Item T05
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: November 19. 2008 Division: Growth Management
Bulk Item: Yes - No ~ Department: Planning and Env. Resources
Staff Contact: Tiffanv Stankiewicz. Ralph Gouldy
AGENDA ITEM WORDING: A public hearing to consider a request for Administrative Relief for
Andrew M. Tobin on Lot 7, Block 8, Largo Beach, Key Largo, Real Estate Number 00477860.000000.
ITEM BACKGROUND: A building permit was applied for on 6/2/2003 and a ROGO application was
applied for on 7/14/2003. The applicant applied for administrative relief on 10/1 0/2007 and is within
the allowable time frame to be eligible for administrative relief under Section 9.5-122.2(f) of the
Monroe County Code.
Staff recommends that administrative relief be awarded in the form of one (1) dwelling unit
allocation.
PREVIOUS RELEVANT BOCC ACTION: At the August 20,2008 BOCC meeting; Mr. Tobin
requested that this item be contiftued to the November 19, 2008 Board meeting.
CONTRACT/AGREEMENT CHANGES: N/A
STAFF RECOMMENDATIONS: Approval in the form of one (1) dwelling unit allocation.
TOTAL COST: N/A BUDGETED: Yes N/ A No -
COST TO COUNTY: N/A SOURCE OF FUNDS: N/A
REVENUE PRODUCING: Yes - No - AMOUNT PER MONTH_ Year
-
APPROVED BY: County Atty X- OMB/Purchasing N/A Risk Management _N/A_
DOCUMENTATION: Included X Not Required_
DISPOSITION: AGENDA ITEM #
RESOLUTION NO. -2008
A RESOLUTION BY THE MONROE COUNTY BOARD
OF COUNTY COMMISSIONERS APPROVING THE
REQUEST FOR ADMINISTRATIVE RELIEF MADE BY
ANDREW M. TOBIN ON PROPERTY DESCRIBED AS
LOT 7, BLOCK 8, LARGO BEACH SUBDIVISION, KEY
LARGO, RE # 00477860.000000 IN THE FORM OF ONE
(1) DWELLING UNIT ALLOCATION AWARD.
WHEREAS, Andrew M. Tobin submitted an application for administrative relief
under Sec. 9.5-122.3 of the Monroe County Land Development Regulations; and
WHEREAS, the Monroe County Board of County Commissioners makes the
following fmdings of fact and conclusions of law:
1. The application for administrative relief from Andrew M. Tobin is for
Lot 7, Block 8, Largo Beach Subdivision, Key Largo in Monroe County,
Florida having RE# 00477860.000000.
2. The date of the ROGO application is 7/1412003.
3. The ROGO allocation application has been in the ROGO system for at
least four (4) consecutive years and qualifies for administrative relief
under Policy 101.6.1 of the Monroe County Year 2010 Comprehensive
Plan.
4. Monroe County Code (MCC) Section 9.5-122.3 provides a mechanism
whereby an applicant who has not received an allocation award in
ROGO may apply to the Board of County Commissioners for
administrative relief.
5. The Board of County Commissioners (BOCC) has the authority to grant
administrative relief under Section 9.5-122.3(f) and may grant the
applicant a building allocation, offer to purchase the property at fair
market value, or provide such other relief as may be necessary and
appropriate.
6. The applicant applied for administrative relief on 10/10/2007, under
Section 9.5-122.3 of the MCC and Policy 101.6.1 of the 2010
Comprehensive Plan.
7. Policy 101.6.5 of the 2010 Comprehensive Plan provides criteria to be
used for determining lands that are appropriate for acquisition and the
criteria includes the environmental sensitivity of the vegetative habitat
on the lot and the applicable Tier designation.
ADMINISTRATIVE RELIEF REsOLUTION Page 1 of2
RE# 00477860.000000
03302479
8. The subject property has the land use district designation of Improved
Subdivision (IS), is located in the Largo Beach Subdivision and is
located in a Tier 3 designated area.
9. The applicant requested this time to be heard at this meeting instead of
the August 20, 2008 meeting.
NOW THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY, FLORIDA:
Administrative relief is granted to Andrew M. Tobin, for Lot 7, Block 8, Largo Beach
Subdivision, Key Largo in the form of one (1) dwelling unit allocation, subject to the
following conditions:
1. The timing of the issuance of the permit shall be in accordance with the annual
number of residential allocations defined by Policy 101.2.13 of the Monroe County
Year 2010 Comprehensive Plan and as required by Section 9.5-122.3 of the Monroe
County Code.
2. The allocation award shall be taken out of the next quarterly allocation which closes
on 01/13/2009 or in the succeeding quarterly allocation period in which
administrative relief allocations are available.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe
County, Florida at a regular meeting held on the ~ day of November, 2008.
Mayor -
Mayor Pro Tern, -
Commissioner -
Commissioner -
Commissioner -
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
BY
Mayor
(SEAL)
ATTEST: D~L.KOLHAGE,CLERK
DEPUTY CLERK
ADMINISTRATIVE RELIEF REsOLUTION Page 2 of2
RE# 00477860.000000
03302479
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MEMORANDUM
MONROE COUNTY PLANNING & ENVIRONMENTAL RESOURCES DEPARTMENT
We strive to be caring, professional and fair
To: Monroe County Board of County Commissioners
From: Tiffany Stankiewicz, Sr. Planning Technician viS
1 Ralph Gouldy, Sr. Administrator Environmental es ces 4-
Through: Townsley Schwab, Acting Director of Planning & Environmental Resources-r>
Date: July 23,2008
Subject: Request for Administrative Relief for Tobin
Lot 7, Block 8, Largo Beach, Key Largo, Real Estate No. 00477860.000000
1 I. BACKGROUND
2
3 The applicant is eligible for Administrative Relief, has complied with all requirements ofthe
4 dwelling unit allocation system, has been considered in the first sixteen consecutive quarterly
5 allocations and has not received an allocation award.
6
7 Date Entered ROGO: 7/14/2003
8
9 Date Entered Administrative Relief: 10/1 0/2007
10
. 11 Tier Score: 36
12 Tier 3: 30
13 Perseverance: 6
14
15 II. CURRENT CONDITIONS
16
17 Location: Lot 7, Block 8, Largo Beach, Key Largo, Real Estate No. 00477860.000000
18
19 Owner: Andrew M. Tobin Applicant! Agent: N/ A
20
. '.21 Land Use District: Improved Subdivision (IS) FLUM: Residential Medium (RM)
:"" 22
-. 23 Tier: 3
24
25 2007 Taxable Value: $59,154 Purchase Price in 2006: $310,000
26
27
28
Page 1 of2 Reviewed b~
03302479
1 III. LEGAL ELIGIBILITY AND OPTIONS
2
3 Eligibility for Administrative Relief Options:
4 Section 9.5-122.3 of the Monroe County Land Development Regulations and Policy 101.6.1 of
5 the 2010 Comprehensive Plan provides a mechanism whereby an applicant who has not received
. 6 an allocation award in the ROGO system may apply to the Board of County Commissioners for
7 Administrative Relief. The applicant is eligible for Administrative Relief having complied with
8 all requirements of the dwelling unit allocation system and having been considered in at least the
9 first sixteen consecutive quarterly allocation periods, and not having received an allocation
10 award. The application was timely submitted for administrative relief in the form of one (1)
11 ROGa allocation award and has not expressed a desire to sell the property to the County.
12
13 Relief Options under Administrative Relief:
14 The remedies available for Administrative Reliefpursuant to Section 9.5-122.3 includes:
15
16 a. Offer to purchase the property at its fair market value as its preferred action if the
17 property is located within: a) a designated Tier I area; b) a designated Tier IT area
18 (Big Pine Key and No Name Key); c) a designated Tier ill-A area (Special
19 Protection Area); or d) a designated Tier ill area on a non-waterfront lot suitable
20 for affordable housing.
.' 21 b. Grant the applicant an allocation award for all or a number of dwelling units
22 requested in the next succeeding quarterly allocation period or extended pro rata
23 over several succeeding quarterly allocation periods as the preferred action for
24 buildable properties not meeting any of the criteria in (1) above.
- 25 c. Suggest or provide such other relief as may be necessary and appropriate.
26
27 In the event purchase is recommended and the owner refuses the purchase offer, the
28 applicant may remain in the ROGO System and continue earning perseverance points
29 according to the vesting provision of Tier Ordinance 009-2007.
30
31 IV. RECOMMENDATION
32
33 It is recommended that the Board of County Commissioners find that the applicant has met the
34 criteria and qualifies for Administrative Relief. It is further recommended that a Resolution be
35 prepared that establishes this relief awarding one (1) ROGO allocation in the next quarterly
36 ROGO allocation period which closes 10/14/2008, or a succeeding quarterly allocation period in
37 which administrative relief allocations are available.
38
'.
Page 2 of2 Reviewed by /j1
03302479
-------
II
Average Number of 8pec.. ~l:olrlng C:J J c::::J . _ , _ .
IpKIn Rlehnn. ..... ~ I c:::J 4 c:::J. _ I ~ ......_
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--
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1.J051:r.M-441
Environmental Resources
This map is for use by theMonroe
County Growth Managern~nt
/ /~/7 Division only.The data contamed
herein is not a legal repesental10n
. of boundaries, parcels, roads
, right of ways or other geographical
data.
~
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Page 1 of 1
Tezanos-Mayra
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From: Andrew Tobin [tobinlaw@terranova.net]
Sent: Friday, August 08,200810:18 AM
To: T ezanos-Mayra
Subject: Administrative Relief Permit 03-03-2479
Mayra;
This will confirm that the hearing on my application for administrative relief will be continued to the next
BOCC meeting in Key Largo, which is in November.
Thank you,
Andrew M. Tobin, Esq.
Attorney at Law
P.O. Box 620
Tavernier, FL 33070
305.852.3388
tobinlaw@terranova.net
This electronic communication, including any attachments, contains information from the law fIrm of Andrew M. Tobin, P.A. that may be legally
privileged, protected, confIdential, and/or exempt from disclosure under law. If you are no t the intended recipient of this message you are hereby
notifIed that any review, use, disclosure, copying, distribution, or the taking of any action in reliance on the contents of this e-mail or any
attachments is strictly prohibited.
10/2812008
Page 1 of2
Stankiewicz-Tiffany
From: Andrew Tobin [tobinlaw@terranova.net]
Sent: Wednesday, August 06,20084:32 PM
To: Stankiewicz-Tiffany
Subject: RE: Administrative Relief
Tiffany;
I cannot be at the bocc meeting in August. Please arrange a continuance.
Thank you,
Andy
Andrew M. Tobin, Esq.
Attorney at Law
P.O. Box 620
Tavernier, FL 33070
305.852.3388
tobinla Yi';terranova.net
This electronic communication, including any attachments, contains information from the law firm of Andrew M. Tobin,
P.A. that may be legally privileged, protected, confidential, and/or exempt from disclosure under law. If you are no t the
intended recipient of this message you are hereby notified that any review, use, disclosure, copying, distribution, or the taking
of any action in reliance on the contents of this e-mail or any attachments is strictly prohibited.
-----Original Message-----
From: Stankiewicz-Tiffany [mailto:Stankiewicz- Tlffany@MonroeCounty-FL.Gov]
Sent: Wednesday, August 06, 2008 2:39 PM
To: Andrew Tobin
Subject: RE: Administrative Relief
Hello,
As indicated in our conversation today. An allocation award was issued July 24, 2008 for building permit
application 03300799. The current owner is of the property is Jorge Sanabria. Therefore as indicated
this application is not scheduled to go to the Board of County Commission. however application
03302479 is scheduled for the Aug. meeting.
Take care,
Tiffany
From: Andrew Tobin [mailto:tobinlaw@terranova.net]
Sent: Wednesday, August 06,20081:39 PM
To: Stankiewicz-Tiffany
Subject: Administrative Relief
Tiffany;
I received my allocation award for Permit 03-3-0799. Therefore I have no need for
10/28/2008
Page 2 of2
administrative relief. Kindly cancel the hearing and return my application fee.
Thank you,
Andy
Andrew M. Tobin, Esq.
Attorney at Law
P.O. Box 620
Tavernier, FL 33070
305.852.3388
tobinla w(aterranova.net
This electronic communication, including any attachments, contains information from the law fum of Andrew M.
Tobin, P.A. that may be legally privileged, protected, confidential, and/or exempt from disclosure under law. If you
are no t the intended recipient of this message you are hereby notified that any review, use, disclosure, copying,
distribution, or the taking of any action in reliance on the contents of this e-mail or any attachments is strictly
prohibited.
10/28/2008
G 'Gi
b . "'..oil!:.
.
FOR DEPARTMENT ONL Y
. ..
Date of filing with the Planning
Director
. . APPLICATION FOR
ADMINISTRATIVE RELIEF
Administrative Relief fee: $760.00
Applicant is: IX Owner o Authorized Representative
Applicant's Name: Andrew M. Tobin
Applicant's mailing address: P.O. Box 620, Tavernier, FL 33070
,owner's name (if applicant is not owner):
Owner's address: Phone: 852-3388 Fax: 852-6957
(Please attach a statement authorizing representation of this application by someone other than yourself.
The statement should read: "I, (owner's name) authorize (individual you are authorizing to represent you)
to represent my property for this application for Administrative Relief"
RE# 00477860000000
Legal description (attach metes and bounds description ifnecessary): Lot 7 , Block 8,
Largo Beach Plat Book 1, Page 108 (,
, ,
.J~
Permit #: 03~2479
Date of most recent ROGO application: 7-14-03
What kind of administrative relief are you seeking? Building Permit
Additional Conunents:
NOTARY:
ST ATE OF FLORIDA Applicant's Signature
COUNTY OF Monroe
The foregoing signature was acknowledged before me this ~day of A ugus t ,20 07,
By And rew M. Tobin who is personally known to me or produced N / A
as identification, NOTARY PtJ81Je.STATE OF FLORIDA
Mycomm;ss;on exp;~ f~ ~ Pamela Piton
Commission # 00432329
Expires: MAY 22, 2009
Bonded Thru Atlantic Bondlna Co., Inc.
Signature of Notary Pu Ie, State ofFlonda
Pas" 2 or2
W"\Plannin,g\Workina: Foldcrs\Pclrick.N1cole\Plannina: Appliclllions\Adminislfillive Relier.doc
I liDS
Property Information for 1584401 til' Page 1 of2
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Under Florida law, e-mail addresses are public records, If you do not want your e-mail address released in response III a public records request. do not send electronic l1Iall
(0 this ~Illity, Insl~ad. contact thiS, ollicc by phone or In writing, F.S. 668.6076
ONLINE DATA CENTER
RECORDS SEARCH
PROPERTY INFORMATION FOR:
Alternate Key: 1584401
RE Number: 00477860-000000
I Print I[ Search Again ]
[ Ask Question about this Parcel ]
Property Details
[ Show Property Map ]
OWNER OF RECORD
TOBIN ANDREW M
PO BOX 620
TAVERNIER FL 33070
PHYSICAL LOCATION
KEY LARGO
LEGAL DESCRIPTION
BK 8 L T 7 LARGO BEACH-KEY LARGO PBI-108 ORIOI-1 10/11 I OR905-1290 OR2229-2428 OR2229-2429
SUBDIVISION:
LARGO BEACH
SECI10N, TOWNSIDP, RANGE
34 - 62 - 38
AFFORDABLE HOUSING No
MILLAGE GROUP
500P
[ Estimate Taxes ]
PC CODE
0000 - VACANT RESIDENTIAL
Land Details
LAND USE CODE FRONTAGE DEPTH LAND AREA
ZIOW - CONTIG SFR WATERFRONT 50 150 7500 SF
Miscellaneous Improvements
NBR IMPR TYPE # UNITS TYPE LENGTH WIDTH YEAR BUILT ROLL YEAR GRADE LIFE
I SW2:SEA WALL 50 SF 0 0 1975 1976 5 60
Parcel Value History
TAX ROLL YEAR BUILDING MISCELLANEOUS LAND JUST EXEMPTIONS (NOT TAXABLE
IMPROVEMENTS INCLUDING SENIORS)
2007 0 1,404 57,750 59,154 0 59,154
2006 0 1,125 57,750 58,875 0 58.875
http://www.mcpafl.orgldatacenter/search/record.asp 10/11/2007
Property Information for 1584401 - Page 2 of2
C\
.r~>
2005 , , , . -
2004 0 1,193 105,000 106,193 0 106.193
2003 0 1.238 185,063 186,301 0 186.301
2002 0 1,283 80,063 81,346 0 81,346
2001 0 1,305 65,025 66,330 0 66.330
2000 0 390 65,025 65,415 0 65,415
1999 0 1,870 63,750 65,620 0 65,620
1998 0 374 63,750 64,124 0 64,124
1997 0 374 63,750 64,124 0 64,124
1996 0 374 63,750 64,124 0 64,124
1995 0 374 63,750 64,124 0 64,124
1994 0 374 60,000 60,374 0 60,374
1993 0 374 60,000 60,374 0 60,374
1992 0 374 60,000 60,374 0 60,374
1991 0 374 60,000 60,374 0 60.374
1990 0 374 48,750 49,124 0 49,124
1989 0 374 48,750 49,124 0 49,124
1988 0 374 33,750 34,124 0 34,124
1987 0 374 33,750 34,124 0 34,124
1986 0 374 22,500 22,874 0 22,874
1985 0 374 22,500 22,874 0 22,874
1984 0 374 22,500 22,874 0 22,874
1983 0 374 19,980 20,354 0 20,354
1982 0 374 19,980 20,354 0 20,354
Parcel Sales History
NOTE - OUR RECORDS ARE TYPICALLY TWO TO THREE MONTHS BEHIND "'ROM mE DATE OF SALE, IF A RECENT SALE DOES
NOT SHOW lJP PLEASE GIVE OUR OFFICE TIME TO PROCESS IT.
SALE DATE OFFICIAL RECORDS PRICE INSTRUMENT
BOOK/P AGE
07/2006 2229/2428 310,000 WD
This page has been visited 7,399 times.
http://www.mcpafl.org/datacenter/search/record.asp 10/11/2007
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ANDREWM. TOBIN, PA
Attorney at Law Land Use & Zoning Law
Post Office Box 620 Environmental Law
TobinLaW@Terranova,net Tavernier, Florida 33070 Administrative Law
Appellate Practice
Telephone 305-852-3388 Real Estate Closings
October 10, 2007
Director of Planning
Monroe County Planning Department
2798 Overseas Highway
Marathon, Florida 33050
Re: Tobin - Administrative Relief
Lot 7, Block 8, Largo Beach
Dear SirlMadam;
Please find the following documents enclosed:
. Application for Administrative Relief
. Check # 8835 in the amount of $760.00
If any further documents are required, feel free to contact our office.
Thank you for your cooperation.
Sincerely,
\V~~
Pamela Piton
Legal Assistant
MONROE COUNTY ***LIVE***
Item 1 of 1 PERMIT RECEIPT OPERATOR: colej
COpy # : 1
Sec:34 Twp:62 Rng:38 Sub: Blk: Lot:
RE: . . . . . . . .: 00477860000000
DATE ISSUED.. .....: 10/10/2007
RECEIPT #... ... ...: 104460
REFERENCE ID # ...: 03302479
SITE ADDRESS.....: BK8 LT7 LARGO BEACH
SUBDIVISION...... :
CITy............. :
IMPACT AREA ......:
OWNER ...... ......: TOBIN ANDREW M
ADDRESS .... ......: PO BOX 620
CITY/STATE/ZIP ...: TAVERNIER, FL 33070
RECEIVED FROM ....: ANDREW M. TOBIN
CONTRACTOR .......: LIC #
COMPANY ..........:
ADDRESS .......... .
CITY/STATE/ZIP ...: ,
TELEPHONE ........ .
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
--------- ------------- ---------- ---------- ---------- ---------- ----------
1- A PLAN FLAT RATE 1. 00 100.00 0.00 0.00 100.00
1- 0 EDUC FLAT RATE 1. 00 2.00 0.00 0.00 2.00
1- 2B APPL FLAT RATE 1. 00 750.00 750.00 0.00 0.00
1- 3 BLDG SQ FT 100.00 25.00 0.00 0.00 25.00
1- BIO EDU FLAT RATE 1. 00 2.00 0.00 0.00 2.00
:-21B FILL FLAT RATE 1. 00 80.00 0.00 0.00 80.00
:- 0 EDUC FLAT RATE 1. 00 2.00 0.00 0.00 2.00
:- 1 MIN UNITS 1. 00 50.00 0.00 0.00 50.00
- 4A SERV TEMP SERVICES 1. 00 50.00 0.00 0.00 50.00
:- 4B SERV SERVICES 1. 00 50.00 0.00 0.00 50.00
,- 4J SUB SERVICES 1. 00 50.00 0.00 0.00 50.00
- SA MOTO MOTORS 2.00 100.00 0.00 0.00 100.00
- 9B A/C SYSTEMS 1. 00 50.00 0.00 0.00 50.00
DR 1-SFR FLAT RATE 1. 00 75.00 0.00 0.00 75.00
- 0 EDUC FLAT RATE 1. 00 2.00 0.00 0.00 2.00
- 2 2A/C SYSTEM 1. 00 65.00 0.00 0.00 65.00
- 3 DUCTW DROPS 1. 00 10.00 0.00 0.00 10.00
- 0 EDUC FLAT RATE 1. 00 2.00 0.00 0.00 2.00
- 2 FIXTU UNITS 3.00. 45.00 0.00 0.00 45.00
- 3A SEWE PER CONNECTIO 1. 00 50.00 0.00 0.00 50.00
- 6 APIPE CONNECTIONS 1. 00 20.00 0.00 0.00 20.00
- 6 DPIPE DOLLARS 4.00 48.00 0.00 0.00 48.00
- 0 EDUC FLAT RATE 1. 00 2.00 0.00 0.00 2.00
- 9A ROOF SQUARE FEET 1,689.00 50.00 0.00 0.00 50.00
1illON/NEW SQUARE FOOTAG 304.00 1. 52 0.00 0.00 1. 52
ECOV/NEW SQUARE FOOTAG 304.00 1. 52 0.00 0.00 1.52
JGO FLAT RATE 1. 00 200.00 200.00 0.00 0.00
JNING-032 FLAT RATE 1. 00 760.00 0.00 760.00 0.00
MONROE COUNTY ***LIVE***
tern 1 of 1 PERMIT RECEIPT OPERATOR: colej
COpy # : 1
Sec:34 Twp:62 Rng:38 Sub: Blk: Lot:
RE: . . . . . . . .: 00477860000000
REFERENCE TYPE FEE ID THIS REC
---------- ---- ---------- ----------
03302479 P B- A PLAN 0.00
03302479 P B- 0 EDUe 0.00
03302479 P B- 2B APPL 0.00
03302479 P B- 3 BLDG 0.00
03302479 P B- BIO EDU 0.00
03302479 P B-21B FILL 0.00
03302479 P E- 0 EDUC 0.00
03302479 P E- 1 MIN 0.00
03302479 P E- 4A SERV 0.00
03302479 P E- 4B SERV 0.00
03302479 P E- 4J SUB 0.00
03302479 P E- SA MOTa 0.00
03302479 P E- 9B A/e 0.00
03302479 P LDR 1-SFR 0.00
03302479 P M- 0 EDUe 0.00
03302479 P M- 2 2A/e 0.00
03302479 P M- 3 DUCTW 0.00
03302479 P P- 0 EDUe 0.00
03302479 .P P- 2 FIXTU 0.00
03302479 P P- 3A SEWE 0.00
03302479 P P- 6 APIPE 0.00
03302479 P P- 6 DPIPE 0.00
03302479 P R- 0 EDUC 0.00
03302479 P R- 9A ROOF 0.00
03302479 P RADON/NEW 0.00
03302479 P RECOV/NEW 0.00
03302479 P RaGa 0.00
03302479 P ZONING-032 760.00
TOTAL FOR 03302479 760.00
TOTAL PERMIT FEES 760.00
DATE........... . 10/10/07
TIME........... . 13:38
RECEIPT NUMBER. . 104460
JPERATOR ID..... colej
:HECK.......... . 760.00
TOTAL. . . . . . . . . . . 760.00
DATE IS ~D. . . . ~ . . : 10/10/2007
RECEIPT #. ....... .: 104460
REFERENCE ID# ... . 03302479
SITE ADDRESS ..... . BK8 LT7 LARGO BEACH
SUBDIVISION ...... .
CITY ...... . .... .
. IMPACT AREA
.... .
OWNER ............ . TOBIN ANDREW M,
ADDRESS .......... . PO BOX 620
CITY/STATE/ZIP ... . TA VERNI ER I FL 33070
RECEIVED FROM . . . . ANDREW M. TOBIN
CONTRACTOR .... . . , LIC #
COMPANY ....... . . .
ADDRESS ~ . . . . . . . . . .
CITY/STATE/ZIP ... .. I
TELEPHONE ........ .
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL'
---------- ------------- ---------- ---------- ---------- -....-------- ----------
---------- ---------- ---------- ----------
TOTAL PERMIT : 0.00 0.00 0.00 0.00
METHOD OF PAYMENT AMOUNT NUMBER
----------------- ------------ ------------------
CHECK 760.00 8835-TIB
------------
------------
TOTAL RECEIPT : 760.00
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