HomeMy WebLinkAbout99-8889
BUILDING PERMIT
8889
Date 9-17-71
Sewer Conn 95 r? ...S::D
Water Conn: 4 ?~. 50
Water Meter;' /1/..;1(
TI.F.'s: ",~)~9~, !:.Jl
CITY OF ZEPHYRHILLS
50 5:$ (813) 788-6611 -
l?~ Jlc~~~ ~~~ ~~~~
:::::;::~e";.j ~~3~~f~g~~<
Parcel 1.0. # _ _
Permit
Zoning:
~?R I ~LT
NO OCCUPANCY BEFORE C.O.
FINAL
//-/'L-'jJ
DATE
1
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
Valuation or _ 4/
Contract Price'7 c.:< 10 D tJO
City ~ense Registration # /9:2 ~
ate Certified Li (7 (;-(7./) ~1sos-
-
;;28-018 I
?':YJ~
MECHANICAL.;26/
cr"
y-
J
:t:
)
Q
PLUMBING
Ftr.
Pre SLB
Lintel
Tp. Servo SLB r;-::;3~tI/Q b}(
Rough In Tub Set
M~erCan W~er
Const. Pole Sewer
Pool Final
Pre-Meter \I,
Final ~ Lo.~_q~ ~
f~~~
I O. &, . q <=t ett::. I 0-- (''l ...<t q, .(,~
10 -7 ~<J '1 e IO-l\t-'1Q EuL\
REINSPECTION FEES: When extra inspection trips ar cessary due to any on~f the following reasons, a
charge of Fifteen and 00/100 Dollars ($ 2~.00 L~hall pe made for each trip for each trade:
~~ IO,,~lt_q cr elJ..)
a. Wrong Address '7\
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. r 4
The payment of inspection fees shall be '!a-;~ef;r; any ~ermits will be issued to the person owning
same.
Breakers
Ducts Ins!.
Compressor
Final
~ FRM.
Insul. CL
. WL
Driveway
'F~M
IC THOMASSON ASSOCIATES INC
PHONE NO.
813 882 3220
Oct. :27 1999 09: 28AM P1
I. C. THOMASSON ASSOCIATES, INC.
FAX TRANSMITTAL
TO:
Bob Youman - City
Inspector
PROJECT:
Service Conductors
LoeA nON:
Florida Medical Center MRI
COMPANY:
City of Zephrhills
JOB#:
99184.00
FAX#:
788-5262
PAGES:
2, including cover
FROM:
Judy Martin
DATE:
October 27, 1999
REMARKS:
cc: JOb.ti HhiSOn Jr.
Hinson Construction
lJyou have trouble wit" reception or do !tot receive all pages of litis fax, pll!tiS~ call 813-882-4415.
The information contained in this facsimile mes..~ge is privileged and confidential information intended for the use Of the addressee
listed above. If you are neither the in~nded recipient nor the: e:mployee or agent responsible for delivering this llIessage to the:
intended recipient, you are hereby notifi~j lhat MY di$c!9SU.!'l:, CXlpylllg, distribution or the taking of any sedon in reliance on the
contents of the telccopied information is strictly prohibited.
J.e. Thomallsoll Alillocilltes, Sl86 Woodland {.~nttr Boulevard Tampa. Florida 3.)6J4
Phone 8J3-882-4415 Fax 813-882-3220
. 'F~OM : IC THOMASSON ASSOCIATES INC
PHONE NO. 813 882 3220
Oct. 27 1999 09:28AM P2
I C THOMASSON ASSOCIATES, INC.
PROJECT MEMO
TO: Bob Youman - City Inspector
City ofZephrhills; Florida
FROM: Gerald A. Crnkovich, PE
IC Thomasson Assoc". IDe,
DATE: October 27; 1999
RE: Florida Medical Center MRI - Service Conductors
ICT Job #: 99184,00
After review of the loads for the above referenced project, we have determined that #3/0
conductor between the meter and panel 'HA' is acceptable in lieu of the 4/0 as indicated on the
contract documents. If you have any questions, please do not hesitate to contact us at (813)882-
4415.
OCT 05 '99 08:56AM HINSON BLDG. CORP.
STANLEY D.LIND5(Y ,
,4 OctQbf>' 1 999
'Mr. "Michael K. Hart
HarVard Jolly Clees Tappe Architects
.5201 West' Kennedy Blvd., Suite 515
"~,mp~, FL 33609
I=LORlOA MEDICAL CENTER MRI
ZEPHYR,HILL.S, FL.ORIDA
Mike,' we have reviewed the magnet support slab as constructed with
f;bermesh relliforcem,ent and no mild steel. It is our understanding that the
,slab has exhibited no significant signs of cracking and that the fibers are nQt '
,.metal. The footing, as cast, appear. to be adequate to support the six-ton
magnet.
, ,
',\..". '
Give us a call if we cat:" be of further assistance.
", '
,', '
,.~.~
, THOMAS S. TARPY, JR., Ph.C., P.E.
jhb
C~ John Wallace, Hinson Builders
. \ . \
, .92ISqo/fl!lmer;tctrllf
. . '
I, :
"
,::'
STMlLEr 0. LIIIIDUY~C ASS(X;IATE;. L 71). - NIlSIMLLE
STRUCTURAL !IIlGll\IEe118 .
'. ,'\8IIH'llBT l!loID A\I;a.lUI; I SUITUllII .
, " ~I ~c ~JO.DQ8 USA /Gt$) lIZD.l"3S fAll ('151 .'D3I7
'.'
()FFJce8 IN "''I1..AHm. LIDCIH$TON. LOlIllMLLE. M~I&. TAMPA. JA(;IC$ON, . OIlLANDO
P.2
~
HINSON BUILDING CORP.
38113 MARKET SQUARE
INTERIOR RENOVATIONS FOR (MRI)
SQ. FEET PRICE
MAIN OR LIVING AREA 1,980 $ 65,00
OTHER AREA UNDER ROOF $ 15.00
OTHER
VALUATION $ 128,700.00
FEE SHEET $ 557.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 835.50
""''-I-L..III.
BUILDING LESS CREDIT: $ 835.50
ELECTRICAL: $ 77.58
PLUMBING: $ 50.00
MECHANICAL: $ 75.00
RADON: $ -
TOTAL $ 1 ,038.08
SEWER: $ 958.50
WATER: $ 262.50
TOTAL: $ 1,221.00
3/4" WATER METER: I $
- (
-
TI F'S: $ 3,496,68 SEE BACK OF SHEET
99% $ 3,461.71 FOR EXPLANATION OF
1% $ 34.97 T.l.F.'s
TOTAL: $
5,755.76 f
.. ..."...,.,~",,~ ''''''1I'1Wf...~..
FLA. 1.77 LAW.
n 713.13
NOTICE OF COMMENCEMENT
SEMINOLE FORM 408
'''R.''A''': IN DU"L'CAT.'
State of Florida }
County of PA5(:;O ,
The undersigned hereby informs all concernad that improvements will be made to certain real property, and In accordance
with section 713.13 of the Florida Statutes, tha following Information Is statad in this NOTICE OF COMMENCEMENT.
Description of property. .11... ~grl.~:.. .(),F.. !f!f~~~. . ~.f~~~~.. ~~ppl~.~. .4. ~~ ......
.$~.(F(~("f.r... .s!1.I(~... .~A.It~~f... ~t!/q!f.~~.... .Z. 'Ilil($.... E.~... .3.1.$.t~...........
........... ..... ....................... ...... .................... ... ......... ......... ................... ........................
General description of improvements .~r~((I,~... fJ"(~~.. Ff!~.. .~~.. .M!;I..IA ~I.r:.
Owner . .F~.t!.RI/)A... .~~Q.I.~.(,... .4. 4-l~tC;...................................................................
Address .38101.... M~~~r.. sqq~tfiT.. ... . .~. .'#,./15. . . . .E< . . .1.1 $.f!?.....................
Owner's interest in site of the improvement. . . . .r(f4.. . . .$(~~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . .. . . ..
Fee Simple Title holder IIf other than owner)
Name.. .."SA.~.'#,., ...!h1.. ..II:IJt!.f/.~...................................... ....,...... .... ..... .... .............
Address ................,....................,......................,.....,..,...........,...,..................................
R Contractor. . NIN. $t!W. . .R. ql4-:P/.,ff~. . . .(!(/~e.I!~~rl(J.N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " .
Address.. 5~ 15,... .'1. ~... 5"~~... /Y~..... .,51;. .~~$~~lg. J17~.1
Surety (if any) .... .~/"9. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . .
STl\TE OF FLORIDA
Address ,....................,................................................. GOUj.):]: '.(. G~. A~~o.,f,I~ of bond S . . . . . . . . . . . . . . .
Any person making a loan for the construction of the improvements: ::U i:; 'j,:; I T:':,1 TiE "':>!lEGOING IS A
TPj ~~. /J ~'(:r,,::ci_': t' i>.' ',:~',~-~ i~"O'~:U;--/[r'.iT 0 lLE
Name... .N//,!!.. ............................................................ ClFI.C.:. P.l.l:J:.'.,. ;':'c.:.'-'..... .,; ;i~~.J'.F.~L.~~;T"ES .MY...
HN~U r.:.:.o ( ,'-C.. :~: ,; OF
Address ............,............... ....... .... ................... ................... .... '" +.. .... .... ........ ..... ...
Person within the State of Florida designated by owner upon whom notices or otheraoc e=r.:s 'maybe"! rved:
JED PI'IT'" ." ''.1 L! "';'1 r'~ .~'c'~J. "'(""'JrT
I - ~,~c..t.i".I,.,...-I.,!I:',; !! .,-,U';~
Name ..N'/~,............................................:........................ .,. ...... ...................
BY
Address ........................................................................................................................
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13 (1) (hI. Florida Statutes. (Fill in at Owner's option).
Name . .N~. , . . . . ~.' . , , . . . .. . . . . . . . '_' ___. , . . . . . . . . , . . . , . , . . . . . . , . . , . . . . . , . . . . . . . . . . . . , . .. ..... . . . . . . . . . . .. . . . . . . . . . . . . . .
Address .."........".........,.......,.,........,.....,.,......... .,. .... ......... ...... , . . . . , . . , . . . . . . . . . . . . . . , . . . . . . .
1I1111111111~;~~I;~~;I; I;;I~I~;;;I~;I~;I; US. ON' Y Fute " qaielt 4 e~ q :J. C :c U q q q q q q q H
99118831 Jb& IetH I C &0
Sworn to and subscribed Before me this ..,...,..,..... . . , . . . . . . . . . . . . .
Rcpt: 358891 Rec:
os: 0.00 IT:
09/22/99
6.00
0.00
Opty Clerk
QV'!~T~~~;)..........,9~.~
Notary Public
~~tD~~.. Paula L VanNorman
€*: :~ MY COMMISSION # CC776815 EXPIRES
~ . ; September 20. 2002
. .Ri:~ " BONDED THW TROY FAIN INSURAHCE,INC.
JEO PITTMAN, PASCO COUNTY CLERK
09/22/99 09:09a. 1 of 1
OR BK 4228 PG 1 026
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
Or;rl( c:- 7'27 -5Z{;"o/8 J
Ht-! 727 - 529 -.4-451
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME 801?,cft, U c.'i) I4'\-.P Q (\ ^-" (
JOB ADDRESS ~81'-3 /). t4,-.,efr..-t...... CS6JL1.JN2~ 2 ',.1-, Ns r L
PHONE 9/3 - 78~':"8440
"j :s r; 1t!./6
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
Os I GN
~TION
o MOVE
(OBTAIN FROM PROPERTY TAX NOTICEl
~RATION 0 REPAIR 0 INSTALL
WORK PROPSED: ONEW CONSTRUCTION
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
~ER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK :.tf...JfC:."""Rldt: BU/t.o~-
~
#-- \. R. 1: t)..J..., I '/
BUILDING SIZE
SQUARE FOOTAGE
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.
~UILDING
PERMITS REQUESTED
$
210.000
.
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
BUILDER (l "
SIGNATURE~.d..,
/
;( 1/ /z&-L-(___
COMPANY /IIN5'trN ,(JaIUJ/NtJ:. ~~~
STATE CERT OR REGIST # Co c;.CO 'fcrSCs
CITY PROCESSING # /92.8
******************************************************************
PLUMBER
***********************~J***************************************
....j ....co PANY .~ {l~" &/Yl&N6
I //.~ . T-ECERT OR REGIST #<;::CU ;lG 5~r "5
!{!:~I CITY PROCESSING # /3 OIL L ___
COMPANY &.,,~ etcc:.~c. ~/ec.--s~lJCr
STATE CERT OR REGIST # C ~ 0000 / I 7
CITY PROCESSING # /'1 0/<-" t....---
SIGNATU
(
SIGNATURE
SIGNATURE
***********************************************
COMPANY (ZOYAL/tIfZ.E
~ STATE CERT OR REGIST :;2/~ ~I:;~
~~c~ CITY PROCESSING # /"):) L
************************************************************
MECHANICAL
***
OTHER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
*****************************************************************
CONDITIONS OF PEHMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
~he undersigned understands that this permit may be subject to ~deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may 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 may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, 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 application for which they
will be responsible. If you, as the owner signs 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 may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION 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 _ Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the ~owner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the ~owner" prior to commencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will.
be done in compliance with all applicable laws regulating construction, zoning, and land
development.
Application is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has commenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my responsibility to identify what actions I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone ~A" or "A,etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
A permit 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 permit prevent the Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2.500 IN VALUE DO NOT NEED TO RECORD AND POST~..OT.;CE OF COMMENCEMENT",
('>>Uu-J cf.J .G (VFJ lJih ,/ t(IaL!~~,,--
SIGNATURE: OWNER OR ~ ' )tIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged Q
Before m~is .LL-day of r;~her , 19 ~
by ~,-h L, IA)() --- - <-
(name of person acknowledged)
~hO is personally known to me, or
Owho has produced
(type of identification)
~id not t~e an oath
~/Vl, ilL- '/
I ~'-- -^-
person taking acknowledgment
YCi,<; CO
STATE OF FL<wJ:DA
COUNTY OF J(~
The foregoing instrument was acknowledg~~~
Before me this ~ day of ~fvt.bet, 19..1J.
by {Lo J / e_en ~u-F-f='('
~ (name of person acknowledged)
I~who is personally known to me, or
Owho has produced
(type of identification)
and whoO did Odid not tne an oath.
I ")1/l~~-
of person taking acknowledgement
~hr~ 0.. (Yl()J) A t;7 U K tJ
Name typed, printed or stamped
and who Odid
'J:)2kJrc<- A, rVlCQ-8 ld:J \J ~-N
Name typed, printed or stamped
dif.~tjJ;:~" Debra A Mashburn
:.,1l::~ MY COMMISSION /I CC776816 EXPIRES
;.:.~.w September 20, 2002
:. ;Ri.~' BONDED TH1l\J OOV FAIN INSURANCE. INC,
CITY OF ZEPHYRHILLS CONNECTION FEES TABLE A - WORKSHEET
ORD. #395/RESOLUTIONS 312/372 WATER $1.75 GAL. SEWER $6.39/GAL
RESIDENTIAL (Each Lot or Unit)
Residence $ 350.00 $ 1,278.00
Travel Trailer Park $ 131.25 $ 479.25
COMMERCIAL (Per fixture)
Sinks $ 87.50 $ 319.50
Water Closet $ 131.25 $ 479.25
Urinal $ 87.50 $ 319.50
Lavatory $ 43.75 $ 159.75
Tub/Shower $ 87.50 $ 319.50
Washing Machine-Commercial Size $ 350.00 $ 1,278.00
Washing Machine-Domestic Size $ 87.50 $ 319.50
Dishwasher-Limited Use $ 87.50 $ 319.50
Food Service-Dishwasher $ 700.00 $ 2,556.00
Sinks (3-Compartment) $ 175.00 $ 639.00
Car Wash (Per Stall) $ 1,000,00 $ 6,390.00
SINKS 50 1 $ 87.50 $ 319.50 $ 407.00
WATER CLOSETS 75 1 $ 131.25 $ 479.25 $ 610.50
URINALS 50 $ - $ - $ -
LAVATORIES 25 1 $ 43.75 $ 159.75 $ 203.50
TUB/SHOWERS 50 $ - $ - $ -
WASH. MACH. COMM. 560 $ - $ - $ -
WASH. MACH DOM. 200 $ - $ - $ -
DISHWASHER COMM. 400 $ - $ - $ -
DISHWASHER LIMITED USE 60 $ - $ - $ -
SINKS-3 COMPARTMENT 100 $ - $ - $ -
CAR WASH PERIST ALL 1000 $ - $ - $ -
IRRIGATION METER
SUB-TOTAL $ 262.50 $ 958.50 $ 1,221.00
WATER METER
IRRIGATION METER
IRRIGA TION CONNECTION FEE
GRAND TOTAL $ 1,221.00
FIXTURE
G.P.D.
#
WATER
SEWER TOTAL PER FIXTURE
9/8/99
~,,-
l~i\~~~<7
': ~v\f
~V1-
h!INr~t-:'i 1~\..'~ (~
3 "3\ t'3 .,vv\t\..bC-1 s~,
SQ. FEET PRICE
MAIN OR LIVING AREA ltJ~C\ (; 5. ~ ~
OTHER AREA UNDER ROOF
OTHER
BUILDING: -
ELECTRICAL: 71/l S-~
PLUMBING: 50.\~~
MECHANICAL: .- . ~
'7':7 f 'j
RADON: JJIf1
CREDIT: ,J /Ir
/
I-w C- SEWER:
I -Lf\v WATER:
, -Sif\JK TOTAL:
. , , L 6frlGS #qq3. ~'" v rAc~1,) s . H Q2riVlr
rvtf'Jl cttlQ>- 271jc; f1;.lWD0.ir\"if.1. F'S 3, lfC{ to, ~ 1\
&z '-. 'a/t.. ot- C)C(ui)t+tJc . , j
r ' ,--, J ) lv.~\'\/yr7( ~ 'V
o V~~ fa.' h-r../ '
dA
. '"';~ .<; .!I.f/i. "l'1''';~_'j;.,....,.,.;~..'lllI'' _.1\.T ...~,
COMMERCIAL
CHECKLIST FOR NEW CONTRUCTION PERMITTING
CITY OF ZEPHYRHILLS
Site Plan Review requirements satisfied , approved _
date:
Noti.ce of CCIIIIIlencem.ent certified copy
~oation oompleted in its ENTIREi'Y.
~ if oontraotor , subs are ourrenUy registered.
tJA
L
~
d!
riLl}
Florida Energy Effioienoy Form oompleted.
i'HREE SETS of Engineered Building Prints with Eleotrioal, Pl\DDbiDq
and Meohanioal diagrams.
If Business Classifioation is State Regulated, approval must be on
engineered building prints.
em R-O-W Use Peaait, if app1iOah~*~
Give Elevation Certifioate, if applioable.
.~verifY Water' Sewer Servioe.
dt
tJJ
Sewer , Water Conneotion Fees, i'ransportation Impaot Fees , Water
Meter Fee paid prior to or at time of pe:cait iS8WU1oe.
Annual Solid Waste Assessm.ent Fee JIlWIt be paid prior to iSllUanoe
of Certifioate of Occupanoy. DArE PAZO
Plans Review Fee ($.03/sq. ft. - $15 min.)
Amount Paid $
Date
Reoei ved by: