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HomeMy WebLinkAbout94-4259 BUILDING PERMIT Permit N~ C;TY OF ZEPHYRHILLS (813) 788-6611 4259/3 R-~-d9- 9'1 Date _~- 67-!;'?J BUILDING y-/- ~'() ELECTRICAL (,., tJ. b"'f..J PLUMBING J.s~c'V MECHANICAL Sewer conn-4;l ? J'" e:!"Z) Water Conn: ~~i'P U~ Water MJlter: / b...5 ~ cTi) T,I.F.'s: ::~:::,~s:~e~l1;1k!li ,Q~ Parcell.D. # -3 -;;;"6 -e2/_ () I.:J 0 .. () 0 (J 00- /) / J Y Zoning: Energy Cjde: ,_ ^ R/on ens: Description of Work~.L<..J ~~'~;C "';~"(j A/...L< "ff'~:'d NO OCCUPANCY BEFORE C.O. FINAL /- /7-- DATE C.O. J -/R- -JS- Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordarr:-e with City Codes and Ordinances. City License Registration # State Certified License# 3/9 , Pe'm;t~ .~~ Signatur~' . Company Address Telephone# Valuation or J . Contract Price t~ 7'> 9. t3lJ (- R '&Ul~ \. ';If LiZ ,~-o C~.4~ a/~~ I:?'/ BUILDING ELECTRICAL PLUMBING MECHANICAL SLB.3 -~c> -'1 y ~~r-- Tub SetVl2..!Ji'-f ~C~ Water Sewer f....~"'fiYJ /3Jr Final V' Breakers Ducts Insl.t.2-1-?i 8o.l Compressor Final /-/3.e;)" J30b 6~ Ftr. q-\4-~4 R Tp. Servo ~ Pre SLB 10..:: .-'fl/. L.C- Rough In v//-J'f-GJ4 Lintel j()-dS-9.J.fflt1L Meter Can)Y47-'Jf FRM. if 1}--1-71 .&u.-- Const. Pole Insul. CL Pool J:lL 2. -s ..- B , Pre-Meter J~ /y tfr tSdz' h f\SF(c'" '-1!>~5 a"'VFinal Driveway 11~2'l.'i4./ iLL-- f~ q_\~ -'t~ Bot.- .sH i:Ir'1llttJ6- /1- tt "1'-1 illS- 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. Va _ R-~;;2?-. 7 Y ;-1 1-;2 ti - 9-s- The payment of inspection fees shall be made before any further permits will be issued to the person owning same. L1.. I' ~, I ,I: (: Ii, .' 'I .' , ,111111,1.1 I t.l I I I I 1 I ,.,,1 f ..'1"'1 :...l:~' F'~.CIRlrIA t~'I~ti';'~City i~~i:'F~(:Ii:~!'l'",\1' (:(:[If:. ,.:'j)j:, l;::,)J.4..i:'.l.i\tl~ ,~~C~!\J~,,':',:;\i.J(,'. J.I)r" ....~.. FORM' 60(IA-';ii~: ,.o,(osid<H','tu\i tN'H'~'~ BIJi 1dim:1 ,:"",r"~(er'/TI",uH:(~ r'h~tr,,'d " Cf::j'!TR~ PRO",IEc:r /\iI,tdE~ 1(. 13~ : l:s')lI..DE:R~ Hi..lHNETTl-:: i.1;_iI i.i:.II:.R;:; .":~" 'A, ND A1WnC::",.::i r 6 1'( r- (}~. A d () II?ERMITT lJ".C~ L. . I,lL ; Cl. j, ,V1ff"{\.; v "':':':l!; oL- ~ ~ Uttf6.L I<Y'''L i (lFf.'j,CE'e~: ; lClNL::;~ 4;...; ~I i _1.Q"..;.;t::., 'IWN,_ I::FU .". \ : PERM.t T NO" L./ '1 r-el ~ ; ~.I'..i;.n :=-D 1 C'; J ON i~C.l"',:' ';:~.' " 7~":::> I /.:::> ' t I/b tJ D'::,::~tl 1. 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F)oc.r' :b'p... unci ln5U'Ia.ti,:..~1 .:}, .~ Slai) (In 9""\.(/(1 (R..vd.lu<l', fI\H'lrr,<,."~'"r') '.i"~,.:,:" 0,00, ~:':,~:(~,.(I(J oft ,..;~,..;~ 1 o. Net Wa 1'1 t Y fI Ii' ~H' ~ oil iUt dim.. t.I '1 ~l t HI n ; :(: .. ~ Lx t f.' r. 1 (I r. : 1. I:: (I r, c r'l.'d c (1 n lo".1 1 ~ .,: i c' n :~...vu 1'J Ct ) ,l (1;;1, -<l ,,;:oJ:;" 4("1, 1 .:'10';;.0" 0(1 $"1 ft..~~~. Il. Exter'ior'; ~~. h.:,c..) fr'a.mi.' (In~I.I'lati(ln R-vn'II.I\?) U)a,-';:~ R":li.I)(I, ,;;'~..:.t)I)s.~ft~..c4' ll'. Ad.h,c:\? n t: 2. We,,:, d fran,(~ (1 n s u 1 Q. 't" 1 (t" R-VH; ,,'n) l nb"~~' R:l'~.11. 00 J :...: J f:. (lO~ClIft~+.. 1!.Ce:i. 'I il"lll t'r"P& ar'ea artO in~"'J'lI:i,tir.,,)a.,;',;~;. .'&.' L'rtdE'T' flttic (rr'!\'.li~'tioTl 1,,--vall.I(") JloJ.i;\.;::;~';1.0(.1 , ll:.;4:~-:,()t;liClJft..,~~. ...."..'\...;; 12.Ai,. tJifo".:r"'ibIJti(ln I-ys;,terrl!o! ~ a. [I..,ct5 (If'I~1J1~ti(;.r,... :..(lcatir.HI) .l,...-~,:l,. K"'"' (,,(II) 1 IJnr.:r.rno +~, 13. Co 0.' i ..,1\ ~'\'S ten, ...::;:" .f..... F\T: C c~~ I'I'~ f'~ 1 Ale: ~<~~. 14.llm i nv svmm' ,1+. "-".' ,,;~!:~:~m;:: ::,[i,.: IS.Hot watl?r ~Y5tli'ffi: 1~. T,~~~ Electric _~ I:;:~:': t ~). t~::j ~'~f~ 16.Hc.t WQt~'r' C:r~Hjitid (HR-rIlNlt' kee:':lv~r'Y. DHr'-[Iedica.'t'ffd Hl?o!/.t I '1,III,r~) 1 7 . I r, f i 1 t r. a t i "n p r' e. c tic ,~ : 1, :2 c, r. ' ;:: 16. HVAC: Crl:.tJits (I::~-C(lti 'IIIH~ Fi..LrI' C:v'-Cr'cI!>s V~ln, HF-WtHtlE- ;IOIJ!'(!t far.. RB"~H~i(: r'acliarl't bar'rier"'. MZ-/V;U'I1:i.:c,r,e) 19.~rI (mu~t not exc~ed ,100 poi~t~) .a. Tot~l Ai-Bullt ~oints b. Tot~l B~$o point$ ~ 6. .~~~~. . ~,'''''~i: '.~. 17, "2 .~.~~, ~;..,i~~ ';;1 J. '..t .. .. .;, .L 00 . '~) ;.;: 41 ::: ~:. .;,,"';-r, .', >,. .,,'.. ,....~~ .:.;~.~~. 19a. 1 ',t"I \:;. :'~~:;'I'~'" I" :;':':) ~38 J 44. ':f'~ . -1~ ~; ";.~' , .......-----......,.... -.-...---....--.-...--....- - -- -- -------.--..--- --. -"-". ....-.... _...~.... _._...... ........~,_............._._ MI' .1. ..... _ __ ...._.... _.,..~'~~'~: .. ' .. - ..-- -..... -..- -... ..--.- - -........-, -..... -..... - -- ---- ,...--. ....... - - ...--., -... ."-"-'- - ............. -.. ........ ......'.......... ............... ..'.'.... ... - _. -.. ....- - ~ ...~, I H.~~bY c~,.tify th.t tn. p;ans end 5Pocifications cover"o ~Y t~is calcu- l&tion '.,.& 1n complianco witn the Y.l.oeida E""-~ .J?tl- 6:~~~~~~_~~~.:~___:.::l~~::~===:,~=:~~~. Rev~~w a~ th& ~l~ns ano ~pecifi~at~~~ I cov.roa OY t~li c.icul~tion indi~~tt~ i I:; (I m F' 'I l I.U"':: 111 w~, t'", t I"IE:, F'l 0 r' ).; a. E' n 6' r- !;h~, - ?ir' C''':H~. H(d r:;. ,.(;, c ':' n "t ,...., C t i (,1 rr 1!.; C c'lbP'l..tf') , ';'n).~; I:'IJ). '1Ijln~ IJ/1t', 1:1f:' lrfSPf..'I:;t'~o ,t.r.,{ ,:f 'r..rrr',~; j'3.nC(! HI acc:('r'doll.rrc{~ ud th S\"ctfii,h~: ~t~,~;: II f~i () ::;: ,::. :~.. r he~~bY certifY that thl~ DU1'QtO~ IS ir. C(llTlPl itLr,,:'(jo wi tj't .t"r.('f ;:i ""J l.h\ ;' Il?r'~IY Code. OWNER/AGENT ;t;_~_::.. _ __ _ ...____.__ DATe:, __,__,.._. .._~.::._~ _... .. .._____.._,._,___ . ~. ..' ,~.:-.. .,. ;::~> ~. ..' . ":t ~ LJ -";:;:: r.' .' l [ 1. '.I'" .. ""f'"'" .) . ~~'''J.~' - r)~,: . dUI. . I .I...I_~ ~.II'.' ..I,.. .Iil." ..:: .....,~i;.;, . . '. . .--- _ ' . - '<," 4. [lA'E~ I ......~-~".,.,._.,..9;... ._ ..,._..,...__..u....__._.._...""'~. ** INF'IL rRArI(I,'~ RErli.,lCTICN PRACT:Ce CC"'iP,,.J,Ai\lC:!::: CdF;C"~I,.~:;:..r "HI' ""' . . " ~ ..... ...........,,".1&.... .'1,1..... war&..r.u ;:.f:"';: "~'~":::J;: '.I:'.;'.;:".':'::'~ &.11 ::= :',' ;I:\I:.;.rt:= "",;,. ~:lll ~~~~ tort./JI..... :;,:;r.:.; "J::n, N.:Ii a;!''''~';,1Iuas "~'..', I'f;' \l'J fI.J "L:a;,; ""'.~" ~.~_ CC'MPONENT::i.- SEcr I O;'J "I:::G.'I..I r RF.-:1'1e:.NT::,; F~CIF~ EfoICr-; F'RAC1'! C.E "~~t ..... .....;: :1.'1_= 11;: t'I:I:'.:1 =~ "",= :::~.:::;:;r::~:: ""'n=,,::,~;;r.::: =:r.;;,::~ '1'.' 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(1(1 ; -__....................._....._.._...._."'.........__' I (1.40 Cl. :;;a,) 1----.........------,......-... -.. .-........ I ',~.,. . ,;..;":"~.:'r' 'C:'.r t i fy t h~ t tilt' 5 e Ci' flO r.. Y fHI. vi m.l f (!o t l,./ r'\i' 1'- r'e C/LI i r'(i' tj 1~ 0,., 1.... ei~"1 ""'1 ,~... ,,' ,\E~.r.Y Codt' ha V~ lHt('n in 5 t a', ,t? ':. in t 1", is t,,;:IlJ 1.~. ,."" .'f: . '.,.),'1, . <..>;~?:- :~ ,; ~ . . ,'" ~."/~~ ".''- .- ~';':':!" ,;,.:;>'$,;;, . '.;,,~"; .;.: . "{1$~:; ,,,..,JO"~i,~~~ 't,~.~ J.' '<~~'~~;~i;F . -r:~:. '. ''';f.. . 'ir'.~ '. . ;:~~)1 ,:."'~'i' ..: .:.~;;;,", ,,;,,:.:\,)0.:'. :'<.: :';~~F: ; .'r.:' :..'..~:.' :,f;':,' ~, ":~~:; ",.:,,:':: :~",:: ;~. -:;~~~.~~ """~r:;~j4 . ".. ........ ...::'~~t::; ;'" .;. ~~. ;,."j~~: .'", I .,J<' '" :-":: ..+>:~ ',: '1;.1 ;,~,,', :... .'~:~ ~- ',. .;.:..I.~,a.J. . .::: ~~'~:Zl~ ',.J." ",)::~;' - . . ":~!f" ,.:. ",~~;,;.," '; .::.,if;~ .' :':"-:'~B{ ;~;,~1:: ~./;'~ ." ,'::-::-;,;.Ji;'.~: 'j . ,: t' ,'. , . .~~.;:.. : ".',J.:;" . Bu i 1 de r' .' "..':~~~ ':""', ,.Add,...... _____.:._~.________..._..___..Si filne. t ur'~: _..__.._..~......_._..._.._....__~._..._,tf'lil.i'(f ~ ---'--'-~':'f;'~:~ .'-;..,....t;,..,. C1tv/Zi~_______________________ Flo,.ida En~r.Y Codli' for Buildln9 COfl~tructlon - 1993 Flo,.ida OItPt1r.tme-nt (Jf C~'"'rfIunity AH....'l.rs _.J;p.;.~ 0:.... ' .: ",. ~: rL.--E.F'L. 'CA"P~ ",;.:'~'~ , ,t.,~, .::~ f '.' 1'''-:. ,";'~:~::~, ''',~,.' .~. :- .,...../' City of Zephyrhills Building Department Attention: Roy Burnside Silver Oaks Development Smith Cattle & Grove Corp Date Submitted 8 -rJ,j-CJi RE: D.R.C. Approval for Permitting Please be advised that the Construction Plans and Site Plan submitted by: Builder/Owner: R.. t. 13up...n~1Tt: Name f:OI<: in C e R/lJ( en Phone 5130 street B'/fJ 0TRE::/ For Lot # c~tb!fh,//.s 1/4 in Silver Oaks meets the minimum requirements as outlines in Phase I of the D.R.C. Check List and has been approved for permitting by the Developement Review Committee. FL State .5 ~5'-iO Zip of Phase # I Date Approved: ~(z-tl'1 ~Lh Signatures: _.<'" " n.C. ~, ' 'f,"- U~,n_/, ~,.." ~ . ' wPBO\!f.9 -.-"--" --'-:-.- ----- MOl E'p:, APPLICATION FOR PERKlT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAKB ~\ ~ f\ fV~~L-C~G~t0 PHONE OWNER'S ADDRESS JOB ADDRESS ~ cl y-s- _,~ eft ~ !J /l LEGAL DESGRIPTION: LOT(S) \ \ q BWCK SUBDIVISIONS)'U }'i:: "?..... () ~ ~ ~'-::, p,..\ \ PARCEL I.D.' ~ - ~~-~ ex \ -a\ ~~- Q)~~~ - D \ \ 4, (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED: "f..-wew Construction ---ftddiUon ---ftlteration ---Repair _Install _Sign --1fove _Dellolish PROPOSED USE: '><-stogIe Feaily _H/F _' of Units --1f/H _ec-ercial _Indust. _Swia. Pool _Other ~estaurant & Health Departaent Approval DESCRIPTION OF WORK: K~~ \'0~~ c...,~ 1\' '-.....) BUILDING SIZE: 'See. xS'"6--t. )'1''\:::' ~ \ Square Feet. \ ls2 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. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~ILDING v-i~CTRIGAL ~CIWUGAL ~UM8~NG PERMITS REOUESTED $ bS G~~. \)0 -.J ~C) (5::) AtIP Service Valuation of Total Construction V;lorida Power Corp. W.R.E.C. $d-~'So, Valuation of Mechanical Installation GAS ~/ TYPE OF CONSTRUCTION: _Block _Freae _Steel FINISHED FLOOR ELEVATIONSRD-t, FT. IS PROJECT IN FLOOD ZONE AREA? ROOFING SPECIALTY Other ~. YES NO .......................................... CONTRACTOR SECTION- BUlIJlER ~ /' cotIPANY '-:"~"" '- //' . State Cert. 0 or Regist. E;.. ~C:....~ \ (::> "I ~ :>-. Signatur~- ~ _ ' ,,: 'tJ.' City License Registration' 3/ 7 .. ... .................................. -----" SionAtur~ COMPANYt"= ~ E t. \...,~~ ~,\~ State Cert. or Regist. . - C) C'")t.U..") '-\.('\) City License Registration' :~ ~ .......................................... ELECTRICIAR PLUHBER Signature \) oj COMPANYC~~tLL.~ ~LuM 'is. \\~t_ ~ State Cert. or Regist. , C. ...0')~~ ----" City License Registration' s-gr .......................................... HEGHANICAL'/~ COMPANY \\,:~ \ ~~, ~ ~ ( . ./ State Gert. or Regist. . Signat~ .,~ City License Registration, \ 3 4 ~_.- , ,0, __ ........................................ I OTRRR COMPANY State Cert. or Regist. . Signature City License Registration . .......................................... APPLICATION APPROVED BY PERHlT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" whicb laY be lOre restrictive tban City regulations. the undersigned assUles responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance witb state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor laY be cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireJeDts laY apply for the intended work, they are advised to contact tbe City of Zephyrhills Building Departlent, (813) 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this a~plication for whicb they will be responsible. If you, as the OlDer sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If tbe contractor wisbes you to sign as contractor that lilY be an indication that be 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, bave been provided with a copy of "Florida's Construction Lien Law - HOIeOWDer's Protection Guide" prepared by the Florida Deparllent of Agriculture and ConsUler Affairs. If tbe applicant is sOleDne otber than the "owner", I certify tbat I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the "owner" prior to cOlleDcl!lent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, loning, and land developlent. Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas cOlleDced prior to issuance of a perlit and that all work will be perfolled to leet standards of all laws regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of otber govelllleDtal agencies laY apply to the intended wrk, 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: * Deparllent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater rreatleDt * Southwest Florida Water Hanagl!lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * DepartleDt of Health' Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater treablent, Septic tanks * US KnviroDleDtal Protection Agency - Asbestos abatl!lent 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 volllle" will be sublitted 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, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent tbe 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 authoriled by sucb perlit is cOllenced within sil IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of slllOnths after the tile the work is co.enced. One 90 day utension of tile, lay be allowed for the perlit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An approved inspection lUst be logged during eacb sil IODtb period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOrICE OF COMMINCEIIm MAY RlSUL! IN YOOR PAYING nIa FOR IHPROVIIIBR1'S TO YOUR PROPERTY. IF YOU IR1'END TO OBTAIN FIIlARCING, CONSUL! WUB YOUR LENDER OR All AnoRREY BEFORE RlCORDING YOOR MOfICl OF COMMENCEMENt. JOBS UMDER $2,500 IN VALUE 00 NOf NEED TO RECORD AND POST A 'NOfICE OF COMMDCEHEIf'f". c: ~ ~:",-?, CO ~C!OR~.xt/ ~~ /Jk C~J~) SIGIfATURE: OWIIRR OR AGHIfT (\ ,.~"'~ SIGIfArURR: f:::torv rli.!~!ic, State of f1aridlf Ir '" ,. ".,,,c:;mJi.';lOl1 E:9iru [,1.:, 30, )995 iondod Thru Tro)' fQin -lr\;urQn" In"" VALUATION: SQ. FT. LIVING: COST/FT: R.C. Burnette 6245 Silver Oaks Dr. $71,779.00 1,773 $35.00 SQ. FT. OTHER: 884 COST/FT: $11.00 VALUATION DRIVEWAY $71,779.00 $20.00 ADDRESS $20.00 FEE SHEET $353.00 SQ. FT. UNDER ROOF RADON GAS 2,657 $26.57 TRAFFIC IMPACT FEES 99% 1 % $0.00 $0.00 $0.00 PERMIT FEES BUILDING: PLUMBING: ELECTRICAL: MECHANICAL: SUB-TOTAL: CREDIT: TOTAL: CONNECTION FEES SEWER: WATER: METER: TOTAL: 569.50 60.00 81.50 35.00 $746.00 50.00 $696.00 1,278.00 350.00 165.00 $1,793.00 GRAND TOTAL: $2,515.57 -- -~._-'-- -- - - -.--,~._,-,.-.-.- - -- - -- ----_._---~ C E N T R ALP E R M I T TIN G DATE: 01/20/95 PASCO COUNTY. FLORIDA PAGE: 1 OF 1 CONTRACTOR #: ISSUE OFFICE: D NAME: R BURNETTE RECEIPT NUMBR: 00236738 ADDR: 6245 SILVER OAKS DR OFFICE: DADE CITY C/:3T: Z/I"'IIL,L:::; FOR: CHECK *t ::2':;'~;2 nCC:NT 114 TOT(1L AMI.JUNT: COMPNV ACCOUNT CENTER 8450 - 363000 - L 47.26 AMOUNT DESCRIPTION/PERMT DATA DRICR 47.26 ****** SOLID WASTE FEE 60 F<EC:F, I VED BY . , , '. ~ / . /1..._,./' l ,,"', I{ . !, ; /, /f ., _ . ':".1,_.i.._ L_.;;.' i.!- ~ L _. _ ,./ ~ l jJ:........j~ L {!.~~,!. ~..c.:_ _ ,_ / // . .--.",.,.".--,...-- -. .:~-:::~=:.:~.:.=.::=.:) ~~,...~~~f ":"';'. '~~ ;<!1i1t'i"$~""'~"'~'~'~~:;'Z!: '11'''''' """" r;,~~},,~-'n,.,j,~'I~.~\T,'~-l: ~~~j.,O~l~~"~~~:-':"_ '~";,'I~'~':~'~'. ,[.,..,,<~&;.:-.~~~~' ,,~<. .,~ Jf, ...... ;"_~ ,~ ~r. ,~~ _"iQj# PASCO COUNTY, FLORIDA Permit No. Ji., Date Permitted .r-.' Builder Name/Owner Name l";''''' L \ .:. County Parcel No. '~ I / ',~ ~ /" // Location .I , ; /j .',,./S)ibd\ Classification/Type of Use / , TRANSPORTATION IMPACT FEE CALCULATION EXEMPT D Rate $ Zone No. Sq. Ft./Unit Prepared By .... .~... Impact Fee Amount $ --___ .- .- ----- ---,-.. . -...- The above impact fee has be~Jl. established pursuant t;"i:iie-"PaSCQ County Transportation Impact Ordinance as adopted by the Board of Count);:,Coinmissioners. 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 / 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 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. RESOURCE RECOVERY REC. NO. DATE DATE BY BY White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldgllnsp feecal:ce -~---,"- ~--------- '---~'-~"'-'- ------ -..----.-~-------~ '--------~-----".,,----+ .- -----~-',-..-'-..---.---,~------___,_~,_,_,,__,+_ _.u_________,,__~_+____,__~____,____