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Florida Green Local Government Standard <br />Final Application Form <br />Submit this form along with an electronic copy of this entire spreadsheet, or a print out of all "sheets" except the "Filter <br />Tool". Also include all documentation necessary to determine compliance. <br />I. Local Government Information <br />Local Government Name: Indian River County <br />Coordinator Name: <br />Coordinator Phone: <br />Coordinator Fax: <br />Coordinator Email: <br />2, Point Totals <br />Himanshu H. Mehta, PE <br />772-770-5089 <br />772-770-5296 _ <br />h m ehta 1G71 r'caOV . Co m <br />Category MAP CPA <br />A 59 29 <br />B 27 10 <br />C 39 22 <br />D 9 4 <br />E 13 6 <br />F 9 4 <br />G Y6 22 <br />H 9 6 <br />1 7 4 <br />J 19 10 <br />Total Maximum Applicable Points 354 <br />Coordinator Address: 132574th Avenue <br />Vero Beach, FL 32960 <br />Category MAP CPA <br />K 16 8 <br />L 94 13 <br />M 4 3 <br />N 7 2 <br />p 9 4 <br />P 23 13 <br />Q 31 12 <br />R 15 9 <br />S 18 7 <br />Total Credit Points Achieved 188 <br />Platinum = 61 - 100% of MAP total <br />= <br />Percent of Maximum Applicable Points Total 53.1 Gold 41 - 60% of MAP total % Silver = 20 - 40% of MAP total <br />Registered = 0-20% of MAP total <br />(Rik is pled level requires documentation of intent to achieve Silver level or above within 3 years.) <br />3. Agreem"t and ApptiattroT'Fflf v, Total application fee $4,500.00 <br />I have reacQhe entire sj;and:va and will iibide by the policies it contains. <br />I understand aiut This fee sows ar FOO$500.00 <br />C evaluator to decide whether Deposit paid <br />a desig aeon will be awarded. I understand that no designation will be $4,000-00 <br />awarders u'N1il.atl. dacuii�!7tat19n_ dFeme i necessary by the evaluator Balance now paid <br />to judge colo fiance will standard teas been provided. I understand <br />e jht FGBC, Inc. reserves the right to Please make check payable to Florida Green <br />that this fee is 1��19;refundabl <br />revoke the dzsir"igccorcdlrg tahe policies set forth in the standard. <br />Building Coalition <br />I have the authority.to'ed i far the local government. <br />Printed Name: Wesle S. Davis -- Title: Chairman, County Commissioner -District 1 <br />�. �i Com---- _ _ Date: <br />Approved <br />Approved <br />County Admin <br />