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HomeMy WebLinkAbout22-5452amm EM 4600 W Cypress St 200 TAM A, FL 33607 Phone: (813) 574-5700 City of Zophyrhills 5335 Eighth Street Zephyrhills, FL 33542 BNR-005452-2022 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 01/10/2023 M -F —ermff typ—w. Xunoing now (KeTiTe-57i7af Class of Work: SFR Construct Building Valuation: $312,600,00 Electrical Valuation: $46�890,00 Mechanical Valuation: $21,882.00 Plumbing Valuation: $31,260.00 Total Valuation: $412,632.00 Total Fees: $20,13637 Amount Paid: $20136.77 Date Paid: 1/11/2023 7:24:19AM SQ FT ****"**AS Contractor: LENNAR HOMES LLC t� .......... . Lon '3/4 Water Meter Fee (Cale) $732,71 Building Permit Fee $1,603,00 Water Connection Residential Fee $1,010.00 Electrical Plan Review Fee $0,00 Transportation Impact Fee - City $3632 Public Safety Impact Fee -Admin $26.35 "Plumbing Plan Review Fee $0,00 Plumbing Permit Fee $196.30 'Driveway Fee $45,00 Electrical Permit Fee $274,45 SIF I percent Fee $8128 Park Impact Fee - Single Family/Townhome $769,56 Mechanical Permit Fee $149.41 Public Safety Impact Fee -Police 25400 Building Plan Review Fee $18000 Mechanical Plan Review Fee WOO Transportation Impact Fee $3,595.68 Sewer Connection Residential Fee $2,0K00 Address Fee $30.00 Irrigation 3/4 Meter (Cale) $732.71 School Impact Fe Single Family $8,32800 LLAIS 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting 908 770 __ 77Ei3 —"I",_ Owners Name CAL HEARTHSTONE LOT OPTION POOL 03 L P pwnor phone Number 813 -�"..574.5700 Owner's Address 23975 Park Sorrento Ste. 220, Calabasas, CA 91302 Owner Phone Number Fee Simple Titleholder Name TtA Owner Phone Number Fee Simple Titleholder Address N/A JOB ADDRESS 3E?488 Carden WaII Way LOT# C}718 SUBDIVISION Abbott Square PARCEL ID# Q�4-26-1-®15(3-OO7Q0-Q18® (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR F__1 ADD/ALT INSTALL REPAIR SIGN DEMOLISH PROPOSED USE V r U SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL DESCRIPTION OF WORK Single Fa Wily Residence /Pool 1 Sereen Enclosure J Fence U/R SP �OJ 2 BUILDING SIZE SO FOOTAGE HEIGHT 4 !BUILDING $ 3126QQ VALUATION OF TOTAL CONSTRUCTION �� tELECTRICAL __e-.__._.._...... . $&39 PROGRESS ENERGY W.R.E.C. AMP SERVICE }q—���r t � YPLUMBING 9A«( �j $ 31260 g Sc rl, 9YMECHANICAL 5 °=GAS $ 2183�_ VALUATION OF MECHANICAL INSTALLATION 0 ROOFING SPECIALTY = OTHER FINISHED FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA r p gYES DO LcnnarIlornes LLC BUILDER � COMPANY.. SIGNATURE A REGISTERED YIN FEE GURREF Y 1 N Address 4301 W Boy Seo Blvd Suit 609,,Tampa, FL 33609 License # t GC1518166 ,r ---------------------- t ELECTRICIAN 9" COMPANY EdmonSOn Electric, Inc. SIGNATURE REGISTERED Y/ N FEE CURRE6 Y I N Address ��r+ EC13005408� ,r" �^ License # PLUMBER coMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE y REGISTERED Y/ N FEE CURREN Y I N Address a License# GFCOA2998 (MECHANICAL tt COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y 1 NN_J FEE CURREN Y / N TT� Address License # CAC05$062 OTHER L::::= COMPANY C Sterling Quality Roofing, Inc SIGNATURE REGISTERED Y / N FEE GURREt\ Y / N Address License # CCG057991 IitI6BI1B11i1B16i't�GB11�1(Ili9fi19BB111I�81I111111�1OBI�9�9f18�IBti RESIDENTIAL Attach (2) Plot PlaI(2) sets of Building Plans; (1) set of Energy Farms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date_ Required onsite, Construction Plans, Stonmwater 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. FLO-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: o Fill out application completely. Owner & Contractor sign back of application, notarized If over $2600, a Notice of Commencement is required. (AIC 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 011111110 Ilia I I I owl 111.401ANNIM County. • • TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department • 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, I guyi I Zito ATITJ 11"310114 1 Ji I =-101TAM & mu w2oxim 11 rag.-101 %1411 16W 1 W10142 W111 1A 411 ORLOX01 Z2 MA I MMUM M0,011 01 0 OWNER OR AGENT Subscribed and sworn a (or affirmed) before me 1-11-2 by Christopher Smith as identification. ..... ......... Notary Public Commission No, GG 296057 Subscribed and sworn to (or affirmed) before me this IoQ7,2M by Christopher Smith Vdha islare personally known to me or has/have produced as identification. A --Notary Public Commission No, GG 296057 Stephanie Farmer Stephanie Farmer Name Name of N *GO 29W E*MSF0JXUA1 1115, 20 E*M Febmily 15, ev 'Q�MV low TWTaqF**X""S*WT#i0 low fil"Im F*%owom OWW70119 0- - 00 71)n- 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 2nd Avenue Gainesville, Fl, 32601 Phone: 813-391-2959 Email: qWLI k'%�Lqqarn Ireviewassist,co .t—.—,— Project: New SFR Address(s): 36488 Garden Wall Way 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 I ���Nlvllilvm 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 Ir orrect to the best of his/her knowledge or belief. Yr�CA\ — J '9 Signature ofNotaiy ' ' 0 Print Name Notary Public: NOTARY STAMP BELOW My commission expires: Yi Anp LUcERO KING m WCOMMISSION#H143i0 EXpq*V. JuW 2,20 \/-R/\ VIRTUAL REVIEW ASSIST Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 36� iARid i6N VV�LL VVAY Parcel 'fax II): 04.®26-21-150m700 1 80 Services to be provided: flans 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 Finn: VIRTUAL REVIEWA�IT INC. Private provider: UEBI A ANNE KLANI Address: 747 SW 2 D AVENUE ® SUITES 170 301 357 353 AINE VILLE FL. 32601 Telephone: 613-376-3038 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 performs 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 rely 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 aria 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: I . 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 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. Corporation —LENNAR HQME,' LLC Print Corporation Name By::;� (signature) Print Name:Shnstopher Sryfth its: Authorize Agent Address:17Q0Q 11NMWLIDY!b_Avg Miami FL 33172 Telephone No. 813-574-5700 Corporation Before me, this 22ND day of MAY _,2o2_2 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. WE= (signature) Print Name-, Its: Address: M Partnership Beforeme,thus day Of 20— personally appeared partner/agent on behalf of a partnership, who executed the foregoing instrument and acknowledged before me that same Personally known X ; or Produced identi cation_ Type of identification produced Signature ofNotau Print Name _ASHLEE CALLAHAN.. Notary Public Stamp: 4SHLEE CALLAHAN pubtic? State of Fiarida Commission Expires: GG 244456 NOVEMBER 30,2022 W-Co M t tiont" Notary Ain . . ......... I—COMMERCLA-L BUILDING SERVICES DIVISION a.VIRESIDENTIAL BUILDING PERMIT DATA SHEET FIRE MARSHAL #01 - I DATE: 10/28/2022 EXAMINER: -bebra Klahr PX230( — --------- - ----- - - — WBuilding r-',4PIumbing V Mechanical WElectrical Arm) [:]I�Lspection Only E]In ection OnI Inspection On�� El InVection nly Lj Medical Gas El Fire Sprinklers El On Site Piping Ej Irrigation E] Potable Backilow Assembly ine Backflow Preventer Fire LII i Irrigation Backilow Assembly 1"Im MIT El Walk-in Cooler a II El Refrigeration D Fence/Wall ElGrease Trap ffnfflum_ Type Construction: Occupancy Load _ n Classification: O acy a tory F c Assembly Day Care/Educational Hazardous 'institutional E== nmercantile Residential Storage Building Use: -5ingle Family Alteration [E],-- Level 2 —Level I Level 3 VNew Construction El Interior Finish E] Interior Remodel E] Exterior Remodel Addition E] Revision Overall Size: Number of Stories: Total Sq. Ft.: 25 x 62 2 2605 Living Area: Covered Area: # of Bedrooms: 4 2073 532 # of Baths: 2.5 Cost per square foot: Estimated Value: Roo e: Shing e e ❑ Built-u Metal Other Squares: Zoning: —❑T Wirdborne Debris: DInside V,Outside —7 Energy Code: 405-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic V7ent�s?Q" Yes 0 V111 Sq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: Total Sq. In, Permanent Openings Central A/C Heat Pump WindowA/C Win El Gas A/C _dow ®Gas Heat Heat On Site Piping Sanity Storm Sewer Catch Basins Potable Water Underground Fire Line Setbacks Front Rear Left Right Ej Asper Approved Site Plan Comments: ","I, "Wa '? DESCRIPTION. LOT 18, BLOCK 7, ABBOTT SQUARE PHASE 18, SITE PLAN SEC, 4, TWP.. 26 S, RING 21 E. ACCORDING TO THE PLAT THEREOF, RECORDED 1N PLAT BOOK 89, PASCO COUNTY, FLORIDA PAGES 57-62, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA (NOT A SURVEY) [ABBOTT SOUARE) ALL ELEVATIONS REFERENCED _ PROPOSED ELEVATIONS AND GRADING ,his SITE PLAN 1�repared for and Certified To: Lennar Homes TO NORTH AMERICAN 1 VERTICAL DATUM OF 1988 SHOWN HEREON ARE TAKEN FORM THE (NAVD 88).. ENGINEERING PLANS OF __._ .._._....w..___._ 'ABBOTT SQUARE RESIDENTIAL", PREPARED CURVE DATA (P) BY"WRA" PROVIDED BY CLIENT I —w _,_,_„_„_ _�_u___...._.� ..._ CURVE RADIUS ARC LENGTH CHORD LENGTH CHORD BEARING DELTA ANGLE DEC ---- ---- �J C69 15,00' (P 23.56' P) 21.21' P N 45') 1'56" W P 90'00'00" C70 875.00'P' 21.65'P 2➢.GS' P S00°54'28"E P 1°25'03" Scale, 1 = 20 LOT - 5741 SO, FT. LIVING AREA = 9_ S(, FT. PORCH =.32_ _SO_FT, GARAGE = 39(z_SC.FT. COVERED LANAI = 104 SO, FT. PATIO =Nrf — SO, FT, POOL AREA =_SO. FT. CONC. DRIVE 3Q 50. FT. A/C & CONC PAD = �SO. FT, SIDEWALK =G1SO.FT, LOT SOD = N,A ..�SO. FT. R/W SOD = NSA SO. FT. LOT OCCUPIED -3-3 sk AREA TO IRRIGATE ��7 _ % j = 2" OAK 10.00PUBLIC UTILITY EASEMENT LEGEND: _--" = PROPOSED DRAINAGE FLOW (00.00) = PROPOSED GRADE E-00.00 = EXISTING GRADE NOTES: LOT GRADING TYPE =B PROPOSED PAD ELEVATION 104.80 FRONT SET BACK = 20' SIDE SET BACK � T 5 SIDE SET BACK (CORNER LOT; - 10' REAR SETBACK= 15' PROPOSED: MINIMUM FLOOR ELEVATIONS_ LIVING AREA: 105.47' GARAGE AREA: ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 (CDD) RIGHT-OF-WAY TRACT "A" GARDEN WALL WAY N 89-48'04" E JP) BASIS OF BEARING 5' CONC WALK N 84 48'04 E(P) 37/ z LOT 17 BLOCK 7 FS 8 y b0\' \�� i� t b ENTRY 5.7' PROPOSED 2 STORY RESIDENCE PLAN 2074 ELEV'A' GARAGE LOT 18 w BLOCK 7 0 12.0' 3 2'X3.2' C/S-A/C I w pb\` ixs `p6 3 CONC WALK a N I �' 1 � w } 22 2 201, i I n o, I i N89'48'04-E(P) 52.88'(P) q��i\ TRACT "B-6" \ (Coo) ACCESS/DRAINAGE/ LANDSCAPE/ WALL MAINTENANCE AND FENCE AREA; OPENSPACE (P) APPARENT FLOOD HAZARD ZONE: 'X" COMMUNITY NO. 120235 SURVEY ABBREVATONS (MAP NUMBER 12101-C-0289-F; EFFECTIVE DATE: 09/26/2014 AI=ARc ENGT S Ds:ED NV INV r PC"IOINIOF CURVE FBI -RECORD LEGEND AC-AiRCO*tD-T ER DE DRArNA6F EASEMENT LB UCENSDBURNESS PCC OIN'OF COMPOUND CURVE REG-"RANEE ��� ��I-Vt_N�,YL FIN,1C^Ct�,, ,� ,, A - ALUM NJM tv E. E -1>V !! VApON E"tANLSCAPE EASEAhEN iCP P 2MANENTCON'_120�'QM 2.5-RAi IQAD S.°t(<[ �'> Ct`^�=CON` u 'tJ' @ - OR ME _DOD �t x'/AT10N f0 EDCt OF PAVEMEN LOWEST FLOOREIFVA Do ICE^ POCA, EOL-rPMENT RIVI-RCN 1 OF WAY M .NCEI MARK ISMT-EASEMENT 5-LICENSED SURVEYOR 6- PACE S c.=S; TIO'�. W CID HENCE Cl - G A ED CFENCE CORNER II -MEASURED 11 -PON -< O .NTERSECTION SN&DS T NA _ANiND K CMi FUUNDCONCRETE &1,_S-M E2 D ND SECTION PLR AIAIK RIALON LaF8183 E iR W U MON }M; NI NCE- NO CORN R FOUND R PROPERTY LINE SIT SET I t? 11 )N 1i1p @u 8,&3 C rvAiN °INK EENYE =CtUi N-N'C FENCE -FOUND iRONDPIE OA-OVERA F'08 ONTOF 9EGINN(NG T@Mt=TEMPORARY WONC6 MARK �a9RC;C (RI, -CORRUGATED META r ,ipm FOUND IRON ROD OHW- OVERHEAD WIRNISI POC ION: Or <.OMMENCTMENT IO@ ''OP Of BANK CO-COLJlv1N , _ OL ON�ONLINE .WP-TOWNSHIP A UMNUM FENCE CONE=CONCR IE N&D-FOUND' IN PED DISK (Pi OFF:CIAI.. ReCORt)S I -'-''� CL4-COSDM--B OPW`'OC1MLOE:N {'IRE (Pi FLAT PRC It5gMANENT E2Sc ENCE VF-L/ eYEASt"R1ENT 1 ?<" I�COVERED __„ �` _, CST-CLEARSIGHTTRWNGLE hPF �.EOUNO INCNEiJ @=PtAT BOOK ?RM IL4MANENT 4LFPRENCE MONUMENT VE-VINYL It NCF Lam! JOB #5814 SURVEYOR'S ROTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive. . 1.) Current title information on the subject property had not been This certifies ih e hereon described Tarpon Springs, Florida Date of Site Plan: 8-8-22 q�4"Qi� P furnished to Initial Point Land Surveying, LLC at the time of this Property w�y3Y?aSl€ upg5'r�e�Verviston and Phone: (727)-831-1990 SITE PLAN r�j�5` S$'`^' UWOnsPH 18_183,7-SITE meetst c % %ractice for FloridaPLS7123@gmaitcom 2.) Tha sketch was prepared without the benefit DID title search. Surveys frS`r g F rd of Land LEE 8183 No instruments of record reflecting ownership, easements or Sury rs t t Tro° =Ile: rights of -way were furnished to the undersigned, unless otherwise 3, ! Ida Ad i, 1 V ned hown s, walk t tlon 4'3A2 ley Drawn by: DNB 3, Roads, walks, and other similar items shown hereon were faker, Y StatS hacked by:JH from engineering plans and are subject to survey. C}d E �8,30 4.) This SITE PLAN does not reflect nor determine ownership. p) 1 `iF �� sL �T 1R* 2EVISFORS ti,.> sLr 5.) This SITE PLAN Is subject to matters shown on the Plot of s� ti.OR} s ->� '�i�1 Ll SuA `T 'ABBOTT SQUARE PHASE 18' Jeff NO. 8,) Dimensions shown hereon are in feet and decimal Portions PLOs4t t�� 'R ORANDthereof.MAPka3j 1 3 7.) Contractor and owner are to verify ail setbacks, building' 4� 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, ETC. at user s sole risk. Y g' :102.20 FAL):l 4JUl l I 105.00 104.9$ 5 4 3 2 1; ly n r` <v 104.86 c� ca SILT FENCE' - PHASE 11 P�i sE I O LPA.W% #% .O Gi 8 7" 5 4 3 2 (PEW TYPE'B' 101.27 FF:103.77 ° }:100.60 ' PA[ :203.10 y. 0 21 20 19 18 f 1% 2 21 20 19 18 TYPE "B' r m FF.107.27 a 105.95 ;,,., PAD:106.60 f 105.83 Ln N Cif 3 O 1� 6 15 14 13 12 ill c TYPE 'B' FF:109.27 ko PAD:108.60 Y p{p d 00 r1 0 - 36' -18" RCP @ 1.40% P @ 1.84% SD7-29 m00 --«> m -----�.�,-----,�------,,,�-----,,,�-------m ems- tri`----�D 67 fT O O ® O C7 C7 O d C3 { e, � 00 24' - 18" RCP @ 0.30% TYPE'B' TYPE B 11TYPEW ITYPEWTYPE B TYPE B TYPE "B' FF:101.67 F:102.27 F:102.97 F:103.77JIFF:104.47F:105.17 F:105.97 F:106.67 F:107.37 FF:107.37 FF:105:47 PAD:101.00 D:101.60D:102.30INAD:103.10 D:103.80lerAD:104.501 119ADA0530 D:106.00I@AD:106.7 AD:106.701 PAD:104.80 8 u 9. o, 10 cv 22 cQ L 13 14 sro 15 a 16 m 17 ca i80? dQq • I-P c� o 0 o c> I � 99.83 100.56 101.30 102.03 102.77::�103.50 104.24 104.98 105.71 106.45 105.42--109.09 I----- ----- �-j Permit No. Date Permitted 12-- -7 2-- Builder Nar POwner Name Control County Parcel No. Address/Location Classification/Type of Use TRANSPORTATION IMPACT FEE Rate; Sq, Ft unit. Exempt 0 Yes El No How Determined Impact Fee Amount c Zone No, Te SCHOOL IMPACT FEE � Account (56) Single -Family Detached louse Amount (7) Mobile dome (C S) Other Residential (123) Collection Fee Exempt ED Yes No How Determined - PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Total Zone Amount Exempt =Yes _= No Flow Determined LIBRARY FEE Land Account Laird Credit Land Taal Facility Account Facility Credit Facility Total Exempt EDYes No How Determined_"fatal Amount RESOURCE FEE ERU Total Amount Prepared By Checked By N40 CERTIF=CAE OF =CCUPANY �WWL BE �ISSUED OR FINAt INSPECTION PERFORMED UNTH. THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERNIFFONG 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 SCEIPT NO BATE BY