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Home My WebLink About23-5589City of hilis 1 5335 Eighth Streett�w� Zephyrhills, FL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 03t1712023 Permit Building New (Commercial) jy� yy `icy �y 7557 Gall Blvd 34, l25 21 0190 00000 0030 v Name: WLN Zephyrhills, LLC Permit Type: Building New (Commercial) Contractor: PARK & ELEAZER Class of Work: New Construction CONSTRUCTION LLC Address: 3715 Northside Pkwy NW Bldg 400, Building Valuation: $225,000.00 Suite 515 Electrical Valuation: $30,000.00' 1A(t t 9; �30327 Mechanical Valuation: $12,000.00 Phone: {4%5347 I a Plumbing Valuation: $35,000.00 ' s Total Valuation: $302,000.00 ) t t Total Fees: $6,560.29 t Amount Paid: $6,560.29 e Date Paid: 3/17/2023 1:38:17PM i v \ \ il. t t :2 \ v ', v v . ti" y v \ V CONSTRUCT EXPRESS OIL LURE CHANGE 1438 SO FT r` �y Electrical Permit Fee $190.00 Mechanical Permit Fee $100.00 Public Safety Impact Fee (Non -Res) - Admin $24.30 Building Plan Review Fee $582.50 Building Permit Fee $1,165.00 Driveway Fee $45.00 Fire Plan Review Fee $43.14 Transportation Impact Fee - City $21.30 Plumbing Permit Fee $215.00 Electrical Plan Review Fee $95,00 Water Impact Fee $491.80 Public Safety Impact Fee (Non -Res) - Police $234.39 Plumbing Plan Review Fee $107.50 Address Fee $30.00 Impact Fee - Warehousing $2,130.00 Mechanical Plan Review Fee $50.00 Wastewater Impact Fee $1,035.36 EI SPECTIO FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c) the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection, whichever is greater, for each subsequent reinspectiona Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit required from other governmental entities such as water management, state agencies or federal agencies. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, NO OCCUPANCY BEFORE C.O. C.O.NO OCCUPANCY BEFORE f NTRACTO NATURE PERMIT VITHOUT APPROVED INSPECTION 0-�-71VQ-X0CUty of Zephyrhiifs Permit Date Rewimed I1.. -. W` %pr #itaow ttEtnbor simpleFee at 452� r game LC m ariirua JOS ADDR I Prang t).d Rai &eta 301, Zel WORK PROPOSED� Mw # iSTA,.L PROPOSED LtEE rPP 'P FL 33641 7495 Gall Blvd. RF RAME STEEL ;.P`S'c�'.�(£�'Tt$F>'o"WORK 8UiL blN 3,287 28 -8" P ?TAGS r _ BU GEC€ IONAT R Addrms VALUA:N*'N OF TOT AL CONSTRVOTlON V,._t,>,,r,rwOF�� t��._�.v�x>�5TALAT*N= COMPANY _ K 'j, % SAS Lkwift# I I - 1 -1 -s ') 1-4 -51 L CTRICW4 compmly t r I Yk Fri ' I SIGNATURE -IN fir& e s�rx f PLUMBER COMFY L �&1� ms Adore%s LAi COMPANY WGNATURE OTHER COMPANY RESK)ENTIA. Artadi�2t � Fka,vil miw's-,tELAdi:^QElam, (t)a c,.,,wTg o'--:R--Cis'"mot fw, mmzs, COMMERCIAL A () v eto t m r l Bukft P%m, ptusa Lffe W06;p Page", flT _a t a4Emqy was. F-04V tea ra�ff ior om wnmv<"zi wt NU'di r m wi (10) I keg atep arwm s "H„i ,'w"&, RoqLqr%�d, a'l o, COW"W�t, PMM, Sftmfwa FW4 wl Si )'Vom a ,% aeK j, sw t ty P iLf a & T drrs, ire --.,e iNIPonn,T: kw al new L: leck. A'� rep u smmm rnust mot com 0, 4'm,cc, tff oor sign badoA 4vuvIsm, A xw ized €i Wr 2500s 8 ftftO Of COVIN9 meat 6s s quir (AIC rip rjr � as r $7500} OVER HE COUNTER Pt i° t c ar ty ,,rF.r.. WARNING TO clvlvNER: YOUR FAILURE 4, NCITIC,-, OF CW IMA� RESL- !N PAY?NG TW&F FOR IMPROVEMENTS TO YOUR PROPERT!, �F YOU' H,,K""EtND'rC,', OBTA�N, CONSUL7 , "W N k" �4� E '14 . ..... . ...... . . ... . ............ ......... ....... . VN SIMS it S H AN 91 2025 ffaplap�* ZMNEME� • .11 Re: Take 5 Oil change building permit for Zephyrhills Jackie Boges <jboges@ci.zephyrhi11s.f1.us> Thu 2/9/2023 2:49 PM To: chuck@childreyrobinson.com <chuck@childreyrobinson.com> the plan review is complete . The GC is responsible for having all subs registered and signed onto the permit. I will not take any registration or signature from any sub, they must turn into the GC and the GC will then turn over to me for me to add to the permit. From: chuck Brummond <chuck@ chi ldreyrobinson.com> Sent: Wednesday, February 8, 2023 4:41 PM To: Bill Burgess <bburgess@ci.zephyrhills.fl.us>; Jackie Boges <jboges@ci.zephyrhills.fl.us> Cc: 'Bill Robinson' <bill@childreyrobinson.com> Subject: RE: Take 5 Oil change building permit for Zephyrhills EXTERNAL EMAIL c yvU ,troject. Please let me know if you need anything else at this time. HN-1111111 From: Bill Burgess <bbUrgess@ci.zephyrhills.fl.us> Sent: Thursday, January 12, 2023 3:45 PM To: Kevin Frazier <kevinf@ax-res.com>; Jackie Boges <jboges@ci.zephyrhills.fl.us> Cc: Rodney Corriveau <RCorriveau@ci.zephyrhills,fl.us>; Matt Coutu - mcoutu@woodlandam.com <mcoutu@woodlanclam.com>; Matt Wilson <matt@wdgrep.com>; 'Phillip Morrissey' <phi I @wdgrep.com>; Matthew Blair <matt@corcoranpartners.com>; bill@childreyrobinson.com; chuck@childreyrobinson.com Subject: RE: Take 5 Oil change building permit for Zephyrhills IM After checking with involved staff, we do not show a record of building plans being submitted for the project that you reference (quick lube). We have an approved site plan for the overall property. We have reviewed and approved plans for the carwash ... . and I have a shell building for lot #4 that's in review, 7495 Gall Blvd.....Thanks, Bill From: Kevin Frazier ij <kevinf@ x-rqs.coffi> — , L_ _ Sent: Thursday, January 12, 2023 1:26 PM To: Bill Burgess <bburggssC ci,zep )yLhills.fl.us>; Jackie Boges <jtLo_eq—cLz—ephyl_hills.fl us> _ Cc: Rodney Corriveau <Korrivea-uc �PcizePlYLhills.fl.us>; Matt Coutu - mcoutuC4L\Yood1andam.com — — — — — <rnc(2utu@woodlandarn,com>; Matt Wilson <1natt @wdgEep,�com>; 'Phillip Morrissey' <p r)2 LiL@ dgEepco >; Matthew Blair <nLt,-t@ _g LcLrcc�ranp tneCs -o bill hi1&eyLbiinson.cqrn; �hu�k@ hildreyLo in!joncorn _1[_�_M>; q— —_ - _hj_ -- VIEW ,.: ��„�t_t3 QtY Of t3 !t"itl$ PermitApplication . 00211s NOTICE OF DEED STRJCV Ns ; qviwsb,% do, UNLICENSED Cy C t£ ANC, ACT ASpONRISI E& I Ss , twm H � sinus;.; � ;rit" �3; u�,a��s � r"dc°giA*d to ,,M T"d Wth kilt&' e" oce cE#t i°, [+ea . if tLe C 'rT'aw �3 i Is "v 11 &�" I x M h + i , , 1� i i 3' t as rf;s�ss;:'sw C of : C'n�` r "t to w t , c sir ex, tewea m ac4or s neit ao to witizi weivii Cg M&Y Aectf, 10f too "WICK, they am aand ft, cosead gig Con �^ Coursf'BiAdirg inepimlim section 721'--SVKam. y € r t do"e'hft hi,"tid a mritnula, r r , s t a t 40"I Ir, h"m ffw v font F? bra p weTacurs=, "aartmdQr Of to awit t (mm € w w'lkh eley wN se Mponsllda'ifyou, n '�"V'r m, the Metot, ,y in, ,u a It"It s., is not peng feeno,< u s TRANSPORTATION IMPA'CTIUTILITIES IMPACT AND REMOURCE RECOVERY FEES, me unti is d r stst� i11-4: Trams gr'iatij s ioil slr Feam and dvoou s RcItram may owe, m Ife, crate€ ci n Onse, bwava, vine of Use a 4s a teAlinp, 0r ftparoiwa of ftiwv txas VD- as Sees fes to uaseo cones o ; € nier -7 enst 00-07, m ae midwi,The urwersigntw a crUtitR ar ' vl«- Fiffrs wmt be F- W' t as to r ar A %*dLt i o z"panzieor s�� i t s If ft pT ne s r C r ¢ i Me Witt a s rrarsst be €d pria f pe" vesce r awn wet Pef�, Ccaa::' v:,atz az w'e € p4e f w. nnt dut" thet mat ISsrt nr CONSTRUCTION LIEN.i6jCftg,,ii Fronde as n t rt d Wthe Cc, Y 0 the `Poeft n tCr MIjor, i n ��a�v � rk; rbx amr Qukto� the Medea Oepa+C�r tv of roc °tW aa �e M .x s v !ft`at tqgj F i, "%ftmv offm if"" ts,"k'ownwr , i cof3 fy ta,s, i ?Maas. itz I Copy df the abbe dhowibftl ems, np" 'i R�w' i IF veilve itto'iIM'nef to ink CONi` fir;' 3V WHERE A"IDAVi"F, e wilify Orn SI he € €=fin, i n =z mb, n€ s� lwmrwe mnc five y wwk- wA be doft aq mmptianw'ra M a +�?s `w.th3r � 'ii A,tw mmmetio n, mt "'S and i wf 'o t a t3 '�tY ia°ee°YYoy maoff v' muoin a, TSi a 'v �WB� . €�z" b".={` S I e �fiy limn �� swtbn Pas n€� �'e-c wx t sa me of a fk-� Ira 91 0 wank ME l 3 60ah I me,€ � fft r, Yon r t*f t,'cn z d or Cow*yaIff C sv a*'mZoning mgwmswmwid in t I ant, oeirify l ow 1 ."nexstan* a vi to e^�kvkn ovsi—psiment rn rr y M-pty to lh,� nt-& u "wr=mk, tnd <tff It, we €€ ,o,,.tr ti' W>,vt,'y MAt 90"o"nf, i nim tax )>_Ena<uur. € , ,64xt=�ta2 ,.,k b"to ,>.5 Uepaf'ttfisftt s,-f Envimntnenial r .r„'tttt tb0,n-%yP, ealm efts, Wetland Areas and E: rtv €ronmentail ens=t€v Lands, e%ia � A''rfe5te 3twr 1 raxVn nt out?1u' eSt Reside Wzdpp ft� � �tr� Y e ,,. O,-,s fcat e° ts: L yp $r ',Iyhe ds, )J%fefland At as, Ak rin r l�Jtesr� �ur��s. a< ra r y i,)rvs o �r,�iras as � ti t(3 , '?csk 'gavlgsdts 'Vtt nary,, DrPOIIM-M Or ,t"ealti" & Rehgb!!gHs;N': ,,, �<. ,i,,.=£„'C.; C€a3:. ,=a;+tra .t:i He a.i=`€ Ur1't-`v eN"Ic, "'Nastewiter Trs`.;c<.3=:*7 <::m Septic; Tanks, S Ervi,rmtt nt i Protr #ja. l A rr, Asp t, n aCm_"troent Use of $':li is not caflae,,e^ Flood Zoi. e "V' .,.?.,,.:: p cs:',y pe , t;w`�.7. I the ii! ari€A';aVtai is to 3h used A � � 3a � a 2. -� 1 -f C '. 4 € 3ii±t i"s "�:` that ` drai a, ja Sa{A E � n a o n e e'Sul e. t ._ r_e Of w ' I. Preva-red b3 a professionat Ong t.. e d by the Smote of Fiev, a' ts. <s'' a$ is to be -wed, ..od .. ,� 'c ,- oec x,.. u! �'�,. .._ jt l€ , c, ra„w'r'b z,r,. t _, tt.E��y t'73_ S .<.,. a _€..w�:.. �iE, i .t .w , tt.�,, ,€'€s'�s.C; 3� x matarm is t'l abt . >v ? `� r „`fit i ^;�4 , � : . , .,, 7,,, " r, , Ot r affect , ' ,. ;} €..., 1e54 c=.: "G.; ird ,� w-:Ga.l proaertte& If use of fill is founct to dvers-erect t t properties, DIE owner may be cited for vitetafing ate, coed llons at the., bukldirag Permit Issued under the attached Permit appflcafion, far fists i ss the t sans d1 sore which are elevated by fi�lF, n cued drainage plrt is �t�tr•ed it t dm the AGENT FOR T14E OWNED, i porriso In good hifth to "''neea e o ,o' of the PaI€u s M'di"61M ftltfoffth ar; ties affidavit Pror to `mHW =%VWQa ugle $bra srast � eepws,o piertmet to nxitr t for, act hoof ous€tom 5Grf,� W4pools stir 00MRMof m �tnv"'mt sps,-Moaiiv incudodk t4,c4p.:gymrn A �i-lz,,MdS"", bA, 'o t.;a, I-"'ctme =.0 wftii%auk nog, , nt' ti aX a n t aFz e arw as ,"o a s? ry *vom c §m. v a i -i s 3a e € n iexP"vem a"* t" a?z'V oft,"al rlmn e Fehr car y3h m c' �sx3ra'si -€p s>i�'r rr,r. rF K t4 mp; :i as, b a'.ti ( of � �a sw;=<a, x ate, r .:r .__. � ray , fen)ti.,. day. " t,N.rrn ",'I WARNING TO OWNER., YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR, PROPERTY. IF YOU MTEND TO OBTAIN FINANCING, CONSULT OWNER OR AGENT ffit Wns 01 Solot tore mm sC r _. ,"as m k MI a IWO M 811 �Lvl z"- Contractor/Homeowner: Date Received: Site: Permit Type: Approved w/no comments: Cl Approved w/the below comments: p Denied w/the below comments: El 15 NC-1 C—aoO) C2 J This comment sheet shall be kept with the permit and/or plans. Date Contractor and/or Homeowner Bill 9u r-gess B�i dingOfficial (Required when comments are present) N, 4" e j Q M "City of Zephyrhills Water and Sewer Impact Fee Calculation No. of Square Feet '1488 Impact Few" .1",Within City Limits Outside City Limits Water Facilities Capacity Fee $ 491.80 $ 614.75 Wastewater Facilities Capacity Fee $ 1,035.36 1,294.20 TOTAL k $ 1,527.16 $ 1 �,9 0 8. �95 At 0' . . ........ '4 . .. .... COMcheck Software Version COMcheckWeb Interior Lighting Compliance Certificate Project Information Energy Code: 2020 Florida Building Code, Energy Conservation Project Title: MARKET AT ZEPHYRHILLS LOT 6 Project Type: New Construction Construction Site: Owner/Agent: Designer/Contractor: Pretty Pond Road & US 301 JAMES F TURNER ENGINEERS Zephyrhills, Texas 33541 8340 MEADOW ROAD SUITE 160 DALLAS, Texas 75231 Additional Efficiency Package(s) Credits: 1.0 Required 1.0 Proposed Reduced Lighting Power, 1.0 credit Allowed Interior Lighting Power A B C D Area Category Floor Area Allowed Allowed (ft2) Watts / ft2 Watts 1-ELECTRICAL ROOM (Common Space Types: Electrical/Mechanical) 70 0.39 27 Total Allowed Watts = 27 Proposed Interior Lighting Power A B C D E Fixture ID : Description / Lamp / Wattage Per Lamp Ballast Lamps/ # of Fixture (C X D) Fixture Fixture Watt, 1-ELECTRICAL ROOM (Common Space TVDes:Electrical/Mechanical) LED: LlE: Other: 1 1 25 25 Total Proposed Watts = 25 Statement Compliance Statement: The proposed interior lighting design represented in this document is consistent with the building plans, specifications, and other calculations submitted with this permit application. The proposed interior lighting systems have been designed to meet the 2020 Florida Building Code, Energy Conservation requirements in COMcheck Version COMcheckWeb and to comply with any applicable mandatory requirements listed in the Inspection Checklist. James F. Turner, PE 8.15.2022 Name - Title Signature Date . ............. NO. 73441 STATE OF This item nay Been eteCtfoMcai7y signed anti sealed by lames F Tu— PE, on the pate sno.n onthe time Stamp using a (lig,tal slqQature Prinleil copies of tho clix:ument ale not co,wdefed si,qried and sealM aid the signilure must 6o S.'�verified 0i, a,,Y eleffomc __ Digitally signed by James Turner DN: c=US, st=Texas, I=Dallas, o=James F. Turner Engineers, cn=James Turner, email=jturner@jfte.com Date: 2022.08.15 15:23:05 -05'00' Project Title: MARKET AT ZEPHYRHILLS LOT 6 Report date: 08/15/22 Data filename: Page. 1 of 6 n1 lit:. Version : � m - Energy Code: 2020 Florida Building Code, Energy Conservation Project Title: MARKET AT ZEPHYRHILLS LOT 6 Project Type: New Construction Exterior Lighting Zone 2 (Neighborhood business district (LZ2)) Construction Site: Owner/Agent: Designer/Contractor: Pretty Pond Road & US 301 )AMES F TURNER ENGINEERS Zephyrhills, Texas 33541 8340 MEADOW ROAD SUITE 160 DALLAS, Texas 75231 Allowed Exterior Lighting Power A B C D E Area/Surface Category Quantity Allowed Tradable Allowed Watts Watts / Wattage (B X C) Parking area 40500 ft2 0.04 Yes 1620 Total Tradable Watts (a) = 1620 Total Allowed Watts = 1620 Total Allowed Supplemental Watts (b) = 400 (a) Wattage tradeoffs are only allowed between tradable areas/surfaces. (b) A supplemental allowance equal to 400 watts may be applied toward compliance of both non -tradable and tradable areas/surfaces. !• i i _:: • i • i w !1 A B C D E Fixture ID : Description / Lamp / Wattage Per Lamp / Ballast Lamps/ # of Fixture (C X D) Fixture Fixture Watt. Parking area (40500 ft2): Tradable Wattage LED: A/AE: Other: 1 1 30 30 LED: W/WE: Other: 1 8 34 272 LED: Sl: Other: 1 2 133 266 LED: S2: Other: 1 2 218 436 LED: S113: Other: 1 2 51 102 LED: D: Other: 1 3 30 90 LED: P: Other: 1 8 30 240 LED: T: Other: 1 1 160 160 Total Tradable Proposed Watts = 1596 Exterior Lighting Compliance Statement Compliance Statement: The proposed exterior lighting design represented in this document is consistent with the building plans, specifications, and other calculations submitted with this permit application. The proposed exterior lighting systems have been designed to meet the 2020 Florida Building Code, Energy Conservation requirements in COMcheck Version COMcheckWeb and to comply with any applicable mandatory requirements listed in the Inspection Checklist. James F. Turner, PE 08.15.2022 Name - Title Signature Date Project Title: MARKET AT ZEPHYRHILLS LOT 6 Report date: 08/15/22 Data filename: Page 2 of 6 1 !High Impact (Tier 1) Me ium mpact (Tier 2) 3 Low Impact (Tier 3) Project Title: MARKET ATZEPHYRH|LLSLOT 6 Report date: 08D5/22 Data filename: Page 3of 6 Mill C405.2.2. :Spaces required to have light- ElComplies Requirement will be met. 2 reduction controls have a manual �ODoes Not [EL2211 'control that allows the occupant to reduce the connected lighting load in EINot Observable :a reasonably uniform illumination E]Not Applicable C405.2.1, Occupancy sensors installed in es Exception: Requirement does not apply. C405.2.1. 'classrooms/lecture/training rooms, ElDoes Not EINot Observable;, l[EL1811 rooms, copy/print rooms, E]Not Applicable lounges/breakrooms, enclosed offices, open plan office areas, restrooms, ,,storage rooms, locker rooms, 'warehouse storage areas, and other by floor-to-cei ling height partitions. 'Reference section language C405.2.1.2 for control function in 'warehouses and section C405.2.1.3 for open plan office spaces. C405.2.1. Occupancy sensors control function in ElComplies Exception: Requirement does not apply. 2 warehouses: In warehouses, the ElDoes Not [EL19]1 lighting in aisleways and open areas i's E]Not Observable controlled with occupant sensors that E]Not Applicable ,automatically reduce lighting power by 50% or more when the areas are unoccupied. The occupant sensors control lighting in each aisleway independently and do not control lighting beyond the aisleway being i controlled by the sensor. C405.2,1 Occupant sensor control function in ElComplies Exception: Requirement does not apply. 3 open plan office areas: Occupant ODoes Not '[EL2011 sensor controls in open office spaces 'configured so that general lighting can EJNot Applicable �be controlled separately in control zones with floor areas <= 600 sq.ft. within the space, 2) automatically turn off general lighting in all control zones within 20 minutes after all occupants have left the space, 3) are configured so that general lighting power in each control zone is reduced by >= 80% of the full zone general lighting power within 20 minutes of all occupants leaving that control zone, and 4) are 'configured such that any daylight responsive control will activate space general lighting or control zone general lighting only when occupancy for the same area is detected. C405.2.2, Each area not served by occupancy DComplies Requirement will be met. C405.2.2. sensors (per C405.2.1) have time- ElDoes Not switch controls and functions detailed E]Not Applicable i 1 High Impact (Tier 1) 2 Medium Impact (Tier: Project Title: MARKET ATZEPHYRH|LLSLOT b Report date: 08/15/22 Data filename: Page 4of 6 1 High Impact (Tier 1) Low Impact (Tier 3) Project Title: MARKET ATZEPMYRH\LL3LOT 0 Report date: 08/I5/22 Data filename: Page 5 of 6 ,IVR R J), N 777777777777g,77,, U7777777777777 . . ....... t4O8,21�5., Furnished O&M instructions for ElComplies Requirement will be met. systems and equipment to the E]Does Not IFI17P building owner or designated representative. E]Not Observable E]Not Applicable C405.3.2 :Interior installed lamp and fixture ElComplies See the Interior Lighting fixture schedule for values. [FI18]1 lighting power is consistent with what 'E]Does Not is shown on the approved lighting :plans, [:]Not Observable demonstrating proposed watts are less than or equal to allowed E]Not Applicable watts. ..... C405.4.2 . . ............ Exterior lighting power is consistent ElComplies — - -- --- See the Exterior Lighting fixture schedule for values, [FI19]1 'with what is shown on the approved DDoes Not lighting plans, demonstrating E]Not Observable proposed watts are less than or equal to allowed watts. E]Not Applicable C408.1.1 Building operations and maintenance ElComplies Requirement will be met. [FI57]1 documents will be provided to the E]Does Not owner. Documents will cover E]Not Observable manufacturers' information, specifications, recommendations, E]Not Applicable programming procedures and means of illustrating to owner how building, equipment and systems are intended to be installed, maintained, and operated. Regular maintenance actions shall be clearly stated on �C408.3 accessible label. .................................................................. Lighting systems have been tested to ................. - - ElComplies ................ ................ .......... .................................... ................. .............. Requirement will be met. JF13311 ensure proper calibration, adjustment, E]Does Not i programming, and operation. E]Not Observable I E]Not Applicable Additional Comments/Assumptions: - — ----------------- - - ---- - - 1 High Impact (1- Medium Impact (Tier 2) 1 3 1 Low Impact (Tier 3) .......... . ....... .... ........... Project Title: MARKET AT ZEPHYRHILLS LOT 6 Report date: 08/15/22 Data filename: Page 6 of 6 Permit No. Date Permitted ( Builder Name/Owner Name � ` � B tom' � � � t Control # County Parcel No. "( G SubCiv: Address/Location- Classification/Type of Use TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit:J_13 Exempt 0 Yes No Hoene Determined Impact Fee Amount 1 ` Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single -Family Detached House Amount $ (057) Mobile Home (058) Other Residential (123) Collection Fee Exempt = Yes = No Hots Determined_ PARKS AND RECREATION FEE Land Account Land Credit Land "Total Recreation Account Recreation Credit Recreation Total Zone Total Amount $ Exempt Yes No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt Yes No Hoer Determined Total Amount',~ " Prepared By Checked By tCERTIFI�E OF ! ! OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN ► AND RECEIPTED> BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY ACKNOWLEDGEMENT BELOW DOES NOT IMPLY ACCEPTANCE OF CONCURRENCE, BUT SIMPLY REECEIPT OF A COPY OF THIS FORM, PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME. EM M144MAM M. RECEIPT NO DATE BY PROPOSED qSE: SELF-sf6i�kGE CAR WASH AUTO SERVICE L COMMERCIAL FUTURE COM, 5'SIDEWALK-- CONNECTION TAKE 5 "ENTER" SIGN A LOT 1 - 4.09 AC rt 0 40 80 120 SCALE: I= 40' COMMERCIAL DEVELOPMENT BY OTHERS A t ' i0A.. 0 2 c I Owner/Landlord Approval uj/ 2A L r r 1TV0 Is I ,o(a 1 11