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HomeMy WebLinkAbout20-22782 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 22782 • BUILDING PERMIT SINGLE FAMILY RESIDENTIAL . . PERMIT=INFORMATION LOCATION INFORMATION Permit#:22782 Issued: 7/08/2020 Address: 7781 BROAD POINTE DR Permit Type: NEW SINGLE FAMILY DWELLING ZEPHYRHILLS, FL. Class of Work: 101-NEW CONST/SFR Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 252,110.70 Total Fees: 19,446.25 Subdivision: ZEPHYR LAKES Amount Paid: 19,446.25 Date Paid: 7/07/2020 Parcel Number: 35-25-21-0140-01000-0070 CONTRACTOR INFORMATION OWNER-.INFORMATION Name: DR HORTON INC Name: DR HORTON INC Addr: 12602 TELECOM DR Address: 12602 TELECOM DR TAMPA, FL. 33637 TAMPA, FL 33637 Phone: (813)549-1968 Lic: Phone: 813-549-1968 Work Desc: CONSTRUCT SINGLE FAMILY 2,238 SQ FT APPLICATION FEES PLUMBING FEE 195.75 SEWER CONNECT -N RESIDE 2,090.00 ELECTRICAL FEE 293.63 WATER CONNECTION RESIDENT 1,010.00 MECHANICAL FEE 137.03 SCHOOL IMPACT FEE-sfr/1% 83.28 SCHOOL IMPACT FEE-sfr/100% 8,328.00 TRAFFIC IMPACT FEE 1% 36.32 TRAFFIC IMPACT FEE 99% 3,595.68 BUILDING FEE 1,406.09 WATER METER RES 3/4" 473.78 IRRIGATION METER 473.78 PARK FEES SF 769.56 POLICE IMPACT FEE 254.00 FIRE IMPACT FEE 273.00 PUBLIC SAFETY 5% 26.35 A Inspections Required FOOTER 2ND R PLUMB Misc INSULATION CEILING FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. 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 such subsequent reinspection.REINSPECTION FEES: 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 permits 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 and 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. 0 e-A &I f"�* CONTRACTORS SIG RE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIOlf CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER i j PASCO COUNTY, FLORIDA if 1 _ Permit No. 2Z7�3Z Date Permitted 'Buiider Name/Owner Name Control W. County Parcel No. "2 2j-nl�a•r�tix�—yp�a SubDIv: 2. r- AddresslLocatlon `7 7f^Oa Payl Classiflcationrrype of Use TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2.3 f5' Exempt ❑fifes ❑ No How Determined Impact Fee Amount $,3i Zone No. TAZ: E SCHOOL IMPACT FEE Account (056) Single<Family Detached House Amount 1 (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 $ -7 `1 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 Amour&-f57 RESOURCE FEE ERU TOTAL AMOUNT Prepared By Q _ Checked By NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AM04NTS LISTED HAVE BEEN.PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY Acknowledgement below doss not Imply acceptance of concurrence,but simply receipt of a copy of this form,placing the building permit owner.on notice of this assessment and the conditions of payment for some. DATE RECEIVED BY RECEIPT NO. DATE BY D.R.Horton-7781 Broad Point Dr.-2,238 sqft Column SQ. FEET PRICE MAIN OR LIVING: 2,238 $ 112.65 OTHER AREA UNDER ROOF: - $ 88.00 OTHER: - $ - VALUATION $ 252,110.70 FEE SHEET $ 1,305.00 ADDRESS $ 30.00 DRIVEWAY $ 45.00 BUILDING: $ 1,406.10 ELECTRICAL: $ 293.63 PLUMBING: $ 195.75 MECHANICAL: $ 137.03 �Q SUB-TOTAL $ 2,032.50 v (� TOTAL $ 2,032.50 SEWER: $ 2,090.00 WATER: $ 1,010.00 IRRIGATION: $ - TOTAL: $ 3,100.00 WATER METER:1 $ 473.78 IRRIGATION METER $ - FIRE DEPARTMENT FEES PLANS TOTAL: INSPECTION TOTAL: PERMIT TOTAL TOTAL: $ - PUBLIC SAFETY IMPACT FEES POLICE $ 254.00 FIRE $ 273.00 5% $ 26.35 TOTAL: $ 553.35 SUB-TOTAL $ 6,159.63 PARK IMPACT FEES $ 769.56 SIF'S: $ 8,328.00 100.0% $ 8,328.00 1.0% $ . 83.28 TOTAL: $ 8,411.28 T I F'S: $ 3,632.00 99% $ 3,595.68 1% $ 36.32 TOTAL: $ 1 �'� i q ri I ' Single Family Dwelling Plan Review Comments 1. F:F.E shall.be a minimum of 8" above the road elevation and an engineered site plan. 2! Lots shall be graded to com"' ly with R401.3.of the F.B.C. 3. Compaction test required if 24"or more of fill dirt is brought in at any one place. 4: Tie in survey required before pouring concrete. 5. Driveways require-a R.O.W. use permit. All 4 sides of driveway thru the sidewalk shall.have expansion-material. .6. All setbacks shall be met. 7: All.property markers shall be uncovered,and marked at time of first inspection. 8: All A.D.A.requirements shall be met: 9: No electric,.plumbing, mechanical, or framing shall be covered without an inspection and approval first. 10:All Garages shall comply with section R302.6 of the F.B.-C. (Fire Separation). 1,1. Appliances,shall not be_installed in a location where subject to mechanical damage unless protected,by approved barriers. M303.:4 of the F.B.0 .12. Water heaters shall comply with section P607.3 of the F.B.C: 13. Foundation supports for A/C units shall be raised at least 3" above finished grade. M1308:1: 14. Return air in all bedrooms. F.B.C. M1620.4 1.5. Smoke detectors are to be installed in accordance with R313 J of.the F.B.C. 16. All glazing requirements are to be:in accordance with R308.4 of the F.B.-C. . 17. All means of egress are to lie in accordance with R311 of the F.B..C.. 18. "Green gypsum board" shall riot.be used as a backer-in showers or tubs.R702.4.2 F.B.C. . 10. Combination-type AM breakers are required at all locations requiring an AFCI type breaker. 20. Carbon monoxide alarms will be required in new construction that uses fossil-burning heating or appliances or an attached garage.- They shall.be installed in accordance with the F.B.C. 2:1. All plumbing,mechanical, and electrical shall be separate from unit to unit: This includes all underground:plumbing and electric. . 21 All 2016 N.E.C. Codes will be enforced: 23. Tamper-Resistant Receptacles in accordance with 406.11 of the 2016 N.E.0 24. Ih accordance with the Land Development Code, lots,shall.be soddedbefore_ final at least 10 feet around-the structure: 25:-.R403.5.3Hot Water pipe insulation Insulation for.hot.water'pipe With'a minimum thermal resistance (R-value) of R-3 shall be applied to the following: Piping:/:inch (19.1 mm) and largerin:nominal diameter: Piping serving more than one dwelling unit. Piping located outside the conditioned space:. Piping from the**ter heater to a distribution manifold., . Piping:located under'a floor slab. Buried in piping. Supply and return piping in recirculation systems other than demand recirculation systems. 25. Blower door test shall be provided before C.Q. 26.A copy of the enerzy cacls shall be with permit at all times- 27 Copy of finalinsuladon report shall be provided ivith permit before finch . 28:No fence, pool or screen enclosure :is issued with ahis permit F.F.E.-Finished Floor Elevation . F.B.0 •Florida Building Code 6a'Edition R.O.W.-Right of Way- A.D.A.-Americans with Disabilities Act_ N.E.C.-National Electric Code(2016)= City OfZenhVrhil|s Permit Application Fax-813-780-0021 Building Department Phone Contact for Permitting Inc- owner Phone N mber Owner's Name u Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LOT# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NIEW CONSTR F7 ADD/ALT SIGN DEMOLISH ff INSTALL REPAIR PROPOSED USE SFR COMM OTHER F_ TYPE OF CONSTRUCTION E:2— BLOCK FRAME STEEL DESCRIPTION OF WORK T tZ Uz�i-cknrv-_ 3- I -\J -% - I BUILDING SIZE SQ FOOTAGE Ji0f7_:5i ' b:Si+f HEIGHT Date Received =BUILDNg wo VALUATION OF TOTAL CONSTRUCTION �--}�LECTR{�� AMP F--� PROGRESS ENERGY |� l YVJ�EI. �__� [--lpLUMBKNG =MECMAN|CAL MECHANICAL INSTALLATION ' GAG 'ROOFING F—� � SPECIALTY OTHER OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [--lYEG NO BUILDER COMPANY nc SIGNATURE REGISTERED FEE CURREN Y/N :'LUMBER C 3IGNATURE D 'NICAL COMPANY ' �� Address License* )TVER ooMpAm, ;|mNATURE nsomremso LY/ L rsEcvnnc^ L_Y/N_ 1 A durmss Liconov# ZES|DENT\AL Attach(2)Plot Plans;V4 sets of Building Plans;(1)set of Energy Forms;R-O4N Permit for hew construction, Minimum ten(1O)working days after submittal date. Required onsihe.Construction Plans,O\ormvater Plans v/Silt Fence installed, Sanitary Facilities&1dumpoter;Site VYnrkpennit for oubdivioionsl\arQeprojects _�_} ;OMMERCkuL A1�oh�4onm��ose�ofBui\�ng Plans p�oaLUe Sa��Page;(1)�tofEna�y'F� s.R-[AwPermit for new construction. Minimum ten(1n)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Foci}itinn&1dumpnter.Site Work Permit for all new projects.All commercial requirements must meet compliance )|GNPERM\T Attach(2)sets of Engineered Plans. ^°"PROpEFTY SURVEY required for all NEW construction. ' Fill out application completely. Owner&Contractor sign back of application,notarized |f over$uaoo'a Notice of Commencement isrequired. (A/C upgrades over*75V0) ^ Agent(for the contractor)nr Power ufAMomu�(for the owner)would be someone WiVhnotarized letter from owner authorizing same >VBlT8E COUNTER PERMITTING (copy of contract required) 'emofs if shingles Sewers Service Upgrades A/C Fonoom(pbbSurvey/Funtaga) ` Driveways-Not over Counter ifon public madwmys..naedaROW - 813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 Building Department P . Date Received Phone Contact for Permitting -Ownees.Name Owner Phone Number ;=;,•:Owner's Address Owner Phone-Number Owner Phone Number —�� �!• JOB ADDRESS' _.LOT# SUBDIVISION - PARCEL ID# (013.TAINED=FROKP.ROPERT1r TAXADTICE)•. -WORK PROPOSED e NEWCONSTR ADD/ALT [[� SIGN = 0 ;DEMOLISH'INSTALL 8 REPAIR PROPOSED USE Q SFR Q COMM. OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL = DESCRIPTION OF.WORK BUILDING SIZE SQ•F001AGE; HEIGHT. _ =BUILDING $ VALUATION OF'TOTAL CONSTRUCTION, i =ELECTRICAL $ AMP SERVICE 0 DUKE ENERGY' 0 W.R.E.C. =PLUMBING ($' —� • =MECHANICAL �$• VALUATION OF MECHANICAL INSTALLATION =GAS Q ROOFING [�., SPECIALTY F--1 OTHER FINISHED FLOOR ELEVATIONS FLOOD-ZONE AREA YES NO BUILDER COMPANY SIGNATURE '' REGISTERED Y 1 N FEE CURREN . LY•/N Address License# ELECTRICIAN, COMPANY SIGNATURE REGISTERED 'Y'VN FEE CURREN Address • License# r� PLUMBER f COMPANY G SIGNATURE REGISTERED Yi=tJ FEE CURREA Address License.# � MECHANICAL .:.,;' COMPANY SIGNATURE' REGISTERED I Y/ N FEE CURRE`N �Y I N. •#..� ' . Address License ., r '� OTHER COMPANY SIGNATURE REGISTERED 'Y/,•N,,,., •.. FEECU(RRRER� 4N, Address License# !. I .Y RESIDENTIAL Attach(2)Plot-Plaris;(2)`Sets bituiiding-.Pie is (1)".set.of Eherg Forins;'R-O4V Permit for new;construction,: . Minimum•ten-(70).wartsing-Abys'aftet subnilf#aF•date�`Reiquifed onsite;'Gonsiructlon Plans,s6mi Na#er Pians-'i rl Silt Fence installed, Sanitary:Facilitles&;,1�dumpster,;�Site Wbrk�•Permit:fbhs ibdivisions/large•prdjects COMMERCIAL Attach(2)complete,sets,of.Building•Plans,plus•a,Lifei$afety,Page;(1.)'.set"ofiEnergyFo�ms.R-O-W Permit'for:new construction. Minimum ten.(1t!) ror.king,day&aftersubrnItIaI date..Requ)red onsita;Construciton•.Riansj Starrwater,Pians'w/Siit'Fenca instaliecl, Sanitary Facilities&1 durripster.Sf(d V&k Permit for 611'new projects.All'commercialsequirements must meet compliance SIGN PERMIT Attach(2),sets of Engineered;Plans. ""PROPERTY S.U'RYEY'required for all NEW construction. „,.. Directions: Fill out application completely. Owner.&Contractor sign.back of:•appiication,notarized 'if over$250Q,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!PFRMITTING -• (copy;'of contrabt,required) Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW PLOT PLAN DESCRIPTION:(AS FURNISHED) LOT 7, BLOCK 10, ZEPHYR LAKES SUBDIVISION PHASES 1A, 2A, 213, AND 4A AS RECORDED IN PLAT BOOK 80, PAGE(S) 37-48, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. PI Line Table Linea Direction Length O I L1 S0034'52•W I50.00' �< LOT 8 I =3 U BLOCK 10 I 0Io _j w� I m eti S89.25'08" , 9�e N8975'OB'W I 0 GRAnPHI C SCALE E 115.00 25.00 s'D&AE ' " ?I :r,;-- .. --� 0 15 30 -----� — n Q ----31.8'----., -------------— 25.5--- " 57.7 33' W O *< cLd No 1{'�1 W 4 � NII z O —1—I m' or 0.m .00 QO O 48.7 Z h5D&AE m0 N89'25'08"W 115.00' W �m o LOT 6 I Sb BLOCK 10 I lyW F V OO m PI' ON LOT CALCULATIONS _------- -----_ LOT = 5,750 SO. FT. PLAT BOUNDARY LIVING AREA = 1,672 SO. FT. GARAGE — 432 SO. FT. ENTRY = 38 SO. FT. LANAI = 96 Sp. FT. PATIO = 0 Sp. FT. DRIVEWAY = 408 S0. FT. A/C PAD = 12 S0. FT. WALKWAY = 28 SO. FT. IMPERVIOUS = 479E = 2686 SO. Fr. SOD = 3.064 SQ. FT. OFF LOT CALCULATIONS RIGHT OF WAY = 600 SQ. Fr. PREPARED FOR: PUBLIC S/W = 250 sa. FT. SOD = 217 S0. FT. B-11-HOWN'N TOTALS AREA = 6,350 SO. FT. DRIVEWAY — 541 SO. FT. BUILDING SETBACKS SIDEWALK = S . FT. 3,2 SOD = 81 SQ. FT. FRONT: 20• GARAGE: 25' REAR: 15' SIDE: 5' SIDE STREET: 15' NOTES: LEGEND: 1. PROPOSED ELEVATIONS SHOWN HEREON ARE — BUILDING SETBACK LINE Pl POINT OF INTERSECTION BASED ON THE APPROVED ENGINEERING PLANS PC PONT OF CURVATURE PREPARED BY HAMILTON ENGINEERING & — CENTERLINE PT POINT OF TANGENCY SURVEYING INC.. ——— — RIGHT OF WAY LINE RP RADIUS POINT PRC POINT OF REVERSE CURVATURE 2. ELEVATIONS ARE BASED ON NAVD 198E PROPOSED ELEVATION PCP PERMANENT CONTROL POINT DATUM. TYP TYPICAL PROPOSED DRAINAGE FLOW CS CONCRETE SLAB THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES CONCRETE (C) CALCULATEDONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF ( ) THE PROPOSED STRUCTURE. THE CONTRACTOR AND/OR A/C AIR CONDITIONER PGS PAGE OOK OWNER ARE REQUIRED TO VERIFY ALL SETBACKS, BUILDING S/W SIDEWALK SQ. FT. SQUARE FEET DIMENSIONS, AND LAYOUT SHOWN HEREON PRIOR TO ANY F.E.M.A. FEDERAL EMERGENCY MANAGEMENT AGENCY CONSTRUCTION. - F.I.R.M. FLOOD INSURANCE RATE MAP NAVD NORTH AMERICAN VERTICAL DATUM THIS IS NOT A SURVEY Dd:UE DRAINAGE&UTILITY EASEMENT DE DRAINAGE EASEMENT(PUBLIC) UE UTILITY EASEMENT(PUBLIC) THIS IS A PLOT PLAN ONLY D&AE DRAINAGE&ACCESS EASEMENT FLOOD NOTE: SURVEYOR NOTES: I HAVE EXAMINED THE F.I.R.M. MAP NO. 12101CO293F. 1. THE SURVEYOR HAS NOT ABSTRACTED THE DATED 09/26/2014, AND FOUND THE SUBJECT PROPERTY LAND SHOWN HEREON FOR EASEMENTS, RIGHT APPEARS TO LIE IN ZONE 'X', AREAS DETERMINED TO BE OF WAY, RESTRICTIONS OF RECORD WHICH OUTSIDE THE 0.2X ANNUAL CHANCE FLOODPLAIN. THE MAY AFFECT THE TITLE OR USE OF THE LAND. SURVEYOR MAKES NO GUARANTEES AS TO THE ABOVE 2. NO UNDERGROUND IMPROVEMENTS HAVE BEEN INFORMATION. PLEASE CONTACT THE LOCAL F.E.M.A. LOCATED EXCEPT AS SHOWN. ' AGENT FOR VERIFICATION. ' BEARING BASIS: A!5hA 3. NOT VALID WITHOUT THE AUTHENTIC BEARINGS SHOWN HEREON ARE BASED ON THE CENTERLINE OF BROAD ELECTRONIC SIGNATURE AND THE AUTHENTIC POINTE DRIVE BEING SGDB4'52'W PER PLAT. A M E.R 1 CA N ELECTRONIC LECTR O II SEALND M OF A FLORIDA LICENSED (FIELD DATE:) REVISED: 1' 3D FEET S U RV EY 1 N G ag° �"y° Digitally signed by JamesW. SCALE Q a,.ri Boleman CX MAPPING INC. a� +j` �" a DN:cn=James W.Boleman, APPROVED BY: `B r-w„ o=American Surveying&Mapping, CERTIFICATION OF AUTHORIZATION NUMBER L13a6393 .•�F� ``In<-ou=HB, 3191 MAGUIRE BOULEVARD, SUITE 200 y„^ r>' email=lBaleman@asmcorpo ate.mm FOR 190901 LOT 7,BLOCK 10 e/mniwnn %,r Date:2019.09.241635:40-04'00' THE JOB NO. ORLANDO, FLORIDA 32803 m`°""° FIRM THE (407) 426-7979 DATE DRAWN BY: O58 PLOT PLAN 09-20-19 ZA WWW.AMERICANSURVEYINGANDMAPPING.COLT JAMES W.,'BOLEMAN PSM# 6485 I CITY OF " " BUILDING ZEPHYRHILLSNOTICE DEPARTMENT OF ADDITION OR CORRECTION . • NOT REMOVE ADDRESS DATE PERMIT# 77'(1 THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job will be accepted. C It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered,any part of the work with flooring,lath,earth or other material,until the proper inspector has had ample time to approve 780-0020 FOR R -1 P the installation. OFFICE HOURS 8:00 AM-4:30 PM MON.-FRI. INSPECTOR CITY OF '` " BUILDING ZEPHYRHILLSNOTICE DEPARTMENT OF ADDITION OR CORRECTION D • NOT REMOVE ADDRESS-77 DATE PERMIT# ,7[ THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job will be accepted. 7-7 It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered,any part of the work with flooring,lath,earth or other material,until the proper inspector has had ample time to approve 780-0020 FOR RE-INSPECTION the installation. OFFICE HOURS 8:00 AM-4:30 PM MON.-FRI. INSPECTOR PASCO COUNTY Receipt Date: 04/11/2016 D A BUILDING CONSTRUCTION SERVICES Receipt Number. 1997712 3LS C 8731 Citizens Drive COUNTY FLORIDA Suite 230 OPEN SPACES.111B"W PILACES. New Port Richey,FL 34654 727-847-8126 NOT A PERMIT Paid By Check# CC Auth# Cashier-ID Workstation Check 11185354 SLEBLANC BCCCP20W Fee Description Amount Paid Impact Fee Residential Solid Waste Single Family 13.07 Total Payments: $13.07 Payor Address Phone BR Horton Comments: City of Zephyrhills Solid Waste Address:7781 Broad Pointe Drive Parcel ID: 35 25 210140 01000 0070 While you will be paying your bill with Pasco County Building Construction Services,the full amount of the credit card or e-check fees,NOT shown above,Is collected by First Billing payment services. myrepc)rtslreportslIPASCOPRODIPASCOICustomer Receipt v1f rpt Print Date: 10/20/2020 Page 1 of 1