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Home My WebLink About06-6175 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6175 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 6175 COMMERCIAL 1 01-NEW CONSTISFR COMMERCIAL Address: 40509 CHAN RD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 18-26-22-0010-06800-0000 45,658.88 10/19/2006 Name: TENBRINK, BRUCE L 2,127.14 Address: 40509 CHANCEY RD 2,127.14 ZEPHYRHILLS, FL. 33542 10/19/2006 Phone: 813788-0184 NEW STEEL BLDG 45X55 REFER TO PERMIT 6091 FOR ADDL PLAN COMMENTS PLUMBING FEE POLICE IMPACT FEE PUBLIC SAFETY 5% 549.31 56.95 (, ~~ ~ '\ t,N \/~~ ~~ C RADON FIRE IMPACT FEE FIRE PLAN REVIEW FEES 't;;~ 0nU(),1 '715:75,- nof 'i~ 'ou-.J_A.-"g). (D/ A fCIP f\k;t\~ed \e"b:.~Y'\~ .~\G i"l.. cJ..-..-~.. Sc;...b-~':) Q'c....U'1.. -kJ9c-tn . ) ci pi U rn k).~n\ I <?" - Q..;..00:.-4-.G:-V\ <\ c c-U;...k \o:::;.c Ie 1 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. REINSPEcnON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections 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.';. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies, 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." NO OCCUPANCY BEFORE C.O. ~A?~ ~-~ CONT CTO SI ATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER .,.of'. CITY OE Zi.l!i.t'I1.l.t(n.J.J.\.LIo:J r.l:.l~'.&~'" ~...... -.......--- - --- ~<..: BUILDING DEPARTMENT 5335 8!rH st, Zephyrhills, Fl. 33542 -,I-" ( ! f~ ./. - 813-780-0020 FAX: 813-780-0021 /0-12- -0 ~ DATE RECEIVED - - - PHONE GONTACT FOR PERMITTING Y/3--7f).-Of..g?f OWNER' S NAM~V\.AC e JOB ADDRESS . L(O'S(J 1 L l~,^ ~ or: \'\-k/~'^ tS v; rJc Uw1e.v:~ ~rI ~(3 - 7 ? k - 0 I ~ Y Cltl&- i1C €-, u2d , . LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # \ ~ - -:Llo- .)..')..- 00\ 0 - 0 lo~O~OO 00 (OBTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: .~NEW CONSTRUCTION o ADDITION o ALTERAT ION o REPAIR o INSTALL DSIGN o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING -JX"COMMERCIAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOM o OTHER c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK , ~ CS-\--v-'^-ct $+-e..eJ t;,v..\ l cl~ J. BUILDING SIZE tf~ y 55 . SQUARE FOOTAGE d-.Ll7 S HEIGHT / d... I -pl\...LS .y S)<. ~D C-cve v"CJ..... ere-""'lL..v~ 3"'3> 75 w/t~vvc:'.{ o~ o--Y~C,- 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, I :IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ~ v' PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION. AMP SERVICE ~ Progress Energy f'-}4 ;'p/ iliif WO~ , P'~ o Wir~ ~ BUILDING o ELECTRICAL PERMITS REQUESTED {.tS. {P)J-,EiJ" VALUATION OF TOTAL CONSTRUCTION , $ o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME If{ STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES ~ NO _c..=~.=_.~"'"-_.. .-'1C"~----=-_.'-"----.'" __ ,__ __ ,--- ----------- -- - - -- -- _.--~.------ --.------. ,---'-7 --=~-- -,..-~= .","1"""1; " I I -" _' I 4 , , ""~I,t,""I""'i'","i'.I0i_."H~l"!'~'r I t I ~ I I . I I II , I ~ ":'~~ "'t~)~~~l ':'~ ,tt:~L(F~~~'I~~rl =.lc~~_~.l--_______~~ ___ - --- - __..........1..:1.__~~-~-~ BUILDER SIGNA;URE ,M ZZ-? COMPANy~\A.8r~~t ~ ~s.~Cc. Lv'\.<: ' STATE CERT OR REGIST # Cf;~(C (!)lj 3 t..; ;)..d.- *********** ************************************** *************** ELECTRICIAN COMPANY ~ SIGNATURE C- STATE CERT OR RE 1ST # ************************************************** *************** PLUMBER COMPANY SIGNATURE STATE CERT OR REG ST # ****************************************************************** 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. 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 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 po~tions of the "Contractor Sections" of this ~pplication for which they will be responsible. If you, as the owner signs as the contractor, you are indi9ating that you, rather than the contractor, are responsible for the work, If the contractor wishes you to sign as contractor that may be an indica~ion 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. Appli~ation 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 la 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". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT acknowledged , 20_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this_____ day of by acknowledged , 20_ (name of person acknowledged) Owho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or Owho has produced (type of identification) and whoO did Odid not take an oath. o who has produced (type of identification) and who Odid [}::lid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped City of Zephyrhills, Florida 5335 EIGHTH STREET ZEPHYRHILLS, FLORIDA 33542 PURCHASE ORDER SALES TAX EXEMPTION: 85-8012740166C-4 To: TENBRINK & ASSOCIATES 36805 SR 54 WEST ZEPHYRHILLS, FL 33541 Date: 10/23/2006 Ship Via: BEST WAY Terms: Number: 19681 Delivery Date: 10/27/2006 Buyer: SWETLAND Ship To: City of Zephyrhills Building Department 5335 8th Street Zephyrhills, FL 33542 Quantity Description ....------__...,,, 1 THIS WAS AN OVERCHARGE ON PER~IT #6J..1a/- 40509 CHANCEY RD. ~ Bill To: City of Zephyrhills Building Department 5335 8th Street Zeohvrhills, FL 33542 Unit Price Cost Distribution 001-322.0000 78.75 FederallD #: 59-6000455 78.75 Total Amount 78.75 78.75 BY:sn...." ~. ~ L- --=9- L--~ City Manager/Fina e NOTICE OF 111111111111 1111I111111111111111 111111111111111 111111111 IIII 2006207278 COMMENCEMENT ~S.CC County of State of S:\ () Y-'l cla.. TUB ImDERSIGNED hereby gives notice that improvement will be made to c~rtain real property, and in accordance with Chapter 713, Florida Statutes, the following infor~atian is provided in this Notice of Commencement: 1. Oeser iption of Property: Parcel No. \ ~ - ).to- .}.)...- 00 l 0 -0l.9 8' ()9-0000 'S ec+t~ I ~ r ()10\it&~ )..bf' L.I tJ ~() C-/L~e f2J (Legal des r~pt~on of th street a ress ~ ava~ ~ le) ., ?-€-J?';-:Jv-l..:. liS 3sS-YB 2. General Description of Improvement F r-c.c...-+ S<kcl lou, IA. J 0...... ei< I d-, "j c OV\..C- v- -c.- -t--e S ittk:. Rcpt: 1040731 Rec: 10.00 DS: 0.00 IT: 0,00 10/12/06 -_____ Dpty Clerk L . -re ~ ~ V" ""'- Ie.. Z~f'tYk.lIs State 4==c 3. 3'5C(( 3 . Owner Information: Name -.l::>V\A '-e. l~ddress 4lf' S- ~OlAJk ~J... City Interest in Property: D LU h -e..y Name of Fee Simple Titleholder: (If other than owner) - . JED PITTMANf PASCO COUNTY CLERK 10/12/06 1 : 10am 1 of 1 OR BK 7221 PG 1933 Address State 4R Contractor: Nume Address~torOS- ~~ S'Oc . 2. ^-<-, '"2 ~r~1Y ~; ((s. stat~t='L ~ 3S'y ( 5. Surety: Name Address State Amount of Bond: $ 6. Lender: Name 7 . Address ~itY Persons within the s./Jj' 0 ~da notices or other d~u~nt may be 713.13(1)(a)(7), r-lorida S atutes: State designated by Owner upon whcm served as provided by Section tJc:mc Address City State 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided Ln Section 713.13(1)(b), Florida Statutes. l). f"xp.irn1.il)n dnt.e of tJot.l.ce of Commencement. (the explrat1.0n date is 1 year fr~m the dute of recording unless a different date is specified.) SignatureofOwner: D~~ ~ ~~ ~ S......,-,;_..--. t-" -..--' _..L.sc-~b"'Q' h~;::......-C ~e ~h~ JI-m -- ....- \.:J.1.1.U ::H..lU .i...L. _ .uLJ..-'J.. ,- .u'. 1......""",-:; , ~ day of _ ()cAl)be.F )Jb Olp Not~ry Pt.blic: 0 j^fOrdt?/~fl0 1 L( 'CtJtoL? My CJ;n;nj s s ion Expires: J \ ALEXANDRIA N. WILLIAMS .. NOTARY PUBLIC - STATE OF FLORIDA EXPIRES 11,1212009 BONDED THRU 1-S88-NOTARY1 PC93053048 A. NOTICE OF DEED RESTRICTIONS Tha undersigned understands that this permit may be subject to "deed restrictionsll which may be more restrictive than City regulations. The undersigned assumes responsibility for c?mpliapce with any applicable deed restrictions. B, UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contr~ctors to undertake work, . they may be required to be licensed in accordance with state and iocal 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 po~tions of the "Contractor Sectionsll of this ~pplication for which they will be responsible. If you, as the owner signs as the contractor, ydu are indi~ating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indica~ion 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, haye been provided with a copy.of "Florida's Construction lien Law _ Homeowner's.Protection Guidellprepaied by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "ownerll, I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "ownerll prior to conunencement. 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. Appli~ation is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has conunenced 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 bf Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.8. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "All or "A, etc. II, it is understood that a drainage plan addressing a "compensating volume II 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 conunenced 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 ~O 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 COMMENCEMENTII. SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT acknowledged , 2<L- STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged , 20_ (name. of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or o who has produced (type of identification) and wrioD did Ddid not take an oath. Owho has produced (type of identification) and who Ddid [J:lid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped Fire Chief Robert Hartwig ~~ Cdi~\ ___ I-' - ZEPHYRHILLS FIRE DEPARTMENT 6907 Dairy Road, Zephyrhills, FL 33542 Bus (813) 780-0041 Fax (813) 780-0044 FIRE SERVICE USER FEES Occupancy No.: ,J' Plan No.: f{)~- ~ Business Name: TEA) ~(~ ~ BusinessAddress: 40 OC ~6~ Business Phone No.: Business Fax No.: Contact: Billing Phone No.: Billing Fax No~: ~ Contact: '7( J-- OGIk2 FALSE ALARM FEE 1 st Alarm N/C 2nd Alarm N/C 3rd Alarm N/C 4th Alarm $25 5th Alarm $50 6th Alarm $75 7th Alarm $100 8th Alarm $150 9th Alarm $200 10th Alarm $250 Non Compliance $150 "Affidavit of Service/Repair" PLAN REVIEW FEES INSPECTION FEES PERMIT FEE ~ Site PI," N/C Annual N/C 337~ Building Plans J9;r 1st Re-inspection $25 RevIsion .06 sf 2nd Re-inspection $50 3rd Re-inspection $125 STANDPIPE SYSTEM 4th Re-inspection $250 D Per Riser $25 5th Re-Inspection $500 Construction $15 Commercial $25 SPRINKLER SYSTEMS D 0 - 25 Heads $30 D 26 plus Heads $60 FIRE PUMP D Per Pump $100 FIRE ALARM SYSTEM n 0 - 25 Devices $30 D 26 plus Devices $60 SUPPRESSION SYSTEMS ~ Wet $35 Dry $35 C02 $35 Other $35 GREASENENTILATION D Hood/Ducts $35 ~4D PLANS TOTAL ~ Comments: 'flo...Y'\, ~ JJ'\uo.) SPRINKLER SYSTEMS Hydro Undergrounds $45 Hydrostatic System $45 Wet Acceptance $30 Dry Acceptance $45 Hydrant Flow $25 Hood / Booth $30 Grease Duct $15 FIRE ALARM SYSTEM D System Acceptance $50 D Recall Acceptance $50 OTHER Fire Wall/Smoke Wall $15 LP Gas $25 Natural Gas $25 Fuel Tanks $25 Tent $15 INSPECTION TOTAw=:=J GRAND TOTAL SPRINKLER SYSTEMS D Automatic $15 FIRE PUMP D Fire Pump $15 FIRE ALARM SYSTEM D Detection $15 OTHER ~ LP Gas Natural Gas Fire Works Fuel Tanks $45 $45 $25 $45 GREASENENTILATION D Hood/Ducts $15 D Kitchen Suppression $15 FALSE ALARM I PERMIT TOTAL! TOTAL. ~~ I ~\J 1 Date: ID~ tJ ~ajf ,fLA- Inspector: TENBRINK & ASSOC. INC- 40509 CHANCEY RD-CONSTRUCT STEEL BLD SQ, FEET PRICE MAIN OR LIVING: - $ 88.00 OTHER AREA UNDER ROOF: - $ 88.00 OTHER: 3,375 $ 34.00 VALUATION $ 114,750.00 FEE SHEET $ 525.00 ADDRESS DRIVEWAY $ 30.00 BUILDING: $ 565.50 ELECTRICAL: $ 118.13 PLUMBING: $ 78.75 MECHANICAL: SUB-TOTAL $ 762.38 RADON: $ 33.75 TOTAL $ 796.13 SEWER: WATER: IRRIGATION: $ - TOTAL: $ - WATER METER:I IRRIGATION METER $ - I FIRE DEPARTMENT FEES PLANS TOTAL: $ 135.00 INSPECTION TOTAL: PERMIT TOTAL TOTAL: $ 135.00 PUBLIC SAFETY IMPACT FEES POLICE $ 549.31 FIRE $ 589.75 5% $ 56.95 TOTAL: $ 1,196.01 SUB-TOTAL $ 2,127.14 I ~ PARK IMPACT FEESI SIF'S: 100.0% $ - 1.0% $ - TOTAL: $ - : I TO F 'S :1 99% $ 1% $ TOTAL: $ 2,127.14 , C;:, ""fUZ-l\J.. )- .- -.~~\l 1 f(f L.Al}i-(L j)f1T1z.- Comm L Res Fee Sheet '-EJ~ rress~c; ~b~t4 C1Ni'1 rL~~ Square Feet ~':;'7 ,:::;, Valuation !/4,'7S~ I .3-~. 75 Radon Connection Fees SeWL'T ~ Pi Water N if) W, !vleter N iff (All Residentials - % ") Irr. Meter 1\\111 ~i9r Irr. Conn Impact Fees School NjL}- N)rr Park Dollar Amount 3"-t 1 .:; C (Use System for calculation offees) % (180.00) _ 1 (250.00) _ 1.5 (650.00) _ 2 (875.00)_ 3 & 4 (Contact Louie) _ Transportation Nt f) .. fV:.5-PSs~(Li ~ o~ Public Safety I ' 0\ /. (,7(0 < , .~j)e/t1 /\'6 ;t/$..soe .J;t~ Permit Application Review Comments By: Bill Burgess Date: 10 - / 2-0 ~ lQ] No Comments Address: 1/0501 Ch-ttr1cey ;Pc( Type: Vl/1.SfYUL + -s/--ee / ~jclrfJ