HomeMy WebLinkAbout22-4754City e r ill ���
5335 Eighth Street
Zephyrhills, FL 33542 BNR-004754-2022
Phone: (813) 780-0020
Fax: (813) 780-0021 Issue Date: 09/20/2022
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36439 Garden Wall Way 04 26 21 0150 02300 0020
Name: LENNAR HOMES LLC-OWNER
Permit Type: Building New (Residential) Contractor: LENNAR
HOMES LLC
Class of Work: Townhome
Address: 4600 W Cypress St 200
Building Valuation: $250,320.00
TAMPA, FL 33607
Phone: (813 574-5700
Electrical Valuation: $37,548.00
Mechanical Valuation: $17,522.40
Plumbing Valuation: $25,032.00
Total Valuation: $330,422.40
Total Fees: $13,831.26
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Amount Paid: $13,831.26
Date Paid: 9/20/2022 10:18:22AM
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CONSTRUCT TOWNHOME 1,624 SO FT AS
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3/4�Water Meter Residential Connection Fee $732.71 Building Permit Fee
$1,291.60
Public Safety Impact Fee -Admin $26.35 Sewer Connection Residential Fee
$2,090.00
Driveway Fee $45.00 Park Impact Fee - Single Family/Townhome
$769.56
Address Fee $30.00 Fire Wall/Smoke Wall Inspection
$15.00
Electrical Permit Fee $227.74 SIF 1 percent Fee
$33.53
Water Connection Residential Fee $1,010.00 Public Safety Impact Fee -Police
$254.00
Mechanical Permit Fee $127.61 Transportation Impact Fee - City
$34.80
Admin Fee / (Provider Service) $180.00 Transportation Impact Fee
$3,445.20
Plumbing Permit Fee $165.16 School Impact Fee - Single Family
$3,353.00
REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c) the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection, whichever is greater, for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
i is ; '•. i i. • • •..' •
O OCCUPANCY BEFORE C.O.
L � i ff, n , 1 9, 'q)aL4y*_r-
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 Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting 908 770 7763
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813.574.5700
Owner's Address 23975 Park Sorrento; Ste. 220, Calabasas, CA 91302 Owner Phone Number T ��
Fee Simple Titleholder Name N/A _ Owner Phone Number
Fee Simple Titleholder Address I N/A
JOB ADDRESS 36439 Garden Wall Way LOT # 2302
SUBDIVISION Abbott Square PARCEL ID# 04-26-21-0150-02300-0020
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR e ADD(ALT SIGN DEMOLISH
P INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION 10BLOCK O FRAME J STEEL
DESCRIPTION OF WORK Multi -family / Screen Enclosure / Fence
U/
BUILDING SIZE R SF 2®86 SQ FOOTAGE 1634 HEIGHT 28'
BUILDING $ 25032= VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ 37548 - AMP SERVICE PROGRESS ENERGY W.R.E.C.
PLUMBING $ 25032
MECHANICAL $ 1 7 VALUATION OF MECHANICAL INSTALLATION 522.4
GAS i • t ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS «rr FLOOD ZONE AREA YES Do
BUILDER COMPANY Lennar Homes, LLC
SIGNATURE %p REGISTERED Y/ INFEE CURREN Y l N
Address 4301 Yloy Scout Blvd Suite 600 Tampa, FL 33607 License # I CGC1518166
ELECTRICIAN COMPANY Edmonson Electric, Inc.
SIGNATURE REGISTERED Y ( N FEE CURREN Y / N
Address License # I EC13005408
PLUMBER COMPANY Bay®net Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y ( N FEE CURREN Y / N
Address License # CFC042998
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y / INFEE CURREN Y / N
Address License # CAC05$062
OTHER 17 COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # 1 CCC057991
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 wl 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 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 hamore restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions,
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake wmrk, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by |ew, both the owner and contractor may be cited fora misdemeanor violation
under state law. If the owner or intended contractor are uncertain on to what licensing requirements may apply forth*
intended vvork, they are advised iocontact the Pasco County Building Inspection Division —Licensing Section ai727-847-
8OOQ, Furthennore, if the owner has hired o contractor or contneotoro, 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
cnntrauior, that may baon indication that heia not properly licensed and is not entitled 1opermitting 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 tothe construction of new bui|dingu, change of
use in existing bui|dinga, or expansion of existing bui|dingo, as specified in Pasco County Ordinance number 89-07 and
90-07. as amended. The undersigned also undemtanda, that such feea, as may be due, will be identified atthe time of
permitting, It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving m "certificate ofoccupancy" or final power release. If the project does not involve o certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore. if Pasco CountyVVat*r/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713.Florida Statutes, aeamnmnded): |fvaluation ofwork ix$3.5O00Ourmore, |
certify that |, the app|ioant, have been provided with m 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", | certify that | have obtained a copy of the above described document and promise in good faith to
deliver ittothe ''mwner''prior tocommencement.
COWTRACTOF1'S/OVVNER'SAFF|DAV|T: 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 nonmtruotion, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as 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 |ewe regulating
oonatruodon. County and City oodee, zoning regulations, and land development regulations in the jurisdiction. | also
certify that | understand that the regulations ofother government agencies may apply to the intended vvork, 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 Bayheads, Wetland Areas and Environmentally Sensitive
Lando. VVatenWaaiewaterTreatmenL
- Southwest Florida Water Management Oiatrict-VVe||s, Cypress Bayheado, Wetland Araoa. Altering
Watercourses.
- Army Corps ofEngineera-Seawa||u.Docks, Navigable Waterways.
Department of Hae|Lh & Rehabilitative Sen/ioey/Environmental Health Unit-VVe||o, Wastewater Treatment,
Septic Tanks.
- USEnvironmental Protection Agency -Asbestos abatement,
- Federal Aviation Authority-Runvvaya
| understand that the following restrictions apply tothe use offill:
- Use offill ianot allowed inFlood Zone Wrunless expressly permitted.
- If the fill material is to be used in Flood Zone ^A^, it in understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by e professional engineer
licensed bythe State nfFlorida.
- If the fill material is to be used in Flood Zone "A^ in connection with a permitted building using stem vvaU
construction, | certify that fill will be used only tofill 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 adjacent propertiee, 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 | am the AGENT FOR THE OWNER, | promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. | understand that a separate permit may be required for electrical work,
p|umbing, aigna, weUa, poo|s, air conditioning, gom, or other installations not specifically included in the application. A
permit issued shall be construed to be license to proceed with the work and not eoauthority toviolate, oance|, oker, or
set aside any provisions of the technical codee, nor shall issuance of 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 isauonc*, 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 naquastmd, in whting, from the Building Official for a period not to exceed ninety (AU) 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
802022 by
Who is/are personally known to me or has!have-pfGdu43e#
as identification.
Notary Public
Commission No. 6azeoUsr
Stephanie Farmer
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
81312022 -by Christopher Smith
Who is/are per onally known to me or has/have produced
as identification.
Commission No. GG 296057
Stephanie Farmer
Nameof
00 MW
—Notary Public
Lo
I
G
r
F U A R V V,,1 A , S 1 'S
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 36439 GARDEN WALL WAY
Parcel Tax ID: 04-26-21-0150-02300-0020
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.
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 Finn: VIRTUAL REVIEW ASSIST, INC.
Private Provider: DEBRA ANNE KLAHP
Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
Telephone:
DIKITI-14
Email Address (Optional): deb@virtualreviewassist.com
Fax: N/A
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
claims 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 I 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 $1 million per
occurrence relating to all services performed as a private provider, including tail coverage for a minimum
of 5 years subsequent to the performance of building code inspection services.
Individual
(signature)
Print
Name:
Address:
Telephone
No,:
Please use appropriate notary block.
STATEOF —FLORIDA
COUNTY OF —HILLSBOROUGH
Individual
Before me, this day of
20, personally
appeared
who executed the foregoing instrument,
and acknowledged before me that same
was executed for the purposes therein
expressed.
Corporation
LENNAR HOMES, LLC
Print Corporation Name
By: . .... .....
(signature)
Print
Name: Christopher Smith
its: Authorized Aaent
Address: 700 NW 107th Ave
Miami, FL 33172
Telephone
No. 813-574-5700
Partnership
Print Partnership Name
By:
(signature)
Print
Name:
Its:
Address:
Telephone
No.:
Corporation Partnership
Before me, this 22ND day of Before me, this day
MAY -2022 of 20_,
personally appeared personally appeared
of
Lennar Homes, LLC , a
corporation, on
behalf of the state corporation, who
executed the foregoing instrument and
acknowledged before me that same was
executed for the purposes therein
expressed.
Personally known X ;or Produced identif cation_ Type of identification produced
partner/agent on behalf of
a partnership, who executed the
foregoing instrument and
acknowledged before me that same
was executed for the purposes therein
expressed.
Signature of Notary- JAV Print Name ASHLEE CALLAHAN
Notary Public Stamp:
its AISHLie CALL"ARAN
notary PubU - State of F(arida
Commission Expires:
Commissiac GG 244456
NOVEMBER 30, 2022 corTIM, EXPV05 Nov 30"2022
k��r DL$h tqtjonDl, NOLAry ilSSn,
\Pv\oA
VIRTUAL REVIEW ASSIST
Private Provider
In Compliance Affidavit
Private Provider Finn: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU 1967
Address: 747 Southwest 21d Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: luc-vavirtualreviewassist.com
Project: New SFR
Address(s): 36443,36439,36435,36431,36427,36423 Garden Wall Way
I hereby certify that to the best of my knowledge and belief the plans submitted were reviewed for and
are in compliance with the Florida Building Code and all local amendments to the Florida Building
Code by the following affiant, who is duly authorized to perform plans review pursuant to Section
553.791, Florida Statute and holds the appropriate license or certificate:
Name: Debra Anne Klahr
Plan Sheets: 1,2,3,4,5,6,7.1,7.2,7.3,7.4,8.1,8.2,9,10.1,10.2,11.1,11.2,12,LI,SN,SNI,S3,S4,S5,S6,SS,ST,DI,WP,
PAI.0,PAI.1,PAI.2,PAI.3,SHI.0,SHI.1,SHI.2,SH1.3,SHI.4,SHI.5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300
Signature of Reviewer:
SWORN AND SUBSCRIBED before me by Debra Anne Klahr
being personally known to me or having produced as identification
and who being fully sworn and cautioned, state that the
foreg ing i true and nect t the best of his/her knowledge or belief.
S i g1k atm7- 61 Notary Print Name
Notary Public: NOTARY STAMP BELOW My
commission expires:
AN
N
"M
F�-�,�No', 30, 2022
Na�MF,
COMMERCIAL BUILDING SERVICES DIVISION 'RESIDENTIAL
BUILDING PERMIT DATA SHEET
TRACKING #
Garden Wall
FIRE MARSHAL #01-
Required Permits
8
F ' Debra Klahr VX2304
Building
❑ Ins ection Onl
IV Plumbing
❑ Ins ection Onl
Mechanical
❑ Ins ection Only
Electrical Amp
❑ Inspection Onl
Roof
❑ Gas
❑ Medical Gas
❑ Fire Sprinklers
❑ On Site Piping
❑ Fire Line
❑ Irrigation
❑ Fire Alarm
❑ Potable Backflow Assembly
❑ Fire Line Backflow Preventer
❑ Irrigation Backflow Assembly
❑ Demolition
❑ Walk-in Cooler
❑ Refrigeration
❑ Hood
❑ Ansul
❑ Fence/Wall
❑ Grease Trap
❑ Other
❑ Other
IC3'lYi[+il Tsl I 7
Type Construction:
L
RiskCategory:
Occupancy Load
O ancy Classification:
Factory 0
Residential R-3
ay Care/Educational
Assembly t-,— _ —1 Nercantile
Hazardous Institutional
❑'Storage FBusmess
Utility
Building Use: Single Family / Alteration ❑-Level I ;Level[E]Level 3
,/New Construction ❑ Interior Finish ❑ Interior Remodel ❑ Exterior Remodel ❑ Addition ❑ Revision
Overall Size:
18-4 x 63
Number of Stories:
2
Total Sq. Ft.:
1939
Living Area: 1541
Covered Area: 398
# of Bedrooms: 2
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof Type: FX-1 Shingle
❑Tile ❑ Built-up ❑ Metal ❑ Other Squares: 14
Zoning:
Wi orne Debris:
❑' Inside 4Z Outside
Energy Code: 405-2020
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents? rQYes V, No
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
❑ Gas Heat ❑ Electric Heat
I
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Under round Fire Line
Setbacks
Front Rear Left Right
® As per Approved Site Plan
Comments:
DESCRIPTION: LOT 1-6, BLOCK 23, ABBOTT SOUSSE PHASE I BF
ACCORIONG TO THE PLAT THEREOF RECORDED IN PLAT BOOK
PAGE OF THE PUBLIC RECORDS Or PASCO COUNTY, FLORIDA
PROPOSED ELEVATIONS AND GRADING I
I This SITE PLAN Prepared for and Cernhed To
SHOWN HEREON ARE TAKEN FORM THE Lennar Homes
ENGINEERING PLANS OF
'ABBOTT SQUARE RESUFNIAL-, PREPARED
By VARA' PROVIDED BY CLIENT
ALL ELEVATIONS REF FRONCED
TO NORTH AMERICAN
VERTICAL DATUM OF 1988
INAVD 881
TRACT "B-7'
JCDD) PARKING AREA
AND OPEN SPACE
N 89-48 (NFE IN 128 68 IN)
X,,
V, 14 Ill
797,—,
0, 1, IF) I, Ipt
100
LANYN(`4
LANAI S,
LANAI ta LANAI LANAI 0
1 83
180
— - ---------
ISO 180 180
GRIFT A a
UNIT-C
UNIT-C UNIT{ z UNI I _(
1537 1;
1624
1104 1624
1624
PROPOSED w
PROPOSED
PRORISSFED PROPOSED PROPOSED
Z STORY 5
2 STORY
2 STORY 7STORY gg, 2 STORY
ATTACHED A•
ATTACHED E
ATTACHED ATTACHED A ATTACHE[)
RESIDENCE -'
RESIDENCE,
RESIDENCE RESIDENCE 2 RESIDENCE SF
7 so
LOT0
its
-
BLOCK 23 0
LOT 6
LOTS
LOT 4 LOr 3 1, OT 2
I'BLOCK
`b
BLOCK 23
SLOCK 23
SL OCK23 23 BLOCK23
001
70 ENTRY
ENTRY 11
3 ENTRY I ENTRY 143 ENTRY
NOTES:
LOT GRADING TYPE -8
PROPOSED PAD ELEVATION - 103 10
FRONT SET BACK - 20
'T —"X - 7 5
SEC 4, TWP, 26 S, ENO 21 E
PASCO COUNTY, FLORIDA
(ABBOTT SO DARE)
Scale: I" = 20'
"u's
OP
LAPor
UMT-A
1537
2 STORY
LOT.I
BLOCK 23
ENTRY 7
v
TRACT "84"
(Coo) PARKING AREA
AND OPEN SPACE
SIDES
LO T l 261 1 SO, FT
SIDE SET BACK {CORNER tOTI -10 OAK
I TVING AREA 4610
SO F.
BEAR SETBACK - IS
1000PUBLIC UTILRYBASEMENT
ENTRY ._SCL,
FT
GARAGE =_j_3L l_
SO FT,
WALKS ARE 3 0 CONC
NOTE ENTRY W
COVERED LANAI 652
scs PI
PROPOSED,
C/S-IVC UNITS ARE 3 ZX3 2
PATIO NA ____
FT,
MINIMUM FLOOR
ELEVATIONS.
-_
POOL AREA NA
-SO
FT,
UVINGARERS, 103.77'
LEGEND:
_SO_
CONIC, DRIVE - I - 2SO,
FT
GARAGE AREA:
PROPOSED DRAINAGE FLOW
A/C IT, CONC PAD ST
so PT.
ELEVATIONS REFERENCED TO
SIDEWALK
SC). FT.
NORTH AMERICAN VERTICAL RYS 001 - PROPOSED GRADE
SIDE YARD SWALE
DATUM OF 1988
E-00 00 - EXISTING CARRDE
CONSERVATION AREA _50
IT,
LOT OCCUPIED
IS
APPARENT FLOOD HAZARD ZONE 'X COMMUNITY NO 120235 AREA TO IRRIGATE
YY
SURVEY ABBREV IONS (MAP NUMBER L110IC-0289-D EFFECTIVE DATE
09,12612014
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JOB #5400
Date of Site Plan 4 13-22
NOTES: S
i.) current frife information on the subject Erp"P, had not been This set
furnished to initial Point Land Sun eiring, LLC at the time, of this PoSp
1708 stotta, Oak D,we
it "Ine'l To,pon SpnrPp, Fonde
Ir wrtf d Phone 1727)-831-1990
2WE.,�iI's"ll"s
SITE PLAN I
tc S of to DoNcORLSIrlZalegroafl-te
—168-15yrl-
2,) This Sketch was prepared orahorral the benefit I. Ilt, search sur s
by F fort of d LESS a I 83
051
Flie
S o asaLl 1, r ug
rqhrs�inf-way mere furnished to tee siock-raquen, units othisrores, 5 -1 raN Ad
0 Ff Flats Ad I Noloem, de,
shown heemn a to sertY,11
477 Ct27. Finntia Stan
Drawn by GAS
II Brand, walk,, and Ism., simdzr gena Ihoavo he".n were take
Critentridby:1H
from vrigineering Plans and an, subject to survey
This SITE PLAN does determine
"c's
R7F—VISjONS
4.) net oflectno, oventership
This SITE PLAN a, o.alect to Pro TO,,, h— oN the Plat of
BI S
,C
A
'ABBOTT COURSE PHASE 18
IIL) Otmenonns show, hereon are In feet and derelvir pconces,
to URV
4)
thereof. A
7, Contractorand owner are to verify all setbacks, bu#Iding
d-enst.-, and khasol chnoIn heleor, P11.1 to any lialinots NOT VALID
and immediately ackthe Initial front Land Sulverr), U C of ally SIGNATURE AN
RIOA
N1
deviation fso-IT'cresection o— elation Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC
at users sole IRK,
- Permit No._.-17 _`5
Date Permitted
Builder Name/Owner Name zleXI V1'-41— o Control #
County Parcel No. 2— - 6l j7 � DeCS0-'z9SubDiv: %
Address/Location
Classification/Type of Use ✓�/� 1;
TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit:
Exempt Yes ED NoHow Determined
Impact Fee Amount S (3 l �f 9Q Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount $
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt = Yes = No How Determined_
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone Total Amount $ %f0
Exempt =Yes No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt = Yes No How Determined Total Amount c
RESOURCE FEE ERU
Total Amount
Prepared By 1" 1 Checked By
NO CERTIF CATE OF OCCUPANY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
ACKNOWLEDGEMENT BELOW DOES NOT IMPLY ACCEPTANCE OF CONCURRENCE, BUT SIMPLY REECEIPT OF 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