HomeMy WebLinkAbout16-17338 i
� . CITY OF ZEPHYRHILLS
_ ,� � 5335-8TH STREET
� (813)780-0020 �7338%
BUILDING PERMIT �
� PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17338 Address: 5026 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 35'4
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 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
� �
ON RACTOR SIG ATU PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
� PROTECT CARD FROM WEATHER
� ; � • a�a-�eaoozo City of Zephyrhilis Permit Application Fax-813-780-0021
' � Building Department
• Date Received � �j�� ��5�
Phone ConWct for Pertnitting
Ownels Name lakeview of zeph rhills limited Owner Phone Number '
Owners Address 10912 n 56th st tem le terrace,fl.33617 owner Phone Number
Fee Simpla TiUeholder Name Owner Phone Number
Fee Stmple Titleholder Address
JOB ADDRESS I�!"v(p����6�J �� Z� /� .`+`S FL LOT# _�/ v —�
sueoiv�sioN lakeview mobile home&rv esoFtaRce�io# 10-26-21-0010-12600-0030
(OBTAINED FROM PROPERTY TA%NOTICE)
WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK 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�4�� SQ FOOTAGE 399 HEIGHT �
QBUILDING $ � VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE 50amp� pROGRESS ENERGY Q W.R.E.C. f���
� � 1
" QPLUMBING $ / ,� ��_� „(� , + �
���~
� �v�
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ,���
. , OGAS Q ROOFING Q SPECIALTY Q OTFiER /�JJ(i�/�
L.� �(j�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �/J�' -
. . . . . . . . . . . . . . . . . . . . . .
BUILDER P �' �/fP�J7 COMPANY J // O/,� ��
SIGNATURE �� REGISTERFD / N FEE CURRE� Y/N
Address �7 r iv/� �� ��/J �(,�j f� License# �G� �J b
,�k�� f'
ELECTRICIAN COMPANY 'M I �7 `" .r(�I[�iL�°J G
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address � ��� T w ]� � License# �C� V(/
PLUMBER �/�-/ COMPANY N d �I L
SIGNATURE ' v P � LCL e REGISTERED Y/ N FEE CURRE� Y/N
Address �/ /(/�iCJ Llcense# 7� I�02,..2.1 f
MECHANICAL /] COMPANY
SIGNATURE // REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIt11t111111I111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consWction,
Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stormwater Plans w/Siit Fence installed,
Sanitary Faalifies&1 dumpster,Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safery Page;(1)set of Energy Forms.R-O-W Permit for new construdion. .
Miniinum ten(10)working days after submittal date. Required onsite,ConsVuction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Fadlities&1 dumpster.Site Wor1c Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY requfred for all NEW conslrudion.
DirecGons:•
Fill out application completely
Owner 8 ConVaclor sign back of apptication,notarized
If over 52500,a Notice of Commencement Is required. (A/C upgrades aver$7500)
" Agent(for the canVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMII7ING (copy of conVact required)
Reroofs ii shingles Sewers Service Upgratles A/C Fences(PlotlSurveylFootage)
Driveways-Not over Counter if on public roadways..needs ROW
, ,
. , •
i ' , NOTICE OF DEED RESTRICTIONS: The undersigned under�tands�,th�t thls:p�rmitnnay.be.subJect to'deed"resUlctlons"
which may be�more restHctive-than Gountq regetlatlons:'The under'slgneil assumes respon'siblltty for cortipllanoe with any
applicable deed resMctions. •
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIL-ITIES: If fhe owner has hired a contractor or
contractors to undertake work,they may be:required,to tie;licensed ln accordance.with state.and:local reg.ulations. If the
contractor is not licensed as requlred by law, 6oth the owner and contractor'•mey be cited for a�misdemeanor violaUon
under state law. If the owner or Intended°contractor;are:tincertaln as to what Ilcenaing.requlrements:may.apply.ior the
Intended work,they are advlsed to contact tfie Pasco County Bullding Inspection Dlvislon--Licensing Section at 727-847-
8009. Furthermore, If the owner has hired a contrector or contractors, he ts adviaed to have the contractor(s),sign
porGons ot the°contrector Block'of thle eppllcaHon for which they wlll_be.responsible. If you,as.the owner"slgn�as�the
contractor,that may be an indication that fie Is not propedy ilcensed and`Is not entltled to permitting privlleges In Pasco
County.
TRANSPORTATION.IMPACTIUTIUTIES IMPACI'ANb RESOUItCE RECOVERY FEES: The underelgned understands
that Trensportetion Impact Fees:end Recourae Recove.ry.Fees may-apply to tF�e construction_of new buildings,.change of
use In exisNng butldings, or.expansio�•of�ezistf�i,g`6ulldings,as apecHied.in Pasco County Ordinance number 89-07 and
90-07,as amended.,.The underslgned also,understands,thalt such fees,as;may:ba•due,..will:be identffled at the t(me�of
permilting. It is furtFier understood that Trensportatlon impact Fees and�Resource Re�ovsry�Fees must be paid prior to
recetving a°certiflcate of occupanc�'orflnal�powe.r-release: :I�the proJecE.does noklnvolve:a certiflcate of occupanoy►or''
final power release,the feea mu�t be pald prior to permft Issuan'ce. Futthe�nore;iE Pasco County Vllater/Sewer Impact
fees are due,they.must be pald prtor to permiE.lasyanee-In a�cordance witFi appllcabte.Pasco.County ordinances.
CONSTRUCTION LIEN`LAW(C6epte�773,Florlda Statutea,as emended): If valuatlon of work Is$2,500.00:or more,I
cerllfy that 1, !he appllcant,,have been provlded with a copy of the °Florida ConstrucUon Llen_Law—Homeowner's
Protectlon Gutde"prepared by ttie Floiida Department of Agriculture and ConsumerAifalrs. If the appllcant Is someone ,
other than the'ovmer',I certify.that I_have obtqineil�a'copy:of.the abova.descrlbeddoiti�ment�and.p�omisein,good falth to
deliver It to,the.'owner`p�or to�commencement:' � -
CONTRACTOR'SIOWNER'S AFFIDAVIT: I ce.'rt(fy.Hiet;all ths,InformetlonJn thia application fs accurate.and that all work
will be done in compllance with all.apPllcable laws regiilaUng consWcUon,zoning and land development. Application Is
hereby made lo obtain.a.pertn(t.Co do wor'k,;and Ihstallation as IndiCafedr :I cerlify that no work or InsEallatton has
commenced prlor to is�uance of'a perrtilf'and that.all work will be pertormed to meet standards of all laws regulaking-
conshucUon, County and City codes, zoning regulatinns, and land davelapment regulatlons•In the jurisdlclfon. i al'so
certify that I u�derstand that the regulatlons of other govemment egenales may apply�to the Intended work,and that tt is
my responsibllfly ta Identlfy.what.acUona I muat�take.b bedn_compltance: S.uch agencles Include but are.not Ilmited to:
- Departmant of Et�vironmental�Protectlon-Cypress.'Bayh'ead5; Wedand Areas and Envlronmentally Sens(tive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management Dlstrict-Wells, G�press.48ayheads; Wetland Areas, Altering
Watercourses.
- Army Corps of Englneers-Seawalls,Docks,fJavigeble Weterways.
- Department of Heaith & Rehabllitative'Services/Ernironmental Health Unit-Welis, Wastewater<Treatment,
SepUa Tanks.
- US Environmental Protectlon Agency-Asbestos abatemen�
- Federal Avlatton:Authorfiy-Runways.
I understand that the following.resUlctlons apply to the use of flll:•
- Use of fill is not allowed In Flood Zone'V'unless expressly permitted.
- if the fill materiai is to be uaed. In flood Zone °A", It Is underetood that a drainege plan addressing a
°compeFlsattng volume'will be submitted at Ume of permitting which fs prepared by a professional engineer
Ilcensed by the 3fate of FloNda:
- If the flll material Is to be used In Flood Zone'A° in+connecilon with�a permitted bullding using stem wall
conatruction,I certify that flll•.will:be used only.to.fill the area w(thln�ihe�stem wall.
- If flll material Is to be used In.any erea, I certiFy that.usa of such flll wlll not adversely affect adJacent
properties. If use of flll Is found to edvere�aly:affect adJacent propertles,.the owner may be cited for.vlotating
the condltions..of the buflding;permit issued under the altached permit applfcailon;for lots less than.one(1)
acre which are elevated by flll;an engineered drainaga plan Is required.
If I am the AGENT FOR THE OWNER,I'promise In good f.aith to Inform the owner of the perniltting condiUons set forth In
thfs affidavlt'prior to commencing constructlon. I understend that a=aeparate permlt may be required for electrical work,
plumbing, signs,wells, poals; alr condttloning,.gas, or other Instellatlona no!•speclflcalty Induded tn.the appltcation. .A
permit Issued shail be construed to be a�Iicense to proceed with ttie work and not as.authority to.vlolate,cancel,alter,or
set aside any provislons of the.technical cades;nor shall iasuance•of a.permit.prevent the Bulldirig Oflicial from thereafter
requl�ing a correctlon af errors in.plans,construction or vlolaUons of arry codes. Every permit Issued shall become invalld
uniess the work authortzed by such permlt-Is.commenced�within sGc months of permit lasuance,or if work authorized by
the permit Is suspended or.abandoned for a:period ofisix(9)montEis sfter the tir�e the workls commenced. An extenslon
may be requested,(n writing,from the Building,Officiai for a period:not to exceed ninety(90)days and wili demonstrate
JustHiable cause for.the extenafon. If work ceases for ninety.(90)cons.eculive days,.th�)ob la considered abandoned.
WARNING TO OWNER: YOUR�FAtl.URE�TO.RECORQ.A NOTICE:OF COMMEMCEMENT NFAY•RESULT IN YOUR
PAYING 7WICE FOR IMPROVEMEN�S TO Y�OUR�-PR'LaPER-7Y: IF YOU�II�F#EWDfTO'OB7'AIN<FIPff�NE1NG,�CONSULT
WIT D O t� O OR� ECO E1 6� OU �C '
FLORIDA JURAT(F.S:t17.03j "
OYVNER OR A�BNT CpryTRqCTpIR��/l/
Subsalbed an bewom to(or afiirmed)beforo me thla Subcrj�e�e svwm Eo or a(II edr te me;thi9
-/ �bY -
Who Islare persanally known lo.me or haalhave prqduced Who.le/are peraon I kn rae or hadhaveprodiiced
es Identlflcatlon. � ��5��"� es tdentlflcation.
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Notery Public . '. . Nofary Publlc
Commisslon No: �m ' : .Ex ires Decemb 2,2018
�''.�f�i i(\``' Bond�d Ttw Troy FJn In�uroneo 806�338r70t9
Name of Notary lyped,printed ar stamped Neme of Notery typed,pdnled w atamped
s��.�e°'°°2o Cit,�af Zephyrhills P�rmit Applicatipn F�-e��-�eo.00z�
Building DepaRment
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Champion Home euilders,inc. QUOt� -Revision 3 �',
Hwy 100 East Box 2097 � No.: QT03Z19'i ,
Lake City,FL 32056 USA ���
Phone:800.223.5471 {-{OMES UF MERIT" Quote Date: 11/05/15
Phone No.800-223-5471 Retailer P.O.:
Fax No.386-752-9560 Order Type: Stock _
Retail Customer: KEVIEW-SITE 50 fir-
Bill To: 1746FL Sell To: 1746FL Req.Del.Date: li
Central Mobile Home Rental,Inc Central Mobile Home Rental,Inc Zone Manager• Lonna Bassett
Central Mobile Home Rental,iric Central Mobile Home Rental,Inc Brand: ATHENS PARK HOME RENTA
i 0912 N. 56th Street 10912 N.56th Street Model No.: APH-RENTAL-177FD
Temple Terrace.FL 33541 Temple Terrace.FL 33541 Base Home: 3fi X 14 16D 1 BA 6'PORCH
Mode1 Year. 2016
Model Size: 35'3"X 13'4"
Constructfon Type: RWIN
Shipping Agent:
Shipping County: PASCO Page:1 of 4
Feature Option Variant Description Quantiry Ext.Price
Cabinets
BEDROOM OP000075 NIGHT STAND IN BEDROOM 2 150.00
aRAWER OVER DOOR-PRlCE IS PER EACH 7(OIVEJ '
OTHER OP001964 CA8INET CHANGES 125 125.00
OVERHEAD CABIRIETS OVER BED W/SHEtF
t�Discellaneous �..
OTHER OP000569 COMMENTS � 1 Standard
OTHER OP003023 RETAILER QUOTE VERIFICATION 1 Standard
� IT/S THE RETAlLERS RESPONSl6lLITY TO VERlFY TNE STANOARDS_,�}—OPTlONS,AND
PRICING OF THIS QUOTE.CNAlIAPlON HOME BUILDERS,lNC.RESERVES TNE RIGHT TO
'?R
MAKE CHANGES A T ANYTIME IN PRICING AND SPEC(F1CATlONS WITNOUT NOTICE
AND/OR OBLIGATlON.
Coi�truction
ROOFINS OP000491 ROOF INSULATION R-22 327 Standard
ROOFPITCH OP000768 ROOF PITCH fi/12 36 Standard
EAVES OP002598 B"O/HA.N.G HfTCH AND REAR 1 Standard
FLOORDECK_ OP001083 3/4"T&G OSB FLOOR DECKING 327 Standa►d
FLOORINS OP000495 FLOOR INSULATION R-11 469 Standard
FLOORJST OP001141 2X6 FLOOR JdlSTS&RIM RAILS 28 Standard
WALLINS OP000493 SIDEWALL{NSUTATION R-'11 607 Standard
PORCH OPD00240 OPEN GABLE PORCH APPLICATION � Standard
OPEN GABLE WITN OPEN CROWS FEET ACCENT
POST ARE WRAPPED WITN CEMPLAIVK
PORCH OP002539 1 FL�OR PORCH 13'4"X6'0" t Slandard
SIDEWALHTH OP001626 7'6"SIDEWALIS 29 Stand2rd
EXTWALLS OP002580 2X4 EXTERIOR UVALLS 16"O.C. 81 Standard
INTV+/ALL OP002197 2X3 INTERIOR WALLS 16"OC 48 Standard
CLGTYPE OP000850 VAULTED CEILINGS 327 Standard
SHEATHING OP001278 OSB EkTERIOR SHEATHING 737 Standard
ROOFSHEATN OP000342 OSB SHEATHING 506 Standard
OTHER OP000811 COMMENTS �
3/12 ROOF PITCH 8'FLAT CEfLlNGS
- Exterior
Champion is o rogis;or�d tradamark of Champion Home Rui de�s.Inc.
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' - City of Zephyrhills ���
BUILDING PLAN REv'TEW COIv�IVIENTS
' Contractor/Hameowner: �� � ��'�'1�
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Date Received: 7'�'�-'�1�
' Site: " . �.:�L� Gtp ,���i�G (....-r�
�i Perniit T e: �� �`�� �� ` -
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Approved w/no comments:❑ Approved wlthe below ct�mmcnts: L� Denied wlthe below comments: ❑ ;
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This cornment sheet shall be kept with the pernut andfor plans.
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Kalvin S 'tzer Examiner Date Contractor an or H meown
(Required when comments are present)
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+ CITY '�F / / / / BUI�DIND
ZEPHYRHILLS DEPARTMENT
OF ADDITION OR CORRECTION
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ADDRESS 034 5��2� �� y DATE PERMIT,+, '
o g� l,6
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
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�t is unlawtul tor any Carpenter,Contractar,aui�der,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 FOR R -I ECTION
or other material,until the proper inspector has had ample time to approve , r
the installation.
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OFFICE HOURS 7:30 AM-5 PM MON.-FRI. INSPECTOR (
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CITY OF ZEPHYRHILLS, FLORIDA
5335 8TH STREET
CONTRACTORS COMPLETION
NAME: J and H Homes DATE: September 26, 2016
ADDRESS :5026 Anthony Ct
PARCEL I.D. 10-26-21-0010-12600-0030 SUBDIVISION : City of Zephyrhills
TYPE OF BUILDING : Replace park model 14 x 35.4 sq ft
PERMIT'(s) 17338
REMARKS : FINAL DATE: AUGUST 30, 2016
BILL BURGESS BUILDING OFFICIAL/ JB �
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