HomeMy WebLinkAbout07-6893
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6893
6893
Permit Type: COMMERCIAL
Class of Work: ADD/AL T COMMERCIAL
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost: 38,475.00
Date Issued: 7/31/2007 Name: THAKRAR,JOSH
Total Fees: 1,362.77 Address: 40421 CHANCEY RD
Amount Paid: . 1,362.77 ZEPHYRHILLS, FL. 33542
Date Paid: 7/31/2007 Phone: 813782-7300
Work Desc: INTERIOR BUILDOUT - 1350 sa FT - UNIT 103-BLDG 3
Address: 40415 CHANCEY RD B3-#103
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY Of ZEPHYRHILLS
Parcel Number: 18-26:tr010-08400-0000
BUILDING FEE
WATER CONNECTION COMMERC
FIRE PLAN REVIEW FEES
TRAFFIC IMPACT FEES COMM
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ROU HELE TRIC
2ND ROUGH PLUMB
LINTEL
PRE-METER
WATER
SHEATHING
FRAME
SEWER
INSULATION WALL
INSULATION CEILING
MISC.
MISC.
FIRE DEPT. FINAL
ELECTRICAL FINAL
!v>>.> ...I9EES:~Reil1$pectionfees will comply with Florida Statute 553.80 (2)(c) when extra inspection
st;~re'inecessaryduetoany one of the following reasons: a) wrong address b) condemned work resulting
from:faultyconstruction 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
"Wamingto 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."
~~~
~ON :60 S~NATU PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Owner's Name I.
Owner's Address I t-{a '-1-2 I C II ~~ c E Y I? .])
Fee Simple Titleholder Namel
I
D ADD/ALT D
D REPAIR
D COMM D
D FRAME D
;;~~rlz;~ 4/iJ ~t.fT '~\D3
BUILDING SIZE SQ FOOTAGE L\~5 0 I HEIGHT I
1111111'1111"'11""'1"111111111111111111111111111111111111111"'11'1'11'11'1111111111111111'111"11111111111111111111'1111111111111111111'11111
Date Received
Fee Simple Titleholder Address
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
PROPOSED USE
TYPE OF CONSTRUCTION
DESCRIPTION OF WORK
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
L( ('4 IS &-
LOT #
.8
C {/ A I'-t. C r-
f2D
B
D
D
I
PARCELlD# \<6~Llo -22 . DO 0- 1~<6r _0000
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
DEMOLISH
NEW CONSTR
INSTALL
SFR
BLOCK
I
D
f>\...!>b "3
OTHER
STEEL
OTHER I
1$ I
1$ I
1$ I
1$ I
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
11111111111111I11111I11111111111I11111I11111111111II1111I111II111I11111I111111II111II11111111111111111111111111111I111111111II11111I11111111111111
0 BUILDING
D ELECTRICAL
D PLUMBING
D MECHANICAL
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
D
W.R.E.C.
PROGRESS ENERGY
VALUATION OF MECHANICAL INSTALLATION
COMPANY
REGISTERED
BUILDER
SIGNATURE
I iJ//671ha/eRR
~~t2-<.J
Address
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
S~4#kss- cb-.v~, -i----;.x..
Y / N FEE CURRENT Y / N
License # I c~ /..25"21<9
Wd-d4~g~h
Y / N I FEE CURRENT Y / N I
License # lEt::" --ocC>..<?78
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License # I ~c o!!~ 7&zb I
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I
I
I
COMPANY
REGISTERED
Y / N
FEE CURRENT
Y/N
Address
License #
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/ N
FEE CURRENT
Y/N
Address License #
111I111111I1111111111111111111I11111111111I111111111111111111111111I111111111111111111111111111111111111111111111111I1I111111111111111111I11111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects
Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
COMMERCIAL
SIGN PERMIT
DI~~~ti~~~':' , , , , , , , , , , , , , , , , , , , , , , . , . , . . . , , , , , , . . , , . , , . . , , . , , , . . , . , , , , , , , , . . . . . , . , , , , , , . . , , , , , , . , , , , , , , , , , , . , , , , , , . . . , . , , , . , . . . . . , , , , , , , . , . . . . . . , ,
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000)
.. Agent (for the contractor) or Power of Attorney ,Cfor the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades- NC Fences (Plot/Survey/Footage)
Driveways-Not over Counter if on public roadwaysOoneeds ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions. .
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 Pasco County Building Inspection Division-Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify 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.
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, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government 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 Protection-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.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to a~versely affect adjacent properti~s, the.ow.ner may be cited for violating
the conditions of the building permit Issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required. .
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a s.eparate perm~t. may ?e requir~d for elect~ica.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not speCifically 1n?luded. In the application. A
permit issued shall be construed to be a license to proceed with the work a~d not as authon~y !o. vlolat~, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or violat~o~s o! any codes. Every permit Issued. shall become, invalid
unless the work authorized by such permit is commenced Within SIX months of permit Issu~nce, or If work authorized. by
the permit is suspended or abandoned for a period of six (6) months after the time th~ work IS commenced: An extension
may be requested, in writing, from the Building Official for a period not t~ exceed n1n~ty (.90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the\~ob IS 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.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT bJ.\A.o..- ~U9-\
SUbSCribed~d.swom to (or affirmed) before me this
"\ ~ ).-v- /.) l by
Who Js/afepersonally known to me r has/have produced
~~ identification.
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
IIc
Notary Public
Name of Notary typed, printed or stamped
Orbital-40415 Chancey - Unit 103 Interior BIO - Bldg 3
SQ. FEET PRICE
MAIN OR LIVING: 1,350 $ -
OTHER AREA UNDER ROOF: - $ -
OTHER: - $ -
VALUATION $ -
FEE SHEET $ -
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 233.25
ELECTRICAL: $ -
PLUMBING: $ -
MECHANICAL: $ -
SUB-TOTAL $ 233.25
RADON: $ -
TOTAL $ 233.25
SEWER: $ 402.13
WATER: $ 224.99
IRRIGATION: $ -
TOTAL: $ 627.12
WATER METER:I $
IRRIGATION METER $
220~00 I
FIRE DEPARTMENT FEES
PLANS TOTAL: $ 54.00
INSPECTION TOTAL: $ 45.00
PERMIT TOTAL
TOTAL: $ 99.00
PUBLIC SAFETY IMPACT FEES
POLICE
FIRE
5%
TOTAL: $ -
Already Paid
Already Paid
Already Paid
SUB-TOTAL $ 1,179.37 ,
PARK IMPACT FEES I ~ Not Applicable
SIF'S:
100.0% $ -
1.0% $ -
TOTAL: $ -
Not Applicable
TI F'S: $ 733.59
99% $ 726.26
1% $ 7.33
25% Due at Permitting $183.40
75% Due at C.O. $550.19
TOTAL:
1,912.96
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:~C :2i;; ~,C2C. :2pr:!r:l'ils. =:.. 33542
-'rs
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:3 ~i 2.) 780-.J044
=;R:E S2:R''i~C2
Cc==~~ar:C:i .',c.;
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3LSij-eS2 '12(;;2:
3L.;s;r:ess )''':Crsss:
3Ls;ress :::....ct~e 'iC.:
.=LSireS3 ='3;( .\3C.:
::cr:r2C::
::'-....N ,:::E'flEN :==='=3
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550
3rd :~s-;nspec=iGn 3~25
-S-:-~t\iCFrp-~ 3','S-:=M
J.th ,~e-'llsiJec:ion
3250
3500
_c,' ::;:;ser
..."t::;
k~
:(h~e-,nscecricr.
,:cr;sIruc:icn
315
::crrrr:erc:cl
"""
,,"-~
3?:~.llht(~..=~ 3'/:~r~:=:Jls
3?q!~~Ki..=R S"tS7E:viS
--' - .:5 -:~5.CS
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~\"cr2 -___rc:ercrcLir.ds ';:~5
.... :!US -sacs
5eO
5J.5
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.ve[ ,-"cceclance330
-=r~_ ~('':SC:2rc~ -.::;-;:;
--i~/cr3r;T =:cvv ~'-::
-:CC:2 -=.ccIh ~:O
.=~R= '::'JiVIP
- -
..=(aase :-- uc:
-)15
,:......9(-'...:r-..::
.":LJ
,=:;=:(':= JJ._L~..:~~l,i 3\'57:=:,;'1
=:RE AL~~M 3'(S-:-::::\II
.: 2'J IC3S
-S'I.s:em...._cc8P~ance
550
550
;..:;..u
26 :IU5 ':evlcss
jac
:~ecaiJ ,~c~a~!anC8
3Lp::"~ESSjCN .5'(5.:=::1115
:T:-iER
~
_.........;:dS
'.'1/91
=::-e l'/alJ/SrllCKe 'Vall
1l15~
525
525
3:5
Cr:!
535
(...".......:::
1;25
\;an~ral ,-.36:S
: ether
=:~al ~QnKS
M"
>L~
-ant
515
.3RE.4.S I:."} Ei\lT1L~ TIC N
;-;OCaJCUCIS ~~~
~
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(j)
:JL:.I.,'JS TC7AL ~
~/;rI rgJ~
GRAND TOTAL
:cmmems:
U~EE~fbs ~~~
3iiiing~Ccr~5"&>1-k~_ FL- 3'~ r2.J
2iiling;=hcne \.io.: 8/3 - 1t:.1'-,.:ss7...3
3iiling F:::x Nc.~
C(;ntact:
P<:=RMIT ;:=:;::
:=.~LSE ALARM F:E
3P~!NKL~~ ;3'tSTEMS
!sl...l,larm N/C
2na Alarm N/C
n 3ra Alarm N/C
, I
;i 4th Alarm .525
i 5th Alarm :550
;~
I 6th Alarm $~"
I I~
11 7th Alarm $100
'..-J
I 3th ,..\Iarm $150
,--,
I I 0th Alarm $200
, ,
i : Oth ;.\Iarm $250
Ii ,\lon Compliance .5150
-1
'~.ffidavit i)f ServlcelReoaw'
.:.wcmatic
515
FiRE .:JUMP
=ire .~~iI1C
.r.;~
'iJi-J
,=:RE AL~RM SYSTEM
'--
:::ereCI:on
5;5
OTHER
_. 3as
3~5
L... ,\Ialural Gas
I i ,=ire \NorKs
$45
525
$45
:='lel :anks
3REASENENTIUTION
I~ 10cd/Cucts $15
'(itchen .suppression 315
.=,o.\.LSE ALARM
TOTAL :
P!:RMIT TOTALi
1r~
Jare:
InsDec~cr:
ZephyrhiHs Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Marshal
Kerry Barnett
Bus (813) 780-0041
Fax (813) 780-0044
May 16, 2007
Plan Review Comments
I have reviewed and approved the plans for an interior build-out located at 40415
Chancey Rd (unit 103) under the following conditions. My comments have been placed
below. Please contact me if you have any questions with regards to my comments.
1. The type ofbusinessloccupancy utilizing this unit may require additional ftre
protection or a greater ftre separation between tenants.
2. Exit lights required above all exterior doors.
3. Adequate emergency lighting shall be installed in open area and restroom.
4. Certifted fire extinguisher shall be installed in compliance with NFPA 10.
5. Install knox box on front of building. One box to cover all units. Application
provided.
Inspections required:
1. Firewall screw and ftnals (both layers).
2. Building ftnal.
o\]"b\) .~\':>
f\.1'\'~ 0\ y~'r\~{'(\1~\'3.'(\\~)
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'~',\.\.\
Bill Burgess
Page 1 ofl
From: Bill Burgess
Sent: Monday, July 16,20073:26 PM
To: 'josh@orbitalcorp.net'
Cc: Kerry Barnett
Subject: fees for build outs of bldg 2&3
\~-~ e5 G~ lC5l--h:i~C:~
,).. L )
01<:17)-. ./
Josh here are the numbers we discussed earlier if you have any questions call me, thanks Bill
Building #2 units 102-106 (5850 total Square feet)
Building Permit Fees: $1,081.50 (does not include fire department review or inspection fees, contact Kerry)
S Sewer wastewater treatment Fee: $1,940.15
';;J.
-I)
Water Impact Fee: $1,124.95
Transportation Impact Fee: $3,667.95
Building #3 units 102-105 (4,680 total square feet)
Building Permit Fees: $933.00 (does not include fire department review or inspection fees, contact Kerry)
Sewer wastewater treatment fee: $1,608.50
Water Impact fee: $899.96
Transportation Impact Fee: $2,934.36
The fees quoted are based strictly on square footage as per applicable ordinance.
Public safety impact fees are not applicable as they were paid at time of shell permit.
An additionaL$180.00 water meter fee will be applicable x total number of street addressed units.
;3<Q('>, OCJ
Bill Burgess
City Of Zephyrhills
Building Official
7/20/2007
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City of Zephythills
BUll.:DING PLAN REVlEW COMlv.tENTS
. Date Received:
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'Contractor/Homeowner:
Site:
Permit Type:
ApProved wIno comments: 0 Approvedwlthe below comments: 'fJ. Denied withe below cOIIllIlents: '. 0
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., This.comm~ent sheet Shall~be kept with the Permit and/or plans.
. . A' .J. ..Y-t11.-D7~d/Q
Kalvin'Switzer , Plans E er.. , Date . .. Contractor and/or Homeowner
(Required when comments are present)
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PERFORMANCE BUSINESS PRODUCTS. INC. 813-718-a008 FAX 813-7111-71110
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
WATER ACCT. NO.
DATE '7-31-07
OWNER/ J
RENTER 6hOLJLpi 0 ^ 0. . 6("10 ., -k3t Q.
~
MAILING i1-oL.\-Zl Clh OXIt O-Lj R("~
?~rh.t.;r~) H. :3354-2-
SERVICE ADDRESS 404\ ~ r Jr\i'IlJ() (~l - 0 nl +- i 0'3 - t5 \ d <.3 3
O (];I/' WATER
SHUT OFF SERVICE
TURN ON SERVICE [g"
INSTALL METER rn/
READ METER 0
CHECK METER 0
OTHER 0
o SEWER
o GARBAGE
~N CITY
o OUT CITY
~ No. OF UNITS
\U~ \~ :jILl"
9~ - t'o<i?q"3
~~ rf\(~
_ DEPOSIT AMOUNT
_ AMOUNT LAST BILL
_ DATE
_ MISC. CHARGE
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
Retain white form in office at all times.
Send pink & yellow forms to Water Service Dept.
Water Service Dept. to sign yellow form & return to office.
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PASCO COUNTY; FLORIDA
IO'"::l:.,
TRANSPORTATION IMPACT F.EE, Rate:
~xempt 0 yes GrNo How DE!termlnecl
Impact fee Amou.nt $ . 550 .1 C, Zone. No.
SOHOOL IMPAGT FeE
,Account (056) Single-Family Detached House
. (057) Mapile Home
(058) . Other Residential
. Jj).J) Collection Fee .
Exempt .~Yefj 0 Nq How petermln~d
Sq Ft Unit:
ta.. t:;O
TAZ:
Amount $
PARKS AND REOREATION FEE
Land Account ' Land Credit
Land Total
Recreation Account
Recreation Credit
R~creation Total
Zone
TOTAL.AMOUNT, '$'
Exempt 0 Yes 0 No
L1B~RY FEE
Lane:! Account. .
facility Account
HowPetermlneq
Land Total
Facility Total
. Total Amount
~and Credit
Facility Credit
How Determlnecl
~xempt 0 Yes 0 No
'RESOURCE FEE
TOTALAMOI,JNT
'ERU
prepared By
Chec~ed By
. .
.' . .
NO 9ERTIFICATE Of OCCUPANCY WILL. BE ISSUED OR FINAL INSPECTION
pERFORMED UNTIL. THE TOTAL AMOLlNTS LISTED HAVE
. BEEN PAID ANQ
R!:GEIPTED FOR BY A CENTRAL PI=RIl.'ITTING OFFICE,OF PASOO COUNTY
Acknowledgement pelow does not Imply a~cepjahce of COnCllrrenOe, but simply receipt ota coPY of this form, placing
. the building parmlt owner on notIce of this assessment Bl)d thE! condlUons of payment for same.
:....
PATE
RECEIPT NO.
RECEIVED BY
DATE
BY
FROM ORBITAL CORPORATION 813-782-7373
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)'''' ....... .,..... r~l-rJ .f..:!.. .,,6, d . ,."....:.. ~J I~\jrl" 10'1
(WED)OCT 24 2007 10:52/ST.10:51/No. 6800074285 P 2
Print D8IiI: 101Z212fXr1
Final
ZephymIIIa Fire Reec:ue
8807 D8lf)I Ad
ZephyrhIIII. 33542
Phone: 813-7110-OO41
Fax: 813-71().0()44
1---" P-v
VACAfff
(000862)
40415 CHANCEY RD SUITE 103
ZEPHYRHILLS. FL 33640
~ _.-: 10/1512007 12:OO:llllAN
'-== Keny8amd
~ : 1-113-07-0538.A
InspectionCause: Relnspecllon
OccupencyType;
PropenylJse1)pe: Vecn
VioI8IlonCouru: 0
Hns; 0
CommenIB:
VIOLATION CORRECTED. APPROVED AT THIS TIME.
Sign Her.
Page 1 or1
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