HomeMy WebLinkAbout92-2341
BUILDING PERMIT
,
~ 61-1' ?J -!,7J ,il'D .: 'I/I,.Sl)
Permit
N~ 2341 [j
~....-/.J -7~
;L 0 ~ c/2;)
~HAN~
Date
~.... r;,S(J
G..LECTRI~
Sewer Conn /.,,;J.? If. (TV ,
Water Conn: &"0, tTiJ
Description of Work
NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Permit Fee
Signature
Company
Address
Telephone#
e..s-v
11 u WI. 13~
Valuation or
Contract Price S 3, 8-'t O. LrO
City License Registration # .;t If 3
State Certified License#
rK~Jn~ ~JJ?,8~ ~~lJt~
BUILDING /6r PLUMBING /t)7
JP ~4J.l/Jlt/i~
7;1
Tp. Servo ~ SLB $3.J Breakers ~
Rough In Co~ 22.Lf2 O~TUb Set ~- 2'2~9Z. . Ducts Insi. b' 77412 t
Meter Can ,r-;)..6 - f:.L Water Compressor
Const. Pole Sewer Final
Pool Final
Pre-Meter ~ ~ 'l-?L E<i
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL -
WL
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade:
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.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT QtJS5e~L fV1 . 1JJrg()(u)....{
.
ADDRESS g 4-~ t1:N r..-GJ4' c. T '7,c: pH'I7?HII LS-
OWNER >10.5sCLL Iv1- 13R.O/.vN
'f ? A.5
JOB LOCATION Ccu12 I sT:
3>3S4l
Fe. PHONE
'7 B6 -7824-
LEGAL DESCRIPTION: LOT(S)
PARCEL I.D.~F Qk.LDJZTJ
ZEPHYRHIU<'
.:<4-"
Pt..J4-T
LOT SIZE_X
AREA SQ. FT.
BLOCK
SUBDIVISION CHf1LFoNI
PJ4&6- 8 S
VILLi"l~
~K2q
WORK PROPOSED:~New Construction _Addition _Alteration _Repair _Install
_Sign/Temp. _Sign _Move _Demolish
PROPOSED USE: ~Single Family _M/F _# of Units __M/H
_Commercial _Indust. _Swim. Pool Other
_Restaurant & Health Department Approval
} /? I if 'If
BUILDING SIZE: "'r....:;J 8 x3Cf 0, 1 '703 Square Feet,
73 r /") t; /l.i-6L- EA ~Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORl'lS. ,~*
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
VBUILDING
...:LL-ELECTRICAL
v'MECHANICAL
-LLPLUMBIN'G
$ 30 cx:x:J
Valuation of Total Construction
/cQ5
$ 1100
AMP Service
L/ Florida Power Corp.
_"l.R.E.C.
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ~Block _Frame _Steel
FINISHED FLOOR ELEVATIONS: 11FT.
Other
******************************************
Signature
Q{)}.~ m:b~
CONTRACTOR SECTION~ ~
Company (JC:S6L1
State Cert. or Regist. #
City License Registration
******************************************
~/~ ~2g~2'11
iF _ Q 4- '3
BUILDER
El,ECTRTCT AN
Signature ~t.--~ tvl13~
Company 9V.sS~L.L J/1_.r9Qoevg
State Cert. or Regist. jF~'I.<... 60/ 65 I
City License Registration iF jb8
******************************************
Signature
Company Q u'. C,ELI {Vi ~ f), 0 w I....{
r-:J State Cert. or Regist. j,f-.C.J.- CDs)' 4 qcr C:,
(.(~ '}11. S6t-~ City License Registration iF , /01
******************************************
PLUMBER
Signature
Q~Q M.'i3;H~
Company Y< () c; c; ELL P1. S3 Ro Lv N
State Cert. or Regist. j,! c.. J4 COI+IZ.C;4-
City License Registration iF II
MECHANICAL
*************************************~****
Company
State Cert. or Regist. #
City License Registration #
OTHER
Signature
APPLICATION APPROVED BY JJ;';;;;~' ~;~;;r"***'''' :,* *, **' * *.. ..* PERMIT OFFICER,
'I --..-....----..
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions" which ~ay b~ lore res\rictive than City
regulations. The undersigned assules responsibility,for co.pliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may be r~quired to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the OHner and contractor ~ay be
cited for a tisde.eanor violation under state la". If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Z~phyrhills Building Department, (813)
788-6611. '
Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s! sign portions of the
"Contractor Sections" of this application for which they will be responsible. If you, as the elwner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
as contractor that aay be an indication that he is not properly licensed and is not entitled tel permitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D.
CONSTRUCTION LIEN LAW
(CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided '"ith a copy of 'Florida's Construction Lien Law - Homeowner's Protection
Guide' prepared by the Florida Depart_ent of Agriculture and Consumer Affairs. If the applicant is SOIEone other than the
'owner', I certify that I have obtained a copy of the above described document and proffiise in good faith to deliver it to the
'owner' prior to cOlmencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all Hork will be done in co~pliance with all
applicable laws regulating construction, zoning, and land development.
Application is hereby aade to obtain a permit to do work and installation as indicated. 1 certify that no worK or
installation has co~menced prior to issuance of a perlit and that all work will be performed to meet standards of all laws
regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to the intended ~orK, and that it is
IY responsibility to identify what actions I lust take to be in COlllpliance.,Such agencies include b\ll ~l P. nelt liilited to:
I Depart.ent of Environmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive Lands,
Water/Wastewater Treatment
f SouthWEst Florida Hater ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f Army CorDS of EnQineers - Seawalls, Docks, Navigable Waterways
f Depart_ent of Health ~ Rehabilitative Services, Environmental Health Unit - We'lls, Wastewater Treat~ent. Septic Tanks
f US Environmental Protection AQency - Asbestos abatement
1 also certify that, if fill material is to be used in Flc,od Zone "A" or "A,etc.', it is understelod tt.~t a drainage plan
addressing a "colpensating volume' will be subtitted which is prepared by a professional engineer reqist2icd in the State of
Florida prior to permit issuftnce.
A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Off1cial fro. thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ;hall becole invalid
unless the work authori2ed by such perlit is co.menced within six months of issuance, or if HDrk authorIzed by the perlit is
suspended or abandoned for a peric,d of six lonths after the tile the \lorY. is commenced. One 90 day e~\;;j,sio\l of tile, lay be
allowed for the permit with fee charge of $15.00. The extension shall be requested in Hriting to the Building Official. An
approved inspectie,n !!lust be Ic,ggedduring each six month period, or the project Ili 11 be C(lnsidered dbalide,ned.
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. JOBS UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNAT:~E~~~~::~::_------- SIGNATURE__~_m,-~~~-~
OWNER OR AGENT CONTRACTOR
DATE__fgQrYg~_2Q.-l~--------------------
DATE__f~Qr~~ry-2Q~_1992-_--------------
MY COMMISSION
_ ~1-,.----
H. Ma rv e 1
S___________,,________._,_ -
-t](]~~-----
i1Y
------------------
NOTARY PUBLIC;. STATE OF FLORIDA',
:oYN COMMISSION EXPIRES: JAN. 28. 1991il
OED THRU NOTARy puaJ..lc UNDERWRITEft,~
NOTARY PUBLIC
II1Y COMMISSlOl~ ~l[;l~~:s~F fLO[~IDA.
eONDED THRU NOTARY p~ '" . JAN. 28. 1994il
BL.JC UNDERWRITERSJ
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FORM 900-A-91
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Section 9 - Residential Point System Method
Department of Community Affairs
Climate Zones
CENTRA~ 5 6
OWNER:
IF MULTIFAMILY. NUMBER OF CONDlTIONEO ~I 5 1 sa
UNITS COVERED BY[[]] FLOOR AREA ~ Ft
THIS SUBMIITAL: PREDOMINANT DlJ [3]
EAVE OVERHANG '
CHECK IF THIS SUBMIITAL LENGTH . Ft
REPRESENTS A WORST CASE PORCH OVERHANG rT:l 1:::1
CONDITION: 0 LENGTH LJ2J.l=:J Ft
I.
~~~::Te 4 E:r 5 0 60
JU~ISDICTION ~
NO.. ~
GLASS AREA AND TYPE
CLEAR T1NT,FILM,SOLAR SCREEN
SINGLE- ~/ / Sll SINGLE- [[[[] sa,
PANE ~ Fl PANE Ft
DOUBLE- [[[[] Sll DOUBLE- [[[[] sa,
PANE Fl PANE Ft
PROJECT NAME
AND ADDRESS:
NEW CONSTRUCTION
ADDITION 0
MULTIFAMILY ATTACHED 0
SINGLE-FAMILY DETACHED D
NET WALL AREA AND INSULATION
EXTERIOR MASONRY R = EXTERIOR FRAME R = EXTERIOR STEEL R = EXTERIOR LOG R =
ITJiliJQ] ~~ rn . OJ [[[[[] SO OJ [[[[[] SO OJ [IIIDso OJ
Ft Ft Ft
ADJACENT MASONRY R = ADJACENT FRAME R = ADJACENT STEEL R = ADJACENT LOG R =
[[[[[] SO OJ.D CIliIIm SO rn [[[[[] SO, OJ [[[[[] SO OJ
FT FT FT FT
CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION
UNDER ATTIC R - SINGLE ASSEMBLY R - SLAB PERIMETER R= RAISED WD 0 CON 0 R=
~W ill [[[[[]so, OJ ~Ft rn [[[[[]sa, OJ
Ft Ft
DUCTS COOLING SYSTEM HEATING SYSTEM HVAC CREDITS HOT WATER SYSTEM HOT WATER CREDITS
IN m-CENTRAL (]h[ECTRIC STRIP [fhiEAT !B'CEILlNG FANS !:9'ELECTRIC SOLAR: D.OJ
UNCONDITIONED
SPACE R = D ROOM D NATURAL GAS PUMP D CROSS VENTILATION D NATURAL GAS SJ, = HEAT RECOVERY ICHECKl 0
[kJ~ D PACKAGE TERMINAL D ROOM UNIT OR D OTHER [M-WHOLE HOUSE FAN o OTHER FUELS
FUELS DEDICATED D OJ
IN CONDITIONED AIR CONDITIONER PACKAGE TERMINAL D NONE D ATTIC RADIANT D NONE HEAT PUMP:
D NONE HEAT PUMP
SPACE R = BARRIER EJ, = .
OJ.D SEERIEER = em.~ COP I HSPF I ~ [ilQ] D MULTIZONE EF = .~~ NUMBER OF rn
AFUE = ~ . BEDROOMS =
INFIL TRA TION CIililiILEJ ~ lliliJ. [jJ
PRACTICE USED X 100 --
o #1 [k(#2 0 #3 TOTAL AS-BUILT POINTS TOT At BASE POINTS CALCULATED E.P.I.
CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS.
I hereby certify that the plans and specifications covered by the calculation are in compliance with the',
Florida Energy Code
PREPARED BY --SJ)5tSJ;;l.~~_.l'(L,--al1t)_(".,.J~DATE:
Review of plans and specifications covered by this calculation Indicates compliance with
the Florida Energy Code, Before construction Is completed, this building will be Inspeeled
for compliance in accordance with Section 553'go~
BUILDING OFFICIAL: ~ ~A -,I 4. ,..-/7
DATE: 5-12 -~L
I hereby certify that ffluilding Is In compliance with the Florida Energy Code,
OWNER AGENT: :A1J..:ssELL 1r1 BRow---NDATE:
9A I PRESCRIPTIVE MEASURES (must be met or exceeded by all resldences.1
COMPONENTS SECTION REQUIREMENTS CHECK
WINDOWS 904.1 Maximum 01 0.34 CFM per linear loot DI operable sash crack (includes sliding glass doors\. ~
EXTERIOR & 904.1 Maximum 01 0.5 CFM per sq. It. 01 door area: solid core, wDod panel, insulated or glass doors only. L/'"
ADJACENT DOORS
EXTERIOR JOINTS 904.1 To be caulked, gasketed, weatherstripped or otherwise sealed,
& CRACKS l,./
WATER HEATERS 904.2 Comply with efficiency requirements in Table 9-7A. Switch or clearly marked circuit breaker (electric) (...../'
or cutoff (cas) must be orovided. External or built-in heat trao recuired.
SWIMMING POOLS 904.3 Spas & heated pools must have covers (except solar heated). Non-commercial pools must have a
& SPAS oump timer. Gas spa & pool heaters must have minimum thermal efficiency of 78%.
SHOWER HEADS 904.5 Water flow must be restricted to no more than 3 callons per minute at 80 PSIG. \...--...-'
HVAC DUCT 904,6 All ducts, fittings. mechanical equipment and plenum chambers shall be mechanically attached,
CONSTRUCTION. sealed. insulated and Installed in accordance with the criteria 01 Section 904.6. Ducts in unconditioned
INSULATION space and air handlers located in attics must be insulated to a minimum R-4.2 (R-6 after 1/1/92), L...----"
& INSTALLATION
HV AC CONTROLS 904,7 Separate readily accessible manual or automatic thermostat lor each system. z.....---
INSULATION 904.9 Ceilings-Min. R-19. CommDn Walls-Frame R-11 or CBS R-3. Common Ceilings & Floors R-11. v--
_ 1 _
.~ BASE
~ GLASS x SUMMER =
o AREA PT. MULT.
_~~:= ~rgr: ~_ 471L-
_Nt;. _ 71.7
_L_ _2~ ___19_2,0 -
SE 104,1
~S_-= -7l~ _JiO,9
_S'IL 104,1
_ '!f..______ __1.02,0
.-NY( 71,7
W____ 90,9
~-:3b -
~ I SINGLE-PANE DOUBLE-PANE I SUMMER lAS-BUILT
z GLASS x SUMMER POINT MULl. OR SUMMER POINT MULl. x OVERHANG = GLASS
w
a: AREA CLEAR TINT' CLEAR TINT' FACTOR (9B) SUM. PTS.
0
N } 'if. 4- 51.0 51.5 47.8 43,5 . t,;,q t.. 4-)(
.1!L 77.2 76,6 71,7 63,4
~-- _51 109,2 107,1 102,0 87,3 ' CI .:;- ~:JqO
SE 112,9 110,3 104,1 89,4
S Cf5 100,2 98.3 90,9 78,8 ' f? '") g) '~l;2.
SW 112,9 110.3 104.1 89,4
_W 109,2 107,1 102,0 87,3
NW 77.2 76,6 71,7 63.4
H' 367,7 303,3 324,6 238,1
CLIMATE ZONES 4 5 6
00 --~-- ._~
en
<(
-.J
<.:l
COMPONENT ~ BASE SUMMER ~ BASE
AREA SUMMER
DESCRIPTION POINT MULl. POINTS
--
J;?<TERIOR ~OO 1.0 600
-.J 31,^
-.J ADJACENJ ,7 '2-- '2. ~l..
<(
~ ----
,
AS-BUILT
GLASS
SUBTOTAL
2.20
,
AS-BUILT
SUMMER
POINTS
4-0
'L.
,
~ EXTERIOR
g _ADJACENT
o
o
)
4,8
1.6
8~
f=tt I ~~
'--
l~~~(1
<.:l UNDER Anle / ,:5;<'/ .6 x2..Cl 1FJ'lV;:JT \4llle l:5xT \, \ t.c; I Cf
z OR SINGLE .6
I~ ASSEMBLY ,6
BASE CEILING AREA EQUALS FLOOR AREA DIRECTLY UNDER CEILING, AS-BUILT CEILING AREA EQUALS ACTUAL CEILING SQUARE FOOTAGE,
,
HOT
WATER
SYSTEM
- 31.8
- 3,43
5
a: SLAB (PER~METER)
o RAISED (AREA
o
-.J
u..
FOR RAISED FLOORS USE AREA OJER UNCONDITIONED SPACE,
INFIL TRA TION
10.9
TOT AL COMPONENT BASE SUMMER POINL
BASE COOLING TOTAL BASE
COOLING SYSTEM x SUMMER =
SYSTEM MULTIPLIER POINTS
1991 .42
1992 .37
NUMBER
OF
BEDROOMS
AS-BUILT
= COOLING
PINTS
;;2..51b7
AS. BUlL T
HOT WATER
SY TEM DESC.
_':5
3527
I05-g l
'H = Horizontal Glass (Skylights)
2For glass with known Shading Coefficient, see section 903,2(a), Tint Multipliers may be used for glass with solar screens. film, or tint,
-2-
WINTER CALCULATIONS
CLIMATE ZONES 4 5 6
I-' GLASS IBASE WINTERI BASE I-' SINGLE-PANE OR DOUBLE-PANE I WINTER lAS-BUILT
2: 2: GLASS )( WINTER POINT MULl WINTER POINT MULl )( OVERHANG = GLASS
~ )( POINT = WINTER w
. a: AREA MULTIPLIER a: AREA CLEAR TINT' CLEAR TINT' FACTOR (9B) WIN. PTS.
-~ POINTS 0
N , r7f' L+ 5,6 /03 N /1?'Lf- 9,6 9,6 5,6 6.1 1. Z. ?\ 2.
NE 3,5 NE 7.4 7.3 3.5 4.2
_E 51 - 5,6 -713(.., E 51 2.2 -- 2,0 - 5,6 - 3,6 .1 I -~O
--.S.E -13.4 SE -10,3 . 9,7 -13.4 -10,4
.~ $~ -14,0 -\330 S cJ~ ~0,9 -10.2 -14,0 -11,0 , C'J5 CJ7JI-.
_S,W -13.4 SW 10,3 - 9,7 -13.4 -10.4
.'1L- 3. - 5,6 W 2,2 2,0 - 5,6 - 3,6
NW 3,5 NW 7.4 7,3 3.5 4,2
H' -14,0 H' -32,1 -28,0 -27.0 -21.5
en -'-'--
en 1--.
oct
-'
Cl
!--- ---- I----
_.
-.
-.
,
.15 ~ CONDo I TOTAL I BASE I BASE I ADJUSTED AS-BUILT
FLOOR GLASS ADJUST )( GLASS = GLASS GLASS
I AREA I AREA I FACTOR I SUBTOTAL I BASE WP SUBTOTAL
,15 1/2S, I /6'-(- If. t..::> I -I~ 13 I -\ 14-0 ~ lJS2
't'
COMPONENT AREA )( BASE WINTER = AREA =
DESCRIPTION POINT MULl
--- '800
EXTERIOR 1,1
-' ADJACENT 1,8
...I
oct
:=
, ,
~EAIOA jO ! 5,1 I~B I I~;H~~! 20 ~~I I I~~
'0 4,0 :.zO
g ADJACENT
0
, ,
Cl UNDER AITIC /:.?i51 .6 ~Zq IV t1 ITIC. J3~1 1 /381
z OR SINGLE .6
:::; ,ASSEMBLY .6
W
0 BASE CEILING AREA EQUALS FLOOR AREA DIRECTLY UNDER CEILING, AS-BUILT CEILING AREA EQUALS ACTUAL CEILING SQUARE FOOTAGE,
, " ,
SLAB (PERIMETER) Ib5 -'- 1.9 .~ ':3- c:::: ~'l<.. !bS I '2-' .5 Lf-( 'L-
a:
0 RAISED (AREA) - .2
0
-'
u..
FOR SLAB-ON-GRADE USE PERIMETER LENGTH AROUND CONDITIONED FLOOR. FOR RAISED FLOORS USE AREA OVER UNCONDITIONED SPACE,
INFILTRATION
4.1
I I TOTAL COMPONENT AS-BUILT WINTER POINTS
,
,
BASE HEATING I TOTAL BASE I BASE
HEATING SYSTEM )( WINTER = HEATING
SYSTEM MULTIPLIER I POINTS POINTS
1,1 /55'b4- t;, / ~O
BASE I BASE I BASE I TOTAL AS-BUILT I AS-BUILT I AS-BUILT I TOTAL
COOLING + HEATING + HOT WATER = BASE COOLING + HEATING + HOT WATER = AS-BUILT
...I
oct POINTS POINTS POINTS POINTS POINTS POINTS POINTS POINTS
..... IFrom P .21 (From P.21 (Enter on P.11 (From P .21 (From P .2\ (Enter on P. 11
0
.....
f c I :<?.. b'~O t05-3/ ~G'823 8'lrL 50bG 1058\ ~.g, C(
'H = Horizontal Glass (Skylights)
2For glass with known Shading Coellicient, see section 903,2(a), Tint Multipliers may be used lor glass with solar screens, /ilm, or tint.
TOTAL
AS-BUILT )(
WIN. PTS.
g~8q
II
)(
,
'8 <:, ~q
AS-BUILT
= HEATING
POINTS
50bb
TOTAL COMPONENT BASE WINTER POINT:
_4_
PASCO COUNTY, FLORIDA
Permit #
Date
Name/Owner
COlDlty Parcel #
Location
Classification / Type of Use
lRANSPORTATION IMPACT FEE CALCULATION
Rate $
Zone #
Sq. Ft/Unit
Prepared by
Impact Fee Amount $
The above impact fee has been established pursuant to the Pasco County Transportation Irn.pact Ordinance as adopted by the Board of
COlDlty Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occ~pancy or ajJthority to utilize the permitted
structure.
"--..---"
RESOURCE RECOVERY ASSESSMENT
RESIDENTIAL
NONRESIDENTIAL
..----
# Units
Gross Sq. Ft (G~F)
Rate / ERU = 50.00 x 0.96* / Year
or$0.1315/Day
ERU Assign #
Assessment = (# Units) x ($0.1315)
x (# Days)
Assessment =
!QSfl x (ERU) x (0.1315) x (# Days)
100
TOTAL FEE $
""
TOTAL FEE $
*Discounted for Prepayment
l
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 FlNAL 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
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lRANSPORTATION REC. #
RESOURCE RECOVERY REC. #
DATE
DATE
BY
BY
White
Applicant
Canary
Trans I Finance
Canary
RR I Finance
Pink
Office
Green
Bldg I Insp