HomeMy WebLinkAbout02-1175
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BUilDING
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N2
(813) 780-0020
51,9:> c30--
PLUMBING MECHANICAL
1175,
(P /. Vi?
ELECTRICAL
Date
/.f - /q~~~
,
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
FINAL
C.O.
Job Address:
Parcell.D. /I
Zoning:
Descriotion of Work
tlq
F i? H^-/-l^- /ti- /8-0.~ &)!Jl..t ~/: ;17/1;1.
NO OCCUPANCY BEFORE c.~
Valuation or A J c>a / I 9
Contract Price or.t.p J 6. / it? 2
Inspector
Company
Address
/~
City License Registration # ~ g ~
State Certified License#
Ftr. t/~-15-t11- 1/::70
Pre SLB iA. 7'c~ R'-'1, 11.:7iJ
lintel v7..-j~O;) RL.y
FRM. ./8-2 -Z-OZ 150
Insul. Cl/8~2'jj-~()2.ql!J
Wl
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
CITY OF
ZEPI:IYRHILLS
. ,
"NOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
/1/ () [)
A ~ ~~.,. I
3'15 33 ~cJa.LtJ~ jO-3i;-I!JL I' '1:1
THIS JOB HAS NOT BEEN COMPLETED The following additiqns or corrections shall be made before the job
~~~~~
ADDRESS
It II unlawiul tor any Carpenler, Canlraclor, Builder, or olher perlOnl, 10
cover or caUM 10 be covered, any part of Ihe work wllh flooring, lalh, earth
or olher mOlerlal, unlll Ihe proper Inlpeclor hal had ample lime la approve
,he Inllallallon.
. AFTER CORRECTIONS ARE MADE CAlL
788-661 ~CTION
INSPECTOR
OfFICE HOURS 8 - 5 MON.-FRI.
CITY OF
. ZEPHYRtilLLS
~
IINOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
I ADDRESS . ~1 PfRhUT .. I
g;7:}g? ftW.Meu) ~LL. 1 q (;J~ If75
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job
will be accepted,
(JLf3el1~ Cb/I..t1 of ~ ~ uti'.';,
,lW~I/J6Id-itJ& r
(9 T~t;) () J(~ 8(L~U Ai ~ 5rl h. &;, g~
SUfffit/'
APlJ~<; )~
It is unlawful for any Carpenter, Contractor, Builder, or other persons, to
cover or cause to be covered, any part of the wor1< with flooring, lath, earth
or other material, until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR RE-INSPECTION
INSPECTOR ~ r:JtVI~l/'
CITY OF
. ZEPHYRHILLS
,
~'77
IINOTICE"
OF ADDITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
I AD~.ESS }f''f PERMJT + II '1 ;1
. 375 ~b MfTV)~ ~r-tk, ~-{I 0 L ~.
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job
will be accepted.
(V -13 uT-r elM (Jl.)/'Lj) Of tNTf-fi-lOi-- 6~L,L -rl'Lo;)" IJ1 frru:;.
" -u.. . U ~Qi;-r)~ IV {) ~-c; ... .
,4\ :1. ( 1Yl....\J. ' - '. lil;iL
o 'JIu(lflj ~ (yPl tA' gAc...\L /207J..C,\~ 13~ AND ~~liO
MJs5l/V 6- .
@ ~M~ t}.j{j9 &tnON ~ N~ CNfo ~ \1L0~5 ~f\-
~N $'",2..h W (\ f\- '2.."'/. 't
@ i7tL;, .~J.+i;J) I ~l.qiAJ (0 S Lr9-l~
II il unlawful for any Carpenl.r, Contractor, Bulld.r, or oth.r perlOnl, 10
cov.r or caUM 10 be cov.red, any part of Ih. work wllh flooring, lalh, .arth
or ath.r material, unlll Ih. proper Inlpeclor hal hod ampl. 11m. to approve
,.... Inllallallon.
. AFTER CORRECTIONS ARE MADE CAlL
788-6611 FOR RE-INSPECTION
INSPECTOR y:S V{L{ 'i\ -: L )
OfFICE HOURS 8 . 5 MON.-FRI.
~t3
Sandy Development
37529 Meadow Oak Way
SQ. FEET PRICE
MAIN OR LIVING: 609 $ 40.00
OTHER AREA UNDER ROOF: 120 $ 15.00
PARKING: 867 $ 0.85
VALUATION $ 26,896.95
FEE SHEET $ 155.00
ADDRESS $ 20.00
DRIVEWAY
BUILDING: $ 252.50
CREDIT: $ -
BUILDING LESS CREDIT: $ 252.50
ELECTRICAL: $ 61.88
PLUMBING: $ 57.50
MECHANICAL: $ 30.00
RADON: $ 7.29
TOTAL $ 409.17
SEWER: $ 1,278.00
WATER: $ 350.00
IRRIGATION: $ -
TOTAL: $ 1,628.00
I
I
WATER METER:I $
IRRIGATION METER $
180~00 I
SUB-TOTAL $
2,217 .17 ,~
SIF'S: $ 722.00
97.5% $ 703.95
2.5% $ 18.05
J ATCO
TI F'S: $ 1,204.00 Credit to JIm
99% $ 1,191.96 Bingham
1% $ 12.04
TOTAL: $ 2,939.17 I
.~
EJ
PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-~919 _
Cd - C'r;.~ 9t-
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
WATER ACCT. NO.
DATE /f /9- t:J:2-
OWNER/
RENTER
rJbAtl~O ~
7.25 g - (;1:fLb//t/.
-----
. .-f.- P'ZC .
MAILING
1Jlto,4d ok tJ7
Cl.-wATER
SERVICE ADDRESS t17533
SHUT OFF SERVICE 0
TURN ON SERVICE g,/
INSTALL METER ~
READ METER 0
CHECK METER 0
OTHER 0
o SEWER
o GARBAGE
Q....."c( CITY
o OUT CITY
-L No. OF UNITS
3;{ if wJv-rnd1r
_ DEPOSIT AMOUNT
_ 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 De .
Water Service Dept. to sign yellow form & retum to office.
.~ 0 ;0 .-Jf 11
Vt~~f 3
OWNER' S ~ i-a. nd Ifl'! ,tl {Xl MrYlf rr+S T()(' I PHONE 5/0 7--- -;:; ~9 ")_
, J~J\;ADDiiEs~ · '----TJ?RA~hi (Jaji t Ja.Z
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVIS ON
PAR~EL IDII:?'4,. 9~- ?/-CXXJO-Cb300-C:C.:2o (OBTAIN FROM PROPERTY TAX NOTICE)
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPMTMENT
DATE RECEIVED c:2 ~t. .... D-~_
PLANS REVIEW FEE
WORK PROPSED: ~ CONS'l'RUC'l'ION
'-'1
o ADDl'l'ION
DALTERATION
o REPAIR
o INSTALL
OSIGN
o MOVE 0 DEMOLISH
OtcIiiLTI-FAMILY 0# OF UNITS
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
I;
o INDUS'I'RIAL
o SWIMMING POOL
o MOBILE HOME
. ,
o OTHER
. D RESTAURANT & HEALTH DEPAR'fMEN'f APPROVAL
DESCRIPTION OF WO~K BL.t ,')J Ut1I'Lflp2.r-I-m~Uui1di r\~
BUILDING SIZE . ~"iL7J/I X- 5Q SQUARE FOOTAGE J'd-J7" If- HEIGHT d/ I
RE~~'D:ENTIAL: AT~ACH (2) PLO'l' PLANS & (2) SETS OF BUILD~NG P f & (1) SET ENER~Y FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING. PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED E'OR ALL NEW CONSTRUC'rION.
~"ILDING
~LECTRICAL
~LUMBING .
~CllANICAL $
o GAS , ~FING 0 SPECIALTY
Ty~~,t~~:~~~~;RUCTION: ~OCK
PERMITS REQUESTED
$
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
~FLORIDA POWER
o W.R.E.C.
..'
VALUATION OF MECIIANCIAL INSTALLATION
o O'fHER
o FRAME
o STEEL
o O'fHER
FINISHED .. FLOOR ELEVA'l'IONS
IS PRO.JECT IN FLOOD ZONE AREAO YES ~
BUILDER
.....................*.**********.**...*...*...*.*.***.*..*.******
, " ~ \ . i
BLBCmICIAH
COMPANY F~'(s+ CI4SS f: If.-d<
STATE CERT OR REGIST 1# ~ ~~ 0
CITY PROCESSING 1# I'I~
SIGNATURE
.~"."".""."."."""".".""""""..""..k' . Q A
COMPANYJ'1?c4~ IJ.J. ~ ~
"'. t J STATE CERT OR REGIST . ~ 7'/i 5: '
SIGNATURE . ~ <.:'l ~ _.... (,U,cQ O~ . CITY PROCESSING f# ) 9 all
....~Ht.tI;:.!~ ,.' ~'h.' . .
. I.. . ... . .......*....*.**...**.*************.*********. *** r+
MKCJIARICAL . COMPANY
,(<~.v' STATE CERT OR REGIST 1# I ro 1..$0:1
SIGNATURE CITY PROCESSING .11 . ~11 SO '7&1 ~
PLUImBR
.; .\6 feft\.:'.!..' t.! ,~,;,.'
~l
*****.**..*********.*.******.*.****..********.*.****
S~~~~ir:;~':~
COMPANY
STATE CERT OR REGIST 1#
CITY PROCESSING 1#
.. .
.*.***********................................*...*....**...****.
. ..--...--................-- -...,-....,... .',
, . - i, 'Of2"_J,i:t~.i~,~'~~:~.> ~ , -. .'\; ~ .
. . c" 1" t .' "j I ~".ll .~ ~ ~
;:~::.~~ .....:: ;"
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.:d. I
~i
.b
LUi~!)1 T.lt)~":j (J~:' :'_'!.'~HJV:.:.',I' I\.I:'~:'':.;}/\V.}.'~:
nV.l.L\,;J!: OF DEED RES'j'RIC'l'IONS
Tpe ~unqersigned understands that this permi1t: may b.e sub:lect to "deed restrictions" which
may be.. Ja9.re .J;:es~rict.ive .than City requlations. 'Tite undersi9ned assumes responsibility for
compliance. with., any applicable deed restrictic:ms.
B.''''.UNLICENSED 'CONTRACTORS AND CON'rIU\CTOR RESPONSIIHL1'l'IES
If the owner has hired a contractor or cont:cactors to undertake work, they may be required
to be licensed in accordance with state and locnl regulations. If the contractor is not
licensed as' required by law, both the owner and conlrac:lor may be cit~d for a misdemeanor
violation'under sta~e 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.
Further.more, if the owner has hired a contractor or contractors, he is advised to have the
.co~~~a~~or(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 lic,ensed and is
not entitled to.' permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D...,. .CON~TRUCTUION 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
Ice~tify that all the information in this application is accurate and that all work will
be done in compl~ance with all applicable laws regulating construction, zoning, and land
development. .
Application is hereby made to obtain a perlnit to do work and installation as inqicated. . I
certify that no work or installation has commenced prior to is~uance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning" reguJ,.ations, 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~ctions I must take to
be in compliance. Such agencies include but are not limited to: .Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and En~ironmentally 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 lIealth & Rehabilitative Services, Environmental Ifealth Unit-weltS,
Wastewater Treatment, Septic Tanks
.U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill mat~rial is to be used in Flood Zone "AU or "A,etc.N, 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 iss~ed shall be construed to be a licensp. 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
c~rr~ction .of errors in plans, construction, or violations of any code. Everypermit
issuedishall, 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 '1'0 RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITIl YOUR LENDER OR J\N J\'l'TORNEY BEFORE RECORDING YOUR NO'rICE OF COMM NT. JOBS UNDER
$2,500 IN VALUE DO NO'r NEED '1'0 RECORD AND pos'r "NOTICE OF COMMENC
of identification)
take an oath.
':A~I~I\J~~ . ',..,
s;tc;NATURlh OWNER OR AGENT
~t',:,,"~'~,..,.N"',(':~ """ ..
. .STATS-.OI:....FLOluDA'.
:-COUN'1'Y-';O~'" , ,~....."':
'The"'forego1ng instrument...wa.~. acknowledged
Before me this day of r 1!L-
by .. ,.,. .
...... ~-,~~... ".~ .,--, .... .
.'.'.(name of person acknowledged)
Owho"'ispersonally known t.o .me, or
-"~r~;~) ;... .: .
nowledged . (
cJ.~~
, '"
(name of person acknowledged) ,.
is personally known to me, or'
'..... ~"r:-';."'.
o wh~ ha~ 'p~9duced
. . (type
and whoDdid Ddid not
identification)
take. an.oathftW'~"!
"'-lIolIooP~'l(,j ":ft't,"~r::--..::"""''''''-~''''~'' ..
.'.
~''t; i.;;h.~' ."
~. ...t'T'. ,1 - ,.
...... -- ,-._.....
Signature ot personta~ing acknowledgement
......~v~ ~u .....u~.. '.-....... - .~. . .'
t,........-..\ It. ~....
.". fl.........,:.. \( ~ .' ..
c*......a1
, COMMISSION' 000""
EXPIl!S NXJ 01 2005
etII ~a:MIIHt
M~_~typ~! printed or: stamped
. ~ ~ :...
i ~ \. .0>> ,A....{i.~.'\l
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs
Residential Whole Building Performance Method A
.. ~~~. ::::~::~~:::~~~~~~ ~~ ~EDRDOM ~~:~~~ 1 ~
ZEPHYRHILLS, FL Permit Number: (1
TOWNVIEW MEDICAL ARTS PARTNERSHIP Jurisdiction Number: ~II&OU
Central
l---.GI~~S/~o~~-~r~a: -~~1;- .-'T~t~I~~~built po~nts: 9229.50
Total base POints: 11242.00
~--~--- -~---'-'--_..._-_.-._-------~_..,._._...._.._- - u_"__ _._m
Ihe;;;by-~;fy th~t the pl..~~nd-s;~ific~'i~n; co~;J iT~iew of the plans and
by this calculation are iJmno lia e wi h t~e;;:ida I specifications covered by this
Energy Code. 'J. .t-a.. I alculation indicates compliance
PREPARED~Y: EAT ENGINEERING : with the Florida Energy Code.
DATE- J g / c!) :z.... I I B~fore. c~nstr~ction. is completed
- . . . I this bUilding will be Inspected for
I hereby certify that this uilding, as designed, irJLn I compliance with Section 553.908
compliance with the Florr a y Code. .1 Florida Statutes. &.
OWNER/AGENT: ,! BUILDIN~FF,foIAL: U-2
DATE: -O?-- I DATE:' r Ot.
lu 0'. .______"..~___....._~~._____..____._._
EneravGauae@ (Version: FLRCNA-20m
FORM 600A-97
Project Name:
Address:
City, State:
Owner:
Climate Zone:
~..._------------_._-----_._--------_.
I. New construction or existing
I 2. Single family or multi-family
3. Number of units, ifmulti-family
4. Number of Bedrooms
5. Is this a worst case?
6. Conditioned floor area (lP)
7. Glass area & type
a. Clear - single pane
b. Clear - double pane
c. Tint/other SC/SHGC - single pane
d. Tint/other SC/SHGC - double pane
8. Floor types
a. Slab-On-Grade Edge Insulation
b. N/A
c. N/A
9. Wall types
a. Concrete, Int Insul, Exterior
b. Frame, Wood, Adjacent
c. N/A
d. N/A
e. N/A
10. Ceiling types
a. Under Attic
b. N/A
c. N/A
II. Ducts
a. Sup: Unc. Ret: Unc. AH: Attic
b. N/A
Ncw
Single family
I
I
Yes
760 IF
92.5 iF
0.0 IF
0.0 ft2
0.0 It>
R=O.O, 79.0(p) 11
R=5.0, 632.0 IF
R= 11.0, 332.0 It>
R=30.0, 760.0 it>
Sup. R=6.0, 60.0 fl
-1------._-
12. Cooling systcms
a. Central Unit
Cap: 23.0 kBtu/hr
SEER: 10.00
b. N/A
c. N/A
13. Heating systems
a. Electric Heat Pump
Cap: 17.0 kBtu/hr
HSPF: 7.00
b. N/A
c. N/A
14. Hot watcr systems
a. Electric Resistance
Cap: 30.0 gallons
EF: 0.93
b. N/A
c. Conservation credits
(HR-Heat recovery, Solar
DHP-Dedicated heat pump)
] 5. HV AC credits
(CF-Cciling fan, CV-Cross ventilation,
HF-Whole house fan,
PT-Programmable Thermostat,
RB-Attic radiant barrier,
MZ-C-Multizone cooling,
MZ-H-Multizone heating)
PT-C, PT-H
----- .----.-----nn.----l
u___~ASS I
FORM 600A-97
SUMMER CALCULATIONS
Residential Whole Building Performance Method A - Details
ADDRESS: THE LANDING APARTMENTS - PH II, ZEPHYRHILLS, FL,
PERMIT #:
BASE AS-BUlL T
GLASS TYPES
.18 X Conditioned X BSPM = Points Overhang
Floor Area Type/SC Ornt Len Hgt Area X SPM X SOF = Points
.18 760.0 42.08 5756.2 Single, Clear SW 8.0 7.5 40.0 52.82 0.50 1062.9
Single, Clear SE 1.0 5.5 30.0 56.64 0.95 1622.1
Single, Clear NE 1.0 5.5 22.5 43.65 0.96 947.7
As-Built Total: 92.5 3632.7
WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
Adajcent 332.0 0.7 232.4 Concrete, Int Insul, Exterior 5.0 632.0 1.00 632.0
Exterior 632.0 1.90 1200.8 Frame, Wood, Adjacent 11.0 332.0 0.70 232.4
Base Total: 964.0 1433.2 As-Built Total: 964.0 864.4
DOOR TYPES Area X BSPM = Points Type Area X SPM = Points
Adjacent 0.0 0.00 0.0 Exterior Insulated 21.0 4.80 100.8
Exterior 21.0 4.80 100.8
Base Total: 21.0 100.8 As-Built Total: 21.0 100.8
CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
Under Attic 760.0 0.60 456.0 Under Attic 30.0 760.0 0.60 456.0
Base Total: 760.0 456.0 As-Built Total: 760.0 456.0
FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
Slab 79.0(p) -31.8 -2512.2 Slab-On-Grade Edge Insulation 0.0 79.0(p) -31.90 -2520.1
Raised 0.0 0.00 0.0
Base Total: -2512.2 As-Built Total: -2520.1
INFILTRATION Area X BSPM = Points Area X SPM = Points
760.0 14.31 10875.6 760.0 14.31 10875.6
Summer Base Points: 16109.6 Summer As-Built Points: 13409.4
Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling
Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier PQints
13409.4 1.000 1.090 0.341 0.950 4734.6
16109.6 0.3577 5762.4 13409.4 1.00 1.090 0.341 0.950 4734.6
EnerovGauoe 1M DCA Form 600A-97
.. '.
~ "., ...
PASCO COUNTY, FLORIDA
Permit No. / "
{
.-
Date Permitted
. -
~-
Builder Name/Owner Name
County Parcel No.
Address/Location
Subd.
Classificationffype of Use
How Determined
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT 0
Why?
Rate $
;r-,.
( \
\___.__/Sq. Ft/Unit
Zone No.
Preparea By
Impact Fee Amount $
Checked 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
.I
Gross Sq. Ft. (GSF)
Rate ERU -
54.00Near
or $0. 1 48/Day
ERU Assign No.
Assessment - (No. Units) x ($0.148)
x (No. Days)
TOTAL FEE $
Assessment -
(GSF) x (ERU) x (0.148) x (No. Days)
100
TOT AL FEE $
r"","\
G
NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED
HAVE BEEN.PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFt=E OF PA~CO COUNTY.
.... ~ . >A - ");,' .., .. " .' - '-~ . - -. J:i
;
Acknowiedgement below does not imply acceptance of concurr.ence. but simply receipt of a copy of this form. placing
the huilding permit owner on notice of this assessment and the conditions of payment for same.
0-n
'J
Date
Received By
----- --------------------------------------------------------------------------------------------------------------------
OFfICE USE ONLY
TRANSPORT A nON REC. NO.
t'....
RESOURCE RECOVERY REC. NO.
/,
, f',l:
DATE
"l ^~ DATE
./. ./
; ,
i I.
. ,JI
BY
;) BY
.
.
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldg/lnsp
feecal:ce
PC93113094/E
PASCO COUNTY, FLORIDA
~owner Name ~~ ~ Control #
County Parcel No. .1 Jj- ;;~-::J 1- 0 I 00- {)OJ'tJzr oo/Pu SubDiv:
Address/Location cS. -76.3 3 '7J~A""/;/-'4)r{),j}
Classification/Type of Use ~L; 1/ v/fLG-
TRANSPORTATION IMPACT F E ././~
Exempt lJ-'fe; 0 No Howyeterrrlnfid(W
Impact Fee Amount $ L ______~
Permit No.
Date Permitted
1/7.!;;-
7'- 19-07
1-(3z-
Sq Ft Unit:
TAZ:
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House
(057) Mobile Home ____
8 Other Residential -----='
\C~ on ee----
Yes ~. No How Determined
Amount $
. 7~~' v~
Exempt
PARKS AND RECREATION FEE
Land Account Land Credit
Land Total
Recreation Account
Recreation Credit ~ecreationfotal
'=--=---=TOTAL AMOUNT $
Zone
How Determined
LIBRARY FEE
L:and Account
Facility Account
Land Total
Facility Credit
Facility Total
Exempt [] Yes 0 No
RESOURCE FEE
TOTAL AMOUNT
How Determined
Total Amount
tj, 3 tl.;;P'" --t:. ~. I tJ-- '3 tr l) .z-
ERU
Prepared By
Checked By
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
Acknowledgement below does not Imply acceptance of 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
RECEIPT NO.
DATE
BY