HomeMy WebLinkAbout17-18375 CITY OF ZEPHYRHILLS
� -- - 5335-8TH STREET �-
(813)780-0020 18375
BUILDING PERMIT
PERMIT INFORMATION �� LOCATION INFORMATION '
Permit Number: 18375 Address: 3909 QUAKER RIDGE ST LT 7
Permit Type: PARK MODEL ZEPHYRHILLS, FL.
Class of Work: PARK MODEL SET-UP Township: Range: ook: '
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: MAJESTIC OAKS
Est. Value: Parcel Number: 24-26-21-0000-00100-0090
Improv. Cost: 2,400.00 OWNER INFORMATION
Date Issued: 4/19/2017 Name: NHC-FL115 LLC
Total Fees: 180.00 Address: 6991 E. CAMELBACK RD, STE B310
Amount Paid: 180.00 SCOTTSDALE, AZ. 85251
Date Paid: 4/19/2017 Phone: 813-783-7518
Work Desc: PARK MODEL REPLACEMENT 12 X34
CONTRACTOR S APPLICATION FEES
EASLER, LIONEL L. PARK MODEL SETUP 60.00
CRANDALL, RICHARD PARK MODEL ELECTRIC 40.00
EASLER, LIONEL L. PARK MODEL PLUMBING 40.00
BAHR'S PROPANE GAS &A/C, INC. PARK MODEL MECHANICAL 40.00
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Ins ection Re uired
PARK MODEL MECHANICAL
PARK MODEL PLUMBING
PARK MODEL SET-UP
PARK MODEL ELECTRIC
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
/
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: � �
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II Date Received: � ��� �
Site: ���� �{GC���
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 comment sheet shall be kept with the permit and/or plans.
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�/�'��� � ,
Kalvi ' e — s Examiner Date Contractor and/or Homeowner �
(Required when comments are present) '
;_
�-� " " ` s�s-�ao-oozo �� h�n `�ity ofZephyrhills PermitApplication Fax-81�780-0021
� ,v e �,/ Buiiding Department
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Date Received Z'" Phone Contact•for Permitting -407 908 _ 5806
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Owners Name NHC-FL115 LLC ' Owner Phone Number 813-783-7518
owners address 6991 E Camelback Rd,Suite B310,Scottsdale, 85�5�kner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple TitleholderAddress
JOB ADDRESS 3909 Quaker Ridge St,Zephyrhills,FL 33542 LOT# ��
SUBDIVISION Majestic Oaks pARCEL IDIF 24-26-21-0000-00100-0090
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONsrR ADD/ALT � SIGN Q Q DEMOLISH
e INSTALL e REPAIR
PROPOSED USE � SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL 0 ark model
DESCRIPTION OP WORK setu park model re lacement
BUILDING SIZE 12'x 34' SQ FOOTAGE 4�8 HEIGHT �
�BUILDING $ 2�400.00 VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
OGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES X NO
1-d—
BUILDER � /�///� COMPANY Easler Mobile Home Service,If1C
SIGNATURE �;'/� REGISTERED Y/ N F�cuw�n Y/N
address 4647 NW 63rd Ave,Jennings,FL 32053 �censeu IH1025210
ELECTRICIAN �J / ! Y ` � COMPANY Crandall Electric
SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
Address 39935 Otis Allen Rd,Zephyrflills,FL 33540 License# ER0012910
PLUMBER C./� /�o�� COMPANY Easler Mobile Home Service,Inc
SIGNATURE � T�� REGIS7ERED Y/ N FEE CURREn Y/N
Address 4647 NW 63rd Ave,Jennin s,FL 32053 License# IH1025210
MECHANICAL C�,/�'///y `�/J COMPANY Beh�'S A/C
SIGNATURE � i ��- REGISTERED Y/ N FEE CURRE� Y/N
Address ��Allen Rd,Zephyrhills,FL �icense# CAC043948
OTHER COMPANY �
SIGNATURE �cisrertEo Y/ N FEE CURRE� Y/N
Address License#
11111111111111111111111111.111111111111111.11111111.111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new consWction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new consWction.
Minimum ten(10)worlcing days after submittal date. Required onsite,ConsVuction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERIY SURVEY required for all NEW construction.
Directions:•
Fill out application completely.
Owner&Contractor sign back of applicaGon,notarized
If over a2500,a Notice of Commencement is required. (AIC upgrades over$7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITfING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on pubtic roadways..needs ROW
V f c�-w
� NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be req'uired to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you,as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may appiy to the construction of new buildings,change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07,as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a`certificate of occupanc}r'or final power release. If the project does not involve a certificate of occupancy or �
final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact �
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
� certify that I, the applicant, have been provided with a copy of the "Flonda Construction Lien Law—HomeownePs
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and Iand deveiopment. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other govemment agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WatedWastewaterTreatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmentai Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fiil:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the flll material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fiil will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, •
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically inGuded in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested,in writing,from the Building Official for a period not to exceed ninety(90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNIfi1G TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
, PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO�'ICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) �
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OWNER OR AGENT CONTRACTOR
Subscribed and swom lo(or affirmed)before me this Subscribed and. orn to r affirtned)before me this
by by
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as ident�cation, as ident'rfication.
Notary Public Notary Public
Commission No. Commission No.
I
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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PREVqfLI G CODES cY�i�
FLORIDA UILDING C
NATlON ELECTRIC E'
CITY OF PHYRHII.LS ORDINANC
Park Model
12' x 34'
= 12' x 50' Dviveway C� �IE� DA E �/�'
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12' drivew
STREET ����`� 1�� �,
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IIT NUMBER
Lionel Easler IH1025210 New Home ❑ Used Home �
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icense#
Home installed to the Manufacturer's Installation Manual �
of home 3909 Quaker Ridge St Home is installed in accordance with Rule 15-C �
stal led
Zephyrhills, FL Single wide XD Wind Zone II � Wind Zone III ❑
:turer Sommerset Length x width 12'x 34' Double wide ❑ Installation Decal#
_. if home is a single wide fill ouf one half of the blocking plan Triple/Quad ❑ Serial#
if home is a friple or quad wide skefch in remainder of home
Roof System: X Typical Hinged
�rstand-Lateral Arm Systems cannot be used on any home(new or used) PIER SPACING TABLE FOR USED HOMES
:the sidewall ties exceed 5 ft 4 in. a l
Installer's initials �1 /�ri Load Footer „
� bearing size 16 x 16" 18 1/2"x 18 1/2" 20"x 20" 22"x 22" 24"X 24" 26"x 26"
�ier spaCing (256) (342) (400) (484)� (576)" (676)
� lateral CapaCl�/ (Sq In)
4'
� � 6 �
Show locations of Longitudinal and Lateral Systems � ° � � 8 8 �
longitudinal (use dark lines to show these locations) � � � 8 8 �
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r i i 8 8 r
r � 8 $ i
• interpolated from Rule 15C-1 pier spacing table.
PIER PAD SIZES
I-beam pier pad size 17"x 22" a ize n
min 16"x 16" x 2 6
Perimeter pier pad size 6 x 8 28
: .... 8. x . 3 2
�---------------------------------------------------------------------------------------K --- Other pier pad sizes 6 x 22. 360
.., (required by the mfg.) x 22 3
3 x 26 3 S
Draw the approximate locations of marriage x 2 00
wall openings 4 foot or greater. Use this 3 6 x 2 3 6
' marriagewall piers within 2'of end of home per Rule 15C ��� "'� symbol to show the piers. 2 x 2 6
2 XZ
List all marriage wall openings greater than 4 foot 26 x 26 6 6
and their pier pad sizes below.
ANCHORS
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PERMIT WORKSHEET a e 2 of 2
Site Preparation
POCKET PENETROMETER TEST ' � �
Debris and organic material removed X
ocket penetrometer tests are rounded down to psf Water drainage: Natural Swale Pad X Other
;ck here to declare 1000 Ib. soil X without testing.
Fastening multi wide units
X X X
Floor: Type Fastener: Length: Spacing:
Walls: Type Fastener: Length: Spacing:
POCKET PENETROMETER TESTING METHOD Roof: Type Fastener: Length: Spacing:
For used homes a min.30 gauge, 8"wide, galvanized metal strip
1. Test the perimeter of the home at 6 locations. will be centered over the peak of the roof and fastened with galv.
roofing nails at 2"on center on both sides of the centeriine.
2. Take the reading at the depth of the footer.
GBSkeI(weatherproofinq requiremenfl
3. Using 500 ib. increments,take the lowest
reading and round down to that increment. I understand a properly installed gasket is a requirement of all new and used
homes and that condensation, mold, meldew and buckled marriage walls are
a result of a poorly installed or no gasket being installed. I understand a strip
X X X of tape will not serve as a gasket.
Installer's initials
TORQUE PROBE TEST '
Type qasket Installed:
�sults of the torque probe test is 276 inch pounds or check Pg. Between Floors Yes �
f you are declaring 5'anchors without testing . A test Between Walls Yes
ng 275 inch pounds or less will require 5 foot anchors. Bottom of ridgebeam Yes �
A state approved lateral arm system is being used and 4 ft. i,
anchors are allowed at the sidewall locations. I understand 5 ft weatherproofing I
anchors are required at all centerline tie points where the torque test I
reading is 275 or less and where the mobile home manufacturer may The bottomboard will be repaired and/or taped. Yes X . Pg.
requires anchors with 4000 Ib holding capacity. Siding on units is installed to manufacturer's specifications. Yes,�_
Installer's initials Fireplace chimney installed so as not to allow intrusion of rain water. Yes NA
4LL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER Miscellaneous
Name Lionel Easler Skirting to be installed. Yes�No
Dryer vent installed outside of skirting. Yes N/A X
;ted 3�29��7 Range downflow vent installed outside of skirting. Yes N/A X
Drain lines supported at 4 foot intervals. Yes X
Electrical crossovers protected. Yes NA
Other :
Electrical
�lectrical conductors between multi-wide units, but not to the main power
�is includes the bonding wire between mult=wide units. Pg. NA
Installer verifies ail information given with this permit worksheet
um �n4 is accurate and true based on the •
manufacturer's installation instructions and or Rule 15C-1 &2
I sewer drains to an existing sewer tap or septic tank. Pg.
Installer Signature 7 � Date 4/6/17
I potable water supply piping to an existing water meter,water tap, or other ,P •
�t water supply systems. Pg. "
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Plan Review
Modular Home Set-ups and Aluminum Packages
1)All property markers shall be exposed and clearly marked at time of first
inspection.
2)All setbacks shall be met.
3)All garages shall comply with section 309.2 (Fire separation ).
4)Access shall be made available at time of inspection.
5) Manufacture specification manual, approved plans and permit shall be available at
time of inspection. '�,
,
6) No electric, plumbing, mechanical or framing is to be covered without inspection and
approval first.
7) R:O.W. Use permit required for driveways on public streets.
8)At least 10' separation between other units in unplatted locations.
9)All work shall comply with the F.B.C, St'' edition and the 2011 N.E.C.
10) Clean-outs shall be installed per code.
R.O.W. - Right Of Way
F.B.C. - Florida Building Code
N.E.C. - National Electric Code
�