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Home My WebLink About05-3902 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3902 Permit Number: 3902 Permit Type: ADDITION/ALTERATION Class of Work: 434-ADD/AL T RESIDENTIAL Proposed Use: MOBILE HOME SUBDIVISION Square Feet: Est. Value: Improv. Cost: 6,318.00 Date Issued: 2/25/2005 Total Fees: 132.50 Amount Paid: 132.50 Date Paid: 2/25/2005 Phone: Work Desc: ADDING GLASS WINDOWS TO EXISTING SCREEN ROOM Address: 37502 GILL AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: GRAND HORIZONS Parcel Number: Name: FR DE I I Address: 37502 GILL AVE ZEPHYRHILLS, FL. 33542 AH , FIRST CLASS ELECTRIC 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. REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade: (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for inspection when called (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances NO OCCUPANCY BEFORE C.O. ~i/4'.{,'~ ;t..IL ~ . CONTRACTOR"SIGNATURE PERMIT OFF I CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED . PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE: RECEIVED 2-~y!o~ I PHONE CONTACT FOR P~~Cl31%RMIT StR\'ICE 1-866-824-7894 Toll Free OWNER'S NAME Fre.tiurtLlt Frilz J7S0tl till 4~ liP -3'/ -$ -~-o;tl() - <XJCkX) - j ftO PHONE JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION C;mAclJiJ//2/Yff ;/h-tJ- PARCEL 10 # {OBTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: DNEW CONSTRUCTION o ADDITION ~ALTERATION o DEMOLISH o REPAIR o INSTALL o SIGN o MOVE PROPOSED USE:~SGL FAMILY DWELLING o COMMERCIAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK D RESTAURANT CLr/c1 & HEALTH DEPARTMENT APPROVAL (j 14'.[;J' tu /11 tIotLX ~ --t' X iJ /;i74 v . v SQUARE FOOTAGE /~Or cS~/l rc:KJ;r1 BUILDING SIZE IS' x I,). , 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 Q7 .i~ 1 · 1j-.''::>:'' ()Lf) U. .~; ~ ( J~L- _ ~ BUILDING $ b.J/?fYJ VALUATION OF TOTAL CONSTRUCTION . 0 ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. 0 PLUMBING ) o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION ~. o GAS o ROOFING o SPECIALTY 0 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 IJ tl i/'f .4tMt. Lc . ~r!4_J' : n.. /1 . SIGNATURE t..---k. ~ fL STATE CERT OR REGIST # J..LECTRICIANf SIGNATURE ****************************************************************** . ~;sV L~ }-/[ COMPANY FIt<. s r C(" )1> STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST I ***************************************************************** 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 indica~ion 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 someone 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 corrunencement. 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 corrunenced 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 corrunenced 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 corrunenced. 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". r.:S-Ub-- ~I L SIGNATURE: OWNER OR ENT . ~-'-4-~;-L- ~/L SIGNATURE: CONTRACTO~ STATE OF FLORIDA ~tl$ COUNTY OF to The foregoing instrument wa~ acknowledged~ Before~ t!"1is ~ay of r-dorlUUj-' 20Q:> by 1Jt'./. I (name of person acknowledged) ~ho is personally known to me, or STATE OF FLORIDA COUNTY OF The foregoing instrument w~ acknowledged __ Before me thi~ ~~ daf:f r~~t<lj , 2012..2: by ~~(1I'...I J 0 (name of person acknowledged) ~o is personally known to me, or pasuo o who has produced (type ~d not of identification) tak an oath. Owho has produced (type of identification) ~id not erson taking acknowledgement \\\1/';; Suzanne Bahr ",~~v.~~e2;> Name typed, prin~~:' '~*~E~~~oV 15,2006 -").. .~- d Th -;......~~ OF f~o~~ __,,-- Bonde. ru "'" ,,\' Atlantic Bondmg Co., Inc. 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BAS=1581 I i i I l~ i"" ,c:::." ;...... i'h i>" Ii I" Ie- !.,-i ""~ r-r' l~ I I I 8., . - , I 851 rr-, ><: N (..--, ~ ~ '1' N51 ~? c> "" , ~~ :.:t I ('- I ~~ ....... I~; S63 N63 1:::. <:::> .~ rr; I 8'. " . ) ;' W16 E31 - W15 ---j I I 812 N12 N12 FOA=1Q? jFSA=1An \'1 E12 E16 -E15_^~ P,eOIOSED : ~ ,4 OD G{ A s.s ~{L1/!x) i1,J I TO f n ST ~ .r:;::'I.'"EA I R(X)!'" ,~.~_----L____~___________~~____ _____,_____.._________.__________.,~_.__~_.~________________._..__,_~.__.__ tILL A J/E. F ICTTL J 7S()J {J. {!... 1/ f/~ LoT Iff CI:.>'It1/j) f/(JR1Z0/lS PH/lCt Tf1/() .JC/ - cJS -rY 1- ojC/O - Ow..1J-1 f fO http://appraiser.pascogov.comlsearchltraverse/showtrav.asp?traverse=BAS%3DW31 FST%... 2/23/2005 ADD GLASS WINDOWS TO EXISTING SCREEN ROOM ~ 1// l - 1// I 1// I r -, - EXISTING OPEN ~ ~ EJ EJ t---- EJ PATIO :/ f f ~ ~ -1 15' 1- - f :/ ~ f ~ /~ / -I 12' r- Permission To Pick Up.txt _fJrs~las.~ EJecJr\L- Company Name 55""77 I.D. # 'Dave Ha.r~('d License Holder Name (print) To Whom It May Concern: Please be advised that Stacie Zullo of Pasco Permit Service has my permission to sign and/or pick-up permits as the ~l~~+r"~( contractor for the following job: Owner: F re de n 'c...k... rr i+L Address: -375"0 ~ G,j Il Ave.. 1 Gn:t_",A Hnrl ZO"'-5 Zephyr- hi /I~, ft 3~s-tfo Contractor: 6n..hr'5 AllA.MlV1Ut'\^-.l XI'\c... NOTARY STATE OF FLORIDA - COUNTY OF PASCO The foregoing instrument was sworn to and subscribed before me this 1st- day of m t{r~ , ~OO5""" . Personally known ~r Produced identification ","i." Suzanne Baln .,\..tS'YPiJ,i', - .. 1 713' }~~'~COi_~ Com.mlssIon #DD 5 I ~;;. ~.~:} Expires: Nav 15,2006 ""',,~~i Of f~~~'" Bonded Thru """\ ,\tl':J.nt;r- t:l.nnrilngl'o Inc Commissioned Stamp and Expiration Date Page 1 c. L+) f d J'11s () -1. ~ fV'- . State of F trJ I,[(/a. NOTICE OF COMMENCEMENT jJ (j vf!./) County of THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: .,J;:'R ". . . 1. Description of Property: Parcel No. .3 'I-tl),~- - J-./ -oj VO - oOOjd - JI/,f'() ,] 7 SOJ- C-- I'll APe C-~d J.hI'Jw/)[ Ph- ~ (Legal description of the property and street address if available) 2. General Description of Improvement fidei ~/a..6~ WI nd ows ----/D e XI S + / nj ocr eevt roo VY'\. 111111111111111111111111111111111111111111111111111111111111 2005034150 Owner Information: Name FrerlR-r/et. Fr/lz Address J 7S-0r).. C-/I/ Ave City ~fJ~rk)k State17 J>Jr1() Interest in Property: Name of Fee Simple Titleholder: (If other than owner) Rcpl: 858432 os: 0.00 02/24/05 Rec: 10.00 IT: 0.00 Dpt.y Clerk Address 4. Contractor: Name Address & '/ Lj() 5. Surety: Name Address Amount of Bond: $ 6. Lender: Name Address City Bo..hr~ HI UYnfnt< W\..r he.. , Fori k{~ /lei City 2e,pll/ fA Ilk t.I State StateR. s3JtJrJ- City State JEO PITTMAN PASCO COUNTY CLERK 02/24/05 0t:3~m 1 of 1 OR BK 624~ PG 1519 City State 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes: Name Address City State 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. 9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified.) ::::::~::;t t:i~~:~;~br~J Notary Public: ,20~. PC93053048/ A \,,,,,,,, Suzanne B~1.r ... '';Jtf-Y PCf,i'/" , ~ . C:U,",,1l, ~"':~\:t>:. vOmm!SSIOn #L)!)]5J1.L :;.~. ~:.;~ Expires: Nov 15, 200f, -:':~~~'Ff~';~'-'" Bonded 1Or..; I, .,' AHcu\.tie BtJ!'fhng CD... irK' CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8~H St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECE IVED 3-31-u~- PHONE CONTACT FOR PERMITTING PASCO PERMIT SERVICE 1-866-824-7894 PHONE Totl Fr~~ OWNER'S NAME Fre.eI ~r(~( Fr/I-z . J 7S- 0). C-/ II 4ve LEGAL DESCRIPTION: LOT(S) It! Jlj -c),)- ()/ -()/f/rJ - o01)()- /1' to JOB ADDRESS BLOCK SUBDIVISION mAl mi';'ZCY1f f7h- J. PARCEL 10 # (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATION o REPAIR o INSTALL Os I GN o MOVE o DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL ch (i tJ4i IJq €. te t/-/'{ t I ~ A. 'IU-1. /)U I Jr; tJt;L iF V I ~ BUILDING SIZE SQUARE FOOTAGE 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 o BUILDING f1. ELECTRICAL o PLUMBING o MECHANICAL $ VALUATION or TOTAL CONSTRUCTION AMP SERVICE o Progress Energy 0 W.R.E.C. $ VALUATION or MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER rINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO BUILDER COMPANY 8a.ArJ Aluflll/J;A SIGNATURE ~i((~ jJL' STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY SIGNATURE ~ ~ ~ STATE CERT OR REGIST# ci.lj.:# / '11/ 9 *******************************************************.*********** teNe ci~ flrt~ PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # *******************************************************'k********** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST# ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTIGE 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 indica~ion 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 someone 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, constr~ction, 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". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT acknowledged , 2CL- STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged , 20 (name of person acknowledged) Owho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or Owho has produced (type and whoO did 0 did not of identification) take an oath. o who has produced (type of identification) and who Odid DHd not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped Date: March 29,2005 To: City of Zephyrhills, Building Dept. 5335 Eighth St. Zephyrhills, Fl. 33542 Re: Request for change of Electricians to existing permit. Permit #: 310;), Address: 3750;). G;I/ five. , Zephyrhills, Fl. 33542 CONTRACTOR: Bahr's Aluminum, Inc. As the contractor for this job, I am changing electricians because the original one is too busy to do the job. First Class Electric, is to be removed from the above permit. The new electrician will be Reese Electric, Inc. Thank-you, '-111 i!1f~'t14&11 STATE OF FLORIDA - COUNTY OF PASCO The foregoing instrument was sworn to and subscribed before me this l :{Oy..l...dayof IYltbtd , .;<tJP=;-. And is personally known or produced identification. ~~~~ .)lJzanfH;~ Halli _~o~>l'.y>~(-c: Commission #DD 15713 .:: =~, .. . N.. 1" 21)Ot =* '\~:lI<E\_Dlres' j 0\ ._1< \. - . ~~. ... i- !1uu,ka Thn. Sta~,,:~' q!'~t:1t\C B('~!ldin::.: Cc.'. In'. D~I ~\\~ ~ z;tr [, . permission To Pick Up.txt K R.e-f e E feel-t--U. Company Name/ S- '/19 9 'Ii 0 r-ree. f Address } /~ ! JJ)~ UfJ 'J /' M-IIJ ~ ' To Whom It May Concern: Please be advised that Suzanne Bahr, Debbie Dokendorf,and Stacie Zullo of Pasco Permit Service have my permission to sign and pick up permits for me until further written notice. Sincerely, ~Q^-J~I~ Authorized signature \1\ O"""-c..< ~. D. ~ .....<~ Print Name ECI3()j/3J"0 License # I [~Ilt-y i~~~ # NOTARY STATE OF FLORIDA - COUNTY OF PASCO The foregoing instrument was sworn ~~ an~ subscribed before me this 30 day of rlQ.rCb. , .;)00 BL. Personally known___ or Produced identification~ ~ ROBIN GREEN Notary NJIc. SIaIe 01 FIoItda My Commie.fk... &pns 2tllMJ7 Con......... No. 185719 Commissioned Stamp and Expiration Date Page 1