HomeMy WebLinkAbout96-6241
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B"UILDING PERMIT N!
CITY OF ZEPHYRHILLS Permit
(813) 788-6611
..3 9' -S'- (]V
BUILDING
-J7. d.__S-
ELECTRICAL
J::S '.. JD
PLUMBING
...3 o. cID
MECHANICAL
62418
--
W'
Sewer Conn l;l ;7 a:-- ~ cJ7? ____.
Water Conn: 30.t:J - tJO
Water Meter: / 6--5~ t7D
Date / / - /3 .-? b
~ ?i!:z
Property Owner: .
Job Address: I!? l.j 3d. I.-Go-)~ ./
Parcell.D. # .-5 -d.-6 ~I - tJ j~ 0... 00000
T_I.F.'s:
--.fA
Zoning: Enerw Code:
Description of Work [) i'A~ / ../.A'.Alr4-
\:f,/ j/~~~3-/d-?;>~ d-!3f-- 11m
NO OCCUPANCY BEFORE C.O.
Radon Gas: I' .~ -;
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances,
FINAL
C.O.
City License Registration #
State Certified License#
17-3
,
Inspector
Permit Fee .3~ 9. :2-,S-
S;gnaMe M ~~
Compa~ _
Address
Telephone#
Valuation or
Contract Price Lj ~ ,f-'II, ~hJ
13 d y;;t~
BUILDING
~ /-.1- .J 3CJP
.~-i~I3,)
t2'Pc ;; f-3
FRM.
Insul. CL
WL
ELECTRICAL
PLUMBING
SLBV'IJ-.J5'- r;,gJ/...L
Tub Set I-Cf-f-z'6
MECHANICAL
Tp. Servo
Rough In /.,. q -Q 7 K0f5
Meter Can JI-Is'---9b
1/;9/<97 1f{J If
Breakers
Ducts Insl. / -tj)..... 7'7 DaB
Compressor
Final
Water
Sewer
Final
Driveway d--b ~<q '1 f?2..:t
~ 1:J.-;)''1-'P~ ~LL.
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons. a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: '"
/J "/I-:;J J /1-/5-7'-6
a. Wrong Address ''2J J.. ~ ~
b. Condemned work resulting from faulty construction. /) --... II _ 9' 7-
C. Repairs or corrections not made when inspection called. /J &I --.!:> -- /.., '/
d. Work not ready for inspection when called. r
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
Const. Pole
Pool
Pre-Meter '3... I ~... 9'7 eft
Final
Bowl II "'~1-(V~ BILL
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
11l)IISEIIOI.II FIRE WARNINI; VI.lIIII'MENI
72-29
Fre'luency or rouline lesls alld inspections, ir olher than ill accol'(lallce with the referenced N FJ>A standards(s)l
Sy.~lem deviatiolls Ii-om the re!ereneed N FI'A slandanJ(s) are:
(signed) li,,- Central Station or Alarm Service Company (title) (date)
I
Upon completion "rthe system(s) satisl:lCtory test(s) witnessed (ir required by the authority having jurisdiction~:
(siglled) reprcselllalivc or the alllllm-ilY havillgjurisdinion
(date)
(title)
Figure 1-7.2.1 Cerlilicale of Complelioll. (COllI.)
11'1011I NFI'A 72 - 1!I!lO, 2-2.2 n",dified, and NFI'^ 71,1-4.3 modified]
Chapter 2'" Household i"ire Warning Equipment
2-J General.
INew li.le)
2-1.J'" Scope. This chapler contains minimum require-
mellls Ii)r the scleuion, installation, operation, and mainte-
nance of lire warning e'luipment fill' use within family liv-
ing units. The requiremenls of the other chapters do not
apply except as specifically indicated.
IFrolll NFI'A 74 - I!-IR!-I, 1-llIIodifiedJ
2-1.2 .<?eneral Provisions.
IFrolll NFI'A 74 - 1989, 1-2J
2-1.2.1 This code is primarily colI<:erned with life safety,
not with protection of property. It presullles that the fam-
ily has an exit plan.
[Frolll NFI'A 74 - I!l8!1, 1-2.11
2-1.2.2 A conlrol and associalcd eqnipmcnt, multiple or
single station alarm device(s), or any combination thereof
shall be permitted 10 be nsed as a hOllsehold lire warnillg
system, provided the requirements or 2-1.:1.1 are met.
[Frolll NFI'A 74 - 1 !-III 9, 1-2.2 lIIodifiedJ
2-1.2.3 Detection and alann systems fi,r use within the
protected household are covered hy this chapter.
[Frolll NFI'A 74 - 1989, 1-2.3 lIIodifiedJ
2-1.2.4 Supplementary functions, including the extension
or an alarm he'yund the household, shall be permiued and
shall 1I0t interfere with the perlonnance requiremellts or
this chapter.
11'1"011I NFI'A 74 - I !IR9, 1-2.4 lIIodifiedJ
2-1.2.5 Where the authority having jurisdiction re1luires
a household fire wanling system to COlli ply with the
I('lluircnlcllts or Chaplcl' 4 or allY othcr (-haplel's or this
codc, till: re1luirements or Section 2.2 shall still apply.
[171011I NFI'A 74 - I!lR9, 1-2.[i lIIodified)
I
2-1.2.6 Dclinitions of Chapter 1 shall apply.
2-1.2.7 This chapter does not exclude the use of fire.
alarlll systems complying with other chapters of this code
in household applkations, provided all of the requirements
or this chapler are met or exceeded.
'[New pa~agraphsJ
2-1.3 Approval.
[Froll1 NFPA 74 - ~989, 1-3J
2-1.3.J All devices, combination of devices, I arid equip-
ment to be installed in conformity with thi" chaptenhaU be
approved or listed for the purposes for which' they are
intemled.
[Frolll NFPA 74.1989,1-3.1.1 modified]
. . ,
2-1.3.2 A device or system of devices having materiids or
forms dilferent from those. detailed In the chapter: may be
examined and tested according to the intent of the chapter
3ntl, irliHHul equivalent. may be approved.
[1'1'0111 N""I'A 74.1989,1-3.1.2 modified]
2-1.3.3 Equivalency. Nothing in this code is intended to
prevent the use of systems, methods, or devices ofequiva-
lent or superior quality, strength, fire resistance, 'effective-
ness, durability, and' safety over those prescribed 'by ItJ)is
code, provided technical documentation is submitted to the
authority having jurisdiction to demonstrate equivalency
and the system, method, 01; device is approved .-for"the
intended purpose. . . ,_, .I , ,
[New p~ragraph].
2-2 Basic Requirements.
";"
,',.
2-2.J Required Protection.
[From NFPA 74 - 1989, Chap; 2]
:;, ,;.
[From NFPA 74'-'1989, 2-IJ
. .
2-2.1.1'" This code requires the f(llIowing detectors within
the family living unit.
[From NFPA 74 - 1989,2-1.1]
1993 Edillon
72:10
Nt\ II. 'N,\!. HIli'. ^' .t\R~1 .:c 1111.
f2~'2:fl~f I SllIok., detectors shall he illslalled olltside or
(':..-h st'p;llale sl....pillg al..a ill Ih.. ill"l...dia... l'ic;"iIV 01 rill'
l",dll'o.Il., alld Oil c'ad. addiliollal SlolY 01 rI... 1;lIl1il)' lilillJ-;
Illlil, illdudillg baselllellls :11111 exdudillg naI\'l spatc's alld
IIl1lillished allics. III lieII' cOllstructioll a sllloke dett..-Ior
<llso shall he illslalled ill ('ach sleepillg rOOlIl.
IFllIlIl NFI'A 7" - I!IH!J, 2-1.I.11I""lilic.c11
2-2.1.1.2'" For liullil)' livillg ullits wit h OUt' or 1l10ll' 'plil
levd.s (i.t'" adj;IITlltlevels wilh less th;ul 01... hili .S1or)' sep-
aratioll betweell levels), a sllloke deleclor reqllired by
2-2.1.1.1 shall slllJin' f(,. all adjacellt lower level. illdudiug
baS(~IIIt'IIIS. (S"" hglll" /1-2-2. {. {.2.)
!~'x'-"I'lillll: I I'll,,/'(, IlIrrr. i.l 111I illl"'1'I',lil/g dlllll IIdwI'I'1/ (//If' /1'l'd
011'/ III" (/((/11'-"111 (11111'" /"lId. 0 .11//11/(1' d,'lnllll .11101/ 11/, ill.llll//"d III/
IIII' lowrr il'l'''''.
IFtOIIl NFl''' 7-' - l'IIi!/. 2-1.1.21
2-2.1,1.3 Autolllatic' '1'1 ill kin -')'Slc'IIlS pr",-ider! ill ac.or-
dallce I\'ilh NFI'A 1:11), SIOI/(/Old/IIII/If' ///.IllIl/llliol/lI/Sll/il/_
liIa SI'.,II'II/.1 iI/ (JI/,.- 01/'/ 1'71'o-/'(l/l/ih' /J1I,dlil/,/!,.1 Ol/(( II lolli/I'
/10/11/';, 111- N I'I'A 1:1 R, SI(///((,1/(( /;// I/I~' ///II/ll/olilll/ "I SIll iulda
SV.III!/II.1 iI/ 1i1'_lit/I'l/lio{ (JoIII"II/('il'_1 (II' 10 Ol/({ II/dut/il/,/!, hl/(/
,\111 Ii"., iI/ I/,'ight. shall he illlt;lcolIIlI'tled 10 soulld alarlll
Ilotilic:alioll appliallces throllghoutthe dwellillg whell a lire
warllilll( s}'Stelll is provided.
2-2.2'" Alarm Notilication Appliances. I~ach delcelioll
device shall callS(' Ihe operatioll of;lII alan II Ihal shall be
dearl)' alldible ill all hedroollls ovel- hackgrolllld 1I0ise lev-
els with all illtervt~llillg doors dosed. The tesls or alldihilily
level shall he cOlldu<:led wil h all household e(l"iplllelll I hal
lIIay be ill opel-atioll al lIight ill hIli operatioll.
I~xalllples of sllch eqlliplllelll an' willdow ail' cOlldiliollers
alld 1"00111 h,lllllidifiers. (.\f'r. /1-2-2.2 /il/- od'/;I;I/I/111 ;1//illl//ol;,I/I.)
I Frolll NFI'A 7.\ - 1!IIi!I, 2-21
f,2.2.2.1! III lieII' umstrllctioll, where 1II0re Ihall olle sllloke
detel:tor is required by 2-2.1, Ihey shall be so alTallged that
operalioll of any smoke detl:ctor shall cause Ihe alarlll ill all
sllloke delectors Wilhill Ihe dwellillg 10 soulld.
/';-\"I"I,IiIlIl.' (,'IIIIII~I(/(/Iiolll 11101 11I1I1'idl' 1'I/1I;"'''l'I/l dlllli/)/(Iillll
"! Ihe 11/1/1 m .Iigllol.
I From N FI'A 71 - I !JIi!l. 2-2.11
2-2.2.2'" Standard Signal. A'<l1'1I1 1101 ilic<ll iOIl applialHl's
IIsed wilh a household lire wal'lIillg syslelll alld sillgle alld
lIIulliple slalioll sllloke deteclol's shallprodllce Ihe alldihle
('IIII'rgency t'vanJalioll signal desnil)('d ill ANSI S:I.-1I,
Alldib/I' !~-/II"'Rl'lIl-_y 1\'1/f/.nUllillll. Si#/u1ls. This l'e'/llil'ellll'lll
shall h('("ollle el/i.~clive oll.l"ly. I. 1 !I~lfi.
2-2.3 Alarm Notification Appliances for the Hearing
Impaired. III a 11I'!lsellOld occllpied hy olle or 11101"1' hear-
illg illlpaired persoll~, each illilialillg devit'e shall calise Ihe
operatioll of visihle alarm sigllal(s) ill an:onlallce wilh
2-4.4.2. Sillce hearillg deficits are oliell 1101 app;II('III, the
I'espollsihilily to advise appropriate persolls shall rest wilh
the hearillg impaired party. The I'espollsibility 1(11- cOIlIl'li-
allce shall r('st with the occupallts or the l;lIl1ily livillg IIl1il.
I\'xrrlltioll: /1 li.,II't! I(/(:Iill'\igllol .,11011 hI' I,rrlllill,,'/ (II III'
"ml""_v,,'/.
INew paraglaphsl
1993 Edition
-.
2-3 I'IIW(''- SUllplies.
2 -:1. 1 (;I'II(',a I.
11'llIlIl NF"A 7.1 - 1!lIi!l. Chap. :11
2-3.1.1 All pmv...- slll'plies shall have slllliciellt capacity to
operate tll(' al:1I111 sigllal(s) li,r at leasl ,I nllrtillllollS lIIilllltes.
I"'''''' NFI'(\ 71 - 1!lIi!l, ~-I.IJ
2-3,1.2 For e11...t I'ically powered deleclors. all ac primary
power sOllnt' shall he ulilized ill all lieII' cOllslnu:tioll. III
existillg hOllst'holds. ac primary power is prelclTed; how-
ever, \\'IH'IT sllch is 1101 pract il:al, a 1I10llilorized banery
primary pO\\'I"- sOllrce is pel'lIIilled.
1 From NFI'A 7'1- J!lIi!!, :1-1.1.11
2-3.2 Primary Power Supply - AC.
11'1<111I NI'I'A 71 - 1!l1i!1. :1-21
2-3.2.1 (\11;11' I'rilllal')' (lIIaill) power SOlllTe shall be a
dq)(,llIlahk tOlllllll'r..;al lighl alld 1'00vc'r sllpply SOIlIU~. A
\'isihk "po\\'I'" Oil" iIHIit'alo,' shall he pl'ovid('cl.
"'1011I NFI'A 71 - I!lH!I. :1-2.11
2-3.2.2 All ciCCI rical systellls desiglled to he illslalled by
olh(.,- t hall a qll<llilied 1.It...tl'i..;all shall he powered /i-om, a
SOUIH' 1101 ill excess or:1O volls Ihal lIIeels lhe I'cIllIiremellls
1(11' po\\'el' lillliled fin~ alal'lII I'il'nlils as defilled in N FI'A 70,
Nllti,,"o/ mfflli(ol Codr., Artide 760.
lFrol1l NFI'A 74 - 1!IIl!J, 3-2.21
2-3.2.3 A l'esll'aillillg mealls shall be llsed at the plug-ill of
;II1Y coni COli lIel"l cd illslallation.
[From NFI'A 74 - I !11m, 3-2.3J
2-3.2.4 AC primary (maill) power shall be supplied either
hOlIl a dedicated brallch circuit or the ullswitched portion
or a hrallch circllit also IIsed fOl' power alld lightillg. Oper-
alioll or a SWilch (01 her thall a circuil breaker) 01' a groulld
1;11,11 cirCllil illtelTllpler shall 1101 GHlse loss of primary
(1IIaill) pmvc'r,
1"'0111 NFI'A 7'1 - 1!IIi!l, :1-2.1l11odilil'lll
!';xu'/II;,,/! N". I: /)"11'(101".\ wilh a .m/,r.rvised recluugeahle
.I!(lI/dbV hllllrry 1"01 /mm;dr..\ al Ir.ast 4 lIU1/!th~' n/reratinn with a
li"ly dl/llf!,('(1 IIoftrrv.
[From NFI'A 7'1 - I!JH!I, TIA lill-II
/~'.'lC""I'liol/ No.2: W"r.rr. n. g1'llul/d~f(l1Ilt finuit interm/'ter
.\('/111'.' 01/ drlll;m/ lirolils I/Iilhin Ihl' l/ll/l.\r.lwld.
I New paragmph I
2-3.2.5 Neither loss 1I0r l-eslo...llion of prilllary (main)
power shall GillSI' all alarm signal in excess 01' 2 se<:tmds
within nor allY alarm sigllal olltside Ihe living IIl1it.
[holll NFI'A 7.\ - I!lR!I, :1-2.5 modified)
2-3.2.6 WI1('n' a se.-ondary (slalltlby) battery is provided,
the primary (lIIaill) power supply shall be 01' slIlIicient
.-apitCily 10 operate Ihe system Hilder all cOllditions ofJoad-
illg wil h allY scnllldary (slandby) h,lI1ery disconllected or
rlllly dis.-hal"!-\l'd.
11'1"11111 NFI'A 74 - 1!lIi!l, :1-2.7/
IICll'SI',ll(ll,IlII11I': Wi\I(NINI; I'I)I'II'~II'.NI
2-3.3 Primary POW(~I' Supply
MOlliton'd lIa It f'ry .
/1'11I111 NI'I',\ 71 I'IH'I.:\:II
2-3.3,1 Ilousehold fire lI'arnill~ equiplllelll shall he per-
lIIilled 10 he powned hy a hallen'. I"m'idl'd Ihal Ihe hal-
lery i,~ 1I10llilored 10 ellsure thai Ihe lollowiuK cOllditious
are IlIel:
11'111111 N 1'1'1\ 7.1 - I !IH!I. :1-:'-11
(a) All power requirellH'lIls al'(: IIlcl li,r al Icasl I year's
lifl:, illdlldillK 1II0UI hly Icsl ill~.
11''-011I N F1'I\ 7,1 - I !IH!I. :1-:1, I (a) IlIodif;l.d I
(h) i\ dislilluive audihle IlOuhle sigual is giveu II('f(lI'e
Ihe halllTY is illcapahle of opl'ralillg (flOlII aKill~. lenllillal
UIITOSiOIl. CtL) I'll' devilc(s) li'r alanll purposl's_
I h01l1 N 1'1'1\ 7.. - I'IH'I. :1.:\, 1(1.)1
(d For a Ullil elllployillg a lock-ill alarlll kalun'. aUlolllalic
Inlllsler is provided liulIl alarlll 10 a Irouhle cOlldilioll.
1"'0111 NFI'1\ 7.1 - 1!IH". :\-:1.1 (c)/
(d) The IIl1il is capahll' of prodll.-ill~ au alanll si~lIallilr
al least 'I lIIillu1es al II... halll")' \'l,Ilag.. al which a Irollhl..
si~lIal is lIonllally ohlailled. (ollowl'll hy 1101 Il'ss I hall 7
days of Irouble siK"al operal iou.
11'1011I NFI',\ 7-1 . 1!l1I!1. :1-:1.I(d)l
(e) Thc audihle llOlIhle sigual is plOdll(('d al least Ollce
every lIlillUtC Ii,.. 7 COllsl'culive days.
1"'0111 NFI'^ 71 - I!lH!I, :1-:I.I(e)l
(I) Acceptahle replacelllcllf hallnies arc dead)' iel<<:lIli-
lied hy lIIallul;Klurer's(s') lIallle alld 1II0del IIIllIIher(s) 011
Ihc IIl1il lIear the battery cOlllpaltllH'lIL
1"-'011I NFI'1\ 7-1. I!lH". :1-:1.1(1)/
(g) I~ I cadily 1I0liceahlc visihle illdical iOIl shall he dis-
played \~hell a prilllaly "auny is 1(,llIoved limll Ihe UlliL
[Frolll NFI'^ 74 - 1!l8!1, :I-:'-l(g)1
(h) AllY ullit Ihat uses a 1I0urechargeahle hall cry as a
primary power Slip ply lhat is capahle of a to-year or
greater service life, illcludillg leslillg. alld lIIeets I he
re1luirellll"IIIS of (h) Ihru (c) ahovl'. shall 1101 II(' rl'qllired 10
have a replacl'ahle halll'IY.
2-3.4 Secondary (Standby) Power Supply.
2-3.4.1 Rellloval or discollllecrioll 01" a halleTY used as a
seumdary (stalldby) power source shall cause a dislillclive
audihle or visihle I rouble sigllal.
2-3.4.2 An:eplahle replacelllellt balleries shall he deady
idelltilied by lIIallu!;lclurer's(s') II a 1I1l' alld 1II0del 111111I-
her(s) 011 the IInit Ileal' Ihe hailer}' clllllparllllent.
2-3.4.3 II" relJuired hy law lilr disposal n'asolls. rnhal-gl'-
ahle bauerics shall he rClllovahle.
2-3.4.4 Alltolllatic rccharging sh<lll he provided wh('n~ a
I-echaq~eable hallel'y is used as l'le secolldary (slalldby)
suppl~'. The supply shall be capahle 01" ope!";..illg Ihe sys-
lelll lill' al least 24 hours ill Ihe 1I0rlllal cOlldilioll, lilllowed
by 1101 less th<lll 4 lIIillules 01" alanll. Loss 01" the sccolldal'y
(slalldby) sou In' shall soulld an alldihle I rouble sigllal al
least ollce every IlIinule.
72-:11
2-3.1.4.1 TIll' hallny shall be IITharged wilhill 4 hours il"
POWI'r is I'lovilh.d Ii-Olll a drl"llil thai ('alllw switched Oil 11I-
oil olh... Ihall by a circllil bl('akl'r. or wilhin 4R hours
whell powl'r is pnlvilkd I"rolll a cin:uit that GUillot he
swilched Oil or oil" olher Ihall hy a drcuil breaker.
2-3.4.5 Wllne alllolnatic recharging is not provided, Ihe
balln}' shall he IIIollitol'ed to ensure that the following
cOlldiliollS are IIIet:
(a) 1\11 power re'l"irelllellts are IIIellill' at least f year's liIe.
(b) A dislillclive audilJlc trouhle sigllal is givell beli>l'c
I he hailer}' capacity has bee II deplcled lJelow the level
n'(l'lired 10 pl'odun~ all alal'lII sigllallilr 4 minutes.
1 New paralp-aphs alld lilleJ
2-3.5 Primary Power - Nonelectrical. A suitable
sprillg-lI'oulld lIIechallislll shall provide power 1i:)I' the non-
decI ri(-al I'onioll of a listed sillgle slalioll delector. A visi-
hIe indiGl1 iOIl shall he provided to show that sullidenl
opcralillg power is 1101 availahle.
I I' mill NFI'^ 71 - I !lilli, :1-1I1lodili('c11
2-4 Equipment Performance.
I Fmlll N FI'^ 74 - 19R!l, Chap. 41
2-4.1 Gelleral. Thc !;,ilure 01" any nOli reliable or short-
lile colllpollent thai renders the detector inoperable shall
he n~adily apl'arenl 10 Ihe on:llpallt of the living unit with-
out 1 he Ill'ed lill' fest.
IFrom NFPA 74 - 1989,4-11
2-4.2 Smoke Detectors.
[From NFI'^ 74 - 19R9, 4-2J
2-4.2.. Each sllloke detector shall detect abnormal quan-
lities of slIIoke Ihatmay occllr in a dwellillg, shall properly
operale in the 1I11rlllal ellvirolllllelltal cOllditions or a
household, alld shall he ill compliallce with ANSI/UL 268,
SI//ok" /)('Ialon fill- Fire Proter:liue Signaling SYJtemJ, or
ANSI/VI. 217, .<iil/K'e and MulliJ}le Slation Smoke /JetecloT.l.
I "mill N FI'^ 74 - 1989. 1-2.1'
2-4.3'" lIeat Uetectors. Each heat deteclOl', including a
Il<'al de(el"lor illlegl-all}' lJIollllted on a slJloke detector,
shall delect ahllorlJlally high temperature or rate-of-
lelllperal ure rise, and all such detectors shall be listed or
approved li,,- not less than !i()-n (I !i-m) spacing.
11'1"<111I NFI'A 74 - 1989,4-3 lIIodifiedJ
2-4.3..'" Fixe'd-tclllperature detectors shall have a tem-
peralure rating at least 2501' (\40C) ahove the normal ambi.
1'111 (Clllperat lire and shall 1101 eXITed !ino!, (280C) higher
,Ilall I Ill' IlIaxillllllll anlicipaled alllhiellllelllperalure in the
ro01l1 or space where illstalled.
[Fnllll NFI'A 74 - 19R9, 4-3.1'
2-4.4 Alarm Signaling Intensity.
(Frolll N FI'^ 74 - 1989, 4-4 modifiedJ
2-4.4.1 All alanll-slllllldillg appliallces shall have a mini-
111111I1 lalillg of H!i dBA at 10 It (3 III).
1993 Edition
72-:\~
N,\IIlIN,\1. ...IIn: ,\I./\IlM (:()I)I'.
/'.-_\(I'/llioll: /111 IIrlrliliOlwl _"llIlIrlill~ 1I/11,lillllll' 1I111'1I1/"rI /or 11.\1'
ill 'h(' .\(/111(' 1""0111 tiS Ilu' 1I.\fT, "",,1, (f,\ fI 1",,1100111, lIIiI)' h(I1'r (/ ,\o""d
/III'\.\II/t' "'1""11.\ III,,' 1/1 7'; rlll.IlIl /11 /i (1 lid,
11'1..", NH'" '71 I'IHI', 11.1'
2-4.4.2 Visihle lIolili.-alioll appli;lIH"s lIsed ill IOOIlIS
whel"e hcarillg i.llpail'('(1 1ll'I"~oll(s) slecp shall han' a ,"illi-
111111I1 I"alillg of 177 .-alldda (('I" a IIlaxillllllll 1"00111 si/.,' 01 1,1
Ii hl' I Ii Ii ('1.~7 III hl' .1.HH III). FOl" lal"g"I" 1001l.S. III(' vi~ihlc
lIolilicalioll appliall("e shall Ill' lo.-al('(llIi,hill IIi Ii (-I.HH III)
ol'lhe pillow, Visihlt' lIolililalioll ;Ipplia'''','~ ill otht'I" ;lIeas
shall have a IlIillillllllll I'a,illg of l!i calldda.
".,\(I,/"iOIl: II'hl'll' fI l'i.\ihl1' 1/t!lif/((/1101I II/I/Iliflll'-I' ill fI ,I/I'I'//illp,
/(JO//l i_I //IOIllIlt'rI //It/I'I' Ihll/I 2./ ill, 111'1/110 Ihl' ft'ilill~. II //Iilli//lll//l
rtflillK III / / () ((/lIrldll -,hllllllt, /"'lIlIilll'rI_
I Nl'\\' 1':11 :1/\' ;'I'hsl
2-4.!'i COlllrol E(luipllJenl.
1"-''''" NFI';\ '71 IIIH!'. '-'il
2-4.5.1 The .01111'01 t''I" i 1'"1('"1 ~hall 1)(' alllolllalically
I t'srol"illg Oil n's'ol"a' iOIl of ..Ie.-II i. al 1'01\'('1'.
1"-',,", N 1'1'/\ '7-1 - I 'IX!'. ,'fi, II
2-4.5.2 TIll' (01111"01 c'l"iplllcllt shall hc of a Iyp.. Iha'
"Io,'ks ill" Oil all alallll .o,,,lilioll. SlIlokc d.,,(,( lioll (inllils
lIeed 1101 lock ill.
IFill'" NFl''' 7,1 - Iqllq. '1-:;.~1
2-4.5.3 II' a reset swilch IS provided. it shall he a sdl~
reslorillg 'YPt'.
/1"0111 NFI'A 7-' - 1!11I!1. ..-:,_:11
2-4.5.4 AII"alarnl-silellcillg swilch 01" all alldihle tro"hle-
silellcillg swi,.-h shall 1101 he provided IIl1less its silellced
positioll is illdiGlI('(1 hy a readily appal"elll sigllal.
/1'1"'" NFI'^ '7., - I~'II~'. '1-:....1
2-4.5.5 Each t'leclrical firc warnillg sySfellJ alld each sill-
gle slalioll sllloke deleclol" shall have all illl('gral't'sl lIJeallS
10 1't'1I II il I he hOIlSdlllldcl' 10 .-he.-k 11ll' SYS"'II' alld s"lIsi-
lidty ol',he dt'leclor(S).
Ih..", NFI'A 7,' - 19119, .I-ri.:/I
2-4.6 Monitol'ing Inlegrity of Inslallation Conductors.
2-4.6.1 ^1I11Jt'allS of illlenollll(Tli"g illilialillg devict's or
1I0lifiralioll appliallces shall he .lIollilor..d (()I' Ihl' illlegrily
of Ihe illlen:ollllntillg palhwal's lip 10 Ihe cOllm'cliolls to
the de\'in~ or appliance so that the on:IIITcncc or a single
open or single grollnd hulll. which prcvellts normal oper-
alioll or lhe s}'stem,,~vill he illdicated hy a distillctive tlOlI-
hie signal.
1~'Xn?/l/ioll No. /: COlldlldo/"'\ 1t/IIIII'diIlK 1I/IIIIi/II('-S/II/;OIl d('",(-
Ion. /mlTlid,'d II _\illgl('/il/llloll Iht' wir;lIg 1I'illl/llI/III'I'('1I1 ,1;'lgft'-
'\/lIlioll oll('wliOIl or IIIIY O/' 111/' illf('/FOllllnll'd dl'lf'l-(t1/.I.
EXn?/lfioll No, 2: Cill-lIil.l l'xll'll/lillg /;011/ sill!!.ft,- t1/- 1IIIIIIil"('-
,1/111;011 d('ll'I'lo/"'\ 10 II'/flli/'('d 1/'1110'" lIolill/:III;OIl IIII/i/illl/as /"-0_
,';d('d o/I('ml;oll O/' (/1/' 1('_'1 /i'IIIII/'(' Oil fillY d('lalt,,- I/,ill 1'11/1,\(' fill
WIIII/'I-(f'lIIlNdill/ll'I'S 10 (/l'Iil'II/(,_
I New palal{l:ll'hsl
1993 Edition
...
2-'..7 CumbilJuliulJ System.
11'1""' NFI'^ 71 - 19119.1-71
2-4.7.1 WIIl'I(' COllnllOll wirillg is clllployc~d Ii II' a l:omhi-
lIalioll splt'lII. Ihe clJ"ipmcllt fill- olhel' Ihan Ihe fire warn-
illg sigllalillg s)'sl(~1II shall he conlHTIf'd 10 Ihc Ullllmon
Wilillg 01 I Ill' sysll'lIl so I hat short cin:llits, OpCII dn:uits,
gl'olllld~, 01 allY f:1II11 ill lllis CqlliplllCIII or illlen:ollncl:liOIl
Il('lwl'ell Ihis t''I"iplll('1I1 alld lhe lire warlling syslem wiring
shallllot illlerli'n' wilh III(' ,mpervisioll of Ihe fire warning
Splt'lIl. 01 P"'VI'1I1 alanll 01' Irollhle signal ol'eratioll.
I Fnlln NFI'A 74 - 19119, 4-7.IJ
2-4.7.2 III a lire/lllIrglar systcm, Ihe ol'nalion shall he as
filllows:
(a) A lin' al;1I1I1 sigllal shall 'ake prc{'{:"dellcc 01' he
d,'ady l('l'oglli/ahle OVIT allY 01 he.' sigllal evell whell lhe
1I01llire alarlll sigllal is illilialed first.
(h) I lis' illl'l i"t' alallll sigllals shall II{' oh'ailled hel ween
iiII' alanllsalld 01 her lilllcl iOlls such as burglar alarllJs.
TIll' US(' 01 a COIIIIIIOII SOllllllillg appliall'c fill' fire ami hur-
glal alarllls is anTplahle ir dislilll-livc sigllals an' ohlailled.
(.'if'l' 2-2.2.2,)
[Frolll NFI'A 74 - 19R9. 4-7.2)
2-4.R Luw "ower Wireless Systems. 1I0llschold fin'
\Varllillg splt'IlIS IIlilil.ing low power wireless transmission
or sigllals wil hill I hi' prolected houschold shall comply with
I he reqllil'Cml'lIls or Seclion 3-1 :J, excepl li)r 3-13.4.!i.
2-4.9 lJigital Alarm Communicators.
2-4.9.1 II0usehold lire wal'lling systems thilt employ ofI~
premiscs I ra lIS III issioll or signals via digital alarm COIllIllU-
lIicators shall rom ply wilh the provisions of section 4-2.3.2
wil h I h(' filllowillg exc-eplions:
(a) FOI- 1-~,:1.2.1.() ollly olle lelel'holle line shall be
IT'I"ired fill' olle- amllwo-hllllily residellces.
(h) For 4-2_:\.~.I.H each BACT need only he pro-
gralllllled '0 call a sillgle DACR lIumber.
(I') FOl" 'I-~.".2. 1.10 ('a.-h I)^(:T scrvillg a olle- 0" two-
hI,"ily residellcl' shall I rallsmit a Icst signal to its associated
receiver at least ollce a mOllth.
I N"w paraglaphs an" title)
2-5 Installation.
IFrolll NFI'A 74 - 1!l1l9, Chap. 5)
2-5.1 General.
[Frolll NFI'^ 74 - 1989,5-11
2-5.1.1 General Provisions.
(Frolll N FI'A 74 - 19119, 5-1.1 J
2-5.1,1.1 All e'l"ipmellt shall "l' ill"lalled ill a wOl'klllall-
likl' m;lI II liT.
11'1011I NFI'A 74 - I!lR!!, 5-1.1.1)
2-5,1.1.2 ^II dl,vi('('s shall be so lo(-ated alld moulIl.ed that
<In:idelltal "pel alioll will 1101 he (-;msed hy janillg or vihration.
I FIOIII NFI'A 74 - 1989, 5-1.1.2J
BUILDER: Bay ViUage
ADDRESS: 6403 Laurelwood
OWNER: Bay Village
SQ,FT. PRICE
LIVING OR MAIN AREA: I 1,195 ~ $ 35.00 l
OTHER AREA UNDER ROOF:t 456 t $ 11.00 ~
OTHER:I 0 ~ $ 11.00 l
SQUARE FEET UNDER ROOF: I 1,651 l
VALUATION:I $ 46,841.00 ~
ADDRESS:I $ 20.00 ~
DRIVEWAy:1 $ 20.00 ~
FEESl $ 250.00 I
BLDG. PLUMB. ELEC. MECH.
PERMIT FEES:~ $ 395.00 , $ 55.00 I $ 59.25 I $30.00
3/4" 1" 2"
WATER METER SIZE: I $ X 165.00 I $ 245.00 I $ 610.00 I $ 840.00 I
SEWER WATER METER
CONNECTION FEES: J $ 1,278.00 I $ 350.00 I $ 165.00 l
RADON GAs:1 $
PERMIT FEES: I $
CONNECTION FEES: t $
WATER METER: t $
TRANSPORTATION IMPACT FEES:I
99% $
1% $
16.51 ,
539.25 l
1,628.00 l
165.00 l
: I
CREDIT: I $
20.00 I
2,348.76 I
SUB-TOTALr $
1~~RIGATION METER' $
165.00 I
TOTAL' $
2,513.761
APPLICATION FOR PERMIT
CITY OF ZEPHYRH1LLS
BUILDING DEPARTMENT
. ;2 0: (.1---D
-n r- IO~/-7"
OIINER'S IIAIIIl ~~ q" ~fT ~~
OWNER'S ADDRESS ICJbSI ~ IS.. J)~
iD4-0~ \-e..~L~~cL ~-~
,
PHONE
~9J-?~bi
..
LEGAL DESCRIPl'ION: LOT(S) 3 A
BLOCK
~J~>
,
SUBDIVISION S/Lv~ - OA,($"
JOB ADDRESS
PARCEL I.D.' O~-~-~\ -O\~O -~-n~'DV P-r (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED: X New Construction -Addition -Alteration _Repair _Install
_Sign
~ove
_Deaolish
PROPOSED~E: ~SingleFaai~
~M/F _' of Units _M/H
_~ercial
_Indust. _Swia. Pool _Other
_Restaurant & Health Departaent Approval
DESCRIPTION OF WORK:
VII/AS ,c
SljJj~
r,l.}/'!}; 0/
R.~-s"
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. _ ~~l_' ~
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. _ .. \
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
_BUILDING
PERMITS REOUESTED
$ ~q Ot":JO Valuation of Total Construction
/!:;O AKP Service X Florida Power Corp.
S ~ ?CJO Valuation of Mechanical Installation
W.R.E.C.
_ELECTRICAL
_MECHARI.CAL
_PLUKBING
GAS
X B10ck
.f~JZo ROOFING
_Fraae _Steel
SPECIALTY
TYPE OF CONSTRUCTION:
Other
FDUSBED FLOOR ELEVATIONS:
FT.
IS PROJEct' IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
COKPANY ~ ~ 4~~~
State Cer or Regist. , c.t;.ca3~f?cJ
City License Registration' /1.$
*****************************************
RT.RCTRICIAN COMPANY .5 ~ 5" /:::= lee r ~ .t-,;c...
;J:2. /a~ State Cert, or Regist.' G'J( <>00 "-t>YJ-
SiQfUlture - /'e." City License Registration' .7<n:?
****************************************
~
PLUMBER COMPANY #~ C-Yl r 7Z~
./ State Cert. or Regist.' ./ 6G S-
Signature /1~ If] 'J f.-e-t./.lA/ City License Registration i / )?
******************************************
KECHANICAL;J~' " COKPANY e c_ A (c CJC).
State Cert. or Regist. t Ac 0 .~ L 1./
Signatur . City License Registration' ~q.2:>
******************************************
,,//
OTRRR
COMPANY
State Cert. or Regist. ,
City License Registration t
*****************************************~
Signature
-...,~_.,._"
_~Rmio+m.~B. y
SDIl*I 00. ......; - ""
_t",....,,, e..'....""".... ",.
-
r
PEBIIIT OFFICER~"'-I
.,.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Tbe undersigned understands that this perlit lay be subject to .deed restrictions" wbich Jay be lOre restrictive than City
regulations. fbe undersigned asSUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake 1fOrt, 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 JaY be
cited for a lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requirl!lents JaY apply for the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813)
788-6611.
FurtherJOre, if the owner bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
.Contractor Sections" of this application for wbich 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 1fOrk. If the contractor wisbes you to sign
as contractor that JaY be an indication that he is not properly licensed and is not entitled to peraitting priVileges in the
City of Zepbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of .Florida's Construction Lien Law - HOIl!OIIDer's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsUll!I' Affairs. If the applicant is lKlIeOne other than the
"owner", I certify that I bave obtained a copy of the above described dOCUJent and proJise in good faith to deliver it to the
"owner" prior to COlleDCeJeDt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify tbat all the infoIJation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developient.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has ~ced prior to issuance of a perlit and that allwrk will be perfoIJed to Jeet standards of all 1_
regulating construction, City codes, zoning regulations, and land develOpJeDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other govl!IDlental agenCies JaY apply to the intended work, and that it is
IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not li8ited to:
.. Deparblent of EnviroDlental Regulation - Cypress Baybeads, lIetland Areas and EnvirollleJltally Sensitive Lands,
lIater/llastewater TreatJent
.. Southwest Florida lIater ManageJeDt District - lIells, Cypress Baybeads, lIetland Areas, Altering lIatercourses
t AIIY Corps of Engineers - Seawalls, Docks, Navigable lIatenays
t DepartJent of Health & Rebabilitative Services, EnvirODJental Health Unit - lIells, lIastewater rreablent, Septic ranks
.. US EnvirODlental Protection Agency - Asbestos abateJeDt .
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 .cOQenSating volUJeu will be sublitted wbich is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued sball be construed to be a license to proceed with the wrk and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official fIOl 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 COIIeJlced within sil IOntbs of issuance, or if work authorized by the perait is
suspended or abandoned for a period ofsil IODths after the tile the wrt is co.enced. One 90 day eztension of tile, Iiy be
allowed for the perlit with fee charge of $15.00. The eztension sball be requested in writing to the Building Official. An
approved inspection lUSt be logged during each sillODth period, or the project will be considered abandoned.
IIARMING '1'0 0IfNER: YOUR FAILURE ro RECORD A NorICE OF COMMDCEJIBH'f MAY RESULt' IN YOUR PAYING 'fIfICE FOR IMPROVIIIBftS TO YOUR
PROPER'fY. IF YOU lJi!EMD '1'0 OBfAIlf FlIfAICIIG, CONSULT 1I1'IH YOUR LBJIDBR OR 11 Af'I'OIIDY BEFORE RECORDING YOUR IfO'IICE OF
COMHENCEMElft'. JOBS UJfDER $2,500 IN VALUE DO Nor NEED '1'0 RECORD AND POsr A uMorICE OF ClJIlENCEMEM!N.
.~~
~: OWIIIR 0
SrATE OF FLOR1DA
coum OF ~'JC:6::>
The foregoing instrument was acknowledged
before me this2.8 D:=to&~, 19-.&. by
,\.0 \..ll'J t1. K~u \~
~~is personally known/to me or who has
produced
as identification and who did/~t
~ake .oath:J). ~ ."",J
/]A J( ~ _Vl22IL.L.
( ure) .
~r~~
SIGNA : COJi!RAC'I'OR ,
~~O~F~C;C~
The foregoing instrument was aCknowledged
before me this2-R' ~ e-, 19.1L_ by
"~oeCK--r ~ !f:~
w!!!? is personall e or who has
proaucecr-
as identification and who did/did not
t~ an ""~,. t; r1
I< i-1Aj-~_f2i fJ'710
(Signature) I .
-
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
~~
Dl.Vi:J J';0l\:;JA
STATE OF PeORjDA
COM EXPIRES: MARCH 27, 2000
COM lIICC IW3432
~;:_ ~. . __,,~7D; l~~
~EXF~;;CS: MARCH 21,:iIDlIlt
L _..1 #CC 54ol3Z
DAVID ....
8TAlIIClI'''-
ClClM__...._
ClClM_"
G.l
1. ..;::.... I_I"::,,," J.. :. ..J 0 ..L ...... 1. .L C'1. ..:.' - ~ ~ J_ - " ..:. ':' u
r~i 'JJ..LLril~C DU1.L~lcro
r H'._,C. L'__'
11/:"::'/l';";'t, 0:3: ;:~I ~:l ~ 7:::233':'1
':, I L \iERC';';;1 :,',:.
PAGE 0:.
Pf:RMITrING APPROVAL FORM FOR SILVER ONtS
CITY OF ZEPHYRHILL5 BUILDING DEPARTMENT
.
TO Whom it May Concern:
Please be adv15ed that the tull Bet ot Conetructlon plan.
including site or plot p14n has been submitted and approved
by thQ D.R.C. committee for:
bA'-( V \ l.Lf"&';;~ Bu. L (J~ 1 TN~
8UILO!~
\ q lP 5: I b II'V-u:'- 1), \)ClW ~ b ,-\1 'b
STREET ADDRESS .
q9\~ t~Cc~
PHONE
"'\ A M. ? t:;..,
CITY
t:L.,
STAT!
~'l.l.,4r
ZIP
FOR:
3
. LO'1' f
L I\vJlE' L W DO D
PHASE
I
E)......r \J 1u...A~~ BL t)fL S T~ C-
OWNSR "AMI
JI- \ ~.- 91t7
DATE SUSMI'M'EO
\\- l4 -<1<."
~DATE APPIWVED
"7l1eA
/~~7Y ~ ~
APPROVED BY:
~n,I-'i',ili'.'(l( il!.'.: ti'~ I.H,"
(I()!'il: :, 'i Ii! ' , I ,r ; i
i'); J I'tf':" , ,-' ,"'; i i.'!-:'~ II i J .1!_.1\..![!'
I', 1 (',i )1-'(\
i-',Ij,:': "'[ ,1"1,-,
"l".I,r 'j:,-!,
" ; 'I ,I Ii' 1\1 I' 'I:, ''''
; j i i f H
il; ,_ Ii!
i /~
l \'q'~i!"'i'J \' (iL.l ;,11 k! i"
p 11':;(' _:'i" ','" :"
; 'I
I"~ /1 ._n; 1 ' i ,', j "! ~, '1
'.. rn' hi! [\('d '""i::: [,,'i i.i ; i', II,
I '\i ii, I 'Ii':" i'''j "1",;: 'i'J
',_''I,
i.
I: I
',I
: II'!:I!:
i ~. i ' r j I',
g//IU
I-::I:-(:C J 'V'! r' rr/
'Iii ,
'.,' ;
)1(\1
o 'f,' 14/ '~) ; ''1 I hE: : l.i_ ~ :,::1.
FIIC)F: 1 CII::: -'-
i-,'- ill- ',d-T - i: C:F ~ 1_._
i:ll E [F T j\!I-,i'lrn'~;: OO:::::? 1 ::::() ii,
',,'; f ; ',1-:. L()hILi II Lf''d<T_~::,
,"" .Ii). \ 'i '! I I f'(
'h
i,' i.~' ! r I,' (1 i_ -,; ',,: 'I () ,--::: I '1 ('I
t'" I I
("~ i \ <'1i..1 i..! 'J
,,:> .' ' ~ : ::'" ~
': ,; " ~:;: 1)
)'i-,'> I:; J iT I e!j\I/ FE}?i-1T \IfnI) DFucr;:
, >" ,- (,' Jj .1 n V!(l~:::; TI:: FEE (.0
, )' )'" " (:;;.-,1. I: U 1_,.)('1':::T C FEE (,0
PASCO COUNTY, FLORIDA
Builde, Name/Owne, Nmne ~;y ;:~~
County Parcel No. <3-~6 - ~ __Q~_{) tJ?JQ - D ...3/0 L3
Location --'.L Y lJ J ~~.L.A. /i~, c'.tV /_______~ Subd.
ClassificationlType of Use K~--.----~.
Permit No. 6;;L 7' J... 11
Date Permitted _ / J ---/0' -,9-t,
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT D
Rate $
Zone No.
Sq. Ft./Unit
Prepared By
Impact Fee
The above impact fee has been established pursuant to the Pasco Countyransportation Impact Ordinance as adopted
by the Board of County Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy
or authority to utilize the permitted structure.
RESOURCE RECOVERY ASSESSMENT
EXEMPT 0
RESIDENTIAL
NONRESIDENTIAL
No. Units
I
Gross Sq. Ft. (GSF)
Rate/ERU - 52.00/Year
or $0. I 42/Day
ERU Assign No.
Assessment - (No. Units) x ($0.142)
x (No. Days)
~2~
Assessment -
(GSF) x (ERU) x (0.142) x (No. Days)
100
TOTAL FEE $
TOTAL FEE $
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
HA VE 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
TRANSPORT A TlON REC. NO.
RESOURCE RECOVERY REC. NO.
DATE
DATE
BY
BY
White
Applicant
Canary
T rans/Fi nance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce
PC931130941A
11"
95.78' --
1
t
9'-4'
61.08'
91.76'
I
10' -
\\
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