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HomeMy WebLinkAbout05-4733 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 4733 Permit #:4733 Issued: 2/27/2006 Permit Type: NEW SINGLE FAMILY DWELLING Class of Work: 101-NEW CONST/SFR Proposed Use: SINGLE FAMILY RESIDENTIAL Sq. Feet: Est. Value: Cost: 130,500.00 Total Fees: 8,603.98 Amount Paid: 8,603.98 Date Paid: 2/27/2006 Address: 7619 MERCHANTVILL ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CRESTVIEW HILLS Parcel Number: 35-25-21-0120-00000-0140 Name: LENNAR HOME INC Addr: 600 N WESTSHORE BLVD. STE 900 TAMPA,FL. 33609 Phone: Lie: Phone: Work Desc: NEW SFD-REPERMITTED DUE TO EXPIRATION OF ORIGINAL ON 1/16/06 Name: LENNAR H INC Address: 7619 MERCHANTVILLE CIR ZEPHYRHILLS, FL. 33542 WATER CONNECTION RESIDENl SCHOOL IMPACT FEE - 97.5% WATER METER RES 3/4" POLICE IMPACT FEE RADON PLUMBING FEE 419.00 MECHANICAL FEE 1,651.65 TRAFFIC IMPACT FEE 1% 180.00 BUILDING FEE 254.00 PARK FEES SF 23.74 BUILDING FEE 55.00 MECHANICAL FEE ELE 80.65 SCHOOL IMPACT FEE 2.5% 15.88 TRAFFIC IMPACT FEE 99% 865.50 FIRE IMPACT FEE 769.56 PUBLIC SAFETY 5% 432.75 ELECTRICAL FEE 40.33 42.35 1,572.12 273.00 26.35 58.70 lftcY . / 00- (//rJ-I Y' \ n,\'b.-{.Y' 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. REINSPECTlON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections 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. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same IIWarning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your prope~ If you intend to obtain financing, consult with your lender or an attorney before recordin r notice commencement. II ~. SI NAT E PERMIT OFFI LL FOR INSPECTION - 8 HOUR NOnCE REQUIRED . ~ ROTECT CARD FROM WEATHER / / , ::: Uuildmp, PermIts Mdl1dger 1":-1 ~ rX I " '* start :: CI_IJ Ij lit r ..,. I-II Lljr-::l!jr.rt.:lIll-~r'l. ]1 ::7"~ "rr A~0i :J'tt"'J IJ 1-" ~ " ~"+,<'''r~'' #< 1 'I" H"l ~ Lf3d..1S 5<15 .f 0 SS,OO Yb.~~ ~<6~.l<& - f?:>' ci 7Y ~\.ecA- ~ CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 4733 Permlt umber: 4733 Issued: 7/20/2005 Permit Type: NEW SINGLE FAMILY DWELLING Class of Work: 101-NEW CONST/SFR Proposed Use: SINGLE FAMILY RESIDENTIAL Sq. Feet: Est. Value: Cost: 130,500.00 Total Fees: 8,017.20 Amount Paid: 8,017.20 Date Paid: 7/20/2005 Name: LENNAR HOM S INC Addr: 600 N WESTSHORE BLVD. STE 900 TAMPA,FL. 33609 Phone: Lie: Work Desc: NEW SINGLE FAMILY DWELLING Address: 7619 MERCHANTVILLE CIR ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CRESTVIEW HILLS Parcel Number: 35-25-21-0120-00000-0140 LENNAR HOME INC 7619 MERCHANTVILLE CIR ZEPHYRHILLS, FL. 33542 Phone: E WATER CONNECTION RESIDENl SCHOOL IMPACT FEE - 97.5% WATER METER RES 3/4" POLICE IMPACT FEE RADON 419.00 MECHANICAL FEE 1,651.65 TRAFFIC IMPACT FEE 1% 180.00 BUILDING FEE 254.00 PARK FEES SF 23.74 80.65 SCHOOL IMPACT FEE 2.5% 15.88 TRAFFIC IMPACT FEE 99% 865.50 FIRE IMPACT FEE 769.56 PUBLIC SAFETY 5% 42.35 1,572.12 273.00 26.35 FO 11M 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 our property. If you intend to obtain financing, consult with your lender or an attorney before notice of commencement." NO OCCUPANCY BEFORE C.O. CONTRACTORS SIGNATURE PERM. 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 PHONE CONTACT FOR PERMITTING Lu,()ar 1f:;1tI~, LM6 JOB ADDRESS~P(du:u1f-~II/.e Clr~e. PHONE 813 - gg2 - .tf&63 j13 OWNER'S NAME LEGAL DESCRIPTION: LOT(S) ~ BLOCK PARCEL 10 # 3S..Q7'51061f"O\;u)1'YtiX)-()140 - SUBDIVISION W..l-l--viuAJ (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: ~NEW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL DSIGN o MOVE o DEMOLISH PROPOSED USE: ~SGL FAMILY DWELLING o COMMERCIAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER BUILDING SIZE CJ 0~OS& t,fd X' ~O' :2.. If RESTAURANT & HEALTH DEPARTMENT APPROVAL UczP1U~, wJ/)<f~ SQUARE FO TAGE d 31 tf HEIGHT DESCRIPTION OF WORK 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 $ J~O/S-OD.~ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o Progress Energy 0 W.R.E.C. o PLUMBING o MECHANICAL $ J 1 (j)().~ ~\ o SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o OTHER TYPE OF CONSTRUCTION: if BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS ~ IS PROJECT IN FLOOD ZONE AREAD YES 0 NO SIGNATURE STATE CERT OR REGIST # :5 Ci3c 01 &&9j BUILDER COMPANY ******************************************************* SIGNATURE ~, J)t14<d1 COMPANY &J /Y1fJA ~ STATE CERT OR REGIST # 00/3/3 'f ELECTRICIAN ****************************************************************** SIGNATURE ~~ ******************************************~*****~************ ~ lJ . COMPANY. ~ '\ 'l1)jAlJ(j~ /" L ()L ){lLjcfU STATE CERT OR REGIST # ci4CDS/J 4/0 NJtuy:rb COMPANY ~+ , STATE CERT OR REGIST # CFGOL/J. 99 f PLUMBER SIGNATURE MECHANICAL SIGNATURE H' .:;;........~............~.. ~~~::;:. (i"~' ;:;. H~ ~ ;JJIIPt/~ STATE CERT OR REGIST # IlC.l-l~-()/3 OTHER 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 portions 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. Application 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 $2,500 IN VALUE D TO RECORD AND POST A "NOTICE OF COMME SIGNATURE: OW SIGNATURE: STATE OF FLORIDA~L{Jl)Jb ~ COUNTY OF.... UlD The foregoing instrument was ack owledged ~ Before me t. hi~. .. day of it (I ~ ' 20-'L by ~ 11 S a/v / (name of person acknowledged9 ~who is personally known to me, or STATE OF FLORIDA II ,J)... J /h../. COUNTY OF c:::A/LI.J<..'YA1I::nu~,- The foregoing inst~ument was~ac!inowledged __ ~~fore me thi~aY5''li.~:f~ ,2Dcl ~ (name of person acknowle ed) ~ho is personally known to me, or Owho has produced (type Odid not ./ Owho has produced (type of identification) and who OEd not j Name Name typed, printed or stamped ~..",.y ~ Kimberly Kay Daugette . ~ ; My Commission 00026612 '\:...~,l' Expires September 10, 2005 PLOT. PLAN LOT 14 CRESTVIEW HILLS PASCO COUNTY, FLORIDA. PRELIMINARY DRAWING: THIS PLAN IS FOR PERMITTING PURPOSES ONLY. NOT FOR CONSTRUCTION. VERIFY ALL DIMENSIONS BEFORE ANY CONSTRUCTION. SKETCH ONLY NOT A BOUNDARY SURVEY SEC. 35 , TWP. 25 S, RNG. 21 E. BEARING BASIS: NORTHERLY LOT UNE OF LOT 14 BEING N 89"36'03" E N THIS SURVEY IS SUBJECT TO ANY FACTS THAT MAY BE DISCLOSED BY A FULL AND ACCURATE TITLE SEARCH. ALSO SUBJECT TO SETBACKS, EASEMENTS AND RESTRICTIONS OF RECORD. LEGEND: ------ = PROPOSED DRAINAGE FLOW (00.00) = PROPOSED GRADE E-OO.OO = EXISTING GRADE b "., UNDERGROUND FOOTER, STEM WALL. AND UNDERGROUND UTILITIES ARE NOT LOCATED OR SHOWN. ~ W ...J <<: u 1Il. DO NOT SCALE THIS PRINT. DIMENSIONS AND NOTES TAKE PREFERENCE. DESCRIPTION NOT CONTAINING PLAT BOOK AND PAGE INDICATES THAT PLAT IS IN PRELIMINARY STAGE AND IS SUBJECT TO CHANGE AND/OR REVISION. CERTAIN DATA SHOWN HEREON BASED ON ENGINEERING PLANS PROVIDED BY CLIENT. >- rr ....<i <iO ...JZ Cl.::> ~ g 0<- Q.;> "s. 0$) 0) LOT 15 . = 10' DRAINAGE & UTIUTY EASEMENT .. = 5' DRAINAGE EASEMENT ... = 10' DRAINAGE EASEMENT "6 0 0 0 <( to 0 :s: 0::: to W '<t '<t 0::: 0 b 3: 0 z b' ** .... .G1:2.2'=..~~:- - - - - - - - - - 60' 2" b: o~_ _ ~ : 20.50' l~ w ....J 25.00' 0 0::: 0 0 IW ~o ~" ....J ....J~ W" 0 -~ f:::~ f>.. l{) Ze I"') <( N J: b 0 10 ~ 0::: W ::;E ------- 17,,6' 17".s> N 89"36'03" E 111.82' _______ '0$0) '''7)' * * * I b 1. I Z.1- ."~. I ju::c .- I" " \ /.... D..' !!! : J ~ Ui'rso O&1~ I I ~ f-Cl I <i I * 31.44' '[=='~'~~ - - -;;- - - _ _ _~_ _ J ~. ~'06' 06' ~. ~. ~'j; ~'j; TRACT "F" LANDSCAPE BUFFER ------ S 89.36'03" W 112.15' -----., ., '00 ,'b ~. q,. ~'j; ~'j; "~ LOT 13 t PC(P).-J PROPOSED LOWEST FLOOR ELEVATIONS: LIVING AREA: 127.50' GARAGE AREA: ELEVATIONS REFERENCED TO NA TIONAL GEODETIC VERTICAL DATUM OF 1929. MEAN SEA LEVEL= 00.00 FT. DESCRIPTION: LOT 14 MAP OR PLAT ENTITLED "CRESTVIEW HILLS", AS RECORDED IN PLAT BOOK ___, PAGES ___ THROUGH OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. NOTES: LOT GRADING TYPE = C PROPOSED PAD ELEVATION = 127.00' FRONT SET BACK = 20' SIDE SET BACK = 7.5' REAR SETBACK = 15' LOT =~719.4fL_so. FT. UVlNG AREA =-11!.~_SO. FT. ENlRY =~_SO. FT. GARAGE = ----.J~L__so. FT. COVERED LANAI =_ 9~_SO. FT. PATIO =-11 A _SO. FT. POOL AREA =_N A _SO. FT. CONC. DRIVE =__~SO. FT. A/C & CONC PAD =_~__SO. FT. SIDEWALK - 31 SO. FT. SIDE YARD SWALE =_ 11J5 _SO. FT. CONSER VA TlON AREA = N A __SO. FT. LOT OCCUPIED =_~ AREA TO IRRAGA TE = ~L-J: APPARENT FLOOD HAZARD ZONE: ''X'' COMMUNITY PANEL NO. 120230 0295 D EFFECTIVE DATE: 9/30/92 LEGEND: (C)= CALCULATED DATA. (0)= DEED DATA. (M)= MEASURED DATA. (P)= PLAT DATA. {= CENTERLINE, A/C= AIR CONDITIONER, B/C= BACK OF CURB. C/S= CONCRETE SLAB. CH= CHORD. CHB= CHORD BEARING. CLF. CHAIN LINK FENCE. CONC= CONCRETE. COV.. COVERED. E/P. EDGE OF PAVEMENT. ESM'T= EASEMENT. F/C= FENCE CORNER, FCM= FOUND CONCRETE MONUMENT. FIP= FOUND IRON PIPE. FIR= FOUND IRON ROD. FN&D= FOUND NAIL & DISK. FPP. FOUND PINCHED PIPE, LFE= LOWEST FLOOR ELEVATION. MAS.. MASONRY. OR= OFFICIAL RECORD BOOK. PB= PLAT BOOK, PCP= PERMANENT CONTROL POINT. PRM- PERMANENT REFERENCE MONUMENT. R/W= RIGHT OF WAY. R= RADIUS, SIR.SET 1/2" IRON ROD & CAP No. 4493. SNaO= SET NAIL & DISK. TBM= TEMPORARY BENCHMARK. U/P= UTILITY POLE. W/F= WOOD FENCE. (R) = RADIAL O!~ WAY I ( JOHN R. BEACH Be ASSOCIATES, INC. SURVEYORS AND MAPPERS 911 WEST ST. PETERSBURG DRIVE OLDSMAR. FLORIDA 34677 (813) 854-1276 FAX (813) 855-8370 Drawn By. SMS Square Feet; 6719.46 :!: LENNAR Checked By. Scale: NOT VALID WITHOUT THE SIGNATURE AND Date: PLOT PLAN 4/6/05 BB THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER Revisions: Lennar Homes 7619 Merchantville Cir. SQ. FEET PRICE MAIN OR LIVING: 2,374 $ 50.00 OTHER AREA UNDER ROOF: $ 50.00 OTHER: $ - VALUATION $ 118,700.00 FEE SHEET $ 537.00 ADDRESS $ 30.00 DRIVEWAY $ 30.00 BUILDING: $ 865.50 CREDIT: $ - BUILDING LESS CREDIT: $ 865.50 ELECTRICAL: $ 117.40 PLUMBING: $ 110.00 MECHANICAL: $ 80.65 SUB-TOTAL $ 1,173.55 RADON: $ 23.74 TOTAL $ 1,197.29 SEWER: $ 1,616.00 WATER: $ 419.00 IRRIGATION: $ - TOTAL: $ 2,035.00 WATER METER:I $ IRRIGATION METER $ 180~00 I SUB-TOTAL $ 3,412.29 , 769.561 PARK IMPACT FEESI $ PUBLIC SAFETY IMPACT FEES POLICE $ 254.00 FIRE $ 273.00 5% $ 26.35 SIF'S: $ 1,694.00 97.5% $ 1,651.65 2.5% $ 42.35 TI F'S: $ 1,588.00 99% $ 1,572.12 1% $ 15.88 TOTAL: $ 8,017.20 , 11111111111111111111111111/ II1111I1111II11111111111111111111 2005136527 Pennit No. Rcpt:900819 os: 0. 00 07/07/05 Rec: 10.00 IT: 0. 00 Dpty Clerk NOTICE OF COMMENCEMENT For the County of Pasco in the State of Florida THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following infonnation is provided in this Notice of Commencement: 1. Description of Property: Parcel No.35/25/21/0/;~O!c()00D/OIL/D SEC:35 ,TWP:25 ,RGE:21/Block:";: Lot: 1'1 Crestview Hills as recorded in Plat Book 53 ,Page 124 of the Public Records of Pasco County. (Legal Description of property and street address if available) 2. General Description of Improvement: Single Family Residence Dwelling Unit 3. Owner Information: Lennar Homes, Inc. Address: 600 N. Westshore Blvd, Suite #900 City: Tampa State: FL Zip: 33609 Interest in Property: Fee Simple Name of Fee Simple Titleholder: Same 4. Contractor: Name Lennar Homes, Inc. Address: 600 N . West shore Blvd Suite #900 City: Tampa State: FL Zip: 33609: 5. Surety: Name N/A Address: N/A Amount of Bond: N/ A 6. Lender: Name N/ A Address: N/ A 7. Persons within the state of Florida designated by Owner upon notices of other documents may be served as provided by Section 713.13(1) (a) (7), Florida Statues: Name: Michael F. Southward Address: 600 N. Westshore Blvd. Suite #900 City: Tampa State: FL Zip: 33609 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), FIOlida Statues. 9. Expiration date of No~ice Of. com. ~e~Jbent: (~he ex~iration date is 1 year from the date ofrecordmg ~pl~a dIf lint date IS specIfied.) ~ C()/ v' 1/ Signature of Owner: / ",' ...~ Sworn to and subscribed befor: me th}s d- day of CJlt~ , 2005 Notary Puhlic; ~~ ;JJtU(~y Commission Expires: l~,,"1 '''~<_ i<imberly I<.ay naugetle : ~I. '; M. Y (.~ommis~ion 000.. 2661," ,..'.~~. ~ -:\;-C'i ,\'_~t~ r;Xpl!"(~S Si?ptc;nber t {}, 200ft lSIt... ......m 0.......0 ::OlSl -.I"'tI OJ .......~ '" lSI-4 lR-4 cn~~ .c:. ~~ cng"'tl L..-lr.'U :D __ 3 en o o ~ "'tI 0 a 0 OC .......... ~ OO~-< o r m ::0 '" . . ~ 105763 . . . . . . . . . PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919 CITY OF ZEPHYRHILLS ZEPHYRHILLS, FLORIDA s: ~8o WATER ACCT. NO. 7~h5 { . DATE OWNER/ RENTER kPVY' ~ . ~~- MAILING SERVICE ADDRESS 711? SHUT OFF SERVICE 0 TURN ON SERVICE ~ INSTALL METER ~ READ METER 0 CHECK METER 0 OTHER 0 /J1~/k C/~. ~TER ~~~ o SEWER o GARBAGE ~ITY o OUT CITY --I-- No. OF UNITS _ DEPOSIT AMOUNT , ( - AMOUNT lAST BILL % II u:1Jr~ _DATE _ MISC. CHARGE WORK COMPLETED BY & DATE COMPLETED ORDER TAKEN BY u- 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. 04/25/2005 10:17 8132554522 SUNCOAST PAGE 01 . ,....,...:.... ClirNTRAL PEFtMJ:TT1.NJ3 -~'---'_.'._''P.'A''9CO COUNTY, FLO :;:rX>A IN'fRAC'rcm tt II 013~7~ ~Mr:::l! L.E:NNAR il&CKU c!'t91'3.;;l.2!l1:t.p10~09 )DI~:: 490:;! Er.SEN~'IOWER E{L.VD 1ST:: 'rAMPA PL ~~U)~<fJ PATE:: 12/19/05 T!MIi!:.. 141154 PAGE II ~, OF:" :I. r.SSUE OFFICEIl N RECEIPT NUMBR I: O()aeiE:J~27 QFFICE:~ NJ:!:ld POFn RICHEY JR:: SOL:CD WASTE FOR ZEP'FtI-IIL.L..S CHE~k: .. 6y:l~ F'ERMITS ~'4631~ 4d)?6;4655;S4p53f:5:~ir51 - . . <fJ634~~~~32;3'3;3()~~', ;34;:35; , JNTI:i:ACTOR;: O'J.~75 . ~ . J' Csh.o l) \cl. b -0 U tf 3 u . ,'f'Cl'rAL AMOUNT J:. 33.. 28 '- -, I -( :CNT COMPNY ACCOUNT CENTER AMOUNf 'DF.;SCRIPTJ:ON/Fl'ERMT DATA 1:1.4 :B450 - 363000 - 2 1~ .2..('1e tt***iUt . SOLI!) WASTE FEE: t 14 B450 - 36;:t;OOO - . :2 '-\ .., - 3"',20 n**tHUt ~OL ID WASTr:': r:.EE 'T5/5.0 DR/CR 60 60 .b~,Llry31' ISJ~ :::CEIVED DY ......._..._.._-----.."'-~_....__...__.~.._-_...-...._._._----_..- f: " '""Tb I :s~ H?-.1 L. \J ~J...~ l=n1: r)Q.Ce.V'\ - Zhi \\s B \dS ~. . 10 ~ ",,,"/ll,) , . ~iolf: PAj,()"{.oulJ~ 8u6i.. ~tlP'" . ~.,~..1ro-- oq~ r . lOO/lOO 'd 1 ZOQ-OBL-E 18 '0 N XU ~IalIna Sl1IHaAHd3Z WV lE:OI IH~/gDOZ/vZ/a~d