HomeMy WebLinkAbout21-268513
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5336 Eighth Street
ZephvrhUks,FL33542
Phone: (813)78D-OO2O Issue Date: 09/14/2021
Fax: (813)780-OO21
Permit Type: Building New (Residential
Name: PULTE HOME COMPANY LLC Permit Type: Building New (Residential) Contractor: PULTE HOME COMPANY
Class of Work: SFR Construct LLC
Address: 2662Fomenburg S Rd
MIGIMMEMM
Mechanical Permit Fee
8|F 1 percent Fee
Water Connection Residential Fee
School Impact Fee
Building Permit Fee
3wWater Meter Fee (Ca|c)
Plumbing Permit Fee
Driveway Fee
Bui|mnoPlan Review Fee
Building Valuation: $127.120.00
Electrical Valuation: $5.089.00
Mechanical Valuation: $4745/0
Plumbing Valuation: $5.147.00
Total Valuation: $142.707.00
Total Fees: $14,109.49
Amount Paid: $14.109,48
Date Paid: 9/14/2021 8:53:33AM
$6372 Electrical Plan Review Fee
$3422
$6128 Address Fee
$30.00
$1.010.00 Electrical Permit Fee
$68.44
$8.328.00 Mechanical Plan Review Fee /
$31 86
$665.53 Irrigation 3/4 Meta,(Ca|c)
$473,78
$47378 Plumbing Plan Review Fee
$32�87
$65.74 Sewer Connection Residential Fee
$2.090.00
$45.00 PwWicSofety|mpactFma-Admin
$26,35
$332.82 PubncGafety|mpactpoe-Poopa
$25400
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.
accord�nce with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
BILLING CONTACT
JODY SALTER
26 11
11j"T
INVOICE NU
INVOICE DATE
INVOICE DUE DATE
INVOICE STATUS
INVOICE DESCRIPTION
INV-00004582 —1
09/08/2021
09/08/2021
Invoiced, Past Due
REFERENCE NUMBER FEE NAME
BNR-002685-2021 3/4 Water Meter Fee (Cale)
Address Fee
Building Permit Fee
Building Plan Review Fee
Driveway Fee
Electrical Permit Fee
Electrical Plan Review Fee
Irrigation 3/4 Meter (Calc)
Mechanical Permit Fee
Mechanical Plan Review Fee
Plumbing Permit Fee
Plumbing Plan Review Fee
Public Safety Impact Fee -Admin
Public Safety Impact Fee -Police
School Impact Fee
Sewer Connection Residential Fee
SIF 1 percent Fee
Water Connection Residential Fee
6350 Bradford Woods Dr 04 26 210120 00000 0350 Zephyrhills, FL
33542
REMITTANCE INFORMATION
City of Zephyrhills
5335 8th Street
Zephyrhills, FL 33542
$473,78
$30.00
$665.63
$332.82
$45,00
$68.44
$34.22
$473.78
$63.72
$31,86
$65.74
$32.87
$26.35
$254.00
not$
dlm[i• ..
TOTAL $=14,109.49
September 10, 2021 5335 8th Street, Zephyrhills, FL 33542 Page 1 of 1
PASCO COIJNTYs FLORIDA
Permit No. 21� _At —TO?,
Date Permitted
-B-uCider Name/Owner Name Control #
County Parcel No.
Address/Location
Clessification/Type
TRANSPORTATION IMP FEE Rate: — Sq,Ft Unit:
Exempt E] Ves E] No How Determined
Impact Fee Amount 1147—
Zone No. — TAZ:
SCHOOL IMPACT _FED Account (056) Single -Family Detached House Amount $
(057) Moblie Home
(058) Other Residential
123) Collection Fee
Exempt dyes []No How Determined
0: �i
1110 11a in : 1!i I I
Land Account Land Credit — Land Total
Recreation Account Recreation Credit
Recreation Total
Zone TOTAL AMOUNT 7
Exempt Yes E] No How Determined
Land Account Land Credit
Land Tot a I
Facility Account - Facility Credit
Facility Total
Exempt Yes [] NO How Determined
Total Amountti
EISU
TOTAL AMOUNT
Chocked By
AcknOwledgement below ly 80081)tar" Of cOncurrence but skno 4 id - i
RECEIPT NO, . DATE BY
08/19/2021 07:55 AM Rcpt: 2341589 Rec: 10.00 DS: 0,00 IT: 0.00
Nikki Alvarez-$owies, Esq., Pasco County Clerk & Comptroller
Permit No. _ Parcel ID No 04-26-21-0120-00000-0350
State of Florida
County of Pasco
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,
the following information Is provided in this Notice of Commencement
1. Description of Property: Parcel Identification No. LOT 0350 BLK 00000 Oaks of Pasco
Street Address: 6350 Bradford Woods Drive, Ze h chills, FL, 33542
2, General Description of Improvement_. New Construction - Sin ,le Family to Intl, env cn1'�tYs'ct;on
vool, screen enclosure, deck irrigation, water. sewer, and ALL other im ravements.
3. owner Information or Lessee information if the Lessee contracted for the Improvement:
Pulte Home Company, LLC
Nei
2662 S. FalkenMg Road Riverview FL
Address City State
Interest in Property: Fee Simgle
Name of Fee Simple Titleholder:
(if different from owner listed above)
Address Pulte Home Co>�, LLC City state
4. Contractor:
Na e
2662 S. Talkenburiz Road Riverview FL
Address City state
Contractor's Telephone No.: 813-964-5115
5_ surety: P
Name
Amount of Bond:
6. Lender: NIA
Lender's Telephone No.:
City State
Telephone No,:
City State
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7), Florida Statutes:
Address
Telephone Number of Designated Person:
a. In addition to himself, the owner designates NIA of
to receive a copy of the Lienor's Notice as provided In Section 713.13(1)(b), Florida Statutes,
Telephone Number of Person or Entity Designated by Owner:
9. Expiration date of Notice of Commencement (the expiration date may not be before the completion of construction and final payment to the
contractor, but will be one year from the date of recording unless a different date Is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, l declare that 1 have read the foregoing notice of commencement and that the facts slat rein a true to the best
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
Slgnatu o..� Lasses, or
s or Lessee's Authorized
Office r ctor£PartnerlManager
Division VP of Finan e
Signatory's TRIalOffice
The foregoing instrument was acknowledged before me this 12 day of AUgUSt , 20 j 1 by Matthew Hurd
as AttOrn£i11 Fact (tVu"'only,"'g
., aRlaar, irustea, attorney in faotj for
Q.,nle (lom ?'a.ny, LLC (name ofbehalf of Whom Instrument was executed).
Personally Known ® OR Produced Identification 0 Notary Signature
Type of Identification Produced Name (Print) Patricia Burchett
4PAiRiGIR eURGHfiT
AtY GgtdA}tSS16N �(t0855171
ptpiRES: AU013, 2t12S
grrou�A gat State irnuraaca
wpdatatbes/n oticecommencement_ac063448
nuiminy uepattment
ffmjv����
la"b" S'' bl"ki I", V t',t L") 'q 0
�e Simple Titleholder Name
Owner Phone Number LL
Owner Phone Number
Owner Phone Number
(OBTAINED FROM PROPERTY TAX NOTICE)
CORK PROPOSED
NEW CONSTRE]
ADDIALT
SIGN DEMOLISH
H
INSTALL
REPAIR
ROPOSED USE
SFR
COMM
OTHER
YPE OF CONSTRUCTION
BLOCK
FRAME
STEEL
DESCRIPTION OF WORK A "i 4,,) v?,
BUILDING SIZE SQ FOOTAGE HEIGHT
rwr1r1rr""_1_ r-r-rlrlrlr-
=BUILDING L4VALUATION OF TOTAL CONSTRUCTION �/14/1
=ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C.
=PLUMBING
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
60
=GAS ROOFING SPECIALTY OTHER
-INISHED FLOOR ELEVATIONS Im= FLOOD ZONE AREA =YES NO
3UILDER COMPANY t' &
MGNATURE REGISTERED LALNLi FEE CURREN LYIN J
k
Address J-I YjLicense#
J
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE ZQURREN Y I N
'YO G - It. e
Address License #EEEE1`?�
PLUMBER COMPANY
SIGNATURE REGISTERED Y I N FEE CURREN Y f N
Address 8 License #EZT�t 1 ��a�
MECHANICAL COMPANY 61 ellhAWffj,'1*arfl
Y
SIGNATURE REGISTERED I N FEE CURREN EY��
Address ITM/ oe" t� License #E21���-^
OTHER COMPANY
RE
SIGNATURE REGISTERED Y I N FEE CURREN
4
License icense
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 & I 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. (AIC 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 (PlottSuivey/Footage)
Driveways -Not over Counter if on public roadways..needs ROW
Date Received Phone Contact for Permittin,
Owner Ph
Owner's Name one Number
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Foe Simple Titleholder Address
qx��
E =/_11 I I I =111-
WORK PROPOSED
AD���T
HmpwcowsTn
|NGT��L
�_�
REPAIR
PROPOSED USE �--1
SpR
[—�
Comm
TYPE OFCONSTRUCTION F--1
BLOCK
|—|
FRAME
(OBTAINED FROM PROPERTY TAX NOTICE)
F--� SIGN F—� [--| DEMOLISH
OTHER
STEEL
BUILDINGSIZE SQ FOOTAGE HEIGHT
=BUILDING VALUATION OF TOTAL CONSTRUCTION
[--lELECTRCxL AMP SERVICE [--1 PROGRESS ENERGY F--� W.R.EC
F—lPLUMBNG ^� �
[--lMsCHxN|CaL VALUATION OF MECHANICAL|NSTALLAT0N /
=GxG �--| ROOFING F—1 SPECIALTY [�� | OTHER '
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY E
SIGNATURE REGISTERED �_�;; �FFE CU�N_,
License
Address
ELECTRICIAN COMPANY E
SIGNATURE REGISTERED ;;;�FEE G�URREN
PLUMBER COMPANY E
SIGNATURE REGISTERED Y �/N �FEE �CURREN�Y I
MECHANICAL COMPANY E
SIGNATURE REGISTERED :;Y I ;N�FEE �CURREN�Y I
OTHER COMPANY
SIGNATURE REGISTERED YIN FEE CURREN YIN
License
Address
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 wl Silt Fence installed,
Sanitary Facilities & I 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 & I 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.
Fill out application completely.
Owner & Contractor sign back nvapplication, notarized
If over $2500, a Notice of Commencement is required. (AIC upgrades over $7500)
— Agent (for the contractor) mPower ofAttorney (for the owner) would hesomeone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy nfcontract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot[Survey/Footage)
Driveways -Not over Counter ifonpublic madwoys'nmodeROW
gM=IM-OM=RAM- 10,14
IM.
I , F.F.E. shall be a minitnurn of 8" above the road elevation and an engineered site plan.
I Lots shall be graded to comply with R401,3 of the F.B,C,
I Compaction test required if 24" or Tnore of fill dirt is brought in at any one place,
4. 'Fie in survey required before pouring concrete,
5, Driveways reqUire a R.0,W, use pen -nit, All 4 sides of driveway thru the sidewalk shall have
expansion material,
6, All setbacks shall be met,
7. All property rnarkers shall be uncovered and marked at haie of first inspection,
8, All A.D.A, requireinents 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 ofthe F,B,C, (Fire Separation).
11, Appliances shall not Inc installed in a location where su�ject to mechanical damage unless
protected by approved barriers. M303.4 cif the RB,C
12. Water heaters shall comply with section P607,3 of the RB,C,`,
13, Foundation SLIPPOrtS for A/C units shall be raised at least 3" above finished grade. M 1308.1
14. Return air in all bedrooms. F,B.C, M 1620A
15, Smoke detectors are to be installed in accordance with R3 13 � I ofthe F.B,C.
W All glazing requirements are to be in accordance -Nvith R308A of the F,B,C',,
17, All means of egress are to be in accordance with R31 I of the ,B.C.
18, "Green gyl)sum board" shall not be used as a backer in showers or tubs, R702,4.2 FRC,
19, Corambinat ion- type AFCI breakers are required at all locations requiring an AFCl type breaker.
20. Carbon monoxide alarms will be required in new construction that uses fossil-buming heating
or appliances or an attached garage. They shall be installed in accordance with the EB�C,
21, All plumbing, mechanical, and electrical shall be separate from unit to unit, This includes all
underground plurnbing and electric.
21 All 2016 N.E.C. Codes will be enforced.
23, Tamper- Resistant Receptacles in accordance with 406.. 1 ]of the 2016 N,EC
24, In accordance with the Land Development Code, lots shall be sodded before final at least 10
feet around the structure.
25, R403,53Hot water pipe insulation
Insulation for hot water pipe with a minimum thermal resistance (R-vague ) of R-3 shall be applied to the
following.
Piping,/, 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.
2& 1/ tim es.
2 Z YjtjJ ermit be f rr°e it aL
2&
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)
PLOT PLAN
DESCRIPTION:(AS FURNISHED)
LOT 35, OAKS OF PASCO
AS RECORDED IN PLAT BOOK 80, PAGE(S) 113-118, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
PC A
or
zw
0
0
Or �
00
U- ca
;,-a
U-i as
CC) §i
bIf)
0
� 3 12
20.00'
CRESTVIEW
LANDING WAY
19019=13
st
j.
FRONT: 20'
REAR: To'
SIDE: 5'
SIDE STREET: 15'
Line Table
Line # Direction Length
1_1 N07'06'48"E 50.00'
L2 S07'06'48"W 50000'
CO
0
_J
— F
302'5"
1 1) 'I �b ,Y2E�
` �/b '.
0:1 'd I p
c) 0 0
8.00'
c,
6.0
201.5'
k It
80 L ZJ
'0
7717'
11�111111ffi
•
0
_j
ON LOT CALCULATIONS
LOT
= 5,750
SQ. FT.
LIVING AREA
= 2,196
SQ. FT.
GARAGE
= 402
SQ. FT.
ENTRY
= 34
SQ. FT.
LANAI
= 260
SO. FT.
PATIO
= 0
SQ, FT.
DRIVEWAY
= 347
SQ. FT,
A/C PAD
= 9
SQ. FT.
WALKWAY
= 32
SQ. FT.
IMPERVIOUS
= 57%
= 3280
SQ. FT.
SOD
= 2,470
SQ. FT.
OFF LOT CALCULATIONS
RIGHT OF WAY
= 400
SQ. FT.
DRIVE APRON
= 57
SQ. FT.
PUBLIC S/W
= 250
SQ. FT.
SOD
= 93
SQ. FT.
TOTALS
AREA
= 6,150
SQ. FT.
DRIVEWAY
= 404
SQ. FT.
SIDEWALK
= 282
SQ. FT.
SOD
= 2,563
SQ. FT.
1 30'
GRAPHIC SCALE
6 15 30
I 17.3'
,7
a--
CG
G¢N
0Ca
0
4
10.01
Id
IL— 81
- 0 TW 89.59 59
%0
_j
a-
00,
0
CC
5. 0
14:10112,11111
NOTES:
— — —
BUILDING SETBACK LINE
1. PROPOSED ELEVATIONS SHOWN HEREON ARE BASED
CENTERLINE
ON THE APPROVED ENGINEERING PLANS PREPARED
RIGHT OF WAY LINE
BY CORNELISON ENGINEERING & DESIGN INC.
2. ELEVATIONS ARE BASED ON NAVID 1988
PROPOSED ELEVATION
DATUM.
PROPOSED DRAINAGE FLOW
THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES
CONCRETE
ONLY, THIS IS NOT INTENDED FOR THE CONSTRUCTION OF
THE PROPOSED STRUCTURE. THE CONTRACTOR AND/OR
A/C
AIR CONDITIONER
OWNER ARE REQUIRED TO VERIFY ALL SETBACKS, BUILDING
S/W
SIDEWALK
DIMENSIONS, AND LAYOUT SHOWN HEREON PRIOR TO ANY
CONSTRUCTION.
THIS IS NOT A SURVEY
THIS IS A PLOT PLAN ONLY
I HAVE EXAMINED THE F.I.R.M. MAP NO. 12101CO452F, DATED 09/26/1
AND FOUND THE SUBJECT PROPERTY APPEARS TO LIE IN ZONE -X-,
AREAS DETERMINED TO BE OUTSIDE THE 0.2% ANNUAL CHANCE
FLOODPLAIN. THE SURVEYOR MAKES NO GUARANTEES AS TO THE ABO'
INFORMATION.
PLEASE CONTACT THE LOCAL F.E.M.A. AGENT FOR
VERIFICATION.
IBEARING BASIS:
BEARINGS SHOWN HEREON ARE BASED ON THE CENTERLINE OF
BRADFORD WOODS BEING N07*06'48"E, PER PLAT, I
(FIELD DATE:)
SCALE: j: — 30 —FEET
APPROVED BY: is
JOB NO. 191105 LOT 35
DRAWN BY. JIMA
A5M
I " (:3�
�& MAPPING INC.
CERTIFICATION OF AUTHORIZATION NUMBER LB#6393
3191 MAGUIRE BOULEVARD, SUITE 200
ORLANDO, FLORIDA 32803
(407) 426-7979
WWW.AMERICANSURVEYINGANDMAPPING.COM
PI POINT OF INTERSECTION
PC PONT OF CURVATURE
PT POINT OF TANGENCY
RP RADIUS POINT
PRC POINT OF REVERSE CURVATURE
PCP PERMANENT CONTROL POINT
TYP TYPICAL
CS CONCRETE SLAB
(P) PER PLAT
(C) CALCULATED
PB PLAT BOOK
PGS PAGES
SO. FT. SQUARE FEET
F.E.M.A. FEDERAL EMERGENCY MANAGEMENT AGENCY
FA.R.M. FLOOD INSURANCE RATE MAP
NAVD NORTH AMERICAN VERTICAL DATUM
SSE SANITARY SEWER EASEMENT
DE DRAINAGE EASEMENT
UE UTILITY EASEMENT
SURVEYOR NOTES:
1. THE SURVEYOR HAS NOT ABSTRACTED THE
LAND SHOWN HEREON FOR EASEMENTS, RIGHT
OF WAY, RESTRICTIONS OF RECORD WHICH
MAY AFFECT THE TITLE OR USE OF THE LAND,
2. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
LOCATED EXCEPT AS SHOWN.
3. NOT VALID WITHOUT THE AUTHENTIC
ELECTRONIC SIGNATURE AND THE AUTHENTIC
ELECTRONIC SEAL OF A FLORIDA LICENSED
SURVEYOR AND MAPPER.
0, Dq
DN US,,t=R.Hda, 1=0,1,,nd.,
—AMERICAN SURVEYING & MAPPING,
INC., cr-1-11 W 13.11—n,
0,itp, 2021 08,04 073420 04'00' FOR
Adobe A—Irm ,n 11 O.23 THE
FIRM
JAMES W. BOLEMAN PSM# 6485 DATE
,:_
PA CO COU
Xt AS NTY, FLORIDA
Permit No.
Date
Permitted
Builder
Name/Owner
CountyParcel
• M
a.
TRANSPORTATION IMPACT FEE Rate:
%Ft Unit-7—
Exempt Yes
- No Flow Determined
Impact Fee Amouni:ALLI Zone No. T ;
gCFI !. I POT F
Account (0)
Single -Family (detached House
Amount a
(057)
Mobile Home
(056)
Other residential
123)
Collection Fee
,
Exempt [� Yes .
E] No Flow Determined
F�AFtK A►T'1 F E
Land Account
Land Credit
Land Total
Recreation'Account
Recreation Credit
Recreation Total
Zone
TOTAL AMOUNT
Exempt El Yes
Ej No How Determined
` LI FE
Land Account
Land Credit
Land Total
Facility Account,—
Facility Credit
Facility Total
Exempt ® Yes
No How Determined
Total one-
RESQli C F E
ERU
TOTAL AMOUNT
------
Prepared Byf
Checked By
NO CERTIFICATE OF OCCUPANCYFINALINSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN x AND
RECEIPTED r BY A CENTRAL PERMITTING OFFICE. OF PASCO COUNTY
Ac"W16094mant below does not imply acosp of 00nourrence, but simply receipt of a copy of Ws form, Placing
the building it owna on mace of We 866880m8nt and Me conditions of payment for same.
DATE RECEIVE BRY
RECEIPT NO. OATS 6Y