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09-9470
CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9470 MOBILE HOME SET -UP Permit Number: 9470 Address: 6135 ZEPHYR RIDGE DR LOT 14 Permit Type: MOBILE HOME ZEPHYRHILLS, FL. Class of Work: MOBILE HOME SET -UP Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: ZEPHYR RIDGE Est. Value: Parcel Number: 03- 26 -21- 0130 - 00000 -0140 Improv. Cost: 3,200.00 t'7.=. ' ,..Fay 7 , - 'oemx Date Issued: 9/08/2009 Name: QUINONES, OMAR Total Fees: 9,351.01 Address: 6135 ZEPHYR RIDGE DR Amount Paid: 9,351.01 ZEPHYRHILLS, FL. 33542 Date Paid: 8/28/2009 Phone: (813)685 -3295 Work Desc: INSTALLATION OF MOBILE HOME 32 X 52 MOBILE HOME SET -UP 60.00 WATER CONNECTION '''''''.''':€. � � 7 , _ ��� �� � �1 D A V - - • 1 * - a*. L TRI AL 40.00 S ER • E •N M• :IL 1,005.00 ATLANTIC SERVICE &SUPPLY INC BILE HC 320.50 DAV PRO INC MOBILE HOME MECHANICAL 35.00 MOBILE HOME PLUMBING 40.00 ATLANTIC SERVICE & SUPPLY MOBILE HOME TIF /SUB 1% 36.32 MOBILE HOME TIF /SUB 99% 3,595.68 WATER METER RES 3/4" 220.00 PARK FEES MH 573.73 POLICE IMPACT FEE 254.00 FIRE IMPACT FEE 273.00 PUBLIC SAFETY 5% 26.35 SCHOOL IMPACT FEE -sfr /100% 2,843.00 SCHOOL IMPACT FEE -sfr/ 1% 28.43 �b � Y` 1 4 1 5 I 91 fes wm •.IL •ME -U" 1 IP MOBILE HOME ELECTRIC n C , — e I MOBILE HOME A/C 1► L Y_X r (1�A " ! 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 Afis _, Q d u 4 4 /1 CONTRACTORS SIGNATURE PERMIT OFFI ' - - PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER „Si I ' ty / !%1 moo. v_,-1..',' fi City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: DAV ) 1 / e, Date Received: u `(2 D9 Site: /' f a_5 2 t . R /e De- Permit Type: (i b t ie /cow cep 5 2)( Approved w /no comments: ❑ Approved w /the below comments. 1 Denied w /the below comments: ❑ 1 . I e , IAA Vii 0 0 b 0 • Ji . l - r , ' . o a d ear lb nAcif.k e of. 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If you have received this telecopy in error, please Immediately notify us by telephone and return the original message to us at the address via the United States Postal Service. Thank You l 09- 08 -' 11: . 3 ),,,,E. 6 ,:: FROM- Atlantic / Prime 09 ,,,,....::„.;,..):., T -670 P4/007 F • �' -• STATE OF FLORIDA A - , gOiz DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION t % N `- ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487 -1395 J TALLAHASSEE sTR FL T 32399 -0783 • GRANT, ROBERT E ATLANTIC SERVICE & SUPPLY LTC 6525 BAKER RD FT WORTH TX 76118 Congratulations' With this license you become one of the nearly one million �;' r sJ • h J d .4 - c r..‘ F ` 1 e I /6 1T.S t 6, . , >` -« ; ,� � a Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from � � • boxers to barbeque restaurants, and they keep Florida's economy strong. , t.. .p. ,W, `T` a., . 0 " L . ,t) _ <;.~ e)t • Every day we work to improve the way we do business in order to serve you better.';c'� % = `'� "G'' J.'I. : ± ±.:,. ` %�: � ' \!:,'''.:/t1=1.3.: � 1 rY Y P Y Y p. 4, ��x ` ,;, t ,� � L L. ,v ; �'� ti � For information about our services, please log onto www.myflorldalicense.com. • _ .r-, '., F o • � a- <I r There you can find more information about our divisions and the regulations that F „ �,, `. �, Si ,:.t.1;_):) �• ; z � ;p. - :..; �; r ' � '�% % t:, ; ;.g, • ���� „. impact you, subscribe to department newsletters and learn more about the ' ' s - '��N . `" Department's initiatives. %.% 4 r. i :1 • J {. 'R. , ..; P t: _ - f ' ' Our mission at the Department is License Efficiently, Regulate Fairly. We .k, \ - , to :•,� rt'• Cam". - � 1 "� g o• • Y , , ?d`.; 1 i r e . ) ., ) - , ,, ! i ::: . t .: : C..i '�. t. constantly strive to serve you better so that you can serve your customers. ,,, -. • ,A T.; 0 ::;. t•• y ,� • ;• :5 " : " . 0.. } � _, t , Thank for doin business in Florida, and congratulations on your ne license! 1 , k r'Y2 , ,7 Y g 9 Y ' • • DETACH HERE - RAW/7, rV :lY '- i I^" '� �'' N ti� n « ' " j `. n;; ,�J '.::"'t^�� �O"' r t ;� :�: , ` � � cif � '� � J S', � �' ,���,�,�(, � ,� �- `'�� �� �,3�''.K':.: •i _ ,1 4 ;.;':::'.: •. tt'<f i � .M �� . , � .10 • .: I '3 • � ,* �� 1, >'' Q * � � l /mob ~ ' � i,• �. -�.,, {1'rr,.. '� V lF, �•::: ' ,�.. � �� • \ • 6), � b ' L•e;:t'.7.,''': • � r�:i<lt�_ 1 . � E �"'�l "� /,�j>3 � r+ ./ . l y'' � � :�?ri. "t ;;.:' {�, -;; \ 1T•�,p• . tl� l•Y)Vrl.`. .. -`--�� r � i 1 _ Z� v F� \4 �'�'j =f �C� „�"�= ,0J." �' •y ti A�j��• •� f '� •"�� ? r, � . .. 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'. ,. •! ..: : : .. •.• i • -. : • bi,W 1;i ". •• • 09- 08 -'09 11:36 FROM- Atlantic / Prime 1 -800- 859 -3709 T -670 P003/007 F -565 • ;; l , ' Y3 STATE OF FLORIDA • . a ,C - TEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION . t' ''= CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 ' ; ,.. 1940 NORTH MONROE STREET . TALLAHASSEE FL 32399 -0783 GRANT, ROBERT E JR ATLANTIC SERVICE & SUPPLY LLC , 6525 BAKER BLVD FORT WORTH TX 76118 • Congratulations. With this license you become one of the nearly one million � - < - • _ Lal- ' �� , , `, Floridians licensed by the Department of Business and Professional Regulation. ,;: ' y r _ � �r Our professionals and businesses range from architects to yacht brokers from �. ='`r , , � , � l c a: y . boxers to barbeque restaurants, and they keep Florida's economy strop S -� ' > s /k, - , , : ' 'rY%,..�Z 1 Every day we work to improve the way we do business in order to serve you better. -:., : -.:: - ::' -' ;f �?: � r For information about our services, please log onto www.myfloridalicense.com. i � , - ,,74V2 `. , • I ' ,- j : �., There you can find more information about our divisions and the regulations that ,,:f ; ., F g ,N ` � . d ,IV impact you subscribe to department newsletters and learn more about the ' ,� ,'' , . '�1 ^ .& � if 7 ^ ° c T:k' r . r i; Department's initiative .<., . .: , 3 4 f :'j ? t.,. "':G h•_ ' i s �. ,_'. Our mission at the Department is License Efficiently Regulate Fairly. We ',:.,,.;?,:s.:01. • constantly-strive to serve you better so that you can serve your customers. z r :, e,_;; Thank you for doing business in Florida, and congratulations on your new license! ' - ;.. 1 g1tr 's p.s0hiier ch rov1.2son ` "'' 7. = :! f ,#ion :dales r ` Atio A' ).. . 2,0.3'0; `I?AtrAr•R` 9C1`! DETACH HERE 5 ` i9 4,; ^F ' k�•': r:::,,,�..1 it - � _ � t - • �. ..+'. • Y E •� 'lW' 'w+' !� J • g 7 \I':f: ; 1 � '� ^ 'vi -^ • \, pia- , ?" i...A < i: K S • , 1 v i , . : :.. ' / •\ r ir: . „ a»� :ir j`' = >` r ' ,. a1. u"� y (.' _' �p • . •l+ i ON ,.."-:... :\� J •� � ��K ,�: �� �: ' ?.....i.,,,-,5:, :r.k: � \ ' tom ' � v �. r .- ; •• ;2 : �- � . r. .. v., ', 1 'Ns.e . te n g s ' v�:L4 • -_ �c'�$f5' - :r''c° A ' *: @ .µ ii•. g ip��,•, 5y w• • *I y1 r'g. r ig. .v� f. � .p *o 3 } •- Vi ^.7' +' SC I�4•'✓ 'pK „cSM. r yr "S _.. . ' -; „�;,V.c c ,.� �IS - v - it (f 7 �`� 3, `r L y�? ) ' !?r. :�.,: .a y � S \'a�5 1 _ 4, � , Ji m .� ii,� . , _ ,` � lie a e c : rea! a o :' eye } {Cry. i + " R .,z�.. ` III . ■ . s'f 79' • ` �n � . ) '1W.,1;‘2.• . , J l. a , ,,1 � -:l r /4∎4y"�**"... „,44., ia 1 ': ,• r`' -" ZC , • ';. ' : _ i,,^•' i't) t i t2 Y? � '' s> „ j• - �P � , _.XZa7. /¢rail ` • - ,, a ;, , � ,e- : :, . ',,.”' .t •7.. . ' - i, '1:. 1 � - y A ' . y. • .,I g .'If 'c4 , . ;. - • " T : 7 `J,40 � 4 .•• � ' • s p .r,.y ;"'-<,-,,.i.',.41,0. : f: yN4:i �:'f,'Ci3 �li't . '� '. `4. (-�t'lie -�r. M': -;,:• -� • .i%:��l,,,P) d P l r w 4 i�t' ,iti(•. .9� Y4�� ?S,.,r_ +.•a • �}{ 0.7•'' "�/ \ ;.J����Jr��= ., - . �r . .. , • s9:, , .1. y _ . r , -rte. `'�; `°•'•' t � . s. 7' U m C , 7c '4.55'.'"r•- I 'tt j v7 ' .. C J . .N ' . ,L 1 ` f �, w� Ai \\�C,! /, • y' /`, .\ J ,C I• '' • N , `J• ti i .� .IJ„ J� ''-'-v. •: '!"••.�,) ��f .. J� • . •y..�.,r,' v..!„ta \':• il•• �, J.J: K•yd(. � , f ' ` > ��`F 77�� -- _:l r ,-(*)47-': :.,: . . fJ' „ K ;J kUi ''..i „- 1 � ” w .,,.� 'h '(;)'' 5%J, 't.';T`r..., , G�.FhUCK p . , O c � �•` !• • •: r : �I�S ^�. i%\:5:: � � v �;}: �, a!W a L ,.,t � -,•: 4 • r • � V , y : 1.3.-' S %. -r i:t- . e ,, ,v: . .r J�:r f 44 , v,‘ a�� ; t� qj 7.,: i ,� ' = 3 � {, I NTERIM S �'i 'I'J �+ r { �1 � fs4 /- Y..Criac ilyt.;:e7� }lit.':... .. 14/ ,\if e..Uu: : :,- . "44• *7r ? °fF ;c -.0t M!"s.. :.. �'•c'1�, ,. : rV . 09- 08 -'09 11:37 FROM- Atlantic / Prime 1 800 - 859 -3709 T -670 P007/007 F -565 ACO,14 CERTIFICATE OF LIABILITY INSURANCE DATE (M 7/2908 ) 06/27/2008 PRODUCER (305)445 -3535 FAX (1866)415 -0825 THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION Fortun Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 365 Palermo Avenue HOLDER. THE AF AFFORDED B O Y T TH AMEND, POLICIES EXTEND ELOW. Coral Gables, FL 33134 -6607 INSURERS AFFORDING COVERAGE NAIG i1 MsuRE0 Atlantic Service & Suppl y, LLC INSURERk National Union Fire Ins. Co. 6525 Baker Blvd INsuRaRO; Continental Casualty Company Ft Worth, TX 76118 INsuRERC New Hampshire Ins. Co. wsunesi o, INSURER E. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INOICATEO. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED) OR MAY PERTAIN. TI IE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE 'TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, Ili AoD L ° I TR NSNT TYPE OF INSURANCE POLICY NUMBER POUC EFC5VOLICY E %PIRAIIO DAT IMeMm P /Yn nA R N LIMITS GENERAL LIABILITY GL4025793 07/01/2009 07/01/2010 EACH OCCURRENCe S 1, 000 X cOMME\CIAL GENERAL LIABILITY DAMAGE TOIiENYED $ 500 } QDD - DBEmIS C:AIMS WAGE U O� -CUR 1 (E n w,mnrl,�_ MEO EXP (Any oho person) 5 10, 000 A PERSONAL 8 AOV If UuR' 5 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE Lima APPLIES PER; PRODUCTS• COMP /OP ACG s -- 1 POLICY' J JL ,, LOC .,,,,`. 2,000,000 • AUTOMOBILE LIABILITY CA6049032 07/01/2009 07 /01 /2010 X ANY AUTO COMBINED SINGLE Lox'. 5 (Eaaccialrnl 1 000 000 ALL I�WNECAU7crs • --- _ -� UOOILYINJURY s • A scl IsouLe> AurOS (Po( ptraon) 111F1E0 AUros `..,, X X NON.OWNEDALITOS DOOILYIN (Porsc000./1 /RY 5 • nq X PHYSICAL DAMAGE; 1 SURED IS SELF-INSURED PROPERTY DAMAGE S I (Per Widen() GARAGE LIABILITY AUTO ONLY • EA ACGOENT s f ANY AUTO OTHER THAN EA ACC $ nUYOONLV. ACG S EXCESS/UMBRELLALIABIUTY 12090617870 07/01/2009 07/01/2010 EACH OCCURRENCE s 25,000,000 X1 occur< 0 CLAIM<s'AADE — 8 AGGREGATE _ S 25,000,000 s ,e0„crDLE j S 1 _ X ?ETENTION s 10,000 5 WORMERS COMPENSATION AND WC7582381 07/01/2009 07/01/2010 X +"� s�"ATU• OTh- EMPLOYERS' LIABILITY TARY 11Ay C ANY PROPRIETOR E.L. EACH ACCIDENT 5 1,000,000 OFF!CERR)EMSER ExcLuneo7 I pec opafto,,,oe EL DISEASE - EA EMPLOYE¢ 5 1,000,000 SPECIAL PROVISIONS halm.: EL DISEASE • POLICY UMIY S 1,000,000 OTHER DESCRIPTION OF E X CLUDE S E A S BES EXCLUSIONS HYS DAMAGE F OR ALL VEHI IS SELF INSURED BY NAMED INSURED. CANCELLATION PROVISIONS SHOWN BELOW IS SUBJECT TO SHORTER TIME PERIODS DEPENDING ON THE JURISDICTION OF & REASON =OR, THE CANCELLATION. CERTIFICATF HOLDER CANCELLATION SHOULD ANY OFTh6 ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, Tyre ISSUING INSURER WILL ENDEAVOR TO MAIL 30 OATS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, CITY OF 2EPHYRHILLS BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR UABIUTY 5 335 8TH STREET OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. 2EPHYRHILLS, FL 33540 AUYIIORREDREPRESENTATIVE �! _ Hector Fortun/CE :%y`�r �•tVi�`-- ACORO 25 (2001 /08) OACORD CORPORATION 1988 813 -780 -0020 City of Zephyrhills Permit Application �, r ,,� O Fax -813- 780 -0021 f Building Department � I ( I Date Received ' � 1 Phone Contact for Permitting ■ i3 - C7 JV V minimum - r_c Owner's Name mCL 00 I n 3ne3 Owner Phone Number S 13 (QJ O5 - 3 ZQ Z Owner's Address ( 3f, Z E rL .to----:•94;z:---012- Owner Phone Number S) 3$5 2.15q Fee Simple Titleholder Name Owner Phone Number I Fee Simple Titleholder Address JOB ADDRESS (U 133 2 e,Jh 9 2 2 i b'e - b i2.. LOT # l SUBDIVISION C C a - . tbc PARCEL ID# D3 - Zip - L � / - 0130 ©" 0/(4 0 L7 \ � (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN I MOVE 1 I DEMOLISH INSTALL REPAIR PROPOSED USE 1X] SFR 1 1 COMM 1 1 OTHER 1 I TYPE OF CONSTRUCTION I I BLOCK JI FRAME 1 1 STEEL n OTHER ra _ , airi P] DESCRIPTION OF WORK t 1k%�V Ok...U."-,CN\ t- OC — 00(Y-Q. BUILDING SIZE 32: )( b2. SQ FOOTAGE 1 (0(0 HEIGHT I 1 `'f (4-;)ecy BUILDING $ VALUATION OF TOTAL CONSTRUCTION 1 I ELECTRICAL $ AMP SERVICE ® PROGRESS Y W.R.E.0 �Q . I I PLUMBING $ G " "" L,1 . 0 � � r 1 MECHANICAL $ V ALUATION OF MECHANICAL INSTALLATION v I 1 1 I GAS 1 1 ROOFING 1 1 SPECIALTY IT OTHER 0 G � / 0 ) V L`� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES �N• S� U � N Q ' c h BUILDER COMPANY 9A-St P (' . % SIGNATURE �a:10'4.3 REGISTERED 1 Y/ N [F EE CURRENT 1 Y/ N 1 Address Bair P3.1. hfrod, I,fyl License # 1 `O Q � ELECTRICIAN /�'"'" if COMPANY Al l' /G SerueL d-�-�U pl� P (1 SIGNATURE - REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 k, Address v� Dd~(.) 8i OOk5 ST(A ,gs �/ 1 License # ( }d Z 7 l ± PLUMBER / ` (`J \ COMPANY ,( � c' SIGNATURE <�` � 0 V ( ` REGISTERED � Y/ N j FEE CURRENT 1 Y / N 1 • Address i ► fY)K;y( itt \ 3 ( License # zt-f (.2 MECHANICAL 7 e i'l�l C3- d-5i �l� ( PM SIGNATURE / ' / 7 N REGISTERED 1 Y / N 1 FEE CURRENT Y / N / Address GU 5-0075 Si «ke-- /AINI9 (7-. License# 1 _ ~, / /"C� i 4) � OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 Address License # I I 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. 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Class of Work: MOBILE HOME SET -UP Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: ZEPHYR RIDGE Est. Value: Parcel Number: 03- 26 -21- 0130 - 00000 -0140 Improv. Cost: 3,200.00 �, Date Issued: Name: QUINONES, OMAR Total Fees: 9,351.01 Address: 6135 ZEPHYR RIDGE DR Amount Paid: ZEPHYRHILLS, FL. 33542 Date Paid: Phone: (813)685 -3295 Work Desc: INSTALLATION OF MOBILE HOME 32 X 52 r 3 ,bq � .a t x ®- r - : -? " , Via • " . . v? s ,, "' s a - DA - - • IN M•: L H• EL R AL, 40.00 W - • Is M• :IL 1, ATLANTIC SERVICE & SUPPLY, INC. MOBILE HOME SET -UP " 60.00 WATER CONNECTION MOBILE HC 320.50 DAV PRO INC MOBILE HOME MECHANICAL"' 35.00 MOBILE HOME PLUMBING .. 40.00 ATLANTIC SERVICE & SUPPLY, INC. MOBILE HOME TIF /SUB 1% ! 36.32 MOBILE HOME TIF /SUB 99% -- 3,595.68 WATER METER RES 3/4"" 220.00 PARK FEES MH .-573.73 POLICE IMPACT FEE 1 254.00 FIRE IMPACT FEE -' 273.00 PUBLIC SAFETY 5% -26.35 SCHOOL IMPACT FEE -sfr /100% ` 2,843.00 SCHOOL IMPACT FEE -sfr/ 1% 28.43 ■ OO t ,o , - , r ),...... 613101 ✓ e .:i✓ (fite4 4 / WC ? ' f l a , 0�1 �� -UP .' ., m t . ° >t..:.. P ` # T e .. ! % -E .a R A E ' X, • .4) ire , , MOBILE HOME ELECTRIC �' r `� � 1 Li MOBILE HOME NC • oir,,,, b� -"` A� {) MOBILE HOME PLUMBING F 0 INAL ' ` 41 g- -o4 e q .,b , REINSPECTION FEES: Reinspe ion we( fees will co 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 6 62....- fir .4 1..- , CONTRACTORS SIGNATURE PERMIT OFFI 0- PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER T Gf° ,dr- r - ,./1,,41• NOTICE OF IIIIIIIVIIIVIII VIIIVIIIIIIIIVIIIIIIII IIIIIVIIIIIII IIII 2009126531 Permit No`. Rcpt: 1262270 Rec: 10.00 DS: 0.00 IT: 0.00 Property Identification No. 7),.. - 7(0 ? 1 _ 01 _ 09/08/09 Dpty Clerk tio THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information iss " provided in this NOTICE OF CO11B1�NCEMENT. 1.Description of property (legal description:) ' G (2- iG- ( Q '2 % .,tO 4. be( • ay 0 E a)• Street Address: (O ( " Zeprw 1Zec{rt2 ; 4'N , --) C 2.General description of improvements: 1 - 3 .Owner Information r a) Name and address: oaf Clo t(1Cr 161 ?kS Qe ph Q 744 CIP _ i . G ( KCS , f (-- b) Name and address of fee. simple titleholder (if other than owner) 1 -''' '' c) Interest in property • OI n p .Contractor Information Mu z, ' 81 t t ' t, m a) Name and address: -D0.V ` C1r1Meal1 N �C't1T dos m 2 b) Telephone No.: 813 - Z Q -? N l�) Fax No. ( Opt 15 i - _Z 5.Surety Information , - . r W N a) Name and address: m o b) Amount of Bond: (Opt.) z c) Telephone No.: Fax No. t. Fa!? ° r- 6.Lender O� N a) Name and address: S' Phone No. P 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: -o 1-• rn a) Name and address: m ° b) Telephone No.: Fax No. 81n addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section " " 3 713.13(1)(b), Florida Statutes: A 41 a) Name and address: o b) Telephone No.: Fax No. (Opt.) _ 7 9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. 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 CO ' ' 1 1 N A . r NOTARY PUBLIC - STATE OF FLORIDA �'� STATE OF FLORIDA ���, . COUNTY OF PASCO i� > Kristinia D. Nobles / � ��i� s � •,ii -� J Commission # DD631670 _ of Owner or %* ''s Au..onzed •fficer/Director/Partner/Manager a y , , ,,,,.•' Expires: JAN. 21, 2011 2 S o l Q BONDED THAU ATLANTIC BONDING CO., INC. r1O�1 `s Print Name Th regoi injrunient was acknowledged before me this day of C) (7% C/ • , 20 by Dmaiz as in fa�for (� . (type of authority, e.g. officer, trustee, attorney (name of party on behalf of whom instrument was ex uted). Personally Known OR Produced Identification ) Notary Signature ,l • ...� L ' ∎ Type of Identification Produced -h IQ_i�-=�n LtCQ Name (print), O - Verification pursuant to Section 92.525, Florida Statutes. Under penalties of p ' I , I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. A A0 ..s FORMS /NOC,rvsd2007 Sign = o Natural • erson "17 ing Above STATE OF FLORIDA, COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE WITNESS MY HAND AND OFFICIAL SEAL THIS DAY OF f°1 2Op PAULA S. O'NEIL, CLERK & COMPTROLL R BY A/ I . ACts, • I DEPUTY CLERK .... ,, ,, leis .NKJ.„ .PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813- 719 -7919 CITY OF ZEPHYRHILLS ZEPHYRHILLS, FLORIDA WATER ACCT. NO. DATE B-2.6-09 r 1 OWNER/ RENTER in O' f n Drre -S MAILING l 1 5 L f't Li r k �,f / 1 t 1 Zep A11 r ht I IS 4 L 3-5.5 SERVICE ADDRESS (c (3 5 2 011 )^ RI' (l �_' E SHUT OFF SERVICE ❑ WATER TURN ON SERVICE gill ❑ SEWER INSTALL METER ❑ GARBAGE READ METER ❑ IN CITY CHECK METER ❑ ❑ OUT CITY No. OF UNITS OTHER ❑ DEPOSIT AMOUNT AMOUNT LAST BILL 4 r �-V '' 3/ J l / r ►�� DATE ?e,iqi/l 41 476 MISC. CHARGE METER: full irrigation WORK COMPLETED BY ORDER TAKEN BY & DATE COMPLETED i i/46 y ee.6_,----/......._ ORDER GIVEN BY Retain white form in office at all times. Send pink & yellow forms to Water Service Dept. i Water Service Dept. to sign yellow form & return to office. (t-' /tea -M- f ir Jacqueline Boges From: Richard L. Johnson [rIjohnson @pascocountyfl.net] Sent: Tuesday, August 25, 2009 2:41 PM To: Jacqueline Boges Subject: Quinones address Jackie, The address for Omar Quinones (parcel # 03- 26 -21- 0130 - 00000 -0140) 6135 Zephyr Ridge drive, Zephyrhills, FL. 33542 Thank you s z 4- r,,4o-frr 0 { {J* i is i( 1. Survey Department - Streets and Addressing Division Pasco County Government 7530 Little Road New Port Richey, Florida 34654 rljohnson(a7pascocountyfl.net CO, Please consider the environment before printing 1 Z EPkyr kJ-4 cb , %. =1-' \ U, b - -o Z_ G f ° c' IN .4_,P . LN Ct.. V\ e -zn y., 14). yl , ik,, ___ ,.__ 1 \.... .i, .., f____ .---. 1■3 ‘ '1 0 n ■ -� c__? Cp \ �� C w O _ Q F �° o a- Q w -- _ —� o cam° 1 p N 0 bq�rress' o aD CEB03422 /7: \ m Mad. In . USA sk , . � 0 a o ' ci frai f.,m ,Wr ti,ti) e T- pitmco, 3 �,I o � � �� ter �� 33 5Z3 `4 ��IFI'H l4.4; PASCO COUNTY, FLOR . It 8124'1 Permit No. / d A' Qii/r Plt-S Date Permitted • - 20 ' Builder Name /Owner Name a CJ�C Control # County Parcel No. 63 - ^ zl - 0130 .. ()C)(66 2 /56bDiv: Address /Location (/ 3 S � / 7 ° j /1 r ��� �f e bc Ld #r 7 Classification/Type of Use ie deri?4C, TRANSPORTATION IMPACT FEE . Rate: Sq Ft Unit: /'4' 7" Exempt _ Yes [ No How Determined • Impact Fee Amount $ ,3 32- Zone No. TAZ: SCHOOL IMPACT FEE �[ Account (056) Single - Family Detached House Amount $ 2-,09 -7 7 /� — (057) Mobile Home (058) Other Residential 123) Collection Fee Exempt L Yes E. No How Determined PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total �7 Zone TOTAL AMOUNT $ 573 / ' 3 Exempt ❑ Yes ❑ No How Determined LIBRARY FEE Land Account Land Credit Land Total. Facility Account Facility Credit Facility Total Exempt ❑ Yes ❑ No How Determined Total Amount N/44 RESOURCE FEE ERU TOTAL AMOUNT Prepared By , /• t!� Checked By NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY Acknowledgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form, placing the building permit owner on notice of this assessment and the conditions of payment for same. DATE RECEIVED BY RECEIPT NO. DATE BY CI'T'Y OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER' - I 141 k ak • JOB LOCATION (1 ' 3 ' ZEPI PARCEL I.D. " # lk -0 -° 4 - Ak SHOW ALL EXISTING & PROPOSES) STRUCTURES GIVING DIMENSIONS & SETBACKS. cif • • j3 0 � • • �LwP, 'n AB� 7 • ING CO C dODE UTILITY BUILDINGS ,S pNO AN,CES MOLLS MUST SHOW SIZE & CO OF FOUNDATION INFOR- CIT MATION. 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Johnson [rIjohnson @pascocountyfl.net] Sent: Tuesday, August 25, 2009 2:41 PM To: Jacqueline Boges Subject: Quinones address Jackie, The address for Omar Quinones (parcel # 03- 26 -21- 0130 - 00000 -0140) 6135 Zephyr Ridge drive, Zephyrhills, FL. 33542 Thank you 4 Survey Department - Streets and Addressing Division Pasco County Government 7530 Little Road New Port Richey, Florida 34654 diohnson@pascocountyfl.net Please consider the environment before printing 1 Jacqueline Boges From: Jacqueline Boges Sent: Monday, August 17, 2009 2:52 PM To: 'Janet A. Tinsley' Subject: NEED ADDRESS Greetings Janet, You will be contacted by contractor Dav Pro Inc. need an address for parcel id #03- 26 -21- 0130- 00000 -0140, Zephyr ridge drive. Please let me know when you received money and have given new address. Thanks Janet Jackie Boges Code Support Specialist ext. 35 1 i '.F' 1•.a Y ��� ta is F: f:. hs . . y..Y..r kr;: r .. • x r.:. ,. �,..; ; :�. ., ir.c:r . y . r 7","r.. .i •1 ...., ., I I'relrnred by and Return to: Nnnstate Title Agency, Inc. Y 4937 7(11 Street' Dade City, Florida 33525 Vile Number: S -27958 Warranty Deed glade this July 31, 2009 A.D. By VIRGINIA EDITH WILLIAMS, as trustee of the TRUST OF VIRGINIA EDITH WILLIAMS, dated September 14, 1990, First Amendment dated September 29, 1997, Second Amendment dated November 27, 2001, hereinafter ,.01 led the grantor, to OMAR QUINONES and REBECA RODRIGUEZ and SATURNI(NO QUINONES, as Joint Tenants with Full Itighis of Survivorship, whose post office address is: , hereinafter called the (Whenever used herein the terns "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations) Witnesseth, that the grantor, for and in consideration of the sum of Ten Dollars, ($10.00) and other valuable considerations, wenipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto the grantee, all Iliac certain land situate in Pasco County, Florida, viz: Lot 14, ZEPHYR RIDGE, as per map or plat thereof recorded in Plat Book 26, Pages 78 - 80, Public Records of Pasco County, Florida. t.:tid property is not the homestead of the Grantor(s) under the laws and constitution of the State of Florida in that neither 1 . rantor(s) or any members of the household of Grantor(s) reside thereon, nor is it contiguous thereto. Parcel ID Number: 03 26 21 0130 00000 0140 Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Bold, the same in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is Lawfully seized of said land in fee simple; that the grantor lid:; good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will defend more against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances except taxes accruing , iilit;equent to December 31, 2008. • 1 if4 individual Warranty Deed - Legal on Face 'losers' Choice Prepared by and Return to ,lunstate Title Agency, Inc. U937 7tllr Strtee 1 ade City,.Florida 33525 File Number: S -27958 In Wiliness Whereof, the said grantor has signed and sealed these presents the day and year first above written. Yii•n,zd, .reared and delivered rr oev)Fiesenc •( � V c rr / (Seal) 11'itl>LSS #I Signature //. /l VIRG IA EDITH WILLIAMS, individually and as trustee ,yinIiss Printed Name __' C -4 2sC �/ Address: (Seal) Witness #2 Signature, 1 +ii ucsx Printed' Name J {,L {S'G -w- 4 /'(' .{ Y'lf ,.,J Address: 1'11'1) 1 VITNI S'SLS :late of Florida 'minty of Pasco Hie foregoing instrument was acknowledged before me this J / day of July, 2009, by VIRGINIA EDITH WILLIAMS, individually uld as trustee of the TRUST OF VIRGINIA EDITH WILLIAMS, dated September 14, 1990, First Amendment dated September 29, 1 Second Amendment dated November 27, 2001, who is /are personally known to me or who has produced driver's license len('flcation and who did /did not take an oath. Notary Public -- Print Name: My Commission Expires: (Notary Seal) 111 Individual Warranty Deed - Legal on Face 'losers' Choice Pasco County Parcel: 03- 26 -21- 0130 - 00000 -0140 001 Page 1 of 1 Search Show Map Building Schematic Unavailable Frequently Asked Questions Estimate Taxes Other Agency Data: Tax Collector School Board Supervisor of Elections Data Current as Of: I Weekly Archive - Saturday, July 25, 2009 Parcel ID I 03- 26 -21- 0130 - 00000 -0140 (Card: 001 of 001) Classification 11 00 - Vacant Residential Mailing Address Property Value WILLIAMS VIRGINIA EDITH TRUST Ag Land $0 WILLIAMS VIRGINIA EDITH TTEE & Land $23,750 WILLIAMS VIRGINIA Building $0 6129 ZEPHYR RIDGE DR ZEPHYRHILLS, FL • it Extra Features $0 Physical Address Market Value $23,750 Physical Address N/A Assessed (Save Our Homes) $0 Legal Description (First 4 Lines) Taxable Value $23,750 See Plat for this Subdivision'" ZEPHYR RIDGE PB 26 PG 78 -80 ,_, LOT 14 OR 3738 PG 1555 Land Detail (Card: 001 of 001) I Line I Use IlDescriptionll Zoning II Units Q Type II Price II Condition II Value I 1 0200 MSUBM 00M1 6,000.00 SF $3.90 1.00 $23,400 2 0200 MSUBM 00M1 500.00 SF $0.70 1.00 $350 Additional Land Information I Acres II 0.15 II Tax Area Il 30ZH II FEMA Code II X IlResidential Codell ZIDELP1 I Building Information (Card: 001 of 001) Unimproved Parcel 00 - Unimproved I Extra Features (Card: 001 of 001) I Line II Description II Year II Units II Value I No Extra Features Sales History Previous Owner II WILLIAMS VIRGINIA Year II Month II B ook /Page II Type II Amount 2001 II 11 II 4783 / 0185 II II $ 1997 II 09 II 3812 / 1133 II QC II $0 1997 II 09 0 3812 / 1135 II Q2 II $ Search Again Show Map Building Schematic Unavailable Frequently Asked Questions Estimate Taxes Other Agency Data: Tax Collector School Board Supervisor of Elections http: / /www. appraiser.pascogov. com/ search /parcel. aspx ?sec =03 &twn= 26 &rng=21 &sbb =01... 8/3/2009