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HomeMy WebLinkAbout01-0578 BUILDING PERMIT~~ 0578 5 '1 \ . J::' BUILDING ~.'{. .., "\ ELECTRICAL CITY OF ZEPHYRHILLS (813) 788~6611 "I Ie -, 1. (~ ~ 5. ~- PLUMBING MECHANICAL Permit / J ....-r: V. I< Property Owner: l) (.) ~ a O.It Ie 1\ Dr I .... Job Address: S <1 I 1 ~ 0 I J 1"\ , \ \ L " Parcel I. D. # I 1 . ';} t; . .~ I. 0 ,I) 0 - 00 D C U 0 J 7 Q Date '1/2 10 /0 I . (k:' Sewer Conn (2 7 ~, ? L" ot, Water Conn: ..L ~o. - I~ o. i::: Zoning: Description of Work Energy Code: ~. ;,,\ ~ j i( Fc..N\ ~ , r Radon Gas: UvJ 'l 'L .'\~) ,., '" I ,,/0. _ 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. Inspector .p.~~! ~a .tr" algn~,~-1A..l~ Company ~s~ CTelePho~ g (3 7~ if- "tie 7 J! PIt.<,,,,1? c~ ~l.icJ q"e".. SO\..i V...,erl"l LJ,'t1+\..r,+ PLUMBING I ~ % () MECHANICAL :) J SLB V;,o .- tL'I-OI KL.'t Breakers Tub Set //tz. -/:J. -D I Ducts Ins!. ~/.!z. - /t;2-0 I Water . Compressor Sewer J{-/5-01 HIO Finah/0~.25-O.2 ~ Final./' _ ~ .25-02 96i1f2lt Valuation or Contract Price I 5 0 '10 l. I J u;! City License Registration # State Certified License# '1e/\ g r ..'\ k lr A s~C{ . BUILDING .~ ~ I Ftr.'tADuJ Ih--If) -0/71/3 Pre SLB /0- ~ (i-6l R. (II Lintel li"I~-O J J1~ FRM. ,; /~-/ll-bl ,dfO Insul. CL .J/,J.-d-IJ-01 j.f;)f) WL ;JJ~ -JO-oI '..{JO ~1IF/9TII/~ /1-z/-1P/2i-'t Driveway .;;). -1-0 ~ /2.L-Y 4tr"ytl,',\\s '6'1,,( o ELECTRICAL 7 (. Tp. Servo Rough In ,/ Meter Can Const. Pole Pool Pre-Meter /.2--;; -01 R.L.t{ Final /fr25- 02- (2Ll( rP.~ - 5 -0 'J- 4 .'2>D ~ln; Iu... U. /< L7'5J REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, ~ charge of Twenty Five and 00/100 Dollars ($25.00) shall be made for each trip for each~rad . f .~e- a. Wrong Address .L~ 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. Tenbrink & Associates 39128 Old Mill Lane SQ. FEET PRICE MAIN OR LIVING: 1,379 $ 40.00 OTHER AREA UNDER ROOF: 662 $ 15.00 OTHER: $ - VALUATION $ 65,090.00 FEE SHEET $ 334.00 ADDRESS $ 20.00 DRIVEWAY $ 20.00 BUILDING: $ 541.00 CREDIT: $ - BUILDING LESS CREDIT: $ 541.00 ELECTRICAL: $ 83.44 PLUMBING: $ 72.50 MECHANICAL: $ 35.00 RADON: $ 20.41 TOTAL $ 752.35 SEWER: $ 1,278.00 WATER: $ 350.00 IRRIGATION: $ - TOTAL: $ 1,628.00 SIF'S: $ 1,694.00 97.5% $ 1,651.65 2.5% $ 42.35 TI F'S: $ 1,480.00 99% $ 1,465.20 1% $ 14.80 . ,{h C. . \\t \" \ V"'\,''i) . C\ VI OWNER'S NAME 6',o,don~: 'Po...uJ C,---I-{.J\ \~V-l (,k- JOB SITE ADDRESV: 39 I ~ g 0\ d vn \ I \ l.-CU1 e..... "\ LEGAL DESCRIPTION: LOT (S) 03,0 PARCEL ID # ,.), - Jlo-.;LI -ClDO-OODDO-C)?> -70 CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPAR~NT 5335 Sth STREET ZEPHYRHILLS, FL :33540 Phone:813-7S0-0020 Fax:813-7S0-0021 ~ DATE RECEIVED L-/7- 0 I PLANS RBVXBW FEE !... PHONE ~Ac~~';~5~I'gd -Cto 7b /. ~ ...--.- --" L-..__~. ~---.. BLOCK SUBDIVISION ~~ ~xrl 01 (:( t-\- ; 1 } (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: ~NEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL DSIGN o MOVE o DEMOLISH PROPOSED USE: ~SGL FAMILY DWELLING DMULTI - FAMILY 0# OF UNITS o MOBILE HOME o COMMERCIAL o INDUSTRIAl" o SWIMMING POOL o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRI PTION OF WORK e.. en.s t( u..C t So J \ - f=o...m I I j io I Dck.. h (;yYl~ BUILDING SIZE SQUARE FOOTAGE d 04 I . ~ 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. 123 BUILDING PERMITS REQUESTED $ $~tJO~ d,OO '- VALUATION OF TOTAL CONSTRUCTION lS!I ELECTRICAL AMP SERVICE ~ FLORIDA POWER o W.R.E.C. ~ PLUMBING I8l MECHANICAL $ d~ ;) S . 00 VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: ~ BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES ~ NO SIGNATURE ~ 7-~~ COMPANY 'T en i~( Ink. ;. Rs~ 0(, . STATE CERT OR REGIST #. L E,~ 0434 ;;) ~ CITY PROCESSING # 3g, le. ~ ****************************************************************** BUILDER ELECTRICIAN~?fJ COMPANY Z- <;p~y hi IIS~ Cl-€.C-t-.l C Svc ~ \ STATE CERT OR REGIST #, OCO d-.llo8 SIGNATURE~.... ~ CITY PROCESSING # CJlO "'''{"..J * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *:* * * * * * t",\:~ * * * * * PLUMBER COMPANY PI LUll be r.s u+- ~ ~ c:ne.V\ Ct" t. ./,-;,P / ,?,~~_ ~.f STATE CERT OR REGIST #.. (Fe os 1S" D4 SIGNATURE 174''"l:1'---Y r;c..r #-?~ CITY PROCESSING # I ~ Q{) JJ, ~';!:! ****************************************************************** MBCHANXCAL .') COMPANY SctA..i-ht.rl'\ ~{hy~.pC"f+ ..r! ~/ (). J /.. STATE CERT OR REGIST #.. Rm ot; I ~ 0 d ;;.. SIGNATURE ~ X ~ CI'l'Y PROCESSING # 53 ~ *******~*********************************~*~***f**f~~~*** OTHBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***********************************,.***************************** CONDITIONS OF PERMIT AFFIDAVIT .A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" which may be more restrictive than City regulat:ions. The undersigned assumes responsibility for. compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIE:S If the ~wn~r h~s hired a contractor or contractors to undertake work, they.may be required t~ be l~censed: in accordance with state and 'local regulations~, If I th,~,c,ontfactor is not l~censed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the ownec or inte'n<iled cQntllactor qre'uttcertain as to what licensing requirements may apply for the intended work, they are ad~ised 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 c~ntractor (s) sign portions of the "c.9J;ltractor )C)ectio~s""of t}lis\,appljl.cation~ for which they w~ll be responsible. If you, as the owner signs as the contractor, you are ~ndicating 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: " , I certify that all the information in this application is be done in compliance with aJ1 applicable laws regulating 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 COMMENC~lENT 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". ~~~ -----;IGaURE: OWNE~ OR AGENT. . ,I accurate and that all work will construction, zoning, and land --' ~~/ SIGNP( : CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before me this'~ day of 19_ by ~\~(..,-,ml.&-V"'?'J (name of person acknowledged) Dwho is personally known to me, or STATE OF FLORIDA COUNTY OF The foregoing instrum~nt was acknowledged Before me this _day of' , 19 ~ by ~.:~ 1--, VVL..-Ar~^v (name of person acknowledged) [1ho is personally known to me, or Dwho has produced (type and whoD did Ddid not of identification) take an oath. Dwho has produced (type of identification) and who Ddid [}iid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped Department of Community Affairs FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 600A-93 Residential Component Prescriptive Method A PROJECT NAME: I BUILDER: Tenbrink Construction AND ADDRESS: "S't'j / 2 ~ 0 leA f\: I \ L", l PERMITTIl'JG ~ Z ,rb, ~QJ,.IMATE ../ I OFF I CE: L."o/ () "tryr ,~~NE: 4 If'l 5 I_I 6 I_I IPERMIT NO. 0 S7B IJURISDICTION NO. l:,u.c.,O r-TCK OWNER: ~"~..-:,,,k I (:rv..doV'l 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: 1. Concrete (Insulation R-value) a. Adjacent: 2. Wood frame (Insulation R-value) II.Ceiling type area and insulation: a. Under attic (Insulation R-value) 12.Air distribution systems a. Ducts (Insulation + Location) 13.Coolingsystem 14.Heating System: 15.Hot water system: 16.Hot Water Credits: (HR-Heat Recovery, DHP-Dedicated Heat Pump) 17.Infiltration practice: I, 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 New Construction Single-Family o 1. 2. 3. 4. 5. 1379.00 6. 1. 25 7 . 7 . 30 Single Pane 8a. O.Osqft 8b. O. Osqft Double Pane O.OOsqft 201. 69sqft 9a.R= 0.00 . 164.60 ft 10a-l R= 5.00, 876.71sqft_ 10a-2 R=11.00. 200.60sqft_ l1a.R=22.00 , 1379.00sqft_ 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. .., ", CF CV 19. 19a. 19b. 80.32 23200.39 28885.82 ----------------~-------------------------------------------------------------- -----------------------------------+-----------~------------------------------- I Review of the plans and specifications : covered by this calculation indicates I compliance with the Florida Energy I Code. Before construction is completed : this building will be inspected for I compliance in accordance with Section I 553.908 F.S. I I I I I I I I I I I I I I I Hereby certify that the plans and specifications covered by this calcu- lation are in compliance with the Florida Energy Code. PREPARED BY: DATE: I hereby certify that this building is in compliance with the Florida Energy Code. ~ ':t?- OWNER/A.. . ~ DATE: -,-7 00 ~ BUILDINajOFFhIAL:EUL 6~-v- DATE: Cj ,:'5 01 , ( ******************************************************************************* SUMMER CALCULATIONS ******************************************************************************* === BASE === I === AS-BUILT === ===========================~=================================:================== GLASS---------------- ORIEN AREA x .BSPM = I J POINTS : TYPE SC ORIEN AREA x SPM x SOF = POINTS -------------------------------------------------------------,------------------ N 32.38 82.2 2661.6 DBL TINT N 16.2 43.5 .90 636.5 DBL TINT N 16.2 43.5 .90 636.5 E 48.16 82.2 3958.8 DBL TINT E 14.2 81.3 .84 1036.6 DBL TINT E 34.0 87.3 .26 771.7 S 104.96 82.2 8621.7 OBL TINT' S 16.2 18.8 .40 50T.b" DBL TINT S 16.2 78.8 .40 507.6 DBL TINT S 40.2 78.8 .39 1235.4 DBL TINT S 16.2 78.8 .85 1089.9 DBL TINT S 16.2 78.8 .85 1089.9 W 16.19 82.2 1330.8 DBL TINT W 16.2 87.3 .91 1284.8 -------------------------------------------------------------------------------- .15 x CONDo FLOOR / TOTAL GLASS = ADJ. x AREA AREA FACTOR GLASS POfNTS = ADJ GLASS POINTS GLASS PO I N'rS -------------------------------------------------------------------------------- .15 1,379.00 201.69 1. 026 16,518.92 17,00:L07 : 8,796.50 ========================c======================================================= NON GLASS------------ f AREA X BSPM = POINTS: TYPE R-VALUE AREA X SPM = POINTS -------------------------------------------------------------------------------- WALLS---------------- Ext 876.7 1.0 Adj 200.6 .7 DOORS---------------- Ext 20.0 4.8 Adj 17.8 1.6 876.1 140.4 Ext NormWtBlock In Adj Wood Frame 5.0 11.0 816..7 200..6 1. 00 .70 816.1 140.4 96.0 28.5 Ext Wood Adj Wood 20..0 17..8 1.20 2.40 144.0 42.7 CEILINGS------------- VA 1319.0 .6 827.4 Under Attic 22.0 1319.0 .90 1. 2-4 L 1 FLOORS--------------- SIb 164.6 -31.8 -5234.3 INFILTRATION--------- 1379.0 10.9 15031.1 Slab-an-Grade .0 164.6 -31.90 -5250.7 Practice #2 1319.0 10.90 15031.1 =============================================================================== 'fOTAL SUMMER POINTS I 28.768.90 : 21. 021. 8,1 ==========c==========================================~========:================= TOTAL X SUM PTS SYSTEM MULl' = COOLING I TOTAL POINTS : COMPON x CAP x DUCT x SYSTEM x CREDIT = COOLING M'rrO MOLT MULT MULT POINTS --------------------------------------------------------------.----------------- 28,768.90 .37 '10,644.49 : 21,021.81 1.00 1.100 .340 .860 6,761.45 ==============================================================:================= <J. [':xpi. rnf:,L (m dt't t.e .ot f'JCJt.l.ce of Commencement. (the expl.rat iCJn date is 1 year fr?rrl t;.f~e. c..l~:i;:c Qf l:'cc'ordi;}g unless a c">~ffc.:-ent c"~~ is spc~if~_'=~. i Signature of Owner: Sworn to and subscribed before me this ~~ lD'fk.. day of ~r~ ~lIbliC:~~ My C:::l:n.il.i ssion Expires: L(-..l-7-03 -"\.-.... JAMIE L. W~~~ MY COMMISSION .CC799573 ~ .: I EXPIRES: April 27. 2003 . . Bondlcl ThN Nolary Public UndlrwrilelS .~ PC93053048 .~ ~~~ -E] F'ERFORMANCE BUSINESS PRODUCTS. INC. 813-'719-8008 FAX 813-719-7919 CITY OF ZEPHYRHILLS ZEPHYRHILLS, FLORIDA WATER ACCT. NO. DATE 9 / 1~ tv I OWNER/ -r- v. \" RENTER . I e^ l)!"..'\ l(" 4 ASSOc. MAILING SERVICE ADDRESS S'c; I :1 ~ old /!A. 1, \ L,-:;Jt ., SHUT OFF SERVICE 0 -r TURN ON SERVICE ~. INSTALL METER ~ READ METER 0 CHECK METER 0 OTHER 0 , L../\ . ~ WATER o SEWER o GARBAGE Jif- IN CITY o OUT CITY ~ No. OF UNITS _ DEPOSIT AMOUNT _ AMOUNT LAST BILL _ DATE s jlf I' WC:ttu t"'-e+ e.., _ MISC. CHARGE WORK COMPLETED BY & DATE COMPLETED ORDER TAKEN BY '7/Hc (0 I Retain white form in office at all times. Send pink & yellow forms to Water Service Dept. Water Service Dept. to sign yellow form & retum to office. - - -- - ~ -- ~- - ~ - ~-.___'---t ---~--'- --'-~--",--.~ .-.-------............-..........--.--..--..--------.--.-.1 (::~rJ(.J.(F;.:(_lC.':..l'CJh: *f:: {)():,;.~.;~:.:.i(>~.:~.; f,.!(!i'iiE:: CjUr;;ou;',J I., (,:0))1::: ;:"'.:;;ji.:.? CHF::',TFF:; 1..:":::1:: :;::i:r>j'lyr::HIL.J.'; I Li'..n F:td,.. ['FF:I"i I T T I ;')I.':,i r:'(:,:::;c:u CUln.",r'"" 'J r:'LUF' J :Or:, ))r::dT':: TliiiF :: 1::'(il:;I ," .I. OF IC[:: I) 1'1I.J i.'j).:n::;:: () V.::i (',.<j. () (? H CITY TFi,.jDF' I 1'-.11:: DF:TVF T ~:;bU!:: UFF I:: L (:I: 1 P'l UFFITT:: ))(,DF F'L :.:.'; ..;'.!. ::? iI. fJ ,. rH.:: L H [L J::' it :I. .4 :::.::.:.1, C:Uj....I.f r;; (:1 (;'f UF' :: (ice;' ;0".. bUI...ID !;J(',':::;Tf I'D ... l'IlII,Y; (iC~: C~ t.) --~' J J ..:.~ IT),((II.. 1; ::ClI'ii::'i',!Y (:,CCCII...Ii'-.IT (\I....iUI.n...I'T :: CF::l".jTFF: ,-",n-., i..I..... .'.'.<." 11 / ,.' r:.;.,;..~~.:.:.J<) .... :::;l;'..::~,{)()() (:lNClUi,q DFhCF: IIYf :UJN../T'f F::i'iiT O(d"(, ,:.? '"." " <:.:: '/ .)i; .)1. ,.( ')i. -Ji. .!\. ~:: [II I I.l I}J (, ~:; 'r C F F L Dr::/Ch: (::0 h'I:CL I(}[J) (I; / ;/ . / / /,-~<_/ -j:"-/ .' / ~-' " .' ~ ...._/'/yj ~~(-----.--. . - -' ;' ./ f I I , ------------------------------------------------------------___1_ lJ' PASCO COUNTY. FLORIDA Permit Nu. 05 "7'd Date Permitted q /:1(.; h; I BuilderName/OwnerName -r;.c." K/: "'" k 4 l\S Sot, 1 '1 . County Parcel No. i "i i) Address/Location J'-, I ) ') 2 l - 0 f 00, Ot.i(JU().. 0 S 7 () o tel I~ L \, L ,., . /. . 'q Subd. ) v t" \ f" \. /' h. I ClassificationfType of Use (' :) . '1 t \: .i-. . . r <:t.......!, \\1 , C)\.A.)~ IL'f"') How Determined l'I TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 -' Why? / / Zone No. / - Prep~y j .' Rate $ Sq. FtlUnit ,/ / ,/ Impact Fee..~ount $ Checked By The a9l'1(~ impact fee has been established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the B9afd 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 No. Units ( NONRESIDENTIAL Gross Sq. Ft. (GSF) RatL' ERl: - .'i200/Ycar or SO.142/Day ERU ASSign No. lbsL'sSTllL'nl -- (No Units) x ($0.1421 .\ (No Days) Assessment - (GSF) x (ERU) x 10.142) x (No. Days) 100 TOTAL FEE $ TOTAL FEE $ _ NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED VNTIL THE AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTI~G OFFICE OF PASCO COUNTY. Acknowiedgement below docs not imply acceptance of concurrence. but simply recL'ipt 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 L'SE ONLY TRANSPORTATION REC. NO. RESOURCE RECOVERY REC. NO. ; .~ DATE DATE t" ~ /" L ,,- ./ . t:( BY BY -----+-- / "'-: rr--' White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldg/lnsp feecalce PC93113094/D PASCO COUNTY, FLORIDA SCHOOL IMPACT FEE Ordinance No. 01-06 Effective: February 28,2001 at 2:08 p.m. Permit No. D 5 7 ~ Date Permitted: '9 - ~fu .-0 I Builder Name/Owner Name Gcr\~ 1..JU1~ Parcell D: f 2 -2.4f -..(1- Of 00- 00000 - 03"1 D Address/Location: Ji q I:II) ~U M",I/ ~N. Subdivision: Classificationrrype of Use: ~ngle-FamilY Detached House o Mobile Home o Other Residential o Collection Fee Total Fee /' No (056) t(" q([, 00 (057) (058) (123) $ 1/0 1tf . I}IJ Exempt: Yes How Determined: Prepared By: ~-r~ ~~ Checked By: --.H~~Kt. ~ 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. & - ,;2. B- ~O ~ Date n:~y~ Received By OFFICE USE ONLY RECEIPT NO. /~/1r DATE ~ --~ rb (J;:Z BY ;(,-~ White Customer Canary Pink Gold Finance School Board Inspection PC01005114/A