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Home My WebLink About07-6895 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6895 Permit Number: 6895 Permit Type: COMMERCIAL Class of Work: ADD/ALT COMMERCIAL Proposed Use: OFFICE PROFESSIONAL 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 105-BLDG3 Address: 40415 CHANCEY RD B3-#105 ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 18..,26..,22-0010..,08400-0000 SHARPLESS CONSTRUCTION INC FIRST CLASS ELECTRIC INC COAST TO COAST OF TAMPA BUILDING FEE WATER CONNECTION COMMERC FIRE PLAN REVIEW FEES TRAFFIC IMPACT FEES COMM EWER CONNECTION COMMERC WATER METER RES 3/4" FIRE INSPECTION FEES r; n.2LPd ~ - i l.:~- U 7 !l(Q,v-.. rL r:ee_/ SHEA HING FRAME SEWER INSULATION WALL MISC MISC. WATER FIRE DEPT. FINAL ~_~~!I;EES:~ein$pection 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 fromffaultyconstruction 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. ELECTRICAL FINAL PLUMBING FINAL BUILDING FINAL FIRE WALL 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. " ~6~h CONTRACTOR SIGNATURE 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 \ Date,Received Owner's Name Owner's Address I '-10 ':!:. -2 I Fee Simple Titleholder Namel Fee Simple Titleholder Address I JOB ADDRESS SUBDIVISION WORK PROPOSED PROPOSED USE TYPE OF CONSTRUCTION DESCRIPTION OF WORK D BUILDING D ELECTRICAL D PLUMBING D MECHANICAL 01--1 AJ--i C c:y 1(1) Owner Phone Number Owner Phone Number I Owner Phone Number I ~ T- LOT # PARCEL ID# \<6 - 2& ~ '2-2- bO I o. o'6L\- 00. (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D l.-lo4/s I , , , I B D D FRAME D i~jK~/OIf A)v,k) oJT ~~ (DS BUILDING SIZE I I SQ FOOTAGE I /i .ISo I HEIGHT I 11"11111111111111"1'11111111111'1""1111111111111111111111'111111111"'1111111111111'111111111111111111111111111111111111111111111'111111111111 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 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 StJfiA'F'f.5 s' 6J-vst IA-C- I Y / N FEE CURRENT I Y / N I License # I C'J)C /.25'2129' C( 4.?~ .4 a~ I FEE CURRENT Y / N I License # I i=c.- ~~?O COMPANY I Ct'k5T +~ u,1f?, ,f,;fdf.,f REGISTERED I Y / N I FEE CURRENT I 'v / N I License # I C-re o5"tj,7(<<'p I I I I I B D D I D D NEW CONSTR INSTALL SFR BLOCK ADD/AL T REPAIR COMM ,RD '7- c= (? 1--( t 'F DO DEMOLISH OTHER I STEEL D ~L"b&~ OTHER I AMP SERVICE VALUATION OF TOTAL CONSTRUCTION PROGRESS ENERGY D D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE I ttJ~~1 k/~R COMPANY REGISTERED Address I fl'z- ~. rI/)~Y:> Av< #ttlblf/f MECHANICAL I I SIGNATURE . Address I OTHER I SIGNATURE Address I License # 111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111I1111111111111111111111111111I1I111 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 subdivisions/large 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. PLUMBER SIGNATURE COMPANY REGISTERED COMPANY REGISTERED COMMERCIAL SIGN PERMIT +<V6f I Y / N Y/ N Y/N FEE CURRENT License # Y/ N Y/N FEE CURRENT .111..11111..111.....,11111..11....1111..11.11..11..............................111........11111...11,...111...................................... Directions: 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 Attomey (for 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 (PloUSurvey/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" re~trictions" 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 adversely affect adjacent properties, the owner 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 ~hat a s.eparate perm~t. may ?e requir~d for elect~ica.1 work, plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatlons 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 authorl~y ~o vlol~t~, 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 ~ermlt 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 Officia~ for a period not t~ exceed n1n~ty (.90) days and Will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the\Job 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 OTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) . OWNER OR AGENT ~"'-C. ~CL\.... Subscrlbed and sworn to (QLSlJftr.med) before me this ~ >u- J:by. ........- . .- Who is! personally known to me or as/have produced dentlfication. Who Is/ar o me or has/have produced as identification. ~~ Commission No. L h l.., ~""'1 PUb:" =-- Notary Public Name of Notary ty KEELY M. .. .~AINGTON Nota P . expires March 8, 2008 No. 00297893 Orbital-40415 Chancey - Unit 105 Interior B/O - 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 TIF'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_ ,--' -~ .j.::;,. -c::;::r: -2;~,'jL.. -,.= ='~"..':: '....:1) . .c: =J:::;.t: D' i::A ~""l1\'IFN-l ---=..--.. '" ,....." ~j :'-_;;.,J J j:1 \..1.- . 'J..... ..~iII' lV:-J :;c- _E:iJ___.l :;~cac. =a~hyGjjls~ ,=~ 33542 3LS .8 i :3' 73C-.~C4 i _.--'., . .....~, '3 ': :;' "'"SC-;JC4.J. ::c;::...:;:ar:C:i ;~!an J\fc~-~ =Lsi;....e~2 3LSii.-:ess 3Ls;r:ess ::::-'c:c \,0.: =:LSil:6SS -'3;~ \JC.~ ,=:RE ScRv"CE ~ =!-~.i;! .~E':J!E':JV :===3 ::::or:::2C:: 3;I,s::!z.r 'iiC ,-l.r:nU31 ,'\Jie 13 . .c::uIIGir..c :;'ars , - _:;:cS\iISICr; . J.:.L ~T ....c 3"1 37",;,,~\'CF'P~ 3','S7:=;J~ ~iser ......,.1::: ~4_ Si= '~jt.~ K~..=~~=.'/37::=:,)I~ : - -':'5 --:25CS ;:c "'""' ::!c,S.....eacs :SeO ,=iR!::::ljiVIP :c =~;~:=. _.J.l-..J.J~:I,I 3"':JS7:=;~'1 :2\/iC3S ;30 '2S':;IL:S :e\Jic&s jac 3,~P':",(E3SjCN 3'.'ST~;:fIS ';-'/91: ~r/ 535 S25 . Ct~er 3R~SEiV=NTlL-\.:CN J r~ocalCucIs :;~r. c:. '............. 6~ ,:lL.l,NS ""C7AL ~ ':cmments: ~ ~ ~J '-t>>\- ,NS?'=::::7:CN==-=S . st ~~.e-.r.si:ec:icn 525 u~<;~ Q\-eS'; (tRSk~ SWing ,.1ccress&.)cM;tJ~n 3~Z-7 3iiling Phone \10.: g /3/ 7t3 - :::>sB 2ii1ing ;-sx No.: Ccnract: ?=Rl\tllT ;::;:; i sr Alarm F.<\LSE ALARM FEE 2na Alarm l---t 3ra Alarm H 4th Alarm 3P~!NKL.::R ;3'(STEMS ; I Ii ,'---1 , I ! 'J , 5th .-'llarm 6th Alarm 7th .~Iarm 3th Alarm c:th Alarm ! Oth ,~Iarm NlC j\J/C N/C :&25 350 $75 $100 $150 $200 5250 ~urcmatic 515 ~ ,\Ion Complianca5150 ';'.ffiaavit lJf ServiceJReoalr" 2:lC ?,e-;nscec:icn 550 5')" 3rd :::::&-,nspec::lcn ';',h =<e-,nsiJec:icn 3250 :[r: .~e-dl:3Cec::icr; 35uO :cnsrnJc:icn ;;15 :C:Tirr:erC;E:! 525 3~~~.:~~^:"-=;=( 3"'!37E~J1S ~\',.::r= ~r;::ergrcL;r:ds "'C: J~~ ;:!RE .:lUMP ,=ira ?~ITlC '." Ii' i~ ~ycrCSlQtlc 3:/sIsm $45 :=;RE AURM SYSTEM '-- :: erec:icn :5~5 :Jate: ,nscec:cr: \fe[ ....:.c~scI2nc2 ~)30 _r~':',,:,,:,:,='=rar~C2 .s~~ -:'/Cf3r.I ,=:C:N 325 -,c::;::: 3,~::;~h 530 =raaS2 =uc: '." :J,~ ='i'<E AL.~rtl~i 3'!S-:-::::vJ ;:;'12:2~T: -C::2P~ar;C2 350 ,;eC3J! _~CC2ctanca 550 ~ :-:-:-iER _.,~.::::. ,'-/au/SIT1cKe 'VaJj 51St; _.-' ....:;;cs $25 \iaIU;al~as ~~<; u:'~ ='~aJ ,3f1KS ;)25 -ant '515 N"'-C:'~-"-N __TA,~IJJ : -,...,-~ j ll,.. 'V L-.---.!i.2 GRAND TOTAL -fy- OTHER _. 3as 5015 ,545 525 $45 ,\Iatural '2as , .=;re 'NorKs ~'Jel ;anks 3REASENENT1LATlON L-100dICuc:s $15 '-(itchen Suppression $15 =,o\LSE ALARM TOTAL i . eE""99T~( ; Lf'1 "'I Zephyrhills 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 105) 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 of business/occupancy utilizing this unit may require additional ftre protection or a greater fire separation between tenants. 2. Exit lights required above all exterior doors. 3. Adequate emergency lighting shall be installed in open area and restroom. 4. Certified 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 finals (both layers). 2. Building final. . R(j~~\) .~\~ l\.pV .:na\ 0\ Y-V\\~~V..at\\~l 'N,::o~\Pu;i J71 u1 Page 1 of1 Bill Burgess From: Bill Burgess Sent: Monday, July 16, 2007 3:26 PM To: 'josh@orbitalcorp.net' Cc: Kerry Barnett Subject: fees for build outs of bldg 2&3 )':':~e~ . GG-~ tf71 ~~c~ DIne -/ () . 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) oS Sewer wastewater treatment Fee: $1,940.15 " -1) 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) ~ 33 .2. S Sewer wastewater treatment fee: $1,608.50 i-\O,) . 13 dd. L\- ..qcr 733.59 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 $180.00 water meter fee will be applicable x total number of street addressed units. ;${~(;., Ce;.. Bill Burgess City Of Zephyrhills Building Official 7/20/2007 1 w CI "- t I 't~1J ~ g:cr (J~ o '-'11 ~ ~. -. ~ >-\ ~g..~ (tl;::..'""Cj ...... e; ~ rg.. .""" P' '0 o ~- - <: 0 ,. ~..~'.-' < o..N ~ g.~tIi ~~H ~~~ ,J ~':::' ~ -.n ~'0: /....;: ALL WORK SHALL COMPLY WiTH ALL PREVAILING CODES. FLORIDA BUILDll-:'J CODE, NATIONAL ELECTRIC CODE AN~Oi CTY OF ZEPHYRHlLIS ORDINANCES ~EVII:IN DA.,.e~ C/'/y Or: Z€PHy, I . PLANs E:x,qM/N€~ ~5' --?- 1 ~ <::.. C }'- N ...t. ,4 :::r- ~.~, '" , :::!1 ;; ~ )) ::::::::... \/\ + I L t.. ~ ~ ~ ~, ~ ....c ~ 1"J ~ lJ ~ ~ ~ ..t. :s--. ~ :A. ~ ~ '<. g ~~~i\i \.1 - X '- '\; ~~.U~~ V\ IJ' -Z 1) tv __ "- I:J V\ \.f) <J " ~ 1- "" \n ~~ .~t10 ~ .~~~ t/\ ~ -:s ~ ~ ~V'I ~ ~ ~ ~ ~ tr- <J ~ 0-1 ~ l" \.j ." ~ -~ I 3~ ~! ~ :i3 ~... 1-<-5 ~~.~ ~ r.,.."\ 0...-0 ~~Q) ~,-:g ,~o ~ \.,.1 "Cd Ci.. ~~rJ) ~~ '~~ ~~ ~ b... 0 . u ~-$ -3 -=?- , 5 ;-, t VI -::::::: ~ ..... ~ ~ '- VI -c <::;- :r- ~ ') --J ~ ~ ~ t >/ [I ~ t ~~ ... t::) r /Vl t ~ ,. .-.- '.-.' ..... .....- .. ....,,-. ...".'~-~_.. .'.~ .-.....-..-.. ._".. -------_._~.,\..-,-,-----_.__._._------- .{t iO <t?'1.:)' City of Zephyr bills BUILDING PLAN REVIEW COMMENTS Date Received: . , , S~/)k8J' . ~c>'t- . . r 7-U-- () 7 _ <l1Jt.115(:~Q!'(/ k/ ..,. -Jf; 105. BLDc'3 . .,. (~ck/r))i 4c/J1 ~ 'Contractor/Homeowner: Site: Permit Type: ,)'Dr,/~ kl3 h v r.-. ~~ r--, (2::e ll\. . - ":1) .~ lloL~ .'c-Y~-' /Ill II o f' ~o <9t . r "Dc.. be kept with the permit and/or plans. 7 ''/11,.-0) . aJdtkllhdnU<t!. Date Contractor and/or Homeo'WIler (RequiTed when comments are present) .."") !j '*== n r") n n 0 ~ 0 (l n PERFORMANCE BUSINESS PRODUCTS. INC. 813-71D-8008 FAX 813-719-7919 CITY OF ZEPHYRHILLS ZEPHYRHIu.s, FLORIDA WATER ACCT. NO. DATE r- 3(-07 =~R~ ~rr~ / OR.b~~ 0 464-'21 (1-h~{'O-a" I2d 2Pfh..t iv-h..t 'Q L,,\ K- ~354'2. SERVICE ADDRESS lfCJ4t C; rh?\n~ Rt'"i 1:!:-l05 - B '3 o 19" WATER MAILING SHUT OFF SERVICE TURN ON SERVICE r:g/ INSTAll. METER G:V READ METER 0 CHECK METER 0 OTHER 0 o SEWER o GARBAGE ~N CITY o OUT CITY ----1- No. OF UNITS _ DEPOSIT AMOUNT ~~3/yll P.e~ - <o~ 5 \.l :,~~ ~~ _ AMOUNT LAST BILL _ DATE _ MISC. CHARGE WORK COMPLETED BY & DATE COMPLETED ORDER TAKEN BY ORDER GIVEN BY kj Retain white form in office at all times. 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" ~ e8~5~ ] ~~]f; -g :~.re ~ ~ ~ ~ ~] ~ = tcs:':~ ~ t:;8~s~ ~ . . . 0; " o . f u 'S tJ f:: :3 ~ ~ > " < .... o z oClI.t).c.... w=:E 0 i,?~~ ~ li~ ~ ~ ~M;:!'Q./ ~ ~ i:'l!~ i18/s ~B ~~! i~~ ~ a: "" ;::Cl..- II:l 100:'1 O:ffiB~:i.~ rr1L6&~~t - ~~~13!lL:I ~~ j;j~~ 5: ti8 ~:~ ~.~ ~ . ~~~~; I;!II! ~ ~,i; ....,.;~;.~~\ t~) COAST TO COAST OF TAMPA BAY INC. 412 S.HOWARDAVE#9 TA~A,FL.33606 ST. LIC. #CFC056766 Office # 813-251-2999 Fax # 813-251-2995 Cell # 813-417-8818 July 30, 2007 To: city of Zephyr hills RE: PERMIITING To whom it may concern, please allow Mr. William Romancheck to pulVpick up permitting as my agent for the project located at 404 I 5 Chancey rd. Thank you , MARTIN STEELE G.MJ LICENSED CO~. C.T. OR, __ /II~~- J\jJIUfl - . State of Rorida County f H The "'-'-, . 0 emando 'Wl ~o'ng Instrument w,. acknowledged befOre me this-1lday of :)v" 2POj r-tCx ct\l) ~ \.. \' ~'t: Ie,.' by ID Produced F t 0 ( (\' ve.l') q <. ..eJt ~ ~ ~~- ~y.~ C .J> ~ 1. harJes R Matthews ~ --Y-'"; My CommissIon 0023984 -"'",...' E - 4 Xptres August 10 2007 " . ""r'1o.t"Y"l~'t t~ t ..@f'~. .. . .,>.. .. . " . '" . " I 'I j t I / ~',' I ; '\i~/ i I --',-- ~.- ----~- ....,0.:..-.,....... ... .y............. t,~.. '.',......,. it " -..-- ~. ~.-~', ---', -----._~.-..~.-------- '''' Application Date: Business Owner: Business Name: City of Zephyrhills Building Department Commercial Check Application - Fee $60.00 5335 - 8th Street, Zephyrhills, FL 33542 Phone: (813) 780-0020 ~ ria { I '"A &'\, L c' C Phone: g/ j -7/.r:6 c./ / I Building Owner: Site Address of Commercial Check: ~O~I / S Ch'e:t#C"y Rd, Zh. /15 r/, -3.3 ~~~ #=,05 Zoning Category & Confirmation: -71t A- Ie. c;. r' . Present Use: ;t./ c:: t-d Proposed Use In Detail: 11/1/"'" IN (/ yYl Wa (C '" 0 ~ 5 c: /5/-" /'.;:...... C, e / Are There Any Floor Plan Changes: /C/o IMPORTANT: SOMEONE MUST BE PRESENT AT TIME OF COMMERCIAL CHECK ll1is Section For City Use Only --.EJ I CS - i 1 )~ d ri.l<...0 ~ - \', 3D pm . Comments and/or Requirements: Building, Electrical, Plumbing & Mechanical j)GiU:2~ 'f;M- .., f\... --R,'Lt1...T fZ;a\\ ,nhl) !J L~<X.s~, ~\j '''tUi.0 0 r{ ~~ ~1\.\ f)~ ~\1. (9 VV\\ ~\ ~ 51 frDvAA-.~) t-l~\""\~ rlfcr'l1. ~ i c..@Jl..T\fIL~~. dr ""Ll\..~~~~\\.- fAL ~\~ll.D -'/ _fTLL CJ\)--C-V\ v4I'lV\ ~ b \ W\Y:'c..\ ~~ ~L lStL r~)D (,\ \'b\0"l f\. ) ~ \-A-~ Ofk i5.\j>' <L ii-)-l.. '\ lUW ~ppmved ~Vll~~ f\..uo:- P~'\. ~"'i*\.. o Disapproved - See Comments Inspector's Signature: Business Representative Signature: ~, (' v'-- L~'....\