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HomeMy WebLinkAbout09-9528 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9528 ` MOBILE HOME SET -UP Permit Number: 9528 Address: 37112 NEUKOM AVE LOT 354 Permit Type: MOBILE HOME ZEPHYRHILLS, FL. Class of Work: MOBILE HOME SET -UP Township: Range: Book: Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section: Square Feet: Subdivision: GRAND HORIZONS Est. Value: Parcel Number: 34- 25 -21- 0180 - 00000 -3540 Improv. Cost: 10,750.00 ..... _ °,, w .. ..._ Date Issued: 9/10/2009 Name: GRAND HORIZON Total Fees: 7,138.08 Address: 7645 GREEN SLOPE DR Amount Paid: 7,138.08 ZEPHYRHILLS, FL. 33543 Date Paid: 9/10/2009 Phone: Work Desc: INSTALLATION OF MOBILE HOME 28 X56 f � * n �''� , _ $�'2 , - �kV _ , u'<. _ :. �.�_... 4,.,1;0;g71,41,,77,77177:771717177:46:04 .., . «.:_ ... -. 5e. ..� . � 1 . ; r.. BMI LL M•BILE HOME ELE T AL 40.00 EWE ONN I•N MOBILE ,005.00 JAMES 0 MORTON ELECTRIC CO.,INC. MOBILE HOME SET -UP 60.00 WATER CONNECTION MOBILE HC 320.50 BMI LLC MOBILE HOME MECHANICAL 35.00 MOBILE HOME PLUMBING 40.00 BAHR'S PROPANE GAS & A/C, INC. MOBILE HOME TIF /SUB 99% 3,595.68 MOBILE HOME TIF /SUB 1% 36.32 POLICE IMPACT FEE 254.00 FIRE IMPACT FEE 273.00 PUBLIC SAFETY 5% 26.35 PARK FEES MH 573.73 WATER METER RES 3/4" 306.25 IRRIGATION METER 306.25 IRRIGATION CONNECTION 266.00 e•esm ✓ c c-t -v9 TT-P Pa puuT 9 ``-- +, Wct�- �� I✓ M•BILE H•ME SET -UP MOBILE HOME ELECTRIC q_ 2 Z - I'CI MOBILE HOME A/C n � t II MOBILE HOME PLUMBING FINAL REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspection called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site (g) work not accessible 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 Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances 1 F ilia 4 aQ--)- 6e for -4 "'CO • RS SIGNATURE PERMIT OFFI ' - PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO • CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS 5335 — 8TH STREET (813)780 -0020 9528 MOBILE HOME SET —UP Permit Number: 9528 Address: 37112 NEUKOM AVE LOT 354 Permit Type: MOBILE HOME ZEPHYRHILLS, FL. Class of Work: MOBILE HOME SET -UP Township: Range: Book: Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section: Square Feet: Subdivision: GRAND HORIZONS Est. Value: Parcel Number: 34- 25 -21- 0180 - 00000 -3540 Improv. Cost: 10 ,750.00 ^ Mai, g° a #`• ,fir ,t 5 a s fix_ Date Issued: Name: GRAND HORIZON HOM LLC Total Fees: 7,138.08 Address: 4025 MORRIS BRIDGE Amount Paid: ZEPHYRHILLS, FL. 33543 Date Paid: Phone: Work Desc: INSTALLATION OF MOBILE HOME 28 X56 BMI LL M� = L • L RI AL 40.00 WER •NNE TION MOBILE 1,005.00 JAMES 0 MORTON ELECTRIC CO.,INC. MOBILE HOME SET —UP 60.00 WATER CONNECTION MOBILE HC 320.50 BMI LLC MOBILE HOME MECHANICAL 35.00 MOBILE HOME PLUMBING 40.00 BAHR'S PROPANE GAS & A/C, INC. MOBILE HOME TIF /SUB 99% 3,595.68 MOBILE HOME TIF /SUB 1% 36.32 POLICE IMPACT FEE 254.00 FIRE IMPACT FEE 273.00 PUBLIC SAFETY 5% 26.35 PARK FEES MH 573.73 WATER METER RES 3/4" 306.25 IRRIGATION METER 306.25 IRRIGATION CONNECTION 266.00 A 1/4)(1 tielAW A» r' I TZ2 s r , • =IL H•M —U' MOBILE HOME ELECTRIC MOBILE HOME A/C MOBILE HOME PLUMBING FINAL REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspection called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site (g) work not accessible 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 Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances • va..i& • 602.- % 441,- CONTRA • SIGNATURE PERMIT OFFI( - PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 09/09/2009 11:25 8137831374 BAHRS PROPANE & A/C PAGE 01/01 ACORD . CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 08/17/2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Jamerson McLean Corporation H O OL LD D ER. THISOCERTI CERTIFICATE DOES S NOT AMEND, EXTEND OR P.O. Box 621149 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 825 Executive Nye Oviedo FL 32762 Phone: 407-366-3482 INSURERS AFFORDING COVERAGE NMC # INSURED Bahrs Propane Gas i AIr Conditioning, Inc. INSURER A: UNITED STATES FIRE INSURANCE CO. 21113 4441 Alien Road INSURER e: Zenith Insurance Company 00984 INSURER C: Zephyrhllls FL 33541 INSURER D: INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD POLICY FFECTE P EIV OLICY EXPIRATI LTR IN - . T1rPF lIF INSIIpAi POLICY NUMBER DATE IU MR1D/ IV or17s EXPIRA ON UMrra GENERAL UAPILnY EACH OCCURRENCE $ 1,000,000 A COMMERO AL GENERAL LIABILRY 5064659528 09/01/2009 09/01/2010 DAMAGE TO RENTED PRIBMSFAMI nmrgllreL $ 100,000 CLAIMS MADE © OCCUR MED EXP (Any one person) $ 5,000 PERSONAL 5 ADV INJURY s 1,000,000 GENERAL AGGREGATE $ 2000,000 GEN L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO S 2,000,000 POLICY n [ai n LOC AUTOMOBILE LIABILITY A 0 ANY AUTO 506- 865952 -8 0910112009 09/01/2010 (E accident) INGLELIMB 1,000,000 III ALL OWNED AUTOS . _ _ El SCHEDULED AUTOS BODILY INJURY (Per (Per person) Q HIRED AUTOS NON-OWNED AUTOS �� IL i d e n t ) Y $ X COMP DED $ 1.000 - X COIL DED $ 2,000 PROPERTY DAMAGE (Per accident, $ GARAGE LIABILITY El AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ _ AUTO ONLY AGO $ EXCESS/UMBRELLA LIABIUTY EACH OCCURRENCE $ ■ OCCUR CLAIMS MADE AGGREGATE $ $ ■ DEDUCTIBLE RETENTION $ S $ WORKERS COMPENSATION AND J WC ,'Mrr OTH B EMPLOYERS'UABIUTY 2836554609 05/11/2009 05 /11 /2010 TnwvISRS FR ANY PROPRETORIPAISTNERIEXECUTNE E l. EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? V nfesRlb I/Iaef EL DISEASE - EA EMPLOYEE S .500.000 SP PROVISI OTHER EL DISEASE - POLICY LIMIT f 500, DESCRIPTION OF OPERATIONS / LOCATION$1 VEIMCLE$ / EXCLUS/ONS ADDED BY ENDORSEMENT 1 SPECIAL PROV1$lONS CERTIFICATE HOLDER CANCELLATION SHOULDANYOFTNEABOVE DESCRIBED POLICIES CANCELLED BEFORET1EExpo:Anon City of Zephyhills DATE THEREOF. THE ISSUING INSURER WEIL ENDEAVOR TO MAIL, 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL FAX # 813- 780-0021 IMPOSE NO OBLIGATION OR LWBIUTY OF ANY KIND UPON THE INSURER, R, tT9 AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE < ACORD 25 (2001/08) .ACORD CORPORATION 19813 813 -780 -0020 City of Zephyrhills Permit Application Fax- 813-780 -0021 Building Department , #5 i 8 Date Received Phone Contact for Permitting - IIIIIIIIIIIIIIILLLUF 1 .nom _ f r Son dint - S-2 1 - 5 ba , �y� �� r � r � � Owner P hone Number Owner's Name r C 9�f � ,( � Owner's Address 601 S r I Cr'2l( "cl Owner Phone Number Fee Simple Titleholder Name Id CT lC ! O 66 2 L f^ () 32-6 Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 3 -)I I p Neu f M 'Q \ (e . 37 5Y I L # 3 5'4 SUBDIVISION OW( )4(2rl 2MI PARCEL ID# 3 "95 1- QI gn -oana - 3 5 L -.10 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I SIGN f I MOVE 1 1 DEMOLISH INSTALL REPAIR PROPOSED USE SFR I I COMM ME OTHER I I TYPE OF CONSTRUCTION � (C BLOCK I I FRAME I-1 STEEL OTHER /y DESCRIPTION OF WORK T r It ( ., k\Oine 1 (Oa *-;05C) BUILDING SIZE ")C SQ FOOTAGE 1 - 3 HEIGHT I I BUILDING $ 5/ S co , 00 VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ AMP SERVICE PROGRESS ENERGY I I W.R.E.C. PLUMBING $ 95080 0 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I I GAS 1 I ROOFING I 1 SPECIALTY F OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES ENO BUILDER COMPANY f Brrit. L Le-, SIGNATURE bPktS\Cak___,L,__ REGISTERED Y/ N I FEE CURRENT I Y/ N I Address , .. �T- rcJ4 .k . .--iiif 335-11 1 License # rtf-OON17914 ELECTRICIAN \ 1 COMPANY ('�(- - r I� SIGNATURE ` �74�J REGISTERED Y / N FEE CURRENT € - Y / N Address I )4 C Yln� U I ft L2 I ( . "l 3 : J"( OQ License # PLUMBER o COMPANY (1f t - C (1 SIGNATURE 5,,,,,a,„ �L� / ^r� 1)'�`.� REGISTERED Y/ N I FEE CURRENT I Y/ N I Address I 7513 5 pi ."l_.1 ad , 24,115 , v 4 0 License # I T'J'arri ) 9 MECHANICAL 19_ 1?1/4 j aN\ � COMPANY ; i 1, SIGNATURE REGISTERED Y/ N I � FEE CURRENT I Y/ N I Address `. 2 ,' ,11 f4 ' i '1I '2 1 ( License # - OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 Address License # 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 COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (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 SIGN PERMIT Attach (2) sets of Engineered Plans. * ** *PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C 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 Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs 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 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 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 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 codes. Every 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 abandoned 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. 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. 11 . i 3)- • �t� Subscribed and sworn �(or af ' G OWNER OR AGENT - / C ONTRACTOR � �� �i 1 ubscnb and s • • to or affirm- a ) b e f ore m this firmed � e ore � =this � - L by {� � � �', �_ � �� r� ��� ./ i 0.3 C ( b y "mo to 'me or has r e pc o is /are pers. : ly known to m or has /have produced Who is /are p sonally known o a produced ; L , p f , r ,1 kr ., as identification. 14.,c ,Okca ( :.G c }.,C- - as identification. _ 1 \ i 1 7 J , / Ch� X t I �� 0 C : Notary Public 0 2 Notary Public o r Commission No; Commission No. Name of Notary pork printari nr itioped Name of Notary typed, printed or stamped CHERYL M. LUCAS .) ,..;,;r ;,,,,,,, CHERYL M. LUCAS It • ri .4.0.1k, - MY COMMISSION # DD 736207 f MY COMMISSION # DD 736207 ;;;;;72,77.X EXPIRES: November 20, 2011 EXPIRES: November 2D, 2D11 - of ,°.� Bonded Thru Notary Public Underwriters ?f �q,. ters oec Bunded Thru Notary Public Underwriters 11110111111111011111111111111111111111111111111111 2009128166 . NOTICE OF COMMENCEMENT Rcpt:1262800 Rec: 10.00 Permit No. DS: 0.00 IT 0.00 J _ Tax Folio No. _ 09/10/09 Dpty Clerk lo C3`, THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT : - 1.Description of property (legal descri tion): _ t? c fA —I3 — 5 ^ O J o _ o 3 7 (40 c6 -. a) Street (job) Address: 3 � z // i Awl ►v_ L 3S - y ��11 1 't t 4L - '.3 5 L 2 .General description of improvements: _ f 4. "14 C/ - — - - -- -- . 3.Owner lnfonnation .---7-, a) Name and address: / / � 2. / Z F _ v G fie /l /So/L _7 7// 2- 7 1 / 1 - 4 / ` A ve- 2i / L , CO b) Name and address of fee supple titleholder (if other than owner) 3 3 5 1 .5 ( c) Interest in property - - - - - - -- — - - - -- - - -- - - - -- - - - -- 4. actor Information .....—. � / ' a) Name and address: m� �� ?>Q��y n i _ A ���_ C r' ; In b) Telephone No.: _5,_13_ --�N — 4 Fax ) ' i No. (Opt.) .) ' 5.Surety Information Wit' ,g_.. . m a) Name and address: T � _ � b) Amount of Bond: _ PAULA S. O' NE I L , PASCO CLERK & COMPTROLLER `1' f- c Telephone No.: _ Fax No. (Opt.) 09/10/09 11: 1 of 1 _ 6.Lender OR BK 81 PG ' co_f f a) Name and address: _ Phone No. _ ( ?° 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a) Name and address: g (0 -r) L b) Telephone No.: Fax No. (Opt.) „ 8 .In a to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b) Florida Statutes: a ) Narne and address: t' , C b) Telephone No.: Fax No. (Opt.) - 6 9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date DI --rs, I is specified): d M WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF r 'J k COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, c y`� SO FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. Q `zW A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA COUNTY OF 40'v ot Notary Public State of Florida , Bruce A Asbel Signa a of Owner or Owner's Authorized Officer/Director/Partner /Manager 4 My Commission DD566784 Expires 06122/2010 l= / //j /avG �j� /Z/Zr SO /1 f Print Name �,y� The foregoing instrument was acknowledged before me this i i 4 day of ' //�wt/3 /-_ /Z , 20 0 7 , by .1 7 //12 A. 6 /4i1Z1 SO /\ as O�JA11 51L (type of authority, e.g. officer, trustee, attorney in fact) for (name of party on behalf of whom instrument was executed). / Personally Known \,/ ---- ( ---- )R Produced Identification Notary Signature 73-r-44-- /4 ` Type of Identification Produced Name (print) Z (, A , X45, N AF . Lam-- Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that 1 have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. FORMSMOC,rvsd? o7 Notary Public State of Fbrid� / ��� Bruce. Asbel iignatu-e of Natural Person Signing tin line * 10.) Above My commission DD566784 ° ►�,`1 Expires /22/2010 161sor;;,,, PERFORMANCE BUSINESS PRODUCTS, INC. 813 - 719 -8008 FAX 813 - 719 -7919 CITY OF ZEPHYRHILLS ZEPHYRHILLS, FLORIDA WATER ACCT. NO. DATE 9— 9 e9 OWNER/ RENTER I h ier MAILING (� J ((J /d � , ,am p (/c 7tp fr-A /15 c33 , 5 -- s 1 / SERVICE ADDRESS 3 7/I Z /tie-u- koM j ' 3551 WATER SHUT OFF SERVICE ❑ ❑ SEWER TURN ON SERVICE ❑ GARBAGE INSTALL METER jzr IN CITY READ METER ❑ CHECK METER ❑ ❑ OUT CITY No. OF UNITS OTHER ❑ / DEPOSIT AMOUNT 3l !/i Q AMOUNT LAST BILL 5 DATE 21 ( MISC. CHARGE K& q METER: full irrigation WORK COMPLETED BY ORDER TAKEN BY & DATE COMPLETED n P 0 ER GIVE B Y •s Gek 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. IgISgIMKl,,, PERFORMANCE BUSINESS PRODUCTS, INC. 813 - 719 -8008 FAX 813- 719 -7919 - i CITY OF ZEPHYRHILLS • ZEPHYRHILLS, FLORIDA WATER ACCT. NO. DATE OWNER/ , RENTER �� MAILING 7 'S a G' e4Lst 2 SERVICE ADDRESS 3 7//2 /Ye- ZeieQN'Pt SHUT OFF SERVICE ❑ WATER /❑ SEWER TURN ON SERVICE INSTALL METER ❑ GARBAGE READ METER ❑ IN CITY CHECK METER ❑ ❑ OUT CITY No. OF UNITS OTHER ❑ DEPOSIT AMOUNT 3/// W/8 k �� C� AMOUNT LAST BILL � 9, j Z -e-S DATE ^� � z�i- 5 itA MISC. CHARGE METER: full C� irrigation WORK COMPLETED BY OR' R TAKEN BY & DATE COMPLETED ORD GIVEN 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. From:B&H CONSTRUCT'------_____ 08/19/ 009 13:03 #316 P. 001/002 • Z' r - 9p g ' ��5 Me� A 4 n t ii `1 S. 1 s. ',t em 1QIEC[I 1d /O ,r4colisc✓ A 10 Re15rd Mod. Mg 1 13 - 1.‘ 8 • S k a • • d _ � • ; . X6.0 33 , ..I v • d - . Oar} V c.�wE� v yv n . 33 o �� vr� A y ' • . . 3� 6•AS W i'..1' ... .. ,tea . • 1 . - .i - .." - - - - . : . 45- ; : - . A .. :, 3 g / : • . . i ..° s y , c i ' . . ALL WORK SHALL COMPLY WITH ALL ( -:;; -.1 '.."' -� z ...,.., 7 -- 35- y PREVAILING 'CODES, FLORIDA BUILDING • , L. , ' .. ` :ODE NATIONAL ELECTRIC CODE AND VI 3 9 /f 2. REV cOF ZEPHYRHILLS ORDINANCES 6R /4itici / / 0 . , e 1 29 4/ f /:',/ ■ e A 4 • • . M ' • 4 x lir i ll �' - - - -- ct• 1 i' --- 1 4 t.....___.4 g x . 11 a fl 1 r f d 1.'t , js a I i z , rrrrrrrrrrr; • • 3 x r r rrrrrrr !- N rrrr,�.' _ [N - - _ r r e r 4 2 cm t: T � ; t , * - _ r --r -- - r t . rr — rr 1` _fir At,„ ; -. r I i n - r r , 3 - --- - - -, j. r r rr� r + rr8grr - r N r-.- . 7 0.- • rr 1 rr CV i I 41 r , �-- '-' , V 0 x o x "' i. 0, to I r V, r _ ' I I . 4 33 co 19 1 ;14 • a• III MIN '° Cl." ° W Do 1 R rrr U ft cn ilk D. A r rrrrr`rrr- ' t S ". 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C .w � c0 03 m O• m ' K O m m 3 g m O = m = $�� _ ° p3 mom .►�41 *m _ °' . ao g S °_ - maotost m x- a) I lill Q tt \ or o 01 _ a: � � .� o o a � m m o m 8 c+ = 3 5� e o ° 3°�n m-. O. m 2 3Q� W S1 a 0 01 _ • Q O m 5- m ? m m = -.` a rt a' D °� �� t .J �0 m 12 < CDCnCI) t "s 7'� to \ � 02 k c ° m 3mn ) N al x m a D ?� � mg. m m p al m_ Q r — ha .i 4.- 0 ∎ a1 a1 < s y ha u City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: 6 /'l /J/f am . h-- 4 Date Received: 9 -8- 09 Site: 311/2- A/&{ i i' f7 ig Permit Type: /t6 e /e_ ?/-e //I S 7e-/la 1rh K Approved w /no comments: ❑ Approved w /the below comments: Denied w /the below comments: ❑ I / /? 7 9 47 l �`� � ' d�7Ct /LYS' / v eS.e -c�pc . el C2 pi c 14 t4 7 /-PEA . 3 41( $/6 c�s, y , , 3 /4 e ., ,, ./04-Le ,74.4., Y, 4.-. / frfrul .4/12 This comment sheet shall be kept with the permit and/or plans. ( OLL-0 C e .. _ XY.) 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