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Home My WebLink About01-0414 BUILDING PERMIT~~ Permit Date 7/] I 0 ( 637, r8 BUILDING S b. li ELECTRICAL CITY OF ZEPHYRHILLS (813) 788~6611 72. >0 PLUMBING r~. Q$! MECHANICAL P,aperty Own." W. \ \ ~ G'"" (, . 6 recl S Job Address: b ~ )/ No('~ \tA..kf ;, Parcel 1.0. # 0 S" - :2 ~ .- 2 , . () I~ 0 - f)oooo. () "1 '-I {) 2~. -U Zoning: Energy Code: Description of Work S.',... 5 Ie ~-~ \y Radon Gas: \)~e,lI,' .~) . II 0414 oD Sewer Conn 271.- "7ro. ~, Water Conn: ~ ~I , 00. ~.Y Water Meter: 0 -- , fN.~' I?~ fig IlO.~ T.I.F.'s: - () ).. Inspector Permit Fee '-{...., \ 1 . 0 {...Signature ~'-l--~ l.t <l. Company Address 01.. Telephone# lf~ -C/ l.j'fL- NO OCCUPANCY BEFORE C.O. FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Valuation or ...:J ( , '7 <70."~ Contract Price 0 _ .) 0 City License Registration # State Certified License# G.L. \~.e . BUILDING )b( Zeflyrlt.'l1LElec. Su. ELECTRICAL 9' Clv; S' g~~l/' PLUMBING lfo SLB"/ ~ - ~- D! s:-R Tub Set /0 -.IF)"'{) I R.L'I Water Sewer Final / :2 -(p,. {):J- {l.L'( Ftr. V 7'- If - 0 J 5 R- Tp. Servo Pre SLB v-- J07J} ~t:.. Rough In 10 -.7t>-oIRLy Lintel Meter Can FRM. /IJ - 30 '-0' Jt.J.'t Const. Pole Insul. CL Pool WL J/- yO/ ,fLt( Pre-Meter r/J,,:l2"()'J... Jebj /. Final V rJ-b-o ~ R.L&1 Driveway V I '11"0" fJe,.llfiJ 5htc'~"''\j 1-27-0\ ~(l fP \ - ~ 3.-0 'J- 8": 0 &" D oR.+t-t \of t:.t- REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Twenty Five and 00/100 Dollars ($25.00) 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. r)~ ~r 'S profti..., &s ~ A(( MECHANICAL 17 Breakers Ducts Insl. i f) - 30 ''7>/ ~r comp~sor Final a. - ~-t'1). /2 ~ The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ... r . .. July 14" 2001 ~F' ~Mv{lr OBk~ Community Association 6000 Silver Oaks Drive Zephyrhills, Florida 33541 (813) 779-2844 Mr. & Mrs. Bill Gregg 6534 Foxmoor Dr. Zephyrhills, FI. 33540 Dear Mr. & Mrs. Gregg REFERENCE: Design Review Application We have received your Phase I & II application to build a new house at 6837 Northlake Dr. Phase I & II has been approved by the Design Review Committee. Please note Phase III (copy enclosed) must be completed within 60 days after commencement of construction and submitted to the Design Review Committee. The DCR does appreciate you submitting your new home construction as required under the current covenants and restrictions. The Design Review Committee will retain the original application you submitted. If you have any additional questions regarding this matter, please feel free to contact me At 813-779-8529. Sincerely, ~J~ George W. Nelson Chainnan,Design Review Committee CC:Design Review Committee File 2000-056 Silver Oaks Board of Directors G.L. Steve Construction 37651 8th Ave. Zephyrhills, Fl. 33541 . . . 'I' FORM 600A..97 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A L-. ~ i/ Project Name: gregg Builder:.. stevve Address: G~T7 north lake Permitting Office: 2rbft.y"'~: II ) City, State: z hills, F( Permit Number: 0 l{ I ~ Owner: l.v. \t:6'- 6-l'ts'!J Jurisdiction Number: b "" 00 Climate Zone: Central I. New construction or existing 2. Single family or multi-family 3. Number of units, if multi-family 4. Number of Bedrooms 5. Is this a worst case? 6. Conditioned floor area (~) 7. Glass area & type a. Clear - single pane b. Clear - double pane c. Tint/other SClSHGC - single pane d. Tint/other SCfSHGC - double pane 8. Floor types a. Slab-On-Grade Edge Insulation b.NlA c. N/A 9 , Wall types a. Frame, Wood, Exterior b. N/A c. N/A d. N/A e. N/A 10, Ceiling types a. Under Attic b. N/A c. N/A II. Ducts 8. Sup: Unc. Ret: Unc. AIl: Attic b. N/A New Single family I 2 No 1584 ft2 0.0 ft2 0.0 ft2 0.0 ft2 109.5 ft2 R=O.O, 167.O(p) ft R=13.0, 1336.0 ft2 R=30.0, 1984.0 ft2 Sup. R=6.0, 110.0 ft 12. Cooling systems a. Central Unit Cap: 36.0 kBtulhr SEER: 11.00 b. N/A c. N/A 13. Heating systems a. Electric Heat Pump Cap: 36.0 kBtulhr HSPF: 7.20 b. N/A c. N/A 14. Hot water systems a. Electric Resistan41e Cap: 30.0 gallons EF: 0.97 b. N/A c. Conservation credits (HR-Heat m:overy, Solar DHP-Dedicatod heat pump) 15. HV AC credits (CF-Ceiling fan, CV-Ctoss ventilation, HF-Whole house fan, PT -Programmable Thermostat, RB-Attic radiant barrier, MZ-C-Multizone ~g, MZ-H-Multizone heating) Glass/Floor Area: 0.07 Total as-built points: 15320.00 Total base points: 22001.00 PASG I hereby certify that the plans and specifications covered by this calculation are in compliance with the Florida Energy Code. PREPARED BY: ~u ~ DATE: 1/ 1---/0/ I I hereby certify that this building, as designed, is in compliance with the Florida Energy Code. OWNER/AGENT: DATE: 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 with Section 553.908 Florida statutes. BUILDING OFFICIAL: DATE: ...., -2-01 EnergyGauge<lJ) (Version: FLRCNA-200) I.,.., .... ::l z iii f'. ::l ti w ~ 0 Cl ~ :I c a:: G3 ~ z c ~ ~ '...:- ::l .... .... I ii5 z U ~ 11. ::l '- W >- 0 0 0 ~ (j '" ~ ~ .... 0 Q. ::E ~ a: >- ~ ~ r- a: ~ (3 Z c e :I w .... :! ~ a: (3 I- -I I I I I I I ~ ~ :J "l' W 3: ;;::; 0 '" ;;; ~ W 0 0 ~ 0 iIi ~ Cl z ( w '" l<: g (/) 4 ~ "? '" -I a: ;::: w ~ -Ice 0 -0 ~ a: ;;; x- 0 0 a:lX: - i!!: >3 1 i1 X 11. U Q.cIf => LL1::l 0 0 N;E ~ a: , * a. u.~ i:!. fJ gj 0:3: ~\ < ~ ~ Q. ~ Ci5 >w ~ t'- => I-N DO cD w (3 'lI u z J """ r- ~ 1""" 0 rm. 'gJ 0 0 0 a: ~ ~ a: "" -...J) J" >- w ... .. IDO a. 'J) ~ ~~ -..J (f) ~ d (f) ['-. w ~a. Z 0: w a.::i: '-!) U w ~ t'" Cl ~ (.) ::i:0 -I Cl Cl ~ a: a: 0(.) ~ <( W w a: w ':. Uw (/) w .... ~ .... l<:~ ......0: ~ W it (/) w ~ ~ a:o 0: O:w () z ::i: w ~'" WI- Z ~ 0 0 ~ ::i: W ::i l<: a: ~ Zz 5 z ~ (.) w M s:w ~ a: w J: S W J: :J (/) W J: 6 00: (f) (/) I- ;;::; a: (.) ~ ~ .... ::l 'Y z iii ::l ~ w 53 " \\ ~ 0 Cl M :I a:: C) Z c C ::l .... I- J: I N 11. ii5 z U w 0 ~ ::l ~ (j '" ............. >- 0 ~ a: Cl >- I- ~ w :I ~ a: ~ (3 CJ r--- w w l- e c e :I :! ~ 3: a: (3 I- -1 I I I I I I "l' w < :J '" w 3: (/) Cl ;;::; 0 ;;; ~ ~ iIi ~ Cl - 0 0 'W 0 ':)- z '" w 0 l<: 0 (/) ~ "? '" -I a: ;::: -Ice w ~ 0 -0 a: '" x- 0 a:lX: 0 i!!: >3 i1 X 11. U Q. en" => LL1::l 0 0 N;E .~ ~I f a: a. u.lX: 0 gj o~ \j tlO -- w z Q. ~ Ci5 >w (.. => I-N cD (3 ,..... w u z ~ ~ ~ } a: \I' 0 0 0 0 ~ a: w >- c.. '-.9 'd" IDO (f) OW f'- ~ wI- d (f) I-~ Z W w ~a. r 0: U w ~~ ~ Cl ~ (.) I Cl Cl ~ a: a: OU t~ ~ <( w w a: w ~ Uw (/) W l- I- l<:~ ......0: W (/) w w ' I ~ 11. I- W a:o 0: O:w Z () u. z ::i: w ::i: ~ ~'" W WI- :> 0 0 g ::i: l<: Zz ::i a: ~ 0: I- Z 0 (.) w r-" :S:w < W :J a: < w J: S 00: ~ J: ~ (/) W J: 6 (f) (/) ;;::; a: U APPLICATION FOR PE1lMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED 6;2, / (J ( . PLANS REVXEW FEE OWNER'S NAME Wlu..t~ G. -? C-UZ..4e,t.:rU A. GetJ;G JOB ADDRESS LOt 71../.- I ~v~0.s GLt.,.""U - ~I LV~ OAc5 LEGAL DESCRIPTION: LOT (S) 7tf BLOCK ,. PHONE 7~~-" 730 ~ ?~7 Yl~ti ~~ f4. ~L\1CTL o4-tc s SUBDIVISION PARCEL ID # ()~-.;2lc-,J..'-'OJgO- Oof:)f)O-07l./-D. IORTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: ~NEW CONSTRUCTION Os I GN o ADDITION [JALTERATION o REPAIR o INSTALL o MOVE o DEMOLISH PROPOSED USE: OlSGL FAMILY DWELLING o COMMERCIAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK CD.0S-revc::r1uA..) OF ~-w ~I ~ BUILDING SIZE ~'tf/l ~ (,(",.'1.(-" SQUARE FOOTAGE oN..)} HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED rn BUILDING 1&1 ELECTRICAL $ I ot ~ ) Cf4-0. 00 .;;;ov VALUATION OF TOTAL CONSTRUCTION AMP SERVICE gJ FLORIDA POWER o W.R.E.C. 6a PLUMBING I8J MECHANICAL FINISHED FLOOR ELEVATIONS gr FRAME q(...S o STEEL 0 OTHER $ ~5cc>.0 0 VALUATION OF MECHANCIAL o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK IS PROJECT BUILDER SIGNATURE~~ . 'co~~r.N5i1~sle~:':"""';';:' _;0,., _:"""';':""~""'~~'I,.._,~.:.t~)~,.. ..;'~~:,~".:,':;~: .,".:._" COMPANY Go. l. Stele c.o US({2.~-n c:0 STATE CERT OR REGIST # CtB-Co:i! Z-f:3 '} CITY PROCESSING # 305 oK ---- ****************************************************************** ELBCT1UC~~~ SIGNATURE 0,,",--,,") COMPANY Zt::.-PI-J'(e~lU5 ~LE'C:d2,C. St:::X-r(C~ STATE CERT OR REGIST # clUe.) .)....L~ Y' CITY PROCESSING # q,c.". a ~ ****************************************************************** ~ CMl2.\s ~e... Pt....u~\)..)b PLUMBER ) _ ~ COMPANY , / - +:/ (l STATE CERT OR REGIST # ti:1-o~Y/s-'1f? SIGNATURE 0' ,;A'~ ?/ " CITY PROCESSING # It. 01< * * * * ** * * * * *.* * * * ** * * * * * * * * * * * * * * * * * ** * * * * * ** * * * * * * ** * *** * **** *** **~* KECRANXCAL COMPANy~~e:.5 Pfl.o9AtJE: (;As ? _~ Py ~ . / /1' /' . STATE CERT OR REGIST # C J4 ~ '3Cf 4::6 SIGNATURE ~;?' ~ CITY PROCESSING ~ **~*********************************************************~** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ........**...****................................................ .,~ . . .~ . "Y." '" '.' ..". .; t i "'liol\!lI..II:"-~ CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to ~deed restrictions" wh~ch may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIOILITIES 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 conunencement. 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 conunenced 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 conunenced. 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 A ~NOTICE OF COMMENCEMENT". STATE OF FLORI.a COUNTY OF . 0 SC 0 The foregoing instrument was acknowledged Before me this~ day of~\1AD , ~I by ll\;\\j'f\W'\ p,~~ .\. F.:li~oht>'t-'h. Rrf>jJ ~ (name of pe n acknowledged) f\who is personally known to me, or o who has produced ....L ( type and whoD did ~did not of identification) take an oath. f.lJ0 L\.J ~,Lu-v- SIGNATURE: C NTRACTOR STATE OF FLORIDAQ ~~ COUNTY OF The foregoing instrument wa~ acknowledie;!,,,, 1\ Before m:L this il da-t~..v.ru.. , ~ by ~ i'o.. -s. ~ (name of person acknowledged) ~o is personally known to me, or Dwho has produced (type of identification) ~:;:d~ ~ take an oath 'gnature of ers taking acknowledgment or 'JOI!D~SEf'! I ~ .OMM1SS!o,.j ~ CC '72,\254 \~ ;:.PIRES'. March 22, 2002 'J't - Thru ND<<:'.ry PUb~~~_~': .' ,-~. ,~~"",,;,:';;~.l_"" 111111111111 1111I11/11 11111 11/1111111 11111 III1I!1I11 III/III/ 2001083227 . Permi t No. Rcpt: !506791 DS: 0.00 06/20/01 Rec: 6.00 IT: 0.00 Dpty Clerk HO'l'ICB Oll' COHMBNCBMBNT State of ~LOi2.( })A- County of PASC--O ~BB UNDBRSIGNBD hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: 1. street a e) 2. GC:hCtual Dascri~tion of Improvement ~~ R-€s( b(?D cf' ~I..)STIlUCT(OJ:) O~ ~~92~~nMA~i : fiS;O fOUNToYf C'iERK OR BK 4644 PG 1596 3. Owner Information: Name WI~~l~i\.L c:; ~ EU Z-A-Ben-I A _ 6f'l266 Address "534 t=01-~ I)lt Interest in Property: Name of Fee Simple Titleholder: (If other th~n owner) Ci t Y L.6P4" C2-~ t...L5 State FL 33,Q-lJ .'. Address City State ~r\""'~' ~. I 4. Contractor: Name G,c STC?I~ C-o.u~-r~CtlOU Agdress 37&5/ g'ru.!tv City ~--Q~I...f~u... ~ 5. Surety: N~me State ~L ~33111 Address . City State Amount of Bond: $ 6. Lender: Name Address City State 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7), Florida Statutes: Name Address City State 8. In addition to himself, Owner designates . . .~- of to receive a copy of the Lienor's Notice as provided in Section 713.1J(1)(b), Florida Statutes. 9. '':xl.h4Lloll cJ"Lo of HotJ.eo of COIIUIIOnCCJlllout (Lha oX(lJ.rAtJ.cm cJAte i. 1 year fr?m the date of rocording unless a different date is specified.) My Commission Expires: , ( Signature of Owner Sworn to and sQbscribed before me his H. cleo L. ~\.COA~~ 1\ V\DWn 1;-:) I ~ NotAry Public: \to'il' l,1o ~0 ~ ,,-:'w-. ,~ ) ,I' , rrhi~ Warranty Deed ~"'_:,;", " " - Made this 10th day of April A.D. .2001 bYJAMES A. CHAUNCEY and GERRI L. CHAUNCEY, and wife sband hereinafter called the grantor, to WILLIAM G. GREGG and ELIZABETH A. GREGG, wife . whose post office address is: Grantees' SSN: hereinafter called the grantee: (\Vhcnc~cr uscd hercin lhe tcrm "granlor" and "grantec" inrhnlc alllhe panics III Ihis inslrulllcnl and lhc hcirs, Icgal rcprcscntalivcs and as.~igns or indi\'iduals. and the Sln'l'eS".rs and assigns or corporations) Witnesseth, that the grantor, for and in consideral ion of I he slim of $ 10. 00 and other valllable considerations, ..el'eipl wherellf is hereby arknowlnlged, hercby granl.\, bargains, sells, aliens, remise.~. releases, conveys and conlirms IInlo the grantee, alllhal rcrlain bnd silllalc in Pasco COllnty, Florida, viz: See Schedule A attached hereto and by this reference made a part hereof. SUBJECT TO covenants, restrictions, easements of record and taxes for the current year. Parcel Identification Number: 03 26 21 0180 00000 0740 Together with all the tenements, hereditaments and appurtenances then;to belllnging or in anywise appertaining. To Have and to Hold, the same in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good righhmd lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all pl.:rS\l\lS whomsoever; and that said land is free of all encumbrances except taxes accruing subsequent to DeC\;mher J I, 2000 in Witness Whereof, the said grantor has signed and seakd these presents the day and year first above Name: :"-:llUl' .\' :\llt.he!',,: ~ Name: ~;UHl" .\" "\Udl(,S~: ~ State of COllnty of Florida Pasco The foregoing instrument was acknowledged before me this 10th day of Apr i 1 JAMES A. CHAUNCEY and GERRI L. CHAUNCEY, husband and wife , 2 0 01 ,by who is personally known to me or who has produced DRIVERS LICENSE .'--.----- as idenlilicatiulJ. PREPARED BY: SUNSTATE RECORD & RETURN TO: Sunstate Title Agency, Inc. 13937 7th Street Dade City, Florida 33525 File No: S-19892 WO.l 5/93 , ()o" - --- ., ---, ".... ' C2\------. C20 '~)5'f'}-~> .. " ""'. ,.'. ,;,; ;;'tJS '. . '" r~~..;~~ ..::' .,;'~J+~;l;~i-fii' ,. ~ ' . "~~;'~Mtt>.. ' ,...:' " , .24 _ _~ - - - C3 ~ 1I3L . - N 0" - . I "1~"",'lIIo"-40_-~"j.;'; ,.,...."... .,_ - ,,?:>~: .'~ '~,'.'.:'~ ,.. ,. ....,'.1'-t:)j,-',-:1 I-. . III .- .. "- ...,.. ~ PASCO COUNTY. FLORIDA , . Permit Nu. . i , ./ I i J, " / , Date Permitted /~ : Builder Name/Owner Name County Parcel No. l~ Address/Location '/ I Subd. Classificationffype of Use How Determined TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Why? Rate $ Zone No. Sq. FtlUnit Impact Fee Amount $ Prepared By ./ Chechd By The above impact fee has been established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the Board of Pasco County Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or utilization of the permitted structure. RESOURCE RECOVERY ASSESSMENT EXEMPT 0 RESIDENTIAL NONRESIDENTIAL No. Units J I I Gross Sq. Ft. (GSF) RJIC ERl' 5~.()0/YCJr or $O.I.+~lDay ERU Assign No. A~~C"TllCnl- (No. Units) x ($0.1'+2) \ (No. Day~) As~es~ment - (GSFl,x (ERU) \ (0 1.+2) x (No. Days) 100 TOTAL FEE $ . ,," . r" "Ii",,:. 'I TOTAL FEE $ NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED VNTlL THE AMOUNTS LISTED HA VE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTI~G OFFICE OF PASCO COUNTY. AcknOWledgement below does not imply acceptance of concurrence. but simply receipt of a copy of this form. placing the huildlng permit owner on notice of this assessment and the conditions of payment for same. Date Received By ----- -------------------------------------------------------------------------------------------------------- OFFICE L'SE ONL Y TRANSPORTATION REC. NO. RESOURCE RECOVERY REC. NO. L' - ", l' /~, DATE DATE 'v BY ",) 'Y BY '..J .....,; \.." . - '. ~~,Y White Applicant Canary Trans/Finance Canary RR/Flnance Pink Office Green Bldgllnsp feecaLce PC93113094/D PASCO COUNTY, FLORIDA SCHOOL IMPACT FEE Ordinance No. 01-06 Effective: February 28, 2001 at 2:08 p.m. Permit No. Date Permitted: ~d;~.N;~~wner Name C? J.. S.'Tr:YE (! DIJST: ParcellD: t>q-.:J t -::Zl- 0/ fZ> - 2)OOCJO - 07#0 Address/Location: h~:37 7?tJD'NAI1~ -:DR.. Subdivision: 6'//... YE/l. OAK..!, Classificationrrype of Use: VSingle-FamilY Detached House o Mobile Home o Other Residential o Collection Fee Total Fee 'X. No Exempt: How Determined: Yes 0,//1/ '7-;;"-0/ (056) h" 91/ (057) (058) (123) $_ /; ;"fjl/ Prepared By: a ~;;j~ Checked By: The above impact fee has been established pursuant to the Pasco County School Impact Fee Ordinance No. 01-06 as adopted by the Pasco County Board of County Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or where a Certificate of Occupancy is not required PRIOR to the final inspection. NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNT LISTED HAS BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY. Acknowledgment below does not imply acceptance or 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. ,.j - 7- D:l.... Date ~. Received 1;f l1 ./1l2!Zt ~ OFFICE USE ONLY RECEIPT NO. DATE White Customer Canary Finance Pink School Board PC01005114/A BY Gold Inspection