HomeMy WebLinkAbout08-7812
CITY OF ZEPHYRHILLS
5335 - 8TH STREIT
(813)780-0020
BUILDING PERMIT
7812
Permit Number: 7812
Permit Type: ACCESSORY BLDG.
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 5024 20 H ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 12-26-21-0100-0000-0020
29,400.00
4/30/2008
230.10
230.10
4/30/2008
GARAGE - 30' X 20'
Name: THOMPSON, PATRICIA
Address: 5024 20TH ST
ZEPHYRHILLS, FL. 33542
Phone: 813 780-8559
- 14FT HT
RADON
6.00
p~ DB
~/(~
SHEATHING
FINAL
REINSPECTION 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."
A~~
CONTRACTOR SIGNATUR PERMIT OFF I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Owner's Address
Fee Simple Titleholder Namel
'7Drl
5+1
Owner's Name
1-;1.3-0
~tf"r~
502'1
Date Received
WORK PROPOSED
ADD/ALT
REPAIR
COMM
FRAME
7?O-<g5~
3' J 2-j03dJ
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I LOT# I I
PARCELlD#I/2-2b- 2 ( -01 ~O -()OOOO-o6~O
(OBTAINED FROM PROPERTY TAX NOTICE)
D SIGN D MOVE 0
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Fee Simple Titleholder Address I
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JOB ADDRESS
SUBDIVISION
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PROPOSED USE 0
TYPE OF CONSTRUCTION [0
DESCRIPTION OF WORK I g 4 t' cv;} e..
I 301 X 211 r SQFOOTAGEI bOO HEIGHT I Ilj I
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1$
1$
1$
D GAS 0
FINISHED FLOOR ELEVATIONS I
NEW CONSTR
INSTALL
SFR
BLOCK
B
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DEMOLISH
OTHER
STEEL
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OTHER I
BUILDING SIZE
ROOFING
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PROGRESS ENERGY
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BUILDING
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
MECHANICAL
VALUATION OF MECHANICAL INSTALLA
PLUMBING
SPECIALTY 0
FLOOD ZONE AREA
OTHER
DYES
DNO
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COMPANY f1~Me- () WI1.p~
REGISTERED I Y I N I FEE CURRENT
License # I
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License # I
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Address I
EL~CTRICIAN I.. ./ jJ,-1.. /' I a t/d I~ A A~I
SIGNATURE ~I t:U-~ (~g"n - -
Y/N
Y/N
Address
COMPANY
REGISTERED
PLUMBER
SIGNATURE
Y I N
FEE CURRENT
Y/N
Address
License #
COMPANY
REGISTERED
MECHANICAL
SIGNATURE
YI N
FEE CURRENT
Y/N
Address
License #
COMPANY
REGISTERED
OTHER
SIGNATURE
Y/N
FEE CURRENT
Y/N
Address
License #
1I11111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111I111111111I11111111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects
Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans. ... . '
***.PROPERTY SURVEY required for all NEW construction.' . "''It~... 'i" --.,..;. .. ... ...
11I1111I1111I11111111111111111111111111111111111111111IIIIIIIIIIIIIIIIIIIIIIIIIIIIJ 1111111) III L 11'111111111'1 i 11'1'1 fi i-I ;"1111111111111111111111111111
Directions: "\~~ly~,}., \\,'. ..'t"". ..~'-' ..Il ~,~
Fill out application completely. \.., ..>\.., \ """';.t-.
Owner & Contractor sign back of application, notarized &:-:.:....,..,.... -
If over $2500, a Notice of Commencement is required, (AlC upgrades over $5000)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized lettet{rom ~~r autflorizing s~me
OVER THE COUNTER PERMITTING (Front of Application Only) '- ')"~
Reroofs Sewers Service Upgrades AlC Fences (PloUSurvey/Footage)
COMMERCIAL
'. 'h\\\ \.~
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to underta,ke 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 Pasco County Building Inspection Division-Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify 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.
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, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government 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 Protection-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.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand ~hat a s.eparate perm~t. may ?e requir~d for elect~ica.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other Installatrons not speCifically 1n~luded. In the application. A
permit issued shall be construed to be a license to proceed with the work a~d not as authorl~y ~o vlol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or violat~o~s o! any codes. Every ~ermlt Issued. shall become. invalid
unless the work authorized by such permit is commenced Within SIX months of permit Issuance, or If work authorized. by
the permit is suspended or abandoned for a period of six (6) months after the time th~ work is commenced: An extension
may be requested, in writing, from the Building Official for a period not t~ exceed n1n~ty ~90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the\Job IS 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.
FLORIDA JURAT (F.S. 117.03)
p
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
by
Who is/are personally known to me or has/have produced
as identification.
Notary Public
Commission No.
Name of Notary typed, printed or stamped
----~._~~.-_._. "..-........._-_.,---.-------,.~---~_._--_._~-
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City of Zephyr hills
BUILDING PLAN REVIEW COMMENTS
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Date ReCeiVej
Site: g
, permit Type:
Approved wino comments:D
Approved withe below commenlll: "j1 Denied withe below comments: 0
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Examiner Date
'DISCLOSURE' STATEMENTTFOR OWNER
CITY OF .ZEPHYRHILLS ,:..... .BUILDING DEPARTMENT
I, fa tri c~ }ham j:J5~Y\
provisions of this instrument. r
Ihe undersigned states and affirms that he or she is desirous of constructing, renovating, atlding to or
reroofing his or her own domicile, .that he or she. actually occupies, or will occupy by l r-e~ said
domicile, and same is not for rent, lease or sale. That he or she shall comply' with the following
conditions:
have read and -fully understand and ,agree to the
1. ThaUhe owner and he or she alone shalLact as the builder-for all phases of construction.
2. Thatthe'owner will comply with all provisions of the City of Zephyrhills ordinances and codes
pertinent to the building.
3. That in the event various phases of construction ate subcontracted, he will engage only
properly licensed subcontractors and will personally supervise such work.
4. That in the event the Building Inspector shall require corrections to be made, the owner will
assume 'full 'responsibility -to insure they are made" and upon completion will call for a
reinspection before proceeding with the,building.
5. That the owner shall assume full responsibility for the construction and will not expect
supervision of his work from the City of Zephyrhills Building Department.
6. That prior to final inspection any additional fees, including reinspection fees, must be paid in
full. A written request from this office shall constitute an official notice to pay additional fees.
7. That the owner shall comply with all City, State and Federal laws in regard to social security,
workman's compensation, lien laws, etc., where applicable.
.8. That the owner, shall comply with all the safety codes issued by the Florida Industrial
Commission. '
9. State law requires construction to be done by licensed contractors. You have applied for a
permit under an exemption to that law. The exemption allows you, as the owner of your
property, to act as your own contractor with certain restrictions even though you do not have
a license. You must provide direct onsite supervision of the construction yourself. You may
build or improve a one-,.family or two-family residence or a farm outbuilding. You may also
build or improve a commercial building, provided your costs do not exceed $75,000. The
building or residence 'mustbe for your own use or occupancy. It may not be built or
substantially improved if for sale or lease, which is a violation of this exemption. You may not
hire an unlicensed person to act as your" contractor or to supervise, people working on your
building. It is your responsibility to make sure that people employed by you have licenses
required by state law and by county or municipal licensing ordinances. You may not delegate
the responsibility for supervising work to a licensed contractor who is not licensed to perform
the work being done. Any person working on your building who is not licensed must work
under your direct supervision and must be employed by you, which means that you must
deduct F.I.C.A. and withholding tax and provide work~r's compensation for that employee, all
as prescribed by law. Your construction must comply with all applicable laws,ordinances,
building codes, and zoning regulations.
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CITY OF ZEPHYRHILLS BUILDING DEPARTHBNT
'Patr~ C/o.. -rlrCJrn;O"~11
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PARCEL I .D.. # /2-2 b- D J 0 ti- tJOOO() - tJo 2()
OWNER
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS.
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UTILITY BUILDINGS J
MUST SHCW SIZE &
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(NOTE EXAMPLES 1 & 2) STREET
1. SETBACKS FOR Rl, R2 ZONING
60'
10'
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2. SETBACKS FOR R3 ZONING
60'
1 0'
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10' EXISTING 10'
PRCPCSED
20'SGL FAM 30 'DUPLEX
1 0'
FRONT PROPERTY LIRE
FRONT PROPERTY LINE
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
-Patr~C/4. -r/rorn~7~n
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JOB LOCATION _'i () 2 Lf ) L. ~'W;; r /}1 ~I
PARCEL I.D.' # /2-2b- D J OIJ- tJOOOO- t>62()
OWNER
SIIOW ALL EXISTIt1G & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS.
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2. SETBACKS FOR R3 ZONING
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10' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
FRONT PROPERTY LINE
FRONT PROPERTY LINE
BOUNDARY SURVEY
Client: JOHN BULOVA & PATRICIA THOMPSON
Work order number: 12611-ZH
Date of Survey: AUGUST 9, 1999
_ Ms. Patricia Thompson
5024 201h St
, Zephyrbills, FL 33542
C. Fred Deuel and Asse
5151 Gall Blv
Zephyrhills. Floride
Phone: (813) 782
Fax: (813) 782-
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NORTH LINE OF SUMMER HILL SUBDIVISION~ _ _ _ _ _
LOT 1
NORTHWEST CORNER
OF LOT 5
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LOT 4
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SOUTH A VENUE
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SOUTH LINE OF SUMMER
NOTICE OF-COMMENCEMENT
1111111111I1111111111111111 II1I1 I1111 1111111111 11111 1111111I
2008050733
PennitN~., ' '^~~ 25Vv1r\~~\ lISlAh.JTv,/?lo7 3' /l\ 38'+3u9- ,
Property~~onNo. L., f~5 5 L<,........h~) \ $tJJ:y. e\~ 31, fl .Ji', ' ' ,
l~~~ v-rr I'Z.. 26'" 21-t!!:>J'!)t) ....tJ~"{)().,.. t;i:J2~OW:P7J.71IZ-"1.6-21~OI.?'''_~~o _
,tHE UNbERSIGNED hereby give' informs you that the IIDprovement will be m, fa" certain real property, and nf accordarice With ~
Section 713.13 of the Florida Statutes, the following information is provided in . NOTICE OF COMMENCEMENT. 0 SO
I.Description of pr?perty (1iG1H, :!9,~ cripJio,1IjJ , 71i ~
a) Street Address: ~ 2 ~ ,~()tfl,f ~~r;"; Jf j~f': :'5 :3 ~ '17-
2.General description of improvements: " ' ,
F/" 3 .OwIier Information ' ' ) ,--L " , A' ~_
.' a) Name and address: ' . c::t:Tr~ <:-i, 1"1 0 Y'l"\.
, b) Name and address of fee simpll(. titl,holder{ifotherthan own )
, c) Interest in properly , (" e.:s I a-~ ct -e... '
,4.Contractor Inform, ation, <" ' . ',',',
a) Name and address: J~ ~~' (!>t.Q~ '
b) TeleJ?hone No.:' ,(8J "7 8(' - ~ ,~ '
5.Surety Information ' , " .
a) Name and address:
b) Amount of Bond:
c) Telephone No.:
6.Lender
a)Name and address:
df1 '
Fax No. (Opt.)
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Fax No. (Opt.)
Phone No.
7. rdentityof person within the State of Florida designated by own,er upon whom notices or other documents maybe served:
a) Name and addfess:
b) Telephone No.: Fax No. (Opt.)
, 8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in: Section
713.13 (l)(b), Florida Statutes:
a) Name and address:
'b) Telephone No.: .FaxNo. (Opt.) _
9.Expiration date ofN otice of Commencement (the expiration date is one year from the date of recording. unless a different date is
specified): "', 'JED PITTMAN, PASCO COUNTY CLERK _
" 04/04/08 11: 29am 1 .r~ ~ '
WARNING TO 0WJ>lER, ANY PAYMENTS MADE BY THE OWNER ~Knd w..ri;Ndt~lOTlCE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDERCHAPTER 713, PART I, SECTION 713.13, .
FLORIDA STA TOTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTEl) ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOuR LENDER OR AN ATTORNEY BEFO~,
COMMENCING WORK OR RECORDING YOuR NOTICE OF COMMENCEMENT.
' "
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~=~~=~ ~c,~Y.~~~ JANa:LClAAK ~,f~ "a~',~
* ~ * MY COMMISSION' DO 50094~ Signat\! OfnC~or ~cr's Auth izcd 0771' ircc, torJPartncrlManagcr
' "}.;.., ' EXPIRES: Aprlf 15, 2010 r I A ~
,-1~OFf\.~'" BondedThruBlId!)etHotaI'fS~"1 ~ I c.:.-i 4 'i v ,~~ 1\
, , PrintName " , , ~',
The foregoing instrument was acknowl~dged before me this 4d day of4JN ' / . 200: t! . by /~Ir; c. ; ~--;J;111,f>>>>
as " , , '(type of authority, e.g. officer, trustee, attorney
m fuct) to. . .. (name of'""".~ 7-ofWhom ~ot wa.o oxecnt ). .
Personally Known L OR Produced IdentificatIOn ---,- Notary SI ture '~, ~ ~
T)'pe ofIdentification Produced
Name (print)
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, r declare that r have read the foregomg and that
the facts stated in it are true to the best of my lmowledge and belief.
FORMSINOC,rvsd2007
Signature of Natural Person Signing Above
I
II
, SQ. FEET PRICE
l ! ,
\
i MAIN OR LIVING 600 $49.00
; t
~ OTHER AREA UNDER ROOF: - $94.00
, 1
,
OTHER - $-1
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VALUATI/DN $29,400.00 ..)
... . !
FEE SHEET $180.00 i
l
ADDRESS ,
f
DRIVEWA'(
BUILDING $183.60 V
ELECTRICAL. ~0.50 --=> V
PLUMBING
MECHANICAL
SUB-TOTAL $224.10
RADON r' :66.UU --
TOTAL "- --S230.10
SEWER $-
WATER $-
IRRIGATION $-
TOTAL $-
I
WATER METE~
IRRIGATION METE
~ I
FIRE DEPARTMENT FEES
PLANS TOTAL
INSPECTION TOTAL
PERMIT TOTAL
TOTAL $-
PUBLIC SAFETY IMPACT FEES
POLICE $-
FIRE $-
5% $-
TOTAL $-
~
~
SUB-TOTAL
$230.10 I
$- I
PARK IMPACT FEES~
SIF'S $-
100.0'* $-
1.0% $-
TOTAL $-
I
I
T1F~ $- I
$-
$-
TOTAL: $230.10 I