HomeMy WebLinkAbout22-4168City of Zephyrhills
5335 Eighth Street
Zephyrhi|ls.FL33542
Phone: (813)78O-OU28 Issue Date: 07/20/2022
Permit T e: Building New (Residential)
New (Residen"tial)
Nam
Address: 4600 WCypess St 200
CONSTRUCT SINGLE FAMILY 2.38VGqrTA8
Public Safety Impact Fee -Admin
Park Impact Fee Sing|eFam|ly/Tuwnhomw
3/4 Water Meter Fee (oa|e)
Public Safety Impact Fee `Admin
Mechanical Plan Review Fee
Electrical Permit Fee
Driveway Fee
Address Fee
Building Permit Fee
Sewer Connection Residential Fee
Class of Work: SFR Construct
Building Valuation: $821.50310
Electrical xaluahon:$48.2254r
Mechanical Valuation: $22.50522
Plumbing Valuation: $32.150,81
Total Valuation: $42*.38410
Total Fees: $19,235.18
Amount Paid: o1g.2oS.1a
Date Paid: 7/20/2022 12:57:06PM
*2635 School Impact Feo-Sxngle Family
$8.32&00
$769.56 S|F1 percent Fee
$83.28
$732.71 Transportation Impact Fev-City
$38.32
$2635 Transportation Impact Fee
*3.595.68
$45.00 Mechanical Permit Fee
$152.53
u281.13 Building Plan Review Fee
*45.00
$45.00 Electrical Plan Review Fee
$45.00
*88.00Plumbing Plan Review Fee
$45.00
%1`0*7.52 Plumbing Permit Fee
$200.75
$2.090.00 Water Connection Residential Fee
$1.010.00
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
14
PEfAIT OFFICE[)
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIOn
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application 02% Fax-813-780-0021
Building Department &V
%M I
Date Received Phone Contact for Permitting E(9 0 8 770 __ 7763
Lennar Homes, LLC 1-3.
Owner's Name Owner Phone Number 8 =574,5700
Boy Scout Blvd Ste 600 Tampa, Ft. 33607
Owner's Address Owner Phone Number
Fee Simple Titleholder Name I N/A Owner Phone Number
Fee Simple Titleholder Address N/A
JOB ADDRESS 164Bar S Bar Trail LOT # 1 1312
SUBDIVISION Abbott Square Phase 1 PARCEL ID# 1 04-26-21-0000-00300-0000
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR a COMM OTHER
TYPE OF CONSTRUCTION BLOCK a FRAME STEEL
DESCRIPTION OF WORK Single Family Residence pool / Screen Enclosure / Fence
BUILDING SIZE [ HEIGHT S �F2 E SQ FOOTAGE ��
r-r—
BUILDING $ $321,503.10 VALUATION OF TOTAL CONSTRUCTION Q Ll
ELECTRICAL $48,22
5.47
PLUMBING $ $32,150.31
MECHANICAL 10 $22,505.22
= GAS Z ROOFING
FINISHED FLOOR ELEVATIONS I
BUILDER
SIGNATURE
4301 BOY
Address
ELECTRICIAN
SIGNATURE
PLUMBER
SIGNATURE
P.O.
Address
MECHANICAL
I
SIGNATURE
Address
OTHER
SIGNATURE
Address
RESIJjEVTI&L
M PROGRESS ENERGY [aj W. R. E. C.
AMP SERVICE
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY = OTHER
FLOOD ZONE AREA EIYES Do
Lennar Homes, LLC
Y/ N FEE CURREN Y/N
License# I CGC1518166
klEdamonson Electric, Inc.
Y y
N FEE CURREN L Y /�
License# I-EC13005408
Bayonet Plumbing, Heating & AC, Inc
Y/ N FEE CURREN [: =Y/ =N
License# I CFC042998
Bayonet Plumbing, Heating & AC, Inc
Y/ N FEE CURREN L_Y / N
License# [G�58�062 . . . . . .
C Sterling Quality Roofing, Inc
/ N FEE CURREN Y / N
License# 1 CCC057991
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 clumpster, Site Work Permit for subdivisions/large projects
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
Attach (2) sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
COMPANY
REGISTERED
Blvd Suite 600 Tampa, FL 33607
N i I 0 I 1 i a
, Bayonet 1_F-L-34674-5308
COMPANY
REGISTERED
COMPANY
REGISTERED
COMPANY
REGISTERED
P.O. Box 530K, Bayonet, F,04674-5308
COMPANY
REGISTERED
4211 Shoal Line Bloc Spring Hill, FL 34607
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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 OFDEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may bemore 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 o contractor or
contractors to undertake vvork, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by |aw, both the owner and contractor may be cited fora 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. Furth*rmore, if the owner has hired a contractor or nontraotors, 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
oontraotor, that may be an indication that he is not properly |iuonomd 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 hothe construction of new bui|dings, change of
use in existing bui|dings, or expansion of existing bui|dingn, as specified in Pasco County Ordinance number8A-07 and
00-07. as amended. The undersigned also understands, that such haas, 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 o "certificate ufoccupancy" 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, ifPasco 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 (Chaptor713' Florida Stotubem, as amended): If valuation of work is $2.500.00 or more. |
certify that |, the app|icont, have been provided with a copy of the "Florida Construction Lien Law —Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consume/ Affairs. If the applicant is someone
other than the "owner", | certify that | have obtained a copy of the above described document and promise in good faith to
deliver iitothe ''owner^prior tocommencement.
CONTRACTOR'S/OWNER'SAFF|DAV|T: | certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable |avva regulating oonstruction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation an 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 laws regulating
ounstruotion. 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 work, and that it is
myresponsibility toidentify what actions | must take (nbeincompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection -Cypress Bayheadu, VVnUund Areas and Environmentally Sensitive
Lands, VVuter/Nas(ewoterTreatmenL
- Southwest Florida Water Management District -Wells, Cypress Bayheods, VVot|ond Areas, Altering
Watercourses.
- Army Corps nfEngineers-Seavva||s. Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit'VVe||n, Wastewater Treatment'
Septic Tanks.
- USEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation Authority-Runvvayu.
| understand that the following restrictions apply to the use offi||�
- Use uffill isnot allowed inFlood Zone ''V^unless expressly permitted.
- If the fill material is to be used in Hood Zone ''A'', it is understood that a drainage plan addressing a
''compenoabng volume" will be submitted attime ofpermitting which is prepared by a professional engineer
licensed bythe State ufFlorida.
- |fthe fill material is to be used in Flood Zone ''/\" in connection with o permitted building using stem wall
construction, | 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 hU will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent propartins, the owner may be cited for violating
the conditions ofthe building permit issued under the attached permit application, for lots less than one
acre which are elevated by fill, an engineered drainage plan is required.
If | am the AGENT FOR THE OWNER. | promise in good faith to inform the owner ofthe permitting conditions set forth in
this affidavit prior to commencing construction. | understand that a separate permit may be required for electrical work,
p|umbinA, signs, wells, pools, air conditioning, gaa, orother installations not specifically included in the application. A
permit issued shall be construed to be o license to proceed with the work and not oaauthority bzviolate, oanma|, a|1er, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring o correction of errors in p|one, 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 iasuanoe, 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 fora period not toexceed ninety (QO)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
Who or
as identification.
Commission No. BD00046U
Elissa M. Holleran
Name of Notary typed, printed or stamped
gELISSAM, HOLLERAN
o:
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
10-M�y-22 by Ashlee Callahan
Who is/are personally known to me or
as identification.
Public
Commission No. HH 000460
Bissa]N. Holleran
Name of Notary typed, printed or stamped
9 'W ..... ELISSA M. HOLLERAN
Expires June 6, 2024
0:J
813-7*0-0020 City of ZeohvdhiUs Permit Application rvx-813-780o021
Building Department
wmmE OFDEED RESTRICTIONS: The undersigned understands that this permit may besubject m"deed" restrictions" which may bemore restrictive
than County assumes responsibility 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 muolicensed maccordance with state and local regulations. nthe contractor |onot licensed uxrequired uylaw, 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 tvcontact 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 mthe "contractor Block" ormin
application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he|onot properly licensed and |x
not entitled mpermitting privileges inPasco County.
TRANSPORTATION |08PACT/UT|L|T|ESIMPACT 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, axmay uedue, will bomenunouvt mnum*o,pannmmyx|om�he,unuommoumatT,anopn�aunn|mpa�Fees and nenvunexonove�
Fees must uepaid prior m�ue|vin "certificate foccupancy" o,final power release. nthe project does not involve acertificate nvoccupancy o,final
power release, the fees must uopaid prior mpermit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior
mpermit issuance maccordance 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 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.
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 ofEnvironmental Protection -Cypress Bayheado. Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management Dinhict4Ne||a, Cypress Bayheode, Wetland Areaa, Altering
Watercourses.
- Army Corps ofEngineem-SeawaUa.Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit'VVe||o, Wastewater Treatment,
Septic Tanks.
- USEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation Authority- Runways.
| understand that the following restrictions apply mthe use o,fill:
' Use offill isnot allowed inFlood Zone Wrunless expressly permitted.
- If the fill mmh*ha| is to be used in Flood Zone "4^, it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which in prepared by professional engineer
licensed bythe State ofFlorida.
- If the fill material in to be used in Flood Zone ^A" in connection with e 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, | certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect ocUamant properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |eno than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
n|amthe AGENT FOR THE OWNER, | promise mgood faith minform the owner vfthe permitting conditions set forth mthis affidavit prior m
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 acorrection merrors |nplans, construction o,violations uf 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 o/six (n)months after the time the work |ocommenced, Anextension may uerequested, mwriting, from the Building Official for aperiod not to
exceed ninety (on)days and will demonstrate justifiable cause for the extension. nwork ceases for ninety (yn)consecutive days, the job ixconsidered
abandoned.
WARNING TO OWNER: YOUR FAILURE TORECORD ANOTICE OFCOMMENCEMENT MAY RESULT |N YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TOOBTAIN FINANCING, CONSULT
Fuzn|oA Jun^T(ro.117
Rd
~~
OWNER oRAGENT '
CONTRACTOR
Subscribed and swor efore me this
Subscribed and swolo goraffirmed) before me this
~Vhois/are personally known wmvv,has/have produced
s/are personally known to me or has/have produced
as ildentlification.
A as identification.
Notary Public
1AU,—Notary Public
Ashlee Callahan
Name of Notary typed, printed or stamped
State 0
Cn
Ashlee Callahan
Name of Notary typed, printed or stamped
Permit No. l l
f Date Permitted
Builder Name/Owner Name Control #
County Parcel No. D ci % SubDiv: A66W S4
Address/Location
Classification/Type of Use r
TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit:
Exempt Yes Ei No / How Determined
Impact Fee Amount C 32-- Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056)
Single -Family Detached House Amount $r—�'
(057)
Mobile Home
(058)
Other Residential
(123)
Collection Fee
Exempt =Yes
= No How Determined
PARKSAND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone Total Amount $7(c)(7,,51
Exempt Yes = No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt 0Yes No How Determined Total Amount
Prepared By
Checked By
LvraiATMM�
BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
ACKNOWLEDGEMENT BELOW DOES NOT IMPLY ACCEPTANCE OF CONCURRENCE, BUT SIMPLY REECEIPTOF A COPY OF THIS
FORM, PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME.
DATE RECEIVED BY
RECEIPT NO DATE BY
0
Project Name:
Parcel Tax ID
\/-RA
`v`1R UA,L BEV!EW ASSIST
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
plc
Bar S Bar Trail Zephyrhills, FL 33541
111 1! 11 11!#
Services to be provided: Plans Review X Inspections
Note: If the notice applies to either private plan review or private inspection services the Building
Official may require, at his or her discretion, the private provider be used for both services pursuant to
Section 553.791(2) Florida Statute.
I Steve Smith , the fee
owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services
indicated above.
Private Provider Firm: VIRTUAL REVIEW ASSIST INC.
Private Provider: DEBRA ANNE KLANR
Address: 747 SW 2ND AVENUE - SUITES 170,301, 357 & 358 GAINESVILLE FL. 32601
Telephone: 813-376-3088 Fax: N/A
Email Address (Optional): deb@virtuaireviewassist.com
Florida License, Registration or Certificate #: (LIC # BU1967 / PX2300 / BN4615)
I have elected to use one or more private providers to provide building code plans review and/or inspection
services on the building that is the subject of the enclosed permit application, as authorized by s. 553.791, Florida
Statutes. I understand that the local building official may not review the plans submitted or perform the required
building inspections to determine compliance with the applicable codes, except to the extent specified in said law.
Instead, plans review and/or required building inspections will be performed by licensed or certified personnel
identified in the application. The law requires minimum insurance requirements for such personnel, but I
understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I
have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance
and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harmless the
local government, the local building official, and their building code enforcement personnel from any and all
clai ns arising from my use of these licensed or certified personnel to perform building code inspection services
with respect to the building that is the subject of the enclosed permit application.
I understand the Building Official retains authority to review plans, make required inspections, and enforce the
applicable codes within his or her charge pursuant to the standards established by s. 553.791, Florida Statutes. If I
make any changes to the listed private providers or the services to be provided by those private providers, I shall,
within 1 business day after any change, update this notice to reflect such changes. The building plans review and/or
inspection services provided by the private provider is limited to building code compliance and does not include
review for fire code, land use, environmental or other codes.
The following attachments are provided as required:
1. Qualification statements and/or resumes of the private provider and all duly authorized representatives.
2. Proof of insurance for professional and comprehensive liability in the amount of $1 million per
occurrence relating to all services performed as a private provider, including tail coverage for a minimum
of 5 years subsequent to the performance of building code inspection services.
Individual
(signature)
Print
Name:
Address:
Telephone
No.:
Please use appropriate notary block.
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
Individual
Before me, this day of
20—, personally
appeared
who executed the foregoing instrument,
and acknowledged before me that same
was executed for the purposes therein
expressed.
Corporation
LENNAR HOMES. LLC
Print Corporation Name
By:.
(signature)
Print
Name: Christopher Smith
its: Authorized Agent _-
Address: _ZQD_kjW 107th Ave�_
Miami, FL 33172
Telephone
No. 813-574-5700
Corporation
Before me, this 22ND day of
MAY —,2o22
personally appeared
of
Lennar Homes, LLC —, a
corporation, on
behalf of the state corporation, who
executed the foregoing instrument and
acknowledged before me that same was
executed for the purposes therein
expressed.
Personally known X ;or Produced identi cation— Type of identification produced
Partnership
Print Partnership Name
By:
(signature)
Print
Name:
Its:
Address:
Telephone
No.:
Partnership
Before me, this day
personally appeared
partner/agent on behalf of
a partnership, who executed the
foregoing instrument and
acknowledged before me that same
was executed for the purposes therein
expressed.
Signature of Notar�A�o Print Narne ASHLEE CALLAHAN
ILL M
Notary Public Stamp:
ASHLEE CALLAHAN
•State of Florida
Notary Pubilc
3
Commission Expires: Jgi' GG 244456
NOVEMBER 30, 2022 Ay Collm, ExPifO Nov 30, 2022
Nntlonal' Notary I Assn,
Page 2 of 2
Private Provider
Plan Compliance Affidavii
Private Provider Finn: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU 1967
Address: 747 Southwest 21 Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: luc a x1irtualreviewassist.com
WEEMBEEM
amina M a r4an MvIp.14nmrsm
Plan Sheets: CS,A1,A2,A3,A4,A5,A6,A7,SNO,SNI,S3,S4,S5,S6,SS,ST,SII,SI2,wp1.0,PA1.0,PAI.1,PA1.2,
PAI.3,SHI.0,SH1.1,SHI.2,SHI.3,SH1.4,SH1.5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Exam
�6er
License #: PX2300 j
Signature of Reviewer: IL —MA— -I/,
7-
SWORN AND SUBSCRIBED before me by
being personally known to me or having produced as identification
and who being fully sworn and cautioned, state that the
for go#* is true and correct to the best of his/her knowledge or belief.
A CLA
Sfgiia-tWe or Notary Print Name
1NOMM"k? M 0
commission expires:
NQtary ��j-, a
N
My turf
expires:"
s vex
i ► `U.11 3_ r
FOLIO .
M Permits
Building
El Ins action Onl
Plumbing
❑Ins action Only
Mechanical
[] Ins action Only
lectrical Amp
❑ Infection Only
Roof
El Gas
❑ Medical Gas
❑ Fire Sprinklers
On Site Piping
❑ Fire Line
❑ Irrigation
❑ Fire Alarm
❑ Potable Backfiow Assembly
❑ Fire Line Backflow Preventer
❑ Irrigation Backnow Assembly
Demolition
❑ Walk-in Cooler
❑ Refrigeration
❑ Mood
❑ Ansul
❑ Fence/Wall
❑ Grease Trap
❑ Other
❑ Other
Type Construction:
Risk Category:
Occupancy Load
O ancy Classification:
Factory
Residential
Assembly Business Day Care/Educational
Hazardous Institutional RIMercantile
❑,Storage ❑Utility
Building Ilse: /Alteration Level 1 Level 2 Level
{ New Construction ❑ Interior Finish ❑ Interior Remodel [-1 Exterior Remodel ❑ Addition ❑ Revision
Overall Size:
(70 6
Number of Stories:
Total Sq. Ft.:�
Living Area:
Covered Area:
# of Bedrooms:
# of Baths:
.'
Cost per square foot:
Estimated Value:
Roof T e: Shin 1e
❑Tile El Built-up ❑ Metal ❑ Other S wares:
Zoning:
Wi orne Debris:
❑Inside
Outside
Energy Code:
Flood Zone:
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents? IQ, Yes JANO
Sq. Ft. Enclosed Space Below BFE:
# of Vents:
Size of Vents:
Total Sq. In. Permanent Openings
!Central A/C
Gas A/C
&Heat Pump ❑ Window A/C
El Gas Heat ❑ Electric Heat
SanIta Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
Front Rear Left Right
As per Approved Site Plan
Corn ents: 5vv, :5V
1 1. l,_ 0
VESCRIP'lf`1101111; LOT 12, BLOCK 13, ABBOTT SQUARE PHASE to
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK SITE PLAN SEC, 4, TWP, 26 S, RNG 21 E.
PAGE OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA IN07 A SURVEY; PASCO COUNTY, FLORIDA
JABBOTT SOUARE)
ALL ELEVATIONS REFERENCED
TO NORTH AMERICAN
VERTICAL DATUM OF 1988
iNAVD 88)
is WE PLAN Prepared for and Certified To
Lonna, Homes ---- Scale: 1 20'
LOT 13
BLOCK 13
'AF LOT 6
5307"" BLOCK 13
In ----------
22,9
LL SI� 3 CONC '5 3, 520
WALK
--4S)xS8
222
ENTRY
PROPOSED
- - ------ 6,0
25TORYRESIDENCE PAOO
PLAN 23$Z
0 - LOT 7
LE EV'A'
GARAGE R LOT 12 a BLOCK 13
58.0 BLOCK 13
30
25, IF!
5 BYS3 07 EIP, ;1C _30 jrI Ky, ---------
J
LOT I I LOT 8
B
BLOCK 13 LOCK 13
Id
iQ
LOT
-A20—SQ.FT
LIVING AREA =_LZ6q_SQ. FT
PORCH -_aL_SQ, FT
GARAGE -AJ-1—SC), FT
COVERED LANAI --N,46—SCL FT
PATIO -_21_SQ FT
POOL AREA --kA SO FT,
CONC. DRIVE --335--SQ, FT
A/C & CONIC PAD -_21_SQ, FT
SIDEWALK -_3Z_SO, F1
LOT SOD FT PC - TOAK
R/W SOD FT 6 10 00 PUBLIC UTILITY EASEMENT
LOT OCCUPIED?
AREA 70 IRRIGATE =-,5-6— ae NOTES: LEGEND:
PROPOSED: LOT GRADING TYPE - A --,---- 0--- PROPOSED DRAINAGE FLOW
MINIMUM FLOOR ELEVATIONS: PROPOSED PAD ELEVATION - 9S 90 JOG G(F , PROPOSED GRADE
LIVING AREA: 96.57' FRONT SET BACK - 20 E-00 00 - EXISTING GRADE
GARAGE AREA: SIDE SET BACK - 7 5
ELEVATIONS REFERENCED TO PROPOSED ELEVATIONS AND GRADING
SIDE SET BACK (CORNER LOT, - 15 SHOWN HEREON ARE TAKEN FORM THE
NORTH AMERICAN VERTICAL ENGINEERING PLANS OF
DATUM OF 1988 REAR SETBACK - 15 ABBOTT SQUARE RESIDENTIAL-, PREPARED
APPARENT FLOOD HAZARD ZONE X COMMUNITY NO 120235 BY'WRA'PROVLDED BY CLIENT
SURVEY ABBREVATIONS WAP NUMBER 12 TO IC-0240-F) EFFECTIVE DATE 09,26,2014
,Z - ARE, —ENGTN 0, - uEKO �NV - �NVTRI PC - -OIN'Of CURVI RGOoRP) LEGEND 1111N11
AIC - AIR CONEP11OPIEP D E- DHRNAOC EAGMENT , -3 -jCEW'D BUMESS PC C - PON CIMPOUND OMY RN6 - RYNIO -1
AF " AU-NUsa 1, O'CE 0- OR ELZV - ELEVAPON LL -ANDSCAPE EASEMW KP -EMANENICOICROC"N' RRS - "ft `K)1KD1 YIIKE z7o -
PIKE- RASE FIOLO} II-EVAIIN -�DGI 'PAIIIIIINT, 01"LOWIVILCIORELEVATION IME - POO�* RW � RRa,1 OF WAY
WOODIENC!
rao.b"PiPPOK •LICERNED SOKPTIOR PG - PAGE PEC - RECTICY,
rWT FAMMEN' LS
C - WiAl "U �C � NCORNER KR - MEASURED RED N POOE INTFG�D CTION SN&- V, T �L AND COO�
"I - �CIIOO) ICM-IOUNPCONCRFTE MES NlITERED FIND SEC NON 1K -OkRXVP IQL 01 �B.8,83
I CEN-Eitr 'JN K - E RIONUMENT NCF - NO CORN I, FCXIIW-� I PR i /? RON R�YD H. 8'83 �-INUN,,IYNC[
CHAIN FIP _,OOND 'RuP,r'F - CPAR� �b -PONT 01 WON.NG PIC
OKW
OA FERA IENMIRAY,
C' "'PON FIR-FOUNPIRONKOD OI-RV-OFTRFPFDWiRcP,� ROC, POINT OE COWEPIC'NIRNT
1 'OPK I N&D O.R.-C)FfIOAKiO7ORO` - f"- a, IN.-, T "O"a" �IFKIY.RaCINCE
1, -C�,OVTC -1`00NON&I-�-lirsis
6 - CaKI -�s CO - KFUND OPEN Met PLAT INC - POINT Of CORVI 1,0 -LMLITYEZENKINT
-011 - - -1 AR M AN G, !z FPE - FOUND PINCHED IFJO 18 - IFAI BOOK RYFERENCE MONURII W - PTNY PENCE
JOB #5192 r SURVIRMIR'S NOTE& SWMIRYORPS CEff"FICAM 1708 Water Oak COOK
1.) Current title Information on the subject property had not been This certifies eon described Tarpon Springs, Florida
Dart, of Site Plan 3-8-2 2 furnished to
Inivai Form Land Surveying LLC at the time of this property Jon and Phone J727)-831-1990
)WCLAS-L I 2-813-STTE SITE PLAN meets ef r FIondaPLS7I23@gmaiECwP
2.) This sketch was prepared without the benefit of a title search. I
i SoOr h IT Land U3# 8! 83
No Instruments of record reflecting ownership. easements or S oxs pea, r
rights -of -way were furnished to the Undersigned, unless otherwise SISV 5 Fl a A 91i ah
Drawn by SUB shown hereon to S non Flo a to
3.) Roads, walks. and other similar Items shown hereon were taker
-pecked IRI from engineering plans and are subject to survey.
TEVISIONS N does not reflect no: determine ownershipC-1
;,, " )T'h,'s 'SIT ' 'EsubjectPLAN .subject to matters shown on the Plat Of
'ABBOTT SQUARE PHASE IA` portions j
IT TO (IT 40
R FE E It
thereof. Ift
7.) Contractor and owner are to verify all serpdo, bujidnq LS 8 —
dimensions, and layout Shown hereon prior to any coni,thactmn, NO FTH IL ik
and immediately advise Initial Point Land Surveying, LLC of any SIGMA k, I
deviation from information, shown. hereon. Failure fa closowdItae SE Initial Point Land Surveying, LLC.