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��~�y� ^�� ��� �� ��`~N� ��� ��n Zephyrhills �� � � 5385Eighth Street ZephyrhiUo.FL33542 Phone: (813)78O-OU2O Issue Date: 09/19/2022 Permit Type: Building New Residential) Name: LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential) Class of Work: SFR Construct Address: 4000YvCypress Ex2uO CONSTRUCT SINGLE FAMILY 258OGOFrx8 Water Connection Residential Fee AdminFee (Provider Service) Transportation Impact Fee School Impact Fee - Single Family Park Impact Fee ' Single Femi|y[Townxome Public Safety Impact Fee -Police Transportation Impact Fee City Electrical Permit Fee 3/4Water Meter Feo(Ca|c) Building Valuation: *301.9oO{0 Electrical Valuation: $54.288l0 Mechanical Valuation: $25,334.48 Plumbing Valuation: $36.182l0 Total Valuation: $477.7n44o Total Fees: $20,482.28 Amount Paid: ��62.28 Date Paid: 9/26/2022 4:31:41 PM 6312 Beverly Hills Dr � $1,010.00 Public Safety Impact Fee-Aumm $26.35 $180.00 G|F1 percent Foe $83.28 $3,595.68 Building Permit Fee $1,849/60 $8.328.00 Address Fee $30.00 $769.56 Driveway Fee $*5.00 $254.00 Irrigation 3/4Meter (Ca|c) $732J1 $30.32 Plumbing Permit Fee $220.96 $311.44 Sewer Connection Residential Fee $2.890D0 $73271 Mechanical Permit Fee $180.07 REUNSPECTION FEES: (c) With respect to Re0nspectipn fees will comply with Florida Statute .80(2) local government shall impose afee mf four times the amount nf the fee imposed for the initial inspection mr 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 aewater management, state agencies orfederal agencies. accordance with City Codes and Ordinances. NO OCCUPANCY BEFOREc.6. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE 00-19. MINOR ffil 'N 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 Fee Simple Titleholder Name I N/A Owner Phone Number Fee Simple Titleholder Address I N/A JOB ADDRESS 6312 Beverly Hills Drive LOT # 1 1224 SUBDIVISION Abbott Square I PARCEL ID# 04-26-21-0150-01200-0240 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN DEMOLISH P INSTALL REPAIR PROPOSED USE 0 SFR � COMM OTHER TYPE OF CONSTRUCTION 0 BLOCK FRAME STEEL DESCRIPTION OF WORK Single Family Residence / Pool / Screen Enclosure / Fence BUILDING SIZE U/R SF 3016 J SQ FOOTAGE 253Q HEIGHT 28' BUILDING $ 361920 VALUATION OF TOTAL CONSTRUCTION tfiELECTRICAL $ 54288PROGRESS ENERGY W.R.E.C. AMP SERVICE f PLUMBING $ 36192 r / MECHANICAL $ 25334.4 VALUATION OF MECHANICAL INSTALLATION =GAS Yi ROOFING SPECIALTY OTHER L✓ FINISHED FLOOR ELEVATIONS E== FLOOD ZONE AREA DYES DO BUILDER " f COMPANY Lennar Homes, LLC SIGNATURE REGISTERED Y / N FEE CURREN Address 43 W Boy Scout Blvd Suite 600 Tampa, Fl, 33607 License # CGC1518166 �� ELECTRICIAN COMPANY Edmonson Electric, Inc. SIGNATURE REGISTERED Y / N FEE CURREN Address I License # I EC13005408 PLUMBER` COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address License # I CFC042998 MECHANICAL' COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address License # I CAC058062 OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE REGISTERED Y / N I FEE CURREN Y / N Address License # 1 CCC057991 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 1 1 1 1 1 1 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans, (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ****PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500) — Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers 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 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 |ew, both the owner and contractor may be cited fore misdemeanor violation under aLaha |nvv. If the owner or intended contractor are uncertain as to what licensing requirements may apply forth* intended work, they are advised tocontact the Pasco County Building Inspection Division —Licensing Section ed727'847- 8OU9. Furthennona, if the owner has hired a contractor orcontractors, 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 contraotmr, that may been indication that heiu not properly licensed and is not entitled topermitting 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 ufnew buildings, change of use in existing bui|dinga, or expansion of existing bui|dings, as specified in Pasco County Ordinance number8Q'O7 and 90-07. as amended. The undersigned also understands, that such fees, as may be due, will be identified otthe 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 re|eeee, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVater/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, aaamnended): |fvaluation ofwork in$2.5OODUormore, | certify that |, the applicant, have been provided with o 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. CONTRACTQR'SX]VVNER'S AFFIDAVIT: | 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 panni( 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 |mwa regulating conutruotion. County and City codeo, zoning nogu|ohono. and land development regulations in the jurisdiction. | also certify that | understand that the regulations of other government agencies may apply to the intended vvmrk. and that it is myresponsibility ioidentify what actions | must take tnbeincompliance, Such agencies include but are not limited to: Department nfEnvironmental Protection -Cypress Bayheado, Wetland Areas and Environmentally Sensitive Londo, VVatanA/\tentewaterTreatmenL Southwest Florida Water Management District -Wells, Cypress Boyhondo, Wetland Areaa, Altering Watercourses. Army Corps ofEngineam-Seavvm||n.Docks, Navigable Waterways. - Department of Health & Rehabilitative Servio*a/Envinonmental Health Unit'VVe||o, Wastewater Treatment, Septic Tanks. USEnvironmental Protection Agency -Asbestos abatement. - Federal Aviation Auihority-Runwayo, | understand that the following restrictions apply tothe use offill: Use offill iynot allowed inFlood Zone Wrunless expressly permitted. If the fill material is to be used in Flood Zone ^A^, it is understood that m drainage plan addressing a "compensating volume" will be submitted attime ofpermitting which is prepared by a professional engineer licensed by the State ufFlorida. If the fill material is to be used in Flood Zone ^A^ in connection with a permitted building using ebam wall construction, | certify that fill will be used only tofill the area within the stem wall. If fill mab»ho| 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 prnpertiea, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots |eea 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 ufthe permitting conditions set forth in this affidavit prior to commencing construction. | understand that e separate permit may be required for electrical vvork, p|umbing, aigna, weUu, poo|o, air rondi(ioning, gee, or other installations not specifically included in the application, A permit issued shall beconstrued Vzbem license to proceed with the work and not as authority toviolate, oanco|, olter, o/ set aside any provisions of the technical oodea, nor ehoU issuance of permit prevent the Building 0ffioin| 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 iuouanoe, 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 naquestod, in wrihng, from the Building Official for o period not to exceed ninety (QO) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. FLORIDA JuxAT(F.a.nr.o3) OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this 813/2022 by Christopher Smith Who is/are per onally known to me or' as identification. Notary Public Commission No. GG 296057 haniemrmm CONTRACTO Subscribed and sworn to (or affirmed) before me this M3/2022 by Christopher Smith Who is/are personally known to me or has/have produced as identification. Notary Public Commission No. sozy6O5r Stephanie Farmer c 8 ,� dui ,� r�i �1► 0 0 9 'off-a6-2�- �-o�a�o-oafo 9 it v U A L R E S S Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name Parcel Tax ID: 04-26-21-0000-00300-0000 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. Iiii 1111IR Private Provider Firm: Private Provider- DEBPA ANNE KLAHR Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601 Telephone: IMEOMM Fax: N/A Email Address (Optional): deb@virtualreviewassist.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 perfonn 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 $1 million per occurrence relating to all services performed as a private provider, including tail coverage for a minimum of 5 years subsequent to the performance of building code inspection services. Individual (signature) Print Name: Address: Telephone No.: Please use appropriate notary block. STATE OF FLORIDA COUNTY OF HILLSBOROUGH Individual Before me, this day of 1 20_, personally appeared who executed the foregoing instrument, and acknowledged before me that same was executed for the purposes therein expressed. Corporation LENNAR HOMES, LLC Print Corporation Name By: (signature) Print Name: Christopher Smith Its: Authorized Agent Address: 700 NW 107iti �V Miami, FL 33172 Telephone No. 813-574-5700 Corporation i� 22ND Before me, this day of MAY 12o-22, personally appeared of Lennar Homes, LLC a corporation, on behalf of the state corporation, who executed the foregoing instrument and acknowledged before me that same was executed for the purposes therein expressed. Partnership Print Partnership Name M (signature) Print Name: Its: Address: Telephone Partnership Before me, this day personally appeared partner/agent on behalf of a partnership, who executed the foregoing instrument and acknowledged before me that same was executed for the purposes therein expressed. Personally known X ;or Produced identication Type of identification produced L� Signature of Not OA �a �on Print Name ASHLEE CALLAHAN Notary Public Stamp: 7 ASHLEE CALL'A'H`XN Kota y pubji� -State of Fiarida, Commission Expires: V # GG 244456 NOVEMBER 30, 2022 AV E�qjre$ Nov a0, 2022 d. through �VIM C National Notary Assn, WOM V /\ VIRTUAL REVIEW ASSIST Private Provider Plan Compliance Affidavit Private Provider Firm: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU1967 Address: 747 Southwest 2 nd Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: Project: New SFR Address(s): 6312 Beverly Hills Drive 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: CS,A1,A2,A3,A4,A5,A6. 1,A6.2,SNO,SNI,S3,S4,S5,S6,SS,ST,SI I,5I2,Vv`PI.0,PAI.0,PAI. I,PAI.2,PAI.3,SHI.0, SHI.l,SHI.2,SHI.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 f, tegoi g is true and co the best o f his/her knowledge or belie ig Print Name Notary Public: NOTARY STAMP BELOW My fm mnk-M 77, N ct, commission expires: a„ AS E CA: At A�, oturyst—C o GG 244,,'�, —Ir" NiV MV co" COMMERCIAL BUILDING SERVICES DIVISION VRESIDENTIAL BUILDING PERMIT DATA SHEET TRACKING # Beverly Hills� FURINSFEW13WEVETIM Require Permits DATE: 8/24/2022 I ■: Debra s PX2304 Building ❑ Inspection Only 'Plumbing ❑ Ins ection Only 'Mechanical ❑ Ins ection Only 'Electrical Amp ❑ Inspection Only tZ 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 Type Construction: I Risk Category: Occupancy Load ancy Classirfication: Assembly iay Care/Educational m •Residential -3 ❑_Storage RBustness OWE Factory Hazardous Instiutional ❑ Mercantile Utility Building Use: Single Family / Alteration Level I Level 2 ❑ Level 3 Vf New Construction ❑ Interior Finish ❑ Interior Remodel ❑ Exterior Remodel ❑ Addition ❑ Revision Overall Size: 30 x 53-4 Number of Stories: 2 Total Sq. Ft.: 3043 Living Area: 2580 Covered Area: 463 # of Bedrooms: 6 # of Baths: 3 Cost per square foot: Estimated Value: Roof Type: ® Shingle ❑Tile ❑ Built-up ❑ Metal ❑ Other Squares: 19 Zoning: Wi orne Debris: ❑`Inside ie Outside Energy Code: 405-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? ❑', Yes V,No Sq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: Total Sq. In. Permanent Openings © Central AJC © Heat Pump ❑ Window A/C ❑ Gas A/C ❑ Gas Heat ❑ Electric Heat On Site Piping Sanitary Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line Setbacks Front Rear Left Right ❑✓ Asper Approved Site Plan Comments: TYPES' FF:107.87 106.45 PAD:107,20 0107.17-103.32 0 TYPE 'B' FF:108.07 PAD: 107.40 106 . 56 TYPE 'B FF:100.7 .100 P P AD:100. I I TYPE S FF:loo. 5 PA6.99.S DESCRIPTION: LOT 24, BLOCK 12, ABBOTT SQUARE PHASE 18, ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK PAGE __ OF THE PUBLIC RECORDS OF PASCO COUN-CF, FLORIDA ALL ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 SAVO 68: ----- ------- ----- - ITh. SITE PLAN Prepared fici and Carlhod T. Leon., Horne, SITE PLAN SEC, 4, W T P, 26 S, RING 21 E I NOT A SURVEY, PASCO COUNTY, FLORIDA (ABBOTT SQUARE) Scale: 1 = 20' LOT 25 BLOCK 12 qP` �25 0 f P_; T-,NN 189'51 40 W IP, 132.00 - 27 5 21:j_ 13' o 52 8 --- 3 5 X3 5 iz CKAC CONIC �1' WALK 4 7 ENTRY E 1 PROPOSED 'STORY RESIDENCE c, PATIO PLAN 25'; E2 EV 6 GARAGE r PROPOSED, MINIMUM FLOOR ELEVATIONS: LIVING AREA: 107.67 GARAGE AREA ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF1988 00 LOT 23 BLOCK 12 NOTES 7,7_13200, 57 ! LOT 24 BLOCK 12 57 00290i LOT 16 LOCK 12 LOT 17 Is L OCK 12 LOT =_524Q___SO FT LIVING AREA --LLLQ--SQ FT PORCH = 64 SO FT GARAGE -_JD3_SQ. FT COVERED LANAI FT PATIO FT POOL AREA F1 CONIC DRIVE m 3b6 SQ FT A/C & CONIC PAD SQ. F, SIDEWALK _ -SOFT LOT SOD FT IC1W SOD -_NiA__SO F7 LOT OCCUPIED SP, AREA TO IRRIGATE * PROPOSED ELEdRy`IONS AND GRADING SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF AB80T7 SOUARE RESiDENTAL, PREPARED Y A P ly 1 — APPARENT FLOOD LEAZAROZONE 'X COMMUNFrf"JO 120235 8 WR PROVIDED CL E SURVEY ABBREV T19N�� [MAP NUMBER 12 10 !C-02tKI-11 EFFECTIVE DATE 09 26 2014 -7-LEGEND _.O,", CiRd 1 RC, "T _n`tt W-INKaAc A -1CC0Rt[cNOi rtTiarNrairAlihi'IT 8 (FRaFC, aLION, -CC CINN'Of OP I El- C E - ANDSIN I lo NPIO —, oRiaMIN7CONTIO), O,O oP - IC.-K, "'o 81. -RASE 0 OCR), I I CMY FOI - rfs6l . IAVr.f I' I l - .0C,0R1), P t PU o F_:uiN 1 8010, Pear i Ess, 7 - I 1v i t ICE No D SUrIVEOV ic� ON64 C, wioe EF ra, - KkAP_KEr I' - �01WOI NLR901�ON SN&D e T, ON_ AND DIV _11L 16,. 1 c. cole" PICC - MM'Ii END SECT N -PARKER KAWN _848im .6'a."p" sIR - h 7 IQ IFINFICY? N liIX3 ILI - c—las 3otal KCA 1IFC CN,(Ar - NO INNER IWNn I -PKO1PKn,ICo Ed,�,�Kr 'I I K) - i'll"T Io 116111NIN6 �IMOOIIAII , seu rourc) NON lrPil CI;W�`Is)`0NHLA0 PCII�C �OC - NCXN1 OF CONtME1 11 `.MIN"' -opor rK OR _OLOCCA� grOORn'$ 1lCX - PON' O"Ps, lowds, "w1u," Or NE t c L =ZZ A. OPEN °�P Cir - -CAi filK - 'uh, or fra PRIF wort —'e. IN. - 100,PNE 1, R'`Fx RLNCE MiYNii44f iv OF IlEn, ENU JOB 05275 SURV9VOR*S NOTES: Su T6 I ROB sidate, Oak Dose _6,pr.fS,FPi.N 14 Current side Information on the subject property encrust been This coruh 5 of tscholl FArpon, Spo'g', plond, P �-881.1990 furnished to initial Point Land Surveying LLC at the tame of this P,.PK and h.re ,7271 DWG AS L24-Bit-SITE i SITE PLAN "lee le S dar Ac I ti XI L) This Skepil was prepared Without the benefit of o Noi, Seai,Ch I too I 0110PIPES7123'agnotelcon) so f L8# 8183 No instruments of nourd reflecting ownership, easements o' , 05, rights -of -way were furnished to the undersigned, unless otherwise yo teir ' ' - File 0 W7 IN, A Cap no— hereorl sua o Section 472 021, Florida Sta Draw,, by DJ8 3,) Roads, walks, and other slmifa: items shnvdn hereon were take Cf)FckKd KyJH from ong'Peconst PON, and a, subject to 1—y PREVISIONS 4.! :111, SITE PLAIN does rot rafter, nor de—rcine ownership. 3 15, hn SITE PLAN —object to elatt—howN — the Plat Elf I 'ABBOTT SQUARE PHASE 18' go 64 D—Noore, No.— hereon are in feet and sidereal portions to Date it, , FEW71 YC) 45 soI thereof . 6 7,) Corivacto, and 0-1c, are to verify an ' Setbacks building 8#8! 8S d-onhons, and layout shown hereon prior to any CONS&EIC on, NOT LON and rhrri,d,,Etely ad,,,i,rNP.hJ Pont Land Surveying, LLC of any 1 SIGNA Cntonhanon shown heitor,. Padon, to do so CEO; be f LICENSED SU ER Initial Prant Land Surveying, LLC, LOT GRADiNGE"PE - 6 PROPOSED PAD ELEVATION - 107.00 FRONT SET BACK - 20 SIDE SET BACK , 7,5 SIDE SET BACK (CORNER LOT, - 10 REAR SET8ACK = ! F = 2- OAK 10,00 PUBLIC hCrIll rnC EASEMENIT LEGEND: I - -- — PROPOSED DRA,NAGE FLOW ;00 00 = PROPOSED GRADE E-0000 n EXISTING GRADE Permit No. t 3C2"' Date Permitted Builder Name/Owner Name Control # County Parcel No. .2 Z-( Lib 0 l (72-37-) SubDiv: Address/Location j�Q Classification/Type of Use TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: 86? Exempt 0 Yes ED No/ How Determined Impact Fee Amount $ '30 vim- Zone No. TAZ: SCHOOL IMPACT FEE �// Account (056) Single -Family Detached House Amount `f (057) Mobile Home (058) Other Residential (123) Collection Fee Exempt =Yes = No How Determined_ Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone Total Amount 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 9— RESOURCE FEE ERU Prepared By ,.s • __ Checked By 41 NO CERTIFICATE OF OCCUPANY WILL BE ISSUED OR • PERFORMED UNTIL THE TOTAL• a 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