Loading...
HomeMy WebLinkAbout23-60376 210160 02500 0080 Address; 4301 W Boy Scout Blvd 600 TAMPA, Fill 33607 Phone: rE FAMILY 2073 SQ FT Address Fee Electrical Man Review Fee Park Impact Fee - Single Family/Townhome Public Safety Impact Fee -Police Building Permit Fee SIF 1 percent Fee Irrigation 14 Meter (Calc) Transportation Impact Fee - City Mechanical Permit Fee Electrical Permit Fee Mechanical Plan Review Fee City of Zephyrtillis 5335 Eighth Street ephyrhiil , FL 33542 37- 3 Phone: (1) 7 0-0020 Fax. (1 ) 7 0-0021 Issue sate. 0412512023 Class of Work: SFR Construct I� Building Valuation: w Electrical Valuation: $46,890,00 Mechanical Valuation: $21,682.00 Plumbing Valuation: $31,260.00 Total Valuation: $412,432.00 Total Fees: $20,700.19 Amount Paid., $201700,19 Date Paid: 4/25/2023 8:55:25AM Contractor: LENNAR HOMES LL $30,00 Plumbing Permit Fee $196.30 $0.00 Public Safety Impact Fee -Adman $26.35 $769.56 3f4 Water Deter Fee (Calc) $794.92 $254,00 Sewer Connection Residential Fee $2,400.00 $1,603.00 Transportation Impact Fee $3,59 a.68 $83.28 School Impact Fee - Single Family $8,328.00 $794.92 Building Plan Review Fee $180.00 $36,2 Plumbing Plan Review Fee $0.00 $148A1 Water Connection Residential Fee $1,140.00 $274.45 Driveway Fee $45.00 $0,00 a entities such as water management, state agencies or federal agencies. rp1piliql1plillu Complete Plans, Specifications add fee Must „ Accompany Application.shall be performed In Codesaccordance with City r Ordinances. 11\ NO OCCUPANCY SIGNATURE 813-780-0020 City of Z.ephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting ( 908 ) 770 _ 7763 CAL HEARTHSTONE LOT 0P710N POOL 03 L P R13574. 700 Owner's Name Owner Phone Number Owner's Address 23975 Park Sorrento, Ste.Calabasas, CA 91302 Owner Phone Number Fee Simple Titleholder Name I N/A Owner Phone Number Fee Simple Titleholder Address I N/A JOB ADDRESS 6766aCiC Forty InOoiJ �. LOT # 25QH SUBDIVISION Abbott Square � PARCEL ID# Q`t'26-21-Q16Q-Q25Q0-QQ80 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED P NEW CONSTR F-1 ADD/ALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME t �J STEEL DESCRIPTION OF WORK (Single Family Residence (Pool !Screen Enclosure !Fence BUILDING SIZE QJ SQ FOOTAGE 2a7H HEIGHT H BUILDING IS 312600 ' VALUATION OF TOTAL CONSTRUCTION 9.A (ELECTRICAL $ 46890 PROGRESS ENERGY = W.R.E.C. 4��i-0®;�P�''�j AMP SERVICE t�PLUMBING $ 31260 I 4e (t(2,37 tH eZ S.-PMECHANICAL $ 21882 J VALUATION OF MECHANICAL INSTALLATION 'I=lGAS 0 ROOFING SPECIALTY = OTHER —g FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA u (YES DO BUILDER COMPANY Lennar Homes, LLC SIGNATURE REGISTERED Y/ N FEE CURREN Y I N 43 W Bo Scout Blv �600 Tampa, FL 33607 FCCrC1518166 Address Y �' P License # ELECTRICIAN COMPANY Edmonson Electric, Inc. SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address __ License EC13005408 ��� PLUMBER COMPANY Bayonet Plumbing, Heating AC, Inc SIGNATURE V REGISTERED Y 1 N FEE CURREN Y I N Address License # CFC042998 MECHANICAL COMPANY Bayonet Plumbing, Heating & AC Inc SIGNATURE REGISTERED Y/ N FEE CURREN Y I N Address a License # CACO58062 7 OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address License# I CCCO57991 RESIDENTIAL Attach ( 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 subdivisionsAarge 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, Stomlwater 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. �4�Sm&�5�8�8®t�l.�B.�S�*8®A�4AF.B�i-.lam• ". /�Fi.�°1�1�F� P�6�m. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, 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 (PioUSurvey/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'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, Welland 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. II&VAMNIMILY111141= 101:4 11T, [%I 041TICII&M lu IWO ZIA" 0 hammaxtol 3 0] 21ROURNIUm FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT Subscribed and sworn Koo;(o;F1=firmed)biforeme this 3/27=23 h" rh'i't—h., 1—ith as identification, _,_,_Notary Public Public Commission 46 296KO57 Stephanie Farmer NameofNotary typed, printed or stamped 9ff:J Subscribed and sworn to (or affirmed) before me this or as identification. __Notary Public. Commission No. Stephanie Farmer . .. . . . .. ... . .... . .. ...... . Name of Notary typed, printed or stamped W. New Development Check List Parcel#: Address: AN OC Setbacks: Front--�—, il—.-5------Rear ---- Sid 11) 1 Y) Elevation: Garage: Roof Shingle Dime nsion/Architectural: Y- --f—) bl� Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: 6766 Back Forty Loop Parcel Tax ID: 04-26-21-0160-02500-0080 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. owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services indicated above. Private Provider Finn: VIRTUAL REVIEW A55I5T, INC. 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/ 0N4615) I have elected to use one or more private providers to provide building code plans review and/or inspection services on the building that is the subject of the enclosed permit application, as authorized by s. 553.791, Florida Statutes. I understand that the local building official may not review the plans submitted or perform the required building inspections to determine compliance with the applicable codes, except to the extent specified in said law. Instead, plans review and/or required building inspections will be performed by licensed or certified personnel identified in the application. The law requires minimum insurance requirements for such personnel, but I understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harmless the local government, the local building official, and their building code enforcement personnel from any and all claims arising from my use of these licensed or certified personnel to perform building code inspection services with respect to the building that is the subject of the enclosed permit application. I understand the Building Official retains authority to review plans, make required inspections, and enforce the applicable codes within his or her charge pursuant to the standards established by s. 553.791, Florida Statutes. If I make any changes to the listed private providers or the services to be provided by those private providers, I shall, within I business day after any change, update this notice to reflect such changes. The building plans review and/or inspection services provided by the private provider is limited to building code compliance and does not include review for fire Dodo, land use'. onvirommental or other codes.. The following attachments, are provided as required: 1. Qualification statements and/or resumes of the private provider and all duly authorized ioprosontativts. 2.. Proof of insurance for professional and comprehensive liability in,the. amount of $1 million per 0 cGurrence relating to all services; performed as a private provider, including tail coverage for. a irriminuin of 5 years sub s equent to the performa'nc, o.of building code inspection- services, Individua.1 Corporation Partnership Print CoipoTationNamq PrintPulnership Name By::;��- By- -(signature) (signature) Print print print Name: Namfx_Ch �isto her Smith Name - Address, its: Authorized A Address-,-ZQDNIV 17i t Avg. Addross; ele,phonb MiarN FL 33172 Telephone, Telophone No, 813-574-5700 No.: Pleage use appropriate notary block. STAB OF FLORIDA COUNTY OF HILSBOROUGH B 66 rD m t-,, this day Of 20, pDrsonally appeared who ' executed the foregoing instrument, and acknowledged before, mD that same was exDpated for the purposes therein Corporation B66remo,this 22ND day of MAY 20 2.2 personally appeared Of Lunn Homes LLC a corporation, oh. .,'behalf DfthBstate corpoia:donwho exoduted the foregoing instrument and aclakwledgod before me, that same was executed for the piappsesIg-erein txpressod. WME=. B,fore mo,this day of 20� pon6nally appeared p art4fr/agont on b6b:alf of a partnership, who eXorUtedthe foregoing instrument anol aolmowle,dged before me that sainD Porsonally known X or_ Pxoducodidm#gcation- Type of*identificitionproduced Signature of Notary L PrIntName, --ASHLEE CALLAHAN NotaxyPublic Stamp: AMLEE CALLAHAN commission Expires; MY COWSSION # HH 295980 WIRES:' ovember3O,2026 P VR//\ VIRTUAL REVIEW ASSIST Private Provider Plan Compliance Affidavit Private Provider Finn: Virtual Review assist, Inc. Private Provider: Debra,Anne Ill , BU1967 Address: 747 Southwest 2" d Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: liicygvLt-tiLalrqevieNvassist<c ni MEMEREEM 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 following afflant, who is duly authorized to perform plans review pursuant to Section 553 79 1, Florida Statut; and holds the appropriate Name: Debra Anne Klahr a Florida License/Registration/Certification #(s) and description: FS468 Certified Standard Flans Examiner License #: PX2300 ` tr d xd� it Q Signature of Reviewer: ' Via ` , �' t 4 SWORN AND SUBSCRIBED before me by Debra Anne Klabr being personally known to me or having produced as identification and who being fully sworn and cautioned, state that the for oing is true and correct to the best of his/her knowledge or belief. Signature of Notary riot Name Notary Public: NOTARY STAMP BELOW ley commission expires: HW 295?Q ±x 0 [—COMMERCIAL BUILDING SERVICES DIVISION �SII�ENTIAL BUILDING PERMIT DATA SHEET "' DATE: FOLIO . .Debra .. uired Permits Building --; Plumbing El Ins ection On On 1IOn ��� �� J II El edical ll�i p� uii I III Ali I y ply!] lers El liu �-II luau Pipingle On SiteEl El Irrigation El Fire u", ,Ip � BackiventerIrrigationAssemblyAlarm uiiil�q]@i�lll� ,pli BackilrDemolition �WI�Vaiilll� ow �oii,�lf��I Refrigeration ■ Grease Trap T e onstructiow `s6-8 Risk Category: Occupancy Load (� artey Classication: Assembly business may Care/Educational y Factary „� Hazardous nstitutional ®1Vlercantile ,Residential � ]'Storage] Utility Building Use: TNLE AMTLY RESIDENCE 1 Alteration [�%evel 1 bevel 2 Level lwf New Construction D Interior Finish ® Interior Remodel ® Exterior Remodel ® Addition ® Revision Overall Size: Number° of Stories: Total Sq. Ft.: 5 X 62 2 2605 Living Area: 2073 Covered area: 532 of Bedrooms: # of Baths: 2.5 Cost per square foot: Estimated Value: Roof : Shin le [Nile ❑Built- [� Metal Q Cther S uares: 17 Zoning: Wi orne Debris: Energy Code: ®6 Cnnside Outside 405-2020 Flood Zone: X Base Flood Elevation: Finish Floor Elevation: HydrostaticVents [� 'Yes 'No Sq. Ft. Enclosed Space Below BFE: # of Vents Size of Vents: Total Sq. In. Permanent Openings Central Ali X heat Pump Window A/C [� Gas A/C E] Gas bleat ED Electric heat Front Rear Deft ® As per Approved Site Plan ! DESCRIPTION: LOT 8, BLOCK 25, ABBOTT SQUARE PHASE 2, SITE PLAN ACCORDING TO THE PLATTHEREOF, RECORDED IN PLAT BOOK 90, °AGES 28-33, OF THE PUBLIC RECORDS OF PASCO COUNTY, (NOT A SURVEY; FLORIDA - ____ -- --- This SITE PLAN Prepared for and Certified To: PROPOSED ELEVAI IONS AND GRADING Lennar Homes SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF "ABBOTT SOUARE RESIDENTIAL", PREPARED BY'WRA- PROVIDED BY CLIENT I I I i I LOT 28 BLOCK 25 qb, 26.0 0 3,2 X3.2 o C/S-A/C BIT LOT 29 LOT S BLOCK 25 BLOCK 25 N/ 0 2G_0' LOT 30 I BLOCK 25 j i I NOTES: LOT GRADING TYPE = A PROPOSED PAD ELEVATION FRONT SET BACK = 20' SIDE SET BACK = 75 SIDE SET BACK (CORNER LOT) =10' REAR SETBACK = IS' PROPOSED: MINIMUM FLOOR ELEVATIONS: LOTS BLOCK 25 -V �N 88'08'23' W JP) 1 10.50(PI PROPOSED o 2. STORY RESIDENCE PLAN 2074 b ELEV'A' 11i ry i GARAGE R N 8$"08`23" W (PI 110,50' jPj� LOT BLOCK 25 * = 10.00' PUBLIC UTILITY EASEMENT SEC. 4, TWP. 26 S, RNG 21 E. PASCO COUNTY, FLORIDA (ABBOTT SOUARE PHASE 2) Scale: 1 = 20' (P) ALL ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 (NAVD 881 LOT = 4420 SO. FT. LIVING AREA = 952 SO, FT. ENTRY 32 50-FT. GARAGE = 396 SO. FT. COVERED LANAI = 104�50. FT. PATIO = NA SO. FT. POOL AREA = NA.. SO. FT. LIVING AREA: 97.87 LEGEND: CONE. DRIVE = 360 SO. FT. GARAGE AREA: - A/C & CONC PAD = 1 O SQ, FT. ELEVATIONS REFERENCED TO _- •= PROPOSED DRAINAGE FLOW SIDEWALK = b I SO. FT. NORTH AMERICAN VERTICAL (00.00) = PROPOSED GRADE SIDE YARD SWALE =� SOE FT. DATUM OF 1988 E-00.00 = EXISTING GRADE CONSERVATION AREA =__�VA_SO. FT. LOT OCCUPIED = 43 % APPARENT FLOOD HAZARD ZONE: 'X' COMMUNITY NO. 120235 AREA TO IRRIGATE = 57 % $URVEY ABBREVATIONS (MAP NUMBER 12101C-0289-F) EFFECTIVE DATE: 09/26/2014 AI®ARCLENG714 (DI ®DEED INV- INVERT PC - POINT OF CURVE Es - RECORD A/C. AIR CONDITIONER AF-ALUMINUM FENCE D.E-DRAINAGEEASEMENT LB -LICENSED BUISNESS PCC- POINT OF COMPOUND CURVE END -RANGE .LEGEND - CONC VIMlL FENCE LIFE- BASE FLOOD ELEVATION ELOR EDGE ELEVATION EOP-EC}GEOF PAVEMENT LE FLOOR OVA LFE^LOWESTFI,OOR ELEVATION PCP= PERMANENT POINT FJE - POOL EQUIPMENT RRS-RAIL ROAD SF;KF: ftJW ^RIGHT OF WAY l r IT ESM'T-EASEMENT LS- LICENSED SURVEYOR DO -PAGE .SEC^SECTION WOOD FENCE C-CURVE F/C - FENCE CORNER (M(•MEASURED PI -POINT OF INTERSECTION SNbD-SETNAIL AND DISK ''' 'w. ASPHALT -- ----- --- ICI'"CALCULATFLJ CENTERLINE FCM-FOUND CONCRETE MES- MITERED END SECl'ION BE -PARKER "LON L888183 ( - CLF-CHAIN LINK FENCE MONUMENT NZ CORNER FOUND T =PROPERTY UNE SIR- SET 1/T IRON ROD HIS 81 PH 'j CHAIN LINK FENCE CMP^ CORRUGATED METAL PIP FIP-FOUND IRON PIPE OVA -OVERALL POE- POINT OF BEGINNING TBM= TEMPORARY BENCH MARK "BRICK ---n-----fit -- CC><^COLUMN FIR-FOUNDIRONROD OHW- OVERHEAD WIR`c(S) POC- POINT OF COMMENCTMENT TOB-TOPOFBANK .f CONC CONCRETE FPen-FOUND NAILS DISK OR.-OFROALRECORDS For - POINT ON LINE TWP - TOWNSHIP ALUMINUM FENCE C/S^CONCRETE SLAG FOP^FOUND OPEN PIPE FPP=FOUNDPINCHEDPIPE (P) -PLAT Pti^PLAT BOOK PRC- POINT OF REVERSE CURVE PRM-PERbifWEI REFERENCE MONUMENT U—WiLITYEASEMENi "COVERED CST- CLEAR SIGHT TRIANGLE I IVF ^ VINYL FENCE JOB #IS907522508 SURVEYOR'S NBOTES:.. SURVEYOR'S CERTIFICATE 1708 Water Oak Drive I') Current title information on the subject property had not been This certifies that sketch of the hereon described Tarpon Springs, Florida Date of Site plan: 3-7-23 o furnished to Initial Point Land Surveyitg,LLC at the tone of this property was ri�y'g(�ittreaieTl�py supervision and Phone•(7Z7)-83t-i940 DWGAS-PH2 L8BL25-SrrE SITE PLAN meets Shp ), p l Ie `y , f Practice for FlorWaPLS7123PgmaiLCO 2.) This sketch was prepared without the benefit of a title search. s rrryyy���vvv to '11 d t:BN 8183 No instruments of record reflecting ownership, easements or 1 ,� File: rights -of -way were furnished to the undersigned, unless otherwise J, p,l,�y g art shown hereon, urs�nt t S Non iL o' Drawn by: DJB N161 3.} Roads, walks, and other similar items shown hereon were take ® d Checked by.JH from engineering plans and are subject to survey- M 1,3,42,� ( I�Id' REVISIONS 4.) This SITE PLAN does not reflect nor determine ownership, �, O 5.) This SITE PLAN is subject to matters shown on the Plat of ^h' STATE OF 'ABBOTT SOUARE PHASE IS' - ° - FLORIp{c`•- `- 6.) Dimensions shown hereon are in feet and decimal portions JeIT M / thereof. FLORID 9 11 Y9 Tt AND V 7.) Contractor and owner are to verify all setbacks, building MAPPER I 2 `' dimensions, and layout shown hereon prior to any construction, NOT VALID WI7-H�t E ORIGINAL and immediately advise initial Point Land Surveying, LLC. of any SIGNATURE AND SEAL OF A FLORIDA 11 deviation from information shown hereon- Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC. at users sole risk. ME Classification/Type of Use < TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: Exempt yes 0 No htovv Determined Impact Fee Amount Zone No, T°AZ: SCHOOL IMPACT" FEE � Account (056) Single -Family (detached House Amount (057) Mobile Home (C R) Other Residential (123) Collection Fee Exempt = Yes = No How Determined_ PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone Total Amount Exempt =Yes = No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt Elyes No How Determined Total Amount- ; � ....,_ RESOURCE FEE €RU Total Amount Prepared RY ' Checked By CERTIFY TE OF OCCi6PAfdY +IT L E tS tIED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY ACKNOWLEDGEMENT BELOW !TOES NOT IMPLY ACCEPTANCE OF CONCURRENCE, BUT SIMPLY REECEIPT OF A COPY OF THIS FORM, PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME, DATE RECEIVED BY RECEIPT NO DATE BY