HomeMy WebLinkAbout01-0634
BUILDING PERMIT ~~
0634
BUILDING
99 ,12r
ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788~6611
~O
PLUMBING
Permit
,
..5 !/~ '8
-
Date
/0-0.-0/
--
35
MECHANICAL
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcel 1.0, # t) -
Water Meter:
Zoning:
Description of Work
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances,
DATE
Inspector ~~~"
-
Permit Fee ~ ~
~na~") R..~, C t' " IlA.A 1
Company
Address
Telephone# 8.f,/l- ;j-tJ.,3 - 0 ~ ~3
Valuation or
Contract Price
~ 7; Jf7~
/~/
.
City License Registration #
State Certified License#
V. .:Tl
1?il>R. ~
BUILDING
PLUMBING
SLB /I}-~~"V/ i?8
Tub Set ,/, 2-13~1 ~Cf, IfC .
Water ;,/,-;).I-O( P.L'(
Sewer -af,o;:)., {(t y
Final r/ :J. -I f -1:1:l. t< C'1
Breakers
Ducts Insl. v'1:l-ll-01 R.L~I "'0
comp~or
Final, -Ir;-- O:L t<f
Ftr. r:fAOI-V) /0-/5/-01 RLY
Pre SLB
Lintel V' //-/~ -Oft'S
FRM. ~ i~-13-Cllil'i,tlD
Insul. CL /I-;-lt-()I ~ll.(
WL
Tp. Servo
Rough In .1/.2-'3 -(;1 Q.LAf. "0
Meter Can
Const. Pole
Pool
Pre-Meter v4J-I.;J-();J, ~LY
Final ,./ t:J. -If"-O::L f<Of
Rl'f
pp ;). -/~:;.. J.f: 3~ H"4'(i(J ~
Driveway I:J"';::',. 0:;
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.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
/6/!.If.S" ~
I ADDRESS DATE PERMIT + I
biN? O~ &J~ 2-9-(j?- 2-2-02; ,
THIS JOB HAS NOT BEEN COMPLETED The f lIowing additiqns or corrections shall be made before the job
. will be accepted.
<?"~d~~~ :~.t"~
cu.~~LL.-of__~ ::l.5_-~_~-: ~~O"'Sb
~nloA' ~Q ~1--L,~J
DO NOT REMOVE
II ia unlawful for any Corpent.r. Controctar. Bulld.r. or ath.r persona. to
cov.r or couse 10 be cov.red. any port of Ih. work with flooring. lalh. earth
or olh.r malerlal. untll.h. proper InapeClor haa hod ampl. tlm. to approve
Ih. Inalallatlon.
. AFTER CORRECTIONS ARE MADE CAlL
788-6611 FOR RE-INSPECTION
s=- ~~~
OfFICE HOURS 8 - 5 MON.-FRI.
INSPECTOR
I
\\J l
(p. '\')\ 1> \ ,
\D ~
APPLICATION FOR PEMaT
CITY or ZEPHYRRILLS
BUILDING DEPARTMENT
DATE RECEIVED 1- 2. f- 0 /
PLANS REVIEW FEE -,
OWNER'S NAME 7?/'fVID tJ" :/P1-I/JSOtV
JOB ADDRESS &:, 9 f)3 Olll<? ~e5/WfrV
,
LEGAL DESCRIPTION: LOT(S) /0 BLOCK
PARCEL ID # D;2-26"'2/_~~~O~l.~Od
PHONE }'5"2.. 5'23.0'/73
Z ~/~/~L 5 I FL- ggSf40
/
SUBDIVISION /JII jL c~r ~"f11f7l!:5 *z--
IORTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: ~W CONSTRUCTION
o ADDITION
OALTERATION
o REPAIR
o INSTALL
OSIGN
PROPOSED USE: ~" FAMILY DWELLING
o COMMERCIAL
o MOVE
o DEMOLI SH
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK $/N&t..b F/1MfL-Y .JJu_)(!!:?t./MG
BUILDING SIZE SQUARE FOOTAGE,~?l)7~
HEIGHT
?/
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT
ATTACH (3) SETS
PROPERTY SURVEY
(1;t"BUILDING
~LECTRICAL
~UMBING
~CHANICAL
$ bK c7VCJ.. ~
,
'2-00
PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
OF BUILDING PLANS & (1) SET ENERGY FORMS.
REQUIRED FOR ALL NEW CONSTRUCTION.
~ae)
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o
FLORIDA POWER
o
W.R.E.C.
o GAS
o ROOFING
$ ~/ooo ,~
o SPECIALTY
o OTHER
VALUATION OF MECHANCIAL INSTALLATION D113
Sf}-J
o OTHER ()
IS PROJECT IN FLOOD ZONE' AREA 0 YES IB-"NO
o STEEL
TYPE OF CONSTRUCTION: ~LOCK
o FRAME
FINISHED FLOOR ELEVATIONS
ELECTRICIAN ~ /II. / COMPANY~~l~ et~ ~~
/( /I. .} /f1UA-:Y STATE CERT OR REGIST # ~O~
SIGNATURE ~- CITY PROCESSING # ~~3 ~.._
................ ..................:::::..'6;16; .:(;.~...(f; . 6 .
==RE tift ~ ~ ~i*~Ep~~~~S~~N~;IST # fi-n tNt.~
17 ' u...12~ c... ' LG{ 5+.~. i ~ W ~~
MECHANICAL iJ***********'***********************~~~;;;~****~;;~;';I..t*S****** ../
'.A.~ 1/7/1 ,~ Q STATE CERT OR REGIST # ..Rmr.{)! ~LI u I
SIGNATURE ._~ lL...!...V'717 '7~ CITY PROCESSING # dOa:s ole
*****************************************************************
Of(
****************************************************
COMPANY f)t1I1If) N'JOJI/J,f'o/J li!3'cPlL.-l:>e)Z /AJC ,
STATE CERT OR REGIST # C-' ~c o6o~ /0
CITY PROCESSING # 1 ~ I
OTHER
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 1:0 ~deed restrictions" wh1ch
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 requ1red 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 WNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING ICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU NTEND TO OBTAIN FINANCING, CONSULT
WIT OUR LE DER OR AN ATTORNEY BEF RECORDING NO ICE OF COMMENCEMENT. JOBS DER
$2 00 IN UE DO NOT NED TO AND POST ~NOTICE OF COMMENCEMENT".
STATE OF FLORIDA ~
COUNTY OF 't~A</
The fOr,egOin~ instrument, was~~owledg~d ,/
:~fO~ }1t~~~ JlIfr) :~~;; ~4d ' ,~,~
(name of person acknowledged)
'~o is personally known to me, or
'-". ---..-........
o who has produced
(type of identification)
~ t take f oath
acknowledged)
known to me, or
'-----.... '
........\".~l'"",
..~~'i Bobbie Swetland
Namt4~~ ~,MI~'trr~~ #~r;ab~~
"''t.iif.:~~ BONOEO ~ ~07fAIN INSURANC~ INC
Naml/.-: 'Oij~y ~Iitt# 00893i6a~d
~\ .~:f February 22, 2004
<l,'t.iif.j\.<r.;" BONDED THRIJ TROY fAIN INSURANCE, INC
David Johnson
6903 Oak Crest Way
SQ. FEET PRICE
MAIN OR LIVING: 1,502 $ 40,00
OTHER AREA UNDER ROOF: 493 $ 15.00
OTHER: $ -
VALUATION $ 67,475.00
FEE SHEET $ 342.00
ADDRESS $ 20,00
DRIVEWAY I $ 20.00
BUILDING: $ 553,00
CREDIT: $ -
BUILDING LESS CREDIT: $ 553.00
ELECTRICAL: $ 89,32
PLUMBING: $ 70,00
MECHANICAL: $ 35,00
RADON: $ 19.95
TOTAL $ 787.27
SEWER: $ 1,278.00
WATER: $ 350.00
IRRIGATION: $ -
TOTAL: $ 1,828.00
WATER METER: I $
IRRIGATION METER $
180~00 I
SIF'S: $
97,5% $
2.5% $
2,575.27 t?171l> 10 -I Q - () I
ftT r/~fl/-
~0t:.
SUB-TOTAL $
TI F'S: $ C 1,480,OJY
99% $ 1,465.20
1% $ 14,80
'3 ;p /)J; 11 {
P f ,J rHo..;
,
TOTAL: $ 5,749.27'
CITY OF
ZEPHYRHILLS
IINOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
DATE
12"7- 07
(I '. ~ 0 A""
PERMIT ",.
0~
THIS JOB HAS NOT BEEN COMPLETED. T~e ollowing additiqns or corrections shall be made before the job
will be accepted.
,
f\ke cA --h, h o.v~ U:trd boC{rof .bq+J~ 010 tk:" 5 5 0.!-1,'11 L
b I O(j ^ I f'\ ; /) ~ L.t.(...s....-l-; c>/l
II ia unlawful tor any Carpenter, Cantractor, Builder, or ather person., to
cover or caUM to be covered, any part of the work wl.h flooring, lath, earth
or other material, until.he proper Inapector has had ample lime to approve
'he Inalallallon.
. AFTER CORRECTIONS ARE MADE CAlL
78~RE-INSPECT~ON
INSPECTOR .. It~
OFFICE HOURS 8 . 5 MON.-FRI.
CITY OF
ZEPHYRHILLS
IINOTICE"
OF ADDITION OR CORRECTION
BUILDING
DEPARTMENT
lo)]! ~
I ADDRESS DATE PERMIT + I
. 6903 ~ /:k,;J-UJo/ti-, 10-30-0 1 (j)~ 3~
THIS JOB HAS NOT BEEN COMPLETED following additiqns or corrections shall be made before the job
. will be accepted.
cr~~~~M~~~.~ ~
;r~~vbCYl.~~A ~ ~
DO NOT REMOVE
II il unlawful tar any Carpenter, Canlractar, Builder, or olher penonl. 10
cover Of caUM to be covered. any part of the work with flooring, lath. earth
or olher mal...lal. until the proper Inlpeclor hal had ample time to approve
Ihe Inltallatlon.
. AFTER CORRECTIONS ARE MADE CAlL
788-6611 FOR RE-INSPECTION
@
OFFICE HOURS 8 . 5 MON.-FRI.
INSPECTOR
OCT-30-01 08:29 AM HERNASCO TESTING
7278560020
P.02
BERNA-Son TESTING LABORATORY, INC.
Materials Testing and Engineering
P.O.Box 5267. Hudson, Florida 34874
TEL (727) 8015-el06o. (352) 596-1082 . FAX (727) 856-0020
ElECTRONIC FAX (775) 402-4929
2CHR 7:/4
I JOHN j: /J
Job No: 007 .01448 PrOJect: 6903 Oak Crest
SamDled Bv: Ralph F ortich Location: Dade City, Pasco County, Florida
Date Sampled: 10/26/0 1 ...., David Johnson Builders
Client:
Date Reported: 10130/01 "'
Material: Fill
Conh'adur: David Johnson Builders Sampled From: Compacted Fill
j!(tL-
FIELD DENSITY DATA
DRY PF.Rr.F.NT PF.RCF.NT PROCTOR
LOCATION TO DENSITY MOISTURE DENSITY USED
20' South and 4' East from
Northwest Comer 103.7 5.3 96,0 J 08.4
14' East and 11' South from
Northwest Curncr 103.4 6.0 95.4 ] 08.4
8' South and 8) West from
Northem:t Comer 101,0 6.3 95.9 108.4
,~. .".."....
".
- . .. - . .. .. .. ' i", ...~..
"a ,.iA ~....
c.... 't,.f'> ":.
. ;;-:.. ~'..... ". rl .-..
~ ..-' f1.'~; ';:
;James ~;-:qiPPiis~.E. # 12217
., ~700 "Ba~hO~ ~a~ 561
~~cdll1, ~.H6~
;L 6/ J:o-fO!. :;, ~ ,.,"
.' " .,
':~: : ",--,,'''.'
"""J,t.~11~t~1,,4 ,
T1E-_ ::OriEGrJ!i'JG IS ,A
~i:)CLlf',:lEi\,I'I- \J~-~ r';L::
1111111 11111 1111I11111 111111111111I11 1111111111 filII 1111 1m
2001133614
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. '.'C,U'~4t"t2~ TV :~l.::h:
;:;- J-t) ,e IlJ/r
NOTICE OF COMMENCEMENT
Rcpt: 531402
DS: 0.00
09/26/01
Rec: 6.00
IT: 0.00
Dpty Clerk
State of
County of
7//5 e c::>
THB ImnERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement:
1. Description of Property: Parcel No.
0'2. -Z'-2/-C;t:>/Q- /)/9,:>0- (7000 L,.?>/ '#/0
(Legal description of the property and street address if available)
2.
General Description of Improvement
;</6W 5/AJ6t.-G ~/L Y Hcfr1i:!F
I
~S92G~~IMA1~.PASCO lCOUNTY CLERK
t:I.41am of 1
OR BK 4729 PG 1872
3.
O\vncr Information: Name '-:J>/IV/b tv ,::/29#NStJ,J
--
l\ddress rS~tI n-:#/AJt., ;i?,l), City 7:H-o~ .t:/ry
Interest in Property: , OtU.lVlZ?'l---
State rL
3ss--'z.-r
I
Name of Fee Simple Titleholder:
(If other th~n owner)
Address
City
State
:4'.
Contractor: Name P,hc/ /2:> ~..J. flH,A)S'~"J
Address 1"rfiJ~r7:" ~/N~ 72/), City ]//I/JC c-/r
5. Surety: Name
State FL"
.J"'3J~r
Address
City
State
Amount of Bond: $
6. Lender: Name SVM 7)eV)/
Address
City 2- -H/LL5-'
State FL..
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 713.13(1)(b), Florida Statutes.
- 9. Exp~r~t~on d~te oi Notice of CommencemenL (the expiration date is 1 year
fr0m the date of rec ing unless a different date is specified.)
Signature of Owner:
before me
Sworn to
~ Joo I .
Notary Public: ~
My Commission Expire MA~Y K. Uf:.~'pEes;o,J
CUS-[()N\Er-. AtJ/\ I.~ P&tzf:.tNAU. Y -f(tJVc.utJ 70 f\tE.
..'h"". Mary K Henderson
* . *My Commission CC70S
"'l,,,,. Expires February 6,2002
989907
~
~.:3)~
PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919
EJ
CITY OF ZEPHYRHILLS
ZEPHYRHlllS, FLORIDA
WATER ACCT. NO,
DATE
10-12 ~Oi
~~~iE~ DC,!),'cl
~.
~~ t!ZZf
SERVICE ADDRESS ~ 90 3 t'L ~
L,+ 10
MAILING
o
L:-y
18(' WATER
SHUT OFF SERVICE
TURN ON SERVICE F
INSTALL METER ;E(
READ METER 0
CHECK METER 0
OTHER 0
o SEWER
o GARBAGE
~ IN CITY
if
o OUT CITY
-L No. OF UNITS
- DEPOSIT AMOUNT
3/-f If ~W f'-1e+ef..,
- AMOUNT LAST Bill
_DATE
_ MISC. CHARGE
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
Retain white form in office at all times.
Send pink & yellow forms to Water Service Dept.
Water Service Dept. to sign yellow form & return to office.
...._~---'..,..' .................
~ I I z:t.
.. '
,
'"
~_.
PROJECT N,AME:
AND ADDRESS: - ..
~ _. --------. -~-- --..--..-.. ~.
OWNER:
...,-,
. .. .-. '- .., : "',.:i~, ..."...
...: ":t'".~ '}, ''f.'ln-:' .
----..: '
BUILDtA:
PERMllfiNQ
Of:F1CE:
. ~--._---,.~ -..-
PEllMIT N J. .-
J
. ----'
.
,. ,",/I r
.....-.....-....~.
t. .,. '.....,.. ..........
i..
~;i~1t ,,, '1", ~ l:;:!::~~r:
3. 1,A>>t.~. '1 ult.., 'j,1 ,: i ," ~,..;
4<"~~"" "'.-" ,,'...:',:' ",
.~... ''1' 't . It 1 (. 11 ! ,II'
Ii" . I' , hi ' I
S." '",;' .q. ." "
8. \ .,(: ". ' 1 , " . ft. $,
, :" Slt)glePane . i: ; Double Pane
1.~ ~:~'; ~fJ' ~;< sq. ft. ;_~~ sq. ft.
1b. ',. : ", .' sq. ft. _____ sq. ft.
.HCK,' "'/"
':' ~f .'.t: ~: '
t ~, . 'J,
'~
1. New construction l:--r'ldrJill.)n
2. Single family detached or Multifamily attached
3. If Mulllfamlly-No. (I' units cover" by thl. submission . i '.
4. Is this 8 wartt case? (yes / no) ".
5. CondlUonttd floor "~'el! (;q, ft.)
6. Predominant eav!'! cvp.I'Ir'Jng (ft.)
7. Glass type And flU';>,:
a. CleAr qla'l<;
b. Tint, fillTlor !;:ll;,tr ;r.If~en
8. Floor type aurf htsI,"'aUor':
il, ~;j:'\h-()n"pr,"d", (fl'mlllp' + perimeter)
b Wood, raip,,>,' fFl"f'llun fo sq. ft.)
c. Cnncl"?te. flic;"d::l,'taJlJe)
9. Net W~II tYPI?, men ,uld;l1~ulatlon:
a. ExterlOf: (, lI'l~r(lte block (Insulation R-value)
V looe! frame (Insulation R-value)
, ~11H11 frame (Insulation R-value)
I. ('9 (Irmulatlon A-value)
, (l'h"lI: ___......___.... ..
(, Jl\crp~e block (Imlulatlol1 n''1.,'',ln:,
I,' IO~Jd frame (Insulation R-value)
~ lp.f!1 frame (Insulation R.value)
I. c'9 (Immlation A-value)
10. Celllnt;J type, area IJrulln1ulaUon:
a, Under attic (Insulation R-value)
b. Single assNnbly (Insulation R-value) \;;,!-i !:I ,~'~
c. Aadiant barrier installed (yes lno) \: :'\ ,: I, ::":
11. Air distribution 8yitem: . " ' . ' t .
a. Duets (Insulation... location) ~ . -J'! y. ::1
b, AirHandler(Locatiol'l)' ',:;;:".~" ,;.:,'flv'l
12. Cooling system: ' , ':4~1'
(Types' cen.tral-splft, cenlral-lllnnle pkg., room unit, PTAC., gas. none) b'" ,:;,
, "".j~~{I~..~i
13. Heating system: i ,j; ',' ~
(Types: heat pump ('I",:: slip, nat. pas, L:P. gas, gas h.p., room or pt~d,l19h.t ','
14. Hot wAter system:. . . ',I ~JL..:;; ~,
(Types: elec., nAtl/rAI g;~n, Foler, l.P, gall, none), : !"! ;;;J.~}f: 4~
15. Hot Water Credits! ,I,~ f'i! ~W!t:"~f .
a. Hea! Aecovery (HR)r"~;lfr!~~~< .~1 .'
~ ~:~aled H''''I PUI1)P(DHP)\:!'~! i~~
16. HVAC Credits ';I;~ ;:.';.1,,;.11
(Use: O'-Ceillng FAn, O' Cros'; Vf'1t, PT.Programmable thermostat.! ,~. ;,.~
HF-Whole housolllr), MJMullj?f1ne) 'I " , ;
17. COMPLIANCE STA1'US: (pASS if As-BuIlt Pis. ate less than Base F'ts.) .
a, Total As- lit points' ' . b. Total Base points' " J:,
~ I
t
,
.....,11
: it
".,
.
",<
; -JJiJ~ ~ _ I. ft.
; _.___~ sq. ft.
,__~ sq. ft.
41
88.
8b.
D
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b. J\dJ~r.:e'll :
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OWNER Ac;,ENT:
--.u.::.;;,;;, i_....--
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PASCO COUNTY, FLORIDA
SCHOOL IMPACT FEE
Ordinance No. 01-06
Effective: February 28, 2001 at 2:08 p.m.
Permit No. 06 -g 'I
Date Permitted: JI) -/2- 0 I
~derN~n~rNa~~ QM J;~
ParcellD: 0,2-:;1/0-2/- ---=- _'()_ __
AddressILocation: f~~ ~a~e4ed2 ~7
Subdivision: (f)dg(1.~s6 /
Classificationrrype of Use:
~Single-Family Detached House
o Mobile Home
o Other Residential
o Collection Fee
Exempt:
Yes
Total Fee
X No
.
(056) /~ (,91-
(057)
(058)
(123)
$ ~tql/-
How Determined:
~-; \;>J:9~~
Prepared By:
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.
~-IR-o:z-
Date
~. --0~
Re~d r;
OFFICE USE ONLY
RECEIPT NO.
DATE
BY
White
Customer
Canary
Finance
Pink
School Board
Gold
Inspection
PC01005114/A
- ...... '.. ---'~.'.' -,.-,,,," ......
.' -.
'~'~,- -.~-.".-' -,_., - ~. ..'~-~' _y..w. ...; ~,":".. --~,f;_1..~'~~l!'~~'::~
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.,
PASCO COUNTY, FLORIDA
SCHOOL IMPACT FEE
Ordinance No. 01-06
Effective: February 28, 2001 at 2:08 p.m.
:...
Permit No.
i
i
I
,
Date Permitted:
"
I
Builder Name/Owner Name
ParcellD:
Address/Location:
Subdivision:
Classificationrrype of Use:
Exempt:
Yes
EJ Single-Family Detached House (056)
o Mobile Home (057)
o Other Residential (058)
o Collection Fee (123)
Total Fee $
No
How Determined:
Prepared By:
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 I
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.
Date
Received By
OFFICE USE ONLY
--~ ~--.. -+-- ---- --- - ---:::; -. ~ - .--
, . ~ .. ~-' - -~'..,
,~- -..- ----.,
RECEIPT NO.
DATE
BY
White
Customer
Canary
Finance
Pink
School Board
Go'ld
Inspection
PC01005114/A