HomeMy WebLinkAbout16-17398 CITY OF ZEPHYRHILLS
• ' 5335-8TH STREET
(sis)�so-oo20 17,398
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MOBILE HOME SET-UP ,,�1
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PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17398 Address: 37154 NEUKOM AVE LOT 29
' Permit Type: MOBILE HOME ZEPHYRHILLS, FL.
Class of Work: MOBILE HOME SET-UP Township: Range: Book:
' Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0180-00000-2990
Improv. Cost: 18,000.00 OWNER INFORMATION
Date Issued: 7/14/2016 Name: HUEY RICKY L & NANCY
Total Fees: 7,387.14 Address: 6030 FOREST LAKE DR
Amount Paid: 7,387.14 ZEPHYRHILLS FL 33540-7521
Date Paid: 7/14/2016 Phone: 813-417-1428
Work Desc: INSTALL NEW MOBILE HOME 24 X 52
� CONTRACTOR S � APPLICATION FEES
AL FL RIDA MA UFACTU E HOME S MOBILE HOME ELECTR CAL 40.00 SEWER CONNECTION MOBILE 1,005.00
LILLEY AIR CONDITIONING INC MOBILE HOME SET-UP 60.00 WATER CONNECTION MOBILE HC 320.50
LILLEY AIR CONDITIONING INC MOBILE HOME MECHANICAL 40.00 MOBILE HOME PLUMBING 40.00
ALL FLORIDA MANUFACTURED HOME S TRAFFIC IMPACT FEE 99% 3,595.68 TRAFFIC IMPACT FEE 1% 36.32
WATER METER RES 3/4" 473.78 IRRIGATION METER 473.78
IRRIGATION CONNECTION 175.00 POLICE IMPACT FEE 254.00
FIRE IMPACT FEE 273.00 PUBLIC SAFETY 5% 26.35
PARK FEES MH 573.73
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- Ins ections Re uire
MOBILE HOME SET-UP
MOBILE HOME ELECTRIC
MOBILE HOME A/C
MOBILE HOME PLUMBING
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
, local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
� �
i O TRACTORS SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� ��;�aPrintFo�m��--
, CITY OF ZEPHYRHILLS
UTILITIES WORK ORDER
WATER ACCOUNT NO.: DATE: May 31,2016
OWNER/RENTER/BUSINESS:Ricky&Nancy Huey
CONTACT PERSON:
� ���,�� � h�e a f�
MAILING ADDRESS: �Neukom Ave lot 299 pHONE NUMBER: �r� � J �
J `i'
Zephyrhills, FL 33540 EMAIL ADDRESS:
� 3?r�s�
SERVICE ADDRESS: ,3�s4 Neukom Ave
SHUT OFF SERVICE ❑X OX WATER
TURN ON SERVICE ❑ ❑ SEWER
I INSTALL METER X❑ ❑ GARBAGE
READ METER ❑ , ❑X IN CIZY
CHECK MEfER � ❑ OUT CITY
OTHER �
DESCRIBE OTHER: 3/4 irrigation
NUMBER OF UNITS "
DEPOSIT AMOUNT
�
AMOUNT LAST BILL
DATE
MISC. CHARGE
METER: FULL
IIRRIGATION 3/4 I �
WORK COMPLEfED BY&DATE ORDER TAKEN BY: °
COMPLETED
ORDER GIVEN BY:
, Revised 9/2010
` � 3� P.s-�ntsForm
���
CTTY OF ZEPHYRHILLS �
UTILITIES WORK QRDER
VVATER ACCOUNT NO.: DATE: May 31,207 6
OWNER/RENTER/BUSINESS:Ricky&Nancy Huey CONTACT PERSON:
3
.�rs,y �� ,.��1��.
NIAILING ADDRESS: 3�A Neukom Ave!ot 294 p�{p�� ��MBER:
����is�-� �-��1�
Zephyrhills, FL 33540 EMAIL AppRESS:
3? <<�f ,
SERVICE ADDRESS: f39�eukom Ave
SHUT OFF SERVICE � �X WATER
TURN ON SERVICE ❑ ❑ SEtNER
INSTALL MECER �X ❑ GARBAGE
READ MEfER ❑ (]X IN CITY
CHECK METER ❑ ❑ OtJT CITY
OTHER ❑
DESCRIBE OTHER: 3/4 water
NUMBER OF UNITS
DEPO5IT AMOUNT
AMOUNT LAST BILL
DATE
I�ISC. CHARGE
MEfER: FULL 3/4
IIRRIGATION �
WORK COMPLETED BY$c pATE ORDER TAKEN BY. �.
CQMPLEfED
ORDER GIVEN BY:
fi l �
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Revised 9/2q10
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: PA�CO COUI�TI(, FLORIDA
Permit No. r �3��
Date Permitted -.g -
Builder Name/Owner Name )`/-[l�i��O�'(��i�r�v`���Control#
County Parcel No. ���Z/-�j"/�j_dl�(�G� SubDiv: ���.
AddresslLocation �� /���d� � �L Z��
Classification/Type of Use /1ijll��e ���
TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit:
Exempt � Yes � No How Determined
Impact Fee Amount $ U��J�Z , ��� Zone No. T,qZ:
, SCHOOL IMPACT FEE
, Account (056) Single-Family Detached House Amount $ _
(057) Mobile Home ��
- (058) Other Residential
123) Collection Fee
' Exempt [� Yes �] No How Determined
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
_ Recreation Account Recreation Credit Recreation Total
Zone TOTAL AMOUNT $��73�7\�
' � Exempt � Yes � No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Faciliry Credit Facility Total
Exempt � Yes � No How Determined Total Amount
RESOURCE FEE ERU
TOTALAMOUNT
Prepared By r Checked By
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
Acknowledgemant below does not Imply acceptance of concurrence,but slmply receipt of a copy of this form,placing
lhe buflding permit owner on notice of this assessment and thQ condltions of payment for same.
I
DATE RECEIVED BY
RECEIPT NO. DATE gy
�--
81&780-0020 City of Zephyrhills Permit Application Faz 87&780-0021
. ' Building Department
Date Received �Z J� Phone Contact for Permktin ' �
. �Owners Name �__..� ' � O.wner Phone Number •�
Owner's Addreas � G���er�hone Number
Fee Slmple TiUeholder Name Owner Phone Number
Fee Slmple Titlehalder Address '
JOB ADDRESS `,� � � LOT i/ �
SUBDMSION '�ARCEL ID# �� "�W' `O
� ' (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTf� ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL �� REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION OGK Q FRAME Q STEEL, Q -
DESCRIPTION OF WORK ��AJI� Y�I�J�.
1 �
BUILDING SIZE � SQ FOOTAGE HEIGHT Y
QBUILDING $�j q-��.� VALUATION OF TOTAL CONSTRUCTION
�l)
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING, $ /
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �i\�U� ^,�
/v C,�/
QGAS Q ROOFING Q SPECIALTY Q OTHER �j �I���� I
� c�
� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY �YY� �S
SIGNATURE REc�s�t�o Y/ N �cURREn Y/N
Address Q ` 1 License# L
ELECTRICI COMPANY �
SiGNATURE REGISTERED Y! N �e cuwten Y/N
Address �/ icense#
PLUMBER COMPANY Y
SIGNATURE REGISTERED Y! N �cuwten Y/N
Address � � License# �
MECHANICAL COMPANY �
SIGNATURE EGISTERED Y/ N 'e Cutta�n Y/N
Address � License#
OTHER COMPANY
SIGNATURE „REGISTERED Y/ N FEE cuwtEn Y/N
Address License#
111111111111111111111111111111111111111111111111111111111111111�1111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buildfng Plans;(1)set of Energy Forms;R-O-W Pertnit for new constructlon,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwatar Plans w!Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction.
Minimum ten(10)working days efter submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence inslalled,
Sanitary Facilities 8�1 dumpster.Site Wor1c Permit Tor all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW constructfon. �
DireeUons:•
Fill out application completely.
Owner 8 ConVactor sign 6ack of application,notarized
If over E2500,a NoUce of Commencement is requlred. (A/C upgrades over 57500)
•• Agent(far the contractor)or Power of Attomey(for the owner)would be someone with notarized lerier from owner authorizing same
OVER THE COUNTER PERMITTiNG (copy of conVact required)
Reroofs if shingles . Sawers Service Upgrades AIC Fences(PIoUSurvey/Footage)�� � _ • •• - - '
,' Driveways-Not ovei Counter if on public roadways..needs ROW ; _ � , , . , , ' .
, ' ' �' • , � � �r , - . -' _ „ •
NOTICE OF DEED RESTRICTIOWS: The undersigned understands that this pertnit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions. "
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILiTIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors,_he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned undorstands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands,that such fees,as may be due,will 6e identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certfficate of occupancy"or final power�elease. If the project does not involve a certificate of occupanoy or
final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. '
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement. �
CONTRACTOR'SIOWNER'S AFFIDAVIT: I ce�tify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as�indicated. I certify that no work or instailation has
commenced prior to issuance of a permit and that ail work will be performed to meet standards of all laws rec�ulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work,and t�at it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmentai Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WatedWastewater Treatrnent.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilita6ve ServiceslEnvironmental Health Unit-Wells, Wastewater Treatrnent,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
, - Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Fiood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
' "compensating'volume"wiil be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida. �
- If the fill material is to be used in Flood Zone"A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fiil the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fiil is found to adversely affect adjacent p�ope�ties,the owner may be cited for violating
the conditions of the building permit issued under the attached permft application,for lots less than one(1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to.proceed with the work and not as authority to violate,cancel,alter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless ihe work authorized•by such permit is commenced within six'months of permit issuance,or if work auttiorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and wiil demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN'YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT_ NANCING,COPISULT
WITH YOUR LENDEB-OR=k NEY BEFORE RECORDING YOUR NOTICE O MM CEMENT.
FLORIDAJURAT 03) _ _
OWNER OR�G CO TRACTO
Su i nd �lUi sw rft befo
r-
is/ e e n31ty ow^m ha ave produced i are onally n m r ha ave produced �
as identification. as identificalion.
�tary=blic Notary Public
Commis on a. Commission o. �v
Name of Notary'typed,printed or a
Name of Notarys �Yy,
`:a ,, '� �,�, L JENE BLACK
i ,�ti�: iy� L JENE BLACK =+ ,. MY COMh+,iSSION A FF243095
_.; = MY COMMISSION n FP 243095 „:,�••'a; EXPIRES:October 20,2019
i;;��'s'= EXPIRES:October 20,2019 '%�`„q;;;°P'� Bonded Thru No
q;;�. Bonded ThN Notary public Undenvriters �ry Pubfic Undenvriters
. . ,. , , � I
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_ - - • `,� � PASCO COUNTY � .
_ ` �� , BUILDING CONSTRUCTION.SERVICES {
�� � 873Y Citizens:Drive Date:7/15/2016
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- Suite�230� �
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New Port Richey,FC 346,54 '
i - 727-847-8127 !
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� *'� 6�CaT A PERMIT ** ;
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Record#: 06POS-00000�0000 -
Receiat# Paid B Check# CC Auth# Cashier ID WorkT station Receiat Date Amt Paid
1618659 Cash 177 BCCCP03W 07/15/2016 $28.88
~ Total Payments: $28.88 !
pavor Ad�re s Phone �
3-1'l�4 NEUKOM AVE
LOT 299 . '
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Comments• �
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MyReports/reports//PRODUCTION/PASCO/ReceiptAA 7/15l2016 Page 2 of 2
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' 2016079545 '
Permlt No. Perce!ID No c')M�p��'��'V�U���lX7�Q'-1—{�
NOTICE OF COMMENCEME T
state ot��C7'C`1CY'A C�Y� ��
7HE UNDERSIGNED haeby gives nolke thet Improvement will be mede to cert�n real pmperry,end'm axordance with Chapter 713,Floride Slatutes,
the foGowlnB�Mo�maBan Is provlded in thie Notice of Canme enl• �N�
1. Desaiption M Property: Part�l Identification No. '� � ,� ' ��p � + W��,`
S�Ad�ss: �1���1 �1 E �J� � �
2. Oeneral Descripdon of Imprw�nent ���� rf�1�Li � (� �l�Q Cl �TY�� ���
•��` O m tD
3. Ovmer Infortnetlon or Lessee lnfortnation if the Lessee contradad fa the improvesnent:
f} N
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l�,D3 "`�r°n � lr�.k� Q� c.���u r 1�:► �S � v m�
Addresa Sta[e ���
Intereat ln rropmry:
Nama a(Fea Simple TNlehdder. ..n.. m
(H ditferent lran Owner Ifsled ebovel tp
�
Address
��h State 7�
4. Contredor. � �
� '�' �1� G S 1� c�.n1�u �"ti S�e�a ,
ConUadors Tdephone No.•
5, Surety:
Neme
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Address City Stete � O l\�
Amwnl oi Bond: S Telephone No.: ,-�w N
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8. Lender. �N�
Nama B z
rm
Address Clty State ;�01 r.
Lenders Tdephone No.: w�7
7, persans withtn the Stete of Flaida deslgneted by fhe owner upon whom notices or other dowments mey he served es provided by .�w o
Sectlat713.�3{1)(a)(�,RotideStBtutes: ���N
Name. � o
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cr r�
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Telephone Number of Desipneted Person: :w�Q,
B. In additlon to himsel(,the owner designetes °t— '��3
' to receHa e copy of tAe Llenafs NoUce av proNAed i�Sectlon 713.13(1)(b),Fiorida Stetutes. I� �
'� -�t
TeJephone Number af Person or Entity Oeslgnated by Owner. A
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9. E�iraUon dele at NoUca ot Cammencemeict(the e�iretlon dete mey not ba betore 1he completlm ot construWm end flnal peyment to the m
conuaGor,but vAll be one year irom tha date M reeanding unless e dffiarent dale Is spedfiad):
WARMNG TO ONMER ANY PAYMENTS MA�E BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1. SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TVNCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST 8E
WITH YOUR LEN ER R AN ATTOR EY B�EFORE COMMENGNGTWORK OR RECORD NO YOUR NOTICE OF COMMENCEAAEPfiSULT
Under penalty of pe�ury,I dedare tliat I have read the foregoing notice o1 commencement and Ihet the fada ateted thereln ere Vue to the best
of my knowledBe end bdief.
STATE OF FLORIDA
COUNTY OF PASCO
nature o er s or lessee's Authortzed
� p((car enager
foreganB instrumentwas acknovA ed before me thl�d�0net a itle/Ofll���� ('�c�n_IS��
as � � (�YPe o!suthorih'�e.g.�offi,) 9t�,attomey in fad)for
(name p behalfotwh enlwesexewted).
Persona0y Kn Q$Produced IdenUBcstlon❑ Notery Slgnature '
Type oi Iden�emlon Produced Name(P�int)
��;"�� ; L JENE 8U1CK -
� MY COMA!ISSIDN Y Ff 24�95
� EXPIRES Qctobar 20.20t9
- ' ,� Baldld TAcu NomY Pub5c Urae.roniter. -
wpdetalbes/noUcecammencernent�c053048
STATE OF FLORIDA,COUNTY OF PASCO ��,�� CpjQ�
THISISTG�CERTIFYTHATTHEFOREGOINGISA �� ',�. (���
TRUE AND CORRECT COPY OF THE DOCUMENT .� ,
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE �, • �
ITNEnSS� MY HAND AND OFFICIAL SEAL THIS ,. � �� e
�IC�� DAY OF �Q��2��1�0 y� s m G���1.o�.. t�c
PAULA S. O'NEIL,CLERK�.COMPTROLLER � (�
. �• - �����r � .� � �
DEPUTY CLERK 1881
BY �' •, 0 w �Cj�'
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City of Zephyrhills
. BUILI3ING PLAN REVIEW COMMENTS
Contractor/Homeowner: � �/V � ��
Date Received: �Z��� �
Site: . ���s� �(,L'IC,Orv\ '�r
Permit Type: � T '� � � 1v1 Q,l-t td_�C� �`�
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Approved w/no comments: Approved w/the below comments: 0 I�enied w/the below comments: ❑
�:
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This comment sheet shall be kept with the pernut andlor plans.
� �����
Kal ' tzer—Plans Examiner Date Contractor andlor Homeowner
. (Required when comments are present)
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uncrest Homes ACOBSEN
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KEY FEATURES: `'=�''�=� -
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• 2 Bedrooms, 2 Baths -- -_ `� t�
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35162 State Road 54 W•Zephyrhills,Florida 33541 •Office(813)788-3300
www.suncrestsales.com • email: sales@suncrestsales.com
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