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HomeMy WebLinkAbout05-5150 " CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 MOBILE HOME SET-UP 5150 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 5150 MOBILE HOME MOBILE HOME SET-UP MOBILE HOME SUBDIVISION Address: 38033 LE NDIAS DR ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): 00000 Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 14-26-21-0160-00000-0540 2,400.00 11/18/2005 955.00 955.00 11/18/2005 MOBILE HOME SET-UP Name: HENDERSON,LEROY Address: 38033 LEONDIAS DR ZEPHYRHILLS, FL. 33542 Phone: 352 206-5013 GATOR TRANSPORT ATLANTIC SERVICE & SUPPLY INC, MOBILE HOME SET-UP MOBILE HOME MECHANICAL WATER METER RES 3/4" R 60.00 WATER CONNECTION MOBILE HC 35.00 MOBILE HOME PLUMBING 180.00 200.00 40.00 / ~'? y\ (\,rA<0i .vJ. ~",~q 4~ ~~vl~ ~: Ii>~;; ./ p~ ' \t-'I'l( REINSPECTlON 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. ~II~ ~_. CONTRACTORS SIGNATURE PERMIT OFF I CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT, APPLICATION C~{Z~'Ji 1(- j?frS BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 813-780-0020 FAX:813-780-0021 DATE RECEIVED 1/- 1/- -OS- PLANS REVIEW FEE OWNER'S NAME )-Q..NU y \~OV\ JOB ADDRESS 38033 ~UY1 d ,-(j.L) U--, LEGAL DESCRI PT ION: LOT (S) 5 L{ BLOCK PARCEL 10 # \"-\-;)'lQ'~I-OI~O-Ol.:>OOO- D $''i t) PHONE 3$").. )062 -'50 (~ SUBDIVISION LUCurL,UUv-cY Wt v~c!J (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: ~W CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL o SIGN o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING o COMMERCIAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL ~BILE HOME o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL ')1 'I.J" y: LID I DESCRIPTION OF WORK ~~ I 7 BUILDING SIZE CilP'\(')( 'i D' f))o&d..t (~ ~ SQUARE FOOTAGE IOS 3> HEIGHT 13' RES I DENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. VALUATION OF TOTAL CONSTRUCTION & (1) SET ENERGY FORMS. FORMS. , "l _ r'238 "7 -7') ':J) '<6'&&/ / J/ ~be;J /" ---==r,.., / crBUILDING Q/ELECTRICAL $ 00 d-.400 ,,- ,d-Oo PERMITS REQUESTED AMP SERVICE o FLORIDA POWER o TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL [YOTHER W. R. ~~ {{i l.tl,,~ (jJ 8/ ~ --&rY .~;JO J ~ fJ-Ol/u(l~ ~5 []...pLUMBING ~CHANICAL $ lODe) VALUATION OF MECHANCIAL INSTALLA ION o GAS o ROOFING o SPECIALTY o OTHER ------,.. FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO SIGNATURE r- ---6 ****************************************************************** ~y COMPANY C9a/--u-r TvaV'~ ~ p urf-u.- -h'UV\.. STATE CERT OR REGIST # Xt+QOOO \.fro / CITY PROCESSING # BUILDER SIGNATURE '-- COMPANY JA.+{~ c $QvtJ/ W STATE CERT OR REGIST # ECOOOJ733 CITY PROCESSING # ELECTRICIAN ****************************************************************** SIGNATURE -~g COMPANY (.')ul--uv- TkA.~tSf)(.j~'c.Ih-, STATE CERT OR REGIST # J::f+oODQ 'f l4 7 PLUMBER CITY FF.OCESSING # SIGNATURE ***********~**~********************~~~;~~~***~U~~~L**~YiJI:~ STATE CERT OR REGIST # C/4{l.[JS1 SS9 ~ CITY PROCESSING # MECHANICAL ***************************************************************** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** 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 tIle 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 indication 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 Unil-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 COMMENCEt1ENT 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 00 NOT NEED TU RECORD AND POST ^ "NOTfe.: OF COMMEN~ ~ ~ ~ . ~ SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT STATE OF FLOR~ COUNTY OF \.. ~~} The Bef by -........t..;l<."1dgc..d ,~. ~ 2~ /)J , - knowledged _ , .f 2042. of person acknowledged} 1S personally known to me, or m of person acknowledged) [1,ho is personally known to me, or and has produced A oJ- m t, 3S-~7...?')-;:~"7-og3o~~~ produced ..2 (type of identificat. ion) \ /" (type of ~did not t oath. _ !Q:!id not ~ Signature of person taking actnowledgement jNI 'DN'V~nsNlNI'VHOlI.ln~Hla3aN09 .~~il.~~" , 800Z 'ZZ AionJq8:j ~.... . . ~ ~{ )~ Name typed, ~tMIIS~~r stam' ,..,!f:~."'. si:-gn-ature of person takrng JNl 'DNVl!nsNt Nl'VHOlI.l 0llHl O3ONoe 800Z 'ZZ Aioruq8:j Name Parcel Information for: 14-26-21-0160-00000-0540 Card: 001 Page 1 of 1 Search Again Show Map Building Schematic Unavailable Estimate Taxes See Tax Collector Information - Current/Delinquent Taxes Frequently Asked Questions Parcel 10 14-26-21-0160-00000-0540 (Card: 001 of 001) Classification 00 - Vacant Residential Mailing Address Assessment (totals) GRAY DAVID H & JUDY Ag Land $0 BOX 65 RR 1 Land $19,138 MOUNTAIN GROVE ON KOH 2EO Building $0 CANADA, Extra Features $0 Physical Address Legal Description (First 4 Lines) Total Assessment $19,138 WAYWARD WIND MOBILE HOME Save Our Homes $0 SUBDIVISION Taxable Value $19,138 PB 28 PGS 61-62 LOT 54 Land Detail (Card: 001 of 001) i Line Use Description Zoning Units Type Price Cond Value 1 0200 MBL HM SUB 00M1 4,200.00 SF 4.55 1.00 $19,110 2 0200 MBL HM SUB 00M1 40.10 SF .70 1.00 $28 Additional Land Infonnation .1 II Tax Area U 30ZH II Fema Code II X II Res Code IIvvvvMHLP1 Building Infonnation Unimproved Parcel 0 Extra Features (Card: 001 of 001) Line U Description II Year II Units II Value Sales History Previous Owner GRAY HAROLD A & KATHLEEN E & Year Month Book I Page Type Amoum 2001 04 4576 / 1550 WD $0 1992 02 3000 / 0986 WD $8,500 1991 04 2003/0168 WD $0 Search Again Show Map Building Schematic Unavailable Estimate Taxes See Tax Collector Information - Current/Delinquent Taxes Frequently Asked Questions http://appraiser. pascogov . com/search/offline _ tca.asp?sec= 14&twn=26&mg=21 &sbb=O I... 10/1712005 Map - Pasco County Property Appraiser Page 1 of 1 Pasco County, Florida Section 14, Township 26, Range 21, 0.9 miles SSW of ~ ... 0630 , , , , , I I , I I I I 06'10 ac I I I I , I 0600 When I click on the map: r Quick Info r Full Info* r. Izoom In 1.5x ~ Choose Layers: -- Parcel Lines (Default) .." - -- Parcel Labels (Automatic) .." - -- Street Names (Automatic) .." - White Background .." - ~ 0520 0530 0540 0550 ITopography (5fl: Interval) In Select Grouping :3 ..:d [1m] 0000 Image Size / Quality: '7 c:Jc:Jc:Jc:Jc:J 6 53 ~~ 53 53 (Quality applies if Imagery is selected) I Low Quality (Fast / JPEG) ~. Links of Interest: 0460 0440 0430 0420 Recent Sales in this area Search for property in Pasco Map Search ... ""'. I,. MaplD# 11881254 241 Feet http://maps.pascogov.com/maps/showmap.asp?Name=PascoMap _ New&mdi=11881254... 10/17/2005 .,._~. n~__~nl:::.:::"l --,------- I I , !' 4-----. I tl's I iI), m,',_'_...",",~ f . 5~ -T I d), J ..--) /~' :;"8 fI o \/ kF ,1I.i1 FYI C 1--- II ^ 7U fO i 1 i I I I. ~,. un ------- - I -" ~ I cD --,-~~ _,c,__,c"~,,,_.,._'l " ~ l~fOAJD {A S ;.. N l I {J :. (0 ' I L=J;:c~,n ;:: ;; ; 10 -L, · C.AitPORT t ~,5 ~ !----~ r ! I S u'it.~)i. '1 M~ fYl-P- ~ 1yt.jip n "', P ~j'ri ~-~- "" .t l.'tv .l :. 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II.\~ L , ie ~. o~ Q~ lIZ_ \1):' 2:10 ~~ ... ~~ ~~ Q,' ~: " ~ ~ ~ o . f) ..I p.7 ~ Vi ,YJ c: '" 8 ,~ u g. ~~ ~'~ .'" ]I S .~ ~ ~ :& i. u..:~ 1S~ !; ?: ~ *'I~ ..ii!. ,~ ,': ~ ~.:-.:: lij 5. ~ :;r ~ ~ oj' III ~~ ~ ~. .xl ~j ~ ~ .. - "''il '" 1: !;. b ~~ 'u 1.1 ~ ~ "' - , ,b ':il ~! ~.. l,;; _ ~.~ ~ ':.l ~~~ e.'(J ..!! t:j ~4l .': ~~'::1 ::' ~ II ~;~ :: n' ~ il ,J -Ii 'C: Jf .;'l u )!~""' ~ 'I,j of; '" I" :?' t;, '~ .jl ~ l5.-~ '!i; ~~ E:.,., '" ~ :ij R 't:I1ilg Jfi .~ .:: ~ g : I: I!? '~ v; as "" ~ ~ Jl rl '~ -a; ~h :I)'l'/ 8. J: ~ Y'JT.)~ ,,;:(=R u ,.(t .~ r ~ c. .eo .,; S 16 ~: "~ f; ,~ t.' 11'I.., it 2 ,.' E ,'1! () e ," oS '0 ~1 _ ....J:. :g, ~ ~ II ~~ ,sE,& ~1 ~ l:i> i-= 1> j fJ ~; ~ ;;;~I- rJ~.b \:i .!:: C :x: 'Q Q 'R ~ 'Ii t'i? r. $. ...~ ..it .. '" - ~l~ ~ C\ ~ o '" ~ POCKET PENETROMETER TEST RESULTS PROPBRTYl.OCAlION: LEONDIAS DR , LOT 54 Tlt&t I..oc8tiJDn ill 2000 pal X T.. Lo-~ion#2 2000 p.c X T_ .Lo.~.., IB 2000 . psf X · T... ... p.... ...-..,.. of......... Ilk (6) ."..;;..... · TaD.,-".. depda oftllr:..... · lJsiaa SOD LB ~~.... --.IoWQIt~ ...lUIIIIddown m 1hIIt ~--.~ X TGSt~H 2000 pst X Talt~#15 2000 pst X T~ J.oc:IIIRl:fti "2000 - ,pat Soil ~ capacity used to det- ...:,,~ pia' Jayout:~ 2000 pst JAMES WAGNER N8IIIrJ (PJD8Ie .Puul' GATOR TRANSPORTATION ~)eC ~" IS. - a..1pcr ~- fim lBstallanon-lDstruetlOns lor AD~ raos For use on all Mobile aDd ~Hom9' including BUD approved Homes and Modu1ar-lI0u4;.~g _ -~,_odIet.l 1 ~ GENBBAL~; 1. AD .-as ale 10 be iasta1Ied fIat.utA dowL Iibbed..... UD.. , 2. n.e...... Ulldc::rthe.... .....1lne1ed .lIIIOGI1la prc ..... ~.n.. __11I~ ---- Pads to be placed oalllllliillal.... __ ..........i-r-.. i&4 bT dID b:a11-,.,....~..ft,.. " . 3. IW & pad SJ*iiag wiD. be ........J.1loPlCl bytha~ homes' WJiItcD....~ _.any local or state ~ '>> 4. The opoD cdJs Lctwcca the Dbbi8a (8 tile..... side of1llo pUs ~ be f.iIJed widl8oi1_........ .......... to aa..MMlY ~.-..... of~rntwidDr'iD~"'" . S. Apocbt..--h-.' i ~bc1llDCl.d I ~,~~~*,""'''~I'M.'''''''If''tr--'" .....~..."...... is DOt........ ,_ _.... -.p</I.a .... of 1000 ...1......... 6. ABJ*l__....-........i~...J.-. -l~...~WIY...fD lIr.." . 7. "Ihc..--=-. .....~iaa. '--'."Ill J1~(Ul_tlle"W'r.~~""""paiDt of the... fiIcc. (liO'IB;A.-.l----. -- ......5Ir) 8. ID.1iaII--..'" deep ~.,,~ ............... fa ...~~J.. ..............-.... lect-.-.--I.w) 9. Pad loads ale 1118... wJIcm 1IIiD&... -- or daabJa'8IIlCk bIocb. 10. Tbc mari-nn load at BY ~._l"" soD value may be.... ...1,~"_1_ aveaase of1lle:aext lower aad uaxt higher soil98lDe aiYCD in 1110 18\)10 belOw.' . 1 L Any'w-~"'moa (see l'CMli8e side) may be 1IIIIICI1D ~. home .......'~..V'" -*'''''.~~~ ___wood'-opad. .' " 12. If die __ .....w..~_ IIhowad ..,...;M. ....._3000.. wIIr.a 8liDg.ABS......do DOtIllXaled 3OOOlb.aoilpill'lIiMC...,~-1IJI~ .' .. . 3000 1b. Soil S333 ... fOOD ... fi400 ... 71 IlL ; 1000 · . ~:9ODO'" · . 13. ALABAMA ONLY: 'he 1" lit lr1Dltl.......1L.x 1&5" 11II1.......:&.. mll__?!,. x 22" IIMJ 1-"16.17']1: 'IC.. JDf 1....1' .....-.... __ ~M......... of A~--. ad .......IIave..._3Ir~ Seecllart........~_ ...eel ............ ,........ .- #- . "- No1e 1: ForA~."''' --.,: ,vn..1CIUiDa ill sOil..... OWl' lOOO"'~ 1be block (Q(U) lit coafiaumtioosbawn ia ~__~ ia~GIl the..~ 20- (ID.IOS5-7)aad1bD 1~ x liS' (## 1655-9) PSds.' ' APPROVED ANCHOR MANUFACTURER"S USTING '(Anchor and Components) MOBILE HOME SAFETY PRODUcrs dbaOLlVER TECHNOLOGIES, me P.O. Box 58/467 haD Avenue l:IoJaeamdd, T-nessee 38462 MODEL ., II J ~...;. , 'J '- ' l c!..' "- I):'':-~I!' U...,C 4148-4 SPA 264-1 PIaIdc ~~IlIlPad_Pias PI8sdc Fo-..hf... Padh Picq 1055-7 PLadic~ Pad:fOrPica PIastiG~ PadhPiea. PJasticFon~Pad.tbrP.iers 105S-16 10SS-17 1055-13 lOSS-S 1055-9 PJasIic Fc.,4w'MaPad ....Pias .PJaBtic p~ ..___ Pad Jbr Pica PIasIic P.......,iuu..P.Ifbr Pias lOSS-tO PJasdc Folo--Iwt:.cmPad" Piem IOSS-I4 PlasIic Fot--1A':.ou Pad.. PieaJ 15.98"' x 15.9r 13U1":z: 26ur ][ 314" 18 W'x 18 ~-x %- 2Crx2O"x718" ~2TXl~ 17 ~x2S %- x It." 24- x 24'" 16"x IS- 18 %.... x is ~x 1SII6- l(i>>x.l~ ~YIMIQM""~~.Ml:DCJllSOJLV~ ^-........ .. -- ....Ana . I't.) .. I x 18 ~-x 18 Wx~W1 CMU lor2Q4Us 2375 2..75 2.S 3.0 4.0 2.0 2.360 1.77 LTl flit 237S 3563 . 27SO 4125 ~ 37SO 3IIIJ8 4SCIO ... QJOO 2IIOf) 380G 2J6D 3S5O 1770 2SO 1710 246ID . - - - Coa1iInIed rr'x x - Wx2.r -n<<2amc 16" x tr 18 W-x 18 ~-x J5IIV'IIi1 CMU 16"'x 16"" wI1 car:1 t:Ia1s lS.9rx 1S3r .... (Revised OSIOl) B 4750 S598 5S98 . - seJO# 61nS 82SO 82SO# 6lSO 7SDO 75001# 7SGO 9000 9OOOt# 8UOO 8000 8OCJOgJ 5IGO 6000 6fJOOIJ 5910 7090 '7090'# 44:20 S310 S31H 4410 S320 53~ ~ ...--6r....... IODO <<.u 4738 3540 35SO wl.._ ~ ... c<< llualda _0.- IIIGR.WAY MIEIY AND MmOJl VBIIICLJ1.S TAl~..1t , .-w- p _JII _0"'-- _OM.- ... .0 .......... J_14.28Cr1 ....oa..uu. TO: FBOM: AD~"O~__M V'dl.~A I'bi1ip 11.. &. __ t. .&~.,-. -r (f'tJ ....11. ~.... .......A~ V.... c-.....-. L*nl ADa......., 1I.t~ __'WU~. . DWu..........,I6. : To __ ,. c~ J .I...M ~ 1 f;'-". 1_ ..... _...1- - ~~411_ ...ia"~~of J. - J""'~.-'~ - ...itia_ClunIY..... .~,~II.lrft)ALutri~ 11 . ............~.,. a .,. AlII ~ "-y" rof -.Ii'~~~"", lot..:J...wiJl_"~"""" .Cr:~.A ofil~lWI- pi5( I J".--'" ~ ........ ad _VUVlIStY ...cityD.,~a.~~-.6ioItl~ ~ e1v6 Z--'f ~ I'" .u1lalila1llcn1- ~ 1& Ot." 1 - .... will m........ fiA-....4. .....~...- 1II <L ...df.J,1t.1 n -'P- Fo.(4) ~.l_ wp1D S2.. Six(6)~_S2 tD 80.. PiW(5) 12. ,.....wiIl....... .-wL..... of......... . _of 'ltIIII'Id.. "I~UisW811J - .-....... ~lli T ~ .., ~ ~..., J'1I1IIU - -.r-. i~ Ilk (6) ....IliU.'" to S2 fIet Bipt(l)_"lOll __52_80" Y.-r ..........,. .......' '1L. ...m .........~ (3) IIIIIIfe8: l!ifcIte: 1)1:Iw_of..-... flu )....inr__........L~...1IDei a it.a S-~ ~e.w"'.~ w_ ....._at.. ............ Wo1* 2)~~1Dbe........_.8DllflDlYpl8CCh~ JtAy ...""'....... ....""'- '1.1 If. l' 11II4 :Iw 1i1' AaB......... ill. -- of 4.0a0...~aS' _1~ Note: 3)" ~~ .~......~....... a fIIIIIa tie.. ....~..~........III ..w..l...~la I~ ...._"~..AI IL- ....~.......II r ~...~ V..... ......,....._. -.......-... ......a .II~_ .-r JI_.........-A J UIJ ,,.. -........-- .-... . .. 1....-.-.-1 . ':';.:.::~ .. . "I ') . :: ~ :' ) i~~<':" ". ~ - -:, ~ -~. . --.... . ... ~ ~ ~.." ~ ~~:- '.~ ................. occur - SJt)fr Canf8ct CMWw T~JI ~ t:" .. ~.~ 0 .~ '.' - _: .. PIer....... 81:__... It...... ~'- _llIMJ 7ft cJ Roaf.... __., f~ . F 1.. O. : :. ... 0 _ -.eedWe) RDaf.....1l a _4.37112 (28-'..) 1J...............1_~1~drJIt.;~. _ - '1'0- 00. , ... .'.11.::1.... 0lIIER~ 111.-' R.OMIlA............~FOR1IE -- ...... 4 .1.. AI. ...- ............. 8VIUE!IIlI .... ....................14 --. ffON."'-1GJLIaI"trlllULa&\'!' ~~ ..... - _II..... OF~....... 2. Remove weeds and..... in ........." 1111 .. foal ..... to.......... fur eech ...,.. PM (C) . 3. Place ground pen (C) c:Ifndy ..... '"t r I 'I ........ Awa or..... ........, inID......... ..... below soil. SPECIAL NOI'E: 1he ~ 'V'bnIce.". ...... _. pier under ...... and...... be Io8ded _." 018-........ ..--..... ........... rlns.......... OM ....... Cia,............. ICIlJ8Alld ~I-Iv on to piers. complete iIemB 41hnJush 9 ...... ......... ~ OF I -m- u....,..~ SYSU!11ll IDlE: F___.--....~ ..,.,.,..".I~crll1l.aay; AI.lllJl...Zaw. -,. R.ocaeEaIDI. REel ~ FCMtflOOr..,_.-.....__~1 _A_..... FAC1URERS.E ., AM. -.&I:I!..... IR.O rJ.~-...__.Un.nL__..... SDf-.,.-.......I!IIBWr.r. ._._ ......__-~ _ __111' ............. VERIICAL _COfIIIEC1II:Wf PGm8 tpBtRaMIA REa). . 4. Select1he GOR8Ct.... tube brace (E) IengIb far eel - up (pieI).... at euppart IocaIon. (The 18" tube Is always used - lie baIIDm pm of the ..............,. Hale: Ell8'tube ... be ...... by.... cut end dItIed tD IengIb _tong _ 8 40 to 4S degree angle is maU~ued.. PIER HBGHT (Approx.. 45 degrees Max.) 7314-tD~ 24 314- to 32 114- 125" ADJUSTABLE Tube LengIh %Z' 32" to 5. ...... (2)of1he 1.50..... tubes (E fir UJe) ).. the V bradaet (J). __ _.~ baIt.-.clle8ve nut loose fOr final adjusIment. 6. Place I-be8m connecIDr (F) ~ an the ~ 1Iange of the J.beem.. 7. SIde lie 8e1ecl8d 1~.... (E) into a 1.. UJe (E) and aII8c:h to I-beem canllecllOra (F) and fa8ten IooaeIy wIIh bolt and nul 8. RepeIIt..... 8....... 7.. a.- lie V.-.. of........ tubes IoGler,.- in pIBce.. NOTE: The .... is not tit exceed.t5 degree ... not below -tOdegrees. 9.,.... baIIB 818 ~ ......1Z!i" and 1........ U8Ing ~4) 114--14 x 314'" 1..11_. 8CI8W8 in 1ft- driIed hales. 10.1nsIaII........ vel"" Ie down......... 4' graund ............. ..............1nsIruaIans. AM loads in excess of3.15O pounds ......WIIIs, --. and ......... ...........fDat(5') anchors IIt.11e1ed ~ ofsoD concI1Ions, per 1he state of FIortda.. 1.5f1" ADJUSTABlE Tube length ir 18'" INSTAl. ~:11ON OF LATERAL TA ~ TD"~ ARII SYSI~ NOTE: TIE IIODEL 1101 ...,.. (L~ & LATERAL PROlBallONt III 'lfWIATES DE NEB) FORALL STA-..zER PLATES & FRAME 1ES. 12. Select... COII-.cl..... tube .... (Ii) ....... fur............. _.... -........1ooaIon. 1be 1engI~ come in ellher8O"' or 7:Z' ......... (1fta ... 1....... _....... tube. ....... 12B'1abe _ the inBeI1ed tube.) 13. ........ UIO ...~... .... (H) 1D........... ........ (D)'" bolt.... nut.. 14. SIde 1.2:5"'...__.........inID...1...........-=ta..UI~.ntl-lll_ ~ (')wIIl bait and nut. 15. Secure 1.5f1" "~aQ- .... to 12B' II_A It_ .... UIIing .... (4) 114- -14 x 314w self "-.....~ 8CIlIIWa in ~ hales. .. ~1In1___....._ _ IL.& IL - I~II u.....dtJ1_ I rtII-ll IIIt:L..J I I 1L.:Na'- ...... ,"U UOJI U J. ;; ~op 11m III1J.J.15 8638159671 fO. 1 -j ! ~~ ~ ~ . ~ -- ....- -<t .1WD LaC&TIDIlI OF ~ 1101.".. ~ r:o. "lD~ IDF PITqf UP TO 52" . . . . .1 A&.L WIDTHS; AND iENGTHs OYER 52' TO eo' . . "::..L.1II11l!l1 . . ..., lr.~ . .... I' . .'.Jii ...... , . f--- c.....,.,. D. ""'...aml_IO'''' u~. E....~VIMCl =~~L-- ~ .. ....".......--. .....-..y '. "."""~.........If..... ~---.Y . 1 I...,..,.....,....... l!Y".... VN'-=JOt.. ~ . KRev.o=...... NO . t-I.Ef<<JTffCWHOUee" 'Mi~"" 2. · · STA8IJ.ZI!It PlAT!! Nfl) FRAME TE J,oc. 0..- lit........ wIIlIn 1r........ ~ ~.... . 3. a.r- · LOCATlClftOF/ltlFMODIL t1a1"l" 4. ~~uJ:=~8MCING). PATENTPENDING . ~ 1RAiClNG0NLY)., . If II I. "_fIlC _~_....__ A DM8IaII OfGl.M!lllBal.DLO' fl." 1...N17 "-= ......., ............~" . - :~.;. ':~J'::' _..;.... I I 53 ~~----T i e fO L r'\" cj I .-. .'-'_..-_.'-'_.-..._'-~' --.~ .. ..",.. .,___~_.,.J'"<._ ~>'!..~,~:." .. ---~ --r- I ~--------1'a':5 ._~~,,~~ ;):8 II o /11 c t- , , '1(-' "" ~[U ~----- t ---~~._.._'- __.,.~.,._ ',:_'.'^,.~-~;.-......-~...__.f~ ;;.. , ' I-GOAJD (A S DR.. ~ I I ._-'~ , l :In · I ~~~ ' g~__:StiU'. L : . ;;; 10 -, ;y.!;"'; CA~PoRT l , t \ i - - - -':-J 1 I , ."-, j . of: t r-j>- ~- "." .1 L'UJ / \. N l If!::-(O' ; 5~srbl~ .~~~ fKui- RB:('-.l ,Jtli-O i,LL WORK::',!.\:.._. vJ dLY WITH ALL PREV AlLING COD:::::;, FLORIDA BUilDING CODE. NATIONAL ELECfRlCCODEAND OTY OF ZEPI rYE' ~: ~LS ORDINANCES )/IJut gCJ) g.vw.f.,~') ~f II ~l - - , Jl " !". I ! l. . .- ~t :=E. ~II o 18 3 t:t-~ I ,I . I I I i j i.. i ~f i II I, J I ._~ I - ~ It .~ ..5 [] 18-0 1.1 S:I . - i II t t 1 . "1 i i i i .11 In ~ 8:- i i .. a. ft i . .E:.o 0 I tl r HI c: "8 ~. J; ,II : it 1m . ~ . I : .-. .. ,15. . .. . -~.-~<.~ -- ., A '15:5 - & . i.. :5 ,,1 ~ .~ ~ I: t .;:".~ >l 4" I ~ II D <<') I~..II J IIU'.\ 1:!I.filkl~ JIU(3~l -'< 1.- I . I JJJI - .~ II J{. - ftl-1 [, ~ II J I :: -II I .. " I ~ - i 11.. Ii j ,.~...... :J]. ! III. ~ - .:a ...:.J: -- -~. r--8 ..B .j . I' "I ~ a 81 ~ ~ I,. 1= !-f ~ H Ii) De j .. I. . .. .... :5 · 8 .. . . ~ a. ( ~. II. I' ~ . :::a '-..J . e-a .. Z J!- i! ~- t: '0) I -. *' I ~ I i. !~ Ii i _I ) 0- a. s ~11 2 ~ l . CO. [0 e[:I [ 0 . . .' ........! II -........ ~ ...:. L..... ....... It ~ ~ .11 . i '. . p~ [] I:tJ.;t [:l![ ] 1:t1 [].B[:lil: S. ] "15= I ~ . 1 [J [j' '[ ]" [ CI .I I 'I - I [] []'UI [ ] [ tI [ tl , .[ tI [ ] [IJ I [ .... - . . r r~ ~ --- . I [ ] [ J$[O 1:(1. I' ,~ - ~ ~. Iii 1)1 - .1 _ :iIIE' ~! ~ 'Ii.. 'Is) c!1. .... . ;tt >C .11. o. J' >C r, i' 111._ ~ &,j! " .. J I '" '! 11-:1 - ~ s · ~ IJ Ii.! ~ f '>c- I ! !)1 >C.. I lid i)~ ;! I II~!' JIl1t:iI' II: I~~' i Jib ~ i!!J!li In!' ;~ w sf f! I ~I )I-EI.:& I Is ..; N .s 1:1." II! . . ~ .' i! >c' >C -1li~JHft.~ j I . 5- g- 3::~ -. .c .. ~ - .!~ ~j-l I I ~ W f-O - . 11. .5 a ft 15 " t --i.... UI RI- % ~ a:: ~ t: I .. IL :..."",,;;-~~::--~ . .. ~ ] ~H.f: !I! ~~ . J I ~ ~ 11 MI II! - 41 J ,~~ ~ 1 I J DliG' t-il ] ,iii. 'Iftl J j, ol. Dill J!!!~ .q=J 111111 I' .! I~ ~ l' ID - I sD.. ~- 1&1 0 I )!i ,I i iI !t b I.:, . Iii il~ Ii 11 ; i!1 b 19 II I II .. . -I.. - 'I!i= '.. Ii- I "-II' ell I_~i -L ~ i :1 .... ... . g:! j . C fi: &L a :. .' i . :; ~f!!I:J :I .'" tit .q I II .1 ..I O[IJ~ t~ ( I ~ ::: V) T .} J f~ I J 1 ~ I , I ~C :J : l _G ~ !I 11- r ~ ~ I .i- t QJ I I - V) f ~ J 1 I ..., II) I @ , -'::> I ! Q. U. -' I \!) 0 I ~ C. - I ~ I t ~ # ~ t I l r\ 0 -' I ci:l - I G E) I >'-- ~ 1 I r- I , I I t I I I L' '--- oce 17 05 10:00a ........: , ...._~ .: 1 !.....! :~ '''1 - '"" O)"'j CW) 0) ; o u.. '.': ~ e' .'; 'It as :.-. -=, G 0" .' ,,00 o ('t) .~ ~lC) o <n -. ". ..... . ,., .;'... ,.- . . . '- . .:i GJ(/). : I 1'\ .s:::. : "I _ : C\'S .. ..' ~t'n .>~.: L...... . " CO C\I . (I)- "- (/) . Q) g . > O' . .c a..........: "'C .. C Q) .: CD .~'.": <( ('): ..:~ ....... . . . : ........,.1 Ope~ael0ns Depa~emene 813-779-1128 0 ll(~h ~~~ ... - C$ ~~~ ~ '1\ 0 ~:: 5 ~ Q ~ I ~ ~. " ~ ~~ ~ \I)~ ~; ... (9 ~tl. ~~ . ~~ 1';\:- ~i ~~ L :.- J ~ p.7 ~.!l ~ '" 8 ,l;J u g. F~ li .~ .VI ) ?oj d .'!. ~i c..; L.: t.5 .?' !!i f..,p. .iit .. .': ~ --5 .W Iii !:"! a.. ~:d- .3li ~\ .!1 1{i CI il' it ~ :: .. - ii1f1 .. ~ lit l:; ~li 'u ~ 1 g Ml- . .!; ~ ~ ~::al ~!~ 8.!!J! ~ ~.4i .' _.! .'i B~~ ~ ll' " " n' g, l!t~ .~ . l'!Jl--- '1..l.f'i "CIi!g' iii... .Jl .811 &,,)i 'tjiii .; 1-- linw 1::; c: .. L: m .t !! .. ,.ql'!.!l ~ .w 4i 'a ~ ~"l ~1 r. .,;C(~ .. '.(f '~i"~ .. E 11 S.. ~: -8 ~.~ & It '2 Ii"- ,. E .... '0 e'l. S.. '" - ....1:. .~ ~ ~ -c .. ~ l! f"3 ~1 .. t. i::Oj ~ !L! p.... ~ o...b .:; .~ <: :X:-O" 'R :. .1. i:!?I~ .;:5 ...~ JI! :II ... - a: l~ ~ p ci I;. ~ POCKET PEN.KTROMETKR TEST. RESULTS PROJ1BR.TYI.OCA1'ION: LEONDIAS DR . LOT 54 2Jfr~W;:1 X T_IAP-~G 2000 J.II4 X T_ Lo.llIIIalll1l3 2000 . psf X · T_....)-- . I ar.....- -*00 Jo-....i.~... · T.....~..........ofae.. · UsiaaSGOLB1Ba.. ~~ --.....~~..IUIIIId__101lllt ~...~.. X TGIl. Lo-...... 1M 2000 pst x X nstJ~6. "2000 -. paC Tmt I..cJ,.,.,.:...1#5 2000 paC Soil ~ capatJlj' used 10 dctet..':.ws. piar 1aJout:~ 2000 pst JAMES WAGNER N8me (PJa.~ .Pdal" GATOR TRANSPORTATION ~.~ ~/ . ~ .-<lIJi~.:Iinn lBstaHaUOD.lDltrUenons lOr AD~ raos For use on all Mobile 8nd M8lm~(l--~ H()"~ ..~ BUD approvod Homes _Koclo1ar~.c . -11- P___ -[ III ---. A'RNBRAL~: ' 1. AD J*ls aa:." iaIIaJH iIIII:---~"" ---lID. : 2. -ne.... .............................-. .Id -II ~a1l L 1__1 r:. -~P8ds tobepl8ced"l -- ...t....... i_&....... _. ~bT"'1Dca11 r-.' n ilfJl7. . 3. PiK&",~wiIl".1'-. ...,...,w..~.__~....... ................--~.~gy local Gr'Sbde~ I>> 4. 1'ho apIlIl cells ~....1IIe '~1 _die...... or..,.. ....,....... willa........... ~to~L~..ac T - .:..... er~. .~.....ia~...... So Apocbtplla 1&..... il ~_.......? 1 r- -. .........1t&-~_......Jf.. lard,,,* If \ .._-. - v-~_~_ ................,1110...'........ 6. AIlt*1......-......-......... -. · ~......,.,.lIpfD .....- . 7~ "DIam ....----.....,.,..---a_. IA "'ilsr.u I UI_....1V'T~~1D..~paiIIt f4 the...... (1ID'IB:.AcillIId.....r ~u ~.........) 8. 1a...-.......4J..-'A-d...........r...........6 ~l-. ""ItIlG~lw". ftl:-~ 9. PIlII JoedI.....- __ ........... cIoab1s-.ck1aloa1ca. 10. The ~-' L....._, Io8d . aay .....,~.......n..--.,.... .l.1 ---"-f-." ~ IT of6e D8&t lower ad........ ftIDe ... ia 1IIe tala1e 1ae1dw.. U_ Aay.~ .~..(_~aido)..,.......1D~ahDllle-"". 't"......IU - 1_,,*, ~_..wood"''''' '., . " 12. If1llD....".A>. ~ ~ __........ ~~w-.""'_3000" .........ABS~.dD_........ 3OOOJb...~tiW'. . ....... ~.. . .. .. . .~.. iD. .... Soil 3M..... . 3GOO.. Soil S13S ... ., -,' 13.' ~~~~ONL1(:'lllelr][lr..J.....1L.Ku.s-..II. ....K.. ..J....'7.1,.xzr......~17..]["M.......l' .......... JJ. --............. ., ....~IL ~... .................3Ir ~...... See~.....,_ J T - _..... ~............. "- ,... No1ell ............... ..--.,: ~-.....iDaDil~cww1OOO..._..1IIock(am) .. ~.... in ~_..... i8^4';..wGll....~2Cr (ID.I0S5-ll...... lLS-xla.s- ('II 1855-9) PIds.' . 1IoJ ...~ Ui..xW...... . . PADSIZB PJ8lSPAaNO t C~;~). .I.:~ .1 APPROVED ANCHOR MANUFACTlJRER's USTING - . (Anchor and Componenrs) MOBILE~ SAFE'lYP.RODUC'I"S dhaOLlVBR.~1NC.. P.O. Bu S8/.W1 h8II AVCIPIe .... ...~ 71 elUI 38462 ......~ f .; ";.. j . I:;' _ _ ",_' . " :-:-. .. ' . 1_'" " ,.,-:. 4148-4 SPA2Ci4-1 ~~.... ~..P8I1_PiIa P!asdc F\ 10..';'... PlIdh Pias 1055-7 1055-16 10SS-I7 ~p._-At.~ Pal_&.. PilstiGF.&-I.I.O . PIIIl_~ Pl8sdcp..,..~l'Id.fbrP.iem 10SS-13 lOSS-8 1055-9 P!aIIic ~ oS tMIIlPadfilr.P.iem PlaIIic~ "~08 PmbP.ia:s PJasIic ~-""..AM.""'l P8d... Pica 1055-10 .PIasIicp.--..~...Pad fiIr Piam 1055-14 PlaIIIIic Po- :I .. fIfli P..tkPi-. 1s.JM- x 15.9r' 13ur:x26urX3#J- 18 W-x 18 W-x W- .2Crx2lr:x718" ~:zrXl~ 17W-x2SW" xlua" 2A-.x 24"'" "16"'x I&- 18%"xi8Wx~ IVx 1~ 1: ,~ --1 ~~~....-......- -1..~~GII8OILV~ ~ x 18 W-x 18 WxYrwt ClIO 2.3'7S 1..-2 CMUs 2.7S /-/rX 25 :It 3.0 - ~ x:z.r wIl .-2 C'MIJa 4..0 16"xtr 2.0 18 W-x 18 W-x 15f16'"-'1 ~ 2360 Irs lrwn ar::lCIaJs 1.77 lS.sB"x'15..Slr L'TI ... 237S 35e 4'J5O - 27SO 4125 Z$1fi6 3J5D 3IIIOD ~ ~ am ... =-- 38m <<*t 2JdD 355It 4738 1770 2&5D 3548 1710 2f8D 3350 55!J8 598. . 5CiIIJI\! 6'a7S 8250 &2SOi# G5D 7.500 7SOOt1 7:510 9080 !NJOOJJ 8DOO 8010 800IJiJ .. .. 6000# B10 1U9O '7O!JO# 4GO "10 S310# 4410 S320 S329# L4 &.._.A .... . ~ I j ~ nil (Revised OSJOI) 3 . ,. .' . v...,...2YJil : I ~: ' ~ MWEIY .AND ....I~ .v-- . ...." i...:I.. r lJ.. .-._...~ JI.a-....- a. - u......... ....14.. 28tn ...oa...1rJlI TO: FBOM: A1l.........0 .4 tl_)~ ~~ ""QJI!; JliillplLB _ ". J-+~ ....J,... - ... .IT of)(rlr-.... ......./'fylA1 v.....c............ ---"..... 'DU~.o J ~ ..Ami........ I v : To-- jac.. nf., 1 JlI-....-.I- 1-" -" ~. AII_ . J!llllia"~I~. .~ I. A". nt'" . ._ -_It..all''''''''- .~T'."".IIF-il",d r~ WI - . III"~ --...J. ""_U..f. 1 rIlL J "4... . ~wiD.lIo" ~.- ." - ~"Ir"P -W _I J r ..-tbro ~T r ... ...--..... ~ J II - .. ,..J-~~ &I4...vJ,4t/J'L ~ h6~-- Ii 1 J"'......1IIIIII1- '1.. ail . L (11&'" ........................' I NM · IIJcrI~1II11 E tro.rE4)~RI---...S2.. $&(6)-.. r -_atDso.. a..($) u,.........,.L . _........ . .<1.,....,.... ~ . _of lIIadl_ Jt~iJiN8 -<J ~ _ ....... 4. L fl- f.. Ir""ts II ,.....,..,.,. - -..-, :~ .(6)...",J1 I w.,_52t1l1lt __(8)~.::.' __52..... Y08' w;..-.......... ( Jf m ................00....-: MallIe 1) -0.-.,....... - I Jilin tit . --Ii ....- .. - tIIIIIa sYr.......... ....~..ef....j1':l!'.... lfaiI'& 2)<"-.~u. ~10'" *-' II a 11ldq." ~4'.0. oIW_ .., ..,-__':' A__"-.- 1&1 -",~","'IW _ . .....~........ _of ..~......~- ..9 1 .......... lfGIe: 3)1!edl--j f ~.I . . .l>.aI.......a-....rt."7 ./{,.. ~III ........111'...111... ~_"fJIIIr ...... _..&I _.--.-rr r~!1-'" I I __...,lio6. --."111 11 w....,.-,,~ ....., r a 0;- .j WI - r I. ...... -LI J UIT __ _111M SIll..... ~..........~...1IE - ...... . all __ .. b&1lb..~ .l::..... .......n ..... 'MIt ~ ftIN,"'-k _"Tim....... ,.r.,.,~_ ,.. - ....al IW 11".IL~_-SJt)fr ClInIIIafCJMlw~J. l~t:"\. -. t;"... .-:..........-: .............,. -fl... _ It...... ~'- IIn ..III - cJ RMf....-,.f~ _ F 1.. ? :.:. ... :. _all II" .. RDafPllall"l _ 4.37112 (28 ......11) t) lAI ~.. .....1~~ ~ -:- _ .1,......... :..... ':'-11::1... . - ...1..... GF ..--.-..... 2. RemDIle................. - ~ , II~I tlll811C1t N- ........ -.......... ......... (C) . 3. Place gAIUDd.... (C)...,..... ~ r 1[11 111_..,......... _ ...,............. ... ........... SPECIM. NGI'E:.... ~.......,...... ~ , J __ _............. ................. be......... _..., 018-..........1 . In..IUIIll....~_ - ............ ~.....(IIr)......'-..hl_M....... -1111J." on to ..... _............ 4............. ..., ~OF I T- -T~- r -,.".~ ,-.I:!IIII --= ..,... 11__-. Jl...........~l [lU.1 mllDlIl.... Allin r"~.z..... .. R.oca........-, - ........fI't .11111._....,.._~.lJ -- ~..E~.A_.L1..l11I__lng L1p'T[ l~__lnlJ..~... ..---......~.....u.Jt ..'.___...~ ~_~ ...a...J. -__ VERIIItM. _Ca,..~..__............... . 4. Select... aamact............ (EJ....... tilrtl8t- up (pili) .......~ ..1l4IIIm. {I1Ie 1.....18..,. used........ pm of... ............... Hale: __tulle _ ........by.... aut................... _long. 8 40 to .f5 degree angle is n.6. . aed.. PIER tEIGHT 1%1' AD.IU8INI.E 1.. 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K...uJll.._......... t. ...........HOUIE. 'DtEM:I'WIL"" 2.. ..........fIlA1'I!".FRMElE ...... ............1r ........'" ~... . 3. a..r- - LOC:A1ICIM OF 1WfI...... ftot'Y' 4. fC~U::~~~~.--"" MTENT......a . ~ IIWCINGOILY). ................ --..... - flllnur r fir.. - ~.... -.~~.... ..............-. . . If ., .. _M _J 1 [Wl..._ A ta:rIIDIIOP..... Ja'JDlG lllU.-' 1 _ "1'411' ..~:. "-:.... ., . , :i. 't.:. -".. ...11. -1$ ... ";'. " I . . . () ~. (~\ 105763 ('i () () ~ n n PERFORMANCE BUSINESS PRODUCTSoINC. 813-719-8008 FAX 813-719-7919 CITY OF ZEPHYRHILLS ZEPHYRHILLS, FLORIDA 5_5Cf<c( WATER ACCT. NO. DATE i \-\ %-05 OWNER/ RENTER {~ATDcZ. -:r (2C>.ns PO 1<.:, MAILING \ , 30 \ (<0"2.\ e." I.-n l)p.,~~ C,\\-t) r-:c... 3352-5 ~d,O-."S. 1)y ~ATER SERVICE ADDRESS 3'8-033 SHUT OFF SERVICE 0 TURN ON SERVICE U' INSTALL METER ~ READ METER 0 CHECK METER 0 OTHER 0 I#-:.JV 3/ LJ. " M~~" WORK COMPLETED BY & DATE COMPLETED ~r~r o SEWER o GARBAGE ~CITY o OUT CITY ~ No. OF UNITS ~ .. _ DEPOSIT AMOUNT _ AMOUNT LAST BILL _ DATE _ MISC. CHARGE ORDER TAKEN BY,' Retain white form in office at all times. Send pink & yellow forms to Water Service Water Service Dept to sign yellow form & iX.'~N ~ Y"./'.. ",' 1:. ~!. :~? .,/ () ,:.:) ,.,/ <> ~:) {': ":i.'t id' !'.);.;; i".::l< ",U 1:1 Ii ij...i i , I.; ..: " :.1. U"::.l .:::' , ~ I:: Cl r:' j.. .L i...: \::.;~ ).) h~!'::.(~ E:~ II::' r r)I.,.I("IJ:~':F:~; i.}():]::3~.;.;.;i.~.(.)-.)' Ul'..(iI';~t\CTCiF< :}:j:: !tlNE~: HI:.i;.DJ1J<::3CJi....! 'I L.\::F:UY :0 J) F;~:: :.:.:.~ F~ () :.:.:.; :.::~ L. [~ C) (..! )j 1 (', ~::) J) j':': iJFi. 1,1::.:: D(\f.i!:: c.rry :../~:)'1" ;: ?J::I::'HYF:H.i.i...l..::) FL ;"'.",;;' ...'....., ..:,..c,...).";'..:.. .iJF:: l::iJF: :::::(JL.IJ.) 1}..It.,\:::fT. :iJ./. c.'.: iuj ~~:. .' ;", .;..{ t.: r::', ~:::; juj ::',CC.:i-.lT 1.1.4 lCIT(lL. 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