HomeMy WebLinkAbout16-17073 CITY OF ZEPHYRHILLS
, � 5335-8TH STREET
�I (813)780-0020 17073
BUILDING PERMIT
PERMIT INFORMATION ' LOCATION INFORMATION �
Permit Number: 17073 Address: 3651 BLACK DIAMOND DR LOT 240
'i Permit Type: PARK MODEL ZEPHYRHILLS, FL.
Class of Work: PARK MODEL SET-UP Township: Range: Book:
,' Proposed Use: MOBILE HOME PARK Lot(s): Block: Section:
Square Feet: Subdivision: MAJESTIC OAKS
Est. Value: Parcel Number: 24-26-21-0000-00100-0090
Improv. Cost: 2,400.00 OWNER INFORMATION
Date Issued: 3/09/2016 Name: MAJESTIC OAKS LLC
Total Fees: 1,053.00 Address: 3651 BLACK DIAMOND DR
Amount Paid: 1,053.00 ZEPHYRHILLS, FL. 33542
� Date Paid: 3/09/2016 Phone:
Work Desc: PARK MODEL REPLACEMENT 13.4 X 37
� CONTRACTOR S APPLICATION FEES
EASLER, LIONEL L. PARK MODEL SETUP 60.00
CRANDALL, RICHARD PARK MODEL ELECTRIC 40.00
EASLER, LIONEL L. PARK MODEL PLUMBING 40.00
BAHR'S PROPANE GAS &A/C, INC. PARK MODEL MECHANICAL 40.00
TRAFFIC IMPACT FEE 99% 864.27
TRAFFIC IMPACT FEE 1% 8.73
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� - Ins ections Re uired �
P R MODE ME ANICAL
i� 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 properly. 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.
��'� � �
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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BUILDING PLAN REVIEW CQ11�S1VIENTS
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Contractor/Horneowner: �;.�� /��`"C�'
Date Received: Z-'U(o—"��
Site: c��j V� � [C...� l�-G� �L�.!}'!�'l�
. � x 3 ��... �n o al�.f �J�c�...
Pertnit T e: �J �
YP
Approved w/na comment Approved w/the belaw camments: ❑ I7enied w/the below comments: L�
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This comment sheet sl� 11 be kept with the permit and/ar plans.
J �� � ,
Kalvin Switzer P s Examiner ate Contractor and/or Homeowner
(Required when camments are present)
a»-�eo-oo2o ity of Zephyrhilis Permit Application Fax$�a-�eo-ooz�
.
'a Ma� Building Department
Date Received 407 908 5806
2� Phone Contad for Permitting
� � � � � � � � � � � � � -
Owners Name NHGFL115 LLC Owner Phone Number 813-783-7518
owners Address 6991 E Camelback Rd,Suite 6310,Scottsdale, �`Z�er Phone Number
Fee Simple TiUeholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS �W� � L U LOT# �
SUBDMSION Majestic Oaks pp(tCEL ID� 2¢ZCrz�-0000-00100-0090
(OBTAINEO FRON PROPERiY TA7C NOTICEJ
WORK PROPOSED e NEW CONSrtt 8 ADDlALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM Q OTHER
TYPE OF CONSTRUC710N Q BLOCK Q FRAME Q STEEL � a mo e
DESCRIPTION OF WORK Park model setup -
I BUILDING S� 13'4"X 37' SQ FOOTAGE �3 HEIGHT �
QBUILDING � 2�400.00 VALUATION OF TOTAL CONSTRUCTION $2.400.00
�ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.RE.C.
�PLUMBING $ / ��� 3
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION • `
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED ROOR ELEVATIONS ROOD ZONE AREA QYES NO
I BUILDER �J� l ///, � coMPaNY Easler Mobile Home Service,lnc
SIGNATURE / �J-Y�t— rs�c�s�m !N �cuwu� Y N
I �d� 4647 NW 63 Ave,Jennings,FL 32053 ucense# �H7025210
ELECTRICIAN COMPANY Crandall Electric
SIGNA7URE aEcisr�n Y N �cuar� Y N
�d� 39935 Otis Allen Rd,Zephyrhills,FI ucense# ER0012910
PLUMBER� COMPANY �sler Mobiie Home Service,Inc
SIGNATURE REGISTERED Y! N �cuaaEN Y N
�d� 4647 NW 63rd Ave,Jennings,FL 32053 ucense# �H1025210
� MECHANICAL COMPANY �nrs ac
SIGNATURE t�cisrErtm Y N �cuwt� Y N
�d� 4441 Allen Rd,Zephyrhills,FI ���e# CAC043948
OTHER COMPANY �
SIGNATURE aEcisr�n Y/N �cuwu� Y!N
Addr�s License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111111111111111-IIII
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bulding Plans;(1)set of Energy Fortns;R-O-W Pertni[fornewconstrucdan,
Min'unum ten(10)warking days after submittal da[e. Requlred onsite,ConsWction Plans,Stormwater Plans w/S0t Fence installed,
Sanitary Facilities 81 dumpster,Sfte Work Pertnit for subdivisionsllatge projects
� COMMERCIAL Attach(3)complete sets of Building Plans plus a Life SaTety Page;(t)set of Energy Fortns.R-O-W Permk for new construdion.
Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater'Plaru w/Silt Fence installed,
Sanitary Facflf6es&1 dumpster.Site Worfc Permit for all new pmjects.All commercfal requirements must meet complfance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"«PROPERTY SURVEY required for all NEW consWcGon.
Directions:•
Fill out appliration completely.
Owner&Cantractar sig�badc of application,notar¢ed
If over 52500,a Nolice of Commencement is required. (A/C upgrades over 57500)
" Agent(tor the contraGor)or Power of Attomey(fw the ovmer)would be someone with notarized letter from owner author'¢Jng same
OVER THE COUNTER PERMITf1NG (Front oi Appliption Onty)
Reroofs'rf shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter ff on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to�deed"restrictions'
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any � '
i applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the ovmer has hired a contractor or
contractors to undertake work,they may be requ'ved to be licensed in accordance with state and local regulaGons_ If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact fhe Pasco County Buiiding Inspedion Division—Licensing Section at 727-847-
8009. Furthertnore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"conVactor Block"of this application for which they will be responsible. if you,as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not entiUed to pertnitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTIUTIES IMPACT AND,RESOURCE RECOVERY FEES: The undersigned understands
that Transportafion Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance number 8�07 and
90-07,as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of
pertnitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupanc�'or final power release. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthertnore,ff Pasco County Water/Sewer Impact
fees are due,they must be paid prior to pertnit issuance in accordance with applicable Pasoo County ordinances,
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuadon of work is$2,500.00 or more,I
certify that 1, the applicant, have been provided with a copy of the `Florida Construction Lien Law—Homeowners
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the°owne�'prior to commencement
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the infortnation in this applica6on is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a pertnit to do work and installation as indicated. I certify that no woric or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulaGons in the jurisdiction. 1 also
certify that I understand that the regulations of other govemment agencles may apply to the intended work,and that it is
my responsibility to identity what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, WeUand Areas and Environmentally Sensitive
Lands,WaterNVastewaterTreatrnent
- Southwest Florida Water Management DisVict-Wells, Cypress Bayheads, WeUand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Watervvays.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone`V"unless expressly pertnitted.
- If the fill material is to be used in Flood Zone "A", it is understnod that a drainage plan addressing a
"compensa6ng volume"will be submitted at time of pertnitting which is prepared by a professional engi�eer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone"A" in connedion with a permitted building using stem wall
construction,l certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. lf use of fill is found to adversely affect adjacent praperties,the owner may be cated for violating
the conditions of the building pertnit issued under the attached permit application,for lots less than one(1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in goad faith to inform Yhe owner of the pertnitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate pertnit may be required for electrical work,
plumbing, signs, wells,pools, air conditioning,gas, or other installations not specifically included in the application. A
permit issued shall be conshued to be a license to proceed with the work and not as authority to violate,cancel,atter,or
set aside any provisions of the technical codes,nor shall issuance of a pertnit prevent the Building Offiaal from thereaRer
requiring a correction of errors in plans,construction or violations of any codes. Every pertnit issued shall 6ecome invalid
unless the work authorized by such permit is commenced within six months of pertnit issuance,or if work authorized by
the pertnd is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested,in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IPI 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.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR �
Subscribed and swom to(or aft'emed)befare me thls Subscribed and (or a� d)be(ore me this -
by y
Who is/are personally known ro me or has/have produced Who islare personally krwwn to me or haslhave produced
as identificatlon. as identifxaHon.
Notary Publc Notary Public
Commission No. Commission No.
Name of Notary ryped,prNted or stamped Name of Notary typed,printed or stamped
:� 4
Majestic �aks
Lot #240
7�8��
Side lot lines have additional 6'-6"
setbacks to existing struct"ures.
Minimum Spacing between �
Strucfures 13'
11 '
13'4'
Jacobsen
REpresents 12' Pa�Mode1
Space for future
addition.
�
78'-92"
7 '
�
ALL WO S �, p, LY WIT ALL
, ORIDA B ILDING '
CODE,NATIONAL ELE TRIC CO E AND
� 6�6 CITYOFZEPHYRHILLS ORDINA CES
2 � Minimum"�`p���i�lb �n ��
structur�s��'Q�F� �„rY��„� L�S
�LAfVS EaGq IN�F�
NORTH.
�/
_ PERMIT WORKSHEET page 1 of 2
PERMIT NUMBER - ,
Lianel Easler IH1025210 New Home � Used Home � ,
Installer License# �
Home installed to the Manufacturer's Installation Manual [39
Address of home Majestic Oaks, Lot �(�,b Home is installed in accordance with Rule 15-C , ❑ .
being installed �n
�Jlb"��7� �l p�'� '���(�� e�.. Single wide � Wind Zone II ❑ Wind Zone III [�
Manufacturer �acobsen - Length x width 13'4"x 37' Double wide ❑ Installation Decal#
NOTE: if home Is a single wlde fUl out one half of the blockfng plan Triple/�uad ❑ Serial# ������
if home is a friple or guad wide sketch ln remalnder of home
Roof System:�yplcal Hinqed
I understand Lateral Arm Systems cannot be used on any home(new or used) PIER SPACING TABLE FOR USED HOMES
where the sidewall ties exceed 5 ft 4 in. LLE
Installer's initials Load Footer
16"x i 6" 18 1/2"x 1 S 1/2" 20"x 20" 22"x 22" 24"X 24" 26"x 26"
Typical pier spacin� capacity (sq n) (256) (342) (400) (484)� (576)' (676)
2� 4� lateral
� � �
I Show locations of Longitudinal and Lateral Systems � ^ � � '
longitudlnal (use dark lines to show these locations) ' ' '
i n i i i
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* Interpolated from Rule 15G1 pier spacing table.
PIER PAD SIZES
I-beam pier pad size ��°X 22" a ize n
x �
Perimeter pier pad size min 16"x 16" x
. x
.... '
---� �-----------------------------•---------------------------------•-•-----,---•-•- �.. � Other pier pad sizes x . 3
..,
---•----� ----
� J ,..� (required by the mfg,) x
x
� Draw the approximate locations of marriage x
wall openings 4 foot or greater. Use this x
arclage allplerswi In2'of ndofho epe Rule75C
��•• �••� symbol to show the piers. x
X
' List all marriage wall openings greater than 4 foot x 2
and their pier pad sizes below.
ANCHORS
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� { ! i ; � f f � �����T� i����i���{�� � � � # { � 1 � I f �����}� ��� �j�� �I� ! � � LongPiudlnal Stabllizing Devlce(LSD) Sidewall
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Stab De c t I A �—
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, ._..,.......--_� . i , , � �..._,.....i....--..--�.---�_---� ; f...�� ,.._._�._, ; 1 i •,.•---j.....;..._.l Manufacturer Oliver TechnologieG Shearwall
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PERMIT WORKSHEET a e 2 of 2
PFRMIT NI IMRFR
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Slte Preparation
POCKET PENETROMETER TEST
Debris and organic material removed X
� The pocket penetrometer tests are rounded down to�psf Water drainage:Natural X Swale Pad Other
or check here to declare 1000 Ib, soil without test ng.
X�� X��� X���� Fastenin9 multl wide units
Floor: Type Fastener: Length: Spacing:
Walls: Type Fastener: Length: Spacing:
POCKET PENETROMETER TESTING METHOD Roof: Type Fastener: Lenqth: Spacing:
For used homes a min.30 gauge, 8"wide, galvanized metal strip
1. Test the perimeter of the home at 6 locations. will be centered over the peak of the roof and fastened with galv,
roofing nails at 2"on center on both sides of the centerline.
2. Take the reading at the depth of the footer.
G8Sk8t(weatherproofina reaulrementl
3. Usfng 500 Ib. increments,take the lowest
reading and round down to that increment. I understand a properly installed gasket is a requirement of all new and used
homes and that condensation, mold, meldew and buckled marriage walls are
a result of a poorly installed or no gasket being installed. I understand a strip
X t'"rJ� X��OD� X t�� of tape will not serve as a gasket.
Installer's initials
TORQUE PROBE TEST
Type pasket Installed:
The results of the torque probe test is inch pounds or check Pg. Between Floors Yes
here if you are declaring 5'anchors without testing , A test Between Walls Yes
showing 275 inch pounds or less will require 5 foot anchors. Bottom of ridgebeam Yes
Note: A state approved lateral arm system is being used and 4 ft.
anchors are allowed at the sidewall locations. I understand 5 ft weatherprooting
anchors are required at all centerline tie points where the torque test
reading is 275 or less and where the mobile home manufacturer may The bottomboard will be repaired and/or taped. Yes X . Pg.
requires anchors with 4000 Ib holding capacity, Siding on units is installed to manufacturer's specifications, Yes X
LLE Installer's initials Fireplace chimney installed so as not to allow intrusion of rain water. Yes�,
ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER Miscellaneous
Installer Name Lionel Easler Skirting to be installed. Yes X No
Dryer vent installed outside of skirting. Yes N/A X
Date Tested 2�1�2016 � Range downflow vent installed outside of skirting. Yes N/A_�
Drain lines supported at 4 foot intervals. Yes X
Electrical crossovers protected. Yes NA
Other;
Electrical
Connect electrical conductors between multi-wide units,but not to the main power
source. This includes the bonding wire between mult-wide units. Pg.�g_ Installerverifies all information given with this permit worksheet
�m �Q is accurate and true based on the
manufacturer's installation instructions and or Rule 15C-1 &2
Connect all sewer drains to an existing sewer tap or septic tank. Pg.
Connect all potable water supply piping to an existing water meter,water tap,or other
Installer Signature , Date 2�8�2016
independent water supply systems. Pg.
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