HomeMy WebLinkAbout22-3888Name: LINKS ATCALUSASPRINGS LLC
Address: 2301 Lucien Way 20V
MxITLAwD.FL 32751
Eliffiam
! 1
Issue Date: 05/05/2022
Pomd Type: Building New (Residenou|)
Class n/Work: 8rRConstruct
Building Valuation: $215.948.08
Electrical Valuation: $6.300.00
Mechanical Valuation: $5,200.00
Plumbing Valuation: $5.900.00
Total Valuation: $233.348.00
Total Fees: $15,322.14
Amount Paiu$15,32x14
Date Paid: 5/5/2022 11:44:23AM
CONSTRUCT SINGLE FAMILY 3.28OGopTLVC
ContredorKHOVNANiANFLORIDA
OPERATIONS L
Public Safety Impact Fe°-4umin
$26.35 Electrical Plan Review Fee
$35.75
Driveway Fee
*45�00 Irrigation 0*Meter (Ca*)
*732�71
Plumbing Permit Fee
�
�
$0Ss0 p|wm�ingP|mnRwwi�w��o
*3*75
�
6|p�peumn�F�e°
~�
*V328School |mpa�Fee - Single rami�
$8.328.00
PuWipSmfety|mpantpee-po|ine
$254�00 Sewer Connection Residential Fee
S2.090.08
Building Plan Review Fee
$558a0 Electrical Permit Fee
$71�50
Mechanical Permit Fee
$60�00 Mechanical Plan Review Fee
$3100
Address Fee
*30D0 Building Permit Fee
$1.11973
Water Connection Residential Fee
$1.010.00 3/4Water Meter Fov(oa|o)
$732./1
REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c) the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection, whichever is greater, for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
0
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
2-2 407 257--6940
Phone Con ct for Permiltfi
'LINKS AT CALUSA SPRINGS. LLC 407-257-6940
2301 Lucien Way, Ste 260, Maitland FL 32751
NEW SINGLE FAMILY HOME Total Sq Ft 3 213
TOTAL Under Roof ?,2
EZIBUILDING 1 �94 �, ��61 VALUATION OF TOTAL CONSTRUCTION
[XDELECTRICAL
1$ AMP SERVICE 150
PROGRESS ENERGY W.R.E.C.
=PLUMBING
�Jb
[XJMECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATION$ FLOOD ZONE AREA =YES NO
K HOVN NI N FLORIDA OPERATIONS, LLC
2301 Lucien Way, Ste 260, Maitland FL 32751
CBC1263047
M
042998
250 Jasmine Rd., Casselberry FL 32707 1
CAC1 814423
HUGH MACDONALD I ALVAREZ ROOFING
6'
0M Folsom Rd., Thonotosassa, FL 33592
------
--- 1329562
10t; NO; UM 1=161MR; M;
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 subdivisionstlarge 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. (AIC upgrades over $7500)
Agent (for the contractor) or Power of Attorney (for the owrw) 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 (PlottSurvey/Footage)
Driveways -Not over Counter if on public roadways -needs ROW
Building Department
Date Recmived Phone Contact for Perrmitfifin 407 17
r oil
owners Name PLINKSATCALUSASPRIN�GS.LLC Owner Phone Number 407
Owner's Address a1 Luclen VUa S 6 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
kiILitli
WORK ...
NEW CONSTRE] ADDIAIJ
El
INSTALL REPAIR
PROPOSED USE
El
Ex
SFR X COMM
TYPE OF CONSTRUCTION
Q�]
BLOCK FRAME
DESCRIPTION OF WORK
I -NEW SINGLE FAMILY HOME
'F-o
OTHER
STEEL
BUILDING -SIZE fO::T:;� �Undff _RO�01� SQ FOOTAGE wing
HEIGHT
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL AMP SERVICE150 PROGRESS ENERGY W.R.E.C.
ZJMECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YE X NO
BUILDER COMPANY E ;;;;��FEE�CURREh SIGNATURE REGISTERED
Address License #E=====
COMPANY E
SIGNATUR� REGISTERED FEE CUR�REI����
ELECTFJCIAN
Address License #
teaCOMPANY
SIGNATURE REGISTERED
Address A License #
MECHMICAL COMPANY
FL :E
SIGRATURE REFEE GISTERED Y/ N CUR�SU, �Y/N
Address License #E=::���
OTHERROOFER COMPANY
SIGNATURE REGISTERED E;;;;�FEEC�URSEtl
Address License #E=:===
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; 0) 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 & I dumpster, Site Work Permit for subdivisionsilarge 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 & I dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Allach M sets of Engineered Plans.
*`PROPERTY SURVEY required for all NEW construction.
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement Is required, (AIC upgrades over $7600)
Agent (for ft contractor) or Power of Attorney &r the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Siawers 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 be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESP I IL- I S: 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 TI IMPACT/UTILITIES IMPACT AND URCE 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 (Chapter 713, Florida Statutes,as amended): If valuation of work is$2,500.00 or more, I
certify that 1, 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.
COT.. CT R'SP R' 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 Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"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 any 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 EOR 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 E : YOUR FAILURE TO EC A NOTICE OF COMMENCEMENT AY RESULT IN
PAYING IC FOR P V TS TO YOUR P . IF YOU I N T TO T I FINANCING, CONSULT
WITH YOUR LENDER ATTORNEY BEFORE RECORDING YOUR TICE OF COMMENCEMENT
FLORIDA JURAT(F.S.117.03)
NR OR AGENT CON- CTOR
Subscribed and sworn or affirmed)be me this subscribed and sworn to jiffirmed}before me this
b Richard Sel 1A S B®W JE CLARK
ocl ?aropersonaiiy known, r has/have produced a Ist re ersonell known 4 r has/have produced
A as identification. N/A as identification.
Notary Public Notary Public
Commission No. GG 331812 Commission No. GG 812
Sarah Rivera Sarah J Rivera
Name f o , d t o� Name of Notary typed,printed or stamped
i gg vr • !E .ii, ti atio l P Lc, }+y 1, iJ 3 9
.. �'? ,,tiA`'Jx T •a�,}.'s1'i��"^'#�vv3.«'.�'�'`YYTr+ ,:m`
11.1 INSTR#2022022772OR 131<10537 PG 887 page 1 of i
11171 01/25/2022 02:25 PIVI Rcpt: 2408318 Rec: 10.00 DS: 0.00 IT: 0.00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
Parcel ID Number: 04 - 26 - 21 - 0260 - 00000 - 039 0
Prepared By Daphne Clark
and K Hovnanian Homes
Return To 2301 Lucien Way, Suite 260
Maitland, FL 32751
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.
1. Description of property LOT 'IQ
=f-L
Legal Description: LINKS AT CALUSA SPRINGS according to the plat thereof, as
recorded in Plat Book 81 Page 74-79 of the public records of Pasco
County, Florida.
Addresses 3 G 8 tO Ar8Cii-0% —jerraCe. Zephyrhills FL33542
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
6. Surety: N.A.
7. Lender: N.A.
8. Persons within the State of Florida designated by the Owner upon whom notices or other documents may
be served as provides by 713.13(1)(a)7., Florida Statutes: N.A.
9. In addition to himself , Owner designates the following to receive a copy of the Lienor's Notice as provided
in 713.13( I )(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 11, 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.
r—Z7��
11. Date Signed : I 12012021Z . Signature of Owner's Agent : ,,Z
Ric and Sellkoff�
Sworn to and subscribed before me this 112012=�&212-�by Richard SeUkoff who is personally known to me.
Notary Public sYjcy Pe
SARAN J RIVERA
Sarah J Rivera Notary Public - State of Florida
a Commission # GG 331812
My commission expires: 5/7/2023 MY Comm, Expires May 7, 2023
Serial No, GG 331812 Notary S$Jature: Bonded, tAary Assn.
State Of Florida, County Of Pasco
This is to certify that tho foregoing Is a
true and correct copy of the document
on file or of putzlic record in this office,
Witnp,ss my hand and official seal this
day of. -
Nikki Alvarez-Sowles, Esq., Clerk & Comptroller
r) co count
Deputy Clerk
EJ
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: 36880 Precita Terrace Permit Office: City of Zephyrhills
City, State, Zip: Zephymills , FL , 33542 Permit Number:
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
11. Ceiling Types (1610,0 sqft.) Insulation Area
5, Is this a worst case? Yes a. Under Attic (Vented) R=30.0 1610.00 ft2
6. Conditioned floor area above grade (ft2) 2666 b. N/A R= ft2
Conditioned floor area below grade (ft2) 0 c. N/A R= W
7. Windows(21 1.1 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-Factor: Dbl, U=0.63 40.20 ft2
SHGC: SHGC=0.32 14. Heating systems kBtulhr Efficiency
Area Weighted Average Overhang Depth: 1.000 ft.
Area Weighted Average SHGC: 0.265 a. Electric Heat Pump 32,6 HSPF:8.50
8. 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 Space R=0.0 1056.00 ft2 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 & 111E $7-4
0
this calculation are in compliance with the Florida Energy specifications covered by this ",
Code. calculation indicates compliance
with the Florida Energy Code. 0
Before construction is completed
PREPARED BY: - V
DATE: 12-23-2021 this building will be inspected for 0
compliance with Section 553,908
Florida Statutes.
I hereby certify that this building, as designed, is in compliance
with the Florida Energy Code. 0 r.,'V
OWNER/AGENT: sr BUILDING OFFICIAL:
DATE: 21312022 DATE: M.Ay 0
- 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).
12/23/2021 8:17 AM 7.0,00 - FlaRes202O FBC 7th Edition (2020) Compliant Software Page 1 of 5
DESCRIPTION: LOT 39,
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 12101 CO289F, EFFECTIVE
DATE SEPTEMBER 26, 2014. COMMUNITY
No, 120235 PANEL 0289 F.
ONIFIZE0111..
0
`V
BASIS OF BEARINGS:
C/L OF R/W OF PRECITA TERRACE L
BEARS N.83°05'11"E. PER PLAT.
u)
_IV__
I
it al pRECITA 1
— C/L RMT PRtV R E RIGNiOF-WAy
���nta Gottor (PAGPi N83°05'
11"E 70.86`
1515" RCP
P[oPesee 5Co°crate
Walk (PAGPI
-- N _
alnage N N
ruder ,0,0' N-
0 o N proP°5ed Ua Praposad _
c c: Cd1 pr;ve W I 2" Tree
P-oposeq.—
mpoeed 2C_Frolt Setback _ — Waa
25'Gar8ge, Setback
z
17,93'
f t
w proposed
Slab on Grade
Constnicr�an
k36�RQ
PYopo48d Nnl]Se
fl.4
Plemlvanhoe-68
Garage-RIG'iT
,�,
� l
Fmpaad
Lnoweat ` tom
59'
Ete. GGad PeP42n.
adin9
ppprmd
0
40.00�
LO
('ot
IT93'
�""jp"'n ea
Proposed ...
L.....1 S x 3
pIC Pad
0 lanai
2a,
Z
,OZI
ro ertyl'me PA6P.
co? along P P
��� �I
NOTE: iG"
No known recorded easamer,..
arepa
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-
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LEGEND:
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C11111,
F_e„—E
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IL
SOD AND CONCRETE CALCS
a
Total Sod Area in
Taal Lo[ Area In
Square Fuel t
Total RrW Sod
Total Conn
walk
— Syuere feat±
v
('r.b.sri,'WF-y areahetween
Sci Fee?±
Square
Feet±
�
oropzrry liee and bark of Corbj
7795 1 5223 1 N/ I 354
NO Pad q Percent
Total Conn,Driveway � Taal Corc. A.proe Total R/w Walk Square Lot
Square Feet t Square FeeE x Square Feet t Feet I Coverage
�$- 2r,W 0.86'
TRACT 03
STORM WATER
NO EXISTING TREES
per approved GRADING PROPOSED TREES
& DRAINAGE PLAN, SHOWN ON LOT PER
Datum Conversion TREE PLANTING PLAN.
Pr000sed Lot NGVD 1929 - 0.84' = (NAVD 1988).
NOTE:
Drainage Structure shown
per approved GRADING PLAN.
Sidewalks & Gutters per approved
PAVING GRADING AND DRAINAGE PLAN -A.
trading Type Drainage
(PAGP) VERTICAL DATUM NOTE, "--s"` = Flow
THE ELEVATIONS SHOWN HEREON Arrow
Bran ARE REFERENCED TO NGVD 1929. 2018
!IThis Sketch Preocred For : K. Hovnanian Homes I
Description I Date
Drown: DS 1-11-22 Client No:
Checked:T
Original No.: 22130956I Current No.:2
Digitally signed
I o
No.
CER FICAFE 'P by Scott R
, otvler
FLOPJDA Do te: 2022.04.01
° LAND 18:08:31-04'00'
SC07T R. FOWLER S�NAT�RE
FLORIDA REGISTERED LAND SURVEYOR NO. 5185
>6 Survev Date: NIA
8515 Palm River Road Tampa, Florida 33619
(813) 621-7841 (813) 664-1832 (fax)
www.lesc.com L.B. # 3913
N
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4
ec.: 4 I wp.: Lb 5 Noe.:
�'Uunly Var.cel No. ILt 2,f, 2- 16 7- 6 n N)OQQJQ�� SubDIv:
Address/L. w rPte u 4p-
Classification/Type of Use _Jt/l C
TRANSPORTATION IMPACT FEEjr Rate: Sq. Ft Unit:
Exempt [] Ves No How Determined
Impact Fee Amount Zone No, TAZ:
SCHOOLIMPACTFEE
Account (056) Single -Family Detached House Amount <2-t5
(057) Mobile Home
(058) Other Residential
6
23) Collection Fee
Exempt Yes 0 No How Determined
PARKS AND RECREATION FEE -
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone TOTAL AMOUNT
Exempt C] Yes E] No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt E] Yes Ej No How Determined Total Amount
TOTAL AMOUNT
Prepared B.k,,'�'
Chocked By
NO CERTIFICATE OF OCCUPANCY WILL BE IMED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
SEEN PAID AND
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
Acknowledgement below does not Imply acceptance of concurrence, but simply recalpt of copy of this form, placing
the building permit owner. on notice of this assessment and the conditions of payment for same,
I
� 5111 :1-014 iTT-4 OTs��
RECEIPT NO. DATE BY
a