HomeMy WebLinkAbout23-6184City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
BNR-006184-20
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 05/08/2023___.
Pe,� � i,, ! rm � IF oe: Buildi ig New (Residential
777,77 777 '7
W-j",
J,
15 26 210230 00000 0090 38046 Fallsto a Way
MR -
Name: LENNAR HOMES LLC Permit Type: Building New (Residential) Contractor: LENNAR HOMES LLC
Class of Work: Townhome
Address: 4301 W Boy Scout Blvd 600 Building Valuation: $232,680.00
TAMPA, FL 33607 Electrical Valuation: $34,902.00
Phone: Mechanical Valuation: $16,287.60
Plumbing Valuation: $23,268,00
Total Valuation: $307,137.60
Total Fees: $14,217.05
Amount Paid: $14,217.05
I Date Paid: 5/8/2023 1;55:41 PM
1111� "MIT 77 7
7,
A
CONSTRUCT TOWNHOME 1541 SQ FT
Electrical Permit Fee $214.51 Electrical Plan Review Fee $0.00
Public Safety Impact Fee -Admin $2635 Building Permit Fee $1,203.40
School Impact Fee - Single Family $3,353,00 Transportation Impact Fee $3,445.20
Building Plan Review Fee $180.00 Driveway Fee $45.00
Mechanical Plan Review Fee $0,00 Plumbing Valuation Fee $0,00
Fire Wall/Smoke Wall Inspection $15.00 Public Safety Impact Fee -Police $254.00
Transportation Impact Fee - City $34S0 Plumbing Permit Fee $15634
Address Fee $30,00 Park Impact Fee - Single Family/Townhome $769.56
Mechanical Permit Fee $121.44 SIF 1 percent Fee $33.53
Sewer Connection Residential Fee $2,400D0 Water Connection Residential Fee $1,140.00
3/4 Water Meter Residential Connection Fee $794.92
REINSPECTIC N FEES: (c) With respect to einspection fees will comply with Florida Statute 553.80(2)(c) the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection, whichever is greater, for each subsequent remspection.
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-0-
A,
11A
�7 �TR A C T 0 R 4s1'G TURF
�,11 * M1,11
Of� �ICE
THOUT APPROVED INSPECTION
II13 Tao-c;o City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
-
-
Lerner Homes, LLC
w:®x�rr>irr>.®�ryr��r�rralr
Owner's Address 4301 W Boy Scout Blvd, Ste. 600, Tampa, FL 33607 Owner Phone Number
Fee Simple Titleholder Name I N/A Owner Phone Number
Fee Simple Titleholder Address
N/A
JOB ADDRESS
38046 Fallstone Way
LOT # 0009
SUBDIVISION Townes at Autumn Palm
PARCEL ID# 15-26-21-0230-00000-0090
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTR
ADD/ALT
SIGN DEMOLISH
INSTALL
E3
REPAIR
PROPOSED USE 0 SFR
[s
COMM
OTHER
TYPE OF CONSTRUCTION tam I[ BLOCK
E:J
FRAME
STEEL
DESCRIPTION OF WORK I Multi -family / Screen Enclosure / Fence
O BUILDING
$ 232680
VALUATION OF TOTAL CONSTRUCTION
O ELECTRICAL
PROGRESS ENERGY
W.R.E.C.
$ 34902
AMP SERVICE ���ffl
PLUMBING
$ 23268
vp
O MECHANICAL
$ 16287.6
VALUATION OF MECHANICAL INSTALLATION
ti
"
=GAS
Ems._!' ROOFING
E—] SPECIALTY = OTHER
..
/
FINISHED FLOOR ELEVATIONS
a._~Oe�®p
�
FLOOD ZONE AREA El YES Flo
BUILDER COMPANY LeTtna T_1__ s,LLC
SIGNATURE l REGISTERED Y / N FEE CURREN Y / N ��tl
Address 430 W Bo ut Blvd Suite 600 Tamp FL 33607 License # CGC1518166
ELECTRICIAN COMPANY Edmonson Electric, Inc. �� �
SIGNATURE REGISTERED Y / N FEE CURREN Y /'v I
Address License# EC13005408
PLUMBER COMPANY Bayonet Plumbing, Pleating & AC, Inc
SIGNATURE REGISTERED Y L N_J FEE CURREN LY / N
Address License # CFC042998
MECHANICAL „� COMPANY yOnet Plumbing, Ideating & AC, Inc
SIGNATURE f� REGISTERED Y/ N FEE CURREN Y l N
Address License # I CAC058062
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTEREDY / N FEE CURREN Y / N
Address License # CCC057991
IFtEifFililQll(ltiCltliIEEE1tEEFFtE�9FE��E�lfE[tI[�E�ii�&FIE�ES��tM�
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 (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
"""PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (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 (PloUSurvey/Footage)
Driveways -Not over Counter if on public roadways -needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions,
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division —Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION 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 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.
OWNER OR AGENT
Subscribed and sworn a (or affirmed) before me this
I'll,,, by Christopher Smith
Who is/are pe sonally known to me or
as identification.
Notary Public
G 296057
Commission M �g
Stephanie Farmer
Name of Notary typed, armed or stamped
ffJ
N
Subscribed and sworn to (or affirmed) before me this
WMD by ChriStizSaherSmith
who islets personally known to me or has/have produced
as identification.
-Notary Public
Commission No.-6/,
Stephanie Farmer
Name of Notary typed, printed or stamped
Services to be provided:
X
VR/\
V z R I - !;A 1 - R E v . E '�A A 3 S 1 S T
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
38046 Fallstone Way
15 -26 -21- 0230- 00000-0090
Plans Review X
MZM�
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 ASSIST, INC.
Private Provider: DEBM ANNE KLAHP
Address: 747 5W 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 perforin 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
ied 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 code, land use; environmental or other codes.
The following atta�chrnents. are provided as required:
1. Qualification statements and/or resumes of the private provider and all duly authorzzedxepresentatives,
I. Proof of insurance for professional and comprehensive liability in,the. amount .of 1 million per
o crux-rence relating to all service's p6rfofined as a private provider, including tail coverage for .a rn irn
of 5 years subsequent to the performance of building code inspection services.
Individual
:(signature)
Print
Name,
Address, •
I elaphone
No.
Ple0ouse appropriate notary block.
STATE ®F FLORIDA .
COUNTY OF HILLSBOROUGH
B efore ane, this day of
20— personally
appeared
who executed the foregoing ins Dirt,
and acknowledged before me that same
was executed for the purposes therein
eprossed.
Corporation
Befareine,ihis 22N day of
CLAY . 20 22
personally appeared
Of
Lenn r Homes LL �
corporation, on
behalf oftlas state corporation, who
executed the foregoing instrument and
aclaiowledgod before me that same was
executDd for the pmppsesthoreia
expressed.
By:
(signature)
Print
Name:
Its°
.Address;
Telephone
No.
WMEMMUE
B eore me, this day
of
pen6naliy appeared
a partnership, who exeoutoathe
aol�mowled&ed Ware me that same
-was oxermted.for the -
,q�Do.ses therein
Personally k own X or® Producod idoxti cation 'Type of ideniificition produced
Signature ofNotar� Print Name ASHLEE A�LLAHAN
e
AS�i
Not Public Stamp; HtEALLAMP
*. Mya OMMISSION HH295980
Coa amission Expires; ¢ °` EXPIRES: November 30, 2i�26
fioxR e
VR/\
VIRTUAL REVIEW ASSIST
Private Provider
Plan Compliance Affidavit
Private Provider Firm: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU 1967
Address: 747 Southwest 2nd Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: I @,yLirqLq1revi(nYassjstconi
i4gy
wsz��
Address(s): 38046,38050,38054,38058,38060,38064,38068,38072 Fallstone 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
and holds the appropriate license or certificate:
Name: Debra Anne Klahr
Plan Sheets 1,2, 3, 4,5,6, 7,8, 9,10,11,12,13,14,15,16,LI,SN,SN 1, S3,S4,S5, S6,SS, ST,Dl, WP,PAI,0,PAL 1,
PAL2,PAL3,PAI.4, SHI.0,SHI.1,SHI.2,SHI,3,SHI.4,SHI,5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examer
License PX2300 /4'
Signature of Reviewer:
SWORN AND SUBSCRIBEI) dfo fore me by Debra Anne Klahr
rr�
being personally known to v__or having produced as identification
and who being fully sworn and cautioned, state that the
re i. g is true, d correct to the best of his/tier knowledge or belief.
na e of Notary Print Name
commission expires:
- [—COMMERCIAL
BUILDING SERVICES ISION
RESIDENTIAL
BUILDING PERMIT DATA SMELT
TRACKING #
FIRE MARSHAL # I ®
DATE: 3/29/2023
FOLIO # 38046 FaII tn Way__ EXAMINER: bra Klahr 230C
Re uir
erm,its
Building
Plumbing
mech nical
Electrical Amp
El insvection 0n1
Ins
Ins ecfion Ond
[ ]Ins ection �nl
Roof
�echon1n1
❑ Gas
El Gas
E] Fire Sprinklers
® On Site piping
E] Fire Line
[l Irrigation
[l Fire Alarm
Potable llackllow Assembly
[l Fire Line Backilow Preventer
Irrigation Backilow Assembly
[l Demolition
E] Walk-in Cooler
El Refrigeration
[l Flood
[l Ansul
® Fence/Wall
® Grease Trap [J Other
[l Other
T oe Construction: L� Risk Category: Occupancyi oad
iI aricy lassiatiom: Assembly w —I usiness CarefEducationol
Facey Hazardous nstitutional r,Day
Mereantile
Residential m3 „®! Q Storage �'tTtility
Building Use: SINGLE FAMILY TOWNHOUSE 1 Alteration Level 1 IQ.Level l cvel 3
lw�New Construction ® Interior Finish ® Interior Remodel 0 Exterior Remodel El Addition EJ Revision
Overall Size: Number of Stories: Total Sq. Ft.:
18-4 X 63 2 1939
Living Area: 1 41 Covered Area: 39 # of Bedrooms: 2
# of Baths: 2.
Gast per square foot: Estimated Value:
Roof T" e: Shin le Tile u11t-u (� metal Ether S uares: 14
Zoning:
;Inside �0utside 405-202
Flood Zane: XIias' F loocl I levatiorZ: F inislr laor le ation:
Hydrostatic Vents` ,Yes lNo Sq> Ft¢ ncl€rsed pace law OFF
# of Vents: Size of Vents: Total Sq. In, Permanent Openings
Central A/C Heat Pump Window A/C
® Gas A/C ® Gas Heat [ Electric Pleat
Setbacks
Front Rear Left Right
As per Approved ,Site Plan
Comments:
DESCRIPTION: LOT(Sj 9-16, TOWNES AT AUTUMN PALMS, ACCORDING
TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89, PAGEiSi 1 13-114,
OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA,
----------------
N2b�1
1 NOTES:
LOT GRADING TYPE = N/A
PROPOSED PAD ELEVATION -- N/A a
� FRONT SETBACK = 15'
SIDE SETBACK -10Ln
' 100.
REAR SETBACK - 20'
ALL WALKS30 UNLESS NOTED
ALL A/C 3.2'x32
I/E/U/D= INGRESS EGRESS/
UTILITY/ DRAINAGE ESMT
LOT = 16957 SQ.FT.
LIVING AREA = 5336 SO. FT.
ENTRY = 672 _ SQ. FT.
GARAGE - ? 848 SO. F1,
COVERED LANAI _ 868. _.__SQ. FT. LOT
PATIO - NA SO, FT, 17
POOL AREA = NA SCL FT.
CONC. DRIVE = 2400 SQ. FT.
ASC & CONIC PAD = 80 SO. FT. i00'
SIDEWALK 324SO. FT.
SIDE YARD SWALE NA SQ. FT.
CONSERVATION AREA NA SO FT.
LOT OCCUPIED 68 -...... Ely
AREA TO IRRIGATE 32 FE,
j $ 89'54'08 E )A) 1 13,41 1PI l2?, 91) 283 0' (P)
11 L---_=w_b--
------------------------
TRACT W
LANDSCAPE BUFFER
UNIT -A UNIT-B UNIT
1532 1516 1624
O p
LOT LOT LOT
16 15 14
6.7' z 6
K
w w w
113 113, 113
t00 I{ T00 i f Io.4
i Isho I P 1-18.00P
SEC. 15, TWP. 26 S, RNG 21 E,
PASCO COUNTY, FLORIDA
TOWNES AT AUTUMN PALMS)
----------------------
2S
ATTA
RESID
UNIT-C
1624
LOT
13
6.7'
UNIT-C
1624
W
SITE PLAN 1708 Water Oak Drive
(NOTA SURVEY) Tarpon Springs, Florida
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UNIT-C
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1516
1532
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LOT LOT
12 11
Z 63 63 Z
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1
18.00 ' P
T 8. O P
s8R'540$"E1P! � 50
,"i
_m_____- Phone: (727)-831-1990
FloridaPLS7123@gmaii.com
LB# 8183
.7r�s>3l
Lou
Scale, 1 = 20
ar o
Initial Point Land Surveying, LLC.
LOT
i4 9
9 z Z 7,0
< < TITO
iu w
11.3' 1113
i
,D0'
e II1I
7#7 o
iA
III O, P 2833' (P)
FAIISTONEWAY
!1596952
°a969520013 - =; ROADWAYTRACT"C S&9'5608_E fP) 32899IP)
59S9S20014
0445 PROPOSED: CIg/TY OF ZEPHYRHILLS
LOWEST FLOOR ELEVATIONES/A!/&AEASEARENT
Si69524616 _.
--------- LIVING AREA.84.83' -
NOTE: CONSTRUCTION PROPOSED ELEVATIONS AND TYPE 1 GARAGE AREA: ALL ELEVATIONS REFERENCED
GRADING PLANS GRADING SHOWN HEREON ARE TAKEN 1 ELEVATIONS REFERENCES) TO TO NORTH AMERICAN
HAVE MINIMAL FORM THE ENGINEERING PLANS CIF "MASER' NORTH AP,AERICAN VERTICAL DATUM OF ( VERTICAL DATUM OF 1988
GRADING/ELEVATION CONSULTING P.A. PROVIDED 6Y CLIENT ( 19 ( (1+)AVC188j
88
INFORMATION � a{},85' a NATIONAL GEODETIC VERTICAL -.
—,-,-, .— DATUM OF 1929
SURVEY
_,,,..�,__ ......._,_,-NVPant.. m�
c- LU INUM FENCE
N D DRAT T INv INVERT -PC rPERMA NT NI C ry Chief JH
N (1 Ilzl-RrcpRD Drawn By C1Y/C Par
AF AIUMII LODEED ORFLF /-FLNAGE EASEMENT I.F3 -LOWEST BUISNE FT PCP- POOL
CONTROL POINT LIPS-RAII GE
ROAD
BFP-BASE:l^FOOD EtEVAiION EOP-(0 FOFPAVEMN tS- IJCOWEST F1, OUR CTIVEYLFVATION P/F POOI ['(lUiPMEM R24-RAILROAD SPIKE Chf'CKeG By IM
BM-BFNCf{MARK COP- EUGEOFPAVrMEM MIT I,CEASFRUItVEYOR P PAC, SEC - ET OOF'WAY File:
FAY
II-CENTR!!INS LEM -FOUND CONCRETE MONUMENT NFL -NO COD cRDFOUN ON FOR ---POINT OF BEGINNING SIR_ SECTION (C I - I L F/C , r NCF 1,ONT MEE MEASURED PI POINT DE tM1RFtiSECTiON 5F
I ( PK PAttKkft KAtON SN6'T� SET-11 .ANDDSK LBb8l83D�e 9f$kEe R1�,�„�B„�2�W�
ft SEFiP"FAPR BENCHOD M#3tt3
CLF ^CHAIN RRUGINK ENCE FIR, FOUND IRON PIPE OI1W OV:_RALC POL POINT'(IN COMMENCTMEM 1HM=TF.MPORARY BENCH 6MRI( ljj�"i„Ltjel�y .'('.^,g{}P, 51j'E,ejlYft,5
CMP-GO,'22tIGAFG9 METAL PIPE F;R-FOtINDtRCJN ROE} OttW-pV£Rt1ERDWIRE(S POL POINT CSN ttNL FOB - TOP OF BANK
COL r COLUMN FEAD-FOUND relt&DISK OR = OFFICIAL RECORDS IEC^ POINT OF REVERSE CURVE TRIO -TOWNSHIP This SFTE Plan Prepared for and Certified
COW-^CONCRPIE (O-FOUNDOPENPIPE FIT 'NAT PRM-PERMANENTRE`ERFNC.FMONUMENT U.E- UTILITY EASEMENT Lerrar Homes
C/S CONCTf^ 'STAB EPP- FOUNDPINCHED PIPE PO 0AT BOOK P-U.E- PUBLIC OPUTY EASEMENT
SURFACE TYPE FENCES
CONC AUMINUM FENCE
Q -ANSIALl' ONYt PENCE
LOT -i
-BRICK WOOD (ENCE
SAND/DIRT CHAIN LINK FENCE.
-COVERED OVFRHEAD POWER
,�.w.®. QHP — 2
------ . __-----.
LEGEND:
. f 3t/. ---A -PRCZPC?SEC) DRAINAGE FLfliri
100,00) PROPOSED GRADE
F-0000- EXISTING GRADE >2 0AX _.
�ti,S a 10 INGRESS EGRESS/U.E & D.F
APPARENT FLOOD HAZARD ZONE df COMMUNITY NO 120335
(MAP NUMBER I a 101 C=0452+) EFFECTIVE DATE 09/24/2014 .
y stBR9dEY�R's NI TE . _._,.
t.) Current title Information on the subject property had not been _.
furnished to Initial Point Land Surveyincl, LLC_ at the time of thri site {clan .
;I 2,) This sketch was Prepared Without the benefit of a title search. No
Instruments of record reflecang ovmrrxhIF, easements or rights of'ousy
o were Furnished to the undersigned, doles% othervtsse shown hereon.
3) Roads, walks. and other similar items shown hereon were taken from
v,
^' engin i fing pla ri and are sub,(ectto survey,
4.) This site plan doers not reflect nor determine ownership.
64 This site plan o subject to matters shown on the Plat of"TOWNS cT
AUTUMN PALM,. .._...-.:
6.) Dimensions shown hereon are in feet and decimal portions thereof.
7.) Contractor and owner are to verify all setbacks building dimerskors.
and layout shown hereon prior to any construction, and irnmedlazey
advise Initial Paint Land Surveying, LLC, of any deviation from
information shown hencon, Failure to do so will be at users Rote risk
This certifies that do ql4 .property pas made
under my s y�pi�a{)fj � 4,uyraftice for
surve S as 1 i rS in Chapter
y p
7 F S i 51 hP i .0 3. cdi���I :91 I.
Ira. r u Pt C 1 0. C ou S,I . ,..b ml t d usa t o
Section 47 t stall Ies airs 10
� � 1 Q. 4 3 fii4'Ofl`
le€f M. Hartley 'S\ STATE OF r E Date
FLt2RtDA PRC1FES lJRft :i) 1P Nt3 LS#7123 L8#8183
NOT VALID I1WATURE AND SEAL .-
OF FLOR: jk CiR AND MAPPER
!Mill -mums
SIGN (20 MPH 21+00
$ #
f 82.5 1 X 83.38 HP$
r ► r y:,.
i3 '+� ,.
Permit No,
Date Permitted
Builder Name/Owner Nam,
Control #_
County Parcel No. SubDiv:—
Address/Location
Classification/Type of Use I
TRANSPORTATION IMPACT FEE
Rate: Sq. Ft Unit:
Exempt 0 Yes r--j No How Determined
'/
Impact Fee Amount .. $ 3 6c) Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount $ Sj
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt =Yes = No How Determined -
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 f--j Yes = No How Determined Total Amount t5_
RESOURCE FEE ERU
1
Prepared By Checked By
NO CERTIFICATE OF OCCUPANY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERM ITT INN 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.
om
129