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Home My WebLink About17-18799 CITY OF ZEPtiYRHILLS 5335-8TH STREET �sis��so-ao2o 18799 : . ' MOBILE HOME SET-UP ��' PEFdMIT INFORMATION � - �= LOCATION INFORMATION � - Permit Number: 18799 Address: 36127 CARRIAGE PINE CT Permit Type: MOBILE HOME ZEPHYRHILLS, FL. Class of Work: MOBILE HOME SET-UP Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: SILVERADO Est. Value: Parcel Number: 04-26-21-0070-00100-0200 Improv. Cost: 2,000.00 OWNER INFORMATION Date Issued: 8/31/2017 Name: DUNE FL LAND I SUB LLC C/O HAWK Total Fees: 140.00 Address: 2502 N ROCKY POINT DR STE 1050 Amounf Paid: 140.00 ROCKY POINT, FL. 33607-5995 Date Paid: 8/31/2017 Phone: (813)549-1968 Work Desc: CONSTRUCTION TRAILOR SET UP 8 X 32 CONTRACTOR S APPLICATION FEES D R HORTON INC MOBILE HOME ELECTRICAL 40.00 MOBILE H ME SET-UP 60.00 EDMONSON ELECTRIC INC MOBILE HOME PLUMBING 40.00 CORNERSTONE PROS � � - �.� � � � C� I t Ins ections Re uire I MOBILE HOME SET-UP MOBILE HOME ELECTRIC \ MOBILE HOME A/C MOBILE HOME PLUMBING FINAL j REINSPECTION FEES: (c)With respect to Reinspection fees�rill comply with Florida Statute 553.80 (2)(c)the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this 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 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 pertormed in accordance with City Codes and Ordinances , � NO OCCUPANCY BEFORE C.O. ONTRAC ' SIGNATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER s1s-�so-oo2o City af Zephyrhills Permit Applicatian Fax-813-?80-0021 • � Building Department Date Received Phona Contac#for Permitting -- dwner's Name V• � E''!C��G t� .J...n e Owner Phone Number �� Owner'sAddress �A'5�� "��'�� `� t �''�'�'�`� � OwnerPhoneNumber �� ' Fee SimpEe Titlehoider f3ame ��`�-' � Owner Phone Number �— � Fee Simple Titleholder Atldress JQB ADDRESS �t�� P'r� e �1 �' e'"'� L.OT# C,�'.•" SUBDfVIS10N �� `�C.� -�"�' � PARCELID# �LI'�F,�'��i✓ /�w�� - (OBTRtNELI Ff20M PROPERTY 7AX HOTtCEj WflRK PROPOSED e NEW CONSTR 8 ADDJALT � S(�N Q � dEMOLISH INSTALL REPAIR PROPQSED USE � SFR � CQMM � OTNER �%1 � /'� _P TYPE QF GONSTRUCTIQN � BLOCf( Q FRAME 0 STEEL � DESCRIPTION OF WORK � �M' �� i"'��"��Q� `r �''� �-�� BUILDING SIZE �V X � �� SGl F{70TAGE G'�J� HEiGHT ��—� �BUILDlNG ($ e�'}�w�c'9 �/ALUATION dF TOTA�COM1lSTRllCTION � � �ELECTRICAL ri � AMP SERVICE � PROGRESS ENERGY Q W.R.E.G. L � �PLUMBING �6� OMECHAN�CAL �;6 � VALUATION OF MECHANICAL INSTALLATION L OGAS 0 ROOF(NG Q SPECIALTY � OTHER FINISMED FLOOR ELEVATI(JNS r�� FLOOD ZONE AREA �YES NO � -�-�-'-r F BUILDER `'- ��r�� CQMPANY �e�^r b"'��`��'" SiGNATUi2E �� REGISTERED Y/ N FEE CURRE� Y./N Address ��C��r��L'Ca+"�'�Q� G�C License# ��.��--�� ELECTRIC(AN � ��',.. COMPANY ��/n��S��1 ' � SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N Address ��G7 7 � j �✓� M � � License# ��!,,5��(� � � �� PLUM8Ei2 � ��,,.,._r�' COMPANY �`"''��'�'� 1' Pa f G�, }�� SIGNATURE REGlSTERE4 Y 1 N FEE CURREt� Y/N Address `t'��"`"�jt-G�c�S��c.se,.� � �,,. License# G�'G��D� � MECHANIGAL. COMPANY SIGNATURE REC�lSTERE!? Y 1 N FEE Gi1RREA Y J N Address License# �— � OTHER � � CQMPANY SIGNATURE � REGISTEREQ Y! N FEECURRE� Y/N Address License# �— `� lIIlltiillilillitl1111111tttttltlttlllilllilllllllltilllilllllltiil RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;{1)set of Energy Forms,R-Q-W Permit far new constn�ction, . Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilifies&'t dumpsfer;Site Work Permif for subdivislons/iarge projects , COMMERCIAL. Attach(2)complete sets of Building Plans plus a Life Safeky Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facitities&1 dumpstec Si#e Work Perrnit for a(t new projects.A(I commerciat requirements must meet comp�iance SIGN PERMIT Attach(2}sets of Engineered Plans. � "`*PROPER7Y SURVEY required for all NEW construction. �•�--r•,•�..�.,�. . . . � ■ � Directions: Fill out application completely. Owner&Contractor sign back of application,notarized lf over$2500,a Notice of Commencernent is required. {R!C upgrades aver$750Q) " Agent(for the contractor)or Power of Attorney{for the owner)would be someone with notarized letter irom owner au#horizing same OVER THE COUN7ER PERMITTING (copy of contract required) Reroofs if shingies Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)- Driveways-Not over Countes if on pubfic roadways..needs ROW , '' '`�� ` ' - • � ` ` _ ' ' • _ . �� , „ .,.� , .:c: .. ., � �. �,, � ' � , _ _ � . �. , ' , - I - NOTICE OF DEED RESTRICTIONS� The undersigned understands that this permit may be subject to "cJeed" 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 required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may�apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for Which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. � , , , TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended: The undersigned also understands, that such fees, as may be due, will be identified at the time of ' permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the prdject 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 Countjr o�dinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00:or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared�by the Florida Department of.Agriculture and Consumer Affairs. If the applicant is someone other than the "own�r", 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 land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - 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/Environmental Health Unit-Wells, Wastewater Treatment, . Septic Tanks. ' - US Environmental Protection Agency-Asbestos abatement. . - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - �` � - Use�of fill is not allowed in Flood Zone"V" unless expressly permitted. - If the fill.-material 'is to be used in Flood Zone "A", it is understood,that a drainage plan addressing a "compensating volume'' will be submitted at time of permitting�which is prepared by a professional engineer licensed by the State,of Florida. � � - If the fill material� is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. - - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the buildirig permit issued under the attached permit applioation, 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 included in the application. A �' permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a.permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT 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. FLORIDA JURAT(F S. 117.03) ' OWNER OR AGENT /� CONTRACTOR -" Y Su r'be and sw¢�n to(or affirmed)before me tliis Subscribed and sworn to(or affirmed)before me.this -d��by .1J�c�rn-c'�,��t_hc�.tc by Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced as identification. as identification. Notary Public " Notary Public Commission No. Cammission No. Name of Notar� t ped ri t d r s Name of Notary typed,printed or stamped ao.�+o�� Notary Publlc State of Florida ' . Mlchelle Moyes � My Commission GG 057321 �ofnd� Expires 12121/2020 � � ' PERMIT APPl.ICATION UTILITIES lOCATE CONFIRMATION NUMBER: � PROVTDE SKETCH TN THIS AREA, IF ADDITIONAL SPACE IS REQUYRED, ATTACH TQ THIS APPLICATION. ��' �,,6� �� j�,c�� j a � u c.r�� S� X � � � � . �� - c�� .�e.r 4 � , I (�C� ' AFFIDAVIT: Apptication is hereby made to obtain a psrmit to do work and installations as indicated. I certify that all foregoing infarmatian is accurate and that ali work will camply with alI applicable codes. I understand these codes shall take precedence over all approved consfiruction dacuments,and issuance of this permit is verificatian that I wil(natify the property owner of Fiarida Lien Law req.,F.S. 713. � The issuance of this permit does not ensure compliance with deed restrictions and I understand that additional deed ' restrictEons may appfy to this property. I Aii work shalt compty with the currenfi Ptorida Building Code, Public Works Design M�nual and FDOT Design � Sfiandards(if appliCable). (Pu6(ic Works pesign Manual on(ine link:www.ci.zephyrhii(s.fl.usJpub(ic works.asp) APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMTT TECHNICIAN OR NOTARY PUBLIC. NOTE: The City of Zephyrhitls is not responsible for maintenance or repairs of dr�veways. Driveways s4ha11 nafi alter/ interfere with existing stormwater treatment and(or conveyance. PROPERTY OWNERS: By signing this application: I certify that I have read and understand the owner(builder disclosure statement,",_�'�_(please initial) J �'t�.'G r?1'a � � ,��f�� t'��1 G i r��' � Applicant Print Name Applicant Signature Date � Permit Technician Signature (or}Notary Signature Date i ` Appticant is( )Qersonally known to me or produced as identification. (type of identification) Page 2 of 3 � -- —