HomeMy WebLinkAbout22-4920~
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5335Bohth8treet
Zophyrhi|ky.FL33542
Phone: (B13)78O-082O
Permit Type: Buildin New (Residential
All
Name: LENNAR HOMES LLC-OWNER Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC
Class of Work: Townhome
Address: 4nOOVVCypress St2O0
CONSTRUCT TOvvwHOwE16s0^&
Electrical Plan Review Fee
Mechanical Plan Review Fee
Plumbing Permit Fee
Electrical Permit Fee
Park Impact Fee - Single Fami|y/Townxome
Transportation Impact Fee City
Plumbing Valuation Fee
3/4 Water Meter Residential Connection Fee
Driveway Fee
Water Connection Residential Fee
Public Safety Impact Fee -Police
Building Valuation: $257.760{0
Electrical Valuation: u38.0641m
Mechanical Valuation: $18,043.20
Plumbing Valuation: $25.77880
Total Valuation: m34O,24320
Total Fees: $1o.080.3r
Amount Pam: $13,8e0.37
Date Paid: 10/13/2022 7:39:34AM
$45.00 School Impact Feo-Gmgle Family
$3,353.00
$45/0 8|F1 percent Fee
$33.53
$188.88 puminSefety|mpomFe*-Admin
%2835
$233.32 Mechanical Permit Fee
$13022
$789.50 Building Permit Fee
$1.328.80
%34.80 Address Fee
$nVoD
$45O0 Transportation Impact Fee
$3.44520
$732.71 Sewer Connection Residential Fee
$2.080.00
$45�80 Fire Wall/Smoke Wall Inspection
$15.00
$1.010o0 Building Plan Review Fee
**oon
$254.00
REINSPECTIONFEES: (c) With respect to Reinspection fees will comply with Florida Statute
local government shall impose afee mffour times the amount m0the fee imposed for the initial inspection or
first ic±i h| h is greater,for h subsequentne|nm m4i
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 aowater management, state agencies urfederal 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.
I 01-Al :4 oil a Wel J, ILIA NATA 9 so 1 :4 �1;
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting 08 770 __ 7763
1 1 1 1 1 1 1 111 1 1 1 1 9 IL J_
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 NIA Owner Phone Number
Fee Simple Titleholder Address I N/A
JOB ADDRESS 17058 Ripple Pond Loop LOT #
SUBDIVISION Abbott Square PARCEL ID# 1 04-26-21-0140-00100-0710
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH
P INSTALL E::] REPAIR
PROPOSED USE 0 SFR COMM OTHER
TYPE OF CONSTRUCTION 0 BLOCK FRAME STEEL
DESCRIPTION OF WORK I Multi -family Screen Enclosure / Fence
BUILDING SIZE I U/R SF 21 SQ FOOTAGE1666 HEIGHT 1281
BUILDING VALUATION OF TOTAL CONSTRUCTION
r__71
IJ JELECTRICAL 38664 PROGRESS ENERGY W. R. E. C.
AMP SERVICE
tt_JPLUMBING M
L!5776
MECHANICAL VALUATION OF MECHANICAL INSTALLATION
18043.2
GAS W1 ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES Do
111111111 1 1 1 ..................................
BUILDER
SIGNATURE
Address
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
Address
OTHER
SIGNATURE
Address
Lennar Homes, LLC
L_11 N_J FEE CURREN
License# ICGC 1518166
Edmonson Electric, Inc.
I Y/ N FEE CURREN N
License #
Bayonet Plumbing, Heating & AC, Inc
Y / N J FEE CURREN L_Z_LN__j
License# I CFC042998
Bayonet Plumbing, Heating & AC, Inc
I Y/ N FEE CURREN I Y/N
License #FcAC058062
I-C-Sterling Quality Roofing, Inc
Y/ IN FEE CURREN L11 N__J
License# I CC-0057991-
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)
COMPANY
REGISTERED
'301 W Boy Scout Blvd Suite 600 Tampa, Fl, 33607
COMPANY
REGISTERED
COMPANY
REGISTERED
COMPANY
REGISTERED
COMPANY
REGISTERED
— 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^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 wmrk, they may be required to be licensed in accordance with state and |onm| regulations. If the
contractor is not licensed as required by |ovv, 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.Furthe,more, if the owner has hired o 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
ountn*o1ur, that may bean indication that he is 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 \othe construction ofnew buildings, change of
use in existing bui|dings, or expansion of existing bui|dinga, as specified in Pasco County Ordinance numbar80-07 and
90-07. as amended. The undersigned also undern(ando, that such feee, as may be due, will be identified atthe time of
permitting, It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving e "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power re|enoe, the fees 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 Ti3,Florida Statutes, aaammmnded): |fvaluation ofwork iu$25OOOOormore, |
certify that |, the spp|icant, 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 "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver ittothe ^owner''prior tucommencement.
CO0TRACTOR'S/OVVWER'SAFF|DAW|T: | certify that all the information inthis application isaccurate and that all work
will be done in compliance with all applicable laws regulating uonetmdion, zoning and land development. Application is
hereby mode to obtain a permit to do work and installation on 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
nonatruction. County and City oodeu, zoning regulations, and land development regulations in the jurisdiction, | also
certify that | understand that the regulations ofother government agencies may apply to the intended wmrk, and that it is
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 Oiotrio1-VVe||e. Cypress Bayheodo, Wetland Areao, Altering
Watercourses.
- Army Corps of Engineers -Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit'VVe||e, Wastewater Treatment,
Septic Tanks.
- UGEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation Authority-Runwayo
| understand that the following restrictions apply tothe use offill:
- Use offill ionot allowed inFlood Zone ^V~unless expressly permitted.
- If the DU material is to be used in Flood Zone ^A^, it is understood that a drainage plan addressing e
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed bythe State ofFlorida.
- If the OU material is to be used in Flood Zone ^A^ in connection with a permitted building using atom mmU
construction. | certify that fill will be used only hofill the area within the stem wall.
- If fill mabahu| 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 propertiea, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for |o(a less than one (1)
acre which are elevated by fill, an engineered drainage plan is required,
If | am the AGENT FOR THE OWNER, | promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction, | understand that a separate permit may be required for electrical vvork,
p|umbing, migne, vveUe, poo|s, air oondidoning, goa, 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 as authority toviolate, oanoe|, a|hnr, 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
unless the work authorized by such permit is commenced within six months of permit ioouanne, 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 vaquesied, in writing, from the Building Official for a period not hoexceed ninety (AO) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
WWII lip
eu
OWNER
Subscribed and sworn to (or affirmed) before me this
81312022 bv Christopher Smith
Who is/are pers�nally known tome or
as identification.
_Notary Public
Commission No. GG 296057
Stephanie Farmer
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
WX2022 bv Christopher Smith
Who is/a �g���e or has/have produced
as identification.
/4 —_Notary Public
Commission No. sszysVs7
Stephanie Farmer
m
4'
'W"MR4
OR
0
I
0
V-R/\
v :: H T U A L R, E V I r ' A ",Si 3 T
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 7058 Ripple Pond Loop
Parcel Tax ID: 04-26-21-0140-00100-0710
Services to be provided: Plans Review X
Inspections
Note: If the notice applies to either private plan review or private inspection services the Building
Official may require, at his or her discretion, the private provider be used for both services pursuant to
Section 553.791(2) Florida Statute.
STEVE SMITH
the fee
owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services
indicated above.
Private Provider Firm:
VIRTUAL REVIEW ASSIST, INC.
Private Provider: DEBPA ANNE KLAHP,
Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
Fax: N/A
Email Address (Optional): deb@virtualreviewassist.com
Florida License, Registration or Certificate #: (LTC # 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.
0
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 Agent
Address: 700 NW 107th Ave
Miami, FL 33172
Telephone
No. 813-574-5700
Corporation 22ND
Before me, this day of
MAY -2o22,
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
W
(signature)
Print
Name:
Its:
Address:
Telephone
No.:
Partnership
Before me, this day
Of 20—,
personally appeared
p artner/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 idcntication- Type of identification produced
Signature of Not L �a�o Print Name ASHLEE CALLAHAN
Notary Public, Stamp:
&LEE CALLAHA
ry Publl� State of Ftarida
Commission Expires: 0 a
Gommissiac G6 144456
NOVEMBER 30, 2022 EXPI(ej Nov 10, 2022
0 J_ thrNih Natrona; Notary Mss9!
I
VR/\
VIRTUAL REVIEW ASSIST
Private Provider
Plan Compliance Affidavit
Private Provider Finn: 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: lucy('&,virtualreviewassist.com
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 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: 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,PAI.0,PAI.1,PAI.2,PAI.3,SHI.0,SHI.1,SHI.2,SHI.3,SHI.4,SH1.5
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 personally known to me or having produced as identification
and who being fully sworn and cautioned, state that the
f regoing is/her knowledge or
ug ic of h belief
W"44 I-S
S a is true k4 ignaie of Notary Print Name'
Notary Public: NOTARY STAMP BELOW My
commission expires:
AS _H
t'�te
N,t,f
GG 244455
COMMERCIAL BUILDING SERVICES DIVISION RESIDENTIAL
BUILDING PERMIT DATA SHEET
FIRE MARSHAL #01 -
Re uired Permits
DATE:
►r• • Klahr1
Building
❑Ins ection Only
Plumbing
�( Mechanical
Electrical Amp
Ins ection Onl
Roof
❑ Gas
I
I
❑ 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
I G3PIil'iliiT7I G
Type Construction:
V'8
Risk Category:
Occupancy Load
® ancy Classification:
Factory
Residential R-3
Assembly Business Day Care/Educational
Hazardous nstitutional ❑ Mercantile
❑��Storage ❑ Utility
Building Use: Single Family l Alteration ❑,Level 1 1❑ Level 2 Q Level 3
1,6 New Construction ❑ Interior Finish ❑ Interior Remodel ❑ Exterior Remodel ❑ Addition ❑ Revision
Overall Size:
20 x 58
Number of Stories:
2
Total Sq. Ft.:
2148
Living Area: 1666
Covered Area: 482
# of Bedrooms: 3
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof T e: E)
❑Tile ❑Built-u ❑ 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? r 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 ❑ Window A/C
❑ Gas Heat ❑ Electric Heat
' M
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
Setbacks
Front Rear Left Right
❑✓ As per Approved Site Plan
Comments:
DESCRIPTION: LOTS 69-72, 81-OCK I. ABBOTT SQUARE PHASE IA. SITE PLAN V SFC.. i 1, TVdP. l5 S. RNG 2 t E
-
ACCORDINGToTHEPLATTHEREOF,RECORDEDIn PIA FBOOK _.__. � £ PASCOCOUN5S,TY. RNG21
PAGE _ , OF IHE PUBLIC RECORDS OF PASCO C:OUTW FLORIDA. (DOTA SURVEY*
(ABBOTTSQUARE)
PROPOSED Et.EVA I iC>NS ANDGRADING IDA
CURVE C1AT� f��
SHOWN HEREON ARE TAKEN FORM TN€ Ct1RVE RADtCtS... ARC LENGTH CHORE) LENOT' { CHORD BEARING DEC 7A ANGLE I
ENGfNEERl,Nia PLANS tDr CDT 32e 6CF 74 83' 1 Z4 BZ S S t S3 9R E --�3-3�500
"ABBO tT SC1UAt'E RESIDENTIAL, PREPARE[] C33 32000 2061- 2Q41 SSCs'?t77 E
BY WRA' PRC7VIDECt BY CLENT G34 324 4t1 _� 70 Ei I' �� 20 Q t S S9'5f 22 E ��
<?S 320�n 2983 # 2_9.8i S b-7 24 CF E I S 2E12B
This SITE F'CAN Prepared tot and (ertified' a: Scafe. 1 = 20
Lennaz HornPs
ALL t LEVA I IONS Rt-FERENCf_D t
TO NORTH AMERICAN'
VERTICAL DATUM OF 1988
_.. INAVD 88) .\
LOT - 10965 SO FI
LIVING AREA a 2666 So FT
ENTRY 220 SkD FT.
GARAGE - 1058 SO ET.
COVERED LANAI - 374
PATIO? NA _S(D R_ 10036E . � t�-ryCr S
POOL AREA x NR SO I-T.
!� 4
CONC, DRIVE 9j4 _ S i
A-C & CONIC PACT 36 _SQ EF
SIDEWALK :J 59t.� _SO FT.
SIDE YARD SWALE m NA _SO FT
CONSERVATION AREA NA SO. FF.
LOT OCCUPIED
AREA TO IRRIGATE = 4s °4* r r rT,L
LOT 68c u� , �C
BLOCK 1 a
C
C cx`a
x
tt7
T 2
Q
e
C-
a C
tqY,..
6
Y
,o � 7 \ F f
f:
rf�
c, fRh
> X,
-a. 4C`Sfi
NOTES. Dgd`n g> a LOT 73
LOT GRADING TYPE - e ° Fir"���'r �'rE ��z,� r � BLOCK 1
PROPOSED PAD ELEVATION = E 03.99
FRONT SET BACK s 20
SIDE %E7 BACK - 15 G,
SDE SIT BACK {CCIRNE.R LOT) - t5
REAR SETBACK - 15
f
PROPOSED. 3�it
MINIMUM FLOOR ELEVATIONS2• OAK
LIVING AREA, 104-57'
GARAGE AREA: 1010 PUBtIc uTLI,r east v,€N?
ELEVATIONS REFERENCED TO
NORTH AMERICAN VERTICAL NCTIE C/C UNru ARE 2 7x2 7 LEGEND.
y
DATUM OF 198E ENTRY WALKS ARE VARIOUS WIDTHS PROPOSED PRA¢NAGB PLOW
APPARENT FLOOD HAZARD ZONE. 'XCOMMUNITY NO. i 20235 (CIO .00) - PROPOSED GRADE
St1RVEYABBREVATICDNS(fiAAFNUMC3!Rt2lQlC_d12HVf}EFFEE`EVEDATE 09,'26J2464 EriQEC, REAISTINGGRADE
=nut tern £t my v r� w > _q pisu t --- t_EGEND
4 N +MNIA h', t E F E N[ t t. - t 4 I 1 tIN Lf...-
P€-8 Fft Y.Ffl I1,C,t ¢ 01( f IN, €1
4h _p N INsi I Ali n n. I', IfNAII t t SEt
IMA-RID A—RID[a [ R
" Ne
'd :, N Y(k. t % E t V tt Lf
r N
Nk [�( Nr✓ i Rlvth }4 ( q
C >I- lMN fNfi_J iPU ft [ h)S M1 )hIN ✓•:F UftV4 E -� C F M1,tt,R4[,Nrl lyr!
fCNF (1N R .. N€ YN tF III t hI AT- t
}MIRE i[ A8 r F *,u NF�^t 4i R tJ I M h 1 N V3 , t+s`t t1..t - .....
S' - t f N£ 4 f iRtf J 1 C - NI N� i':f t - ? - ! H .....
LOB N 4 t 2 _ SURVEYORS NOTES S[IRVE CA � i 08 9I/a . r Oak Drive
I j C o r—t title info nation on the n bject property had no been 1 Th s m f W t' —leas---Jes-mc Torie, r Springs On"do
[Date of Sae Plan 4 29 22 I hdrnshed to JImalTioint Land Suiveymg, i cC Eat the tlrRc ,d the J/ �'
SftE riAN ( Elrofae Perx e 1727 Rat t990 /'* }_l
rw`vAl 9 T.. Pi sFt I IT .�.n le�+:S(,[��}�yp��pder "{ 6or Flor <fat'iS717? so / fal
2.)This sketch wasp eF ar--d w¢£oet ttetene¢ota tale rant. P $41 to f4^"`"T d and HT#BIR3 9mk,i
No w.m—ts of reccz e ,afl-nr q ownc,,h p eale rents nt ( Spgzre or ro 3�{ 0 rc
!- 4 d 'if T , . ( r da Af! , tr at o . ..-.`P
ri ht of -way were i e rxhed ¢c. tt e untie s e red urti ess otherwise„
Drawn b} DJB � � g) Roads walks, d diet a: i t _ins a b r -. on were taker to sect on 472 0 7 Ftcrcia S to
Checked byILI €rot, engineering plane and arc. -bled to e VPy
REXISIONS 4,) Thi, SITE PLAN does rwt ccfI,0 nor drb, mine --hp
8.) 7his SITE PLAN I, -bip :t in natters shown on the Ptat of
'ABBOT SGUARE PHASE to - �a
8.) Dimeru9oess a-vo, herein are in feet and d—a.i pI.tiores tl,FES mat s•.f
n
their € 7123
L84A t {}
7, C to(to a i I— zre to c ,It setbacks build" a
dim ors a d t y > xt shoves r erecan pn i - y -.rxu cacz DO t
eno Sediatc CY od, hlit.t Point Land S vey.:ng LLC of any SiCNftIU D >A ✓ 1
deviation frori into —tor, shown hereon FaNurc to do so will be t IC EN%ED SCAR _ PPER
at userssoterisk Initial Paint Land Surveying, TLC_
Permit No.
Date Permitted P
Builder Name/Owner Name Control #
County Parcel No. I) f®%� SubDiv:
Address/Location a
Classification/Type of Use 1
TRANSPORTATION IMPACT FEE Rate: 5q. Ft Unit:
Exempt Yes I --I No How Determined
Impact Fee Amount $$ � Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount $
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt = Yes = No How Determined_
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone Total Amount $
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
RESOURCE FEE ERU
Total Amount
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