HomeMy WebLinkAbout16-17333 � CITY OF ZEPHYRHILLS i
5335-8TH STREET _
.� (813)780-0020 1� 33
� BUILDING PERMIT �
�PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 17333 Address: 5026 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: PARK MODEL REPLACEMENT 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 u' ed
PAR MODEL MEC A ICAL
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 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 BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CON RACTOR I NATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
• e��-�eaoozo City of Zephyrhills Permit Application Fax-a��-�saoozi
Building Department
� Date Received phone Contact for Pertnittin � 3�1 � ��5�
' owners Name lakeview of zeph rhills limited Owner Phone Number '
owners aadress 10912 n 56th st tem le terrace,fl.33617 Owner Phone Number
Fee Simple TiUeholder Name Owner Phone Number
' Fee Simple Titleholde�Address
JOB ADDRESS �p� ���c C'� G� Z� n :((� FL LOT# �/.b
SUBDIVISION lakeview mobile home&rv @SOFFqRCEL ID# 10-26-21-0010-12600-0030
(OBTAINED FROM PROPERTY TA7(NOTICE)
WORK PROPOSED B NEW CONSTR e ADDlALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
7YPE OF CONSTRUCTION Q BIOCK 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 �
�BUILDING $ ��!� VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE 50amp � pROGRESS ENERGY Q W.R.E.C.
` �PLUMBING $ O G • ����/!�'�
� � S�j�� W'�
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION V� �/!
. � �l v
, _ , QGAS Q ROOFING Q SPECIALTY Q OTHER 2
FINI5HED FLOOR EL"EVATIONS FLOOD ZONE AREA QYES NO /�i l �3 J�
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BUILDER COMPANY �J �/ O/'�- r
PQ1- �ic/1P71 '
SIGNATURE REGISTERED / N FEE CURRE� Y/N
Address �7r �!/vv � ��/J �(/} f"� License# �G/' j 3 fo
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i ELECTRICIAN COMPANY •M I 7 ' .j7�L'G�f G
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address � 3�J TW 7` A License# G C� �l/
PLUMBER �/��/ COMPANY N O II L
SIGNATURE •�" P � L(L P REGISTERED Y/ N FEE CURREA Y/N
Address �� /(/� License# 7I I�O��
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' MECHANICAL /J COMPANY
SIGNATURE rl REGISTERED Y/ N FEE CURREA Y J N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllllt I
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consWdion,
Minimum ten(10)working days after submittal date. Required onsite,ConsWdion Plans,Stormwater Plans w/Silt Fence Installed,
Sanitary Faalities 8 1 dumpster,Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a L'rfe Safety.Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. .
Mfnimum ten(10)working days after submittal date. Required onsRe,Construction Plans,Stormwater Plans w/Silt Fence instalied,
Sanitary Fadlities 8 1 dumpster.Site Work Perm(t for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"'PROPERIY SURVEY required for all NEW construdion.
D�recUons:• � �
Fill out applicaUon completely. ,
Owner&ConVactor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over b7500)
" Agent(for the wnVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMI771NG (copy of conVact required)
Reroofs if shingles Sewers Servfce Upgratles A/C Fences(PIoUSurvey/Foatage) ,
Drivaways-Not over Counler if on public roadways..needs ROW
r NOt10E OF DEED REST.RICTIONS: The undersigned under�tands�:th�t.thls:p�rm�E may.be.subJe�t,to"deed'resUigtlons°
.- whlah may be more°resUJcthre-than Gounty�regrifatfons:'The underelgned�assumes responsiblitty fo�compliance wilh ariy
appllcable deed resMctions. _. . _
UNLtCEN$ED CON7'RAC�'OR5 AND CONTRAC70R RESPONS181LiTIES: If the ownBr has fitred a contractor or
contractors to undertake wark,they may be:requlred�to be;liaensed In accardance.with state.and:local regulations. �If the
contracto�ts not-Eicensed as requlred=by(a4v, bot#�`the owner arid contractor=iiiay ba ctfed for a�mtsdecnea�sor utola8on
under state law. if the owner or IMended�contraetor;are,.uncertetn ss to whst iicensing requiremeMs may:apply for•the
fntended"waNc,they are advlsad to contact the Pasca County Bulliiing lnspectlon Divlslon--Licen�ing Sectlon et 72T-847-
�, 8408. Furthermare, if the owner has hited a cobtrector or conhaotors,.he is ac#vtsed to have the contractar{s).,s[gn z
portlons of the"contrector 81ock of t#►la appftcaUon for wh�h they wiit.ba.responsibte. tf you,as.ihe oinrr`ier`sign-as the
contractor,that may be an IndtcaUan thet he Is not propedy Iicensed and'l,s not entlUed to permitting privileges In Pasco
County. _
TRANSPORTATION IMP�,CTIUTII.C�IES IMPAGT'ANb RE50URCE REC01iERY FEES:�'i7te undersigned understands
that Transpartation Impact Fees:and.Recourae Recove.ry.Fees may�epply:ka�tf�e constructian of nsw buildings,change of
use tn exisking bulldings,or.expanstc�-df�•ei't!'sti�ig�6iiildings,as specfflsd.tn P�sco Counly Ordinance number 89-07 and
90-Q7,as amended. The under�tgned also;undetsfands,thgE such#aes..as,:may:be.due;.wi11:6e tdentifted at the time�ofi 1
permitting. It Is furtlier unde�stood that Transportatlon Impact Fees and'Ftesource Recovs'ry`Fees must be pald prior to
racetuing a"cerUflcate of occuRancy"or flnal pawer•-Eelease., :4€the proJ9c�:does not involve�a:ce�tEflcate of occupancy or �
flnal power.release,the faes mu�t�be pald pr�to permEt is'suance. F�cthermare;i€.Pasc�County Water/Sewar Impact I
fees are due,.they:must be pald prlor to permitdssuanee-ln aocordance wlth appllcabte Pasca.County ordinances. •
CON9TRUCTtON'ClEN`I.A1W(Cliepter 713.Florfda Statutat�,ea amandedj: !#valea8on of work ts�2,500.QQ..4r more,! !
cerkify that t, #he spplEcant,.have been provlded.'wtth a t:apy a!the `Ftorida �onsUuctton-lien_Law—Flomeawner's �
Pratection Guide"prepared by ttie FloHda Departmenf of Agriculture and ConsumerAfFairs. If the epplicant Is sameona
other.than the'owner",I certfty.that.!have.obtalnec]°a copy:of.the abQvadescrlbedtlocuinenk°and ptomis�:tn,good faith to
delivar it to the'ownec`prlor tki-eommeiicement:� �- � �
COMTRACTOR'SIOWNER'S AFFIDAVIT: I ce.ifity�ttiat all the,informetion.ln thl�applicatlan is accurate.and that all work
�rill'be done in compliance with all.applicable lawe regulatlng constructlon,zuning and land deveCopment, AppAcatlon!s
hereby made to obtaEn.a:petmlt.to da_.watit,;artd Insfallation as Indl�tedl � certtfy that no work or tns�ltatton has
commenced p�lor ta Issuance of a periiiit and that:all work will be performed to meet standerds of all laws regulaking� ;
I constructtan, Caunty and City codes, zoning regulatians, and land development regulaaons�in the judsdiction. ( al'so
aertify that 1 undets#and that the regulaflons of other govemment agersctes may�apP4y ta fhe intended work,ar�that�t Is
my responsibllily to Identlfy what.acdons I must take.b bedn_corrlpliancs: S,uch agencles Include bw#are.nat Ilmited to:
- Department oi E�lvironmental•Protectton=Gypr'e'ss.Bayli�ead5;VYetland Areas and Environmentaliy Sensitive
t.ands,WaferlWastewater Trea#ment.
' - Southweat Florida Water Management:I�IsMct Welis, Cypress`�Bayheads; Wetland Areas, Altering
Watercaurses.
- Arrny Corps of Englneers-Seawails,Docks,Navlgable Watesways. �
- Deparkment of Hea�th�& Rehabllitative ServlcesJEnvironinen#al Nealth Uhit Wells, Wastewater Treatment,
SepUc Tanks. � � ,
- US Environmentai Prateattan Agency-Asbesto�ebatemeni.
Federal Avlaticm.Authority.Rumroays.
I understand that the following.restrlctlons apply to the use of flll:�
I - Use of fitl is riat altowed In Fiood:Zone"V'°uniess eupressly petmitted.
- If the•fitt mateHat is to be used.In.�food Zone "A", it is understood titat a dralnage ptan addressing a
"compensating valume"will be submttted at Ume of permitting which fs prepared by a professlonal eng(near
itcensed by the State of FtoNda:
- if ft��flii materlat Is�fo 6e ns,�i in Flood Zbne`A'im connec�fon•uvith:a permitted buliding using stem wati
. aonatrucpon,I certify that flll:wlll.6e used only.to fill the area w(thln the stem wall..
- If flll materia! Is to be used�4n.eny area, i certify that.ase of such flii w311 �at adversety affact adjacent
propertles. If use af fil)is#aunt�to adversely.�flect adjacent�prc�pertles,.ths owner may be cited for vloCattng
lhe condillons of the bullding.permit issued�under the�aBached permit appifcatlon,far lots less than'one(1)
acre whtch are elevated•tiy�1l;�n engineered drainage pian is requlred.
tf t am#he AGENT ROR TNE OWNER,.!?prorirEse in good feit6 to infarm the ovmer of the perniitting condftions aet torth In
this affidavik'prior to commencing conatructlan. I underatand thetsrseparate permlt may be requlred for elecMcal work,
� plumbing, signs,welis,poals; alr condtUoning,.gas, or okher Install8tions nol.spec�fically Included•in.the apFlicattan. .A
petmEt lssued"shal!be conshued fa be a°IliGense'to prot�ed with tfie wotk and not as:suNwtlty to.vtatate,canc�l,alter,ar
set aside any provisions o1'the.technlcal codes;nor shall Issuance�of a permit.pievent the Bulldirig Offlclal irom thereafter
requlring a canecya�ai errors in.plans;construcdon or violations ofi any codea. 6very perml@ issued sha!!become fnvalid
untess the work sukhorized:by such perm{t:is-caEnmenced wltfitn stx months of petm�lssuance,-or IFwork au#horized by
fhe permit is suspended or.abandoned for a';period of six(8)monttis sfter the tirne the�work ls commenced. An eutenslon
may be requested, In writing,fram the Building.Official for a perlod�aot to exceed nfnety(80)days and wlll demonstrate
�ust�iabEe causa for.#he extensEo�. iF wqrk ceeses.for ntnety.(90}c�nsscutive daysr.the Job ts c�nsfdered abaadan�i.
WARN�NG TO OWNER: YOUR.FAILURE,TO.RECORD.A.NO'f�ICE-OF COMMEMCEMENT NiAY•RESULT IN�Y R
PAYING'tWlCE FORIMPROVEMEI�l3S TtJ:YE}Utt�Pl�fl�ERTY: IF Yt}tlift++t��E�D`'fQ'jQ8'�AIi+F'�FINA1�£1FtG;G0 UE.T
Wi7 �O � N �� O N � O � � �ki �� OU �
FL4RIDA JURAT(F.S.1.17.03) " ' "
QWNER OR AflENS CONTRAGfiO�_ „
, Subacribed arid swom da{or eHirme�6efore me fhia Su crlbe ar,�'swom lq(ot'a p� ro e't� �_!�-..LL
�Y ��f1bYw L. I. I� (1zL�1
Who lslare persanafly fcnrnm M me or haslhave produced Whaistara p onai (�w�n to e orhaaAmve�radi�ced
se Identl�caUon. �'*i+�+r S.�a�td�tlHcaUon.
' :"�,j�rJA !NE BOGES �
Ftofatry Publfc ry P tic
Commisslon No^ comr�isa .No. �°� �*= Ex it� eCBmber 12,2018 -
I'•�','�p��fl,o•�' gaidedTMviroyFeiniasvreixa
Name o/Notary typed,ptlnted or stamped Name of Nolary type ,p nted w namped
e�aaeo-oozo City of Zephyrhills PermitApplication Fax-813-780.0021
Building Department
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Ou�to eontinuous inrprovflmenta, roduct spec�caGons ate su�ject ta than$e4 wilhad r,cafice � ,
r 1.4'x35' 4" 118"-1`
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I ( ' 1500# soil
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Champion Home Builders,Inc. QlLO�@ - RBVISiOf1 2
Hwy'100 East Box 2097 "�"� No.: QT032202
Lake City,FL 32056 USA �� !
Phone:800.223.5471 HONiES Of=MERIT" Quote Date: 11I06/15
Phone No.800-223-5471 Retailer P.O.:
Fax No.386-752-9560 Order Type: St -
Retall Customer: LAKEVIEW-SITE 5036
Bill To: 1746FL Sell To: 17.46FL Roq.Del.Date:
Central Mobile Home Rental,Inc Central Mohile F{ome Rental,Inc Zone Manager: Lonna Bassett
Central Mobile Home Rental,Inc Central Mobile Home Rental,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 3354.1 Base Nome: 36 X 14 1BD 1BA 6'PORCH
Model Year: 2016
Model Size: 35'3"X 13'4"
Construction Type: RWIN
Shipping Agent:
Shippinfl Counry: PASCO Page:1 of 4
Feature Optlon Variant DescrlpUon Quantity Ext.Pr(ce
Cabinets
BEDROOM OP000075 NIGHT STAND IN BEDROOM 2 150.00
DRAWER OVER DOOR-PRlCE!S PER E,4CN i(ONE}
OTHER OP001964 CABINET CHANGES 125 125.00
OVERNEAD CABINETS OVER BED W/SHPLF
�11SCeII�t�EOUS
QTHER �P000569 COMMENTS 1 Standard
OTHER OP003023 RETAILER QUOTE VERIFICATION 1 Standard
!T lS THE RETAIIERS RESPONSIBILITY TO VERlFY THE STANDRRDS,OPTlONS,AND
PRICING OF THIS QUOTE.CNAflOP10N NOME 8UlLDERS,JNC:RESERVES.THE RJGHT TO
MAKE CHARIGES AT ANYTIME IN PRlCING AND�'SPECIFICATIONS WlTHOUT NOTICE
ANO/OR OBUGATION.
C,O,DStPUCt10Pl
ROOFINS OP000491 ROOF IIQSULATION R-22 327 Standard
ROOFPITCH OP000768 ROOF PITCH 6112 36 Standard
EAVES OP002598 8"OlHANG HITCH AND REAR 1 Standard
FLOORDECK OF001083 3/4"T&G OSB FLOOR DECKING 327 Standard
FLOORINS OP000495 FIOOR INSULATION R-11 4G9 Standa�d
FLOORJST OP001141 2X6 FLOOR JOISTS 8 RIM RAILS 28 Standard
WALLINS �P000493 SIDEWALL INSULATION i2-11 607 Standard
PORCH OP000240 OPEN GABLE PORCH APFLICATION 1 5tandard
OPEN GABLE VNlTN OPEN CROWS FEFT ACCENT
POST ARE WRAPPED W1TH CEMPLANK
PORCH OPoo2539 1 FLOOR PORCH 13'4"X6'0" 1 Standard
SIDEWALHTH OP001626 7'6"SIDEUVALLS 29 5tandard
EXTWALLS OP002580 2X4 EXTERIOR WALLS 16"O C. 81 5tandard
INTVVALL OP002197 2X3 INTERIOR WALGS i6"OC 48 Standard
E;LGTYPE OP000850 VAULTED CEILINGS 327 Standard
SHEATFIING OP001278 OSB EXTERIOR SHEATHING 737 Standard
R�OFSHEATH OP000342 OSB SHEATHING 506 Standard
OTHER OP000811 COMMENTS �
3/12 ROOF PITCH -8'SIDEWALL- FLAT CElLlNGS
Exterior
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City af Zephyrhills �``' �
BUII,DING PLAN REVIEVd CQIV�MENTS 1f ���i
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CantractorlHameawner: ,��� f���^"'`�.�--
Date Received: �����
Site: ���--� ,��L�v-- C�
Permit Type: ' ���1� �/ K.//� ���' Z/�.' �`-
Approved wlna comments:❑ Approved wtthe below comments:' I7enied w/the below camments: ❑
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This co�ament sheet shall be kept with the pernut and/or plans.
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Kalvin S i � I E ' er Date Contractor dlor omeowner
(Required when comments are present)
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CITY OF ZEPHYRHILLS, FLORIDA
5335 8TH STREET
CONTR.ACTORS COMPLETION �
NAME: J and H Homes DATE: September 26, 2016
ADDRESS :5026 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) 17333
,
REMARKS : FINAL DATE: AUGUST 30, 2016
BILL BURGESS BUILDING OFFICIAL/_ - JB �