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Home My WebLink About92-2607 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 ~67'~ htJ.SV -50 crv i'0.6U ~NG ." ~TRICA0 ~BIN~~HA~ P,opcrty Own'" ':?I~ ~~~S Job Address: ' '3 73s-J J.. - i)fi.--' Parcell.D, # /0. b -c:l' -. 0 ~ '000 - (:J 9tJO Zoning: Energyhode: ~ 0 Rad}f Gas: -12.1-3 Dese,;pt;on of Wo<k )Z".<.. , .J" ~/I-- ::t::~~ IU,~, .eM'.. fJ Permit N~ 2607-.8 Date f?- ~ 6 ~ 9;( Sewer Conn ) J. 7 P. t1Z>. , Water Conn: ~?~SZJ. tJ7J Water Meter: / 6~~: tJV T.I.F.'s: - NO OCCUPANCY BEFORE C.O. FINAl-.1/- C.O. -i' / - ~ Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, DATE Permit Fee tftg"': CTZJ' Signature Ii,.. ~.~-, Company Address Telephone# Valuation or Contract Price ~~ ZJ/I7J - 00 - City License Registration # I/' State Certified License# :;~ s~:~~;4;z- ti, ~~~:~rl~'JP_SJq1-f)~ ~~: ~et.l6 -S-qz. Lintel Meter Can Water FRM. Ib -5.9Ld/Jl)#-tJ Const. Pole Sewer JttrU-Q2 ~~. Insul. CL / ~.. Pool Final WL 10 -l}-9 2 &If~pre-Meter II-I.j-q;;. 8Jr Final r;J&4 - /~ ~~~ 13reakers Ducts Ins!. /t' -5- '1 L IkIr Compressor Final Driveway NhL I ZJ ~/-9~ ~ i~\~~ lo-1-Cf '2-. 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: 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. \ \)\ \ t,'" II' ,.:'. \' ...-t APPLICATIOIi FOR PERKl.T GIn aF :z.:EPRYRKILLS BIITLDTIiG DEPARli1Ul:liW~' OWNER'S ADDRESS r .i/~i / -l/ /" ..-. .. L it It...' ,1._ ":'-1:';". J /Iv /--,/ /'. ;;;;.:._ r / ,I ~.. / / . L-:/ .JOB ADDRESS .J /1': -; r;]) l. IF.' yL./ " / /: f- - C t..d)! /t~ 1', / I.~ r "/ I.] LEGAL DESCRIPl'Imi: L.OT(S) Ii :(:-; ~stmDIVISIOINII{~. i,.' I....'.", ,-I /!J1J:/I~'''''' ~; '~',-'- , " 1 ...~ /;'- '-'-' I . ../ -, '~ "{'f; C , OWNER'S RAKE PHOH . /i. ::-.) ..l<; .. (~ , / PARCEL I. D. t / / ,! ._ ('-, 1; - '/_ / wi . f:-/ /'_ (///-.( } ~--(>:~/~J '/-j -- ( ), >,'.'" , 't, I' WORK PROPOSED:--L::.lIev Construction _Addition _Alteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: ~Sing1e Faaily _"'F _' of Units _K/H _~rcial _Indust. _SwUi. Pool Other BUILDING SIZE: Res1:.aUrant &: Health Departaent Approval ---- 1 _.~{. (~ /~,-/ I{ I; / J(~ ~ ' X . '. I .._' (, -'I} ;:/. ~e Feet. Height RESIDENTIAL : cottMERCIAL : AlTACH (2) PL.OI' PLANlS &: (2) SEtS OF BUILDING PLUS &: (1) SE1' ENERGY FORMS. ** ATI'AaI (3) SETS OF BmLDIINIG l'LU'S &: (1) SET ENERGY FORKS. ** **COPY OF COINITRACT REQ1ffRED. PEHI!IITS REQUESTED ~~UILDING ,_" ~ ).1 $ ';- i1 ) (,,' I,,,' <' :..-:--~ Valuation of Tot:al. Construction _ELECTRICAL AKP Service Florida Power Corp. ,~ t....... W.R.E.C. _KECllANICAL $ I Valuation of Kechanical Installation _PLUKBIBG GAS ROOFDiG SPECIALTY TYPE OF CONSTlUJCTION: _Block. _Fraae _Steel O.-.her FIliISBED FLOOR ELEVATIONS: Ff' . IS PROJECT IN FLOOD ZONE AREA? YES NO **.*****:**..**.**...***.*.*.**..*.***..** ~ I if ( r'" '~~ I j. / ./ CO!IPANY l ,~-I (:. t " ..':,; .. (. )",,; \ ,J /. I ._ . ! State Cert. or Regist. # ".... ;. - C I. '. ,.' L/u ';"~,6 "....-;~, City License Registration I f.'~.It:~ ::' (. :: , ...*.**~****.*...*.....*.*.....*****.***.* CO?ITRACIOR SECTION BUTT J)Y.R /1 Signature ,;,,-./7 ~/ '~--~ /?/" (~ SiPllature CO!IPOY State Cert. or Regist. ,1= City License Registration t .......***........***.....*..*..*.****.*** ELECTRICIAN CO!IPANY State Cert. or Regist. I City License Registration t *.**...***...............*...**.********.. PLUflBER Signature CO!IPMff State Cert. or Regist. f City License Registration I **.*.*.~~*...***.*.....*.*.*....******...* KEalANICAL Signature _ OTIIER. CO!IPANY State Cert. or Regist. t City License Registration , .....*.***...***..*..***...*.*...*.*****.* . Signatu.ce __' APPLICATION APPROVED BY VI d./l/\ .l'-A- Xi PAA~ <t PERKIT OF'!'T CSR. CONDITIONS OF PERMI~ AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per~itaay be subject to 'deed restrictions' which lay be .ore restrictive than City regulations. The undersigned assules responsibility for cOlplianre ~ith any applicable deed restrictions. B. UNLICENS~D CONTRACTOrS ANQ_CONTRACTOR RESPONS~BILITIES If the owner has hired a contractor Dr contractors to undertak~ ;,orkl they say be required to be licensed in accordance with state and local regulations. If tlte"cltlttractor is not licensee; i.i required by law, both the owner and contractor lay be cited for a lisdeleanor violation under state law. If the own~r or intended contractor are uncertain as to IIhat licensing requirelents lay apply fo~ the i~t~nded wJr~, t~D.Y are advised .to c?nt~~t the City of Zephyrhil!s Bui16ing Departlentl (B13l 7B8-6611. Furtherlore, if the owner has hired a contractor or contractors I he is advised to j;ave t~2 contractor!s) sign po;tions of the 'Contractor Sections" of this application for which they will be responsible. If y~ul as the owner 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 lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in'the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have bee'j provided with a copy of 'Florida's Construction Lien Law - HOleowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the "owner', I certify that I have obtained a copy of the above described doculent and prosise in good faith to deliver it to the 'owner" prior to cOI.encelent. I E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all lIork will be done in cOlpliance with all applicable laws regulating construction, 10ning, and land developlent. Application is hereby lade to obtain a pHlit to do work and installation 'as indicated. ' I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoniog regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulation~ of other govern~ental agencies lay apply to the intended work, and that it is IY responsibility to identify what actioLs I ilIust take to be in co.pliance. Such agencies include but are not lili ted to: f Departlent of Environlental ReQulation- Cypress Bayheads, \!:etl~.i,d Areas and Environlentally Sensi ti ve Landsl Water/Wastewater T'~,atMj!nt f Southwest Florida Water "anaQelent District - Wells, Cypres5 Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Dorks, Navigable Waterways f Departlent of Health ~ Rehabilitative ~ervices. Environlent;"ljJealth Unit - Ilellsl Wastewater Treatlent, Septic Tanks f US Environlental Protection AQency - A~bestos abatelent I also certify that, if fill laterial is to be used in Flood lone 'A" or "A,etc.", it is understood that a drainage plan addressing a "colpensating volule' will be ~ublitted which is prepared by a pro'fessioqal engineer registered in the State of Florida prior to perlit issuance. 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 perlit prevent the Building Official fro. thereafter requiring a correction of errors in plans! construction, or v;olations of any code. ,Every perlit issued shall beco.e invalid unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of SlX lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be allowed for the perlit with fee charge of ~15.00. The extensian shall be requested in writing to the Building Official. An approved inspecti~n lust be logged during eacil six .onth period, or the project Hill be considered abandoned. WARNING TO OWNER: YOU:l fA!LURE TO RECUR" II NilTiCE OF CO~l:IENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROVEKENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOi!R 1i0TICE OF COKKENCEKENT. JOBS UNDER $2,500 IN IJALUl: DO NOT NEED TO RECmm AND POST A "NOTICE OF'COMI'IENWIE!H'. , //,' //( ~. (/I/. -I, /~ -:://0~Y//~>--, SIGNATURE: ONTRACTOR STATE OF FlORID~') AC- r- "'- COUNTY OF \ . ~u The foregoing in~rument was acknowledged before me this ,-\-u...('\~d-\..' 19<1'J.- by lu Pt- ~ ~ € h... Y\.2. u.. M ~ V\. 11\ . _._ who is per~~nally kno~n to me or who has produced ~ \10uJ'\ ~ U s.+O Y\i~ rz... as identification and whD did/did not ~n o~th. ^ \ _~Dn,&,\ ~ UVVlP ISiqnatlln?} __~_nita G. Jones - (Name Typed 1 Pr U1t.~d or Stamped) ...... NOT, ARY PUBL 1 C ~. II t P "lIe State oj FIMldo ..~. 0 ary lli.: r. 94- ~ III Commissicn f)l.plra! FRb. 2tl. 19 STATE OF FLORIDA ~.f\ C ~ .:--.. CDUNTY DF 'I~~\- ~ _ The foregoing instrument was acknowledged befcoj-e me this Au..c. ~, , 19~ by , ~ L..J P..- R" ~ V'\ (\.lI l \ VVl A IA v'\ who is pel-sona 11 y knWln to me or who has produced t<.. t\00 '" ~ L.t ~ + l) vV\ --e 12.- as identification and who did/did not t~n oa..t~. f\ ~ , ~~ ~ ~~J\\..vO (Signature) · Bonita G. Jones (Name Typed! Printed or Staw.pec) NOTARY PUBLIC Hotary Public. Stote of Flo.Ida MJ! Commission Expl,es Feb. 28, 19;4 -1tA~ IS <-141 0 1i:. A A''54'-{ID (f'LJ d r" I 11 ( ~.., \ ~ N~~_v Ii s~ \ '0 ~ If. \.. \ \ ~, ""'~l \ \ I \ .5 00 ,/.. /1('2.9 · 0 C . 4 7' we. 7 · 9 4 I /" . ~ 0 J 9' . , , A :.:t 7 5 · Re:1J9.00' '-. 81' ---- .\ . . 0 r. ~ 1 4 .._' --, ~'..~. .) . L'~ ,', ,! W C = I .-:....". - 1 . " -.... .. '- L -.....- 7 B Il' ::::: ". , i"'r, .. : -- A- ~ 1 1 . .... .j. U t.. .. . ~t'..7 . co. .... 'C--- _-.--- 37~S D('fLb1~~-i~(- PfJ02 (,- J J fJ if lu - 21.- 2 I ~ 011 0 - WUo.;._ 0 YOO ptJ ~,~ / i? ( . '1,.:~' . 00' 1/..;.,'2.9.0C '47'W C-75. 94 I ""::: 0]9' " A=75. RC:139.00' 1'- ,\' -; '. 0 4 8 .. .- --~ -;,-~.~' - r: _ . c " , W C = i 1 .-:.-' , -' . L, :.~' . : .~- .' -.- - ....-1.....' 7 8 1 '1_ ~'i).OI:' ,4=- . - ~~".!' ('O . _..__ 3 . . -__9. 7~s D(;fLb1!~'''''(- ~ r) V o ~ --- pi).{ l,. J J {J if Ii) - 2(.- 2 I ~ 011 0 ~ ovuoc;. _ 0 JOO ;,'1 N~~_ ~; "t ,,) ~ , ....... r...... ('& o. ,... ,. - ~... '0 ~ . - '1 \~ '\. FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Section 9 - Residential Point System Method Department of Community Affairs FORM 900-B-91 BUILDER: PERMITTING OFFICE: PERMI NO.: PROJECT NAME AND ADDRESS: Climate Z~es CENTRAI{!)5 6 CLIMATE 4 5 D 6 D lONE: JUR!SDICTION ~ NO.. ~ NEW CONSTRUCTION ADDITION 0 MULTIFAMILY ATTACHED 0 SINGLE-FAMILY DETACHED 0 IF MULTIFAMILY. NUMBER OF CONDITIONED ~O SQ UNITS COJERED BY [[[] FLOOR AREA ~ F1 THIS SUBMITTAL: PREDOMINANT rn 0 EAVE OVERHANG CHECK IF THIS SUBMITTAL LENGTH . F1 REPRESENTS A WOR~.!,GAr PORCH OJERHANG rn 0 CONDITION l.\d" LENGTH . F1 GLASS AREA AND TYPE CLEAR TINT,FILM.SOLAR SINGLE- DIIJ SQ. SINGLE- PANE F1 PANE F1 DOUBLE- DIIJ SQ. DOUBLE- DIIJ SQ. PANE F1 PANE F1 NET WALL AREA AND INSULATION EXTERIOR MASONRY R = EXTERIOR FRAME R = EXTERIOR STEEl R = EXTERIOR LOG R = [[[[[] so. m.o ~~.' [ill [[[[[] so. m [[[[[] so. m FT FT FT ADJACENT MASONRY R = ADJACENT FRAME R = ADJACENT STEEL R = ADJACENT LOG R = [[[[[] so. m.D ITIIJJSO' rn ITIIJJso. rn ITIIJJso. rn FT FT. FT FT. CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION UNDER ATTIC R= SGL ASSEMBLY R= SLAB PERIMETER R = RAISED WD 0 CON 0 R = ~SQ. ~ ITIIJJSQ. m ~F1 [00 [JIIIJSQ m F1 F1 F1 DUCTS IN UNCONDITIONED rn.~ IN CONDITIONED SPACE R = m.o COOLING SYSTEM IJ?CENTRAL o ROOM o PACKAGE TERMINAL AIR CONDITIONER o NONE SEER/EER = rn.lQ] HEATING SYSTEM o ELECTRIC STRIP ~AT o NATURAL GAS PUMP o ROOM UNIT OR 0 OTHER PACKAGE TERMINAL FUELS HEAT PUMP 0 NONE COP I HSPF I ~ c:::::r,:Jo AFUE = ~.~ INFILTRATION PRACTICE ~D o #1 CJV#2 0 #3 HVAC CREDITS o CEILING FANS o CROSS VENTILATION o WHOLE HOUSE FAN o ATTIC RADIANT BARRIER o MULTIZONE HOT WATER SYSTEM ~CTRIC o NATURAL GAS o OTHER FUELS o NONE HOT WATER CREDITS SOLAR: 0 m S.F. = . HEAT RECOVERY (CHECK) 0 DEDICATED 0 m HEAT PUMP: E.F. = . NUMBER OF ~ BEDROOMS = ~ EF = IJJ ~ ~ x100= .[Q] TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.!. CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS. I hereby certify that the plans and specifications covered by the calculation a,e in compliance with the Florida Energy Code. PREPARED BY: W . o. Il.~ ___ DATE: S - Z 1.--[ . I hereby certify that this building ~n :omPliance with the Florida Ene,gy Coda. OWNERAGENT:W.Q ~~ DATE: )-... 't./-( Review of plans and specjlications covered by this calculation indicates compliance with the Florida Energy Code. Befo,e const,uclio is completed. this building will be inspected for compliance in acco,dan Secti 3.908, F.S. . .. CITY OF ZEPHYRHILLS. FLORIDA ELECTRICAL APPLICATION Ce~tificate Numbe~ '. Job Location #- " Owne~s Name Date ^ppl~c.tlon 1.h~~eby m.de to make the followinS in.tallation in .accordance with the City of Zephyrhills Electrical Codes. MINIMUM PERMIT FEE - $20.00 Desc~iption of Work Numbe~ . @ Fee , Minimum Permit-Standard 2 Bedroom, 2 Bath House $25.00 Mobile Home Services 15.00 . Fixtures or Outlets including switches' 1l0V .25 Fixtu~es or Outlets including switches 220V 1.00 Alc Central Unit 5.00 Electric Signs 15.00 a through 100 amp service 5.00 Over 100 amp to and including 200 amp service 10.00 Over 200 amp to and including 400 amp service 20.00 Over 400 amp to 800 amp service 30.00 Over 800 amp service 80,00 : TOTAL OF ALL ABOVE Reinspections: \{hen extra inspection trips arc necessary due to anyone of the follow- ing reasons, a charge of ten dollars ($10.00) shall be made for e,ich trip: (a) Wrong address. (b) Condemned work resulting from faulty construction, (c) Repairs or correc- tions not made when inspection called for. (d) Work not ready for inspection when calIf The payment of rcinspcction fees shall be made before any further permits will be issue to the person owing same. ~ ELEC ~ CITY OF ZEPHYRHILLS Permit Application HEATING. VENTILATING. A/C. REFRIGERATION SYSTEMS ~};...t -1 .. <.4, Certificate Number ~#, 0:;:-; -tJ /!.-.f- ') Job Address Contractor C~CL" ;9. f- Owner's Name { '. ',"; (h;;JLi~,7{- Date Check one: Air Conditioning Refrigeration Other Ventilation-Ductwork Repairs--Alterations Heating Boiler CONTRACT PRICE OF INSTALLATION $ MINI~ruM PERMIT FEE ........... ..$10.00 Fee for Heating. Ventilating. Duct. AirConditioning and Refrigeration Systems shall be Ten ($10 .00) Dollars for the first one thousand dollars ($1.000) of total valuation of installation PLUS two ($2.00) per each additional one thousand ($1.000) d~llars or fraction thereof FEE $10 .00 Repairs. alberations and additions to an existing system over $500.00 sh;Sll-be $2.00 per each $1,000 or fraction thereof in valuation plus five ($5.00) dollars. 5.00 Temporary Operation Inspection Fee: For inspecting a Heating. Ventilation Refrigeration or Air Conditioning System. 5.00 In all buildings except one and two family dwellings using self-'_, ': . contained A/C units less than two tons, the fee charged shall be based on the valuation of total tonnage of all units combined. Minimunl fee shall be $10.00 10 .00 Boilers based on BTU Input: 33,000 BTU( 1 BHP) to 165,000 (5 BHP)................................... 165,001 BTU (5 BHP) to 330,000 (10 BHP)......~......................... 330.001 BTU (10 BHP) to 1,165,000 (52 BHP)............................. 1,165.001 BTU (52 BHP) to 3,300,000 BTU (98 BHP) ....................... Over 3,300.000 B TU. . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . 5.00 10.00 15,00 25.00 35.00 Re-Inspection Fee. each trip 10.00 .. TOTAL.FEE Re-Inspections: When extra inspection trips are necessary due to anyone of the following reasons. a charge of ten ($10.00) dollars shall be made for each trip. (a) Wrong address. (b) Condemned work resulting from faulty construction. (c) Repairs or corrections not made when inspection called for. (d) Work not ready for inspection when called. payment of reinspection person ow~ng same. The the fees shall be made before any furth~~rmitl Wi~~(j'~Jissued to SIGNATURE OF APPLICANT ~ (-:v:1_.(~~~{' CITY OF ZEPHYRHILLS, FLORIDA PLUMBING APPLICATION Certificate Number :f1i ~C;: ~ Job Plumbing Contractor r: 111-( S RA/..i12 fl(a;.tb. '<.' b Owner's Name C /11..( s ~Af..I(( Address Date Application is hereby made to make the following; Plumbing installation in accordance with City of Zephyrhills Plumbing Ordinance. MINIMUM PERMIT FEE . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 10 .00 DESCRIPTION OF WORK NO. @ FEE For each plumbing fixture, floor drain or trap (including water and drainage piping) . . 2.50 For each house sewer. . . . . . . . . . . . . . . . . . . . . . . . . . 5.00 For each house sewer having to be replaced or repaired. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.00 For each water heater and/or vent. . . . .;. . . . . . . . 2.50 For installation, alteration or repair of water piping and/or water treating equipment...... . 5.00 For repair or alteration of drainage or vent I piping. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.00 For vacumm breakers or backflow protective devices installed subsequent to the install- ation of the piping or equipment served i 2.50 One to Five. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I I Over Five, each. . . . . . . . . . . . . . . . . . . . . . . . ; . . . . . I 1.50 TOTAL FEE Reinspections: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten $10.00 dollars shall be made for each trip. (a) Wrong address. (b) Condemned work resulting from faulty construction. (c) Repairs or corrections not made when inspection called for. (d) Work not ready for inspection when called. The payment of reinspection fees shall be made before any further permits will be issued to the person owing same. SIGNATURE OF':APPLICANT' ('L/f'X;~~.i?, b~ tn.7J 35)( ~J \ x . . ." . '~.:.;~~~, ,.~- ...... V),.A I N t. \~VV' fl r-i N W r::.l) (-> f~u.J () () t) R,,-sn) ErlC.e.. ,5- 5 "~G.Li- {::-^11M, S r-+. TOrA)...,.. '. .'J A!:.~J1~l, 0 f'1.~",...5.5.I..QQ.q _ B\)'L'O'\('-\(~ ~ %7.50 ~L-E.C-n!lo1L : &:D. 50 ~Lvl^/'<BII\\('J ~ 50.00 fLC.~h\j\.\f( r. t. : l/ D. DO _ . _ _~_~~.....:'~:::::::..._'~~_:~'~l""."""-.~"'A' CorJN,-(:rloN fEES S~yJr:.~ ~. II> WA\t:.~ . '?/q rtH:.:rf (( : F-r: : Pd~t>N &A 1713 1 7, 'i 71<f1N~ ort.TATION 1M DACT FE- E. ~ N $- 2-/f2-i.1'3 , , ';/.""f/~."";.;::~__t~,;.I.~.... ~~~'~~;~~~~"''''i'-,~l. .~,:,;~(t,." ,l':;';~~' ~(#:'::;', _j.W~':& '~;i,.~,:;.;<f...,~,2"~~'IrU"'~. !~~~j.;1~,)Y" PASCO COUNTY, FL,ORIDA Pennit #I Date Name/Owner COlDlty Parcel #I Location Classification / Type of Use TRANSPORTATION IMPACT FEE CALCULATION Rate $ Zone #I 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 RESIDENTIAL NONRESIDENTIAL # Units Gross Sq. FL (GSF) Rate / ERU = 50.00 x 0.96. / Year or$0.1315/Day ERU Assign # Assessment = (# Units) x ($0.1315) x (# Days) Assessment = m.sEl x (ERU) x (0.1315) x (#I Days) 100 TOTAL FEE $ TOTAL FEE $ .Discounted for Prepayment The above assessment has been established pursuant to the Pasco County Ordinance No. 89-07 and Resolution No. 89-197, as commended. TIIE ASSESSMENT WILL BE CALCULATED AT THE TIME OF ISSUANCE OF TIIE 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 fonn, 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. # RESOURCE RECOVERY REC. #I DATE DATE BY BY White Applicant Canary Trans I Finance Canary RR / Finance Pink Office Green Bldg / Insp ~..~,',.....<;o,""I _H. _~ ._' . ., P.SIO C U~TY, F_O I A ~ I)JNTF<ACTC1R .n: NPIME: ~J. NEUM?~N {~DDP: 10'-26-21.--(1120-00 )()!- ';;'00 1:/ ::i'T: :~~?3~Y':mERBY:::;H I RE Z III '_L':; ._' -' "" '.,' .... ~ j::, , . .::;.l.i::' ciFFICE~ D,~ j E CE I F'T NUf1DI~: -\f~F' .. r::: I-tAI-IE-' "': r-.y.. 1_ .. _ ,. _ _ '_ .'. I , /1 .,/ \ I I I DE::::;;CRIPTIC)N/PERMT DATA DRIeR I .-- --- -{:-4~:'~~*~- --- ----- --- ----OG-.--j I ! I 1 I I I I I I r:-Ofi.: " nr:SOUCE FEE C-IECI< # 2()~i() ",,/ {iCCNT 1 1 II -"- -. -;.1. -;t;'--Y- ----. TOT?iL t~MUUNT: CCWIF'NY AC:COUNT CENTER 11.4-4 (.iMOUNT ._-.--, [-::-1!f5G-- ..----:~::~r6(;.G4) _..~.,-: .-." i i /f it --- ---- > -X--'1 ~'-r--" F:ECE I VED BY _ ....f..:.. ~ ..f!.'_ (f..,.:._ __ _ __ _:.... .!..'...u....L ..!~..L.J.: ..L:..J_"_,c~'_ _ _ _.._ I I I I I I I 1 I I I ( 1 ! I I I f I I I I I [ J I I I I I