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Home My WebLink About06-6166 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6166 Permit Number: 6166 Permit Type: ACCESSORY BLDG. Class of Work: ALUMINUM PACKAGE Proposed Use: MOBILE HOME SUBDIVISION Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 39625 aUARTZ DR ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: EMERALD POINTE RV RESORT Parcel Number: 24-26-21-0060-0000-1660 25,000.00 11/06/2006 296.45 296.45 11/06/2006 MOTOR HOME PORT & SHED Name: BASTARACHE,STEVE Address: 39625 aUARTZ DR ZEPHYRHILLS, FL. 33542 Phone: ~. J ~~,u1 \\f REINSPEcnON 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 "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." NO OCCUPANCY BEFORE C.O. '.C4~ ~ ~~ CONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Permit Application Review Comments By: Bill Burgess /l!seo #KA1/'W;J.- Date: If) - Ii- () " lQ] No Comments Address: 39 (p :z-S t2 L{ar f ~ J)tf.;i4L Type: /YIolov ~€- Ai/I t's4/ Cb 1J41 ~'L (l/l-1i..I1 e:q.J.1..:t I NG L-r" I r/. '" tJN:i4 (f) 2,J'P fZ,:,;::;tt.- C;l~\.\. f;5i ArllL 5ftkiL or(\..--j S'1Lp.- (}~~~I~ fY:;>~~ l~)TAUJ'\I\"^, cn-- ;.i:J.):t::rJ-.J c:. erN f~ . STEVE BASTARACHE-39625 QUARTZ DRIVE.MH PORT AND SHED SQ. FEET PRICE MAIN OR LIVING: - $ 88.00 OTHER AREA UNDER ROOF: - $ 88.00 OTHER: 1,044 $ 34.00 VALUATION $ 35,496.00 FEE SHEET $ 210.00 ADDRESS $ - DRIVEWAY $ - BUILDING: $ 214.20 ELECTRICAL: $ 47.25 PLUMBING: $ 35.00 MECHANICAL: $ - SUB-TOTAL $ 296.45 RADON: $ - TOTAL $ 296.45 SEWER $ - WATER: $ - IRRIGATION: $ - TOTAL: $ - WATER METERI $ IRRIGATION METER $ - I FIRE DEPARTMENT FEES PLANS TOTAL: INSPECTION TOTAL: PERMIT TOTAL TOTAL: $ - PUBLIC SAFETY IMPACT FEES POLICE $ - FIRE $ - 5% $ - TOTAL: $ - SUB-TOTAL $ 296.45 I - I PARK IMPACT FEESI $ SIF'S: $ - 100.0% $ - 1.0% $ - TOTAL: $ - : 1 TI F 'S 'I S 99% $ 1% $ TOTAL: $ . 296.45 I Fee Sheet _Uur-JR\-- -?f1 b'- 5' ~f.k1'2- j)rq" tL Comm Res ~ SquareF eet /~ ylf Dollar Amount ~ Valuation ~ 5; lfibl ~.. (Use System for calculation of fees) Radon <~ I Sewer ~~ ,..\ i A 'L .~{ \~ ,-rrl r~ 0>'<' ~~ Connection Fees ~ r Water W. Meter ~ (All Residentials _ 3~ ") % (180.00) _ 1 (250.00) 1.5 (650.00) _ 2 (875.00)_ 3 & 4 (Contact Louie) _ Irr. Meter Irr. Conn - ~ ~ \)l~ ~~ Impact Fees School ~~ ~ ,J)fT Park CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8ft St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED PASCo p~RHlr SERVICE PHONE CONTACT FOR PERMITTING 1- .g(q(a - g ~Lf - 7 g <1 L/- OWNER'S NAME <Skv e. ..3 'Iff JS 13 f1<.S!ti rIA- c! e 6J.tLfLr 12 Ih /~ PHONE :~ '2 S'. t/ () .-' JOB ADDRESS LEGAL DESCRIPTION: LOT(S) /~? BLOCK PARCEL ID # J '1-,).y -01/- O()/ir:J -CXl)j)~ /fRt 0 SUBDIVISION E//JfraJlI1J//L~ tRj/ /tift1/' J- (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: 90NEW CONSTRUCTION OSIGN PROPOSED USE:~GL FAMILY DWELLING COMMERCIAL o ADDITION o MOVE DALTERATION o REPAIR o INSTALL o DEMOLISH DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS D SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK o RESTAURANT & HEALTH DEPARTMENT APPROVAL moJo/" );0/))/ jOOl'l , -}- V I-e cI /0 'IL/;p HEIGHT BUILDING SIZE SQUARE FOOTAGE RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PEBMITS REQUESTED & (1) SET ENERGY FORMS. FORMS. No ~Oo.J - N I P-c .....'.,'.. , ~~'4.er ~ ttf(JdIJa.1-_ I#- ed Fi;:"lf.I <(), ~BUILDING ~LECTRICAL ~ PLUMBING o MECHANICAL $~C()ce- VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o FLORIDA POWER o W.R.E.C. $ VALUATION OF MECHANCIAL INSTALLATION OGAS D ROOFING o SPECIALTY D OTHER TYPE OF CONSTRUCTION: 0 BLOCK D FRAME D STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES 0 NO r BUILDER /'t~ lJ...-. J j) ./: COMPANY SIGNATURE LAYf/IIP-HU<.f'~i1 STATE CERT OR REGIST # ****************************************************************** ~~M..'t(s~~':B5t~ Owher ::=~~~~ COMPANY 11 b JrJe;r STATE CERT OR REGIST # ********************************************************k********* PLUMBER , 1_6;j / COMPANY tJJt)l?er SIGNATURE ~~~ STATE CERT OR REGIST # ****************************************************************** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST # ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" which may be more restrictive than City regulations, The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-780-0020. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign po~tions of the "Contractor Sections" of this application for which they will be responsible. If you, as the owner signs as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an 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 cormnencement. 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 cormnenced 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 cormnenced 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 cormnenced. 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". s~~~ d/~~~ SIGNATURE: CONTRACTOR STATE OF FL~A ./\ COUNTY OF ,.-, S CL/ The foregoing instrument wa1iaFknowledged Before me this ~ day ot l/C 1?Jhf'r , 2~ by IJeIoD-ra.?.. .D/;k~...d",-F rI _ (name of person acknowledged) ~o is personally known to me, or STATE OF FLORIDA 1i COUNTY OF ~~{~ The foregoing instrument was ayknowledged Before 13 ~iS ~ay of ff f?:;ht?r , 20 C::C,.., by . e r>'t (kR....cf/or ..~. (name of person acknowledged) ~ is personally known to me, or Owho has produced (type Odid not of identification) take an oath. ~ Owho has produced (type of identification) ~id not take an oath ~ Name typed, person taking acknowledgement '<:.T.~Y PUBUC-STATE OF FLORIDA .' , S . +-;:'~~..'~ HZam"-e Balu prln~~ ~:~tamne \ ':,,'~;':r / ',;,Un;mmslon # DD601110 '.....';. ~plIes: NO\[ 15,2010 . . HRL ArrA\TlC BONDING CO.,ISC Name typed, a..--v ~ person taking acknowledgment .Y.Y PUBUe.STATE OF FLORIDA '''''''\ S117~nne Rahr P~~q!;~~o~mis~6blll0 ",,~.~,~,~...., Expires: NO\[ 15, 2010 . .,;; Ti!RU ATLA.\'T1C BONDING CO"INC. DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ~ & We{ ck- have z'ead and fully understand and I, agree to the provisions of this instrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own cDmicile, that he or she actually occupies, or will occupy by saic. domicile, and same is not for rent, lease or sale. That he or she shall comply ~'ith the following conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the building. That in the event various phases of constructic.n are subcontracted, he will engage only properly licensed subcontractors ax.d will personally supervise such work. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to iI:.sure they are made, and upon completion will call for a reinspection before proceeding with the building. That the owner shall assume full responsibilit}. for the construction and will not expect supervision of his work from the City of Zephyrhills Building Department. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall constitute an official notice to pay additional fees. That the owner shall comply with all City, Stat:e and Federal laws in regard to social security, workman's compensation, lien laws, etc., where applicable. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that: law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a lice.nse. You must provide direct onsite supervision of the construction yourself:. You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $25,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved yourself within 1 year after the construction is complete, the law will preElume that you built or substantially improved if for sale or lease, wlLich is a violation of this exemption. You may not hire an unlicensed perElon to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licE!nses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licenEled contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct: supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that emp:.oyee, all as prescribed by law. Your construction must comply with all applic~)le laws, ordinances, building codes, and zoning regulations. OWNER'S SIGNATUR~% ~ DATS ---1P-,b~ vb ADDRESS 3911.2_ _~_.!t~ IE-- ~35YC) I PHONE ' WITNESS '-S'-tL~ ~ 2. 3. 4. 5. 6. 7. 8. 9. PERMI'l'.# DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS BUILDING DEPARTMENT I, S~e'J€- ~{2x]storach~. agree to the provisions of this instrument. have z'ead and fully understand and The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own c.omicile, that he or she actually occupies, or will occupy by saic. domicile, and same is not for rent, lease or sale. That he or she shall comply ~'ith the following conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the building. That in the event various phases of constructie,n are subcontracted, he will engage only properly licensed subcontractors ~.d will personally supervise such work. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to iz:.sure they are made, and upon completion will call for a reinspection before proceeding with the building. That the owner shall assume full responsibilit~. for the construction and will not expect supervision of his work from the Cit.y of Zephyrhills Building Department. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall constitute an official notice to pay additional fees. That the owner shall comply with all City, Stat;e and Federal laws in regard to social security, worman's compensation, lien laws, etc., where applicable. That the owner shall comply with all the safet}. codes issued by the Florida Industrial Commission. State law requires construction to be done by licensed contractors. You have applied for a permi t under an exemption to that: law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a licE!nse. You must provide direct onsite supervision of the construction yourself:. You may build or improve a one-family or tWO-family residence or a farm o~Ltbuilding. You may also build or improve a commercial building, provided youz' costs do not exceed $25,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved yourself within 1 year after the construction is complete, the law will preslume that you built or substantially improved if for sale or lease, wtLich is a violation of this exemption. You may not hire an unlicensed perslon to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licE!nses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibili ty for supervising work to a liceneled contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct: supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applic~)le laws, ordinances, building codes, and zoning regulations. ~~ IW(.. ~. Eo Oi4)~ S:>V^t> 2. 3. 4. 5. 6. 7. 8. 9. OWNER'S SIGNATURE ADDRESS 3'1C\ d.. ~'O ::ss ~ ~~ SfP+ ~ \ )'O~ I DATE o Nt. cNJ. PERMIT # LOT IMPROVEMENT REQUEST To EPPOA Property Evaluation Committee & Board of Directors: From S--rL?\) t.: ~AS+ f:\ l~ 1-\-(' h G Lot# IAddress 6Q-{o35 QuCv\. -} Z- 0 V( lo -J- r 19 to / 35'-/0 Phone number where you can be reached L () -\- !j 7J .. 1(\ (II) 1\\ ,-d, i /\.) I:: Ui; We request POA approval for the following (must include drawing for any construction I additions I remodeling I landscaping, etc.). ;; Co IVS -+ I?tJC+ 0.. \, --,\!.- eu k \- Pc::>. \ A '--'Y.- )"! 4- L. GIVe fLd...o P A "J fj: :, I\'.~' r._> l\ I '-'. I \. ...to A Q:. C A. c9. (p x' h =< Lot Owner's Signature 5Ivv-e. ~-~ t;,eoc iF Approved v Denied Property Evaluation Committee: I ~~ Date GI/l.iL / ~ Date: 6 Y---/ 0 .-61 &~?:?'4:~~~ / .. Date: ~ J 16/ d IJbb /., /1/ /( J r- I ___ .. I.. ~ t l.7 'i.:- ".f ). G .."..,J) ,tr ",.' . , ;.:l J- db -j ?S f.. f), (0 ,~ \) D' ~.\ f-o " j, I q) ,:. ro ~'O-~ \(]- .'i", 1-. ;.~' . u --- .1\ ~ \ .L ~:' ':-'A .::; '~ i i I ; , I j ,-,/ ,// \ .. 1,1 ( " 'l 1". '.' I I I I I 1 i i , ~,tb ~' , '-;;)-".J ~ \0- , ~OO f r- --- . . f . --_! ~ '. ." .~. . d.ij~~ 'WI b. ----1' I I i I , --., A' / ,I-',~~ 4r~ 'fI:I" .:-[' rt/lk t t ~ ~ v '- EB - ~ -- -'>< ~ 0" ..:. 1 '\ .-' -'> ~ ..p -s -t ~ ~ ... n, "i B3 i rl "IS ffi ., -. <a . , q ~ QS , EEJ >< .... '0) -"'.'1 -.......... .. <-\ ~\ s -" ~f) ~ ~ --::r -.D - I l ... I '" r '" Q ffi ~ ~ I " '" ....0 ,,: -.....:.. -.e. ~ .8 .., '";\ '" \ " ~ '0'(1) ol. I:- - . , - '--./ I, '" \'.... - ~ <:\ ",- ... ~;> ~ ")/> '"~ >> 0 .... ... -~ .... - - - - . ~ - -----------~ ~ ,---------_. : . . -0 ~ '- . - - - -~-D- - ~ - -- - ~ . cv " ""- , CF' . ..... 'j ;.'\ , ,.\ .:.. '\ -t- " -;----=" c, .. \". - 1-- ~ <\ .......... ... 1----1 '----= ~ '" '-" -~ ... -- "" ('0 Q ~ '- v) ~ ,J " I , . ~ j 1 ill .-\ ,,\ .r -" -;::. ':> '::: _ :-" / -. / ~41'~~ Name 3..79 ~'ND Address OWeN So vllD ~ s~o.('Q C h-€. A-~f _ S . f . ON}. eAN. NLJk - 5,)... To Whom It May Concern, Please be advised that: Stacie Cross, & Debbie Dokendorf .of Pasco Permit Service have my permission until further written notice to act as my agent to sign and pick up permits. Sincerely, ~~ signature . C~ d .?,l n~ ~ NOTARY STATE OF FLORIDA, COUNTY OF PASCO The foregoing instrument was sworn to and subscribed before me this ____ day of Personally known or Produced identification Commissioned Stamp and Expiration Date Notary signature Page 1 NOTICE OF COMMENCEMENT State of r )...O(() Df} County of P A g (u THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: 1. Description ofPropeI1y: Parcel No, ~~ -~,.'5 Qu A-~z. DR to+- J Io~ Z~ph1~h\ ))s. FU>~)DA. (Legal description of the property and street address if available) 2, General Description of Improvement R y Po ~ + 111111111111111I11I1111111111111 11111 1111111111111111111 1111 2006222499 Rcpl : 1047195 Rec: 10.00 DS: 0, 00 IT: 0, 00 11/06/06 Dpty Clerk 3, Owner Information: Name S+e"e. 6t13+AR~c hE' . Address.3:l9 aliD A'\Jc SouJ~-e01City OWEN YJcJnl) Interest in Property: Otut1t'~ b/rTA-A}(.) State c A^I~r:HtJ N4k - 57 :L Name of Fee Simple Titleholder: (If other than owner) JED PITTMAN, PASCO COUNTY CLERK 11/06/06 12: 00~ 1 of 1 OR BK 725:) PG 175 Address City "4, Contractor: Name S-Je"e.. 6osk('Q che... Address ~ ~ND ~vf. S.f. City OWfJJ Soun 0 State 5. Surety: Name Address oN'1' P, R J 0 State cA.NA. DR N l.IK- S-r2 City State Amount of Bond: $ 6. Lender: Name Address City State 7, Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes: Name Address City State 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713,13 (1) (b), Florida Statutes. 9, Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified.) ~~ Sworn to and subscribed before me this D2-W day of J1~J- ~~ Signature of Owner: , 20 Ob , Notary Public: _ My Commission Expires: PC93053048/ A NOTARY PUElle-STATE OF FLORIDA ~ Stacie Cross Commission # DD510984 Expires: OCT. 16, 2009 Bonded TIuu Atlantic Bonding Co., Inc. f:.p \ lo~ S-\i'~~ Name 3..79 ~~D Address OWeN 5) v Ill> eu s~o.('a c h~ A-~f_ S.c. ON7. eAN. NLJk - 5,').. To Whom It May Concern, Please be advised that: Stacie Cross, & Debbie Dokendorf of Pasco Permit Service have my permission until further written notice to act as my agent to sign and pick up permits. Sincerely, ~~ signature . C_ d ~ I I n G ~ NOTARY STATE OF FLORIDA, COUNTY OF PASCO The foregoing instrument was sworn to and subscribed before me this .9?!st-day of .s~tc~.:Jer / 07604> Personally known or Produced identification ~~ NOTARY PUBUC.STATE OF FLORIDA """"""" Suzanne Bahr ~ W lCon:-mission #DD601110 ,,~.. Exprres: NOY. 15, 20~O BONDED THRU AI1,Asnc BONDING CO., INC. Commissioned Stamp and Expiration Date Page 1 J \SCAl.E 1/1--10, 3fr; 1 d() I .---- - - - /r) . (J) 1 ~ ~Ef) C:, J/lTlXry <::) ~I ~I I I~ I~ I~ . I~ ~ .~ ~ I) I . '] - ') s I I ~ I, ~'- I &1 ~f ~ ~I pfLOPtJcJE/) ~ ~I ..sekEEJ/ 8 ~ \ J:-cXJ)'} ~ I I~.()(} I f'l1 D I ~ I .J~;r- I<-()()F OJ/ERJlAH& ~ - - - -~- - - ( -- IV. 00 I ~ <:;:). ~ c., !l) <> ~ ~ ~ '{.> ~ ~ 8; ~ ~ ~ .........----- X:r:ST , OJ! I} IZ TZ f)12,II/E I3AST/J/CAC liE" L or /&~ E 11/ E ,e~L/) /JOIAlTE ;tj/ JeE.rcnr ..J.(j-~ -r:)I-OO~ - OOOOO-/{,t:?O