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HomeMy WebLinkAbout21-3081City of Zephyrhilis 5335 Eighth Street Zephyrhills, FL 33542 BNR-003081-2021 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 11116/2021 Permit Type: Building New (Kesidential) 04 26 21 0260 00000 0550 Name: LINKS AT CALUSA SPRINGS LLC Permit Type: Building New (Residential) Class of Work: SFR Construct Address: 2301 Lucien Way 260 MAITLAND, FL 32751 Building Valuation: $215,946.00 Electrical Valuation: $6,300.00 Mechanical Valuation: $5,200.00 Plumbing Valuation: $5,900.00 Total •Valuation: $233,346.00 Total Fees: $15,307.14 Amount Paid: $15,307.14 Date Paid: 11 /16/2021 12:09:11 PM CONSTRUCT SINGLE FAMILY 3280 SO FT LOC R110311 &V-M M a WTI Contractor: K HOVNANIAN FLORIDA OPERATIONS LLC Mechanical Permit Fee $66.00 Irrigation 3/4 Meter (Cale) $732.71 Address Fee $30.00 Sewer Connection Residential Fee $2,090.00 3/4 Water Meter Fee (Cale) $732.71 Plumbing Plan Review Fee $34.75 Mechanical Plan Review Fee $3100 Public Safety Impact Fee -Police $254.00 School Impact Fee - Single Family $8,328.00 Electrical Plan Review Fee $35.75 Building Permit Fee $1,109.73 Driveway Fee $45.00 Electrical Permit Fee $71.50 Building Plan Review Fee $554.86 Plumbing Permit Fee $69.50 Water Connection Residential Fee $1,010.00 SIF 1 percent Fee $8128 Public Safety Impact Fee -Admin $26.35 milli entities such as water rri�nagement, stale agencies or federal agencies. EEM= IRI 11"P1111pr I 1111111pi 11 111 , I I � . 0 # 1111t:'j1L0iq11V41'1 Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE PEfIT OFFICE() 813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-00Z Building Department Date Roca 9 Phone Contact for ParmiWin 407 257-6940 407-257-6940 LINKS AT CALUSA SPRINGS, LLC 2301 Lucien Way, Ste 260, Maitland FL 32751 OVER THE COUNTER PERMITTING (copy of contract required) Reroofs If shingles Sewers Service Upgrades A/C Fences (plot/Survey/Footage) 13 I , RRE, shall be a mininium of 8" above the road elevatimi and an engincered site plan, 2, Lots shall be graded to coniply with R401,3 of the F,B,C, 3, Compaction test reqUired if 24" or more of fill dirt is brought in at any one place, 4, Tie in survey required bet"ore pouring concrete, 5, Driveways require a R.0,W, use permit, All 4 sides of driveway thru the sidewalk shall have expansion material, 6, At I setbacks shall be rnet, T All property inarkers sliall be uncovered and marked at tirrie offirst inspection. 8, All A,D.A, requirements shall be met, 9, No electric, plunibing, niechanical, m ftarning shall be covered without an inspection and approval first, I OAll 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 inechanical damage Unless protected by approved barriers. N4303.4 of the RB.0 12. Water heaters shall comply with section P6073 of the F,B,('. 13, Foundation supports for A/C. units shall be raised at least 3" above finished grade, M 1308A 14, Retunm air in all bedroonns, F,B,C, M 1 620A 15, Smoke detectors are to be installed in accordance with R3 1 3A of the F, B.0 16, All glazing requirements are to be in accordance with R308.4 of the F,B,C, 1 '17, All means of egress are to be in accordlance with 311 of the F.B.C. 18. "'Green g)Ir,,Saria board" shall not be used rasa backer in showers or tubs. R702,42 FRC, 19, Coin bina tio n-typ e AFCI breakers are reqUired at all locations requiting an AM type breaker, 20, Carbon nionoxide alarms will be required in new construction that uses Iossil-buming heating or appliances or an attached garage, They shall be installed in accordance with the 2 1, All plumbing, mechanical, and electrical shall be separate from unit to writ. his includes all underground plumbing and electric, 22, All 2016 N.E,C, Codes will be enforced, M 23, Tamper- Resistant Receptacles in accordance with 406,11 of the 2016 N,E,(' 24, In accordance with the Land Development ("ode, lots shall be sodded before final at least 10 fli-xt around the structure. 25, R403.5.31-lot water pipe insulation Insulation for hot water pipe with a minimum thermal resistance (R-value) of R-3 shall be applied to the following: Piping,/. inch (19.1 mm) and larger in nominal 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 dernand recirculation systems, 25. Blower door test shall be provided before ',Os 26 11 finies. 4 27. erinit be re MaL 2& F.F.E.-Finished Floor Elevation F.B.C- Florida Building Code 6th Edition R.O.W.-Right of Way A.D.A.- Americans with Disabilities Act N.E.C.- National Electric Code (2016) 01193UMMM LATY OT 4epTlyffil94ti f-t:R I III t Building Department Begun= 2301 Luden t 2 (1 PI '197SI Fee Simple Titleholder Address JOB ADDRESS INKS AT CALUSA SP I SUBDIVISION WORK PROPOSED NEW CONSTR INSTALL L_J PROPOSED USE EX-1 SFR X TYPE OF CONSTRUCTION [Z] BLOCK Owner Phone Number Owner Phone Number Owner Phone Number . ....... ..... (OBTAINED FROM P P ADDIALT SIGN DEMOUSH REPAIR Comm OTHER FRAME STEEL BUILDING SIZE TOTAL Under ROO SQ FOOTAGEJ��_J HEIGHwing T L -------- — __J 444444444444444- I BUIVALUATION OF TOTAL CONSTRUCTION ZDLDING f$ [ZDELECTRICAL AMP SERVICE150 PROGRESS ENERGY W.R.E.C. F,DPLUMBINIG 1�=MECHANICAL VALUATION OF MECHANICAL INSTALLATION =SAS JZD ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES X NO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N Address License # ELECTMOAN COMPANY YIN SIGNATIUR� REGISTERED Y/ N FEE CLJRREN,�� Address License rr U-Q, COMPANY Fe'loc xr 'tot SIGNATURE REGISTERED YIN FEE CURREN YIN F FL # ALicenseddress P�o 0 1944, _')cm MECHMICAL COMPANY SIGNATURE REGISTERED Y / N FEE CURREN YIN Address License OTHERROOFER COMPANY $16NATURE REGISTERED Y I N FEE CURREN YIN Address License# [===== RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building plans; (1) set of Energy Forms; p,-O-w Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wt Silt Fence Installed, Sanitary Facilities & 1 dumpster Site Work Permit for subdivislonstlarge projects COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page, (1) set of Energy Forms. R-0-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 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) 1 Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorising same OVER THE COUNTER PERMVMTAG (copy of contract required) Reroofs if shingles 5ewers Service Upgrades ,AI C Fences (PlottSurvey/Footage) Drivoways-Not over Counter if on public roadways..needs ROW ION'S U 12 jLtAgg TOR and swom, to V firmed beforR me this A S BOIE CLARK ersonall k . hasthave produced 'v/A asidentilication. Notary Public a,,rL Notary Public Commission No. G Commi ion No. GG 31 ?V2 Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped SARAH J RIVERA SARAN J RIVERA - Notary Public - State of Florida Notary Public State of Florida'N Commission # GG 331812 Commission ff GG 331812 � My Comm, Expires May 7, 2023 My Comm, Expires May 7, 2023 e Bonded through National Notary Assn. Bonded through National Notary Assn, 04-26-21-0260-00000-0550 1 Pasco County Property Appraiser https:Hsearch.pascopa.com/parcel.aspx?parcel=2126040260000000550 Parcel ID 04-26-21-0260-00000-0550 (Card: 1 of 1) Classification 00000-Vacant Mailing Address Property Value LINKS AT CALUSA SPRINGS LLC Just Value $25,843 2301 LUCIEN WAY STE 260 Ag Land $0 MAITLAND, FL 32751 Land $25,843 Building $0 Physical Address Extra Features $0 36801 YESLER DRIVE, ZEPHYRHILLS, FL 33542 Non -School School LQgAjjjQ&CdpfiQn (First 200 Assessed $25,843 $25,843 characters) Homestead Exemption -$0 -$0 $ee Pla l fort is Subdivision Additional Exemptions -$0 -$0 LINKS AT CALUSA SPRINGS PB 81 PG 074 LOT 55 Taxable Value $25,843 $25,843 Jurisdiction CITY QF ZEPHYR 11LS Community Dev District N/A Land Detail (Card: 1 of 1) Line Use Code Description Zoning Units Type Price Condition Value 1 0100V CP1_1 SFR OPUD 5,500.00 SF $6.50 0.70 $25,025 2 0100V CP1-2 SFR OPUD 1,798.00 SF $0.65 0.70 $818 Additional Land Information Acres Tax Area FEMA Code Sinkhole Neighborhood Code(s) Status 0.17 30ZH None Reported LKCS Building Information (Card: 1 of 1) Unimproved Parcel Extra Features (Card: 1 of 1) Line Code Description Year Units Value No Extra Features Sales History Previous Owner: UNITED CAPITAL FUNDING CORP Month/Year Book/Page Type DOR Code Condition Amount 10/2019 9987 / 0218 Warranty Deed 05 Vacant $2,760,000 04/2016 9350/ 2262 Certificate of Title 12 Vacant $0 12/2011 8639/32-48 Warranty Deed 0-5 Vacant $0 11/2011 8627/ 0126 Warranty Deed 12 Vacant $0 05/2008 7848/ 0427 Quit Claim Deed Vacant $0 05/2008 7836 / 1714 Certificate of Title Vacant $0 1 of 1 10/7/2021, 12:35 PM FORM R405-2020 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Business and Professional Regulation - Residential Performance Method Project Name: KH02743 Ivanhoe (TAM) Builder Name: K Hovnanian Homes Street: 36801 Yesler Drive Permit Office: City of Zephyrhills Cjjy, State, 210- Z.-phyrh&, .171 , 3X542 Rerjn4 WmAuar- Owner: Jurisdiction: Design Location: FL, Tampa County: Pasco (Florida Climate Zone 2 1, New construction or existing New (From Plans) 10. Wall Type$2785.3 sqft.) Insulation Area 2. Single family or multiple family Detached a. Frame - Wood, Exterior R=1 1.0 1312.00 ft2 b. Concrete Block - Int Insul, Exterior R=4.1 1112.20 ft2 3. Number of units, if multiple family 1 c. Frame - Wood, Adjacent R=1 1.0 361,11 ft2 4. Number of Bedrooms 5 d. N/A R= ft2 1. cettm% TJ�% �AQA CA S1 %qtk'� k"%UtatKM Nma 5. Is this a worst case? Yes a. Under Attic (Vented) R=30,0 1610.00 ft' 6. Conditioned floor area above grade (ft2) 2666 b. N/A R= ft2 Conditioned floor area below grade (ft2) 0 c. N/A R= ft2 7. Windows(211.1 sqft.) Description Area 12. Ducts R ft2 a. U-Factor: Dbl, U=0.34 109.75 ft2 a. Sup: Attic, Ret: 2nd Floor, AH: 2nd Floor 6 274.3 SHGC: SHGC=0.23 b. U-Factor: Dbl, U=0,34 61.19 ft2 13. Cooling systems kBtu/hr Efficiency SHGC: SHGC=0.29 a. Central Unit 33.1 SEER:15.00 c U-F6ctar- 5w, U__8.63 40.20 ft' SHGC: SHGC=0,32 14. Heating systems kB1u/hr Efficiency Area Weighted Average Overhang Depth: 1.000 ft. a. Electric Heat Pump 32.6 HSPF:8.50 Area Weighted Average SHGC: 0.265 & Skylights Area c, U-Factor:(AVG) N/A ft2 15, Hot water systems SHGC(AVG): N/A a. Electric Cap: 50 gallons 9. Floor Types (2666.0 sqft.) Insulation Area EF: 0,950 a. Slab -On -Grade Edge Insulation R=0.0 1131.00 ft2 b. Conservation features b. Floor Over Other Spare R=0S1 1056.w ft� None c. other (see details) R= 479.00 ft2 1 16. Credits Pstat Glass/Floor Area: 0.079 Total Proposed Modified Loads: 80.93 PASS Total Baseline Loads: 80.61 I hereby certify that the plans and specifications covered by Review of the plans and -[IRE S "I this calculation are in compliance vAth the Florida Energy specifications covered by this 0 Code. calculation indicates compliance with the Florida Energy Code, 0 PREPARED BY-, Before construdion is completed DATE: this building will be inspected for compliance with Section 553.908 I hereby certify that this building, as designed, is in compliance Floirida Statutes. with the Florida Energy Code, OWNER/AGENT: sr BUILDING^GIFFIfI4L- DATE: 10/11/2021 I DATE: - Compliance requires certification by the air handier unit manufacturer that the air handier enclosure qualifies as certified factory -sealed in accordance with R403.3.2.1. - Compliance requires an Air Barrier and Insulation Inspection Checklist in accordance with R402.4.1.1 and this project requires an envelope leakage test report with envelope leakage no greater than 5.60 ACH50 (R402.4.1.2). 9/23/2021 8:21 AM EnergyGaugeO USA 7.0.00 - FlaRes202O FBC 7th Edition (2020) Compliant Software Page 1 of 5 :E a SOD AND CONCRETE CALCS Total Sod Area in �+ Total Lot Area in b Square Feet ± Total RM! Sod Total Cone. Walk Square Feet t (tnLiudas r;g*ot•YEav area benYaen Square Feet t Square Feat t Nproperty fine and back of Curb) 0 7298 4088 N/A 803 � A/C Pad7PercwentTotal Conc. Driveway Totat Conc. Apron Total RNV Waik Square SquareFeet 3 Sqre Fee4 ± Square Fest t Feet± n 320 N/A N/A 9 22 This Sketch Prepared For : K. Hovnanian Homes R E V I S I Date Drawn: DS 9-28-21 Oriainal No.:221259, IRMIRM Current DESCRIPTION: LOT 55, LINKS AT CALUSA SPRINGS, AS RECORDED iN PLAT BOOK 81, PAGES 74-79, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. THE PROPERTY DESCRIBED HEREON IS LOCATED IN FLOOD ZONE "X" PER FLOOD INSURANCE RATE MAP NUMBER 12101C 0289F, EFFECTIVE DATE SEPTEMBER 26, 2014, COMMUNITY No. 120235 PANEL 0289 F. of 0 N BASIS OF BEARINGS: THE C/L OF R/W OF YESLER DRIVE BEARS S.14°35'32"E., PER PLAT. � 1 \ L} .(q c? y^ v ?40- 4s 9h � „ SGoa naclsaa t � 22. � b, � 1 P1ee'�' -'nr pg01 Oaa9 t xn. P1aQ°sd1 ` .Aj � . �-2 25 Pose �f ��J• ("" � ',. `3 �} Elav=*�adas4l"`an. atlt 0� & t, 35,A1' (31 p0 azy ) `'0• 1 t - 26' Front Setback - FcopG6ed f � z^ c l \-- - '-� 0Piaep. 611" Nei 70.96 830 PRECITA TRACT RI "" RIGHT_OF'WAY ------"""` "-----^^- 24 00, PRIVATE LEGEND: EN.a.PPPNaNA� AGUE=A4Mv t(NP6OPENDI4FEA9 IWtiES9OS CDxCMLAtEO GAN=GWLG?ftEN9!av R,sER NOA=Ngk£6WNERSA6 �A`iFtIX1 xpFE=1NGH OEM9M PVYYEtHrtNtE c0=CNOROpEM1NC CGt=CE0.iIFlEp SORNER0.ECgi48 PWE p:!DENiiFlCAi!Ox PASP=PERMPRWEi, S!DEWutt RAN CW =COMMIM9IY REVELOPMENi rnsix!Gi LB>LKFN�D 6U9WE66 ;s=Lu�scnPE +FR(}PERtt IBIE avc=Pnrvwn Gwoxax: iRl •PADw1 N=Gf0.iP CI=CLY aLEi CLP=GiAiNI,NKFETCF GLP=CCNL.lK3it PIXE LICENeE0 S:1Rv£Ypt MEG=MAtGH E%Isik.G GRAPE N=MANI1ClE iNRt, NOVIUUW. RAU°RADtus RW =RpANfORCEp CONGR.EiFPIPE REG=REg6YERE0 CMP: CP9xU6AYn ME'#FroE. GCtC.=40.vCRE!E CO'=C!tt CF `N.baA WiR=xORiN MAERKNi vERitcu OANMig&s RAv=RIGH`AFWAY lS;=StNVEY 9EC=8E4tt3v tERLrck PE =OPRINAGE EASEMENT NGYC=NAiIWil. C£g7E*M. fiRYtcaI OA`.UM,9E4 - tO SCALE PGE =PAN =WATER MEtER PbAE=O NAiCt Atd)ACCEBS OR.=gFIGAI NEC.MiP4 41R=9@'SEL IRON ROP D'q -ATERVALVE EASEUfk; pd!E=p AV10.GE Ni0 WcxE55EORE5S CiJt=eVERNEADUTttM lu1E5 Ipi=PLAY Ld89tJ SN,9.8[i NALB PiSttlBFtJ >tiR-ttuON =FIRE kIYCWWY EA9FMFNt PdU=ORANUOERtW Jiftlil' 6LEY_=ELEVAIitW PM^UE=FRMA1E AccF,&s. PNIVAiE DRA:e:AGE &FU6WC UiA.IM EABFbEN* PAGP=PERAPfliOVEp GPhpIxH PLON SF%:9Ei PAA wok 91FflVMR =SPV???YNE9I FI.CR9,4WA191 NhWGEMFKi DIa'iRiL7 A =MUB&LAGKSET =LAI—T Y+CXG=ENNNONMENiN.PftO[PCTCN PAGdoP=PER MPRWEOIXNAIN6 laM=ifAWOINPY e[N4LM"ARK uAMASB: NCF MLL96IXtWCdi NA DRAB;At�PIAN ?YP.=?YPKX uCfi:E =Ui41ry ANPbRAViPt* �=Ui!I.Iry PoLE cbAnY EBMi=EA9EM�T P6 =PLAT 6IX.a PI=Pob4i tF,WTFRSECRRi wCREAS'EGYE49 EA4EA1`Nt E0.EMEN? O fC,M =fwap CgiCft:tENWI!k+ENi �FCtNJU,RON RPE C-POW^PE�PvkYLRE •PWNY tiFCPFF0UNP 0.BivE =U"ttIYV C=VxiNE86 eCRfER Q, =ELEV. (PAGPt R, FWNP RON Rao Leas,s eRMu+F LavraoL Pear. wG[LawERtNOCONBERYa?IW, Q nwLEaxn wnYnsENorEpl Rc PbN.OFREEPS�LVRVE EASEi�'N?LWE NO EXISTING TREES F x 0#i 6f 9Y{wG WcdSl=»ERu4, LCNB£flvA`YkV PK «RP .ARK�E.,�pNNAk �, gR.pFgLEREH- .�.9FY6AbtLkH per approved GRADING G.... GE.=flCRroA GMN'ANp PR PEPMA ENi xETEREth".E MN,uNfM R'F'HVnPFEME U FSERvn�ron �,d�FN*$6� s FROFEssrauL.rpsuavEYmt WLeE.wxLLanoscAPE�vm�FFER &DRAINAGE PLAN. ON PSN-PROFESSi0w0L suRYEYcxd MMPFP EA9EMENi PROPOSED TREES SHOWN ON LOT PER Drainage TREE PLANTING PLAN (SH 29) —1— = Flow Datum Conversion AVOW Proposed Lot NGVD 1929 - 0.84' = (NAVD 1988). Grading Type VERTICAL. DATUM NOTE: (PAGP} THE ELEVATIONS SHOWN HEREON Rrn ARE REFERENCED TO NGVD 1929. L No OKER SIGNATUREDATE OF FLORIDA REGISTERED LAND SURVEYOR NO. 5185 Survev We: N/A CURVE TABLE Curve # C73 Radius 35.00' _ Deltas 97°40 44 Arc/Len 59 67 Chord 52 70 T Chord Bearin S 34° 14 50"W. Sidewalks & Gutters per approved PAVING GRADING AND DRAINAGE PLAN-B. , N::[ :10 'a 7MAW 01 R, 8515 Palm River Road Tampa, Florida 33619 i z W, I INSTR#2021218140OR BK10459 PG2369 Page 1 of I S/H 10/12/2021 01:32 PM Rcpt: 2363770 Rec: 10.00 IDS: 0,00 IT: 0.00 Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller Prepared By Daphne Clark and K Hovnanian Homes Return To 2301 Lucien Way, Suite 260 Maitland, FL 32751 NOTICE OF COMMENCEMENT. State of Florida. County of PASCO. The undersigned hereby gives notice that improvements 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. L Description of property : I LOT 55 Legal Description LINKS AT CALUSA SPRINGS according to the plat thereof, as 'recorded in Plat Book $I Page 74-79 of the public records of Pasco County, Florida. Addresses .3(0'901 yesles- Da Zephyrhills FL 33542 2. General description of improvements : New Single Family Home 3. Owner information: Name Links At Calusa Springs, LLC Address 2301 Lucien Way, Suite 260, Maitland, FL 32751 4. Fee Simple Title Holder: N.A. 5. Contractor name and address: Name K. HOVNANIAN FLORIDA OPERATIONS, LLC Address 2301 Lucien Way, Suite 260, Maitland, FL 32751 Surety: N.A. 7, Lender: N.A. & Persons within the State of Florida designated by the Owner upon whom notices or other documents may be served as provides by 713.13(l)(a)7., Florida Statutes: N.A. 9In addition to himself , Owner designates the following to receive a copy of the Lienor's Notice as provide4. in 713.13(l)(b), Florida Statutes. N.A. 10. Expiration date of notice of commencement: One year from the date of recording. 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 INTENT TO OBTAIN FINANCING, CONSULT YOUR LENDER OT ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. 11. Date Signed: —10 11 �21521 Signature of Owner's Agent: — Jame Makran Sworn to and subscribed before me this 10 j 1IL2-021 by James Makransky who is personally known to me. S RAH J RIVERA Notary Public Notary Public - State of Florida Sarah J Rivera Commission #GG 331812 My commission expires: 5/7/2023 MY Comm. Expires May 7, 2023 Bonded through 1a1fq%tWVV*M: Serial No. GG 331812 Notary nature: RM ,., State Of Florida, County Of Pasco This Is to certify that the foregoing is a true and correct copy of the document on file or of public record in this office. Witness my hand and official seal this day of Ir _ 22, Nikki .Aluar-Sowles, Este„ Clerk & Comptroller T �' Pasco lorida y Na f Deputy Clerk ..,. C.. PASCO COUNTYj FLORIDA Permit No. BuCider Name/Owner Name 11,7 # Control County Parcel No. bDo �,p Suiv: gm�= Rate: C-� Sq-Ft Unit: Exempt El Yes El No How DetemI Impact Fee Amount Zone No. TAZ: SCAOOL IMPACTFE­E--- Account (056) Singis-Family Retached House Amount $ (057) Mobile Home (058) Other Residential 23) Collectio Fee Exempt 6 yes [] No How Determined rAKK* AND RECREATION F Land Account Land Credit Recreation Account Recreation Credit Recreation Total Zone TOTAL AMOUNT 7 Exempt El Yes ONO How Determined Land Account Land Credit Land Total Facility Account . Facility Credit Facility Total Exempt 0 yes []No Now Determined _ Total Amount TOTAL AMOUNT Prepared By e Checked By NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE SON. PAID AND * RECEIPTED FOR'BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY WW98"Ilt below does not knply a=Ptanc$ Of concurrenoe bi It '11, i 129k4 RECEIPT N. DATE By 0