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HomeMy WebLinkAbout16-18008 CITY OF ZEPHYRHILLS r''� 5335-8TH STREEf , � - ' (813)780-0020 �$d � BUILDING RERNIIT PERMIT INFORMATION LOCATION INFORMATION Permit �lumber. 180Q8 Address: 3443 PERIDOT LN LOT 224 Perrr�it Type: PARK MODEL ZEPHYRHILLS, FL. � Class of Work: PARK MODEL SET-UP Township: Range: Book: Propo�{ed Use: NOT APPLICABL.E Lot(s): Btock: Section: Squaire Feet: Subdivision: EMERALD POINTE Est. Value: Parce� Number: 24-26-21-0060-fl00dd-224p Improv. Cast: 3,500.00 OWNER INFORMATIl7N Dat '�Issued: '[211612016 Name: SAUNIUR�, GUY & CARC}I� To al Fees: 180.00 Address: 3443 PERIDOT LN LT 224 Amo� nt Paid: 180.QQ ZEPHYRNILLS, FL. 33542 Date Paid: 12/16I2016 Phone: (613 223-6070 Work Desc: REPLACE PARK MODEL SET UP 13.4 X 37.4 CONTRACTOR S APPL1CATtC�N FEES BMI LL �� PARK MODEL SETUP 60.00 HOl�11EC}WNER � PARK MODE� ELECTRIC 40.Q0 BMI LL '�� PARK MODEL PLUMBING 40A0 H{7MEOWNER PARK MODE� MECHANICA�. �40.00 � � � ���� � " l I Ins ections Re uired PA K MO EL ME HANI AL , PARK(UlO1�EL Pt�UMBING PARK MO�EL SET-UP PARK MODEL ELECTRIC E � REINS,�'ECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the local�overnment shal! impose a fee of faur times the amounfi of the fee imposed far the initiai inspection or �) first reinspection,whichever is greater,far each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that may b�found in the pu6lic records of this county, and there may be additiana( permits required from other governmental entities such as water management, state agencies or federal agencies. "Wa�ning ta owner; Yaur faiture to recard a natice of commencement may resutt in your paying twice far improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifications Must Accompany Application.All wark shall be pertormed in accordance with j Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O. ! NU OCCUPANCY BEFORE C.O. ( I ' CO T C R 51GNATURE PERMIT OFFI R ` PERMIT EXPIRES IN fi MUNTHS 1NITHCIUT APPR4VED IN5PE�TI4N CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED I PRCITECT CARD FROM 1NEATHER , ( I i ` I � I IIIIII IIIII�1III IIIII IIIII III1I IIIII II�II IIIII II�II IIII IIII � 2016192353 I ParceIIDNo � v `� '" � '"""'~ �"^�`�� "v -'D Pertnit No. i NOTiCE OF COMMENCEMENT � s�a�em Florida �,a,tyo� Pasco � THE UNDERSIGNED hereby gives notice that improvement will be made to certam reai pmperty,and in accordance with Chapter 713,Florida Stahrtes, the following infortnaHo�is provided in this Notice of Commenceme,p��M r�4��� � ��� � - ^��� 1. Description of Property: Parcel Identification No. o�� /S �'� S�t�d�g: 3y�t� �� r� �t��- L�►�, Z�eP►u.�r��tcs ��C— 33540� ��►�S � 2, General DescApUon of Improvement Mobile Home Install � 3. Owner IMormallon or less(e�e�info�rmation H the Lessee contracted far the improvement TJ r`ti1 J laG�'�u�.. 5�-1 L�11.�X�. -r N- ' ��1N� �"�r�e�a�' t.txn� Z�-P►��ln.u�s Address City � State Interestin Property: � Name of Fee Simplo Ttleholder. � Qf diHeren[trom Ovmer listed above) Address BM1 LLC �'h' sta�e • 4. CanVactor ; , Na"'e 39838 Stewart Rd. Zephyrhills FL Address City State canvactors Te�ePnone No.: $13-714-1476 � 5. surety: "�e Rcpt:1820195 Rec: 10.00 State Address DS: 0.00 I T: 0.00 amountoteond: S 12/05/2016 D. B. , Dpty Clerk 6. Lender. Narne Address City State LendeYs Telephone No. 7 Persons within tha State of FloAtla designated by the ormer upon whom noticas o�oNer Oocuments may be served as provlded by Section 713.'13(1)(a)(7),Florida Sfatutes: Name PAULA S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLE Address 12/05/2016 02:01 m 1 of 1 s��e TelephoneNumberofDesignatedPerson: OR BK 946-f P� 2314 - 8. In additlon to hlmselt,the owner designates of— I to receive e copy oi the Llenofa NoBce ae provided In Section 713.t3(1)(b),Floride Statutes. Telephona Number of Person or En6ty Designated by Owner, 9. ExpiraHon date oi Nolice of Commencement(the expiration da[e may not be before the completion of consWcNon end final payment to tha conVador,but wlll be orte year from ihe date of recoiding unless a diflerent date Ls specified): WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFi'ER THE F>(PIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 773.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING 7WICE FOR IMPROVEMENTS TO YOUR PROPEftTY A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE J08 SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NO710E OF COMMENCEMENT. Under pemalry ot perjury,I declare Utat I have read the foregoing naGce ot commencement and t the facts atated therein are true to the best of my knowledge and beLef. STATE OF FLORIDA f� COUNTY OF PASCO i Signa of or Lessee,or Oxmers or Lessee's Aulhonzed ONicet(Directo ttnedManager ['l,f. Signatory's �I Office /� The foregoing IinWment�ras acfmovA ed betore me this � day of�_,20f,�by �""'M � — � as (lype o(a 'ty,e. .,officer,Wstee,attomey in factj for ( m of pa n at If o wF instrume t� s�acuted). Personally Known i mun Produced Iden'UFiption❑ Notary Signature � Type ot IdentHication Produced Name(Print) Crysta fOVB � • '"Y°°'�•• CRYSTAL GROVE .. :._° � �n.: .N� : MY COMMISSION#FF046058 °'� EXPIRES Au ust 15.2017 ��;f os�oo-' 9 wpdata/hcslnoticecommencament�c05 07)398-Ot53 FloridallolaryService.com I , wi�=;��c�,, �-�� :.' ' :. s ":� STAT� �;� FLQRID�4, COUNTY OF Fa�,CU �� • �� THIS iS TG CcRTIFY THAT THE FOREGOING IS A � �, �. `' o � TRUE AND CC7RRECT COPY OF THE DOCUMEt�T ' ��� .- ON FILE OR OF PUBLIC RECORD IN THIS OrFICE � � j���`��'`'ru`t . �r WITNE.S�SMYHAND DOFFICIALSEALTHI � �� � �� �:�'�Yv�jp�2 ��� t����� , '� DAY OF "� � s ,'r�B��'�_� •�� PAULAS O' IL & COMPTROL�I�R �'��y n�� BY �- DEPUTY CLERK a�' �ao-oozo City of Zephyrhilis Permit Application Fax 813-780-0021 Building Departrnent Date Recelv� d �� � ; phone�Contact�for�Permittin ' ` 3 ( _ ��(1 � ' Owner's Na� e '�' �(� �G7,�,(�rn(,f,1''.� pwner Phone Number (�l�J` �'� `���S Owner's Ad I ress �lQ�{� PL'.�'l GI�Q'�" V-[:w�C�- • Owner Phone Number � � ' Fee Slmple I Itleholder.Name � Owner Phone Idumber � ,,-1 � Fee Simple I INeholder Address � JOB ADDRE�I s �P�3 P(�X���-�- L6W l� Z e-� Y�t.l,t� �'� 33�� LOT# aa�-P SUBDIVISION l �� I Y\.� PARCEL ID# ��'o�+'" °�� `����•'�.�� `a'c��l� I �- , (OBTAINED FROM PROPERTYTAX NOTICE) WORK PRO �IOSED , • NEW CONSTR ADD/ALT Q` SIGN 'Q Q DEMOLISH INSTALL REPAIR PROPOSEDf.II SE SFR Q COMM Q OTHER TYPE OF CO STRUCTION Q BLOCK '" 'Q FRAME Q 'STEEL � y,� � DESCRIPTIO� OF WORK' � I� � � / at'-�� BUILDING'S12E ' �`-f�� 7� SQ'FOOTAGE �7—/ HEIGHT , QBUII DING $ VALUATION`OF TOTAL CONSTRUCTION I , a ��O � � ' QEL CTRICAL $ ��� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. II ��� . QPLU BING $ ��;�r� - � ��O� 1� � ��' QME HANICAL $ �C�` � VACUATION OF:MECHANICAL INSl'ALLATION r�� II .�U� � QGA Q ROOFING .Q SPECIALTY Q OTHER• /� Q� FINISHED FL II OR ELEVATIONS FLOOD ZONE AREA QYES ;,NO � �� BUILDER I i COMPANY'� �� SIGNATURE II � REGISTERED Y/ N Fee CURttEn Y/N� � ^ � � Address I, , Cicense# -� C� ELECTRICIANi ts-i.� �l�- �� F COMPANY ' b�� SIGNATURE 'I � � REGISTERED Y/ N FEE CURRE� � Y/N Address � J� L�r � ;� .. � . ��3���, License# . r I - . PLUMBER ` _ � � � COMP.ANY � ' SIGNATURE I V , REGISTERED - Y./:N' ,�FEE CURRE� " Y/N. • Address I � License# � � � � �V' MECHANICAL' II '�u .. �� COMPANY ' ��� '�n�.8_ . SIGNATURE i REGISTERED Y,/ N � _ ; �Ecuw3en Y,/,N Address��I�:` ; ' - ,'�'�� , � � Z - �„ �,��'v License# , � OTHER • - � •- ;COMPANY_ , , ' � - ' ' E RREh Y/N SIGNATU RE � � - � REGISTERED Y/ N . FECU Addres�� • License#� �iiii�[ RESIDENTIAL:,;�. :AttacFi'(2);Plot:P,lan`s;:(2)sets:of�Buil'dingi Plans;(1)'sef ofi Energy�Fortns;�R=O-W'Pemilt for new construction, , Minimum�teg�(1.0):,worlcing;days�after�subrr"miftal'date.��.Requlred onsife,:Constnictlon:Plens;Stormwate�`Plans w%Sflt Fence installed, `"�� �Sanitary Facflldes:&=.1•;dumpster=Site°Work.P.;ermit for subtli4i51ons/large projects . '"':'-- _ •� ' . --��4!!u!E�FlGlAS..-�—AtLc.h{3)c.emRlete-se�-'�f-�3i!Io�J(Ra'Plaiis-plusa�.!€t+_�fp�,j:F±��Prl=1)sOt-�sf�ner�N-FQ!mcrR-��IY-P-@rtYllt-fOCAHW-[X�nStRA4't6�. - Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilides 81 dumpster.Site Woek Permit for all naw:�proJects..All commerolal requirements,must meet compliance SIGN PERMIT 'I AttacFi(2)'"sets of Engirieer.ed„P:,lans:.,:- ;�-�� ; I "••PROPERTY SURVEY required,for all NEW constructlon.._ Dlrectlons: I � F_° ,, '�„ , , FIII out appl cadon completely. Owner 8 �ntractor sign back of applicaUon,notarized If over�25 0,a Notice.of Commencement is requlred. (AIC upgrades over ST500) .. �:. � Agent(for I e contractor)'or Power of Attoriiey=(for tFie owner)would be someone with notarized letter from owner authorizing same �VER THE COU TER P..ERMIT.TING�- �-- �(Front of-Application Only)� - " Reroofsifshingl�s• --�--Sewers•--••-- Service-Upgrades A/C Fences(PIoUSurvey/Footage) � '��`�;i�� . ��,=_•.:, -� ..._. .. .,... ,.,_ _Z � _ --- -_....._.._-_.__.__..___.__..._ .__._.._._._.._.._.__. ; , Drivewaya- ot�over Counter,if on public roadways..needs ROW ���``��:-'%=� ..�. �'� ���'� , .., • ' " , I, „ s . �, ... ° .... 1 � „ "�^"�t.,'a��� �`-,, y ;;,: ` � �, , , I , � ,_- itf Y '( �f i+'; . ��.,i'.5, • � �__' '_ ..._...._:a__,._-.._.:_�.—......._ ._.�_,. _.-..._........_.7 ! �.., . , .� .i i � ��r, j II ....� ............. "_'..__..._._.. ___ ._._'.._-.s....._..,"_.., NOTICE OF DEED RESTRICTIONS: The undecsigned,under�tands�.th�t thl�:p�emif.may,be;subJect to.°deed",restrictloins"'.:_ �_,��;:�;;. which may�tie�more'.restfictive-the�t County�regr�lations:`'The•undersigned-assuiries��es�onsibtltty�for�compllance'witli any" " ' �-�"� appllcabie.deed.restrictions. .... ..; . ._-, ., , � ., .., _ .- .. --_,' - _ - -. UNLICENSED CONTRACTORS �AND CONTRACTOR RESPONSIBILITIES: If-the-owner'has �htred�'a",aontraator mr contractors to undertake work, they may;be;required.:to:be..11censed In accordance:with state�.and�local,�tegulationss �If the��-�� � ���� contractor�Is not 1(censed as��reyulred`;tiy law, both•the owner and�contractor��may�be°°cited�for�a�misdem�anor violatf�n under state law. If the owner or Intended contractor,are;�ncertaln as to what Ilcensing.requlrements;'may-=apply-��for.tFie• �"�=="' intended�niork, they are advlsed to coritact ttie:Pasco County.Bullding'Inspection,�DtvlsloR-l:icensinA Sectlon at 727-847- - - - �--�- , 8009. Furthermore, If fhe owner fias�Hlred�a corit�actor'or contractors. he Is advlsed to have �the contractor(s)_.sign.,, , .� tl .,. . `.�... -,, r< • . �. .. portions of the conttactor Block" of this appllcallon..foc:which..they will..be.tesponslble.- If,you, as_.#he,owne�£stgn'�as'the �� contractor� that may�be an indication that'lie'is not:prope�y-Ilcensed antl"is not entiNed to permitting privlleges in Pasco , County. ' . � _ _ ' . a.� .,- w",� - _. TRANSP,ORTATION=IMPACTIUTILITIES>rMPACY ANb RESOURCE RECOVERY FEES:�T�he understgn�d�understands thatTransportatfon Impact Fees and.Recourse Recove.ry.Fees may��apply:;to�the constructton of new_buildings�;change��of`- `°���'" use in existing buildings, or,expar�si��r�of�"ezisti�%g=�buildings, as specifled.(n Pasco�County Ordinance number 89-07 and 90-07� as amended.,..,The undersigned also;urtderstands� that`-such fees�=;as,�may_;tie:�dne;�.will..be identffied at the�time�of` " >' • permittfng. It is fu'rtlier understood that Transportatlon Impacf'Fees and�Resource.;Recovery��Fees,must be pald prior to receiving a 'certiflcate=of occupancy" or flnal-power-release: :I��-the.proj�ct.;does'.not involve<a::certfficafe of occupancy�o"r•=�-=°��=•�a�< flnal powec release;,tlie-fees mu�t`be paid pricr to;permit issuance. Ft��thermore;�if:Pascc�t County-lNater/Sewer�slmpact �- .: . fees are due�they_must.be<pald-pniorto.permit:issuance=ln_accordance.with.�appllcable.Pasco'County�ordinances. • CONSTItUCTION�GEN"LAW'(Cliepter 713�.Flor�da Statut�g��amended):. If valuadon of work is$2,500.00 or moc�� i -� . certify that I, �he applicant,.-have�.been .provided--wlth-�a-copy�of:,the� "Florida�°Constructlon� Lien .Law—Homeowner's Protection Guide" prepared by-tFie Flo�ida Department;of Agriculture and�Consumer,Affairs:�(f the appltcant is someone . other than the"owner", I certify.that i�h�ve.,opta(ned-a`copy;of..the�abvye.:rfescrlbed:docurrient�and:prot�ilse�:in,good::faith�to ,, deliver It to tfie.'owner"�piior:-to•comri�encement:�• ' ' " �� � " ' � ` ' � - • - , - CONTRACTOR'S/OWNER'S AFFIDAVIT: I.certify:tF:�at all,the�inf.ormation:.in�this appl(cation is accurate and that all uvork will'be done in compliance with all.appl(cable laws.regtilating constructlon, zoning and land development. Applicatio�,is hereby made to obtain .a.pecmit{-to.,;do;�work,�and•�Installation as indicefed:.>.���I cerfifji that no work�or Installation has commenced p�lo� to issuance of'a permtE"and thaf:allwork will be pertormed�to meet standardsnof all laws regulating- conshuction, County and City codes� zoning regulatiQns, and land development regulatlons�In-the-jurlsd(ction..� (��ai'so certify that I uaderstand that the regulations of other�government agencies may•apply�to the_intended work, and that tt Is my responsibility to identify�what.actions I must•take:to be;,In:.corrlpllar�cs:.,S.uch agencles include but�are.not Iimited,to: - Depar`tment of Envlronmental�Protectton=Cyp�ess''Bayhead�, WeNand Areas and Envlronmentally Sensit6ve Lands, W�tedWastewater Treatment. ,.� - Southwest Florida Water Management �.DistMct-Wells, �Cypress. Bay.heads, Wetland Areas� Alter�ng Watercourses. � -- � ,. . . . - - Army Corps of Englneers�Seawalis,�Docks, Navigatile Waterways. - Department of..Health;'.8. ReY�abllltatives$er.vtces/Environment�l-Health Unit:Weils, Wastewater�Treatrnent, Septic Tanks:.. � ' � � ' - - • - US Environmental Protection Agency-Asbestos abatement. . ' ' , Federal Avlatton,Authocity.-Runways. � � , I understand that the.following.�restrictions apply�to the use of�fllL� .� - Use of fill is�not allowed in:Flood=Zone"V"unless expressly p�rmitted. . � � - If the flll material:-(s to� be used:In.:Flood Zone. "A", tt. Is underatood that a drainage plan addresstng a "compensating volume"will be submitted at time of.permitt(ng which ts prepared by a professional engln�er � Iicensed by the State of Florida: � - _ .. .. ' -� - !f ihe flll�materlal�.ts-to-be�used In Flood Zone 'A" in�connec�lon�with�a pecmitted building using stem wall conatruction, I certify,that fUl�vidll=b.e�used oniy.to.iill the area within the�stem�•wall: - If flll mate�lal�ts to be� used in any a�ea;�l��certify that .use of'such flll will not adversely afiect adJac�nt properties. If use of fill Is.,found.to adv.ersely.:�ffect ad)aeent�properties,.the owner may be cited for violating. the conditlons.of the buildtng'.permit�issued�under the°attached�iermit �pplicatlon;.for:lots-�less than.one (1) acre wNicFi are elevated�by illl;a�r englneered dralnags plan is required. • If 1 am the AGENT FOR THE OYVNER,_I,promise In good falth to Inform the owner of�the perrriitting conditlons set forth In this affidavtt�pNor to commencing construction. "I understand that_a�aeparate permit may be required for elecMcal work, plumbing, signs, wells,.pools;. air.condttioning,.gas,_or.othe� Install�tions nok speclfically included�in the application. .A � . permit issued shall be construed to`tie~a°Iicense�to'--pfoceed with tfie work and�not�as:authority:.to..vlolate;'cancel. alter, or set aside any provistons of tFie teclinical.codes; nor shall Issuance�of a.permlt.pcevent the Bulldirig Ot�iclal from therea�ter � requtring a coRection af ercors in.plans; consfiuctlon or iriolations of-any�codes: Every�p'ermit-Issued'sliall tiecome�invalid unless the work authorized.by such perrrait:is.commenced•with(n sUc..months of�permit lssuance� or tf work authorized by the permit is suspended=or.abandoned:for a:period;of�six(8)monffis,:aRer the,time the�wo�k�s commenced. An extenslon may be requested, In writing;�f�om tFie_Building,Official�for a.period:not-to•exceed��n(nety�(90)�days and•will demonstrate justifiable cause tor.�the eztension�. If work ceas�s.for ninety.(90)cons.ecutive�days;.th�)ob�is constdered abandoned. WARNING TO OWNER: YOUR:.FAILIJRE�TC1,REC.ORD.A:.MOTICE OF�COMMEMCEMENT NFAY�RESULT IN�YOVR � PAYING TWICE:FOR.�IMPRO.VEMENTS�•Tfl.YO.U�:PRt�PER-TY:�IF�.YO.U{IN�'FEENID:�TQ'+OBTAIN��FINAI�EYNG;�CONSl9LT WITH YOUR LEND�R�OR AN�ATTORNEY$EFOR��R�COR�IMG�YOU�n.��rE"OF;��{4AA11Ea�EA�ENT' ---FL�F��:e;,!�!�,A�-(F.�.�.i7n3)_, ,_ ..� ._. ="'_ .;--. - - - — - --•- ------=- - -- - . — ` �. � ��� OWNER OR AOENT �� ' ` I� CdNTRACTO � ��_ Su scrlb d and swo or rtned) ef �' a Sub crlb nd' m' (ot afli t�me�I� ��I�h /a bY ' . ' •bY �/�� ��\�C)..A o Is re persanaliy known to.me or has/have.produced , erso I known•to me or has/have produced• ea Identlflcatlon. as IdentlflcaUon. r - � _ � ' • Notery Public _ Notary Public Com slonNo:y%�(��-t'(,��j� Comrniaslon.No.__�/���7 �p� � • � Name ot Notary typ ,pp pr.stam �����" ROV� ;o��a,: P Name of Notery typed,printed or atemped =:°�"�"`�-: ;s .�:. �YSTALGROVE :,: '= MY COMMISSION#FF046058 :�: �i MY COMMISSION#FF0�6058 %'�•�'o�= =''e'--""o�A'! ' EXPIRES Au ust 15,2017 ''�''oF�o?;.' EXPIRES August 15.2017 '•�•°F.�••'` 9 (407)398-0153 FloridallotaryService.com (��398-0153 FloridallotaryService.com I I . i . ( i DISCLOSIIRl� STATEMENT FOR OWNER ( CITY OF ZEPHYRHILLS BIISLDING DEPARfiM'l:NT I I, I . ' have read aad fu11y understand aad agre� t the provisiorts af this iastrumeut. The I dexsigned state� aad affirnis that he cx she a.s desisous a� canetruating, reaa� atiag, addiag to or reroof3.ng b,is or her owa domicile, t�„�; �+.._.:*- she aet�u 21y occupie , or �cvill oaeupy by sa�.d domici2e, aad same is aot for eu ren'�� ease ar sale. That he ar she shaZl camply with the following conditioas: 1. ! hat the ownez and he ar she aloae sha21 act as the builder far alI phase�s of onstruc�ion. 2. i at the o�aez �+ri21 camg2y with ali provisions cf �he Gity of Zephyrhil2s 3. �rdiasaces aad codea pertineat Co the buildiag. hat ia t�he eveat various phasee of coaetzuctiaa axe subcon�racted., he will �agage only pxaperly 13.censed subcontractors aad will persoaally superviee uch work. 4. �hat 3.a the event the Building Iaspector shall require aarrectians ta be made, � he owaer will assume full xespa�sib3.lity to iasure they are made, sad upoa � ompletio�a w3Z1 c�Zl fox a xeiaspectian �before proce�diag with the buii8iag, 5. ibat the owaer sha11 aestune full reeponsibility for the conatruction aad w31I ot expect supervieioa of his work fram the City of Zephyrh3.11s Suilding �epar�ment. ' 6. hat prier to fiaal inspection aaay additiaaal fees, iaeludir�.g reinepectioa ees, must be paid a.a full. A writtea request from this affice sha23 oastitute an offiaial uotiae to pay addi�ioaal fees. 7. f�hat the owner shall camQly with all Gity, State aad F�cieral laws ia regard to 8. �aeial security, workman's eompensation, Zien lacas, etc. , where appliaable. hat the owner sha11 camply with all the safety codes iesued by �he Florida �adus�rial Cammissioa. 9. � tate law requ3.rea coastructioa to be doae by licensed aoatractors. Yau have pplied for a permi.t under aa exemptioa ta that law. The exemptioa allowe �ou, as the awaer of yaur property, to act as yaur awa coatraator with certaia �� estrictiaxis aven though you do aot have a licease. You mus� pravide direct nsite supervisiaa af the eonstruction yourself. You may bui2d or improve a ae-�amily or two-family residence or a fa�n outbuildiag. Ycu may al�so build � r improve a commexcial buildiag, provided your costs do aot exceed $75,Q00. �he buildiag or reaideace must be for youz owa use ar occupat;►cy. It may aot �e built or subetaatially improved fox sale or lease. zf you se11 or lease a �u3.ld3ag you have built ar szsbstautially iampraved yourse2� w3thia 1 year after �he coastructioa is complete, the law will pre�ume �hat you built or �ubstaatially 3mproved if for sal� or �eas�, wh�.ch is a violation of �his � emptioa. You may aot hire an uar�licezased person to act as your contsactor or � o euperviee people workiag aa yaur building. It is youar respona3.bility to ake sure that peop2e employed hy yau have liceases requ3red by state 2av�* aad iy couaty or municipal ].3.ceasiag ordivance�a. Yau may aot delegat� the esponsibility for supervisisYg wosk to a liaenaed coxitractor who is aot iceased ta perfarm the work beiag dor►e. Aay pezsoa workiag an yaur buildirig ��'ho is aot liceased muet work under your d3rect euperviaion aad must be nplayed by you, wh3.ah means that you must deduct F,I.C.A. aa8 wi�hholdiag tasc ind provide wozkers' compensa,tion for �hat employee, all as pxesexibed by law. �aur conatructioa must comgly with a11 applicable lasvs, ordinaacee, buildiag iodes, and zoaa.ag regulatioae. ��WNERrB SIGNAT DATE � i DR85S �b � HQNS - IITNE3 PERMIT # I I I I 24-26-21-0I60-00000-2240� Pasco County Property Appraiser 8/19/16,3:06 F • I � Mike Welis Pasco County Property Appraiser I Data Current as Of: Weekly Archive - Saturday, August 13, 2016 Parcel ID 24-26-21-0060-00000-2240 (Card: 001 of 001) Classification 00 - Vacant Residential � Mailing Address Property Value SAUMURE GUY &CAROL Ag Land $0 3443 PERIDOT LN Land $35,202 ZEPHYRHILLS FL 33540-7425 Physical Address Bullding $0 i 3443 PERIDOT LN Extra Features $12,794 �i ; EPHYRHILLS, FL 33540-7425 ' legal D�escription (First 4 Lines) ]ust Value $47,996 S e Plag for this Subdiv6sion Assessed (Non-School Amendment 1) $47,996 EMERALD POINTE RV RESORT PHASEFOUR � PB 38 PGS 118-121 � LOT 224 Taxable Value $47,996 7urisdiction City of Zephyrhills I Land Detail (Card: 001 of 001) L ne Use Description Zoning Units Type Price Condition Value �1 0200 MBL HM SUB OOC2 2,500.00 SF $14.05 1.00 $35,125 ��2 0200 MBL HM SUB OOC2 180.00 SF $0.43 1.00 $77 Additional Land Information A res 0.06 Tax Area 30ZH FEMA Code X Ftesiclerot6al Code EMPTCPI I Building Information - Use 00 - Unimproved (Card: 001 of 001) Unim roved Parcel 00 - Unim roved Extra Features (Card: 001 of 001) Line Description Year Units Value 1 DWC 2000 796 $1,471 2 UDU-M 2000 1 $684 � 3 FST 2007 144 $2,460 � 4 FCB 2007 240 $8,179 �ales History - See�,!! 5 sales Previous Owner: MCCORKLE LYN K& LORENA M � Month/Year Book/Page Type DOR Code Condition Amount ' 03/2005 6300 / 1849 Warranty Deed Vacant $47,400 05/2002 4974 / 0904 Warranty Deed Vacant $25,500 03/2000 4335 / 0453 Warranty Deed Vacant $17,100 i - . � http://appr�iser.pascogov.com/search/parcel.aspx?parce1=2126240060000002240 Page 1 0 I o = . 4�. • � �li'��.......�:y.���. <;= , f0 .� 1 , - �' �'�,..,. _ , City of Zephyrhills ' BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: ��.� ��� � � Date Rec� ived: l��2�j6 Site: , 3���� �P..-���G��7G��n� � Pertnit T e: d-�l���'�-���`�- S��3 7 C/ - J ` 7' Approved,w/no comments:� Approved w/the below comments: Denied w/the below comments: ❑ � � � , l � � , � l 5������s s.� � � � , � , � This comme�nt sheet shall be kept with the permit and/or plans. . � , � i ��_��_� �alvin S itzer s Examiner Date Contractor andlor Homeowner (Required when comments are present) � ii � . OUTLINE OF � 49�09' NEW ROOF � � � � 36. � � � �..������ ��� ��.� 79'-0' 14'-8" 13'-4' 10•_0" ` o 0 5._0. 5�_�. ----------e� -^-- — -------- ------�—� 21,_�. \ \\ / �� / _ ---�— I � � NEW fXTERIOR � I \ W� o � ` � ^ I � � \� / I I 0 5� IXISTING N� I �I � BUILDIN6 o ENC��FD I � ' � \ � 350 sq.It. I I \ N B LDING I ` \�� / I � NtW PARK I I ` \\ 499 DqLR. � � ` \\ NEW IXTERIOR I I � ` \ w� I I c^ ,� ` \\ I � � \ � 1 _ � � � ouruNe oF $ W }� a ,\ OUTUN2 OF I NEW ROOF I Q NEW ROOP I i � N ' ON � � �� I � � � � I W � � � ; � } z ` ��__ ------�--� � \ ———————————— ————— — � � �.,.. . � � •-CONCRtTE AREq ` /7 I `w ' •' I ~' Q � ' W � OUcJn` I UWU�= ` ( . JpZF-� ` �ooWr =V--�J= � �.�.,,,�� � ���� ���� - - —SF�E--P-L-AN — - ��=W� -- �-�'� Z�'�'� --- --- — 36.� 3/32"= I'-O° �J Q Q N -- --—-- -- -- - �Q�O� .,���i�T+G����f�� �w� � J��Q-: .�{a�zU� ' w . • . , ' - PERMtT WORKSHEET . ��aga 1 of 2� PERMIT NUMBER O New Home Used Nome [] InsFalier ��,'�(,�� �_ • License# � ' Home InsEalled to the Manufacturer's InstallaElon Manual � Address of home ��i,� Q�X��b-f- (.C�e Zr,�,�rvu,�.Gs, � �35�(D Home is Instalied�in.accardance with R e 1 .C .� being InsEalled �Sfngfe wide ��� ne Wind Zone It{ •j] • Manufacturer 1 (�x,1►^ �f bl�Y Length x width _v73 � �3� ��� Double wide (] Instal(afion becaf# ' NOTE: • If homA is a�ingle wfde f111 ouf one half af fhe blackfng plan . Tripie/Quad (] Serie�# � Ff home Is a frlpls orquad wlde sketch in rgmainderofhame Yeaa.6�����; % j �r�� � I understand Lateral Arm Systems cannof be used on any homo(new or used) ► where the�sidewail fies exceed 6 ft 4 fn. PlER SPACINQ,7aBl.E FOR USED HOMES Installet's fniflals �„+/�I.� Load Footer • • � -" / 16"X 16" 1812"X 181/2" 20"X ZO" 72"X 22"' 24"X 24" 26"X 26" Typical pler spactng A L` ' beadng s�e �25a� ��42� 400 � *—'/i � u�►�-���'r� I.rlc,'�t�C{J � ����..vL �P o�Y �s91n? � ) �484�` (576) (676) 2� --1---� . � rS�iowlocatfons of Longitud(naf and Laferal Systsms e ��i�i� (use dark lines to show these(ocatfo�ns} 20 s. ,8 s g g �Q 8 & 8 ' intetpolafed irom Rule.45G1 pfer epaclnQ tabla. , • PIER PAb�fZBS •PO: A •S E l-beam pfer pad size � o� a ze . n Perlmefer pier pad s(ze . � . X . x, - other pier pad sizes r, (� ' �X ' . (requlred by fh�mfg.) �� � � ��, �X' � �.i,1 ,;.�M-i1.�`�' x, � D'raw the appraxirnate locatiohs of ma�rtage x wafl open(ngs 4 foot or greater. Use thls �X murl�ge Wa11 pie�a nd of home perRule 16C symbol�o shoW the plers, X . L(st all marrtage wall openings greater than 4 foof � x� anr!their�pter pad sizes�e(ow. Openfng ��`�'� P er�s��� ��HORS , _ 4ft �_5ft �Fi�►ME 71Es .. with(n 2'af end of hb spaced at 5'4"oc_��__ • �� . TIEOOWN CoMPONEN75 07HER'F1ES ' -- -- - -- - - ---- -- L-ong udlrtal-SlablUzingt79vlc�(L-SD eWa -- NUh�bsr-- - -SD - Man . turer Longltudinal ' —" l.on udlnal St fiizin Dsv(ce w/Caf 1' rms Marriage wa�i Manufacturer i 11f�!' � Shearwal( . - ........._._.......__. ..._.. �1��v'�?'�1�C.�'1��.;1C���t�CC_�f�C.�'�} �i�l'\C:'�j .. _ �:, .. E . "'" PERMIT°WORKSHEET e , pag 2 of 2 � PERMIT NUMBER .� < � Slte Pre aredon POCK P O TER TES XiS��.�'a Debrts and organlc mateHal removed ('L,�+,��� �U 7he pocket penetrnmeter.tests ere rounded down fo =----_psf Water drainage;Nature! Savale Pad ��her �� or check here to deciare 7000 Ib.soll W►thout te"stlng. • FosEoning multi w da un fs. X'` `,. � � � X � F7oor. Type F.astener. LQ. S Length: �� Spac(ng: �� Walls: Type Fasfener: length: Spacing: �� pOCKET pENE7ROME7ER TESTINO METHOD Roof. 7ype Fastener. Length: Spar.in�: 1 �� For used homes a 30 gauge,8"wlde,galvanlxed Metal atrip 1. Test Ehe perlmeker of the home at 6 locations. will 6e centered over the peak of fhe roof and fastened�With ga(v, roofing nails at 2"on cenfer on both sides of the centerline, 2. Take the reading at the depth of the foofer. ' -----� Qeskat(vm�thorpwoflnaroa+trom�ntl ' ' 3. Using 600 Ib.inorements,take the lowesf • reading ancl round down to that Incremenk � I uhdersfar,d a properiy installed gasket(s a requlrem�nt of all new and used , homes and that cohdensation,tnqld,meldsw at�i bucfded marriage walfs are a result of a pooriy Instal[ed�or no gasket befng inst211ed. I uhderstaru!a sfrip X�_ X _ X�_ of teps wil(not serve as a gasket. InstaOer's Initlals''"'� • TO U P OB 5 ' 7ype gasket�j ' Instailed: ' The results of the torque probe test is tnch pounds or check Pg. � Be(ween Floors Yes k here if you are dadaring 5'anchars Wlthout festfhg . A test Batween.Walfs Yes_ X shaw(ng 27b Inch pounds or less wlll requin t�'foot anchors. 8ottom of ridgebeam Yes�^ Note: A:state eppmved lateral arm sysfem ts being uaed and 4 ft. anchors at�a allowed at the sidewal(locations. I understand 6 ft " Weetherprooflng - anchors are requtred at aIl cer�tedine tle polnts where fhe torque tesf � "' reading ls 276 or iess and where the mobile home manufacturer may The bottomboard wlll be repalred and/or taped. Yes .�C pg, ' - requires anchors with 4000 Ib hoiding capacity. 5fcltng on unita is installed to manufacfuror's spectflca ions,' es,.,�_ - �" Installer's tnlflals �Ueplace chtM�e}�Installe�i$o as not to aitow inhus(on of raln water, Yes AL�7'ESTS MUST BE PERFOR �D BY A LICENSED INSTALL�R Mtscellan�oua Installer Name (,� ('4 (,��,�_``}�����' • Skirting to be.insta0eci. Yes No � ' . Dryer vent instailed outstde of ing. Y`�r►/A• D�te 7esfed Range downflovii venf insfalled outalde of skitting.—Yes_�____N/A �— � Drein lines sup�sorted at°4 foot ihtervals. Yes�_ . Ele�trical crossovers protected. Yes,�_ Qthar; � � Ele�t�lesd . -�—: , Connect electrlcal conducfors be�in►een muiti-wids ur�it�,but noE to the main power — source. This lncludss the bonding wire batween mult wtde units, Pg. Instatler verlfles atl information-g[ven�wtth this permlt worksneet lumb ng is accurate and true based on� _ Connect all sewer dralns to an existing sewer tap ar septtc tank Pg.- manuf8cturer's installation lnstructlons and or 12u1e 15C•?&2 Connect ati potable wafer supply plping to an exis�ng water meter.waEer tap,or other Installer Signatur�.�--� ,J �� Date_I��,����i , Inilependent water supply a�rstems. Pg. �.---- ae� o�i t! � �- _. � � � �� ���� �+r�rk�'l�de�, NGtf��'r�de � � �C'� C�`�► �' ��C C'� 1 �edrr��n�t, � �at�a � � tUe��ctt�e,�erie� ''� ��'1�a1�� �'"�or������ns a��rax. �9�` Sq. �t. g � � � �t' "� � � tase u�saar,cd:a-is-s�z a ,--�---�� `-tY s'-1�' � �'"� 12'-2�" {�lk,r t�t can.} � � m � � . �7 0 � '�N1H � a�� �'} � ..::.� � � � • � ._.,..<... ,........� . � ``. ,..... �G :� ', � � � ��' :..:.. �CC;��`{�{� :.: .�.,_::�....... ..:.:�.....,. ........;::•...,..,... ��,LL.' '~..::..::.:....::.....:.......:.......::....... - . ��a � a � ��.�:.- f �, y r �:.� ...:�: :�.�:�:::,:::��...,:��:.:,. ...... ........:::� . .:::...�..:... ��. � � � ...... w� /� ��~� .... � � ..., .....�...� •,.t...��J1.�L..�....� ... A.��.a......,� p p � � �.�_:. .:.. ��. :'�.������:::: -::::...` ....,:::.. ~�:�'��� �#�1��: . �_-: � ~ w �'� �. . �.,,. � " ....:..:.:...:::'....;. ~, . r� :.•. "+�: '�::'�:.,,,::::..,,:': ..... _ � ��.::.. .... ..........." ..:... .....:::..:.... '1;: :��.,. .. ,�."�.;`..... .,.:::.... � � �� '�s.::;':............:::.::.,.....:::,::: ......... `•.__.:::.':..........:::,' r,r� .. ..... :..,.':::....::::::.:,.,,.....;:;:' ,._ vr G ..�.�......,....�...��.����.�.�...... ,. .........� ...�.......... ���..�..t.�.,.' .._..�• ........»..... , � � ........ ..,�....�..� .....�.... ..�.. .. ..... _� - ... . .....«. � � � �'���::.._,:.::�.��'� .. ...:.:: �:..._ :�,� ,� � ��. . ::...:....:..:::........ .. .= �. o. ::;iyfii�s�: ...:xJ.Oi�r,:9ei'a�.. . .��.,�:.:�-::::..;...:::::::..:._...:::�. �' � _ .;., � � ` ,:.........'... .;:;:::.:'' ._ � rn ({y/� _��- tit}TCNE(�'��EyN�pTitY � ;.. _w .:: . ._..:.::::"�"'...,.:::.:;:'... � c�"v � 4 � � t�`4W11� �� �— .«..��...... .�..;'4'��Y�.T1•�.r�..•a..~ N5'44Y•' � � w���.�rr�.��..r • � N �� � '�.{�i.d. � � ��! � � a�a �,�,�. ._8�' 7"-3�' 4•_ � m � � � �, . .. � �� . � . � � . �, `�`�ori�a � -�`�r � �' �r.�:a �,:, x . . ��utt�- � x o�,e�e�ers�r�+, �� "� � �� a�s�.,gae�this ptan. ,� !� a .� F�c�ty E�a Namt t�s � `� $41 Sauflt ftOFthtQe ftlud., rr+�.r�+w �o � rwa+�c��s Custamer 5� nature �ate � �� c�v � Far bvuia�t and3cn.a«Yep an our wi6rs. __.—— --�—__*1'--- � � � �.-��3C�t�-9�5-2�13_______ - -- k�l�d�Il�B�r�tt:�-��_ - =9�5-2013 ___ur�v�.€�arfclUlodeist3ir�ct.c+�m � --- poi�ui:w�ta c�r paaiey oi atn�eaoni im�ta+fe�n�,aii ianxmniiQn in aurbmehurGs o�ay vary fram ec[vat kome.'11�e ri�lst�rdavcd fo m�lce dsengas at�ay tamr.svithout noRic�ax ohGnacirfn in mMr.w.P.--:,�_ --._.-�__.- .�o�a�rs�5Rd TOKideh.A1I d�teal�oqt BDd YqF13PC fQ6blgGC8lCt�id.N4�E dreBOAY�i(tfil{ted SppYOx[IDS1C��ueas.Pt��r.rho.�L.�.:.�....--_.. BLOCKING LOCATtONS SHOWN ARE CONSIDERED 7YPICAL.BLOCKS MAY BE MOVED FROM LOCATION SHONM(WRH THE EXCEPTION OF SHEARWALL OR COLUMN LOCATIONS)AS LONG AS THE MAXIMUM SPACING IS NOT EXCEEUED, � UNLESS OTHERWISED SPECIFIED IN THE NOTES BELOW.THE DISTANCE BETWEEN ANYADJACENT PIERS MAY DEVIATE FROM THE LISTED SPACING BY 10%,SD LONG AS THE OVERALL AVERAGE DISTANCE BETWEEN PIERS IS EQUAL �o �9 y �� TO OR LESS THAN THE LISTED SPACING,SEE SECTION 31N THE PALIN HARBOR HOMES INSTALLATION MANUAL FOR MORE SPECIFlCS ON BLOCKING THE HOME, � � � r�m � �b$� a� m �U � �� � � �O� � d�� LL�� UO � m QJV. m ��gOO �O � � a�N mS 37'-4" �a � PERIMETER ne-oowns Q ��' m �� 24 s�-0" 5-4" 24 � � �.+nx. SP�o SP�o � Q a LL M } 0 0 0 0 0 7YPICAL TIE-DOWNS RE�'D � �Y p Q �0 Qa � K� C �.. 8Q a � ��Y � z �� O m vx � m n v O � --- er REGD PERIMEfER 6LOC1(INC� d io � ��y !� a '� a r�n '� �o $� G� d�N � M �� m i•e��oc�noN � � J "' � S z � � �� �.� �' a��n � �� � � E � �� �� � � � �� 24 '-8' 10'-0° 10'-0° 6'-8" 24 N �Z O Z � �X � SPAC NO SP�O � �% � Ol a N °' E � � � � � � �� .E� C i-eeant�ocnnaN 'y � coarn�c�na � � o. 0 Q � � uaoneunow n °� Q � � m� � ----------- C � f2 � = GIUIIIEBP.ROGEAS • ,c� � LICl:Q400008W � � g, � �a 0 o O o o �Tj n J PHONE81&7Cl-738! a`� n �., a m � n Z SPACINO SP�d M� E S y n�ax. �' �-0. 5'-4" 24 m F a � ��orwnan reweeerea ne-oowNs � W 'n � s P,wre 3T�+1" �j.L_, � � � o srn�r. o � � � cm: z '� � on,�wiNo iNr-rnaunoN � � � crm wa�� a °emsns INSTALLING A HOME CAN BE VERY DANGEROUS,ONLY�UALIFIED PERSONNEL SHOULD EVERATTEMPI'TO INSTALL A HOME. Q � Br'�' xarrnw�mroaeue Z � ILUD.WPa20NE NOTES�NG SPAGNG BASm ON 20PSF LNE LOAD ON ROOF AND 7000 PSF SOIL BEAWNO CAPAGTY. 7. STA8ILIZER SYSTEM PER PALM HMBOR IN5TALLATION MANUAL,AND ALL SIDEWALL ANCHORS ARE SPACED Ai � 3 2 CONCRETE BLOCKS ARE ONLY RATED AT 8000 POUNDS,BU00 POUND PIERS OR HIGHFR MUST BE 5'-0'MAXIMUM.FOUR F00T GROUND ANCHOR MAY BE USED E7(CEPT WNERE PALM HARBOR INSTALLATION MANUAL W � DOUBLE BLOCKED. SPECIFIES DIFFERENT. s�m iNFouuTroN 3. BLOCbNO RE�UIRED AT OPENING LESS TFiAN 48'IN WIDiH ONLY TO MAI�NON-0PERATIONAL B. IT IS TNE RESPONSIBN7Y OF THE OEALER AN�IOR INSTALLER TO CERTIFY TFIHT ANY BLOCbNG ANO/OR y ���o�� DOOR9 OPERATIONAL PERIMETER SUPPORT9 ARE REUUIRED ON EACH SI�E OF ALL OPENING8 GREATER FOUNDATION PRINT(3),OR ANY OTHER�IAGRAM SUPPLIED FOR ANY SITE INSTALLATION,CORREUITE N THAN48'QE.SLIDINOGLASS�OORS,BO%BAYWINDOWS,RECESSEDQJTRIES,ETC..JREFERTOTHE WfTHTHEUNRORDEREDANDBEINGSETASWELLASTHECON01TI0NSOFTHE9ITETHEMANUFACTURER W u�� DEBWNmFOft7D IN5TALLATION MANUAL FOR MORE SPECIFICS. WILL NOT BE LWBLE FOR DAMAGES ARISING FROM FAILURE OF hiE DEALER AN�/OR INSTALLER TO � � '�`, ���� 4. MARRIAGEIJNEBLOCKINGONLYREUUIREDUNDERWALLMARRIAGELINEWALLAREAS. MAI�CERTAINTHATIHECOMRACTORIINSTALLERHASTHECORRECTDWOWVMS,REGAROLESSOFWHATWAS �10°°�F800' 5. FOR N7ND ZONE II AND III IN5TALLATONS,A PIER IS RC-0UIRFD UNDER THE 5HFJIRWALLS'WNFAE SUPPLIW BY THE MAUFACTURFA.THE MANUFACTURER ASSUMES NO RESPONSIBILITY OR LIABILRY f-0R THE e���� 7NEY AITACH TO THE SIDEWALL T}�SE SHEARWALLS ARE It�ICATED AS DMI�NE61N WALLS ON THE DESIGN OP THE BLOCbNG ANDIOR FOUNDATION. � � � � B L K� 1 �ppRp�, B. FORMORESPECIFICINFORMATIONREPERTOTHEINSTALLATIONMANUAL � 8. ABS PIEfi PAD SIZES AND CAPACRIES BASED ON INFORMATION PROVIOED BY'MANUFACNRED HOUSING 70.ALL SET-UP MUST COMPLY WITH THE PALM WIRBOR HOMES INSTALLATION MIWUAL � FOUNDA710NSYSTEMS' ex�r�oFi Sta �e of FIorida .� DE � ARTMENT OF �°'° � � �I�HWAY SAFE'I'X .A.ND MUTOR VEHiCLES I ELE .C'�RA,'�OAO�AE3-BUSTLE �xecut� c Direttor ' April2b,2007 Nir.John Lvwe� , Ouver Technologies, Inc. ' P.O. Box 9 Hohcnwald,'x'eAUQessee 38A�62 Dear Mr.Lower: • i � We wish to acknowlcd.ge rccexpt of your specifications an.d test results,ccrtifying your anchor products�isted below comply with the rules and regu.lations set by the Depa�tment of Highway Safety and Motor Vehicl�s,Ck�aptcr 15C-1.0103. Bascd on the information subnaitted to this bureau,the following Qroducts are �� listed for sale and use in Florida when the installation instructions are provided. MOAE # DFSCRIPTION ' OTCAAG Dry Set Concret�Anchor 0'�'C�WGS Wet Set Concretie Anchox � i �£you have any questions,please advisc at(407)445-7�408 Sincerely � � Phil Bergelt,Program Maaa � Bureau vf Mobi�e�ome and � Recxeational Vchicle Construction Divi,sion of Mator Vehicles �I � PB/cb I � i I FI.ORIDAHiGHWAY PATROi.�DRNER LICENSE5•MQTOR VL+HICLL�S•ADMII�iISf'RATIVE SERVICLS Nei! [Grkman Building, 2900 Apalaehee Par3n►ay Ta1lahAssca, �'loeida 3�399-450Q jhttn://www.l�soiv ata te.A.us � � J i , . State of Flori�da D�P � RTMENT OF HIG '�' ,A►X SAFETY AND MOT4R VEH�CLES Apri126,2007 E '�'�ODORiAE4�BIIS'�'�.E E:ccutive� r �. J0�1T1 LOWCX � Oliver T�chnologies, Inc. P.O.Box 9 Hohenwald,'�'e�nessee 38462 Dear Mr.I.owcr: We wish t�acl�owledge rc:cci�t of your specificatio�ns and test results, certi��ying your mobile home'�'ra�,sverse and Longiwdinal System—Wet Set and Dry Set Concxete Brackets, Iisted be�ow,complies with the specifications and rEgulations set by tt�e Dcpaztment of Highway Safety and Motox Vehicles,Rules 15C-1.0105 and 15G1.0107� k7oz�da Adnoiinistsative Cod�. Based on the infornoation submitt,ed to this buresu,the following products are listed for sale and use in Flo�ida when instructians are provided at the jobsite. MUD�# ri�.SCRII'�'ION ' 1101CVW Concaete full system wet bzac�cet 1l0iCVD � concrete full system dry set brackcc 1101-W-CPCA Cvnc�ete long�tudivaal systezn,wet set bxac�Cet 1101-D-CPCA Conerete longitud'u�al system dry sat bracket 1101-W TACA Concx+ete transverse system wet set brac�Cet 1101-D-TACA Cancxete tra�nsverse system dry set bracket If you have any questions,p�ease advise at(407)445-7408 Sincerely � � - Phil Bergelt,Program Bureau of Mobile Ho�and Recreadonal Ve�ticle Conistruction Diviisi�on of Motor Vehicles PB/cb . • iNCS?RATNLSERVICES FLARIDARIGflVVAY PATROL•DRNHR LICBNS&S MOTOR VEIIICLES ADM Neil IGrl�man Bu�ding. 2900 Apalachoc Yark�May'Ca11�6�y+ee. Florida 3Z399-O500 . http:��www.i�no statc.aua i U'.7�LU�L'U'L 1J.'1C1 YC1foSJi1:J4+ .�'•+ . A State o� +�'t41�id� p . + �T+ :,. ffi�H�,�,Y' S�Ak'��`X At1�D Mt.Yl�R `�HIICLES .. �,���,���a, �o�m�► �a3c9�o [�En a a� , nr, ui �a�amtive t,or ' �Za,�oo� Ivs,�. cit A.Moore,F�an�aF Man�gsr - MQ?oi�ifactuted Hcueiug Foundstian Systems � Oliv Techtiologie�,�c. Post��ce�ox 9(467 sw�Aveaue} Hoh wald,'�'eoa�aess�e 38462 , . D �.Moore: We wish to acla�nwlcdge r�ceipt of your specifics�tions aacl test res�ts��g tl�at �Loag�tudana!fitsbilizing end Lgterel Hrecing Sysrenn, 1101 V, l.isted imLow co�mplies with t�he s ecificatians amd xeguyations set by tbe DCpmrtme�af H'ig,h'a►ay►Snfet�Y and Motor Vebicles, Rules 15C-1.0105, ISC-2.0107 and 15C-I.OlOS,F1nri�d�,A,d�vi�sbl'a►�ive Coc�e. Instaliatiam iustructioma must be�vaalable et tl�e ins�tallation si�e. +d DESC��N 1101 V L.o��Stabilizing aad T.�a1 Brac3ag 3ysta� jNOTE: T 3�s ayster��s,fi�r te�Iace�nent of lo�g�dinarl ar�ch�r� �'fi�.s aystem c�n o�tly be use I wlth sialewall unchor spacing o,f'S'4". Maximum strut a�g�te 4S� � I�you b�avc any questions,pleesc sdvise at(40?) 623-1344. s�ely, � V'.J►�y �J Pba�Baxgelt,�'xag+�a�an�a�o�gea' � Bnreau of Mobila Home annd Itecreetianat Vehicl�Cans�uction . D�v�sion o�Mo�onr V'ebicles P :srb i D I 1�5/�ARIM iilGHWAJf Ri4�T�0� � DItNE�LT�CEt�S ��a�R vk7�i�i FO � AD�TX�$�CTS� 111a�11�1011$LL�fl�� ����'�'�� ' .���I .'..��r�w������ri .�� , � . Nf I �-�Q.t � I'' ��. � •y ��t`i��Q�.�����►'. � / �+ ��z �.•� � FIOtl�M Mi3"TALLA?It'iN tM�i'RtlCTIO!!s FOR'l11f ,., ; •�� No. 15896 �. i �oo�.���o��v-�sri��a�-�sj `: J,, • ' :� ;*'� � * � � iroa�i:ar-c-v�co�truor�uc o�rs.r: w • • rouowsre�s i.� �'• STATC OF �'�: � s��tow�ta-ts�: � � 6�iN�M ; '�/✓i ENOWEERB 6TAlfP ,' • I �+•.'���.•••*• �`, . . . �.S G\7:�7 FIV�����i ��S�J �Ys VfIr07 i4Wt �-VNi/"Go7�7TV! . •)Pier� 48' b) I.ength of home exoeeda 78'c)Roaf eaven excaed 18"d)3fdewaN hetght excaeed 88" e}�ac�ttat is w�ttdt►150Q feet�a�ast W,�'j�,,,,�Qj�OF tiROtlND P11N • 2.R wseds�nd de�#s fin er�eppm�mete lw�r too# squere to expoee t[rm eoit ttx'eat��rntnd pan(C}. 3.Place�nd pan(C)dfreclly below cha�sfs I-beram.Presa or drive pan flrmiy hb eoN w�fll fl�uh wilh or belaw sofi. SPEC � NOTE:The la�gttudkial'V'brac�t sys�rn serves as e pler under tlte home�td shovid be lo�tlet!es eny other ' .le is r�oorru,nenaexf that after ie�v�eifng paaas,a�,a o�e�t,ai�incn(1r1'ry befo�+a nonre ia ioaNerea corrr�Teidy on to piers�c�omplete stspa 4 Btraugh 9 below. mSTALLATItM�I OF�,ONOr1'UDINAL W"BRACE sY8TEY No�: w�+��sr�u.�o nie���fo��-w e.a+rc�rruaNue.srsrar� �r�ur oF z ar�s�a�.00r�a�c��s �us��o.sat.�r�r t+�aoeE atwu�o�us�o m o��t�tN�cotu�c�r nr�r�att�tc�at��soa.cue�sa��oH.�wta��r REAqINOB� E BETwEEN 178 i�76 A 6 POOT AI/CFWR MUsI'8E UB�I.IF PR088 T@iT READINiiS.ARE B�Tr11EEH it7�.i�6�A 4 FOOT ANCHOR MAY BE U ED.U!E OROUND AMCHORs IIMITH dA00NA�TIEB AItD�T'AB�R PLATEs EVERY s'4".VERTICAL'ilE3 AR�ALsO REQUqt!'0 ON ` HMIEB 8tlPPUfD 1M(iH YEtrRCAL TiE C�?NNECTtOtI POMRS(PER RORiW1 it�ti.}. 4.Seled I oorred aqus�e tube btace{Ej!�'►gih tor aei-uP(Pier'�hefgllt et su��pott tocatbtt.(Ttte 18'hjbe b atwelta used as)the ba�to+n riart oi the io�gi#udMal arm).Pio#e:Elther iut�e can be uaed Ery itwefE.cut and dritled to iength ae iarrrg as e 40 to depree ar�1e is maN�telned. PiE HEiGHT 1.25�'ADJUSTABLE 1.60'ADJUSTABLE (ApProx.a5 degrees Max.) Tube Lenpth Tube Langth . 7�3t4"�to 25' �' ��S' _ 24'�� 4'to 321/4' 32` . .. . �._ _ .. ..._ . � ._.,��.�...: , . _ �� � s. �nsteN( )of atie�.50"'aquero tuaes(E {ts•tube})tnta tne�u•bradsvt(d),rrraert cerriage non ar►d i�vre nuc�awee ta�r flna� �' adJ r�. � 8. l�teoe '�c�omectar tFj iooeelY an the l�oiban�ftange of�te 1-beam. 7. Slide th�selected 1.�WbR(E)lroto a 1.50 Wbe(E)8nd ai�ch b(-beem c�ome�Eors(�j and tasten k�c►sely with bdt end nut. 8. Repeat siepe 6.t�mau�h T to cneate ths"V"pattem ot the aqua�re tubea looe�ely h place.'lt�e engle!�nc+t ta eocc�45 degrae rat bebw 40 tlegnBe�s. 9.A1ter all are tlgh�9ned'��re�1.25"end 1.StY'tubee ustn�g tour(4)1/4=14 x 3yA'self-t�pping 8creiNB In p�ardtiNed tloiea. h 7tt�YObeL 1101 w"(tAtiWT!lrnMAl.i tAT�RAI.PI�oTECT1oN}ELIMIMATEB THE MEED FQR YOlCT sTA81LQER PLA'i�l1 i FRAME TiE$. � NOTL�TH�tl�E OF TNi�SY81't71 RERtItREli YERTICAL'tE3R$PI1iCED AT fii'4•. �R ROO�I'(4'�GROUND ANCNOR MAY BE 4lSED EXCEPT Y�IiRE THH HOME MANUFACTUItER$P�{IIF�DM�FEREMT. 10.Install n�maining vertical tie�down streps and 4"ground sncho�per home manuiaCt�urer'a instrut,�lions.NOTe:Centeriine end�or�� be aized+acoording b�ail torque condtdon.Ar�y marwfacturer's spedflcatiores frx sidevva0 er�•hor lo�ds in excess of 4,000 � oequit�a a 5'a�char, 11.NOTe: ` sysbem i6 requMe�d to heve a ft�tne tle 8nd�r amad�ed at BaCh{9te►ai anm ate�ng locafto�1.TF�iat fram�►Ne d� stebfliz � plaba needs to�ioceted wifhin�18'hc�m.d c�enter ground pan. 12.Selecc:t c�equara�tube brace{H)length tor set uP leteral tras�sverse at suppaR iocetbn.The ierr�gths Came M either 60" le at 7Y � (Wilh Mie 1.50'tuhe es the boltom tube�and the 1.25"tube a�s tlia Ntise�ted t�e.) 13.lrntaq � 1.5Ct tre�vetse brece�Nj to fxq grv�iT+d Ran iGonl�at�br{Dj wlttt bdt and nut. ' i4.Stkfe 1.2�'trat�svet�e b�eiGe tnM ths 1.50'Dracaa and attec�t to sdjecent i-beam oot�r�ector(1)wirit boit 8nd nut. . � erae arrrr o . svers� - . wtMrF�tc7�tR�t�c�t�two�otx�ar►tx�rl�rsrrre�ts Telept�x�e:93t-79erts�5 A DIi�810N�IF�OLJVER TECHNOLO�ilEB.INC. �e�s3ta9e-eeti ' 1-5�0-284-Tr137 '"w'"' � � I I � — -- - - - RE UIR�D UMB R D L C TIO " ' E FOR UP TO 4/12 R F PITC < • .- 'I � , . � � ' ALL WIDTHS;AND L.ENGTHS UP T4 52' I „ � • r • r � • • � • � • � � A�l WlDTNS; ANQ IENGTNS OVER 52' TO 84' � � • * • � �► • � .+ � � I • • �' � � HOME WITH 5/12 ROOF PITCH REQUIRE: PER FLORIDA REGULATt4NS 6 syste s for home lengths up to 52' and 8 systerns#or homes�over 52' and up 80'. Qne s#abilizer plate a� d frame tie r�equl�ed at each lateral bracing system. � Ftottda approved 4'9round ,.�'' , , C A t�i2QUND F!W anNw�rs mey be� aed dt Wi D=C�itdJND PMI CONNEC"TOR IomUorro except��rhere hWne !� . E=u7E:L£Ba�CO�P1[�ts0 Y BRIICH martutecWraa e Uam �'' r ' N8E A33Ei�i.Y Wf 1.5 B�T ' tor�idewa�aaap are tn t/� l �, TOM 11JBE At+�J 1.�TUBE exdeaeof4.0001 .�These .�r' � �,r•� . INSERT IocA1MDrM requke�G PtIC110r. f' atm ,/�.: F��t'$RI4GE 1-8E/lM GONNEG- . T /' - TORt3 ASSENBt.Y i ( � H=TELEBCOPINO TRANBVER6E ,r ARM ASS9N8LY /� i'� - !��RANSVERBE N2M I-BEAM .�� �-�� . /" F-:'V'breoe i•t�eam ' CONNECTOR �'�� PAI1 � , oannooM�e J=V PAN BRACKET ( fj' trYTiYYYIYY `� r' `'n"""O1�°'° "'r' � REVISED INSTRUCTIONS 4/23/03 :,;� `�.,.W � �so s: 1.LENI3TH OF HOU�E IS THE ACTUAL BOX S/ZE E-Y Hrace Tu 2. * =8'TABlUZER PIATE ANQ Fl�RME TtE LOCATION 1 � i �Zci s� (needs to be tocateci within 18'frorn center of C-Ground Pen �1���� �'� �%'" I 3.{��—^ = �OCATION 4F ASF MODEl.1101'V' (WTERAL 8�tONGITiJDINAL BRACMG). j 4. �=LOC`..AT10N OF MOD�L 1101-L'V" ' ' �r ' . PATENT PENDING {L8Nt31TUDlNAC BRACltdt�OldLln. �.• � � � ; �M• �� e. ..•• `�*�! ; � �.•• "t ,I 1 C�,+` +� Mwru��►c�u�o t�at�tt��o�um�►�srs�a .93t-�e8�t5ti5 � � . • A DMSION OF OUVER TECHNOLQ(31ES�INC. ��-��a» � . , i SII�G tttn w 4-800-2$+1-7437 •��.�4t+' �s�.aam . � �*; . , . : x;• 1 � 4 y..� . • r � I. :�t'� 'i •�1' �aTA .�C3r O: �Lr�: . il •���,�� I Q`;��;f sa „� i � ! n t ri �,�: _ I