HomeMy WebLinkAbout15-16248 � CITY OF ZEPHYRHILLS
5335-8TH STREET
�si3)�so-ao2o 16 48
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16248 Address: 3732 GARDEN CITY WAY LT 9 -
Permit Type: PARK MODEL ZEPHYRHILLS, FL.
Class of Work: PARK MODEL SET-UP Township: Range: Book:
Proposed Use: RV PARK Lot(s): Block: Section:
Square Feet: Subdivision: MAJESTIC OAKS
Est. Value: Parcel Number: 24-26-21-0000-00100-0090
Improv. Cost: 2,400.00 OWNER INFORMATION
Date Issued: 6/30/2015 Name: NHC-FL115 LLC
Total Fees: 180.00 Address: 3732 GARDEN CITY WAY
Amount Paid: 180.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/30/2015 Phone: 813-783-7518
Work Desc: REPLACEMENT PARK MODEL 14 X 37
CONTRACTOR S � APPLICATION FEES
EASLER,LIONEL L. PARK MODEL ETUP 60.00 PARK MODEL ELECTRIC 40.00
CRANDALL,RICHARD PARK MODEL PLUMBING 40.00 PARK MODEL MECHANICAL 40.00
EASLER,LIONEL L.
BAHR'S PROPANE GAS&A/C,INC. ��
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Ins ections Re uired
PAR MODEL SET-UP
PARK MODEL MECHANICAL
PARK MODEL PLUMBING
PARK MODEL ELECTRIC
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� plans not at job site g)work not accessible.
NOTlCE: 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.
"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."
Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ��,�� �.�� � �1 �
Date Received: _ �-�y�-���
Site: Z ���P� (�� � I
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Permit Type: �i0,%/�Ce /y1P�1� ��� ���`/�(�7
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
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This comment sheet shall be kept with the permit and/or plans.
_ ��`/ /
Kalvin witzer s Examiner Date Contractor and/or Homeowner
(Required when comments are present)
. 813-��o City of Zephyrhills Permit Application Fa�-���-�eo�z�
, ' Buitding Department
Date Received �
Phone Contact for Permitting
Owners Name C.' �� Owner Phone Number p�;J' 7
Oxmels Address � �, �iA� Owner Phone Namber
Fee Simple Titlehdder Name / Owner Phorre Mumber
Fee Simple Titleholder Addres�
JOBADDRESS , LOT# �
SUBDMSION L 'C PARCEL IDR Z - 'Z 'V
(OBTAfNED FROM PROPER7YTA7f NOTICE) �
WORK PROP09ED � NEW CONSfR 8 ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE ��SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL �/
DESCRIPTION OF WORK �
BUILDINt3 SIZE `l� K �1 SQ FOOTAGE�� HEIGHT �
��UILDING $ � VALUATION OF TOTAL CONSTRUCTION � .1�UD�^
(/�
�ECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.RE.C.
�UMBING $ /_ ?j��
`C
�HANICAL $ VALUATION OF MECHANICAL INSTALIATION �
~ ' QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER �I��`/// L��,�I���'�`„`— COMPNdY � C
SIGNATURE (i�� REOISTERED N FEECURRE� /N
A�,� Yl t ���# I D S
ELECTRICIAN �.J�G///,1, C��G������� COMPANY "�l�
SIGNATURE � VVb� REGISTERED I N FEECURRE� /N
p�� License#
pLUMBER ���AJy"�-(L C067PANY '
SIGNATURE REGI6TFRED FEECURRFI. N
Address License# �
MECHANICAL COMPANY
SIGNATURE REGISTFRm Y N FEECURRE
Add►ess License#
OTHER �MP�
$IGNA7URE ReGisraxEO Y/ N �cuaRen Y/N
q�� License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIt1111111111111111t1111111111111111111101
RESIDENTIAL Altach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Pertnft for new consWdian,
Minimum ten(10)working days aRer 3ubmittal date. Required onsite,Construdion Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facildies&1 dumpster;Site Wotk PertnR for subdivisionsllarge projeds
COMPAERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Pege;(1)set of E�ergy Fortns.R-O-W Pertnit for new consWction.
Minimum te�(10)worki�days afler submittal dffis. Required onsite,ConsWCtion Plans,Stortnwater Plahs w/Sitt Fence i�stalled,
Sanitary Facilities 81 dumpster.SRe Work Permit for all rrew projects.All commercial requiremerrts must meet compliar�ce
SIGN PERMIT Attadt(2)sets of Engineered Plans.
""PROPERTY SURVEY required far all NEW consWCtion.
Dlrections:
Fill out appliption completely.
Owner&Contractor sign back of application,notar¢ed
If over E�O,a Notice of Commencement is required. (A!C upgrades over s'15�)
" AgeM(for the contrac[or)or Power of Attomey(for the owner)would be someone with rwtar¢ed letter from owner authorcdng same
OVER THE COUNIER PERMITfING (Front of Application Onty)
Reroofs'rf shingles Sewers Serviae Upgrades A/C Fences(PIoUSurveylFootage)
Driveuvays-Not over CouMer if on public roadways..needs ROW
� NOTICE OF DEED RESTRICTIONS: The undersigned understands that this pertnit may be subject to"deed°restrictions°
which may be more restrictive than County regulations. The undersigned assumes responsibility tor compiiance 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 tor the
intended work,they are ad�ised to contact the Pasco County Building Inspection Division--Licensing Section at 727-847-
8009. Furthermore, 'rf the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Biodc°of this application for which they will be responsible. If you,as the owner sign as the
contrador,that may be an indication that he is not properly licensed and is not entitled to pertnitting privileges in Pasco
County. _
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RIESOURC�RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may appry 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 6me of
pertnitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupan�'or final power release. If the project does not involve a certifiqte of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore,'rf Pasco County WateNSewer Impact
fees are due,they must,be paid prior to permit issuanoe in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Stat�etes,a�arr�ended): 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 Departrnent of Agricutture and Consumer Affairs. If the applicant is someone
other than the°owner",I certify that 1 have obtained a copy of the above described document and promise in good faith to
deliver it to the°owne�'prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate artd that all work
will be done in compliance with all applicable laws r�egulating constructlon,zoning and land development Application is
hereby made to obtain a permft to do work and installation as indipted. I certity that no work or installation has
commenced prior to issuance of a permit and that alt work will be pertormed to meet sta�dards 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 govemment agenaes may apply to the intended work,and that it is
my responsibility to identify what actions I must take to be in compliance. 5uch agenaes include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads,WeUand Areas and Environmentalty Sensitive
Lands,WateNWastewaterTrealment.
- Southwest Florida Water Management Distrid-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Watenrrays.
- Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection qqency-/lsbestos 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 pertn(tted.
- If the fill material is to be used in Flood Zone "A°, it is understood that a drainag2 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 certity 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 ated for violating
the conditions of the building permit issued under the attached permit appliqtion,for lots less than one(1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR TliE OWNER,I promise in gaod faith to iMortn the owner of the permitting conditions seYfo►th 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 specificalty inGuded 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 permft prevent the Building Offiaal 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 cammenced 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 6me the work is commenced. An extension
may be requested,in writing,from the Building Offidal 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
WIl'H YOU LENDER O AN ATTO N B FORE R CORDING YOUR NO ICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subsai6etl and svom to(or affirme�before me thls SubsaibaA arW swo 0 0�atfirtned Defore me this
by Y
Who is/are personally known to me w has/have produced Who is/are rsonally krm �me or hasRiave produoed
as identificatlon. as iden�cation.
Notary Public � Notary Pubtic
Commission No. Commis' No.
- �"'Y'o'•., ACQUELINE BOGES
Name ot Notary typed,printed or stamped Name of Notary p8*,'p� �_��ission#FF 1504
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PERMIT WORKSHEET page 1 of 2 • "
PERMIT NUMBER
L � �)�_� ���� License# ���b2� 2�b New Home [� Used Home ❑ .
Installer �
Home instafled to the Manufacturer's Installation Manual
Address of home ��Vo� �Q,r��.�1 �..G�A �`7 Home is installed in accordance with Rule 15-C ❑
being installed
Singie wide [e�� Wind Zone II [� Wind Zone III ❑
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Manufacturer Length x width � � X��� Double wide ❑ Installation Decal#
NOTE: If home is a single wlde flll out one half of the blocking plan Triple/Quad ❑ Serial# �
if home is a'trlple or quad wlde sketch!n remalnder of home
Roof System: �✓Typical Hinged
I understand Lateral Arm Systems cannot be used on any home(new or used) PIER SPACING TABLE FOR USED HOMES
where the sidewall ties exceed 5 ft 4 in. ��
Installer's initials Load Footer
16"x 16" 1 S 1/2"x 1 S 1/2" 20"x 20" 22"x 22" 24"X 24" 26"x 26"
bearing size
Typical pier spacing (256) (342) (400) (484)" (576)' (676)
, � � � iete�ei capacfty (sq in)
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2� � �� � , � �
I Show locations of Longitudinal and Lateral Systems � ^ � � 8 '
longitudinal
(use dark lines to show these locations) � � � '
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• interpolated from Rule 15C-1 pier spacing table.
PIER PAD SIZES
I-beam pier pad size ,,,,���� �Z7,�� a ize n
x
Perimeter pier pad size rl�t��l ltD�� `�(�D4 x.
. x
i" ;" "'i Other pier pad sizes x
� ----------------------------------------------------------------------------------� t---- '
---� .-----
,... ...} � . ...; (required by the mfq.) x
3 x
� Draw the approximate locations of marriage x
�..�,.� II openings 4 foot or greater. Us his x
martiag wall plers withl z�oi a of home per Rul �sc sy I to show the piers. x
X
List all marriape w openings great than 4 foot 2 x 2
and their pier pad size elow.
ANCHORS
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PERMIT WORKSHEET a e 2 of 2 I
PFRMIT NIIMRFR I
•aou■ ��vv�rr�a .,
Site Preparation �
POCKET PENETROMETER TEST
Debris and organic material rem�ued
The pocket penetrometer tests are rounded down to�'rJ�O psf Water drainage:Natural ✓Swale Pad Other � �
or check here to declare 1000 Ib.soil without testing.
X�� X`�� X(� b Fastening multi wlde units ,
Floor: Type Fa er: Length: S
Walls: Type Fastene . Length: pacing:
POCKET PENETROMETER TESTING METHOD Roof: Type Fastener: Len Spacing:
For used homes a min.3 � 8"wide,�alvanized metal strip
1. Test the perimeter of the home at 6 locations. will be centered ov peak of the d fastened with galv.
roofing nails � on center on both sides of t ctt�rline.
2. Take the reading at the depth of the footer. '
GeSk@t(weatherorooflna reaulrementl p
3. Using 500 Ib. increments,take the lowest
reading and round down to that increment. I understand a properly installed gasket is a requirement of all new and used
homes and that densation, mold, meldew and buckled marria e walls are
a result of a poorly ins r no gasket being installe erstand a strip
X I�JUO X �rjOd X 1'-1Q� of tape wilf not senre as a gaske.
Inst r's ini'
TORQUE PROBE TEST-
Tvpe qasket Installed:
The results of the torque probe test is 11 inch pounds or check Pg. Between Floors Yes
here if you are declaring 5'anchors without testing . A test Between Walls Yes
showing 275 inch pounds or less will require 5 foot anchors. Bottom of ridgebeam Yes
Note: A state approved lateral arm system is being used and 4 ft. �
anchors are allowed at the sidewall locations. I understand 5 ft weatherpraoting �
anchors are required at all centerline tie points where the torque test
reading is 275 or less and where the mobile home manufacturer may The bottomboard will be repaired and/or taped. Yes ✓ . Pg. _
requires anchors with 4000 Ib holding capacity. Siding on units is installed to manufacturer's specifications. Yes ✓
Installer's initials Fireplace chimney installed so as not to allow intrusion of rain water. �Fes 1J�
ALL TESTS fIf�UST BE PERF MED BY A LICENSED INSTALLER Mlscellaneous
Installer Name � ��� SI� Skirting to be installed. Yes No
Dryer vent installed outside of skirting. Yes N/A ✓
Date Tested y �'� �s Range downflow vent installed outside of skirting. Yes N/A ✓
Drain lines supported at 4 foot intervals. Yes_�/
Electrical crossovers protected. �Fes� �
Other:
Electrlcal
Connect electrical conductors between multi-wide units,but not to the main power -
source. This includes the bonding wire between mult-wide units. Pg.��_ Installer verifies all information given with thls permit worksheet
um na is accurate and true based on the
manufacturer's installation instructions and or Rule 15C-1 &2
Connect all sewer drains to an existing sewer tap or septic tank. Pg. �
Connect all potable water supply piping to an existing water meter,water tap, or other
Installer Signature Date y Z3//S
independent water supply systems. Pg.
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y� anchor� � .
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