HomeMy WebLinkAbout05-5146
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5146
Permit Number: 5146
Permit Type: COMMERCIAL
Class of Work: ADD/AL T COMMERCIAL
Proposed Use: LIGHT INDUSTRY
Square Feet:
Est. Value:
Improv. Cost: 277,760.00
Date Issued: 11/17/2005
Total Fees: 3,215.89
Amount Paid: 3,215.89
Date Paid: 11/17/2005
Work Desc: ADDITION OF WAREHOUSE 56 X 80
Address: 3946 OPELAND DR.
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: RINKER MATERIALS OF FLORIDA, INC
Address: 3946 COPELAND BLVD.
ZEPHYRHILLS, FL. 33542
Phone:
R ER MA
HOLLOWAY ELECTRICAL SERVICES,INC
W HALDERMAN PLBG, & HTG. CO.
3G AlC & HTG,INC. DBA EASY AlC &
ELECTRICAL FEE
PLUMBING FEE
RADON
1,
134.40 WATER CONNECTION COMMERC
64.50 MECHANICAL FEE
44.80 FIRE PLAN REVIEW FEES
563,14
42,50
62,00
a
~,{'~\tf9 ~
R U H ELE I 1
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.
~ -<-' . ~-~
CONTRACTOR SIGNATURE PERM~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictioJ," which
may be more restrictive than City regulations. The unde~signed assumes responsi~lity fur
compliance with any applicable deed r~strictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may be ,req'ired
to be licensed in accordance with state and local regulations. If the contractor is.n~
licensed as required by law, both the owner and contractor may be cited for a misdemean~
violation under state law. If the owner or intended contractor are uncertain ~s to what
licensing requirements may apply for the intended work, they are advised to contact ~he
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 ~one 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 Shrll issuance of a permit prevent the Building Official from thereafter requiring a
correc ion 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".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this _ day of , 20_
by
(name of person acknowledged)
Dwho is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of
by
acknowledged
, 20
(name of person acknowledged)
[1ho is personally known to me, or
of identification)
take an oath.
Dwhohas produced
(type of identification)
and who Ddid [}:lid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
..
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 PERMITTINGS~/- 8'20- 834~
OWN-ER'S NAME !<..'nl<,t:r m4terl'c.Js of' AOf','dct In<- PHONE .S' /- &-33-6660'
JOB ADDRESS 3q4-~ CDp(? /~r1d SOU /, c.v~rcl ,2 e1<JhvrA.I/s ) frlct" 33042
LEGAL DESCRIPTION: LOT(S) f/IA BLOCK /V/A SUBDIVISION .A/IA
PARCEL ID # 24-26-2/- OD06- 00/00-0140 {OBTAIN FROM PROPERTY TAX NOTICEl
24- z...~ -2' - 0000 -00100 - 0130
WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION o ALTERAT ION 0 REPAIR 0 INSTALL
DSIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
MCOMMERCIAL
DMULTI-FAMILY
W1 INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK fidel-I,'un of' S(p 'X g.OtWClr~hous~
BUILDING SIZE u-/p 'X go I SQUARE FOOTAGE 44<fjO
I
HEIGHT 22
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 \
PROPERTY SURVEY REQUIRED FOR ALL NEW
$
/ /1 ()06
VALUATION OF MECHANCIAL INST
~UILDING
~LECTRICAL
~LUMBING
~CHANICAL
o GAS ~OFING
Ioe
.~ /]1 \"
$ /50; 000
)00/240
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE ~rogress Energy
o SPECIALTY
o OTHER
FINISHED FLOOR ELEVATIONS
o FRAME
77, to
o STEEL
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
IS PROJECT IN FLOOD ZONE AREAD YES
ErNo
SIGNATURE
1 ~ 6~"^'S
COMPANY ,'nkelr fY)Gt-l~rlqls of plof"/Jct ...J..n
BUILDER
STATE CERT OR REGIST # C6G-Ot7042-
******************************************************************
SIGNATURE
.sa r~~ L-
COMPANY
ELECTRICIAN
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
(5~ r~
2
)
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
P"r 3>
*****************************************************************
OTHER ~
SIGNATURE ~~fll
SIGNATURE
5 PI)
STATE CERT OR REGIST #
COMPANY
(2 ~l!.6 'I)
\.-l-C...
STATE CERT OR REGIST # ccc o~'iS'23L'
~ - <613- loCo3 Cfc.o 73
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
OWNER'S NAME
PHONE
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
DALTERATION
o REPAIR
o INSTALL
DSIGN
o MOVE
o DEMOLISH
PROPOSED USE: 0 SGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
D RESTAURANT & HEAl.TH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
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
0 BUILDING
0 ELECTRICAL
0 PLUMBING
0 MECHANICAL
0 GAS o ROOFING
$
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o Progress Energy 0
W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
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
SIGNATURE
/f~
COMPANY R'AlK~11- 1f'1A-,If-A:,4L<'" 6+fL I-.rC
BUILDER
STATE CERT OR REGIST # C6-L 0176 'i 2-
SIGNATURE
* ** *** * * ***** *** ** * * * **** ** ** ****JI:p*l/!i.t;~'r'*:!;:!'1J!t~ **5 e TV, fl C ,
- COMPANY-W~~ ~~~~~J:ftJ~'
G C 0(7(J11lj
ELECTRIC I
c
STATE CERT OR REGIST #
*******************************************************~**********
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*******************************************************~**********
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*******************************************************k*********
, 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 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 aone 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, 50~ ~rD TO RECORD AND POST A "NO~On/'
SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
STATE OF FL~PA
COUNTY OF evLl1IIj(,,,,,...t.
The foregoing instrument was acknowledged
Be fOx.;) me thi~ day of ~1 ' 20./25
by I 0Vl a.ld ~
(name of person acknowledged)
pijwho is personally known to me, or
STATE OF FLORIDA ~ / l?~
COUNTY OF ~~
The foregoing instrument was~nOWledged
Before m~thiswtJ~ay of ~ , 20 ~
by :;P "V1 ~.s
(name of person acknowledged)
~ho is personally known to me, or
of identification)
take an oath.
Owho has produced
(type of identification)
and who Odid ~id not take an oath
Si9~~
,
"
taking acknowledgement
acknowledgment
Wesley A. Dupere
<,-_.LI.~""'" . g)QI8Z05
r
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
,
o.WNER'S NAME
PHo.NE
JOB ADDRESS
LEGAL DESCRIPTIo.N: Lo.T(S)
BLo.CK
SUBDIVISIo.N
PARCEL 10 #
(OBTAIN FRo.M PRo.PERTY TAX No.TICEl
Wo.RK PRo.PSED: DNEW CONSTRUCTIo.N
DADDITIo.N
DALTERATION
o REPAIR
o INSTALL
o SIGN
o Mo.VE
o DEMo.LISH
PRo.Po.SED USE: DSGL FAMILY DWELLING
o Co.MMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# o.F UNITS
o SWIMMING POo.L
o Mo.BILE HOME
o o.THER
CJ RESTAURANT & HEALTH DEPARTMENT APPRo.VAL
DESCRIPTION OF WORK
BUILDING SIZE
SQUARE Fo.o.TAGE
HEIGHT
RESIDENTIAL: ATTACH (2) PLo.T PLANS & (2) SETS o.F BUILDING PLANS & (1) SET ENERGY Fo.RMS.
COMMERCIAL: ATTACH (3) SETS o.F BUILDING PLANS & (1) SET ENERGY Fo.RMS.
IF SIGN PERMIT o.NLY (2) SETS o.F ENGINEERED PLANS REQUIRED.
PRo.PERTY SURVEY REQUIRED Fo.R ALL NEW Co.NSTRUCTIo.N.
PERMITS REQUESTED
o BUILDING
$
VALUATIo.N o.F To.TAL Co.NSTRUCTIo.N
o ELECTRICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATIo.N o.F MECHANCIAL INSTALLATIo.N
o GAS
o Ro.o.FING
o SPECIALTY
o o.THER
TYPE o.F Co.NSTRUCTIo.N: 0 BLo.CK
o FRAME
o STEEL
o o.THER
FINISHED FLo.o.R ELEVATIo.NS
IS PRo.JECT IN FLo.OD Zo.NE AREAD YES 0 NO.
SIGNATURE
~W1/
Co.MPANY f\.JAJko€.lL 1J1,1-/~"-I"'LS(/r rL lAIC
STATE CERT OR REGIST # C-'&:L (!!J 1 76' 'I Z-
BUILDER
******************************************************************
ELECTRICIAN
Co.MPANY
SIGNATURE
STATE CERT o.R REGIST #
******************************************************************
:::::RE ~ "."" iL G40M.J :::::N:ERT OR REGIST
~tH'HHHHHHHHH'H'HHHH'HHHHHHHH'HHHHHH \. ';1
MECHANICAL Co.MPANY G ~ G. ; 1116. :!i.e.. 1)8/1 64iJ.-
~/G.
STATE CERT OR REGIST #
YIGNATUR0
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
"
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" whidh
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 pOftions 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, 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".
SIGNATU1 ~NT SIGNATU1 c:V-
~~~~~yO~F~~A~~
The foregoing instrument was acknowledged
BefoDme th~ ~day of ~ ' 20.05
by ~lA.1 K"S
(name of person acknowledged)
~who is personally known to me, or
~~~~~yO~FFLORIDA ~/v.n ~~
The foregoing inst~ent was a knowledged
Before e this day of , 20 ro
by
(name of person acknowledged)
~ho is personally known to me, or
Wesley A. Dupere
....)IIL 3J" 21106
JIoDdId 'Dna
AtIIIltIc 1oDdIDsCa.1Dr.
Dwho has produced
(type
~did not
of identification)
take an oath.
taking acknowledgement
~I~\~ tv'm-11JU PrlS
.*t~~ (1~ S~L.
Square Feet
441JO
Dollar Amount
1 --~
Coe , -
Valuation ~"'I')io ~.
Building " 52",) ,~~
Electrical ~ .~
Plumbing ~~ r)U
Mechanical 1l,'S~
~Do~ 19 ,;50
Connection Fees
Sewer
Water
Meter
~~ IB//,"5o;-
"'5lc~ . )~
School Impact Fee ~
Transportation Impact Fee
~ 1ft -- ~~~"-'t ~ ~ 5fir1\o
Park Impact Fee N I fr
Public Safety Impact Fee ~ J\c.L.'P- )~~t 1= ~~p U""h-
'"
"~' '.
~L"', '877 L/'W&
11571;1.1:1 ,
NOTICI:: OF COMMENCEMENT
~:~~t:(o:lor;c a } IPR~.ARE IN g~p~leATEl ~~j~~ll~~!~1I1111111111111111111111111111111111111
The underl:igned hereby informs all CCnlBrnllld that impfQVemtlnts will be made to certain reel property. and in accordilnc",
with section 713.13 of the Florida St.tute:, the folh;Jwlfl9 information Is stated in this NOTiCe OF COMMENCEMENT.
Dl!I~cription of property,. .f.(({0l~. ,Xt;,~,. /J:.((~~A~,~.. f!!.::tr::f,.J. J~~ ';':~c-!S,,,. P. ~.~~:.: F fl. ~,':7."",.",
Rcpt; 932f118 R.c:: 18.l5f1
OS: e.. IT: f1.e0
10/12/f15 ---.'___.._. Dpty Clerk
SIiMINOU FORM 408
.". .... ........ ........ .1.. ..., _. .........,.. _....,... ..-. .... .t.... -...
, , I . . . . - . . . . .. "........, ~ . . , . . . . . . . . . . . . . . . . . . . . . , . I . . I . . . . . . . . . . . , . . . . . . . - . . . . I . , . . , . , . . . . I I . . , I . . . . - . . - . . . . . . . I . . . . . . . . . . . . . .
~
, .
_ Co: ,;1rvc.{/f),1 Llf ~ ;JloG/<" I.J.h:,.rc.l.!tJlJSe:, - ,.'-
General de~crl ltlon of Improvements. , ,. ,. , , ... , , . , , . .' .,.. , ., , , , , ' , .., , " , , , ,." , . , ' ,. ., , ..., " ....., . . , . . , ,........, , , .., , ...
Own~r , .. . R. ,0.t~,~r:. ,01. ~.i ~'r::I, ~,l.~'...~ f.. F l~~~ '~~.. .+. ~c;... ~.. . ....... ... ,... .. .,... .. ' .. .... ..., ...... .. ,.. . ..'
)u""{j113e.Ji/edere. ~cl tJjr::j'/-P4/~ /3~('/~;" ;:/4 3'.J40(.~'
Address "..' "."..."..."."".,."...",..,'......,.."... - , ' . . . . , , . . , . . . , . , . . , . . , , . . . . . . , , . . , . . . , , , . , , . ' , . ' , . , , , , . , , , , , , , .
O .' "t ' f h . I' =C:~ S" m Ie PITTttANA PASCO COUNTY C' InSI(
wnerSlnterestlnst eo t e,mprovement "..,..,... ,...,,p,,.,,......,,..,,,,...,., 1i~12/05 111=111" 1 of "2"-
Fee Simple Title holder (if other than ownllr) OR 81( 6636 PG 157
Name ." R. ,/ 0)~ ~r. ~. O?~ .~.~/ ~ / ~. ' .c!. f. , .E/'!.~ ~ rj~. . .-f .'7,~. ... . , .. , . . . . ' , . . . . . . . . .. . ' , . . . . . . . . . , . , ' , , . , . , , , ... , . , ,
) .j'o I )3(;./ ~d ~ rt~. R CI Uk'..rl f041 m I Je6tc. j, r Ie;. '3346 &
Address "." ,.......""".,.,.,..""....,,'.',...,......,..," - . . . . . . . . . . , , . , . , . , , , , . . . . . . . . , , , . . , , . , . . , . . , , , . , . . ' , , , . , . , '
Contractor, h)t'./'), k1!C .. f!1.~.f.~ r:~ R f!.. , , p. F.. , . r:~/'. ~ .c!~ . . ,,*, (?~.'.... . , , , .. ' , .. .. ..... , , , , ,.. , .. , , , .' , .. , .. , .... .,
J::.7Ji 13e./tlecler4 kc/ we'sl ;:1,/", /je~t(:..j, ~/C( 3346(;
Address .,." .,.......",.."......,."...".....,...,....,.,.,.,..,',..."., - , ' . . . . , . . ' . . , . . . , , , . . . . . . , , . . . , . . . . . , , . , , . . , , . . . ,
Surety (if any'
....... ...".......... "'" _. . ..., I...... I ... II......... '" ......... I......,.... I..."...... ...,.. ."............
Address , . . . ' . , , , , . . , . , ' . . . . . , , . . . . ' . . . , , , . . , . , , . , , , . . . , , ' , , . , . , . - . . . , , . . . , , . . . ' , , . . . . Amount of bond $ . . . ~ 1.1: , , , ,
Any person making a loan for the con5tru~ tlon of the improvemflnts:
I
Name",.." v./~1",...,"',.".,',...," ."".."".".,...,......".,..'",..,.".,.."....",."."..,"",.,""',.,""
AddreS$ .",.""".."."""".,.,.,..." .. , . .. .. ,. , .. , , .. ' , , , .. , . . , ., ., " . ,... ,. , , , . . . ,.., , , , , , . . . , ,. , , ... , , " " , '..., , , ,..
Person within the State of Florida deliiiigna :ed by owner upon whom notices or other doouments may be served:
S}'4NJ. Gft'rc.t'~
Name ",....,......',....,..,......"."., . . , , , . , . , , . . , , , ' . . , , . . , ' . . . . , , . , , . ' . , . . . , . , . ' . . . . , . . , . , , . . . . , . . . . ' , . . , , , , . , , , . . . , ' ,
/,)01 13c I J/eclc>'~ c-?c/ tu~sl /J4/'.,., e~"ic.A r'lq 3.JI at
Addr",ss ""."""",.,..'",..".,."..,' ,..""".,...'",.......".,....,.."...".....,.."""",.,....,.".,."....,.,..
In addition to himself, own",r designillUll!i th e following parson to receive a C::,opy of the lienor's Nadce as provided in Section..,
713.13 11l (h). Florida Statute5. (Fill in at Owner's eption). '
Name ,.,," ,1:./:1'.. ~ ' , . , . . -..' . . _,' ,'.'-' -- .-. . . ' , , . . . , , . . , ' , . . . , . . ' . , . , . , , ' , , . , . . , . , . , . , , . , , ' , . . , . , , , , . , ' , . . . , , , . ' , , . . , , , . . , , , ,
Add.",ss ",."".""".,',.",..,...,'
T~IS SPAce ~OR RECOROER'S use ONL"
H.PP............(5Z.~.. ...... p.
Owner ,., 610- 1100. 7th
.:Jr- -0
Sworn to and subscribed beiote me this, , , , , '
.....Jq............dayof ., .~,~,":94~~,.."",.",.,.".."."" ,4~,fI:.!...
~~" .d~~~~'-~?d);.;~l.. '~1;;' .. , .. ,
9~ PA-r-"-I"
.....Vi . , ;',', ~ ;", :... ,jGHN~)(1l'1i
~,' ',/1 MY (X:'I,I' ',',;:-)~'J ", r.'P ".,.;<r-,
""4i"GH\~' E:C;: .. ,> ',.'f"",,;'g :'l"'i;;':~~j~" J
l~~;t.\[')"~I-NI~~rr.~lY Il ~"'. '(':' ',: ;': \'1\ '.:'~ i)o,'i~:.6-',1. lrlt~ .
- .._..................~....,_....... .._..~.. .,.".,.-..." ... M_........._..
+
HORIZONTAL
+ BRIDGING
or
+
WAREHOUSE
~
~'\ I~ 0~
U--\ If' {t\ ~~ I
~ ~\ / \. ~
~ {r ~ ~ of'<. ~,,~ J< ~V .d" /,). ~
~ /. \ ~ 0.~.f ~ \'""'\ ~
\ ~~ 0 \., t' ~" ~ ~ \(
I _ \~<f # '<; RIDGE.., oS a... S"'.
\ ~NJ.;'" . I \l -/ CROSS
0W {~ IBRIDGING (1'(P.)I-
t\J' r--
-
~I
DEAD LOAD -
LIVE LOAD - _21.45 psf
- 20 psf
L-
I
p,1
C.In' 01' ZEPKntBILLS l'DKlT APPLlCA'.r:IOB
BlnLDDIG DJI.AIl'lHDP.l' 5335 a. 81:, l.apb:!fZ'IUll., FL 335402
813-~80-D020 ~AX:813-780-0021
~ JU:Cl:XVBD
PRClNJ: COMDC!' i'OR l"BJlHXftING
OWI\iE~' S NNilli:
~'/lk~ t /lifo-;...fr
? '1 ;t--6 0;fP~ --. A' I?'/,
PHONE
.JOB IlDDIlJiSS
LEGAl. D8SCB.IPTI~, LOTISI BLOCK
PABC&I. 10 t ?t(~;2/... - ZI .."",<" - t?11/Q,,_ c//<,/iJ
SUBDIVISION
lOIl'l'ATN FROM PROPF.R'r'Y 't'Jl.X Nt)"Tr.R\
WORI( PROi'SED: DNSN CONSTRUCTION
OSIStl
o ADDXTION
o MOVE
DALTERA'l'ION
(j REPAIR
o IIISTALL
[J DEKClLIStl
PROPOSED CSE:ClSGL FAMILY DWELLING
g(COHHERCIAL
DHOLTI-FAMlLY
o INDUSTRIAL
O. OF ONUS
OSWIMHIMG POOL
o MOBILE HOME
o O1'HE]l.
D1UICIlIftIClIf 0" MDU;
CJ RESTADRANT , ftEALTH OgPAR'l'~NT AE'PROVlU.
Cp",!,......f ('Ice,
BUILDING SIZE
SQOAllE &'ODTr.GE
IIEXCBl'
R&:SID8NTIIU..~ ATTACK (21 PLOT PLANS' (2) SETS of' BUUJ)IMG PJ:.ANS , III SET ENtRCY FORMS.
COMKBRCllU.: AT'lllCB (31 SETS OF' BUILDING PLANS. III SET ENERl;;Y FORl!IS.
IF SIGN l?ERMI7 ONLY (2) SiTS OF ENGINEERED PLANS ~QJREt'I.
;aOPERTY SURVEY REQUIREO fOR ALL ,NSH CONSTRUCTION.
PZNCI'.rS RBQ'UI:STBD
a BOl(.OING
o ELECTRICAL
$
VAL~TION OF TOTAL CQNSTROCTION
AMP SElivICE
o Progress Ener9Y [J
W.ll.E.C.
o P1.Ot4BlNa
o HE;CHANIC1IL
o GAS
o ROOFING
o Si'I:CIAL'l'Y
VALlJA1'lON OF HECBANCllUo INSTALLATION
o O'fHER
,
TVPE OF CONST1l.\JCTlcnI, Cl BLOC!<
o FAAHE
o STEEL
o O'l'HElI.
E'J:HISlIED FLOOR ELEVATIONS
IS E'ROJECT 1M r..ooD ZONE AREACJ ylltS 0 NO
" ~ . -~ - --
, '
_' I, ~ _ _ . _-=----_' _ _ _ ~ _ j _ ' ~ ~ __ _ _ _ __. ___ _ _ _ __ _ _
stnLDBR
COHPANr
SIGHAl'URE
.s.
....~...**........_.*........_..*...**.*.**..................*~.*. 'l
PAN~ I/o; bUJAj FJ.E~/<Af.., Ilt~"
TAfE C&RT OR REG1S'!' t Ec.ooo /173
STATE C&RT OR REGIS'!' I
SIGNATCRE
.*_...+...*......~....w...
PLUHBIEIl
COMPANY
6IG~Ol\!;
STA'l'i: CER'I' OR RECHT .
...~._*..,*~.......*......**..**..*~...~......~..**....*....**.;..
MSCIUl.HICAL
COMPANY
SIGNATURE
8TA~~ CERT OR NEGXST .
*.*..~...*....*..w.....*~..............w.........~~...*.**..~*...
avmR
COI!!Il'.IUIlY
SIGN!\'t'URE
STATE CERT OR RSGIS~ *
Nov 17 05 04:48p
~ER' S NN'lE
JOB AllORIIS
p. 1
CJ:'l'Y OB ZBi'BYR8:ILLS PIDMI'l' APPLICATION
nn.DINQ DEll'U~ 5335 ." St:, ZepbyrbLll.. I'L 335.2
813-780-0020 rAX:813~~
, , 7 f"1 .,~t DeB. 1lSCIl:tVI:D
PRom: CClIl'I'AC!' I'OIl. PDMI'E'l'IlIG
.?, AI K~ ~A/()v.~ rR/tfS '
J 7,/ b. {d;.t:/;Q.IJd' ,8/ v ri
PRONE
LEGAL DIilSCRIPTION: LO'l'(S) BLOCK SUBDIVISION
PJU\CEL LO. ?Zt/,-zl:, -;J"-Ot')C-;t;J-O;;/CO -O':YOlnRTATN I'I'AilM PROpr.A'I'V TAX Nn'l'mF.1
[J ADDITION
OlU.TEAATION
[J ~PAIR j(iNSfALL
WOft\( PRClPllED: DNEW CONSTRUCTION
OsrCN
[J MOVE
o DBMOLIS8
PROPOSED USE: []SGL FAMILY DWELLING
)il'CtlMMtRCIAL
OIlOI:.tI-tAHILY
D INlIOS'l'l\IAL
o It Olr UNITS
D SWltelIMG I:'OOL
D MOBILE: RC1f4E
o OTHER
o RESTAURANT' RElU.%DEPARTMENT APPROVAL
C~7\-fr"ruQr./1 ,
BUILDING SUE
DIl8CIUI"fION 01' 1tDIIIC
SQUAllI!: rooTAGE
HEIGHT
REsIDtNTIAL: AT'l'ACB 121 PLOT PIJINS & (2) St1'S OF BUILDING PLlWS , (1) SET EN!.RGY &'ORN9.
COHHERCIAL: ATT~H (31 SETS OF BOIWING PLANS & (1) SET EIiIilRGY FOIlHS.
IF SIGN PtRHIT ONLY 121 SETS OF ENGINEERED p~s REQUIRED.
PROPEllT'l SURVEY REQDIUD FOR ALL ,MEW COllS'I.'RUCTIDH.
o BUILDING
o ELECTRICAL
o pLOHBING
~~HANICAL
PSaNIo.rs lUIQUBS~BD
$
VALOATION OF 'l'O'l'AL CONS'l'RUCTION
AMP B t1l.VICE
C fI:'Qgr.."" &:neroy 0
iIl.R.E.C.
.5
64 7?<;' , VALlJATION or- HECHANCIAL :nISTALLATION
o GAS 0 ROOFING 0 SPECIALTY
o OTIlER
o FRAME
o STEEL
o O!H&:R
TYPE OF CONSTRUCTION: 0 Bl.OCK
IS PRDJIOC'!' IN FLOOD ZoNE .MEAD YES 0 NO
FINISHED FLOOR ELEVh'l'IONS
~t~~___- T~~-.._I _~_- _~- _ __ - _ _ _ __~~ __ __I~_':;t'
Bl1IUlER
BIGNATURE
SLll:C'IIlJCUIN
SlGNA'l'O!U:
1'U.IeUl
SIGNATURE
MIICDM~ClJ.L
SIGNATURE
0'm8Jl
COMPANY
STAtE CERT OR,REGIST I
...*'k...+..**.***...*..~........W.~.*.*~*'.....*..........*......
C(lMPAN'l
STAT!: CMT OR UGIS't .
~~.**..*...*.t*.......*.....*'*~r;..*..**...*.***...........w...**
COMfANY
, STATE CER'!' OR Rl:CIST . .J
ZJ-!3A €A~l"l life
.......t. 6-........f,.............."'........... ...w'*.................t ..". . /\t
COMPAJolyq G fil.ecG,,'Y:JrnCNlIt/(; "~"/IQ)fJr; Is"
STAT!. CERT OR tu:GIST . C./.X:.!.-)C:J'~'>?7~1,
.~~.................~.~....~...*...*.~*.*.**....*.*...~***........
COI!IPNlY
SIGNATURE
S'l'ATE =1' oil. JU:GIST . '
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills. FL 33542
, FIre Chief Robert Hartwig Bus (813)780-0041 Fax (813)780-0044
Occupancy No.:
Plan No.:
Business Name:
Business Address:
Business Phone No.:
Business Fax No.:
Contact: 9:::J!-
FIRE SERVICE USER FEES
mo
PLAN REVIEW FEES
~Site Plan NlC
Building Plans .04 sf
Revision ,06 sf
STANDPIPE SYSTEM
o Per Riser $25
SPRINKlER SYSTEMS
B 0 - 25 Heads $30
26 plus Heads $60
FIRE PUMP
o Per Pump $100
FIRE ALARM SYSTEM
B 0 - 25 Devices $30
26 plus Devices $60
S~~SYSTEMS
~ WfIA $35
Dry $35
C02 $35
other $35
GREASENENTILATION
DHoodIDucts $35
"? :l.c- :J? ~ )/'"'.
INSPECTION FEES
Annual NlC
1st Re-inspection $25
2nd Re-inspection $50
3rd Re-inspection $125
4th Re-Inspection $250
5th Re-Inspection $500
Construction $15
Commercial $25
SPRINKLER SYSTEMS
Hydro Undergrounds $45
Hydrostatic System $45
WfIA Acceplance $30
Dry Acceptance $45
Hydrant Flow $25
FIRE ALARM SYSTEM
B System Acceplance $50
Recall Acceptance $50
OTHER
Fire WalUSmoks Wall $15
LP Gas $25
Natural Gas $25
Fuel Tanks $25
Tent $15
,-,.J -DA.Owner:
Billing Address: <;AjA, "'-
Billing Phone No.:
Billing Fax No.:
Contact:
-A~ b\h~~~
PERMIT FEE
SPRINKlER SYSTEMS
o Automatic $15
FIRE PUMP
Fire Pump $15
FIRE ALARM SYSTEM
o Detection $15
OTHER
~ LP Gas
Natural Gas
Fire Worta;
Fuel Tanks
$45
$45
$25
$45
GREASENENTILATION
B HoodIDucIs $15
Kitchen Suppression $15
PlANS TOTAL I /71l2P INSPECTION TOTALc=J PERMIT TOTAL I
GRAND TOTAL ~79.::V:) I
Comments: t..
t-;tt (')~i>1f kVL,h;'~,J rlit u-'~AudO:
FALSE ALARM FEE
1 st Alarm NlC
2nd Alarm NlC
3rd Alarm N/C
4th Alarm $25
5th Alarm $50
6th Alarm $75
7th Alarm $100
8th Alarm $150
9th Alarm $200
10th Alarm $250
FALSE ALARM
TOTAL I
. ::or9~~ 5uA3'7
@
~
January 23,2006
Re: Rinker Materials of Florida, Inc. - Zephyrhills Facility Warehouse Addition
Final Lift Of Grout Pour On Exterior Walls
Permit # 5146
Ms. Karen Miller
City Of Zephyrhills
Buildin~ Department
5335 8t Street
Zephyrhills, FL 33542
1-813-780-0020 x:7
FAX 1-813-780-0021
Dear Ms. Miller;
Due to a sub-contractor's oversight, the final lift of the exterior wall grout pour was
placed without the Building Official's inspections. Based on a discussion with my
representative (Site Superintendent), the reinforcing steel was observed by him prior to
the final grout placement, and was according to the permitted plans. Although the City
, Building Official did not see the work, please accept this letter as a testimony that the
i ;'(v;r~l has been completed as designed.
'.,
.._ SiQ.cerel~,
" ~!~;'~'. '';~,''. 'Iffi'~~"'~" ";'~.
....~ {' ~ .~_ I ,. ......
:.... ':k;', ~ ~ - _'
:. .. f' '--\". - '. "-
.4 c. ~ '!~... ~.,~, .~/...~, ~
'\,."..~./ ";.1 I5"onal9.:~.,:Beers, P.E., G.C.
o::t,"'" ,.l?,E,~~02530
-~~":"1'''' ~ ~<:\-'
"""..t
\
~~ \'" ~vb
,\ ""<::/
Rinker Materials
1501 Belvedere Road I West Palm Beach,FL 33406 I 561,833.5555
01/24/2006 01:08
5616517101
RINKER ENG CONSTR SD
~
January 23,2006
Re: Rinker Materials of Florida, Inc. - Zephyrhills Facility Warehouse Addition
Final Lift Of Grout Pour On Exterior Walls
Pennit # 5146
Ms. Karen Miller
City Of Zephyrhills
Buildin! Department
5335 8 Street
Zephyrhills, FL 33542
1~813-780-0020 x:7
FAX 1-813-780-0021
Dear Ms. Miller;
Due to a sub-contractor's oversight, the final lift of the exterior wall grout pour was
placed without the Building Official's inspections. Based on a discussion with my
representative (Site Superintendent), the reinforcing steel was observed by him. prior to
the final grout placement, and was according to the permitted plans. Although the City
," ,," ,., ,~.~ilding Official did not see the work, please accept this letter as a testimony that the
.','~ ~ ;;..~lha.s been completed as designed.
..,I!lo n'H. ,I:..l,..',.
~~...f. "If'..~ ...
" ~':r ", , '"Si "_Iv". '
, J;j' .. 'ta ~-:""1'
, -:;,. .. ' - ~"'- ';. '\.~ ~
<".I . !:'r ~ r " ...-t:l:
. .:~.." r "IIlW: '''''' -:.
,'\, : -, r.... , .-
,.::~~l,~~ ~
~.~ "~ ..... "",
.r.~...,.c~.... ~
'~. y<".:"/ 4l.l;',\ Bon~'., ~~13eers, P.E., G.C.
" ;/. ". ..', HE' ,1:.':30
".'(""~, .'.._...1 .. ~ .,~
, .~~~" ?,..
'.. '.I'~""I,.",'I"
Rinker Materials
1501 Belvedere Road I West Pa.lm Beach,FL 33406 I 561.833,5555
PAGE 01/01
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City of Zephyrhills
Building Department
5335 8th Street
Zephyrhills, Florida 33542
813-780-0020
Fax Cover Sheet
TO:
FROM:
DATI;:
SUBJ:
David Hall
Karen
4-24-06
Resource Fee Application
Fax:
Pages:
407-438-1341
2
Attached is the form which needs to be processed. Once processed please bring
one of the 2 receipts to our office. Thanks.