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HomeMy WebLinkAbout02-1175 tiS:2' IJ-o 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 .~ ~ ~ ;:~::.~~ .....:: ;" ";{: :._;~:f ; ,',.", .: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