HomeMy WebLinkAbout05-3729
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3729
Permit Number: 3729 Issued: 1 04/2005
Permit Type: GENERAL BUILDING PERMIT
Class of Work: ADD/AL T COMMERCIAL
Proposed Use: COMMERCIAL
Sq. Feet: Est. Value:
Cost: 80,000.00 Total Fees: 675.95
Amount Paid: 675.95 Date Paid: 1/04/2005
Address: 7813 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
ASHI N BUG
7813 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone:
F
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."
NO OCCUPANCY BEFORE C.O.
. ~-~
S SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
CONTRAaORiCERTIFICATE
'53358TH sr.
ZEPHYRHIL:LS,iFL 33542
PERIOD COMMENCING :OCT. ~, 2004 TO SEPT. 30,2005
Type: CERTIFIED GENERAL
Certified: CGC061036 Qualifier: BOLENA GERALD RAYMONDJR 'Expires: 8/31/2006
'WorkersComp: YES
BOLENA CONSTRUCTION INC
4459PARK,BREEZE CT.
ORLANDO;FL. 32808
Expires: 2/02/2005
'Fee Paid:
20.00 1/04/2005
rtiu ~ ·
\,......,... . '. ~~
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CITY ANAG
This registration expires each year on Sept. 30.
Jan 04 05 09:51a
Holena Construction, Inc. 4074458833
+
p. 1
Bel
Bolena
Construction Inc.
4459 Parkbreeze Ct Orlando, FL 32808
Phone 407-445-8822 Fax 407-445-8833
CGC061036 www.bolena.com
TO: C i+,-\ or
Z_eph~,h\\\S
Company:
FROM: ~ \ rl\
Date: , I ~ll 0 c;-
Fax:
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Phone :
Paaes(incluclna cover)
cc:
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COMMENTS:
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Jan 04 05 09:51a
Holena Construction, Inc. 4074458833
+
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STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
(850) 487-1395
BOLENA, GERALD RAYMOND JR
BOLENA CONSTRUCTION INC
4459 PARKBREEZE CT
ORLANDO FL 32808
,
r. STATE OF FLORIDA
DEPARTMENT OF
. . PROFESSIONAL
AC# 1 ~ 4 b 2 b 7
BUSINESS AND
REGULATION
CGC061036
06/1i/04 030716603
CERTIFI.ED>GEN!:RAIo . CONTRACTOR
BOLENA,' . GERALD RAYMOND .JR
BOLENA CONSTROCTIOSINC
IS CERTIFIED under l:he pravJ.8J.oD8 of ch.489 J'S.
1Il:Xp1nt1llD date, AUG 31, 2006 LOto&U014U
DETACH HERE
AC# 1446267
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD SEQ#L04061101443
: . LICENSE NBR
06 11 2004 030716603 CGC061036
The GENERAL CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489ES.
Expiration date: AUG 31, 2006
BOLENA, GERALD RAYMOND JR
BOLENA CONSTRUCTION INC
4459 PARKBREEZE CT
ORLANDO FL 32808
JEB BUSH
GOVERNOR
.....,C'DI AV AC' DI::I"\IIIOI::..... DV 1 A'AI
DIANE CARR
SECRETARY
From: Cindy McEwen At: Hillcrest Insurance FaxlD: 3523835899 To: City of Zephyrhills
Date: 1/412005 0929 AM Page: 1 of 1
ACORD. CERTIFICA TE OF LIABILITY INSURANCE OP 10 1~ DATE (MM/DDIYYYY)
BOLEN-l 01/04/05
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONL Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Hillcrest Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 1364 AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Mount Dora FL 32756
Phone: 352-383-8164 Fax:352-383-5899 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A Southern OWners Ins. Co. 10190
INSURER B- AutO-OWners 18988
Bolena construction, Inc. INSURER C FCCI Insurance Company
4459 Parkbreeze ct. INSURER D
Orlando FL 32808-1043
INSURER E.
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSRC POLICY NUMBER .VL'\..f LIMITS
LTR TYPE OF INSURANCE DATE (MMIODIYY) DATE (MMJODIYYI
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
-
A X COMMERCiAl GENERAL LIABILITY 2057182603 03/07/04 03/07/05 UAMA'-'t: $ 100,000
PREMISES lEa occurence)
l CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 10,000
PERSONAL & flDV INJURY $1,000,000
f--
GENERAl AGGREGATE $2,000,000
f--
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $2,000,000
II nPRO- n
POLICY JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
B -I 4179828600 12/18/04 12/18/05 (Ea accident) $ 1,000,000
X ANY AUTO
-
ALL OWNED AUTOS BODIL Y INJURY
- (Per person) $
SCHEDULED AUTOS
-
HIRED AUTOS BODILY INJURY
- (Per accident) $
NON-OWNED AUTOS
-
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONL Y - EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
AUTO ONL Y AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000
B [J OCCUR D CLAIMS MADE 4179828601 03/07/04 03/07/05 AGGREGATE $1,000,000
$
~ DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND X ITO'R'vtiMI'i'S I IOTH-
ER
C EMPLOYERS' LIABILITY 48366 02/02/04 02/02/05 EL EACH ACCIDENT $ 100,000
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $ 100,000
If yes, describe under EL DISEASE - POLICY LIMIT $ 500,000
SPECiAl PROVISIONS below
OTHER
A Equipment Floater 2057182603 03/07/04 03/07/05 Leased 75,000
equipment
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Contractors/ Subcontract work
Fax 1813-780-0021
CERTIFICATE HOLDER
CITYZEP
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
city of Zephyrhills
5335 8th st.
Zephyrhills FL 33542
ACORD 25 (2001/08)
NDV-3-2004 08:23 FRDM:CDMMERCIAL PERMIT GR 13103167183
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TO: 18137800021
P.2/3
CJ;ft 01' UPBnulXLLB PBmttT APPLICATZON
8UUDIW D&I'ARlIHDr.e 5335 a- .~, ..pbyrhUb, iI'L 935.2
813-780-0020 sax: 813-780-0021
1/-~-lJtf
DAft lUICZIYliP
PHaRE COlil'IAC'l I'OR Paoa'l"lINr: '3' 0 . ') , c. ,71 (, .~
r
~nl S NAME ~SH'O'" --Q.J~ % ~?,." {AI,
&JaB ADIlMaa &rJ e,n.;l J $#o~~tt c:-~
PHONE '310 .j/~, 7//'7
. ,
~R.1 GA.i. ~I"O.
StJJ!DIVrSIOIf
LEGAL DESCRIP'l'ION: LOTIS!
BLOCK'
PARCEL ID t
weiR!( Pl\OPSED: ONE" CoNSTRUCTION
OSICDl
/OB'I'A:lN J'IIl'lM PRnPJ:R'I'Y TAX HO'l'ICEI
o ADDITION ~'J'ERM'ION
o MOVE 0 DEMOLISR
o RE~AIR
C INSTALL
PROPOSED USE: OSGL FAMILY Ell9ELLING CNUI/lI-FAMILY
~oet<<J\CIAL OINDOBTR.IJU.
Ot OF UNITS
o SHIMMING POOL
o MOBILE Bau:
o <WIlD
r::::l RESTlODAANT , RRAJ.'1'f1 02PARTN.!NT APPROVAL
DIlIICII%P!'%CIN or 1IORII: IN~IDn.~4..rr IJPh;".
BUILDING SIZE sgul'\lU. FOO'UtGE 1';rrrV
m:IGIt'l'
RESlbEN'l'DU.: AT'l'ACH 121 1'1.07 P:LANS , (21 SETS OF BliILDXNO FLAMB , (1) SET ENERGY FORHBt
CXlMNEJtCIAI.. ATTACH (31 SETS, OF BUILDING P:LANS , (I) SET ENERGY FORMS'fr1ri!
:IF SIGN PElUUT ONLY ,(2) SEZS OF ENGINEERED PLMS REQUXRED. r~
p'ROl'EP.'l'Y SURVEY RECUIRED FOR ALL NEN CONS'l'RO~IOJ]# / : _, ';? )
. gQcn ~~;=...~~/: Ji-
1tMl' SERV1'CE 0 Progre.... Energy 0 ~1t:r;~c:" .----'/ . q
3fl~
. ..Jrl'i ."," UILDING
/"72LEC'l'I\ICAL
/ 0 PLDNIUNG
if
a MECHAHICAL
a GAS 0 ROO&'JNG
,
VALUJ\TIOR OF MECJ\ANClJU. tNSTALLATION
o SPECIALTY
o DrHEll
tYPE or CONSTRDCfION: CJ BLOCK
FI~ISHED FLOOR ELEVATIONS
orRAME
o ,STE~
o OtHER
IS PR0JEC7 IN FLOOD ZONE Al\EAC YES 0 NG
/81SIUJU
SIQNA'1'O~
COMPANY:
STATE CERT OR REGIS! .
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COMPANY.
SrGNATURE
STATE CERr OR REGIST t
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SIGNATURE
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STATE CERT OR aEGIS! .
-awacaz;
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SIGNATORE
~~TB CERT OR asGXST t
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SIGNATOIU:
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STATE CtRT OR REGIST t
NOV-3-2004 08:23 FROM:COMMERCIAL PERMIT GR 13103167183
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TO: 18137800021
P.3/3
liP'. O. 'ClU. I...ra 11111 vr Lcrll"""U.O
I... ......._.A IICoMI 1&S1'1IU\o.nllllZt
filii Wldtlrei9Ded ......ratandll that tht. "J:IIJ.~ ..y b. lnIb'aet to "4MC1 ~uuiot.ioa.. -1U.t:h
-7 tI. _e n.t~L"l.,. tUn City rcgw..Uau. 1"he WId~'l9MG ...... n"OIl8.1bllity for
~iance or.lth an.. -..pUoaa.l, .... ~nebUONl. .
t. UlILfC!IISSD COftMCToI8 AIID ~ IlaPOllS'XIILI'l'IQ
If tha _.Ir ....""", a -'n~oz o~ GWtnC'Con to und8rtabl IrDrk, lbey....y lie C'fIU1.recl
to .. 11c:alWIIIIlI 1& accordance W1.th na~ IInd 100111 "tv.1aU... If the eoDtz'ac:ta.- .1. Bert
.1.f.oea'ed .. lO'equ.llO'ed by 1e-. ~th the _Ir ana OOIlt~tor ..~ be aJ.tecl eo.. . lI.l.d-..nor
violation unCler .tate 1.... If tb OIfD.r 01' i.ntaaded C:Ofttcact.ft' an uncertain .. to what
U.~dnv nlJUu..."te -, apply for eta. Intended WOZ'1t, tbllY u. addaed to e.ontact ttal
CJ.1:yof 1lIpbJ,rhJ.l18 8l1UdiDg OIIpan.enl:. 813-780-0020.
nurtaemon, ir the o.me.. ~. hJ.recl a eoatalCtoe or '=ODtra=or8, be i. ed"bed to ..... tbe
COl\tCactoJ:Ca. ailJll PDJ'tiClftll of the wContrat:tor 'ecUONI" of till. aP.P11cets.CII\ for .mlell ~r
w111 be l'NpDaa1b1a. It yn, a. the atmlU: .1;0' .. the COIltr.otoz, you an lDdlAt1no that
,veu, ~.~a' ~.n ~ DOntwec\oc, are n.pcmII~l. f_ tll. work. 1:f the C:OQt~ao~r wa.b..
yall to .llft .. caMeact. that ur ba lID J.Dd1clIl;lan that he 18 Qot prapezly Ucaaall aDd b
Mt enUtled to iNEalt"ttnv prl911egaa J.ft the City of Iepb)'l'bUlA.
C. ftUUlllO&'l'Anmr IDACl' nu AIID aru,ITr COIIIISC'IIOll FRS .
D. COtIftBtlCYUlON ..JEll .... CCJlAPftI\ 713, nDRtDA 82"A1'UftS, AS MllfOl.ll)
I ~rtUy that I, the aPDJ.lc:ant, ba.. been PZOYld1td 1Iith . IIIIplI or -Plorida'lI c-.UuatJ_
Uea Z.W - B08IIOtmllr-. Proteot1oa Guide- pt~ a,y tll. rladcte ~~~Qt of A9daultun
IInd eo.''-I: AtfNE"I. It tbe ""Ucant 1e .alllrDne otb.,. tUt lba "'cnme..-, r C111~ify that 1
bay. abed.eeI a !COp)' Dr tM uem cleecribecf ~t &IICI Pzoaf.s. ~n good fa1U1 to del1..T
it to the waon.Z'- prloz to ~Dt:eIIeIl~.
E. COMllACtOa' 8/0ffHER'. ArnDAvt~
:r _Rit, tbat .U tbe .infO~~lon in ~18 appu,caUon 111 aooucat.a and that aU wor. will
ba 110II. ill DMP1J,~ftce "UIl all appl1eul. 1atI8 1l'~.tLng COUUUCtlan. loniftO, IIIld land
.".lopunt.
Appllc;aUon 1. ".nltr Md. to obtain II peDlit to do .I&VrJt ucI 1DfteJ..letlan .. .1..uoat.... J
CIl't11, tbat no MOrt or lnatallatlo" "'a ~ pder to 11111_.. of . PGlWLt mad ~t
all won will h IlU'fo~ to _t atAftdarde of aU 1.... "'lll_UIl, OCIUtnactiOft, City
COdeI. 1..1110 nplaUoaa, and .I.lId develOf11el\t J'eflll.U~ 1n tbe jlldecf.tctloa. % also
c.rUly thee % lIacler.bDlS Ch.t the -gulaUollll ot otiler ICIY.I:"'n~l agenal.. ., 'pply to
tbellltalldad 1IOr:1r., and t~.t it 1. ray n~uUtllu.y to ldcat.tty _It .~UOllUl I ...at take to
"" La COIlP1Lanclll. aDd! ~C1ea .include a.ucu. not lia1ted tel *Oe,pa.r:t:wlant Itf
Cn"lran.ental latulatlon-Cypr... I.rbe.da, ..tlaad~.. and BnwlronmeDtally Sen.iti..
lranda. ".ter"'."lflItIn 'J'rwataent
.....~b_lI~ ~lda Wac.,.. Hallll__t Di'UJ.ct-w.U.. Cypz... "pea.. "t:1Uld ~.,
Altui119 -ae.reou... .
.~ Corp. 0' 1n91o.u-.-a....11., ODclt., ...".Lgdl. ..tuweye
*DePAl'tMnt of ...Uh , R......il1t.the larnce., zn..tro-...tal aM1th Oft.lC--.lla,
.....tA_t..1: ......~t, S.ptio Tub
.U. S. Bn..J...o....ntal h'otectJ.on AvanCJ'-bbesto. a~taent
I all10 can.lty diet. if ~Ul -tuul ia to "" ...... in P1aod zone. -.'" oz "A,eta.-, it i.
tlftdeEatOOd tbat · drUM,. p.llJl addn..1JlO . -t:DqleU.tinv vol..- .,lU be .u.1ttN llIMoh
.La pz..-nnt by · pntell.J,oDd aag1neer npaterecll .iA the ata~. elf flOzlda pzictr to "mit
l"DUlClI.
A p.mlt 1..uelll .hall!le COMuoed U be a llcen., to pzoc..d with tlUt nrk end not ..
.1ItJ1Clr.1ty to Yalete, cancel, .1tv, or let ..td8 any JIZ'O"18LoD. of u.. tec:ha.tcaJ ~."
nor .1uI11 1ewanc:e ore pemlt pze".. tile 8a1ldUg Offlc1a1 fne tUE..n.r ntllUil'.1ftO .
oorEaetloa of lft"oZ'a 1ft pl_.. ~t~L_. or rio~tJcm. of at\!' ClOde. "'J:]' IN'ZIi'lt
uned 8.11&.1.1 be=- tft"alld w..s the lIOn utbDrlud by heh penit iIIr ~aaaed .itbia
a.La 8lOfttlm 01 h.lIeQc:e, or U wo~k IIICbodMd by tile pela1t 1. 8UJt111U1ed 01: a.MoIl" fac fA
IlUled Of 11. IIIDDtba aftu the t1M tile II'Orllis~. on. to day nteu.10D 01 tllla
-J .. a110lflld 'o~ tlle peftl.lt tdtb ,.. oherg. ot IU.OO. ~ ""lan Mall be ~.et.d
in Vl'1ting to tIlill 8&d.ld.t1l9 Official. All -lIPZ'Oftd 1nePHtJOft _~ b. lotted ......1I\g eada .:La
IICIlltJa pulOCL or tbII projeet w.lll ~ _ldar.. ....__...
WMtfIJlC: ~ OIfttDl YOUJt PAIUIU t'O IQlIt'OlD a NDnCll ", ~..,. IIU IlUGLT :m MDR
PATllICI mea roa Dfl'lGVDtalfs ro 10GI Ratu'ry. II' 1DV IIft'IlIIID '10 CIftJU.I'IIIaNcDIG. COlfIDLT
WITa moJl LUDI1t 01. &ftOUIT UION DCaIlDz.. YGUa ROnCl: or CCIIIlIIMCaGIft. .JOII lRmUl
2, OOD VALVB aID AIl'D 110ft A -MOrICZ or CCllIIII:IICINI-.
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ar.D u "~""Uy ..... to _, 01'
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{tn- of tdeftU.f'!AUOft)
.eel ao Odid OIId DOt. ta. aD Nth
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and lltioQ did lIot tab aft Ntft.
,
&1...tll&'e of ~.Oft taUDf acano"lcdlJlMat:
1IJ... type., ~U.tecl or atupect
NOV~3-2004 08:23 FROM:COMMERCIAL PERMIT GR 13103167183
TO: 18137800021
P.1/3
. .
COMMERCIAL
PER M I T G R 0 U P permit management services
Faxmittal
10/0~/04
To: Bobbi or Kitty
Company: Zephyr Hills Building Department
Fax: 813.780.0021
Total Number of pages 3 (including cover)
If you do not receive all of the pages with this transmission please contact our office.
Message: Please find the following two pages of the application/or the above named project.
Please contact me should you require any jurther infonnation to complete the review.
Thank you,
Jake Pharr
Commercial Permit Group
Thisfaxis intendedfor the use of the recipient only.
.-4
_.-~~,~ror:l:t 'J~:c.al~:.ol:' E G It 0 I; P www.(;ommercialpermllgroup
I lq;Z& Pileif,c Coast Highway Suite 2?1 (310) 31&nEl3 phone
Redo'ldo Beach, CA 90271 (310) 31Ell~83 lax
COlT!
COMMERCIAL
PER M I T G R 0 U P permit management services
Transmittal
10/28/04
Attn: City of Zephyrhills Building Department
5335 8th Street
Zephyrhills, FL 33542
813.780.0020
813.780.0021
Re:FashionBug-Concire'sShoppingCenter ';:uvl2 ~ U?5 II-~-utj
Please find the following for which we respectfully apply for any applicable permits.
3 sets of plans Y ~ '-?J " ~ / ,. / . J ~.
B 'Id' P 't A I' tj' ~ C i#1.' '1 ~475 ... / lid/I, '.-tU<.... t-JC.. /11~~ ~. aUi7).., . 'p:~.Jr
UI mg erml pp lea on -.r-- , ' ... II "/" "",-. .
1'I-3--vr '. ,,--
Please contact me should there be any problems with the enclosed submittal. ~. ev(/l / rA'1t rlr--.
Thank you,
Jake Pharr
Commercial Permit Group
310.316.7163-:::p.
----310,3 16j-j 83 - f.
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~-' ) .. ,I _.., ". ... .~ '.:-. .J.
i ; '1!6 :1(1::"1" ~ :;()a~l ...; i9"Wi'.y ;)lde ! i' i
R e ~~ 0 r' d (I ~ ~ :'1 c ~-I ,: A 9 ~ 17 0:
R 0 L' P
'N V_' '_'.' . :: 0 .-n n~ e ," c i dip e ,. 11' i t '3 r :; ,j p . C (: r....
U I~l': , It / .6::1 ph~re
~::II;)': 31t /:1:::1 r~p
'...
Fashion Bug
7813 Gall Blvd.
SQ. FEET PRICE
MAIN OR LIVING: $ 50.00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: $ -
VALUATION $ 80,000.00
FEE SHEET $ 400.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 600.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 600.00
ELECTRICAL: $ 75.95
PLUMBING: $ -
MECHANICAL: $ -
SUB-TOTAL $ 675.95
RADON: $ -
TOTAL $ 675.95
SEWER: $ -
WATER: $ -
IRRIGATION: $ -
TOTAL: $ -
I
r
I
I
I
I
WATER METER:I $
IRRIGATION METER $
PARK IMPACT FEESI $
SUB-TOTAL $
- I
- I
675.95 I
81"8'1 $
97.5% $
2.5% $
- I
- I
TI . 'S 'I $
99% $
1% $
TOTAL: $
675.95 I