Loading...
HomeMy WebLinkAbout23-6079ty of lls W 8 5335 Eighth Street Zephyrhills, FL 33542 Phone: (313) 730-0020 Pax: (313) 780-0021 Issue Date: 05/0212023 Perm 1ilddl 'Residential ,.t v z v '� x. ,v. 1A �y p �y x:•r.,1, ,, >;,: �.a\.3.>..., .,....."lR.,..,. ,.;,1...i'Vv.1, h,z� 'va\.,1 .f. ;, t ..,.A, .�,;.;� :a.. .,vS�t.. P" 04 26 210160 02500 0280 6354 Sack Forty Loop <ti,. Wier tft .. .. .. ., ..v . ... .z, . Name: LENNAR HOMES LLC Permit Type: Building New (Residential) Contractor: LENNAR HOMESLLC Class of Work: SFR Construct Address: 4301 W Boy Scout Blvd 600 Building Valuation: $312,600.00 a w TAMPA, FL 33607 Electrical Valuation: $46,890.00 Phone: Mechanical Valuation: $21,882.00 �e ) Plumbing Valuation: $31,260.00 Total Valuation: $412,632.00 Total Fees: $20,701.19 LA Amount Paid: $20,701.19 Date Paid: 5/2J2023 11:37:50AM y,7 �i \ { ? z tip\ \ �.,. �' CONSTRUCT SINGLE FAMILY 2073 SO FT 777 77 Water Connection Residential Fee $1,140.00 Mechanical Permit Fee $149A1 Transportation Impact Fee - City $36.32 Building Plan Review Fee $180.00 Public Safety Impact Fee -Police $254.00 Driveway Fee $45.00 3/4 Water Meter Fee (Cale) $794.92 Public Safety Impact Fee -Admin $26.35 Irrigation 314 Meter (Cale) $794.92 Mechanical Plan Review Fee $0.00 Address Fee $30.00 Sewer Connection Residential Fee $2,400.00 School Impact Fee - Single Family $8,328.00 Transportation Impact Fee $3,595.68 Plumbing Permit Fee $196.30 Park Impact Fee - Single Family/Townhome $769,56 Building Permit Fee $1,603.00 Electrical Permit Fee $274,45 Electrical Plan Review Fee $0.00 SIF 1 percent Fee $83.28 Plumbing Plan Review Fee $0.00 REIN PECTION FEES: (c) With respect to Reinspection fees Will comply with Florida Statute 553.80(2)(c) the foal 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 reinspectionm Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit required from other governmental entities such as Water management, state agencies or federal agencies. "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 lender or an attorney before recording your notice of 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. CON CTOR SIGNATURE PE IT OFFICE PERMITIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR I - 8 HOUR NOTICEREQUIRED 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permi7ftA_fr 908 770 __ 7763 b or CAL HEARTHSTONE LOT OPTIC] 813 �S745700�� LJX Owner's Name ',1 POOL 03 L P Owner Phone Number CA 91302 Owner's Address23975 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address I N/A JOB ADDRESS 16354 Back Forty Loop LOT # 2628 SUBDIVISION Abbott SquarePARCEL to# 04-26-21-0160-02500-0280 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR F1 ADD/ALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION tLdJIBLOCK FRAME STEEL DESCRIPTION OF WORK I Single Family Residence / Pool / Screen Enclosure / Fence BUILDING SIZE I U/RIF 2605 SO FOOTAGE HEIGHT "--r`BUILDING 312600 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C, PLUMBING t'7 l MECHANICAL 21882 VALUATION OF MECHANICAL INSTALLATION 0 GAS ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS [== FLOOD ZONE AREA DYES Do 616-4144,44 1 4 1 ................. BUILDER COMPANY Lermar Homes, LLC SIGNATURE — I Y== REGISTERED E��Y I �NFEE �CURREN �Y N�� _W 6 0 0 Tampa, FL 33607 Address 4301 oy Scout �OBlvd Suite License# I CC'C1518166 L ------------------------------------ J ELECTRICIAN COMPANY Edmonson Electric, Inc. N FEE SIGNATURE REGISTERED YE CURREN YIN Address License# PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE RE�GISTERED �Y/ N Plumbing cURREN Y �/N Address License # MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED g�� Plumbing, Heating Address License # OTHER COMPANY C Sterling Quality Roofing, Inc C SIGNATURE REGISTERED Y/ N FEE CURREN Y Address License # RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster Site Work Permit for subdivisions/large projects COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page: (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (110) 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 $2600, a Notice of Commencement is required. (AIC upgrades over $7500) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences (PloUSurvey/Footage) Driveways -Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictioll which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with am applicable deed restrictions, UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If t IRMI OWN 1111 TOM of frie VOIFILlactur 0lQGK Of till,'$ aPrllPllUdLl0r1 fUr WfIfUl LFIUJ ITIll UV lUbpUflblUlt:. 11 J;#U, n 85 contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges I n Pas County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned uderstan FROM 0 AM NOW". deliver it to the "owner" prior to commencement. CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all will be done in compliance with all applicable laws regulating construction, zoning and land development. Application hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation h commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulati construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I all 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 Sensiti Lands, Water/Wastewater Treatment, Southwest Florida Water Management District -Wells, Cypress Bayheads, Wetland Areas, Afteri Watercourses. Army Corps of Engineers -Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Services/Environmental Health Unit -Wells, Wastewater Treatme 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 "compensating volume" will be submitted at time of permitting which is prepared by a professional engine licensed by the State of Florida, If the fill material is to be used in Flood Zone "N' in connection with a permitted building using stem 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 adjace properties, If use of fill is found to adversely affect adjacent properties, the owner may be cited for violati the conditions of the building permit issued under the attached permit application, for lots less than one acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNE,&&m n•ood&ith to inform the owner of the permittin conditions set forth vrcilb, A9FVlb, dif IF P'Llief J(J,5LdlldU11IZ$ IIIWL Z1MCU1uQdllJ HILATUOU [it U10 d r d oois ind will '31.17A gg I g I &a I M Lo OWNER OR AGENT Subscribed and sworn a (or affirmed) before me this X28M23 by Christopher Smith as identification. Notary Public Commission "GI�96'057 Stephanie Farmer Name of Notary typed, printed or stamped ,ogag h" EL( .Ft coriffilwaliflifilo"o kw Exotas iffift 6, 2024 Subscribed and sworn to (or affirmed) before me this a,sW23 by Christopher Smith.. Who -fs/arepersonally known to me or has/have produced as identification. Notary Public Commission No. 6 7 Stephanie Farmer Name of Notary typed, printed or stamped g r RAv 1 f R E E"A" ASSIST Notice to Building Official of Use of Private Provider Effective January 20, 2003 6354 Back Forty Loop Parcel Tax ID: 04-26-21-0160-02500-0280 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 Firm: VIRTUAL REVIEW A55IST, INC. Private Provider: DEBPA ANNE KLAHR SEE Email Address (Optional): 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 forin, 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 code, land use; enviTormental or other oDdea. The followiiig ata,ohments. axe provided as required: 1. Qualification statements and/oriesurnes of the pfivateprovider and all duly authorized representatives, 2..Pxoof of insurance for professional and corolireh6iisi-veliability in,tht,'ainount of $1 million per o courKonoe relating to all services perf-birned as a private provider, including taffcoveragD fox. a mininium of years subse -quent to the puforina"neD of building code inspection services, 5 Individua.1 Corporation Partnership Print CoiporationNairie PrintPartnershipName Print Print print Name, Namo: Chrl8t 18topher SrOth Name. Address'. its. Authorized Agp�nt Address; Telephone M-larni, FL 33172 No.; Telephone • Telephone No. 911-574-5700 ND„ FLORIDA STATE OF _,77 B Dfore M f_-, dais day of 20.pt'rsonally appeaed who * executed the foregoing instixnaeht, and acknowledged before me that some was oxwato-d fax the purposes thoroin Partnership Beforeme'this -day of pers6nally qpearerl -D arrntr/ag ent on b thalf of a partnership, who executed the forekoin,g instannent axed ackdiowledgod before axe that same was DxtoutDd,forthepurpgsesthe;rem expressed. Personally k nown X cor Pro) du red idq## cation Type of identlff oation produced Siguniie of Not,aT.,, PrintName ASH E CALLAHAN E .. �L � NotaxyPublic Stomp-- ASHLEE CALLAHAN coxamission Expires; eWQOMMISSION #HH296980 EXPIRSS: November 3b, 2026 Corporation Beforome,this 22ND day. of MAY 202 porsonaRy appeared, of Lennar Homes LLC � behalf of the state oorporation, who execntedthef6TDgo'Ing instrnmeptand acloiowlpdgedbefbro mothat. same was executed for the purposes -therBM' [—COMMERCIAL BUILDING SERVICES DIVISION .RESIDENTIAL. BUILDING PERMIT DATA SHEET l wour ing Mechanical Electrical mp w k •Fire � . Illy i Sprinklers El On Site Piping Irrigation El Potable Rackflow Assembly i ioiB I, o w Assembly El Demolition Walk-in Cooler El Refrigeration Grease Trap "T e Construction: V-8 I Risk Category: I Occupancy Load ® ancy Classification: Assembly �I business clay Care/Educational `Factory Hazardous � nstitutional ®�Iercaniile Residential Rw3� ['Storage ®tTtility Building Use: SINGLE FAMILY RESIDENCE 1 Alteration ®'Level I Level 2 Level 3 New Construction ® Interior Finish E3 Interior Remodel ® Exterior Remodel El Addition 0 Revision Overall Size: Number of Stories: 'Total Sq. Ft.: 62 2 265 Living Area: 2073 Covered Area: 532 ## of Bedrooms: 4 # of Baths: 2,5 Cost per square foot: Estimated value: Roof e: nX Shin le rile [� Bunt-u Metal ® Other Scares: 17 Zoning: Wi o e Debris- Energy Code; u 05-22Q Instde Outside Flood one: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? Q�Ve—s VNo Sq. Ft. Enclosed Space Below BFE: ## of Vents: Size of Vents: Total Sq. in. Permanent Openings Central A/C heat Pump Window A/C [� Cas AfC ❑ Oas FIeat E Electric heat Front Rear Left Right 2 Asper Approved Site Plan Plan Model Elevation o'7-/ Garage Lot Size Block Lot a, New Development Check mist Parcel 1 — 0n� Address: 2 L;;p 010 Setbacks: Fret 0 Rear Sides 1 l Elevation: Garage: Roof Shingle Dime nsi n/Architecturak VR/\ VIRTUAL REVIEW ASSIST Privateovi r Plan li e Affidavit Address:Private Provider Firm: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU 1967 Phone- 813-391-2959 Email: .1gZ�(,i),yirtualreviewassist.com Project: New SF'R knowledgeAddress(s): 6354 BACK FORTY LOOP I hereby certify that to the best of my 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 and holds the appropriate license or Name: Debra Anne Klahr Plan Sheets CS,1.1,Ia2,2.1,2.2,3,4,5,6.1,6.2,7, SN,SNI, S3,S4,S5,S6, ST,SS,DI,D2, I,PAI.0,PA1.1, PAL2,PAI.3,PA1.4, SHI.0,SHI.I,SHI.2,SH1.3,SH1.4,SH1.5 Florida License/Registration/Certification #(s) and description: F S468 Certified Standard Plans Examiner License #: PX2300 Signature of Reviewer: SWORN AND SUBSCRIBE cefare e by Debra Anne Ilahr being personally known to nieor having produced as identification and who being fully sworn and cautioned, state that the Zreg 'ng is true an orlet to the best of his/her knowledge or belief. Signature of Notary � ` Print Name Notary Public: NOTARY STAMP BELOW My commission expires:qua'p ail �t DESCRIPTION: LOT 28, BLOCK 25, ABBOTT SQUARE PHASE 2, SITE PLAN ACCORDING TO THE PLAI THEREOF, RECORDED IN PLAT BOOK 90, PAGES 28-33, OF THE PUBLIC RECORDS OF PASCO COUNTY, (NOT A SURVEY) FLORIDA_ —PROPOSED ELEVATIONS AND GRADING This SITE PLAN Prepared for and Certified To Lonna, Homes SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF "ABBOTT SQUARE RESIDENTIAL', PREPARED BY'WRA PROVIDED BY CLIENT I PCP Z, A i � j -: ..I gag3U L 01 0 225 0 22S L 3318 0 (P) WALK in C, 0 NOTES: LOT GRADING TYPE = A PROPOSED PAD ELEVATION-97.10 FRONT SET BACK - 20 SIDE SET BACK = 75 SIDE SET BACK (CORNER LOT) = 7 0 REAR SETBACK - 15 SEC. 4, TWP, 26 S, RNG 21 E. PASCO COUNTY, FLORIDA (ABBOTT SQUARE PHASE 2) Scale: 1 20' LOT 27 BLOCK 25 N 88-08 23- W JPJ I I LESE, Ipj LOT 10 BLOCK 25 '5' ---------- 6 62-0 2 " 6 2 0 60 26 0 I OP PROPOSED OSED 3 q 3,2X3,2 X' 2 STORY Y 2 R RESIDENCE 2 STORY RESIDENCE C/S-A/C 0 C A/C PLAN 2074 so , V _ ELEV -B ' LOT 28 AN LOT28 LOT9 ENTRY GARAGEL BLOC 5 BLOCK25 BLOCK 25 Pi Fri i in 0 RE 3TO 8,0 26,0 N B IB I G NBB'0Er2TWTPJ IIB5o,Ip) ---------- �oX LOT 8 LOT Z9 BLOCK25 BLOCK 25 PROPOSED: 10.00 PUBLIC UTILITY EASEMENT MINIMUM FLOOR ELEVATIONS: ALL ELEVATIONS REFERENCED TO NORTH AM, RICAN VERTICAL DATUM OF 1988 (NAVD 88) LOT = 4420 SQ. FT, LIVING AREA = 9S2 SQ. FT ENTRY FT, GARAGE FT COVERED LANAI FT. PATIO = NA SO. FT. POOL AREA = NA SO, FT - LIVING AREA: 97.77 LEGEND: CONC. DRIVE FT, GARAGE AREA: /VC & CONC PAD FT. PROPOSED DRAINAGE FLOW ELEVATIONS REFERENCED TO SIDEWALK = 61_SO. FT, NORTH AMERICAN VERTICAL (00,00) - PROPOSED GRADE SEE YARD SWALE =�_SCL FT. DATUM OF 1988 E-00,00 = EXISTING GRADE CONSERVATION AREA =NVA —SCL FT. LOT OCCUPIED = 43 _% APPARENT FLOOD HAZARD ZONE: )CCOMMUNfrY NO 120235 AREA TO IRRIGATE = 57 % SURVEY ABBR:E:V:A:T:1:0::N=S (MAP NUMBER 1210IC-0289-F) EFFECTIVE DATE: 09/26/2014 AI-ARCUENGTVI TF - DEED INV - INVERT PC - PCLNrOF CURVE (R) - RECORD LEGEND A/C = AIR CONDITIONER DL-DRAJNAG,EASVMLNT LB -LICENSED BUISNESS RCC = POINT OF COMPOUND CURVE ROD - 14—GE VINYL FENCE IF = ALLMINU. FENCE BEE- BASF D DOD ELEVATION EL OR ELFV - ELEVATION L E - LANDSCAPE EASEMENT PCP - PERMANENT CONTROL POINT ASS -RAIL ROAD SPIKE ECD - EDGE OF PAVEMENT LEE - LOWEST FLOOR ELE NATION P/L - Pool rOUEEKENT R/W - RIGT IT OF WAY FOR' -.---- BM - SEW" MARK C CURVE ESM T - EASEMENT LS - LICENSED SURVEYORITS - PAGE SEC - SECTION F/C - FENCE CORNER PST - MEASURED PI -PARKER OINT Of NTERSECrON GIRD -SET NAC AND DISK WOOD FENCE IT) - CAL O"WED , " CZNTERLNECHNN FCM - FOUND C ONCRETE WE - METERED END SECTION PK -PRATON LB08183 UNK FENCE TU`-CNAi LINKFENCEE MONUMENT NCF NO CORNER FOUND .B -IROPMULPRE SIR, SET /2'NdNRODL8 F O/A OVERALL POINT OF BEGINNING - FOUND IRON NPE TBM - TEMPORARY BENCH BRICK C ME -CC00RRGGATED METAL PIP C M ON NIT F;P R - FOUND IRON ROD ODW-OVERHEADWIREKI P C - PONT Or COMMENCTMEN7 TOB-TOPOFSADK C - CI�N C E I E 0 FN&D - FOUND NAT, & DISK OR -OFFICALRECORDS OF - POINT ON LINE �,­TCAVNSHIP ALUMINUM FENCE C/' - CONCRETE GUSR UND RUN PIPE IF) -PLAT P C - POINT OF REVERSE CURVE U F - UTILITY LASEMENT 'O1':1`dUN. FINCTIE'D 0 I.VERE IS CST- CLEAR RGRFF` TRIANGLE PIPE TAT BOOK PRM - PER ANENT REFERENCE MONUMENT VF - VINYL FENCE JOB #15907522S28 SURVEYORS NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive Date of Site Plan'. 3-20-23 1.) Current title information on the subject property had not been This certifies that k" W the hereon described furnished to Initial Point Land Surveying, LLC. at the time of this Property ujV, ',A and Rif Tarpon Springs Florida )Bil 1990 Phone: 1727�183il - Im990 DNVG AS PH2-1-28-131-25-SirE , ""jZrvimn E f SITE PI -AN in 5.-1 or 2 all c. FioridaPLS71230 mail.com i, Coice 2.) This sketch was prepared without the benefit of a title search. Survey To of Land LB# 8183 A P No instruments of record reflecting ownership, easements or rights-orway were furnished to the undersigned, unless otherwise J, [*fV,$V, & flly! ned A '�� shown hereon -1 Pur,53at tio Section 4 2 i ley Drawn by —L)JB -hecked byJH and other similar items shown hereon were taken From engineering and are subject to survey. at RV Date: 2bt*3.29 1EVIS9ONS plans 4.� This SITE PLAN does not reflect nor determine ownership. CL 18: i4'0 0 S. This SITE PLAN is subject to matters shown on the Pat of 'ABBOTT SQUARE PHASE 2' FL RIDA 6.) Dimensions shown hereon are in feet and decimal portions Kk FLORIDA Jeff M. 0 '04WRAND thereof MAPPER NO, %4 7. Contractor and owner are to verify all setbacks, building 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 10 Initial Point Land Surveying, LLC. E 'A'7.77 7.10 95� 12 1 -1R" RCP @ 0,30% PAii:97.4{7 r { — °-95.53 fAC3:97o4t} 5 4 3 PA:97.4C1 1 95.6 PAi7.97.2Ci � 95.4 iYP ,A' ' j LFF:97.57 Ai3:96.9i s 95.3 3 "TYPE `A' e7+ FF:97.77 PAii:97.1f� I 1$"' RCP @ 0 —®95.5 M97 � 1 Wrimull", Permit No. L t1 d Date PermittedZ� Builder Name/Owner Name _ � A Control #� County Parcel No. ��f l? _ SubDly: _ Address/Location ._ r< a _ G t 46 Classification/Type of Use QN Rate: _ 5q, Ft Unit: Exempt 0 Yes 0 No Now Determined Impact Fee Amount $ C° Zone No. TAZ: SCHO L IMPACT FEE ,t Account (056) Single -Family Detached House Amount $ f/ (057) Mobile Home (058) Other Residential (123) Collection Fee Exempt =Yes = No How Determined PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Zone Exempt =Yes No How Determined LIBRARY FEE Land Account Land Credit Facility Account Facility Credit Exempt Yes No How Determined RESOURCE mm Recreation Total Facility Total Total Amount � •:Checked By _ • r PEikFORMEDIJINTIL THE TOTAL► HAVE BEEN • • .D RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY 1M