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Home My WebLink About15-16250 CITY OF ZEPHYRHILLS 5335-8TH STREET ; ` (813)780-0020 16 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16250 Address: 39554 VALDERRAMA LN LT 221 Permit Type: PARK MODEL ZEPHYRHILLS, FL. Class of Work: PARK MODEL SET-UP Township: Range: Book: Proposed Use: RV PARK Lot(s):221 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: 5/13/2015 Name: NHC-FL115 LLC Total Fees: 1,053.00 Address: 39554 VALDERRAMA LANE Amount Paid: 1,053.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/13/2015 Phone: 813-783-7518 Work Desc: REPLACEMENT PARK MODEL 14 X 37 CONTRACTOR S APPLICATION FEES EASLER,LIONEL L. PARK MODE SETUP 60.00 PARK MODEL ELE TRIC 40.00 CRANDALL,RICHARD PARK MODEL PLUMBING 40.00 PARK MODEL MECHANICAL 40.00 EASLER,LIONEL L. TRAFFIC IMPACT FEE 99% 864.27 TRAFFIC IMPACT FEE 1% 8.73 BAHR'S PROPANE GAS&A/C, INC. � \�� - , 7� �?,- I � Ins ections Re uired PARK MODEL MECHANICAL PARK MODEL PLUMBING PARK MODEL SET-UP 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. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this properly 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. � ��i� CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER e��-�ea-0ozo City of Zephyrhills Permit Application F��-�eo�z� ,_ Building Department ` Date Received — � �r � Phone Contad for Permitting � — Owner's Name � Owner Phone Number Owners Address � Oxmer Phone Number Fee Simple Titleholder Neme Owner Phone Number Fee Simple Titleholder Address JOBADDRESS S��' LOT# �� SUBDIVISION L PARCEL IDq ' Ll(/'�I' ��' �lSJ� (OBTAINED FROM PROPERTY TA%NOTICE) WORK PROPOSED � NEW CONSfR e ADD/ALT Q SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Qi SFR Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME L��`�TEEL [�� DESCRIPiION OF WORK �i BUILDING SIZE �' SQ FOOTAGE�� HEIGHT � �BUILUING VALUATION OF TOTAL CONSTRUCTIOI��UU �fCECTRICAL S AMP SERViCE Q PROGRESS ENERGY Q W.RE.C. �LUMBING $ � �' - ,n �� r, � � J� � vl�t' r-.a� ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �T � � �Z � QGAS Q ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS ROOD ZONE AREA QYES NO BUIIDER �iKili COMPANY /�'� ` SIGNATURE REGISTQtm N �cuaaen 1N Address License# �� (J ELECTRICIAN COMPAIdY �F�GG SIGNATURE REGI3TERED M FEECURREA /N Address / License# �L �� PLUMBER COMPANY C� SIGNATURE REGI5TQ2ED N FEECURREA /N aaare� uce�# / /D MECHANICAL �MP� `—' SIGNATURE REC�ISTERED Y N FEECURRE� /N Address ��# 07HER �MP� SIGNATURE rtECISTErteo N FEE CURREA Y/N pddress License# IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIAIIAl11111111111111111111111911 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buil�ng Plans;(1)set of Ertergy Forms;R-0-W Pertnit for new construdion, Minimum ten(�O)working days after submittal date. Requfred onsite,ConsUuction Plans,Stortnwater Plans w/Sift Fence installed, SanBary Facilities&1 dumpster,Site Work Pertnit for subdivisionsllarge projec[s COMMERCIAL Attach(3)complete sets of Building Plans ptus a LiFe Safety Page;(1)set of Energy Farms.R-0-W Permit for new construction. Minirrium ten(10)working days aRer submittal date. Required onsRe,Construction Plans,Startnwater Plans w/Silt Fence installed, Senitary Facililies 81 dumpster Site Work Permit for all new projecLs.All commercial requiremeMS must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERN SURVEY required for ell NEW consWdiort Directions: Fill out appliption completery. Owner 8 ConVactor sign badc of application,notar¢ed H over 5250U,a Notice of Commencement is required. (A/C upgradas over S750D) " Agent(ta ihe conUaclor)ar Power of Attomey(fw tlie owner)woutd be someone with notarized letter from owner authormng same OVER THE COUNTER PERMITTING (Front af Application Onty) Reroois if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) Driveways-Not wer Counter if on public roadways..needs ROW � NOTiCE OF DEED RESTRICTIONS: The undersigned underslands that this permit may be subject to"deed°resVictions° , which may 6e more resfidive than County r�egulations. The undersigned assumes responsibitity tor compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: ff the owner has hired a contrador or contractors to undertake work,they may be required to be licensed in aocordance with state and local regulations. If the contractor is not lioensed as required by law, both the owner and contractor may be cited for a misdemeanor violadon under state law. If ihe awner or intended contractar are unceRain as to what licensing requiremerrts may apply for the intended work,they are advised to contact the Pasoo County Buiiding Inspecdon Division--Licensing Sedion at 727-847- 8009. Furthertnore, 'rf the owner has hired a contractor or contractors, he is advised to have the conUador(s) sign portions of the°contrador Block'of this applica6on for which ffiey will be responsible. If you,as the owner sign as the contractor,that may be an indipUon that he is not properly licensed and is rrot entitled to pertnitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigrted undersfands that Transportation Impact Fees and Recourse Recovery Fees may appty to the construction of new buildings,change of use in existlng buildings,or expansion of existing buildings,as specifred 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 I, pertnitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to I receiving a"certificate of occupanc�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 pertnit issuance. Furthem�ore,'rf Pasco County Water/Sewer Impact I fees are due,they must be paid prior to pertnit issuance in accordance with appticable Pasco County ordinances. CONSTRUCTION UEN LAW(Chap6er 773,Florida Sfatutes,as amended): If valuation af work is$2,500.00 or mo�e,I i certiiy that I, the applipnt, have been provided with a copy of the "Florida Construction Lien Law—+iomeowner's Protection Guide'prepared by the Florida Departrnent of Agricutture and Consumer Affairs. If the applipnt is someone other than the°owne�',I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the°owne�'prior to commencement. CONTRACTOR'S/OWNER'3 AFFIDAVtT: 1 certify U�at all the information in this appficadon is accurate and that all work will be done in compliance with ali applicab�laws regulating construction,zoning and fand development Application is hereby made to obtain a permit to do work and installation as indipted. I certify that no work or installation has commenced prior to issuance of a pertnit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulatlons, and land development regulations in the jurisdicdon. 1 atso aertity thffi I understand that the regulations of other govemment agenaes may appty to the intended work,and that it is my responsibility to ideMify what ac�ions I must take to be in wmplianca. Such agenaes include but are not limited to: - Department of Envi�onmental Protection-Cypress Bayheads,Wetland Areas and Environmentally Sensitive Lands,WaterM/astewaterTreatrnent. - Southwest Florida Water Management District-Welis, Gypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps,of Engineers-Seawalls,Dodcs,Navigable Watervvays. - Department of Health & Rehabilitative Services/Enuironmental Healih Unit-Wells, Wastewater TreatrrteM, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Av(aUon Authority-Rurnuays. I understand that the following restric6ons apply to the use of fill: - Use of fill is not allowed in Flood Zone"V°unless expressy permi�ed. - If the fill material is to be used in Flood Zone "A°, it is understood that a drainage plan addressing a "compeosadng volume°will be submitted at time of pertnitting 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 oonrtection with a pertnitted 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 fn arry area, I certify that use of such fill will not adversety affect adjacent properties. If use of fill is found to adversely aNect adjacent properdes,the owner may be ated for violating the conditions of the building permit issued under the attached permit application,for lots less then one(1) acre which are elevated by fill,an engineered drainage plan is required. If 1 am the AGENT FOR THE OYYNER,I promise in good faith to infortn the owner of the pertnitting conditions set forth in this atfidavit prior to commencing construcdon. I understand that a separate permit may be required for electrical work, plumbing,signs,wells,pools,air conditloning,gas, or other installaUons not specfically induded in the appliqtion. A pertnit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,after,or set aside any provisions of the technical codes,nor shall issuance of a permR prevent the Buflding Official from thereafter requiring a correction of errors in plans,oonstruction or viofations of any c�des. Every pertnit issued shall beeoome 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 sbc(6)mordhs after the tlme the work is commenced. An extension may be requested,in writing,from the Building Official for a pedod not to exceed ninety(90)days and will demonstrate justifiable cause for the extension. if work ceases for ninety(90)consecx�Gve 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 YO LEND O N B FO E R RDIN TIC O M EN . FLORIDA JURAT(F.S.117.03) OWNER OR AGENT COMRACTOR Subsaibed and swom lo(or aRirtne�before me this Subsaibed and swom to(ar affirtne� fare me this by Who is/are p�son�ly known to me or haslhave produced WFw is a �sonelty to me a has/have produced as idendflptlon. as identification. Notary Public ��-u'�`" Notary Pubfic Commissfon No. C sion Name of Notary typed,printed or stamped Name of �lyprin��BOGES '�r�(�:= Commission#FF 150422 • '1 Expires December 12,2018 �:�:Z�.;;�. ';:. °onded Thru T�oy Fein Insurenee 800.3gg.7019 � ��, - , ' I � ` j _ �� •� �1� �155�' a..Q.�.Qx rc�.rvtc� l-r1 . 3 � �,o-� 2Zt 7.�oh�r In�S, � �3��2 Z�-Zto-Zt- dcxx�- cx�� ao�� t�` _ r o u� . - � � p �C�1L M�C1�M.t�NI M� �l o ' �e.�(�we-e�n �� _,� ' �l-�ruc��uX'�S BIJI`..DLi"�dG SHAI.L COI►�?LY V�I`PFI � AI,L.�Y�'LICABLE�UILDING, ELEC1'RICAL,PLUA4BING AND A�IECHANICAL CODES. c� , � �y � ��vi�w��Y� :�"-�� S� � .S � CITY OF Z,�pHYRHILLS - � ►°LANS EXA�INER 'C ,� �� . � � V � a�� .. L�1. , 6r� �IV1 rcrtnm i VV VR1�.7r1CC 1 - � raaQ • �.e - � . -�, PERMIT NUiVIBER /�a,,,,,,/f New Home �sed Home ❑ , � Installer l ��' License# /�/1a2.�2/� ;� � Home installed to the Manufacturer's Installation Manual �� Address of home � �� Home is installed in acc ance with Rule 15-C ❑ being installed . ❑ �' �� 35�� Sinple wide Wind Zone II , [� Wind Zone 111 Manufacturer � Length x width � � �7� Double wide ❑ Installatlon Decal# AIOTE: ff home ls a single wlde flll out one half of the blocking p/an Triple/Quad ❑ :.,Serlal# 'P !f home!s a triple or quad wlde skeich!n remalnder of home Roof System:_�Typlcal Hinged I understand Lateral Arm Systems cannot be used on any home(new or used) PIER SPACING TABLE FOR USED HOMES where ttie sidewall ties exceed 5 ft 4 in. � Installer's Initials Load Footer „ „ „ „ „ , � i 6 x 16" 18 1/2 x 18 1/2" 20 x 20 22"x 22 24' X 24" 26 x 26" Typfcal pier spacln� - capacity (sq in) (256) (342) (400) (484)' (576)' (676) 2� �� lateral � � � r, . I Show locations of Longitudinal and Lateral Systems � ^ ' ' ' (use dark lines to show these locations) ' ' ' ' longltudlnel � „ � , , � r � i � � � � • Interpolated from Rule 15C-1 pier spacing table. PIER PAD SIZES 1-beam pier pad size IZ�� x2-2,� a ze n Perimeter pier pad.s(ze ��`.Q�� L.a x . x --- --------•-----•--------•--------------------------------------•----------- � -- Other pier pad slzes ' x . ------------ -- �F�,�� ,�, (required by the mfq.) x , x �,�.} Draw the approximate locations of marriage x wall openings 4 foot or preater. Use this x �' mertiagewall plera hin 2�o+ nd of home pe�Rule 15C Ymbol to show the piers. x X List all ma pe wall openings pre r than 4 foot x and their pler sizes below. - ANCHORS ._.........._�......._.. . _ . _ _.....�.........-•- ;-.._�..... . .� _ � .. � �. P ni p e p d size 4 ft � ... ... _ . - - - �•- en ra r... ... �.._..........�..........�.�.....,...�....�...�..--�...................�..... ..;.... .......a..........I.....r....I�........r....;._...�..........�...:a.....G...................;..... , _ ' � ' .j ,� ; � ......._ ....L...� � . ' . 1 . i.........................�......... ....;....�......._................._...f.........�.... ....}....�.....�.....� , .�..._..�..... ....1.....�.....�........ .....r.... t......... .........1.........._...l.....�.....t.... G.... _.._J 1...----......--i.........._...a.... ._._. . ...i.....t.._..._..�.... _..t....�.....�.._.._..�.....:__� , �.... ......_... FRAME TIES i i 1.............�..._f i a....I 1....-�..•-••• � -�•••� .._j..•.!••.......:....._...__..1.............._...� ....._........ , .......... .... . ,. ..... , : � � �....i � � i°..j....� . `�-..i-- T �'.. . � � ; � '...�.1 within 2 of end of home . •-•- F...;.....�....�.._. , .�..... .� _.(....... ..:...._ ..t--_.._...i.....;-•-.._..i•... ..r_. ...i.....1.._..�._..� � ��. ... . .... r..............._ , I � _,..._�... �_._.__....�...__. _ .,� f �..._�....:� � + : �....j.. � spaced at 5 4 oc_�,.G .. .... � � � . ,...._---� + � --.:.._......,...._ � • �..... 1:�:� 1 I::::::::::"::.�.....i....S::.:�::::rt::_;....:::::(::�:a::::1�:::.;::::.�:�::.,....i_.. .,.-��-�-�...................... . . �........._i._... � i T-�-�---��-� , � 4---�--�---�--��-��----:I"::::---�� , � t....;....l...• . . , , � i .� , , � 7 .....1.....�....1...._ _ � OTHER TIES �....�_...1....�...• (..:.i TIEDOWfd COMPONENTS � � � ' �•.--•--•-•!_...._•••-•.....� �..... E�---I.._.}.....�....�_.......�..........:.. ...�.__ I i E � f , r-...j._..�.._.. I-��-�}--��j--- � � j......._.�.....'.....�........_..._..'.... Nu ber � +._.. �.....:..........1.................. .1.._1......._.........! :.....}.........._..�....�.-••.....'... i....i....�.....�....._...�-•.......L....J.....�.....�._.. ) -•... .....�.... � ..... I r � ° f , S�� idewall 1 ! fn 1 bl lzln Dev/ce LS S ton tud a a ..., ( f 1 g ig � ^-'-1..._i..._�.....t.....�....T...�.."'.........�_.._�.._.�.....�....�_...�-....�....w.....�....�.._.7.._..{.....�.....�.....�..........r...__...r....�.....�..._�..........�--"'i_'_�.....:... i....j.....i........--I._......1_.�....�..._.....� l.....� l � � � .E. . �_..� �....�...1..---_. � 1 , � i....i Manufacturer C�1�V�2� ��0� Longitutlinal -- i : � } � , , � .;-�-� . � } �.....:..........�__..�.....�.._� � . �...:__'.._;....�. �--.�_..__f..._�. !�_..._•_t__._�..:_._.�...1.••�-•-•I---..:' f.�..l�.�_ : Longltudinal Stabllizfrtg Device w/Lateral A ns Marriage wall �_ �.....j.....1....-��--.�. t...{. i... � .; , �._..F.--��-----;.....�_ .._ ...�_...j--..;..._j.....�.....�.._..+.. �....i._ ...� • f I : � ' : � ; � � , ( � � : � Manufacturer Shearwall �_..•....�..... � �..._....---_••...._...-.�••-•-�•••�•-- �--..�...,_...._.,....... i_..•_ .••-�---i---•-�--;--_•_ 't • . ...�.....j_....._.,._., . .....;- � � � ... _ ..i...__...._ � -------•_.__-- �...T.._�_..i.:::r.:::.�....,....1..._�-.--�....:.....L....l._.�..---!-----�-....�._. �---..f....�----!....�._--!----��---....._:.....�....:---�.---�....�_..�._.�.._......:._.-�-.---�.__� P�RMIT WORKSHEET a e 2 of 2 PFFtIIAIT NI IMRFFt � Site Preparatlon POCKET PENETROMETER TEST Debris and organic materiai removed - The pocket penetrometer tests are rounded down to 1�psf Water drainaqe:Natural_��Swale Pad Other � or check here to declare 1000 Ib.soil without testing. astenlnp multl wide units x�vD x]�pb x 15pD - � � - Floor: Type as Length: S � ' Walls: Type Fastener: Length: � pacinq: POCKET PENETROMETER TESTING METHOD Roof: Type Fastener: Spacing: For used homes a min. upe,8 , anized metal strip - 1. Test the perimeter of the home at 6 locatlons. will be centered ov e peak of the roof and fastene 'th-�� roofing_nails on center on both sides of the centerline. � 2: Take the.reading at the depth of the footer. GBSket fweathamrootina roaulremenl►' n 3. Using 500 Ib.increments,take the lowest _ reading and round down to that increment. I understan �roperly Instalted gasket is a requirement of all new and used � homes and that ensation,mold,meldew and buckled marrlage walls are a result of a poorly ins d or no gasket being installed. I understan rip �11.�,1�_(� X,�Ob X(�pb of tape will not serve as a ga � , Ins r's i ' TORGIUE PROBE TEST � � ' Tvpe qasket � stalled: , The resuits of the torque probe test is o�71 e_inch pounds or check - Pg. � Between Floors� e here if you are declaring 5'anchors without testing . A test , � Between Walis Yes showing 275 inch pounds or less will requi�e 5 foot anchors, - � - - . - Bottom of ridgebeam Yes ` , Idote: A state approved lateral arm system is being used and 4 ft. � ` anchors are allowed at the sidewall locatlons. I understand 5 ft - "Weatherproof�ng _ , 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.�Fe�� _ _ - ; -- � A►LL TESTS M ST�E PE FO ED Y A ICENSED INSTALLEFI Mlscellaneous Installer Name �/��J�]e? �� Skirting to be installed: Yes No _ Dryer vent installed outside of skirting.. Yes N/A .✓ Date Tested � /a r l�s Range downflow vent fnstalled outside of skirting. Yes • N/A_� Drain lines supported at 4 foot intervals. Yes,�,�_ Electrical crossovers protected.�fes�_ ' - Other: - Electrical 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 this permit workshee! um na .. is accurate and�true based on the � manufac#urer's(nstallation instruction�and or Rule 15C-1 &2 � Connect all sewer drain's 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 Sigrsature Date�/S independent water supply systems. Pg. � � __ � 1 ( + ~4. \ � , ♦/ f vi 1 � ,, Zo15 Jc�o�e� � S�- b� �Y�n. 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City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: -•`/+e1� /�"`�I i Date Received: ��'�� `� Site: ��c5�5 � �a /(��-'�r��"'1Ct Permit Type: /��°�I�CCL°�'?P,v'!� ��„'Ye�vh O�.Q.� �Tx 3� Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet sha 1 be kept with the permit and/or plans. / �� K vin wi er— lans Examiner Date Contractor and/or Homeowner (Required when comments are present)