-fld /SK SYegov.pascocountyfl.net/Content/ECM/Consolidated...Jan 10, 2008  · LDC 402.4.A. and...

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R FINAL CERTIFICATE OF CAPACIN REQUIRED FOR BUILDING PERMIT ISSUANCE FOR NON-RESIDENTIAL DEVELOPMENT. RESIDENTIAL DEVELOPMENT NOT REQUIRING SUBDIVISION PLAT, AND RESIDENTIAL SUBDIVISIONS INTO MORE THAN ONE DWELLING UNIT PER LOT; FINAL PLAT APPROVAL FOR RESIDENTIAL SUBDIVISIONS INTO ONE DWELLING PER LOT; AND PUBLIC SCHOOL PRELIMINARYlCONSTRUCTlON PLAN APPROVAL To Be Completed By Department Responsible For Appr?va! Sought; Completed Certificate Must Be Attached To the Agenda Item and Approval Document 1 I 'I 6 Completed Application Received On (Date): (fl/ 75-13 7 Certificate Form Completed By: / I / Parcel I.D. Ws: / 3 3 (p 1 9 0 0 0 0 0 0 Y'oO C) 0 9 0 . 0 100 (attach survey if project includes portion of parcel) Project Name: ?-C/O Subdivision Name: d TAZ No.: '2 g4 TAZ Map Version: G 1 3 - S'orfi- G, 'f4+?P# FL 336~-3 Applicant Name, Address, and Telephone Number: om,~n-:!kh , c FL LY ~'~7~fmor1~ J Job Site Address: Project has direct connection (See 402.5.C.5.A.) to following collectorslarterials: R/D /as(& -fld /SK SY J Aggregated With Another Project ?(See 402.5.C.5.B) Yes No (If yes, identify project name and I.D. No. / 1 Prior building(s) on or after January 1. 19857 Yes /NO (If yes, identify use and unitslsq. ft. 1 Appr al Sought (Check all that apply): 9* Building Permit (Non-Residential) Final PlaVSubdivision Into One Dwelling Unit Per Lot - Building Permit (Residential no Plat Required) Public School PreliminarylConstruction Plan Approval Building Permit (Residential and Subdivision lnto More - Than One Dwelling Unit Per Lot) -. TYPE OF DEVELOPMENT (Use TIS Exhibits for land use description and units of measurement, and if not on Exhibits, use ITE land use codes and description) (If not identified by applicant, use maximum allqwed by approved zoning or land use, whichever is less) Residential Nonresidential (Use ITE Land Use Codes and units of measurement) Single Family D.U. Specific Use 2 4 I J~;~OO iq. ft. Mobile Home Park D.U. . . 1 - sq. ft. Congregate Care Facility D.U. 1- (specify unit) Apartments D.U. Low-Rise CondolTownhome D.U. Storage1 Display Area 1 - sq. ft. Hi-Rise Condominium (3 or more stories) D.U. Other Residential D.U. ISSUANCE DATE: (Use date of final zoningldevelopmentorder approval) Authorized Signature EXEMPTIONS AND LIMITED EXEMPTIONS *EXEMPTIONS (See 402.6 and Concurrency Applicability): 4 A. ALL FACILITIES Approved school consistency review or preliminarylconstruction plan for the school prior to December 1.2006 Complete application prior to December I, 2006 (Apply old 402 and TIS Guidelines) Unexpired Certificate of Level of Service Compliance Unexpired DRI approved prior to April 9, 1991 Unexpired Initial Certificate of Capacity None of the above - B. ROADS ONLY Unexpired DRI applied for or approved prior to December 1,2006 / unexpired Traffic Study Completed After June 4,1999 Unexpired approved Traffic Study Methodology Prior to December 1, 2006 (Apply old TIS Guidelines) Unexpired approved Development Agreement exempt from transportation concurrency None of the above Exemption Expires On: ~ J ! A . Authorized Growth flanagement Signature (required for roads only) *Completed Certificate of Capacity with limited exemptions or with exemptions for which no prior certificate of capacity has been issued must be distributed to the following: (1) Growth Management Administrator, (2) Engineering Services Director, (3) Parks and Recreation Director, (4) Transportation Manager, (5) Development Review Director, (6) MPO Transportation Planning Coordinator, (7) Assistant County Administrator for Development Services, (8) Assistant County Administrator for Uti (10) BOCC as a noted item on agenda (excluding (3) and (8) if exemption is for roads only). (Reauires Authorized Signature) *LIMITED EXEMPTIONS (See 402.7; requires signature from County Administrator or his designee): Public School or School Required for School Concurrency Governmental Building or Use Target Business (requires letter from PEDC) Employment Center Affordable Housing (requires letter from Community Development) TND Development Exemptions (check all that apply): Impact Fees or Interlocal Agreement As Proportionate Share (Roads Only) Traffic Study Waiver (Roads Only) 3 years committed capacity vs. 1 yr. (Roads Only) Extension of Certificate wlo Additional Review Other (requires CAO Approval) Authorized Signature

Transcript of -fld /SK SYegov.pascocountyfl.net/Content/ECM/Consolidated...Jan 10, 2008  · LDC 402.4.A. and...

Page 1: -fld /SK SYegov.pascocountyfl.net/Content/ECM/Consolidated...Jan 10, 2008  · LDC 402.4.A. and Public Facilities Element 1 .I and 1.3 Sewer (Utilities) LDC 402.4.A. and Public Facilities

R FINAL CERTIFICATE OF CAPACIN REQUIRED FOR BUILDING PERMIT ISSUANCE FOR NON-RESIDENTIAL DEVELOPMENT. RESIDENTIAL DEVELOPMENT

NOT REQUIRING SUBDIVISION PLAT, AND RESIDENTIAL SUBDIVISIONS INTO MORE THAN ONE DWELLING UNIT PER LOT; FINAL PLAT APPROVAL FOR RESIDENTIAL SUBDIVISIONS INTO ONE DWELLING PER LOT; AND

PUBLIC SCHOOL PRELIMINARYlCONSTRUCTlON PLAN APPROVAL To Be Completed By Department Responsible For Appr?va! Sought; Completed Certificate Must Be Attached To the Agenda Item and Approval Document

1 I 'I 6

Completed Application Received On (Date): ( f l / 75-13 7 Certificate Form Completed By: / I /

Parcel I.D. Ws: / 3 3 ( p 1 9 0 0 0 0 0 0 Y'oO C) 0 9 0 . 0 100 (attach survey if project includes portion of parcel)

Project Name: ? - C / O Subdivision Name: d

TAZ No.: '2 g 4 TAZ Map Version: G 1 3 - S'orfi- G, 'f4+?P# FL 336~-3

Applicant Name, Address, and Telephone Number: om,~n-:!kh ,, c FL LY ~ ' ~ 7 ~ f m o r 1 ~ / J

Job Site Address:

Project has direct connection (See 402.5.C.5.A.) to following collectorslarterials: R / D /as(& -fld / S K SY

J Aggregated With Another Project ?(See 402.5.C.5.B) Yes No (If yes, identify project name and I.D. No. /

1

Prior building(s) on or after January 1. 19857 Yes /NO (If yes, identify use and unitslsq. ft. 1

Appr al Sought (Check all that apply): 9* Building Permit (Non-Residential) Final PlaVSubdivision Into One Dwelling Unit Per Lot - Building Permit (Residential no Plat Required) Public School PreliminarylConstruction Plan Approval

Building Permit (Residential and Subdivision lnto More - Than One Dwelling Unit Per Lot) -.

TYPE OF DEVELOPMENT (Use TIS Exhibits for land use description and units of measurement, and if not on Exhibits, use ITE land use codes and description)

(If not identified by applicant, use maximum allqwed by approved zoning or land use, whichever is less)

Residential Nonresidential (Use ITE Land Use Codes and units of measurement)

Single Family D.U. Specific Use 2 4 I J ~ ; ~ O O iq . ft. Mobile Home Park D.U. . . 1 - sq. ft. Congregate Care Facility D.U. 1 - (specify unit) Apartments D.U. Low-Rise CondolTownhome D.U. Storage1 Display Area 1 - sq. ft. Hi-Rise Condominium (3 or more stories) D.U. Other Residential D.U.

ISSUANCE DATE: (Use date of final zoningldevelopment order approval) Authorized Signature

EXEMPTIONS AND LIMITED EXEMPTIONS *EXEMPTIONS (See 402.6 and Concurrency Applicability):

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A. ALL FACILITIES Approved school consistency review or preliminarylconstruction plan for the school prior to December 1.2006 Complete application prior to December I, 2006 (Apply old 402 and TIS Guidelines) Unexpired Certificate of Level of Service Compliance Unexpired DRI approved prior to April 9, 1991

Unexpired Initial Certificate of Capacity None of the above -

B. ROADS ONLY

Unexpired DRI applied for or approved prior to December 1,2006 / unexpired Traffic Study Completed After June 4,1999

Unexpired approved Traffic Study Methodology Prior to December 1, 2006 (Apply old TIS Guidelines) Unexpired approved Development Agreement exempt from transportation concurrency None of the above

Exemption Expires On: ~ J ! A .

Authorized Growth flanagement Signature (required for roads only)

*Completed Certificate of Capacity with limited exemptions or with exemptions for which no prior certificate of capacity has been issued must be distributed to the following: (1) Growth Management Administrator, (2) Engineering Services Director, (3) Parks and Recreation Director, (4) Transportation Manager, (5) Development Review Director, (6) MPO Transportation Planning Coordinator, (7) Assistant County Administrator for Development Services, (8) Assistant County Administrator for Uti (10) BOCC as a noted item on agenda (excluding (3) and (8) if exemption is for roads only).

(Reauires Authorized Signature) *LIMITED EXEMPTIONS (See 402.7; requires signature from County Administrator or his designee):

Public School or School Required for School Concurrency

Governmental Building or Use Target Business (requires letter from PEDC) Employment Center Affordable Housing (requires letter from Community Development) TND Development

Exemptions (check all that apply): Impact Fees or Interlocal Agreement As Proportionate Share (Roads Only) Traffic Study Waiver (Roads Only) 3 years committed capacity vs. 1 yr. (Roads Only)

Extension of Certificate wlo Additional Review Other (requires CAO Approval)

Authorized Signature

Page 2: -fld /SK SYegov.pascocountyfl.net/Content/ECM/Consolidated...Jan 10, 2008  · LDC 402.4.A. and Public Facilities Element 1 .I and 1.3 Sewer (Utilities) LDC 402.4.A. and Public Facilities

CONCURRENCY REVIEW (To Be Completed by Department Listed Below Only; Leave Blank if a 402.6 Exemption Applies)

Comp. Plan Elements Meets LOS Std. Review Standards Conditional

Yes No Approval(attach conditions of

Roads (Growth Management) 0 10 LDC 402.5, Transportation Element 2.4.1 and TIS Guidelines

Waterwater Supply (Utilities) 0 El 0 LDC 402.4.A. and Public Facilities Element 1 .I and 1.3

Sewer (Utilities) I n 0 LDC 402.4.A. and Public Facilities Element 3.1

ParksIRecreation (Parks) n u 0. LDC 402.4.8. and Recreation and Open Space Element 1.1

Solid Waste (Utilities) 0 0 0 LDC 402.4.A. and Public Facilities Element 4.1

Mass Transit (Public Transportation) 0 0 E l LDC 402.4.A. and Transportation Element 5.1

Drainage (Development Review) 0 0 I 3 LDC 402.4.A. and Public Facilities Element 5.1

L I LL0 Reviewed by: Authorized Signature:

\ Title Date

Page 3: -fld /SK SYegov.pascocountyfl.net/Content/ECM/Consolidated...Jan 10, 2008  · LDC 402.4.A. and Public Facilities Element 1 .I and 1.3 Sewer (Utilities) LDC 402.4.A. and Public Facilities

FINAL CERTIFICATE OF CAPACITY REQUIRED FOR BUILDING PERMIT ISSUANCE FOR NON-RESIDENTIAL DEVELOPMENT, RESIDENTIAL DEVELOPMENT

NOT REQUIRING SUBDIVISION PLAT, AND RESIDENTIAL SUBDIVISIONS INTO MORE THAN ONE DWELLING UNIT PER LOT; FINAL PLAT APPROVAL FOR RESIDENTIAL SUBDIVISIONS INTO ONE DWELLING PER LOT; AND

PUBLIC SCHOOL PRELIMINARYlCONSTRUCTlON PLAN APPROVAL To Be Completed By Department Responsible For Appryvaj Sought; Completed Certificate Must Be Attached To the Agenda Item and Approval Document

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Completed Application Received On (Date): [k'/ Z-/O 7 Certificate Form Completed By: 1 ,Im -* J *-

I 1

parcel 1 . ~ . gs: 1, 3 2 ((, 1 9 0 0 0 0 0 0 'VOO 0 0 9 0 ' 0 10 0 (attach survey if project includes portion of parcel)

Project Name: I ? f / o Subdivision Name: J

TAZ No.: '2 K 4 TAZ Map Version: G I 3 - s;,~+? G , 'Tfl-vPn. FL - 5 3 6 ~ 3

Applicant Name, Address, and Telephone Number: f l , ~ m , f l n n , ~ ~ f i jbh FL l- LC 6 1 8 7 M ? . ~ L I r l 4 / J

Job Site Address:

Project has direct connection (See 402.5.C.5.A.) to following collectors/arterials: R / D Qsfn .Ld /

J Aggregated With Another Project ?(See 402.5.C.5.B) Yes No (If yes, identify project name and I.D. No. 1

Prior building@) on or after January 1, 19857 Yes -40 (If yes, identify use and unitslsq. ft. )

Appr a1 Sought (Check all that apply): 9" Building Permit (Non-Residential) Final PlaffSubdivision Into One Dwelling Unit Per Lot - Building Permit (Residential no Plat Required) Public School PreliminarylConstruction Plan Approval

Building Permit (Residential and Subdivision lnto More - Than One Dwelling Unit Per Lot) -.

TYPE OF DEVELOPMENT (Use TIS Exhibits for land use description and units of measurement, and if not on Exhibits, use ITE land use codes and description)

(If not identified by applicant, use maximum allowed by approved zoning or land use, whichever is less)

Residential Nonresidential (Use ITE Land Use Codes and units of measurement)

Single Family D.U. specific use 2 / 4 I J&):$(oo sq. ft. Mobile Home Park D.U. . I - sq. ft. Congregate Care Facility D.U. 1 - (specify unit) Apartments D.U. Low-Rise Condofrownhome D.U. Storage1 Display Area 1 - sq. ft. Hi-Rise Condominium (3 or more stories) D.U. Other Residential D.U.

EXEMPTIONS AND LIMITED EXEMPTIONS (Re *EXEMPTIONS (See 402.6 and Concurrency Applicability): '. A. ALL FACILITIES

Approved school consistency review or preliminary/construction plan for the school prior to December 1,2006 Complete application prior to December I. 2006 (Apply old 402 and TIS Guidelines) Unexpired Certificate of Level of Service Compliance Unexpired DRI approved prior to April 9, 1991

Unexpired Initial Certificate of Capacity None of the above -

B. ROADS ONLY

Unexpired DRI applied for or approved prior to December 1,2006 unexpired Traffic Study Completed After June 4, 1999 Unexpired approved Traffic Study Methodology Prior to December 1, 2006 (Apply old TIS Guidelines) Unexpired approved Development Agreement exempt from transportation concurrency None of the above

Exemption Expires On:

ulres Authorized Signature) *LIMITED EXEMPTIONS (See 402.7; requires signature from County Administrator or his designee):

Public School or School Required for School Concurrency

Governmental Building or Use Target Business (requires letter from PEDC) Employment Center Affordable Housing (requires letter from Community Development) TND Development

Exemptions (check all that apply): Impact Fees or lnlerlocal Agreement As Proportionate Share (Roads Only) Traffic Study Waiver (Roads Only) 3 years committed capacity vs. 1 yr. (Roads Only)

Extension of Certificate wlo Additional Review Other (requires CAO Approval)

Authorized Growth Management Signature (required for roads only)

Exemption Revoked On:

ISSUANCE DATE: (Use date of final zoning/development order approval) Authorized Signature

..- ..

Authorized Signature

*Completed Certificate of Capacity with limited exemptions or with exemptions for which no prior certificate of capacity has been issued must be distributed to the following: (1) Growth Management Administrator, (2) Engineering Services Director, (3) Parks and Recreation Director, (4) Transportation Manager. (5) Development Review Director, (6) MPO Transportation Planning Coordinator, (7) Assistant County Administrator for Development Services, (8) Assistant County Administrator for Utility Services, (9) OMB Director, and (10) BOCC as a noted item on agenda (excluding (3) and (8) if exemption is for roads only).

Page 4: -fld /SK SYegov.pascocountyfl.net/Content/ECM/Consolidated...Jan 10, 2008  · LDC 402.4.A. and Public Facilities Element 1 .I and 1.3 Sewer (Utilities) LDC 402.4.A. and Public Facilities

CONCURRENCY REVIEW (To Be Completed by Department Listed Below Only; Leave Blank if a 402.6 Exemption Applies)

corn^. Plan Elements Meets LOS Std. Review Standards Conditional Approval

Yes No (attach conditions of approval or list below) &

Roads (Growth Management)

LDC 402.5, Transportation Element 2.4.1 and TIS Guidelines

Waterwater Supply (Utilities)

LDC 402.4.A. and Public Facilities Element 1 .I and 1.3

LDC 402.4.A. and Public Facilities Element 3.1 Sewer (Utilities)

ParksIRecreation (Parks)

LDC 402.4.B. and Recreation and Open Space Element 1.1

Solid Waste (Utilities)

LDC 402.4.A. and Public Facilities Element 4.1

Mass Transit (Public Transportation)

LDC 402.4.A. and Transportation Ele,ment,S.l

Authorized Signature:

Reviewed by: Cindy A. Zatorski Lead Utilities ln'spector

Development Review Tech I Title

LEXINGTON OAKS LOTS 9 & 10 - PID #12-26-19-0000-00400-00900,0100 - PCU #97-113.27

We have reviewed the referenced parcel and have determined that this parcel is within the existinglfuture areas where water, wastewater andlor solid waste service(s) may be provided by Pasco County Utilities. An Application for Service, per County codes and ordinances, for water, wastewater andlor solid waste service(s) to this property must be submitted and will be subject to the following conditions:

The provision of water and wastewater services is contingent upon the County obtaining adequate water supply from Tampa Bay Water; receiving all the necessary permits and approvals to implement and construct the County's planned system improvements and facility expansions needed to serve the development; and the Developer's, and its successors or assigns, compliance with the conditions of Pasco County Code Chapters 46 and 11 0, (including but not limited to the obligation to execute and implement, as applicable, a Utility Services Agreement and a Master Utility Plan, both acceptable to the County, and the payment of water andlor wastewater impact fees).

Likely points of service connection to the County's existing water transmission and wastewater collection facilities may be located at significant distances and off-site of the project development area. Off-site facilities and any on-site facilities will be addressed, as applicable, through the development approval process and approval of a project specific Master Utility Plan (MUP). Furthermore, the County may, as a matter of standard utility service policy, require necessary line extensions by the developer in accordance with the provisions of a standard Utilities Service Agreement. This agreement must be executed between the County and OwnerlDeveloper prior to construction approval of the project.

The provision of solid waste service is contingent upon the County receiving all permits and approvals necessary to implement and construct the County's planned disposal system improvements and facility expansions needed to serve the development; and the Developer's, and its successors or assigns, compliance with the conditions of Pasco County Code Chapter - 90 and other applicable regulatory requirements.

Page 5: -fld /SK SYegov.pascocountyfl.net/Content/ECM/Consolidated...Jan 10, 2008  · LDC 402.4.A. and Public Facilities Element 1 .I and 1.3 Sewer (Utilities) LDC 402.4.A. and Public Facilities

~ N A L CERTIFICATE OF CAPACIN A,

REQUIRED FOR BUILDING PERMI I ISSUANCE FOR NON-RESIDENTIAL DEVELOPMEN1 , .rSIDENTIAL DEVELOPMENT NOT REQUIRING SUBDIVISION PLAT, AND RESIDENTIAL SUBDIVISIONS INTO MORE THAN ONE DWELLING

UNIT PER LOT; FINAL PLAT APPROVAL FOR RESIDENTIAL SUBDIVISIONS INTO ONE DWELLING PER LOT; AND PUBLIC SCHOOL PRELlMlNARYlCONSTRUCTlON PLAN APPROVAL

To Be Completed By Department Responsible For Approval Sought; Completed Certificate Must Be Attached To the Agenda Item and Approval Document A

Completed Application Received On (Date): Certificate Form Completed By: / "- ,IwA) I I

Parcel 1.D. Cs: / 9 9 (r / 9 0 0 0 0 0 0 ' ~ 0 6 0 0 9 0 0 0 (attach survey if project includes portion of parcel)

Project Name: Subdivision Name: d

TAZ NO.: 2- 8 4 TAZ ~ a p version: G I 3 - sul++ G, 'TA-vf'# FL ~ 3 6 0 - 9

Applicant Name, Address, and Telephone Number: P,orn,nlm,tl~~fi4kh dt'l] n C FL L- kid 7 Mt'm~lr~ 2 / S@O /28( J

Job Site Address: OLh p/i~ Project has direct connection (See 402.5.C.5.A.) to following collectorslarterials:

n/o Q . s ~ .fld J Aggregated With Another Project ?(See 402.5.C.5.B) Yes No (If yes, identify project name and I.D. No. )

Prior building(s) on or after January I, 19857 Yes L o (If yes. identify use and unitslsq. ft. )

Appr a1 Sought (Check all that apply): 4* Building Permit (Non-Residential) Final PlatISubdivision Into One Dwelling Unit Per Lot - Building Permit (Residential no Plat Required) Public School PreliminarylConstruction Plan Approval

Building Permit (Residential and Subdivision lnto More - Than One Dwelling Unit Per Lot) -.

TYPE OF DEVELOPMENT (Use TIS Exhibits for land use description and units of measurement, and if not on Exhibits, use ITE land use codes and description)

(If not identified by applicant, use maximum all?wed by approved zoning or land use, whichever is less)

Residential Nonresidential (Use ITE Land Use Codes and units of measurement)

Single Family Mobile Home Park Congregate Care Facility Apartments Low-Rise Condorrownhome Hi-Rise Condominium (3 or more

D.U. , . D.U.

D.U. D.U. D.U.

specific Use 3 / Y I J ~ V O O sq. fi. 1 - sq. ft. 1 - (specify

Storage1 Display Area 1 - sq. ft.

unit)

stories) D.U. Other Residential D.U.

Authorized Growth Management Signature (required for roads only)

EXEMPTIONS AND LIMITED EXEMPTIONS *EXEMPTIONS (See 402.6 and Concurrency Applicability):

4

A. ALL FACILITIES Approved school consistency review or preliminarylconstruction plan for the school prior to December 1,2006 Complete application prior to December I, 2006 (Apply old 402 and TIS Guidelines) Unexpired Certificate of Level of Service Compliance Unexpired DRI approved prior to April 9, 1991

Unexpired Initial Certificate of Capacity None of the above -

B. ROADS ONLY

Unexpired DRI applied for or approved prior to December 1,2006 unexpired Traffic Study Completed After June 4,1999 Unexpired approved Traffic Study Methodology Prior to December 1, 2006 (Apply old TIS Guidelines) Unexpired approved Development Agreement exempt from transportation concurrency None of the above

Exemption Expires On:

Exemption Revoked On:

ISSUANCE DATE: (Use date of final zoning/development order approval) Authorized Signature

(Requires Authorized Signature) *LIMITED EXEMPTIONS (See 402.7; requires signature from County Administrator or his designee):

Public School or School Required for School Concurrency

Governmental Building or Use Target Business (requires letter from PEDC) Employment Center Affordable Housing (requires letter from Community Development) TND Development

Exemptions (check all that apply): Impact Fees or Interlocal Agreement As Proportionate Share (Roads Only) Traffic Study Waiver (Roads Only) 3 years committed capacity vs. 1 yr. (Roads Only)

Extension of Certificate wlo Additional Review Other (requires CAO Approval)

Authorized Signature

*Completed Certificate of Capacity with limited exemptions or with exemptions for which no prior certificate of capacity has been issued must be distributed to the following: ( I ) Growth Management Administrator, (2) Engineering Services Director, (3) Parks and Recreation Director, (4) Transportation Manager. (5) Development Review Director, (6) MPO Transportation Planning Coordinator, (7) Assistant County Administrator for Development Services, (8) Assistant County Administrator for Utility Services, (9) OMB Director, and (10) BOCC as a noted item on agenda (excluding (3) and (8) if exemption is for roads only).

Page 6: -fld /SK SYegov.pascocountyfl.net/Content/ECM/Consolidated...Jan 10, 2008  · LDC 402.4.A. and Public Facilities Element 1 .I and 1.3 Sewer (Utilities) LDC 402.4.A. and Public Facilities

CONCURRENCY REVIEW (To Be Completed by Department Listed Below Only; Leave Blank if a 402.6 Exemption Applies)

Camp. Plan Elements Meets LOS Std. Review Standards Conditional

Yes No Approval(attach conditions of

Roads (Growth Management) 0 10 LDC 402.5, Transportation Element 2.4.1 and TIS Guidelines

Waterwater Supply (Utilities) 0 0 0 LDC 402.4.A. and Public Facilities Element 1 .I and 1.3

Sewer (Utilities) 0 0 0 LDC 402.4.A. and Public Facilities Element 3.1

ParksIRecreation (Parks) 0 0 0. LDC 402.4.B. and Recreation and Open Space Element 1 .I

Solid Waste (Utilities) 0 0 0 LDC 402.4.A. and Public Facilities Element 4.1

Mass Transit (Public Transportation) @( 0 0 LDC 402.4.A. and Transportation Element 5.1

Drainage (Development Review) . 0 0 El LDC 402.4.A. and Public Facilities Element 5.1

Reviewed by: !A/; ( L4 f l S ~uthorized Signature:

7-7/0747 Tide Date