HomeMy WebLinkAbout23-603126 210160 02500 0300
Im
Address: 4301 W Boy scout Blvd 600
TAMPA, FL 33607
Phone:
Electrical Plan Review Fee
Sewer Connection Residential Fee
Driveway Fee
Building Plan Review Fee
Plumbing Permit Fee
Electrical hermit Fee
Building Permit Fee
Mechanical Plan Review Fee
Public Safety Impact Fee -Police
Park Impact Fee - Single Family/Townhome
City of i } l
5335 Eighth Street t
ephyrtll, FL. 352
Phone: (31) 30-0020
Fax: ( 13) 0-0021 Issuegate: 04/251"{i23
Kermit Type: Building New (Residential)
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: $20,701,19
Amount Paid: $20,701.19
Coate Paid: 4/25/2023 8:55:25AM
Contractor: LENNAR HOMES LL
$2635 Water Connection Residential Fee
$1,140.00
$0.00 SIF 1 percent Fee
$83.28
$2,400.00 Transportation Impact Fee - City
$36,32
$46.00 School Impact Fee - Single Family
$8,328,00
$180.00 Irrigation 3f4 Meter (Cale)
$794.92
$196.30 Mechanical Permit Fee
$149.41
$274.45 314 Water Meter Fee (Cale)
$794.32
$1,603.00 Address Fee
$30.00
$0.00 Plumbing Plan Review Fee
$0,00
$254.00 Transportation Impact Fee
$3,595.68
$769.56
1
a + �
entities such as water management, state agencies or federal agencies,
before recording your notice f commencement."
Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
i ����C�ONTRAC/TOR
SIGNATURE qPE C;FE#CE
PERMIT EXPIRES
, f MONTHS WITHOUT l INSPECTION
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Owner's Address 1 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address L, /—A
JOB ADDRESS 6338 Back Forty Loop LOT # 2530
SUBDIVISION Abboft SCtUarePARCEL to# [0::4:-:2:6:-:2::':-::O::1:6:0:-::O::2500-�0300��j
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR F—] ADDYALT SIGN 0 DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION 0 BLOCK FRAME STEEL
DESCRIPTION OF WORK Single Family Residence / Pool / Screen Enclosure / Fence
BUILDING SIZE U1R SF® So FOOTAGE �073HEIGHT
IPA
BUILDING r312600 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
1 46890
PROGRESS W.R.E.C.
AMP SERVICE
PLUMBING
I$ 31260
MECHANICAL
1 $ 21882
VALUATION OF MECHANICAL INSTALLATION
GAS 10 ROOFING
0 SPECIALTY =
OTHER
FINISHED FLOOR ELEVATIONS
I
FLOOD ZONE AREA 0 YES Do
BUILDER
COMPANY
Lennar Homes, LLC
SIGNATURE
;Scout
REGISTERED
er
Address 301KW Boy B];vdSuite 600 Tampa, F1, 33607
License# [ CGC1518166
ELECTRICIAN
COMPANY
COMPANY
[�E Cl �mo n s o �nE I e ct ri �C,l n c.���
SIGNATURE
REGISTERED
Y/ N FEE CURREN Y/N
Address
License# C0�13005408��
PLUMBER
COMPANY
Bayonet Plumbing, Heating & AC, Inc
SIGNATURE
7
REGISTERED
Address
License
MECHANICAL
APANY !Bayonet
COMPANY
BayonetPlumbing, Heating & AC, Inc
SIGNATURE
REGISTERED
/ FEE CURREN Y/N
Address
License#
OTHER
COMPANY
EC Sterling duality Roofing, Inc
C
SIGNATURE
REGISTERED
Y/ N FEE CURREN Y N3_�
[C:G:C:0:57:9:9:1:=
Address
Lcense#
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, Stermwater 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 & I dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500)
.. Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSEDCONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
carntractors 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'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 t , a 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
?0 {or
affirmed) before me this
211-111 by -Christopher Smith
Who islare personally known to me or-has{baue produced
as identification.
Notary Public
Commission G 296OS7
Stephanie Farmer
NameofNotary typed, printed or stamped
EL0ARROMER04
-PY
Subscribed and sworn to (or affirmed) before me this
X2M011 by_ Christopher Smith___
Who is/are personally known to me or has/have produced
as identification,
Notary Public
Commission No.*6 7
Stephanie Farmer
Name of Notary typed, printed or stamped
ELISSAM, HOUERAN
WIM
Address: �13,39
Setbacks:Front— 1 Rear 1Sides ZLS—
OV
Elevation: Garage:
Roof Shingle Dime nsion/Architectu ral:
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name: 6338 Back Forty Loop
Parcel Tax ID: 04-26-21-0160-02500-0300
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.
RTM
owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services
indicated above.
161111 111WIN I Fill �191
Private Provider Firm:
Private Provider: DEBPA ANNE KLAHP
Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
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 hanriless 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 firo lode, land use- envirommental or other codes.
The following atta�ohtnents. are provided as required:
I Qualification staternents and/or resumes of the private provider and all duly authorized representatives.
I. Proof of insurance for professional.and comprehensive lia lit in:t%e.a �ount.of 1 million per
occurrencerelating to all services performed as a private provider, including tail'coverage for. a minimum
of 5 years subsequent to theperfori ahce of building code inspection services.
Individual Corporation Partnership .
Print Oorp(nationNaluo PrintPartnershipN e
'By: dye • ,
{signature} (signaiure) (signature)
Print Print print
,e; e° Cfiristpher rr�ith Name -
its: Authorized A ant Its.
Address: 700 NW 10107th Ave. .Address:
Telephone Miami FL 33172
Telephone, Telephone
moo. 3�3� 7qw 70 No.:
Please use appropriate notary b1c e
STATE OF FLORIDA,
COUNTY OF HILL BOROUG { -
Individual Corporation Partnership
Before the-, t•lais day of Before ine, Ibis 22ND day of P efore m e, this day
20p___, personally MAY . 20,22 of 20___,
appeared personally appeared personally appeared
who executed the foregoing instruinent, of
and acictzowledged before nee that saute Lennar Homes LLC p er/agent on behalf of
vaas executed for the purposes therein r.ox oration, on
expressed. ..'behalf of the state corporation, who a partnership, who exeouted thD
executed the foregoing instrument and foregoing insturuent and
acknowledged before the that same was aoknowledged before me that same,
executed for the p osestb..erein was executed.forthe purposesthere°sn
expressed. epr�ssed._
Personally known X ord ProducedidatiVoation Type of iden i oation produced
Sig.m,treofNotarN' I'rintl�iatne ASHLEECALLAi Ai
.
NotatyPu?lio Stamp; ASNi E CALLANAN
* *� �Y C�t�E�S6�N HH 2959$0 •
commission Expires e ���� ��; XPIR . Nove�tb�r 30, 2026
D— o r;f�s
V"R/\
VIRTUAL REVIEW ASSIST
Private Provider
Plan Compliance Affidavit
Private Provider Firm: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU1967
Address: 747>Southwest 2,,d Avenue
Gainesville, FL 32601
Phone` 813-391-2959
Email: lug. T d) 'rtu41reyiewassist.com
Project:, New SFR
Address(s):'6338 Back Forty Lp
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
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300
6
Signature of Reviewer:�'����
SWORN AND SUBSCRIBED bef me by Debra Anne Klahr
being personally known to met--- or having produced as identification
and who being fully sworn and cautioned, state that the
ore oing is true and corre 't to the best of his/her knowledge or belief.f.
V&L -J
ignature of Notary Print Name
Notary Public: NOTARY STAW BELOW My
commission expires:
`r `m ASHI.EE CALLAHM
,a COMMISSION #HH2080
rEXPo.
I S: November,30, 20
FfiQF fy�p a
[—COMMERCIAL
BUILDING SERVICES DIVISION
RESIDENTIAL
BUILDING PERMIT DATA SKEET
TRACKING #
FIRE MARSHAL # 1 -
DATE: 3/2 /2 23
FOLIO # 6338 Back Eqrty`
L EXAMINER: Debra later P 23OC
Re aired
Permits
Building
Plumbing
Mechanical
Electrical Amp
Ej Inspection 0n1v
El Ins° ection Only
® Ins ection On
®Ins ection (�nl
Roof
®teas
E] Medical has
El Fire Sprinklers
[l on Site Piping
El Fire Line
® Irrigation
D Fire Alarm
® Potable Backflow Assembly
® Fire Line Backflow Preventer
® Irrigation Batkilow-Assembly
EJ Demolition
El Walk-in Cooler
[l Refrigeration
[] hood
❑ Ansul
El Fence/Wall
El Grease Trap Ej Other
Other
T e L'onst etolz: V- Risk Category: Occupancy Load
ii aracy Olassification: Assembly usmcss ay Care/Educational
„.
Factory hazardous Institutional 0 Ivlereantile
Residential Rai ❑ Storage ];Utility
Building Use: SINGLE FAMILY RESIDENCE / Alteration [,Level 1 ®Level 2 Level 3
Mew Construction ® Interior Finish ® Interior Remodel ® Exterior Remodel ® Addition ❑ Revision
Overall Size: Number of Stories: Total Sq. Ft.:
25 X 62 2 2605
Living Area: 20 3 Covered Area # of Bedrooms:
532 # of Baths: 2;5
Cyst per square foot Estimated Value>
Roof T e: ® Shin le Built®u Q Metal Other Sqcares: 1
Zoning: Wi orne Debris: Energy Code:
In20
side Outside05m20
Flood Zone: X Rase Flood Elevation: Finish Floor Elevation:
Hydrostatic Yes No Sq, Fla Enclosed Space Relo�v l3FE:
of Vents: Size of Vents: Total Sq. Inc permanent Openings
Central A/C ®Pleat Pump ® Window A/C
teas Ali ❑ has heat [ Eletrie Elect
Front hear Left
Right
® As per Approved Site Flan
Comments:
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PAD:96.9� �
96.50
9493
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PAD:97.10
96.84
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- 95.63
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94.93 96.72
j PAD:97.10
95.23 96.90
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PE 'A`PE' 'D:97.20
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95.54 97.08
I
980
980
I
FA
95.85 97.26
I TYPE `A'
I FF:98.07 Ll
I PAD:97.40
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95.88 97.26
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I FF:98.07
`PAD:97.40
I PHASE It
95.70 97.08
i PHASE 3
TYPE `A'
I M97.87
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95.34
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PAD:97.10 �
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95.52
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PAD:97.20
95.70
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PAD:97.40 -
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DESCRIPTION: LOT 30, BLOCK 25, ABBOTT SQUARE PHASE 2, SITE PLAN
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 90,
PAGES 28-33r OF THE PUBLIC RECORDS OF PASCO COUNTY, (NOT A SURVEY)
FLORIDA This SITE PLAN Prepared for and Certified To:
PROPOSED ELEVATIONS AND GRADING I LenHa, Herres
SHOWN HEREON ARE TAKEN FORM THE
ENGINEERING PLANS OF
ABBOTT SQUARE RESIDENTIAL PREPARED
BY WRA'PROVIDED BY CLIENT
(P)
NOTES:
LOT GRADING TYPE - A
PROPOSED PAD ELEVATION =97.40'
FRONT SET BACK = 20
SIDE SET BACK - 7,5'
SIDE SET BACK (CORNER LOT) = 10
REAR SETBACK- 15'
PROPOSED:
MINIMUM FLOOR ELEVATIONS:
LOU 29
BLOCK 25
N88'08'23-W,T) 110,50 (p)
------------
PROPOSED
STORY RESIDENCE
C/S-A/C
PLAN 2074
LANAd; I
ELEV'B'
17-0 ENTRY GARAGE L
BLOCK 25
LOCK25
71TO �
'i Ili
WALK LAI
LOT 31
BLOCK 25
10.00'PUBLIC UTILITY EASEMENT
2&0
SEC. 4, TWR 26 S, KING 21 E.
PASCO COUNTY, FLORIDA
(ABBOTT SOUARE PHASE 2)
Scale,- 1 20'
/D, 0 EtLUT8
OCK 25
I -----------
LOT 7
ED BLOCK 25
LOT 6
LOCK 25
FALL ELEVATIONS REFERENCED
TO NORTHAMERICAN
VERTICAL DATUM OF 1988
(NAVD 88)
LOT
= 4420 SO, FT.
LIVING AREA
= 952
SO, FT,
ENTRY
= 32
SOFT.
GARAGE
396
SO. FT,
COVERED LANAI
FT.
PATIO
-NA__SO.
FT.
POOL AREA
NA
SO. FT_
LIVING AREA: 98.07* LEGEND: CONC. DRIVE 60 '0 T
'F
GARAGE AREA:
PROPOSED DRAINAGE FLOW
A/C & CONIC PAD
0 SO.
ELEVATIONS REFERENCED TO
S�DEWAUK
I SO Fl�
NORTH AMERICAN VERTICAL
100.00) - PROPOSED GRADE
SIDE YARD SWALE
L
N'A
NV _SO. FT,
DATUM OF 1988
E-00.00 - EXISTING GRADE
CONSERVATION AREA :A
SO. FT.
LOT OCCUPIED
= 43 %
APPARENT FLOOD HAZARD ZONE: WCOMMUNITY
NO, 120235
AREA TO IRRIGATE
_,57 %
SURVEY ABBREVATIONS
(MAP NUMBER 12 1 OIC-0289-F) EFFECTIVE DATE:
09/26/2014
A) - ARC LENGTH
IN DEED
GA/ -INVERT
PC - POINT OF CURVE
PIS ` RECORD
LEGEND VINYI-FENCE
IVC AIRCONDITIONER
AF-�ZIONITMFENCE
D E- DRAINAGE EASEMENT
E CRELP,-ELEVATION
LB -LICENSED BLENESS
LE- LANDSCAPE EASEMENT
FCC- POINT OF COMPOUND CURVE
PCP- PERMANENT CONTROL POINT
RNG - RANGE
RRS - RAIL ROAD SPIKE
CON c
------
ELEVATION
BEE - BASE FLOOD EUA/A
POP -EDGE EDGE OF PAVEMENT
LIFE - LOWEST FLOOR ELEVATION
P/E - POOL EQUIPMENT
AW - RIGHT OF WAY
BM -BENCHMARK BENCH MARK
C "Per
ESM T - EASEMENT
F/C - FEoNCE CORNER
LS - LICENSED SURVEYOR
- MEASURED
PG -PAGE PAGE
PI- POINT OF INTERSECTION
SEC -SECTION SECTION
-ASPHALT
WOOD FENCE
— 'S — S,
D) - CALCULATED
FcM- D= CONCRETE
IMP
MES - MITERED END SECTION
PK -PARKER KAGAN
SN&D - SET NAIL AND DISK
UOIT 183
CIN'ERUNE
CLF I CHAIN LINK FENCE
M GM
OF - FOUNT IRON PIPE
NCF - NO CORNER FOUND
C/A - OVERALL
I -PROPERTY LINE
ROB - POINT OF BEGINNING
SIR - SET i/Z' IRON ROD HIS 81
TERM - TEMPORARY PENN I MARKS
'BRICK
CHAIN LINK FENCE
CMP CORRUGATED METAL DO
FIR - FOUND IRON ROD
OHW - OVERHEAD WIRE(Sl
P C -GOINT OF COMMENCTMENT
TUB - Top OF BANK
cOP =T1
CCIN
OS � CONCRETESUS8
FN&D - FOUND NAT & DISK
FFOP-FOUND OPEN PIPE
PP - FOUND PINCHED PIPE
OR -OFFICIAL RECORDS
(PI -PLAT
PIT - NDYT 800K
POL - POINT ON LINE
PRC - POINT OF REVERSE CURVE
NT REFERENCE MONUMENT
TWP - TOWNSHIP
UP - UTILITY EASEMENT
VF - VINYL FENCE
[�j<-COVERED
ALUMINUM PENCE
_CST - CLEAR SIGHT TRIANGLE
JOB #159o7s2253. SURVEYORS NOTES;: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive
4-23 1.) Current title information on the Subject property had not been Tfusertifies that WO qf the hereon described Tarpon Springs, Florida
Date of Site Plan: 3-1 furnished to Initial Point Land Surveying, LLC. at the time of this PC e omh upewision and Phone: (727)-831-1199!90 rill
1991,
DWGAS�H-R-L30-81-25-9TE SITE PLAN in t ie e Practice for FlondaRLS7123TIFID.1-i"COU,
2.) This sketch was prepared without the benefit of a title search. s d of Land P act"i D qd ad# 8183
Na instruments of record reflecting ownership, easements or y
S y sign
-ile rights -of -way were furnished to the undersigned, unless otherwise
shown hereon. a I T tip Hard
Drawn by: DJB p ant Section 47 11
3.) Roads, walks, and other similar items shown hereon were taken ey
-hecked by.JH MO. t Dat",4123.01.22
from engineering plans and are subject to survey.
REVISIONS 4.) This SITE PLAN does not reflect nor determine civm,ON Fog �,jl -041001
SJ This SITE PLAN is subject to matters shown on the Plat or It,, J A
'ABBOTT SQUARE PHASE IS"
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Jeff M, 'Ite
6,) Dimensions shown hereon are in feet and decimal portions FLORIDA 6A IJ RAND
thereof.
7.) Contractor and owner are to Verify all setbacks, building Jeff
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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 I I
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1� . .;deviation from information shown hereon. Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC.
� 1
IN
Permit No,
Date Permitted
Builder NamelOwner Name Control#
County Parcel No,
E
Address/Location
Rate, Sq, Ft Unit: /<'—�)
Exempt 0 Yes 0 No How Determined
Impact Fee Amount
—i�9v` Zone No. TA:
—
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount $
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt = Yes = No How Determined_
PARKSAND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone Total Amount $
Exempt =Yes = No How Determined
'M
Land Account Land Credit Land Total
Facility Account _ Facility Credit _ Facility Total
Exempt El Yes No How Determined Total Amount
RESOURCE FEE ERU
Total Amount
Prepared By Checked By
NO di(RTIRCA=TEr OC�CUPANY WILL 81 ZSSt ED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND RECEIPTS D 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 81JILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDMONS Of PAYMENT FOR SAME,
mm
RECEIPT NO DATE BY