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Home My WebLink About00-9608 BUILDING PERMIT "30. ~ MECHANICAL 09608 Date '7/1 2 /00 Ul q. '1..f. Sewer Conn "I Water Conn: ,3i. ~ r7c::2 5':::> :>, BUILDING 7b. !.2- ELECTRICAL CITY OF ZEPHYRHILLS (813) 788-6611 . '2 50 b ,- PLUMBING Permit Property Owner: ~ ..:vJ~ \ g tt h. \ Job Address:.-liJ (, P1 r I'~ {)I'. Parcell.D. # 2<1- J(.;. . J 1- DO" 0" 000<:)0' I 'i 00 Water Meter: -?')O.~ T,I.F.'s: ~ . Energy Code: <;.""'Si.z k.~,'ly' Radon Gas: OJ.,lP,II: /\7 )5.~ Zoning: Description of Work NO OCCUPANCY BEFORE C.O. FINAL C.O. .2. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector P~'m;t Fee j.l g~, ]- Signature ,-(: 1 ~ , . ~ ~ ~ Company Address Telephone# /go-(~aS 1VO/Y1~-::/ Valuation or Contract Price f:, 7, /00. (~ , rJ. City License Registration # State Certified License# i:\ ~ ~"c. V\ -2. ~ BUILDING ) 7 Y I :}. Ftr. SJr-J9 -C> r>~ ~ Pre SLB g--I? O(l i5Jy.(1- \4 Lintel N FRM. J /-/b-o('} ~)~ L Insul. CL {-...: WL 17-~-C>() Sf( --..1 Driveway /..-f..../~1Z- ~~~ '-~-CDD 3>fL C~.t Pee 5(0 ~""S 1,0.1I: A.,..S PLUMBING 111 (;> ~hr 's MECHANICAL " ELECTRICAL SLB ~.8' -00 ..3,z, Tub Set /1-/6.00 se Water Sewer 9- 2 9... 0 c> 'S rc Final Tp. Servo Rough In 11-lta...(;tl SIC Meter Can Con st. Pole Pool Pre-Met . ~ ~ Final' (j"dllr S'(~b 1)/'1/C;))~ p~ ~ ,>>.,C 1_ a>O 2JL Breakers Ducts Insl. //..../ b. PO S i( Compressor Final REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ 25.001 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. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. RYMAN CONST. 3516 PYRITE DR. EMERALD POINTE SQ. FEET PRICE MAIN OR LIVING AREA 1,145 $ 40.00 OTHER AREA UNDER ROOF 1 ,420 $ 15.00 OTHER VALUATION $ 67,100.00 FEE SHEET $ 342.00 ADDRESS $ 20.00 DRIVEWAY $ 20.00 BUILDING: $ 553.00 CREDIT: $ - BUILDING LESS CREDIT: $ 553.00 ELECTRICAL: $ 76.72 PLUMBING: $ 62.50 MECHANICAL: $ 30.00 RADON: $ 25.65 TOTAL $ 747.87 SEWER: $ 479.25 WATER: $ 131.25 IRRIGATION: $ - TOTAL: $ 610.50 WATER METER:I $ IRRIGATION METER $ TI F'S: $ 320.00 99% $ 316.80 1% $ 3.20 TOTAL: $ 1,678.37 I 9toy . '. ,1. '\\ f'~5-fSe - 'D~~ OWNER' ~ 11t7 ^"'O \p ~ a~_ (S LA. '" l JOB ADDRESS \....J 0 l'ib ~1Y\e1l.A-\.b LEGAL DESCRIPTION: LOT (S) \~ 0 2'* -2Jc. ."G\. bb~O . 6CbOo~ AP'.1LICJIJl'ION FOR PElUfiT CITY OF ZEPHYRHILLS BUILDING DEPARTHENT . , 7 "--S-Q::) DATE RECEIVED _ PLANS REVIEW FEE SUBDIVISION to -(,('1-$ 6D / ~. ~~\n ~~AJt BLOCK PARCEL ID # WORK PROPSED: ~CONSTRUCTION (qbO (OBTATN FROM PROPERTY TAX NOTICE) D ADDITION DALTERATION D REPAIR D INSTALL DSIGN 0 MOVE 0 DEMOLISH PROPOSED USE: ~ILY DWELLING DMULTI-FAMILY D# OF UNITS o COMMERCIAL o INDUSTRIAL o SWIMMING POOL D MOBILE HOME o OTHER ~ o RESTAURANT & HEALTH DEPARTMENT DESCRIPTION OF WORK ~ ~rL ~6 ~+, 4SxSb APPROVAL BUILDING SIZE SQUARE FOOTAGE -Z S ~ S HEIGHT 5' 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. ~LDING PERMITS REQUESTED Q,tLECTRICAL CJ.-.t>LUMBING $ <0 -Z I T::> (j c..) Z6U VALUATION OF TOTAL CONSTRUCTION ~ AMP SERVICE 0 FLORIDA POWER 19- W.R.E.C. J EY'MECHANICAL- $ -Z 50 Q VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY DOT~ ~RAME 0 STEEL o OTHER TYPE OF CONSTRUCTION: D BLOCK FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES 0 NO BUILDER A ~ :. SIGNATU' -_iij -= COMPANY RYMAN COm;TRYCTlmr, urc STATE CERT OR REGIST # ('13C-035' 3.1 CITY PROCESSING # 274 ****************************************************************** ELECTRICI% SIGNATURE . ~\r-e~ ~ COMPANY EAST PASCO ELECTRIC STATE CERT OR REGIST # ER-0014591 CITY PROCESSING # ****************************************************************** PLUMBER SIGNATURE ~ 0~~~~) COMPANY DENNIS WI~LI~M5 STATE CERT OR REGIST # RF-05260 CITY PROCESSING # MECHANICAL SIGNATURE~<- * * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * COMPANY: ~ 2\ HR S G 2\ S 2\ J>TD ~? (' STATE CERT OR REGIST # CAC-043498 CITY PROCESSING # Jio-4s // ***************************************************************** OTHER ~ --' ~ COMPANY RYMAN r.ONSTRTJr.TTON. TNr.. STATE CERT OR REGIST # RC-0061,648 CITY PROCESSING # SIGNATURE ***************************************************************** A. NOTICE OF DEED RESTRICTIONS ~ The undersigned understands that this permit ma~ 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 aocument 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 s~tted which is prepared by a professional engineer registered in the State of Florida pr~or 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 $ ,500 NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT". \~~ ~~\=-~ . SIGNATURE'~- T.. _. STATE OF FLORIDA V{l#cl A~ COUNTY OF t ~ The foregoing i~~L~ument wa acknowledg~d)r\/' Before ethis ') da of , l~(~ by, 'L/ ' /; 1~- ~. ' (name of person acknowledged) ~~iS personally known to me, or Owho has produced (type of identification) [}:ii not tak an at,", ~ , SIGNATU~: OWNER OR AGENT STATE OF FLORIDA /7a~ C~ COUNTY OF U The foregOin,g i~)rument~,wasaCknOWledged Befory- me)this . day 0, _~~, 'i9.d.6cb by ~€LiJ1 L. {. ~~\_/ ~~ (name of person acknow edged) ~o is personally known to me, or o who S Name typed, printed or..,~~~~ L Helms *~f *My Commission CC800247 -""" .?,/ Expires January 3, 2003 Name typed'#,~~~LAehnsStamped *lil *My Commission CC800247 'It......,. Expires January 3, 2003 ''--- V Department of Community Affairs FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 600A-93 Residential Whole Building Performance Method A PROJECT NAME: Emrald Point Park BUILDER: Ryman Construction AND ADDRESS :"'-.\SL-l..Y-\. \.}s"lb PVrlW PERMITTING , CLIMATE /" .Q -, \C\" - r::':':l () 1m Or. OFFICE: ?:f~r ".1/5 1Ft ZONE: 41~1 51_1 6/:..-/ OWNER:""2O\ '-J \~ PERMIT NO. ~H~o~ JURISDICTION NO. bl/"Oo CK 1. New construction or addition 2. Single family detached or Multifamily attached 3. If Multifamily-No. of units 4. If Multifamily, is this a worst case (yes/no) 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: 2. Wood frame (Insulation R-value) 10a-2 R=19.00, 815.27sqft____ \ 11.Ceiling type area and insulation: a. Under attic (Insulation R-value) 12.Air distribution systems a. Ducts (Insulation + Location) 13.Cooling system , -. 14.Heating System: ,~;, i' I,: ~'. r 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: 6251 CENTRAL 1. 2. 3. 4 . 5. 1145.00 6. 1. 50 7. 12.00 Single Pane 8a. O.Osqft 8b. O. Osqft New Construction Single-Family o Double Pane O.OOsqft 190.33sqft 9a.R= 0.00 , 126.20 ft 11a.R=30.00 , 1145.00sqft____ 12a. R= 6.00, uncond 13. Type: Central A/C SEER: 10 . 00 14. Type: Heat Pump HSPF: 6.60 15. Type: Electric EF : 0 . 88 16. 17. 18. 2 CV 19. 19a. 19b. 77.79 17202.25 22114.11 ----------~--------------------------------------------~~~-----~---------------- ,'1--' \ -------------------------------------------------------------.------------------ I Hereby certify that the plans and specifications covered by this calcu- lation are in compliance with the Florida Energy Code. PREPARED ~ DATE , ~irf9 lip · - I hereby certify that this building is in compliance with Florida Energy Code. Review ot 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. BUILD*AL'~~. DATE: ' OWNER/ c, DATE: ---L~~' :[$0112 ri ~: .,,1 " , -lit c === BASE === SUMMER CALCULATIONS ******************************************************************************* =============================================================================== === AS-BUILT ==== g~~~--~~~-~-~~~~-:- POINTS I TYPE SC ORIEN AREA x SPM x SOF = POINTS N 5579.7 -------------------------------------------------------------.------------------ 67.88 82.2 E S 40.20 68.38 82.2 82.2 3304.4 5620.8 W 13.87 82.2 1140.1 DBL TINT N 6.9 43.5 .90 272.0 DBL TINT N 6.9 43.5 .90 272.0 DBL TINT N 54.0 43.5 .59 1375.5 DBL TINT E 40.2 87.3 .39 1365.8 DBL TINT S 16.2 7B.8 .81 1034.9 DBL TINT S 16.2 7B.8 .81 1034.9 DBL TINT S 12.0 78.8 .43 408.1 DBL TINT S 12.0 78.8 .43 408.1 DBL TINT S 12.0 78..8 .43 408.1 DBL TINT W 3.5 87.3 .63 190.0 DBL TINT W 6.3 87.3 .90 493.5 DBL TINT W 4.2 87.3 .63 229.6 ------------------------------------------------------------------------------- .15 x CONDo FLOOR / TOTAL GLASS = ADJ. x AREA AREA FACTOR GLASS POINTS ADJ GLASS POINTS = GLASS POINTS ------------------------------------------------------------------------------- .15 1,145.00 190.33 .902 15,645.13 14,117.85 I 7,492.40 I ;~;=~~~~::~::~~~~::=::::::=i==::::============:~:::::===::::==:==:::=:=:::::: ~ ------------------------------------------------------------------------------- t :~~LS-~~~~;-----~~;-- 815.3 Ext Wood Frame 19.0 815.3 1.00 815.3 f DOORS---------------- ~ Ext 20.0 4.8 96.0 Ext Insulated 20.0 4.80 96.0 CEILINGS------------- UA 1145.0 .6 687.0 FLOORS--------------- SIb 126.2 -31.8 -4013.2 INFILTRATION--------- 1145.0 10.9 12480.5 Under Attic 30.0 1145.0 .60 687-.0 Slab-on-Grade . 0 126.2 -31.90 -4025.8 Practice #2 1145.0 10.90 12480.5 TOTAL SUMMER POINTS I 24,183.46 =============================================================================== TOTAL x SUM PTS = =============================~================================================= 17,545.39 COOLING I TOTAL POINTS COMPON SYSTEM MULT x CAP x DUCT x SYSTEM x CREDIT = COOLING RATIO MULT MULT MULT POINTS 24,183.46 .37 ------------------------------------------------------------------------------- 6,233.88 8,947.88 I 17,545.391.00 1.100 .340 .950 ===================================~=========================================== ,r-- , \ . \~-- ~ ******************************************************************************* ::;::;::; BASE ::;::;= WINTER CALCULATIONS ******************************************************************************* ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- , ::;== AS-BUILT === g~~~~--~~~-~-~0~~-:- POINTS I TYPE SC ORIEN AREA x WPM x WOF ::; POINTS N -230.8 ------------------------------------------------------------..------------------ 67.88 -3.4 E S 40.20 68.38 -3.4 -3.4 -136.7 -232.5 ,~. W -47.2 13.87 -3.4 ;Y' ;- DBL TINT N 6.9 6.1 1. 08 45.7 DBL TINT N 6.9 6.1 1. 08 45.7 DBL TINT N 54.0 6.1 1. 37 452.7 DBL TINT E 40.2 -3.6 -.81 117.3 DBL TINT S 16.2 -11. 0 .90 -160.1 DBL TINT S 16.2 -11.0 .90 -160.1 DBL TINT S 12.0 -11.0 .27 -35.4 DBL TINT S 12.0 -11. 0 .27 -35.4 DBL TINT S 12.0 -11.0 .27 -35.4 DBL TINT W 3.5 -3.6 .12 -1. 5 DBL TINT W 6.3 -3.6 .78 -17.6 DBL TINT W 4.2 -3.6 .12 -1. 8 ------------------------------------------------------------------------------- ADJ GLASS POINTS .15 x CONDo FLOOR / TOTAL GLASS = ADJ. x GLASS = AREA AREA FACTOR POINTS GLASS POINTS ------------------------------------------------------------------------------- .15 1,145.00 190.33 .902 -647.12 -583.95 I 213.95 =============================================================================== ' 'NON G~~--~--~;~~-: POINTS I TYPE R-VALUE AREA x WPM ~ POINTS " iWALLS---------------- !Ext 815.3 1.1 896.8 ~------------------------------------------------------------------------------- ,,, ,. DOORS---------------- , For detailed information ,( of the EPI rating number { or for any ITEM listed, >~t ' ask your Builder for DCA Form 600A-93 or Form 600B-93 Ext Wood Frame 19.0 815.3 1.10 896.8 ENERGY GUIDE EPI= 77.8 o 10 20 30 40 50 60 70 80 90 100 I-------------------------------x-----~---I The maximum allowable EPI is 100. The lower the EPI the more efficient the home ITEM RESIDENTIAL ENERGY PERFORMANCE RATING SHEET HOME VALUE Low Efficiency High Efficiency INSULATION. . . . . . . . . . . . . . . . . . WINDOWS... ....... .... ....... Double Tint SINGL CLR DBL TINT I--------------------xl Ceiling R-Value......... 30.0 Wall R-Value......... 19.0 Floor R-Value......... 0.0 AIR CONDITIONER. . . . . . . . . . . . . R-10 R-30 I--------------------xl R-O R-7 I--------------------xl R-O R-19 Ix--------------------I 10.0 SEER 17.0 /"'" I # ~ " L SEER. . . . . . . . . . . . . . . . . . . . .. 10.0 HEATING SySTEM.............. Electric HSPF............ 6.6 WATER HEATER. . . . . . . . . . . . . . . . Electric EF.............. 0 . 88 Gas EF. . . . . . . . . . . . .. 0 . 00 Solar EF. . . . . . . . . . . . . . , OTHER FEATURES.......... .... ';,<. ;: +: .,,: . . . . . . . . . . . . . . . . . . . . . . . . . . . . /'.", v Ix--------------------I 6.8 HSPF 12.0 Ix--------------------I , 0.88 0.96 Ix--------------------I 0.54 0.90 1---------------------1 0.40 0.80 1---------------------1 I certify that these energy saving features required for the Florida Energy Code have been installed in this house. \ \ (1 (Q h 9. _ f'. /1(),Builder Address: ~ ~-~-~~ignatu ,'~. CitY/ZiP~/~ -33S4d ,.".","'.".. Florida Ene gyode for Building Construction '} Florida Department of Community Affairs r ',~., !If: H , Date :~/~D fD 6 , /- - 1993 FL-EPL CARD93 SITE PLAN (RESIDENTIAL USE ONLY) PARCEL I.D. TI SEC 7~ Th'P Z\ RNG 0056 OO~ SUBD BLOCK ~ ~e.<<..~\~ ?G(-N~ ICfoO - LOT PROPERTY MEASUREMENT '11,30)< (0 q, - ~rt~es-{ B~'nl,- DATE ~ CURRENT OWNERS All drawings shall be drawn to scale for all parcels or lots five acres or less. b'6 ~~ 5,S' ~t t 'to , 5.S ~ -Zo ..... loqJ \ i ll.3o I ~~ ~';4-c. -:::t:> e... \ \Je. SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DIMENSIONS AND SETBACKS. ALSO, INDICATE A},'Y BODIES OF WATER AND ROADWAYS (INCLUDING NAMES) ADJACENT TO THE PROPERTY. INDICATE THE SIZE, YEAR, AND NAME OF MOBILE; SUCH AS 121 x 60'. 1981. FLEETWOOD. HOUSE CONSTRUCTION 'C.ALE: ,.. 100' PROPOSED ADDITION "...L.c.: 1-. .0' MOBILE HOME SETUP IG...LE: ,-. 10' "0'(6011.) w :I oct :z: o oct o c: - :: I~ ' 20' a 10' 32,:\' odd. - - 0 0 Q Ellotlng 7,:\' S! - - .. hou.. .. '" "" ;; .. 20' -__.J.. F'/L . ROAD NAME - - :l0' 7,,:\' fi"uo, 7:3' ~ o '" ,.., talollng S h'll o on ,.., II :; " '" .. . .. '" ;; 20' 00' ROAD NAME ROAD NAME ,'Ii " , > ! i ~ I' >j , i i-'(:,l, '''~ ~ ~ . I : :,1 l' f"l /1:.'( t ' ":I"'f C j d{ 1":' r ~ I .It" iT , ': 1,';1 (,1 ,'" .I j-'! ;.i I ' :.'!,,:,j', I ,I I i l! r;.. --- - - - - -,- - - - -'-'--'-,-"- -------.'-- -..'......... .; , \ I \' r f'., I ~ ; , '1" ',1'1" ~ :'l ;'-"~ f If .: i I i .- ...!....,:.". ;_, t..t-. ,,( ,/. I,. ~ :' ; ~ ~ " ,.., I /1 < ,I'. i' ! if ..'.(- i \ .,'!: ,!, ~ . " ""i , r ! ; j'l )', i,: t \ "1. {j! \1 (d ii 'L.' . ':"1 i! .!i ! ' ~ fI'I"T".'i (-----\ ",-j /~\ \J "~'>->-~""''''''~ .. PASCO COUNTY, FLORIDA ......., f ' I .' Permit No, , 10 () , Date Permitted-7 II? I flu ~iiit't Builder Name/Owner Name k I,... r'.t. " , / t (..; '1 ) 1 , County Parcel No. i Cl , (.., ~ 1, !;J ~..J ()f~.jO'~ ,) ..... (~ I ''1 ()O Address/Location -~ 'L j') j " 'l f '" ' i ., f' i} . Subd. (v,"I'~ I I , " I> ;,t Classificationffype of Use <- "; I .f ~ ~., ') , .r" ;""t, .-1 ' L./ , I), , ,v II./~) How Determined TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Why? Rate $ Zone No. .- Sq. FtlUnit Prepared By .///' Impact Fee Amo~/ c~ / ~ The above jr1Pact fee has been established p~rsuant to t~e'Pasco cou, nty;rranSpo~ation Impact Ord~nance as adopted by the Board ~asco County Commissioners. ThiS amount IS payable PJ3.r6R to the Issuance of a Certificate of Occupancy or uti~ion of the permitted structure. /"RESOURCE RECOVERY ASSESSMENT EXEMPT 0 RESIDENTIAL NONRESIDENTIAL No. Units ( Gross Sq. Ft. (GSF) Ratc ERL: - 52,OO/Year or 50, 1 42/Oa) ERU ASSIgn No, Asscssment - (No Units) x ($0,142) x (No, Days) Assessment - (GSF) x (ERU) x (0,\42) x (No, Days) \00 TOTAL FEE $ TOTAL FEE $ .' NO CERTIFICA TE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED HA VE BEDI PAID AND RECEIPTED FOR BY A CENTRAL PERMITTI~G OFFICE OF PASCO COUNTY. Acknowledgement below does not imply acceptance of concurrence. but simply reccipt nf a copy of this form. placing the huilding permit owner on notice of this assessment and the conditions of payment for same Date Received By ----- ------------------------------------------------------------------------------------------------------- -------------------------------------- OFFICE L'SE ONLY TRANSPORTATION REC. NO. RESOURCE RECOVERY REC. NO, DATE DATE BY BY White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldg/lnsp feecalce PC93113094/D