09/16/2015 Waiver-Building Permit Fees Ci�
}1< MONROE COUNTY GROWTH MANAGEMENT BUILDING DEPARTMENT
t l Middle Keys/Main Office:2798 Overseas Highway,Marathon,FL(305)289-2501
Upper Keys Office:102050 Overseas Highway,Key Largo,FL(305)453-8800
Lower Keys Office:5503 College Road,Key West, (305)295-3990
AFFORDABLE HOUSING APPLICATION
For Waiver of Building Permit Fees
BUILDING DEPARTMENT
DATE: 6/2 5/15 Receipt Date Stamp
Land Future Investments Owner Trepanier & Associates, Inc.
Owner: of KW, LLC Agent:
Land Owner Agent 1421 First St .
Owner PO BOX 4801 ,
Address:
KEY WEST, FL 33041-4801 Address: Key West, FL 33040
Contact Contact
Telephone: Email: kevin@owentrepanier.corn
Project Name: 5582 First Avenue
00125420 . 000000 and Project 5582 First Avenue
RE#: KeyWest, FL 33040
00125380 . 000101 Address:
Attach additional sheet to include all addresses within project for which permit fee waivers are
beings requested):
501(c) (3): YES NO Type of Construction: Renovation
Type of Project—Affordable to median income: .60% 80% C20°) 160%,,
Number of units
Total Number of 4 previously 0 Number of additi al g rn
Units to be on site: units to be devel : rcrip developed on site:
rn 1
Number of units waivers sought: 4 Estimate of fees to be waived per'; t:$5,$95.GO
PLEASE ATTACH A DETAILED SCOPE OF WORK FOR THE PROJECT. If this is aiGovati
project or other improvements are being made in addition to unit construction attach a dparate lisof SI)
items for which permit fees are requested to be waived and the amount of the fees. r- N
0
TOTAL ESTIMATED AMOUNT OF FEES TO BE WAIVED $ $23,422.00- -y
r
Signature l/
Title 46#10-7 , r'ese rie
OMB Approval C,t . 6)L6a,a. 180 Fund
Reimbursement
Date 1\I Qh6"- Source:
County Attorney4 /
Approval Date /C 21 6
County
Administrator
74 --
Approval Date I • 5 • ?-015
BOCC Approval 57-g,m " ?'r Date c9/174. , Di3-'-e4r
W:\Building\BLDG DEPT FORMS\FINAL PDF\FINAL WORD\DRAFTS\AFFORDABLE HOUSING APPLICATION forWaiver of Bldg Permit Fees.doc-6/16/2015