HomeMy WebLinkAbout93-3368
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N9 _ 336813
Date 7.- i 1 ~ q '3
40. cO
BUILDING
3;):'"' "
ELECTRICAL
3-=5(01)
...,~>
zo ,-"-
MECHANICAL
Sewer Conn
\\2-7g....'f)
3?p <'\-?
PLUMBING
Property Owner: ~U~~j€-LL- 5-r~oHE K~rt
Job Address: {00--+3 '2Ef.~'f1t IZI \)6E- ~((.
Parcel LD, # '< - 2.b -Z-I-o/3 0 ,- 000' 00 .- 0\)7,0
Water Conn:
Water Meter: /~?: C' .~
T '5.DC c,..C>
.I.F.'s: /,_LJ";;,
I
Zoning: Energy Code: Radon Gas:
Description of Work ~ &Al f\l{O&u;:. Hort-1P- 5ii. -rO p
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Valuation or
Contract Price
'J/I()OO
I
City License Registration #
State Certified License#
Telephone#
/f rJ-1... IN'Tf-rL'lTmL 11-35<,: '\\0 {lOAN .#3~
Uf-~"lo"" f(~f\tU %~
PLUMBING
J(.tH~) ifF #7 S
BUILDING ELECTRICAL
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo SLB
Rough In Tub Set
Meter Can ?,-l1~f? lis Water
Const. Pole Sewer
Pool Final
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
0.11- F~ 7-17-~3
t..~6t~
faL '1/"2- D --9:3
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.
" '
APPLICATIOIl FOR PERItIT
CITY OF ZEPllYKBILLS
B([(UUliG DEP~
OWNER · S RAKE
7?l..l5. S 1: LL ,-S T ~ 0 He: K E R...
PIIONE %
7 9 2-- .227 tc.
OWNER I S ADDRESS tJ () 4.3
JOB ADDRESS \. S' /.} rlc
ZePJ.I VR
7? I Dr; G" YR.
ZeflH YR In i-LC:::
, )
FL.
.5035'10
AS lIf5ove-
LEGAL DESCRIPTION: LOI'(S)
7
BI..OCK
SUBDIVISION
ZE;J/lVt:'..
7?fDt;,iT
,
PARCEL LD.' 3 - :1(0- :J.,J- O/~. 0 - 000. OD-7)07 ,n
WORK PROPOSED:-*-JJev Construction _Addition _Alteration _Repair _Install
S.
- 19D.
_lIfove
_DeIIo1ish
, _"7
PROPOSED us~ind.e F~i1y
_<=<-ercia1
_"IF
_, of fuits
~/H
_Indust.
_Swa. Pool
Other
_Rest:aurant & Bea1t:h ~t Approva1
BUILDIIiG SIZE: :l g X 'I~/gl:
/31f4
Square Feet,
/ S70ey
Height
RESIDENTIAL:
cottKERCIAL :
A1TACII (2) PL.OI' PLUS & (2) SEI'S OF BUIIJ)DiG PLUS & (1) SET EllERGY FORMS. **
ATTACH (3) SEI'S OF BUIIJ)DIG PLUS ,& (1) SET ENERGY FORKS. **
**COPY OF COIlTRACT BEQUIRIlD.
PERKITS REOUESTED
-*-BUILDIIiG
-LELECTRICAL
~KECllAlfiCAL
-LPLUKBIIiG
$
3/000
Va1uatiOlil of Tot:a1 Construction
II) fJ AItP Service
F10rida Power Corp.
-*,-W.R.E.C.
s
/~oo
V'a1uation of Hecbanica1 Inst:allation
- GAS
ROOFlliG
SPECIALTY
TYPE OF COIiSTRUCTIOIl: _B1ock _Fraae _Stee1
}.1u
.
Other
FIliISBED FLOOR ELEVATIONS:
FI' .
IS PROJECT IN FLOOD ZONE AREA? ---*-
YES NO
******************************************
COIIURACI'OR SECTION
BmT J)ER
,,/
/ CDHPANY JI-r R. iN 7F. f2. S TAre: J1 D A j L.. >=< Iff) Hes IIV C-
St:ate Cert:. or Regist:. ,
City License Registration , "3 ") (n
******************************************
Signat:.ure
Si
MY e of- 1./ Jol2. 7)lh..)
St:ate Cert. or Regist _ ,
ity License Registration .
*****************************
8 I-E (! rR4 <!--
.35
PUllBER ~ T~ lXIIIPAlIY 1(&'1-:;;0"'- 'f?'I'1J>'J
, /J ~ St:ate Cert:. or Regist. ,
Signat:ure City License Registration I In 7
/ ~*********"'*'I1I:""*"""'''''''iir''''''''''''*********i!:-!:-*
CDHPAllff 13 /J /,! R..s p RA.1 PI} JJ 2
St:ate Cert. or Regist. I
~ ity License Registration I
******************************
~AS
7$'
AA)D
A/e-
O'I'IIF.R
S ignat:ure
CDHPMJY
St:ate Cert. or Regist. ,
City License Registration ,
******************* **********************
APPLICATION APPROVED BY
,I
PERMIT OFFICER.
.....
i
f
~-""....,'(OJIIIIlI~'".
".
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS '
The undersigned understands that this perlitlay be subject to 'deed restrictions' which lay be lore restrictive than,City
regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
cited for a lisdeleanor violation under state law. If the ONner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, IB131
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorls) sign portions of the
'Contractor Sections' of this application for which they will be responsible. If you, 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 LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - HOleowner's Protection
Guide' prepared by the Florida Departaent of Agriculture and Consuler Affairs. If the applicant is soteone other than the
'owner" , I certify that I have obtained a copy of the above described docutent and protise in good faith to deliver it to the
'owner' prior to co.tencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developtent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cotlenced prior to issuance of a pertit and that all work will be perforted to .eet standards of all laws
regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also
certify that I understand that the regulations of other govern.ental agencies tay apply to the intended work, and that it is
ty responsibility to identify what actions I tust take to be in cotpliance. Such agencies include but are not litited to:
f Departtent of Environtental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treattent
f Southwest Florida Water "anaQetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Departtent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environtental Protection AQency - Asbestos abatetent
I also certify that, if fill taterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a "colpensating volu.e" will be subtitted which is prepared by a professional engineer registered in the State of
Florida prior to pertit issuance.
A pertit 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 frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becole invalid
unless the work authorized by such perait is coaaenced within six lonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six tonths after the tite the work is co.tenced. One 90 day extension of tile, lay be
allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection tust be logged during each six lonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROVE"ENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN NANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE- ORDING YOUR NOTICE OF
COKKENCEKENT. JOBS UNDER $2 / VALUE DO NOT NEED TO RECORD AND Po A "NOTICE OF CO"KENCEKE "
,~......,
STATE OF FLORIDA
COUNTY OF P 11- S e-o
The foregoing instrument was acknowledged
befc,re me this ~JJe .2,<1, 19..!l...3. by
AI E L-:;' 010 -Z '/ H JHJ
who' is persc.na 11 Y known to me CtT \/1:10 hac:
~
~~ idantification and who ~id/did not
ta~e.un oath. 'C""" ;J
~L-<--A) -p" ~
(Signature)
KATIJIEeU ~J. --gf?m.tJ....1
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
STATE OF FLORIDA
COUNTY OF P If 5e...LJ
The foregoing instrument was acknowledged
befc'l-e me th i s <::::7J,t,rJe ,.;z~ 19.!ilL by
)ft= L,SoN J:-y 1'1/10
who is personally known ~o me Dr uhe. has
r;lrocluced
,a. id&ntification and who did/did not
take an~).h. / ~/ ~
~dJ~~ .~.J~
(Signature)
t'ATH ~-g:-..J J .\3~.J
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
~f.N'I~1
'/ ,/r,'.,
KATHLEEN J. Ai'/)WN
State of F!or%
My Comm. Exp. April 2, 1995
Comm.' tc 095617
"''''.u
,J"liJl "
,? (r,' .'~
J, .
;~~:ffi:J.
KA THL.EEN J. BROWN
:::\'1\6 of Florida
My (.) .-nm. Exp. April 2, 1995
Comm. , CC 095S17
, It:}.
".--
. .
'SITE'" PLA' N
,'. ,........ .' "
.....:-. : ',~<i.: ." .~. '.
(~I~~I'b'~:NT;~'C'::LsE> ONLY)
Ii
PRI2.t....G:L . NumP.>ER.. . .tJ!3-.;2t,;;J-I-ClI3",-tJ -dal/,p,. - t.JtJ7,O
ZL:7J;ltjJt. 24 ~
v
., '
SUBDIVISION OR OTHER LOCATION DESCRIPTION:
,.
..
_ .._n_.._n_'__'. '_..
-
....
,
: j
-, -----.---.---.-j-.
I
I
I
I
I
I
I
j I
-f;l/
'"
I 3JI
:
I ~11
.....
,
,
i
I
i
....-.--..--.--- - I
i
I
I
I
I
I
I
i
,
,
...
I ' ;: I
I .. i ;. . l"~ ;.. j 1
--'--'-l :~~-~i 1, . : ': .
I '. : i .r, !,
I
I
t......
i
; 1
-,.___~~_ --'-"'__'-0'-'
,
, ,
i'
;. "
:. :-.- !
.j ; I
, .
I '
I ; .:
i;-: ,
..,.."
" I
i
." i ...' :
i
! ; "l
. ~ j', ,! i. i
;' ~ .,j ..j -.(. j. i I ~
'i'i.Tlj" ,. .,i ",
_...!....~- t..t.". ... i
~ l 1: ,,;
,,','., ,'!~i: !.... ! ! i I
::::+ ..'"
.. --~~~-~- -. - ~.___._I__..__- _.
; i i
.... !
!
:
I' ::
; ,
I ; I !,"
..;" . I ;
!._-~~-,-~
i ,:. ,
, I !ijJJi-j~ .. ,
::[_,;+L:I '....,.
! ':'V'
/
-;-5-
" I
-,"i...
I"
I
I... r
.'
;.c:.!
I
-'-I--~-'-'
,
1 \..
i ,. "..',
.i ! I :-,1
I ~ _.! _ j
i: i'
1 : i
--j
".1:'
i
I,
, ,.
,
'I
;
+
, t ; " i-' ..' .. Ie
.':' i." i
,,~!: !
-- ---'-----..
"I.. " '
";
I
, r
!
!,! .,
,
.', "-,
i !
','- ;
; -:/111'
:../-'
,. ; , .
.' "i"",
. '.
,
.. ,
..;
.
- '.. - "
-If,
,
:
;-: .
It
,.:'i"'!'
I 1 l' f
;-;,
: ,!
':_ f
.1
:
i'; :'
i! i
;.: :"
i '! "':
?Z/~'6 ~
'L)/L1VL
!'.
, I' ' I ' , I
"', 'I,.jlil,..'~ "','J;
2C8P/f/7:';
i' ,oi "l" I-'~
I : "+"l 'f- .j~. j,wr-';'
:Ti~FFEF:j~
..:,; "
+1: H-:j~.~::- ".
." : I
. ,. -'. ,-~ "','
PHASE /I
UNIT
i
i
:
!
i
!
---.. ! --
!
i
i
!
I
....
\...
N. )>-'- i '...
:L#~~
V' V'
I ,. /
: I ~
...._.___,_ h..__.
I
!
i
j
I
i--'-
I I
'~"
I ~f
i~
I
\i
:.. L ___..
i
I
I
~-
, .
'.:.::SJIE::;";:,.~LA N.
(R'Esl'D'E'NTI~C'usE' ONLY)
P A ~t.. "i::'L .' N u..m PoER.
r;')
)!:E1J;.I</)L^~LJ4 ~
"
., .
SUBDIVISION OR OTHER LOCATION' DESCRIPTION:
1- -
\~
--.----...-.
-
-
"'"
/
/-;l.-
'1"
i 3/ f
:
~1
... ...
.....
,
: l
- __~__.___.__.__! - ...__.._... 'm' __.__...,
i
I
I
I
i
I
j:
I 1
,
I
I
I
i
1------.
I
I
!
I
I
I
I
!
I
,
i
..
I
I
I
I
'-'--'-1-
I
i
I
I
I
.. !
i
,
: ; :
! 1 I
,~- j.. j .1
1/
.t:J3-~b.;;'/-~/3",.tJ -dt/v.p,;,.. 0"7,0
, !
-:"--'':'-. '--~-'------'--
,
. ~ .j!
:~, " !
,,: ",.,1- iI',
..~-..: -
I
.X i
.... ~ '
, : i: 'j'j i '-i': :" .
". .;.;'.i"!';;T:': ~~------- .---.---
: +
, I
,
,; !i.! ~.
: i l-:JlT-l:
I: i
"',::!.
i
,/
.L
,
:.;: ,
-:...
, I
~-_._.._I__...__--
I
"i
Ii, :
'1"
!"
,,;.
~ ' '
:,
n i
,.... '
,
. '
l:..!.. !
;
i. ,,'.
,
" .
...1'
~ . .
"
i i
j r
! ;
.'
, t
,f"
..,
,'"
..+,
,
I:
..:+.
,..~ ,.,'
I
-;'-5-
"
I--~_._, .--",
r" ,.
.
i" !
PHASE If
UNIT
,
I
i
I
I
,
'" i
I
I
i
I
- --.-- - ..r.....-
I
i
I
I
I
I
,
u ,
i
i
I
i
I
I
i
-:
,
,
,r:
: .H..+
.". -:. ' ,,', Ii .,rv'------ ------
r ._;.- - .. ! .-. : , ' ~ i I ,,:
: .. I
...t"
,i.r:'
, .. i.! [,,',' ;j'
"I :-i-I!:
...,., ,J_'__:..:<.!_ [-
! \ i ,!" ,.L
.. ;..j
d. T T
'.f:\~-T .;
~-_.."...--~."
; ;)!\'
,i-i:
1- ":'.1::::1
,
, >~I1IY' .'
':~:j::-Lr:j.tr~ ;_~=::~ i ,_ ~--- -.-.-:
1..:;-;..,;,-+-;-,_.,_.- >-.";,,,..,i,,:.,;.., I
::m~;Tttf' r", , -, ' ",
I ,i....'
, i I ! ! ".f.: -;': .
',', I", I I I I \ I \ ! . , .,: !
! 2;c?Pl~r..l:-:['~;-06 6 7)/Z/UL I
;"'! [t: :'. : i ;, :
-~-- ;!~HJt!:f.1: tl H ,< - .=:-'
\....
-
N.,-- '_
-y i
; -It.-,
L~/" I
7',. ./0
; I ~
I
!
. -- i
I
i
"-'---'- --.
I
I
i
I
j .._... --..
I
I
I
,
i
i
I
i
i
" --_._---.._~._.-
i
: I
!
I i
i i
I I
I I
. '-'I"-.---.-.------.-..-.r-
J J .I
! I~;r
i '~!~
i .---. .. 1. '"
j 'I I
I I
I I
I
t S \ ~ '..~, ;..I,_.::J
I' ,;,--/
CON. : -
$ /)" off)
_.1
os :
s~l/.Dtf
IT --i
$ j
',,[r. -I
'J 'Lr
$0,0 j
TOTM D~
UfD., ,
,,:',"','-',
~
;>0.. LQ
g ~
0.....0")
~$('f)
1J.i'::--1
::2(})U-
\--56
r.) r......-
~ .U
~ (/) (j,)
VI .0
C en Q;3
::l 0 ,-.,
, f) \0 L.-'
.s
c;
:a
Q)
0:.
CWD-I
11/91
::--.
, ct ,Dr\r .'
; '-J'-_
I '
Corporate Warranty Deed
This Indenture, made this 15th
A.D. 19 93 Between
ZEPHYR RIDGE, INC.
day of
March
(f"
RECORD veuflEO
JEO Jl'ITTMAN
Clerk Clrlult Co 0 County
whose post office address is:
3902 CORPOREX PARK DR., SUITE 65
TAMPA, FL. 33619
a corporation existing under the laws of the State of FLORIDA
Grantor, and
RUSSELL H. STROHEKER and ROSEMARIE K. STROHEKER,
his wife
whose post office address is:
R1517443 V551075~
RECORDING/INDEXING
1 iiOOD THRU.SH - LAllJiECORDS i10DERNIVJION FEE
NEW WINDSOR, NY 19~f!);TAt'1P INVENTORY-DEEDS
1 ~,GO
f1.' ~ nn
\....;;.: ww
03/'18/93
02~57 'PN
~ nf""'!
_''; Wi..:
Grantees' SSN:
Grantee,
TOTf;L:
en nn
;c...~:: ~(~.
C~1EC!<= 90.00
~~UNNRR n~-A ANT PAIn; 90aOO
Witnesseth, that the said Grantor, for and in co~sideration ofthesuin on 'Te'n--' NO/l00 )
Dollars, to it in hand paid by the said Grantee, the receipt whereof is hereby acknowledged, has granted, bargained and
sold to the said Grantee forever, the following described land, situate, lying and being in the County of
Pasco , State of Florida, to wit:
Lot 7, ZEPHYR RIDGE SUBDIVISION, as per map or plat thereof
recorded in Plat Book 26, Pages 78-80, Public Records of Pasco
County, Florida.
r:,~/"::'''..,'/n~''.'' ~.~:',{ i~":. ~~.
<6L\-C?-s?__ _ ___
-----_... --~._, ---
\0-'"
CD .
......J
\.0
1..0
-.J
~.
..
c.--
u '.'_ ..____.~ ~':~':,:xl1:-:;t:h~ '~-a~ F'(l'.,
';,":: ,:;'r~:"'~Q":JiJt:; Clc~:
b, ---~- r.
,,~~
Subject to covenants, restrictions and easements of record. Subject
also to taxes for 1993 and subsequent years.
Parcel Identification Number: 03-26-21-0130-00000-0070
. And the said Grantor does hereby fully warrant the title to said land, and will defend th~e aga~the lawful
claIms of all persons whomsoever. ~" ;:~ ::::'1 _~...,
. In Witness Wher~f, the said Grantor has caused this instrument to be (:xec~te~~\~s[~~m~}y its duly
authonzed officer and caused Its corporate seal to be affIxed the day and year first above wntte.i:hJ~~,! -:-l __
ZEPHYR RIDGE, INC. ;r::() 'CJ
:f~; ",~~ ,
~2; J\~1. ~ L~,=-~
:2 it ~; -"
~ \'.
:~ t CI ,'0
r- ,
, ..
Signed and Sealed in Our Presence:
....,\. .....".:;~}A'~
)<' \" (J I t'o I"",
.,~.' ."......" > '.....
0; ':'" ~.... '\
Name:
Y9-1~
A. Moyr"o
/
! . ;h::z?a//J
Aman
." I \ 0,
j .,. .........' fw'/ ".
rCorpoi'ate .Seal" ,..... . , ":, :;'
, .. (,:.. \<.1 / .. ..1' SI
'.,:'. ...., \.. . :.,
_.', ". EJ
..\. ~'Odt:O,J.'" ...:::J
'. ~ o..l. ..' ......,'\." ,....... .
t, 'J, ...... }.' ,..'
/ I, :.1 ^ \ \ .,."
......-......1\'.'.
Connie
State of
County of
Florida
Pasco
The foregoing instrument was acknowledged before me this 15th day of March , 19 -93 ,by
J. ALFRED ADAMS
of ZEPHYR RIDGE, INC. O.R. J 126; PAGE () 712
a corporation existing under the laws of the State of
He/She is personally known to me or has produced
and DID NOT take and oath.
FLORIDA
DRIVERS LICENSE
, on behalf of the corporation.
as identification
PREPARED BY: Sunstate
RECORD , RETURN TO:
Sunstate Title Agency, Inc.
509 South 7th Street
Dade City , Florida 33525
c~ry~
Print Name: Susan A. Morrow
Nota
My
'<
~--,-~ - - - - --- - --~- - - -- -- -~- - -- - --I
. . .
C E N T R ALP E R M I T T
PASCO COUNTY. FLORIDA
CONTRACTOR #:
NAME: RUSSELL STROHEKER
ADDR: 6043 ZEPHYR RIDGE RD
C/ST: CITY OF Z/H
FOR:
I N G
DATE: 07/20/93
PAGE: 1 OF 1
I :::;SUE OFF I CE: D
RECEIPT NUMBR= 00182018
OFFICE: DADE CITY
CHECI< # 1 ';/::::55
CITY OF DC RESOURCE FEE
AceNT
114
TOTAL AMOUNT:
COMPNY ACCOUNT CENTER
8450 - 363000 - 1
22.4.7
AMOUNT
22.47
RECEIVED BY
, '.
/ '.<.'~ .,i / " "./ ///~ ./" ///, /.....(:. ' .' ,"
I, ."{''''/' ,-,,/ ,/r~/(~'
-- '"-.....-'-;;..~'-7..J-I----- .,..,.J.~_ _ __ _..:... ___ _-.,...._ __
I
DESCRIPTION/PERMT DATA DRieR
****** 60
".,..-:~, :t:f'"..'...","v-....!'"'.....,~~,......
, o{;......-:.. 1"';'" ~ <""'-.' .~"
......' "
PASCO COUNTY, FLORIDA
Permit #
Date
Name/Owner
,,-....
""
County Parcel #
Location
Classiftcation I Type of Use
lRANSPORTATION IMPACT FEE CALCULATION
Rate $
Zone#
Sq. Ft.1 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 Certiftcate of Occupancy or authority to utilize the permitted
structure.
RESOURCE RECOVERY ASSESSMENT
RESIDENTIAL
NONRESIDENTIAL
# Units
Gross Sq. Ft. (GSF)
Rate I ERU = 50.00 x 0.96* I Year
or $0.13151 Day
ERU Assign #
Assessment = (# Units) x ($0.1315)
x (# Days)
Assessment =
!Q.SEl x (ERU) x (0.1315) x (# 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.
THE ASSESSMENT WILL BE CALCULATED AT THE TIME OF ISSUANCE OF THE 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 form, placing the building permit
owner on notice of this assessment and the conditions of payment for same.
Date
Received By
OFFICE USE ONLY
DATE
DATE
BY
BY
lRANSPORTATIONREC. #
RESOURCE RECOVERY REC. #
White
Applicant
Canary
Trans I Finance
Canary
RR I Finance
Pink
Office
Green
Bldg I Insp