HomeMy WebLinkAbout94-3936
BUILDING PERMIT
7RF ijO.oD
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N~ _ 3936 !3
:5 ~ "3 ) - qJ:f
,
5'1:JSQ
BUILDING
Date
58~
ELECTRICAL
SS r:9.
PLUMBING
04
.::s'D -
ME<:::HANICAL
Ot:J
Sewer Conn /::J 'J a -
~i:!
Water Conn: BSb-
Property Owner: ~ . ~~Alll.l-<=jdD-n-\..t2 O~~ ~
Job Address: bf"\C!::lC \3n1\J\U~ C.1'.l\A.i. (J.
Parcell.D. # ~,:) '^ -do- l- t:!Id.JC - diOOOC> - oJJ..f S-
Zoning: Energy Code: Radon Gas: /"'312-
Description of Work ~ ~A,~J (/ .~r)
OV~ - ~ J2,vdj
,
Water Meter:
T.I.F.'s:.J..j bIll
.y. '"
Permit Fee .:53 '5 .
Signature ~~ ~-6.J.~
Company
Address
Telephone#
FINAL
C.O.
NO OCCUPANCY BEFORE C.O.
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or -!J.2 ~ 00
Contract Price J. 7 -
/
City License Registration # ~ ~
State Certified License#
tlJ')Il) ~,.r?~1'21~~1
BUILDING ~ PL MBING
F... ~ <i?'tLL- Tp.Serv. SLB '1-1 H'f ~..u-
~;:t~LB _ ..- ~tl /)cU- ~oe~~~ ~:n 6'~ -'14 /i,Ar ~a~e~et l.c-3 ~~4 ~4
FRM, G3,,;~ -1 Y $J/I Const, Pole. S.ewer ;~~-!4'~
Insul. CL $.. Pool /' Final _ _- J'I _ __
WL ro-7-f/tf --1 Pre-Mete.; '/7-2.~ -qx L,-;A.r
1- '64 t-{ ~ Final ~- g .-ftc.f &
Drive~y ~cA.- I 'I
"~I\J 6"-tL-'t 'I ~ ~D ~- -44 ftb
W;CJ~~ b65~ 1--~Po/
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of e following reasons, a/,
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for ea rade:/Q. j -...../':'~ r
a. Wrong Address l'/~ P
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,
~~~~o
MECHANICAL:
Breakers bI:r-
Ducts Insl. 10 ''! -CfY ~
Compressor
Final --g '.-1--7 <f ,8~1
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same,
APPLICATIOlNl FOR PRIlliIT
CIty OF ZEPIlYRllTLLS
mnLDIRG DEPARlHRm"
~r ~(fJ JfD~
j/ :JCjJjf
. OWNER'S NAME General Home Development Corp.
PlIOlNlE ' (904)567-6581
OWNER'S ADDRESS 13924 Seventh St. Dade City. Florida 33525
JOB ADDRESS b 7& 0 Basswood Circle Zephvrhills. Florida 33540.
LEGAL DESCRIPTION: LOT(S) 145
BI.OCIC-SUBDIVISIOlNl Driftwood Pha5:p III
PARCEL I.D.' ?-?h-?1-0?10-00000- 0145
WRK PROPOSED:-L-!mew Construction ---!<ddit.ion _Alteration _Repair _Install
I
_Sign
_Hove
_De.-ol.ish
PROPOSED USE: X Single Faaily
_KIF
_' of Units
_K/H
_Commercial
_Indust.
_Sw:L.. Pool .
. Other
~estaurant & Health DepartDent Approval
BUILDING SIZE:
x
1?1?
Square Feet.
Height
RESIDENTIAL:
COHKKRCIAL :
AlTACH (2) PLOT PLANS & (2) SEIS OF BUILDING PIMilS & (1) SlIT ENERGY FORKS.'**
ATl'ACII (3) SEIS OF BUILDDUG PLANS & (1) SET ENERGY FORtIS. **
**COPr OF COIlITkACT REQtmmD.
PERKITS REQUESTED
--LJJUILDING
$ 37.000.00
Valuation of Tot:a1 Constrvction
X F.T.F.Cl'RICAL
AHP Service
Florida Power Corp.
W.R.E.C.
--X....JfECIlAHICAL
$
Valuation of Mechanical Installation
-LYLUKBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ~Block _F'raIIe _Steel.
Other
FIRISHED FLOOR EtEVATIOl!fS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
***************************************~*.
CONTRACTOR SECTION
BUILDER T. Roberts COMPANY General Home Development Corp.
State Cert. or Regist.' CGC005695
Signature Ci~ License Registration , 22
~ 1 tIP; ********iC**********#1;~~:;*E7~L cJ? I
ELECTRICIAN arlyle HUffman~~ cn'liPANY C~l\ l~ L [1 1ric
/J /)~L ~ State Cert. or Regist.. i [RQ8M'Q39
Sif!1lature'-."/'""/ .. -,~;..~ ~ ~Cit:y License Registration f 1Y~
*** *~z*******************************
PLUMBER
COHPANY ~ 0 er Plu.
State Cert. or Regist~ t
City License Registration #
********************************
Signature
KECHANICAL~O ey S. Carter CO'l1PANY ~nllthE'l"n romfnrt Fnt~rrri<:~<:
. J /J State Cert. or Regist. I
Signature . ~~ City License Registration I . 110
*********************1l:********************
OTHER CO:21P.t
Stat.e Cert. or Regist. I
Signature City License Registratio
******************************************
APPLICAnON APPROVED BY PERHIT OFFICER.
cm,l) I T I OI'lS OF PERI'11 T /~FF I DI-)'Vl T \
A. NOTICE OF DEED REST~ICTION~
The undersigned understands that this permit 'uay be subject to 'deed restrictions' which lay be lore restrictive than City'
regulations, The undersigned assuaes re;ponsibility for cOlpliance with any applicable deed restrictions,
B. , UNLICENSED CONTRACTqRS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or c~ntractors to undertake work, they Jay be required to be licensed in accordance with
state and local regulations. If the.ton~r~ctor is not licensed as required by law, both the owner and contractor 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 :Iork, they are advised to contact the City of Zephyrhills Building Departlent, 18131
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 aay be an indication that he is not pr~perly 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 Departlent of Agriculture and Consuaer, 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
"oNner" prior to cOllencelent,
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 laNs regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit 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 .eet standards of all laws
regulating construction, City codes, zon1ng regulations, and land developlent regulations in the jurisdiction, I also
certify that I understand that the regulations of other governmental agencies lay apply to the intended Mork, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
t Departlent of Environlental Reoulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatment
t Southwest Florida Water Manaoelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
+ ArlY Corps of Enoineers - Seawalls, Docks, Navigable Waterways ,
t Departlent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
t US Environlental Protection AQency - A:bestos abateaent
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 'coapensating volule" will be subaitted which is prepared by a professional 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, Dr
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 plan~, construction, or violations of any code, Every per1it issued shall becole invalid
unless the work authorized by such perlit is COlaenced within six aonths of issuance,' or if work authorized by the perlit is
suspended Dr abandoned for a period of six lonths after the'tiae 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 durin~ each six lonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORI\ A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINAl{~ING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUI: DO NOT NEED TO RECORD AHD POST A 'NOTICE OF COMMENCEMENT".
~ '
....~~~L~
S ATURE: CONTRACTOR
, \
was acknowledged
, 19..:1L by
STATE OF FLORl)A
COUNTY OF Pasco
The foregoing instrument
befc.re me this Feb. 28
STATE OF FLORIDA
COUNTY OF Pasco
The foregoing instrument
before me this Feb. 28
I'laS acknowledged
, 19-94- by
Janet B 1 ac kwe 11
~ho is personally known to me or who has
produced
as identification and who did/did not
takean~~ 9-'. ~~
(SignatJre)
Ra rba ra All i "on
(Name Typed, Pri nted 01- Stamped)
NOTARY PUBLI
Janet Blackwell
who is personally ~:no\'m to me or who has
produced
as identification and whct did/did not
ta~(e an ~ R . QjlJl~
(Signature)
Ba rbaril fill i i OR
, (Name Typed,
NOTARY PUBLI
r Sta.mped)
NotlrY PUblic, State of Flor'da
aAhBARA A, ALLISON
My (;011I11I. Exp. M." 26, UI4
COnllll, No. All 7119U'
Hilt. fl, PUbll'11 Stata of florida
IiIMIJAR~ At Ald.lao"
My C.",;,., bp,M". 21.1".
Co"'''', No, M ,.t."
VALUATION: $43,827.00
, .
SQ. FT. LIVING: 1,195
COST/FT: $35.00
SQ. FT. OTHER: 182
COST/FT: $11.00
VALUATION $43,827.00
DRIVEWAY $20.00
ADDRESS $20.00
FEE SHEET $235.00
SQ. FT. UNDER ROOF 1,377
RADON GAS $13.77
TRAFFIC IMPACT FEES $466.02
99% $461.36
1% $4.66
PERMIT FEES
BUILDING:
PLUMBING:
ELECTRICAL:
MECHANICAL:
SUB-TOTAL:
CREDIT:
TOTAL:
CONNECTION FEES
SEWER:
WATER:
METER:
TOTAL:
392.50
55.00
58.25
30.00
$535.75
40.00
$495.75
1,278.00
350.00
0.00
$1,628.00
GRAND TOTAL: $2,603.54
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-\,r-:lffy..:~ C0~-'\>I,('."\ ,.-!/"~-\"",,, Department of Communi ty Affai rs
FI_ORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600A-'~3 Residential Component Prescriptive Method A CENTRAL
PROJECT NAt1E: DRIFHJOOD 145!J4?rc.t : BUILDER: GENERAL HOME DEVELOPMENT CORP.
AND ADDRE~,S:(oi'TC()~~' ~.sS-.>-)(2.A E':PERMITT~ING . :CLIMI~TE .....r
ZEPHYRHILLS, FL 335:0FFICE: :ZONE: 4:_, 5:_: 6:_:
Ol..JNER: GENERAl_ HOME DEVELOP: PER~lIT ~O. : JURISDICTION ~~O .bl/~()D
CK
1. New construction or addition
2. Single family detached or Multifamily attached
3. If r1ultifamUy-No. of units ~
4. I f M u 1 t i fa m :d y, i s t. his a ~..., 0 r s t cas e V e s iYr 0 )
5. Conditioned floor area (sq.ft..)
6. Predominant eave overhang (ft.)
7. Porch overhang length (ft.)
8. Glass area and type:
a. Clear Glass
b. Tint. film or solar screen
9. Floor type and insulation:
a. Slab on grade (R-value, perimeter)
10.Net Wall type area and insulation:
a. Exterior: 1. Concrete (Insulation R-value)
a. Exterior: 2. Wood frame (Insulation R-value)
11.Ceiling type area and insulation:
a. Under attic (Insulation R-value)
a. Under attic (Insulation R-value)
12.Air distribution systems
a. Ducts (Insulation + Location)
13.Cooling system
14.Heating System:
15.Hot water system:
16.Hot Water Credits: (HR-Heat Recovery,
DHP-Dedicated Heat Pump)
17.Infiltration practice: 1, 2 or 3
18.HVAC Credits (CF-Ceiling Fan, CV-Cross vent,
HF-Whole house fan, RB-Attic radiant
barrier, MZ-Multizone)
19.EPI (must not exceed 100 points)
a. Total As_Built points
b. Total Base points
SN: 6096
1 .
2.
3 .
4. Yes
5. 1195.00
6. 2.30
7. 0.00
Single Pane
8a.174.5sqft.
8b. O.Osqft
New Const.ruction
Multi-Family
:3
Double Pane
O.OOsqft
O.OOsqft
9a.R= 0.00 , 108.00 ft
10a-l R= 4.20, 666.20sqft_
10a-2 R=11.00, 40.30sqft_
11a.R=22.00 ,
11a.R=30.00
98.00sqft_
1200.00sqft_
12a. R= 6.00, uncond
13. Type: Central AIC
SEER: 10 .00
14. Type: Heat. Pump
HSPF: 7.00
15. Type: Electric
EF: 0.90
16.
17.
18.
2~
19.
19a.
19b.
91.51
21082.05
23037.09
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
I Hereby certify that the plans and
specifications covered by this calcu-
lation are in compliance with the
Florida Energy Code.
r. ~h' '
PREPARED BY :---..::,~ ~~t.v~
DATE: ~-~L{Jr1
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.
I hereby certify that this building is
in compliance with the Florida Energy
Code.
.......
OWNER/{GE".l: '"."h ~ ~_.L--L~ ___"_
DATE: ~_..__~.~
BUILDING OFF~AL'It~ ,......~~~J4
DATE: ~-/ -9-
ENERGY GUIDE
For detailed information
of the EPI rating number
or for any ITEM listed,
ask your Builder for
DCA Form 600A-93
01 F onn 600B-93
EPI= 91.5
o 10 20 30 40 50 60 70 80 90 100
:------------------------------------x----:
The maximum allowable EPI is 100. The lower the EPI the mOle efficient the home
RESIDENTIAL ENERGY PERFORMANCE RATING SHEET
I T Ei'1
HOME \,/ALUE
LO~<J Efficiency
High Efficiency
SINGL CLR
DBL TINT
\;.JINDO\..JS.......,............ .Singl<3 Clear
:x--------------------:
INSULATION. . . . . . . . . . . . . . . . . .
R-I0
R-30
Ceiling
R-Value......... 29.4
:-------------------x-:
R-O
R-7
\..Jall
R-Value........, 4.6
:-------------x-------:
R-O
R-19
F"loor
R-Value......... 0.0
:x--------------------:
AIR CONDITIONER.............
10.0
SEER
17.0
~)EER/EER . . . . . . . . . . . . . . . . " 10.0
:x--------------------:
9.7
EER
16.0
HEATING SySTEM..............
Electric COP/HSPF........ 7.0
6.8
HSPF
12.0
:x--------------------:
0.78
AFUE
0.90
Gas
AF UE . . . . . . . . . . .. 0 .00
WATER HEATER................
Electric EF.............. 0.90
0.88 0.96
:----X----------------:
0.54 0.90
Gas EF . . . . . . . . . . . . .. 0 .00
---------------------
Solar
0.40
0.80
EF,............ .
---------------------
OTHER FEATURES... ...........
. . .. . . .. .. .. .. If .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..
I ce,tify that these enelgy saving featu,es lequi,ed fo, the Florida
Energy Code have been installed in this house.
G Builder (\ Dr,' f n .
Address: (o1C()~1a.., {sJ.s.S\....~ ~rdf Signature :~~, ---L-\~
. . l-pr/, J "Ir F.' -/(i:::U'^
Cl ty/ZIP '~::T; '~\I I ..J ( ~..2L....lU
Florida Enel-gy CO.e foi- Building Construction - 1993
Florida Department of Community Affairs
,~_ ) .<J_ Cfy
Date: <='- 7' (
FL-EPL CARD93
[~ ...J1 / Ii .....l.,/Lj,.-,
J) /il flAjOJUI <: ::;q>' I)
~
General Home
Development Corporation
April 6, 1994
Zephyrhills Building Department
5335 8th Street
Zephyrhills, FL 33540
RE: Contractor ID # City 22
Permit # 3936, 3937 and 3938
To Whom It May Concern:
Please allow this letter to act as our written request
to change the Electrical Subcontractors on the above
referenced Permits to Martin Electric Zephyrhills City # 271,
from Carlyle Electric Zephyrhills City # 173.
If you have any questions, please don't hesitate to give
us a call.
Sincerely,
~'cr ~~
Kevin T, Roberts
GENERAL HOME DEVELOPMENT CORP.
KTR/jkb
Sworn to and subscribed before me this
6
day of
_Apri 1
19 2!L
~r~
N ry
~.n~...,
~:~!
-K- Personally known to me
Notary PUblic, State of FlorIda
JANET BLACKWE.LL
M~' Comm, Exp. 9.18-96
Comm. No, <:;;;: 228545
Ide n t i fie a t Lo n
Main Office: 612 S. 7th Street Dade City, FL 33525
Phone: (904) 567-6581
Fax: (904) 567-6742
ZEPHYRHILLS FIRE DEPT
Zephyrhills Florida 33540 (813) 782-8184
FIRE CODE INSPECTION
Business Name
/. II r!
C., L..-/
Classification
k-~ 5 ,/ r;/:~' /( _ "7;'?-J1 I
Business Phone
-./7A'/"
,/ ,r:' (;;] i (:J (' >-c..,J
/
"'-
.......
Address i~) ;;;' 4;/ /
,.
Owner/Manager
Emergency Contact Phone
"
',.
Occupancy Load
Alarm Monitoring Co.
Phone #
TYPE OF INSPECTION CONDUCTED
o QUARTERLY
ORE-INSPECTION
o APPROVED
o FINAL 0 ANNUAL
/'v... r' I
)CI OTHER r /,! ", //1 ji / /
~'. NOT APPROVED
OBI-ANNUAL
o COMMERCIAL CHECK
Listed below are items which must be complied with before this occupancy can be approved by the Fire
Department.
@ CODE VIOLATIONS
This inspection report specifies code violation(s) which if not corrected could cause a fire, contribute to the
spread of fire, or prevent safe egress during a fire, Your immediate attention to the correction of these
violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code.
I ..
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nspect. Date; / ;:: / '/ "'f
Re-Inspect. Date
Inspect. Time
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Fire Dept 10 # j "5' I
Inspectors Name
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Owner/Manager Signature
Title
This building has been checked by the Zephyrhills Fire Dept. under the codes & regulations of the NFPA minimum
standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes.
White Copy . File Yellow Copy . Bid. Dept. Pink Copy - Business
MESSAGE COHF I Rt'lAT IOfl
TERM ID:
TEL HIJ:
JUL-27-'94 WED 09:06
P-9999
5T, T It'lE T1JTHL T II'IE
09:04 00001'42
ID
DEPT CIJDE
813
3936-B
CITY OF ZEPHYRHILLS
Building Department
603 8th Street
(813) 788-6611
TO: Florida Power Corporation ~or W.R.E.C.
Zephyrhills, Florida
NAME General Home Development
ADDRESS 670.0 Basswood Ci rcl~
DATE 07/26/94
Electrical work at'atJove -address has been inspected.
This is your authority to proceed.
.... ..\-
~~~,
Zephy i s Electrical Inspector
.-------.-.--,- ~-.-- --~-- -.--"--~":- -."- - ~ ---.--.._'..----..-::-.,~~-
CONTRACTOR tt: 00349:::
NAME I D(~)V I D t'l WI U::CiN
ADDRI 606 COURT STREET
C/STI PALM HARBOR
C E N T R ALP E R M I T 1
PASCO COUNTY. FLORIDA
I N G
Fl :3:'::~~6:::
DATE: (l:Y01/94
PAGE: 1 OF 1
1 ~3::;UE OFF 1(:;:::: D
RECEIPT NUMBR: 00219250
OFFICE: DADE CITY
FORI 839378 -3936R- 3938B
CHECV ~t 1 ';'242
ACCNT
114
114
114
CONTRACTOF<: 0034':'2
lOTPIL
C:CWlf'h/Y PIC:CI)UNT'
n4~50 :::>::<:::000
B4~:;O :3.~.3i)OO
Pd1CIUNT:
CENTER
1;:-2,. "(+tl
-2
AMOUNT DESCRIPTION/PERMT DATA
20.82 ****** SOLID WASTE FEE
20.82 ****** SOLID WASTE FEE
20.82 ****** SOLID WASTE FEE
Dn/CR
60
E<L}~i(}
:-:;.:.S:3000
.::.()
'::.0
RECEIVED BY
"
/.. ,o,/i)
/""i .r"'," l ,'f "r" ,'.....,.
'---"- -"--7-'...1..." j:.,!:.l_,._S-.,....:.::t""d_'""',_ _..___,....__..__..__._ _ _
'i~7-'I:I':I'" ....'K' --. t'f!,.. ~~'-'-~.~' ~'sr"I~ ......~>('"7..'~~'t,.....""j...,.~~~~~,~~~:~,~-.,~.-~~.~~~.4.~-~~~~~~w.~~-ti.'-\.['~l~'~' "-77:.,t~'...
.,
PASCO COUNTY, FLORIDA
Permit No.
/'
~/
Date Permitted
J., 1./
Builder Name/Owner Name
~-~
t,""....
County Parcel No.
-"
"'10
:/ -">/ ~ j
Location
. it.. Ii"~
--",----
,<,' -'"
~ ,,,',- ",.,...
Subd. ---
\...
......-.....-...-..
Classification/Type of Use
TRANSPORT A TION IMP ACT FEE CALCULATION
EXEMPT D
Rate $
. ,-ZOne' No.
Sq, Ft./Unit
-
Prepared By
Impact Fee Amount $
,,-
The above impact fee haS"l)~en established pursuant to the Pasco County Transportation Impact Ordinance as adopted
by the Board oLCmi"iity 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 D
RESIDENTIAL
NONRESIDENTIAL
~
No. Units
I
I
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)
Assessment -
(GSF) x (ERU) X (0.1315) x (No. 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 OC~UPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED
HAVE BEEN PAID AND IffiCEIPTED FOR BY A CENTRAL PERMITTING OmCE 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.
RESOURCE RECOVERY REC. NO.
DATE
DATE
~"
BY
BY
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce