HomeMy WebLinkAbout04-3179
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
>BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3179
Permit Number: 3179 Issued: 6/22/2004 ;
Permit Type: NEW SINGLE FAMILY DWELLING:
Class of Work: 103-NEW CaNST DUPLEX 2-UNITI
Proposed Use~ DUPLEX I
Sq. Feet: Est. Value: .
Cost: 65,000.00 Total Fees: 2,852.75i
Amount Paid: 2,852.75 Date Paid: 6/22/2004,
Address: 4808 PLUM ST
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block:~ Section:
Book: Page: .'
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
I WATER CONNECTION RESIDENl
I RADON
f1;"~r--
'--;7 if- O~
...-r---,
.;;
. U T
II DUCTS INSULATED
FINAL MECHANICAL
: MISC
MISC.
MISC.
r ~_~~~WAY________MISC.__ . : MSC._________~IRE D_EPT.~INAL__~_~__n
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
I charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
PRE-SLAB
LINTEL
FRAME
INSULATION WALL
INSULATION CEILING
CONSTRUCTION POLE
PRE-METER
MISC
MISC
MISC.
L
2ND ROUGH PLUMB
WATER
SEWER
MISC.
MISC.
(a) Wrong address (b) Condemned work resulting. from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
.I_~J~?yment ofjn~~.9=io':.1}ee~ sh~1I bemade.bef()re any fUr-t:her_eermitswill_~e is~~ed t() the_ per~on owning same
"Warning to owner: Your failure to recorda notice of commencement -may resuIFln your paying twicefcir
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
~~for~_.rec~rdi!lg your notice_of ~~ml11enc:em~I1~:______________ __ ___ ~H
NO OCCUPANCY BEFORE C.O.
------.. ---~
CONTRAC~~URE - PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Alvin Bachtel Const.
A?li S..,.. At"", -"
LfffC f 11;I-rl/'- S T
SQ. FEET PRICE
MAIN OR LIVING: 1,000 $ 50.00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: - $ -
VALUATION $ 50,000.00
FEE SHEET $ 280.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 480.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 480.00
ELECTRICAL: $ 88.65
PLUMBING: $ 89.35
MECHANICAL: $ 71.50
RADON: $ 10.00
TOTAL $ 739.50
J
I
WATER METER:I $
IRRIGATION METER $
180~00 r
SEWER: $ 1,535.20
WATER: $ 398.05
IRRIGATION: $ -
TOTAL: $ 1,933.25
2,852.75 I
SUB-TOTAL $
$
$
$
722.00
703.95
18.05
o
.---=---...-------
1,588.00
1,572.12
15.88
T IF'S: $
99% $
TOTAL: $
5,162.751
. ,I
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-Q021
DATE REeE IVED
fano,/1t) t/
LEGAL DESCRIPTION: LOT(S)
/6;
PHONE CONTACT FOR PERMITTINc;(81 j) 9d.g-5(}~ /.
\~~"1<';':"? /~o(hfr:> I
, . PHON CR/3) 9d~- 5'LJe /
;' / 'l)e: )~., 'Yi) <l
SUBDIVISION /YJOO/'I"?(, Add/:f/;Ji/}
(ORTAIN FROM PROPERTY TAX NO~I~~l
OWNER'S NAME
) ,.
/~.,
JOB ADDRESS /..:: E.J/:
BLOCK ? [--
, ~J
PARCEL ID # / If '<-~(; <-~)/ . ()f)J/J ._,)5','->'00. /) j t ~)
WORK PROPSED: ~NEW CONSTRUCTION
o ADDITION
OALTERATION
o REPAIR
o INSTALL
o SIGN 0 MOVE 0 DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING '~MULTI-FAMILY 0# OF UNITS
o COMMERCIAL
o INDUSTRIAL
o SWIMMING POOL
o MOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMEN~ APPROVAL
DESCRIPTION OF WORK /ve(/./ f)J // I fl' ,. /~(111 / l' jl f;'(; (' df')t'1LP
BUILDING SIZE G? K .J '? SQUARE FOOTAGE ,:). I) (,) ,
HEIGHT
/5\
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENER~RMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. _ ~ de ". A{~
IF SIGN PERMIT ONLY (2) SETS, OF ENGINEERED PLANS REQUIRED. 1 'lJrjA/J'- \ I
PROPERTY SURVEY REQU::::::~:~:N::CTION~P!i~,~~# s
o BUILDING $ 6' (;', !) ()/) VALUATION OF TOTAL CONSTRQ~, n.~Jy~
o ELECTRICAL ~) () 0 AMP SERVICE~, FLORIDll.~9EY'~ (\1i=t ft\f"'E .C.
o PLUMBING
'0 MEcliAiuCAL
o GAS
o ROOFING 0 SPECIALTY
o OTHER
ftiFRAME
o STEEL
o OTHER
~r.;\<1~
r ,\ e(
\\ -JI \
$ -:;'/l~-I) /) _~L .
VALUATION OF MECHANCIAL INSTALLA'rION
TYPE OF CONSTRUCTION: 0 BLOCK
FINISHED FLOOR ELEVATIONS r;;' "(}'b..t/t' f\hii
",:{""; ')0 \
IS PROJECT IN FLOOD ZONE AREAD YES ~NO
BOrwtla
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CONTRACTOR ."SECTION
COMPANY ///'//1/7 i?rh-;/'Ie/ C?rlS//tA~/~,_:)i.7 1)~
STATE CERT OR REGIST # ~C/3C O&tJ;>'1(/
ELECTRICIAN
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COMPANY I I . .~"' /"'-'/ (' .
STATE CERT OR REGIST # . ['CEJOO ~5 /5(1
SIGNATURE
;~t, . .' w.~ ~HH HH W"WH'" HH7:7-:T"'V,,;:' 6;;''''' cirL-iCf Z b II e
PL~'~~. COMPAN~':> . - d,J1lbf~j ~."
SIGNATU";/~)i/lJ,( '(J h"c.A.. STATE CERT OR REGIST # . '- reO f:, '22 J.')
. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ,*! * * ** * * * ~ *1 * * *.. * * * * * .* * *
MECllANlCAL . ~ COMPANY H"-"" 1""]"'3. -/ ('-d,nS
II STATE CERT OR REGIST # c!v...IY/'3(P7"
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.?oli; Jlit111rl f/r/~i"1 Me-
l;lvCOMPANY
STATE CERT OR REGIST #
ement
~,
NOTICE OF DEED RESTRICTIONS ,
The undersigned understands that this permit may be subject to "deed restrictions" w1';'ichi'
m"y be more restrictive than City regulations. The undersigned assumes responsibility f"'"
.compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
tfth8bwner has hired a contractor or contractors to undertake work, they may be
to be licensed in accordance with state and local regulations. If the contractor is not.,
>Hcensed as required by law, both the owner and contractor may be cited for a misdemeano.
violation under state law. If the owner or intended contractor are uncertain as to what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have
contractor(s) sign portions of the "Contractor Sections" of this application for which th
will be responsible. If you, as the owner signs as the contractor, you are indicating t.
you, rather than the contractor, are responsible for the work. I f the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and
Mt entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
b. CONS'l'RUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided wi th a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "ow.ner", I cerify that
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to commencement.
. CONTRACTOR'S/OWNER'S AFFIDAVIT
certify that all the information in this application is accurate and that all
e done in compliance with all applicable laws regulating construction, zoning,
evelopment.
p~ication is hereby made to obtain a permit to do work and installation as ihdicated.
ertify that no work or installation has commenced prior to issuance of a permit and that:
11 work will be performed to meet standards of all laws regulating construction, City
odes, zoning regulations, and land development regulations in the jurisdiction. I also
ertify that I understand that the regulations of other governmental agencies may apply to
~he intended work, and that it is my responsibility to identify what actions I must take
~ in compliance. Such agencies include but are not limited to: *Department of
nvironmental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
nds, Water/Wastewater Treatment
out~west Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
';::~r~;~lqiA~:~:ers,seawalls, Docks, Navigable Waterways
epartment df'Health & 'Rehabilitative Services, Environmental Health Unit-Wells,
'. , ~
,stewater Treatment, . Septic Tanks
'Q.s. Environmental Protection Agency-Asbestos abatement
.~also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is
~erstood that a drainage plan addressing a "compensating volume" will be submitted whic
~ prepared by a professional engineer registered in the State of Florida prior to permit
sua nee .
~ermit issued shall be construed to be a license to proceed with the work and not as
thority to violate, cancel, alter, or set aside any provisions of the technical codes,
~ shall issuance of a permit prevent the Building Official from thereafter requiring
~rection of errors in plans, construction, or violations of any code. Every permit
~l1ed shall become invalid unless the work authorized by such permit is commenced within
I months of issuance, or if work authorized by the permit is suspended or abandoned for
liod of six months after the time the work is commenced. . One 90 day extension of time
be allowed for the permit with fee charge of $15.00. The extension shall be tequeste;
writing to the BUilding Official. An approved inspection must be logged during each$lt
th period, or the project will be considered abandoned. _
NING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR .~
ING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUL~
. ",,"
H YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDERi~
i 500 IN VAWE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
'rATE: OF FLO~1pl\__
OUNTY OF m-:;Cc
e foregoing instrument wa1S -~cknowledged
fore me this ~ day of)._~........_, 20L..<'
~ P
(name of person acknowledged)
Who is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing ins~JtJ.ment: wa~cknowledged
Before me this ~ay of . . ~ - <. ~, 20
by
)
.~ho
(name of person acknowledged)
is personally known to me, or
Dwho has produced.~
./) . (type of identification)','
and who ~did Q;;iJ.,c;t.....n()t take an oath;,
I. )
) '---~'-'
"
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Signature of person
.i
NOTICE OF COMMENCEMENT
11111111111111I1/11I/11111I//1/111/111//1111111111/11/111111
2004103922
State of FLOrida
County of
Pasco
THE tmoERSIGNED hereby gives notice that improvement will be made to c~rtain
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 No. /i-/-;;}C:,.;) / -00/ 0-- 03S()O~O/60
tol" .S/"r7t"e'M /:1 Siocl-r 35 7:" ,t?J,)OI't"J. /lJd/oft'.:,"J 1.2 .;../'e 7OtHI1. ()"i' <f'J'11 V'hll/J'
(Legal descrlptlon of t e property an street a ress laval able)
2.
General Description of Improvement
Yew
mu/~/- MM/1/It/ R"o.s'/dencE'
/ .
Rcpl: 788254 Rec: 10.00
os: 0.00 IT: 0.00
06/04/04 Dpty Clerk
3 .
O\'mcr Information: Name l3or..I?7r7V'
~
/J"?C,
;Ov"'O):,) py 1/ ~r
/
!\ddress /dS.2 L/~/"Yr<;l:l'Ji"'J /(,1. City L t/7-Z
Interest in Property: l!I~w mu/I/~ /'anti Iv
I
State
~L;
33S~S9
Name of Fee Simple Titleholder:
(If other th~n owner)
rp.s"/d~r7C CO
~~90~~~~MAri: f~:;O fOUNToY' CL"ERK
OR 81< 5885 PG 1363
Address
City
Stilte
Contractor: NLlme Alv/f/l l:3or:h/~1 COY1S'frvC~/'of'7 . Tnc.
AJdress/.2"5d L/l/lnj's-/L7n A'tiCity L.t/lz:.. State FL._
<-535 !J'"'9
5 .
Surety: NLl/ne
Address
City
State
Amount of Bond: S
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whom
notices or other documents may be served as provided by Section
713.13(1)(<1)(7), florida Statutes:
me
Address
City
State
8. In addition to himsE'lf, Owner designates
of to receive a copy ot '._
Lienor's not ice as prov idedlri Section 713.13 ( 1 ) (b) , Florida Sta tl; ~.(:~"
(). ['Xp.J..rn.t .l'in dflte of rlutlce of Commencement (t.he explrati.011 dat.e i.s 1 "ed!:
fr'".)m the dLlte of recording unless a different date is specified.) J
llblic:
ibcd before me this 1'~A .day of
ijebecca N.~~~
s ion Expi res: 6 - /f -t7<j
SiCJ:la t u re of OWne r:
Sworn to
20 () '-I
Nottl
7
My c::;
PC9305304a/A
~v. '
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THIS INSTRUMENT PREPARED BY:
RECORD AND RETURN TO:
111111111111111111111111111111111111111111111111111I111I1111
2004102123
Rcpl: 787621j< Rec: 10.00
OS: 84. 00 .f }f';, IT: 0. 00
06/02/04 '=-'-,~___ Dpty Clerk
~~""'--'
All Real Estate Title Services, Inc,
4032 Land-O-Lakes Blvd.
Land-O-Lakes, Florida 34639
Property Apprnisers Parcel Identification
(Folio) Numhers: 14-26-21-0010-03500-0160
Gmntee SS #:
JEO PITTMAN PASCO COUNTY CLERK
06/02/04 1 i : 21am 1 lOfS315
OR BK 5881 PG
L2 '\ /', .')
.... )L;C' C/
Space Above This Line For Recording Data
THIS WARRANTY DEED, made the _ day of May, 2004 by WILLIAM A. SWANSON, AS TO HIS
SEPERA tE NON-IIOMESTEAD PROPERTY, herein called the grantor, to BACMAR PROPERTIES, INC., A
FLORIDA CORPORATION, whose post office address is 3633 GREA TWOOD COURT, LAND 0 LAKES, FL. 34639,
hereinafter called the Grantee:
(Wherever used haein Ihe lerms "granlor" and "gl'anlee" include alllhe parties to Ihis instrument and Ihe heirs, legal represe11lalives and
assigl1.~ o( individuals, and Ihe successors and assigns of cO/poralions)
WIT N E SSE l' II: That the grantor, for and in consideration of the sum of TEN AND 0011 OO'S ($1000) Dollars and other
valuahle considerations, receipt whereof is herehy acknowledged, herehy t,,'Tants. bargains, sells, aliens, remises. releases.
conveys IUld confirms unto the gnmtee all that certain land situate in PASCO County. State of Florida. viz..
LOT SIXTEEN (Hi), IN BLOCK THIRTY-FIVE (35) IN MOORE'S ADDITION TO THE TOWN OF
ZEPJJYIUIILLS, AS THE SAME IS SHOWN ON PLAT OF MOORE'S ADDITION RECORDED IN THE
PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
TonETIIER, with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining.
TO I1A VE AND TO HOLD, the same in fee simple forever.
AND, the grantor hereby covenants with said gnmtee that the grantor is lawfully seized of said land in fee simple; that the
grantor has s good right imd lawful authority to sell and convey said land, and hereby warrants the title to said land and will
defend the same against the lawthl claims of ail persons whomsoever; and that said land is free of all encumbrances, except
taxes accruing subsequent to December 31, 2004.
IN WITNESS WIIEREOF, the said gnmtor has s signed and sealed these presents the day fUld year first above written
sealed and delivered in the presence of:
,,/ (, I ~
~L..~~.'~~__c",-_,:1...L..'~~{ i
Witlll'ss #1 Signature
/\,.';~/~1',/;,"..~1) '''\' It t~,.")"l:'ii.: ~~
.~ ''''; .~ss # 1 Printed Name
'.1
l~P/I' ::. '(.)
WILLIAM A. SWANSON
PO BOX 42, SOUTH GIBSON. PA 18842
~,,'''',\ .. . ~" .J.'.,>.... \j ',~".' ":'-';-'''-~i..~ '\" \,
:..;);;ll. ' f . :' '.1 .
Witness #2 Signature
,S: '~~ /,f~, , -./ ' :Ii~ .:.:' /,1/. /__
Witnes~ #2 Printed Name
I
I
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STATEOF I I I
COUNTYOF~.:
.' ; . ; \i! ~,
The foregoing instrument was acknowledged before me thi~
personally known to me or has s produced. f \' j) 1(':. '..j;, '..1. I .....1 \, r
day of May, 2004 by WILLIAM A SWANSON whu is
..;", I ,'~lS identification.
SEAL
, .
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... L. 1 I !,J.. " \. ( it'.j '. i, ,.
Notary Public
File # 04334
U\lII11f"!l
COMMO Wt:AIcTH u~'p NSYLVANIA
"", ",.~ Notarial Se~ ;""
.~~ Jgjme ~:fVfaster$: Notaf.YJ\Jblic
~!!gl3waMr Twp., SusQUeha'!Cla,County
!\'o/Conimissiorll~xpires Deo.d5, 2007
Me~ber1 i='ennsylva a Associati?Q Of Notaries
"J I ( "
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/" /:'j
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Printed Notary Name
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111"1I1111\\\\
STATE OF FLORIDA
COUNTY OF PASCO
THIS is TO CERTIFY TIIAT rHE FOREGOiNG IS A
TRUE AND CORRECT COpy OF THE DOCUMENT ON FILE
OR OF PUBLIC RECORD IN THIS OFFI~E. ;[NESS MY
HAND AND OFFICIAL SEt\L THIS'??/) . DAY OF
~J u'lYZ; ._ 2(di.:t!(
JED P'VNi.f\I\I, CLERK OF CIRC,UI,T COURT
BY g.&:&lifL:lLu&--.. DEPUTY CLERK
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PERFORMANCE BUSINESS PRODUCTS. INC. 8'13-719-8008 Ffo.X 813-719-7919
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CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
WATER ACCT. NO.
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DATE
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OWNER/; .
RENTER n I 'f i vI.
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1-.:. r >- -;::-- ,~/lJJ.;"'"
SERVICE ADDRESS ; Y' '-
~. .
SHUT OFF SERVICE 0
TURN ON SERVICE Q
!NSTALL METER &/
READ METER !1
I....J
CHECK METER 0
OTHER 0
).--./.
r.
: . tJ
Q WATER
o SE'lVER
o GARBAGE
C}/ iN CITY
,...,
LJ OUT CITY
_ No. OF UNITS
- DEPOSIT AMOUNT
- AMOUNT LAST BILL
.... /(" p"- .,-";-",.,,".. (~',,--
~\_.,''-''-':'''' ---
_ DATE
_ MISC. CHARGE
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
.... 7 ,n
c.r--
v _
1
')RDER GIVEN BY
~.-f
Retain white form," office at all times. ,..
Send pink &. yellow 'arms '0 .Nater Service ~
Water Service :)ept :0 sign lellow 'arm .~tlJtn to office.
.. .
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Permit No. ____~ 7 :;
Date Permitted
/3~c /'MAr- t/-o~T!le5 .7:;r. Control #
County Parcel No. LLj -2/, -2./- ()tl(D - n ::5 560, 0 If;, 0
Address/Location ___Lt (j-fJ,~ ?/Ulh sT.
Classificationnype of Use /) I) ().J 6y
. I
TRANSPORTATION IMPACT FEE Rate:
Exempt 0 Yes ~ How Determined
Impact Fee Amount $ /5 tf' g7-- Zone No.
t
SubDiv:
-.----
Sq Ft Unit:
TAl:
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House
(057) Mobile Home
(058) Other Residential
J'12~~) Collection Fee
Exempt LJ Yes ~ How Determined
Amount $ -____..22,2 . _~_~'__
---.-----------
PARKS AND RECREATION FEE
Land Account Land Credit
-....---
Land Tota
Recreation Account
---.----.-.---
Recreation Total
Zone ____
Exem~o
~
LIBRARY FEE ~
Land Account ________ Land Credit~
Facility Account _~ Credit
-.---..--
TOTAL AMOUNT
$
How Determined
Land Total
--------.--------
Facility Total
Exempt
o No . How Determined
-----
SOURCE FEE
TOTAL AMOUNT
Total Amount
1 \ t(P
ERU
Prepared By
Checked By
NO r.F~TIFI~J1TI= (''II: f'\('f"IID^t>',",VUlIII. ...... ...........__ #0__..