HomeMy WebLinkAbout93-2984
BUILDING PERMIT
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CITY OF ZEPHYRHILLS
(813) 788-6611
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Permit
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2984 IS
1
!
Date ,2 -cJ - 7"....5
Sewer Conn / / ~ .-5'D .).. trO
Water Conn: 3: /.5>--0. tJv
'11/ ~
Water Meter:"" - CJ.. 01J
T.I.F.'s: ..2:2. :J. /(;, /1
-
NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
~.
C.O. ru.r FOR PUBLIC W.A.
11-15-'73 R.L.
i.j 'I'~--: tJnJ. /)()
,
HJRGESS
YCDWTS
Inspector W.A. RJRGESS
City License Registration #" J ,s:::-o
State Certified License# b, r:7-L 03'7'/ J .?
Permit Fee
Signature
Company
Address
Telephone#
5? 7~~ <~
. ~ ,,~-t''':'
Valuation or
Contract Price
~ /.35; /O.J..
PLUMBING MECHANICAL
5 -7 ~'13 . z..1-Qa Se-W~b
Ftr. SLB ~II11~ ~ 'fi1'-7~eak
Pre SLB Rough In Tub Set ~ Ducts Insl.
L~~L -; . (> . Meter Can / Wat Compressor
F~{~ ~;r,1. ~-1i>4; ~ Const. Pole ~-~;:)-'iS~ew Final
Insul. CL Pool Fin~~l CUlLt' 1~8- '/6 61:3 "Sl+e-- C~ ..y.~.h.j'o...
w~ _ P~e-Meter 10-J9-93 BoA- q,LLJ". ::_.1~~AV'.oh^ ^
~'t~1.27.egFIn~1 ~~r:~-f3 f5,fTW.L-
Driveway fi.v{JJ \
f((t-c"/~I.~G-J:,f\c.l-- ~'uL /"11-1../- VIW'l-.htl'\L OO\.Jc....Ls '-fz.LL~ 1
{J;cl-ek-s 1-/-5&?5 ~g. (It--~ Ste.cl- ~ .L~I'~~ \... bJ~.L. yoult.eL witAol1+ INSf<L-hW
1f~. tv~EINSPECTION FEES: When extra inspection trips are necesstfYdue to anyone of the following reasons, a 7-~' 'i 3
~;.v charge 01 Filteen and 00/100 Dolla,. 1$15.001 .hall be made 10rea~r;=~aCh trade: ~ti~u~~~
. f-.-'L-- a. Wrong Address "--I:-r-f~1f.-..
lY IJ' b. Condemned work resulting from faulty construction.
/1/ V c. Repairs or corrections not made when inspection called. .
) l,~' Work not ready for inspection when called. ~
1.) e. Permit not p~ste~ on job site. U .~ . 1) n ~
:v f. Plans not at Job sIte. j (1..Q.~ T ~\A:t~. ~ / ..
g. Work not accessible. 9'.2-1-l:j3~ ~.O/ /<~-6"-/....s
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same. ~ ~ V..JL.{p -t\ -3 d.:.LJ r<d'C,IN"...)C I.-,-,ytu-- ti- 1-e13 ~
...
APPLICATIOlSl FOR PFJMlT
CUY OF ZEPHYIaIILLS
'3UTILDIlSlG DE'.PARYmJ'M
OWER'S NAKE O\Ve...rsi~,'eJHe-\i-~ CeV'\+er~ .Io""Ic..~
OWNER'S ADDRESS b 8 \ &ooJ le+\ e... ~ oo..~'
mONE 81"2>- 64~-1 bbt,
JOB ADDRESS
rV\eJ.icc:..t
A,,1s
3
Co,",,,.\-. ZeF7f' k.' It:,., rFL-,.
BLOCK______SUBDIVISIOlSl
LEGAL DESCRIPl'ION: I.OT(S)
PARCEL I. D.I
h"ORK PROPOSED:Looew Construction ~ition ____Alteration _Repair _Install
____Sign
_I!fove
_Deao.lish
PROPOSED USE:
Single Faaily
_!1f./F
_, of Units
_M/H
____~rcial
____IndUlS t.
_S~. Pool (l1eJ.ic.c... \ f+ot.eJ..v'~Ot:her
____Rest:anrant & Bea1th Deparbleo.t Approval
BUILDING SIZE: q ~ X Cf 8,
7 6"4J
Square Feet,
-;;l...b
Height:
RESIDENTIAL:
cottKERCIAL :
A'ITACH (2) PLOT PI..l\.RS & (2) SEIS OF BlJJIIJ>UiG PL.AIIS & (1) S:E::T E'NERGY FORMS. U
ATTACH (3) SEIS OF B1llI.DllifG PI..l\.RS & (1) S:E::T ElSlERGY FORKS. **
**COPY OF COl!il1"RACT REQMRIlD.
-LBillLDING
~ELEcrRICAL
~HECHANICAL
~PLUKBING
PElMITS REQUESTED
$ ( j lLoo, 000 Valuation of Tot:a1 Construction
/ '
:;z 0 0 MfP Ser..ice Florida Power Corp.
$ I a.d. O,.r),"l~
~ \ -lj Vv Valuation of Mechanical. Installation
W.R.E.C.
GAS
LBIOCk
ROOFING
____Fr~ ~tee.l
SPECIALTY
TYPE OF CONSTRUCTION':
Other
IS PROJECT IN FLOOD ZONE AREA?
/"
FIHISBED FLOOR ELEVATIONS: I DO FI' .
YES NO
************.*******.*.*******************
BUILDER
COIHI'il"RACT'OR SECTION
ClOI!tPMIIY Jc.) l"" F G....ve. r
State Cert. or Regist. ,
City License Registration
.**..***.*.*.....*.*~********.*.*....**.**
J be.. We h" c........\..\-r"c..-tOl'O:'
C (:r c.. 034- I 3 (
, .3 f?t)
Signatur
ELECTRICIAN =-~ aJ!IPABY A I l r h t4 se- E I e.c. +,. i c.-
SiJm3C:~~~ -;- ~~eL~~eo;e:~:~~~i:n , E~~:,o};~ ~/.2~/?~.2 ~7
...**.*.**.......****..............*..****
PLlJJKB~~ ~?I!:-~ CUltPMY Jc:>I.f>~i"\; Mech...",; t...c..\
~ State Cerl:. or Regist:. , c... ,..., c.. c> 0 8/31
Signature City License Registration I C- Fe.. 0;;1.. '-5'"6=> 13~
.:: =~-!."~- ':"'!:-....:'~.~I!::"!'":-!!:~:.-.::.~,.~. '~~~.:_- .'!~ ;':'.~_-'. ~:...::-.~7~~.~~.~~-'!::~."!!..-!:-!':-~.~..::.:. ~1'..
MECHANICAL . cnllfPMY T..... ~fO J...., "
~~ < Stat_ Cert. or _gist. I
Signature ~ C;ity License Registration
*.*.*****.**~*.~***...~*.*.**..***.***..**
(V\ e. c. ""' c... ~ ; Co... \
Co. fYJ c.. 00 e l'3 1 / {9 ;;.<..
I eFt. 0 ~b S"b~- ,~
OTIlER
Signat:nT~
~a:l1PANY
State Oert. or Regist. ,
City License Registration ,
*...***.*.*.*.****...*~**.**......*..**..*
APPLICATION APPRO""" BY J1 a .M.AJ~1- ><!1 e/l4h_:T-
PERKlT OFFICER.
CONDITIONS OF P~RMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit .ay be subject to .deed restrictions' which lay be lore restrictive tt~, titv
regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictIons. ' .
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the ONner has hired a contractor, or. Gtntractors. to undertake work, they lay 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 lay be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of 2ephyrhills Building Departlent, (813)
7BB-bb 11.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the
.Contractor Sections. of this application for which they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~
D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Law - HOleowner's Protection
Guide. prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
.owner., I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the
.owner" prior to cOlaencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this applic~tion is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby aade to obtain a perlit to do work and installation as indicated. I certify that no worK or
installation has cOllenced prior to issuance of. a perlit and that all work will be perforled to leet standards of all laws
regulating construction, City codes, zoning regulat;ons, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and EnvironlentallySensitive Lands,
Water/Wastewater Treatment .
I Southwest Florida Water ManaQement District - Wells, Cypress Barheads, Wetland Areas, Altering Watercourses
I ArlY Corps of EnQineers - Seawalls, DOCKS, Navigable Waterways .
I Departaent of Health t Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
I US Environlental Protection AQency - Asbestos abateaent
I also certify that, if fill laterial is to be used in Flood Zone .A. or .A,etc.', it is understood that a drainage plan
addressing a .colpensating volute. Mill be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perait issued shall be construed to be a license to proceed Mith the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a perait prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
unless the work authorized by such perlit is cOlaenced within six lonths of issuance, or if work authorized by the permit is
suspended or abandoned for a period of six lonths after the tile the Mork is cO&ienced. One 90 day extension of tile, lay be
allowed for the perlit with fee charge of $15.00. The ex;ension shall be requested in writing to the Building Official. An
approved inspection.lust be logged during each six lonth p~riod, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPER Y. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
C"" "'NI lOBS UN~O ~'OO '01 "'0 10 R'CORO RNO POSI . '.OIIC' OF CO",'NC"'NI',
. OR AGENT SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
The foregoing instrument was acknowledged
;'",fcol-e me th i s 29H:L (JAN) . 1993 bv
STATE OLFLORIDA ~ _ / /
COUNTY OF ~/'~/~
The foregoing instr~~was acknowledged
h",-f"r"-,,, iJ1'" +hic:. 2::::> .- ; 19-2'?t-v
who
has
John F. Gaver
is personally known to me or who has
personally known
ification and who did/did ~ot
(SignatLwe
(S. ~ture) f
D+\~ . 4 p...v~R... . ---
(Name Typed, Pp)lted.ol- $ta'}lpedJ, "
!jOTARY PUBLIC~~Lc.. G.l \i_ \__l t (y~' \, ).
7/#7~ C / / ~...?k~L:,j/'
(Name Typed~ Printed Dr Stamped)
NOTARY PUBLIC
.........
..~J,Il.y PfN.;.'.
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....:,.~ ClI< 1'\.r:P-!....
........
o. 4 I~IAL SEAL
faANIl Co LICHNII
.. COMMISSION EXPIIIS
OCTO.a 27. It"
MMISSION NO. AA71,,,1
,.........
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OFFICIAL SEAL
DEBI W. TUCKER
My Commllllon Explr..
Jun. 23, le96
Comm. No. CC 210184
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43'1,50
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______ 2:_:~1~_..7~)~ II 99% ;2- 1.0 ~3. 35 .
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--------_._-~--- -.-----.--.--------.-----------.---..,.,.-
:::.caL~ - It/JRKSHEET
CITY OF ZEPHYRHITL.::; CONNECTION FEES
RESOLUTION #312 WATER $1.75/GALLON SEWER $6.39/GALLON
RESIDENTIAL ~h Lot or Unit)
Residence $ 350.00 $1,278.00
Travel Trailer Park 131.25 479.25
COMMERCIAL (PER FIXTURE)
Sinks 87.50 319.50
Water Closet 131.25 479.25
Urinal 87.50 319.50
Lavatory 43.75 159.75
Tub/Shower 87.50 319.50
Washing Machines-Commercial Size 350.00 1,278.00
,
Washing Machines-Domestic Size 87.50 319.50
FOOD SERVICE - Dishwasher 700.00 2,556.00
Sinks (3 Compartment) 175.00 639.00
Car Wash (Per Stall) 1,000.00 6,390.00
-
FIXTURE G.P.D. # WATER SEWER TOTAL PER FIXTlffiE
Sinks SO l7- "q2.6.00"" 'v. S,ci 5''-1, ccv'
7, b?q, DO
"'f5; v I ./
Water Closets 75 CD 7Z7.5oV 2)~7>. " 3J ~~3. c:-D
.
Urinals SO
Lavatories 25 (Q ,..v q"'S ,-- v' (> 0 V'..
Zb'L.::.>O ::> . "J 0 1.22) ,
Tubs/Showers 50 2.- )71.)",0;.0,/ b3'1. 0.1;) ~/L/ , 001/
v
Washing Machine 200
-
Washi~g Machine 50
Dishwasher 1~00
Sinks-3 Comprt 100
Car Wash-p/st. 1,000
. 3,/50.00/ /1/502, eo /4, C,5'Z , DL~
L./
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WATER METER
~t..fO. 00 /'
I ,- 4r. 2 DO .//
:::>, '1 .
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GRAND TOTAL
" .
WEHR CONSTRUCTORS, INC.
GENERAL CONTRACTORS
C. A. Berry. Jr.
c. A. Berry,lIl
D. R. Berry
E. M. Berry
M.E.Curtis
J. F. Gaver
M. W. Paradise
S. B. Smith
C. J. Sullivan
D. A. Westfall
R. W. Wuorenmaa
J. D. Zupko
ADDRESS CORRESPONDENCE TO.
MAIN OFFICE
P.O. BOX 32185
LOUISVILLE, KENTUCKY 40232
TELEPHONE: (502) 491-9250
FLORIDA OFFICE
913.A S.PARSONS AVENUE
BRANDON, FLORIOA 33511
FAX: (813) 653-2249
TELEPHONE: (813) 654-6558
CGC 034137
,J a n 11 a r \- 2 8, 1 9 9 J
~jr. Hay Burns i de
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
5335 Eighth Street
Zephyrhills, FL 33540
RE: PASCO COUNTY SURGERY CENTER
Dear ~r. Burnside:
This letter is ta cel'tify that Algi;:; Stonys SS=::LJ7--iO--!l.45 Ie'.
aut nor i 7 e d a s a \r e n t 0 f eon t r act 0 r fo r per m i t t j n g an (j
registratIons for the above referenced pro,ject.
ea 11 .
n F.
\\e r Const.ructors, Inc.,
('lie 03.) 1 :3 '(
JFG/dwt
ec: Central 93-009
,lei'
Witness mv hand and official seal In the Count;;.- ofHiJJ?J)();rQll~J)
State of nf'lQr'icla this2$J:Jl day of __JantlCl,rY. 19~3 A.D.
tv!:. Commission ExPiresj.....~~........ OFFICIAL~:\&UQ",Q..L~~
! ~: DEB I W. TUCKlMbt_ar,v Si gned
\....~. .i My CJou~:~s;~oln9~~tLL_\iLJ1.!~k_~~s____ .... ...
"-:::~OFr.~. Comm. No. CC 210164
I. D. Persona.ll;; Kno",-n ........
ZEPHYRHILLS FIRE DEPT
Zephyrhills Florida 33540 (813) 782-8184
FIRE CODE INSPECTION
Business Name
Classification
Address
Owner/Manager
Business Phone
Emergency Contact Phone
Occupancy Load
Alarm Monitoring Co.
Phone #
TYPE OF INSPECTION CONDUCTED
o QUARTERLY
ORE-INSPECTION
(2) APPROVED
o FINAL 0 ANNUAL
o OTHER
o NOT APPROVED
OBI-ANNUAL
o COMMERCIAL CHECK
Listed below are items which must be complied with before this occupancy can be approved by the Fire
Department.
o CODE VIOLATIONS
This inspection report specifies code violation(s) which if not corrected could cause a fire, contribute to the
spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these
violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code.
./
/" ,
,
,
/
Inspect. Time /.
Inspectors Name
Fire Dept. ID #
Inspect. Date I,
Re-Inspect. Date
I
/
Owner/Manager Signature
Trtle
This building has been checked by the Zephyrhills Fire Dept. under the codes & regulations of the NFPA minimum
standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes.
White Copy - File Yellow Copy - Bid. Depl. Pink Copy - Business
Yl"'
r 1
ZEPHYRHILLS FIRE DEPT
Zephyrhills Florida 33540
FIRE CODE INSPECTION
Business Name ~1~C~ :i~/.et'?/c. AI Ci!!'.A~~,A}
.
Classification 11./.# I~ A C~-R..
Owner/Manager 5'AA-04. A :J;;A/#! So
Address 3 7 'il?f' /?ld ~ ~/
Business Phone
7?J z - 'fI7 7 ))
Emergency Contact Phone
Occupancy Load
TYPE OF INSPECTION CONDUCTED
o QUARTERLY
ORE-INSPECTION
ro APPROVED
<>> FINAL 0 ANNUAL
~
o OTHER
o NOT APPROVED
OBI-ANNUAL
o COMMERCIAL CHECK
Listed below are items which must be complied with before this occupancy can be approved by the Fire
Department.
o CODE VIOLATIONS
This inspection report specifies code violation(s) which if not corrected could cause a fire, contribute to the
spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these
violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code.
(!J j)11CJ/'i~f2r/ C.cnUJI hili /J//l9k/J/ ~ J(~r A/.e"r;hc.,#tl/e:;"...,.
6J IJA/ AI/9~/11,. /IJ~A//~P//V9' t":/J /5' ~ ~t!l11 ;:; 0, Fi~"ir
6! tJ;~C~1hP..P C'cc: )2e~D,~~. ~..?R._ /.J/.l-iR/.J/5 P/CT",f .4R!?
tJ ,t /ClR L t1
Inspect. Date Ir/~h 3 Inspect. Time I / ~ e:7 Fire Dept. 10 #I ~-.j- ~
Re-Inspect. Date Inspectors Name ~ ~A-' 4 h.....--
OWnerlManager Signature ~.fl dA"a.l q. ~.../ Tille U t<.~:....:-z;. ~ F~
This building has been checked by the zep({rhillS t Fire Dept. under the codes & regulations of the NFPA minimum
standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes.
_.- ~-'.~ -".~.:- -'-
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Cr=NTHAL
F'i~:3CCi COUNTY.
PER M I r T [ N G DATE: 12/06/93
FLORIDA PAGE: 1 OF ]
I ::;;';:;UE OFF ICE: D
RECEIPl NUMBR" 00196527
OFFICE: DADE CITY
CONTRACTOF t.t:
NAME: WEHR CONSTRUCTION
ADDR= 913-A PARSONS AV
C/ST: BRANDON FL 33511
F'Ofi: :
CHEU( tt ~~270
SOLID WASTE PERMIT #2984-8
PASCO COUNTY SURGERY CENTER
ICiCCNT
l1i~
TOT AL f:lI"IOUNT:
COMPN\ ACCOUNl CENTER
b4 ~5C .-. 363!)(lC<.. . .
11~-:',. 5()
AMOUNT DESCRJPTION/PERMT DATA DRieR
16.50 ****** SOLID WASTE FEE 60
.._ _ _;:~~__n___~_:::_y:' _._ ... \.S;,~ c.:~-"' _ c"- '::.. (,
RI::.I..:[: I VED f3 { _:::,::,;_:=-_",:::.?::::::;,,,,"_._~___.;_2::';"~:::;-:"';''''c_''>'''_~C_~1
/'-~----~-'--'"--'~ . ~-~".
PASCO COUNTY, FLORIDA
".
'.
Permit # .2 f jY '-I 8
Date Jd.--b-- ?-.s>
Name/Owner~A<'./? ~ .t.Ar!~ c:u.*.
County Parcel # .3 if d ~ - ;1-1- 3
Location 3'7 ~ 3 Y J1!-L' ~~ t2J;.. ~
Classif'",ation I Type ofUse . -<i!. A?(J C~ L-
lRANSPORTA TION IMPACT FEE CALCULATION
Rate $
Zone #
The above impact fee has been IS ed pursuant to the Pasco County Transportation Impact Ordinance as adopted by the Board of
County Commissioners. IS amount is payable PRIOR to the issuance of a Certificate of Occupancy or authority to utilize the permitted
structure.
Prepared by
Sq. Ft./Unit
Impact Fee Amount $
RESOURCE RECOVERY ASSESSMENT
# Units
I
NONRESIDENTIAL
Gross Sq. Ft. (GSF) / 0 tJ .:.2./
ERU Assign # .. 0$
RESIDENTIAL
Rate / ERU =
50.00 x 0.96* / Year
or $0.1315 / Day
Assessment = (# Units) x ($0.1315)
x (# Days)
Assessment =
rosfl x (ERU) x (0.1315) x (# Days)
100
TOTAL FEE $
TOTAL FEE $
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*Discounted for Prepayment
The above assessment has been established pursuant to the Pasco County Ordinance No. 89-07 and Resolution No. 89-197. as commended.
THE ASSESSMENT WILL BE CALCULATED AT THE TIME OF ISSUANCE OF THE CERTIFICATE OF OCCUPANCY.
NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED
HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY.
Acknowledgement below does 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 same.
Date
Received By
OFFICE USE ONLY
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