HomeMy WebLinkAbout23-6480= # y. NI! f - M. 1
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CQNTRRCT4R SIGFlATURE
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23
Issue • Date: ,
6/30/2023
V
,� �, �y, �, �. � .� � it �, r_ �. •
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
„a Building Department
Owner's Address 23975 Park Sorrento, Ste, 220, Calabasas, CA 91302 Owner Phone Number
Fee Simple Titleholder Name I N/A Owner Phone Number
Fee Simple Titleholder Address
NIA
JOB ADDRESS
1 36483 Camp Fire Terrace
LOT If 2014
SUBDIVISION Abbott Square
PARCEL ID#
04-26-21-0160-02000-0140
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
",7 "
NEW CONSTR
ADD/ALT
SIGN Q [� DEMOLISH
P
INSTALL 8
REPAIR
PROPOSED USE SFR
COMM 4I
OTHER
TYPE OF CONSTRUCTION BLOCK
FRAME I 1
STEEL 0
DESCRIPTION OF WORK Multi -family / Screen Enclosure / Fence j
BUILDING SIZE U1R SF 2Q$6 SQ FOOTAGE 1634 HEIGHT 28
J' BUILDING $ 250320 VALUATION OF TOTAL CONSTRUCTION
IJ (ELECTRICAL $ 37548 AMP SERVICE { p�l PROGRESS ENERGY ® W.R.E.C.
��—•-��r
IJ (PLUMBING
MECHANICAL $ 17522.4 J VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA DYES Do
BUILDER COMPANY I Lennar Homes, LLC
SIGNATURE-m� REGISTERED Y/ N FEE CURREN
Address 43 W Boy Scout Blvd Suite 600 Tampa, FL 33607 License # C�GC15 i8i66
ELECTRICIAN COMPANY Edmonson Electric Inc.
SIGNATURE REGISTERED I Y/ N FEE CURREN Y I N
Address License# EC13005408�
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED - Y/ N FEE CURREN Y I N
Address License # CFC042998
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN I Y / N
Address License # I CAC058062
OTHER COMPANY IC Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN Y / N
Address License # CCC057991 —
�oe� " ��o�dmrai�i���oi�atl�ariee,ttseaee,isaw��asttret,iall�i�������
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 subdivisionstlarge 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 constriction.
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 (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 contractors) 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 —Homeowners
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 "V" 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.
01 , 1, 1, 1 i a .
19-VI I Z Litz I'm I W1011111 10 11 =101 Ilk KPIC:21FA Ion 2100,
OWNER OR AGENT --t-Z
Subscribed and sworn to (or affirmed) before me this
a-023 by Christopher Smith
Who lis/are personally known to me or hasAave predUGOd
as identification.
Notary Public
Commission G 296057
Stephanie Farmer
Name of Notary typed, printed or stamped
com 00HHOOM0
M1W
Exomsjurlefi,2024
Subscribed and sworn to (or affirmed) before me this
41WQ23 by Christopher Smith
Who -is/are Personally known to me or hasthave produced
as identification.
Notary Public
Commission No. 4WJ167
Stephanie Farmer
Name of Notary typed, printed or stamped
OR EU$8AM.WXV"
' V, 2-,
T.W
Notice to Building Official of
Use of Private Provider
Effective January 20, 2003
Project Name:
Parcel Tax ID: 04-26-21-0160-02000-0140
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.
M&Aqq��
the fee
owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services
indicated above.
Private Provider Finn:
Private Provider:
11".kilress: 747 SW 2ND AVE- SUITE 170,301,357,& 358, GAINESVILLE, FL 32601
Email Address (Optional):
2
Fax: N/A
Florida License, Registration or Certificate #: (LTC # 0U1967/ 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 set -vices 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 attachments. are provided as required:
1. Qualification statements ' and/or resumes of the private provider and all duly authorized representatives.'
2.. Proof of insurance for professional and comprehensive liabilit million y irLthe,amount.of $1 mill R per
occurrence relating to all services performed as a private provider, including tail coverage for arrunimum
of 5 years subsequent to the performance of building code inspection services.
Individual
:(signature)
Print
Name:
-
Address:
Telephone
Please use appropriate notary block.
STATE of FLORIDA
COUNTY OF HILLSBOROUGH
Individual
B efore me, this day of
20____, personally
appeared
who =Dutf,-d the foregoing instrument,
and acknowledged before me that same
was executed for the purposes therein
expressed.
Corporation
LENNAR H*MES. L*6j
Print Corporation Name
By:.
(signatum)
Print
Name: Christopher Smith
Its: Authorized Actent
Address: 700 NW 10",
Miami, FL 33172
Telephone
No. 813-574-5700
Corporation
Beforeme,this 22ND day of
MAY 20 2_2
personally appeared
of
Len nar Homes LLG a
corporation, on
behalf of the state corporation, who
executed the foregoing instrument and
aolmowledged before me that same was
executed for the purposes therein
expressed,
0' ' 1,
Print Partnership Name
By:
(signature)
Print
Name:
Its:
Address,
Telephone
No.:
Beforeme, this day
of — 20',
personally appeared
partner/agent on behalf of
a partnership, who executed the
foregoing instrument and
acknowledged before me that same
was executed for the purposes therein
expressed.
Personally known X ; or Produced identi-goation— Type of identification produced
Sigpatare, of Notan, PlintName AS HLE.E CALLAHAN
NotaryPublic Stamp:
Commission Expires; LAH
ASHLEE CAL
hfly CoMMISSoN # Hti 2 500
026
EXPIRES: November0,
VIRTUAL REVIEW ASSIST
Private Provider
U W,
Private Provider Finn: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU 1967
Address: 747 Southwest 2'd Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: lucy@virtualreKie�wa!isist.com
Project: New SFT
Address(s): 36483 CAMPFIRE TERRACE
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
following affiant, who is duly authorized to perform plans review pursuant to Section 553.791, Florida Statute
and holds the appropriate license or certificate:
Name: Debra Anne Klahr
Plan Sheets 1,2.1,2.2,,3,4,5,6,7,1,7.2,8,9,10,11.1,11.2,12,LI,SN, SNI, S3M, S4,S5,S6,SS,ST, DI,WP,
PAI.0,PAI.1, PA1.2,PAI.3,PAI.4, PAI.5,SHI.0,SHI.1,SHI.2,SHI.3,SHI.4,SHI.5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Ex
r
License #: PX2300
Signature of Reviewer:
SWORN AND SUBSCRIBE Debra Anne Klahr
being personally known to ru��e me by or having produced as identification
and who being fully sworn and cautioned, state that the
fora
or true and correct to the best of his/her knowledge or belief.
'go , is ", i
(I Ashlee Callahan
SignTture of Notary Print Name
I
commission expires:
HL CA -A 'N 2 '80
M ON 1 05'
C M IS"I , # if
em er 0,
A A SHLEE CALL,AHAN
MY COMMISSION # HH 205980
E P
XPIRES: November 30, 2020
[—COMMERCIAL BUILDING SERVICES DIVISION PRESIDENTIAL
BUILDING PERMIT DATA SHEET
TRACKING #
FOLIO # 36483 Camp Fire Ter
FIRE MARSHAL #01 -
Required Permits
DATE: 6/17/2023
EXAMINER: Debra Klahr PX230(
IV Building
[:] LtMLection On!y
IV Plumbing
El Inspection Only
V Mechanical
Ej Inspection Only
Electrical Amp
F] Ins eveqcfi�onO
1Z Roof
El Gas
[:] Medical Gas
❑ Fire Sprinklers
El On Site Piping
El Fire Line
El Irrigation
El Fire Alarm
EJ Potable Backflow Assembly
El Fire Line Rackflow Preventer
E] Irrigation Baeldlow Assembly
❑ Demolition
Walk-in Cooler
E:1 Refrigeration
El Hood
El Ansul
El Fence/Wall
R Grease Trap
El Other
El Other
fflm�- �
Type Construction: I
V- B
Risk Category:
Occupancy Load
O ancy Classification:
'Factory
'Residential
Assembly
Hazardous
Storage
Business ay Care/Educational
nt !utinal E:== ❑ Mercantile
'Utility
kffBuilding Use: single family townhome Alteration Level I 101"Level 2 Level 3
46 New Construction F-1 Interior Finish Interior Remodel Exterior Remodel ❑ Addition Revision
Overall Size.
18 x 63
Number of Stories:
2
Total Sq. Ft.:
2086
Living Area: 1634
Covered Area:
452
# of Bedrooms: 3
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof Type: 91 Shingle
E]Tile Ej Buil
al El Other Squares: 14
Zoning:
Wirlorne Debris:
QiInside
9Z Outside
Energy Code:
405-2022 sup
Flood Zone: X
Base Flood Elevation:
Finish Floor Elevation:
Hydrostatic Vents?
Yes
No
I Sq. Ft. Enclosed Space Below BFE:
# of Vents:
Size of Vents.
I Total Sq. In. Permanent Openings
9 Central A/C
El Gas A/C
9 Heat Pump
M Gas Heat
El Window A/C
EJ Electric Heat
2MMI
Sanitary Sewer
Storm Sewer Catch Basins
Potable Water
Underground Fire Line
LF-M
Right
DESCRIPTION. LOTS 11-16, BLOCK 20, ABBOTT SQUARE PHASE 2,
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 90,
PAGES 28-33, OF THE PUBLIC RECORDS OF PASCO COUNTY,
FLORIDA.
F__ —
I PROPOSED ELEVATIONS AND GRADING
SHOWN HEREON ARE TAKEN FORM THE
ENGINEERING PLANS OF
-AB8077 SQUARE RESIDENTIAL", PREPARED
B1WR/F PROVIDED BYCLIENT
ALL ELEVATIONS REFERENCED
TO NORTH AMERICAN
VERTICAL DATUM OF 1988
(NAVD 88)
SITE PLAN
(NOT A SURVEY)
This SITE PLAN Prepared for and Certified To
Lennar Homes
TRACT"B-1111"
(COD) PARKING AREA
AND OPEN SPACE
IN 89'48'04- E IP) 128.6a I I
I Boo (P) T 18 Be 1800 (P) Is 00 (P)
78.0
17.3'
77.3 17,3'
UNIT -A
Z UNIT-C
Z UNIT-C z UNIT-C
Z
1532
1624
q 1624 0 1624
8
PROPOSED
PROPOSED
PROPOSED PROPOSED
2STORY
2 STORY
2STORY 2STORY
ATTACHED
14 ATTACHED
ATTACHED ATTACHED
RESIDENCE
� RESIDENCE
RESIDENCE o RESIDENCE
LOT IE,
LOT IS vg
LOT14 LOT13
LOT17
BLOCK 20
BLOCK 20
BLOCK 20 BLOCK 20
108-8,
BLOCK 20
70 ENTRY -[ENTRY
6.3
63 ENTRY ENTRY 63
T
UNIT{
1624
PROPOSED
2 STORY
ATTACHED
RESIDENCE
LOT 12
BLOCK 20
3' ENTRY
z L. :
x I Z I X1 A I z ,
28 34 (P)
LANA)
UNIT -A
1532
PROPOSED
25TORY
ATTACHED
RESIDENCE
LOT I I
BLOCK 20
ENTRY 7.0'
W
z
SEC. 4, TWP, 26 S, RNG 21 E.
PASCO COUNTY, FLORIDA
(ABBOTT SQUARE PHASE 2)
Scale: 1 = 20'
LOT 10
BLOCK 20
/63
63
I 10
0
Il'o
10,0'
0
q
N 89.4804' E (P)
230.65'(P)
IS, IF)
•4
LE, oo
isg.18,60 (P)
, PCP
5W(P)
2*7 3
143,00 (r)
BASIS OF BEARING
N 89 . 48-04- E 1P)
NOTES:
CAMP FIRE TERRACE
LOT GRADING TYPE =A
TRACT "A"
PROPOSED PAD ELEVATION = I 10.80
(CDD) RIGHT-OF-WAY
FRONT SET BACK = 20'LOT
= 1261 1 SO. FT.
SIDE SET BACK = T5
LIVING AREA
= 4010 SO. FT.
SIDE SET BACK (CORNER LOT) - 10
15905522011
ENTRY
=17ASCL FT,
10.00 PUBLIC UTILITY EASEMENT
GARAGE
FT.
REAR SETBACK= 15
NOTE: ENTRY WALKS ARE 3.0 CONC
15905522012
COVERED LANAI
-SO.
FT.
C/S-A/C UNITS ARE 3.2 X3.2
15905522013
PATIO
FT,
PROPOSED:
POOL AREA
FT.
MINIMUM FLOOR ELEVATIONS:
15905522014
CONC DRIVE
= 1200 SO FT
LIVING AREA: 111.47' LEGEND: A/C & CONC PAD = 54
GARAGE AREA: PROPOSED DRAINAGE FLOW 15905522015 SIDEWALK _SO. FT
SO- FT
ELEVATIONS REFERENCED TO (00.00) = PROPOSED GRADE 15905522616 SIDE YARD SWALE = NA --SO. FT,
CONSERVATION AREA =--N—ASO. FT,
NORTH AMERICAN VERTICAL E-00,00 = EXISTING GRADE LOT OCCUPIED = 64 %
DATUM OF 1988 AREA TO IRRIGATE = 36 %
APPARENT FLOOD HAZARD ZONEWCOMMUNITY NO. 120235
— — — — — — — — (MAP NUMBER 12101 C-0452-H EFFECTIVE DATE: 09/26/2014
SURVEY ABBREVATIONS
A)-MCL-GTH Fc - DEED INV - INVERT PC - POINT OF CURVE (R) - RECORD LEGEND VINYLFENCE
A/C - AIR CONDILONER DE- DRAINAGE EASEMENT US -LICENSED BUISNESS PCC - POINT OF COMPOUND CURVE RNG - RANGE _DOPIC
AT - ALUMINUM FENCE EL OR ELEV - ELEVATION LE- LANDSCAPE. EASEMENT PCP- PERMANENT CONTROL POIPOINTRRS - RAIL ROAD SPIKE
RFE - BASE FLOOD ELEVATION EDP - EDGE OF PAVEMENT LEE - LOWEST FLOOR ELEVATION P/E: POOL EOUIPMENT R/W - RIGHT OF WAY
BM -BENCHMARK E T - EASEMENT LS - LICENSED SURVEYOR PH PAGE SEC -SECTION ASPHALT
CM - BENCH MARK F/C - FENCE CORNER (M) - MEASURED Pl- POINT OF INTERSECTION SN&D - SET NM_ AND DISK WOOD FENCE
JC) CURVE FCM -FOUND CONCRETE ME ^ MITERED END SECTION PIS -PARKER SALON LB#8183
i - CENTERLIN' Y CHAIN LINK FENCE
C MONUMENT ". PIPE NIT -NO NO CORNER FOUND PROFFITT UN SIR- R - SET T I /,I. IRON R CXDCLH. IR.Kl B L. Y BEN ERICK
IT - CHAIN LINK FENCE MF N IN 01A - OVERALL POB-POINTOF BEGINNING IBM-1
CMP - CORRUGATED METAL PIP FIR -FOUND IRON ROD OHW - OVERHEAD WIREFS) PO - POINT or COMMENCTIVENT TOB - TOP OF BANK
CCE _ COLUMN FN&D - FOUND NAL & DISK O.R.FFICIAL RECORDS P TWP - TOWNSHIP ALUMINUM FENCE
CONC CONCRETE OL: POINT ON LINE
TE FFOP - FOUND OPEN P11 PR POINT 0 REVERSE CURVE E - UTILITY EASEMENT [2<-C.-BED
C/S - CONCRETE SLAB OF -FOUND PINCHED PIPE '2'- P�A%�T.DK RM - PERMANENT REFERENCE MONUMINI] ST = vNn FENCE
_4z- CLEAR KutjT TRIANGLE
SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive
1.) Current title information on the subject property had not been Th certifies that of the hereon described Tarpon Springs, Florida
-23 t t is A t
SIVE
Date of Site Plan: 4,19 furnished 0 Initial Point Land Surveying, LLC. at the time of this property ,0 P.4% upervisic,n and Phone: (727)-831�1990 om
06.,C1 �f4
DWG AS PH2-L) I 16-BL20-SITE SITE PLAN meets th Ic e 4)f Practice for FloridaPI-S712399mall C
2.) This sketch was prepared without the benefit of a title search, le *ard of Land LB# 8T83
Noinstruments of Ord reflecting ownership, easements or ft(gned
File: rights -of -way were furnished to the undersigned, unless otherwise ist I
Drawn by. DJB or
shown hereon. purrant 0 Section rtle�
3.) Roads, walks, and other similar items shown hereon were take Checked byJH from engineering plans and are subject to survey. � i Date:.05.18
REVISIONS 4.) This SITE PLAN does not reflect nor determine ownership. dFO12 4100' sI,
5.) This SITE PLAN is subject to matters shown on the Plat of It1y., A
'ABBOTT SQUARE PHASE 2'
6.) Dimensions shown hereon are in feet and decimal portJeff M.
thereof. FLORIDA RAND
74 Contractor and owner are to verify all setbacks, building MAPPERIN 4f61M.
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 information shown hereon. Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, LLC.
ITS
Permit No.
Date Permitted
Builder Name/Owner Name
County Parcel No.
Control # _
SubD'Iv: IS uo!:ig
Address/Location ("AotP We
jer-
Classification/Typeof Use
TRANSPORTATION IMPACT FEE Rate:
Sq. Ft Unit: � 3
Exempt Yes NoHow Determined
S ( L
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
N 1 ''i l
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt r--j Yes No How Determined Total Amount
RESOURCE FEE ERU
Total Amount
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 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