HomeMy WebLinkAbout16-17332 ' CITY OF ZEPHYRHILLS
` 5335-8TH STREET
(813)780-0020 17 32
BUILDING PERMIT
PERMIT INFORMATION " LOCATION INFORMATION
Permit Number: 17332 Address: 5023 DAUER CT
Permit Type: PARK MODEL ZEPHYRHILLS, FL.
Class of Work: PARK MODEL SET-UP Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 10-26-21-0010-12600-0030
Improv. Cost: 1,700.00 OWNER INFORMATION
Date Issued: 5/11/2016 ' Name: LAKEVIEW OF ZEPHYRHILLS LIMITED
Total Fees: 180.00 Address: 10912 N 56TH ST
Amount Paid: 180.00 TEMPLE TERRACE FL 33617-3004 �
Date Paid: 5/11/2016 Phone:
Work Desc: REPLACEMENT PARK MODEL 14 X 29'4
CONTRACTOR S � APPLICATION FEES
J AND H HOMES INC PARK MODEL SETUP 60.00
JIM'S ELECTRICAL SERVICES INC PARK MODEL ELECTRIC 40.00
J AND H HOMES INC PARK MODEL PLUMBING 40.00
PARK MODEL MECHANICAL 40.00
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� Ins ections.Re uired
PARK MODEL MECHANICAL
PARK MODEL PLUMBING
PARK MODEL SET-UP
PARK MODEL ELECTRIC
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe 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 properly. 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 BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRA OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED -
PROTECT CARD FROM WEATHER
� s��-�saoo2o City of Zephyrhills Permit Application Fax-813-780.0021
' Building Department ,
Date Received --����.�C! phone Contact for Pertnittin � ��1 � ��S�J ,
bwners Name lakeview of zeph rhills limited Owner Phone Number '
Owners Address 10912 n 56th st tem le terrace,fl.33617 Owner Phane Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS �v� ��"�`�l'��• " Z� � %1 S �L LOT# V�
susoivisioN lakeview mobile home&rv eso�,Rce�twe 10-26-21-0010-12600-0030
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW coNsrR ADD/ALT Q SIGN Q Q DEMOLISH
e INSTALL e REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK install new rv unit with electric hook u (the a/c is built into rv unit
BUILDING SIZE 14 X29�4�� SQ FOOTAGE 399 , HEIGHT �
QBUILDING $ G VALUATION OF TOTAL CONSTRUCTION
QELECTRICA� $ AMP SERVICE 50amp � pROGRESS ENERGY Q W.R.E.C.
" QPLUMBING $ � // ��!„ �) �y,J� _
C� %�Y���C;sG(d�
D�'S� �"
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION $�����S�
. , QGAS Q ROOFING Q SPECIALTY Q OTHER ��CC� yfJ i / �v
FINI5HED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
4< < <
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BUILDER P�,/, (�/fP�JI R OMTP RED � / N FE�u/R E �Y/N
SIGNATURE � ��
Address �/r i!/� � �i7// ��j f"'�� License# �G/' �3 fo
ELECTRICIAN �OMPANY '/�? I C7 �� fC�I(/iG�°f G
SIGNATURE REGISTERFA Y/ N FEE CURRE� Y/N
Address � JvJ TwL � �Q License# �G l �(/
PLUMBER �/�-/ COMPANY N d //G
SIGNATURE • v P � L�L P REGISTERED Y/ N FEE CURRE� Y/N
Address �� /(/� License# !/ J�0�,21 b
MECHANICAL /J COMPANY
SIGNATURE /� REGISTERED Y/.N FEE CURREA Y/N
Address License# "
OTHER COMPANY
� SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buitding Plans;(1)set of Energy Fortns;R-O-W Permit for new consVudion,
Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stormwater Plans w/Silt Fence installed,
Sanitery Facilities 8 1 dumpster,Site Work Pertnit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construdion.
Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Faali6es&1 dumpster.Site Work Pertnit for all new projects.All commercial requfrements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construdion. �
L•
Directions:•
Fill out applicaGon completely.
Owner S ConUactor sign back of application,notarized
If over;2500,a Nodce oi Commencement is requlred. (A/C upgrades over$7500) �
" Agent(for the wnVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTiNG (copy oi conVact required)
Reroofs if shingles Sewers Service Upgratles A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED REST.RICTIONS: The undersigaed understands;tf�t this:p�rmltmay be,subJect to.'deed'_restrictlons°
which may..be more r.eati:ictive-th�n Gounty negmlatfon's:'1'Fie underslgned`assumes'iespnnsitilllty for'compilance with'any
applicable deed restrictions. -
UNLICENSED CONTRACTORS AND CON'fRACTOR RE�PONSIBiL�TIES: If the owner has htred a contractor or
contractors to undertake work,they may be;cequiredbto:be;licensed In accordance.wtth state.and�local regul_ations. If the
contractor Is not licensed es requlred�by law, both the owner arid aontractormey be clted for a�misdemeanor violatlon
under state law. If the owner ar Intended�contraetot ere;utocertaln as to what Iicensing.requirements,may-apply:ior-the
fntended work,they are advised to contact the.Pasco County Bullding Inspectlo"n Dhrision—Llcensing Section at 727-847-
8009, Furthermore, if the owner has hired a contractor or contractors, he Is advised to have the contractor(s),sign
portions ot the"contractor Block°of thla appllceUon for whlch they will.be re�ponsible. If you,as.the awner'slgn'as�the
contractor,that may be an IndlcaUon that he Is not properly Iicensed and ls not entltled to permitting privlleges in Pasco
County.
TRANSPORTATION.IMPACTIUTILITIES=IMPAC't'�ANb RE$OURCE RECOVERY FEES: The undersigned understands
that Trensportation Impact Fees:and Recourse Recove.ry.Feas may_apply:to tFie constructton of new bulldings,.change of
use in existing buildings, or.expansloa-of�ezlettrig'buildings,as specified.(n Pasco County Ordinance number 89-07 and
90-07,as amended. The undetsigned also;understands,thgE such fees,:.as,maybe:due,:wlll�be identffled at the time of-
permilting. It Is turttie�understood that Tra�sportatlon Impact Feea and`Reaource Recovery=Fees,must be pafd prior to
recelving a°certiRcate of occupancy"or flnal powenrelease. :I�the projectdoes not lnvolve<a certfficate of occupancy o�=
final power release;the fees mu�t be paid'prlor to permft Issuan`ce. Fuethermore;iE.Pasco Counly INater/Sewer�lmpact
fees are due,lhey musl be-pald pNor to permit•Issyanee=ln accordance witff applicabfe Pasco.County ordlnances.
CONSTRUCTION LIEN'LAW(Cfiapt��T13,Flortda Statutea,as emended): if valuatlon of work is�2,500.00.or more,i
certify that I, lhe applicant, have-been provided �with a copy of the "Flodda Constructlon.LIerr.Law—Homeowner's
Protection Gulde"prepared by_ttie Floiida Depattment of Agriculture and Consum�rAffalrs. If the applicant Is someone
other than the'rnmer",I certify that„I h�ve,o6tqined'acopy:otthe abave.descrltied document�and.pramise�in,good faith to
deliver it to the.'ownee":prioe to-commencements ° ' - ' -
CONTRACTOR'SIOYUNER'S AFFIDAVIT: I ceiUty,ttiat:all the,InformattonJn thla appllcatlan fs accurate.and that all work
will'be done In compliance writh all.applicable laws regulaUng consWcUon,zoning and land development. Applicatlon is
hereby made to obtain.a.permit.to do,work,;and Installatlon as Indfcated��.,l certffy that no work`or InsEallation has
commenced prior to lasuance of a perinlC and that:all work wlll be performed to meet standsrds of all laws regulaking-
constructlon, County and City codes, zoning regulationa, and land development regulatlons-In the jurisdiclion.- I al'so
certify that I u�derstand that the regulations of other government agencies may•apply�to the intended work,and that it Is
my responsibiltty to identity.whatectlons I muaGteke to bedn.conlpltanca: S.uch agencles Inciude but are.not Ilmited to:
- Department of E�lvironmental'ProteoUon-Gypress�Bayfiead�;Wetland Areas and Envtronmentally Sensfiive
Lands,WaterMlastewater Treatment.
- Southwest Florida Water Management 171strict Wells, G�/press.�Bayheads; Wetland Areas, Aitering
Watercourses. '
- Army Corps of EngineersSeawalls,Docks,Navigable Waterways.
- Department of Health 8 Rehabllitattve ServiceslErnironmenfal Health Unit-Wells, Westewater�Treatment,
- Septlo Tanks. �
- US Environmental Protection Agency-Asbestos abatement. �
- Federel Avlatlon:Auihority-Runways.
I understand that the following.restrictions apply to the use of flll:•
- Use of fill Is not allowed in Flood Zone'V"unless expresaly permftted.
- If the fill materiai Is to be used.In flood Zane °A", it is understood that a drainege plan addressfng a
°compensating volume"will be submitted at 8me of permi[tJng whlch is prepared by a professlonal engtneer
Iicensed by ihe State of Florida.
,. - If ihA fill material Is to be used in Flood Zone'A°ins connecfion with�a permiNed building using stem wall
construction,I certity that flII:w111:be used only.to flll the area within.the stem wall.
- If ffll material is to be used�In.any area, I certlfy thet uae of such flll wlll not adversely affect adjacent '
propertles. If use of flll is faund to adversely-affect adJaeent•presperties,_the owner may be cited for vlorating
ihe cond�lons of the ballding,perrrilt Issued under tha^attached pertnit applicatlon,for lots less than one(1)
acre whlch ere elevated�tiy Alt;a�englneered dr'alnage plan Is requlred.
If I am the AGENT FOR.TNE OWNER,I�promise In good falth to Inform the owner of the permltting cond�Ions set forth In
this aftidavlt�prlor to�commencing constructlon. I understend lhet a;aeparate permlt may be requlred tor electrical work,
plumbing, signs,wells,_pools; alr condlUoning,.gqs,'or other Insta118Uons not•specJflcally Induded in.the applicatlon. .A
perm(t Issued"shall be construed to be a'llcense'to proceed wlth tlie work and not as authorlty to.vlolate;cancel;alter,or
set aslde eny provlslons of the.teclinlcal codes;nor shall Issuance�of a:permlt.prevent the Bulldlrig Offlclal from thereafter
requlring a correctlon ni eRors In ptans;constructlon or vlolaUons of any codea. Every permlt Issued shall become fnvalfd
unless the work authortzed:by such permlt:ls.commenced wlthfn s{�c mnnths of pertnit lesuance,or If work authorfzed by
lhe permlt is suspended or.ebandoned for a,perlod of slx(8)monifis sfter the tlme the work�s commenced. An extenslon
may be requested,In wrlting,fiom the Bullding,Officlal for a perlod:not to ex¢eed.nlnety(80)�days a�d wlll demonstrate
Justffiable cause for.the extenslon. If work ceases.for nlnety.(90)cons.ecutive:days...th�)ob ia consfdered abandoned.
WARNING TO OWNER: YOUR.FAILURE�TO.RF.COEtD A:NOTIGE OF,�COMMEMCEMENT MAY�RESULT IN YOUR.
PAYING 7WICE FOR IMPFtOVEMENT3 70.YOUFFPROPER�T1f: IF YQU�INFTEND`�Q'pg7'p�N<FII�FKNEING,'CON�ULT
WIT • U O A O R� ECORF77 �� QU '
FLORIDA JURAT(F.S,i17.03) " '
OYYNER OR AOENT CONTRAGTO
Suhscrlbed and swom to(ot eFirtned)beforo me thls Subscrlbed'Q�d'�wom to(ot'aflirtn � me ttile
Who Islare arsanal Iv�own M.me or haslhave , y t�bY 1y{c�
P �Y .� produced 1Nho lel pers nal own�o me or h slheve prodiked
ae Identlfl�tlon. ' ��fLr4CYSL1��,t�as IdentlflcaUon.
Nolery Publlc Nohary Puhllc
Commisalon No:` �m
,��*�Y'r;«s: JHCQUELINE BOGES
Name ot Notary lyped,printed or stamped Neme a ' e �
•o�:`��Cpires:; e ertiber,l2,2018
_;;�.....oQ,•.
.p��;;.� Bonded Thiv Troy Fain Insurence BOo-3g5.7p19
a�a-�ao-oo2o City of Zephyrhilis Permit Application Fax-s��-�ao-ooz�
Building Department
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Champion Homes
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I I 1500# soil
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Champion Home Builde�s,i��. C�uote - Revision Q
Hwy 700 East Box 2097 � No.: QT032207
Lake City,FL 32056 USA �«_�
Phone:800.223.5471 HbMES OF FMERiT�' Quote Date: 11/06/15
Phone No.800-223-5471 Retailer�.0.:
Fax No.386-752-9560 Order Type: Retail _ .
Retail�Custome • LAKEVIEUV-SITE 5029-
6ill To: 1746FL Sefl To: 1746FL Req.Del.Date:
Centrai Mobile Home Rental,inc Central,Mobile Home Rental,Inc Zone Ntanager. Lonna Bassett
Cenlral Mobile Home Rental, Inc Central Mobile Home Rentai,Inc Brand: ATHENS PARK HOME RENTA
10912 N 56th Street 10912 N.56th Street Model No.: ApH-RENTAL-177FD
Temple Terrace,FL 33541 Temple Terrace,FL 33541 Base Home: 36 X 14 1 BD 1 BA 6'PORCH
� Model Year: 2016
Model Size: 35'3"X 13'4"
ConstrucGon Type; RWIN
ShipPing Agent:
Shipping County: PASCO Page_:1 of 4
Feature Option Variant Description Quantity Ext.Price
Cabinets �
BEDROOM OP000075 NIGHT STAND IN BEDROOM 2 150.00
DRAWER OVER DOOR-PRICE IS PER EACH 1(ONE)
' dTHER OPQ01964 CABINET CHANGES 125 125.00
� OVERNEAD CRBlNETS.O/BED W/SHELF
4�
tUliscellaneous - •
OTHER OP000569 COMMENTS 1 Standard
OTMER OP003023 RETAILER�UOTE VERIFICATION 1 Standard
1T IS THE RETAILERS RESPONSIBILITY TO VERIFY THE STliNDARDS,OPTiON3,AND
PRICING OF Tt1lS QUOTE CHAMPIOM HOME BUlLDERS,H11C.RESERVES THE RIGHT TO
MAKE CHAlVGFS AT ANYTlME 1N PR1C1fdG,4ND SPECIFICATlO1US IMTHOUT NOTICE
AND/OR OBUGATlON.
�011St1'UC$I OIl
ROOFINS OP000491 ROOF INSULATION R-22 327 �Standard
ROOFPItCH OP000768 ROOF PITCH 6/12 36 Standard
EAVES OP002598 B"O/HANG HITCH AND REAR 1 Standard
FLOORDEGK OP001083 3!4"T&G OSB FLOOR DECKING 327 Standard
FLOORINS OP000495 FLOOR INSULATION R-11 469 Standard
FLOORJST OP001141 2X6 FLOOR JOISTS 8 RIM RAILS 28 Standard
wALLINS OP000a93 SI�EWALL INSULATION R-1 i 607 Standard
�SIDEWALHTH OP001626 7'6"SfDEWALLS 29 Standard
EXTWALLS OP002580 2X4 EXTERIOR WALLS 16"O.C. 81 Standard
INTWALL OP002197 2X3 INTERIOR WALLS 16"OC 48 Standard
CLGTYPE OP000350 VAULTED CEILINGS 327 Standard
SHEATHING OP001278 OSB EXTERIOR SHEATHING 737 Standard
ROOFSHEATH OP000342 OSB SHEATHIIVG 5Q6 Standard
OTHER OP001953 CONS'fRUGTION CHANGES -2,145 -2,145.00
8'SlDEWALLS-FLAT CElLIIUGS.-3/12 ROOF PlTCH
Exterior
HOUSEWRAP OPOD0350 HOUSE WRAP 1 Standard
SHINGLES OP000047 Rustic 81ack 3 TA8 SHINGLES 506 Standard
SIOING OP002000 White VINYL SIDING REP STD CEMPLANK 737 -331.65
TRIM OP000353 Black. EXTRA PAIR 15"VINYL SHUTTERS 4 160_OD
GFampipn is a reg�slaraJ trademark o!Champio�Hnme eulders,Inc.
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' City of Zephyrhills �
, BUILDING PLAN REVIEW COIvZ1VIENTS
Contractor/Homeowner: `���` �����
Date Received: �/��I�-l.� �
Site: � c�'U Z� �'GC�;r'��
V � 4 '
Permit Type: �S'�2 f1 /l,� ��,�c' 2��
Approv+ed wlno comments:❑ Approved w/the below comments: Denied w/the below comments: ❑
�
!/ � � 7�l''@ ` ,
This comment sheet shall be kept with#he permit andJor plans.
�
Ka2 ' S tz lans Examiner D e �ontr or an or Homeowner
- (Required when comments are present)
CITY OF ZEPHYRHILLS, FLORIDA -
5335 STH STREET
CONTR.ACTORS COMPLETION
NAME: J and H Homes DATE: September 26, 2016
ADDRESS :5023 Dauer Ct
PARCEL I.D. 10-26-21-0010-12600-0030 SUBDIVISION : City of Zephyrhills
TYPE OF BUILDING : Replace park model 14 x 29.4 sq ft �
, PERMIT'(s) 17332
REMARKS : FINAL DATE: AUGUST 30, 2016
BILL BURGESS BUILDING OFFICIAL/ JB �