HomeMy WebLinkAbout08-7102
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813}780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
7102
..
Permit #:7102 Issued: 10/29/2007
Permit Type: NEW SINGLE FAMILY DWELLING
Class of Work: 105-NEW CONST/MUL TI 5+ UNIT
Proposed Use: TOWNHOMES
Sq. Feet: Est. Value:
Cost: 156,322.00 Total Fees:
Amount Paid: 6,138.22 Date Paid:
Address: 6331 MAISIE RD #20 L
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: EILAND PARK TOWNHOMES
Parcel Number: 03-26-21-0230-00000-1940
Name: LENNAR H MES INC
Addr: 600 N. WESTSHORE BLVD STE 600
TAMPA, FL 33609
Phone: 813 769-5277 Lie:
Work Desc: NEW TOWNHOME - MARTINQUE -
LENNAR HOME INC.
600 N. WESTSHORE BLVD
TAMPA, FL
MECHANICAL FEE
WATER CONNECTION RESIDENl
FIRE IMPACT FEE
SCHOOL IMPACT FEE-sfr/100%
TRAFFIC IMPACT FEE 1%
68.36 RADON
641.00 WATER METER RES 3/4"
273.00 PUBLIC SAFETY 5%
1,740.00 SCHOOL IMPACT FEE-sfr/1%
-9.73 FIRE PLAN REVIEW FEES
16.63 SEWER CONNECTION RESIDENl
220.00 POLICE IMPACT FEE
26.35 PARK FEES TOWNHOMES
17.40 TRAFFIC IMPACT FEE 99%
93.28 FIRE INSPECTION FEES
,/
2,010.00
254.00
769.56
-963.28
13.50
I
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION 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 yo . of commencement."
CO
~
TURE PERMIT OFFI
EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
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
t.. M
Owner's Address I {,oo AI.
Fee Simple Titleholder Namel
Owner's Name
I
I
I
RDQD, 'Z~"/lj'~III'U /.&(,33$t,Io I LOT# 1/9tf I
PARCELlD#1 ()3-~' -~ 1- &.:I3()--:-OOOOO-/9$1ol
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN 0 MOVE D
:. ,>r'......:~: I"~ ;
',\
Wesrs#olZE ~~ Va ~ ~(jD .,-,,1ff,'1I
~
PROPOSED USE 0
TYPE OF CONSTRUCTION I8J
DESCRIPTION OF WORK I Hiw Co~.s""MC.17 D;v - -r'Owl\! lIol'YlES
BUILDING SIZE SQFOOTAGEI '[53} I HEIGHT I ~ .s-rt:Jtt..Y I
I' '" I " '" ~~,~;~~ .., "'" 'I; ".~;~ '~';~ ' , , , , , , , , i ' ' , , , ~~~~~~:~~ '~~ ~~~~~ :~~:;;'~~;,~~' , .. , .""". , , , , , , " " '" '" , , , , , , , , ' , , , ,
D ELECTRICAL 1$ 3'1 J./ 0 I AMP SERVICE ~ PROGRESS ENERGY D W.R.E.C,
D PLUMBING 1$ '-I 3.:(5 I
D MECHANICAL 1$ ~;1. f'5" I
D GAS D ROOFING D
FINISHED FLOOR ELEVATIONS
PLUMBER 1'''11' GM",J ~(Nn 16 /1'1 ~
SIGNATURE FEE CURRENT N
Address License # I C,cC" t:J 'II '72 I
MECHANICAL 8~()IIIF"'IiIlM(JIAlI-,. /hI'f77N6-~ 9" ",C
SIGNATURE N FEE CURRENT N
Address License # I C,i!/C OS90(p2.
, OTHER COMPANY C. Sr.. f!1-/N" ravll '-1"f .1<00 lutr ~ rNC. .
SIGNATURE REGISTERED N FEE CUR~ENT Y N
Address 1.12/1..sf/M/.. ' F8LI/() .S'I*-IN~lItt.l- rt 3YHJ9 License # Ice"'C05'?99/ I
11'11'1' 1I11111111111!!1I ''''lIllllllll!!IIIIIII!!I'IIIIIIIIIIII!11 I IIIIIIIIIIIIIIIIIII!IIIIIIIIIIIIIIIIIIIIIII I II 1\ 1',1.111111111. i I11I i III i I111I i II
RESIDENTIAL Attach (2) Plot Plans: (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Pennlt for neVi constnJc;tlon,
Minimum ten (10) working days after submittal date, Required onslte. Construction Plans, Stormwater Plans w/ Slit Fence Installed,
Sanitary Facilities & 1 dumpster; Site Work Pennlt for subdlvlslonsl1arge projects
COMMERCIAL. Attach (3) sets of Building Plans; (1) set of Energy Fonns. R-O-W Pennlt for new construction.
Minimum ten (10) working days after submittal date. Required on site, Construction Plans, Stonnwater Plans w/ Slit Fence Installed,
Sanitary Facilities & 1 dumpster. Site Work Pennlt for all new projects, All commercial requlrementsmustmeetcornpllance
SIGN PERMIT Attach (2) sets of Engineered Plans. .
....PROPERTY SURVEY required for all NEW construction,
Fee Simple Tltlehold.er Address I
(p 3Jl
lEI '-/M/a /191l.k...
JOB ADDRESS
gil/J /E
I
B
D
D
SUBDIVISION
WORK PROPOSED
NEWCONSTR
INSTALL
SFR
BLOCK
BUILDER
SIGNATURE
Address
ELECTRICIAN
SiGNATURE
Address
BL-Db- '20
1\\ .,l
I ~
ADD/All
REPAIR
COMM
FRAME
D
D
D
OTHER I
DEMOlisH
OTHER I
STEEL D
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY D
FLOOD ZONE AREA
OTHER
DYES
DNO
COMPANY
REGISTERED
LEA/A/' /lit!. NoME..$.
I & N I FEE CURRENT 10) N I
License # I CB C 1':< ~S 751
J 8 C. EL Ecr,-c I c:...
I (j) N FEE CURRENT
License #
ItJ)N I
lE.e /3 001 e 8 "
. I . . I I I I . . . . I I . ~ . I I . I I I I I . . I . . I I I I I I I I . . . I . . . . . I I I I .' I I I I I . I . . . . . . . I I I I I . . . . . I . . . . I . I I I I I I . . I I . . I . . . . . I I I . . I I I . . . . . -'J ~ 'I'-I"..I~"-I" ,..,~.:. -.' ,J -. ,.-.. . I . .oJ.. ".' I .. I I I I I I
Directions: .
Fill out application completely.
Owner & Contractor sIgn back of application, notarized
If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
.. Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
'OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs.Sl5.ar~....SelVlce Upgrades AlC
. '~""""*~~'''''Il~;.,..,.....,
: qs:.l$.tlc'~'''; t/~ "':;.)~Il..t. ,'''''''1 .
Driveways-Not ~v~.r,:~~p:~r'.!t ol,!\~~~'~tf~e.o~~.fje~ASfROW
f ",'"J.,"v....:; d. n t'i>-' .i;II"P', ,...I ~"'''ld -<:,...:
:t {':'-r)~'.~-"" -""""';;-"'.\~ :," ,,"~~.:'i~, .~,:
, l.."~,. ,...,IS. rt~ ~-,put;~}'!;q/ :'~ :.:~ ~11~.,1f t:: t
,.:; oJ':', '~):i ""'-1 ,"'1"\"\~"';.i _ ,"ld ,; ,_~r,t:l~":~,.,~~,,,,~>;~~, ~~ .:~~...-'" :
Fences (PloVSurvey/Footage)
'::,-;-.,-:.....~.,.....~~_JlIMI.....t'iflf~..i',-~
., . J M ,,:i "'''''.fl.. '
'P!3'U)""'rl SSet;.J ,~'" \'~,
r" .~~. ::. y::~: ... " ", :7~"'.:'_'''''~-:''~'
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may b~ m()rer~strlptivethan County regulations, The undersigned assumes responsibility for compliance with any
applicabled~e~tr'$trtptlof1s; .
UNLICENSED':' ...'ORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a qontractor or
contractorstoJ'n.. . ...:. .:~'~~rk, they may be required to be licensed in accordance with state and local regulations. If the
, contractor is nattldensed as required by law, both the owner and contractor may be cited fora misdemeanor violation
under state law. If the QY{ner 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,
TRANSPORTATIONIMPACT/UTILITIESIMPACT 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 mlJst 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 w9J:k 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 "ownElr" prior to co.mmencement.
CONTRACTOR'S/OWNIR!SAFFIDAVIT: 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, z(;ming 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 is.suanc~ of a permlkClnd 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 th'e 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, WaterlWastewater 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.
Feder:al. Aviation. ALJthority-Runways.
I understand that the following restrictions apply to the use of fill:
Use offill iS,not allowed in Flood Zone "V" unless expressly permitted.
IUhe 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 ofthebuilding 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 separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application, 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 asid,e 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 codes. Eyery permit issued shall become Invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or ~bandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension, If work ceases for ninety (90) consecutive days, the job is considered abandoned,
OWNER OR AGENT
Subscribed and sworn to (0 ffl
/prIJ.,ZDo1 by a'D ~v
Who Is/are personally known to me r haslhave produced
as Identification,
.$~ ~ Nore~Ml,
V'
Commission No. /) 4> '3'2" Sf) 7
CONTRACTOR
Subscribed and swom
/I ~II, ~D'1 by
Who Is/are personally
c/~
Commission No. Z>l>3 2 '" ~a 7
Notary Public
Name of Notary ty ~;.I-;;:;:a;;:..;-.. -- .
.A #V'S1~,# Elissa M, Holleran
if W~ ~i Commission # 00326507
~1J!f'.il Expires June 6, 2008
.qifr.n\\"'.... TIwr ~... '1ltIlIfIIIMlllW. ......7019
.,/"
Name of N ".
ii~.~I1'S1~f:'~ Elissa M. Holleran
:* ,,= Commission # 00326507
~~""...W Expires June 6, 2008
'fl,h" Bonded'...'...,.......... WI .-701'
Lennar - 6331 Maisie Rd . Unit 194
SQ. FEET PRICE
MAIN OR LIVING: 1,663 $ 94.00
OTHER AREA UNDER ROOF: - $ 94.00
OTHER: - $ -
VALUATION $ 156,322.00
FEE SHEET $ 651.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 724.02
ELECTRICAL: $ 146.48
PLUMBING: $ 97.65
MECHANICAL: $ 68.36
SUB-TOTAL $ 1,036.50
RADON: $ 16.63
TOTAL $ 1,053.13
SEWER: $ 2,010.00
WATER: $ 641.00
IRRIGATION: $ -
TOTAL: $ 2,651.00
WATER METER:I $
IRRIGATION METER $
220~00 I
FIRE DEPARTMENT FEES
PLANS TOTAL: $ 93.28
INSPECTION TOTAL: $ 13.50
PERMIT TOTAL
TOTAL: $ 106.78
PUBLIC SAFETY IMPACT FEES
POLICE $ 254.00
FIRE $ 273,00
5% $ 26.35
TOTAL: $ 553.35
SUB-TOTAL $
4,584.261
PARKIMPACTFEESIS
769.56 I
SIF'S: $ 1,740.00
100.0% $ 1,740.00
1.0% $ 17.40
TOTAL: S 1,757 .40
I
1
I
TI F 'S :1 $
99%1 $
1%1$
(973.0011 Credit due to Overcharge
(963.27 Credit due to Overcharge
(9.73) Credit due to Overcharge
TOTAL:. $ 6,138,22 I
W. A. "Bill" Burgess
Director of Building
Licensing & Zoning
".
CITY 'OF,ZEPHYRHILLS
nCity of Pure Water"
Building Department
5335 Eighth Street-.Zephyrhills, Florida 33542-4312
(813) 780-0020.. Fax (813) 780-0021
ennar Homes
00 N. Westshore Blvd, Ste 600
ampa, FI 33609
e were presented a question on whether our Transportation Impact Fee would be increased as
result of Pasco County's increase which went into affect October "1, 2007. In our research it was
iscovered the City has a separate charge for Townhomes in the amount of $973,OO/per unit. This
as inacted in 2003. The fee used for the previous buildings was $1,588,OO/per unit based as a
ingle family residence. Your company has been overcharged in Transportation Impacts, please
ee the breakdown below.
Paid Correct Fee Difference
uilding 1 (5588-5598) $ 15,880.00 $ 9,730,00 $ 6,150.00
uilding 2 (5692-5701) $ 15,880,00 $ 9,730.00 $ 6,150.00
uilding 3 (5987-5996) $ 15,880,00 $ 9,730.00 $ 6,150.00
uilding 21 (Paid Impacts) $ 15,880,00 $ 9,730,00 $ 6,150.00*
uilding 23 (6007-6016) $ 15,880.00 $ 9,730.00 $ 6,150.00
uilding 24 (5997-6006) $ 15,880.00 $ 9,730.00 $ 6,150.00
uilding 25 (5702-5711) $ 15,880,00 $ 9,730.00 $ 6,150,00
Totals $111,160.00 $68,110.00 $43,050,00
ue to the overcharge we will not be charging future Transportation Impacts Fees for any new
own homes until the credit amount has been spent.
Please be advised we are in the process of reViewing our Transportation Impact Fees and will
otify you when and if any increase occurs.
uilding 21 permits were transferred to Building 23. The impacts which were paid remained with
uilding 21 and new impacts were paid for Building 23. When our new Transportation Impacts
es are authorized we will adjust what was paid $15,880.00 minus the correction plus the
increase to correct the impact for this building.
incerely,
i(ED~
ill Burgess
ulldlng Offidal .
SQ. FEET PRICE
MAIN OR LIVING: l' - ~i 1,531 $ 94.00
OTHER AREA UNDER ROOF:
OTHER:
VALUATION $
143,914.00
FEE SHEET $
612.00
ADDRESS $
30.00
DRIVEWAY $
30.00
BUILDING: $ 684.24
ELECTRICAL: $ 137.70
PLUMBING: $ 91.80
MECHANICAL: $ 64.26
SUB-TOTAL $ 978.00
RADON: $ 15.311
TOTAL $ 993.11
I
SEWER: $ 2,01 0.00
WATER: $ /641.00
IRRIGATION: $ / -
TOTAL: $ / 2,651.00
/
I WATER METER: $ / 220.00 I
I IRRIGATION METER $ / - I
/
FIRE DEPARTMENT FEES
PLANS TOTAL:
INSPECTION TOTAL/.
PERMIT TOT~L
TOTAL: $ .
I
PUBLIC SAFETY liMP ACT FEES
1&OLlCE $ 254.00
I FIRE $ 273.00
/ 5% $ 26.35
/ TOTAL: $ 553.35
/
sura. TOTAL $ 4,417.66
I
PA~ IMPACT FEEST $ 769.56 I
I
SIF'S: $ 4,828.00
100.0% $ 4,828.00
1.0% $ 48.28
TOTAL: $ 4,876.28
TI F'S: $ 1,588.00
99% $ 1,572.12
1% $ 15.88
TOTAL: $ 11,651.50 I
- $
- $
94.00
!
/
,.
r I
." \ .: ~_....
MORGAN ELECTRIC LAKELAND, LLC
1120 E, OLEANDER STREET
LAKELAND, FL 33801
863-688-0040
FAX: 863-683-3851
November 30h, 2007
City of Zephyrhills
5335 8th Street
Zephyrhills, FL 33542
To Whom It May Concern:
This is to verify that Morgan Electric Company, Inc will take over the following
electrical responsibilities from JBC Electric under US Home authorization and
request.
Permit # 7102
6331 Maisie Road
Lot 194
Bldg 20
If you have any questions, please feel free to contract our office at (863) 688-
0040. Thank you for your cooperation.
Tim I Morgan
President, Morgan Electric
Sworn to and subscribed before me thi~y of \(tie~~OA,D, 2007, The
above is personally known to me.
~~~
ot Public '\ .
State of Florida at Large-:t\. ~b~\ \'1\D
My Commission Expires ~ -\ 1-.\- D<\
~,.,.y Pf/~ SHEREE A MYERS
WI MY COMMISSION # 00471910
~ .'1JP.~
"'~(1F",,,,i-' EXPIRES: Sept. 14,2009
(407) 89S-C: 0,3 ;:joricl~ Notal)' Service.com
w"'''''.._'''''''...... '~_'~".'"'' ......., _._..._......._, .__,,~ ~~."'"'-_.
November 29, 2007
City of Zephyrhills
5335 8th Street
Zephyrhills, FL.33542
To Whom It May Concern,
This is to verify that Morgan Electric Company, Inc will take over the following electrical responsibilities
from JBC Electric under US Home authorization and request.
Permit# 7102
6331 Maisie Road
Lot: 194
Bldg 20
If you have any questions please contact the office at (813) 890-1885. Thank you for your cooperation.
Sincerely,
~
Steve R. Smith
Lennar Tampa North
Director of Construction
Who is personally known to me. ~
Sworn and subscribed before me this Z/7( /7
,2007.
.~'.l.'''''' EI
~'Y"y "~ iss~ ~. Holleran
:* .W. *; CommIssion # 00326507
~4f.~:-: Expires June 6, 2008
"Ri~' .....ThtrI'llll'lfllllllllle,.... .....7111.
600 N. Westshore Boulevard, Suite 600, Tampa, FL 33609 . Phone: 813-769.5277 . Fax: 813.769.5278
LENNAR.COM
tit
-..
~~~~/l~~~lW'IIIIIIIIIIIIIII 11111111111111111111111
Rcpl: 11388!0 Rec:
os: 0.00 IT: 10.00
10/30/07 0.00
Opty Clerk
i~93~~~~"Ar2 : r~S;O fOUNT:f CLlRK
OR BK 7674 PG 1662
NOTICE OF COMMENCEMENT
Pennit No. .
Property Identification No.;1()3-.<~" .,V.. ()~30 -t!XJooo-/9/f t)
THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property,andlna~qol1dance with
Section 713,13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENt~EM!ENT.
. " . .' , ' . .
l.Descriptionofproperty (legal description:) 1..0'" It/If, ~ ". 19 "'D ~lf...k 7O~N0IV16S. P.d&OP-f:;It;;:<,
a) Street Address: '- 33 I If 4 J SIt!. ~f)1I0 . r..... . ..
2,General descriptionofimprovements: .:t /N(;I..IJ '&AM It..'j ti~ f/iJ~JIIC II. / ~O'- / St:Je,.;AJ ~AI~I....sVIt~
3.0wner Information
. . . a) Name and address; t..eAlfl/1f1C Cbtt.f30,e",.,D~.... ~ 00 /fl. tJ4firJN(J/tE aI-liD ~ -rAMJilII.;:::J,. 3~(.ot:J
b) Name and address offee simple titleholder (if other than owner) ,. .
c) Interest in property .
4,Contractor Information
a) Name and address: J1'E.Ve S'm 1'1'11- (,00 It/. t4.eS'1'.$ Wo/2.E BI.~D S'r~ '-CO I 7io4PIf. E't. 331-oCf
b) Telephone No.: (8/3) 7"9...$'277. . Fax No. (Opt.) ., .r
5.Surety Information .
a) Name and address: I'I/A
b) Amount of Bond: AI fA
.
. c) Telephone No,: Fax No. (Opt.)
6.Lender
a) Name and address: /tI' / /I
Phone No,
7. Identity of person within the State of Florida designated by owner upon whom notices or other docwnentili1la:ybc,seliWed:
a) Name and address: J''1'Elf4=SMI 1"101 - (.00 AI. Al4.s""J"~laf 81..1/;:'. s.,.e '-DD. rAM"" < #"-1~'Oq
b) Telephone No,: (813) 7~'-;S27'" ... Fax No. (Opt.) .. .. ~........ ................ . ..
8.lo addition tohimself, owner designates the following person to receive a copy of the I..,ienor's Notice as proviiiedinSection
713.13 (l)(b), Florida Statutes:
a) Name and address: N / IJ
,b) Telephone No.: Fax No. (Opt.)
9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unleslllldiffei'ent date is
specified): .
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFrER T$ EXPIRATIONOF't"~~;N"9T1CE OF
COMMENCEMJj:NT ARE CONSIDERED IMPROPER PAYMENTS UNPER CHAfTER 713, P ARTli~it~l~l'l'713,13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAWGTWICE FOR IMPROVEMENTS.T~\" ..':~,"~:):l;'ltRTY,
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEjF).t).: .>' ..;"~~ST
INSPECTION, IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOuR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF CO CEM:ENT,
STATE OF FLORIDA
COUNTY OF PASCO
~
Signature of 0 ror Owner's Authorized OfficerlDirector/PlIrlncrlManager
.A(,('JI"'~/. K. S"""~I9~N.s
Print Name
The foregoing instrument was acknowledged before me this /1.1'11 day of . Ocr () $ E~ , 20 07 . by .. lot, { III'lEt, k.
S7EII~N~ as MANA"E I'Z. (type ofau~ority, e,g.officer. trustee, attorney
in fact) for '-ENN f/te. ~ ore.F'cue Jf/ '7'/0 Ai (name of party on behalf of whom ~~ zcuted).
Personally Known .t/. OR Produced Identification ~ Notary Signature ..", ~~ q /L
Type ofIdentification Produced
Name (print)
El-I SSt9 AI. ~t.."E'I(I9r./'
Verification pursuant to Section"92.525, Florida Statutes. Under pena.ltieS Of~P..' .1. declare that I h.ave. read. the.. fOI1...eg O..in. g.. an.. d th. at
the facts stated in it are true to the best of my knowledge and belief. . '
. . . ~ -'.. . ..
'. Signature ofN tUra! Penon.Signing Above
..g.M~~'~~:~ EU,.. M. Holleran
~.1 ~i com. mlsalen. 0032e501
~~ .s'.ii Expires June' 2ClO8
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PERFORMANCE BUSINESS PRODUCTS. INC. 813-710-8008 FAX 813-7111-71110
CITY OF ZEPHYRHILLS
ZEPHYRHllLS, FLORIDA
WATER ACCT. NO.
DATE lof ~ Ie. 7
w
OWNERI I' __ _
RENTER _Le..nnn \.. ~
LeDb N. W~~o_/f3ll)cl
T R~rn J K..., 33(069
SERVICE ADDRESS lD3?> \ mo: Q.l..L ~ - f3Bs ~6 -~ \q 4-_
~ WATER
MAIUNG
SHUT OFF SERVICE
o
TURN ON SERVICE
~
UV"
o SEWER
INSTALl. METER
o GARBAGE
READ METER
o
o
o
IW"'IN CITY
CHECK METER
o OUT CITY
--1- No. OF UNIlS
OTHER
_ DEPOSIT AMOUNT
'Thc~ - (tb~
~4"W, ~
_ AMOUNT LAST BIll
_ DATE
_ MISC. CHARGE
I ~.
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
Retain white farm in office at all times.
Send pink & yellow farms to Water Service Dept.
Water Service Dept. to sign yellow form & return to office.
ZEPHYRHILLS FiRE DEPARTMENT
6907 Dairy Road. Zephyrhills. i=L 33542
Bus (8i3)780-004'; Fm~813)7aO-0044
Fire Chief Keith Williams
FIRE SERVICE USER FEES
Occupancy No.:
Plan No.: ];j .
Business Name:. a".rl
.
Business Address:
Business Phone No.:
Business FaX No.:
Contact:
p~ T~hr~J.
PLAN REVIEW FEES
~site Plan N/C
~ MuIti-Family/Commerciaf .06 sf
. . (Minimum Charge $25.00
o Plan Revisions DBl
INSPECTION FEES
N/C
N/C
$100
$250
$500
$100
FIRE ALARM SYSTEM
B System Acceptance $50
Recall Acceptance $50
OTHER
~ Fire WalllSmoke Wall
lP Gas
. Natural Gas
per system
per system
~~ perwall
$25 per tank
$25 persystem
$50 ~ Tent 1 0'x1 0' or greater
Fire Pump
Fire Suppression
System Acceptance
a Exhaust Hood/Duct
Re-inspection
(other than annual)
$50 0 Inspection scheduled DBl
and cancelled less than
24 hours
3'73. Dg 8 Construction Insp. N/C
3:J1)l. i: 5'.31 Jll6 Emergency Vehicle Ao ~40
1338 ,... PLANS TOTA~L INSPECTION TOTALLls.2P
qa.'-'\8 ~ '~.5()fea...
;;PI do GRAND TOTAL I
Comments: ~ ~
Om.: dl/~
Ins~ctor. Vr 1115/J/Il/J..- ffl
(
$50
$50
$50
$50
$15
$45
$30
per tent
$30
DBl
CeAtro;: ~ . ~
BillingA~~ ~~ _ .."'~
Billing Phone No.: "7
Billing Fax No.:
Contact:
PERMIT FEE
$50
$50
$50
$50
$50
$50
$50
$50
$100
$500
$25
$100
$50
$50
$25
$50
$50
$100
150
Sprinkler
Standpipes
Fire Pump
Hoods
Fire Alarm
lP Gas
Natural Gas
Fuel Tanks- pertank
Sparklers
Fire Works
Camp Fire
Controlled Bum
Hood/Duct
Place of Assembly
Fire Protection
Aammable Application
Waste Tire Storage
Generator < t<J/\/
Generator >30 t<J/\/
Bic-Hazard Waste
Fumigation Tenting
Torch PoUApplied
Haz. Materials
B
PERMIT TOTAL~
~l9 ~~ ,~
$100 Annual
$50
$50
$100 Annual
FALSE AlARM FEE
1 st Alarm N/C
2nd Alarm N/C
3rd Alarm N/C
4th Alarm $100
5th Alarm $150
6th Alarm $200
NON COMPLIANCE $150
A.nnual
Annual
Annual
FALSE ALARM
TOTAL I
SPRINKLER SYSTEMS
B 0 - 25 Heads $50
26 plus Heads $100
STANDPIPE SYSTEM
o Per Riser $50
FIRE PUMP
o Per Pump
FIRE ALARM SYSTEM
a 0 - 25 Devices $50
26 plus Devices $100
SUPPRESSION SYSTEMS
8~i ::
a Other $50
KITCHEN EXHAUST
o Hood/Ducts
OTHER
aLP Installation per tank
Fuel Tank Installation
(Per Tank)
o Natural Gas Installation
(Per System)
o Spray Booth
Annual
1 st Re-inspection
2nd Re-inspection
3rd Re-inspection
4th Re-Inspection
(Business closed until
violations corrected)
SPRINKLER SYSTEMS
~. Hydro Undergrounds $45
Hydrostatic Test $65
Acceptance Test $45
Hydrant Flow $75