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Home My WebLink About23-6607DESCRIPTION: LOT 1-6, BLOCK 21, ABBOTT SQUARE PHASE 2, SITE PLAN SEC. 4, TWP. 26 S, RNG 21 E. ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 90, PAGES 28-33, OF THE PUBLIC RECORDS OF PASCO COUNTY, (NOT A SURVEY) PASCO COUNTY, FLORIDA FLORIDA. This SITE PLAN Prepared for and Certified To: (ABBOTT SQUARE PHASE 2) PROPOSED ELEVATIONS AND GRADING Lennar Homes SHOWN HEREON ARE TAKEN FORM THE ENGINEERING PLANS OF ALL ELEVATIONS REFERENCED "ABBOTT SQUARE RESIDENTIAL", PREPARED TO NORTH AMERICAN BY "WRA" PROVIDED BY CLIENT VERTICAL DATUM OF 1988 (NAVD 88) Scale: 1 20' TRACT "A" (CDD) RIGHT-OF-WAY CAMP FIRE TERRACE N 89*48'04 t, E (P) BASIS OF BEARING ry .273 217�3.' 5 Colyc WALfC� N'89'48'04"E (P) 128.-68'(P) PCP 28.34' fJV t-1800'(P) N 89-48-04- E (P) 391.43'(P) NJ -4 10.0, 10.0'. 10.01 .10.0, .0 0 6.3' Z 6.3' 3 Z iu 10.01 0 [ 7.0' ENTRY ENTRY 6.3' 6,3' ENTRY 630 Q11 LOT 6 LOT 5 LOT 4 LOT 7 m BLOCK 21 BLOCK 21 BLOCK 21 BLOCK 21 _�a I 108'-8" W PROPOSED U Ul W 'E? PROPOSED 4.4 W :9 PROPOSED 8 2 STORY 2 STORY 2STORY ATTACHED = ATTACHED ATTACHED RESIDENCE RESIDENCE Vi RESIDENCE UNIT -A M UNIT-C M UNIT-C 1532 - 1624 1624 NOTES: LOT GRADING TYPE =A PROPOSED PAD ELEVATION= 104, 10' FRONT SET BACK = 20' SIDE SET BACK = 7.5' SIDE SET BACK (CORNER LOT) =I 0' REAR SETBACK= 15' PROPOSED: MINIMUM FLOOR ELEVATIONS: LIVING AREA: 104.77' GARAGE AREA: ELEVATIONS REFERENCED TO NORTH AMERICAN VERTICAL DATUM OF 1988 2 7.3' 113.Oe (F) I 28.34'IP) '00 PAVED 9 Z9 PARKING SPACE 0 ---------------- 10-d 1010.0'LU .3' 6.3' z \V� z LA) LQ 10.0, ENTRY 6.3' 6.3' ENTRY ENTRY 7.0' LOT 3 LOT 2 LOT I iJ BLOCK 21 BLOCK 21 BLOCK 21 PROPOSED v PROPOSED PROPOSED W 2 STORY 2 STORY 2STORY Wi ATTACHED ATTACHED ATTACHED RESIDENCE RESIDENCE RESIDENCE it UNIT-C n; 1624 v UNIT-C UNIT 00 1624 1534 9 1&0, ITT ITT ITT ITT 18.0, .ANAJ11' LANAI p LANAI_ ,_LANAI lt�-LANAI lt--�LANAI 10.0 A/C A/Ci A/C A/CI A/C A/C 18.0P 2- 1 I Ig.go, ip) 18.00'(Pl 18.00' (P) 28.34'(P) N 89-48-04- E (P) 128.68- (P) TRACT "18-7" (CDD) OPEN SPACE NOTE: ENTRY WALKS ARE 3.0'CONCRETE 0.7* CONCRETE WALLS SEPARATE INDIVIDUAL UNITS C/S-A/C UNITS ARE 3.2'X3.2' * = 10.00'PUBLIC UTILITY EASEMENT LEGEND: _- PROPOSED DRAINAGE FLOW (00.00) = PROPOSED GRADE E-00.00 = EXISTING GRADE TRACT"B-7" (CDD) OPEN SPACE 1101.11C 15905522101 15905522102 15905522103 15905522104 15905522105 15905522106 LOT = 12611 SO. FT. LIVING AREA = 4010 SO, FT. ENTRY = 476 SO. FT. GARAGE = 1356 SO. FT. COVERED LANAI = 652 SO. FT. PATIO = NA SO. FT. POOL AREA = NA SQ. FT. CONC. DRIVE = 1200 SQ. FT. A/C & CONC PAD = 54 SO. FT. SIDEWALK = 272 SO. FT. SIDE YARD SWALE = NA SO. FT. CONSERVATION AREA = NA SO. FT. LOT OCCUPIED = 64 % APPARENT FLOOD HAZARD ZONE: 'X"COMMUNITY NO. 120235 AREA TO IRRIGATE = 36 % SURVEY ABBREVATIONS (MAP NUMBER 12101 C-0289-F) EFFECTIVE DATE: 09/26/2014 A) = ARC LENGTH (DJ - DEED INV= INVERT PC - POINT OF CURVE (R) = RECORD LEGEND UCENSED BUISNESS PCC = POINT OF COMPOUND CURVE VINYL FENCE A/C = AIR CONDITIONER D.E= DRAINAGE EASEMENT LB = AF = ALUMINUM FENCE RNG = RANGE CONC EL OR ELEV = ELEVATION L.E LANDSCAPE EASEMENT PCP = PERMANENT CONTROL POINT RRS = RAIL ROAD SPIKE BEE = BASE FLOOD ELEVATION EOP = EDGE OF PAVEMENT LFE LOWEST FLOOR ELEVATION P/E POOL EQUIPMENT R/W RIGHT OF WAY BM = BENCH MARK ESMT = EASEMENT LS = LICENSED SURVEYOR PG PAGE SEC SECTION WOOD FENCE C CURVE F/C = FENCE CORNER (MJ= MEASURED PI = POINT OF INTERSECTION SN&D = SET NAIL AND DISK ASPHALT (C = CALCULATED ¢ = CENTERLINE FCM = FOUND CONCRETE MES = MITERED END SECTION PK =PARKER KALON LB#8183 CLF = CHAIN LINK FENCE MONUMENT NCF = NO CORNER FOUND It = PROPERTY LINE SIR = SET 112' IRON ROD LB# 8 183 CHAIN LINK FENCE CMP - CORRUGATED METAL PIP HP -FOUND IRON PIPE C/A = OVERALL POB = POINT OF BEGINNING TBM = TEMPORARY BENCH MARK BRICK x X COL =COLUMN FIR= FOUND IRON ROD OHW = OVERHEAD WIRE(S) POC = POINT OF COMMENCEMENT TOB = TOP OF BANK CONC = CONCRETE FN&D = FOUND NAIL & DISK O.R. =OFFICIAL RECORDS POL = POINT ON LINE TWP = TOWNSHIP ALUMINUM FENCE C/S = CONCRETE SLAB FOP = FOUND OPEN PIPE (P) =PLAT PRC = POINT OF REVERSE CURVE U.E = UTILITY EASEMENT = COVERED CST = CLEAR SIGHT TRIANGLE EPP = FOUND PINCHED PIPE PB = PLAT BOOK PRM = PERMANENT REFERENCE MONUMENT VF = VINYL FENCE SURVEYOR'S NOTES: SURVEYOR'S CERTIFICATE 1708 Water Oak Drive eE Date of Site Plan: 6-14-23 1.) Current title information on the subject property had not been This certifies that sketch of the hereon described Tarpon Springs, Florida N furnished to Initial Point Land Surveying, LLC. at the time of this T I N WP I N supervision M wit -831-1990 R property was rnj��, iM Sion and Phone: (727) 1 � RG E DWG:AS-PH I B-L 1-6-BL2 1-SITE SITE PLAN meets the e of Practice for FloridaPLS7123Pgmail.com TW I S P , S E 2.) This sketch was prepared without the benefit of a title search. surve *)rtr I oard of Land LB# 8183 RG1W RGIE No instruments of record reflecting ownership, easements or S S File: rights -of -way were furnished to the undersigned, unless otherwise 3, 1Co Ihed shown hereon. Drawn by DJB purs nt t e ion` 4 rkley 3.) Roads, walks, and other similar items shown hereon were take Statil": Checked byJH from engineering plans and are subject to survey. Date: 2 23.16.19 4.) This SITE PLAN does not reflect nor determine ownership. loot REVISIONS V E10 12:0 V, 'd, 5.) This SITE PLAN is subject to matters shown on the Plat of & 40 CO- SfAT "ABBOTT SQUARE PHASE 2" Jeff e AN 6.) Dimensions shown hereon are in feet and decimal portions thereof FLORII AND 7.) Contractor and owner are to verify all setbacks, building MAPPER 69 -1 dimensions, and layout shown hereon prior to any construction, NOT VALID WITN&9fkW9'rORIGINAL and immediately advise Initial Point Land Surveying, LLC. 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, LLC. at user's sole risk. Project Name: 36420 " F, V " : �� A S S I T 'A Notice to Building Official of Use of Private Provider Effective January 20, 2003 Fire Terrace Parcel Tax ID: 04-26-21-0160-02100-0040 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. 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: Private Provider: VIRTUAL REVIEW ASSIST, INC. 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) Z:' 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 Z7 inspection services provided by the private provider is limited to building code compliance and does not include review for fire Dodo, 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 liability in,the, amount of $1 million per o ccurrence relating to all services performed as a private provider, including tail coverage for. a minimum of 5years subsequent to the performance of building code inspection services, Individual Corporation Partnership LENNAR HOMES. LLQ Print CoiporationName PrintPartnership Name BY:* _(signature) (signature) (signature) Print print print Name: Name: Christopher Smith Name. Address: its: Authorized Agent its: Address: 700 NW 107th Ave.Address: Telephone Miami, FL 33172 �p T51ephone• Telephone No. 913-574-5700 No.: Please use appropriate notary block. STATE OF FLORIDA COUNTY OF HILLSBOROUGH Individual Corporation Partnership Bcforem(e,this _day Of Before me, this 22ND day of Beforeme,this day 20. Personally MAY. —2023 bf 20____, appeared pDrsonally appeared pers6naRy appeared who executed the foregoing instrument, Of and acknowledged befort-, me, that same Lennar Homes, LLC a partner/agent on b ffhalf of was executed for the purposes therein corporation, yin expressed...,behalf of the state corporation, who a partnership, who executed the executed the foregoing instrument and foregoing instrument And aelmowltdged before me that same was acknowledged before me that same executed for the purposes therein was exeGuted-for the puTposes t herem expressed. expressed, Personally known X or Produced iderti-tcation Type of'Mcntification produced signature OfNotar�' L P'rintNatnc- ASHLE.E CALLAHAN Notary Public Stamp: HAN Commission Expires�. ASHLEE CALLAHAN �4 I�ji 13SION # HH 295980 MYCOMM "8 em 'r 30 2026J EXPIRES: NLovomber 30,2026 Page 2 of 2 VIRTUAL REVIEW A$$IST Private Provider Private Provider Firm: Virtual Review Assist, Inc. Private Provider: Debra Anne Klahr, BU1967 Address: 747 Southwest 2nd Avenue Gainesville, FL 32601 Phone: 813-391-2959 Email: Project: New SFT Address(s): 36420 CAMP FIRE TER 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,SS,ST,SNI, SN,S3M,S4,S5,S6,DI,WP, PA1.0,PALI, PAL2,PAL3,PAL4, 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 Exam17 r License 9: PX2300 Signature of Reviewer: SWORN AND SUBSCRIBEDbefore me by Debra Anne Klahr being personally known to or having produced as identification and who being fully sworn and cautioned, state that the 4f,,i eg g is d corre t to the best of his/her knowledge or belief Ashlee Callahan i a e of No6y' Print Name Notary Public: NOTARY STAMP BELOW My commission expires: ASHI EE CALLAHAN L '0jM1,SS&I # HH 2,150-80 I My November 30,2026 EXPIRES: [—COMMERCIAL BUILDING SERVICES DIVISION RESIDENTIAL BUILDING PERMIT DATA SHEET FdTq,WjTj_TAT, , 7LITF .T � AfflM rR71Tff=, II k7on DATE: 7/03/2023 EXAMINER: Debra Klahr PX230( Building ❑ Inseection OnI y 7 Plumbing ❑ Ins ection OnLy V Mechanical El Inspe tion OnI Electrical Amp F-1 Inspection OnLy Roof M Gas El Medical Gas ❑ Fire Sprinklers El On Site Piping E] Fire Line E] Irrigation ❑ Fire Alarm Ej Potable Backflow Assembly El Fire Line Backflow Preventer [:1 Irrigation Backflow Assembly El Demolition M Walk-in Cooler El Refrigeration M Hood El Ansul El Fence/Wall E] Grease Trap EJ Other 0 Other Buildirify Data Type Construction: LB- Risk Category: Occupancy Load ancy Classification: Assembly business Day Care/Educational O FM !Factory Hazardous nstitutional, E== El ercantile Residential D Storage Q'I'litility lfflBuilding Use: single family townhouse Alteration ❑Level I Level 2 Level 3 1,6 New Construction El Interior Finish El Interior Remodel ❑ Exterior Remodel El Addition R 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: []Tile El Built-up El Metal EJ Other Squares: 14 Zoning: W i orne Debris: I n s i d e ;Outside Energy Code: 405-2022 SUP Flood Zone: X Base Flood Elevation: I Finish Floor Elevation: Hydrostatic Vents? J[Yes VNo Sq. Ft. Enclosed Space Below BFE: of Vents: T size of Vents: Total Sq. In. Permanent Openings 9 Central A/C ® Heat Pump El Window A/C [] Gas A/C El Gas Heat El Electric Heat Sanitary Sewer Storm Sewer Catch Basins Potable Water Underground Fire Line Front Rear Left Right As per Approved Site Plan Comments: I 042621016001000040 Name: Lennar Homes, LLC Address: 4xO1VVBoy Scout Blvd Suite 0uV Tampa, FL 33807 | CONSTRUCT rOvvm*OME1834SQFr Fire Wall/Smoke Wall Inspection Electrical Permit Fee S|F1 percent Fee 3/qWater Meter Residential Connection Fee Sewer Connection Residential Fee Transportation Impact Fee City Public Safety Impact Fee fmmin Driveway Fee Park Impact Fee - Single Family/Townhome 5335 Eighth Street Permit Type: Building New (Ronidontiad) Class of Work:Townhomw Building Valuation: $250.J2UlN Electrical Valuation: $37.548.00 Mechanical Valuation: $17.522/0 Plumbing Valuation: $25.032l0 Total Valuation: $330.422.40 Total Fees: $14.333.47 Amount Pam: $14,333/7 Date Paid: 7/17/2023 1:55:19PM 36420 Camp Fire Terrace Contractor: LENNARHOMES LLC � $15.00 Plumbing Permit Fee $18510 *22/,74Address Fee $30l0 $33.53 Transportation Impact Fee $3.44520 $794,92 AdminFee / (Provider Service } $180�00 $2.400.00 School Impact Fee - Single Family $3.353.00 $34.80 Water Connection Residential Fee $1.140.00 $26.35 Public Safety Impact Fee -Police *254.00 %45,00 Building Permit Fee $1.291.60 $708.56 Mechanical Permit Fee $127a1 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 tha) 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. 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. CONTRACTOR SIGNATURE PEVMIT OFFICEU PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Owner's Address 1 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 JOB ADDRESS 36420 Camp Fire Terrace E LOT # 2104SUBDIVISION Abbott Square PARCEL to# V4-26-21-0160-02100-0040 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH INSTALL REPAIR 8 PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK Multi -family / Screen Enclosure / Fence BUILDING SIZE =U/R IF 2086 1 SCI FOOTAGE [1634 HEIGHT 128' BUILDING 1 $ 250320 1 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 37548 PROGRESS ENERGY W.R.E.C. AMP SERVICE PLUMBING $ 25032 MECHANICAL $ 17522.4 VALUATION OF MECHANICAL INSTALLATION =GAS SPECIALTY OTHER IZI ROOFING FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA DYES Do BUILDER T� COMPANY I Lermar Homes, LLC SIGNATURE REGISTERED Y/ N FEE CURREN Address 4 1 W B Scout Blvd Suite 600 Tampa, FL 33607 License# CGC1518166 ELECTRICIAN COMPANY I Edmonson Electric, Inc. SIGNATURE REGISTERED Y/ N FEE CURREN =Y/NJ Address License# I EC1 3005408 PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# I CFC042998 MECHANICAL COMPANY BayonetPlumbing, Heating & AC, Inc SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address f License # OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License # RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ****PROPERTY SURVEY required for all NEW Construction, Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500) — Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) Driveways -Not over Counter if on public roadways.. needs ROW NOTICE OFDEED RESTRICTIONS: The undersigned understands that this permit s" which may bamore 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 o contractor or contractors to undertake wnrk, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by iaw, both the owner and contractor may be cited fora 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 {ocontact the Pasco County Building Inspection Division —Licensing Section at727-847- 80OO. Fuhbormore, if the owner has hired o contractor or oontnydora, he is advised to have the contractor(s) sign portions of the ^ountnsdor Block" of this application for which they will be responsible. If you, an the owner sign no the oontracto/. that may be an indication that he is not properly licensed and is not entitled to permitting privileges in poono County. TRANSPORTATION |K8PACT/UT|L|T|ESIMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply tothe construction ofnew buildings, change of use in existing bui|dings, or expansion of existing bui|dinga, as specified in Pasco County Ordinance numbor8Q-O7 and 98-07. 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 oedihoaha of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco Counh/VVo0er/Sewor 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, asarnended): |fvaluation ufwork ia$2.5OO.O0ormore, | certify that |. the app|ioant, have been provided with e copy of the "Florida Construction Lien Law —Homeowner's Protection Guido" 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 ittnthe ^mwner"prior hacommencement. CONTRACTOR'S/OVVNER'SAFFiDAV|T: 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 onnatruntion, zoning and land development. Application is hereby made to obtain a permit to dowork and installation as indicated. | certify that no work or installation has commenced prior to issuance of permit and that all work will be performed to meet standards of all |ewo regulating oonuhooUon. County and City ooden, zoning regulations, and land development nmQu|aUuna in the jurisdiction. | also certify that | understand that the regulations ofother government agencies may apply to the intended work, and that it is myresponsibility toidentify what actions | must take toboincompliance. Such agencies include but are not limited to: - Department ofEnvironmental Protection-CypressBayheedo. Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida VVohe, Management Oiotriot-VVe||s, Cypress 8ayheadm. Wetland /\n*ao. Altering Watercourses. - Army Corps ofEngineore-SeowaUo.Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-VVeUa, Wastewater Treatment, Septic Tanks. - USEnvironmental Protection Agency -Asbestos abatement. - Federal Aviation Authohh+Runwaya. | understand that the following restrictions apply hothe use uffill: - Use nffill ianot allowed inFlood Zone ''\runless expressly permitted. ' If the N| material is to be used in Flood Zone ''A^, it is understood that o drainage plan addressing o "compensating volume" will be submitted at time cfpermitting which is prepared by professional engineer licensed bythe State ofFlorida. - If the hU material is to be used in Flood Zone ^A^ in connection with a permitted building using o8*m wall construction, | certify that fill will be used only tofill the area within the stem wall. - If fill mn8ehe| is to be used in any area, | certify that use of such fill will not adversely affect aoUeoeni properties. If use of fill is found to adversely affect adjacent propertioo, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for |ntu |eno than one (1) acre which are elevated byfill, anengineered drainage plan iorequired. If am the AGENT FOR THE OWNER, | promise in good faith to inform the owner ofthe permitting conditions set forth in this affidavit prior to commencing construction. | understand that a separate permit may be required for electrical work, p|umbinQ, oigno, we||m, pno|a, air conditioning, gas, orother 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 vio|ahe, conoa|, e|bar, or set aside any provisions ofthe technical codes, nor shall issuance of apermit 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 ioouonme, 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 roquea0ud, in writing, from the Building Official for period not 0nexceed ninety (QO)days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. OWNERORAGENT Subscribed and sworn G (or affirmed) before me this 6/29/2023 by Christopher Smith as identification. Notary Public Commission ll�x_ 57 Stephanie Farmer Name of Notary typed, printed or stamped EUMMMOLLERAN Subscribed and sworn to (or affirmed) Name of Notary typed, printed or stamped !1!, 0 W oil 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 T Zone Total Amount $ / Exempt E] •. Determinef LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt Yes No How Determined Total Amount RESOURCE FEE ERU � �.,,. �. 1 �'..� Mi t' '. c.. x ♦, ..,, n, a '" �. f N:.�IFYyw..MM RECEIPT NO DATE V,