HomeMy WebLinkAbout23-6189N �
City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
NFL-006189-2023
Phone: (313) 730-0020
Fax: (813) 730-0021
Issue oats: 05/08r2023
Permit T (pe: Building Residential
70k,xt .�... ,t,IN t�'t� t .\\ s\ \.,. \ �,
a� \ t .1. x\} S �\ �q ..\ tl \ \t.\ \ �\)\1;ltil \ g ` a 11\ \ \ \t \ ft,i t \ i\ \ \ 1\ \
a1.1"'SS� t t., 4���. y .� a,.." r��C' ��v v,.tit �v�., ,v,'.3?�v<1 �.�,??\�,�,.s,. � v�,��ry, a 1.,, ,. t.<a�� � \ At\\..1�.;v�a ,. �11�,�5 s
15 26 210230 00000 0140 38064 Fallstone Way
tll
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: $250,320.00 r
TAMPA, FL 33607 Electrical Valuation: $37,548.00 ..wy
Phone: Mechanical Valuation: $17,522.40°�
Plumbing Valuation: $25,032.00
Total Valuation: $330,422,40
Total Fees: $14,333.47 `7
Amount Paid: $14,33147�
Date Paid: 51812023 1:55:41PM �.
CONSTRUCT TOWNHOME 1634 SQ FT
Public Safety Impact Fee -Admin $26.35 Public Safety Impact Fee ®Police $254,00
Address Fee $30.00 Park Impact Fee - Single Family/Townhome $769.56
Building Plan Review Fee $180.00 Mechanical Plan Review Fee $0.00
Electrical Permit Fee $227.74 Transportation Impact Fee $3,445.20
School Impact Fee ® Single Family $3,353.00 SIF 1 percent Fee $33.53
Plumbing Valuation Fee $0.00 Water Connection Residential Fee $1,140,00
Mechanical Permit Fee $127.61 Fire Wall/Smoke Wall Inspection $15.00
Transportation Impact Fee m City $34.80 Driveway Fee $45.00
314 Water Meter Residential Connection Fee $794.92 Sewer Connection Residential Fee $2,400.00
Building Permit Fee $1,291.60 Electrical Plan Review Fee $0.00
Plumbing Permit Fee $165.16
REINSPECTION FEES: (c) With respect to Reinspection 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 reinspection.
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 ether governmental
entities such as water management, state agencies or federal agencies.
"Warning toowner: 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 worts shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
Pi
CONTRACTOR SIGNATURE PE r
IT OFFICE
PERMITIRES IN 6 MONTH ' S WITHOUT APPROVED INSPECTION,
NOTICECALL FOR INSPECTION - 8 HOUR
. VTR 78uil city of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Owner's Address 4301 VV Boy Scout Blvd, Ste. 6qq, Tampa, FL 33607 Owner Phone Number
Fee Simple Titleholder Name N/A owner Phone Number
Fee Simple Titleholder Address I N/A
38064 Fallstone Way
10014
JOB ADDRESS
LOT #
SUBDIVISION} Townes at Autumn Palm
PARCEL to# 15-26-21-0230-00000-0140
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR F—I
ADD/ALT
SIGN DEMOLISH
INSTALL
REPAIR
PROPOSED USE SFR
COMM
OTHER
TYPE OF CONSTRUCTION 10 BLOCK
FRAME
STEEL
,�-OBUILDING $ 250820 VALUATION OF TOTAL CONSTRUCTION
�,
ELECTRICAL $ 37548 AMP SERVICE PROGRESS ENERGY W.R.E.C.
0PLUMBING
$ 25032 P s
a b
MECHANICAL $ 17522 $ VALUATION OF MECHANICAL INSTALLATION i
GAS 10 ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS ( FLOOD ZONE AREA DYES LJ O
III
BUILDER COMPANY LcnuarITorrlLLC;
SIGNATURE REGISTERED L_X.LN_j FEE CURREN Y / N
4301 Boy Scout Blvd Suite 600 Tampa, FL 3360? CGCIS [8166
Address License #
ELECTRICIAN COMPANY Edmonson Electric, Inc.
SIGNATURE 7 REGISTERED Y/ N FEE CURREN Y 1 N
Address License# EC13005408�
PLUMBER COMPANY Bayonet Plumbing, Pleating & AC, Inc
SIGNATURE J' REGISTERED YIN FEE CURREN
Address License # CFG042998�=
bi Plumbing,
umn
MECHANICAL COMPANY Bayonet g, Heating & AC, Inc
SIGNATURE REGISTERED Y ! N J FEE CURREN Y ! N
Address License # cAc058062
OTHER COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y ! N FEE CURREN Y / N
Address License #GGC057991
ItlilllEll�llkltliiiE9BttllgliES18F�F��[81�46eE9ltAEFF1Ek��6��IF1l1P
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, Stonnwater 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 Farms. 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.
It It
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
•
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
ha Tr n rtati n F In., R R v F ma I h i n f n if i
N I IWIL
Uli I (;QfL[ly Ulaif I riavie 56farlQu a 7upy 31 frie 7_977Q lesunDea aocument ano promise in g
deliver it to the "owiner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
.......... .......
"I'll, .11 1 1 1 iet�qd�..�Lcatt*n_k_
hereby made to obtain a permit to do work and installation as indicated. 11 ertify 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
#
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
1compensating 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.
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
MIN
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
WAMw Awww 4IMM&
OWNER OR AGENT :;�__ --'
Subscribed and sworn ro (or -affirmed) before me this
mMaM by Christopher Smith
Who islare_persariallykvown to me or#aslt�aue"procitrc;�t�
as identification.
Notary Public
Commission G 2960557�
Stephanie Farmer
Name off Notary typed, printed or -stamped
•
Subscribed and swom to (or affirmed) before me this
_E1 812o1-1__by
Who �own to me or has/have produced
as identification.
Notary Public
Commission No. 6 7
Stephanie Farmer
of Notary typed, printed or stamped
rMT449M M.M
Services to be provided:
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
38064 Fallstone Way
15-26-21-0230-00000-0140
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 KLAHR
Address: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
Telephone: 813-376-3088 Fax: N/A
Email Address (Optional): deb@virtuctireviewassist.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 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, envirommental or other codes.
The following arta,ohments. are provided as required:
1. Qualification statements and/or resumes of the private provider and all duly authorized representatives.
2.. goof' of insurance for professional and comprehensive liability inthe. aluountof $1 million per
o courrenoe relating to all services performed as a private provider, including tail coverage for a nririirnum
of 5 years subs D quent to the perfprrna'nc e of building code insp e otion. se ices.
Individual qorporation Partnership
I Lr_ . I
-(signature)
Print
Name:
Address,
Telephone
No.
please use appropriate notary block.
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
Individual
Bel fore tbiS�-Clay of
20____, personally
appeared
who executed the forego'ing insi trument,
and acknowledged before me that same
was executed for the purp9ses therein
expressed. .
Print Corp oratioMI 1
n Name
By:
Print
Christopher Smith
Address:-ZQQ-N����
Miarn, FL 33172
Telephone,
No, 813-574-5700
Corporation
Befolleme,this 22ND day of
MAY 20 M2
Pomona* appeared,
of
Lennar Homes LLeozporaiiort, on
..,behalf of the -state oorporation, who
executed the f6rogoing instrumbilt and
aoionowlod'god before mf, that same was
executed for the purposes therein
expressed.
PrintPartnorshipNmue
Bye
(signature)
Print
Name:
Address; • -
TDIephDne
Partnership
Before one, this day
of
per&6naRy appeased
p artum/agDnt on behalf of
a partnership, who executed the
foregoing instrument and
acknowledgod before me that same
was txecuteffor the purposesthorein
expressed..
'Pen on all.y known�X or-Produoodidepti-iication. Type of'identif.icationproducod
Sipai m ofNotU." ASHLEE CALLAHAN
WWI',
NotaTypublic Stamp-, ASHLEE CALLAHM
My COMMISSION # HH 295980,
November 30,2026
F-XPIRE
commission Expir es;
VR/\
VIRTUAL REVIEW ASSIST
Private r ovi er
Plan Compliance Affidavit
Address -Private Provider FIn: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU 1967
Phone: $13-391-2959
Email: tu!pyCa)vii-tualre.vie*Aassist.coni
Gainesville, FL 32601
and holds the appropriate license or certificate:
Name: Debra Anne Klahr
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examine`
License #: PX2300
Signature of Reviewer.
_7
SWORN AND SUBSCRIBED befgX e by Debra Anne Klahr
being personally known to me� or having produced as identification
and who being fully sworn and cautioned, state that the
4eego' is true and c7ect to the best of his/her knowledge or belief.
11 ZI
ofNc t Name
commission expires:
°Aam ASHL CALLAHAN
nlv�'*a COMMISSION HN 205900
EXPIRES. November 30,2026
[� CCTIVCMERCIAI BUILDING SERVICES DIVISION
BUILDING PERMIT DATA SHEET
TRACKING # FIRE MARSHAL # 1
FOLIO # 38064 Fallstone
E] Potable Backflow Assembly
l Coolerl�
Rff
"RESIDENTIAL
DATE: 3/29/2 23
EXAMINER: bebra Klahr PX230C
Electrical -Amp
� �iF'f ��!' '► � Diu
El Irrigation
El Irrigatioo Backilow Assembly
ly e Construction: -8 I Risk Category: Occupancy Load
( mpancy Classiiicaiion: Assembly business ay Care/Educational
m.. ,
Facto Hazardous nstitmional'
t3 D Mercantile
.. .
Residential R � Storage [ CTtilny
Building Use: -�jINGLE FAMILY TOWNHOUSE f Alteration Level 1 Leve12 Level 3
New Construction ❑ Interior Finish ® Interior Remodel Ej Exterior Remodel EJ Addition [J Revision
Overall Size: Number of Stories: Total Sq. FC:
28 X 63 2 256
Living Area: 2634 Covered Area: 452 # ofBedrooms:
# of Baths: 2b
Cost per square foot: Estimated Value:
R df thin le Nile Btailt�u Metal [� Other cares: 24
Zoning: WipAborneDebris: Energy Code:
;Inside Outside 4 5-2 2
Flood one: X Base Flood Elevation: Finish FloorElevation:
Hydrostatic Vents? ElYes No Sq. Ft. Enclosed Space below f>
# of Vents: ettts: Total Sq. Inc Permanent Openings
Central A/C ?C heat Pump :::E Window �i1C
® Gas A/C ®Cas heat Electric Heat
Front Rear � Deft
21 As per Approved Site Plan
LM
_ P.V.
14 M 40_.,.
c plow,
�r.
85
�b
83.66
a J,
.30
84.10
F.F. L. = 84,83
F,REL. =-I
A qC
OD
s F
d•S pit .d � �3`�
3
83
Ln
�..
C
2.94
83.4
$3.9I
<.
.
a
.
(-2)IM1111111
I,, IN
S LET S-2
v
"i
,
— --
2a Pi
3.38
PROP. CROSSWALK —�
2.8SCa
a
(TYP.)
' BEET - l
i
8
I
2,46
�
TO THE PLAT THEREOF, RECORDED IN PLAT BOOK $9, PACiFf S) I I B-1 14,
OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA,
----------------------
N
II NOTES: --------
LOT GRADING TYPE = N/A
PROPOSED PAD ELEVATION - N/A
FRONT SETBACK = 15' {
U SIDE SET BACK - IIT
vg 100 s
REAR SETBACK =
20'
ALL WALKS 3.0' UNLESS
NOTED
ALL A/C 3.2'x3.2'
/E/U/D= INGRESS EGRESS/
UTILffY/ DRAINAGE ESM'T
LOT -
16957__SO. FT.
LIVING AREA =
5336 SO. FT-
o
ENTRY =
672 SO FT.
-
GARAGE
1848 SO. FT.
Ez
COVERED LANAI =
868 SO. FT,
---SQ.
LOT.
PATIO =
NA FT.
17
POOL AREA =
NA SO. FT.
"SO.
CONC. DRIVE
2400 FT.
o
A/C & CONIC PAD
80 SO. FT.
0 10 0
SIDEWALK
324 SO. FT.'
SIDE YARD SWALE =
NA SQ. FT,
CONSERVATION AREA =
NA SO, FT.
SEC, 15, TWP. 26 S, RNCi 21 E.
PASCO COUNTY, FLORIDA
(TOWNES AT AUTUMN PALMS)
TRACT "H'
LANDSCAPE BUFFER
S 9, . P
o ( o0
7 i 1 1 t
i 3 I i l l
2 S7
ATTA
RESID
UNIT -A
UNIT-8
k/NIT-C
UNIT-C
1532
7516 w
1624
1624
�
V
V
b
0
0
LOT
LOT
LOT
LOT
16
15
14
13
70'
6.7
6{7'
6.7'
SITE 1708 Water Oak Drive
NOTRwRVEY} Tarpon Springs, Florida
... Phone: j727j-831-1990
F(ofidaPLS7123@gmaii.com
LB# 8183
o'
D o.
n
10.0'
^F9q f�
Scale: 1 ° = 20'
°i Initia€ Anint 1 aril Ci inic
8
UNFf-C
UNIT{ UN(T-6
UNIT -A
C
7624 w
1624 1516
1532
�
V
w
u5
,
LOT
o
LOT LOT
LOT
N
o LOT
12
11 to
9
1 8
Z 6.7"
6.7' Z ,f'4 y
TO
a X:w-
a
LOT OCCUPIED 68 % 16,36
AREA TO IRRIGATE 32 -�--% 6J
11.3
1 7 3'
100'..t
113,
i
t
113
100`
113
100 {
i +; 7 3
i f 100
1 1.3'
1 1 3
10,0
tr.7Q;0x
t ..
,t
�9 d + t 4.,,�1 it •'
584'S6'0ELE(P) 11348'(P) "x'`24�. 28.30'(P) i 1800` P !`^"]E300 P
I : II ',
I IBdo' li Li 1$3.Ci(3'��
7 H e.-i •'. ( ,
I II10 P : 7 16 0 P " L •+ 2833'(P) .`��.
JOB i 4
:589'S60$'EjP(
0
;,,: ..
3 ` �, 76_ .:27 3'T 7b '- 273
1596952
�-/tea-'.'�2.7
-..4
i x
15969520DID
r, r.
15969520012
" " ' ., , ;
15369520013
EALLSTONE WAY
ROADWAYTRACT"C S89'5608 E(P) 32&99 JP) p9
15969520014
15969520015
CITY OF ZEEiiTRHlLLS
PROPOSED:
LOWEST FLOOR ELE VATIAFFU/0 EASEMENT
15959520015
.LIVING AREA.84.83" . _I
ALL ELEVATIONS REFERENCED
NOTE: CONSTRUCTION
GRADING PLANS
PROPOSED ELEVATIONS AND TYP£
RADING, SHOWN HEREON ARETAKEN
GARAGE AREA �
TO NORTH
ELEVATIONS REFERENCED TO
OF
HAVE MINIMAL
FFORMTHE ENGINEERING
PLANS "MASER
UM 19
NORTH AMERiCAN VERTICAL DATUM OF VERTICAL DATUM OF )9$8
GRADING/ELEVATION
ONSULTING PA', PROVIDED CLIENT
1988 iNAVD 88)
INFORMATION
_._
.. ____.�__. _ _ _
_.. _.. _... -.
+0.85.- NATIONAL GEODETIC VERTICAL
SURVEY ABEREVAMNS1
DATUM OF 1929
AjfaLDEI
{DI DEED
END
OF C,_._._.._....._._...__. .
PC PPERMANNTC RECORD Dfrtw!'}By.CWt. Party C6`eI@f:JH REVISIONS
POINT
NUN, FTNcF2
AT ALUMI^U.I CO UEE
BFE 6ASE FISJOfl FLLVATiON
FL OR Ft�V-"i EVAT1pN
Et Ft FIEA C ASTiQN
iiii—E
iE -LOWFE-FLOORS
13F LOWES FOORELEVP.T16N
PCP PFRPAANENF{ONTROL POINT RIO RAMC F.
F/E -PQO. OUTAMEfJF RRS^RRit ROAD SPIKE Checked By: JH
BM BENCHMARK
..URVE
P PPV I FNT
FOR FDGEQ EA..
Ell" FPS_WNT
- I 1 URA Y R
lS C S.D. JFO
(M7 -MEASURED
P P R N RG #'OF'WAY
f PAGE E File"
PI POINT pr iNTERSECEION SEC - SECTION
ICI-CALC'UTAT'ED
4 PEN TERi.INE
F/C -FENCE
FCM FOUND CON(REIE MONUMENT
MFS-EArEREDENDSFC'f'ION
NCI -NO CORNER FOUND
PK-PARKER KALON SN&D^0, r NAIL AND DISK LBee 1 AN Date of Site Plan:06.08-22 CWC
POH-POINTOFSENNNING SIR--SETT/2"IRONRODLK-383
CLF^CHAIN IJNKFFNCE
FIR - FOUND IRON PIPE
O/A-OVERALL
PO <:- POINT OF COMMFNCTMENT FIRM- TFMPORARYBENCH MARK DWG:L9-16-TC4+AP-SITE,DWG
CMP CORRULA tD METAL PIPE
FIR = FOUND IRpN RODOHW
<OVFRHEAD WIRF(SI
POE POINT ONLINE 106 ^'OPOE HANK
COL^COLUMN
FN&D- FOUNT) NAIL& DISK
OR -OFHCtALRECORDS
PPC = POINT OF REVERY CURVE ",WP fOWNSIi1P This SITE Plan Prepared for and Certified TO:
CONC-CONCREIL
FOP -FOUND OPEN PIPE
0) �-PLAT
PREA- PERMANENTPEFFRFNCF. MONUMENT USA UTi IFY1-ASE.MENT Lennar Homes
C/S- CONCRETE SIAe
EPP- FOUND PINCHED PIPE
PH -FIAT BOOK
PUS= PU611C UTILITY EASEMENT
SURFACE TYPE FENCES
CONC At )MINUM FENCE
r Mt,ti
ASPI-IAl I VINYL FENCE
-BRICK IN. DFENCE
- SANf3 R, CHAIN FINK FENCE'
�; t
�COVERF.D OVERlIFA01OWEA
()HP --- OHP
LEGEND:
�"-�-- PROPOSED DRAINAGE FLOW
j00.00) = PROPOSED GRADE
E 00.00 = EXIST#NG GRADE 2° OAK
^= 70INGRESS EGRESS/U.E IF D.E
APPARENT FLOOD HAZARD ZONE X COMMUNITY NO. 120235
(MAP NUMBER 12 10 1 C-0452-P) EFFECTIVE DATE' 09/26/2014
SURVEYOWS NOTES:
s.) Current title Information on the subject Property had not been
furnished to Initial Point Land Surveying, LLC, of the time of this site plan r
2.j This sketch was prepared without the bent of a title search, No
instruments of record reflecting ownership, easements or rights•ofway
were furnished to the undersigned, unless otherwise shown hereon.
3.) Roads, walks, and other similar items shown hereon were taken from
engineering plans and are subject to survey.
4.) This site plan does not reflect nor determine ownership,
5.) This site plan is subject to matters shown on the FEW of "TOWNS N
AUTUMN PALM
6.) Dimensions shown hereon are in feet and decimal portions thereof.
7.) Contractor and owner are to versify all setbacks, building dirriens(ons.
and layout shown hereon prior to any construction, and immediately
advise Initial Point Land Surveying, LLC of any deviation from
information shown hereon. Failure to do so will be at users sale risk.
see 4� To
This certifies that ske properly was made
under my s yractice for
surveys as in Chapter
5J-17.fl51 throur 5J-1 053, FI rarer 2t pursuant to
Sect 47� start:, ate; ' .01
^t10:143 1001
Ji
Jeff M. Hartir Wp.; Date
FLORIDA PROFESS.: UR%WIPAND Pj'R LS#7123 LB#8193
NOT VALID .I 'jj� `iNATURE AND SEAL
OF A FLOR1i JJ C7R AND MAPPER
Builder Name/Owner Name ��Y�2 ' Control �
County Parcel No. ... f / C)tL tl SubDiv: s is
Address/Locations`
f
Classification/Type
TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit:
Exempt Yes 0 No How Determined
Impact Fee ,Amount � Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount $
(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 Recreation Total
Zone Total Amount $
Exempt =Yes = No How Determined
I
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt 0Yes No How Determined Total Amount
RESOURCE FEE ERU
Total Amount
Prepared RY ` �.. . Checked By
NCI€RTIFI E OF OCCtIPANY WILL RE fSSIlED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND RECIPTED 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 BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME,
DATE RECEIVED BY
RECEIPT NO DATE BY