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Home My WebLink About05-4051 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4051 4051 Permit Type: ADDITION/ALTERATION Class of Work: ADD/AL T COMMERCIAL Proposed Use: LIGHT INDUSTRY Square Feet: Est. Value: Improv. Cost: 900,000.00 Date Issued: 4/06/2005 Total Fees: 28,967.02 Amount Paid: 28,967.02 Date Paid: 4/11/2005 Phone: Work Desc: ADDITION OF CONCRETE BLOCK MANUFACTURING FACILITY Address: 3946 COPELAND DR. ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: HOLLOWAY ELECTRICAL SERVICES,INC W HALDERMAN PLBG. & HTG. CO. 3G AlC & HTG,INC. DBA EASY AlC & E PLUMBING FEE RADON PUBLIC SAFETY 5% POLICE IMPACT FEE TRAFFIC IMPACT FEES 99% COM WATER CONNECTION COMMERC EL 112.00 MECHANICAL FEE 170.91 Irtltl_. ..I~J. METER J- 288.82 FIRE IMPACT FEE 2,785.67 TRAFFIC IMPACT FEES COMM 10,496.67 SEWER CONNECTION COMMERC 1,492.48 92.20 875.00 2,990.75 106.03 5,784.69 fi~f '1l'/0~ TE L 1 H DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED LINTEL PRE-METER WATER SHEATHING FRAME MISC SEWER MISC INSULATION WALL MISC MISC. MISC. INSULATION CEILING MISC. MISC. MISC. DRIVEWAY MISC. MISC. REINSPECTlON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00) 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 "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." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances NO OCCUPANCY BEFORE C.O. / -_ '1Z~~ ' ~ NTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX:813-780-0021 ~~.. ~~ ~_. DATE RECEIVED PHONE CONTACT FOR PERMITTING OWNER'S NAME:Rinker Materials of Florida, Inc. PHONE: 561-820-8346 JOB ADDRESS:3946 Copeland Boulevard, Zephyrhi1ls, FL 33542-8402 LEGAL DESCRIPTION: LOT(S) N/A BLOCK N/A SUBDIVISION N/A PARCEL 10# 24-26-21-0000-00100-0]40 & 24-26-21-0000-00100-013010RTATN FROM PROPF.RTY TAX NOTICE) WORK PROPSED: ~W CONSTRUCTION D SIGN PROPOSED USE: DSGL FAMILY DWELLING DCOMMERCIAL @...1(DDITION DALTERATION DREPAIR D INSTALL DMOVE D DEMOLISH DMULTI-FAMILY ~DUSTRIAL D# OF UNITS D SWIMMING POOL D MOBILE HOME DOTHER c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK Addition of Concrete Block Manufacturinq Facility 1'\-\0.\(\ au.t\J. 'l:z..31. I tt 2- !'Ala..... flu.. 16. ~ BUILDING SIZE 89 4"x 103'-4"lmain bldg)SQUARE FOOTAGF.+'7R2'{f7ft HEIGHT 2<;11: c.-u..fi~ ^-OOW\ -7'78~O")L.lOO'- 4-" '7;+...1 11, fJ$7 2.. " c.. v..r~~ ~o'>'"" 0-'^ot.c.....pie.cD 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. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PJIQ AMP SERVICE tl a N~T I)) \Jii P F/UV\IT vJIT~~'1 ~j LL"s f1r1ff1-=1 ~ VALUATION OF TOTAL CONSTRUCTION .~~ ~ E . 6i P'J I <!.N D Progress Energy D ..,W.R.E.C. 0'1-;\ 1,^':~ * ~te pfVh11JT ~ ~\,. 1?Q;,. P~,y, , )S~/(\l1- VALUATION OF MECHANCIAL INSTALLATION ~ " ~ D OTHER f r-J -:jt I if) 7 o FRAME D STEEL D OTHER ,- PERMITS REQUESTED [\JA'UILDING ~ELECTRICAL ~LUMBING WMECHANICAL o GAS ~OFING $ 900 000 $ 1<:; ()()n . D SPECIALTY TYPE OF CONSTRUCTION: D BLOCK FINISHED FLOOR ELEVATIONS 79.91 IS PROJECT IN FLOOD ZONE AREA DYES u;yN6 CONTRACTOR SBCTION SIGNATURE ~/~ 8Eur~ COMPANY RltJKE.~ 1'1A,1,.e./4L> l k 'I BUILDER STATE CERT OR REGIST # G e-c, 0/76 L/:2. V ****************************************************************** ELECTRICIAN SIGNATURE IdU- p~ L COMPANY STATE CERT OR REGIST # ****************************************************************** PLUMBER s~ fc~~ 3 COMPANY SIGNATURE STATE CERT OR REGIST # SIGNATURE **********************************************~7******~*********** ['\ COMPANY .JG A I c.., )- /-1,(;)- ) VL rC~~ ~ STATE CERT OR REGIST # ***************************************************************** MECHANICAL OTHER COMPANY SIGNATURE STATE CERT OR REGIST # 6Yr1rtlrJ (~'f af J) 61? (J~)T P(ll ~I\ - r ~ SU 1I'J0, ff)4v1), 02/28/200' 10.26 FAX 5617929901 AGA III 002/002 .- czn 01' ZBPHnUlI:LLS PaQlIT AI 'Pl:: ICATION BUn.DING DBPDftID'r 5335 eft St, ~lUllnl, FL 33542 81:'-780-0020 I'AX.IU-710-0"21 IWrE JUlCBIYBD IIHCtlE ~ Pl. I 'atMI'ftING OWNER'S NAHE:Rinker Material. of Floria, Inc:. I.HOME: S61-8~O-8346 .lOll Al)l)USSrUtl; 0:lDe1UM1 801al.-ri. Z~lU.ll.. n, U5."-t .01 LEGAL DESCRIPTION: LOT(S) tf/A BLOCk If/A SOBD:VI~ION fI/A PARCEL lD' 2..'~_"_nnnn_nn'ftn_n1~n & '4_'~-"_nnnn_nn1nn_n.~,naT.TN ~nM PRn~tRTY Tax NOTTCE) WORK PROPSED: Q(EW CONSTRUCTION o SIGN ~DITION o HOVE OALTERAT; ON o DEMOLI! H [J REPAIR [J INSTALL PROPOSED USE: OSGL FAMILY DWELLING D CC1IMERCIAI. OMULTI-FAMILY GltiiOOSTRIAL D. OF ONUS o Sl IMI' ING POOL D H08It& HOMi: o OTIID CJ RESTAURANT i HEALTH DEPARTMENT A. 'PF:, IVIlL DB8CRXft'XClll 0-, ~ AdtiUoa ot! ,,-~..-- aloak -t!~L!rrl~W f'\a." 4",,~. JJI. I,. .:.. It...l Id. ~ BO"ILDING SUE R~ 1." ,n"'_.'{_;n bldll)SQllARE FOOTAGE-tI182!! Pill-- HEIGHT 2C' ':t c.u.r'~""""'"", '-D"lII-'O"'~"'. .,..,., '7,fJ&"T1 '- c......t""!l j(~"o~(...pc~ R&SIotNfIAL: ATTACH (2) PLOT PLANS , (2) SETS or BOILDING EU.,.S , (1) Sl:T E FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS, (1) SET biER", r ~'OR.H$. . IF SIGN PERMIT ONLY (2) SETS or ENGI!lURED PI.ANS REQO"IRED. I'ROnP.TY SUJlVEY JlEQUlRED FOR ALL NEW CONSTRtlC1 101': . PDlaTS UQU8SDD ~ILDING e1' ELECTRICAl. ~UMBING [j/" MECHANICAl. D GAS ~FING $ gOO /lOll VALUATION OF TOTAL CON STII 'JCTION a~n o Progre.ss E 'lee': 1Y Cl AHi' SEIWICE W.R.E.C. ~ ~ 11: nnn VALUATION OF MECRA ~:!, '\L INSTALLATION D SPECIALTY o OTHER TYP! OJ!' CONSTRUCTION: 0 BLOCK o FRAME D STUt D YrJ:!;R FINI$R&D FLOOR ELtVATIONS 79.91 IS PROJECT IN I"L)OI! ZONE AREA DYES IWi"6 auxLOla ~~,':,:~~~ -'~ COHPANY~WK~I: ~A'",I..> .(~A~U'~ $1 <>NAron STATE CERT OR IU';' iI5T t G c.c. p/76 ",-;l.. ***.*-**.*.*~..........*....*.*....*.*.**.**....... ............... ~ANY Ilpjkwh)' ~c;:'JetC4L %LV/~ STA~ CERT OR R.E I ,1ST . IE' C 000 1'1 '1!1 SIGNATURE ****.....*****.***....... ................. ~ COMPANY SIGNATURE STATE CERT OIl Ri::IST I ~CAL ....*.....*..**.r..*..****....*.........*....*.~..l..*..*******..*, COMPANY SIGNATURE STATE CERT OR RE,: :IST t .******.*.************..**.******.*...*...*....~*~,~.*............. 0'ftIRJl ~~_. SIGNATURE STATE CERT OIl lIE:: IST . , ~v' FROM :EASY AC APR/l112005/MON 09: 14 AU FAX NO. :813-635-0480 Apr. 11 2005 10:01AM Z~PHYRHILLS aurLDI~ FAX No,813-780-0021 P. 001 CI!'! 01' .21BPR1'IUI:r%.Ls PUla" AJI~I.:tCA"rOK ~:nfIJ .o.Pi.Jt~ !I.]]!; 8'" ,,~, "~&-bU~., J2. 3:!1i42 . 11!-7'ONOO~O r.ftX1'1~-780-0021 . riAft _CI;IVD __...... P3 OWNII:~" S' blJ\HE 1>JIONI alIftAD7 IUR ft:1IH%~ 4~AMOIJ-' ~iJC~ .dA-r~ 'IU...S , ~ 746~t?~'-" N.o ~L liP PHONE ~~/'" //;>3- ~1J~ ~ ~/t.(~ . ~ ~~ JOB . AIiilUS8 LEGAX. DtSCRU:rIONI LO'l'(SI PAftCE1. tD II . "dIU( PROPIlED: CiIU:lf CONSTtwC'l'ION aSIaN BLOCI'( SlIBDIVISION (O~'1'A"N nlna.t ~nnRRTY 'P"~ NoT:r~I!\. c:J ADDU I ON [J MOVE ClAL'tERATION [J oiMoLrsR c:l1l1l1~AIR )(~"!61At.L . fVllr::,/,JA.J leA L- P)OPOSED DS~I[JSQL EANILY DWELLIN~ CJMOLrl.rAMILY c:JOoHHtRCIAL ~NDOST~IAL 1:1. or UNt'tS 09IUMM!NS POOL lJ NOBILE J10~ . ~ OTHER DIloCiup!PtOM.'OJ. wDU CJ Jt&!ITAURAltt , HIALTH D~PARTM~NT AI'PROVAl- I IIJ ~"'fl:l.~ d Dd cr (~'..as S~/.I r Ale ,. .p l.4wrm;,.,vOl>,j I BUII.DING f:I:i:~z ' SQUARE FOO'1'AGt . JU:ZGHT rotSlb!NTIAL: ATTACH (2) rI.oT PLAN!! ~ (2) StT!! OF BUII.DING PLANS' (11 SiT E1>lI:RGY rO"AMB. COlllllilRCIIU,l ^TTACH (3) SETS OF BUIL01NG JlLinfS , (1) ..91:'1' EN~aoy FORIC.S. IF SIQN PEQI:t'r ONLY (2) SETs or ENGINEBRJ:D PLANa UQDIRIi:D. . ., PROPER'l'Y SDRVEY REOIJUtD FOR ALL NP.:if CONSTRUCTION. . [:J atJiLo:n~G . 1::1 ELtcTRlCAL PBRN:r!l'S RilQTJJ:Sn:D. $- .-- V1\LUATIOIl or TO'l'1\L CONB'l'RUC'I'!ON _ AMr SER;lIC," o Progreo. Jilnergy 0 M.P.;E.C. CI PLTJ1BING . t!L/4[) . ",- .. . ,)(MECIWUCAL, ~--'- I' lr.u.uATJON OF MlCJtANCIAL ilfS'l').T,u\'I'ION . 0 GAB. [j M05-rNG 0 SPECIALn . rJ OTHER n!'i: or CONSTRUCTION,. 0 SLOCK rINrSREO FLOOR ELEVATIONS [J FIWIE . d srO;L o OTHER l.ll I'RO":Ecr IN nOOD ZONE AnD.O' Yl!:s 0 NO !lU!UlI. S:tGNATURIil. COMPANy. . Q'fI\Tt CD.T OR DeIST , , .--. *...._~........*~..~..***~*+....*.....4.....+......*.......*~...+~ &i.acnt.d:r.iN' , SIGNl't.TDlUt COMPANY S1'A'l'/i; CERr OR REGIST , . w****..*.....*+*~.+*.*+.*w..*..................*w~.ww..~~...**.*.. PLlDanIR OIGI't^'r01l.1!: . ---'-- COMl'ANV. 8TAT&: CUT OR REOIDT t . , -- SIGtfA'l'Uftlr. w*.**...***.........*..~*y*........!.......~........~,......*. ~ "'0.....'. . ~ ,,(' .. H hr, o.SI;, 'NC- ' , STATE CE/l.T OJ!, lEGIST . ...........*..*.*..*.*.........*~***..*..***.*..*.*.*......... . HEClWttcAri. . Oftmll COKr~Y. S 1,(jINJI.'rURIi: STATG CElT DR R!GIST . APR/05/2005/TUE 10: 11 AM ZEPHYRHILLS BUILDING FAX No. 813-780-0021 P. 001 CITY OF ZEPBYRHILLS PERMIT APPLICATION . BUILDING Dl!:PARTMilNT 5335 e'R St, ZephYl:'hil1s, n.. 33542 ...'f'ID,;J.. 813-780-0020 FAX,813-?80-0021 PHONE CON'tACT FOR DATi: RECEIVED PERMITTING::J; m M:Y . / -?&J~lo ffrd~ OWNER'S NAME . , PHONE. JOB ADDRESSCO~ IClttcPTnJI-t s-1i-~'q l/rlI I'f( - 391bCOf/ ehncl131v~ LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION. PARCEL 10 # WORK PROPSED, [JNEW CONSTRUCTION [J SIGN PROPOSED USE: [JSGL FAMILY DWELLING )(COMMERCIAL rORTATN FROM PROPERTY TAX NOTICE) o ADDITION o MOVE o ALTERATION o DEMOLISH o REPAIR o INSTALL [JMULTI-FAMILY o INDUSTRIAL 0# of UNITS [J SWIMMING POOL o MOBILE HOME o OTHER c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESClUPTION OF WO!U( tv{./N' ?LL)jY)R"UC SY5Tlrn foil. I\JE~' nu...'CK.. PLtt.J\JT BUILDING SIZE SQUARE FOOTAGE 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. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING $ VALUATION OF TOTAL CONSTRUCTION [] ELECTRICAL ~ PLUMBING [] MECHANICAL AMP SERVICE o Progress Energy [] W.R.E.C. $ VALUATION 6F MECHANCIAL INSTALLATION o GAS [] ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTIOIlI': 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE MEAD YES 0 NO ~3,'.~.c'-=-';=" '.--..... '_';' 1 ~_ -_~ __. ' _ : . " ~~_~' ._,:-:,~; SUILDIi:R COMPANY SIGNATURE STATE CERT OR REGIST * **************************************************-*************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGlST * n*** *** * ** * ** * ** * * * * * * *** *** ****** * **. ************ * ** * * ~********** """"",. -4 1/ r1fJJ~ COMP^"' tV ,1. /UQI'.l'J'Yl1W ;JWIYlI3I1IC SIGNATURE 1* *:=::**H**~**H*:~***HH*****~~~~~*:::~*~~*~~~~~:*:**~~~~ '5&';6;) / MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST * ********************************************~.*~*~*************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST * A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. .UNLIC~NSED 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 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, 813-780-0020. 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 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". SIGNATUi': ~ENT SIGNA~~~OR STATE OF FL~~ / COUNTY OF 72eQ/'-\ The foregoing ins~ment wa~l:nowledged Befo~ me thisb(/ day of v-;), 2~ by ~YV>.o..\ ~ .R,~.r:> _/ (name of person acknowledged) ~who is personally known to me, or STATE OF FLORIDA --...! -;:)L I I COUNTY OF f:P.. V'VI 6~ The foregoing instJfument w~knowledged ~~fore t\~0-Z-~y of ~#' 20 er ~/ (name of person acknowledged) ~ho is personally known to me, or Owho has produced (type U'J-6id not of identification) take an oath. Owho has produced (type of identification) and who Odid l]J:iid not take an oath Signa~~~~g acknowledgment NametttL~~:ed 'il~#--- i. .c 1qIIIa_3I._ ~ JIGDiIIll 21ft . . At1aDJk 1ODdIDBC'A.1DC. taking acknowledgement 5 . ~ Ez1Jb8'" 31. 2006 if BOaW ~ ~ At1aI1tic BoDl1ID8Co..1DC. /,",,-, ~. I n ~ () n PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719-7918 ("'l 1 05763 n n n f2 ("') n CITY OF ZEPHYRHILLS ZEPHYRHILLS, FLORIDA ~ J~~ ~ WATER ACCT. NO. DATE Yfr /os OWNER/ K\~\<EW" \IV\~\' ~ ~ Fl~ ~ RENTER ./.-11 ( ~ M~ S evvJA.SL t1-1- SBA- vi ~ ~ L~;j;;y ~ ~ (oR /t;/oc./( r;c/lly SERVICE ADDRESS 3140 SHUT OFF SERVICE 0 TURN ON SERVICE Q/". INSTAlL METER cV' READ METER 0 CHECK METER 0 OTHER 0 If ;2 - WORK COMPLETED BY & DATE COMPLETED ~~PcufLf dY. ~ATER 1-r /3 r/i o SEWER o GARBAGE ~CITY o OUT CITY / _ No. OF UNITS - DEPOSIT AMOUNT - AMOUNT LAST Bill _DATE _ MISC. CHARGE ORDER TAKEN BY ~~(!- (j s 0- ORDER GIVEN BY Retain white form in office at all times. Send pink & yellow forms to Water Service Depl. Water Service Dept to sign yellow form & return to office. Rinker Materials 3946 Copeland Dr. SQ. FEET PRICE MAIN OR LIVING: 17,091 $ 48.00 OTHER AREA UNDER ROOF: $ 50.00 OTHER: 11,000 $ 0.85 VALUATION $ 831,368.85 FEE SHEET $ 2,344.00 ADDRESS $ 30.00 DRIVEWAY $ - BUILDING: $ 3,546.00 CREDIT: $ - BUILDING LESS CREDIT: $ 3,546.00 ELECTRICAL: $ 225.80 PLUMBING: $ 112.00 MECHANICAL: $ 92.20 SUB-TOTAL $ 3,976.00 RADON: $ 170.91 TOTAL $ 4,146.91 SEWER: $ 5,784.69 WATER: $ 1,492.48 IRRIGATION: $ - TOTAL: $ 7,277.17 WATER METER: $ 875.00 IRRIGATION METER $ J I SUB-TOTAL $ 12,299.081 PARK IMPACT FEESI $ - f PUBLIC SAFETY IMPACT FEES POLICE $ 2,785.67 FIRE $ 2,990.75 5% $ 288.82 I - I 8IF'8'1 $ 97.5% $ 2.5% $ TI F'S: $ 10,602.70 99% $ 10,496.67 1% $ 106.03 TOTAL: $ 28,967.02 ,