HomeMy WebLinkAbout22-4915Address: 4600 WCypress St 20
CONSTRUCT T0wN*nmE1517aOFT4@
Plumbing Permit Fee
Building Permit Fee
Address Fee
Transportation Impact Fee
Sewer Connection Residential Fee
School Impact Fee Single Family
awWater Meter Residential Connection Fee
S|p1 percent Fee
Water Connection Residential Fee
5335 Eighth Street
Issue Date: 10/13/2022
Contractor: LENNARHOMES LLC
Building Valuation: $228120.0n
Electrical Valuation: $34.218.00
Mechanical ualuaoon:$1n,9OV.4o
Plumbing Valuation: *22,81alm
Total Valuation: o301.11O4V
Total Fees: %13,6o4.74
Amount Paid: $13,684J4
Date Paid: 10/13/2022 7:39:34AM
$154.06Public Safety Impact Fee -Adm
$26.35
$1.100.60 Fire Wall/Smoke Wall Inspection
$15o0
$3080 Electrical Permit Fee
$211.09
$3.445,20 Public Safety Impact Fee -Police
$254�00
$2`090.00 Transportation Impact Fee 'City
$34.80
$3.353.00 Driveway Fee
$*500
%732J1 Park Impact Fee - Single Fami|y/Townhoma
$78e.56
$33.53 AUminFee / (Provider Service >
$180.00
$1,010.00 Mechanical Permit Fee
$119.84
RBNSPECTNON FEES: (c)With respect to Reinspection fees will comply with Florida Statut553.80(2)
local government shall impose afee offour times the amount mfthe fee imposed for the initial inspection o[
first mminapect|on,whichever isgreater, for each subsequent mm1napeotion,
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such eswater management, state agencies orfederal agencies.
Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
C70NTkACTOR SIGNATURE PEfIT OFFICE()
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting 908 770 7763
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813.574.5700
Owner's Address 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number
Fee Simple Titleholder Name I N/A Owner Phone Number
Fee Simple Titleholder Address
NlA
JOB ADDRESS
6787 RipplePond Loop
LOT#
SUBDIVISION Abbott Square PARCEL ID#
04-26-21-0140-00100-0890
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
II d II
NEW CONSTRF--] ADD/ALT
SIGN DEMOLISH
INSTALL E:] REPAIR
PROPOSED USE
SFR COMM
OTHER
TYPE OF CONSTRUCTION
BLOCK FRAME
STEEL
DESCRIPTION OF WORK
Multi -family I Screen Enclosure / Fence
BUILDING SIZE 01 SQ FOOTAGE 1517
HEIGHT
BUILDING 228120 VALUATION OF TOTAL CONSTRUCTION
F-71
ELECTRICAL 1$ 34218 AMP SERVICE PROGRESS ENERGY W. R. E, C.
PLUMBING
MECHANICAL $ 15968.4 VALUATION OF MECHANICAL INSTALLATION
GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS •FLOOD ZONE AREA Li YES Do
BUILDER COMPANY Lermar homes, LLC
SIGNATURE REGISTERED Y/ N FEE CURREN
Address 4301 W Boy >0111 Blvd Suite 600 Tampa, Fl. 33607 License# 1 CGC1518166
ELECTRICIAN COMPANY Edmonson Electric, Inc.
SIGNATURE REGISTERED LIL N J FEE CURREN
Address License # EC 13005408
PLUMBER COMPANY BayonetPlumbing, Heating & AC, Inc
SIGNATURE REGISTERED LLLN FEE CURREN Y/N
_J
�01
Address License #
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED L�Y / N� FEE CURREN EY / N
Address License # [CAC:0:58062
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN
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 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 DFDEED 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 e contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor in 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 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, Furthermor*, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
omntrentor, that may been indication that he is not properly licensed and isnot entitled topermitting privileges in Pasco
County.
TRANSPORTATION |K0PACT/UT|L|T|ESIMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply tothe construction of new bui|dingm, change of
use in existing bui|dingo, or expansion of existing bui|dingn, as specified in Pasco County Ordinance number8Q-07 and
90-07. as amended The undersigned also undermtondo, that such feeo, as may be dua, will be identified atthe time of
permitting. It is further understood that Transportation Impact Fmao and Resource Recovery Fees must be paid prior to
receiving a "certificate ofoccupancy" or final power release. If the project does not involve a certificate of occupancy or
final power re|eaoe, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVoter/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 7i3. Florida Statutes, aeemnended): If valuation ofwork iaG2.5OOOOormore, |
certify that |, the app|ioant, 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", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver ittothe ''mwner''prior tocommencement.
CONTRACTOR'S/OVVNER'SAFF|DAV|T: | certify that all the information inthis application ieaccurate and that all work
will be done in compliance with all applicable laws regulating oonetmntion, zoning and land development. Application in
hereby made to obtain u 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 |own regulating
conetruction. County and City ood*s, zoning regulations, and land development regulations in the jurisdiction. | also
certify that | understand that the regulations ofother government agencies may apply tothe intended work, and that it in
myresponsibility toidentify what actions |must take tobeincompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection -Cypress Bayheade, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management Oistrict-VVe||s, Cypress Boyheoda, Wetland Anaau, Altering
Watercourses.
- Army Corps of Engineers -Seawalls, Duoka. Navigable Waterways.
- Department of Health & Rehabilitative Semicen/Envinonmental Health Unit'VVe||o, Wastewater Treaimont,
Septic Tanks.
UGEnvironmental Protection Agency -Asbestos abatement.
Federal Aviation Authority-Runvvayo
| understand that the following restrictions apply iothe use offill:
Use offill isnot allowed inFlood Zone Wrunless expressly permitted.
- If the 0| material is to be used in Flood Zone ^A^, it is understood that a drainage plan addressing a
^compeneating 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 Hood Zone ^A" in connection with o permitted building using stem wall
construction, | certify that fill will be used only hofill the area within the stem wall.
If OU material is to be used in any area, | certify that use of such fill will not adversely affect adjacent
properties. If use of fill in found to adversely affect adjacent propediea, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |emo 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 set forth in
this affidavit prior to commencing construction. | understand that o separate permit may be required for electrical vvork,
p|umbing, oigne, vveUe, poo|a, air cnndhioning, gee, or other installations not specifically included in the application. A
permit issued oheU be construed to be license to proceed with the work and not oaauthority toviolate, canoe|, aker, or
set aside any provisions of the technical uudan, 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 iaeuenoe, 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 naqueeted, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
OWNER onAGENT
Subscribed and sworn o (or affirmed) before me this
8/3/2022 by Christopher Smith
as identification.
Public
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
8/312022 by Christopher Smith
Who is/are personally known to me. mhas/have produced
as identification.
Notary Public
Commission No. GazyoVs7
Stephanie Farmer Stephanie Farmer
Name NameofN
-709
9m:J
I
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0
ff NO Mis IS �
ME
9
7 x 70 t1o""
A�1, QT
V
F" 1 L! F Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 6787 RIPPLE POND LP
Parcel Tax ID: 04-26-21-0140-00100-0890
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 WITH
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:
Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
Telephone: 813-376-3088 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 $1 million per
occurrence relating to all services performed as a private provider, including tail coverage for a minimum
of 5 years subsequent to the performance of building code inspection services.
(signature)
Print
Name:
Address:
Telephone
Please use appropriate notary block.
Individual
Before me, this day of
20_, personally
appeared
who executed the foregoing instrument,
and acknowledged before me that same
was executed for the purposes therein
expressed.
Corporation
LENNAR HOMES LLC
Print Corporation Name
By:
(signature)
Print
Name: Christopher Smith
Its: Authorized Acient
Address: 700 NW 107th Ave
Miami, FL 33172
Partnership
Print Partnership Name
In
(signature)
Print
Name:
Its:
Address:
Telephone Telephone
No. 813-574-5700 No.:
Corporation Partnership
Before me, this 22ND day of Before me, this day
MAY 20 22, of 20_,
personally appeared personally appeared
of
Lennar Homes LLC , a
corporation, on
behalf of the state corporation, who
executed the foregoing instrument and
acknowledged before me that same was
executed for the purposes therein
expressed.
partner/agent on behalf of
a partnership, who executed the
foregoing instrument and
acknowledged before me that same
was executed for the purposes therein
expressed.
Personally known is ;or Produced J'�Am
ion Type of identification produced
LSignature ofNotar Print Name ASHLEE CALLAHAN
Notary Public Stamp:
ASHLEE CALLAHAN
Commission Expires: � '$ Notary pubjjG * State of Fonda
COnjml$$1®t. # GG 244456
NOVEMBER 30, 2022 X t Corr,m. EXPI(Q5 Nov 10, 2022
.,, �o�u'�d.hroe�h Nettanal Notary APn, :.
VR/\
VIRTUAL REVIEW ASSIST
Private Provider
Plan Compliance Affidavit
Private Provider Firm: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU 1967
Address: 747 Southwest 2,d Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: lu -tualreviewassist,com
Project: New SFR
Address(s): 6787,6781,6777,6773,6767,6759, Ripple Pond Loop
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 atfiant, 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: 1,2,3,4,5,6,7,8,9,10,10.1,LI,FP-1,SN,SNI,S3,S4,S5,SS,D1,WP,
PAI.0,PAI. 1,PA 1.2,PAI.3,SHI.0,SHI. l,SHI.2,SHI.3,SHl.4,SH 1 .5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300 4
Signature of Reviewer:
SWORN AND SUBSCRIBED before me by Debra Anne Klahr
being personall known to me or having produced as identification
and who being fully sworn and cautioned, state that the
true correct t the best of his/her knowledge or belief.
Z I i all km&
Signature of Notary-' Print Name
Notary Public: NOTARY STAMP BELOW My
commission expires:
Ast'� L CA: - LA-�v ;v
Nolry Public Stc��e 0�
orica
C '011P 0 r s G 2 - 4,1
Fr. 40v 3o. 2 0 2 2
th,'Cu�!fi NatlGiial Nm�,ry�,S,
[E5 COMMERCIAL BUILDING SERVICES DIVISION VRESIDENTIAL
BUILDING PERMIT DATA SHEET
UMAM• -1
FIRE MARSHAL #01 -
Required Permits
DATE:- e,9-7-07,7-
EXAMINER: bebra Klahr PX230C
17 Building
E] Ins ection Only
IV Plumbing
El LsLection Only
V Mechanical
M Inspection Only
V Electrical —Amp
El ins fection OnLy
0 Roof
[:1 Gas
L
El Medical Gas
El Fire Sprinklers
❑ On Site Piping
❑ Fire Line
[:1 Irrigation
R Fire Alarm
[:] Potable Backflow Assembly
Ej Fire Line Backflow Preventer
[] Irrigation Backflow Assembly
El Demolition
El Walk-in Cooler
[:1 Refrigeration
El Hood
F-1 Ansul
El Fence/Wall
[:1 Grease Trap
El Other
F] Other
e Construction: IV-B
—1
Risk Category:
� Occupancy Load
_T
Ovancy Classification: as
Factory ;Residential
,a,
Assembly
Hazardous
El, Storage
Busiess Day Care/Educational
Institutional FERI Mercantile
❑Utily
Building Use: Single Family Alteration11Level I [—Level 2 [ELevel 3
1,6 New Construction El Interior Finish E] Interior Remodel E] Exterior Remodel El Addition El Revision
Overall Size:
27 x 70-10
Number of Stories:
1
Total Sq. Ft.:
1901
Living Area: 1517
Covered Area:
384
# of Bedrooms: 2
# of Baths: 2
Cost per square foot:
Estimated Value:
Roof Type: 9 Shingle
E]Tile 0 Built-up
El Metal El Other Squares: 21
Zoning:
Wi❑
orne Debris:
rE"] Inside 1z,
Outside
Energy Code:
405-2020
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents?
rQ, Yes NoSq.
Ft. Enclosed Space Below BFE:
of Vents:
Size of Vents:
I Total Sq. In. Permanent Openings
9 Central A/C
El Gas A/C
FX� Heat Pump
El Gas Heat
0 Window A/C
El Electric Heat
W =1
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
Setbacks
Front Rear Left Right
As per Approved Site Plan
Comments:
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RkSGR7PT1#N: LOTS 84-94, BLOCK 1, ABBOTT SQUARE PHASE I A,, SITE PLAN SEC, 1 1 • TWP. 25 S, RING 21 E.
ACCORDING TO THE FLAT THEREOF. RECORDED IN PLAT BOOK __ PASCO COUNTY, FLORIDA
PAGE _, OF THE PUBLIC RECORDS OF PASCO COUNTY. FLORIDA ='NOT A SURV€Yj
(ABSCJTE SQUARE)
The SITE P-AN Prepared for and Certified To
PROPOSED ELEVATIONS AND GRADING Leona, homes
SHOWN HEREON ARE TAKEN FORM THE
ENGINEERING PLANS OF 1 4� 1 1
'ABBOTT SQUARE RESiDENTAL`, PREPARED LOT 88 i, t 1
BY'WRA' PROVIDED BY CLIENT i BLOCK i Scale: ! "O 20
S87as53-EjP) 112.00Nj
-__ b ar 1V9?4t3 TW 5Z3ti - f
AL. ELEVATIONS REFERENCED ! -Y4 .A ( �\ OR, I j
TO NORTH AMERICAN coNc itFTaNIN£:; wa;.1 �, li
Gf s
VERTICAL DATUM OF 1988
iNAV 881
4 1 1 77 so/ —'s
3 cr---..�_�_3
Is
-._'1w
N PPos
4=
�\ T PROPOSEDLOTB�
,t taxxT
I STORY VILLA ! c -� 8.0' PLAN 1500 f
LOT-_20235,_SO.FT BLOCK f
LIVING AREA s zx,3 2 ELEV'TH' o
� _SO,FT rsi GARAGEL
PORCH - 124 SCL FT.
GARAGE i4g4 ....,SQ.FT 'ws ser•wv4s-e,IP 12oasl ., .
COVERED LANAI m I2 t SCL FT _ sae (.. .
PATIO ea/ sa8-
POOL AREA =- _Sa. F-C X _
n` \" PROPOSED
CaNC- DRIVE c^s ,tpyy\ - 1 STORY VILLA LOT 90
14i�_SO. Fr. 4 Nr
A/C & CONC PAD m_AQ.____SC>?- FT_ `> Pt.vn, 1397 13 e- - ' _ .•
SIDEWALK m___SO. FT, " FLEW-,,; GARAGE R BLOCK 1 ��
LOT OCCUt'IELt �. _ Ke - 3 zX3z 3
AREA TO IRRIGATE .- _ RY S `'s
4.S
b9 ` 32X3.2 ��-
Q 4 _ RA/f m PRCaPCTS€G "
4 3 STORY VILLA LOT 91 '
PAN I347 BLOCK i p C O
z -- i CAh ELEV'TN `.. 7
`u n. r �;*, GARAGE k _NTMz, 3.8
.. m p { C' T
eatar4os-3'tt"fiat'UrI.; a a-
�� o
PROPOSED
STORY VILLA LOT 92 i a
soPLAN t397
2-OAK N FLEW THBLOCK 1 z s
szxi2 t,;'. GARAGER
T W s TOP OF WALLt 4A>E (.-
_,�
•^ 10.00 PUBLIC U`TIL;TY EASEMENT E r t8
NOTE: ENTRY WALKS ARE 3 CONIC
PROPOSED?
LEGEND: 1 STORY VILLA LC?T 9�
1347
;au.s PROPOSED DRAINAGE P- 8U -
>_QW PLAN
�-PROPOSED GRADE t04-00; ( LAwN/ ELEV -T' BLOCK I � `l 5
(m GARAGE ENTlA' `38,- ,+• -
E-r00 00 z EXISTING GRADE
e,r,} i )1 ( tO
NOTES: }o
h98
I
LOT GRADING TIRE _ .A
�r PROPOSED
PROPOSED PAD ELEVATION 98.30-- j 1 STORY VILLA t
FRONT SET BACK s 20 <xtz LAN
TH' LOT 94 '
SIDE SET BACK 0 m ca-y ' S'4z GARAGE R BLOCK t 1
SIDE SET BACK;CORNER LO`t 15' t
REAR SE78ACK aLEU\ 48
209
PROPOSED:
MINIMUM FLOOR ELEVATIONS- _ ctzNe RtrA NrP, WAL j
LIVING AREA:98,97'ser4s.53-E1P7'=z-00/PI
GARAGE AREA. I 11
ELEVATIONS REFERENCED TO i wssw<- LO�95 c'ss. as e
NORTH AMERICAN VERTICAL t BLOCK i
DATUM OF ) 988
APPARENT FIQODI=AZARD 2QNE. 'X'CQMMktNt'"fYNO. 126235 { `
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{S- 4NQiOrK S!A9 (°k PLAS PRE PfiN @ RMEft4f t�RslE EAU 1 'Y EASfMEN" I CWce`D _
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JOB #5039 SURVEYORS N#7'RS: tAFE 1708 Water Oak Drive
Date of Srte Plan: 2-23-I2 1.) CEink"t tale information on the subject property had not been This certif s c f described Tarpon Springs, Florida -
furnished to fih,paI Point Land Surveying, LLC, at the time of this pl.ope d $ nand Phone iz27j-83 f -1940
VKC,AS--899s87 E SITE PLAN j m le St for FlondaPLS7123(ACgmail carn
2-) Thes sketch was preparers without the benefit of a side search. sower as f rd no t_9# 8183
Na instruments of record reflecting ownership, easements
he Egan n pter„S,h j 0 ns h
File' rights -of -Way were furnished to the undersigned, unless otherwise 7.0 , "orida Adfr�IIitd�j r<+tve is
shown hereon. rs Sects 472.027, Florida St, e
-Prawn Dy D18 3.) Roads, walks. and other similar items shaven hereon were taker€) t
Checked DyJH from engineering p(aas and aro subject to survey.
4.}This SITE Fi-AN does not reflect nor determine ownership. epr '��
REVISIONS 8.)'tbis Still PLAN Is sub t to metiers shown an the Plat of
'ABBOTT SQUARE PHASE I A' 1
8.} punensienx shown, hereon are in Peet an6 decimal partions 1 IOFE VEYYO IM �
therePf. Nt12�3 LR E83
7.}Contractor and owner are to verify Al a sbaeks.butk9ng I-- ...— y
dimensions, and layout show hereon prior to any Construc2ian NOT } }¢-�O i
and incdiatety obvE e rhival Point Land Surveying, LLC of any S;1 i AT
deviation from information shown hereon- Failure to do so wIS be! LICENSED S ER Initial Point Land Surveying, LLC.
at user's sole risk
M "F-
Permit No. /
Date Permitted
Builder Name/Owner Name �G
Control #
County Parcel No.2 f
SubDiv: b
Address/Location
/}61 p
Classification/Type of Use
TRANSPORTATION IMPACT FEE Rate:
l
Sq. Ft Unit:
Exempt Yes No/Q How Determined
Impact Fee Amount 5 l t.�� Zone No. TAZ:
SCHOOL IMPACT FEE
,u
Account (055) Single -Family Detached House
Amount $ C
(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
Exempt =Yes No How Determined
Total Amount S '
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt Yes No How Determined Total Amount
RESOURCE FEE ERU
Total Amount
Prepared By .,__ - Checked By
N ERTIFICA l 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