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02-1220
BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N~ 1220 (813) 780-0020 Date 6--- 9 - <tJ ~ BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Property owner... <fl.#~~ J ~( Job Address: ..5ff.:.~~ 5 ~e I Parcell.D, # Water Conn: ~~.WaterMeter: I T.I.F.'s: Zoning: Descriotion of Work r NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances, t3~1/ i&<AjR4?__ Permit Fee ~ c.o. DATE Inspector /,Signature Company Address )JelePhone# PI 3- If~ ~.-..". Valuation or Contract Price City License Registration # State Certified License# Y 1 7 - 0/ yO c.vzO 7 )' 1 - 72. cJ 1--- row N/Y f?c:> IJ 3,50 PLUMBING MECHANICAL BUILDING Ftr. / (,,1-3-07-. r '--1 (~bOTP' Serv, Pre SLB .j /2. ,,7, tJ 1. ,15"0 Rough In Lintel Meter Can FRM. Const, Pole Insul. CL Pool WL Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compresso Final Driveway ?~ ~t - Y~/F--() J f-L'f REINJECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of twenty-five and 00/100 Dollars ($25.00) shall be made for each trip for each trade: a, Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g, Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same, PLA. 1977 LAWS FS 713.13 SEMINOLE FORM 408 NOTICE OF COI\llMENCEMENT ~:a~::fo:lorida PASCO } IPR~PARE IN DUPUCATE' ~~~W!~~~~IIIIIIIIIIIIIIIlIIIIIIIIIIIlIIIIlI"111 The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713~ 13 of the Florida Statutes, the following information is s'tated in this NOTICE OF COMMENCEMENT, ..,....,.... ./I).~?:! Q 9.1."o/r .~.(}Q.o./.O.o., ....,. ,..:,..",..... 38217 5TH AVE, ZEPHYRHILLS, FLORIDA . .. . . . . - . .. . .. .. .. . .. . ~ . .. . .. .. .. .. . . . . .. . .. . . . . . . . . . .. . . . . . . .. . . . . . . . - . . . . . . . . . . . . . . . . . . - . . . .. . . . . . .. . . - . . - . . . . . . . . . . . . . - Rept: 632927 Ree: 6,00 DS: 0.00 IT: 0.00 11/14/02 Dpty Clerk Description of property . . . . . . . .. . . . . . . .. . .. . .. .. .. .. . . . . . . .. .. .. . .. .. -o. .. .. . .. . .. .. . .. . . .. .. .. .. . .. .. . ~ .. . .. . .. . .. .. . .. .. . .. - .. .. .. . . .. .. .. . .. . . . .. .. . . . . . . . . - . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . - . . . . . Gener~1 description of improvements ,., .J;~~,~~~.J;.., ~~~~~,<;.~? . ,~A-~~, , .'. ~,~ y~. .~ ~~~,J;~~ , ~9??, ,~~~. . ~~~~qYJ?D PLAN. Owner,.,." ,~~~, ,9~~, ,~q9~,~, ,~,~~,., .~, ,~9~~9,~. .?,~" ~~~~~?,~~,.., 1~91~~~~MAr2:rcS~O fOUNToYf CL"ERK Address ..,.,~,~~?.~,"...~~~,.~~!..~~.~~!.,!~,.~,~?,~.~..,......,..,..'... OR BK 5135 PG 510 Owner's interest in site of the improvement"""" ;4~SSQR.,.,..,..,.,"',.,"',..,.... ,......,. Fee Simple Title holder (if cther than owner) Name ..,...,."......,",.,....,',...."..."'"."",,,..,".,.."..",.,...,.... Address,.............,.....,......,...,.....".,......"".,..,.,...."""".,.......,..., ,."., ROBERT VANDERHEI SERVICES Contractor . , , , , . . , , . . , . . , . , . . . . . , , , , , . , , , , . . . . , , , . , , , . . , . . . . . . , . , , . . , , , . , , . . , , , , , , , . . , , . . . . . . . . . , , . , . , . , . . . . . . . . . . . . . . , . , , . . . . . . Address... ;3}.!?,3~., ,~~~~X. .~.~~~'-. ?;~P~X~.~;:I;~.J;..~,. ..:ff:.. }.~,~~)....,',.,.,...,..,...".,..,',..".....,........,. Surety {if any} ,.,. N~. . . . . , . , . , . , . , . . , , , . , . . , . . . . . . . . . . , . . . . . , , . . , . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . , , . . . . . . . , . . . . . . . . . . . Address ,....'....",."",.",.,.".,..""..........",.",.."."."".""."....,.,...,.. Amount of bond $ . , . , . . , . , , . , . . . Any p~rson making a loan for the construction of the improvemen'ts: R Name .::;:~:E::::::I::~, ~::::::;~L~'. .~.~.. 33~~~......."...................."............... .. Address ....,.."...,.,.,.,..,.,...,.....".,.,..,.'"....,..,..""..".."....,.,..".,..".,....,..,.....,...."....,..,..... Person within the State of Florida' designated by owner upon whom notices or other documents may be served: MORTON S. SHANBERG CC: STEVE DITTMAN 4210 BREEZEWOOD DR, ZHILLS3354L Name ..,."..,.......".,..""""..".,.,.."".."..".'".,..,...,..,.,..."""..".. ..,."..,......",......",......".. 9406 E. HWY 92, TAMPA , FL 335610 Address .........,....,...".".,....".,.....,...,.,.."....",.,.".,..""..,..,.,..,....,....."..",.."...."",....."... In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (hI, Florida Statutes, (Fill in at Owner's option)" Name ., .S~E;y'~~, ~~. .D.:)::'!'.:r:~.~~.__.. ,.,., ,..,.".,..,....,....,.. Address.. . ~ ~.1.Q. .B.R~E;Z,EW9QP, ,D.l~".. .Z.~R~X~lfI,I;.;L~,., f~.. ,3 3,5.4~.... THIS SPACE FOR RECORDER'S USE ONLY .,~..A..~~..... Owner STATE OF FLORIDA COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT Copy OF THE DOCUMENT ON FILE OR Of,PUBLlC REC"ORO IN THISOFFIC~J1l"NESS MY H . AND OFFI AL SEAL THISA- DAY OF / . .' 2 &7-- ED P. br.ClERK OF CIRCUIT COURT BY { ;. ~:t:IP;?l DEPUTY CLERK "- Sworn to and subscribed before me this... ,.. ......"...,........,.. ........#,~~;~~;:I,~~'k~n.~,..r.4:y. ....,...... . ::kr~ $ ...~\S W~.. ~ r', ' ~ .. <:,0 ~\8.<~~.. ~, ~ (L c2~ 6____/ ~* [~ ']. ~.~... (IJ~,*'~" ~;;~4-;;:~I,t.......... : ~ . : \/ ~ ~ -. #00034473 .: ~:: ~~.. ~<<f>> ..~~ ~~;."~~.,~~ ~'11;V8LitST~~ ~\# 1"''',illl'''\\''~