HomeMy WebLinkAbout04-3595
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3595
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
3595
ADDITION/ALTERATION
434-ADD/AL T RESIDENTIAL
RV PARK
Address: 3528 AQUAMARINE WAY
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE RV RESORT
Parcel Number:
23,000.00
11/16/2004
335.25
335.25
11/16/2004 Phone:
ROOM ADDITION,SHED AND COVERED PORCH
Name: TOM & BARBARA TIR HN
Address: 3528 AQUAMARINE WAY
ZEPHYRHILLS, FL. 33542
CRANDALL, RICHARD
CHRIS BAHR PLUMBING
BAHR'S PROPANE GAS & A/C, INC.
E
38.50 MECHANICAL FEE
35.00
DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER WATER
SHEATHING FRAME MISC SEWER
MISC INSULATION WALL MISC MISC.
MISC. INSULATION CEILING MISC. MISC.
MISC. DRIVEWAY MISC. MISC.
REINSPEcnON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) 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
"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 obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
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.
V c~f~~~~~URE ~M.
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
II, lJ-ol./ ~
PHONE CONTACT FOR
PERMITTING . . e ..
'!\,SCO r\EHMII SER\ii l:.
1-866-824-7894
Toll F r-ee
PHONE
OWNER'S NAME T'fJl>( -I (jfL/'ba..rCc. II roin
JOB ADDRESS J.Jalj At IL 4 /lJLr;ne W/LL/
LEGAL DESCRIPTION' LOT (S) II BLOCK v SU.llDIVI S ION c:f1e~Jd /"t7/nk
12 /I ~vorr LJ. ~ /
o.lY-ol~ - ~/- O()~o- OOO<.XJ -0110 (OBTAIN FROM ~ROPERTY TAX NOTICE)
PARCEL 10 #
WORK PROPSED: DNEW CONSTRUCTION p(iADDITION DALTERATION o REPAIR o INSTALL
DSIGN o MOVE 0 DEMOLISH
PROPOSED USE: ~SGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME
o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
room cui tI (///IIh \SA e.eI
,
BUILDING SIZE
SQUARE FOOTAGE
r- eON.re.~ p#/'t-I)
.
'I (,f" P
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
6i BUILDING
$ rJ...3, () 00. 00
VALUATION OF TOTAL CONSTRUCTION
0' ELECTRICAL
~PLUMBING
~ECHANICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
BUILDER
COMPANY S U.IJ u/.tLit
AIuAI/JI//YJ.XAe
.
SIGNATURE
~~~l('
STATE CERT OR REGIST #
******************************************************************
ELECTRICI~
SIGNATURE L~
a~c::f ~
COMPANyi!.,leALrd trwrJ/
c~e~tl!
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY C LriJ IJ 4-lr
/J kuw.J liJ9
R.Foo 9/.s<I8'
,
SIGNATURE
STATE CERT OR REGIST #
SIGNATURE
~;)JL
********************************************************
(JUr'~ fJropa./J-t. ~.,. Ale..
r .
COMPANY
MECHANICAL
STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. 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
City of Zephyrhills Building Department, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign po~tions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is som~one other that the "owner", I cerify 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.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify 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.
Appli~ation is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has commenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that 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
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
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 code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for 'a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be 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 OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGN~ ~W~E~C SIG~~~:TRAC~{
STATE OF FLORIDA "'C>O-~.' 1"1
COUNTY OF .- 4 --..-
The foregoing instrument was acknowledged
Before me this~day of ~ov. ,200~
by
Id . (name of person acknowledged)
~o is personally kno to me, or
STATE OF FLORID~~
COUNTY OF ~$~
The foregoing instrument was acknowledged./
Before me this ~day of ."Iov. ,20 e:J..
by
~. (name of person acknowledged)
~o is personally kno to me, or
o who
Dwho has produce
Si of person taking acknowledgement
","," Suzanne Baht
-~\~~'''.~~<6'- Commission #DD157131
Name typed, pri~t:e;d~=t~ Btpi~V 15, :.WUO
:',;'f.ii'" .<i).~ Bonded Thru
/"'JI~~~~\" Atlantic Bonding Co., Inc.
Name typed,
Signa ture of a"ner :~ ;;:t:i",.-Ar..u'lCL- c:I)~ ~ )
Sworn to and subscribed bcfore me this _c?ft'A-day of I)dow
IIA~U01. ~
NotaryPllbli~: ~.... ~ ~
Ny Commis sian Expires =, \)
R4.
7.
8.
9.
:; PE;J:"ud. t J{o. .
11111111111I111111111I1111111111111111111I11111111111111111I
2004206890
~.; "~'1'.::. :",
,State.of ~tor~aI~
NOTICE OF COMMENCEMENT
fJClaeo
County of
TUB UNnERSIGN~D hereby gives notice that improvement will be'made to certai
.~';raa]::; property I and in accordance with Chapter 713, Florida Statutes, th
following information is pr-ovided in this Notice of Cor.unenccmont:
"", ".'u-
.:',-.
D~~criptionof Property; Parcel No.
1.
2. G<::II.::J......1 Das'::l.-ilJ tien of Irl\provcr:lcnt
3.
(7;~OI-It~ )
? (jfLrlJttra. T /iroi.iJ
City z,,4r LJII
. _.:~-,..._~
Owner Information: Name /tJm
Address dS'41p A~fLfi./lf.Q./'//;e
. Interest in Property: t.UtL.J
..! ~ .,.(
State,c/. 3.gS-91d
Rcpt: 828678
OS: 0. 00
11/04/04
Rec: 10.00
IT : 0. 00
Dpty CIerI<:
N~me of Fee Simple Ti tleholdor:
.(If other thgn owner)
Address City
ll.S" U-/J <.[ k -6. .
Contractor: Nume A~l./}tJm, _-r-.~c.'
Address ~/;St/ J':V'f h~fi /dr/ 'City ?ep4Jric lk
5. Surety; N.:llne
State
StatePl r J3S9'~
Address
City
~nount of Bond: S
State
J1ED PITTMAN. PASCO COUNTY CLERK
1/04/04 1~:37am 1 of 1
OR BK 6096 PG 1080
6.
Lender: Nama
Address
City
State
designated by Owner upon whom
served as provided by Section
Persons Hithin the Stat.e of Florida
notices or other documents may be
7l3.13(1) (a)(7), Florida Statutes:
Name
Address
City
State
In addition to himself I O\mer designates
of t .
Lie I Nt' . ;-:-:r- 0 rece~ve a copy of the
nor s 0 lce as provldeu in Section 713 13(1)(b) Fl .d .
. ,or~ a Statutes.
i 'l'l' ~ IL i o~ d" Lo .0 l' No L1"." 0 l' Cu'",,<o 11 0 0",,, " L (Lho oJ<p1r.. tloll UIl to 1a 1
rQ," 1e ate 0.' roCOrdlng unless a different date is specifud.) yo..r
I
,"""" Suzanne Bahr
. '-",.tS\v.pUa'/,.. . . . 3
::~~':"-~;<\i/*~ CUIII~1IIS~13fl #blD1571 1
:~. ':<f: ExpIres. Nav 15,2006
-'/tj." . . . ,;".?,,- Bonded Thru
"i',~7\\\\\ Atlantic Bondmg co,) inc.
;.,>'lr'
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600C-ol Residential Umited Applications Prescriptive Method C CENTRAL 4 5 6
SmaJI Additions, Renovations ... Building Systems
~.MeIIOd C d ChapIer 6 Ii.. Fbida Enelw Ellcien:yQxfe mar be denIlrUaIed br Ihe \&Iii Fumm:-ol kr iDilioos d 600sqJlIIllIeeIlK less. sie- insIaIed CXlA1JCIIllI1IS Ii mnawed IIllnes. and
IeIIOVlIIicnsto' SlII residen:es. MemaIMll'l1lltmlare loracUlons UiledFumlQlHlllKlm\01.
PROJECT NAME: 0 '" BUILDER:
AND ADDRESS: PERMITTING 0 0 0
OFFICE: ZONE: 4 5 6
OWNER: Tt -I- ~r PERMIT NO-cr=rr:rIIJJ JURISDICTION NO.:ITIJ=cIJ
SMAU. AOIlI1'OlS TO EXISTING RESIIlEt<<:ES (lmScJae 8lllK less 01 ClOIdIiooedarea). ~ IllCJliemenls II TalEs liC-I, lC-2 and 6C-3 WI' onIykllleCDl1JCX81ls 0I1he adiDn. nctkllhe exislirr.IllItilg.
Spa healing. coOO.I.lDI waler healing equipnenI eIIi:iency levels IIIISl bemel only YIflen ~ is insIaIed spedIicaIy kI servel1e addIon lK is being ilsIaIedllccrjmclon wiIIlhe adciIonClllRudioo. ~
~ IIIXlI1diUed spaces IromCOOllioned spaces IlIlStmeellle presaiJed ni1iIun insUaIm IevIlIs. RENOVATOf) (ResQeniaI buiIli9l11de1gOng lllIIIl'I8icI1s CXlSIing nue I1an mollle asSl!S1led YaUl ollie
bIHq). ~.emlI1Is II Tables lC-llD1 lC-2 WI' only Io"CllqlOIIeI1Is and ecMJmenl being/lll1OVaIed lK 1eI*mI. IWlUf.ecnJRED H<HS AND8IJllDINGS. ~ siIe-insIaIed ~ and IeaIIJes
lIlIClM!IedbyIisIam.BUIUJlNGSYSTEMSCm1II1Y1flen~newsysBnisinslaled. Plea_ Print CK
1. Renovation, Addition, New System or Manufactured Home
2. Single family detached or Multifamily attached
3. If Multifamily-No. of units covered by this submission
4. Conditioned floor area (sq. ft.)
5. Predominant eave overhang (ft)
6. Glass area and type:
a. Clear glass
b. Tint, film or solar screen
7. Percentage of glass to floor area
8. Roor type and insulation:
a. SIab-on-grade (R-value)
b. Wood, raised (R-value)
c. Wood, common (R-value)
d. Concrete, raised (R-value)
e. Concrete, common (R-value)
11. Wall type and Insulation:
a. Exterior:
1. Masonry (Insulation R-value)
2. Wood frame (Insulation R-value)
b. Adjacent:
1. Masonry (Insulation R-value)
2. Wood frame (Insulation R-value)
c. Marriage Walls of Multiple Units* (YesINo)
10. Ceiling type and insulation:
a. Under attic (Insulation R-value)
b. Single assembly (Insulation R-value)
11. Cooling system*
(Types: central, room unit, package terminal A.C., gas, existing, none)
12. Heating system*: (Types: heat pump, elee. strip. natural gas. LP. gas,
gas h.p., room or PTAC, existing, none)
13. Air Distribution System*:
a. Backflow damper or single package systems. (YesINo)
b. Ducts on marriage walls adequately sealed. (Yes/No)
14. Hot water system:
(Types: elec., natural gas, other, existing, none)
* Pertains to manufactured homes with site installed components.
1. Itd4/-/1o..v
2. (5"~~
3.
4. .':3 t.f;1. qz
5. (' :.
Single Pane Double Pane
6a. 7;/" sq. ft. - sq.ft
6b. - sq. ft. - sq. ft.
7. .Dl/ %
Sa. R= lin. ft.
8b. R= II :3 t.f'J.. sq. ft.
Sc. R= sq. ft.
8d. R= sq. ft.
8e. R= ,sq. ft.
9a-l R= sq. ft.
9a-2 R= /( 3/!> sq. ft.
9b-l R= sq. ft.
9b-2 R= { ( ~37 sq. ft.
9c
lOa. R= sq. ft.
1Ob. R= /3 !J"~ sq. ft.
11. Type:
SEERlEER:
12. Type:
. HSPF/COP.
13a.
13b. ~
14. Type: /' el~h-10
EF:
FLORIDA BUIlDING CODE - BUilDING
BUILDING
DATE: ,
13.203
Climate Zones 4 5 6
TABlE &Col : PRESCRI'TIVE REQUIREMENTS FOR SMALL ADIIITIONS (600 ~ FlIl1d Lese}. RENOYA1IONS TO EXISTING BUILDINGS AND SlTE-INSTALLED COMPONENTS OF MAl<<.fACTIJRED HOMES.
MINIMUM INSTAllED
EQUIPMENT EFFICIENCY EFFICtENCY
Cl Central NC - Split SEER = 10.0 SEER = -
g . -5ingIe Pkg, S~ER = 9.7 SEER = -
Room unit or PTAC EER = 8.5. EER = -
Electric Resistance' " ANY
~ Heat pump - Split HSPF = 6.8 HSPF = -
~ . Silge Pkg. HSPF = 6.6 HSPF = -
x Room unit or PTHP COP = 2.7. HSPFI = -
w COP
~
rn Gas, natural or propane AFUE = .78 AFUE = -
Fuel Oil AFUE = .78 AFUE = -
a: . EJeclric Resistance EF = .88 EF = -
~~ Gas; NaturalorLP. EF = .54 EF =
x3l; -
Fuel Oil EF = .54 EF =
. See Tallie 6-3,6-7
MINIMUM INSUlATION
COMPONENT INSULATION 'INSTALLED
CQncrete Block R-5 R.-t.1
~ Frame, 2. x 4' R-11
...J Frame. 2. x 6' R.19
~ Common. Frame R-11
Common, Masoruy R.3
Under Attic R-30
C/) Single Assembly; Enclosed
C)
z ,. Frame R-19
:J Metal Pans R-13 .Q....,~
jjj Single Assembly; Open R-10
0 Common. Frame R-11
(J) Slab-On-grade No Minimum
a: Raised Wood R-11 p.-q
9 Raised Concrete R'S
LL Common, Frame R.11
~ In unconditioned space R-6 1<,,-( A
In condtioned space No minimum
T
Maximum
IV RE M
to lloor area aRowedis
GlASS TYPE, OVERHANG. AND
I
1'-.87 0'. .78 ~ 1'- .78 3', .87 2'- .78 4'-.87 3'-,78
0.-.75 1.: :75 . 0".61 2' - .75 1', .61 3.-.75 2', .61
1'. .57 0', .44 2' - ,57 1'- ,44
0', .39 1'. .39 0'-.35
Gel certified SHGC from the manufacturer or use defaults: Single clear SHGC = .87. double clear SHGC = .78, and single tint SHGC = .75.
TABLE 6C-3 MINIMUM REQUIREMENTS FOR AU PACKAGES
C
Iates of exterior walls must be sealed.
HECK
....
......
0/
Combustion
Heatln
Water Heaters
606.1
612,1
-
v
GENERAl. DIRECTIONS:
I. On Table liC-1 inlicale 118 R-vaIue 01118 ilsdalion being lM!dedw lB:IlClJl1lOl1lllt and Ihe elicieR:yllMils ollie eqUpmentbeing i1sIaIed. AI R-wbls and eIkierDes inslaIled II1l5l meet or elOlelIlIe nininunvakJes isted
~ and eIJiIxnenlneilherbeing ~ nor Il!RMIIed may be leltblarll
2. ADOIT1ONS (H. Y. Delemine IheJllllClDllgeolll8W_ wanililned Ioarlll8ll i1hladdlilnas kJIows. TolaI d1e IIe8S 01 31_ widlws. ~ glass 00as and glass mar panels. 0cdlIe lie lll8lIoI alrmverbI roof
glass n181k1 i" lie IfeviJus kllaI. When ~ i18llisil1g 8lIIerior waRs is being renrMIlIllI fibledlJflleadlilion, aI iIII1OII1lequal \0 Il1e ml8IlIIeIoIlIis ~ may beURted from d1e klIaIglass area. DMle lie adjusted
~ Ilea klIaIlJflleCOldill1ed Ioor _ollie..... tMpIrlJf lOO"gethlp8lCllt FinlIleI;qesl~peICeIUge lI1derwli:llJQIcalUaled pen;enlagelalsllll TableOCl-2. ~ 1118~lrtlletypeolglass
(Single or IloItiepane) lIIIlIe CMJhang (00) paied will asolar hear gainllllelidn (SI<<>C), fill a !,Wen ~ type lIIIoved1ang.lIe niIinuIIsdtr heat gain coeIIicienl &lowed is$pedlled. AduaI glass lIirIcbI$lIII 00as
lIevWslrinlheexleriOlwaRsoll1ehousellllbeingreinslalledillheadilllldonolhave"~wilhl1e~lIIIsoIarheal.gailooefticienlllllJinlnenlsllll Table6C-2. Alnewglassin lleacdiooll1l5lmeetlhe recprement
lor one of lheoplions in lie ~ peanlllgecalegoly you idcaIed. The ~ (00)dislanc8 is naued peIJIIIllil:Uad ~1Ie Ial:eolhlglass 10 apoi1llilectlylnler lheOliemll5t edgeollhe-'*'lJ.
3. RENOYA1KH)(H. Y. RepIaI:\JInlRglassneeds"lllIlllllheldlorlil(l.......... Intglasstypenl soIarhelll gainc:oetilnlllllYbeuselllorglass nas wlichlll8l11der atleesla IMl1oolCMlll1crv8lllwhose IiMesl edge
does nollllllend....1haiI8leelfrom lhe 0I'eII1anlI- Glass lIlllIS beinQl8IllIVlIIed 11III do nollllllllllisalerianul be eiIleI sige1J;nl1inled, dlUiIe-pane clear IlIdoOOl1tpane IiIIed.
4. BUR.OING SYSTEMS. ConW when II8W sysIl!m is inslaI8d lor sys1eminslaled.
5. ~ lhe i1Ium8Ilon recplSIed llIllhe lop baI 01 pIlIIIl.
6. Aead"MinilunflerPemenls lor SmalAddilionsandRemvaDls", TabIe~,lIIId1edl a18AJ1icaUe iIems,
7. Read, s9J and dale lhe "OMwI~ c:ertibIoo statemenlllll page 1, .
13.204 FLORIDA BUILDING CODe - BUILDING
~ov 04 04 08:45a
Suzanne Bah~ 1-866-824-7884
Permission To Pick Op.txt
C it" I> ~ Z ~ph'l"- hi 110;,
ro. 1
~/;r.5 ajJl9N~c;S ! %/ he--
CO!JlPa~ NamPJ d };61
'ILl / fl eN .
Address 0.1t..
2ephyrljJ~~/ .
370#
To Whom It Hay Concern:
Please be advised that Suzanne Bahr, Debbie DOkendorf,and
Stacie Zullo of Pasco Permdt Service have my permission to
sign and pick up permits for me unti~ further written notice.
Sincerely,
AU~
. K~tJIN.:::r tZ-I .
Print Name
el9-~() ~39% I
License I County I_D. *
NOTARY
STATE OF FLORIDA - COUNTY OF PASCO
The foreg'oing instrument was sworn twand
subscribed before me this ~5 day of J]DVe;tL-t.kr , (;(J)1
Personally kno*_ or Produced identificati.on_
~;." A"OeIa Helma
\<Y:j MyComrn,IS/on 00185587
0, '" EXpires JanlJAQI n~ ~g07
Commissioned Stamp
and Expiration Date
~ l,,~ Wi(]
(~gnature
State of Florida
COWlty of Pasco
Page 1
Sunstate Aluminum
3528 Aquamarine Way
SQ. FEET PRICE
MAIN OR LIVING: $ 50.00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: $ -
VALUATION $ 23,000.00
FEE SHEET $ 145.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 217.50
CREDIT: $ -
BUILDING LESS CREDIT: $ 217.50
ELECTRICAL: $ 44.25
PLUMBING: $ 38.50
MECHANICAL: $ 35.00
SUB-TOTAL $ 335.25
RADON: $ -
TOTAL $ 335.25
SEWER: $ -
WATER: $ -
IRRIGATION: $ -
TOTAL: $ -
WATER METER:I $
IRRIGATION METER $
PARK IMPACT FEESI $
SUB-TOTAL $
- I
- I
335.25 I
SIPS'I $
97.5% $
2.5% $
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