HomeMy WebLinkAbout22-5430Name: LENNAR HOMES LLC-OWNER
Address: 4600 W Cypress St 200
TAMPA, FL 33607
010HOINERM
Mechanical Plan Review Fee
Water Connection Residential Fee
Mechanical Permit Fee
Building Plan Review Fee
Transportation Impact Fee
Electrical Permit Fee
Transportation Impact Fee - City
R-Z!I
Building Permit Fee
Driveway Fee
ALOAU10
City of Zephyrhilis
5335 Eighth Street
Zephyrhills, FL 33542
BNR-005430-2022
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 12/28/2022
Class of Work: Townhome
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: 12/28/2022 4:08:01 PM
TUM77MM
I
$0.00
Plumbing Permit Fee
$167,86
$1,010.00
School Impact Fee - Single Family
$3,353.00
$129.50
Electrical Plan Review Fee
$0,00
$180.00
SIF I percent Fee
$33.53
$3,44520
Sewer Connection Residential Fee
$2,090,00
$231 J9
Address Fee
$30.00
$34.80
Public Safety Impact Fee -Admin
$2635
$769,66
Plumbing Valuation Fee
KOO
$1,318.60
Public Safety Impact Fee -Police
$254.00
$45.00
Fire Wall/Smoke Wall Inspection
$15.00
73211
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accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPAN Y BEFORE C.O.
cc ATU
NEW
PE IT OFFICE
813-780-0020 City of ZephyrhiHs Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permittinca 908 770 __ 7763
Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813, 74.5700
23975 Park Sorrento, Ste. 220, Calabasas, CA 91302
Owner's Address Owner Phone Number
Fee Simple Titleholder Name VI.S Owner Phone Number
Fee Simple Titleholder Address N/A
JOB ADDRESS 701 Ripple Pond Loop LOT# A061
SUBDIVISION AbbOttSquare—� PARCELID# Q4-2-21-0140�001®0-0610
n (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN] DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR Lr��-�!i COMM OTHER
u
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK Mufti -family I Sereen Enclosure 1 Pence
BUILDING SIZE ElR S1 2131 � SQ FOOTAGE 17$7 HEIGHT
�� BUILDING $ 255720 VALUATION OF TOTAL CONSTRUCTION
1 aB (ELECTRICAL $ 38358 AMP SERVICE PROGRESS ENERGY W.R.E.C.
�.d PLUMBING $ 25572
9���p
�.I (MECHANICAL $ 17900.4 VALUATION OF MECHANICAL INSTALLATION �
R (GAS Io! I ROOFING E] SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS e � 77,FLOOD ZONE AREA DYES D0
�
7����� Lennar Homcs LLC
BUILDER COMPANY
SIGNATURE REGISTERED Y 1 N FEE CURRE Y! N
Address 4301 W SGout BI�d § tt"600 "Pampa, FL 33607 License # CGC151816b
ELECTRICIAN COMPANY Edmonson Electric, Inc,
SIGNATURE REGISTERED Y / N FEE CURREF Y / N
Address f '`f License# EC13005408 —��
PLUMBER 01 COMPANY Bayonet PlumiCIRREN���
SIGNATURE REGISTERED Y 1 N
Address I License # GFC042998
MECHANICAL — COMPANY Bayonet Pl�IEE
Heating & AC, Inc
SIGNATURE ,*`" ,,.s^"" REGISTERED Y ! N REF Y { N
Address License# CAC058062�
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y / N FEE CURREF Y / N
Address 7 License # GCC057991 s�
IIpIR891ttFFl6�16iipl1BiR9�ttiFlltt!l911tIBEltlB88B9Ht!lp61i110I1@t
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 (PloUSurvey/Footage)
Driveways -Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions,
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a 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. Furthermore, 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
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting 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 to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, 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 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that 1, the applicant, 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 it to the "owner" prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated, I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
Department of Environmental Protection -Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment,
Southwest Florida Water Management District -Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers -Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit -Wells, Wastewater Treatment,
Septic Tanks,
US Environmental Protection Agency -Asbestos abatement.
Federal Aviation Authority -Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone W" 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 of Florida,
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required,
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, 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 issuance, 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 requested, 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 OR AGENT
Subscribed and sworn a (or affirmed) before me this
20rz6/2022 by Christopher Smith
Who is/are personally known to me or
as identification,
Notary Public
Commission No. GG 296057
Subscribed and sworn to (or affirmed) before me
�m 21,'IQ22 by _Christopher Smith
Commission No. GG 296057
as identification.
Stephanie Farmer Stephanie Farmer
Name Name ofN
4K ErpiriurFstimW*20 E0*;F*MW1k2023
--rem,try
gm:j
Notary Public
A
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0
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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: Itic_v(k)yi�rttialreviewassi-,t.coin
Project: New SFT
Address(s): 7018 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: 1,2,3,4,5,6,7,8,9,9.1,9.2,10,11,12,13,14,15,14.1,16, L-1,L-2,SN, SN-1,S3,S4,S5,S6,SS,ST,D1,D2,
WP,PAI.0,PA1.I, PAI.2,PAI.3,PAI.4, SHI.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—t,-""' or having produced as identification
and who being fully sworn and cautioned, state that the
foregoing is true correct to the best of his/her knowledge or belief.
Signature o taily Print Name
v I R-I UAL REVIEW ASSIST
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: _ "64
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 553.79](2) Florida Statute.
I— 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: DEBRA ANNE KLAHR
Address: 747 SW 2ND AVENUE - SUITES 1
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 any 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 pen -nit application.
•
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.
RITRUM
(signature)
Print
Name:
Address:
Telephone
Lwa
COUNTY OF —HILLSBOROUGH
Individual
B efore me, this day of
20®, personally
appearpd
who executed the foregoing instrument,
and acknowledged before me that same
was executed for the purposes therein
expressed.
Corporation
--LENNAREQMEaALL
-Q--
Print Corporation Name
(signature)
Print
its: Authori ed Anent
Address: -ZQQ-N� 107fIt Ave�
Miami, FL 33172
Telephone
No, 813-574-5700
Corporation
Beforeme,this 22ND day of
MAY '20-22,
personally appeared
of
Lennar Homes, LLC a
corporations, 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
WM=-
Print Partnership Name
(signature)
Print
Name:
Its :
Address:
Telephone
No.:
Partnership
Before me, this day
of 20
personally appeared
partt,ier/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 ofNotarL "111�n �1?n Print Name ASHLEE CALLAHAN
NotaryPublic Stamp:
Commission Expires:
NOVEMBER 30,2022
AiHLEe CALLA iAN
Pub'U'r, State Of F(otida
GG 244456
Explr'ei Nov 2012022
Page 2 of 2
[—COMMERCIAL
01,11, RESIDENTIAL
WBuilding
El Inspection Only
Plumbing
In ti On
Mechanical
El Inspection nly
E] Medical Gas
WElectrical Amp
E] Fire Sprinklers
El On Site Pipm g
Fire Line
Irrigation
El Fire Alarm
EJ Potable Backflow Assembly
El Fire Line Rackflow Preventer
Irrigation Back(low Assembly
El Walk-in Cooler
L—
El Refrigeration
El Ansul
El Fence/Wall
El Grease Trap
Other
FM Of M1 rim, Irl
Type Construction: PT7771
Risk Category:
Occupancy Load
a n cy la sification:
Facto
Hazardous E=r'Ititti,malEE�4ercantile
usine,, - Day Care/Educational
R"=ntial
�Assembly
Storage =
Utility
Building Use: Sinole Family townhouse /Alteration Level I Level 2 Level 3
deNew Construction Interior Finish E] Interior Remodel
Exterior Remodel El Addition EJ Revision
Overall Size:
Number of Stories:
Total Sq. Ft.:
20 x 58
2
2131
Living Area:
Covered Area:
# of Bedrooms: 3
1787
344
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof TUe.- Shingle
❑Tile Built-u
E] Metal Other Squares: 17
Zoning:
Wird,
orne Debris:
�
gy Code:
405-2020
ElInside
El'
Outside
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents? Yes
No
Sq. Ft. Enclosed Space Below BFE:
# of Vents:
Size of Vents:
0 Central A/C
Z Heat Pump
Window A/C
El Gas A/C
El Gas Heat
Electric Heat
ra� 7=1 A I
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
—
Underground Fire Line
wun" M"
Front Rear Left Right
Asper Approved Site Plan
Comments:
I DESCRIPTION: LOTS 61-64, BLOCK 1, ABBOTT SQUARE PHASE 1A, SITE PLAN SEC. 11, TWP. 25 S, RNG 21 E.
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89, PASCO COUNTY, FLORIDA
PAGES 28-35, OF THE PUBLIC RECORDS OF PASCO COUNTY, (NOTA SURVEY)
FLORIDA (ABBOTT SQUARE)
CURVE DATA ffll
PROPOSED ELEVATIONS, AND GRADING CURVE RADIUSLENGTH ARC LENCHORD LENGTH CHORD BEARING DELTAANGLE
SHOWN HEREON ARE TAKEN FORM THE E2 0 2996 29,95 S 161 IL06'E 5'21 51 �1
0
02 20,01 0
ENGINEERING PLANS OF FIB 20,01 S 20'393 I'E _1'3166�
j' 0 1 20T11
E C4 `J�E
C2EI '2
S24'14'31'E
'ABBOTT SQUARE RESIDENTIAL', PREPARED Ell,
C26 ET331101,110 3,3500
C',
BY WRA PROVIDED BY CLIENT C27 1 320,00 29,83 29,82
his SITE R(.AN Prepared for and Certified To: Scale: 1 20'
ALL ELEVATIONS REFERENCED
TO NORTH AMERICAN
VERTICAL DATUM OF 1988 HP
(NAND 88)
L07 60
BLOCK I
9
Est W
7 E.'q10
0
D,
IA,
In
cl)
01,
411
60
7,
7 %LE
o,
10,0, -0
TG� -A
T_
A,7,. 06
CA
qA
0
0 .0 0
2" OAK
10.00 PUBLIC UTILITY EASEMENT jP
Z
12.50 (CDD)ACCESS/DRALNAGE EASEMENT C,
C,
LEGEND:
PROPOSED DRAINAGE FLOW
(00,00) a PROPOSED GRADE
E-00T00 EXISTING GRADE 16 (98,32)
NOTES:
CO3 D
LOT GRADING TYPE - 8 LOT 65
PROPOSED PAD ELEVATION = 98,50 BLOCK 1
FRONT SET BACK- 20
SIDE SET BACK = TS LOT = 10980 SO, FT.
SIDE SET BACK (CORNER LOT) = 15 -(97,71) LIVING AREA 2866 _SO. FF
REAR SETBACK - 15 ENTRY SO- FT
GARAGE = 1058 SO, FT,
COVERED LANAI = 374 SO, FT,
PROPOSED: PATIO = NA SO. FT.
MINIMUM FLOOR ELEVATIONS: POOL AREA = NA --SO. FT
LIVING AREA: 99,17' CONC, DRIVE = 822 SO, FT,
GARAGE AREA: A/C & CONIC PAD = 36 _SO. FT.
ELEVATIONS REFERENCED TO SIDEWALK 590 SO, FT,
NORTH AMERICAN VERTICAL SIDE YARD SWALE = NA SO, FT,
CONSERVATION AREA SO. FT,
DATUM OF 1988 LOT OCCUPIED = 54 %
APPARENT FLOOD HAZARD ZONE X COMMUNITY NO, 120235 AREA TO IRRIGATE = 46 aJr
SURVEY ABBR:E:V:A:T:IO:=NS (MAP NUMBER 1270IC-0289-F) EFFECTIVE DATE, 09/26y'2014 —
AJ - ARCLENGT H In! - DEED D—INVERT PC - PONT CV CURVE Fa - LiFCORD LEGEND
A/C AIRCONDITIONER 1) C- DRAINAGE EASEMENT LS-LLCFNCEDBUPATECS PCC
- POINT Or COMPOUNDCURVE - PANKSE VINIRENCE
A'- 1"T"UM 'AN - LANDSCAPE CASEMENT -PERMANENTCONTRO1 POW LING (ON
11, .11 IV � ELEVATION i-E PAP RRS - RAIL ROAD SPIKE
EFE EiAIEIT.CIDIITIDATICIN EOP - EDGE OF PAVEMENT L 4 - LOWEST FT OCR ELEVATION P/F -POO! t OUPMENT ROY - Rol IT OF WAY
'M - SENCI-I'MAIRI
c - FSM T - EASEMENI Is-CfD SURVEYOR PG -PAGE , I
isWO
ODFENCE -
CURVE I.) SD&D-StISDILANDDSK ASPIMJ
C111111.1n, _-FENCECCONER ,MEASUEDD P!EDISTO WERSECTiOu
_M-OUND CONCRETE MFI-o!EREDENEDSECT-OU PK_PA1kFR sk on
ENT[ RI.INEMONUMENT NC,1 - NO CORNER DMIND I PR JOWYLINE SIR - Sri 1, 2"RON ROD LIN 8183 rl TAIN LINK HENCE
�DCL
CM ' -CORRUGATED
E11111 ___
LF—FOUND ONG PIPE O/A - OVERALL OCO Ot BEGINNING TCA - H MPOPARY RENCH MARK
'H OUNDIROGROD 011W-OVE2HEADWIRFIG POC - POINT OF COMMENCEMENT tOB - TO' OF SANK
C ONC-C8NCRFTE FN&D - FOUND NAII & 'DISK OR -0FFfCA
LMFCOR6S POPOCI �NINLINC WE - TOWNEHIP AU-IMINURIIINCE
_cONCRrN-SiAr [CN,_FOUNDOPLNPIPf (11 POC - POINT 01 REVERSE CURVE U E - UTILITY IY EASEMENT 1 .1011.
C/'CST F NT REFERENCE MONUMENT , VF - VINYL FENCE
- CLEAR GGET TRANGI-F
JOB #5808 SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive
— 1.) Current title information on the subject property had not been This certifies t
Date of'Site Plan 8-5-22 ofqre hereon described Tarpon So, ings, Florida
furnished to Initial Point Land Surveying, LLC. at the time of this property i L41 Aq a and Phone (727)-831-1990
"PLAN meets t LC (�KwVllrallclticlo for FiciricaPIS71230agreat. om
DWG AS L 61-64-13 1 OTE SITE !C
2.) This sketch was prepared without the benefit of a title search.
Fee s
No instruments of record reflecting ownershipeasements or 0 4o e,d of Land LB# 8183
e: uFf rd S tr , hrS%h n dj
File were furnished to the undersigned, unless otherwise V5ed
,
Shown hereon.
Drawn by: DIB r r t a i 4,'by3e* ey
1) Roads, walks, and other similar items shown hereon were taken Date 26 k830 ..hocked bi from engineering plans and arc, Subject to sure CS,
4L)T I SITE PLAN does not reflect nor deter OU REVISIOMS I qy I NN
S. This SITE PLAN is subject to matters shown on the Plat of jF Q Sm!"11,12P
ny. mine ownership
'ABBOTT SQUARE PHASE IA'
6.) Dimensions shown hereon are in feet an d decimal portions Jeff M, 0 e
thereof, FLORID RAND
7.) Contractor and owner are to verify all setbacks, building — MAPPER NO, TMAi4ilb1583
dimensions, and layout shown hereon prior to any construction,NOT VALID WITHOUT THE ORIGINAL
and immediately advise Initial Point Land Surveying, LLC, of any SIGNATURE AND SEAL OF A FLORIDA
deviation from information shown hereon. Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC,
Permit No,
Cate Permitted � �
Builder Name/Owner Name Control ##
County Parcel No> �abCiv._
—-
Address/Locationlof
Classification/Tylse .
TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit:
Exempt yes No flow Determined
Impact Fee Amount Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount $ . -j
(057) Mobile Home
(06) Other Residential
(12) 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 ERt1 -
Prepared By Checked By
No O�RTITE �OFOCCUPANY
PERFORMED
SEEM PAID AND y FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
ACKNOWLEDGEMENT BELOW DOES NOT IMPLY ACCEPTANCE OF CONCURRENCE, BUT SIMPLY REECEIPT OF A COPY OF T
FORM, PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAM]
DATE
RECEIPT NO DATE BY