G:\Zoning 2009\Forms and Sample documents\Website Documents\Planning & Zoning\Forms\PDFs\lotcoverage.pdf Modified: 10.25.2012
City of Pompano Beach
Department of Development Services
Planning & Zoning Division
100 W. Atlantic Blvd Pompano Beach, FL 33060
Residential Lot Coverage Sheet
Phone: 954.786.4634 Fax: 954.786.4666
_________________________________ ______/________/________ ___________________
Address Date of survey provided PRA#
(1) Total Lot Square Footage = __________ X ____________ = _____________
lot line Front Side (A)
(2)
Impervious Area's Square Footage
Existing impervious area
House footprint (include building, covered entry, covered patio, detached
garage & shed)
Driveway
Walkway
Pool
Deck
Equipment pad (s)
Patio
Other:
New impervious area being added - per attached plans
Describe:
Describe:
Total of all impervious area:
(B)
Total lot coverage of impervious % ___________ / ___________ = _______________
(B) / (A) = < 70.%
Additional information ______________________________________________________________________
__________________________________________________________________________________________
I hereby affirm that the above information is true and correct.
____________________________________ ____________________ ______/________/________
Prepared by: Title Date
