HomeMy WebLinkAbout22-4824City of Zephyrhills4
5335 Eighth Street
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Zephyrhills, FL 33542
RNR-004824-2022
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 09/19/2022
Permit Building New ieil
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6304 Beverly Hills Or 04 26 21 0150 01200 0230
Name: LENNAR HOMES LLC Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC
Class of Work: SFR Construct
Address: 4600 W Cypress St Building Valuation: $339,960.00
TAMPA, FL 33607 Electrical Valuation: $50,994.00
Mechanical Valuation: $23,797.20 1
Phone: (813) 574-5743
Plumbing Valuation: $33,996.00°
Total Valuation: $448,747.20
Total Fees: $20,317.35
Amount Paid: $20,317.35
Date Paid: 9/26/2022 4:31:41 PM
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CONSTRUCT SINGLE FAMILY 2389 SO FT AS
M
Public Safety Impact Fee -Police $254.00 Admin Fee (Provider Service } $180.00
Water Connection Residential Fee $1,010.00 Irrigation 3/4 Meter (Caic) $732.71
Building Permit Fee $1,739.80 Driveway Fee $45.00
Plumbing Permit Fee $209.98 Transportation Impact Fee - City $36.32
Mechanical Permit Fee $158,99 Public Safety Impact Fee -Admin $26.35
School Impact Fee - Single Family $8,328.00 Sewer Connection Residential Fee $2,090.00
Park Impact Fee - Single Family/Townhome $769.56 Transportation Impact Fee $3,595.68
Address Fee $30.00 SIF 1 percent Fee $83.28
Electrical Permit Fee $294.97 3/4 Water Meter Fee (Cale) $732.71
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.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
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.
OCCUPANCYNO BEFORE C.O.
CONTRACTOR SIGNATURE
11 I in
I 11i 11 ► ■ l
407
TWOUT j • * •
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting 908 770 7763
1 1 1 1 1 1 1 1 11 1 1 1
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813.574.5700
Owner's Address 1 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 6304 Beverly Hills ®rive LOT # 1 1223
SUBDIVISION Abbott Square I PARCEL ID# 04-26-21-0150-01200-0230
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR F7 ADD/ALT SIGN O DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK Single Family Residence / Pool / Screen Enclosure / Fence
BUILDING SIZE UlR SF 2833 SO FOOTAGE 2389 HEIGHT 28' _ ®�
BUILDING $ 33996t) _ VALUATION OF TOTAL CONSTRUCTION 7Lt
ELECTRICAL IC
50994
LYJPLUMBING $ 33996
L,� JMECHANICAL $ 23797.2
=GAS 10 ROOFING
FINISHED FLOOR ELEVATIONS
PROGRESS ENERGY = W.R.E.C.
AMP SERVICE
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY = OTHER
FLOOD ZONE AREA DYES
t
r
Do
BUILDER � .�,. COMPANY
Lermar Homes, LLC
SIGNATURE REGISTERED Y / N__J FEE CURREN Y / N
Address 4301 W Boy Scout Blvd Suite 600 Tampa, FL 33607 License # CUC1518166 ��
ELECTRICIAN COMPANY Edmonson Electric, Inc.
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License #
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 e�
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License # 1 CCC057991�
I I I I I I I I I I I l l l l l l l l l l l l l l l l l l l l l i i l l l l l l l l l l l l l l l l l l l l 1 1 1 1 1 1 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.
111 ...
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 besubject to^dmed^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
nnn<nadum 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 |avv, both the owner and contractor may be cited for 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 tocontact the Pasco County Building Inspection Division —Licensing Section at727'847'
8009Furthennore, if the owner has hired o contractor or contmdom, 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 on the
oontnactor, that may bean indication that heienot properly licensed and isnot 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 of new bui|dinga, change of
use in existing bui|dinge, or expansion of existing bui|dingo, as specified in Pasco County Ordinance number8R-O7 and
98-07. as amended. The undersigned also underetundn, 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 Fooa must be paid prior to
receiving a "certificate of ocoupancy" or final power release, If the project does not involve o certificate of occupancy or
final power va|eaee, the hsee 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 LAW (Chapter 713'Florida Statutes, asanmanded): |fvaluation ofwork io$2.5OO.O0ormore, |
certify that |, the epp|ioant, 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 ''mmner''. | certify that | have obtained a copy of the above described document and promise in good faith to
deliver ittothe ''mwner''prior tocommencement.
CONTRACTDR'S/OVVNER'BAFF|DAV|T: | certify that all the information inthis application ieaccurate and that all work
will be done in compliance with all applicable laws regulating oonahucUon, zoning and land development. Application in
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 |ewo regulating
construction. County and City oodem, 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
myresponsibility toidentify what actions | must take tobnincompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection -Cypress Boyhuado, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management Diatrict-VVe||e, Cypress Boyheads, VVadend Arees, Altering
Watercourses.
- Army Corps of Engineers -Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative San/ioeo/Environmental Health Uni(-VVe||o, Wastewater Treotment,
Septic Tanks.
USEnvironmental Protection Agency -Asbestos abatement.
Federal Aviation Authority'Runvvoya.
| understand that the following restrictions apply tothe use offill:
Use uffill ionot allowed inFlood Zone Wrunless expressly permitted,
- If the fill material is to be used in Flood Zone ''A^, it is understood that o drainage plan addressing o
"compensating volume" will be submitted at time ofpermitting which is prepared by a professional engineer
licensed bythe State ofFlorida.
If the fill material is to be used in Flood Zone ''A^ in connection with o permitted building using stem wall
construction, | certify that fill will be used only tofill the area within the stem wall.
- If fill mohaha| 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 aoUooen( propertiea, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for |cds 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 ofthe permitting conditions oat forth in
this affidavit prior to commencing construction. | understand that o aepena(o permit may be required for electrical wmrk,
p|umbing, oigns, we||e, poo|o, air oonditioning, gae, or other installations not specifically included in the application. A
permit issued shall beconstrued tobaa license to proceed with the work and not as authority toviolate, msnnmi n|tmr, or
set aside any provisions of the technical oodeo, 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
un|ooa the work authorized by such permit is commenced within six months of permit iuouenoe, o/ 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 naquenhed, in writing, from the Building Official fora period not to exceed ninety (OO) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned,
JuRAT(pu.or,u3)
OWNERORAGENT
Subscribed and sworn fb (or affirmed) before me this
R/312022 by Christopher Smith
as identification.
ATNotary Public
Commission No. GG 296057
Stephanie Farmer
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
81112022 by Christopher Smith
Who is/are personally known to me. whas/have produced
as identification.
Notary Public
-----------------
Commission No. Gszs*os,
Stephanie Farmer
VS-wovw*g
9
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 6304 Beverly Hills Drive
Parcel Tax ID: 04-26-21-0000-003 00-0000
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.
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: VIPTUAL REVIEW ASSIST, INC.
Private Provider- DEBPA ANNE KLAHP
Address: 747 SW 2N[) AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
Telephone:
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 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.
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 A. ent
Address: 700 NW 107th Ave
Miami, FL 33172
Telephone
No. 813-574-5700
Corporation 22ND
Before me, thisj, day of
MAY 20-22
personally appeared
Lennar Homes, LL-C 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
0
(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 Notary-" � OA �AOn — Print Name ASHLEE CALLAHAN
Notary Public Stamp:
ASHLEE CALLAUN
Notary pubU - state of F"torid
Commission Expires: a, 144456
NOVEMBER 30, 2022 cc,
rDLNotary Ain,
I
Page 2 of 2
VIRTUAL REVIEW ASSIST
Private Provider
Plan Compliance Affidavit
Private Provider Firm: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU1967
Address: 747 Southwest 2nd Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: lt,,c-i`virtu,alreN,iewassist.-coiii
Project: New SFR
Address(s): 6304 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 afflant, 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,A7,SNO,SNI,S3,S4,S5,S6,SS, ST,SI l,S12,WPI.0,PAI.0,PAI. 1,PAI.2,PAI.3,SH 1.0,SHI.
1,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
foreg mg is true and correct to the best of his/her knowledge or belief.
4aturrl I
et�g
of Notary Print Name
Notary Public: NOTARY STAMP BELOW My
commission expires:
CALL HAN
< A S
�j�' H
'o, rrrr i s s 1,o r ; G G 24 4
Y'v U)mr-, 5pfis 30, 2022
Borl-ed tNrcw7,lt Nitmia! Not3ry Assr.
COMMERCIAL BUILDING SERVICES DIVISION VRESIDENTIAL
BUILDING PERMIT DATA SHEET
TRACKING #
FOLIO# 6304 BeverIv Hills br
FIRE MARSHAL #01 -
Required Permits
DATE: 8/24/2022
EXAMINER: Debra Klahr PX230(
k7Building
1:1 Inspection Only
VPlumbing
❑ Ins ection OLlt
V Mechanical
El ins ection Onl.
WElectrical -Amp
El Inspection Only
Roof
[:] Medical Gas
E] Fire Sprinklers
❑ On Site Piping
❑ Fire Line
0 Irrigation
E] Fire Alarm
❑ Potable Backflow Assembly
❑ Fire Line Backflow Preventer
El Irrigation Backflow Assembly
0 Demolition
El Walk-in Cooler
❑ Refrigeration
El Hood
E] Ansul
El Fence/Wall
E] Grease Trap
El Other
[] Other
Type Construction:
-1
Risk Category:
Occupancy Load
ancy Classification:
Factory
OWZSi,ry nti
Assembly
Hazardous
'Storage
ffBusiness FDay Care/Educational
Institutional E] Mercantile
ffutility
Building Use: Single Family Alteration [E—Level I Level 2 Level 3
Iff]
VNew Construction ❑ Interior Finish E] Interior Remodel E] Exterior Remodel E] Addition F-1 Revision
Overall Size:
30 x 58
Number of Stories:
2
Total Sq. Ft.:
2854
Living Area: 2389
Covered Area:
465
# of Bedrooms: 5
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof Type: 9 Shingle
[-]Tile E] Built-up
E] Metal ❑ Other Squares: 18
Zoning:
i "orne Debris:
M, Inside
V Outside
Energy Code:
405-2020
Flood Zone: X Base Flood Elevation: I Finish Floor Elevation:
Hydrostatic Vents? El Yes 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
❑ Gas Heat
❑ Window A/C
❑ Electric Heat
20=_
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
Setbacks
Front Rear Left Right
As per Approved Site Plan
Comments:
DESCRIPTION' LOT 23, BLOCK 12, A8807T SGUARE PHASE IS,
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK
11 ,
PAGE OF THE PUBLIC RECORD' S 09 PASCO COUNTY. FLORIDA
ALL ELEVATIONS REFERENCED
TO NORTH AMERICAN
VERTICAL DATUM OF 1988
INAVO 881
is SITE PLAN Prepared for and Certified To
Ler,har Homes
'Ob
2a-2
P,
6
ENTRY
226,2
3 CKNC-
i.
W
WALK
53
S 8951 40- W
o
LOT
--5,62�L S 0 FI
LIVING AREA
FT
PORCH
-_5j_SO FT
GARAGE
FT
COVERED LANAI
_SO FT
PATIO
--2-L--SO FT
POOL AREA
FT
CONIC DRIVE
--323--SO FT
A/C & CONIC PAD
m_23SQ FT
SIDEWALK
j1. -SO FT
LOT SOD
-_NL8__SQ FT
R/W SOD
--BI6--SO FT
LOTOCCUPIED
AREA TO IRRIGATE
SITE PLAN
1NOT A SURVEY!
LOT 24
BLOCK 12
—oOb bl 895140 SO iP'32 00 A
538
PROPOSED
1
LOT 23
2 STORY RESIDENCE
4o b
BLOCK 12
PLAN 2382
ELEV'B
PATIO
GARA6E L
40X57
C S-A ' Q
520
342
11236 P
----------
Oe
LOT22
BLOCK 12
NOTES:
PROPOSED:
MINIMUM FLOOR ELEVATIONS:
LOT GRADING TYPE - 8
LIVING AREA 107 57'
PROPOSED PAD ELEVATION 06 90
GARAGE AREA
FRONT SET BACK - 20
ELEVATIONS REFERENCED TO
SIDE SET BACK - ir 5
NORTH AMERICAN VERTICAL
SIDE SET SACK KOPNEP LOTi M 10
DATUM OF 1988
REAR SETBACK ' 15
- 2- OAK
70.00 PUBLIC UTIU-s' EASEMENT
SEC. 4, TWP, 26 S, RNG 21 E.
PASCO COUNTY, FLORIDA
(ABBOTT SQUARE)
Scale: 1 = 20'
LOT 17
BLOCK I
IS, V,
NIST1,804 E;P.
19"', -
19 65 IPI
LOT 20
BLOCK 12
LEGEND:
, ---- PROPOSES) DRAINAGE FLO`Xi
100 00) - PROPOSED GRADE - -- - ------ —
E-00 00 - EXISTING GRADE PROPOSED ELEVATIONS AND GRADING
SHOWN HEREON ARE TAKEN FORM THE
ENGINEERING PLANS OF
'ABBOTT SQUARE RESIDENTIAL, PREPARED
APPARENT FLOOD HAZARD ZONE 'X COMMUNITY NO 120235 BY'WPA'PRO VIDED BY CL EN7
SURVEY ASSREVATIONS MAP NUMBER 12 TO 1C-0289Fl EfirECTIVE DATE 09 26 2014
Q LEGEND
nEU1 INI -
A! - � illGc�
II OINI—C 1ASF Ell
RAT iKJAJ en" ------
RW 11 000 P V,F-01 -,coairr ... xV ir>0i iod,°IAEW Ay \PCiOi� I I W. f
LLo rip
RW i6�'Vr Fie"
RENC11 PARK EW, I All 111 t N. c1muIRS!los, PC, - wta FV IN61 OF is,
11 -MFOL1PU1 'ol-' � sE'1�1 cie') eL%r
W-11t, Sarr"Do'cflo, Px �PPPKER "'oN
—CENIMINK isials4
I( NCCOIF,PsRXIND I - �oPEITI jN! StP sk' �, 2 rRo, rCsr',P. r, 33
pos - `011N, or wGiNMING '81, - rFmrrXFAw Felt 1i viat'i
Wk lr� 0 A, olsrkn� A41"N"i"t, ,0 c - I Q, N i u I o mar L N 7
R OFF!(" RI ccRI-11 rPs - POWON,list itrwris.P
ILAT U F - u-,ttill, FVii tor"
10-w It IRI PONT 01 Pilrifef COR'Vf
-P - P.IT WID, RM PEWAVOIEN' RFrEiRNCr PerNWENI VIE
QiNU SerP, F Pi' - 10.1d D INCHED
JOB 05274 SURVEYOR'S NOTES: SUB TE r 708 Water Oak Drive
1.) Current title information on the subject DrOPerty had Out been
Date of Site Plan: 3,18-22 t his", Ic cl, la. on SpP,qL nondu
furemned to rh�tral Point Land Surveying: LLC at the time of this AmpereEnd Phone '72' , 1-831 1990
Sn't PLAN I meetsAp I t 9 PlcrdrPLS7123 9m iLconI
2.) this ske#eh was prepared without the benefit of title search sure ass o LB# 8183
aecong ownership. " r
N—Struments of record? t, easements or So I h it, 5 1 t 9
"ghts-of—y were famutred to the undels,gred, r,nles, oth—me
ii
=Fiie 5J=,O Krida Adm e C
shown hereon. IS 11 Section 472 027, Honda Stat
Drawn by DJ8 3-) RoPds, oralks, and other similar items snoorn hereon were raker, S s
Chei,A<cdbPJH f-or eng—ing plarrs, ,no are subject e—e—y
4 -6,xt 11.1 d1t1mroe ownership
'REVISIONS ' t Th:s STIP PLAN do., lot 11
61 This
SITE PLAN is subject to matters shown on the Plot of sp
'ABBOTT SQUARE PHASE 18'
6.) Dimensions shown ne.nion, are in fee and oecimal porn.es, ES FYCY, Aft 0,
I Contractor and owner are to veriNaY e 123 1-8081 3
diro sr—, and tayout shown hienrinn prior to any I—sto.ti, or,
thereof
,�boacics ho"Pin,
NOT V
andrmidedotefy advise 1,,Mal Point Land Surveying LLC of any SIGNATURE
devrat on from roficerrhown shaver, hereon Failure to do - -P be L)CENSEDSURV Initial Point Land Surveying, LLC
10635
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Permit No. 7 (5
Date Permitted 1—Z 7 _.�?-2°..-
Builder Name/Owner Name i m e a*-
Control #
County Parcei No. Qq 2-6 ,Z t 01,5h 012,no
1
Q2,4n SubDiv: A 9
Address/Location ',ell
Classification/Type of Use r
TRANSPORTATION IMPACT FEE Rate:
Sq. Ft Unit: >j
Exempt Yes El No How Determined
impact Fee Amount S ,(03- Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House
Amount $%jr
(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 $ �ira
Exempt =Yes =No How Determined
W.M.
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt El Yes No How Determined Total Amount
RESOURCE FEE ERU
Total Amount
Prepared By
NMI
Checked By
m
PERFORMED UNTILTHE 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.
RECEIVED BY
RECEIPT NO DATE BY