HomeMy WebLinkAbout15-16373 i
CITY OF ZEPHYRHILLS
� : 5335-8TH STREET ' ''�
�sis)�so-oo20 16373�
MOBILE HOME SET-UP ! /
/
PERMIT INFORMATION LOCATION INFORMATI()N
Permit Number: 16373 Address: 7130 DAIRY RD
Permit Type: MOBILE HOME ZEPHYRHILLS, FL. ',
Class of Work: MOBILE HOME SET-UP Township: Range: ��. Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: S��ction:
Square Feet: Subdivision: CITY OF ZEPHYRFi�LLS
Est. Value: Parcel Number: 35-25-21-0010-09100-0000
Improv. Cost: 750.00 OWNER INFORMATION `�`�,
Date Issued: 6/17/2015 Name: EAST PASCO MEDICAL CENI�ER INC
Total Fees: 140.00 Address: 7050 GALL BLVD
Amount Paid: 140.00 ZEPHYRHILLS FL 33541-1347 "
Date Paid: 6/17/2015 Phone:
Work Desc: SET UP CONSTRUCTION MOBILE HOME TRAILER 12 X 60
CONTRACTOR S APPLICATION FEES
SEALANDER CONTRACTO S RVICES MOBILE OME ELECTRICAL 40.00 MOBI E HOME SET-UP 60.00
APG ELECTRIC INC. MOBILE HOME PLUMBING 40.00
SEALANDER CONTRACTOR SERVICES I�
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Ins ections Re uired �
MOBILE H ME SET-UP
MOBILE HOME ELECTRIC
MOBILE HOME A/C
MOBILE HOME PLUMBING
FINAL
REINSPECTlON 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 fi) 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
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
,
CONT CTORS SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
°���"'`''.$1.3=780-0020','`,`�„ .��� �''�' "w��` City ofi Zephyrhills Permit Application��'�' �_ ''t "�"� , , Fax 813-780-0021
; , - r: _ ._�_. . � , :;i1 , f Bu3lding Dep�ar#ri�ettt,, a - � : '"" .' , .'` ." ;,
�,�'f,�� ; d,., _ �!+'.,-.,._� ,i • ., .!u _ s i ! i'' , d�}.' _.-'iid',�,�, ,.�✓i . „_cirJ rr
'.. ._i`'� I l ._���' .,, .. -' .l�I� ! j:.''.� r',. 't �4��f:-Rri_'"'.._�"� f �
Date Rec�tved '`' � ` � � � J���+� ? one-Cantact for Perm[ttin ,
Owner's Name (�"ti../�. ��,d$ S 4w�er Phone Number --��_�' L�
Owner's Address Clwrner Phone Number �- �
Fee Simple Titleholder Name � Owner Rhone Number �� -�
Fee Simple Titlehalder Address
JOB ADDRESS �� LQT# ���
SUBDIVtSION �^ PARCEL ID# �J�'a2J`r p�r"
(08TAINED FROM PRdPERTY TAX'NOTICE}
WCtRK PROPOSED NEW CONSTR ADDJALT � SIGN [� Q DEMOLISH
INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM � OTHE�2 j
TYPE OF CONSTRUCTION [� BLOCK Q FRAME Q STEEL [�
DESCRIPTION OF WORK -�- a t '
BUILDINGSIZE 1r�ZfX�['.;�� � SQFOOTAGE �02(� HEIGHT � �
QBUI�DING $ �� VAL.UATION OF TQTAL CONSTRUCTION
[�El.ECTRtCA�. �;� ANEP SERVtCE Q PROGRESS ENERGY Q W.R.E.C.
QP�UMSING T$ � � �t� �
�� �
�,�� � �� �
QMEGHANlGAZ $ VAE..UATION QF MECHANIGA�lNSTACLATI4N � ��� P�
QGRS Q ROOFING Q SFECIALTY � OTiiER �� �����
FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA QYES NO
BUIl.DER �;,.� GOMPANY C��i4 � V P
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
� �-�����r�
Addrass � ,� License# �
EI.ECTRICIAN -�� � � - COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address �Q�}.J�`' � b�i'i' i�v c_ � =��,tA • t(r Llcense# ��'�/��
P�UMBER COMPANY t��q i ,! �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# ��-111'�c����Y�p/� �
MECHANICA! GC}MPANIt
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
�df�'$$ l.icense# � �
OTHER �pMpp�r '
SIGNATURE , REGISTEREp Y/ N . FEE CURRE� Y/N
Address Ucense# �� �
RESIDENTIAL Attach{2}Plot Plans;.(2)sets-of,Bullding Plans;(1}set of Energy°Forms;R-O-W Permit for�ew construction,
Minimum ten(10)�woricing days after.submittal date: Required onsite,Construcdon Plans,Starmwater Plans w/Slit Fence installed, �
5anitary Facll(Ues:B�1,dumpster�Slte Wark Rermit for subdivisionsAarge proJects �
COMMERCIAI Attach{3}cosnplete sefs of Building Plaris plus a Life Safety Page;{1)set of Energy Fortns.R-fJ-W Permit for naw constructtan.
Minimum ten(10)_working days after submittal date. Required onsite,ConstruoUon plans,Starmwater Plans wl Silt Fence InsUalled,
Sanitary FaciliUes 81 dumpster.S(te Work Permit for all new projects.All commerc9a!requlrements must mee!campfiance
SIGN PERMIT Attach(2)se#s of Erigineered Plans. .
"""PROPERTY SURVEY required for all NEW constn�cUon.
dlreatlons:
Fill out applicatlon completely.
Uwner&Contractor sign back of applicatlon,notarized
tf aver�2500,a Natice af Commencement ts required. {AlC upgrades over a7500}
" Agent(for the contractor�or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
i
DVER TtfE COUNTER PERMFTTiNG (Front af AppNcation Only} I
Reraafs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Faotage)
Driveways-Not over Caunter if on pubiic roadways..�eeds ROW
iVOT10E OF DEED RES'TRICTIOAIS: The undersigned under.�tands that this.p�cmit.may-be.sub)ect to"deed" restrictions"
which may be;more rest�ictive than County regula�lons. 'The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTOftS AIVD CONTR�4�CTOR RESPONSI�ILITIES: If the own�r 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 I�censed as requlred by Eavv, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the ovvner or Intended�contractor are uncertaln as to wh�t Iicensing.requlrements may apply�or the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Sectton 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 applicatia�n for which they wilt ba responsible. If you, as.Yhe owner stgn as the
contractor, that may be an indication that he ts n�t.properly licens�d and is not entitled to permitting privileges In Pasco
-- C�unty_-
TItA1VSPORT'ATION IMPACTNYICITIESINIPAC7°A�iD R�SOUR�� it�C��p�����E3: T4ae u�nder�lr�ned unde�stands _
that Transportation Impact Fees and.Recourse Recove.ry.Fee� may, appiy to the construction of nevv buildtngs, change of
use in existing buildings, or expansion.of existing'buildings, as specifled-in Pasco County Ord(nance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as rnay be�du�, wili be identified at the time of
permitting. tt Is further unders400d that Transport�tion Impact Fees and Resource Recov.ery Fees must be paid prior 40
receiving a "certificate of occupancy" or flnal power release. .If the project does not Involve.�.certificate of occupancy or
final power release, the fees must be paid prior to permit Issuance. Ft�rtherrr�ore,-if Pasco County Water/Sewer Impact
fees are due, they�must be-paid prior to permit-Isst�ance-In accordance with app9lcable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, FlorlaJa Statutes,as amended): If valuation of work is$2,500.00 or more, I
certify that I, the. applicant, have.been providecl �nrith a copy� of the "Florida Constructfon Llen Law—Homeowne�'s
Protection Guide" prepared by the Florida Department of Agrie.ulture and ConsumerAffairs. If the applicant Is someone
other than#h�"owner", I cerfify that I have.obtained a copy of the above.described document�and promise in,good faith to
deliver it to the°owner"prior to•commenc�ment.
CONTRACTOR'S/OWN�R'8 AFFIDAVIT: I certify.that all the inf.ormation In this application is accurate and that all work
will�be done in compliance with all appl(cable laws regulating cons4ruction, zoning and land development. Appllcation is
hereby made to obtain .a permit to do wotk.and installation as Indicafed. 'I certify that no work or Installatton h�s
commenced prior to issuance of a permit and that all work will be pertormed 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 regulatlons of other governm�nt agencies may�apply�to the intended work, and that it is
my respon�ibflity to identify�what actions I must tak�e.to be,in:.corrlpliance: Such agencies include bwt are.not limited to:
- Department of Environmentai Protection-Cypress Bayheads, Wefland Areas and Envlronmentally Sensitive
Lands, WaterNVastewater Treatment.
- Southwest Fiorida Water Management .District-Wells, Cypress. Bay.heads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- DepartmenQ of Health & Rehabilitative Serv(ces/Environmental Health Unit-Wells, Wastewater�Treatment,
Septtc Tanks. _
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation.Authority-Runways.
I understand that the following restrictions apply to the use of flll:�
- Use of fill is not allowed in Flood Zone"V"unless expressly permttted.
- If the fiil materfal Is to be used in Flood Zone. "A", It is understood that a drainage plan addressing a
"compensating volume" will be submitBed at time of permitting which is prepared by a professional engfneer
licensed by the State of Flor(da.
- If ihe fill materlal is to be used in Flmod Zone "A" in>connection with.a permitted building using stem wall
construction, I certiry that fill.will:be used only.to flll the area w(thin the stem wall.
- If fill material is to be used in any r�rea, I certify that use of such fill will noQ adversely affect adjacent
properties. If use of flll is found to adversely_affect adJacent��properties,.the owner may be cited for viofating
the conditions of the buiiding:permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by flll, an engineered drainage plan is required.
If I am the AGENT FOR 1°HE OYVNER, I;promise in good faith to inform the owner of-the permitting conditions set forth In
this a�davit prior to commencing const�uctlon. I understand that a separate permtt may be required for electrical work,
plumbing, signs, wells, pools; afr conditioning, .gav, or other tnstallatlons not specifically included in the application. �A
permit lssued shall be constcued to be�a Iicense to p�oceed wfth the work and not as authority to,violate,cancel, alter, or
set aside�ny provisions of the technical codes; nor shall Issuance�of a.permit.prevent the�ulldfng Oificlal from thereafter
requfring a correction af errors in.plans, construction or violations of�ny codes. Every permit issued shall become invalid
unless the work authorized.by such perml4.�s-commenced�with(n s6x months of permit issuance, or iF wrork authorized by
the permit is suspended or.abandoned for a period of six(8)months.after the time the�work ts commenced. An extension
may be requested, In wciQing; from the Building Ofticial for a p�riod�not to exceed.nlnety (90) days and wrill demonstrate
justifiable cause for.the extension. If work ceases for ninety(90)cons.ecutive days,..th�job�is.considered abandoned.
WARNING TO OWNER: YOUR.FAILURE�TO,R�C.ORD A I�OTICE OF�COMM�NCEMENT NFAY RESULT IN YOUR
PAYING TWOCE,FOR IMPROVEMEIVTS TO YOUit-:PR�OPER!TY. �F YO.0 INTEND�TQ OBTAIN�FIPIANCING,'CONSULT
WIT Y UR E. D O AN°ATTOR EY� FOFtE� ECOR� G� OU �° O �CE�"OF �' E CE NT
FLORIDA JURAT(F.S.117.03)
OWNER OR A(iENT ,�����bl , • CONTRAICTO �
Subscribed and swrom to(or aflirmed)before me this Subscribed and'swom to(or aflirmedpbefore me fhts
by �by
YYho Islare pe►sonally knovm to.me or has/hav�produced Who Is/are p.�rsonally knowm•to me or has/have•produced
��,`��[ i�,c��2 �s IdenBflcadon, nC��.rp� (.&�z�r'�C�. as identlficatlon.
N`otary Public C " �� �D(C� � ----__ Notary Public
Commisslon No��\�C��� Commission No��� t��.�L�� )
Name af Nola ed rinted or stam d Name of Nola ed odnt_ e_d���+�
:�o�°PT°"°�'� EDITH A MAI-9ANEY :�o�°p�°°°�•= EDITH A MAHANEY
;: .�; :: �:
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'y9�e•'•�•oP� EXPIRES January 1,2019 `'-'�F����•oa� EXPIRES January 1,2019
'...�OF FL�...+ '...,Oi f�•,
- � (407)398•0153 FloridallotlryService.com �ao�)39e•o153 FloridallotaryService.com
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_ ~ Page 1 of 1
,c � 'r
Mike Wells Pasco County Property Appraiser
Data Current as Of: Weekly Archive - Saturday, ]une 6, 2015
ParcelID 35-25-21-0010-09100-0000 (Card: 001 of 001)
Classification 00 - Vacant Residential
Mailing Address Property Value ,
EAST PASCO ME ENTER INC Ag Land $0
7 GALL BLVD Land $194,048
ZEP HILLS FL 33541-13
P sical Address-See All.2 Buliding $0
addresses �F��csnoW�� Extra Features $0
7130 DAIRY RD
ZEPHYRHILLS FL 33540-1350 -�
Le ' ' ' Lines) �ust Value $194,048
ZEPHYRHILLS COLONY COMPANY Assessed (Non-School Amendment 1) $194,048
LANDS PB 1 PG 55 TRACTS 91 102
& 107 EXC THE EAST 75.00 FT
THEREOF&THAT PART OF TRACT Taxable Value $194,048
Jurisdiction
Citv of Zephvrhilis
Land Detail (Card:_001 of 001)___,__..__._._._ ..________.__,__..�.� _,_________.___ _
------_ ._. __._-------, ..___._ �____
Line T Use �Descri tion� ' � ' � Price ;Conditionl Value
p_ _` Zon�ng__(__Units _ ; Type
--------: —�----- r -- � r-- --------r--------
�_..-------
1 i 0100 � SFR ' OPUD � 5.00 � AC �$15,430.00; 1.00 _$77,150
----- —___!_______�_______-�--- -
2 ��0100 ; SFR i OPUD ! 9.47f E AC j$15,430.00; 0.80 ; $116,898
Additional Land Information
---.___.._�,.._.__..,�-.----_------�___�_. _..__,..____________�_,___
j � � � FEMA.N.�.'s-___ ______._�..�d__.__ _.. _. _--- ----- -
Acres , 14.47 i Tax Area : 30ZH � Code ; X �Residential Cocle} 2ZHN.S1
;
Building Information -Use 00 - Unimproved (Card: 001 of 001)
Unim roved Parcel 00 - Unim roved
—-- - ___ _- ------
� Extra Features (Card_001 of 001)_`�_____________`_. _^`�____,
Line � Description ( Year + Units � Value
------- ------_______�_.�_---__.____.__V__. __.__T_�------___�_________... _.._-------------�._ _,. ------—_._____
No Extra Features
Sales Historv- See All 5 sales
Previous Owner: MURPHY ALAN M &PENNY G &
__�_-- --.-------------.._...._.��___Y._.._______
_�_.�__.�__._.___-�--..___._____ _ _
__Month/Year �__ __ Book/Page __� ____ Type ~�__�.�_ DOR Code � Condition ; Amount __
____ _ _____, _�__
11/2005 � 6705 / 0923 i Warranty Deed � j Vacant � $229,500
_�,_._ ._______,_�. _ ._�___._—__---__..__.._ _.—_._.___._.____------ , - �. —
05/1996 � 3584 / 1712 � Quit Claim Deed � � ` W i Improved " $0 � �
�
____..____.___------,---_.�.._._.___�____.._____-'---�_________..___.,.------------�_,__._.--i-- __..___�_____.__.________�__
12/1989 ; 1862 / 0239 Warranty Deed � i Vacant ; $0
http://appraiser.pascogov.com/search/parcel.aspx?parce1=2125350010091000000 6/11/2015