HomeMy WebLinkAbout10-10429 y
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 10429
BUILDING PERMIT
Permit Number: 10429 Address: 37742 37752 OAK RUN CIRCLE
Permit Type: ADDITION /ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434 - ADD /ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: OAK RUN
Est. Value: Parcel Number: 34- 25 -21- 0000 - 00300 -0100
Improv. Cost: 8,985.00 Trak 7a:
Date Issued: 5/05/2010 Name: OAK RUN PROPERTIES
Total Fees: 600.00 Address: 37742 -37752 OAK RUN CIRCLE
Amount Paid: 600.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/05/2010 Phone: (813)788 -2759
Work Desc: CONSTRUCT STORAGE (6) RM W /PATIO ROOF & ELECT (6X12)
AI • • • `M NT BUILD! 495.00 EL I AL E 35.00
REESE ELECTRICAL INC FIRE PLAN REVIEW FEES 25.00 FIRE INSPECTION FEES 45.00
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7,7 SEE
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F• • ER 2ND R•U H PLU B MIS 1 ULATI•N EILI
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 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 no 'ce of commencement."
&°g i / _
CONTRACTOR SIGNATURE PERMIT OFFI rR
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 -,
I-ax-tn J- l bU -UUL I
Building Department 4 I 0L-1
Date Received Phone Contact for Permitting
e 0 r 265 k
• • Owner Phone Number 2/ 7 -- v. -27 alP
Owner's Name A ' 0 � , A - ' A — Q
¢ ' Owner Phone Number I O) 3 71-7 - J`1 I
Owner's Address '8 Q 70 Ai AAA =al
C I
Fee Simple Titleholder Namel
Owner Phone Number I
I I
Fee Simple Titleholder Address I I
JOB ADDRESS 1 3 275 - O ''�7` 2 - )--M; - ? "i ^ -92' I LOT #
SUBDIVISION I PARCEL ID #I 3.9 C v` /'l v -_ D/OC I
I (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR I I ADD /ALT I SIGN I I MOVE I I DEMOLISH
INSTALL REPAIR
PROPOSED USE 1 I SFR I I COMM I I OTHER I
TYPE OF CONSTRUCTION I I BLOCK I I FRAME I-I STEEL I OTHER I
DESCRIPTION OF WORK a A ,--"- 1 /7 ( ")
G
BUILDING SIZE I t )( ( 2 -- I SQ FOOTAGE I 0 f . a , el HEI HT 1 7 i I
I I BUILDING $ 7 T/5 v VALUATION OF TOTAL CONSTRUCTION
1 ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY 1 I W.R.E.C.
I I PLUMBING $
I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
I I GAS I I ROOFING I I SPECIALTY I I OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES 1 INO
BUILDER COMPANY �C� -. I�LS� (1 ,`
SIGNATURE ! `E:r w` REGISTERED Y / N I FEE CURRENT ( / N I
Address I 2SCi ! ,` , DO `Fl License# CI - dfcY9g3 .
ELECTRICIAN `� I _ _ COMPANY
SIGNATURE �1-�'v REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address NO.00+- 16)- }- ,.4 . . -33 537 License # at 13OO13iS
PLUMBER COMPANY
SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I
Address License # 1
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address License # I
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ (Ni I
Address License # 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. (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, 1 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 \ j ob 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 Y • U INTEND TO OBTAIN FINAN ING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO R NOTICE OF COMM E NT.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT CONTRACTOR '
Subscribed and sworn to (or affirmed) before me this Subscribed :s to (or affirmed) before me this
b by
y Who is /are personally known to me or has /have produced
Who is /are personally known to me or has /have produced as identification.
as identification.
Notary Public
Notary Public
Commission No. Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
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Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Marshal Bus (813) 780 -0041
Kerry Barnett Fax (813) 780 -0044
E -mail: kbarnett@fire.zephyrhills.fl.us
Plan Review #: 10 -050
Project: Installation of shed
Number of Pages: 1
May 13, 2010
I have received and reviewed the plans for the fire separation for the open space above
the wall between the installed shed and apartment unit located at Oak Run Apartments
and will allow the project to move forward. Please note that this review does not
eliminate any further requirements as the project continues moving forward. By receiving
permit, contractor acknowledges to comply with the items listed below. Should anyone
have any questions, please do not hesitate to contact the Fire Marshal's office.
1. Ensure rating is built to details submitted.
2. Ensure edges and roof deck is fire caulked.
Inspections Required:
1. Screw inspection required.
2. Final
KERRY BA V , FIRE MARSHAL
** *Please be advised this review of plans submitted is a cursory review to assist the contractor in
compliance with applicable fire safety codes. This review is not intended to be a final approval of the
submitted plans. It is the contractor's sole responsibility to ensure that the plans are in complete compliance
with all applicable NFPA codes and local ordinances. In the event that further examination or site
inspection reveals areas of non - compliance, it shall be the contractor's sole responsibility, at their sole
expense to bring those areas in compliance. The City assumes no responsibility for the contractor's failure
to be in compliance with all applicable NFPA codes and local ordinances.
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Fire Chief Keith Williams Bus (813)780 -0041 Fax (813)780 -0044
FIRE SERVICE USER FEES
Occupancy No.: Oe-r'tir Plan No.: f — fl y Contractor f l ''' 'f
Business Name: 04-k_ .✓ +6 Billing Address:/ 731) /7 , %
Business Address: `3 77 V 1 -_377 4Z l r 1 e . h e . 4 ....ail. / " / �� 35c
Business Phone No.: Billing Phone No.: /t - S
Business Fax No.: Billing Fax No.:
Contact: Contact:
PLAN REVIEW FEES _ INSPECTION FEES _ PERMIT FEE ; _ FALSE ALARM FEE
Site Plan N/C _ Annual N/C _Sprinkler
$50 —
1st Alarm N/C
ulti Family /Commercial 06 sf _ 1st Re inspection N/C Standpipes $50 —
2nd Alarm N/C
(Minimum ■ ,� r _ 2nd Re- inspection $100 Fire Pump $50 _ 3rd Alarm N/C
0 Plan Revisions DBL _ 3rd Re- inspection $250 _ _ Hoods $50, 4th Alarm $100
_ 4th Re- Inspection $500 — Fire Alarm $501 — 5th Alarm $150
SPRINKLER SYSTEMS (Business closed until _ LP Gas $50! —
6th Alarm $200
0 - 25 Heads $50 violations corrected) _ Natural Gas $50. NON COMPLIANCE $150
26 plus Heads $100 SPRINKLER SYSTEMS _ Fuel Tanks - per tank $50
STANDPIPE SYSTEM Hydro Undergrounds $45 — Sparklers $10
Ei Per Riser $50 Hydrostatic Test $65 —
$50
Y per system Fire Works
FIRE PUMP Acceptance Test $45 per system _ Camp Fire $251
0 Per Pump $100 Hydrant Flow $75 _ Controlled Bum $100
_FIRE ALARM SYSTEM Hood/Duct $50
— 0 - 25 Devices $50 — _
FIRE ALARM SYSTEM ^ Place of Assembly $50 Annual
26 plus Devices $100 _ System Acceptance $50 — Fire Protection $25'
_ SUPPRESSION SYSTEMS — Recall Acceptance $50 Flammable Application $50 Annual
—
_ Wet $50 OTHER yi j Waste Tire Storage $50 Annual
Dry $50 ire WalUSmoke Wall - x$15 per wall _ Generator < KW $100
_ CO2 $50 LP Gas $25 per tank _ Generator >30 KW 150
Other $50 Natural Gas $25 per system — Bio-Hazard Waste 5106 Annual
EI KITCHEN EXHAUST _ _ Fumigation Tenting $50
Hood/Ducts
$50 — Tent 10'x10' or greater $15 per tent — Torch Pot/Applied $50
OTHER _ Fire Pump $45 — Haz. Materials $100' Annual
— LP Installation per tank $50 —
Fire Suppression $30
Fuel Tank Installation $50 System Acceptance
(Per Tank) $50 _ Exhaust Hood/Duct $30
0 Natural Gas Installation $50 _ Re inspection DBL
(Per System) (other than annual)
0 Spray Booth $50 El Inspection scheduled DBL
and cancelled less than
_ 24 hours
Construction Insp. N/C
—
Emergency Vehicle Act FALSE ALARM
PLANS TOTAL INSPECTION TOTAL PERMIT TOTAL TOTAL
GRAND TOTAL I L,SrO? I
Comments:
Date:
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InsA - e �'Y' 4116,40.---1-76-L_
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Marshal Bus (813) 780 -0041
Kerry Barnett Fax (813) 780 -0044
E- mail: kbarnett@fire.zephyrhills.fl.us
Plan Review #: 10 -044
Project: Storage Sheds
Number of Pages: 2
May 4, 2010
I have received and reviewed the plans for the installation of storage sheds located at the
back of each apartment located at 37752 — 37742 Oak Run Circle and will allow the
project to move forward. Please note that this review does not eliminate any further
requirements as the project continues moving forward. By receiving permit, contractor
acknowledges to comply with the items listed below. Should anyone have any questions,
please do not hesitate to contact the Fire Marshal's office.
1. Construction shall be conducted in accordance to applicable NFPA codes.
2. A 1 hour fire separation shall be installed between the shed and the
apartment. The method used shall have a UL listing. The listing shall be
submitted to this office prior to any inspection being conducted.
Inspections Required:
1. Screw inspection for the rated area between the apartment and shed.
Are P7
KERR B 441 TT, FIRE MARSHAL
** *Please be advised this review of plans submitted is a cursory review to assist the contractor in
compliance with applicable fire safety codes. This review is not intended to be a final approval of the
submitted plans. It is the contractor's sole responsibility to ensure that the plans are in complete compliance
with all applicable NFPA codes and local ordinances. In the event that further examination or site
inspection reveals areas of non- compliance, it shall be the contractor's sole responsibility, at their sole
expense to bring those areas in compliance. The City assumes no responsibility for the contractor's failure
to be in compliance with all applicable NFPA codes and local ordinances.
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NOTICE i6F COMMENCEMENT Seminole Form 408
FLA. 1977 LAWS - FS713.13
( Return to: (enclose self-addressed stamped envelope) i I VIII( VIII VIII VIII VIII VIII VIII VIII VIII VIII (III (III
A es l—'. 6 2010061516
Address: „7 r� n d / 1 � p � re \ . Rcpt:1303026 Rec: 18.50
Iicr -clff / 3 S s� � � DS: 0.00 IT: 0.00
Thls Instrument Prepared / g 05/03/10 K. Garcia, Dpty Clerk
_5 '11A1--. de
Addr I 3 G �i PAULA 5. O'NEIL, PASCO CLERK & COMPTROLLER
eu. � 05 /0 3 /10
BK 83 3 1 PG c 3b9
SPACE ABOVE THIS LINE FOR PROCESSING DATA SPACE ABOVE THIS LINE FOR RECORDING DATA
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
State of Florida J
County of YO-4-C,C
Th e undersigned hereby informs all concerned that improvements will be made • certain real property, and in accor nce with section 713.13 of
the Florida Statutes, the following information is stated in this NOTICE OF CO j Eft MENT.
Legal De ription roperty (include Street Address, if available) ,1 / 3 4
......................... .
� = ripti n of im rovements `� i P
Owner 1 :
General de ,,
fill ,
Address ° • - • f / 1 , f 355/0 1
Owner's interest in site of the improvement /
4
Fee Simple Title holder (if other than owner)
Name ,
Address
Contractor 1 ►`- , (... J p , t, 1 -.--
Address )a30.3 30 i i ce -{ 1 F 2 s Sa .5 A
Surety (if any) r
Address Amount of bond $
Any person making a loan for the construction of the improvements:
Name - P*f* --
Address
Person within the State of Florida designated by owner upon whom notices or other documents may be served:
th
Name I4-eny
Address
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (h),
Florida Statutes. (Fill in at Owner's option).
Name -)& r ---Q
Address
p ,_
� / Owner
Sworn to and subscribed before me this o da • 4 1 Q /
4 ..
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pcTpZZpil Notary Public
eotoED
nIROUOm 1
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ATE: 03/05/08 PASCO COUNTY PROPERTY APPRAISER
O N - L I N E P A R C E L P R I N T O U T 14:18:0
PARCEL -ID: 34 25 21 0000 00300 0100 TYPE: STATUS: A DLA: 010603
SC TP RG SUB BLOCK LOT TRACK: 032800
L E G A L D E S C R I P T I O N .
ASSESSED IN SECTION 34, TOWNSHIP 25 SOUTH, RANGE 21 EAST,
PASCO COUNTY, FLORIDA
COM AT A POINT ON WESTR /W LINE OF US HWY 301 AT INTERSECTION
OF NORTH BDY OF SPANISH TRAILS VILLAGE PB 13 PG 59 -60 TH ALG
SAID NORTH BDY N89DG 58' 40 "W 1394.46 FT TH NOODG 07' 42 "E
788.08 FT TH N89DG 58' 44 "W 254.48 FT TH SOODG 07' 42 "W
125 FT TH N89DG 58' 44 "W 245 FT TH NOODG 07' 42 "E 365.72 FT
FOR POB TH CONT NOODG 07' 42 "E 247 FT TO A POINT 50 FT SOUTH
OF NORTH LINE OF NW1 /4 OF SE1 /4 TH PARALLEL WITH SAID
LINE S89DG 58' 35 "E 679.48 FT TH NOODG 09' 28 "E 50 FT TH
S89DG 58' 35 "E 17.23 FT TH SOODG 09' 28 "W 25 FT TH S89DG
58' 35 "E 2.77 FT TH SOODG 07' 42 "W 272 FT TH N89DG 58' 35 "W
699.35 FT TO POB & CM AT PT ON WR /WLNUS301& NBDYSPAINISTRAILS
VLGPB13PGS59- 60THN89DG58'40 "W 1394.64FTTHNOODG0742 "E788.08
FTFORPOBTHN89DG58'44 "W254.48FT SODG07'42 "W50FTN89DG58'44 "W
245 FTNOODG07'42 "E290.72FTS89DG OR 3334 PG 296
OR BK 7946--r(742
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OR BK 8323 PG 370
2 of 2
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
/�'� ''i .tom � c
Contractor/Homeowner: � C�,Of1'v.v[ /
Date Received: ,3 - - to
site: 3 7 752 - Y 7 7 92,
Permit Type: S a Ski rc ` i'l X Z Gc lL° C f c
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Approved w /no comments: [,1 Approved w /the below comments: ❑ Denied w /the below comments: ❑
This comme t sheet shall be kept with the permit and/or plans.
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Kalvin wi ,. er F P : s Examiner Date Contractor and/or Homeowner
(Required when comments are present)
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PASCO COUNTY BUSINESS TAX RECEIPT 2009 -10
Issued pursuant and subject to Florida Statutes and Pasco County Ordinances. Issuance does not certify compliance with
zoning or other laws. This receipt must be posted conspicuously in place of business. Expires September 30.
Mike Olson
ACCOUNT NO 019146 TAX COLLECTOR TYPE OF BUSINESS
SIC CODE: 1541 BUILDING CONTRACTOR
PASCO COUNTY FLORIDA
oF /HE r 'Tf •'• LOCATION ADDRESS:
y , w.h ° "; 12 U S HNY 301
SANDY DEVELOPMENT CO INC W --. � ;?
DADE CITY
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12303 U S HiiY 301 •
DADE CITY FL 33525 -6044 DATE RECEIPT AMOUNT
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