HomeMy WebLinkAbout21-2798millfflill• •i s+!•Mllfll
Address: 2662 Falkenburg S Rd
RIVERVIEW, FL 33578
EFURNE&M-N
City of Zephyrhill s
5335 Eighth Street
Zephyrhills, FL 33542 BNR-002798-2021
Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 10/05/2021
Permit Type: Building New (Residential)
Class of Work: SFR Construct
Building Valuation: $119,749.00
Electrical Valuation: $5,493.00
Mechanical Valuation: $5,145.00
Plumbing Valuation: $5,147.00
Total Valuation: $135,534,00
Total Fees: $14,055.68
Amount Paid: $14,055.68
Date Paid: 10/5/2021 8:57:43AM
......... . . .
Public Safety Impact Fee -Admin $26.35 Mechanical Plan Review Fee $32.86
Water Connection Residential Fee $1,010.00 Sewer Connection Residential Fee $2,090.00
Electrical Plan Review Fee $33.73 Building Plan Review Fee $314.37
Electrical Permit Fee $67.46 Address Fee $30.00
Bung Permit Fee $62874 Plumbing Plan Review Fee $32.87
Irrigation 3/4 Meter (Calc) $473.78 Mechanical Permit Fee $6572
3/4 Water Meter Fee (Calc) $473.78 Plumbing Permit Fee $65.74
Driveway Fee $45.00 SIF 1 percent Fee $83.28
School Impact Fee $8,328,00 Public Safety Impact Fee -Police $25400
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.
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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.
-4-4AA11 1�� ri
\-,o&TVA�IGNATURE PE IT OFFICEV
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
INSTR#2021185276OR BK10427 PG2559 Page 1ofi
08/3112021 10:13 AM Roof: 2346264 Rec: 10,00 DS: 0,00 IT: 0,00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk& Comptroller
Permit No. Parcel ID No 04-26-21-0120-00000-0 10
state of Florida
County of
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:
I Description ofProperty: Parcel Identification No. LOT 010 BLK 00000 Oaks of Pasco
Street Address: - 36959 Highland Meadows Court, ZMhyL1-ul1s, EL, 33-7,42
2, General Description of Improvement New Construction - Single Family to i -
Dool, screen enclosure, deck, irrigation, water, sewer, and ALL other improvements.
3, Owner Information or Lessee information if the Lessee contracted for the improvement
PnIte Home Company, LLC.
2662 S. FalkeNnTteirg Road Riverview FL
Address -51y State
Interest in Property: Fee Sim ple
Name of Fee Simple Titleholder:
(if different from Owner listed above)
Address city State
4. Contractor: Pulte Heine Company, LLC
Riverview -FL
City State
Contractors Telephone No.: 813-964-5115
5. Surety: -- N/A
Name
Address city State
Amount ofBand: $ Telephone No.;
6- Lender: N/A
Name
City State
Lender's Telephone No.:
7, Persons within the State of Florida designated by the avraer upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7), Florida Statutes:
Address City State
Telephone Number of Designated Person:
H. 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.
si. Expiration date of Notice of Commencement (the expiration date may not be before the completion of construction and final payment to the
contractor, but will be 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.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts state rein a true to the best
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
Zen nz a
= n.t. ne r Lessee, or Ow or Lessee's Authorized
ffi.er� to
ex2tor/PartnerfManager
Division VP of Finance
Signatory's TifielOffice
The foregoing instrument was acknowledged before me this 30 day of AUgUSt, 20 _2_J by Matthew Huard
as Attornev in Fact 11 f
- (tyke 01athority, e.911 officer, trustee, attorney in fact) for
0
Pulte Home CornDany. LLC (name o f I y behalf of wham 11 1 1 as executed).
Personally Known El OR Produced Identification El Notary Signature �=67F,
Type of Identification Produced Name (Print) Patricia Bur
EMMWMH�R
ite Received
'Phone Contact for Permitting " Nner's Name 1, 1, li( Owner Phone Number
Nner'S Address I 1<'Jkl V (?'t,c.Owner Phone Number
w Simple Titleholder Name / A, Owner Phone Number
;e Simple Titleholder Address
)B ADDRESS U
UBDIVISION U,
rORK PROPOSED
ROPOSED USE
f PE OF CONSTRUCTION
ESCRIPTION OF WORK
4 =
Lly__ �1�1 I-, - �_V/ -1)
(OBTAINED FROM PROPERTY TAX NOTICE)
H
NEW CONSTRE]
ADD/ALT SIGN DEMOLISH
INSTALL
REPAIR
E]
SFR E::]
COMM OTHER E_
,E]
BLOCK ]
FRAME STEEL
UILDING SIZE Sty FOOTAGE HEIGHT
=BUILDING S VALUATION OF TOTAL I CONSTRUCTION
=ELECTRICAL � AMP SERVICE PROGRESS ENERGY W.R.E,C.
PLUMBING
=MECHANICAL
=GAS
VALUATION OF MECHANICAL INSTALLATIOW
k C11
C,
$
W
ff mfflff_i * •�
ROOFING SPECIALTY OTHER
FLOOD ZONE AREA =YES NO
7-7
WILDER COMPANY j,,
;IGNATURE REGISTERED Y1 N
Address Td License #
---LECTRICIAN
COMPANY
PGNATURE REGISTERED FEE �CURR
Address License #U2`�
�LUMEIER COMPANY
SIGNATURE REGISTERED Y 1 N FEE CURREN
Address License #I
&
MECHANICAL COMPANY VN&�FEG��
SIGNATURE REGISTERED
Address License # 2 1-4
OTHER COMPANY
SIGNATURE REGISTERED FEE CURREN L _YY
LN_J
_q _V
Address Or; / P License #EZKZ1E=
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 & I 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 wl 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. (AIC 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 (PIOUSLirvey/Footage)
Driveways -Not over Counter if on public roadways,.needs ROW
}
COUNTY,PASCO
FLORIDA
Permit No.
c 2 Date Pe ltted - 2 2-
Builder Name/Owner Name
County Parcel No. 2 b i'C� ubiv: Q Gib
Address/Location
CtOssificationrrype
TRANSPORTATION IMPACT FEE Rate: Sq,Ft Unit: L l
Exempt Ves No Flow Determined
Impact Fes AmountAL,3 ( ,3 2 bong No. T
�Fi L i I�A�T F
Account (056) Single -Family Detached House Amount $ 2.-6
(07) Mobile Home
(056) Other Residential
13) Collection Fee
Exempt Yes El No Flow Determined
P A�t�N F
Land Account Land CreditLand Total
Recreation Account Recreation Credit Recreation To
tal
Zone TOTAL AMOUNT $
Exempt ® Yes Ej No How Determined
Li Y FE
Land Accounf Land Credit Land Total
Fdcility Account Facility Credit Facility Total
Exempt Yes No How Determined Total ount
� F ERLi
TOTAL AMOUNT
v ,
& rt.
Chockedpared
NO CERTIFICATE OF ,
CUPANCY WILL BE ISSUED
PERFORMED, OR FINAL INSPECTION
LISTED
BEEN, ,„D
P ASCO COUNTY
Acknowledgement below does not
the building Permit owner. on nooce of this assessment an the conditions of p
s
sYment COPY Of We form, placing
RATE
RECEIVED SY
RECEIPT NO. RATE BY
I. RRE, shall be a milliIII1,1111 of (S" above the road elevation and an engineered site plan,
2, L,ots shall Inc graded to comply with R401,3 of the F%KC,
3, Cornpaction test required if 24" or inore of fill dirt is brought ill at an), orle place,
4, Tie in survey required before pouring concrete.
5, 1,)riveways reqUire as R.0,W, usc pemift, All 4 sides of driveway thru the sidewalk shall have
expansion material,
6� All setbacks shall be met,
T All property markers shall be uncovered and marked at tifne offirst inspection,
8, All MIA, requirernents shall be inet,
0. No electric, plurribing, mechanical, or fi-arning shall be covered %vithout an inspection and
approval first.
10, All Garages shall comply, with section R302,6 of the F,B.C. (Fire Separation),
I I . Appliances shall not be installed in a loc.ation where sutaject to triechanical damage unless
protected by approved barriers, M303.4 of the F,B,C
12, Water heaters shall comply a,Nith section P607-) of the RB,C,
13. Foundation supports for A/C, units shall be raised al least 3" above finished grade. M 1308,1
14, RetUrn air in all teem orris. RB.C, M 1 620A
15, Srrioke detectors are to be installed in accordance with R3 13,1 of the ERC
16All glazing reqUiretnents are to be in accordance with R308.4 of the F,B,C',
1 '71. All means of egress Marc to be in accordance with R311 of the F.B,C.
18, "Green gyjisurn board" shall not be used as a backer in showers or tUbs, 1Z702,4.2 F, B.0
19, Conibination-type AFC1 breakers are required at all locations requiring an AFC'I type breaker,
20- Carbon monoxide alarms will be required in new construction that uses fossil -burning heating
or appliances or an attached garage, Tbey shall be installed in accordance with the F,B,(',
21, All plurnbing, nrechanical, and electrical shall be separate from unit to unit. This includes all
underground plumbing and electric.
22, All 2016 N,F.C. Codes will be enforced,
23, Tamper- Resistant Receptacles in accordance with 406. 11 of the 2016 NYE; C
24, In accordance with the Land 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 be applied to the
following.
iping 1,, inch (19-1 mm) and larger in nominal diarneter.
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.0,
26 all tines.
2Z iti rerinitbeill ehinaL
28.
F.F.E.-Finished Floor Elevation
F.B.C- Florida Building Code 6 1h Edition
R.O.W.-Right of Way
A.D.A.- Americans with Disabilities Act N.E.C.- National Electric Code (2016)
Date Received
Phone Contact for Per mitting
7 7 z� � =_
Owner's Name Owner Phone Number
7
Owner's Address . . .. ......
Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
X
LOT #
�,/;!///6,
JOB ADDRESS ��JAXI .3f � 21
SUBDIVISION I PARCEL ID#1 Ct!417,
WORK PROPOSED
NEW CONITIR
8
ADDIALT
El
INSTALL
REPAIR
PROPOSED USE
SFR
Comm
TYPE OF CONSTRUCTION
BLOCK
EJ
FRAME
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN DEMOLISH
OTHER
STEEL
BUILDING SIZE SQ FOOTAGE
7 HEIGHT
=BUILDING =4161, Z1,?1' VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL - AMP SERVICE PROGRESS ENERGY W.R.E.C.
-/ �, =3
Z�V
141
=PLUMBING n2 7
=MECHANICAL EI VALUATION OF MECHANICAL INSTALLATION
Y1116
l';1_211 =j�
=GAS ROOFING 0 SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED FEE CURREN
Address License #E:====
ELECTRICIAN COMPANY E
SIGNATURE REGISTERED �Y/ N FEE CURREN����
Address License #E����
PLUMBER COMPANY E
SIGNATURE REGISTERED �Y/ N�FEI �CURREN����
Address License #E====
MECHANICAL COMPANY E�=
SIGNATURE REGISTERED Y IN FEE �CURREN
Address License #E:====
OTHER COMPANY
t=: COMPANY Y �/N
SIGNATURE REGISTERED YIN FEE QURRE�N����
License #
Address
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 Senfice Upgrades A/C Fences (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways..needs ROW
JURAT (F.S. 117.03)
OWNER OR AGENT-
8L;ibscrio: dsw�o�Vq(,oraffirms ,bpforemet
k; by
W W 0 ista Der,
,h
qjslare perso�naI1!Tknown jq me or has/have pf
as identification.
loxiggim tali asig Anw-Mmong I gagg 102M alf."I Igni 2 11grag L" I i'Ll"Ing-111L Mw 1 -4 1
is 5qscribe"r'1d sworn to o� fir'ped) before me
)duced Whois/are persona,!!Kto me or has/have produced
Y _q�r'
as identification.
otary Public Notary Public
Commissiop
Name of NotaFy typed, printed or stamped
PATRICIA BURCHETT
W coMMMION *GG3651 71
MRES: AUG 13,2023
BonM fteuo let State losuranee
GENE WHITFIELD
Mayor
CITY QQLNCIL
LANCE A. SMITH
Council President
KENNETH M. BURGESS, JR.
Vice President
W. ALAN KNIGHT
JODI VnLKESON
STEVEN F. SPINA
City Manager
LORI L. HILLA4AN
City clerk, CMC
MATTHEW B. MAGGARD
City Attorney
CITY OF UPHYRRILLS
"!,City of Pure Water"
5335 Eighth Street - Zephyrhills, Florida 33542-4312
(813) 780-0000 - Fax (813) 780-0005
uq� �=
Mr. David Waronker
142*
Celebration, FL 34747
City of Zephyrhills Ordinance 1003-08, Section 12, Paragraph 5, provides that
planned unit developments (PUD) approved prior to September 30, 1988 are
exempt from paying transportation impact fees unless amended to permit
additional development that would generate traffic.
The Silver Oaks PUD was approved on its third and final reading on January 11,
1988, and therefore is exempt from paying transportation impact fees as stipulated
in Ordinance 100308 provided the original perniitted number of dwelling units
remains the same. According to Todd Vande Berg, city planner, those numbers
within the Silver Oaks PUD have remained constant.
Therefore, the Oaks at Pasco is exempt from paying these fees. A copy of
Ordinance 1003-08 is provided for your information. The exemption and credits
section is located on page 10,
1�
City Manager
cc. Todd Vande Berg, City Planner
Bill Burgess, Building Official
Matthew E. Maggard, City Attorney
PLOT PLAN
DESCRIPTICIN:(AS FURNISHED)
LOT 1, OAKS OF PASCO
AS RECORDED IN PLAT BOOK 80, PAGE(S) 113-118, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
POL&�
a
<oT � '��j 1
7,111
/VoT
tTT
TW 88.86
0"
*4Z4
-14
110
A, IS '111� .10
,a
Op
OV\"zo
00
TW 88.53
rV
I" IV
10, 1,
!A Cra R, o' RP
A
A% yC�N FNc°F2 F �
z
qrF
r%
PC
04-
TW 88.53 1 30'
BW 87.50 GRAPHIC SCALE
15
0 15 30
FRONT: 20'
REAR: 10'
SIDE: 5'
SIDE STREET: 15'
71�0'
'1011 nt
ON LOT CALCULATIONS
PT LOT = 6,604 SQ. FT.
LIVING AREA = 1,850 SQ. FT.
1-1— — Cn FT
Curve Table
Curve #
I Length
I Radius
Belt.
Chord Bearing
Chord
C'
23 1151 I
�
NOTES:
1. PROPOSED ELEVATIONS SHOWN HEREON ARE BASED
ON THE APPROVED ENGINEERING PLANS PREPARED
BY CORNELISON ENGINEERING & DESIGN INC.
2. ELEVATIONS ARE BASED ON NAVD 1988
DATUM.
THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES
ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF
THE PROPOSED STRUCTURE. THE CONTRACTOR AND/OR
OWNER ARE REQUIRED TO VERIFY ALL SETBACKS, BUILDING
DIMENSIONS, AND LAYOUT SHOWN HEREON PRIOR TO ANY
CONSTRUCTION.
THIS IS NOT A SURVEY
THIS IS A PLOT PLAN ONLY
I HAVE EXAMINED THE F.I.R.M. MAP NO. 12101CO452F, DATED 09/26/1
AND FOUND THE SUBJECT PROPERTY APPEARS TO LIE IN ZONE "X",
AREAS DETERMINED TO BE OUTSIDE THE 0,2% ANNUAL CHANCE
FLOODPLAIN. THE SURVEYOR MAKES NO GUARANTEES AS TO THE ABO'
INFORMATION. PLEASE CONTACT THE LOCAL F.E.M.A. AGENT FOR
VERIFICATION.
BEARING BASIS:
BEARINGS SHOWN HEREON ARE BASED ON THE CENTERLINE OF
HIGHLAND MEADOWS COURT BEING N58'02'42"W, PER PLAT,
(FIELD DATE:)
SCALE: j: = 30 —FEET
APPROVED BY: JB
JOB NO. 191105 LOT 1
DRAWN BY. JMA
ENTRY
= 45
SQ. FT.
LANAI
= 154
SQ. FT
PATIO
= 0
SQ. FT.
DRIVEWAY
= 371
SQ. FT
A/C PAD
= 9
SQ. FT.
WALKWAY
= 28
SQ. FT.
IMPERVIOUS
= 44%
= 2895
SQ. FT.
SOD
= 3,709
SQ. FT.
OFF LOT CALCULATIONS
RIGHT OF WAY
= 1680
SQ. FT.
DRIVE APRON
= 57
SQ. FT.
PUBLIC S/W
= 365
SQ. FT.
SOD
= 1,258
SQ. FT.
TOTALS
AREA
= 8,284
SQ. FT.
DRIVEWAY
= 428
SQ. FT.
SIDEWALK
= 393
SQ. FT.
SOD
= 4,967
SQ. FT.
BUILDING SETBACK LINE PI POINT OF INTERSECTION
PC PONT OF CURVATURE
CENTERLINE PT POINT OF TANGENCY
RIGHT OF WAY LINE RP RADIUS POINT
PRC POINT OF REVERSE CURVATURE
PROPOSED ELEVATION PCP PERMANENT CONTROL POINT
POL POINT ON LINE
PROPOSED DRAINAGE FLOW TYP TYPICAL
Cs CONCRETE SLAB
CONCRETE (P) PER PLAT
A/C AIR CONDITIONER (C) CALCULATED
S/w SIDEWALK Ps PLAT BOOKPGS PAGES
SQ.
FT, SQUARE FEET
F.E.M.A. FEDERAL EMERGENCY MANAGEMENT AGENCY
FJ.R.M. FLOOD INSURANCE RATE MAP
NAVD NORTH AMERICAN VERTICAL DATUM
SSE SANITARY SEWER EASEMENT
DE DRAINAGE EASEMENT
UE UTILITY EASEMENT
SURVEYOR NOTES:
A5M1. THE SURVEYOR HAS NOT ABSTRACTED THE
LAND SHOWN HEREON FOR EASEMENTS, RIGHT
OF WAY, RESTRICTIONS OF RECORD WHICH
MAY AFFECT THE TITLE OR USE OF THE LAND.
2. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
LOCATED EXCEPT AS SHOWN.
3. NOT VALID WITHOUT THE AUTHENTIC ELECTRONIC SIGNATURE AND THE AUTHENTIC
SURVEYOR
ELECTRONICAND SEAMAPPER. L OF A FLORIDA LICENSED
DjgitAly,JguadbyJames B.Ic.au
DN: c-Us, st-Florida, I -Orlando,
o-American Surveying & Mapping,
oi& MAPPING INC. —Professional Land Surveyor,
CERTIFICATION OF AUTHORIZATION NUMBER LB#6393 cn=jam es Boleman,
email-jboleman@asmcorporate.conFOR
3191 MAGUIRE BOULEVARD, SUITE 200 ......•.. ... Date: 2021,08.23 15:02:01 -04'00' THE
ORLANDO, FLORIDA 32803
Adobe Acrobat version- 11.0.23 FIRM
(407) 426-7979
WWW.AMERICANSURVEYINGANDMAPPING.COM JAMES W. BOLEMAN PSM# 6485 DATE