HomeMy WebLinkAbout16-17334 CITY OF ZEPHYRHILLS
t ;,, . 5335-8TH STREEf
� (813)780-0020 1733�
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17334 Address: 5035 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 ecti ns Re uired �
PARK MODEL MECHA 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 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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONT CTO SIGNA URE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s��-�saoozo City of Zephyrhills Permit Application Fax-813-780.0021
Building Department
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Date Received � � /" 3�� �/SJ
Phone Contact for Pertnitting
Owners Name lakeview of zeph rhills limited Owner Phone Number '
Owners Address 10912 n 56th st tem le te�face,fl.33617 Owner Phone Number
Fee Simple TiOeholder Nama Owner Phone Number
Fee Simple TiQeholder Address
JOB ADDRESS L J v�/ %/%u�/�— C( Z� 'I :1`� F� LOT# 5���
sueoivisioN lakeview mobile home 8 rv 6501#qRCEL ID# 10-26-21-0010-12600-0030
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEw coNSTR B ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
7YPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
, i
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 $ �Q / VALUATION OF TOTAL CONSTRUCTION
V
QELECTRICAL $ AMP SERVICE 50amp � pROGRESS ENERGY Q W.R.E.C.
" QPLUMBING $ / , /� �/ �U�j�,
v � ;�1 � ��.�-,
v `/
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �`��(� /A��y�
_ , QGAS Q ROOFING Q SPECIALN Q OTHER �J� �I(� � l ,
FINI5HED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO v
BUILDER P �. �/fP�J7 COMPANY � � O�'� ��
SIGNATURE �� REGISTERED / N FEE CURREA Y/N
Address �7 r �(i� ,) p � ��7/J �/c/1� �� License# �G/"' j 3 �h
,�k�.T f�
ELECTRICIAN COMPANY 'M I 7 �� �C7YI(i�G�J �j
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address � J v� T� �` � License# L G� 0(/
PLUMBER �/��/ � COMPANY N O /I L
SIGNATURE • '� P � L(L P REGISTERED Y/ N FEE CURRE� Y/N
Address �� /(/� License# 7/ I�OZ� �
" MECHANICAL d COMPANY
SIGNATURE ll REGISTERED Y/ N FEE CURREA Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllllllllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fonns;R-0.W Pertnit for new consWction,
Minimum ten(10)working days after submirial date. Required onsite,ConsUuction Plans,Stortnwater Plans w!Silt Fence installed,
Sanitary 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 Forms.R-O-W Permft for new construdion. .
Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnv,ater Plans w/Silt Fence installed,
Sanitary Fadlitles&t dumpster.Site Wor1c Permit for all new projects.AII commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Ptans.
•"'PROPERTY SURVEY requfred for all NEW construction.
. . . � t•
Directlons:•
Fill out application completely.
Owner&ConVactor sign back of application,notarized
If over SZ500,a NoUce of Commencement is required. (A/C upgrades aver$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 PERMII7ING (copy of contract required)
Reroofs if shingles Sewers Service Upgratles AIC Fences(PIoVSurveylFootage)
Driveways-Not over Counter ff on public roadways..needs ROW
�.
� ' N0710E OF DEED RESTRICTIONB: The undersigned under�tands��th�t 1hls:pgrml.t�ney,be,subJect to'deed"resUicttons"
which mey..be more resttictive-tha�t Gounty regulatfbn's:�The uriderelgned'"assume"s respon'sitiility far'com'pliance wifFi"any
appltceble deed resMctbns.
UNLICENSED CQNTRAC70RS AND CONTRA►C'FOR RESPONSIBIL-ITI�S: �if the owner has hired a'contraator or
wntractors to undertake wark,they may be:requireil:to tie,llcensed In accordance.wlth stata.and:logal regulations. If the
conttactor ts not![censed es requtted:by(ew, bath the owner arid:contiaictisr�iiisy be ctted fnr a�mtsdemeanor vlolaBon
under state law. ii the owner or tn#ended=contractar:are t�ncertatn as to what Itcenatng requtrements may�eppiy iac ihe
fntended wark,they are advlsed to contacf the Pasco Counly Buililing Inspection Dlvlslon---l�.i.cen3ing SecUon at 727-847-
8008. FuRhermore, if the owner has htted a contractor o'r coritractors, he ts aiivised to have the contractar(sj,sfgn
portlons of the°con#ractor 81ock°of thls applh:atlon far..whtoh tF►ey witLbe.responsibte. if you,_as.#he owrier"°sfgn�as the
contractor,that rnay be an IndlcaUan that he is not propedy Iicensed and is not en�ded to permitking prli►ileges In Pasco
County.
TRANSPORTAT[ON IMPACTIUTtt:C�1ES 1MPA6'!"ANb RESOUitCE REC01►�ttY FEES: The underslgned understands
thatTranspartatlon Impact Fees:and.Recouree Reca4e.ry.Feea may�•apply;ta tFie constructlon_of new bulidings,:change of
use in existing buildings,or;expansta�of�ei�is8ii,g'tiutltlings,as specHlad.in Pascq County Ordlnance number 89-07 and
9d-O7,as amended. The undersigned aisa;understands,that such fees,as,tnay:�e.due,.wlEt�be tdenttfled a#fhe time°oi�
permitting. It Is furtfier understood that TransporfaUon Impect Fees and`Resot�rce Recavery`Fees must be paid pMor to
rscelving a'certiHcate of ocoupancy"or Mal�powerr,elease:, :I�the projecl,daes not irnolve:a ce�t�tcate of occupancy or�
flnal pawar release;the fees must ba patd prfor ta.permt#lssuance. Futfhermar'e,•if_Paaco County INaterlSewer tmpact
fees are due,lhey must be�pald prlor to permlt Issyaneeln accordance wltFr'appllcabte Pasap.County ordinances.
CONSTRUCTtON CIEN'LAW'(Cl�epter 713.Florttla 3tatutea,as emendad): H valuatlon of work Is�2,500,00 or more,!
ce�tlfy that t, #he appllcant,.hsve.been provtdei! wifh a copy af the�°Flortda t3ons#ructtan llen Law--Homeowner's
Protectlon Gulde"prepared by tFie'Floiida QepartmenC of Agrlculture and Consumer Aftatrs. If the appllcant Is someone ,
other than the'owner',l certlfy that I have,dkitafned�a`aopy:ot.the abova.descrlliecl tlocumenhand promise;tn,good talth to
deliver(t to the'awnec`prlor to�cotiirnencement:' ' �
COIVTRACTOR'S/0YYFIER'S AFFIDAVIT: I certity�tliat•all the�lnformetlon.lmthls appllcatlon is accurate.and that all work
will'be dane In compllance wlth all.appllcable laws reg�ilaUng consGvcUon,xoning and.land development. Appltcatlon Is
hereby macle to abtaln.a.permlt ta do�wortt,,and ShstallaUon as tndteated� `# certlfy that no work or tnstallattoir has
cammenced prior b Issuance of a pertiilt and that.atl wark will be performed to meet skandards of all I�ws regulating•
construcGon, County and Clly codes, zoning regulatlans, and land devalopment regula8aas-tn the judsdlctlon, ( also
certify that I undersfand Ehaf the regutaflons of ot�er gavemment agenctes may appty�ta#he lntended work,and#hat it is
my responslbllity to ldentlfy what.acUons I muat•take.to bedn�comptlance: S,uch agencles Include but are.nat Ilmlted to:
- Department ot E�1vlronmenta4�protecUon-Cypre�is.'Baylieadg;WeUand Areas and Envlronmentally Sensitive
E.ends,We#eNWastewater'ireafinent. �
- Southwest Florida Water Management Dtstrtct We�ls, Gypress.`Bayhead's; WeNand Areas, Altering �
Watercourses.
- , Army Corps af Eng(neers-Seawalls,Dacics,Navlgabte Waternays.
- Department of Heatth � ReMeb1(ttathre Sen►iceaJEnvironmenlal Heaith Unit Weils; Wastewaker Treatment,
SepUc 7ariKs: _
- US Envlronmeatat FratectEon Agency As6astos abateme.nt
Federat Aviatton Authortty_Rurm+ays.
I understand that the following,rest�lctl`ons epply to the use of flIL••
- Uss of fltt 4s nof atfawed In Flood:Zane"V'unlass eacpressty par�nittad.
- If the fill materlat Is to be uaed.�in flood Zone i4`, it Is undeistoad that a dratnage ptan addressing a
°compensaQng volume"will be submltted at Bme of petmltting whlch Is prepared by a profesafonal engtneer
Nceased by the State of Ftortda, �
- If#h�ti11 material ts to be us.ed tn Flood Zone`A°in+�onnectEon�wlth�a permitted buiiding using stem watl
constnucpon,I certffy that flll:v�lll:be used only.to flll the area wlkhln ihe skem wall.
- !f flll materlal Is to be used�ln.a�y area, h.certlty that usa of��ucb flfl wlll �ot adverssfy aFfec# adJacent
prapettles. tf use of flli ls fannti to aduerseyr<afl'ect ad)aeent-prr�pertles,.the owner may be cited for.vio�aiing
ihe cond�lons of the bulliltng;permlt Issued under ths�attacFied permlt 8ppltcatlon,far lots less than.ane(1)
, acre whlch are elevated•kiy til1;�n englneered dralnage plan Is requlred. -
If 1 am the AGENT FOR Tt1E OWNER,7�pmmtse tn goad fiaEth fc intorm the owner af the permitNng condiUons set fiarth in
thfs affidavlt`prlor to commencing canstrucklon. I understand thet a�separate permlt may be requtred for electrical work,
plum6ing, sfg�s,wells,pools,.alr candltloning,.gQs,.or other.Installgtlons naE.spec�lca!!y Included•In_the app![cattan. .A
permtt lssued shall be cons#cued to be a ticense#a prgceed wlth ttie wark and not as:suthority M,violate,cancel,alfer,or
set aslde any provlslons of the.technlcat codes;nor shall Issuance�of a.permlt.prevent the Bulldlrig Ofticlal irom thereafter
requlring a conectlon�errors In.plaas,conetnictlan or vlolaUons af any codea. �very permlt lssued shell become lnvalld
unlsss#he wark ac�thodzed by such permlt:is.commenced wtfhtn si�c months of permlt tssaancs,ar if wark autharixed by
the permit ls suspended or,abandoned for a,peNod ofislx(�)montFis efter the tlrr►e the work 1s commenced. An e�ctenslon
may be requeated,In wrlting,from the Bullding.Offlalal for a perlod:not to exceed nlnety(9Q)daya and wIU demonstrate
�us#�Eab1e cause for.-the extenaio�: It work ceases.for nlnety.{90}c�ns.ecutirre days,•the�ob 1s consideced abandonet�.
� WARNING TO OWNER: YOUR.FAILURE•70,RECORQ.A,N07MGE OF�COMMENGEMEI�tT MAY�RESULT IN YOUR
PAYING TWICE FC1R IMPl2QVEMEI�tTS TO;YOUEtAEt��'EEiTY: 1F=YOU<I�+i�'�E14�F3:Tf!flB�A1FFFlI+f�►l+161NG:GO�ISUl.T
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FLORIDA JURAT(F.S.117.03) "
OWNER OR AOENT CQNTRACTQ
� Subsatbed and ewem M(or eHlmted)6eforo me thle Suwsaibed�nd'swom ta(oYa ed efotg me'Ifi
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$t�-�8°"°°Z° City af Zephyrhills Permit Application �a:-s��7ao.00z�
Buiiding Department
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Champion Homes
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Champion'Horrie Builders.�►,�. Quote - Revision 2
Hwy 100 East Box.2097 i No.: QT032208
Lake City,FL 32056.USA f 3�i':
Fhone:800.223.5471 h?OMES bh MERIT` Quote Date: 11ID6/15
Phono No.800-223-5471 Retailer P.O.:
Fax No.386-752-9560 Order Type• S �
Retail Customer: � �
BIII To: 174GFL Sell To: 1746FL Req.Del.Date: -�
Central Mobile Home Rental.Inc Central Mobile Home Rental,Inc Zone Manager• Lonna Bassett
Central Mobile Home Rental,Inc Central Mobile Home Rerital,Inc Brand: ATHENS PARK HOME REIVTA
10912 N.56th Stfeet 10912 N.56th.Street Model IVo._ APH-RENTAL-177FD
Temple Terrace,FL 33541 Temple Terrace,FL 33541 Base Home: 36,X 14 iBD 1BA 6'PORCH
Model Year: 2016�
Model Size: 35'3"X 13'4"
Construction Type: RWIN
Shipping Agent:
Shipping County: PASCO Page:'i of 4
i Feature Option Variant Description Quantity Ext.Price
Cabinets
BEDROOM OP000075 NIGHT STAND IN BEOROOM 2 15�:00
DRAWER OVER DOOR-PRI.CE IS PER EACH 1(ONEJ
OTHER OP00196A CABINET CHANGES 125 125.00
OVEREHEAD CABS W/SNELF OBED �
Miscellaneous �
OTHER OP000569 COMNIENTS 1 Standard
OTHER OP003023 RETAILER QUOTE VERIFICATION 1 Standard
lT 1S THE RETAILERS RESPONSIBILITY TO VERIFY THE STANDARDS,OPTfONS,AND
PRICENG OF THlS QUOTE.CHAMPlON NOME BUILDERS,iNC.RESERVES THE RIGHT TO
MAKE CHANGES AT ANYTIME!N PRfCING AIVD SPECIFICATIOMS WITHOUT NOTICE
AND/OR OBLIGATION.
Construction
ROOFINS OPOOD491 ROOF INSULATION R-22 327 Standard
ROOFPITCH OP000768 ROOF PITCH 6/12 36 Standard
EAVES OP002598 8"QlHANG HITCH AND REAR 1 Standard
FLOORDECK OPD01083 3/4"T&G-OSB FLOOR DECKING 327 Standard
FLOORINS OP000495 FLOOR INSULATION R-11 469 Standard
FLOORJST OP0011a1 2X6 FLOOR JOISTS&RIM RAILS 28 Standard
wALLiNS OP0o0493 SIDEWALL INSULATIONR-11 607 Standard
51DEWALHTFi OP001626 T6"SIDEWALLS 29 Standard
EXTWfiLLS OP002580 2X4 EXTERfOR WAL�S 16"O.C. 81 Standard
INTINALL OP002197 2X3 INTERIOR WALLS 16"OC 48 Standard
GLGTYPE OPOOOb50 � VAULTED CEILINGS 327 Standard
SHEATHING OP001278 OSB EXTERIOR SHEATHING 737 Standard
ROOFSHEATH OP000342, OSB SHEATHING 506 Standard
OTHER OP001953 CONSTRUCTION CHANGES -2,145 -2,145.00
8'SIDEWALLS-FLAT CEfLlWGS-3/J2 ROOF PlTCN
OMIT PORCH
Exterior
HOUSEWRAP OP006350 HOUSE WRAP 1 Standatd
SHINGLES oPOb0047 Weathered Wood 3 TAB SHINGLES 506 Standard
SIpING OP002000 Olfve VINYL SIDING REP STD CEMPLANK 737 -331.65
f.hamp�on is a repistered trademark of Charnpion Home Builders,Inc.
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Cl�Of Z�}�lyI'�i1��S � � �
BUILDING PLAN REVIEW CflIvZ1VIENTS '�'�
ContractorlHomeowner: �� � �'�"�7N2�
Date Received: �-- /�'f--f�
��� �
site: . tl��.er .,�-- Cf
Permit Type: ���Y��f /� � /��" Z-� � :
Approved w/na comments:� A.pproved w/the below comments: Denied w/the belaw cornments: ❑
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S�°.���i�(',, '
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This comrnent sheet shall b kept with the pennit andlor plans.
.
_ �� ��
Kalvin — I�� s Exaininer Date Contractor and/or Homea er
(Required when comments are present}
CITY OF ZEPHYRHILLS, FLORIDA
5335 8TH STREET
CONTR.ACTORS COMPLETION
NAME: J and H Homes DATE: September 26, 2016
ADDRESS :5035 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) 17334
REMARKS : FINAL DATE: AUGUST 30, 2016
BILL BURGESS BUILDING OFFICIAL/ JB �