HomeMy WebLinkAbout94-3761
BUILDING PERMIT
,-:)> R FSlJ. ITD
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N ~
3761 L3
Date /-~-~~
~79-SO
BUILDING
~ 6# .2.S'
ELECTRICAL
S3~ 00
PLUMBING
-3 t) # cri)
MECHANICAL
Sewer Conn
Pcope"v OWO<, (}~
Job Address: ~S "t.:;J-7H'I--</J
Parcell.D. # 7' - :J /;, -.;).../- 0 {) YO -- {) 0 0 tClo - 0 t:J Y n
Radon Gas: J ~71
Water Meter:
T.I.F.'s:
/01 7~. P7J
'JSl9.Gf)~
/ ~-S -. t.JD .
Water Conn:
-
Zoning: /1 '::7Y Code: ,
Description of Work fl.~~~ (/ ~r)
NO OCCUPANCY BEFORE C,O.
FINAL
C.O,
-Z2-Q<-f
~ -;2
DATE
Inspector
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
p~rmlt Fe~..3~-S-
Signature _ ~ "'- <;;..,
Company
Address
Telephone# S -.,p- 8- - OJ. ~.,5.- J
Valuation or
Contract Price ~6;1,f-'1 7- ()'7)
City License Registration # J~
State Certified License#
BUILDING
ELECTRICAL
k;Lf /Y!7
PLUMBING
/~ .,L,
MECHANICAL
,8oyZ;1~
'tJ1~~ ~I
Tp. Servo
Rough In:~...~3~qy U
Meter Can I-S -9 'I
Const. Pole
Pool
Pre-Meter
Final Co ~ ZV'1f {~
SLB /-/7-~'-f -ftr;
Tub Set 3-cJ ~9Jf
Lintel
FRM. 3-:.\3-~'t ~
Insul. CL
Drly>>:~y~2:~~
,9..i::~~" "-Z2-~-V . -
~',"",,- '-':V3-\O/~Y ~ . Wit) ^_O_ - - "
REINSPECTION FEES: When extra inspection trips are neces~ of the ~~~~,~
charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade:
Water
Sewer s;..f~L/ [?tLL
Final fo-2--2--q-( gr:,b
Breakers
Ducts Insl. .1'-:J3- 9.J..f'8dr
Compressor
Final '-L:L-1~ I~b
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.
M() _/-.5-9 Y
;2-) t -;)j-rf
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
BOZETECH
6518 BRENTWOOD
VALUATION: $56,817.00 PERMIT FEES
BUILDING: 479.50
PLUMBING: 55.00
SQ. FT. LIVING: 1,409 ELECTRICAL: 66.25
MECHANICAL: 30.00
SUB-TOTAL: $630.75
COST/FT: $35.00 CREDIT: -GO.Of.>SQ.t/V
TOTAL: $570.75
SQ. FT. OTHER: 682
CONNECTION FEES
COST/FT: $11 .00 SEWER: 1,278.00
WATER: 350.00
METER: 165.00
VALUATION $56,817.00 TOTAL: $1,793.00
DRIVEWAY $20.00
ADDRESS $20.00
FEE SHEET $293.00
SQ. FT. UNDER ROOF 1,871
RADON GAS $18.71
TRAFFIC IMPACT FEES $0.00
99% $0.00 GRAND TOTAL: $2,382.46
1 % $0.00 'tIO.QO
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hed t~is surveyor, except as shown.
,rwioe shown hereon, no jurisdictional wetland areas or othe: ..
features have been located.
shown are per Plat. Field verified, unless otherwise shown,
Insurance Rate Maps Community Panel No. 120230 455 C, dated 2_1,_.
own hereon appe~r. to lie within Zone "C".
on the east boundary line of .aid plat, ba~rin9 S.OP24' ll"w,
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APpt,ICATION fOR PERrIIT
CUT Of" ZRPllYRHI LLS
BUIWIIIG DEPARJnRIIT
OWNER'S liME Sg/r/l C41T/e.. -.t-r!-KI1t;.L
OWNER'S ADDRE5~h' #- 7rJ;)"5 rT ~f"t. ~().
.JOB ADDRESS 6s/8' fJReA.!/UJ[)crJj) ~/,/.
.POONE 8/3- 7g;)-61~o
.LE{,,~L DESCRIPTION: Wf(S)
BI~SUBDIVISION
PARCEL 1.D.'
'i'JlU< I'ROI'OS"', ~ ~trucuon ----.llddit ion _Alte...Uon ----..Jlepair _Install
_Sign _Hove _D~.lish
PROPOSED USE: Single F=-ily 4 ...2- I of Unit.s _"'"
_~rcial _Indust. _SwIJ.. Pool Other
RlHLDING SIZE:
--.Jlestaurant .. HeAlth Depart.....t
.::359~
~f!
AlTACII (2) PLor l'LAIIS &- (2) SEIS OF BUILDUiG PLAIIS &- (1) SKI' ERERGY
ATrACII (3) SEI'S OF BUIlDING PLANS & (1) SKI' ERItRGY fORKS.......
''''OOPl' OF OOlO'RAcr REQUIRllD.
60
x bO,
Approval
I k ~
Square Feet. 8 0 - /5 FeeT 0
Height
RESIDENTIAL:
cottHERCIAL :
FORKS. ......
/ #/ "'"
-LRUUDING $ II) , tWo -
,
0H('''IRICAL /50 AMP Service
/ 11&1'. ,$ 00
L:NlCAL $ ~?,Qo')' Va.luat ion of "echanica.l Installation
_PLUHBING GAS . ROOFING SPECIALTY
TIPE Of" CONSTRUCTION: Zit _Fr~ _Steel Other
Q 'IJ,S.L.,
FINISHED fLOOR ELEVATIONS: 71fT.
PIlRIIITS REOUESTED
Valuation of Total GOlIstn.ction
~rida Power Corp.
W.R.E.G.
IS FROJECf IN fLOOD ZONE AREA!
/'
..........................................................................................................................
YES
NO
BUII.DF.R
tolIIfKAClUR. SEC'I'ION
lDIPANJ ~zeac-tI +::A.lc,
State Cert. or Regist. t.<<"'()() -56 :J2-~
City License RegistraUon' 3.8 ;;L
........................................................................................................
Signature
ELECIRlGlAN Wl!lFAJlJ /}J/J.erlJ,J E4ZC
: ~ '4 0 ~4--/!2-- State Cert, or Regist. t E: I ~
Slim tar I ~ / ;,W.w" City I.icense Registration , ,
....................~..............................................................
PLUHBKR
~
fDtPARf ~/ I),(/~f / L: ,1(:5' ):::,Iel..!r ) j?4,unbIJ
~ ~ StaLe Cert. or Regist. f '
191.1 Cit.y License Registration , ,) ,/y
............................................................................................................
Signature
HEalANIGAI.
(I /
'I Ii
IJ+~--r/M
OOIIPAJIY SOA/4/i/5
StaLe Cert. 01"1 Regist. ,
City License Registration ,
...............................................................................................
;J..
Signature
)
OTIIRR '1f~ WPlPAJIY &~ :/eeltf/
- ~ ~ State Cert, or Regist. t
Signature - City License Registration ,
..........................................................................................................
APPLlc:ATlOll APl'lIOVllD BY 71/74<' "'(f A PI:tL"J:
~?P-~
PERrIlT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOT I.CE OF DEED REJ?JR1CT.l..OI\IE_
The undersignpd undprstands that this per.it lay be subjpct to "deed restrictions" which .ay bp 'Orp restrictivp than City
regulations. The undprsignpd assules rpsponsibility for ro~pliance with any applicable depd restrictions,
B. !...INL I CENSED CONTRACTORS ~t.!I;L.129!:tLRA~_.:rOR RJ;;,S..f:~Q1\1qI B_1 L iT 1 E!;i
If the owner has hired a contractor or contractors to underlakp work, they lay be required to be licensed in accordance with
state and local regulations. If the contractor is not licpnsed as rpquired by la", both the owner and contractor .ay be
cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, IBI31
7BB-6611.
Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the
"Contractor Sections" of this application for which they "ill 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 .ay be an indication that he is not properly licpnspd and is not pntitlpd to ppr.itting privilpgps in thp
City of lpphyrhills.
C. TRANSPORTATION H1Pt='tCT FEE~ ?-lND UTI!-ITY._!;:ONNECTI0N FEES
D. !=ONSTRUCTION I"..JENl-AIi (CHAPTER 713~ FUJRID{) STATUTES, r,s AI'1ENDED)
I certify that I, thp applicant, have bppn provided "ith a copy of "Florida's Construction Lien Law - Ho.eo"ner's Protpction
Guidp" prepared by the Florida Dppart.ent of Agriculturp and Consuler Affairs, If the applicant is so.eonp other than the
"o""pr", I certify that I have obtained a copy of the above described docu.pnt and pro.ise in good faith to dpliver it to thp
"oMner" prior to co..encp.ent.
E, !,:ONTRACTOR' S/O\.-JNER ' S _ AFF:.iPllY-.!.I
I cprtify that all the infor.ation in this application is accuratp and that all work will bp donp in cOlpliance with all
applicable laws regulating construction, loning, and land develop.ent,
Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or
installation has cOI.enced prior to issuance of a per.it and that all work "ill be perforled to leet standards of all laws
regulating construction, City codps, zoning regulations, and land develop.ent regulations in thp jurisdiction. I also
cprtify that I undprstand that the regulations of other governlPntal agencies .ay apply to the intpnded work, and that it is
'Y responsibility to idpntify what actions I .ust tatp to be in co.pliance. Such agencies include but are not li.ited to:
, Depart.ent of EnvironlentaI Requlation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
Water/Wastewater TreatMent
· Southwest Florida Nater nanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altpring Watercourses
f. ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
, Departlent of Health & Rehabilitative Sprvices, Envir~n.ental Health ~~jt - Wells! Wastewater Treat.ent, Septic Tanks
, US Environ.ental Protection Aqency - Asbestos abate.ent
I also certify that, if fill .atprial is to be uspd in Flood lone "A" or "A,etc.", it is understood that a drainage plan
addressing a "co.pensating volulP" Mill be sub.itted which is prepared by a professional engineer registerpd in the State of
Florida prior to per.it issuance.
A perlit issued shall be construpd 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 per.it prevent thp Building Official fro. therpafter
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 per.it is cOI.enced within si~ lonths of issuance, or if Mork authorized by the per.it is
suspended or abandoned for a period of six .onths after thp tile the work is cOI.encpd. One 90 day extension of tile, lay be
allo"ed for the per.it with fee charge of '15.00. The extpnsion shall be requested in writing to the Building Official. An
approved inspection .ust be logged during each six lonth period, or the project will be considerpd abandoned,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEnENT nAY RESULT IN YOUR PAYING TWICE FOR IKPROVEnENTS TO YOUR
PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COn"ENtE"ENT. JOBS UNDER $2,500 IN YALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF connENCEnENT.,
SIGNATURE. OWNER OR AGENT -~ ~
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
befor-e me this
was acknowledged
, 19 _ by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
befc'l-e me this
was acknowledged
, 19_ by
who is personally known to me Dr who has
p,-oduced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
.\
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOT ARY PUBLI C
, ,
FLORIOA ENERGY EF. FICIENCY COD.E FOR BUILD. INO CO. NSTRUCTION I/:)
FORM 800B-M , Ae.ldermal Componeht Prescriptive Method B CENtRA'\J;5 8
.~ .: Department ot Community Affilrs \.
Comollance wrth Method B Chapter 8 Of. the Florida Energy E"ltlfney COdt may be demonSlr.tid by lh. use of FormllOOB.93 for t1ng~ and multHamity residences 01 3 stones or Ie.. in height. and
add'hons 10 eXisting reslden"a' buHdlngs. To cOmply. a building must mee. or exceed,an of the energy e"iciency pre~s in any QIIt of Il1e prescriplive component packages ~ comply With the
~rescriplive measores fisted in Tabli 88-1 of thiS form. ComPliance by this method will be. In most cases. equivlltnt to an EPI of 100 poinla or less. An allemalivt method is provided for addihons of
600 square teet or less use of Form .93. " . .. doel nol com wrth thil method. it ma lIill under other saeIionI in Char 6 of !he Code.
GENERAL DIRECTION .
1 New construclion including addilion' which incorporates any of the following features cannot comply using this method: raised wood "oors without continuous stem walls.
sleel stud walls. single ass&mbly roOflceilirg construction, or sky1i'9hts or other non.vertical roof glass.
2 Choose one of the component packiges "A" through"F" lrom Table 68.1 by which you intend to comply with the Code. Circle the column of the package you have chosen.
3 Fill in all the applicablespaces.!>f thll"To Be Installed. column on Table 68.1 with the InfO/l1l8tion requested. All "To Be Installed" valUfS must be equal to Of more eHicienl
than the required levels.' . ..ji'
4. Complete page 1 based on the "To de Installti/f" column informalion. ; . .
5 Read "Minimum Requirements for Aft Package~'. Table 68.2 and check each box to indicate your intent to comply with all applicable ~ems.
6. Read. sign and date the 'Prepjred By" certification statement at the bottom of page 1. The owner or owner's agent must also sign and dale the lorm.
PI6a8e Print
A
~~
1/1 " fI'
do-
ye/s'
0.
BUILDER:
PE~MlnING
OFFICE:
PERMIT NO.
dWNER:
1. Compliance packalge chosen (A.F)
2. New construction bt addition
3. Single family detlet\ed or Multl.amlly attached
4. If Multlfamlly-No, df units covered by this submission
5. If Multifamily, Is th.. a worst case (yes I no), '. '';
6. Conditioned floor a;ea (sq. ft.) .\. . '\t. .
7. Predominant eav4! dverhang (ft.)
8, Porch overhang length (ft.)
9. Glass area ahd type:
a. Clear glass
b. Tint, film or solar screen
10. Percentage of gU". to floor .tea
11, Floor type and Insulation:
a. Slab on grade (R-value)
b. Wood, raised (R-value)
c. Wood, eommon (J:l-v~IUe)
d. Concrete, raised (R-value)
e. Concrete, common (R-value)
12. Wall type and IIUaul.tloh:
a. Exterior:
1. Masonry (Insulation R.value)
2. Wood frame (Insulation R-value)
b. Adjacent:
1. Masonry (Insulation R-value)
2. Wood frame (Insulation R-value)
13, Ceiling type and InSUlation:
a. Under attic (InSUlation R-value)
b. Single assembly (Insulation R-value)
14. Cooling system
(TyPes: central, room un", package terminal A.C.. none 1
15. Heating system:
(Types: heat pump, elee. strip, nat. gas, L.P. gas, room or PTAC. 1I0ne)
16, Hot water .ystem:
(Types: elec.. nat. gas, L.Fi. gas, ioI8r, heat ree.. ded. Mat pump, o1her, none)
I hereby certify thet
"Ioriele E""VY Cddt.
PREPAAlD iy:
1 ~reby certify tI141
OWNER AGENT,
c:alculation a.. In c:omplIenc:e wlIh the
DAft: P. ..~ 'i~J
Enetgy Code
DATE
0-29
CLIMATE ['\;l D D
lONE: 4 l.LU 5 6
JURISDlcnONNO.: ~
CK
1.
2,
3,
4.
5.
6,
7,
8,
Single Pane Double Pane
9a. sq. ft. sq. ft.
9b, d-~t{ sq. ft. sq. ft.
10, /9 %
11a. R= () J11~ sq. ft.
11b. h= sq. ft.
Uc. R= sq. ft.
Ud, h= sq. ft,
11e. R= sq. ft.
.
12a-1 R= 5 571> sq. ft.
12a-2 R= fA sq. ft.
12b-1 R= 6 3 5 J... sq. ft.
12b-2 R= II I D~Sq. ft.
13a. R= 30 " 1 b sq, ft.
13b. R= /9 sq. ft.
14. Type: Ce..A7( (Ii (
SEERlEER: 10 ( C/O
is. Type: 1#, d 111J~i '
HSPF/COP/AFUE: ." 0
16. Type: ete-.r
EF: q I
Aevtew oj plena n IlllleIfi<:aIiona __ by .. C8IcuIetIon IndiclIles c:omplienee wMh
tie FIoridiI Elt8lVY CocIe. Ie CClmllIeIecI. .. bulktng.. be Inepec:tecI
1or~1n .110I.".5 -
8UllDlHG OFFICIAL:
DATE:
.
TABLE 68.1
MINIMUM ~EQUlf:lEMENT~
. .
COMPONENTS PACKAGES FOR NEW CONSTRUCTION I
A B C 0 E F
Mu."IooI glass 10 Floor AIea 15% t5% 20% 20% 25% 25%
C/) Type $ingIt Clter (SC) SIngle 'Tin! 1ST) SingleT'"' (ST) SingIt TInI (ST) Double TinllDTI Double Tin! (DT)
C/)
~
Cl Overhang 2' 2' 2' 2' 2' 2'
MaSOlll)' EXTERIOR AND ADJACENT MASONRY WALLS R-5
C/) COMMON MASONRY WALLS R-3 EACH SIDE.
;j ,
<(
~ Wood EXTERIOR, ADJACENT, AND coMMON WOOD FRAME
Freme WALLS R-tt
CEILINGS CEILINGS UNOER ATTIC R-30. FRAME COMMON CEILINGS R-1t.
(NO SINGLE ASSEMBLY CEILINGS ALLOWEDI .\
, .~
Sleb.On-Grade l-
C/) - R-O ~,
II:
~ RelSed Wood R-tt (ONLY STEM WALL CONSTRUCTION ALLOWEDI .i
Reised Concrete R-S
DUCTS R-6 R-e CONDo R-6 R-6 R-e
SPACE COOLING (SEER) 11.1 to.O. 10.0. 10.5 10.0. 10.9
I- Elect. (HSPF) STRIP 6,8. 6.8. 7.3 6.8. 7.6
~
x Gas/Oil (AFUE) MINIMUM OF .73 (Direct heating) or .78 (Central)
Electric EF .90 EF ,90 '. , EF..90 EF .90 NOT AlLOWED EF.90
II:
~2 Resistance.. ,I ';""., (SEE BELOW)
~~ Gas & or.. MINIMUM EF OF .54 NATURAl GAS ON. y
1-> (SEE BELOW)
QC/)
:r: Other Any of the following are allowed: dedicated heat pump,
heat recovery unit or solar system.
Climate Zones 4 5 6
TO BE INSTALLED
'1''' .-
..
DC: 0 )T DT: 0
.r- FEET
EXT: R= ..
ADJ: R=
COM: R= }
EXT: R= 9
ADJ: R_ II
COM: R- ,
UNDER A TIIC: R- '7(/
COMMOM: R. 1'1
R_ 0
R.
A.
R- t) CONDo ~ 0
SEER. JO """."",
COP.' _or HSPF. ~
AFUE ,.
EF. t C;(
EF.
DHP: Fo= EF- -
HRU: ~
SOlAR: EF=_
SingIt pteltlge IIliII "*'Imum SEER.9.7. HSPF. 8.6.
MIlinun IIficlenl:let lor glSlIld IledIIc hot WIler systems Ipply 10 10 40 ganon waler helle!s. Reter to TIllie &-11 for minimum Code elliciencies lor Oil wattr helters Ind other IIZH.
DESCRIP110N OF IUIlOlNIJ COMPONENTS USTtD
Pe"*1l 01_ III "- ArH: This percent. is CIICWIled by dividing the total of In g1ISS ireas by Ihe lOtal conditioned ftOOl Irea
0vemInt: The CIVtIhIng is '" dilInce IIle roof or IOftil pllljeds out hoIizonIIlIy !rom \he lICe 01 the gllSS. A' gllSS lrels sill. be under III overhano oIlIleaSlthe prescribed Ienglh wlt1"'lolIowlng elceptions 'I glass
on the pbIecI ends oll hou.-lIld 2) the glIsa In the lower IlOries '" I mulli-story house.
WIl., CelIInt IIld Flaibr........, V"': The R-VIlues inclIcIted ,epmeni the ll'llnimum lCCepIable insulllion Ievtlldded to the SllIICtuII' components ol the w16. ceIlinO or ftoo,. The R-vllut olN Sllucturll building
materills shill no! be lnc:lucMcIln this CIIcuIIlion. "Common" components Ire those separltmg condilioned lenencies in I mulIillmily building. 'AlIIlCenf' componenlI MIlIrl'l c:ondiIioned SClIelI Irom unconclllooned but
encloSed 1pICt. "ElltIrior' cornporie/lls ....... tIlnCIIIoned tpICI!rom uncondilioned and unenclosed space.
Floor: ~.1Ioors fliII1cU edge inIlAIIion 1II1cceP11b1e. RIiHd wood ftoors ShIll hive continuOuS stem wlls wilh inSUIlbon p11Ced on the stem ... Of '"'" tit ftoor.
Duell: "COHO' indicItts that N chICtI must blt inIteIled wilhIn the conditioned space: lhIl is. Ihe dUClWortc shl' be IocIled on the conditioned SIde ollhe insullhon. Ducts In cond~ioned spICe Ire ecceptlble tor any
prtlSCllplivt PICkIgt.
SpIce Cootl", ',...in: Cooling 1yIttlmt'" hive. Seuonll Energy Efficiency RlliD (SEER) for cenlrl' units or Energy Elliciency Ratio (EER) for room unots or PTAC'slqUll to or griller lhIn 1he prtlClibed vliutl
EfIctrfc....1tIIIIiIg 0ptIlln: HeIlIllJl1ll sysIemI shill be riled wilh I Helling Seasonll PerfOImlllCtl FICtor (HSPFIIqUllIO or orellltllthln \he prescnbed HSPF. Hell pump systemIlllIly contain IIectriC sll1P backups
meeting ... criteria 01 Mdion 1I08.1.A8C.3.U. No IIecfnc: ftlSIIlInce space hell II allowed lor these pICkIgeS. _
EItclrfc ....1t1Inc:t iIoI WIlIf OptIon: For pecbges designated "NoI Allowed". an eteclric fISiSlInce hoI WIler system may be instilled orIy in cor;unction wilh one of Ihe "Other Hot WI'er System Options". See belo"
0Ihtr Hot WIlIr S,. 0pII0nt: My dediclIItd hell pump. hell rlCOvet'f Ilnil. or IOIIr hot Wiler system wilh III EF of '.5 or higher mly be ins1aHd. Solar systemS must be designed to provide 1I1t151 4lr.. ollhe tOlal
hoI Wlter. EIednc rtslSllllCl syIitmS hiving III EF 01 .88 or griller. or nllUrll OIS systems willi EF .54 or grellltll may be used in conjunction wilh these systlml.
"
Water Heattrs
SwImmIng
Pools I Sp's
Hot Water Pipes
Shower *is
t
ConstructIon.
insulation & Instellatlon
~V AC Controls
607.1
p_10
'"
')
--
CONTRACTOR #:
NAME: BOZETICH
ADDR: 6518 BRENT WOOD
C/ST: Z/HILL
C E N T R ALP E R M I T TIN G DATE: 06/21/94
PASCO COUNTY7 FLORIDA PAGE: 1 OF 1
ISSUE OFFICE: D
RECEIPT NUMBR: 00215844
OFFICE: DADE CITY
FOR:
CHECK .. 2076
04-26-21-0040-00000-0040
ACCNT
114
TOTAL AMOUNT:
COMPNY ACCOUNT CENTER
B450 - 363000 - 2
26.44
AMOUNT DESCRIPTIONIPERMT DATA DRICR
26.44 ****** SOLID WASTE FEE 60
RECEIVED BY L+__~i,-_
PASCO COUNTY, FLORIDA
".
",
Permit No. -..376/
/J
Builde, Name/Owne' Name r/5':>:J,frd
County Parcel No. ~ -.;Lt, - ~ - t) tJ Y {) - 0 tJ 0 DO... () t'J Y D
Location b0,-/,f' ~
Classification/Type of Use __
Date Permitted 6. c21'" Y '7
~a~
Subd.
/~A...J
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT
o
Rate $
Sq. Ft./U nit
Zone No.
Prepared By
Impact Fee Amount $
The above impact fee has een 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
EXEMPT 0
RESIDENTIAL
NONRESIDENTIAL
No. Units
/
Gross Sq. Ft. (GSF)
Rate/ERU - 50.00 x 0.96*/Year
or $0. 1315/Day
ERU Assign No.
Assessment - (No. Units) x ($0.1315)
x (No. Days)
TOTAL FEE $ J ~- 1+1-
Assessment -
(GSF) x (ERU) X (0.1315) x (No. Days)
100
TOT AL 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
TRANSPORTATION REC. NO. dlSg It-'-t
RESOURCE RECOVERY REC. NO.
DATE ,,-
DATE
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldg/lnsp
feecal:ce