed and a of me this Subs rib and sworn o( affitme fore,Ay�e this
I 0 1i0 by !l 4T/17i024 by WGt/i7 L . /-yt AJ6LI)
Who is are personalown to me or has ve produced Who is/are personally known to me or has/have produced
as identification. as identification.
Notary Public Notary Public
a
Co i$ �o. Commission No.
"Al '.L,'. NNA MARIE LYNCH-TERRY
�. .: Notary Public State of Florida ' ��'�� Notary
P
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Na ty� t pf6%pge�i024 Name of Notary t ed, 'ors pWion k GG 938292
y F f`•' My Cornm.Expires Apr 4,2024
Bonded through National Notary Assn. bonded through National Notary Assn.
11/4/2020 11-26-21-0010-13800-0191 1 Pasco County Property Appraiser
Parcel ID 11-26-21-0010-13800-0191 (Card: 1 of 1)
Classification 00000-Vacant
Mailing Address Property Value
RYMAN KEVIN L&TAMMY L Ag Land $0
36413 STATE ROAD 54 Land $16,800
ZEPHYRHILLS, FL 33541-2275 Building $0
Extra Features $0
Physical Address
5460 11TH STREET,
ZEPHYRHILLS, FL 33542 Just Value $16,800
Assessed (Non-School Amendment 1) $16,800
Legal Description (First 200 characters)
See Plat for this Subdivision Non-School Taxable Value $16,800
ZH PB 1 PG 54 LOTS 19 &20 BLK 138 School District Taxable Value $16,800
Jurisdiction
CITY OF ZEPHYRHILLS
Land Detail (Card: 1 of 1)
Line ,Use Code IDescription Zoning Pnits ype jPrice Condition I alue
1 1 0100V ! 1_132-1 I SFR I 0OR4 1 8,400.00 1 SF $2.00 1.00 $16,800
Additional Land Information
Acres Tax Area FEMA Code Neighborhood Code(s)
0.19 30ZC 1 -- ZHLH
Building Information (Card: 1 of 1)
Unimproved Parcel
Extra Features (Card: 1 of 1)
Line Code IDescription IYear jUnits jValue
No Extra Features
Sales History
Previous Owner: N/A
Month/Year Book/Page Type IDOR Code Condition mount
05/2020 10105 / 2350 Warranty Deed 05 Vacant $100,000
Ihttps://search.pascopa.com/parcel.aspx?parcel=2126110010138000191
LEGEND BOUNDARY SURVEY CERTIFICATIONS
A/C-AIR CONDITIONER
A CENTRAL ANGLE LEGAL DESCRIPTION: LOTS 19 AND 20,BLOCK 138,A MAP OF THE TOWN OF ZEPHYRHILLS,ACCORDING TO THE MAP OR PLAT THEREOF AS RECORDED
BLX BLOCK IN PLAT BOOK 1,PAGE(S)54,PUBLIC RECORDS OF PASCO COUNTY,FLORIDA. Kevin L.Ryman;Tammy L.RYman
CAI.-CALCULATED
C.B.-CHORD BEARING
C.B.S.-CONCRETE BLOCK STRUCTURE
C.M.-CONCRETE MONUMENT
CONC.-CONCRETE
D-DEED PROPERTY ADDRESS:
D.E.-DRAINAGE EASEMENT
F.F.E-FINISHED FLOOR ELEVATION Lots 19&20,Blk 138, 11th Street(Vacant)
FIND-FOUND
ID.-IDENTIFICATION Zephyihills,FL,33542
I.P.-IRON PIPE E
I.R.-IRON ROD i FLOOD ZONE INFORMATION:
I.R.C.-IRON ROD&CALP COMMUNITY W. FJAX DATE: SURVEY#
L-ARC LENGTH 120235 09/26/2014 V19052-B
LB.-LICENSED BUSINESS PANEL. SUFM FLOOD ZOW-
L.S.-LAND SURVEYOR 0456 F X
M-MEASURED [HEaEb BY:
N&D-NAIL AND DISK FIELD DAM' SURVEYED By: DRAFTED SY.
O.R.-OFFICIAL RECORDS 09/29/2020 FM NM MC
P-PLAT NORTH PER PLAT
P.B.-PLAT BOOK 04 SURVEY NOTES'
P.C.-POINT OF CURVATURE %I
P.C.C.-POINT OF COMPOUND CURVATUR
E
P.C.P.-PERMANENT CONTROL POW
P.I.-POINT OF INTERSECTION LOT I
P.L-PROPERTY LINE
P.O.B.-POINT OF BEGINNING T BLK 138 BEARINGS SHOWN HEREON ARE BASED UPON THE
P.O.C.-POINT OF COMMENCEMENT SOUTHWESTERLY LINE OF LOTS 19 AND 20,BLOCK 138 BEING
P.O.L.-POINT ON LINE ASSUMED N251GY00"W
P.R.C. POINT OF REVERSE CURVATURE 0 SCALE:V=30'
P.R.M. PERMANENT REFERENCE MONUMENT 0 0--
P.T.-POINT OF TANGENCY
R RADIUS NOTES:
RAD,-RADIAL �. 01) This survey Is based on the legal description as provided by the Ghent.
R,W-RIGHT OF WAY 2) The lands surveyed were not abstracted for ownership,easements,right-of-way 01
slw-SIDEWALK " LOT 2
ELK 138 or other title matters by this fimn.
U.E.-UTILITY EASEMENT '0 3) Do not moomm-ect property lines from building ties.
W.F.S.-WOOD FRAME STRUCTURE 4) No footing or over
have been located except as shown.
=FOUND W CUT 0 <; 5) Underground Improvements or utilities have not been located except as shown.
=FOUND PROPERTY CORAER
LOT 6) The flood data provided Is for informational purposes only;the surveyor makes
-4"x 4"CONCRETE MONUMENT r lt&. 1 138 <; no guarantees as to tho accuracy of the Information provided.
ACANT) 7) This survey does not address the Identification or location of jurisdictional
FOUND DRILL HOLE MT=MM FENCE 9 is,�g \V- wetlands or sovereign lands,if any,that may lie within or adjacent to the lands
HYDRANT VF =VINYL FF1JCE "o, 0 • surveyed.
WF WOOD FENCE V.. LOT 3
MANHOLE CLK CHAINLINK PENCE 1*- 8) Fence ownership Is not deteradnecL
M�c =POWER POLE ELK 138
M ELECTRIC BOX 9) Survey is Intended for mortgage or financing purposes only and not to be Used
=WELL -0 for Construction,permitting,design or any other use.
(1) RISER
TBM=TEMPORARY BENCHMARK
BM=WATER METER LOT
_±1a1T-2LWAYI:!LE EM=WATER VALVE
;A 138
-COVERED AM <; (VACANT)
BUILDING SETBACK LINE CK 0
.... ... •
0, t this survey was made under my direction and that It
-CONCRETE 0-- 6 Certification:I certify that Land
meets the standards of practice set forth by the Board of Professional
METAL FENCE Im 0 0,
0--a-� FNDLI/2.'I.R. S, .0 - Surveyors and Mappers In Chapter 5317,Florida Administrative Code,
CHAIN LINK FENCE -WOOD NO ED O. pursuant to Section 472.027,Florida Statutes.
NEC
=SCREEN LOT 1,O BLKRNER 137 Signature and raised seal
VINYL PENCE ELK CORNER
WOOD FENCE -BRICKIPAVERS 0
MN . 7 LOT J8 fl
OU i,A'c
OVERHEAD LINE -TILE EILK 138
L—OUL—
M
b; L,Said
G air �40
tA.
5V Pvfyi R61 C. LINE TABLE
LB hro.7589 I-PrE LENGTH BEARING sm's
4034 LAUREL BRANCH LANE LIT] 60.00' -—-------------
ORLANDO,F1 32817 LI[M] 1 60.00- N65-03'02"E Electronic Semi:S4461 ITHSTREET847978620201VITC1.
Miguel A.Cortes License No.LS 5820
Office 407-810-0838 SURVEY NOTE:PLAT DOES NOT PROVIDE Florida Professional Surveyor'and Mapper
Fax 1(866)-856-8920 SURVEY NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC SIGNATURE AND'LECTRO :7
ANY BEARINGS ON LOT LINES. AND/OR NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF A FLORIDA LICENSE%VW V7PSURVMNG COM SURVEYOR AND RAPPER.
1
�+ Permit No.
Date Permitted 9' 25"
Builder Name/Owner Name A1,061
troi#
County Parcel No. jf 2- 2 06,10 a6 0 01 f SubDiv:
Address/Location Z �!
4�
Ciassiflcationtrype of Us@ c�1d I le L
TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit:
Exempt ❑Iles ❑ No Deter road �f
impact Fee Amount Zone No. TAZ:
SCHOOL IMPACT FEE jl
Account (056) Single--Family Detached House Amount
(057) Mobile Home
:. (058) Other Residential
123) Collection Fee
Exempt U Yes ❑ No How Determined
l 4
s. PARKS AND RECREATION FEE-
Land Account Land Credit Land Total
1: Recreation Account Recreation Credit Recreation Total
� Zone TOTAL AMOUNT $
Exempt ❑ Yes ❑ No How Determined
LIBRARY FEE
Land Account hand Credit Land Total
Facility Account Facility Credit Facility Total
t. Exempt ❑ Yes ❑ No How Determined Total Amou
4 RESOURCE FEE ERU '
TOTAL AMOUNT
I
Prepared By 4 Checked By !
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AildllOI)NTS LISTED HAVE i
SHER PAID AND
RECEIPTED FOR'BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY �
i
i
,Acknowledgement below does not imply acceptance of concurrence,but simply receipt of•a copy of this form,piecing �
the building permit owner.on notice of this assessment and the conditions of payment for same.
i
' I
DATE RECEIVED BY
_ i
RECEIPT NO. DATE BY