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HomeMy WebLinkAbout22-4918City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 Permit T e Buildin! New (Residential.) l � 6-1 , Name: LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential) I Class of Work: Townhome Address: 4600 W Cypress St 200 TAMPA, FL 33607 Phone: (813) 574-5700 CONSTRUCT TOWNHOME1 787 SO FT AS Building Valuation: $255,720.00 Electrical Valuation: $38,358.00 Mechanical Valuation: $17,900.40 Plumbing Valuation: $25,572.00 Total Valuation: $337,550.40 Total Fees: $13,866.90 Amount Paid: $13,866.90 Date Paid: 10/13/2022 7:39:34AM Issue Date: 10/13/2022 7050 Ripple Pond P 04 26 21 0140 00100 0690 Contractor: LENNAR HOMES LLC P;umbing Permit Fee $167.86 SIF 1 percent Fee $33.53 Plumbing Valuation Fee $45,00 Driveway Fee $45.00 Address Fee $30.00 Electrical Permit Fee $231.79 Public Safety Impact Fee -Police $254,00 Building Permit Fee $1,318.60 Mechanical Plan Review Fee $45.00 Mechanical Permit Fee $129.50 3/4 Water Meter Residential Connection Fee $732.71 Transportation Impact Fee $3,445.20 Fire Wall/Smoke Wall Inspection $15.00 Transportation Impact Fee - City $34.80 School Impact Fee - Single Family $3,353.00 Public Safety Impact Fee -Admin $26.35 Water Connection Residential Fee $1,010.00 Electrical Plan Review Fee $45.00 Park Impact Fee - Single Family/Townhome $769.56 Building Plan Review Fee $45.00 Sewer Connection Residential Fee $2,090.00 REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c) the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection, whichever is greater, for each subsequent reinspection. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit required from other governmental entities such as water management, state agencies or federal agencies. CONTRACTOR SIGNATURE T47TUMMITM-TT97=11M PEPiT 6FFICEf j 10TTIM"1lk"A ski Iis 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received 908 770 7763 Phone Contact for Permitting 1// 1 I 1 1 1 1 1 1 1 Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813.574.5700 Owner's Address 1 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number®® Fee Simple Titleholder Name NSA s� n Owner Phone Number Fee Simple Titleholder Address NSA Job ADDRESS 7050 Ripple Pond Loop LOT # A069 SUBDIVISION Abbott Square PARCEL ID# 04-26-21-0140-00100-0690 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN DEMOLISH P INSTALL REPAIR PROPOSED USE u r u SFR COMM 0 OTHER TYPE OF CONSTRUCTION 10 BLOCK FRAME STEEL DESCRIPTION OF WORK I Multi -family / Screen Enclosure / Fence BUILDING SIZE [ U SF 2131 SQ FOOTAGE 1787 HEIGHT 2$� BUILDING $ 255720 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 38358 AMP SERVICE PROGRESS ENERGY W.R.E.C. � PLUMBING $ 25572 II./ (MECHANICAL $ 17900.4 VALUATION OF MECHANICAL INSTALLATION GAS ✓ ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA El YES DO BUILDER COMPANY Lermar Homes, LLC SIGNATURE REGISTERED LZ_LN_j FEE CURREN Y / N Address 4011VBoy Scout Blvd Suite 600 Tampa, FL 33607 License # CGC1518166 ELECTRICIAN COMPANY Edmonson Electric, Inc. SIGNATURE REGISTERED Y / N FEE CURREN Y ! N Address Ft7 License # I EC13005408 PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN Address I License # CFC042998 �� MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y / N FEE CURREN Y ! N Address I License # I CAC058062 OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE REGISTERED LILN_j FEE CURREN LY I N Address License # I CCCO57991 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 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. 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 OF DEED RESTRICTIONS: The undersigned understands that this permit may besubject to^deed^restrictions" which may bmmore 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 |avv, both the owner and contractor may be cited for misdemeanor violation under state |aw. 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, Furthermone, if the owner has hired o contractor or contnaotora, 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 nontnactor, that may bean indication that he ienot properly licensed and ionot entitled topermitting privileges in Pasco Cuunty. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply \othe construction of new bui|dinga, change of use in existing bui|dingn, or expansion of existing bui|dinga, as specified in Pasco County Ordinance number88-O7 and 90-07. as amended, The undersigned also undermtands, that such feee, 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 e "certificate of occupancy" or final power release. If the project does not involve m certificate of occupancy or final power ra|eoae. the fees must be paid prior to permit issuance. Furthermore. if Pasco Cuunb/VVuter/Sew*r 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, as amended): If valuation nfwork is$2.5OUOOormore, | certify that |, the app|icant, 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", I certify that I have obtained a copy of the above described document and promise in good faith to deliver i(tothe ^ovvner'prior tucommencement. C(]NTRACT{]R'S/OVVNER'8AFF|OAV|T: | certify that all the information in this application iaaccurate and that all work will be done in compliance with all applicable laws regulating ounokuotion, 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 laws regulating oonstrudion. County and City codes, 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 tobeincompliance. Such agencies include but are not limited to: - Department ofEnvironmental Protection -Cypress Bayheado, Wetland Areas and Environmentally Sensitive Lands, VVater/WaabawatorTrestment Southwest Florida Water Management District-VVe||y, Cypress Bayheada, Wetland Anaao, Altering Watercourses. - Army Corps of Engineers -Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative 3en/ioeo/Environmental Health Unit-VVe||u, Wastewater Treatment, Septic Tanks. - USEnvironmental Protection Agency -Asbestos abatement. - Federal Aviation Authori(y-Runvvayo | understand that the following restrictions apply tothe use offill: - Use offill ionot allowed inFlood Zone ^V~unless expressly permitted. - If the fill material is to be used in Flood Zone ^A^, it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State ofFlorida. - If the DU muhehe| is to be used in Flood Zone �" in connection with a pennhhad building using stem wall 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 propertieo, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots |eoo 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 m yaporaha permit may be required for electrical mmrk, p|umbing, signa, weUn, poo|s, air conditioning, gma, 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 aoauthority toviolate, cence|, o|tnr, or set aside any provisions of the technical codes, nor shall issuance of a 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 inauance, 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 requeoted, in vv/idng, from the Building Official for e period not to exceed ninety (00) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. FLORIDA Juxxr(rn 11703) OWNER OR AGENT ff Subscribed and sworn o (or affirmed) before me this 813/2022 by Christopher Smith as identification. Z 415!_! t: ! , - ­> Notary Public Commission No. GG 296057 Stephanie Farmer Name CONTRACTOR Subscribed and sworn to (or affirmed) before me this 813/2022 by Christopher Smith Who is/are personally known to me o,has/have produced as identification, Notary Public zv__,_s __ - Commission No. ___GG 296057 Name of NgMj gwl�HMOM " R" TUAL R EVI E1ASS i S�_" Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: Parcel Tax ID: 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: Private Provider Address: VIRTUAL REVIEW A55I5T, INC. 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 No.: Please use appropriate notary block. STATE OF FLORIDA COUNTY OF HILLSBOROUGH Individual Before me, this day of 20—, personally appeared who executed the foregoing instrument, and acknowledged before me that same was executed for the purposes therein expressed. Corporation LENNAR HOMES. LLC Print Corporation Name (signature) Print Name: Christopher Smith Its: Authorized Agent Address: 700 NW 107th Ave Miami. FL 33172 Partnership Print Partnership Name W- (signature) Print Name: Its: Address: Telephone Telephone No. 813-574-5700 No.: Corporation j, 22ND Before me, this day of MAY 20 2_2 personally appeared M Lennar Homes, LLC , a corporation, on behalf of the state corporation, who executed the foregoing instrument and acknowledged before me that same was executed for the purposes therein expressed. Personally known X ;or Produced identi cation_ Type of identification produced Partnership Before me, this day Of 20_, 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, Print Name ASHLEE CALLAHAN Notary Public Stamp: ASHLEE C LLAHAN Commission Expires: a, Notary Pubk T State of Horid q GG 144456 NOVEMBER 30, 2022 V'rcorTIM. EXP (05 Nov 10, 2022 endvq=0,.NWOW Wary Acin! V-R/\ 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 nd Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: Project: New SFR Address(s): 7050,7054,7058,7064 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 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: 1,2,3,4,5,6,7,8,9,9.1,9.2,10,10,11,12,13,14,15,14.1,16,L- 1,L-2, SN,SNI,S3M,S4M,S5,S6,SS,ST,D1,D2,WP,PA 1.0,PAI. I,PA 1.2,PA 1.3,SH 1.0,SHI. I,SHI.2,SHI.3,SHI4,SH 1.5 Florida License/Registration/Certification #(s) and description: FS468 Certified Standard Plans Ex finer License #: PX2300 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 re is true an the best of his/her knowledge or belief. r1TxCAAXA!hA e Zia e of Notary Print Name Notary Public: NOTARY STAMP BELOW My commission expires: ASW H CA' Notlary PI,,[1C CommISSIOr GG 244 6 Comm es ov 3 C, 2n 2 sordc t Asr, COMMERCIAL BUILDING SERVICES DIVISION 'RESIDENTIAL BUILDING PERMIT DATA SHEET FIRE MARSHAL #01 - Required Permits DATE: • • l-• • Klahr ' Building ❑ Inspection Only Plumbing ❑ Ins ection Only Mechanical ❑ Inspection Only Electrical Amp ❑ Ins ection Qnl 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 BuildinE Data Type Construction: I Risk Category: Occupancy Load O aney Classification: Factory Residential R-3 Assembly Business FDay Care/Educational Hazardous ___ _ nstitutional Mercantile ❑storage ❑Utility Building Use: Single Family / Alteration ❑,Level I ❑ Level 2 Level 3 New Construction ❑ Interior Finish ❑ Interior Remodel ❑ Exterior Remodel ❑ Addition ❑ Revision Overall Size: 20 x 58 Number of Stories: 2 Total Sq. Ft.: 2131 Living Area: 1787 Covered Area: 344 # of Bedrooms: 3 # of Baths: 2.5 Cost per square foot: Estimated V line: Roof T e: 1 Shingle ❑Tile ❑ Built-up ❑ Metal ❑ Other Squares: 17 Zoning: Wi orne Debris: ❑, Inside Outside Energy Code: 405-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? ❑' Yes No Sq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: Total Sq. In. Permanent Openings ® Central A/C ❑ Gas A/C 9 Heat Pump ❑ Window A/C ❑ Gas Heat ❑ Electric Heat Sanitag Sewer Storm Sewer Catch Basins Potable Water Under round Fire Line Front Rear Left Right ❑✓ As per Approved Site Plan Comments: DESCRIPTtON. LOTS 69,72, R-OCK 1, ABBOTT SQttARE PHASE IA. SITE PLAN V SEC. 11, TWP- 25 S, RNG 21 E. ACCORDING TO THE FLAT THEREOF RECORDED IN PLAT ROOK PAGE 0THE PUBLIC RECORDS UP PASCO COUNTY f-.C%RIDA (NOT A SURVEY! PASCO COUNTY, FLORIDA (ABBOTT SOUARE) CURVE DATA (P) PR(JPC)SF OFLPVATiONS AND GRADING CURVE, � RADOS ARCtEN_G_H CHORE) LLNbtFi S HOPE)BEARIN SHOWN HEREON ARE TAKEN FORM THE ....._ T r r VQ pELTA ANtsLF ENGINEERING PLANS OF t-C32 _ 320.Ck029.8? .� 29.8£ ABBOTT SQUARE RESIDENTIAL, PREPARED C 33 320 £)C7 7Q 0I' 20.Q E 3 3S QfS By WRA- PROVIDED 6Y CLIENT C34 320.QC" 10 01 28.Cs 1" -..._ S —4 22' E 3 35 QC)' C35 1 320.0i.T 24 Ei3'. 9? S 6424 tM' E 5 '0 28' This SITE PLAN Prepared frx and Certified Te: I ennar domes Scale: 1 m ALL ELEVATIONS RU-I RENCED SO NORTH AMERICAN VERTICAL DATUM CIF 1988 INAVD 88) 1� LOT a 10965 S U- LIVINGAREA1it6b SO. FT. e, ENTRY 210 SO, FT. GARAGE = tCl58 SO FT. a, COVERED LANAI 374 XO, FT. PATIO FVR SQ Ft10t361- L. POOL AREA NA SO FT. CONIC DRIVE =_ 844 SO FT. + !�{ Aj,C & C-ONC PAD 36 SO FT. � SIDEWALK x 540 So FT. SIDE YARD SWAT F NA SO FT 'RJ CONSERVATION AREA -NA SO- FF. ` z LOT OCCUPIED S5 ,,, AREA TO IRRIGATE LOT 68 ug' d :. `qF S ` BLOCK 1 c PV,F. ifl/�� �tJ� { \ \ K C 41 O Gd 1 t fv�t a P e ? 6 sis xt �SR NOTES: Gss LOT3 LOT GRADING TYPE B r G4 C 7 kfp °ao BLOCK t PROPOSED FAD ELEVATION= 10390 F'a�w.rzr 19,/'C�,. { A. FRONT SET BACK - 20 ehr « R i ^ a SIDE SET BACK ^- 7.5 d `^ ,• T SIDE SE I BACK (CORNER LO1) ^ 15 z REAR SF!'BACK a 15 v�4r- r PROPOSED, MINIMUM FLOOR ELEVATIONS ��� y 2- OAK LIVING AREA: 104,57' GARAGE AREA: _ leas PuaueG'U Ty eAs mENT EL.EVATiONS REFERENCED TO NORTH AMERICAN VERTICAL NcsTCcrTRYWLKSAR,VE 2 xz7 LEGEND ENTRY WALKS ARE VARIOUS \ki©ZNS +�.-- PRQPOSEiT DRftL JRCiE FLAW DATUM OF 1988 APPAKENT FI OOD HAZARD ZONE 'X- (.OMMUN)TY NO. 120235 ISO LO) - PROPOSED GRADF SURVEY ABBREVATdONS(FIAPNUMBER 121(IIG-02P9r;EFPeCTIv,DATE os,26,CTT4 c PooAexisTNc=G!a E Alert td.- EGEN--D .I M4,1 -A. 1- M Vi tot C C r! f - 4 tr St tt F 4 N_ eJ ae?4 ---- tt t ^ P0.S t :E € rtF - t �TMI N CaR E .V rt PM as i £N i t A tMth t i Cn.4t f z: F - r£�FE hit 4t t .� I d RNi. ' -111AI­ or ISAII t. I k psF of M-Nr (N kxl N EP C- e tC FNN ft^ £ N t - 4N MFENtF .rt n" £ R C ti aI h Rnr t Y92 tt, 4sR4e t ft4 c!C llan-{ £PUS rAi IFJ ff,i t f,RrtC IN(1 .<rh hEX± �rriV c`12tlf+DLLi'.{S) trX `lF�. MMf NtYvfFN it?N Yt,`(7f fl.0.Nx. < IL^( I111N �� r ;C01111C r L N! ittl U it 't t,h9'1i.;M.lifV+! .NC t N( i N ht N �l C -: m,.� f Fl ( rp N F f t ( li { g5[MENI s Y't ftESJ iK 1.1 SC tft t.nN •{. ., )Nt, iN 'i( tM €.1 1-11 l't, —111 ( t . 1 Nt l" rz: JOB #5412 SURVEYORS NOTES SURV ICATE' o Ta,p 4n £s k 9 ve Lj 4cn rent I'll, i d rrnatio.i the subjectap it p e 'lad no ben I his certif t s descri Tarp Sprir 3s Flo id Da[e of Stte P-4n-n 4 2F '2--�furnished to ina. Poatt Land Suiveyrng, i LC at 0-te Rm>f c t tas I fvc a t .r Inc Pho e (727 83 t 1990 DWI, As UVI U6 s11 S17. ^IAv I71e* ,,�o te�5 d,,a,_r for I'o-lorILS 71231ngo-nzrlcorn -- -f 2t This sketch w s p epa edwrthout the benef t of a title earch. I s i a. i �'g �`"'�tr/,rtzT nar and IRA 8183 _ No instrurnents of FeFdFareffc l ng .nvne ship easenet is or i 4glr'eyvr In pi �` e` a c h Fite: rEgP is of w ty wo e f r rst en to fill rr de+s gr ed ar tess c theswise �j 7.0 .. F do A d�t at r Co � J shown hereon. tr Drrrrvn by. P.7H 3.) Roads walk. a sd other s-tilt It t w i c - wee takee r . to SecBar- 472 7 tiorida S to Checked byJ6H Train engineering plane and are s rh rct P, survev. NS 4.) Thi SLIF, PeAtN does zat ref3eat nor deterI r e w"Irsnip .jVj sm. St TIT, SITE I LAN rs ubjeo to natters shown o 1 the Pim of "AB8QTT SQUARE PHASE lA- 9,1 C)imonsions shown hereon die in fecf and ocma! portions Ile FESi IVEDat there f 7U' L8#Rt Cj � 7.) C ntractar 11,11 owner � are to e ly ,It etU ks, buii f g ° din ens nc xad iry tt In— her eon prlr t ,y a�anst -iccv> NOT j to and I m edlateK adv s taeu,, n r u Land S Iaey ing LLC of any Ii 'NAtt1 c A #' devnUora hom info matron shown hereon Failure to do sow ti be r.IC@NSED Su PPE _� Initial Point Land Surveying_ LLC at user s sole risk Builder Name/Owner Name Countv Parcel No. Address/Location Classification/Type of Use % Permit No. W/ A Date Permitted Control k_ I I / Rate: Sq. Ft Unit:,� Exempt D Yes E] No How Determined Impact Fee Amount S Zone No. TAZ: SCHOOL IMPACT FEE _ 17 Account (056) Single -Family Detached House Amount$ C (057) Mobile Home (058) Other Residential (123) Collection Fee PARKS AND RECREATION FEE Land Account Land Credit Land Total Zone Exempt =Yes = No Recreation Credit Recreation Total Total Amount ­16y""' mm+.= LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt Yes No How Determined Total Amount'"El RESOURCE FEE ERU Total Amount Prepared By roMw Checked By .�ERFORMED 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. RECEIPT NO DATE BY