HomeMy WebLinkAbout20-1253 City of Zephyrhills PERMIT NUMBER
5335 Eighth Street
c Zephyrhills, FL 33542 BNR-001253-2020
Phone: (813)780-0020
Fax: 813 780-0021 Issue Date: 01/14/2021
Permit Type: Building New (Residential)
Property Number Street Address
04 26 210070 00100 0030 6390 Silverado Ranch Boulevard
Owner Information Permit Information Contractor Information
Name: D R HORTON Permit Type:Building New(Residential) Contractor: D R HORTON INC
Class of Work:SFR Construct
Address: 12602 Telecom Dr Building Valuation:$105,000.00
TAMPA,FL 33637 Electrical Valuation:$7,000.00
Phone: (813)549-1968 Mechanical Valuation:$5,000.00
Plumbing Valuation:$7,500.00
Total Valuation:$124,500.00
Total Fees:$14,326.94
Amount Paid:$14,326.94 �• /�(
Date Paid:1/14/2021 1:40:20PM —
P.rLoject Description
CONSTRUCT SINGLE FAMILY 2,362 SQ FT SILVERADO
Application Fees
Plumbing Permit Fee $77.50 School Impact Fee $8,328.00
Electrical Plan Review Fee $37.50 Building Permit Fee $555.00
Building Plan Review Fee $277.50 Park Impact Fee-Single Family/Townhome $769.56
Public Safety Impact Fee-Admin $26.35 Driveway Fee $45.00
Address Fee $30.00 Mechanical Permit Fee $65.00
Mechanical Plan Review Fee $32.50 Transportation Impact Fee-City $36.32
Electrical Permit Fee $75.00 Transportation Impact Fee $3,595.68
SIF 1 percent Fee $83.28 Public Safety Impact Fee-Police $254.00
Plumbing Plan Review Fee $38.75
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 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.
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED-INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
INVOICE1111
FOR OF
BILLING CONTACT
DAVID GLIDE G
D R HORTON INC
12602 TELECOM DR
TAMPA, FL 33637 `
_N �
INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION
INV-00002428 01/11/2021 01/11/2021 Due NONE
REFERENCE NUMBER FEE NAME TOTAL
BNR-001253-2020 Address Fee $30.00
Building Permit Fee $555.00
Building Plan Review Fee $277.50
Driveway Fee $45.00
Electrical Permit Fee $75.00
Electrical Plan Review Fee $37.50
Mechanical Permit Fee $65.00
Mechanical Plan Review Fee $32.50
Park Impact Fee-Single Family/Townhome $769.56
Plumbing Permit Fee $77.50
Plumbing Plan Review Fee $38.75
Public Safety Impact Fee-Admin $26.35
Public Safety Impact Fee-Police $254.00
School Impact Fee $8,328.00
SIF 1 percent Fee $83.28
Transportation Impact Fee $3,595.68
Transportation Impact Fee-City $36.32
6390 Silverado Ranch Boulevard Zephyrhills, FLORIDA 33541 SUB TOTAL $14,326.94
REMITTANCE INFORMATION TOTAL $14,326.94
City of Zephyrhills
5335 8th Street
Zephyrhills, FL 33542
January 11,2021 5335 8th Street,Zephyrhills,FL 33542 Page 1 of 1
�Q 1
r
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.
I Lots shall be graded to comply with R OIJ 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
ekpansibn 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
15. 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 R308A of the F.&C:
17. All means of egress are to be in accordance with R311 of the F.B.C.
shall not be used as a backer showers or tubs. R702:4.2 F.B.C.18. "Green gypsum,board"
10. Combination-type AFCI breakers are required at all locations requiring an AM 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.
23. Tamper- Resistant.Receptacles in accordance with 406.11 of the 2016 N.E.0
24. In accordance with the Land Development Cone, lots.shall be sodded before final at least 10
feet around the structure.
25. R401'5.3Hot water pipe insulation.
Insulation for hot Water pipe Withh-a minimum thermal resistance (R.-value) of R-3 shall.be applied to the
following:_
Piping 3j; inch (19.1 mm)and larger,in.nominal diameter..
Piping serving more than one dwelling unit.
Piping located outside the conditioned space:
Piping from thewater-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 eacls shaft be with permit at all dines
--27.. Copt/of final insulation report shaft be provided ivith peen:it before rinaL
28. No fence, pool or screen enclosure is issued ivith.this permit
F.F.E.-Finished Floor-Elevation
F.B.C .Florida Building Code 6'Edition
R.O.W.-Right of Way
A.D.A.-Americans with Disabilities Act N.E.C.-National Electric Code(2016)
PLOT PLAN
DESCRIPTION:(AS FURNISHED)
LOT 3 BLOCK 1, SILVERADO RANCH SUBDIVISION PHASE 2, 3 & 4
AS RECORDED IN PLAT BOOK 73, PAGE(S) 59-65, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
(O
6(O,72
7
\ s -O
'6�(O T J
/ 3 AA. 0 v.�
' a
iz
1" = 30,
GRAPHIC SCALE
0 15 30
19 O�
/N s6
A \ to \/ \ sr'
R $ \ Q)
�`ryFy �o; 16 h96� <C)0,A
PC
03
CS SEN
"no
�RffpN,t1rD ON LOT CALCULATIONS
9�N LOT = 10,221 SO. FT.
i LIVING AREA = 1,828 SQ. FT.
G' ; r' 6.� W GARAGE = 430 SQ. FT.
c��y �+ 2 1 ENTRY = 16 SQ. FT.
0, QD LANAI = 88 SO. FT.
G I PAT10 = 0 SO. FT.
DRIVEWAY = 372 SQ. FT.
Line Table A/C PAD = 12 SQ. FT.
PREPARED FOR: �Q Line+ Direatlon Length IMPERVIOUS = 27% SQ.
Lt S24-17'38-E 10.17' = 2774 SQ. FT.
U.B-HO I (//v��y SOD = 7.447 SO. FT.
N OFF LOT CALCULATIONS
1A""-"7'�upw ep Curve Table RIGHT OF WAY = 562 SQ. FT.
Curve/ Length Radius Delta Chord Bearing Chord DRIVE APRON = 157 SO. FT.
BUILDING SETBACKS PUBLIC S/W = 229 SQ. FT.
C1 47.42' 75.00' 3613'22' N35'161D'W 46.63' SOD = 176 SQ. FT.
FRONT: 22' C2 112W 50.00' 129'IW40' N41'OX41'W 90.36' TOTALS
REAR: 13' AREA = 10.783 SQ. FT.
SIDE: 7.5' F�0 76.91' 50.00' 88'07'53' N6136'3,eW 69.55' DRIVEWAY = 529 SO. FT.
SIDE STREET: 22' 35.89' 50.00' 41ti7'47' N03101'16'E 35.13' SIDEWALK = 257 SQ. FT.
SOD = 7,623 SQ. FT.
NOTES:
1. ELEVATIONS SHOWN ARE PER LOT GRADING LEGEND:
PLANS PROVIDED BY THE CLIENT.
2. ELEVATIONS ARE BASED ON NAVD 1988 —•—•— BUILDING SETBACK LINE PI POINT OF INTERSECTION
DATUM. PC POINT OF CURVATURE
CENTERLINE
3. FOR ALL LOTS WHERE SIDE—YARD —— PT POINT OF TANGENCY
SETBACKS ARE LESS THAN 7.50 FEET, A ———— RIGHT OF WAY LINE RP RADIUS POINT
MINIMUN 5.00 FOOT WIDE DRAINAGE AND X% PRC POINT OF REVERSE CURVATURE
PROPOSED ELEVATION PCP POINT OF COMPOUND CURVATURE
ACCESS EASEMENT IS REQUIRED PER PASCO
TYP TYPICAL
COUNTY LAND DEVELOPMENT CODE. PROPOSED DRAINAGE FLOW CS CONCRETE SLAB
CONCRETE (P) PER PLAT
CALCULATED
THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES A/C AIR CONDITIONER PB) PLAT BOOK
ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF S/W SIDEWALK PGS PAGES
THE PROPOSED HOUSE. REFER TO HOUSE PLAN AND SQ. Fr. SQUARE FEET
OPTION LIST FOR CONSTRUCTION. ALL BUILDING SET BACK F.E.M.A. FEDERAL EMERGENCY MANAGEMENT AGENCY
F.1.R.M. FLOOD INSURANCE RATE MAP
LINES SHOWN HEREON IS PER DATA FURNISHED BY CLIENT NAVD NORTH AMERICAN VERTICAL DATUM
AND IS FOR INFORMATIONAL PURPOSES ONLY. NGVD NATIONAL GEODETIC VERTICAL DATUM
D&UE DRAINAGE&UTILITY EASEMENT
THIS IS NOT A SURVEY PDE PRIVATE DRAINAGE EASEMENT
PUE PUBLIC U71UTY EASEMENT
THIS IS A PLOT PLAN ONLY D&AE DRAINAGE AND ACCESS EASEMENT
FLOOD NOTE: SURVEYOR NOTES:
I HAVE EXAMINED THE F.I.R.M. COMMUNITY MAP NO. 12101CO228F, 1. THE SURVEYOR HAS NOT ABSTRACTED THE
DATED 09-26-14,AND FOUND THE SUBJECT PROPERTY APPEARS TO LAND SHOWN HEREON FOR EASEMENTS, RIGHT
UE IN ZONE X. AREA OUTSIDE THE 100 YEAR FLOOD PLAIN. THE OF WAY, RESTRICTIONS OF RECORD WHICH
SURVEYOR MAKES NO GUARANTEES AS TO THE ABOVE INFORMATION. MAY AFFECT THE TITLE OR USE OF THE LAND.
PLEASE CONTACT THE LOCAL F.E.M.A.AGENT FOR VERIFICATION.
2. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
BEARING BASIS:
LOCATED EXCEPT AS SHOWN.
BEARINGS SHOWN HEREON ARE BASED ON THE SOUTHEUTY LINE OF LOT A5hft 3. NOT VALID WITHOUT THE AUTHENTIC
3 BLOCK 1 BEING S7339'48-W,PER PLAT. ELECTRONIC SIGNATURE AND THE AUTHENTIC
(FIELD DATE:) REVISED:
A M E FR I CA SEAL OF A FLORIDA LICENSED
N SURVEYOR A
SU RVEY 1 N G o�9pe0�e+ Digitally signed bylames W Boteman
SCALE: 1' 30 FEET .+ ,o DN:r—U5,st=Florida,kOrlando,
gc MAPPING INC. °':;;:::H '� o=AMERICAN SURVEYING&
APPROVED BY: is a�_-. �,�.5 �j MAPPING,INC.m=lames W
CERTIFICATION OF AUTHORIZATION NUMBER LBJ6393 "s s.e :• 'Boleman,
3191 MAGUIRE BOULEVARD, SUITE 200 °%�";m os F emall=)boleman@asmcorpomte.comFOR
160912 LOT 3 BLOCK 1 Date:2020.12.0312:49.58-05'00' THE
JOB NO. ORLANDO, FLORIDA 32803ryawu��o Adobe Acrobatversion:11.0.23 FIRM
DRAWN BY- RMB (407) 426-7979WWW.AMERICANSUR
PLOT PLAN 11 25 2020 GO VEIINGANDMAPPING.COM JAMES W. BOLEMAN PSM 6485 DATE
City of Zephyrhills Permit Application Fax-813-780-002
Building Department
' .
Date Received Phone Contact for Permitting
I IL
er
Owner's Name Owner Phone Numb
c co Po"bK Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
ouomvmauzN PA@CELnz#
(-_—_FROM PROPERTY TAX NOTICE)
WORK PROPOSED mamo)msm AoDLT F---1 S|GN [--� �—1 DEMOLISH
\ INSTALL R
�REPAIR
PROPOSED USE �--1 � aFR F—� COMM [—�—| OTHER
TYPE OF CONSTRUCTION BLOCK �—1 FRAME �---1 8TEEL F--�
OTAGE
[--7BU}LD|NG V�LUAT|DNOFTOTAL CONSTRUCT0N
F--lELECTFVCAL AMP 7--1 �RD���DGENER8Y |--\ ��Fi�C.
�__'
=PLU| |NG
F--7�E�HANk��L �A�iNoTALL�T�N
`__� VALUATION' — —
cob
[--�GA8 ���' FK]VFiNG [�l SPECIALTY | | OTHER
���� ���
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [__]YES NO
BU0oER COMPANY L I Lr�,C,
amNxJuRE REGISTERED LI/ N ] '�cvnnc^ LILN_j
xd4"emo Uonnsn#
ELECTRICIAN COMPANY Ls��afa F/erfQ_ C
SIGNATURE nEoxSTenso LYl N psecunnsN LY2_N_I
Address Linamee#
PLUMBER � COMPANY
SIGNATURE F c, ��/�ERED UyN ] 'rEEcunKit^ D LN -J
Address License#
MECHANICALFSIGNATURE N_J pEscunns^ —=
Address � Licenne#
OTHER COMPANY
SIGNATUREREGISTERED [�N ] �scunnE^ �Y��
E)
Addrmss 13 14 3 Npla License#
xxxmmxxxxmmxxxxmxnxxxxxnuuu 1111111111n111111x8m �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit for new construction,
Minimum ten(1o)working days after submittal date. Required unsdo.Construction Plans,S\onnvater Plans w/Silt Fence installed,
Sanitary Facilities 81dumpster;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(18)working days after submittal date. Required nnnite.Construction Plans,G0onnvater Silt Fence installed,
Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must-me6t compliance
SIGN PERMIT Attach(%)sets of Engineered Plans.
°°°°PROPER[Y SURVEY required for all NEW construction. -
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$zuoo'a Notice nr Commencement iarequired. yVc upgrades over$7nVo>
� Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Remufs if shingles Sowers Service Upgrades A/C Fenmm(P|oUSumoy/Footagd) `
Driveways-Not over Counter ifon public madvways..noedoROW
^
'
NOTICE CNF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"daad" 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 -contrador 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 |avv, both the owner and oontnsotnr n�y be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what 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 uoOtcaoto[a, he in advised to have thb 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 beun indication that ho |n not propedy]ioenoed and in not entitled to permitting phW|agau in Pasco
County.
TRANSPORTATION lK0pAG77UTlL[TlES IMPACT AND RESOURCE RECOVERY FEES': The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new bui|dingo, change of
use in existing buUdingo, or expansion of existing bui)dingo, as specified in Pasco County Ordinance nunnber8Q'O7 and
00-07' 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 Feea'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 {}ountyVVater/Sevver 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, oe amended): If valuation cf work ia $2.5OU.DO or more, |
certify that 1, the appUnant, have been provided with n 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", | certify that | have obtained o copy of the above described document and promise in good faith to
deliver itto the"ovvner" prior tocommencement.
CC]NTRA.CTOR'S/OWNERL`S AFFIDAVIT: | certify that all the information in this application is accurate and that all work
will be dnDo 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. | certify that no work or installation has
nnnornenoad prior to issuance of a permit and that all work will be performed to meet standards of all |avvo regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. | also
certify that | understand that the regulations of other government agencies may apply to the intended work, �nd that it is
noyreoponoibU�vtoident�/vvhsdacdono | must take tobainoompUonoa. Such agencies indudabut are not Urnitedto:
- Department ofEnvironmental Protection-Cypress Bayhoods' Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheada, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Ducks, Navigable Waterways.
- Department of Health 8 Rehabilitative Sarvioee/Environmental Health Unit~VVe||a, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authohtx'Rumweys.
| understand that the following restrictions apply to the use offill:
- Use of fill io not allowed in Flood Zone"V" unless expressly permitted.
- |f the fill mahade| is to be used in Flood Zone "A'. it in understood that g drainage plan addressing a
"compensating vok/nne'' will be submitted at time of permitting vvh\nh is prepared by o professional engineer
licensed by the State OfFlorida.
- If the fill,material is to be used in Flood Zone ''/Y' in connection with o permitted building using stem vva\|
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, ( certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent proporbeS, the'owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |eoa than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
|f \ arnthe AGENT FOR THE OWNER, I promise in good faith to inform the.owner of the permitting conditions set forth in
this affidavit prior to CorncneOcjng construction. I understand that separate permit may be required for electrical work,
p|u[Obing, signs, vveUs, pno|s, air conditlonin8, gao, or other installations not apeohlonUy included in the application. /\
permit |SSUod shall be construed to be a license to proceed with the work and not as authority to vio|8te, cancel, a|ter, or
set aside any provisions of the technical codes, nu[shall issuance ofa permit prevent the Building Official �orntheraa�er
requiring aoorpeoUonofennrain plans, oonstnuuUuDor violations uf any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months Of permit iaSUance, 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 (00) days and will demonstrate
justifiable cau'se 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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER-OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
OWNER onAGENT COmruxc/u Subscribed and sworn to(or affir d)beforp rri�this Subscribed and sworn to(or affirmed)before me this
Who islare p or has/have prodtmed Who is/are personally knov�n to me or has/have produced
as identification. as identification.
Notary Public AX a�,&
Notary Public
Commission No. Commission No.
PASCO COUNTY, FLORIDA-1
Permit Mg.
Date Permuted.. .7-Z'o
Builder Name/Owner Name 1) L-4b-r �u — Control#'
r
County Parcel No. d c '2-(, 2'/ 0 07o..!fib 10 U 0 D 30- SubDIv: S try f 2'c
Address/Location . •�.3q z)
ClassiticationlType'of Usa
TRANSPORTATION IMPACT FEE Rate: Sq.Ft•Unit: 2-3,622. .
Exempt ❑Yes (] No How Determined
Impact Fee Amount. �. 3t �3 2- Zcne'No. TAM:
t
$CH WIMPACTFEE;
Account (656). 'Single-Famlly.Detached house Amount $
(057) Matitte Nome
! .(05t3) :OtheNeslderitial
123) CollaWor Fee
Exempt [ Yes• D No How Determined
PARKS-,MwRECREATION-FEE•
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total°
Zone ---� TOTAL:AMOUNT "79`�.
Exempt ❑Yes [ No How Determined
LIBRARY—FEE
` Land Accounf Land-Crodlt Land Total
Facility Account Facility Credit Faculty Total
Exempt ❑Yes [].No How D®termined Total--Amoft�: .
RESOURCE FEE ERLI
TOTAL AMOUNT
Prepared By Checked-By
• NO CERT#�tCATE_,QF.;t1CCUPANCY.;'yltii.t.BEDISSUEi;f` `tNSP.1sCT10N
PERFOIWF.D E31+t hL:THE,TOTAL°AMOII14,s ORFINAtLISTED 14AVE
- BE—PAID:ANI�. ....,
RECWPTED FOR-BY A CENTRAL 091Wf1+1"IN&OFFICE•OF PAS.CO COUNTY
Ackr(ox�tedpemanti�eipiw,doesnot itnply.acxeptance_oE,wnauttani��;but slmptyrecelpt ot,a oopjr of,U�ls form;p►acing •'=
.' file biultdinp peniilt.o�vite�oq`rmtice'of t�)e assessme�rt aid th9 cpi�tliitor�s ofi paytiieryt�tcr satire.
DATE RECEIVED BY
RECEIPT NO. DATE BY
PASCO COUNTY Receipt Date: 08/05/2021
BUILDING CONSTRUCTION SERVICES Receipt Number: 2062884
PASC '
4 8731 Citizens Drive
COUNTY FLORIDA Suite 230
OPEN SPACIS.VIBRAN7 PLACES. New Port Richey,FL 34654
727-847-8126
** NOT A PERMIT **
Paid By Check# CC Auth# Cashier ID Workstation
Check 1336334 RRICHTER BCCCP53L
Fee Description Amount Paid
Impact Fee Residential Solid Waste Single Family 28.05
Total Payments: $28.05
Payor Address Phone
DR Horton
Comments:
City of Zephyrhills-Solid Waste
6390 Silverado Ranch
04 26 21 0070 00100 0030
While you will be paying your bill with Pasco County Building Construction Services,the full amount of the credit card or a-check fees,NOT shown above,Is
collected by First Billing payment services.
v
myreportslreportsl/production/PASCO/Customer Receipt vlf.rpt Print Date: 08/05/2021 Page 1 of