HomeMy WebLinkAbout16-17336 �
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CITY OF ZEPHYRHILLS
5335-8TH STREET ��
; ' (813)780-0020 �73 �
� � BUILDING PERMIT I
- PERMIT INFORMATION LOCATION INFORMATION '
Permit Number: 17336 Address: 5013 ANTHONY 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: I
Square Feet: Subdivision: CITY OF ZEPHYRHILLS i
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 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 overnment shall im ose a fee of four times the amount of the fee im osed for the initial ins ection or
9 P P P
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.
_ NO OCCUPANCY BEFORE C.O.
C TRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
e��-�saoozo City of Zephyrhills Permit Application Fax-e��-�aaooz�
Building Department
, Dx�e Received /`- 3.1 � ��SJ
, '-' Phone ConWct for Pertnitting -
Owners Name lakeview of zephyrhills limited Owner Phone Number '
Owners Address 10912 n 56th st tem le terrace,fl.33617 Owner Phone Number
Fee Simple TiUeholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS �V�� � h�h C T �� ,I :I`� / L LOT# SV(l�
SUBDIVISION lakeview mobile home&rv 6S0�#qRCEL ID# �0-26-21-0010-12600-0030
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW coNsiR B ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE 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 �4 X29�4'� SQ FOOTAGE 399 HEIGHT �
QBUILDING $/a� i( VALUATION OF TOTAL CONSTRUCTION
l/
QELECTRICAL $ AMP SERVICE 50amp T1 pROGRESS ENERGY Q W.R.E.C. � I �J 3�74r�
Y" � ��-
" QPLUMBING $ U / ,
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MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION `_ �.( �
jiSCKo
_ QGAS Q ROOFING Q SPECIALTY Q OTHER O����
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO V1J
BUILDER P ' .(�[/lP// COMPANY � // �I� ��
SIGNATURE REGISTERED / N FEE CURREA Y/N
Address �7r /!/"� ,,,� p � �i)/J �� f"� License# �G� l 3 �
ELECTRICIAN �OMPANY '/�I I �7 `' .rC�1I/,G�1 G
SIGNATURE REGISTERED Y/ N FEE CURREA Y!N
Address � �v� Twt Z � � License# �C l Ol/
PLUMBER �/[-J/ COMPANY N O //L
SIGNATURE ' v P � GCG P REGISTERED Y/ N FEE CURRE� Y/N
Address �/ /(//�fJ License# 7! /�0�,� �
MECHANICAL d COMPANY
SIGNATURE /I REGISTERED Y/�N FEE CURREA Y/N
Address License# -
OTHER COMPANY
SIGNATURE REGISTERED Y! N FEE CURRE� Y/N
Address License#
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new consWction,
Minimum ten(10)woricing days after submittal date. Required onsite,ConsVuction Plans,Stormv�rater Plans w/Sill Fence Installed,
Sanitary Faali6es 8 1 dumpster,Site Wark Pertnit for subdivisions/large projects
COMMERCIAL Attach(2)wmplele sets of Buflding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. ,
Minimum ten(10)working days after submfttal date. Required onsile,Construction Plans,Stortnwatar Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for aIi new projeds.Ail commercial requirements must meet compiiance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construdion.
Directions:'
Fill out application completely.
Owner&ConVactor sign back of application,notarized
If over 52500,a NoUce of Commencement is required. (AIC upgrades over 57500)
" Agent(for the contrador)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMIT7ING (copy of contrad required) ,
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Drtveways-Not over Counter if on public roadways..needs ROW
, ` NOTICE OF DEED RESTRiCTiONS. The undersigned under�tands;th�t.ihl�;p�rtnit may,be,subJect to"deed"_resUlctions"
� which may,be more r.estHctive fhan G�iurity r�egulatCon�:'The underalgned assurties responeitiility for i:ortiptlance wilii'any
aPP!lcable deed resMcttons. .
UNLiCENSED CONIRACTQRS-AND CONTRA►CTOR RESRONSIBILiTIES: if-the owner has hired a cantractor or
contractors ta undertake wark,they may be:regulred•.to,be;licensed ln a�ca�rdance.with state.and:iogal reguladons. If the
contractor ts not-licensed as required°by lsw, bokh the owner and cont�actor=mey b+a-cited for a�mtsdemeanor vtolaUon
under state law. tf the owner or tMended�contra�tor:are.�incerteln as to what Iicenaing.requirements may-appty�f6r-the
fntended work,ihey are advised to contact the Pasco County Buliding'Inspection Dlvlsfor�-I.Icensing Section et 727-847-
� 8409. Furthermare, 1f the omser tias hfred a contr"actor or contraetars, he [s asivJsed to have the contractor(s).,sfgn
porttons ot khe"contfactor 8locic of fMe appllcatton for which fhey wilt.be responslbte. if you,as.#he ov�iner sEgn as the
cantractor,that may be an Indicatian that he Is not properly Ilcensed and is not enNBed to permf�ing pdvileges In Pasco
County. '
' TRANSPORTATION lMPAC7/Ui71:4'�IES°(l�PAG1'�AND RES013�tCE RECOVERY�EES: Tha u�derslgned understands
thatTrenspartatlon Impact Fees:and,Recourse RecoVe.ry.Fees may�apply:ita tF�e conatructlon of new bulldings,change of
use In exisNng buAdi�gs,or_eacpanatorr of�eitl"sHiig',6uildtngs,as specHled-ln Pasco Caunty Ordlnance number 89-07 and
94-07.as amended. Tha undecslgned also;understa�ds,Rh�E such fees.-.as,may:be~dae,:will:Ere Identi8ed at fhe ttme°of-
permiBing. It Is TurUier understoad that Transportatlan Impact Fees and itesource Recous'ry'Fees must be pald prlor to
rscetving a°certiftcake of occupancy"os flnal power.-release, :I�the proJsct:does not�4nvolve:a certi�cake of occupancy or
final prnaer retease,the#ees mus#be paCd prl�r to permit(ssuance. Ft��theCmare;It.Pasco Cot�nfy WaterlSew�r Impact
� fees are due,they.must be�paid prlor to permit•Iss4anee°In accordance with appllcabte Pasco.County ordinances.
CdIVSTRUC710N CIEN'LAW'(Ctiaptg�T13,FloKda Statates,as�mended): !t valuatlon of work Is�2,5QO.OQ•or more,!
certtfy that 1, #he spptic�nt,.hsv,e-been prov[deil with a ccpy af the 'Flodda ConsfructEon F.ten Law—Homeownet�'s
ProkecQon Gufde"prepared by tFie Floiida Department of Agrfculture and ConsumerAifatrs. If the applicant Is someone
other lhan the`owner',l certity that I�have tlbtelnea'a'copy:of:the ebove.describecf.doaiinentand.ptomisetn.good faith to
deihrsr It to the.'ownec"prior to�commericement:'
CONTRACTOR'SIOWNER'S AFFIDAVIT: I ceitity:ktiat all-thsYlnformation.ln thia applicatlon is accurate.and that all work
will'be done in compliance with all.appllcabla lawa regulatlng construcUo�,zoning and-land development. Appilcatlon Is
hereby made to abtaln.a.permft.fio.da wr�ik,:,and Instal}etlon as 1ndE�fed:•;`1 certtfy that no wark°or Instattatlon has
commenced prtor to issuanee of a pertriit and that;ali work will 6e pertormed�to meet standards of all laws reguladng•
construction, County and City codes, zoning regulaticns, and tand development regulattons-in the Jurisdlctinn. ( al'so
ce�tify thet 1 u�tderstand thaf the regutaflons of other govemment agersetes may�apply�ta the iMended work,aod f#at if is
my responslb0lty to identlfy.what.ecUons i muet�take.to bedn:.compllance: S,uch agencles Include b�t are not Ilmited ta:
- Departmant of Environmental ProtecHon-G�+preas.'Bayfi`eads, Viletlend Areas.and Envlronmentally Sensitive
Lands,WaterNVastawater TraatmenE.
- Southwast Fiortda Weter Management:D(strlct Wells, E.ypress`Bayheads; Wetland Areas, Altering
Watercourses.
- Army Corps of EngtneersSeawat#s,Docks,Navtgabia Waternays.
- Dapariment of Health � Rehabilitafive ServiceslEnviranmen#ai Heaith Unit Wetls, Wastewater 7'reatment,
Septic Tanks. � _
- US Envtronmentat Protectlon Agency-Asbestas gbatemen#.
Federai Avistion•Aufhoti,fy:Rurnxays. -
I understand that the following.restrlotions apply to khe use of flll:•
- Uss of till is not ailowed In Fload Zone"V"un4ess e�ressly permltked.
- tf fFre f31f mater#al Is to be usecl.Yln�Flaod Zane.°A", it ts understood tirat a drainage ptan.addressing a
°comper�sating volume"will be submilted at Ume of petmiflJqg which Is prepared by a professfonal engfneer
Ucensed by the State of Flortda:
- if th�flll materl�l is to be us,ed tn Ftood Zbne'A°im connecUan wtth:a germitted bullding using stem waii_
conatruction,I certify thet flll�.wlll.he used only to flll the area within�the stem wall.
- !f 811 materla! !s to be uasd�tn.eny erea, i aertity that ase ot such flii witl not adverseiy afl'ect adjacent
praperttes. If use of i1111s fflnncF ta advers�ly.�ffect adJaeent•ptr�perttes,,ths owner may be cited for viatsUng
the condillons of the bullding;permit Issued�under tha�atteched permit appllcatlon,for lats less than.one(1)
acre whlch are elevated tijr fllt;an angineered drainage plen!s requfred.
tf 1 am the AGENT�OR THE OYVNER,I;promtse tn good falth to Inform the owner of the permittfng candiUans set fiorth!n
th(s af(idavlt"prlor to commencing canstructlon. I understend thet a�aeparate,permlt may be requlred for elecMcal work,
plumbing, aigns,wells,pools,,alr condidontng,.gas..or othec InstallaiEl'ons no!•apeclftcally Induded�In.the applfcatlon. .A
petmit Issued"shall be conabtted to be a l[cense ta proceed wlth tlie work and not as authority to vlolate.cancel,alter,or
set aside any provisions of the.technical codes;nor shall Issuance�of a.permit.prevent the Bulldlrig Oflicial from thereafter
requlring a aonecUon af errors in.plans,construcdon or violaGons of any codes. �very permit i.ssued sfiall become InvaUd
uniess the work au#horized;by sach permlf:{s.cocrimenced-within sGc months of�permlt Issuance,or If wark authorized by
the permtt ts suspended or.abandoned�for a';period of sUc(�)montf�s sfter the tirrie the worlcls commenced. An entenston
may be requested,in writing,f�om the Building.Ofliclel for a period:not.to ex¢eed nfnety(80)days�and wiA demonstrate
�uskEflable cause for:•#he ea�ensEon� tf work ceases.for nirtety.(9D}consecuthre daysr.lhe�ob�ls considered abandoneil.
WARNING TO OWNER: YOUR.FAILURE.7Q.REGORQ.A NGT�CE OF COMMENCEMEI�tT MqY�REStlLT IN YOUR
PAYING 11M1tiCE FOR#MPttt}VEMEfil7'S Tt}.1fE)U�PRt��'EFETY. 1F°YOU�lt+!'�El�#D�TQ'�Q8'�AIN��fEN�i�f6lAlt's:C0`9UE.T
Wt TTt3 ' "E�• �i + OU
FLORIDA JURA��(F.S,t17.03) " "
OWNER OR At3ENT GOMTRACTO
Subsaibed and swam M(or afiirmedj before me this Su'b�SFrf-��, .�swom bo(oYafRrtn befo m
bY �' by-
� Who Isfare personally Imown to me or haslhave produced YYho islareper�ortat{i�kttc��n to�n�e or 6 ve pmdsu�
ae ldenSRceHon. t"Gr {[,7C!� �rs �d[-� UftcaUcn.
� t+totery Pu6IIc �f����:_�r�fu � Notary Fnbtic
Commisalon No: Co r�b
��*•aYe��~' �2�
Name oi Notary lyped,pdn[ed or stamped Neme of N 2018
�';• �q;•°�R�}'1�'�ember 12,
'''�„+o'F�f�p:'� 8ondsdThrudroyfainlnsurmae0p4385d079
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Buiiding Department
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Champion Home euilders,Inc. QUOte - Revisian 2
Hwy 100 East Box 2097 ""�l No.: QT032192
Lake City,FL 32056 USA �r
Phone:840.223.5471 yOMES Of^M�RI7'" Quote Date: 11/05/15
Phone No.800-223-5471 Retailer R.O.:
Fax No.386-752-9560 OrderType: Sto -
Retail Customer' LAKEVIEW-SITE 5
Bill To: 1746FL 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 Rental,Inc Brands ATHENS PARK HOME RENTA
109,12 N 56th Street 10912 N.56th Street Model No.: APH-RENTAL-177FD �
Temple Terrace,FL 33541 Ternple Terrace,FL 33541 Basa Home: 36 X 14 1 BD 1 BA 6'PORCH
Model Year: 2016
Mode�Size: 35:3"X 13'4"
Construction Type: RWIN
Shipping Agent:
Shipping County: PASCO Page'7 of 4
Feature Option Variant Description Quantity Ext.Price
Cabinets
BEDROOUI OP000075 NIGMT STAND IN BEDROOM 2 150.00
DRAWER OVER DOOR-PRICE IS PER EACN 1(ON�
OTHER OP001964 CABINET CHANGES 125 125.00
OVERHEAD CA8INET OVER BED W/SNELF
Miscellaneous �
OTHER OPQOD569 COMMENTS 1 Standard I
' OTHER �P003023 RETAILER QUOTE VERIFICATION 1 5tandard
!T IS THE RETAILERS RESPONSl81L1TY TO VERlFY THE STANDARDS,OPT(QNS,AND
PRIClNG OF THlS QUOTE.CHAMPION HOfdE BUILDERS,11VC.RESERVES THE RlGHT TO
MAKE CNANGES AT ANYTIit?E!N PRlCl1VG AND SPECIFlCAT10NS WlTHOUT NOTlCE
AND/OR OBLIGATIQN.
Construction
ROOFINS �P000491 ROOF INSULATI�N R-22 327 Standard
ROOFPITCH OP000768 ROOF PITCH 6/12 36 Standard
EAVES OP002598 S"O/HANG HITCH AND REAR 1 Standard
FIOORDECK OP001083 3/4"TB�G OSB FLOOR DECKING 327 Standard
FLOORINS OP000495 FLOOR INSULATION R-11 469 Standard
FLOORJST OP001141 2X6 F.LOOR JOISTS&RIM RAILS 28 Standard
WALLINS OP000493 SIDEWALL INSULATION R-11 607 Standafd
SIDEWALI-ITH OP001626 T6"SIDEWALLS 29 Standard
EXTWALLS OP002580 2X4 EXTERIOR WACLS 16"O.C. 81 Standard,
1NTWALL OP002197 2X3 INTERIOR WALLS 16"OC 48 Stantlard
CLGTYPE OP000850 VAULTED CEILINGS 327 Standard
� SHEATHING OP001278 OSB EXTERIOR SHEATHING 737 Standard
ROOFSHEATH OP000342 OSB SHEATHING 506 Standard
OTHER OP001953 GONSTRUCTION CHANGES -2,145 -2,145:00
OMlT PORCH
8'SIDEWALLS-FLAT CElUNGS-3H2 R�OF P1TCH I
Exterior
HOUSEWRAP OP000350 HOUSE WRAP 1 Standard '
SHINGLES OP000047 Weathered Wood 3 TAB SHINGLES 506 Standard
, SIDWG. OP002000 Cream VINYL SIDING REP STD CEMPLANK 737 -331.65
Champion is a re�;islered trademarfc of,Champion Home Bm�ders,irc.
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e��af z�hnn�lis � �,�
BUII.DING PLAN REVIEW CQIv1�tIENTS �
Cantractor/Homeowner: ^-��� ��
Date Received: `7�l?"`"��a
Site: J"l� �
Peimit Type: C�S Y�t f� �y ��?� Z�� �-
Approved w/no comments.0 Appraved w/the below ctimments� Denied wlthe below corninents: ❑
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f t
—_�i�� �.��.�-p�-��%�a;�
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This cornment sheet shall be kept with the peirnit andlar plans.
� �� � � �,..,, i
f' ���"
Kalvin Switzer-P xaminer ' Date �ontractor ar Homeo er
(Required when comments are present) (
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CITY OF ZEPHYRHILLS, FLORIDA
5335 8TH STREET
CONTRACTORS COMPLETION
NAME: J and H Homes DATE: September 26, 2016
ADDRESS :5013 Anthony 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) 17336
REMARKS : FINAL DATE: AUGUST 30, 2016
BILL BURGESS BUILDING OFFICIAL/ JB �✓