HomeMy WebLinkAbout09-9583 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 9583
BUILDING PERMIT
477 't, ,Y io w:..
Permit Number: 9583 Address: 37619 NEUKOM AVE LOT #150
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: NC CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34- 25 -21- 0090 - 00000 -1500
Improv. Cost: 3,237.82
Date Issued: 9/29/2009 Name: HEBERT, WILFRED 8t DIANA
Total Fees: 50.00 Address: 37619 NEUKOM AVE LOT #150
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33541
Date Paid: 9/29/2009 Phone: (813)355 -4579
Work Desc: A/C CHANGE OUT MOBILE PACKAGE UNIT 3TON
•NNY' • •U TAPPLI NCE, IN . HA • UT 50.00
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DUCTS INSULATED
FINAL 111 Lc -t)°)
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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 inspections called d) work not ready for
inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
0 a /s
CONTRACTOR SIGNAT - E PERMIT OFFI R
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 Fax- 813-780 -0021
Building Department
Date Received
Phone Contact for Permitting --
Owner's Name ! le, VI, ti Owner Phone Number
Owner's Address 37 (P r 9 /Y €4.k(, (V Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address �7 / A T
JOB ADDRESS 3 / o (9 ' `� / 'eu / I y7 4e n LOT # �5°
SUBDIVISION PARCEL ID# 3- ZS'Z /- 0690 - 6W22 - /,r`D d
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED Ed NEW CONSTR ADD /ALT I 1 SIGN 1 1 MOVE 1 1 DEMOLISH
INSTALL REPAIR
PROPOSED USE 1 Ju SFR I 1 COMM 1 I OTHER I I
TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME 1 1 STEEL / I — I OTHER I 1
DESCRIPTION OF WORK 3 70)-1 74,07,7e , A/c c`r'- 5 e u 7 --
BUILDING SIZE SQ FOOTAGE HEIGHT
BUILDING $ VALUATION OF TOTAL CONSTRUCTION
I I ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY I I W.R.E.C.
I 1 PLUMBING $
I 1 MECHANICAL $ '3 2-37 2e VALUATION OF MECHANICAL INSTALLATION
1 1 GAS I I ROOFING 1 1 SPECIALTY I I OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES I INO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N j FEE CURRENT I Y/ N 1
Address I 1 License # I
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1
Address License # I
PLUMBER COMPANY
SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N 1
Address License # I
CHANICAL , COMPANY
SIGNATURE f^^ `. A REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1
Address License #
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N _I FEE CURRENT 1 Y / N 1
Address 1 License # P
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 NC 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 I END TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR 07• TICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03) r
OWNER OR AGENT CONTRACTOR IAa..I - —//
Subscribed and sworn to (or affirmed) before me this Su scribed and sworn to (or affirm = .) before me this
b /'— i t -77 , ;f by
Who is /are personally known to me or has/have produced Who Is /are pers to me or has /have produced
as identification. as identification.
Notary Public �� .. Notary Public
• Commissio I%D 621833
Com ssion No. N. Expires Denomber 12 2010
Commission No. 1 ;on F anna.e ri+n, Troy Fin Inpupnpp M
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
813- 780-0020 City of Zephyrhills Permit Application Fax -813- 780-0021
Building Department
. Data Received Phone Contact for Pennittl . -
Owner's Name IMMIIIIMNR/21111111111111111 Owner Phone Number
Owner's Address 13 1. 201:4 1/Eu.,t 191,1.-- 1 Owner Phone Number 1
Foe Simple Titleholder Hamel I Owner Phone Number I
Fee Simple Titleholder Address I
JOB ADDRESS II, L5,941 AL. // ' j efailr 1 LOT # 1 /56
SUBDMSION 14, WoRreO'17 1 PARCEL 100[3 0?) -0090 — /S
WANED PROM PROPERTY TAX NOTICE,
WORK PROPOSED NEW CONSTR ADD/ALT . 03. SIGN n MOVE Q DEMOLISH
B
INSTALL. REPAIR
PROPOSED USE n SFR Q COMM Q OTHER 1 I
TYPE OF CONSTRUCTION LJ BLOCK y� n FRAME // n STEEL n OTHER ( 1
DESCRIPTION OF WORK Y�7 / AT //C 00.(2'�L'i ,44 lr�l �(,y d U '
BUILDING SIZE I I SCE FOOTAGE 1 1 HEIGHT I 1
n BUILDING li I VALUATION OF TOTAL CONSTRUCTION
Q ELECTRICAL IS I AMP SERVICE Q PROGRESS ENERGY Q . W.R.E.C.
Q PLUMBING IS 1
73 MECHANICAL I a 3 / s Z..- OF MECHANICAL INSTALLATION
n GAS n ROOFING n SPECIALTY J OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA A YES =IMO
BUILDER COMPANY 1 1
SIGNATURE nttGISmEREO 1 Y/ N I FEE cURRaur 1 Y/ N 1
Address I 1 License It [ 1
ELECTRICIAN COMPANY 1
SIGNATURE , REGSTEREO 1 Y/ N 1 PEE CURRENT 1 Y 1 N I
Address I 1 License # 1 1
PLUMBER COMPANY 1 1
SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1
Address I 1 Ucense let 1 9 I
MECHANICAL COMPANY 1N4. :
SIGNATURE /J REGISTERED RRENT � 9 PEE cumin' N 1
Address 1/06-..r/ S.Mv/..re/ ))40 (� /7'J jrs Licenses 1 t..MC/2 1
OTHER 1
SIGNATURE RE GI TIRED 1 1 Y/ N 1 FEE CURRENT 1 Y/ N 1
Address 1 1 License # 1 1
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plane; (1) eel of Energy Forms; RAW Permit for new conslnucilon.
Minimum ten (10) working days after submittal date. Required onelta. Construction Plans, Stonnwater Plans w/ Sill Fence installed,
Sanitary Facilities & 1 dumpster, Site Work Permit for subdivis(onsMarge projects
COMMERCIAL mach (3) seas of Building Plans; (1) set of Energy Forms. R.O-W Permit for new conakucdon.
Minimum len (10) waking days after submittal data. Required onsite, ConeUucllon Plans, Stommwater Plans w/ Silt Fence Installed,
Sanitary FadIIMM & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sole of Engineered Plans,
" "PROPERTY SURVEY required for an NEW construction.
Directions: '
Fill out application completely.
Owner & Contractor Non back of applcation, notarized
If our $2300, a Rolle* 01 Commencement le required. (A/C upgrades over 55000)
" Agent (for the contractor) or Power of Attorney (for the owner) would be someone wIM notarized feller from owner authoridng same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Severs Service Upgrades NC Fences (PIOUSurvey /Footage)
Driveways-Not over Counter If on public rosdwsys..needa ROW
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Page 1 of 1
Search Again ,dhow Mao Generalized guildinq Schematic Frequently Asked Questions Estimate Taxes
Other Agency Data: Tax Collector School Board Supervisor of Elections
Data Current as Of: Weekly Archive - Saturday, September 19, 2009
Parcel ID I 34- 25 -21- 0090 - 00000 -1500 (Card; 001 of 001) 1
Classification i 02 - Mobile Homes
Mailing Address Property Value
HEBERT WILFRED L & DIANA L Ag Land $0 ,
37619 NEUKOM AVE Land $24,0001
ZEPHYRHILLS, FL 335419304 Building $66,673
Physical Address Extra Features $1,856
37619 NEUKOM AVE
ZEPHYRHILLS, FL 33541 -9304 Market Value $92,529
Leaal Description (First 4 Lines) Assessed (Save Our Homes) $o
$se Plat for this Subdivision •F` Taxable value 392,529
GRAND HORIZONS -PHASE ONE
PB 34 PGS 99 -102
LOT 150
OR 8165 PG 1271
Land Detail (Card: 001 of 001)
Use use ' Descri • on I Zoning Units ,1116 Price Condition l Value
1 0200 MSUBM 00M1 6,000.00 SF $4.00 1.00 $24,000
1 _
Additional Land Information
Acres 0.14 ! Tax Area I 30ZH FEMA Code I X R _ • - LL i : Mode GDHZLP1 1
L Building Information - Use 02 - Mobile Home (Card: 001 of 001
Year Bulk 2003 Stories 1.0
Exterior Wall 1 Above Average Exterior Well 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall interior Wall 2 None
Flooring 1 Sheet Vinyl Flooring 2 Carpet
Fuel Electric Hest Forced Air - Ducted
A/C None Baths 2.0
Line 1 Description Sq. Feet Rep!. Cost New
1 - - 1,188 $61,847
2 FSA i 156 $3,644
3 FOP 18 1 $260
4 440 $9,163
Extra Features (Card: 001 of 001)
Line Deacrl • • on Year Units I Value
1 D 1 2003 588 $1,044
2 7 1.111M9111111 2003 1 $812
Sales History
Owner DUNN CALEB S &
Year Month Book /Page _ Type Amount
2009 08 8165 / 1271 1 WD $146,500
2005 03 6274/ 1398 VD $133,000
2003 08 ; 4 • • : 1805 , ND 317,900
Search Again Show Mao Generalized Building Schematic Frequently Asked Questions Estimate Taxes
Other Agency Data: Tax Collector School Board Supervisor of Elections
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Sonnv
BRAND,.
SQURCFE Discount Appliances
You Heart of
Fax (352) 521 -5980 The D ome Experts 10651 S. Hwy. 301
Email: sonappl @aol.com Dade City, FL 33525
www.sonnysdiscount.hom pliances.com (352) 567 -6224
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DATE OF OROER ( CALL FIRST I C.O.O. !REDIT CARD !COMMERCIAL CHG. I FINANCE CO. 1 NEXT PURCHASE I SALESPERSON '
QTY. MODEL NUMBER AND DESCRIPTION SERIAL NUMBER AMOUNT
/ 6,6 l "3 6 IV Ll 1 e,054177/3 _
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ALL SALES ARE FINAL. DEPOSITS NON REFUNOAPLE DELIVERY INFORMATION
TERMS AND CONDITIONS HEREBY ACCEPTED. TERMS: A FINANCE CHARGE OF O.OIBS%
PER DAY WILL BE ASSESSED ON ALL UNPAID ACCOUNTS ANO ARREARS, ANNUAL WMCC
PERCENTAGE RATE OF )B%. ALL MERCHANDISE REMAIN PROPERTY OF SONNY'S DELIVERY
DISCOUNT APPLIANCE. INC. UNTIL PAID IN FULL AND STAND AS SECURITY FOR THE a ��
OUTSTANDING BALANCE HOUI.I) IT ItECOME NECESSARY TO PROCESS SAME FOR
COLLECTION. 1 AGREE TO PAY REASONABLE ATTORNEY'S FEE AND COST OF THIS SUBTOTAL
COLLECTION FOR SONNY'S DISCOUNT APPLANCE, WC.
VW il
Recelne0BY:
D+lEa9AVal 'r
M claims end retuned goods MUST b / acoonpenAdbyIhill PA. - form_ j'Z 37
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TERMS AND CONDmONS ACCEPTED. MERCHANDISE RECEIVED IN GOOD tumour
CONDITION ANO ALL PROPERTY LEFT IN 0000 CONDITION.
Received By: BALANCEDUE
WHITE - ORIGINAL YELLOW- CUSTOMER PINK - DELIVERY GOLD - SALES 1 1 21 R RC ,A.
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BUSINESS TAX NOTICE • PASCO COUNTY FLORIDA
, -2010 LI CENSE YEAR ACCOUNT 00203B
SIC CC)DC 1711. 01
PAYABLE.TO: MIKE.OLSON, TAX COLLECTOR/ P.O. BOX 276, DADE CITY FL 33526 -0276
SIGN HERE - 4 I CERTIFY THAT ALL INFORMATION PROVIDED IN THE ABOVE
APPLICATION FOR THIS BUSINESS TAX RECEIPT IS TRUE AND
CORRECT.
:il7NNYa U I SC;UUNT. APPLIANCE X NC
10:44
106 US HWY 301 S • • ORIZED SIGNATUR J DATE
DADt • . r Y 7Y; PL.-33524
PAID 11.. P5 09/25/09
• •VEMPC]r RY RECEIPT
M T K. LSO "IA X COLL C f R
•
1't MP RCPT NDL4 09/25/09 CAB )reY•--------- - - - -•— .._.,_ -- -•- — _ 9
DATE
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APPLICATION FOR BUSINESS TAX RECEIPT
• PASCO COUNTY FLORIDA •
TAX YEAR: 2009 -2010 AEC:Hr =11V T i BERIV002038 SIC CODE: 1711.01
OUR FILES CURRENTLY REFLECT THE FOLLOWING INFORMATION RELATING 1'O TFiE BUSINESS IDENTIFIED BELOW.
PLEASE CHANGE INCORRECT INFORMATION.
• Business Name Or Fictitious Name: SONNYS DISCOUNT APFI_ I ANCE INC
If Fictitious Name, Registration Number: E XEI" IPT Expires:
• Corporate Name (If Different From Above):
■ Owner/Manager's Name: MAGGARD GRADY ;7r Home Phonc:
• Date Business Opened In Pasco County: 12/16/83
• Physical Location Of Business: 10651 US HWY 301 S
DADE [:1:'I'Y F=L 33525-1 F.374
• Mailing Address: 10651 115 HWY 301
DADE G I7Y EL. 335'4'5-1874
• Federal Employer ID Or Social Security Number: Business Phonc: 352-567-6224
F,S. 205.0535(5) REQUIRES FED 11) # OR SOCIAL SECURITY II BEFORE ISSUING RECEIPT
■ Sales Tax Registration Number:
• State Or County Regulatory License Number: F''P100113461 Expires: 00 / 09
• Fees: Tax $ 1.1 • 25- Penalty $ • Other $ *SQG $
EMPLOYEES: �i; [� - ('Small Quantity Generator of Hazardous Materials)
• Number Of if "Number Of" Changed, See Fee Schedule Below:
(employees, seats, machines, etc.)
1 — 10 1 1.25 31 — 40 45.00
11 - f ",' o eS . 5'o 141 •'- 50 56.25
21. -- 30 33.75 51 - •9999 i370
ATTACH COPIES OF: STATE TE L.I C FROM CONSTRUCT I ON INDUSTRY L. J: C BOARD
RETURN THIS FORM INTACT WITH APPROPRIATE FEE AND COPIES OF ABOVE DESCRIBED DOCUMENTS. BUSINESS TAX
RECEIPTS EXPIRE SEPTEMBER 30TH. OCTOBER THROUGH JANUARY AMOUNTS INCLUDE A LATE RJNEWAT., PENALTY.
DO NOT DETACH - RETURN ENTIRE FORM INTACT MX •s (R 641614(0)
BUSINESS TAX NOTICE • PASCO COUNTY FLORIDA .
20CI9- -2010 LICENSE YEAR ACCOUNT OOZ 03E3 G ?XF''1F:F:'3
SIC CODE 1711.01
TOTAL DUE BY: ( PENALTY AFTER SEP 30TH)
SEP 30 OCT 31 - NOV 30 DEC 31 JAN 30 J /aN AMOUNT
11.25 12.38 12.94 13.50 14.06 AFPLIES THEFREAFTER
. PAYABLE TO MIKE.OLSON, TAX COLLECTOR/ P.O. ,BOX 276, DADE CITY FL 33526- 0276
SIGN HERE --> I CERTIFY THAT ALL INFORMATION PROVIDED IN THE ABOVE
APPLICATION FOR THIS BUSINESS TAX RECEIPT IS TRUE AND
CORRECT.
.90NNYS• DTSCOUNT.'APPLIANCE INC
10651 US HWY 30 S AUTHORIZED SIGNATURE DATE
DADE CITY FL 33525 ;
APPI !CAT NDL4 09/24/09 VLG 2000000000000000000011251000020381
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OFFICE DISPLAY CARD
DEVELOPMENT REVIEW SERVICES DEPT.
CONTRACTOR LICENSING 1 • .
- - CERTIFICATE OF COMPETENCY
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Be it known that : - o• A - D . - 4 - - -. -
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ELECTRIC - 1- -- ; - -0 ).-__ • TO . .. .
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DADE CITY '-.'f:_ ,,,. . %. .v .- FL 33525 •
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UNDER SEC. 18 PASCO COUNTY CODE HAS MET THE
. ; PROVISIONS FOR A CERTIFICATE OF COMPETENCY
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UNDER SEC. 18 PASCO COUNTY CODE HAS MET THE .
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