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BUILDING PERMIT N!
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
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BUILDING
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ELECTRICAL
Date
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PLUMBING
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MECHANICAL
Sewer Conn ~.1l /7" -.-
Water conn:... ~z~o:
Water Meter: /h.-5"
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Parcell.D. # LJ'1/ 40 ri~ .- .::2.1- 0 It(-O - t?OOCJO- 0 ~~O
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FINAL
C.O.
Zoning:
Description of Work
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NO OCCUPANCY BEFORE C.~~. /?~ 7-/7'91
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Complete Plans, Specifications and Fee Must Accompany Appfidl(on.
All work shall be performed in accordance with City Codes and Ordinances.
Permit Fee
Signature
Company
Address
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, ELECTRICA";- &!~ 'I PL.UMBING-# ~ MECHA ICALo1O'
Tp. Servo SLB 3-1\ -Cf'l eL~ Breakers
Rough In I.klQ,ql'] rz.L~ Tub Set ~'Z5?..qreL..~ Ducts Insl. 4-2?-97t2~
Meter Can- Water Compressor
Const. Pole ~~-~q'T R~'6 Sewer :J/J'7/S 1 B: 'L Final '1.... (~- q '1 J2.-~
Pool Final ~- 111, ql 12-~
c{/~/cn (foB Pre-Meter V"I-lrJ,'Y1/ ~
I I Final
Driveway b/I~/'7 7 !J.11 B~ 3-4-'t'\ eL~
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Valuation o~ ~ 5~ 9/)'Z ~
Contract Price
City License Registration # J j .a..
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State Certified License#
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BUILDING
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FRM. If-eJR-q'1 eLl:b-
Insul. CL
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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: .'. . /1
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a. Wrong Address ~ 5-
b. Condemned work resulting from faulty construction. -;J ~
c. Repairs or corrections not made when inspection called. g~ . ~ "'97
d. Work not ready for inspection when called. .1-7-- r '/
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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CENtRAL PERMll1ING
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PASCO COUNTY, FLORIDA
Permit No.
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Date Permitted
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Builder NamelOwner Name
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County Parcel No.
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Location
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Subd.
Classitication/Type of Use
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT 0
Rate $
Zone No.
Sq. Ft./Unit
Prepared By
Impact Fee Amount $
The above impact fee has been established pursuant to the Pasco County Transportation 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
/
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)
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
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
TRANSPORTATION REC. NO.
RESOURCE RECOVERY REC. NO.
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DATE
DATE
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BY
BY
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
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PC93113094/A