HomeMy WebLinkAbout93-3723
BUILDING PERMIT
Permit N ~
_ 37238
~PR. F It' o. (Jl)
CITY OF ZEPHYRHILLS
(813) 788-6611
Date /;;1 -/~--93
J &;;2. SO SS,-!:>O ~:- 00 ;u-: oV
BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn ~:l7 g; tl(7).
Water Conn: JSl:J. dU
~ ~/1 /J' :1/1 "
Property Owner: '-- /1.....t d'-.J.e, ~//..,J~ Water Meter: .!~' OV
Job Add'..., ~ ~ 9- 'i ~ SJ. () d ~ ' _ TIL.. >;,..s cr~. el1
Parcell.D. # _~ o/!.> -..J;f E,iJ ~ ..;- (,.
Zoning: . Energy Cjfe: Radon lias: L;~ bb
Dese,;..;O" of Wo" cjfJ.....r 41~ ~ l>t.--.-14J/."'';/'&:;a
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances,
Valuation or ~ .
Contract Price db;). tit)
City License Registration # J;z;;;t
State Certified License#
~ ~~~.h~'&/4
BUILDING
~~~t
dolY
ELECTRICAL
Ftr. FL- 2D ,~3 ~
Pre SLB /-"'9 ~
Lintel /- ?-qtJ 1i3
FRM. w(/20/Q4 ~
Insul. CL
WL i-/~.qL{ CB
Permit Fee
Signatur
Company
Address
Telephone#
(l,C,~ ~~Aj
PLUMBINGo1l
~.LlYL>> )/1 'f &fl
/O-b
MECHANICAL
V--
Breakers
Ducts Insl./-I7-Q Y 6c.b
Compressor
Final 2.-1 tf -9"1 BtLL
Tp. Servo SLB 17 ~O q~ 'RlT.T.
Rough In ,p{/70!94 WB Tub Set LHfqo/9.j ~
Meter CanJl.~-t:j3 Water j-I .ti
Const. Pole 12-17-93 BOffiewer /-?I~ ~
Pool Final 2.-1 . (u,_
Pre-Meter 2 -1/ 'II.( f5tt-/....
Final
Driveway 01/25/94 IJTTT.
SHFA'IHING 01/12/94 BILL
fi.Nt,L. 2. -17 - ~ "" ~ LLl
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.
b.
c,
d.
e.
f.
g,
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
Work not accessible.
')JC{, /;1..,/-.5--93
r'~-/&-7f
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
VALUATION:
SQ. FT. LIVING:
RIDGE BUILDERS
5935 20th ST.
$39,362.00
1,014
COST/FT:
$35.00
SQ. FT. OTHER:
352
COST/FT:
$11 .00
VALUATION
DRIVEWAY
$39,362.00
$20.00
ADDRESS
$20.00
FEE SHEET
$215.00
SQ. FT. UNDER ROOF
1,366
RADON GAS
$13.66
TRAFFIC IMPACT FEES
99%
1 %
$1,585.00
$1,569.15
$15.85
PERMIT FEES
BUILDING:
PLUMBING:
ELECTRICAL:
MECHANICAL:
SUB-TOTAL:
CREDIT:
TOTAL:
CONNECTION FEES
SEWER:
WATER:
METER:
TOTAL:
362.50
45.00
55.50
25.00
$488.00
0.00
$488.00
1,278.00
350.00
165.00
$1,793.00
y~ ~~ ~ CvJ:I
~-J;~, tl7J
GRAND TOTAL: $3,879.66
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT
Ridge Builders, Inc.
707 Jones Avenue, Haines City, Fl. 33844
PHONE 813-422-8240
ADDRESS
OWNER
same as above
JOB LOCATION 5935 20th St.., Zephryhills, Flli.OT SIZE~X 951 AREA SQ.FT. 5,700
LEGAL DESCRIPTION: LOT(s)East ~ of lots BLOCK 45
5 & 6
SUBDIVISION Zephyrhills
PARCEL I.D.#
WORK PROPOSED:~New Construction ----Addition ~Alteration ____Repair ____Install
____Sign/Temp. ____Sign ____Move ____Demolish
PROPOSED USE: -K--Single Family ____M/F ____4~ of Units' _____M / H
____Commercial ____Indust. ____Swim, Pool Other
____Restaurant & Health Department Approval
. ~
BUILDING SIZE: :iQJ.8X 421-00 1 :inn Square Feet, A' 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 FORMS.**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
____BUILDING
$
Valuation of Total Construction
____ELECTRICAL
200
AMP Service
Florida Power Corp.
_W.R.E.C,
____MECHANICAL
$
Valuation of Mechanical Installation
____PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ~Block ____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
Signature
******************************************
CONTRACTOR SECTI~ # / .#' ,..-?--
Company ,K ,rPC~e &-u[~J ~C
State Cert. or REfgist. # cL!?Cd~/R97.r
City License Registration # .~ ~.2-
*********************************
Signature
Company (.7 /! ;;'e. F ~C'k"c
-z... ~ State Cert. or Regist., 4~ It:)
r / ' ~ City License Registration #
......... . *"":::::::'*jj*;;';g=~
State Cert. or Regist. # ICI=OCJ3?YIJ?
~ .~.., ~ City License Registration 4# ~/}
******************************************
::':::::k7~~
PLUMBER
",
MECHANICAL LJaL/f'r L f71av Company ECOA/O CooL,-........1rrb'("'t,~'......,c
AI / I.J.. '-P...H- State Cert. or Regist. #_/JtJO _crro
Signature rL./Cv(AJ./ wLlau City License Registration 4# /0 ftJ
~ ******************************************
OTHER . - Company
State Cert. or Regist. #
Signature City Lic.ense Registration 4~
ovC
APPLICATION APPROVED BY
******************************************
)1a11A"A~ ~-/A-#7~r
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per.it ..ay be subject to 'deed restrictions' which lay be lore restrictive than Ci~y
regulations. The undersigned assules responsibility for cOlpliante 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 accordante with
state and local regulations. If the contractor is not licensed as required by law, both the owner and tontractor lay be
cited for a lisdeleanor violation under state law. 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 Zephyrhills Building Departlent, 18131
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, be 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 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 per.itting 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
6uide' 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 promise in good faith to deliver it to the
'owner' prior to cO'lencelent.
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 develop.ent.
Application is hereby aade to obtain a perait 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, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies aay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liaited to:
f Departlent of Environ_ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatment
f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
f Departlent of Health & Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environlental Protection Aqency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone 'A' or "A,etc.., it is understood that a drainage plan
addressing a 'colpensating volule. will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to per_it issuance.
A per.it issued shall be construed to be a license to proceed with the wor~ 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 perlit issued shall becole invalid
unless the work authorized by such perlit is cOI.enced within six lonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six 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 extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR fAILURE TO RECORD A NOTICE OF CO""ENCE"ENT HAY RESULT IN YOUR PAYIN6 TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCIN6, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CO""ENCEHENT. OBS ER 2,500 IN V UE D OT NEED TO RECORD AND POST A "NOTICE "ENCEKE T".
SI
STATE OF FLfiRIDA J.1 ft t1 #
COU~lY OF J" ~
Th~'foregoing instrum~t was acknowledged
before ~~IiI ;J9'i"3 by
who is personaftY. known to r:t or who has
produced ___6
~ identification and W~id/d.M:I--nOt
take an oath'~f!J~ k~ (J~
(Signature)]3{kr'6(l'<:!L- ~.. C-os:.~ ((6
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
STATE OF FLORIDA "', "A
COUNTY OF ~
, The foregc,ing instru.~,nt l/-JC\S acknowledged
befor~; eel ~~ by
who is personally known to me or who has
produced ~
a.r identi fica~on arId .Wh~/~lt
take an clath ~~tL /~ C? ~ &
(Signature) f) { ----n /~~-(
(;2(; reC1 '''fL T\,. ~ ( "'" r ...
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
..........
....~~ ~...... OFFICIAL SEAL
; _ ~ 8a'bara R. Costello
. .
~ : My Commission Expires
"".">, r A.: Nov. 2. 1994
. .~/'tClFf~""" Comm No CC 054525
. ....
..........
.....~..Itt "%;;". '.:.i-',..ICIAL SEAC
;~' \ B.....hC!~a R Costello
. .
~ : My Commission Expires
\ ! Nov. 2. 1994
.~'rOFf~. Comm. No. CC:'45..
. .........
I Hereby certify that the plans and
specifications covered by this calcu-
lation are in compliance with the
:~:::::D E::~9Y tlJlr / ~
DATE :"_____"_______.:'..2~_=2..~.~~.=~~==.~:=~~_-~=.~
I hereby certify that this building is
in compliance Wi~ h the.. Elor ida E..nergy
Code. /?
OWNER/AGENT: ~J _
D ATE :.......__..___"_.L-i!.::.2...=.?2_._==.===:=_~~_=..:~==-~==
Review of the plans and specifications
covered by this calculation indicates
compliance with the Florida Energy
Code. Before construction is completed
this building will be inspected for
compliance in accordance with Section
553.908 F.S.
BUILDING OFFICIAL:
DATE:
*******************************************************************************
SUMMER CALCULATIONS
*******************************************************************************
=== BASE === === AS-BUILT ===
===============================================================================
GLASS----------------
ORIEN AREA x BSPM = POINTS :
TYPE
SC ORIEN AREA x SPM x SOF = POINTS
E 39.00 102.0 3978.0 SGL CLR E 23.0 109.2 .75 1886.0
SGL CLR E 16.0 109.2 .75 1312.0
S 37.00 90.9 3363.3 SGL CLR S 16.0 100.2 .63 1015.8
SGL CLR S 16.0 100.2 .63 1015.8
SGL CLR S 5.0 100.2 .63 317.5
W 23.00 102.0 2346.0 SGL Cl..R W 13.0 109.2 .75 1066.0
SGL CL.R IN 10..0 109.2 .75 820.0
-------------------------------------------------------------------------------
.15 x CONDo FLOOR / TOTAL GLASS = ADJ. x
AREA AREA FACTOR
GLASS =
POINTS
ADJ GLASS
POINTS
GLASS
POINTS
-------------------------------------------------------------------------------
.15
1,014.00
99.00
1.536
9,687.30
14,883.21 :
7,433.10
-------------------------------------------------------------------------------
--------------~_._-----------~---------------------------------------------------
NON GLASS------------ :
AREA x BSPM = POINTS :
TYPE
R-VAUJE
AREA x SPM = POINTS
-------------------------------------------------------------------------------"
WALLS----------------
Ext 944.0 1.0
Adj 248.0 .7
944.0
173.6
Ext NormWtBlock In
Adj Wood Frame
5.4
11.0
944.0
248.0
.96
.70
906.2
173.6
DOORS----------------
Ext 40.0 4.8
192.0
Adj
18.0
1.6
28.8
Ext Insulated
Ext Insulated
Adj Wood
20.0
20.0
18.0
4.80
4.80
2.40
96.0
96.0
43.2
CEILINGS-------------
UA 1014.0 .6 608.4
Under Attic
30.0 1014.0
.60
608.4
FLOORS---------------
SIb 152.0 -31.8 -4833.6
Slab-on-Grade
.0
152.0 -31.90 -4848.8
INFILTRATION---------
1014.0 10.9 11052.6
Practice #2
1014.0 10.90 11052.6
===============================================================================
TOTAL SUMMER POINTS
23,049.01
15,560.34
===============================================================================
TOTAL x
SUM PTS
SYSTEM =
MULT
COOLING : TOTAL
POINTS : COMPON
x CAP x DUCT x SYSTEM x CREDIT = COOLING
RATIO MULT MULT MULT POINTS
-------------------------------------------------------------------------------
23,049.01
.37
8,528.13 : 15,560.34 1.00 1.100
.340
1.000
5,819.57
======================================================~========================
*******************************************************************************
WINTER CALCULATIONS
*******************************************************************************
=.=.=. BASE =.=.=. =.=.=. AS-BUILT =.=.=.
-------------------------------------------------------------------------------"
----------------------,-------------------------------------------------------~-
GLASS----------------
ORIEN AREA x BWPM =.
I
I
POINTS :
TYPE
SC
ORIEN
AREA
x WPM
x WOF
=. POINTS
E 39.00 -5.6 -218.4 SGL CLR E 23.0 -2.2 -.36 18.4
SGL CLR E 16.0 '-2.2 -.36 12.8
S 37.00 --14.0 -518.0 SGL CLR S 16.0 -10.9 .64 -111.9
SGL CLR S 16.0 -10.9 .64 -111.9
SGL CLR S 5.0 -10.9 .64 --35 .0
W 23.00 --5.6 --128.8 SGL CLR W 13.0 -2.2 -.36 10.4
SGL CLR ~l 10.0 -2.2 -.36 8.0
.15 x CONDo FLOOR / TOTAL GLASS =. ADJ. x
AREA AREA FACTOR
GLASS
POINTS
=.
AD] GLASS
POINTS
GLAS::::,
POINTS
.15
1,014.00
99.00
1.536
-865.20
-1,329.26 :
-209.25
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
NON GLASS------------ :
AREA x BWPM =. POINTS :
TYPE
R-VALUE
AREA x WPM =. POINTS
WALLS----------------
Ext 944.0 1.1 1038.4 Ext NOlmWtBlock In 5.4 944.0 2.78 2624.3
Adj 248.0 1.8 446.4 Adj Wood Flame 11.0 248.0 1.80 446.4
DOORS----------------
Ext 40.0 5.1 204.0 Ext Insulated 20.0 5.10 102.0
Ext Insulated 20.0 5.10 102.0
Adj 18.0 4.0 72.0 Adj Wood 18.0 5.90 106.2
CEILINGS-------------
UA 1014.0 .6 608.4 Undel Attic 30.0 1014.0 .60 608.4
FLOORS---------------
SIb 152.0 -1.9 --288.8 Slab-an-Glade .0 152.0 2.50 380.0
INFILTRATION---------
1014.0 4,,1 4157.4 Plactice #2 1014.0 4.10 4157.4
================================================================:===============
TOTAL WINTER POINTS
I
I
4,,908.54 :
8,317..47
===============================================================================
TOT AI_ x
WIN PTS,
SYSTEM
MUL_ T
=. HEATING : TOTAL
POINTS : COMPON
x CAP x DUCT x SYSTEM x CREDIT =. HEATING
RATIO MULT MULT MULT POINTS
4,908.54 1.10
5,399.39 :
8,317.47 1.00 1.100
.484
1.000
4,428.22
===~================:===========================================================
*******************************************************************************
WATER HEATING
*******************************************************************************
=== BASE === === AS-BUILT ===
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
NUM OF
BEDRMS
x
MULT
=
TOTAL
TANK VOLUME
EF
TANK
RATIO
x MULT x CREDIT
MULT
= TOTAL.
~-------------------------------------------------------------------------------
-?
-'
3527.0
10,581.00
40
.94
1.000 3302.0
.35
3,467.10
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
*******************************************************************************
SUMMARY
*******************************************************************************
=== BASE === === AS-BUILT ===
-------------------------------------------------------------------------------
------------~-------~-----------------------------------------------------------
COOLING
POINTS +
HEATING
POINTS
HOT WATER
+ POINTS =
TOTAL
POINTS
COOLING
POINTS +
HEATING
POINTS
HOT WATER
+ POINTS =
TOTAL
POINTS
~--------------------------------------------------------------------------------
8528.1
5399.4
10581.0 24,508.53
5819.6
4428.2
3467.1
13,714.89
--------------------------------~----------------------------------------------
-------------------------------------------------------------------------------
*****************
* EPr = 55.96 *
*****************
SN: 3869
FLORIDA ENERGY EFFICIENCY CODE
. FOR BUILDING CONSTRUCTION
Section 9 Compliance Program - Residential Point System Method
Version 1.0 January, 1992
Department Of Community Affairs
Printout generated by EPI92 and submitted in lieu of Form 900-A-91
THIS COMPLIANCE FORM IS VALID IF SUBMITTED AFTER JANUARY 1, 1992
------------------------------------------.--------------------------------------
PROJECT NAME: Single Family Residence
AND ADDRESS: 5935 20th Street
Zephryhills, Fl. 33540
PERMITTING OFFICE:
_3~~_________________
t{I~ATrff;~~E-:~. Q 5 6
BUILDER:
Ridge Builders, Inc.
OWNER:
Ridge Builders, Inc.
PERMIT ~~O.:
3 ?~..3 f3
JURISDICTION NO.:
_4. It ttf2 J2 _._ ___
COMPONENT:
-------------'------------------------------------------------------------------
INFILTRATION
Conditioned Floor
AS BUIL_ T POINTS
13,714.89
DIMENSION:
Total Area
Total Area
Total Area
Area:
A'~ea:
A,"ea;
Area:
Area:
Area"
Perimeter:
Len9th ALL
Bed'(ooms:
Area:
/
VALUE: RATING: VALUE: OFFICIAL CHECKLIST
2.00
.00
99.00
99.00
.00
944.00 R""Val:
248.00 R-Val:
20.00
20.00
18.,00
1014.00 R-Val:
152.00 R-Val:
R-Va1. :
SEER:
HSPF:
EF:
EF:
3.00
1014.00 Pract:
BASE POINTS
*
24,508.53
GLASS TO FLOOR AREA RATIO
STRUCTURE TYPE:
Single-Family
PREDOMINANT EVE OVERHANG Length:
PORCH OVERHANG Length:
WINDOWS
Single CLear
All Vertical Glass
All Skylight Glass
WALLS
Ext NormWtBlock Int
Adj Wood Frame
DOORS
Ext Insulated
Ext Insulated
Ad j 'Aiood
CEILINGS,
FLAT I.)nder Attic
FLOORS
S 1 ab-on-(A'( ade
DUCTS
Unconditioned Space
COOLING
Cent '( a I A/e
HEATING
Heat Pump
HOT WATER
E l.ect'( ic
Dedicated Heat Pump
5.40
11.00
30.00
.00
6.00
10.00
7.00
.,94
2.50
2
100
:::
EPI
55.96
.0976
C: C: !\i "'1" :;;~ .A-.._
F' ~:= :~. ....i I -r I
.\~ MJ
['Pj'TE
02/ :1.1:.:./94-
1 OF :I.
PASCO COUNTY, FLORIDA
F'ACiE
T'::SUE :::::FF"ICE~: U
F<EeE I pi NUf"iBF<
OF~ICE: DADE CITY
00203731.
CCi....iTI::;:riCTOf~ :1:};
NAME: JOSEPHINE A
i;~DDF:: (;.0.44 Ci!~i~Ei\j
C: / ::::T. ~ Z r-f I L.L-:; FL
LE F t<O:~:; r::: E
[!!::;~ ~)F'T ::..:~:3
F:-Cl!:'~;: F~E~::;CjijF~~C:E:
C:HECI< :!t:~ 14
i l.ij.
TOT ?:lL {.';r1CUNT:
COMPNY qCCOUNT CENTER
8450 - 363000 - ~
"-+:.::. 57
AMOUNT DESCRIPTION/PERMT DATA DR/CR
43.57 ****** SOLID WASTE FEE ou
nCCI"jT
r:;:ECE I \}ED
II /
BY ---.f2if1J~__tl~m_________
./
/ \ '--I
'7
PASCO COUNTY, FLORIDA
Name/Owner ~18fL IL~
County Parcel #
Location r<J,:r-!:.-~
Classification / Type of Use ~
Pennit # S 7:23 jJ
Date /;} - /s-- Y-3
TRANSPORTATION IMPACT FEE CALCULATION
Rate $
Zone #
Sq. Ft. / Unit
Prepared by
The above impact fee has been establish uant to the Pasco Transportation Impact Ordinance as adopted by the Board of
County Commissioners. This a is payable PRIOR to the issuance of aCe Qf Occupancy or authority to utilize the pennitted
structure.
Impact Fee Amount $
RESOURCE RECOVERY ASSESSMENT
RESIDENTIAL
NONRESIDENTIAL
# Units
I
Gross Sq. Ft (GSF)
Rate / ERU =
50.00 x 0.96* / Year
or $0.1315 / Day
ERU Assign #
Assessment =
(# Units) x ($0.1315)
x (# Days)
Assessment =
illS.El x (ERU) x (0.1315) x (# Days)
100
TOTAL FEE $
1j357
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 fonn, placing the building pennit
owner on notice of this assessment and the conditions of payment for same.
Date
Received By
OFFICE USE ONLY
TRANSPORTATION REC. #
RESOURCE RECOVERY REC. # :2 03 13/
DATE
DATE ...:2 - J f.:, - q J..(
:~--k
White
Applicant
Canary
Trans / Finance
Canary
RR / Finance
Pink
Office
Green
Bldg I Insp