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Home My WebLink About16-17707 I � CITY OF ZEPHYRHILLS ; 5335-8TH STREET • (813)780-0020 17707 ' MOBILE HOME SET-UP I PERMIT INFORNiATION LOCATION INFORMATION Permit Number: 17707 Address: 37200 NEUKOM AVE LOT 298 Permit Type: MOBILE HOME ZEPHYRHILLS, FL. Class of Work: MOBILE HOME SET-UP Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: GRAND HORIZONS Est; Value: Parcel Number: 34-25-21-0180-00000-2980 I Improd. Cost: 18,000.00 OWNER INFORMATION Date Issued: 11/10/2016 Name: WEIAND PHILLIP & NANCY Total Fe�s: 7,387.14 Address: 5955 BENZ DR Amou;nt Paid: 7,387.14 ZEPHYRHILLS FL 33540-8549 Date Paid: 11/10/2016 Phone: (989)350-3006 Work Desc: INSTALL NEW MOBILE HOME 28 X 57 CONTRACTOR S APPLICATION FEES ALL FLORIDA MA UFA TU E HOME S MOBILE HOME MECHANICAL 40.00 SEWER CONNECTION M BILE 1,005.00 LILLEY AIR CONDITIONING INC WATER CONNECTION MOBILE HC 320.50 WATER METER RES 3/4" ~ 473.78 ALL FLORIDA MANUFACTURED HOME S IRRIGATION METER -- 473.78 IRRIGATION CONNECTION 175.00 LILLEY AIR�CONDITIONING INC POLICE IMPACT FEE 254 00 FIRE IMPACT FEE 273.00 PUBLIC SAFETY 5% 26.35 PARK FEES MH 573.73 I � TRAFFIC IMPACT FEE 99% 3,595.68 TRAFFIC IMPACT FEE 1% 36.32 MOBILE HOME SET-UP 60.00 MOBILE HOME PLUMBING 40.00 � ' MOBILE HOME ELECTRICAL 40.00 �� , -Z�-� - �� N I � �:�c-�re��f� �-<<- Zi-(� � ; � Ins ections Re uired I MOBILE HOME SET-UP MOBILE HOME ELECTRIC MOBILE HOME A/C MOBILE HOME PLUMBING I FINAL � REINSl�ECTION 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 may be 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 The payment of inspection fees shall be made before any further permits will be issued to the person owning same � � Complete Plans, Specifications and Fee Must Accompany Application. All work shall be perFormed in accordance with City Codes and Ordinances I NO OCCUPANCY BEFORE C.O. � i � . � C CTORS S ATURE PERMIT OFFI � PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ' PROTECT CARD FROM WEATHER O� � , �� I�COI11Ufl. t��'?i�:. � ` � �� r City of Zephyrhills � BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: �M'� Date Re I eived: �'� 2 �' " I 3? ��v�. 5�� t-�'� Site: ! �� Q �j Permit Type: � �'� � �y"-�C �1'� _ r Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ � i �Y � � I I I I I This col e t s�eet h 11 be kept with the permit and/or plans. ., � `��( i / � � Kalvin jS ' za�—Pl Examiner Date Contractor and/or Homeowner I (Re quired wh en c o m m e n t s a r e p r e s e n t) I I i s��-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received �1�1,� phone Contad for Permktin �3 "'y S`! - �� y , Owners Name �Y 1'1 �e,l Q�l�,y Owner Phone Number Owner's Address �-i SS ta,?lL�l Z. �� Z �(�.S Owner Phone Number Fee Simple TiUeholder Name Owner Phone Number Fee Sfmple Titleholder Address JOBADDRESS 3�aoo {� � � �`�5 3 y LOT# � SUBDIVISION (�L� rDh Z PARCEL ID# O,gb �OUO p� � (OBTAINED FROM PROPERNTAX NOTC� WORK PROPOSED NEw CONSTR ADD/ALT � SIGN Q Q DEMOLISH I � INSTAL,� e REPAIR i PROPOSED USE SFR Q COMM � OTHER � TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q � DESCRIPTION OF WORK C� KY\ H �` BUILDING SIZE SQ FOOTAGE �SdO HEIGHT � QBUILDING $ VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ AMP SERVICE p/lJ� � PROGRESS ENERGY� W.R.E.C. OPLUMBING $ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIALTY 0 OTHER iFINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY � �S SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address� I�1 0� F� License# M ELEC AN COMPANY II -l. I SIGNATURE �o Y/ N FEE CURRE� Y/N IAddress � � `�l� (�,�, License# V { p 0 � PLUMBER COMPANY 1�\F �S i SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N I Address � �e � License# a�y I MECHANI COMPANY � V� SIGNAT RE REGISTERED Y/ N FEE CURRE� Y 1 N Address �� V"�"`� License# i OTHER COMPANY I SIGNATURE REGISTERED Y( N FEE CURREA Y/N IAddress License# 1111.111111111111111111111111111111111111111111111111111111111111111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consWctlon, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, I 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 Fortns.R-O-W Perm(t for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Siit Fence installed, Sanilary Facillties&1 dumpster..Site Work Pertnit for all new projects.All commercial requirements must meet complfance I SIGN PERMIT Attach(2)sets of Engineered Plans. "•'PROPERN SURVEY required for all NEW construction. Directions:• Fill out application completety. � Owner&Contractor sign 6ack of application,notarized , , If over 52500,a Notice of Commencement Is required. (A/C upgrades over 57500) '" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER TFIE COUN7'ER PERMITfING (copy of contract required) , ' Reroofs If shingles Sewers Service Upgredes A/C Fences(PIoUSurvey/Footage) - " -•� . _ �.., ... ,,,, ' � Driveways-Not over Counter,if on publfc roadways..needs ROW +� . , � . � • ...... ..,_ ... . , ` r; , ..., , . . i - 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 compiiance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. 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 the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the"contractor 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 entitled to permitting privileges in Pasco County TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation 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 89-07 and 90-07, as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupancy"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. Furthermore, if Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I certify that I, the applicant, have been provided with a copy of the °Florida Construction Lien Law—Homeowner's Protection Guide"prepared by the Florida Department of Agricuiture 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"owner"prior to commencement. COIdTRACTOR'S/OWNER'S AFFIDAVIT: 1 certify that all the information in this application 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 permit to do work and installation as indicated. I certify that no work 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 regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentaliy Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering Watercourses. - Army Corps of Engineers-Seawalis,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 expressiy permitted. - If the fill material is to be used in Flood Zone °A", it is understood that a drainage plan addressing a °compensating volume"will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction,I 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. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating the conditions of the building permit issued under the attached permit application,for lots less tlian one(1) acre which are elevated by fi�l,an engineered drainage plan is required. If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air wnditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by the permit 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 damonstrate 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 IN YOUR PAYING TWICE FOR IMPROVEM S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CO WITH YOUR LENDER OR A RNEY B RE RECORDING YOUR NOTICE OF C01VI11R�NCE FLORIDA JURAT(F.S.117.03) � OWNER OR AGENT CONTRACTOR S c i ed and s irm efo s S c' sworn to ed efor m this by Who is are pe nally own t e or haslhava o uced Who is/ re perso known o e or has/have produ as idenffication. � as idenGfication. � Notary Public Notary Public Commission ��—L�/ 1.� Commission No. ��3 O `� Na �� Name of Notary ryped,printed or stamped µ;'r ;;•. L JENE BLACK ,",",•,, L JENE BLACK 5 �`"��'= MY COMMISSION#FF 243095 =��'�'= MY COMMISSION#FF 243095 '_•: : =*w�'�` r 20,2019 ��4; EXPIRES:October 20,2019 EXPIRES:Octabe ��''.��; ''`' Bonded Thru Not�ry Public Underv�ters ," �� gondedThmNotaryPubGeUrderwriters ' "�_ "�,� •„?'��`�� c,—..,�r-. L _ i O' ' ; � �` = �Ll �„_ �p, , - 31aoo ��.4�, ', �v�.. � � , �zh}�� e� ��G�� ' 1� � � ��f G�11 �/. � 0 �3 ._._ 5 c ; \� # � �� ` � � �� `� � ORK SHAL COMPLY�N�TH PR AILING CO'ES � FLO IDA BUILDI G�C CODE,AN�, �� CA � OF ZEPHY HILLS OF:i'",`'. � � � ��,a�.�� C' V1EW �T�� "� � v �{"CY�aF ZEf�H�RH 'tS . ,: �1 ��y � NIIN � � � �. � � � � � � � . � � .a..� �i� � �. :�1 � .�,.'la, �� r �• 6� � � � . �� r� n � _ � 3 � � �G.\1�. � . , S 8-� � i t i � � - , �� ' � 5�-�-e_e� � �c�c.�c..-�- �'�,�.-�c�+r�e.�e,t' �Tr,��w �.. _T. _.�. . ... ��. .. 1�t� X . 1 �� .. ._ v.. ,. _ X . . . _., � ..!��_.,. . . ± ... ... �.;�.�.�.�.�. _ .......__,_�. _... , � , f --. . . _ . . _. _ . . , . � . . . . . ___.., .. . ti _ . . 4 .-, .. r+am.ew:mevw� " .� _ . _ . ... .... ,- ... � _ . ,. . _ �( ...� �. � -. ".'..."..._ ._ _...._-_.. .. _ , .. r,.� " _ .. . _ ., ,. . .. .. .... r.�'4 .... ... �, !�, . . � .. �.... .� .. � . i . , r ._� _ ._..q�.�,f t _ ... _.e 1 . w �• � .�. • .. � �� + .. ., . . , �sY��.w�4�+�� . ._ .., .... ` �- iY{ ., ` -n . _" . ,.. ...� .. !V;'\V amiYi F` . , . ._ . .�. � . -_.�._ _'_.--_._ -_____._.... ----�n�=o-w+--_._i. „ ' _ ". .. .� . ��" '-�.—.-._.v � __.��_ _ ___' __ .. .________.-__.—__ _-_ .� i � , , ,' EXCLUSIVE DEALER. ❑00❑ � ❑a�❑ a��o � Sun o000 crest Hom e s JACOBSEN HOMES ' rhe "Key Lar p" 9► KEY F�ATURES: �,:-,- � -�. �,�� ;��:Y, � �„��.> • 2 Bedrooms/Den ��l;�k'="-�� -r=— rr-r-rrrrrrrr-r ' '�� ``� rrrrr� 2 Full �aths .-=��a�:�`--- -� .� r�r�rr • Great Room/Open Plan ��`��r� r�'rrf a�Z rrrrr -r��rrw-�-r-rrr�� • Large Eat-in Kitchen � -rr�rr4-o r�rr�� • Custom Cabinets & Upgrade � '�rr�r -�-rrrr, � �3 �� -,-rrrrr Appliance Package �� rrrrrr��r-r • Very..Large Bedrooms q g ��r-��r • Gfamorous Master Bath w/2 �-�-�-�- �-�- �� Sinks � Linen Cabinet � -rr�- �- • Waik-i ' Closets �rrr� ��r '� -r�� r , rrr� � �� rrr �� o r�� ra r Jacobsen Standard Features -rrrrrrr�rr �rr-��,r-��z-�:� rrrrrr-rrrrr- rrr-rrrrrr rrrrrrrrrrrr �rrr �„ � • Fibecglass Shingle Roof rrrr�a-rr-rrt-r r'rr • Wood. Sheathing Exterior Walls rr�rr�-Z�rr�r�-�r� �'"°'� • Truss�;Roof Rafter System rr�rr �� $ �rrrrrrrrr � rrr��. -r-rr�� rrrrrrr � �� • Insulated Ftex-Duct System � rrrrrrrrrr r��rrrrrr�� • Ventilated Ro�f Cavity � ��rrrr-rrrrr r r . Vinyl Lap Siding rrr �-r - • 2"x 6� Exterior Walls � r'rrr r x rr ,=�� ` • 2" x 4I' Interior Walls = m rr �p�- , Q g �� • Double Marriage.Wal1s - Decorator Gypsum Interior Walls � • Reinforced Polyvinyl.Bottom Board N N rr �.r� O • Solid Steet !-Beam Frame rrrr ro�-�rr • Tie-Down Connectors ��r rr 3��rr� • Shut-Off Valves on all Sinks � � � �� and Commodes ,� � �rrr-��- � _ � rrri�� C�� ` `�--c�-- X� �� r ��ir� �� rrrN- ,�`E o rrr= SPECIFICATI.�NS: � � ��_ � Square Feet: 1,520 r-� i- � Dimensions: 28'x 57' r�� ' SETUPS AND LANDSCAPING MAY VARY.ALL SIZES ARE i APPROXIMATE AND NOT SHOWN TO SCALE 35Y62.State Road.54 W•Zephyrhills,Florida 33541 •Offce(813)788-3300 i www suncrestsales.com • email: sales@suncrestsales.com . _ _ .__. _ . _. ...� .. . _ . _ _ _ ._ ._ ,�. __.-----�. ._,. ___._._._. - -- -- /, -_ —. __.. _ .._ -• •_- -- J •--- ---- -- —_ • _ ...__... _ . .._� _ . � � . . _....____ . . _, _... . ... .. _. , . . ... -- .. - _ �� (�"Z.�,i��s' `"'�V' •4��,...., � � �� "� ' y .. ._- _ F - -.. .. .. ._ . . �,;�� _ _ .. .- - . ._, __. �_;�A�,,_ .. _ _. ...,��Oi,S�G,�_.,_. vu�pe,� '� � _ , _ . _ _ _ . .. .� �� 'l� Z° t..1 �J'4 , r aa,d '�'p ��h`C� v- S '�°`�`''° �cr�� ;c�o�� - _ .. i � ��.��i► ��"��.�r3��S' '��i. � I#'�i�T��"1►�� i��!��i! �V��7 i"Q� �L4�� a � F , ; �� r � PA'TENI"#6634150 t� THER A'fEN"i'PEN�i�iG � � ( � � � I i i . 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N=TE�ESCOPIf�G TRANSViERSE ARM x�+uv��e �+ � ASSEMBLY � o�nect�s �.� ��SV�RSF ARi+A 1-BEAM CAN�+tECTOR � (�at�eds w�gcada 5-9/z'x 2 912°�a�e b� i ��) E-^�P�T d J�COidCR�TE`V" BRACfCEf 6txrtsne�ts vaitt� T�,(�,� Qt�de 5-ii2"x�'c�i�ba�i�m�) B�ts (7.6'1 � .Cotx�le Eool�d t4uKser t�!��9 # 1'8t�� C "1/" rJf,.�lfER'fECHl�tOL.�[ylES, flVC. Tae�on��ass-4ss5 �-8�-2�4-T�3T Fe�sa9ass-ss�sa �,�rar.ofax � Jacq�aeline Boges From: FATHOM <support@gwfathom.zendesk.com> , Sent: Thursday, November 17, 2016 12:25 PM To: Jacqueline Boges Sub'ect: Re uest received 37200 neukom ave new service mh J � A l ##- Piease type your reply above this line -## i� � Hello Jacqueline Boges, � We are working to resolve your request promptly and will keep you updated. One of our Support Analyst will keep you updated on the progress of your request. i � Best Regards, FATHOM Support Team TO ADD ADDITIONAL COMMENTS, reply to this email or click the link below: https://qwfathom.zendesk.com/hc/requests/101728 � .�. ... I f____j_; ; _ ; )acqueline Boges � ; _ �` i � Nov 1 7, 1 0.25 AM MST � need to set up new service for a mobile home set up at 37200 neukom ave II I This eniail is a service from FATHOM. I I � i ; 1 Jacqueline Boges �� From: FATHOM �suppart@gwfathom.zendesk.com> S�nt: Thursday, Novernber 17, 201612:29 PM To: Jacque[ine Boges Subject: [Request received] 372Q0 Neukom ave mh irrigation �##- Please t}fpe your reply above this line -## ( Nello ]acqueline Boges, We are working ta resolve your request promptly and wi13 keep you updated. One of our Support Analyst will keep yau updated on the pragress of your request. Best R�gards, FATHOf�1 Support Team TO ADD ADDITIONAL COMMENTS, reply to this emaii or clEck the link below: I https•((gwfathom zendesk com/hc/requests/101732 ,�. r .t j � �acqueline Boges (- -- .� �lcrv 1 7, 10 29 t�(�� MST ! ' � need new service for irrigation for 37200 neukom ave for mabile home set up I ! - - - - - - - - - - - -- - -- - - - I This eniail is a service from FATHOM. E � 1 . � lllllllllllll1111111111411lIIIIIIIIIIlIIllllllllllllllllllll • ' ` 2016179980 � , _ .� : 8i4995 Rec: 10. 00 After rd'mg,retum to: Rcpt 1 P� ,'��f`c�,�-t DS: 0.00 IT: 0.00 'j" 11/1012016 E. M. , QPtY �lerk . PertnitlNo.: - � �-- t - 4 R�� ¢�� o�u��a��m��a� I Ta��lo t�a.: sfst8 of��oridg � The undersigr3ed hereby gives notice that improvemertt wiU be made to oeirtairt rea!propedy,and in accoMance with Chapter 713,Fiarida Sfa2utes,the followi` taiotrna�ti�on#s provtded in th€�Nafrce of Commencement 1.DE�scription of the Property:(faga!descNpGon ot!he property end sbeet eddress U eveuable) � aar o�«��i 3�-1�� c�,d �• � f,�ho. ��ta i 63 C.o} R�l � StF�ei Addt�ss: '"1 '� `Z •� cj � 2.General Descriptlon of Impnavement f1,'�rJ +flfb�t�'S �'�"i.5��, f1�t.�7 C��hC��CQ, ��' � �,� 3.Ouw�er's IMortnatlon or Lessee iniorma6on H the tessee comracted tar the improvemerrt: aaisss:��Sq.��,n2 �r��- t�1 c'�_��,�� IMerest in Property: N�e�Attdress oi fee simpte ti!lehoider{d c�tterarrt u►an oxmer}: " 4.Coritrador nfom�ation Nscite: �S � R PhoneNo.: �,`�, �S`fr-/oZ.�y ' Aaaress: � 1 - �a � 5.Surety(dapgBcatae,acqp}+otthepaymeatt�cndme,stbeetm�d}: Marile: PhOrle No.: Addresa: Amounc of Bond: $ B.lenaer I�Eonmation: , . Neme: Phone No.: � 7.Persons wilhin the S#ate of Fla�da d�sigrtated by Owner upon wham notices or other dowmerr#s may be eerved as provided by Setlian 4 713!13(1)(a)7.,Floride Statutes: .. , i �{y�: PhQRe No.: p��)�-� S 0'NE S�,Ph D PASC4 G�ERK 8 GOCtPTR4U_Ef� �� 11/18/2�l16 /0�2:45 m 1 af 1 8.Inadditiontot�selEorhersetE,O�mer�signates af OR BK 9"�`�� PG �7�� ! to r�ve e Copy M the follawing Venors Natice as prohded in�n 71a13(1)�?,Flrnida SU�hrtes: Phone NO.: 9.Ex(11r8ticn i19te o!ROUce of C�17imecdDertierft(the eupiraU+tn data maY rrot be 6afare Ghe mmp�Bcn of co�+on end fine!ReYn+eat to Gre ca,atraaor,Dut wftt 4e 1 �fiom Hre dete of reaordfng uMess e drl�e�#date!s spet#Aad}: WAR1tQ�Et3 TO OWNEI� ANY•PAYi1ENT81YFADE 8Y 7NE pWNER AFlER 7ilE EXRlRA'it0l1 OF 7NE MO710E df C0IHMENCflKEN'f ARE GOIi81DERED AlFROPER � PAYM�NTS UNDER CtiAPTER�13.PART i,SEC110N 715.10,FLORIDA STA7UiE$.AMD CAN RE&ULT iN YOUR AAY[tiii 7WiC6 FOR 11YEPR011ENIEFiTB TO YOUR PROP�RTII.A NOTICE OF COMlNENCEMENT NW$T BE IiECORDED AND POSIED!7N iHE JOB SITE BEFCIpE 7HE FlRBT INSPECTfON. IF YOU INTEND TO 08TA1N FlNANGING,CQNSUL7 YOUR LEtiDER OR AN AT'DORNEY BEFORE CO�QENCiNG WORK OR RECORDIMO YOUR NOTtCE OF CONAfENCEMEtIT. U�Mor�PenattY oP Pehuryl�t daelare Utat i have�easi the tonagaGrg notiee oi nt and thet tlte taete 4taled fberetn are true to d►e baai M mY knorMedge �nd beliet o/ wtes,me,arOwnersartes�ee'sAutl�odaedOt�e-�:�tine�fifar�at '�� 1,�,�,�,c.k.,r_ Qt� s�narorYa�Ot�o� �,3 The foregoing lnstrumer�t was admowledged betone me Nils a2��day of 20 ,by�� ")(Y� �n,�U.✓�as ' fQr p.C,� who Type� .Mtstee,a�meYfi�rary IYameofp9tlyonbehallofxlrom8uMa119niwas� !s onally kn pmduoed � as type of tder�titicati , , _ r � � ` ' ,�.�,,,y """""�••••�••••�••••:x:_-_.,. , s+pn�rrew -srslemF�brwa � starra+cor�uN�o�eanemea►�ryAuoael �r''� �,= l JETIEBIA�;K f� , , � _ .: MY COMMl5Sf4N 0 FF 2�; _� , �� F'tFiES:tktober28,20tg ��` BonQedl7iNNolaryPublicUMawAtms �� L.Ak9CouMY��u�9.�� : � ��Y ��ioveland .IJdtatple PbUm�Cartm�a�emmrt— . . ' :s: ,�� E}tP1RES:October 20.20I9 �'„9„�:+ 9m�ded ThN Notay Pub6C UrMermitefs I I � ..—. ____. .__ ..— _ .�..---- ------ --- ,��,uDac,� Si°RTE��FLORI�f�,H aU�E 0�GO N�S A �!'�' , �'��_ THIS IS TO CERTIFY T �G TRUE AND CORRECT COPY OF THE DOCUMENT � • � ON FILE OR OF PUBLIC RECORD IN TNIS OFFICE , � � � YHANDAN FFICIALSEALTHI . * . lnGod�e WI NES� 2 C7 T"�'� —��pAY OF p RO LER * ;....�.,-: : � PAUL.A S.O'�EIL,CL RK . .- , * GLERK �+�,�• . a8gj�-- '�y�. • e � BY ��'d�ARI�lp � ; _ : PASG4 GQUNTY, FI.ORIDA ( ,: � � � .' Permit Na, �7(� � Date Perm'sffed T� Builder NameiOwner Name ��rrvnl��t.. /�►t �'�'�.tro1# , , � ��t. County Parcel No. �`�ZS-2I-b t 8d l7 dt�29'8� Subpiv: (�pY�ez� T,fNt`� AddresslLocation ��372at� l�GCG(.t�Q�ct �� CA7— �� Glassiflcatianffype of Use jY1Gt,.�k�A�� r� ��.�� 'TRANSPQRTATION tMPACT FEE Rate; Sq Ft Unit: ��,,�� Exempf [] Yes � No How Defermined Impact Fee Amount $ 3(,�Z,. • Zone No. TAZ: SGHOOL IMPAGT FEE ��,,�.�r- Accaunt (056) Sfng{e-Family Defached House Amount $ �� (057} Mobi(e Nome (058} Otfier Residential 123) Collection Fee Exempt [�Yes [� No How Determined PARKS ANQ REGREA7iON FEE Land Account Land Credit Land Total Recreafion Account Recreation Credit Recreation Total Zane TO7AL AMOUNT $ �J ?J�� I� Exempt � Yes �] No kiow Determined , LtBRARY FEE � Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt � Yes � Na liow Determined Totai Amaunt c=� RESOURCE FEE ERU TOTALAMOUNT Prepared By r Checked By ND CERTtF{CATE OF t}CCUPANCY WtLL BE ISSUED OR FiNAL INSPECTION FEF2Fi3RMED I,.iNT1L THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND itECE1PTED FOR BY A CENTRAL PEFtM11TING QFFICE OF PASCO COUNTY Acknowledgement below does not imply acceptance of conourrence,but simply recslpt of a copy of this fotm,placing ifie building permlt owner on nohca of ihis assessment and tha aonditions of payment for sama. DATE REGE{VED BY a RECElP7 NQ. dATE BY � i ; � 8 Pasco couNnr t� . BUILDING CONSTRUCTION SERVICES ��y� 8731 Citizens Drive Date: 11/10/2016 _ Suite 230 �� ' ' New Port Richey, FL 34654 ' � � 727-847-8127 I �� 0 �r�'r Record#: 06POS-00000-#0000 Impact Fee Residential Solid B450-363000 1 00 $0.13 Waste Condo,Multi-Family MH in Park,pe�r Unit Plans Examination(Mobile B104-342907 1 00 1213880 $45.00 $45.00 1642501 11/10/16 Home Set-Up) Site Examination-Residential B104-341937 1.00 1213880 $30.00 $30.00 1642501 11/10/16 Base Fee � Site Examination-Residential 6104-341937 1.00 1213880 $90.00 $90.00 1642501 11/10/16 New Const�ruction, Remodeling and Additions State of Florida DBPR/DCA 8104-208003 1.00 $4.00 Surcharge i Technology Fee Central 6104-342920 1.00 1213880 $25.00 $25.00 1642501 11/10/16 Permitting � Unlicensed�Contractor Taskforce 6104-322001 1.00 $5.00 Surcharge; � TOTALS: $4,521.88 $190.00 I Receipt#I Paid By Check# CC Auth# Cashier ID Workstation Receipt Date Amt Paid 1642505� Check 3623 307 BCCCPI5W 11/10/2016 $8.83 Total Payments: $8.83 Pavor Address Phone JAYNA Commenfs: ' CITY SO IID WASTE I MyReports/reports//PRODUCTION/PASCO/ReceiptAA. 11/10/2016 Page 2 of 2 � � PASCO COUNTY , � � BUILDING CONSTRUCTION SERVICES �� 8731 Citizens Drive Date: 11/10/2016 __ ' Suite 230 � New Port Richey, FL 34654 �� 727-847-8127 , �* 1..! @ � � 9 s�c'sY I Record#: 06POS-00000-#0000 Aoplicant.lnformation Contractor Information Owner Information � I ' I ' ' � Proiect Ingormation Status:#POS Applied: 04N1/2016 Issued: Type:_PER TYPE Finaled: Expired: Category: i PER CATEGORY Sub-Type:!_PER SUB_TYPE Parcel Number: Job Address: Work Description: FEE DESCRIPTION ACCOUNT CODE UNITS INVOICE# FEE AMOUNT PAID RECEIPT# DATE Driveway Connection 6102-329700 1.00 $50.00 Permits-Serving Individual Res. Lot General Base Fee 6104-322000 1.00 $45.00 Impact Fe i Residential Fire B180-363281 1.00 $221 00 Combat Facility Impact Fee,Residential Fire B180-363280 1.00 $27.45 Combat Land Impact Feei Residential Hurricane B188-363252 1.00 $2.73 Mitigation Evac,per Unit Impact Feei Residential Hurricane 8188-363250 1.00 $238.05 Mitigation Shelter, per Unit Impact Fee Residential Library B185-363275 1.00 $86.52 All Other Res Facility Impact Feel Residential Library B185-363274 1.00 $10.06 All Other Res Land Impact FeelResidential Park Rec B181-363271 1.00 $504.33 All Other Res Facility West Impact Fee Residential Park Rec 6181-363270 1.00 $122.67 , All Other Res Land West � Impact FeelResidential Rescue B184-363281 1 00 $152.15 Service Equipment Impact Fee Residential Rescue 6184-363280 1.00 $19.79 Service Land Impact Fee�Residential School 6168-363297 1.00 $2,640.00 Mobile Home Facility Impact Fee�Residential School B168-363296 1.00 $203.00 Mobile Home Land MyReports/reports//PRODUCTION/PASCO/ReceiptAA 11/10/2016 Page 1 of 2 �I Jacqueline �oges From: Timothy Corson (FATHOM)<support@gwfathom.zendesk.com> Sent: , Monday, November 21, 2016 3:21 PM To: Jacqueline Boges Subject: [FATHOM] Re: 37200 Neukom ave mh irrigation I ##- Piease type your repiy above this line -## Your request (#101732) has been solved. TO REOPEN THIS REQUEST, reply to this email or click the link below: I' https://gwfathom.zendesk.com/hc/reauests/101732 i Timothy Corson (FATHOM) I -- L___.__ No v 21 1 :21 PM MST , I Hello, � This has been setup. Their customer/account# 900096-2457679 and SO#533182 for the meter installation. Thank you, Best Regards, Timothy � FATHOM Support r ~� ` FATHOM ZenDesk Su ; �, : � pport (FATHOM) I �- - i `------` Nov 21 , 1 :18 PM MST GIS has been updated to reflect the account. Thank you. -Bill � � '' Jacqueline Boges � 1 �-- �' f�ov 1 7, 10 29 AM MST I need new service for irrigation for 37200 neukom ave for mobile home set up � This email is a service from FATHOM. �� 1 �� Jacqu�line Boges From: Kayla Hoppe(FATHOM)<support@gwfathom.zendesk.com> Sent: Monday, November 21, 2016 3:04 PM To: Jacqueline Boges Subject: [FATHOM] Re: 37200 neukom ave new service mh ##- Please type your reply above this line -## Your reqiuest (#101728) has been solved. TO REOPEN THIS REQUEST, reply to this email or click the link below: https://�wfathom.zendesk.com/hc/requests/101728 .�. I ==; �� Kayla Hoppe (FATHOM) 1------�� Nov 21 , 1 :03 PM MST � Service Order# 533177 has been created for meter install. , Best Regards, IKayla � FATHOM Support ; , ; FATHOM ZenDesk Support (FATHOM) , � � _. '--- -- Nov 21 , 12�58 PM MST i ' GIS has been updated to reflect the account. , Thank you. � -Bill � ... .r. � ;`v` Jacqueline Boges `------ Nov 21 , 10 22 AM MST Yes lot 298 Jacqueline Boges I �- - �- Nov 21 , 1 0•1 9 AM MST � Yes lot 298 1 I