HomeMy WebLinkAbout05-4622
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
4622
Permit Number: 4622 Issued: 7/062005
Permit Type: NEW SINGLE FAMILY DWELLING
Class of Work: 101-NEW CONST/SFR
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 120,000.00 Total Fees: 7,990,79
Amount Paid: 7,990,79 Date Paid: 7/06/2005
Address: 7637 MERCHANTVILLE CIR
ZEPHYRHILLS, FL.
Township: Range:
Lot{s): Block: Section:
Book: Page:
Subdivision: CRESTVIEW HILLS
Parcel Number: 35-25-21-0120-000000170
Name: US HOME CORPORATION
Addr: 600 N WESTSHORE BLVD, STE 600
TAMPA, FL 33609
Phone: 813 854-4608 Lic:
Work Desc: NEW SINGLE FAMILY DWELLING
Phone:
E
WATER CONNECTION RESIDENl
SCHOOL IMPACT FEE - 97.5%
WATER METER RES 3/4"
PUBLIC SAFETY 5%
RADON
99.
419.00 MECHANICAL FEE
1,651.65 TRAFFIC IMPACT FEE 1%
180.00 BUILDING FEE
26.35 POLICE IMPACT FEE
22.84
77.72 SCHOOL IMPACT FEE 2.5%
15.88 TRAFFIC IMPACT FEE 99%
847.50 FIRE IMPACT FEE
254.00 PARK FEES SF
1 .
42.35
1,572.12
273.00
769.56
,/ <,~lt>
Y , \ if?;
\ \V
~
'~
0lc&
/,
/
-0-
U L
DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER WATER
SHEATHING FRAME MISC SEWER
MISC INSULATION WALL MISC MISC.
MISC. INSULATION CEILING MISC. MISC.
MISC. DRIVEWAY MISC. MISC.
REINSPECTlON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
NO OCCUPANCY BEFORE C.O.
'\<- ~- ~
CONT&T~IGNATURE PERM~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
~~R/31/2005/THU 11:40 AM
OWNER'S NAME
JOB ADDRESS
ZEPHYRHILLS BUILDING
FAX No. 813-780-0021
P. 002
CITY OF ZEPBYRHILLS PERMIT APPLICATION
BUiLDING DEPARTMENT 5335 aU St, ZQphyrhil1a, l!"L 33542
613-780-0020 FAX: 813-7aO-0021
DATE Rli:CEIVED
913 - 7~1 - 5:i.77
e'f-.J-.'(.,3$
?J13~~7~1-5;l71
PHONE CONTACT FOR PERMITTING
Le..^^~r '
//k t;r--
PHONE
BLOCK
SUBDIVISION Cte5fvrt\,J Ilith
PARCEL ID *'
LEGAL DESCRIPTIO~: LOT(S)
M
WORK PROPSEO,
PROPOSED
RT
N
- - Z /- ..>SS, ('. - 00.
o ADDITION
o MOVE
o ALTERATION
o DEMOLISH
o REPAIR
o INSTALL
DSIGN
USE~GL FAMILY
o COMMERCIAL
DMULTI-FAMILY
o IND.,uSTRIAL
o If OF UNITS
o SWIMMING POOL
o MOBILE HOME
DOTHER
DWELLING
[=::J
/Jew
RESTAURANT & HEALTH DEPARTMENT APPROVAL
LI/lQC/'e/: gr/s~q(Cr~~c
2Z8-SI
sf{( ,
)
Zct.?3
BUILDING SIZE
DESCRI~l:ON OF WORK
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL:, ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING pLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIaN PERM~T ONLY (2) SETS OF ENGINEERED P~NS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION.
M BUILDING
o ELECTRICAL
o PLUMBING
o MECHANICAL
PERMITS REQUESTED
:;; /2c;)jO~6
,
/~~
VALUATION OF TOTAL CONSTRUCTION
W'
o
AMP SERVICE
Progress Energy
W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
o GAs 0 ROOFING D SPECIALTY
TYPE OF CONSTRUCTION~BLOCK
FINISHED FLOO~ ELEVATIONS
o OTHER
o FRAME
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE AREAD YES
~O
SIGNA;otE " .' STATE CERT OR REGIST . CI3C / ZS- / rf-4l...
ELECTRIC:D\N
SIGNATURE
PLOMBER
SIGNATURE
MECHANXCAX..
SIGNATURE
**~**************.*******.*******w*******.~
COMPANY [5-.~A P4$l.O ~~(:
~ RoO 1 LfSOl.'
~
/
~
STATE CERT OR REGIST *
**.*.**.***.************~*****************************************
COMPANY \')... \I)-,{ Lo II}" pi J M ~ ... ~
STATE CERT OR REGIST ~ c F'C l.f d {,;}-"1
...... "'...... ............ .. '" '" "'.. .... .... .. .. '" ~ "'....'" "'.. ..~.. 1-b.............. .... *r .... "'.'"
COMPANY. fi "1 '::::> OiL A <.... ..
STATE CERT OR REGIST . eA<-- C>~b Ltc (:)
~ e..,~~umu '~'H..m"H=:::"C:5~L:;~"H'**H
SIGNATURE ,.~, STATE CERT OR REGIST * CC -CoS7991
U.S. Homes
Bristol Grande 2003
Lot #17
SQ. FEET PRICE
MAIN OR LIVING: 2,284 $ 50.00
OTHER AREA UNDER ROOF: $ 50,00
OTHER: $ -
VALUATION $ 114,200.00
FEE SHEET $ 525.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 847.50
CREDIT: $ -
BUILDING LESS CREDIT: $ 847.50
ELECTRICAL: $ 123.32
PLUMBING: $ 99.50
MECHANICAL: $ 77.72
SUB-TOTAL $ 1,148.04
RADON: $ 22.84
TOTAL $ 1,170.88
SEWER: $ 1,616.00
WATER: $ 419.00
IRRIGATION: $ -
TOTAL: $ 2,035.00
WATER METER:I $
IRRIGATION METER $
180~00 I
SUB-TOTAL $
3,385.88 I
769.561
PARK IMPACT FEES I $
PUBLIC SAFETY IMPACT FEES
POLICE $ 254,00
FIRE $ 273.00
5% $ 26.35
SIF'S: $ 1,694.00
97.5% $ 1,651.65
2.5% $ 42.35
T IF'S: $ 1,588.00
99% $ 1,572.12
1% $ 15.88
TOTAL: $
7,990.79 ,
~
~
~
~
~
n
n
n
lUO/b~
n n
~
("II
PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719-79111
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
5-l1vf5~
7fl/os
WATER ACCT. NO.
DATE
OWNER/
RENTER
u~~
MAILING
r'~ (> ~~
SERVICE ADDRESS 7t3? 1J1~ Ci~l&..,'Clvl / /-e. ((Yo Lo1t~
0 g..---VVATER
SHUT OFF SERVICE
I 0./ 0 SEWER
TURN ON SERVICE
G;I/' 0 GARBAGE
INSTALL METER
~CITY
I 0
i READ METER
0 0 OUT CITY
CHECK METER L No. OF UNITS
OTHER 0
_ DEPOSIT AMOUNT
. (
_ AMOUNT LAST BILL
_ DATE
~
-
w~dr
_ MISC. CHARGE
ft
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
7-6~os R
><:~
Retain white form in office at all times,
Send pink & yellow forms to Water Service Oept,
Water Service Oept. to sign yellow form & return to office.
II
9{anc~ O:.F C09vf9vf~9{C~9vf~9{q-
W~~~UN!~/11I11I1II111111II1111I1I11/I111I1/1I111
II
Notice is hereby given that the undersigned will commence (recommence) to
improve the following described real property, situated in Pasco
County, Florida, to-wit:
a)
LOT#
17
Rcpt:881554
OS: 0.00
05/06/05
Rec: 10.00
IT: 0.00
Dpty Clerk
Crestview Hills
Merchantville Circle
JED PITTMAN, PASCO COUNTY CLERK
05/06/05 10:31am 1 of1192
OR BK 6357 PG
Zephvrhills. FL 33540
b) Said improvements shall consist of: Single Family Residence/PooVScreen Enclosure
c) The name and address of the owner of said real property is:
R
U.S. Home Corporation Central Florida Division
600 N. Westshore Blvd., Suite 600
Tampa, FL 33609
d) The name and address of the contractor is:
Same as above
e) The name and address of the surety on the payment bond under Section 713.23 FS is:
Not Applicablel Same as above
The amount of such bond is $ NI A
f) The name and address of the person upon whom notices or other documents may be served is:
Not Applicable
g)
The name and address of the person designated in addition to the undersigned, to receive a copy of
the lienors notice as provided in Section 713.06 (2b) FS. is:
h)
notice.
Commencement of said improvement shall be within thirty days from date of recording this
Dated this 29th
day of
April
,2005
Prepared By: Elissa Holleran
US Home Corporation
600 N. Westshore Blvd.
Suite 600
STATE OF FLORtDA Tampa, FL 33609
COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COpy OF THE DOCUMENT ON FILE
OR OF PUBLIC RECORD IN THIS OFFICE, WITNESS MV
HAND AND OFFICIAL SEAL THIS~ DAV OF
UrA.~ 2.a:f)
JED PITT AN, C~~K ~~IRC. LI~T.COURT _
avO I;\Ol('M)tt.~ERK
oration
Owner
;L Authorized
DON ACHON or ROB PEEBLES Agent
Who i erson ,
.. './,i.
Swo and subscribed before me this 2'17.' day of
,,"k ; (~n ,2Q05 -
I ",,4'" /F
Nota~ Public: '.;: {;~/.f (~___
"
,\\Utl" E .
.-t,X"fJ<Y pu~~~. IIssa M. Holleran
gi ~~ Commission # DD326507
.-.(,." t(".
~l -, },~ Expires June 6, 2008
'Fr,. !!cnl'<<t r",y Fal... In",,,,,",., Ino. eoo'~~'7019
"
SPEOAl' PURPOSE SURVEY- FORM BOARD TIE-It':!
LOT 17
CRESTVIEW HillS,
PASCO COUNTY, FLORIDA.
SEC. 35
,TWP. 25 S, RNG.
21 E.
BEARING BASIS:
NORTHERL Y LOT LINE OF LOT 17 BEING N 89'36'03" E
N
THIS SURVEY IS SUBJECT TO ANY FACTS THAT
MAY BE DISCLOSED BY A FULL AND ACCURATE
TITLE SEARCH, ALSO SUBJECT TO SETBACKS,
EASEMENTS AND RESTRICTIONS OF RECORD,
LfGlL
b
I'l
UNDERGROUND FOOTER, STEM WALL, AND
UNDERGROUND UTILITIES ARE NOT LOCATED OR
SHOWN,
~
..;j
-'
<
u
Ul.
00 NOT SCALE THIS PRINT, DIMENSIONS AND
NOTES TAKE PREFERENCE,
DESCRIPTION NOT CONTAINING PLAT BOOK AND
PAGE INDICATES THAT PLAT IS IN
PRELIMINARY STAGE AND IS SUBJECT TO
CHANGE AND/OR REVISION,
CERTAIN DATA SHOWN HEREON BASED ON
ENGINEERING PLANS PROVIDED BY CLIENT,
· = 10' DRAINAGE & UTILITY EASEMENT
.. = 5' DRAINAGE EASEMENT
... = 10' DRAINAGE EASEMENT
.
~
>-
0::
1-<
<0
-'Z
I-yg
LOT 18
PC(P~
I
~I
w
W
...J
()
0:::
~()
W
...J
...J....
-~
~~
Ze
<(
II
()
0:::
...................,.......,.",.... W
~
25,00'
N 89'36'03" E
110,81'
25,00'
0
0 C!
0
<( <D
0 3::
0::: .
<D
W .'<t'
'<t'
0::: 0
b
3: 0
z
- - -~J- - - - ~ -- - -~~---
I" 30,3' -: ; I
,......... .....1...'...'..................... 53,7 'S'" 1:> I
I ~ <II 00 I
I ~ C I
~>- ~
: ..1, ,.:lll..,~:......,.. ....,. 6.2':~ ...,......~~y,'.*.......
........ - ......
I e L()
~ ~~I ~
I m ~e: b
I 53.9'"........?,lI.~f 0
(/)
L_--~r--~-----~_J
o
C!
o
<D
~~ACT ","
LANDSCAPE
BUFFER
S 89'36'03" W
111. 15'
LOT 16
p (c f 0 S ec/
1J-5. 50
APPARENT FLOOD HAZARD ZONE: "X" COMMUNITY PANEL NO, 120230 0295 D
LOWEST FLOOR ELEVATIONS:
LIVING AREA: 125.83'
GARAGE AREA: 125.37'
ELEVATIONS REFERENCED TO
NATIONAL GEODETIC VERTICA
DA ruM OF 1929. MEAN SEA
LEVEL= 00.00 FT.
EFFECTIVE DATE: 9/30/92
DESCRIPTION:
LOT 17 MAP OR PLAT ENTITLED "CRESTVIEW HILLS", AS RECORDED IN PLAT BOOK 53,
PAGES 124 THROUGH 129, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA,
LEGEND:
(CI- CALCULATED DATA, (D)" DEED DATA, (MI" MEASURED DATA, (P)- PLAT DATA, t - CENTERLINE, A/C- AIR CONDITIONER, B/C- BACK OF CURB, C/S-
CONCRETE SLAB, CH. CHORD, CHB. CHORD BEARING, CLF= CHAIN LINK FENCE, CONCa CONCRETE. COV,= COVERED, E/P' EDGE OF PAVEMENT. ESM'T= EASEMENT.
F/C= FENCE CORNER, FeM= FOUND CONCRETE MONUMENT, FIP= FOUND IRON PIPE, FIR- FOUND IRON ROD, FNaD= FOUND NAIL & DISK, FPP= FOUND PINCHED
PIPE, LFE= LOWEST FLOOR ELEVATION, MAS,= MASONRY, ORa OFFICIAL RECORD BOOK, PB= PLAT BOOK, PCP= PERMANENT CONTROL POINT, PRM= PERMANENT
REFERENCE MONUMENT, R/W- RIGHT OF WAY. R- RADIUS. SIR-SET 1/2' IRON ROD a CAP No. 4493, SNaD- SET NAIL & DISK. TeM- TEMPORARY BENCHMARK,
U/P- UTILITY POLE. W/F- WOOD FENCE, CR) - RADIAL
O!~
WAY) '(
JOHN R. BEACH & ASSOCIATES, INC.
SURVEYORS AND MAPPERS
911 WEST ST. PElERSBURG DRIVE
OLOSMAR, FLORIDA 34677
(813) 854--1276 FAX (813) 855-8370
SMS
Square Feet:
6859.1 9 :!: US HOME
Checked By.
JRB
Scale:
~
NOT VALID WITHOUT THE SIGNATURE AND ate 0 urvey.
THE ORIGINAL RAISED SEAL OF A FLORIDA
LICENSED SURVEYOR AND MAPPER
Revisions: FORM BOARD TIE-IN 08/02/05 AE
..-[
\1'"
I!
'dY~ "
'-:,;'.\
f ":-'l..r\"':~..^..
: .!
.- -,-..---
'~"-t..T"".'~ '1' ".....,..
:1
- -. _.- -.- -'-'- - -- - -- -._--
1:'/ i:
;",'
, I
! !
~=~
Kimley-Horn
and Associates, Inc.
January 25, 2006
Mr. Bill Burgess
Building Official
City of Zephyrhills
5335 8th Street
Zephyrhills, Florida 33540
Re: Crestview Hills
Lot 17
Dear Mr. Burgess:
.
5344 Ninth Street
Zephyrhills, Florida
33542
'd-~
J- \ 117
I have reviewed the As-Built Survey of the lot grading for the subject lot and find
it in substantial conformance with the Lot Grading Plan previously approved by
the City.
If you have any questions, please do not hesitate to contact me at (813) 788-0400.
Sincerely,
f1~:RN AND ASSOCIATES, INC.
S~gers, P.E.
Senior Project Manager
SMR:bas
Attachments
cc: U,S. Home
H:\04979100l - Crestview Lot Grades\USHOME Lot Grades\012506 Lot 17 USH.doc
.
TEL 813 788 0400
FAX 813 782 4978
FINAL BOUNDARY SURVEY
LOT 17
CRESTVIEW HILLS
PASCO COUNTY, FLORIDA.
SEC. 35
BEARING BASIS:
, TWP.
25 S, RNG.
21 E.
NORTHERLY LOT LINE OF LOT 17 BEING N 89'36'03" E
VIL..LC c.,rc.)e..-
Yl1 ';:;:lcCdEIV r PC(P~
I
~I
N
o
I")
';....
PREPARED FOR & CERTIFIED TO:
NORTH AMERICAN TITLE CO.
NORTH AMERICAN TITLE INS. CO.
INVESTOR BANCORP
MARY FALCONER
W
...J
<(
()
rJL
REVIEWED BY
W
f ~ '3 '7
:E
;0
rrJ
;0
o
)>
o
CD
o
C-U
zr
0)>
)>-1
I 1
J--" ':'1
,FlR 5/8" 0,,,:>'"
D:C, JOHNSON ~..
I
I
I
I
(J)
o
I ~
.FIR 5/8'
l ~c "~~>
!RACT uFu
LANDSCAPE
BUFFER
Ylo L 7-
LOT 1/3
':'I
'I'>
..,.
~'\i
/
N 89'36'03" E (P&M) 110.81'
f;--2
'!'s.
0),
z
o
q
o
..po.
..po.
(J)
JO.3"
I?-<,.s
'-<'0)
~
COVERED
EN1RY
'-!
*
*
*
6,"
I STORY
MASONRY RESIDENCE
W1637
~
0;'. 'J" 1"1
f'J 00.- -.' -',
9 -!5l_~-.I':__-'~'_ <~.
f;- -: ';lio' ..'.
-<'.s z. '.
oJ; () _=.,'
JO,6' 5J,9' 0),. .
...'L..........'.......:- [3 J' X J'
- - _:!='- - - - - -- - -CjS-AjC-
:C!. **
,-..,
lJ
Ro
s::
'-"
I?-2
'!'~
0)
S 89'36'03" W (P&M) 111.15'
.-:{
'I'"
~'
~');
LOT 16
DESCRIPTION:
LOT 17 MAP OR PLAT ENTITLED "CRESTVIEW HILLS", AS RECORDED IN PLAT BOOK 53,
PAGES 124 THROUGH 129, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
APPARENT FLOOD HAZARD ZONE: Y' COMMUNITY PANEL NO, 120230 0295 D
THIS SURVEY IS SUBJECT TO ANY FACTS THAT
MAY BE DISCLOSED BY A FULL AND ACCURATE
TITLE SEARCH, ALSO SUBJECT TO SETBACKS,
EASEMENTS AND RESTRICTIONS OF RECORD,
UNDERGROUND FOOTER, STEM WALL, AND
UNDERGROUND UTILITIES ARE NOT LOCATED OR
SHOWN,
DO NOT SCALE THIS PRINT, DIMENSIONS AND
NOTES TAKE PREFERENCE,
DESCRIPTION NOT CONTAINING PLAT BOOK AND
PAGE INDICATES THAT PLAT IS IN
PRELIMINARY STAGE AND IS SUBJECT TO
CHANGE AND/OR REVISION,
CERTAIN DATA SHOWN HEREON BASED ON
ENGINEERING PLANS PROVIDED BY CLIENT,
STRUCTURE TIES SHOWN HEREON ARE DERIVED
DURING CONSTRUCTION AND MAY VARY UPON
COMPLETION, (FORM BOARDS, FOUNDATION, OR
STEM WALLS)
. = 10' DRAINAGE & UTILITY EASEMENT
.. = 5' DRAINAGE EASEMENT
... = 10' DRAINAGE EASEMENT
; 6.0'
':._/~,
:1;;
:c.
1'/)>>'
.if).........Z....'..'....
;.:...~..:..,...
;g,':,.>
.:::tl:..:......:...-.-...
"~':"",,,_:'
:.:rm:>
1":.
I.nt
0:
.....':.
.,.,.....:..,. ~...,
'.',,:,.:,0...
-'<1"7::.,.,
'.':",.;[1'[,..
[./.-...-.:..:.-.:
" -', ,0e
::N.<.
,....
,()
I'.~
~
r
^
21....j...O...i'.....?
.:....::...:..
LOWEST FLOOR ELEVATIONS:
LIVING AREA: 125.83'
GARAGE AREA: 125.37'
ELEVATIONS REFERENCED TO
NATIONAL GEODETIC VERTICA
DA ruM OF 1929. MEAN SEA
LEVEL= 00.00 FT.
EFFECTIVE DATE: 9/30/92
LEGEND:
(C)= CALCULATED DATA, (D)= DEED DATA. (M)= MEASURED DATA, (P)= PLAT DATA, ~ = CENTERLINE, A/C= AIR CONDITIONER, B/C= BACK OF CURB, C/S=
CONCRETE SLAB, CH= CHORD, CHB= CHORD BEARING, CLF= CHAIN LINK FENCE, CONC= CONCRETE, COV, = COVERED, E/P= EDGE OF PAVEMENT, ESM'T= EASEMENT,
F/C. FENCE CORNER. FCM= FOUND CONCRETE MONUMENT, FIP. FOUND IRON PIPE, FIR= FOUND IRON ROD. FN&D= FOUND NAIL & DISK, FPP= FOUND PINCHED
PIPE. LFE= LOWEST FLOOR ELEVATION, MAS, = MASONRY, OR= OFFICIAL RECORD BOOK, PB= PLAT BOOK. PCP= PERMANENT CONTROL POINT, PRM= PERMANENT
REFERENCE MONUMENT, R/W= RIGHT OF WAY. R= RADIUS, SIR=SET 1/2" IRON ROD & CAP No, 4493, SN&D= SET NAIL & DISK. TBM= TEMPORARY BENCHMARK.
U/P= UTILITY POLE, W/F= WOOD FENCE, (R) = RADIAL
O!~
WAY I (
JOHN R. BEACH & ASSOCIATES, INC.
SURVEYORS AND MAPPERS
911 WEST ST. PETERSBURG DRIVE
OLDSMAR, FLORIDA 34677
(813) 854-1276 FAX (813) 855-8370
Drawn By:-
Square Feet:
SMS
Ch ecked EJ y:
JRB
6659,'9 :l:
US HOME
NOT VAll D WITHOUT THE SIGNATURE AND Date of Survey: FINAL 1/16/06 GH
THE ORIGINAL RAISED SEAL OF A FLORIDA
LICENSED SURVEYOR AND MAPPER
Revisions: FORM BOARD TIE-IN 08/02/05 AE
Q&..o-e..Q O,'IlJh6
DATE
SURVEYOR No. 2984- LB 4493
Scale:
1"=30'