LOT COVERAGE CALCULATION WORKSHEET
Site Address: __________________________________________________________
Owner Name: _________________________________________________________
Permit Number: _______________________________________________________
Contact Information: ___________________________________________________
Impervious Area’s Existing: Square Feet:
House __________
Walkway __________
Entryway __________
A/C Generator Pad __________
Pool Equipment Pad __________
Patio/Screen Room __________
Pool & Deck __________
Driveway __________
TOTAL LOT % COVERAGE (D ÷ A) X 100 = ___________
Completed by: __________________________
Signature: ______________________________
Date: __________________________________
Total Lot Square Footage: A ____________________
Total All Existing Impervious Area’s: B __________________
New Impervious Area Being Added: C __________________
(pool, patio, driveway, etc)
TOTAL ALL COVERED AREA: B + C = ____________________ D
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