HomeMy WebLinkAbout22-54314� � i� 1 iW� 1 7�p A ik f SuUy(i�� I i01
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Issue Date: 12/2812022
Mon
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Plumbing Valuation: $25,776.00
Total Valuation: 0,
LAmount Paid: $113,8180�37
Total Fees: $13,880.37
•
Driveway Fee $4500 Transportation Impact Fee $3,44520
Transportation Impact Fee - City $34.80 Park Impact Fee - Single Family/Townhome
$769.56
Address Fee $30.00 Fire Wall/Smoke Wall Inspection t
,Public Safety Impact Fee 1+. Permit
SchoolO
ConnectionPublic Safety Impact Fee -Police $254.00 Building Plan Review Fee $1K00
Electrical Plan Review Fee $000 Sewer Residential Fee $2,090.00
Electrical Permit Fee $233.32 Water Connection Residential Fee M
Connection,3/4 Water Meter Residential k
additionPlumbing Valuation Fee $0.00
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 additional
foundmay be ! of this county, and there may be additional
agenciesentities such as water management, state
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lander or an attorney
before recording your notice of commencement."
Complete pleas, Specifications add fee Must Accompany Application. All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
C.O.NO OCCUPANCY BEFORE
C TOR IGNATURE PE IT OFFICE
PERMIT EXPIRES IN i' MONTHS WITHOUT APPROVED INSPECTION
PROTECTCALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
CARD FROM WEATH++
s13-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date ReceivedPhoneContact for Permitting 908 ) 770 7763
Owner's Name GAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813.5745700
Owner's Address 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number _
Fee Simple Titleholder Address NSA
JOB ADDRESS 7022 Ripple Pond Loop LOT A062
SUBDIVISION Abbott Square PARCEL ID# 04_26_21 _0140_00100_0620
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED li,p it NEW CONSTR ( ADD/ALT SIGN DEMOLISH
INSTALL u REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK Multi- family / Screen Enclosure / Fence
TJ,�x s 2148 1666 26'
BUILDING SIZE SO FOOTAGE HEIGHT
°^r.�°r'�*°v^�^msl^�r�-rrr�rv�°�„°°e^^Irv°°r-~tee®�r�°r�am1�1r±�^w°e�
r-,BUILDING $ 257760 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ PROGRESS ENERGY W.R.E.C,
38664
t AMP SERVICE
PLUMBING $ 25776 '��
II.f EMECHANICAL $ 8Q43 2 I VALUATION OF MECHANICAL INSTALLATION
GAS 10 J ROOFING = SPECIALTY = OTHER I —I
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES ( NO
7 Lennar I Iomes, �F.ICUIIREN��
BUILDER . COM
PANYSIGNATURE REGISTEREDY I N
4301 W Bog .'9 ut B]inte 600'I Tampa, FL 33607 CCrC 1518166
Address License #
ELECTRICIAN COMPANY Edmonson Electric, Inc.
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License# �EG13QQ5408
F
PLUMBER ^- --T COMPANY Bayonet Plumbing, Heating c� AC, Inc
SIGNATURE r REGISTERED Y I N FEE CURREE Y I N
Address License # GFG042998
MECHANICAL COMPANY Bayonet Plumbing, Heating AC, Inc
SIGNATURE REGISTERED Y 1 N FEE CURREE �Y /
Address ,/. License # GAGQ58Q62�
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y) N FEE CURREE Y / N _....�
Address License # GCGQ57991
IIIIIIIII......... IIIIIIIIIIIIIIIIIIII111IIIIIIBIIIIII111IIIIIII
RESIDENTIAL Attach (2) Plot Plans; (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 onslte, 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. (A1C 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 IMPACTUTILITIES 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'S/OWNER'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 `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 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.
-!Rg
mmil gres LTA mjm 101;J 11711 W -,[*J'FJA JTJ 1:4XV & 0! , 01r,111i; in! lumig"li A
ZRON,"#
OWNER OR AGENT —_ , -ZZ= CONTRACTOR
Subscribed and sworn fd (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this
10126,'2022 by Christopher Smith 21121nj,22 by
Wha istare personally known to me orb Who is/are personalll known to me or has/have produced
as identification. as identification.
3�
2-5
Notary Public- &----Notary Public
Commission No, GG 296057 Commission No. GG 296057
Stephanie Farmer Stephanie Farmer
Name Name of N
4.W Tt. Tmy I* W.." W"W14's
A
A
VR/\
VIRTUAL REVIEW ASSIST
Private Provider
Plan Compliance Affidavit
Gainesville, FL 32601
Phone: 813-391-2959
Email: LucyL&yLi alreviewassist.com
- rllL---
Project: New SFT
MM•
and holds the appropriate license or certificate:
Name: Debra Anne Klahr
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300
Signature of Reviewer:
SWORN AND SUBSCRIBED before y Debra Anne Klahr
being personally known to me or having produced as identification
and who being fully sworn and cautioned, state that the
foregoing is tru orrect to the best of his/her knowledge or belief.
NIL(
Signature of d Print Name
\/R/\
VIR1 Lj�,L REVIEW ASSISI
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: Di D
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.
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 Firm: VIRTUAL REVIEW A
Private Provider: DEBRAANNEKLAHR
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 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 pen -nit 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, envirormental or other codes,
2. Proof of insurance for professional and comprehensive liability in.the, amount of $1 million per
oc,currence 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.
STATE OF FLORIDA
Individual
B efore 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.
Print Coiporation Name
(signature)
print
Name: Christo her Smith
its: Authorize en
141-Iff 1201111"At'Iffil
EvIlIZ1221mamm M
Telephone
No. 813-574-5700
Corpoe ration
Beforme, thi" 22ND day of
MAY 2,o_22,
personally appeared
Of
Lennar,Homes LLC
aPM p
AY eared
0 0 22
f
HoMeS LLC
corporation, on
1 11
- ho
behalf of the state corporation, who
executed the foregoing instrument an
u
646
-&4Kw4i.
executed for the purposes therein
expressed.
L13HEM
Print Partnership Name
M
(signature)
Print
Name:
Its:
Address:
mmm
Partnership
Before me, this —day
of 20_,
persbnally 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.
Personally known IX; or LProduced identi cation—_ Type of identification produced
Signature of Notar Print Name ASHLEE CALLA AN
NotaryPublic Stamp:
ASHLEECALLMAN
Pft - D1 Fl
commission Expires:
COMIS*S10r, # 0Stott� 24406OtidA
NOVEMBER 30,2022
Expir'es Nov 10,
ibroush NationM Notary A#!�
v
F-COMMERCIAL BUILDING SERVICES DIVISION VAESIDENTIAL
BUILDING PERMIT DATA SHEET
TRACKING #
FIRE MARSHAL #01 -
WBuilding
j
ng
Mechanical
71Pt
WElectrical Amp
El In'sDeCtion Only
Ins ection On
tion Onif
EJ Medical Gas
E] Fire Sprinlders
On Site Piping
El Fire Alarm
El Potable Backflow Assembly
Fire Line Backflow Preventer
Irrigation Backflow Assembly
ooler
El ReIII frigeration
Ansul
%,
El Grease Trap
L] Other
F.Inff 9417'r-217M.
T e Construction: V-B
Risk Category:
Occupancy Load
Cla s
Classification:
.... cy E=
OW,,"Fac tory
Assembly E=
Hazardous E=
'Storage
Business Day Care/Educational
nal ❑Mercantile
E=
Residential
E=
Building Use: Sinale Family townhouse
t
Alteration [Level 1 Level 2 Level 3
VNew Construction El Interior Finish
Interior Remodel
Exterior Remodel El Addition El Revision
Overall Size:
Number of Stories:
Total Sq. Ft.:
20 x 58
2
2148
Living Area:
Covered Area:
# of Bedrooms: 3
1666
482
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof T e: Shin le
El Built-up
El Metaliner Squares: 17
Zoning:
Energy Code: 405-2020
Outside
Flood Zone: Xelevation:
Hydrostatic vents? Ell—
# of Vents:
Size of Vents:
Total Sq. In. Permanent openings
10 Central A/C
0 Heat Pump
El Window A/C
El Gas A/C
0 Gas Heat
®Electric; He�at..�
On Site Piping
Santa Sewer Storm Sewer Catch Basins
Potable Water Underground Fire Line
Setbacks
Front Rear Left Right
El Asper Approved Site Plan
Comments:
DESCRIPTION: LOTS 61-64, BLOCK i, ABBOTT SQUARE PHASE IA, SITE PLAN SEC. 1 1, 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)
P ROPOS -ED ELEVATIONS AND GRADING
SHOWN HEREON ARE TAKEN FORM THE
ENGINEERING PLANS OF
"ABBOTT SQUARE RESIDENTIAL, PREPARED
BY "WRA" PROVIDED BY CLIENT
his SITE PLAN Prepared for and Certif ed To:
Lennar Homes
C3 = 2" OAK
10,00PUBLIC UTILITY EASEMENT ,m
1 Z.50' (CDD) ACCESSJDRAINAGE EASEMENT
�- PROPOSED DRAINAGE FLOW
(00.00) = PROPOSED GRADE
E-00.00 = EXISTING GRADE
NOTES:
LOTGRADING TYPE = B
PROPOSED PAD ELEVATION - 98.50-
FRONT SET BACK - 20'
SIDE SETBACK-- Z5'
SIDE SET BACK (CORNER LOT) =15'
PROPOSED:
MINIMUM FLOOR ELEVATIONS:
LIVING AREA: 99.17'
GARAGE AREA:
ELEVATIONS REFERENCED TO
NORTH AMERICAN VERTICAL
DATUM OF 1988
SURVEYABBREVATIONS
AI-ARCODIGTH I) -DE,`
AC- A. R CONDITIONER F DRAVAG EAS:MENT
A -AL011N JNIrNC,`.' EL OR ELEV VA,ION
PrI =3 IOt7JE1EVATON TOP EDG OF PAV.MENt
BM BFWLT MARK ESMT -EASEME N`
C CURVE r C FENCE CORNER
tCl CAICIILM1 LD F(M-FOUND CONCRETE
4CENTERLINE, MONUMENT
CIF ..ANLhK "NCE I-P=FOUND IRON Pip,
CMi -CORRUGAT EL ME,`AL, 0R � 7.Oli ND!RON ROD
4CL=CO.LMN FNFD-FOUND NAT&DICK
Ct cr,, CONCRF£E or
_ F ND OPEN F)PE
US '-Ts AnBnr„_� FPP e FOUND 1PNCHED PIPE
CURVE ETA tP
CURVE
RADIUS
1 ARC LENGTH CHORD LENGTH'!
CHORD BEARING
DELTAANGLE
C24
320.00'
29.96'
29.SEE
Sib'i i`Ob'E
3200000'
20°391""C2G
;,�`21'St"25
3Z0.00'
Z0.01'
20.01'
524't4'31"E3500"
C27
320.OD'
2283'
29.62'
S28-42'IS`E
5°20'28"
Scale; 1 = 20
APPARENT FLOOD HAZARD ZONE: 'X' COMMUNITY NO. 120235
(MAP NUMBER 12101C-0289-F) EFFECTIVE DATE: 09/26/2014
LOT
LIVING AREA
ENTRY
GARAGE
COVERED LANAI
PATIO
FOOL AREA
CONIC DRIVE
A/C & CONC PAD
SIDEWALK
SIDE YARD SWALE
CONSERVATION AREA
LOT OCCUPIED
AREA TO IRRIGATE
10980 SO, FT.
_: 286G SO. FT,
220 SO. FT.
= 1058 SO. FT.
= 374 SO, FT.
= NA SQ FT.
= NA _SQ. FT.
= 822 SO. FT.
= 36 SO. FT.
590 SO, FT.
NA _SQ. FT.
NA SO. FT.
54 %
46 %
NV - INVERT
PC, PONTO CURVE
W RECORD
Lt:01111-1
VNYL FENCE
B -UC NS D4USNt Ci
_- LANDSCAtE EASEMENT
FCC POINT OF COMPOUND CURVE
PCP F R\9RPEV7 CONTROL POINT
M,1D a RANGE
RRS^2A .DAD SPIKE
t CON,
= LOWFSTt OO[ E VAT(
IN P/E 00, EOt�1PMLNT
'PER/ RICH OE WAY
C- LICENSEDSURVEYOR
RAI- MEASURED
PGn AGE
PI- FODP OF IMERSECTON
SEC=$EC I.ON
SN&D - SET NAL AND DISK
+ALii IALT
WOOD FENCE
\ — \ —
MO, -= MITERED END SECTION
OCT-NO CORNtR'OUND
RK PARKER KAI ON
k ROPLRIYLINE
L44Ei 183
CIS - SE "UON'ROD A4AIR3
Ct IAINI NX Fc NC E
C,A-OVERALLPCO
POINT O1 }EGINNNG
TBM-i M ORai, JENC.i MA.".K
"BRICK
01E.- OVERHEAD WIRE(S)
ROC POINT CIL COMM NCi Mf'Nr
OC-IO OFBANK
RECOi20S
ON LINE
WNSILW
TWP � TUTY
A UMIN\\ M FENCE
(Ill - POATGIA..
1'H-REAL BOOK
PRC. PO NT OF REVFFPE CURVE
PRM- "ERMANENT REFERENCE MONUMENT
UT- ULPOINT
EASEMEN"!
VF - VINYL FENCE
COVERED
—
JOB #5808
SURVEYOR'S NOTES:
t_) Current title information on the subject property had not been
Date of Site Plan: 8-Tr22
furnished to Initial Point Land Surveying LLC, at the time of this
DWGA4L61 6a Bt SUE
SITE PLAN
2.) This sketch was prepared without the benefit of a title search.
No instruments of record reflecting ownership, easements or
File:
nghts-of-way were furnished to the undersigned, unless otherwise
shown hereon.
3,) Roads, walks, and other similar items shown hereon were taker
Drawn by DUE
Checked by:JH
from engineering plans and are subject to survey.
4,) This SITE PLAN does not reflect nor determine ownership.
REVISIONS
6,) Th[s SITE PLAN is subject to matters shown on the Plat of
'ABBOTT SQUARE PHASE IA'
6.) Dimensions shown hereon are in feet and decimal portions
thereof.
7.) Contractor and ownerare to verify all setbacks, building
chrneneons, and layout shown hereon prior to any conshuction,
and immediately advise Initial Point Land Surveying, LLC, of any
deviation from information shown hereon. Failure to do so will be
at user's sole risk.
This certifies
Property V-0
meets t
SUrVe as
S N
S Fi
St,
.tell M 7E
FLORIDA
MAPPER NO:
FI6'N7 E ', 708 Water Oak Drive
hereon described Tarpon Springs, Florida
XpW15ion and Phone: (727)-831-1990
a t4jOractice for FlondaPLS7123,49mail,com
eh %P d of Land L841 8183 s
AND
NOT VALID WITHOUT THE ORIGINAL
SIGNATURE AND SEAL OF A FLORIDA
LICENSED SURVEYOR AND MAPPER
UY,Y41
10
II
Initial Point Land Surveying, LLC.
Permit o._ �
Date Permitted 7 ,Z _
Control
SubDiv,
Classification/Type of Use 2 /
TRANSPORTATION IMPACT FEE Rate Sq. Ft Unite �t
Exempt 0 Yes 0 No How Determined
Impact Fee Amount ay Zone No. TAZ:
SCHOOL IMPACT FEE
Account (oS) Single -Family Detached House Amount $
(OS7) Mobile Home
(058) Other Residential
(23) Collection Fee
Exempt ED 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 Ploy Determined
L113RARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt =Yes No How Determined Total Amount
RESOURCE FEE ERLI
Checked By
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
GATE
RECEIPT NO DATE BY