HomeMy WebLinkAbout16-17877 1
� CITY OF ZEPHYRHILLS '
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5335-8TH STREET � �i
. I (813)780-0020 -877 �
! MOBILE HOME SET-UP I
PERMIT INFORMATION LOCATION INFORMATION I'
Permit Idumber: 17877 Address: 37647 COREY LEWIS AVE LOT 321 ,
Perrr�it Type: MOBILE HOME ZEPHYRHILLS, FL. ',
Class of Work: MOBILE HOME SET-UP Township: Range: Book: ;
Propos�ed Use: NOT APPLICABLE Lot(s): Block: Section: ',
Square Feet: Subdivision: GRAND HORIZONS '�
Est. Value: Parcel Number: 34-25-21-0180-00000-3210 �
Improv. Cost: 9,080.00 OWNER INFORMATION '�
Date Issued: 11/01/2016 Name: WEICK RAYMOND E & RUTH
Total Fees: 7,387.14 Address: 10701 ROSEATE SPOONBILL CIR
Amount Paid: 7,387.14 ESTERO FL 33928-2462
Date Paid: 11/01/2016 Phone:
Wark Desc: INSTALL NEW MANUFACTURE HOME 42 X 40
CONTRACTOR S APPLICATION FEES
BMI LLC i MOBILE HOME SET- P 60.00 MOB LE HOME ELECTRICAL 40.00
BMI LLC � MOBILE HOME PLUMBING 40.00 MOBILE HOME MECHANICAL 40.00
BROWN'S�A/C INC SEWER CONNECTION MOBILE 1,005.00 WATER CONNECTION MOBILE HC 320.50
BARNES ELECTRIC OF CENTRAL WATER METER RES 3/4" 473.78 IRRIGATION METER 473.78
IRRIGATION CONNECTION 175.00 POLICE IMPACT FEE 254.00
FIRE IMPACT FEE 273.00 PUBLIC SAFETY 5% 26.35
� PARK FEES MH 573.73 TRAFFIC IMPACT FEE 99% 3,595.68
TRAFFIC IMPACT FEE 1% 36.32
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��' ''`� ' ns ections Re uired
MOB LE HO SET-UP ° '�- �j� '3�-L��S` CJC'
MOBILE HOME ELECTRIC �S�/�
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MOBILE HOME A/C ,
MOBILE HOME PLUMBING
FINAL I
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
I 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
NO OCCUPANCY BEFORE C.O. �
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CONTRACTORS SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
� CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills �
BUILDING PLAN REVIEW COIVIMENTS�
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Contractor/Homeowner: �
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Date Received: �'����--
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Site: ' , 7lp ����lr�
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Permit Type: ��'�� /� �
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Approved�w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑
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This co ent sheet shall be kept with the pernut and/or plans.
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Kalvin it ans Examiner Date Contractor andlor Homeowner
� (Required when comments are present)
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, � Pasco couNnr
�„ _ BUlLDING CONSTRUCTION SERVICES �
�'�'�. 8731 Citizens Drive Date: 11/15/2016 �
���� Suite 23Q
C ��t" , New Port f2ichey,FL 34654
, � I' '� 727-847-8127
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Record#: 06POS-00000-#0000
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Apalicant Information Confractor tnformation Owner Information
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Proiect InformaEion
Status:#POS Applied:04/11/2016 Issued:
Type:_PER 'iYPE Finaled: F�cpired:
Categor�:_PER CATEGORY
�ub-Type:_PEF! SUB TYPE
Parcel N�amber: �
Job Add�ess:
Work Description:
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FEE DESCRIPTION ACCOUN7 CODE UNITS INVOICE# FEE AMC}UNT PAtD i2ECE1PT# DA1'E
Electrica��Base Fee B1q4-322Q00 1.00 $45.00 ,
ESectrica-PerSystem 61Q4-322Q00 3.00 $1QA0
Compon'ent or Feature
Fire Base Fee 8102-32994Q 1.QQ 1211021 $45.00 $45.00 9639920 10128196
Fire-Commercial New B119-329900 1.00 $55.10
Construction,Revision,Addition
or Renovation �
State of,Florida pBPR/DCA B104-208Q03 1.00 $4.65
Surcharge •
5tate of�lorida DBPR/DCA 6104-208003 1.00 $1.65 ;
Surcharge PE .
Techno(ogy�ee Central 8104-342920 1.00 1211021 $25.00 $25.00 1639920 10/28/16 '
Permittin�g
UnlicensedContractorTaskforce 61Q4322001 1.00 $5A0
Surchar e
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TOTA�S: $999.40 $70.80
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MyReports/reports/lPRODUGTIONIPASGOlReceiptAA 11l15t2416 Page 9 af 2
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,� i PASCO COUNTY ;
.,_ ',� BUt�DING CONSTF2UCTtON SERV(CES
_�''�!4y�_ 8731 Citizens Drive Date: 11/15/2016
a Suite 23Q
� -° New Port Richey, FL 34654 ,
� ' '�' 72?-847-8127
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Record#: 06POS-OOQ00�#p000
Receipt# Paid Bv Check# CC Auth# Cashier ID Workstation Receipt Date Amt Paid
1643040 Check PERMIT#178 2932 534 BCCCP15W 11/15/2016 $7.99
77 CITY QF
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ZHLLS �
` Totai Payments: $7.99
Pavor Address Phone
Comments•
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MyReparts/reports!lPROpUGTtONtPASCQlReceiptAA 11/1512016 Page 2 af 2
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Jacqueline Boges
From: TQ Randolph (FATHOM)<support@gwfathom.zendesk.com>
Sent: ; Tuesday, November 15, 2016 7:49 PM
To: j Jacqueline Boges
Subject: [FATHOM] Re: service for new manufacture home set up
##- Piease type your reply above this line -##
Your request (#98624) has been solved. TO REOPEN THIS REQUEST, reply to this email or click the link below:
https:/'/awfathom.zendesk.com/hc/requests/98624
.. .�-
� TQ Randolph (FATHOM)
`--`-�]-�' Nov 1 5, 5:48 PM MST
COMPLETE.
WATER ACCOUNT 899832 - 2457489
IRRIGATION ACCOUNT 899832 - 2457499
THANKS!
Best Regards,
TQ� FATHOM Support
� ` FATFIOM ZenDesk Support (FATHOM) ;
� �- - ' Nov 1 5, 5:36 PM MST �
GIS has been updated to reflect the account.
Thank you. _ '
-Bill '
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, TQ Randolph (FATHOM) '
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` -; ' Nov 14, 1�1 6 PM MST ,
CREATED IRRIGATION ACCOUNT 899832 - 2457499
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I 8��-��2� City of 2ephyrhills Permit Applicatlon Fax-e�a-�eo-0oa� ,
,1 Building DepaRment
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j pate RaceNed Phona COMact for Permtttin � - � p
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, Owners Nama (f�l, (� �, �1(,�,�_ Owner Phona Num6er �/�
� Qwne�'a Address {�� y E�lwrrer Phone Number � �
� Fee Simple TiUeholdor Name ���lP�ne Number
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Fee Simple Tltieholder Address
dOBADDRE5S t,C? � i.OT# LS�L.��
$UBDMSION PARCEL IQ# p� ' �
(68TAFFiID FftOM Wt�FERTY TAX NO2tCE}
i WORK pROP09ED � NEW[ONSTR 8 ADDIAI.T Q SIC3N Q Q DEMQUSH
INSTALL REPAIR
PROi�OSED USE ,� SFR Q COMM � OTHER ,�
� TYPE OF GONSTRUC710N Q BLOCK Q FRAME � STEEL Q ��..0,�
OESCRIPR4N OF WORK � p
�� 2l �/� SQ FOOTAGE� HEIGHT ��,
BUILDING SIZE ��
06UILDINC� 5� +„!.� _I VALUATION OF TOTAL CONSTRUCT�ON
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QELEGTF2tGAl $� �� AMP SERVtCE Q PR4£:RESS ENERGY [� W.R.E.C.
QPLUMBING $p.� � � �G�
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OMECHANICAL $',pQQ VAI.UATION OF MECHANICAL INSTALIA710N � // ����� /'►
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D�ns � RoaFEr�� p s��ciru.-rv � OTHER
FINISHED FLOOR ELEVATIONS �� FLOOp 20NE ARFA QYES NQ � i�� � .� ��
; a �.�► �
6UILDER �S�i.�✓\I�`Z�r,�^ � COMPANY �7�m�t...f�Jo... � ���
9tGNATt3RE t � St I!OL�-�� rtEc,�smt�o Y t N �curt�. Y J N
Addresa IIJ ✓�J"�IQ Ucense�! ",.�`� / ,
SiGNATURE ���„-�-� '��„�'�"'-� a��S�m 'Y/N �F�cu�..IPC�Y�+ `'y_�
Address � i 1� license# ��GYcaU����
StONATURE ����� 1 4_.k_��� REGlMSTEREo Y,t N P�c� uRREn Y t P} �
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Address � P�� License# 3
MECNAHtCAL -� COMPANY �
SIGNATURE �.1-� aEcis�Eo Y/N r�cuaaEn Y/N
",.... �_. . /%''� ��
Address t". License#t C..J�
pTHER C4MPANY i
SIGNANRE aer�sreaen Y/N �cuRSEo Y/N
Address L(Cense�i [ �
IIIIIIIIIIIIIIIIIIIIIIIIIItllllllllllllllllllltllllllllllllllllllll �
RHSlDENT►AL Adach(2}Ploi Ptans;{2)sats af 8uildi�Ptans;(i}set of Enetgy Fams;R-O-W FemtR for new conshucNan, ,
Minimnm ten(10)xo:ktng days after submlttai date. Required onsite,ConsVucHon Ptans,Starmwater Pians w/Siif Fence instatted,
Sanflary Faa'IiUes&1 dumpster,Site Work Pertnit for subdiv'sionsliarge projects i
CQMMERCIAL. Attach(3)comptete sets qf Building Plans plus a Life Safery Page;(1)set ot Energy Farms.RA-W Pertnit for ncwv canstruction. i
Mintmum ten{i0}wcrkhtg days after submifYai daie.ftequlred onsita,Consttuctian Plarts,Stormwater Pter�s w!Siit Fence lastaitad,
Sanitary Factlities 8 2 dumpster.SiYe Work Permit for aii new projects.A!i commerclai requirements musf ineet campilance �
SIGN PERh91T Attach(2)sets of Engineered Plans, ,
""'PROPERTY SURVEY required far all NEW construcdon.
Dtrectiona; �
FII out applicatlon completely.
Owner&Conlractar sign back of applicadon,notarized
If over S250D,a Notlee at Commencomant 4s naquS�ad. {NC apgrades ever S75ti0}
"' Agent(for the cbntractor)or Pawer oi Attomey(for the ownsr)woutd be someone wlth noTarized ietter imm awner autliorizing same
OVER THE COUNTER PERMITI7NG (Front MApplicatlon l7nly)
Recoofs it shingtes Sewers Serviar Upgrades AtC Fences(PtoVSurvaytFootage)
Driveways-Not over Counter K on public roadways..needs ROW
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� � NO?10E QF DEED RES'[RICTIONS:,The understgned,under�tands�;th�tt;ilais���rm(�;�nay,:be:sub�ect to tdeed_�res,p�ctlons_.�...,T...,
which mey�tie;►n�rria�reslNctive�ttian`Gotiiity;:i�ilatfons:=Tiieyundet`elgne�essuriie"s�respon`sltillltytor compliance wlth�any '
� applic�a6}�deect restttcttons. ,,..<s�..,�:� �. ,. ,. • _ __.__ � . -� -
� UNLICENSED•�GONTRACTORS�ANb CON�R1►CTqR RE8PONStBik�1�S:-•i��the owner t►as^hlredµa"'c�ntractcr or
� contractor�to undertake work,tFiey may.,bs.�r,equir�d��o.:be�itcensed•In ea oi�iJance.w(th;stata.arM�Iooal�regulaUong:�'ifithe�..a. _i,-:�",
� cantractcers•not ft'cetiseif�as requlx+sed`S}r leuit..tiotii�tfiie owner.and�con�a��m'sjr be�ci#ed'for��mt�d�rtieanor vtotaElo»
under state law. if the owner or irrtended,�;,coi,�rackar ere;:�ncertetn es to.wfist itcenaing,.reguTreme�nt_s��mey��ppiy°,tor-ttiB' `-•-�``'`
j InRended aiorlc,they ere;advlsed to r'i�otacf`tHe:Pasco County.Buliding 7nepeotlo�;D'lvision-,-l.lcen�aing Sectlan et.72T=B47-
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I 8408. F.iMtiermoi�e, tf�tbe ausisaer tias'hif�id a con'ttactor'o�s�rttrectors, fie is advised to have,the co_yntracfo�(s)�s[gn: :,., £;
portions of the'contrectot 8toak'at thls.ap„pticstton�for�whlch ttiey,.wilt.:be,-�espons161e..<tf:=you;:as�fhe oiivner atgn es�e
cantractor;thetmay be•en IndicaUan ttiat'ha is nok'�roperty llcen"s�and°Is�nof einNHed�to permitdng�privileges In Pasco
County. � " -_ _ ...._.� f:���:�•• �,..,
TRANSPORTATtON.1MPA�TM11ii4iE��(Mli�l�4''�ANb RES�id1,tCE REC�VERY�EE3:`'f�te�unde�#�ned understands
� thal Transpartetlon Impact Fees end.Recautse RecoVe.ry.�ees may�epp1y�ta tFie;constructloon:of new bupdings,�change'ot`r} , .
use i�ezfsNng bu(ldings;or;ezpan�l�i�€�of��i€!s'N�liuqilirtgs;as specfftled.ln Pasoo�Connty Ordfnaace number 89-07 and,
� 90-07.as amended.,„Tha undetstgned atso;u�derstands;ttt�i�such fess;,s�s�tnajr��.dne�uvuAl:=Ge ldenfffled at the�iim��of�� .�'�,"
permltHng. It Is fui#Fier unde►stbod that Transporta8on Impaof'Fees and'�t2iaaource�Reco�i"sry�Fees.must be paid prior to
� recelvtng�a•'escNEtcete-oi oecupaacy"or ftnal�pawer.,r,eteaser':I�tha projael:sloes=ntit�lnvot+re,�g:�ertifti�te of cccupancy��%�:r ;: ,
ftnel powec.release;:the#e�s mn9t�be"pali!'';pr�or.ta:permit iesli�nce. Fuit6ermorer�:Pasca;Gounty'NVaterJSewe[�impact :
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' fees ere due.Ih ,. � ..
� , ,.__ey:muat.berpaid:pt�ar.to permlt.Iss.ya�ee-ln;aixordal�ce:witYr appllaabte�Pesco�.County`ordlnances. •
� CONSTRUC7lON"ClEN"IAYV(�hepter.�13�Flo�de$tatut�s�as amendada: {!valuatlan aC work is��,600AQ;or mare,:!
� r.erkiiy that 1� #he..appi[cant�:-have.been pravldeit:wifh.a�cop�-�of:fhe•:•F.tarida GonstrticU6n�:Clan�lauw-�iomeowner`s
Protectlon f3ulde'prepared by ttie Floiida Ct�pertrt�eAt;of Agricuihtre and Conaum�r.Aifatrs. If the applicant is eomeone i •-y
other than the'ovmer',!certify,th�t I�have;cfbte,IneilCa"•cqpy;of tlse;abQvede�erllied;��aiment°and;ptorimis"s',`ln;gpo�f`feith.to > ><
dellver it to..the"ownec"pild�ltotcotnmericem+�nt�`, �' `- �- " - .
CONTRAC70R'SIOVYNER'S AFFIDAVII': I.,ceiUtya:.ttiatelklheJr�fiormeUon:Jn�thls appllcation Is accurate.and that all work �
wlll'be done in compliance wfth all.applicablelaws reg�ilatlng constructlon,zoning a�d•land�develbpm�nt Appltcatlon fs
hereby made ta obtaln.a.pe�m�;;Ca�dq,:uww�k�,snd;t�ist�llatlon as i�tdtCsEedr-.�1,t�ei�tfyi 8i�at na wark�'or.insta(tation.�ias �
commencad `prio�to Issuance oi a perirl(t"and that`.all work will be pertormed�to meet.stand�ds-of:all laws regulaGng- �
consiructlan, County and City codes, zoning.regulatinna, and land development tegulaUons�tn`ths:Jdrlsdlctlon:- !a!'so
certtfy that 1 undenstend that the�egulaEtons of�ti�ergrnremrnent ageactea may•�:ta the_trttended.wark,aRd that it is
my responstbility to Identi(y.what:ectlons 1 muat•take;to,bedn.campllanpe:,,Such;agen,clesiriclude-buf�are.nat Ilmlted to:
- Depertment ot Envtronmental>''Riotectloiti�Gyp'resg'9ayheads;'Vfiet�and Areaa.and�Emrtronmentally Sensltive �
[.snds,lNsteriWasEewaterTreaimen� � -• �
- Southwast Fiorida Weter Managem�nt-iDlsMct VVeICs; 'Cypress. Beyheads, WeUand Areas, Altering
Watercourses. _ � - , . , . . . �
• Army Corps aE Englneers=Seawalls,Dcrt�ss.Navigabie Wetesways.
- Depar#ment,of�,Nealth,�&..RehabjllteUve„Senilcesl�rn►itonmentah Nealt� Unit Weii.�,�Wastewater�Treahnent;
Septi'c Taiiits:...`' ` �, . , : -
- t1S Envinanment�i PratecUon Agency-Asbeatos abatement � �
FederaFAvlatbn.Author,It�+�RumNeys;�
I understand that the.following;iestri�tl"one apply to tlie use af flll:• �
» Uss o€ftU ie not al(owed#n_Ftoo�;I..qne"V"unlesa e�ressiyr petm4tted.
- If the�flli rtiateiiat�{s #o b.e osei"7n::i'laod Zone.°A', it ts understood that a dralnage pian addresstng a, �
"compe�sating volume'will be eubmitted at#ime of pe�Rting which te prepared by a professlonal engtneer
Itcensed by'the':Statec�f:ftotl�a; , � � �
- . If th�11i1 criaterlat•is'to be us.ed tn Ftoad Zcne'A°ln+�onneciion•virlth:a permtited buliding using stem wail
construcUon,I,certity that ftll:�rlll:be used oNy tn:flll the ar.ea within:the stem walL -
- It f!H mate�lal Is to be used-in.any area. i-cettify that use af..such'flif wili t�ot adversefy a#(ect adjaceM
praperttes. If use;of�1i ts found�to adu.ets�aty,�ailjaeerit'pmperNas,.the owrter may be cited ior.vlotaUnp, �
the cond�lons�sif:.the.bailding;pemiit l§m�ed;under ttiei eltached_pertnit applk:aUon,�for:lots�less than:ane(1) j
acre wtilcti'sre elevated�bjr flll;�n engineered drainage plan is requtrsd.
tf i am fhe AGENT FOR THE OWNER;.1�jif�oiitise In,good#aith fo ttsfotm fhe awner of-the permit#Ing cbndNtans set.fiarth in '
lhls etiidsvlt'prlor to comrriencing canstrucUon. "I urliders�ird thet aYaeparate permlt may be requlred for electrical.work, � .
plumbing,.signa,wells,,poals;.alr.condltloning,.gqs,�.or•otlrer Install�tloris nakapec�ftcally Ineluded•(n.lhe appitcaUon. .A
permtt tssued shaA be aonshued to tia a`Iicense4ta pr�ceed wtth tlie vYo�tc and.not�as.suthority�.vlolater cartc�),alter,or +
set aside ariy provistons ot the:techntcel..cod9s;;nor shall Issuence�af a.permit.prevent fhe Bulldirig Oflldel irom thereafter '
requlring a correctlon af errora In.plans;can�tivation or iriolations of-arry c�dea._�very.penn(t"�ssued afiafNtiecome lnvaffd
uniess the woric acithorfzei}:by auch perrnit�is.cammenc�wtEhln s.�c,months bf parmtt lasnance,or tf work aufharized by i
the permlt ls auspended or�abapdoped-for,e;peHod ot:slx•{8)�inont[is sffei'the llree the�work�e commenced. An extenslon �
mey be requested,In w►Itting,_from the;Bulltling.Ofliclal fo�a peNad.�not.ro exceed'=nlnety�(gU)'days a�id-wIA"deinonst►ate �
�usklPlahle c�use for.the extenslon ifi work ceaaes.for nlnety.{90}consec�tive:days,_th�f ob�ts c�nsldered akandoned.. ;
WARNIN(1 TO OWNEt�: YOUR..F,AILURE:7l1.RE,GQRQ,A,MOT�CE:OF..�CAMMLNCEMEI�;MAY RESUI:T IN YOUR �
PAYINCi TMltICE�FQR�iMPRQ�tEI'MI�1ik�$�`[tt;�(�}flti�Pi�Q�ER;EI�?FY�l�=YO.tl;l1�!'�'EMt�TQ'�A1t��INl�Cfi�fN{�;�C{lNSU�T '
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; Subaaibed aml evwm ta(or eillmtad)betoro me ihls Subealbed'e tmed b e �
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Wlm Ia/aro personatly knnwn to.md or<fmaTha+ta p�qduced. Who.INare pereana!lybtowmta.trte,OcttaafiaYe peoditced .
� ae IdenttltoatlCn.' _�,.,__aa tdenUfiwtQan. '
�'14�'��� Fiotary Public �
Commleaton No^ Com b n.No.
•`�SNSY.P+���y 3ACQUE�.I�IE 8C7�:+=5
Name af Notery lyped,pdnted or elemped Name of Notery ,�_r�ssiur�t.:t�r��5U422
_ :;; �e�� Expises D�c�:r.I>ar i2.�20i8 ' '
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34-25-21-0180-00000-3210�Pasco County Property Appraiser 10/10/16,3:14 PM
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Mike Wells Pasco County Property Appraiser �
Data Current as Of: Weekly Archive - Saturday, October 8, 2016
Parcel ID 34-25-21-0180-00000-3210 (Card: 001 of 001)
Classification 00 - Vacant Residential �
� Mailing Address Property Value
WEICK RAYMOND E &RUTH ] Ag Land $0
10701 ROSEATE SPOONBILL CIR Land $27,211
ESTERO FL 33928-2462
Physical Address Building $0
37647 COREY LEWIS AVE Extra Features $0
ZEPHYRHILLS FL 33541-7743
L�al DescriDtion (First a I.ines) ]ust Value $27,211 I�
See�Plat for this Subdivision
ASSessed (Non-School Amendment 1) $27,211
GRAIVD HORIZONS - PHASE FOUR
PB 61 PG 023
LOT 321
OR 9305 PG 2036 Taxable Value $27,211 I
7urisdiction
C� of Zephyrhills I
� ' __l.and_Detail,_(Card:_OOl,of001) .-- ._._. . --. .__--. --....__ .._---_. -_,. _. __---,-�--,
__ �_ , - _.._....,��_ --- -._.._ _�__ _._._ _____
Line Use : Description ; Zoning ' Units Type Price � Condition Value
. _...-- --- .- -:.. _ .� .--_ __�.__�._�.__.._. _ ____..�- --...a._._. ..__ .._ ..___.____ _.__ _ . __-- ----_..___. _ .._----- _ __,._.��..-.-------____----.___._._----.—..
1 0200 ' 3 OOM1 ' 6,000.00 ; SF ; $4.40 � 1.00 ; $26,400
MBL HM SUB; -----._ __,__-- - - —.__ __.._ .._
� _,_. __ _ ---- -. �.__.___. ____. . ...�_----- - -
2 ' 0200 MBL HM SUB; OOM1 ; 1,474.00 ; SF ; $0.55 1.00 $811
! Additional Land Information
, _-- .-.-- .._. ,._ -------. ._.___---_..._._.___�__. .._..---,_ ---,-. ---_... .....__ ...__. ._..,_._..._..._.__-- -- ------ - ._,. _---. - -�- _._
Acres 0.17 < Tax Area ; 30ZH �FEMA Codei -- ' Residential Code ' GDHZLPI
, ; Building Information - Use 00 - Unimproved (Card: 001 of 001)
Unim roved Parcel 00 - Unim roved
I _d4_____ __ _ Extra Features Card: 001 of 001
_...__.__ _. _-_,.- ---.._.__ ______._ _- -.--.._.._.....�--- �� _....._.._ _. _.__,._ _) _._._-- ----- .- --�_..-- .- - ---,.- _-----_.--- --- -.
i Line ; Description ; Year ; Units j Value
.__...._�_.._, _.__ _ �-�---- - ---- -._.__ _ --- - �
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No Extra Features
, Sales History - See All 5 sa9es
Previous Owner: FRIEDMAN ]EFFREY B & �
----_._____.- -_ ------•---..�._- �--_.- _._-.--___ ... _ .�__,___ , �._..,......____ ___._...�_r.�.._._,. .. _. _ .e. .___.__.. ---._.---.._. ._- ---- -- --. .. ___....._.__ _
1 th/Year ; Book/Page ' Type _ Y,_ ; _ DOR Code Condition Amount ; ,
--- --_. ._ _` �,_,__ ._ � _._ ... _ .._---- ._._ - ----- ___._ .�.___-__. __, .
I �^ _2/2015 ; 9305 2036 ' Warranty Deed 01 ' Vacant : $35,000
- --._._____--- - ----- ----___._-,- --___.- --- --..._ _.. . _.__.._.._ ._.. _____._. _..__.__---.-.- - .. _T._------.____..__�.._------- -..__
04/2008 ; 7827 / 1638 ; Warranty Deed ' Vacant $34,000 ;,
' - -- - -_�__ _--.__._—--'- -- - -�_. ._. ,-- - - - -___.._..__ ___-,_.e, ;__._.._, __ ___ ___ : .. �,. - __ --- --- --_ _�-- - ----- _
12/2006 7297 / 0454 ; Warranty Deed Vacant : $34,000 �
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http://appraiser.pascogov.com/search/parcel.aspx?parce1=2125340180000003210 Page 1 of 1 i
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4' . PERMIT WORKSHEET �- .paea 1 of 2 •
'----- ----
- -- — ----- - —- ---- .
PERMiT NUMBER - - - - -- - --- -- ---- -- -- —
� Naw Home � Used Home []
Installer ��,��� . ' Llcense#t � �{ame tnstalled to tha Manufacturer's instalfatlon Manual �
Address of home � � Home is Instailed�fn.accordance with RUIe 1b-C
being tnstalted � ' �
� 'Singfe wide ❑ Wind Zone II � Wind Zone II{ �[] •
Manufacturer 5� Length x widfh C1�X�n Double wide [� {nstallation beca!# � �
NOTE: ' lPhome Is a isingls wfde fl11 out one half olfhe bfocking p/an _ . Tripie/Quad � Serial#
iP home fs a trlple or quad wlde sketch fn r�emalnder af home �e�`�_•'�T. �d��
�N ►
I understand Lateral Arm Systems cannot bs used on any home(new or used) PlER SPACINO.7�t81..�FOR USED HOMES
where fhe�sidewall ties eXceed 6 ft 4 In.
Instalie�s(nitlals _ Load Footaz ' '
• bearing �@ �6"X18" 18412"X18112" 20"X20° `.L2"X22"� 24°X24" 26"X26"
Typica(pier spactng �P�� (��y (25s) (a42) �400) (4a4y (5t�� (s7s)
2 �� � �� a
f ' Show focations of Longitudlhal and Laferal Systsms s 8 •
��� (use dark Iines to show these locatl�ns) s. '8
8
8 & .8
• Interpolated from Rule.15G1 pier spaeln�Eable. . .
p1ER PADSRES •p0 . A_-
f-beam pter pad size � o� a e . n
• x'
Parimeter pter pad slze . • x.
/ �'�] , ofher pier pad sizes � X �
--'�"�---------------------------------------�--ZG-�� '...r....—�.W-�_� (requlred by th�mfg.) �+J`i�doa�s3 ' c�� � x,
x
� Di aw tha approximate locaqohs of marclage
wall opeNhgs 4 foot or greater. Use this x
� m�nl�pe vtall plota wttMn x ot and of hofie per Rule'16C syrt�bol�o show the pfers. x � �
• x
Lfst ali marriage walf openings greafer than 4 foof X '
and thsir-pter pad slzes tsetow.
� , ANCHOitS ,
� Opening P(er pad sfze
� p ��X ao? 4ft �.5ft
— �� �xaa �;,M�,�ES �
�� �x� within 2'af end of ho I
spaced at 5'4"oc� '
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� �nowN co rt�t�rrs �TM�a�S�
Numb�r
Lo na!Stabfltzing p Stdewall
Manu turer . Longitudinal ' �
— Lon�r udlnal St bflizln Devtce w/L:at I',rms Marriage wali
-- - - - Manuf3cturer Y���491 e C Sheatwall _
- -- - --- --- - -
---- - - -
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� -` . PERMI�'WORKSHEET page�2 of 2 � .
-- PERMIT NUMBER- - - - ---- ----- --- ---- - --
- ---- ----- - ----- -�-----
' ' Slte Prepara8on
POC P O ER T S
Debris and organlc mateHa!removed
The pocket penettnmeter tesfa are rounded down to psf Water drainage:Naturai Swale Pad Ofher '
or check here to dedare 1000 Ib.soll w(thout e'sting. • -"
FesEoning mui w de u ts.
X�� X('�� X�Q,O� � • i�
Floor. Type F.asfener. GQ S Lengfh: � Spacing:
Waifs: Type Fastener. Ler�gth; Spacir�g; �
POCKET PENEYROMETER TESTI�10 MEI'f�tOD Roof. Type Fastener. Length: Spaatng: 1 �'
For used homes a 30 gauge,8°wide,galvenlzed'metal attip
1. 7est the perlmeter of the home at e locatlons. w�ll be centered over the pea(c of the roof and faste�ed=wlth gafv,
roofing nails af 2"on cehter on both sldes of the centerline,
2. Take the reading at Ehe depth of the footer.
• ' -- - Geskat(vroatherpwoflna rom�lnm�n0 . .
� 3,�Using b00 fb.Increments,take the towesf , •
reading and round down to that lncrement I uhderstand a properly insfailed gasket is a requirem�nt of all new and used
homes and that co'ndensatlon,mqld,meldew and buc{ded matrlage walls are
' a�esuit of a poody Installed�or na gesket betng[nstAlled. I unders}ahd a sfrlp
X�,� X„� X� of fepe wlll not serve as a gasket,
lhsha(lers IhiBals
• O Q P OB 5
Type gasket lnstafle�l: '
The results of the torque prope test is a 7�-} Inch pounds or check Pg. BetWeen Floors Yes k
here if you ar�dsclaring 6'anchors wlfhout testing �_. A test B�tween Walis Yes_ X
shaw(ng 27&inch pounds or less wlll raquir�L�foot anchors. Bottom of ridgebeam Yes��
Note: A steta approved later�l arm sysEem ts befng asad and 4 ff.
anchors ana atlowed at the sldewall tocatlqns. I understand 6 ft Weatherproaflng
anchors are requlred at afl cet�tettlne tle polntg where the torque test
reading is 276 or less and where the mobtle home manufacturar may The bottomboazd vulli ba repa(red and/or taped. Yes X , pg, �
requires anchors wlth 4000 Ib holding capacity. Slding on units ts installed to manufacturet's speclftcations.' es�_ -
Instatier's Init(als F(repface cMmney�(nstailed so as not to atlow intruslon of raln water, Yes
Ai:L TESTS MUST BE PERFORMED BY A UCENSED WSTAL.L�R Mlseelianwua
Installer Name �(��L (�,_��,�f'a(�� • Sklrt(ng to ba Instalied. Yes�No
Dryer vent Installed outside of s rting_ Yes`x' N/A•
D�te TesEed � /��� Range dowhflowi vent lnstalled outslde of sk�rting. Yes N/A
Draln Ilnes se�p�rted at°4 foot Intervals. Yea�� •
Ele�trical crossovers protected. Yes,�____
Other: •
Eteatrlcaf - -a-�
. ConnecE electrical bonducfors be�ween multi-wide ur�it8,but noE to the main power "-
souroe. This includes the bonding wire between muit wlde units. Pg. �nstalter verifles ali inforri�ation�given�wtth this perm[t workslleet
___ wm�ng is accurate and true based on the
_ connect all sewer dralns to an exisdng sewer tap or septic tank Pg. manufactura�`s Inshaltation Instructtons and or i2ute 15C�1'&2
Connect all potable wafer supply plping to an exisqng water matee,water tap,or other Instalisr Signatur�-�J Dafe 16 id l��
- , Independentwatersupply-systems.-Pg. -- - -- -- -- — -- -- - - -- - l
00�0 � ` '�
�c�� TNR MO��L.: 'TN��74o1 � �
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F�i:�l3i Q �XC�►.I1ti50N, lII
�xrcuiiYe D(rectnr
March 20,2UO2
; Ivlr. Hert t�i.�Moore,Financial Mana�er
; Max�ufacfured Housing Foundation Systerns
; Oliwer Techriologies, Iz�c.
� Post Office Box 9(467 Swan Avenue) �
� Ho�er�'wald, Temn,essee 3�4G2
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� Deax�z. �oore;
We wish to ackn,owledge recei�st of yaur s�eci�cations and test resuZts ce
z�i�y�mg tk�at
your Longxfudinal�tabilizing and Lateral Bracing System, 1101 V, listed below complies with
t��speci�tcations axxd�egulaiioz�s set by t}�e D�partment of i�ighvyay gaf�ty and Motor Vehicles,
, l�ules r5C-I.fl1o5, 15C-1_U107 and i5C-1.O1Q8,Florid�,A,d�,i,�i,s�ala,�ve Cade.
In��tatlation iz�stx-u.ciioz�s z�ust be availabt�at#he installation site.
� ii�ODEL# DESC�PxTU1wT '
1101 V Long'tEudxx�al Stabilizzng and Lateral Bra�ing Syst�m �
lV�4T�• ?'his syste�n is for�eplacement of lor�gitudinal anchors Z'his stem can onl be �
used wz�lr srdewa�ll anchQr s ucin o S'4". Maxim t � y
P g f antz s rtct angle 4S°
I:f you}aave ariy questions lease sdvzse at - �
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a �P (407) 6Z3 1340.
�
Sincerely, � �
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� �bi�aez�ge�t, �xogzax�n Mana.ger '
� Hureatt of Mobile Home and i
� �Zecreational Vehzole Consbruetion �
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� � Dzvisiart o��otor�7'ek�iGles
�P12$:srb
DIVISIONSlk�ARiDA HIGH'W.g,X lPA,3'�tfl�. • DRN�R LiC�NSE3 - ivx0�'O�t VEBICr•FS + ,�p�n.�,g��J��R�,•ICEs
x.rcit �irlcman Bullding, 'T�11ahRsscF, �lorida 33399-0504
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� � � � � � OLIVER TECHNOLOGIES, INC.
� INSTALLATION INSTRUCTIONS FOR FLORIDA
MODEL 1101 "V" SERIES ALL STEEL FOUNDATION SYSTEM �
! � PAN � CONCRETE (revision 6/07�
; PATENT ti 6634150 8 OTHER PATENT PENDING
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OLNER TECHNOLOGIES,INC. revision 6/07
FLORIDA INSTALLATION INSTRUCTIONS FOR THE
MODEL 1'101"V"SERIES ALL STEEt FOUNDATION SYSTEM
MODEL 1�01"V"{STEPS 1-15)
LONGITLIDlNAL ONtY.•FOLLOW STEPS 1-9
� FOR ADO/NG LATERAL ARM:Fo!/ow Steps 10-15
' FOR CONCRETE APPLlCA7lONS:Follow Steps 16-99
I
I ENGINEERS STAMP ENGINEERS STAMP
1.SPECIAL CIRCUMSTANCES: If the following conditions occur-STOP! Contact Oliver Technologies at 1-800-284-7437:
a)Pier height exceeds 48" b) Length of home exceeds 76'�)Roof eaves exceed 96"d)Sidewall height exceed 96"
e)�tocation is within 1500 feet of coast
INSTALLATION OF GROUND PAN
2.Remove weeds and debris in an approximate two foot square to expose firm soii for each ground pan(C).
3.Place ground pan(C)directly below chassis I-beam .Press or drive pan firmiy into soil until flush with or below soil.
SPECIAL NOTE:The longitudinal"V"brace system serves as a pier under the home and should be loaded as any
other pier.It is recommended that after leveling piers,and one-third inch(1/3")before home is lowered completely on
to�piers,complete steps 4 through 9 below then remove jacks. - i
INSTAlLATtON OF LONGITUDINAL"V"BRACE SYSTEM
NOTE: WHEN INSTALLING THE LONGITUDfNAL SYSTEM ONLY, A MiNIMUM OF 2 SYSTEMS PER FLOOR SECTION IS REQUIRED.SOIL TEST
PROBE SFFOULD BE USED TO DETERMINE CORRECT TYPE OF ANCHOR PER SOIL CLASSIFlCATION.IF PROBE TEST READINGS ARE BETWEEN
175&275 A 5 FOOT ANCHOR MUST BE USED.IF PROBE TEST READINGS ARE BETWEEN 278&350 A 4 FOOT ANCHOR MAY BE U3ED.USE
GR UND ANCHORS WtTH DIAGONAL TiES AND STABILIZER PLATES EVERY 5'4".VERTICAL TIES ARE A�SO REQUIRED ON HOMES SUPPl1ED
' WITH VERTICAL TIE CONNECTION POINTS(PER FLORIDA RECs). �
4.Select the correct square tube brace(E)length for set-up(pier)height at support location.(The 18"tube is aiways i
u�ed as the bottom part of the longitudinal arm). Note:Either tube can be used by itself,cut and drilled to length as long as a �,
40 to 45 degree angle is maintained.
�
PIER HEIGHT 125"ADJUSTABLE 1.50"ADJUSTABLE
(A Iprox.45 degrees Max.) Tube Length Tube Length
7 3/4°to 25" 22" 18"
; 24 3!4"to 32 1/4" 32" 18"
33"to 41" 44" 18"
, 40"to 48" 54" 18" '
5, ll stall(2)of the 1.50"square tubes(E {18"tube})into the"U"bracket(J),insert caRiage bolt and leave nut loose for final
adjustment.
6. Place 1-beam connector(F)loosely on the bottom flange of fhe I-beam.
7. Slide the selected 1.25"tube(E)into a 1.50"tube(E)and attach to I-beam connectors(F)and fasten loosely with bolt and nut. i
8. Repeat steps 6 through 7 to create the"V"pattern of the square tubes loosely in place.The angle is not to exceed 45 i
�legree and not below 40 degrees.
9.After all bolts are tightened,secure 1.25"and 1.50"tubes using four(4)1/4"-14 x 3/4"self-tapping screws in pre-drilfed holes. i
� 1NSTALL.ATION OF LATERAL TELESCOPING TRANSVERSE ARM SYSTEM I
THE MOOEL 1101"V"(LONGITUDINAL 8 LATERAL PROTECTION)ELIMINATES TNE NEED FOR MOST STABILIZER PLATES 8 FRAME TIES.
i NOTE:THE USE OF THIS SYSTEM REQUIRES VER7ICAL TIES SPACED AT 5'4". ;
� FOUR FOOT(4')GROUND ANCHOR MAY BE USED EXCEPT WHERE THE HOME MANI3FACTURER SPECIFIES DIFFERENT. �
10.IrstaU remaining vertical tie-down straps and 4'ground anchors per home manufacturer's instructions.NOTE:Centerline i
anchors to be sized according to soil torque condition.Any manufacturer's specifications for sidewall anchor loads in excess of
4�,000 Ibs.require a 5'anchor per Florida Code.
11.No7E:Each system is required to have a frame tie and stabilizer attached at each lateral arm stabilizing location.This frame tie&
stabilizer plate needs to be located within 18"from of center ground pan. ;
12.Select the correct square tube brace(H)length for set-up lateral transverse at support location.The lengths come in either 60"
oF 72°lengths.(With the 1.50"tube as the bottom tube,and the 1.25"tube as the inserted tube_) ',
13.I�stall the 1.50 transverse brace(H)to the ground pan connector(D)with bolt and nut. �
14.Slide�.25"transverse brace into the 1.50"brace and attach to adjacent 1-beam connector( I)with bolt and nut. ;
15 Secure 1.50"transverse arm to 1.25"transverse arm usinq four(4)1/4"-'14 x 3/4"self-tapainq screws in pre-drilled holes. �
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OLIVER TECHNOLOGIES,INC. Telephone:931-796-0555
' 1-800-284-7437 Fax:931-796-88i1 ,
www.ofrveAechnologies.cam I
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IhSTALLeTION USING GONGRETE RUNNER/FOOTER revision 6/07
16. A concrete runner,footer or slab may be used in place of the steel ground pan. �
a) The concrete shall be minimum 25Q0 psi mix �
b) A concrete runner may be either longitudinal or transverse,and must be a minimurn of 8"deep with a minimum width of 16 inches �
I � longitudinally or 18 inches transverse to ailow proper distance between the concrete bott and the edge of the cancrete(see below).
�� c) Footers must fiave minimum surface area of 441 sq.in.(i.e.21"square),and must be a minimum of S"deep.
d) If a full slab is used,the depth must be a 4"minimum.
i Special inspection of the system bracket installation is not required.. Footers must ailow for at least 4"from the concrete bolt to the edge
( of the concrete.
NOTE:The bottom of all fooUngs,pads,slabs and runners must be per local jurisdiction.
LONGITUDINAL:(Modei 1101 LC"V")
�7, y�V en usir�g Part#110'I-W-CPCA lwetsetl,simply install the bracket in runner/footer OR W{ien instaliinc�in cured concrete use Part#
�1-D-CPCA(drvset).The 110'f (dryset)CA bracket is attached to the concrete using(2)5/8"x3"concrete wedge bolts(Simpson part#
S�162300H 5!8"X 3"or Powers equivalent).Place the CA bracket in desired loqtion. �Mark bolt hole locations,then using a 5/8"diameter
masonry bit,drill a hole to a minimum depth of 3". Make sure all dust and concrete is btown out of the holes.Place wedge bolts into drilled
holes,then piace 1'101 (dry set)CA bracket onio wedge bolts and start wedge bolt nuts. Take a hammer and lightiy drive the wedge boits
down by hitting the nut(making sure not to hit the top of threads on bolt).The sieeve of concrete wedae bolt needs to be at or below the too
of concrete.Complete by tighiening nuts_
LATERAL:(Model 1101 TC"V") ,
18. For wet set(part#1101-W-TACA)installation simply install the anchor bolt into runner/footer.For dry set installation(part#1101-D-TACA)
mark bolt hole IocaGons,then using a 5/8"diam.masonry bit,drill a hole to a minimum depth of 3". Make sure all dust and concrete is
IIblown out of the hole.Place wedge bolts(Simpson part#S'f 62300H 5/S"X 3"or Powers equivalent)into(D)concrete dry transverse
� connector and into drilled hole. If needed,take a hammer and lightly drive the wedge bolts down by hitting the nut(making sure not to hit
th�e top of threads on bolt),then remove the nut.7he sleeve of concrete wedae bolt needs to be at or below the too of concrete
19.V1�hen using part#110'I CVW(wetset)or 1101 CVD(dryset),install per steps 17 8 18.
; Notes:
1. LENGTH OF HOUSE IS THE ACTUAL BOX SIZE
I 2. • =STASNJZFR Pl��1EA[�D FR/�71E LOCATION (neecis b
� bebr�dwihn 18iidiesofoerieroFgotnd panaoaiaele) .
3 � LOCATION OF LONGt1UDINAL BF2�ING ONLY
4. �-�-�TT�NS'1/EfZSE&LONGITUDINALLOCATfONS ,
� REQUIRED NUMBER AND LOCATION OF MODEL 1101 "V" OR 1101 C "V"
� BRACES FOR UP TO 4/12 RQOF PITCH
� � ALL WIDTHS;AND LENGTHS UP TO 52'
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ALL WIDTHS;AND LENGTHS OVER 52'TO 80'
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HOMES WITH 5/12 ROOF PITCH REQUIRE: PER FLORIDA REGULATIONS
6 systems for home lengths up to 52'and 8 systems for homes over 52'and up 80'. One stabilizer
�late and frame tie required at each lateral bracing system.
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, • Florida approved 4'ground �� ,.__.„,... page 3
anchors may be used in all / ' ��=%' � revisian 6/0�
locatians except where /-` � � ' , T� �
home manufacturers sped- .' �� �; I �, ����S'
fications 1or sidewall slraps �/ ��' �
are�in excess of 4,000 Ibs. I- Transverse arm I-beam � ;! �r�'qu:;y((:�', �.rp ;
These lodlions require a 5' �nnecinr -���•• —� ,
anchor.Per Florida Code. '� �H�Trensverse arm �i
/� Top(1.25') �
; / bottom(1.5') , � 'I C=GROUND PAN
i � /
� ��� � D=GROUND PAN CONNECTOR
'" /'' t � "� U BRACKETS TRANSVERSE
/' D-Ground F-:'V'brace I-beam � �
�,�� •��" Pa� connecrors � E=TELESCOPING V BRACE
.'j �//� transverse �/ � TUBE ASSEMBLY W/1.5 BOT-
I �' ��connectors J-ground Pan TOM TUBE AND 1.25 TUBE
� � �' v erecket INSERT ;
F="V" BRACE i-BEAM CONNEG �
� ' / TORS ASSEMBLY
I � E-'V'BraceTub H=TELESCOPINGTRANSVERSE
I / / T��(�2515.� � ARM ASSEMBLY ,
, _Y;�' � I=TRANSVERSE ARM I-BEAM
\ -G�ound Pan CONNECTOR
. ��; J=V PAN BRACKET
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�� Model # 1101 "V"
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• eam a c amp
� Allemate Hale for ('I)PerAssemhty
Longf,tude dry Nanower Beam Flange
concfete bracket
part 1101 D-CPCA ;-^�
s:: . �
•.�'.� � ' i i i Grade9-V2'x 1'
Carria e Bott 8 Nut
Wet ��racket part# f ��
1101;W-CPCA not Grade 5-1/2•x z vr Model 1101 CVD
ShOW11 Cartiage Boll 8 NuL
i _ I-BEAM CONNECTOR BftACKET Model 1101 CVW
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not shown
�Florida approved 4'graund .....,.�.
; , ,t-, •-•— C=CONCRETE FOOTER/RUNNER
Eanchors'Imay be used in atl .. D=CONCRETE U BRACKET TRANSVERSE �
;locations�ezcept where home ' /�� I �— �
;manuiadurers specifications :. �� ���s � CONNECTOR(connecfs with grade 5-1/2"x 2
;far sidewall straps are in �' � � + ` 1/2""carriage bolt 8 nut)
;excess of 4,o001bs.These �I T�nnectsr arm I-beam I _ ;��In�V7ili,�:l�i�;1.�'���q � E=TELESCOPING V BRACE '
'localions require a 5'anchoc �� -�-'c�-- j
�Per Florida Code. / �H� Transverse arm TUBE ASSEMBLY W/1.5 BOT ,
' / 7op(1.257 TOM TUBE AND 1.25 TUBE
� !' 't'�bottom(1.5') I
/ � ' INSERT
I %,/ / •._ �I F='1/" BRACE 1-BEAM CONNECTOR ASSEMBLY �
'/j � D-Concrete F-:v erace I-ceam� (connects with grade 5-1!2"x 4"carriage bolt �
/ I . " U bracket ,;y conneclors &nUt) �
� =% transverse \Y/ H=TELESCOPING TRANSVERSE ARM I
�' '�connec�ars ASSEMBLY I
i J-Concrele
��I. � �� � •V'eracket I=TRANSVERSE ARM I-BEAM CONNECTOR
� i � (connects with grade 5-1/2"x 21/2""cartiage bolt i
��' � j '• &nut) � ,
E-`V'Braca Tu '' i �=CONCRETE"V" BRACKET(connects with �
'I / rop(1.25-) �
��'�/ eottom (ts� grade 5-1/2"x 4"carriage boli&nut)
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-��� -Concrete i
I l` \,, i Fooler/Runner
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OLIVER TECHIVOLOGIES, INC. Telephone:931-796-4555 '
1-80U-284-7437 Fax:931-796-8811
www.olivertechnologies.com
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State License#:E51200074
Josh Barnes, Owner 2631 Britt Rd. Lakeland, FL 33810 863-937-2076 (P), 863-583-0924 (F)
� Authorizcd:\sent fomi
I City of Zephyrhills- Building Dept.
5335 8`h Street,
Zephyrhilis, FL 33542
I Joshua Barnes,license number E512000724,give permission for
Michelle Strickland—Lisa Booker—linda Campbell—Kitina 81oom=Raymond Martin—Steven M Bell—Tawnya Booker
Brown-Keri Peacock—Loria Wagner—1eff Wagner
Full authority to handle all of my permitting and contractor regSstration in the City of Zephyrhi{Is.
� Joshu B
I
Contractor Sf ure
�d���cC� � Y'�r�les
; ``���u�uiuuri���
i Print Name ' `����`�P�Po T o o,MO��j,,�'
:
State of Florida,County of � � � •QJ�'1 2�0��'• =
� �*� ��� :*�
� Sworn to(or affirmed)and subscrf6ed before me � �� #GG020270 '
l.�,� i y '.�n�. ��`�'• C �
This � dayof ��'��'�`� 20�' io99`• ':°�'74ts�S��';��' OQo��� ;
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� _L�- '''''�p��l�Ill IIII�O�`````` I
Personaliy Known
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; Produced Identifi ton
1� \�-�� _.
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Notary Signature
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� i, Larry W BJ Booker, give Lisa Booker, Keri Peacock, Tawnya Booker-Brown, and
;Twyla Kincaid permission to apply, sign, and pick up building permits for City of
Zephyrhills. ,
Thank you,
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; Larry W BJ Booker
� BMI LLC ..•�...
� :'t�`"-""8;�.; CRYSTAL GROVE
! 813-714-1476 =_° °:-
' € MY COMMISSION#FF046058
IH�1 O2'rJa�7O =.,""9;.....-`p°` EXPIRES August 15,2017
'•.F OF F�O+.
(4071398•0153 Florld ervice.com
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BMI LLC*39838 Stewart Rd.Zephyrhills, FL33540*813-714-9508'813-714-1476'BMIBJBooker@gmail.com
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= P'A�C� ���l�i�T'Y, FL,�C�r�a4 ��
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Permit No. � � � �
� Date Permitted f c�r�/—j� ;
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Builder fJamelQwner Name �i��.L �-�.�' Gontroi# ;
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County Parce! No. ,'���`-2�p lc�p--d�d�0�-�Z1 D SubDiv: �2r�pP n�2Q�.,s i
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i ddresslLocation ,�'�'b '�7 �'1_�_�t .c�r,J��S .?� ��� �,I �
�lassificationffype af Use �/fca,fic(�C,�i,�vkE? ���Z�r2.� t �
If � �
�RAIVSPCIRTATI4N IMPACT FEE Rate: Sq �t Unit: � �p � �
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�xempt [] Yes [] No How Determined �
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� I��mpact Fee Amount $ Zane Na. TAZ:
1 �
$CHOd! IMPACT EEE - ��,� �
Accaunt (056} Single-Family Detached House Amount $ ,
(057) Mobile Home � ' �
{058} Other Residentiai '
123� Collection �ee '
Exempt [� Yes ❑ No How Determined 'j
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PARKS AND RECREATION FEE �;
�and Account Land Credit Land Total i
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Recreatian Account Recreation Credit Recreation Total ;
�one TOTAL AMOUNT $ �..3. �7� �
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Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total '�
1 xem t Yes No How Determined T�tat Amount �"'�� �
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RESCIURC� FE� ERU '
�"OTAL AMOUNT
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Prepared By ° � � Checked �y
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� Nt3 CERTtFiCATE OF OCCUPANCY WILL BE ISSUE� OR.EINAL INSPEGI'IQN ,
I PER�dRMED UNTI�7HE TOTJ�� AMtJUNTS USTlED HAVE ;
BEEN PAtD AND �
RECEiPTED FOR�Y A CENTRAL PERlU!!Tl'!NG �FFlCE O� PASGO COUNTY •
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� Acknowiedgement below does not Impiy acceptance of concurrence,but simply rscelpt of a copy of this form,p{actng �
the building permit owner on notica of this assessrnent and the conditions of payment for same, i
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DATE RECEIVED BY
RECEIPT NO. DATE BY
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aer�x�coxDwc-a�vRrrro: 2016173034 '
j Rcpt:1812507 Rec: 10.00
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11/01/2016 K. R. M. , Dpty Clerk
r�Foi�orro�`/-�5-�/-D�&o-ac�0o�-3�f U — -
, NOTICE OF COMMENCEMENT
� The undersigned hereby given notice that improvement will be made to certain real property,and in accordance with Chapter 713.13 �
Florida Statues,the following informadon is provided in the N01TCE OF COMIv1IIQCEMENI'
]. DESGRIPITON OF PROPERT'P(Legal descriptlon&street address,if flvaileble)TAX FOLIO NO.: .3 7 -aS-�/-o/�p.000c,o.,3�D
SUBDIVISION BLOQC TRACI' LOI' gI,DG UAII7
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3 7 G 7 �s reY f.���S .�✓� ���;�Is , c� ���
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2.CENEAAL DES(�/�tI[pp.7��7ON OF�/g/_g,OVENIENT: ./� �N
_��!)�� /7T�YYl L � �l/J �N o
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3. OWNER INFORMATION: a Name
�' K�.�*�. ��!G �l �/�r�+m
� / �y/�r
�, I b.Address 7�� � SCGL� 00"���1 G f ��-- e.lntuest in pmperty f'Gt Si yri_ {T�t �B v
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.�+ d Name end eddms o!fa simple tideholder(if othv thon Ownc) �N o
4, CON7RACIOR'S NAME,ADDRFSS AND PHONE NUMBER: p�
i i�� l-t�� �9��5� ��—�1�7��,�"� � �
' ?.�.�,a� 1��lLL S �� �3��{'�.
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5..SURETY•S NAhfE,ADDRFSS AND PHONE NiJhffiER Alm BOND AMOUNT: �
w0 �
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6. LENDER'S NA11g.ADDRFSS AND PHONE NUMAER: �F+o
3
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7 Identity of persons within the State of Florida designated by Owner upon whom notices or other documents may be served as W �
0
provided by Section 713.13(1)(a)7.,Florida Statutes: �
r
NAhfE,ADDAESS AND PHONE NUMBEA: m
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8. In addition to himself or hersel�Owner designates the following to receive a copy of the Lienor's Notice as provided in Section '
713.13(1)(b),Florida Statutes:
NAME,ADDRESS AND PHONE NUMBER:
9 Expiration date of notice of commencement(the expiration date is 1 year from the date of recording unless a different date is
specitied): .20_
WARNING 70 OWNER: ANY PAYMENTS MADE BY Tf�OWNER AF-I'ER TI IE E}��tATION OF THE N07ICE OF COMI�4ENCEMEM'
ARE CONSIDERED 1MPROPER PAYMENTS UNDER CHAPTER 713,PART I,SEC710N 713.13, FLORIDA STATUTES,AND CAN
• RESLtLT IN YOUR PAYING TWICE FOR IMPROVEMEN'IS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUS7 BE �
RECORDID AND POSTED ON T}�IOB SITE BEFORE Tf�FIRST INSPECTION. IF YOU INTEND TO OHTAIN FINANCING,CONSLJLT i
WI'IH YOUR LENDER OR AN ATTORNEY HEFORE COMMENCItvG WORK OR RECORDING YOUR NOTICE OF COA9v1ENCEMENT ,
Verifitationp�asuentWSmtion92.525,F]oridaStahrta
Under Penalbes of pe�jury,]declare that 1 have read tho foregoing end thet the feds in it are true ro Ne beat of my Irnowledge end belid(Sxtion 92.525,Florida Stanna).
` D� V����il`+�- C-a<�'� �o�- ,
Sigoa er or Print Na and Provide Siguatory's TitlelOfTce i
Ow r's fhorized Ot6cer/Director/Partner/Maneger ;
State of Florida �
Counry of Polk i/
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'Ihe foregoing instrument was aclmowledged before me this /7 day of C� 20��
sY 1�` !w ��. l,c�v�� � P(��-
nazn of person • � (type of authority,...e.g.officer,tnutee,attomey in fact) �
For ,
( ame of on behalf of whom instrument was executed) '
�Personally imown or_producecl the following type of identification:
i�T;7 i'�i!•�:
(Signature ofNotary Public)
�1,jrYPV����� KERI DENISE PEACOCK �
�� �': Nolary PuDtic•State of Florida �
�'' '� ' Commission+M GG 137 �:�
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—'�1,,�a«��� My Comm.Expires Ju1-20; ,
��mun•.
y�'... �"' :
��`faiE 0� �'!�RIDA, COUNTY OF PASCO ,��p J��j'�1;�
THIS IS TC CERTI�Y 7HAT THE FOREGOING IS A �� e ' o ��":1
TRUE AND CORRECT COPY OF THE DOCUMENT ;� ° `���
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE � ,," ��{ <� � ��
WITNES�Y HAND AND FFICIAL SEAL THIS �� �"' ,;: � " �
PA��y s`�'�a,� �' '�: • �
D OF 2_� �'� �, � � ,
' IL, CLERK&COMPTROLLER
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BY DEPUTY CLERK S+ �' p8�� �
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. ,►-� �,�:
Jacqueline Boges • �
From: TQ Randolph (FATHOM)<support@gwfathom.zendesk.com> ,
Sent: - Tuesday, November 15, 2016 7:49 PM
To: Jacqueline Boges
Subject: [FATHOM] Re: service for new manufacture home set up
,
##- Please type your reply above this line -##
Your request (#98624) has been solved. TO REOPEN THIS REQUEST, reply to this email or click the link below:
https://Qwfathom.zendesk.com/hc/requests/98624
TQ Randolph (FATHOM) '
-- -- Nov 1 5, 5:48 PM MST /� �6� 7
`J
I COMPLETE. /��,�� ��� �p
�� (� �
WATER ACCOUNT 899832 - 2457489 �
IRRIGATION ACCOUNT 899832 - 2457499 �f 7��
� 7
THANKS!
�
IBest Regards, ;
� TQ� FATHOM Support
i
I C --; -y; ,
' , FATHOM ZenDesk Support (FATHOM)
I � _-�' ' �
�I
Nov 1 5, 5 36 PM MST
j GIS has been updated to reflect the account.
Thank you.
-Bill
( ` TQ Randolph (FATHOM) , '
!-- ---
� -
` �- -` Nov 14, 1 1 6 PM MST
� ,
CREATED IRRIGATION ACCOUNT 899832 - 2457499
1