HomeMy WebLinkAbout05-3942
. I
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
3942
Permit Number: 3942
Permit Type: MOBILE HOME
Class of Work: MOBILE HOME SET-UP
Proposed Use: MOBILE HOME SUBDIVISION
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 3/03/2005
Total Fees: 4,442.58
Amount Paid: 4,442.58
Date Paid: 3/03/2005
Work Desc: MOBILE HOME SET-UP
Address: 37442 LILLY BEA AVE.
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): 159 Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number:
Name: GRAND HORIZONS
Address: 37442 LILLY BEA AVE.
ZEPHYRHILLS, FL. 33542
Phone:
ACE REFRIGERATION INC
ACE AIR CONDITIONING & ELEC.
M BIL
MOBILE HOME SET-UP
MOBILE HOME MECHANICAL
MOBILE HOME TIFISUB 99%
WATER METER RES 3/4"
IRRIGATION CONNECTION
POLICE IMPACT FEE
PARK FEES MH
'V2(o5
60.00 WATER CONNECTION MOBILE HC
35.00 MOBILE HOME PLUMBING
1,572.12 MOBILE HOME TIFISUB 1%
180.00 IRRIGATION METER
175.00 FIRE IMPACT FEE
254.00 PUBLIC SAFETY 5%
573.73
80 . 0
209.50
40.00
15.88
180.00
273.00
26.35
~ lief
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
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.
0; ~~
CONTRACTORS SIGNATURE PERM~
CALL FOR IN ION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
"0
-~" ~j\:.h"'"
. [jJ7 u~ , ,
J '~_""~_."__"'_'_'."
1
r
I
,f 53'
33,-'
I ~
lJ.r~?
Itl /11.J,i u" J{.."e
i;- #~/;E "
r
/bO , /
r /00
i:/7
j9"
. I
6A->clI'fE"AJT ~
,
()~rLN5Q11t/
r -
6/UC .#7c-:V /
'" ,
1<
60/
~
to T 1.5- c;
37tj'l~ L/LLy .16A
r;~ Ij-U cl !foRI 20 P J
S '0flVn-'f JlV\JVlkruU 51J.~LA' &'2-
f)V'fI--l L-W; lJL 0- T 11 JA.t Ii. uf
lNY;ELII~
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECE IVED
~/?/o5
I '
PHONE CONTACT FOR PERMITTING
PHONE
L~ T /5'7
SUBDIVISION
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: [JNEW CONSTRUCTION
o SIGN
[JADDITION
[J MOVE
[JALTERATION
[J REPAIR
[J INSTALL
[J DEMOLISH
PROPOSED USE: [JSGL FAMILY DWELLING
[J COMMERCIAL
[JMULTI-FAMILY
o INDUSTRIAL
[J # OF UNITS
[J SWIMMING POOL
Et MOBILE HOME
[J OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
BUILDING SIZE 21 k c...; I
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.
/,j'Jf)(I.t IW)I fv~'~
PERMITS REQUESTED \ "Yll'ltlf"''/ ~/
o BUILDING $ VALUATION OF TOTAL CONSTRU~--~
[J ELECTRICAL
AMP SERVICE
[J Progress Energy [J
W.R.E.C-,--
\
\
\
[J PLUMBING
[J MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
[J GAS
[J ROOFING
o SPECIALTY
o OTHER
padmE~S IO pa~u1Id 'padA~ amEN
padmE~S IO pa~U1Id 'padA~ amEN
~UamDpaTMOU~aE 6U1~E~ UOSIsd JO sIn~Eu6TS
~uams6psTMou~oe 6uT~e~ UOSIsd JO aIn~eu6TS
q~EO UE a~E:j. ~OU PH:{] PTPO oqM pUE
(uoT~eoTJT~uaPT JO adA~)
paonpoId seq oqMO
IO 'am o~ UMOU~ ATTeuosIad sT oq~
(ps6pSTMou~ae uosIsd 10 smeu)
Aq
- OZ ' 10 AEP- slq~ sm sIoJag
pa6paTMou~oe seM ~uamnI~suT 6uT06aIo~ aq~
'q~eo ue S~E:j. ~OU PTPO PTP OOqM pUE
(uoT~eoTJT~uaPT JO adA~)
paonpoId seq OqMO
..._ T T ..,n^,,",
IO, 'sm o~ UMOU~ ATTEUOSISd S1 OqMO
(ps6pSTMou~oe UOSIsd Josmeu)
Aq
-oz ' JO AEP - s1q~ sm aIOJas
ps6paTMou~oe seM ~uamnI~suT 6uTo6aIoJ aqi
.W X~NnO;)
A. NOTIC,E 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 Ii 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 instaliation 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 tiine,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
STATE OF FLORIDA
STATE OF FLORIDA
,...r\TT'tt.'IT'IV nlf'
N
-
o
N
III
0)
111
Co
I-
W
W
Z
t/)
~
(t:
o
3:
!::
:E
(t:
W
0..
I i
! i !
Ii' 0.
~ + !-I~ ~
r1 t~ I~!co 0:
"l..J '-I Q):5 a)
, I I E.~.!:
g.g:g.-g"&32
'c:nns .~ ~ i5
~~~ai-o
UH/HfJ > ~ <P
........ rn.......:5
~ '~~:-Q"""1'4i~!]
CD -D ;:0._
'tl = .... en
J ......COID..c:
:=:5:5 cD; (5
g: g: g: 0:_ .0
Q)Q)Q)='os::
-' -' -' ~-a 0
oID:O
.,1 I I'e: ~~
-4 i .!::50
;sIll: ~~
t.:i...:L.:W-c-
Q)Q)Q)E~11I
S::S::S::oQ)en
l!!~~..cc~
~~~-g~s::
u..u..u..<I)Q)O:
Q) ID (\) ::I.Q.!:
0.0.0.....-'0
~~~(2~e
....
(\)
.J::.
(5
I I
I t
I~'
f I 1"-,1
l!
ll.
.!
u;
(\)
"0 co
Q);:
~r'
~\I
Q)-
-lU
lU....
EE
OlU
'cZ
lUa>
e:c:
OlU
'O'!:
,...lU
(ij-c
<I)....
.;:: ID
.0-
el)lU
os
0:::
W
m
:IE
:::J
Z
J-
:e
a::
w
a..
n~
bl ~If
1-
'-1-
::I
00
-.J::.
C~
;:;:
~I
~I
s:: '
=' '
0=
....0
(\)<1)
.... .
lU.Q
20
<1)0
20
....~
ID(\)
10'-
E~
O<ll
'::''0
(1)0
c_
<Il(1)
c.....
-(1)
(1)-=
~.>JC.
00
OQ)
Cl..J::.
<IlO
,C....
1-0
:w
:i
E
c
C
CD
i
IL
~~~
ocoo
u::s&
x
x
x
Cl
o
:I:
l-
W
==
C)
z
~
(J)
w
....
a:::
w
I-
W
~
o
a:::
I-
w
Z
w
a..
I-
w
~
o
o
a..
en
s::
.2
~
.Q
co
lii
Q)
E
o
,C
<Il
:5
-
o
'-
(1)
Q)
E
.~
Q)
0.
~
en
<Il
I-
c
~
~'
'3
'0 (\).g.
~ro~
::I~ctl
'Octl"
s::;:~
lUQ)ro
;: 0: en
Q)ctl....
s::.,... Q)
;::"0
=ctls::
lUE::I
'0,,-
-CD .
s::-"
CD.>JC. Q)
Eg~
Q).Q-
.... cn
.- '0 s::
5- S::.-
IDlUO:
....O>c
lU iO'a;
en '0.0
'- (jj Q)
1i)E~
.>JC. <I)
<I) -lU
lU 32 c:
0: 00 .
"OEc1i)
Q) -......:.:
=S::O<l)
'* .2"0 ~
s:: 1ii~ ctl
.- rn co
> s::_ en
;:::~~ctl
Q) S::'- (I)
0.0>(:
eo;::: CD
0._ 0 U)
ctllUO-
..c: 0. 0
'O-lUS::
S::'O -
J9~'O~
<I) _
.... <1)= CD
CDeI)..JC,
-gElflJ9
:='IO\""\t-
_.clUO
~
..
=
i
..
CD
.:.:
co
III
C)
...:
CD
(5
J2
W
:5
-
o
,C
C.
W
"0
W
:5
lii
c:
s::
'5
lU
~
W
:5
ID
.lot:
ClI
I-
__c
<l)W
WE
~~
-0
ws::
.J;:'-
;m
..:.::5
j!!.s
uis::
E;:
el)0 ....
E-o "
(1)"0
OS
.!: 0
....
~-o
-s::
Octl
00:
IDs::
.~~
<1)(1)
::)....
(Y)
N
x
x
,
I
I
~I
I
I
,
i
\ 1m
I I~
ll}rnE
>-Wctl
>-ID
.0
e?<f)~
0- v.
oco:s1
U::s~
s::co
.,w(I)E
-gQ)Q)0
=~~:::
lUWQ)O
en[])CI:llD
s::
<n
~
:S
<f)
-....
~
CO
en
s::
!
t'
,~
I I'
10
11
W I
go:
I-n..
.>JC.
U
(I)
.J::.
u_
....<1)
OQ)
~:(
5 len
o ....
a. 0
.c ,-5
.~ I~
~0:(5
.!: 0
\ --
lfl-v
'" - Q)
~ '5-=
0::1
,CO"
-(I)
.!!1-~~
en'e?'~
2,giZ
Q)OQ)
.QS::-
Octl....
'- _ 0
a.lO m
W c:-o
::Is::e
O"i:: :::J
'-ctlO
0_ a.
;~..c:
.J::.-oo
.... ,...
\to- (1).=
OmID
"'::II'-
~ON
~>c:
ID ::: .!:
;n~~
.J::.(I),C
I--=U)
Cl
C
...
o
o
..
c.
..
CD
rn
IQ)
1>-
. I :B
c: -
Q<f)ctl
'I~'~
.ctl
cn....
s::-
00
i'Ei a
rn 0--
Q):t:; ~
>-0'-
Q)-
. Co.!:
~<f);:
o._<f) 0
ctl....-
....~co
0.3.8
-"0
'Octl-
s::_ 0
ctl='S::
-oC<f)
(l)ctllU
.!::: E 0
lUom
0.-'0
~'OQ)
ww=
~=ctl
-lU-
=tii~
0> s::.-
;::0.- >
-o<l)Q)
1.0-0- c:
~:~ E
.0 S::'-
E::I-5
OS::ID
:::::00
.8 0: J!l
s::a.
Q)'- Q)
,C~.!:::
I-(J)u..
..
III
CD
~
>
-ctl
2E
.t::~~
l() 0" ::I
"'"Coo
.t::,...-ctl m
"""2Q)::; -
'"0 ~= C ~
s:: W Q) ctl '.s::_-
<Il'O .... E
-os::Q)1D m
w~..c: '-
m_;:E Q)
~ . .E!.~-z.=ai
.~~ .!: ~ 'g ~
(I) 0 0._ a.-=
.Cl:;:: 0..0 ctl
m ~.~ E U
.- 0 - c:
E= ~~.!:
Q)co=_-O
en3w.uo~
i;)~ElD'c3
._ (I).J::..o
Emo;:-
mQ)=-o8
_:5lUs::O
lU_liictl-v
lDctl m,C
1O-o~lfl~
- (1)...._;:
-0 ;:'S '- <I)
wOO"O....
6~~~~
Q.~~Ng
glUlU.!!1lU
Q)e?e?c:lfl
ai ,g ,g .!: .~
.....00""0-
ms::,...lUO"
<(ctl(ij~~
CD
....
o
:z
II)
:::J
o
CD
c
.l!!
Gi
u
II)
i
<(
,z
j
!
,
I
I
<(
-.. m
Zl~
11:; m
lfl~~
0>-'0 .
Z Ul
, g~ ~ U)
-- tJJ ~ Q)
1:;'52>-
I~ O.!: .
1- -0 (5 a:5
0Q)0_
lflQ)~-O
>-~en-v2
C/) .-...... 0
~"5~roa.
~OS::a3e?
:s~~~~
~co;:a.o
.=- 0 a.~
Q)~q::::I0
.o:::~:5
.8ijj.g~co
g>w=.2"
t :0 g.!: 13 (u
:52i::'lU~~:5
(J)Oa:::OwO
0::
W
...J
-'
<
?-
m
z
o
w
(J)
z
w
(.)
:::i
<
>-
III
Q
w
~
0::
o
LL
0::
w
a..
w
[])
J-
m
:=l
:e
en
J-
en
W
l-
-'
-'
<(
Q)
E
ClI
z
-c
Q)
en
Q)
I-
(I)
co
o
....
~
ro
en
s::
l)
(I)
..:
t/)
~
...
o
S
-
"E ~
...' ::l
~CI)~
lC...:
t/)-
:c C
_0
="i
'i fd
C.Q
~ CD
.- ::l
C)J:::;
C"C
.2 C
- ftI
ftI CD
E-
... ftI
o ...
1:~J!
"- (.) I/)
ftI C
Ci .!!! .;;;
Sf -..
Ii: f
"C ::l
CD ....
> (.)
... .:!
.!! ==
C; C
_ ftI
~ E
iii
u
:s
u
CD
jjj
Q;
~
0.
s::
'(ij
E
(I)
:5d:
,ga..
o~
S::'c
-='
::IQ)
-':-0
2'~
.c"'!"
::IS
~E
.~ ~
...!.. Q)
.:!:3:
::I(j)
E.Q
S::Q)
<D.::
~;:
1i)g:
.0.-
m~
00
(3.Cl
::IQ)
'O,C
s::-
Slfl
co-g
.gg
~:~
w;:
(3.
Q)<D
ce
S::::I
8~
OJ
c
:is
E
:::J
ll.
I (~
~~
(.)
It)
....
CD
-
<Il
.0
J
III
5
....
III
s::
0)
Cii
...
g
III
....
!1J
e
c:
n..
....
~
(5
o
ci
J9
....
(I)
-
ctl
3:
.:
Q)
W
E
.:.::
,...
2
.2
C.
Q)
Ul
....
o
0.
.s
....
(I)
~
m
c:
.!:
en
.~
c:
ClI
.8
m
s::
'(ij
-c
....
Q)
~
m
ro
(3
(I)
s::
e
o
U
....
Q)
lii
3:
c:
.!:
en
'x
Q)
s::
ctl
.8
c:ci
.!: n..
0.
'0. en
>E
-(1)
0._
o.(j)
::I>
m(j)
....>
(1)-
lii&
;:::1
(1) en
15w
lU-
....ctl
03:
0._
~ffi
_'0
oe
(l)eI)
s::o.
eQ)
0'0
0.5
N
-
o
.....
CI)
m
CO
Q.
~
tii
:J
c::
CO
~
c:: ()
0 .2 ,
~ l!)
.....
tii a>
U; 'S
c:: a:::
a> cn :5
s:: -....
e a> .~
I ...
:::I a>
'0 '5 0
a> J!! c::
cn CO
:::I :::I '0
c:: '-
~ CO 0
~ 0
0
CIl CO
:5 .S:
.8 '0
'0 2
2 ]9
(J) tii cn
E en oS:
t- o .S: o~
W I (I) a>
W 3: E E
a> 0 0
J: Z I I
tI)
::s:::
a=
0
3:
t-
:E
cr::
w
a..
~
.)
'1:1:
(I)
cn
c::
(J)
0
::J
;J
Ja
J
o
c:::
w
m
:E
::>
z
E::
:E
c::
W
Q..
::J
~
.j
:t:
...
2
tii
W
c::
DO
(J)
s::
-'0
oCl)
.c::_
-tii
0_
cn~
cn._
~o:
-OC::
'"0 '03
<Co
(J)
c::
o
N
-0
~
=
a>
c::
o
N
'0
c::
~
o
(I)
-0
o~
(J)
0:
c::
U5
(J)
0: 0
.~ cn
....- .g
'-.c::
co_ v
E(J)
_en c::
0:::1 CO
CIi cn :5
:D c::"': Q;
J!! 0(J)
Cl -.=;(6 ro
c ~ ~ . a>
u 0:
m en oo:f!
c. W -....(J) cn .
tJ) N a> 0-- 0:;;:
_ 0.
lii Ui COo a> c::o
C. Q Eo.c:: 'c (j)
.... :: og;i (J).o
I (J) o.cn
C) c: N ~ ....cnO Oa>
'" (J) 'ii) &o:.c:: -N
.... W en 0: tii -ii)
a> it N -0 (1)- c::en
'5 Oii) CO o!:.:! E CO 0_ 0 ;;:-0
a:: '0 0. cn(J) a>16- CIlCO
E CO Q; -o.c:: :5 0.(5 0:0.
0. co- ;;:0.0 co...
e ... 00. c.> .t:: Q)
- a> .....0 co= E a; 0.
-g ... ....co>
'5. (J) o~~ O;;:cn E.:
1il -
E a> (J)
'0 '- =.c::
E ""0-
E- CO a>:::I co_
a> 'C .c::0' L j --0
a> ~ (I) -(I) .~ c::
'5 a.. o-=. -lltl
fo
~ID
XI'-
- CD
<o~
N
o
~
o
J
o
":l
o
""<<
N~
><~
= &0
..,.~
N
t/)
w
:e
o
:t:
a
w
en
::;)
a:::
o
LL
W
-l
In
~
C>
z
(3
<(
0..
t/)
a::
w
0:
N<<
N~
x;1)
= ..,.
C\l ~
N
b
~g
b::!-
N
'1:1:
m
a;
0
c::
.2
]i '1:1:
tii ro
en 'C
(J)
E Cf)
k 0
~
co~
"-N
_x ~
~-
..-
co
....
<o~
....$
_x N
<o~
....
rn ~n
..,. If'-l"Oo:;J
(J)
-0
.~
(I)
::e
o
o
lii ~
~ l!l.E
J:'u;g encncnencncn
-0
ltl
:::l
a
Q>
0.
t=
"C .l?~ 8
~(u~
-l2~
\'
en
E
~ (I)
en
>
Cf) ,.....
cn
S -c::
~o
a> Q);:i
c:Q) CI> -co
:::l ltlo
.!!!8 ... -lo
0 -0<<;
Q..r::: :s: C::CI>
t)J.... (J) ltl(J)
C:O -S -.c::
~... ltl_
g.g a> .S: ;;:
E CI> -00
:a-s 0 Jg ,3.c::
.c:: .- cn
Q)lI:I :s g.,g
.r:::E >
-a> c:: 0
....... co en -len
~.5 c:: -... _a>
0 2 O.S:
Cii'ti -0 tii CI>:;:
Q) en c::....
.:::- ~~
Q)Q) VI E
5~ :::I ltl(J)
(J) Ocn
-Q) .0 .2:::1
==:s? (5 ;;:~
~~ c:: 0
;;:-0 c::c .c::
ltl.- Cf) ..
~! Ov 0::
cnc:: '6
El!) ~
:t:5 ~ CD
2'0 .. 0::
- 0
.!!Q) cnQJ .!!! -
t)J- >(J)
c:.9- 000
7i),b E@
lI:IlI:I ""tIJ
~QJ
.!..!!! m:;: 1\
Q)Q) ...-
QJ-
~8 1ii~ c:
-l(J) '9-...
.:::.r::: -o:s! ~')-
~~ cCI>
ltl(J) <Il
... -
E= (J)
~ (J)(!) 00.
'0 .... tii
0 ~(J)
5..c 0
::c: -;;: '0.
>
I-
~
~
'5
.~
X
.c::
C:
c::
(!)
-l
"
"
\^
(j
...
!P
:;
t5
J!!
:;:t
C
ltl
~
,
,
,
rl
T
!
!
:
:
,
,
,
,
,
,
i
!
,
!
:
,
!
,
:
i
:
!
:
i
f
,
,
,
,
,
i
!
;,mJ..._;
~
:-1'......:
,
:
u
~
..
:;
lr
~
..
Q.
..
E
o
.r::
'0
'0
0::
..
'0
N
c
:s
~
!!
..
is.
..
~
..
0>
to
'E
to
E
en
II:: ;;::
~~
a>
N
'ii)
-0
co
0.
'-
(J)
0:::
0:
c::
'c
(J)
0.
o
w
w
j::
w
:E
~
u..
;;::
v
.,
(J) I
E I
~I
'08
-0=
c::v
~Ln
0-
_ ltl
N-o
.S:B
:5ltl
'~g
...
(J)
.0
E
::J
enZ
w
j::
c:
w
:z:
I-
o
-tii
~;;:-
-'5a>ro
tii::JO::<!-
;;::!: tlI s::
(!) O:'C tlI
'OC::a;a>
(7.j.3~c55
en
I-
Z
W
Z
o
D..
:E
o
o
z
~
8
w
j::
il/)
E
oct
e
.!
5" III
CI) -I
...I I~ !
~ 'Q) I
u u
'S; ~)'
i~i~
~ ~:)
CI) tI)-1
-.. .L.., """' '-
1lIa>1lI(J)
.S::;S~
'b-'l:l-
i1~~~
~E~E
ctllotll
-I~-I~
~-+
L-+--, i -i, -_~ :
. : : :
f---+-+-+-4-~-H
, ,
~ftHtU-i H*~
r
('1
ir"~
()
r:
103110
("", f)
(l
1""\
~
PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
5- oqcr~
WATER ACCT. NO.
DATE
3-3-0S
OWNERI
RENTER
V/A~ C//g1/t ~S
MAILING
SERVICE ADDRESS
3:1?1-e ~i!~ ~'
~
J..r /5'f
WATER
SHUT OFF SERVICE
TURN ON SERVICE
~
~.
SEWER
o GARBAGE
INSTALL METER
READ METER
o
~N CITY
o OUT CITY
-L No. OF UNITS
CHECK METER
o
OTHER
o
_ DEPOSIT AMOUNT
_ AMOUNT lAST BILL
_ DATE
~ MISC, CHARGE
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
Retain white form in office at all times.
Send pink & yellow forms to Water Service Dept.
Water Service Oept. to sign yellow form & return to office.
, ~".-vtiMANCE BUSINESS PRODUCTS, INC. 813-719-a008 FAX 813-719-7919
L.W
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
6., i::>'[cy ~
WATER ACCT. NO.
DATE S-3-~
OWNERI
RENTER
Cv!l)IiA'7.L
CJt~fl7I6
MAILING
SERVICE ADDRESS
...371/1/2 ~~ ~... d,ffi', .-{r/~
o ~ WATER
~ SEWER
~
~
o GARBAGE
SHUT OFF SERVICE
TURN ON SERVICE
INSTAll METER
READ METER
o
ft1
IN CITY
CHECK METER
o
o OUT CITY
--L-. No. OF UNITS
OTHER
o
~ ~-.
Jf 1/ ~~ A?1~
- DEPOSIT AMOUNT
7'
- AMOUNT lAST BILL
"--
_DATE
- MISC. CHARGE
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
;/-
Retain white form in office at all times.
Send pink & yellow forms to Water Service Dept.
Water Service Dept. to sign yellow form & return to office,
~
l )?
PASCO COUNTY, FLORIDA
Sq Ft Unit:
TAl:
Amount
$
PARKS AND RECREATION FEE'
Land Account ' Land Credit
L!=lnd Total
Recreation Account
Recreation Credit
R~creation Total
Zone
TOTAL AMOUNT '
$ , 073. 7'
y:;dJ -~-tJ)-
Exempt
DYes Itl No
How Determined
LIBRARY FEE
l-and Account
Land Credit /__l:and Tota~---'--,
, ' ---;....----
Fac'lty-e'f8Cfit Facility Total
Facility Account
xeillpt
o
How Determined
Total Amount
RESOURCE FEE
TOTAL AMOUNT
It). ~ UJt(J}
ERU
Prepared By
Checked By
I
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOlfNTS LISTED HAVE
. BEEN PAID AND
RECEIPTED FOR BY A CENTRAL PJ:RMITTtNG OFFICE,OF PASCO COUNTY
Acknowledgement below does not Imply acc~ptance of cOl1cIJrrence, but simply receipt opy 0 I~ form, placing
. the building permit owner on notice of this assessment and thQ condition payment for s e,
. '
DATE RE
RECEIPT NO, ~~'11 DATE 3L? I J1i5 BY