HomeMy WebLinkAbout23-6191City of Zephyrhills
5335 Eighth Street
�, 11", 1111,
Zephyrhills, FL 33542
BNR-006191-2023
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 05/08/2023
-
Per aBuilding New esidential)
i!p
38072 Fallstone Way
77,77,777771
Name: LENNAR HOMES 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
Date Paid: 5/8/2023 1:55:41 PM
g,
,\R
CONSTRUCT TOWNHOME 1541 SQ FT
Public Safety Impact Fee -Police $254,00 Transportation Impact Fee - City $34.80
Fire Wall/Smoke Wall Inspection $15.00 Driveway Fee $45.00
Park Impact Fee - Single Family/Townhome $769,56 Public Safety Impact Fee -Admin $26.35
Plumbing Valuation Fee $0.00 314 Water Meter Residential Connection Fee $794.92
Transportation Impact Fee $3,445.20 Building Permit Fee $1,20140
Electrical Plan Review Fee $0.00 School Impact Fee - Single Family $3,353.00
SIF 1 percent Fee $33.53 Sewer Connection Residential Fee $2,400.00
Water Connection Residential Fee $1,140,00 Plumbing Permit Fee $156.34
Address Fee $30.00 Electrical Permit Fee $214.51
Building Plan Review Fee $1180.00 Mechanical Permit Fee $121 A4
Mechanical Plan Review Fee $0.00
REINSPECTION 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 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 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.
813-780-0020
City of Zephyrhills Permit Application
Building Department
ii
Fax-813-780-0021
Date Received I I Phone Contact for Permitting 1( 908 ) 770
Owner's Name I Lermar Homes, LLC I Owner Phone Number 1913,5743700
Owner's Address 14301 W Boy Scout Blvd, Ste, 600, Tampa, FL 33607 1 Owner Phone Number
Fee Simple Titleholder Name 1, N/A Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 38072allStone iNayLOT III 0016
SUBDIVISIONTownes at Autumn Palm PARCEL ID# 15-26-21-0230-00000-0160
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
P
NEW CONSTR
ADD/ALT
SIGN DEMOLISH
INSTALL
REPAIR
PROPOSED USE 0
SFR
COMM
OTHER
TYPE OF CONSTRUCTION 10
BLOCK
E:]
FRAME
STEEL
DESCRIPTION OF WORK I Multi -family / Screen Enclosure / Fence
OBUILDING
232680
VALUATION OF TOTAL CONSTRUCTION
OELECTRICAL
PROGRESS ENERGY W.R.E.C.
E�
AMP SERVICE
OPLUMBING
IS 23268
1
MECHANICAL
L------------------
I
VALUATION OF MECHANICAL INSTALLATION
LA
=GAS
ROOFING
E:] SPECIALTY =
OTHERyr
FINISHED FLOOR ELEVATIONS
FLOOD ZONE AREA DYES Do 1
BUILDER
1
COMPANY
Len nar 11ornes, LLC
SIGNATURE
REGISTERED
Y / N FEE CURREN Y/N
. . .... ......
Address I W 6& Blvd Suite 600 Tampa„ 35607
License #
ELECTRICIAN
7
r__7_
COMPANY 'Edmonson
Electric, Inc.
K��IEE
SIGNATURE
REGISTERED
Y1 N CURREN
Address X
License #
PLUMBER
COMPANY
FBayonet Plumbing, Heating & AC, Inc
SIGNATURE
REGISTERED
YIN J I.E—CURRE11 Y J N
Address f J
MECHANICAL COMPANY
SIGNATURE �REGISTERED
Address
OTHER COMPANY
SIGNATURE H REGISTERED
Address q. License # [CC:CO57991
I I I I I I I 'It tit I, III—, 11=1 �11111 �tll [till 1111111111 11111111111 It III
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 & I 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 It 0) 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 (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations, The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
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 IMPACTIUTILITIES 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'SIOWNER'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.
MUM 10 It's 170410114, &1 :A I JitilliMT514 IT, 14,,U &21 ]LOX01111.1au *I#] a 43EM I W0142 I impil la OX01 3 F-11 101 2111,10-1i
OWNER OR AGENT
— Subscribed and sworn in (or affirmed) before me this
3128M23 h,, Ch6o..hA, Smith
identification.
-Notary Public
commissior,�
Stephanie Former
Name of Notary typed, printed or —stamped
9ffJ
Subscribed and sworn to (or affirmed) before me this
X2,W23 --by
)Ais/are personally known to me or has/have produced
as identification,
—Notary Public
Commission No. 7
Stephanie Farmer
Name of Notary typed, printed or stamped
*TNN,
b0a,k4ft k =4
\/-RA
R 1- i i REVIrW ASSiST
vNotice to Building Official of
Use of Private Provider
Effective January 20, 2003
38072 Fallstone Way
Parcel Tax ID: 15-26-21-0230-00000-0160
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.
I STEVE SMITH , the fee
owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services
indicated above.
Private Provider Firm: VIPTUAL PEVIEW ASSIST, INC.
Private Provider: DESPZA 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 # SU1967/ 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 any 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 attacbments, are provided as required.
1. Qualification statements and/or resumes of the private, provider and all duly authorizedrepiesontatilves.
2,. Proof of insurance for professionaland comprehensive liability in,thejamount of $1 million per
occ=enoetelating to all servieds peixfbimed as a private providerA including tail coverage for aminimurn
of 5 years subsequent to the performance of building code inspection services..*
Individual
-(signactue)
Print
Name;
Address-; -'
Telephone
Plemense appropriate notary block.
sTATE of FLORIDA
COUNTY OF HILLSBOROUGH
Ougarkm
B dore m tlais--qay of
20____,personally
appeared
who executed the foregoing instrument,
and arknowledged before me that same
'was executed for the purposes therein expressed.
Corporation
Prit uint CoiporationName
Print
Namo-��h �Istq �her S�rr�fth
Authorized ent
Address,_ZQD _NVLj 07 h Ave
Mlaffi., FL 33172
913,574-5700
Corporation
Bt,fcxo1n,,tbis 22ND day of
�M—AY, 20 2-2
personally appeared,
of
Lennar HomesjLLQa
corpor��zon, on
-"behalf of the state corporation, who
executed the f6rDgoing instrument and
aciCnow1w,god before = that same was
e =ted for the purp p g es therein
xe
expresse1
-porsonalily known X jor- Produced i*##0ation_ Type of identt oataon produced
Partnership
Print Partnership Name
By:
(signature)
Print
Name-
RON! I
r.
B afore rne, Haas day
of
perR6naRy appeared
p art#erlagent on b ehalf of
a partnership, who executf-d the
foregoing instromont knd,
acknowlodgDd bd= Me that SaMD
Sipaiar� OfNotajz' P-TintNamo AS-HLEECALLAHAN
NotaryPublic Stamp.:
ASHLEE CALLAHAN
My CO MISSION # HH 295 0,
Commission Expires,. M
EXPIRES: NoVember
COMMERCIAL BUILDING SERVICES DIVISION RESIDENTIAL
BUILDING PERMIT DATA SHEET
TRACKING # FIRE MARSHAL #01 a DATE: 3/29/2023
FOLIO # 38072 Fall tone Wgy EXAMINER: Debra Klahr PX230C
Re aired Permits
Building Plumbing Mechanical Electrical Amp
[� Inspection C?nl I Ins ctian ®nl [� Iris ection teal � Iras ectian C?nl
hoof [: Gas [� Medical Gas El Fire Sprinklers
El On Site Piping Ej Fire Line [l Irrigation El Fine Alarm
® Potable llnckilow Assembly El Fire Line Backtiow Preventer El Irrigation Backflow Assembly El Demolition
El Walk-in Cooler ❑ Refrigeration El Flood ® Ansul
Fence all El Grease Trap ElOther [] Other
T e Construction: Risk Category: Occupancy Load
OneylassiFiGation: Assembly business ay CaretEduoational
J Facto ry Hazardous _ `Institutional ®Mercantile
tResidential l 5tarage ®Utility
Building Use: I1�ICt FAA LY TORIOI� ! Alteration Level 1 ®Lcvei 2 Level 3
New Construction 0 Interior Finish [] Interior Remodel [] Exterior Remodel ® Addition Revision
Overall Size: Dumber of Stories: "Total Sq. Ft.:
13-4 X 63 2 1939
Living Area: 141 Covered Area: 393 # of Bedrooms: 2
# of Baths: 2.
Cost per square foot: Estimated Value:
Roof ' e: Shin" le ]Tile ltailt-u Ivletal C?ther S cares: 14
Zoning: Wi orne Debris: Energy Code:
ElJnside Outside 40 �2020
Flood Zone: X Base Flood Elevation: Finish Floor Elevation:
Hydrostatic Vents? Ej Yes No Sq Ft. Enclosed Space Below RFE:
# of Vents: Size of Vents: • Total Sq. In. permanent Openings
Central A/C FIeat Fdmp Window A1C
has Ali[ Gas Meat Electric Meat
Front Rear Left Right
J'As per Approved Site Plan
Comments:
VRA
VIRTUAL REVIEW ASSIST
Private Provider
Plan Compliance Affidavit
ProviderPrivate Review Assist,
Provider,Private
Address:
Gainesville, FL 32601
Phone: 813-391-2959
Email: 11Lcy@�virtualre
Project:: New SFR
• +►� +"psi # «. �s1+! «f . r*�
•
• holds
Name: Debra Anne Klahr
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License # PX2300 r
Signature of Reviewer:
SWORN AND SUBSCRIBE fore me by Debra Anne Klahp
being personally known to or having produced as identification
and who being fully sworn and cautioned, state that the
foregoing is true and correct to the best of his/her knowledge or belief.
k � €
Signature of No iz I N e
Notary Public: NOTARY STAMP BELOW My
commission expires: '
V$4v
ASHASHLEE CALLAHAN
Rey COMMISSION # HH 295930
�s EXPIRES: Novomb r30, 2026
El
HE SHE in
min
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PROP. �:ROSSWALK
Will
_.."! rr ■
DESCRIPTION: LOT(Sj 9-16, TOWNIES AT AUTUMN PALMS, ACCORDING
TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 89, PAGEISJ 113-114,
OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA,
tiI ---------------
6
II NOTES: ---------
LOTGRADING TYPE N/A
PROPOSED PAD ELEVA71ON g N/A
FRONT SET BACK 15
U SIDESETBACK-- 10
U1
I(TO,
REAR SETBACK - 20
ALL WALKS 3.0 UNLESS NOTED
ALL A/C 3,2 x 3. 2
VE/U/D � INGRESS EGRESS/
UTILITY/ DRAINAGE ESM T
LOT 16957SO. FT
E:
8
LIVING AREA = 53-36SQ. FT,
ENTRY 672 SO. FT
GARAGE #848 SO. FT.
g.
COVERED LANAI 868 SO, FT.
LOT
PATIO NA SO, FT,
17
POOL. AREA SO, FT,
CONC. DRIVE 2400 FT,
__SO.
A/C & CONC PAD 80 --SC, FT,
I (TO
SIDEWALK 324 SO, FT,
SIDE YARD SWALE NA SQ. FT
CONSERVATION AREA = NA SO. FT
SEC, 15, TWP, 26 S, RING 21 E.
PASCO COUNTY, FLORIDA SITE PLAN
(TOWNES AT AUTUMN PALMS) (NOT A SURVEY)
---------------------- TRACT E
LANDSCAPE BUFFER
S STSIT IPI
0-1(
T7PJt,7RTBd`(pJ_ T tttff It') P) T I&O(T If) T LTOO'(P) 7'
1 i
LANAI
_LANAI�
�_LANM'
n
ASNPL,
183,
ISO
1&0,
ISO PROP )SED 1 aff
ISO
2 S1 DRY
ATTA -HED
RES0. NOES
UNITA
UNIT-B
UN[T_C
UISEF-C UNIT-C
UNIT-C
1532
15T6
7624
1624 1624
T624
b
LOT
LOT
LOT TiLOT
LOT
LOT
16
Is
14
13 12
t 1
TO
6,7
6 7'
617 6,7
63
IL3 7 1 3 11.3
a,, TITO
7,10,
LOTOCCUPIED 68 % �J 1 1_3 113 1113
AREA TO IRRIGATE "I
% 200 .160
'R
b
10
IAnlat I ANAII
UNIT-B UNIT -A
jjj 1516 1532
LOT
LOT
10
TO
INN
11,23
L
113
N'P
1LS�9:5608-E(P) 11348(p)�91j28,30(P) `-, : I : I "I !.�:
I � t��l ON P l8f)S Nn,
PI 8
V S89'56BB PIP) 5 0
T, N
JOB 0' 16 2 7 3
15969520009
15969520010
15969620011
15969520012
-L, EALLSTONE
WAY
'ROADWAYTRACT-C 589*56RS'EfEl 328,99 IP)
15969520014
—BA-SIS OF BEARING
15969520015
PROPOSED- CITY OF ZEPHYRHILLS
LOWEST FLOOR ELEVATIM"' EASEMENT
15969520016
LIVING AREA:64.83
NOTE CONSTRUCTION PROPOSED ELEVATIONS AND TYPE
GARAGE AREA: ALL ELEVATIONS REFERENCED
GRADING PLANS GRADING SHOWN HEREON ARE TAKEN
ELEVATIONS REFERENCED TO TO NORTH AMERICAN
HAVE MINIMAL FORM THE ENGINEEI
NORTH AMERICAN VERTICAL DATUM OF VERTICAL DATUM OF 1988
GRAD NG/FLEVATION CONSULTING PA.',
NAVD 88)
1968
INEORMATION
10,85 - NATIONAL GEODETIC VERTICAL
DATUM OF1929
SURVEY ABBREVATIONS'
A/C - AIR CONIRTIONLR (Ul - NEED
INV - RPAFN
PC - PONT OF, CURCE rAcca" ��Br. CW�Cfarty Chief: JH
AF-ALUMNUMIENCE I) DRAINAGE EASUMENT
B E - IL
a-UCFuVn.UNNESS
LFF - t CCvF5T FLOOR FLEEFFTCEIN
CC— PERMANENT CONTROL PONT RNG - RAND,
P/F - POOL ECF_CPMFNT RRS - NI ROAD VOL Checked BY; JH
B.-SENCHMARX EOP - EDGC 01 PAVFMFNT
C'CNECE ESNIT-AOTADN'
IMl - MEASURED
rG � PACE AW - R16W OF WAY Fide,'-.
LE POINT OF PELFIREECTION SEC - ME CON
j, � - O,_OJITNI F/C-ENCLCORNUI
MES-IMTEREDENDN'CUCIN
nk-PARKERKALLEN SERE, - SLT DAIL ANN DISK LB-8 183 Date of Site pla,,06,08_22 CWC
L-CFWFPCINE � Cv, - FOUND CON(RF IF MONOLVEN r
NET - NO CORNER FOUND
POB - POINT OF SENINNING ER - SF � I,D-ffFON ROD TRIP 8 183
c I - I.N1 U_ IFNIF TIP - FOUND DOD ED,
CAPRAU
POP, - PANT O'COMMENCTEAENT TEIM-TWPORPRYBENCHNNOX DWGJ_9-J6-T(,PAPS1TE.DWG
C E - CORRUGATED NIFTAL PIPE LflFFfOUNDIv)NROL
I FN&D-fCDNDNfPL DICIT
01 RN - OLTRUFAr WRF�SI
OR FFICIALRECORDS
POL - POINT CDN UNE TCH-TOPOFBANK
PRC - PLANT NECER%E CURVE IWP - DPWINCHIP Fbis SITE an Prepared for and Cernfied To:
CONC—CONCEIrl' P-FOUND
(Pl -111T
RREA PERMANENT REFERENCE MONUMENT J-UMITYEASHNI'T'Ll I Dinner Homes
C/S - (ONCRETF, N AFF I PP - FOUND PINCTIFE, PIPE
PH-PLATSOCK
P U F - PUBLIC UTILED' I-C'MENT
1708 Water Oak Drive L,
Tarpon Springs, Florida
Phone: (727)-831-1990
FIoridaPLS7123@gTDaiI.cOnT
U3# 8183
Scale: 1 20'
Initial Point Land Surveying, LLC,
SURFACE TYPE FENCES
AIUMINUMFFNCE
LOT
a
CHAINUNKFENCE
-COVERED OVE(eH[AD 0 1 POWERf
LEGEND:
PROPOSED DRAINAGE FLOW
lOOFOOJ PROPOSED GRADE
E-00,00 EXISTING GRADE 2' OAK
I O' INGRESS EGRESS/U.E & PIC
APPARENT FLOOD HAZARD ZONE:X COMMUNITY NO. 120235
(MAP NUMBER 12 10 7 C-0452-F) EFFECTIVE DATE: 09/26/2014
SUrMEY01TS NOTE!E
1 Current title information on the subject property had not been
1—furnished to Initial Point Land Surveying, LLC, at the time of this site plan
2.) This sketch was prepared without the benefit of a title search. No
instruments of record reflecting ownership, easements or rights -of -way
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 Plat of "TOWNS w
AUTUMN PALM'
6.) Dimensions shown hereon are in feet and decimal porpons thereof.
7.) Contractor and owner are to verify all setbacks, building dimensions,
and leyout shown hereon prior to any construction, and Immediately
advise initial Point Land Surveying, LLCof any deviation from
information shown hereon. Failure to do so wig be at users sole rnk.
This certifies that sit qFs ic;ren wywas made
under my 'by'actiN, for
surveys as i In Chapter
5J_ 1 7.051 toto
51-1 -053, F r itirstlant to
W LF0 � Section 47 Seen,es
11 40
NOT VALID MuA NATURE AND SEAL,
'gaT
OFAFFLnI on OR AND MAPPER
f <°
Permit No.F �I
/ Date Permitted 6 't
Builder Name/Owner Name Control #
County Parcel No. % ? . ° �_. } % SubDiv:MJ d �
Address/Location
Classification/Type of Use
TRANSPORTATION IMPACT FEE
Rate: Sq. Ft Unit: 1 a 4
Exempt 0 Yes = No How Determined
Impact Fee Amount _ Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount $ 3 '50
(057) Mobile Home
(058) tither Residential
(123) Collection Fee
Exempt = Yes = No blow 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 Yes No How Determined Total Amount
RESOURCE FEE ERU
Total Amount
Prepared By Checked By
NC+ CERT IFICATE DF OCC�PANY SILL RE IS3IBED 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 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 _ 6Y