HomeMy WebLinkAbout16-17335 ' CITY OF ZEPHYRHILLS
� 5335-8TH STREET
� (813)780-0020 17335
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17335 Address: 5039 MERLIN 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
Total Fees: 180.00 Address: 5039 MERLIN CT
Amount Paid: 180.00 ZEPHYRHILLS, FL. 33542
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
PAR MODEL MEC ANICAL
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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
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r; NO OCCUPANCY BEFORE C.O.
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CONTRACTOR SI NATURE PERMIT OFFI R
�,.P�RMIT XPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
, ' s�s-�eaoozo City of Zephyrhills Permit Application Fax-813-780.0021
Building Department
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` Date Received '�����(/ phone Contact for Pertnitting �v- v 3 � D /✓�
Owners Name lakeview of zephyrhills limited Owner Phone Number
owners Address 10912 n 56th st temple terrace,fl.33617 Owner Phone Number
Fee Simple Titlehoider Name Owner Phone Number
Fee Simple Titlehoider Address �
JOB ADDRESS �/ �r C Z P ,I %I`� FL LOT# �
SUBDIVISION lakeview mobile home&rv eSO�#pRCEL ID# 10-26-21-0010-12600-0030
(OBTAINEU FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CON57R e ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK install new rv unit with electric hook up(the a/c is built into rv unit
BUILDING SIZE 14 X29'4" SQ FOOTAGE 399 HEIGHT �
OBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE 50amp � pROGRESS ENERGY Q W.R.E.C. ,� L,
'Y�13�'
QPLUMBING $ �/' /' t �{' I
�,rXi�`G(G4�''t �I
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION slC�►�'CDS�
V
OGAS Q ROOFING Q SPECIALTY 0 OTHER /� �,W•��
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO l
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BUILDER �J COMPANY J �l d/r� �d(
SIGNATURE P�(� �/�P� REGISTERED / N FEE CURRE� Y/N
Address �7 r /!/� ,��� �i��j �l/� �� License# ��/� �3 b
,�k f �+ l�
ELECTRICIAN COMPANY 'M ZI �7 ` .j�l/1'L�f G
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address ��3 3�� T�L � � License# �C l �v
PLUMBER � COMPANY N //p/tLe /I G
SIGNATURE �P � LCG P REGISTERED Y/ N FEE CURRE� Y/N
Address �� /(/� License# lI I�OZ,� �
MECHANICAL /} COMPANY
SIGNATURE l� REGISTERED Y/r N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consVuction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Pians w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster,Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construdion.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
•"'PROPERTY SURVEY required for all NEW construdion.
Directions:•
Fill out application completety �
Owner&ConVactor sign back of appliraGon,notarized
If over$2500,a Notice of Commencement is required. (A/C upgredes over$7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized Ietter from owner authorizing same
OVER THE COUNTER PERMIT'fING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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� NO?10E OF DEED RESTRICTIONS: The undersigned understands�;th�t ihis:p�nn�t�nay.be.subJect to.°deed',resUictions°
which may be�more resUicttve than'Gounlq regulatfans:"rhe uride'ralgned'aseumes�responsftiility tor'compllarice witfi"any
applEcable deed restticf�ans. -
UNLICEN3ED CONTRACTORS AND CON'fRAC'FOR RESPONSI8IL-ItIES: If ttre owner has hlred a conhactor or
conUactors to undertake wark,they may be:cegulred�to be;licenaed ln accordance.with state.and:local_nsgulations. If the
cantractor is nat-!(censscf as requlted°by lew, both the awner artil.evntiaator•may#�c�ted�for a misdemeanor vEo#aBon
under state Isw. tf ihe owner or IMended:contra�Mn ere Eincerteln as to whst itceneing.requtremerrts inay�apply.�for�the
fntended wark,they are advised to contact tNe Pasco County Buliding Inspectlon Divlsion--L.Icensing SecUon at 727-847-
8008. Furthermore, !f the owner has hired a cantracto�or contractors, he is ailvlsad to have the contractat{s} stgn
portlons of the°con#ractor 8locic of this appllcaUon for which they witl_be responsibte. if you,-as.the ouGrier`st�it`a`s tfie
canfractor,that may be an IndlcaUon thet he is not properiy Ilcensed and is'not endaed to permi�ing prfirlleges in Pasco
County.
TRANSPOltTATiBN IMAACTlUTIL1'FiES 1MPAGt'ANb RES4tlRCE RECOVERYfEES: 'fl�e underslgned understands
ihat Transportetlon Impact Fees:and.Recouree.Recove.ry.Fees may�;apply>tp tf�e constructlon,of new bulidings,.chanQe of
use In exisNng buqdings,or.expanslo�s of e�IsNn�`6uildings,as specHlad_in Pascq County Ordinance number 85-07 and
90-07,as amended.. The undessigned aiso;undetstands,tha�t such tees,.as,ma}r be.dne,,wiit�tie identifted at the time oi
permilting. It is furtFier understood that Transpbrtadon Impect Fees and Reaource Recovery'Fees must be pald p�lor to
receiving a"certiftcate of occupancy"or Mehpower�-release. .It the proJec!_clees not.irnofvs:a cert�tcate of occupancy or
final powar retease,the fees mnst�be patd prlar to perrctt#issuan'ce. F�tthermare;iE.Pasco CouMy{NatetiSewar(mpact
fees are due,lhey�_must be pald prior to permit lss4ance°in accardance wlth appllcabFe Pasci��.County'o�illnances. •
CONSTRUCTION"CIEN LAW(C6eptei 713,Flortda Statute�,aa amended}: If vafuatlon ot work Is�2,500.OQ.or more,i
certify fhat 1, #he appitcant,.hsve been pmvldeif wtth a copy ot the °�lot�da Constiuction Llan Law—Etomeowner's
Protectlon Gulde"prepared by tFie Floiida Departme�C of Agriculture and ConsumerAffairs. If the applicant is someone
other than the`owner',I cerkify,that I have,tikltaf�ed`a i:opy:oi..the above.descrlbed�looument°and promise:in,gQod falth to
dei3ver(t to the'owne�`ptior#o�coinmencemen�� � - � - -
CQNTRACTOR'SlOWNER'S AFFIDAVIT: I certity:ttiat•all ths,informeilon;lmthis applicadon is accurate.and that all work
will'be done in compliance with all.appllcable laws reg�iladng consUucBon,zoning ancl:land davelopment. Appltcatlon is
hereby made to obte[n.a.permlt.to.do.was'i�,;and Installa�on as�tnd[�atedr :1 cettiFy that i�o work�or {nstallattd`n has
commenced p�lor to issuance of'a perti�ik and that:all work will ba pertormed to meet standarda of all laws regulaNng-
construcUon, Counly and Cily codes, zoning regulatinns, and land development regulatlons-In the Jurisdictton. ( al'so
cerEify that 1 etnde�s#and that fhe regulatlons of other govemment agenctes may apply�to the intended watk,and that it is
my responstblilty to Identlty.what.acUons 1 must�teke.to be<In:.campllance: S,uch agencles irtclude but are.not Ilmited to:
- Depa�#ment of Ernrironmental�Protectton-Gypre'ss.'BayHeads;Wedend Areas and Envlronmentally Sensfiive
l.arsds,WeterlUUaste�vater Treatment.
- Southweat Flarida W�ter Management:DlsRrict Wells, Cypress.`Bayheade; Wetland Areas, Altering
Watercaurses.
- Army Corps oF Eegtneers-Seawaiis,Dacks.Navlgabte Watervvays.
- Department of Heatth'� Rehabllitative SeniiceslEnvironmenYai Health Unit-Welfs, WastewaterTreatment,
Septic TanKs.
- US Envlronmenta!Frotec@ort Ageacy Asbeatos abeteme.n#.
Federal Avlation Aulhority-Runways.
I understand that the following.restrlctlona apply to the use af flll:•
- � Use of fitl Is not alfowed ln FEood:Zone"V'"unless e�ressty permttted.
- tf#he fitl matetial ts ta be used:�in.Flaod.Zane.'A', tt is underatood that a dralnage ptan addresstng a
' °compe�saNng volume"will be submlkted at Ume of permitting whlch I's prepared by a professlonal englneer
Acensed by the State o!Flottda.
- If th�tilt materlat is'to be used in Ftaod Zone"A°fin�canneciion�wlth:a perntltted building using stem wall
conatrucNon,I certify that flll.wlll;be esed only.b.flll the area wlthln�ihe�skem wall.
- If A!! materla! Is to be usad�4n,any area, 1 c�stlty that asa of such fl11 ►vltl not adversely affect adJacent
propertles. If e�se�f fill ls found to adversety.af�ecE adjacent<prr�perties,,#ire awner may be aited for vtotating
lhe condlUons of the bulltling'permlt Issued�under tha�attached permlt appl�C.atlon,for lots less than.ane(1)
acre whfoh are ele'vated�by flll;�n englneered dralnage pfan Is requlred.
tf 1 am the A�EHT FOR TN�OWNER,I�promtse In good Eal#h to inform the owner of the permitting candftions set forth in
thls affidavlt�prlor ta commencing conatructlon. I understend thet a�aeparate permlt may be requlred for electrical work,
plumbing, stgns,wells,pools,alr condltloning,.ga�s,.or othec lnstall�lU6ns not.spec�flcally Induded•tn.the applfcatton. -A
permlt lssued shalt tie consMied ta be a I[aense to piaceed wtth ttie wark and not as suthotity ta vtala#e,cancel,atter,or
set aslde any provlslons of the.technlcal cades;nor shall Issuance�af a.permlt.prevent the Bulldlrig Ufflclal from thereafter
requlring a carrectlan af errors In.plans,wnsUuctlan or vlolaUons of aoy codea. �very permlt Issued shall become Invalfd
nnlsss#he wark suthortzed by such p�rmlt Is-co�menc�wlthln s�Gt.mon#hs af pertnit tssuance,or tt worlc autharized by
ihe permtt ls suspanded or.abandoned for a:period of'slx(6)mont[is efter lhe Nme the�work fa commenced. An extenslon
may be requested,In wrlting,irom the Bullding.Offlclal for a perlad not to exeeed•nlnety(90j days a�d wlll demonatrate
Just�iable cause for.the extenslot� If war}c tx�ases for nlnety.{�}cons.et�ttve days,.the�ob 1s_c�nstdered abandoned.
WARNING TO OWNER: YOUR.FAILURE•TO R�COEt�!A.NQ'f�CE:OF COMM6NCEMENT MAY•RES LT!M YOUR
PAYINGTWICE-EORlMP#tOVEMENlTSTC►YQUk�R�13PEit�'FY. 1FY01l�1�'FEIi1Gt�'fQ`�QFI'�A1I+l-F[ ' G,�CONSUl.T
W� • O 1�{ O O EC� fi �� OU
FL4RIDA JURAT(F.S,i17.03) " � "
OWNER OR AtiFFFT CONTRAGTQ • ,
Subsaibed emf swom da(or effimfsd)6eforo me thla S'6s ed' m or' befo e'fh16
1Nho Islare personally Imrnm to.me or haslheve Pr4d�?ced �Isla��bna1'kno ta ms ar ttaathave prodt�ced
as tdenBitcaHqn. as tdentlflcatton.
Ptc�ry Pub1(c r+ NaTary Pabtic
Commisslon No:` Cammbalo N .
,.1r;l::t;a�;., .��{�,Q
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Name ot No1ary lyped,ptlnted or stemped Name of Nolary lyp �, r� <- �� res December 12,2018
�;h �o:
�'.y;n,��?:'�� Ba�ad Th�u 7ray Fein Inwrance 80Q385•7619
813-780-0020 City of Zephyrhills Permit Application Fax-s��-�so-ooz�
Building Department
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- ' 14 'x 29'4" 1/8"=1`
Champion Homes
❑ 17"x25" abs pad on 6'4"
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❑ � 176 anchor torque
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Champion Home Builders,Inc. QUOf@ -Revision 1
Hwy'100 East Box 2097 �? No.: QTQ32205
Lake Ciry,FL 32056 USA �(,
Phone:800.223.5�71 F-ypF1E5 OF MERIT� Quote Dato: 11/06/15
Phone No._800-223-547'I Retailer P.O.:
Fax No.386-752-9560 Order Type: Reta ^
Retail Customer: KEVIEW-SITE 50
Bill To• 17A6FL Sell To: 1746FL. Req.Del.Date:
Central Mobile Home Rental,Inc Central Nlo6ile Home Rental,Inc Zone Manager: Lonna Bassett
Central Mbbil2 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'P�RCH-
Model Year: 2016
Model Size: 35'3"X 13'4"
Construction Type: RWIN
Shipping Agent:
Shipping County: PA5C0 Page:1 of 4
Feature Option Variant Description Quantity Ext Price
Cabinets
BEDROOM OP000075 NIGHT STAND IN BEDROOM 2 150.00
DRAWER O VER DOOR-PRICE lS PER EACH 1(ONE)
OTHER OPOQ0811 COMMENTS 125
OVERNEAD CABfNETS OVER BED W/SNELF
t�liscellaneous
OTHER OP000569 COMMENTS 1 Standard
OTHER OP003023 RETAILER QUOTE VERIFICATION 1 Standard
!r!S TNE RETAILERS RESPONSlBlL1TY TO VERIFY THE STANDAROS,OPTIONS,AND
PRlClNG OF THIS QUOTE.CHANIPION HOME BUILDERS,lIVC.RESERVES THE RIGNT TO
d4AKE CNANGES AT ANVTlR9E fN PRlClNG AND SPECIFlCAT10NS WITH�UT NOT/CE
AP1D/OR 08L1GATlON.
Construct6on
ROOFINS OP00�491 ROOF INSULATION R-22 327 Standard
ROOFPITCH OP000768 ROOF FITCH 6112 36 Standard
EAVES OP002598 8"O/HANG HITCH AND REAR 1 Standard
FLOORDECK OP001083 3/4"T&G OS8 FLOOR DECKING 327 Standard
FLOORINS OP000495 FLOOR'INSULATION R-11 469 Standard
FLOORJST OP001141 2X6 FLOOR JOISTS&RIM RAILS 28 Standard
WALLINS OP000493 SIDEWALL INSUfATION R-11 607 Standard
SIDEWALHTH OP001626 7'6"SIDEWALLS 29 Standard
EXTWALLS OP002580 2X4 EXTERIOR WALLS 16"O C. 81 Standard
INTWALL OP002197 2X3 INTERIOR WALLS 16"OC 48 Standard
CLGTYFE OP000850 VAULTED CEILINGS 327 Standard
SHEATHING OP001278 OSB EXTERIOR SHEATHING 737 Standard
ROOFSHEATH OP000342 OSB SHEATHING 506 Standard
OTHER QP001953 CONSTRUCTION CHANGES -2,145 -2,145.00
8'S10EWALLS-FtAT CE1tINGS-3/92 ROOF PlTCN
OM1T PORCN
�?CteP10�
MOUSEWRAP OP000350 HOUSE WRAP 1 Standard
SHINGLES OP000047 Weathered Wood 3 TAB SHINGLES 506 Standard
SIDING OPQ02000 Ivory, VINYL SIDING REP STD CEMPLANK 737 -331.65
Giamp�on is a�opistnrod:radomark of Chompion Homo Ruilders,Inr.
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BUILI7ING PZ�AN REVIEW COMMENTS
Contractar/Homeowner: �� �� ���'lt��
Date Received: / `+r�l�
site: �D 3�/- ��u�'°�,� ��-
Permit Type: ��S' rr��� �� ✓�� '�ir�.' / ` .
Appraved wlno cflmments:❑ Appraved w/the below camments;�� Denied w/the below comments: �
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This comment shee�shall be kept with the pemut and/or p1ans.
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Kalvin Switzer- ans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
CITY OF ZEPHYRHILLS, FLORIDA
5335 8TH STREET .
CONTRACTORS COMPLETION
NAME: J and H Homes DATE: September 26, 2016 .
ADDRESS :5039 Merlin 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) 17335
REMARKS : FINAL DATE: AUGUST 30, 2016
BILL BURGESS BUILDING OFFICIAL JB I
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