HomeMy WebLinkAbout16-17337 , ;' � ' CITY OF ZEPHYRHILLS /�
. � -• 5335-8TH STREET
(813)780-0020 �'1337
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17337 Address: 5034 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:
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 I
PARK 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.
NO OCCUPANCY BEFORE C.O.
�
CONTRACT R SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
I CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
, ,' � s�sasaoozo CityofZephyrhillsPermitApplication Fax813-780.0021
, Building DepaAment
• Date Received �I Phone Contact for Pertnitting � v�� — ��SJ �
�
Owners Name lakeview of zeph rhills limited Owner Phone Number ' � .
��
Owners Address 10912 n 56th st tem le terrace,fl.33617 Owner Phone Number
Fee Simple TiUehoider Name Owner Phone Number �
�
Fee Slmpie Titleholder Address ��
/ �J // �yr/ �
JOB ADDRESS � ����/} / Z C� � :I`S �L LOT# l7�/�y �
SUBDIVISION lakeview mobile home&rv 250�#qRCEL ID# 10-26-21-0010-12600-0030 �
(OBTAINED FROM PROPERTY TAX NOTICE) �
WORK PROPOSED NEW coNs7R ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL e REPAIR ( ,
PROPOSED USE Q SFR Q COMM � OTHER v \
TYPE OFCONSTRUCTION Q BLOCK Q FRAME Q STEEL Q �
DESCRIPTION OF WORK install new rv unit with electric hook u (the a/c is buiit into rv unit �
. �BUILDING SIZE 14 X29�4" SQ FOOTAGE 399 , HEIGHT � �P
�BUILDING $ / // O VALUATION OF TOTAL CONSTRUCTION Gd I-/�/�� �
� 7C
QELECTRICAL. $ AMP SERVICE 50amp � pROGRESS ENERGY Q W.R.E.C. ~
�
' �PLUMBING $ {P� ���� �
J ��..
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (j �j � 5����
. , QGAS Q ROOFING Q SPECIALTY Q OTHER �(��` �j�(''Lw�"
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO /�I V"� �
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
BUILDER / �//] COMPANY J // O/�� �
SIGNATURE P��� �/(P/ , REGISTERED / N FEE CURRE� �Y/N
Address �7� �� ,s�� �i��j �(/} �� License# �G� �3 h
ELECTRICIAN 3COMPANY •M I �7 `" S(7�yiG�°J G
SIGNATURE REGISTERED Y N FEE CURREA Y/N
Address � J�� T� ]` �Q License# �C l O!/
PLUMBER �/j��/ COMPANY /`� O /I L
SIGNATURE • '� P � GC L P REGISTERED Y/ N FEE CURRE� Y/N
Address �/ /[�� Llcense# 1/ I�4Z..21 �
' . MECHANICAL d COMPANY
SIGNATURE �� REGISTERED Y/�N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
tllllllllllllllllllllltllllllllllllllllllllllllllllllllllllllllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buflding Pians;(1)set of Energy Forms;R-O-W Pertnit for new construction,
Minimum ten(10)working days afler submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence fnstalled,
Sanitary FaciliUes 8 1 dumpster,Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of 8uilding Plans pius a Life Safery Page;(1)set of Energy Forms.R-O-W Permit for new construdion. .
Minimum ten(10)warking days after submittal date. Required onsite,ConsWction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meel compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construdion.
L•
DirecUons:
Fill out application comptetely.
Ovmer&ConVactor sign back of application,notarized
If aver$2500,a Notice af Commencement is required. (AIC upgrades over$7500)
" Agent(for the wnVactor)or Power of Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMII7ING (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
NpTICE OF DEED RESTRICTIONSt The undersigned understands�,th�t ihis:p�rmit may be,subJect,to,'deed"restricllons"
which may be�more r.esttictive-lha�Counlq-,regulatfons:'TFie underelgnetl assumes responsftililty fior compliance with ariy
applEcabte deed resMctEons.
UNLICENSED CONTRACTORS AND COIdTRACTOR�RESPONSiBILiT'tES: ff xhe owner has hired a canhactor or
' contractors to undertake work,they may be;required-to be�licensed In eccordance.with state.and:local regulations. IFthe
� contrac#or ts nat itcensed as requlred=by law,aotli the ownar atid:contractor�riiay tse clted for amisdemeanor vtolaUon
under state law. if the owner ar(ntended�contracbe,ere�ncertaln sa to what itcenaing requtrements inay-appty:ior-the �,
fntended wark,they are advised to contact the Pasica County Buliding'Inspectlon Divislon—Llcensing�Sectlon et 727-847-
8008. Furthermore, if the owner has htred a canlractor ar coritra+�tors, tia is adv(sed to hav�the contractor(s),,sign
porttons of the°contreotor 81ack`of thls applicatton foc whtoh they witLbe tesponslbte. tf you,as.#he owner sigri�as the
', contractor,that may be an indication that�ha Is not properiy Ilcensed and(s not enHded M permikting priitileges in Pasco
' County.
TRANSPORTATION.IMPACTIi�T!l:iT1ES IMPAGT'ANb RE80U�tCE RECOl�Et2Y FEES: Tha undersigned understands
that TransportaUon Impact Fees:and.Recauree Recove.ry Fees mey,:apply:to:tF�e constructlan.of new buildings,;change of' -
use In exisling buildings,ar,expansibn•of eiilatt�i�'�tiuildings,as spec#led.in Pascq County Otdlnencs nurnber 89-47 and
80-07,as amended. The u�decsignad also.unde�tanda,thPlt such fee"s,ss,tna}r be:due,:.wiit�6e tdenttfled a#the�time df
permiNing. It Is furtlier unde�stood'khat TransportaUon Impaot Fees and�Resoutcs Recavs'ry'Fees must ba paid prfor to
recelvtng'a'certNicate of occuRancy"or f4nal�powe,r.�xalease. :If the proJectdoes not involve:a csdNtcate of occupancy.o�
f€nal pawer release;the#ees mt��#�be patd pttcr to perint#issnance. Futihermare,•if.Pasco;L'aunfy�WatarlSewer lmpact
, 'fees ere due,lhey must be�pald:prior to permit•Isayanee:ln accordance with eppllcable Pasco County o�dlnances. -
COIdSTRUCTlON LIEN LA9dl(Cfiepte'r T13,Florfcla Statutea,as amended). If valuatlon of work is�2,504.UO,or more,!
certify that i, #he eppilcant,.have been provldeif wi#h a copy of ti�a�'Fiortda {:onsUvcUon:Llen �aw—�Hameowne�"s
ProGscQon Guide"prepared by,Uie Floilda D`epartment of Agriculture and ConaumerAif�alrs. If the applicant is someone
other than the`ownet',l certi[y:that I•have.abtalneii`:a�copy:of:the abQve.des+u�4tied�locuinent°and promise�in,good faith to
det�ver It to the.'ov+mer"prior to�commenct�men#:=
CONTRACTOR'S/OWNER'S AFFIDAVIT: 1 ceitffy�ttiat all.the,informstion.ln thia appllcatlon is accurate.and that all work
will'be done In compliance wMh all.appllcable laws reg�ilatlng consWcllon,zoning and land davelopment. Appllcatlon is
hereby made Ea obtaEn.a.permit.Cn.da_wafl�;and ihstsllation as tnd[cated:� 1 certlfy tt�at nb war�t=ar Instal[att6n has
commenced prior to Issuance of'a perrt�If'and that.all work wtll be pertormed to meet skendards of all laws regulating�
conatruction, County and City cades, zoning regulations, and land development regulations-in the Judsd(ctlon. ( al'so
certify thet 1 u�de�stand fhat the regulat�Ona of ott�e�gavemment ageneles may appiy�ta the intended work,and tttat if is
my responslbllity to Identify.what.actions 1 muat�teke.M be<Inroompllance: S.uch agencles Include buE are.not Ilmited to:
- Department ot EnvironmentaNProtectton-Cypress Bayheads;Wedend Areas.and Envlronmentally Sensitive
lands,WaterlUUastewater Treatment.
- Southwest Ftorida W�ter Management 'Dtstrict Weils, Cypress.`Bayheads; Wetland Areas, Altering
Watercourses.
- Army Carps af Englneers-Seawails,Docks,Navlgable Waterways.
- Depar#ment of�Heaith•& ReMablittative ServiceslEnvironmen�al Heal#h Unit Wells, Wasteurater•Treatment,
Septta Tanks.
- US Environmental Protectlon Agency Asbestas abateme.nL
- Federal Avtetlon�Autharity=Rurnvays.
I understand that the followtng.resbi'ctions apply to the use af flIL••
- Use of ftll is not atiawed in Flood zone"V"unless axpresstyi permitked.
- if the ffil materlat Is to be us+ail.�in �taod Zone 'A', it ts �nderetood that a drainags ptan addressing a
°compe�sating volume"will be submikted at Ume of permitting which(s prepared by a professfonal eng(neer
Itcensed by the State of Florlda:
- !f fhe t311 matetlat is to,be used tn Ffood Zone'A im canneclion•with:a perm{tfed buiiding using stem wati
constnactton,I certify that flll�.will:be used only.to.�ill the area wikhin.ihe stem walL �
- If ttll material (s to be used�in=.any area, i cetttfy that use ot'such flif wlii not adversefy affect ad}acenf
propert(es. If use of fllt is fnnnc4 to advetsely.�ect ad)see��pr�specties,.the awner may be cttad for.vloCating
the condiGons of the.bullding;permit Issued�under tha�altached permit appUcaUon,for lots less than.one(1)
, acre whiah are elevated by fl!!;��englneered dralnaga plan!s requfred.
, tf i am the Ai3ENT FOR TH�,OWNER,l;prortitse In good falth to infarm ttse awner af the permitttng condi�ons set forth tn ��
this aiffdavtR`prior to commencing constructlan. i understsnd thet a<aeparate permlt may be requlred for electrical work,
plumbing, stgns,wells,pools, air canditloning,.gas, or othec install�tlons not.spec�ically(n�luded�in.the appttcatlon. .A
, permlt issued shaii be constrtied fa be�a Ilcense to proceed wifh ttie wodc and not as:autharityr to viotate,cancel,alter,or
set aside any'provisions M the.technlcal codes;nor shall Issuance�of a.permlt.prevent the Bulldirig Offidel irom thereafter
requl�ing a coRection nf errors In plans,conshuctlon or violaUons of any codea. �very pertnit isgued shall become invalld
( uniess the work authorized:by suoh permtt:is.cosntnancet!wtthEn s�c rosantFts of permlt issuance,or[f wark au#horized by
, ihe permit�s suspanded or.ebandoned far a period of six(8)montHs�fter the time the work 1s commenced, An extenslon
may be requested,In wrfting,irom the Bullding.Offlcial for a period�not to exceed nfnety(90)days a�d will demanstrate
]ustlfla6Ee cause fw the extensian ff work ceases for nlnety.{SO}cons.ecutive days,..thei ob ls c:ansldered abandonecl.
WARNING TO OWNER: YOUR.FAIWRE.TO RECORl�A.MOTIGE:OF COMMENCEMEI�tT�MAY:RESULT IN YOUR
PA1fiN�TWtCE FOR fMPROVEl1AEist�B Tfl.YOU�Pi�i�PERTY. IF°YOUtlM�"E1�iD?'E"Q`�!B'�A1 ' 1NG:Ct?�` ULT
O t�i TTO O � fi , pU C •
FLORIDA JURA'f(F.S.i17.03J " "' ,�- .
OWNER OR Af#ENT CONTRACTG
Subsaibed an�m to(or eHlrmed)beforo me this Su cribed�nd swom to(ot'atffmie me,fh a
/ / . y_.
who Islare personaily Iv�rnm to me or hasThave prcduced Wha i pez�aast knawn s or asthave prodstced
as tdenttficaBon. ,� JJ2r t�.t"�.S��tsz++�-gxtdenttftcaHon.
Notery Publte Y��. l.J(� . Ftotary Pubttc
Commisalon Na.^ Commisalon o. T�i�
,.��ai':Fus�•,, ,lACQUE4.iNE BOGES '
I Name ot Nolaty lyped,pdnted ar stemped Name _
I ;� :;; Expires December 12,2018
�p'� 8anded ih»Sroy Fain Insutane8804-385-7Q19
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14'x 29'4" 1/8"=1'
Champion Homes
� 17"x25" abs pad on 6'4"
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� � 1500# soil
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Champion Horrie Builders,Inc. QUOt@ - Revision 5
Hwy 100 East Box 2097 Mo.: G2T0329 93
Lake City,FL 32056 USA C��
Phone:800.223.5471 t-iOME5 OF MERIT" �uote�ate: 11l05/15
Phone No.800-223-547� Retafler P.d.:
Fax No.366-752-9560 Order Type: Re ' _
Retail Customec: - S
Bill To: 1746FL Sell To: 1746F1. Req.Del.Date� ` - �
Central Mobile Home Rental.Inc Central Mobile Home Rental, Inc Zone Managet,: � Lonna Bassett
Central Mobile Home Rental,Inc Central Mobile Home Rental, Inc Brand: :y;�;� ATHENS PARK HOME RENTA
10912 N.56th Street 10912 N.S6th Street Model No.• �' APH-REPlTAL-177FD
Temple Terrace,FL 33541 Temple Terrace,FL 33541 Base Home:� 36 X 14 1 BD 1 BA 6'PORGH
Model Year: 2016
Model Size: 35'3"X 13'4"
Construction Type: RWIN
Shipping Agent:
Shipping County: PASCO Page:� of 4
Feature Option Variant Description Quantity Ext.Price
Cabinefis
BE�ROOM OP000075 NIGHT STAND IN BEDRO�M 2 150.00
DRAWER OVER DOOR-PR1GE!S PER EACN 4(ONE)
OTHER OP001964 CABINET CHANGES '125 125.00
OVERHEAD CABlNETS OI/ER BED W/SHECF
Miscellaneous
OTHER OP000569 COMMENTS 't Standard
OTHER OF003023 RETAILER QUOTE VERIFICATION 1 5tandard
IT!S THE RET,4/LERS RESPOIdSlBlL1TY TO VERIFY THE STANDARDS,OPTIONS,AND
I PRICING OF TN/S QUOTE.CHAMPION HOf61E BUILDERS,lNC.RESERVES TNE RIGHT TO`;
MAKE CNANGES AT ANYTIME!Af PRICING AND SP�ClF/CA TlONS IMTHOUT NOTICE
AND/Of2 OBLIGATfON.
' Construction
ROOFINS OP000491 ROOF INSULATION R-22 327 Standard
ROOFPITCH OP000768 ROOF PITCH 6/12 36 $tandard
EAVES OP002598 8"OlHANG HITCH AND REAR 1 Standard
FLOORDECK OP001083 3/4"T&G OSB FLOOR DECKING 327 Standard
FCOORINS OP000495 FLOOR INSULATION R-11 469 Standarcl
FLOOF2JST OP001141 7�C6.FlOOR JOISTS&RIM RAILS 28 Standard
WALLINS OP000493 SIDEWALL INSULATION ft-11 607 5tandard
SIDEWALHTH OP00167_6 7'6"SIDEWALLS 29 Standard
EXTWALLS OP002580 2X4 EXTERIOR WALLS 16"O.C. 81 Standard
INTWALL OP002197 2X3 INTERIOR WALLS 16"OC 48 Standard
CLGTYPE OP000850 VAULTED CEILINGS 327 Standard
SFiEATHING OP001278 OSB EXTERIOR SHEATHING 737 Standard
' ROOFSHEATH OP000342 OSB$HEATHING 506 Standard
OTHER OP001953. CONSTRUCTION CHANGES -2,14b -2,145.00
8'SIDEWALLS-3/9Z ROOF PITCH-FLAT CEILlNGS
OMlT PORCH
, Exterior
HpUSEWRAP OP000350 HOUSE WRAP 1 a r
St nda d
SHINGLES, OP000047 Rustic Biack 3 TAB SHINGLES 506 Standard
SIDING OP002000 Clay ViNYL SIDING FZEP STD CEMPLANK 737 -33t.65
C�ampion is a ra�tsteretl tr2demark of Charnpicn Home 6uildars,Inc.
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City of Zephyrhills `�
' BUILDING PLAN REVIEW COMMENTS Z
Contractor/Homeowner: �0 � ��D1"'�P�
Date Received: 7 r����
site: � J�o,�� �i���.� �
Permit Type: ��^�� /�(� /7"S� z/` � �-
Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑
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This comment sheet shall be kept with the permit and/or plans.
_. ��-��
Kalvin S tzer s Examiner I3ate Contractor an or omeowner
- (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 :5034 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) 17337
REMARKS : FINAL DATE: AUGUST 30, 2016
BILL BURGESS BUILDING OFFICIAL/ JB �
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