Loading...
HomeMy WebLinkAbout20-1238 City of Zephyrhills PERMIT u sE-R 5335 Eighth Street Zephyrhills, FL 33542 BNR-001238-2020 Phone: (813)780-0020 'Y Fax: (813)780-0021 Issue Date: 01/21/2021 Permit Type: Building New (Residential) Prop�,erty Number S reet Address 04 26 21 0120 00000 0460 1 6462 Bradford Woods Drive Owner Information Permit Information Contractor Information Name: PULTE HOME COMPANY LLC Permit Type:Building New(Residential) Contractor: PULTE HOME COMPANY Class of Work:SFR Construct LLC Address: 2662 Falkenburg S Rd Building Valuation:$119,749.00 RIVERVIEW,FL 33578 Electrical Valuation:$5,493.00 Phone: (813)964-5182 Mechanical Valuation:$5,145.00 Plumbing Valuation:$5,147.00 Total Valuation:$135,534.00 Total Fees: ry Amount Paid: Date Paid:1/21/2021 9:34:02AM n,, I Project Description CONSTRUCT SINGLE FAMILY 2,399 SO FT OAKS OF PASCO Application Fees hC REINSPECTION FEES: (c)With respect to Keinspection 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 that 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. "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 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. 4 A6�A."ez T CTOR SIGNATURE PE IT OFFICE PERMIT EXPIRES-IN 6-MONTHS WITHOUT APPROVED-INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 2662 S Falkenburg Road eRiverview,FL 33578 Ph (813) 964-5115 Fax(813) 626-1407 December 14,2020 To Whom It May Concern: Please accept this letter as a request to cancel the permit application listed below.We are re-permitting this lot with a new plan from a Cedar to a Highgate. If you have any questions,please do not hesitate to contact me at 813-964- 5182. Oaks of Pasco Lot: 04601 Address: 6462 Bradford Woods Drive Old Application#BNR-000447-2020 Fs, Bu hett Pulte Homes STATE OF FLORIDA COUNTY OF HILLSBOROUGH The foregoing instrument was acknowledged before me this day of 20&,by Patty Burchett who is personally known to me. IN WITNESS WHEREOF, I have hereunto set my hand and affixed by official seal, at my office in the aforesaid County. tPdYo�B, SNEZANA GURCINOVSKA MY COMMISSION#GG122322 ANotary Public ` J EXPIRES:JUL 09,2021 Bonded through 1st State Insurance �tY�`,v SNEZANA GURCINOVSKA ?' �= MY COMMISSION#GG122322 3 :1 EXPIRES-JUL 09,2021 e�W Bonded through 1st State Insurance Building Department ate Received � Phone Contact for Permittin 1wner's Name ��r.l CC �` UIl'l� GG'IA XI.0 c. LZ Owner Phone Number l 1wner's Address c1� 2 S' �Gi, II Ill�t G >�/ iVl?Cbl tP(I� Owner Phone.Number ee Simple Titleholder Name / A Owner Phone Number ee Simple Titleholder Address !A OB ADDRESS �!� �D r �/i LOT# Q7 iUBDIVISION OGr,'�S V �dt�l:U PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) PORK PROPOSED e NEW CONSTR 8 ADDIALT SIGN DEMOLISH INSTALL REPAIR 'ROPOSED USE ® SFR. 0 COMM OTHER _ YPE OF CONSTRUCTION BLOCK = FRAME STEEL = )ESCRIPTION OF WORK IUILDING-SIZE �!/ SQ FOOTAGE HEIGHT_ rI'Ar"--- =BUILDING $ �� VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C.• � ��� D� a o =PLUMBING $ I =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING Q SPECIALTY O OTHER -INISHED FLOOR ELEVATIONS q J FLOOD ZONE AREA OYES NO 1/�/1 O� BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y//N Address 4k 5f t4 (lbkart If���leC!>) %33 J License# 1 616c/!�a"' ,M ELECTRICIAN COMPANY 'SIGNATURE y REGISTERED Y/ N FEE CURREN Y/N Address b Z Scc .l L 6GG (iJGY; a/"J" i L License 2, PLUMBER COMPANY off)' c 1 Dom SIGNATURE j�REGISTERED Y/ N FEE CURREN /Y1/IN. Address 31�3�° •�i- 1jWilda ,FL�"P��J� License# �C� 6/ �7�7,;� 7_7 MECHANICAL COMPANY W&4S fir SIGNATURE: REGISTERED YIN FEE CURREN Y I N R/3 i>Gr�taYl d5za Address 1,FL 3 c/(-677 License# 7 3 OTHER COMPANY SIGNATURE- REGISTERED Y/ N FEE CURREN Y/N Address 1 Arvin or ecJ. 'Ur?` iG/7 FZ,J� License aaaaeA .aade >IAailaea"aaceualfee � aiiatlaaOotlnlleaaeeAoaa >IacAaAQAsaaAdAasAa >iA 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 D R 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 comply 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.'requirernents shall,be,met: 9. No electric,.plumbing;mechanical, or framing shall,be covered without an inspection.a' nd . approval first. 10.. All Garages shall comply with section R302.6 of the F.B.C. (Fire Separation): 11. Appliances shall not be installed in a location where subject.to-mechanical.damage unless protected by.approved barriers. W W A o f 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 15. Smoke detectors are to be installed in accordance with.R313:1 of the.F.B.C.. 16:All glazing requirements are to be in.accordance with R308A of the F.B.C: 17. All means of egress are to be in accordance with R311 of the F.B.C. 18. ``Green gypsum.board" shall not be used as a backer-in showers or tubs. R702.4.2 F.&C. 19. Combination-type AFCI 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. 21. All plumbing,mechanical; and electrical shall be separate from unit to unit. This includes all underground plumbing and electric. 22. All 2016 N.-E.C. Codes will be enforced. 21 Tamper- Resistant Receptacles in accordance with 406.11 of-the,20 16 N.E.0 24. 1 n accordancewith the Land Development Code,lots shall be sodded before 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 3h inch (19.1 mm) and larger in.nominal diameter.. Piping_serving more than:one dwelling unit. Piping located outside the conditioned space., Piping from the water 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.O: 26.A copy of the enerQy caclsshall be ivith permit at all times. 27. Copy of final=insulation rep6itshall be provided with permit before lrnaL 28. No fence, boot onscreen enclosure:is issued ivithi this permit F.F.E.-Finished Floor Elevation F.B.C-.Florida Building Code 6t'Edition R.O.W.-Right of Way A.D.A.-Americans with Disabilities Act N.E.C.-National Electric Code(2016) ounwny vCNaiunCin 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 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 I,the applicant, have been provided with a copy of the"Florida Construction Lien Law—Homeowner's 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.1 certify that no work or installation has commenced prior to issuance of a permit and that ail 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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPR VEMENTS TO YOUR PROPERTY. IF YOU INTEND OB N FINANCING, CONSULT FLORIDA JURAT(F.S. 117.03 ' OWNER OR AGENT CONTRACTOR /Subscribed and sw tc or a e ore me this Subscribed and sworn to or ffi a before-me this �`�1�y_�r'I2—by by11'M /a Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced as identification. as identification. otary Public Notary Public Commis io o. 51 r Commi idnN o. 61� Name of Notary typed,printed Ibir s amped NamEf of Notary typed,printed crr stamped PATRICIA BURCHETT MY COMMISSION#GG365171 Zp. B4 EXPIRES:AUG 13,2023 f� Bonded through 1st State Insurance (&Bonded PATRICIA BURCHEIT My COMMISSION OGG365171 EXPIRES:AUG 13,2023 through 1st State Insurance CITY OF ZEPHY TILLS 66City of Pure Watee 5335 Eighth Street°Zephyrhills,Florida 33542-4312 (813) 780-0000 o Fax (813) 780-0005 GENE WHITFIELD June 13,2018 Mayor Mr.David Waronker CITY COUNCIL 1420 Celebration Blvd., Suite 200 LANCE A.SMITH Celebration,FL 34747 Council President Dear Mr.Waronker, KENNEM M.BURGESS,JR Vice President City of Zephyrhills Ordinance 1003-08, Section 12, Paragraph .5, provides that planned unit developments (PUD) approved prior to September 30, 1988 are CHARLES E.PROCTOR exempt from paying transportation impact fees unless amended to permit additional development that would generate traffic. W.ALAN KNIGHT The Silver Oaks PUD was approved on its third and final reading on January.l 1, JODI WILKESON 1988, and therefore is exempt from paying transportation impact fees as stipulated in Ordinance 100308 provided the original permitted number of dwelling units remains the same.According to Todd Vande Berg, city planner,those numbers within the Silver Oaks PUD have remained constant. STEVEN F.SPINA City Manager Therefore,the Oaks at Pasco is exempt from paying these fees.A copy of LORI L.HILLMAN Ordinance 1003-08.is provided for your information.The exemption and credits City.Clerk,CMC section is located on page 10. MATnMW E.MAGGARD Sincerely, City Attorney . Steven F, Spina,PhD City Manager cc: Todd Vande Berg, City Planner Bill Burgess,Building Official Matthew E. Maggard, City Attorney 10 11 f f 4 1 �--I` 17011 : I f� — --43-.v. f 44 45 1 f �I� �r� 47 f I'' . 4$� 49 f}� 5t3j� �? ► �---�__ f f C� 1 ► ,� � f c � f ► ,� 1 FF=91.81. i FF=91.85 1 IFF-g9,8 j FF— 11 f f 1 ! FF=91.0 �=91.5 FF=8�;4Cb jFF,=91.2 -. - PLOT PLAN DESCRIPTION:(AS FURNISHED) LOT 46, OAKS OF PASCO AS RECORDED IN PLAT BOOK 80, PAGE(S) 113-118, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. ON LOT CALCULATIONS LOT 5,750 SQ. FT. LIVING AREA 1,850 SQ. FT. GARAGE 438 SQ. FT. ENTRY 21 SQ. FT. LANAI 90 SQ. FT. PATIO 0 SQ. FT. DRIVEWAY 328 SQ. FT. A/C PAD 9 SQ. FT. WALKWAY 29 SQ. FT. IMPERVIOUS 48% a = 2765 SQ. FT. SOD 2.985 SQ. FT. OFF LOT CALCULATIONS z RIGHT OF WAY = 400 SQ. FT. 1" 30' DRIVE APRON = 57 SQ. FT. GRAPHIC SCALE PUBLIC S%W = 250 SQ. FT. SOD = 93 SO. FT. 0 15 30 TOTALS AREA = 6,150 SQ. FT. DRIVEWAY = 385 SQ. FT. SIDEWALK = 279 SQ. FT. SOD = 3,078 SQ. FT. 00 I I I J I 1 yD�' e8ss w I 06 115.00' k N85'42'16'E h9' N85'4216"E 9 Ln w 20.00' C .5' O J 0.O0' O 0.5 soD I _i Z0 C o >_ •r P m O�J A I J :; .:d:. ''"> m v=cxio $ $ C m o �I fTl D 20.5' :. 61 mo 9.0' v& S.Q p p -i 0 n J S 1 'jN v 0 V3 O A _ 0 .p z5 D Z) 0 20.5 NCL Lq hg hh 115.00 I = 8983 S85'42'1691W I I O PREPARED FOR: 1 �� I 41 I BUILDING SETBACKS FRONT: 20' REAR: 10' SIDE: 5' SIDE STREET: 15' LEGEND: NOTES: — BUILDING SETBACK LINE PI PC POINT OF CURVATURE POINT OF INTERSECTION 1. PROPOSED ELEVATIONS SHOWN HEREON ARE BASED — — CENTERLINE PT POINT OF TANGENCY ON THE APPROVED ENGINEERING PLANS PREPARED _ _ RIGHT OF WAY LINE RP RADIUS POINT BY CORNELISON ENGINEERING & DESIGN INC. PRC POINT OF REVERSE CURVATURE 2. ELEVATIONS ARE BASED ON NAVD 1988 PROPOSED ELEVATION PCP PERMANENT CONTROL POINT DATUM. TYP. TYPICAL PROPOSED,DRAINAGE FLOW CS CONCRETE SLAB ., THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES CONCRETE �p�p) PER PLAT CALCULATED ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF B PLAT THE PROPOSED STRUCTURE. THE CONTRACTOR AND/OR A/C AIR CONDITIONER PGS PAGES BOOK 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 SSE SANITARY SEWER EASEMENT OE DRAINAGE EASEMENT THIS IS A PLOT PLAN.ONLY UE UTILITY EASEMENTFLOOD NOTE: I HAVE EXAMINED THE RIA.M. MAP NO. 12101CO289F, DATED SURVEYOR NOTES: 09/26/2014, AND FOUND THE SUBJECT PROPERTY APPEARS TO LIE IN 1. THE SURVEYOR HAS NOT ABSTRACTED THE ZONE"AE', DENOTES AREAS DETERMINED TO BE SPECIAL FLOOD HAZARD LAND SHOWN HEREON FOR EASEMENTS, RIGH AREAS SUBJECT TO INUNDATION BY THE 1%ANNUAL CHANCE FLOOD OF WAY, RESTRICTIONS OF RECORD WHICH EVENT, BASE FLOOD ELEVATIONS DETERMINED TO BE 88.5'. THE MAY AFFECT THE TITLE OR USE OF THE LA SURVEYOR MAKES NO-GUARANTEES AS TO THE ABOVE'INFORMATION. 2. NO UNDERGROUND IMPROVEMENTS HAVE BE PLEASE CONTACT THE LOCAL F.E.M.A. AGENT FOR VERIFICATION. LOCATED EXCEPT AS SHOWN. BEARING BASIS: BEARINGS SHOWN HEREON ARE BASED ON THE CENTERLINE OF A5M 3. NOT VALID WITHOUT'THE AUTHENTIC . BRADFORD WOODS DRIVE BEING N0417'44'W, PER'PLAT. ELECTRONIC SIGNATURE AND THE AUTHENTI ELECTRONIC SEAL OF A FLORIDA LICENSED REVISED: A M E R I CA N SURVEYOR AND MAPPER. (FIELD DATE:) � , 1" 30 FEET SURVEY 1 N(:I— SCALE: Oigi""'s*adbYJxmesWBoleman o.�+s'•'•: GN:c=US,ri=Florida,l=Orlando, JB 8c MAPPING INC. s n';-,swa" f= S,o AMERICAN SURVEYING&MAPPING, APPROVED BY: INC,cn=lamesWBoleman, CERTIFICATION OF AUTHORIZATION NUMBER LB#6393 -s, were OF e s d e'mall=)boleman@asmcorporate.com 191105 LOT 46 3191 MAGUIRE BOULEVARD, SUITE 200 a",;• ;`";{� Datei7o70.12.07 t533y2 OS'00' F JOB NO. ORLANDO, FLORIDA 32803 n rp /.•� Adobe Acrobat version:11.013 Fl DRAWN BY: RMB PLOT PLAN 2 12 03 2020 JSO 1NYyyr AMERICANSURVEYINGANDMAPPING.COM l p PLOT PLAN 07-14-2020 JSO JAMES W. SOL€MAN PSY16485 i i RASCO COUNTY, FLORIDA Permit No, F Date Permitted 7 /J, Builder Name/Owner Name 104t M Control# County Parcel No. 'SubDiv: a kg Address/Location Classiflcation(fype of Use � �(� f TRANSPORTATION`IMPACT FEE Rate: Sq.Ft Unit; Z i' Exempt 0'Yes ❑ No How Determined Impact Fee Amount Zone No. TAZ: SCHOOL IMPACT FEE �ff Account (056) Single=Family Detached House Amount $. FlTi / r : (057) No'bile.Home (058) Other,Residential 123) Collection Fee €. Exempt [�Yes Q No How Determined E i. PARKS AWRECREATION"FER Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total r Zone " TOTAL AMOUNT $ 7jo ! { Exempt ❑Yes ❑No How Determined LIBRARY FEE Land Account. Land Credit Land Total Facility Account Facility Credit Facility.Total. Exempt [j Yes 0 No How Determined Total Aknount RESOURCEfEE ERU TOTAL AMOUNT Prepared By Checked By NO CERTIFICATE 0F,OCCUAANCY:WILL BE IESUEt3.©R FINAL.:iNSPedtiON PERFORMED'U 10TNTIL THI" AL AmoQh`i'S LISTEMWIE B�i~I+t;PA1D"ANo, RECEIPTED'FOR BY A CENTRAL PERMtTTINGi.QPPiCE.'OF'PASCO COUNTY Acknowledgement betbw.does-pot lmpiy,acceptance of concurrence,but slmpty.receipt of a copy.of thlp form;placing : ~ the building'peanit`owner on notice of this assessment and tha a fidrdons df payment forsaime." MATE 'RECEIVED'BY RECEIPT NO. DATE BY