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HomeMy WebLinkAbout23-6482./ / %0 ! } /8\ -20231 , < . !:°,� »■t4 IssueDate: • ,a. qpa mmm9maw SIGNATURE OFFICE f\MIT EXPIRES IN6 MONTHSWIT/«/T APPROVEDINSP\\%}O / CALL FOR INSPECTION 8HOU f NOTICE REQUIRED PROTECT CRD FROM WEATHER 8 V­74-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting 9 0=8 770 -_ 7763 t--t— Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Numl 8135745700 Owner's Address 123975 Park Sorrento, Ste. 220, Calabasas, CA 91302 1 Owner Phone Number Fee Simple Titleholder Name I N/A Owner Phone Number Fee Simple Titleholder Address NIA JOB ADDRESS 136475 Camp Fire Terrace LOT III 2016 SUBDIVISION [Abbott Square PARCEL ID# 04-26-21-Q160-02000-0160 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED P NEW CONSTR ADD/ALT SIGN DEMOLISH INSTALL H REPAIR PROPOSED USE SFR COMM OTHER E_ TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL DESCRIPTION OF WORK Multi -family / Screen Enclosure / Fence BUILDING SIZE I U/R SF 1939-7 SQ FOOTAGE [154 HEIGHT L/ IBUILDING 4 V $ 1 232680 ELECTRICAL r L34902= PLUMBING $ 1 23268 MECHANICAL 1 $ 16287.6 =GAS 0 ROOFING FINISHED FLOOR ELEVATIONS I BUILDER SIGNATURE Address 4300 "y Scout Blvd Suite 600 ELECTRICIAN SIGNATURE Address PLUMBER SIGNATURE Address MECHANICAL SIGNATURE VALUATION OF TOTAL CONSTRUCTION Z"' AMP SERVICE PROGRESS ENERGY W.R.E.C. -7Y VALUATION OF MECHANICAL INSTALLATION SPECIALTY = OTHER FLOOD ZONE AREA DYES Do COMPANY I Lennar Homes, LLC J REGISTERED Y/ N FEE CURREN YIN FL 33607 License# =GC1518166 COMPANY lEdmonson Electric, Inc. REGISTERED I Y/ N FEE CURREN I Y/N License# =EC13005408 COMPANY Bayonet Plumbing, Heating & AC, Inc REGISTERED L_Y_L N_J FEE CURREN I License # [S�F042998 COMPANY Bayonet Plumbing, Heating & AC, Inc REGISTERED I Y/ N I FEE CURREN I Y/N I Address License # I CAC058062 OTHER COMPANY =terling Quality Roofing, . Inc SIGNATURE REGISTERED L_y_LN J FEE CURREN I Y/N Address License # I CCCO57991 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 clumpster; Site Work Permit for subdivisionsllarge 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 clumpster. 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. 4 V 4 4 Direct!...: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2600, a Notice of Commencement is required, (AJC 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 b — W 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. 1f 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 —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'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. tow 0 gJa= OWNER OR AGENT 05P'_ —:-:__ Subscribed and sworno(or affirmed) before me this u&2023 by Christopher Smith Who is/are personally known to me or hasAeve pred Ged as identification. _Notary Public '� Commission N�XG' 9 �6057 Stephanie Farmer Name of Notary typed, printed or stamped %A I ac0lMwIMMl&,*nR#OL1H LHE0MN 00W"DOiW.4 .AftVoyM4410 Subscribed and sworn to (or affirmed) before me this aWM by ChristogherSmith Who is/are personally known to me or hasthave produced as identification. Notary Public 6 7 Commission * No = Stephanie Farmer Name of Notary typed, printed or stamped R T U A L R v VV A S i S, Notice to Building Official of Use of Private Provider Effective January 20, 2003 Project Name: IM M 111111111� r3r7►I1Ir7' =2 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. 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: DEBM 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@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 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-, environmental or other codes. 1. Qualification statements * and/or resumes of the private provider and all duly authorized representatives.' 2.Proof of insurance for professional and comprehensive liability inthe, arnountof $1 million per occurrence relating to all services performed as a private provider, including tail coverage for a minimum of 5 years subsequent to the performance of building code inspection services. I (signature) Print Name,:_ Address: Telephone Please use appropriate notary block. a 1*1111601001 Individual Bef6Tem(-_, this —day of 20^, personally appeared who executed the foregoing instrument, and acknowledged before me that same was executed for the purposes therein expressed. Corporation L E N N Print CoiporationName By: (signature) Print Name: Christopher Smith its:Authorized Acient Address: 7QO �)W 1071b AvQ— Miami, FL 33172 Telephone. No. 813-574-5700 Corporation Before me, this 22ND day of MAY 2o22, personally appeared ' of Canner Homes, LLC_ a corporation, on behalf of the state corporation, who executed the f6regoing instrument and aclrnowledged before me that same was executed for the purposes therein expressed, Partnership Print Partnership Name =1 (signature) Print Name: Its: Address; Telephone No.: Partnership B efore me, this day of a 20— pers,6nally appeared partner/agent on behalf of a partnership, who executed the foregoing instrument and acknowledged before me that same was executed.for the purposes therein expressed. Personally known X ;or- Producedidentitcation— Type of identification produced Sipaturf, of Notan Print Name AS_H11LLEE CALLAHAN Notary Public Stamp: Commission Expires: ASHLEE KAN Y y COMM, # Nit 295980 COMMI EXI IRES' o e 926 Page 2 of 2 VIRTUAL REVIEW AS$IST Private Provider Plan Compliance Affidavit Private Provider Firm: 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: !MCa)v ,—�tLkLreviewassist.com Project: New SFT Address(s): 36475 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 afflant, who is duly authorized to perform plans review pursuant to Section 553.791, Florida Statute and holds the appropriate license or certificate: 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,VVP, PAL0,PALI, PAI.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 Examiner License #: PX2300 Signature of Reviewer: le, " ae'l SWORN AND SUBSCRIBED before me by Debra Anne Klahr being personally known to me_z!::�—�or having produced as identification and who being fully sworn and cautioned, state that the foregoing is true correct to the best of his/her knowledge or belief. Ashlee Callahan 4Siaturiee of Notary Print Name 980 commission expires: — — J A AHA CALL LL N ASHLEE CALLAHAN V 0 ISS CN # HH 295 �y CO%J�AJSSION # HH 295980 2026 ember 30, IRES�Nov EXPIRES, November 30,2026 I all] IN LIMMYkimi-fla FIRE MARSHAL #01 - Reouired Permits Building [I lnspection QnlE V Plumbing F1 Inspection Only V Mechanical D Electrical Amp Ej Ins ection 0n1v Roof [:1 Gas [ I El Medical Gas Fire Sprinklers ❑ On Site Piping E] Fire Line [:] Irrigation El Fire Alarm ❑ Potable Backflow Assembly E] Fire Line Backflow Preventer E] Irrigation Backflow Assembly 0 Demolition ❑ Walk-in Cooler 0 Refrigeration [] Hood F-1 Ansul El Fence/Wall F-1 Grease Trap ] Other ❑ Other MR91MOW Type Construction: I V Risk Category: Occupancy Load 0 Fwancy Classification: Factory 2-1-111, Residential Assembly Hazardous E= PH-11,11, Storage E= mousiness, bay Care/Educational nal E== [:]:N4ercantile — — Building Use: single family townhome I Alteration Level I Level 2 [E];Level 3 1,6New Construction Interior Finish ❑ Interior Remodel Ej Exterior Remodel E] Addition Revision Overall Size: 18-4 x 63 Number of Stories: 2 Total Sq. Ft.: 1939 Living Area: 1541 Covered Area: 398 # of Bedrooms: 2 # of Baths: 2.5 Cost per square foot: Estimated Value: Roof Type: Shingle []Tile El Built-up 0 Metal Other Squares: 13 Zoning: Wir ftorne Debris: DInside Outside -y Code: Energy 405-2022 sup Flood Zone: X Base Flood Elevation: Finish Floor Elevation: Hydrostatic Vents? r Yes ,No I Sq. Ft. Enclosed Space Below BFE: # of Vents: Size of Vents: I Total Sq. In. Permanent Openings 5fl Central A/C El Gas A/C El Heat Pump [] Gas Heat El Window A/C E] Electric Heat MUM Sanitary Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line Front Rear Left Right 21 As per Approved Site Plan Comments: BLCpW Zu 77=777 -777 rr� �777 r-" 777- 77- 77. T r."-7r 77717 7777' 7 19 18 14, 6 15 14 13 12 11 0 9 8 7 6 3 2 Alto- 104.5 A TY Hr:TYIP EW TYPE TYPE TYPE 'A' FF-109 '1 77 .1 47 FF:113.07 IPAD:112.40 ? :114.67 IPAD':109'.10 IPAD: 10.801 1PADA14MI C> - (T n-A---I-r,-) —, lnra ofn AN (N,>no/ DESCRIPTION: LOTS I I - 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__ PROPOSED ELEVATIONS AND GRADING SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF "ABBOTT SQUARE RESIDENTIAL', PREPARED BY'WRA'PROVIDED BY CLIENT ALL ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 (NAVD 88) OM 28 34 (P) I a .0 (P) 0 IT .0, Po LANAI,o LANAI 18.01 17.3' UNIT -A Z UNIT-C 1532 1624 PROPOSED PROPOSED 2STORY m 2 STORY ATTACHED E ATTACHED RESIDENCE = RESIDENCE 6 LOT 16 LOT 15` BLOCK 20 BLOCK 20 LOT17 0 — — — BLOCK 20 8 o ENTRY k�� ENTRY 6.3 Too, SITE PLAN (NOT A SURVEY) This SITE PLAN Prepared for and Certified To Lennar Homes TRACT"8-8" (CDD) PARKING AREA AND OPEN SPACE N89-4904-E(P) 128.68'IP) 173 IT3 UNIT-C z UNIT{ 1624 PR 1624 PROPOSED PROPOSED 2STORY 2 STORY ATTACHED ATTACHED RESIDENCE RESIDENCE LOT14 LOT 13 BLOCK 20 BLOCK 20 108 - 6.3' ENTRY ENTRY 6. IA 1W 1800 (P) 2834 (P) UNIT{ z UNIT -A 1624 8 1532 PROPOSED N PROPOSED 2 STORY 2STORY ATTACHED 1E ATTACHED RESIDENCE 3 RESIDENCE LOTI2 LOT I I BLOCK 20 ro ci BLOCK 20 6.3 ENTRY ENTRY 7 0 I /X1 / \ I I WIF SEC. 4, TWP. 26 S, RNG 21 E. PASCO COUNTY, FLORIDA (ABBOTT SQUARE PHASE 2) Scale: 1 20' LOT TO YJ BLOCK20 10.0 Lb,�3 /63 \ I I IIO, 1.0 1-0,0 t t3 \ T_ 'TO Zj 7 o- N 8Ii'4804- E (P) 230.65 fP) L91 2 IT3PI (P) ?Boo- 1800 'IF6. F) 28341 1, PCP ipil I !I i i(P) 5 CONC WALK-': .S89'48'04'W(P) 128.68'1P) 3 i7 2; ?7 BASIS OF BEARING N 89-48 , 04- E JP) NOTES: CAMP FIRE TERRACE LOT GRADING TYPE=A TRACT"A" PROPOSED PAD ELEVATION 110.80 (Coo) RIGHT-OF-WAY FRONT SET BACK = 20'LOT = izb11 SO. FT. SIDE SET BACK - 7.5 LIVING AREA = 4010 SO. FT. SIDE SET BACK (CORNER LOT) = TO 15905522011 ENTRY =--j-76SO. FT. 10.00 PUBLIC UTILITY EASEMENT GARAGE = 1356 S0, FT REAR SETBACK= 15' NOTE: ENTRY WALKS ARE 3.0'CONC L1905112011 COVERED LANAI =--§52 $O. FT C/S-A/C UNITS ARE 3.2X3.2 15905522013 PATIO = NA $Q. FT PROPOSED: POOL AREA A W —-SO. FT MINIMUM FLOOR ELEVATIONS: 15905522014 CONC DRIVE =1200 SO FT LIVING AREA: 11 1.47' PB_ T PRIM NT LEGEND: A/C & CONC PAD = 54 SO. FT. GARAGE AREA: _—_ - PROPOSED DRAINAGE FLOW 15901122011 SIDEWALK FT. ELEVATIONS REFERENCED TO 100.00) PROPOSED GRADE '15905522016 SIDE YARD SWALE FT. NORTH AMERICAN VERTICAL E-OCLOO EXISTING GRADE CONSERVATION AREA FT. LOT OCCUPIED = 64 % DATUM OF 1988 AREA TO IRRIGATE % APPARENT FLOOD HAZARD ZONE "X` COMMUNITY NO, 120235 (MAP NUMBER 12 10 IC-0452-F) EFFECTIVE DATE: 09/26/2014 SURVEY ABBREVATIONS AI -ARC LENGTH (D) - DEED RSV -INVERT PC -POINT OF CURVE JR) - RECORD LEGEND A/C -AIR CONDITIONER UE- DRAINAGE EASEMENT LB -LICENSED SUISNESS FEE- POINT OF COMPOUND CURVE RNG-RANGE CONC INYLFENCE AF -ALUMINUM FENCE BFE - BASE FLOOD"'VAHON E ORELEV-ELEVATION E P-EL)GEMPAVE.ENT LE LANDSCAPEEASEMENT LEE -LOWEST FLOOR ELEVATION PCP- PERMANENT CONTROL POINT P/E - POOL EQUIPMENT RRS - SAL ROAD SPIKE R/W-RtGHTOFWAY ------ FO­_ SM - BENCH MARK C - CURVE ESM T - EASEMENT LS - LICENSED SURVEYOR PG PAGE SEC - SECTION ^ ASPHALT WOOD FENCE IC) - CALCULATED F/C - FENCE CORNER FCM - TOO D CONCRETE (MI - MEASURE MES - MITERED END SECTION P! - POINT Or INTERSECTION PK -PARKER t(ALON SN&D - SET NAIL AND DISK UP,8183 FENCE , . CENTERUNE C�-CHAIN FENCE MONUMENT NOF - NO CORNER FOUND k -PR PERTYLINE SIR -SET 112 IRON ROD LEN 8183 CHAIN LINK C CORRUGATED METAL FIP - FOUND IRON PIPE FtR - FOUND IRON ROD OIA - OVERALL QHW - OVERHEAD WRE(S� Poo -POI OFBEGINNING POC - POINT OF COMMENCTMENT TSM - TEMPORARY BENCH MARK TOB - TOP OF BANK =-BRICK COL-COLUMN 0 CONC-CONCRETE FNMD-FOUN NAL&EXSK DA -OFFICIAL RECORDS P OL - POINT ON LINE TWP - TOWNSHIP ALUMINUM FENCE C/S - CONCRETE SLAB FOP -FOUND FOUND OPEN PIPE (PI -PLAT PRC - POINT OF REVERSE CURVE - FERMAN REFERENCE MONUMENTI V E - UTILITY EASEMENT COVERED CLEAR SIGHT TRIANGLE FPP - FOUND PINCHED PIPE I PLA BOOK I VF - VINYL FENCE SURVEYOR'S NOTES: 0 1.) Current title information on the subject property had not been 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 furnished to the SURVEYOR'S CERTIFICATE Thiscertifies ': that I the hereon described 'c R'e property w, upervision and meets th ic iG Practice for Fee ard of Land r!,- I tgned 1708 Water Oak Drive 11 Tarpon Springs, Florida Phone: (727)-831-1990 FloridaPLS7123cw gm", C_ LB# 8183 — Date of Site Plan: 4- 19-23 — DWG.ASPF12-LI 1-16-BL20 SITE File: rights -of -way were undersigned, unless otherwise shown hereon. 3.) Roads, walks, and other similar items shown hereon were taker from to It 4 ist I pu ant o Section 4- rtle� St eAb D te: .05.18 Drawn by, DJB — — Checked by.JH REVISIONS engineering plans and are subject survey. -mine ownership. C) This SITE PLAN does not reflect nor determine le dFO:2 4'00' g—Sh 6.) This SITE PLAN is subject to matters shown on the Plat of "ABBOTT SQUARE PHASE 2" 6.) Dimensions shown hereon e in feet and decimal Pont I ar thereof. ons 7.) Contractor and owner are to Verify all setbacks, building dimensions, and layout shown hereon prior to any construction, I A z Jeff M, FLORIDA R AND N I -MAPPER NOT VALID WITHOUT THE ORIGINAL and immediately advise Initial Point Land Surveying, U.C. of any SIGNATURE AND SEAL OF A FLORIDA deviation from information shown hereon. Failure to do so will be LICENSED SURVEYOR AND MAPPER Initial Point Land Surveying, L-C. I at users sole risk, I Permit No._�_�?_ 9 / -742-7-1 Date Permitted Builder Name/Owner Name eA� Control # County Parcel No. d4 2-(o M of 6h 0 2_00V Q I SubDiv: Address/Location Classification/Type of Use TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit: -45v— Exempt 0 Yes F--j No How Determined Impact Fee Amount' 3 (57p L Zone No. TAZ:_ SCHOOL IMPACT FEE Account (056) Single -Family Detached House Amount 5,3 (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 $ 76 C1. SIG 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 4CT— RESOURCE FEE ERU NMI PER.FORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE 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. 22=41"' RECEIPT NO DATE BY