HomeMy WebLinkAbout17-18805 i
CITY OF ZEPHYRHILLS
5335-8TH STREET
, - (813)780-0020 1 -�805
� BUILDING PERMIT
�PERMIT INFORMATIOiV- � � LOCATION 1NFORMATION � �
Permit Number: 18805 Address: 39525 CHARIOT LN LOT 229
Permit Type: PARK MODEL - ZEPHYRHILLS, FL.
Class of Work: PARK MODEL SET-UP Township: Range: Book:
Proposed Use: RV PARK _ Lot(s): Block: Section:
Square Feet: Subdivision: MAJESTIC OAKS
Est. Value: Parcel Number: 24-26-21-0030-00000-OOCO
Improv. Cost: 7,500.00 OWNER INFORMATION
Date Issued: 11/14/2017 Name: NHC-FL115 LLC
Total Fees: 1,053.00 Address: 39525 CHARIOT LN
Amount Paid: 1,053.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/14/2017 Phone:
Work Desc: PARK MODEL REPLACEMENT 13.4 X 45
CONTRACTOR S APPLICATION FEES
BMI LLC PARK MODEL SETUP 60.00
MARTIN ELECTRIC PARK MODEL ELECTRIC 40.00
BMI LLC PARK MODEL PLUMBING 40.00
BAHR'S PROPANE GAS &A/C, INC. PARK MODEL MECHANICAL 40.00
TRAFFIC IMPACT FEE 99% 864.27
,
TRAFFIC IMPACT FEE 1% 8.73
0
2���-'�
Ihs s 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CON RACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-760-0021
�_ \ Building Department ,
, Date Received phone Contact for Permitting 813 714-1476
, � --r-�-rrrrrr rr�
owner's Name NHC-FL115 LLC owner Phone Number
owner's address 27777 Franklin Rd.Ste.200 Southfield,M1�48034 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address• �
JOB ADDRESS � � i L N. V�, Y����S � �LOT# ��
SUBDNISION Majestic Oaks ppRCELIWI 24-26-21-0030-O000O-OOCO
(OBTAINED FR�OM PROPERTY T�nce)DEMOLISH
WORKPROPOSED � EwCONs7RB ADD/ALT Q SIGN
�NSTALL REPAIR
PROPOSED USE SFR � COMM � OTHER
TYPE OF CONSTRUCTION 0 BLOCK Q FRAME � STEEL 0
DESCRIPTION OF WORK replace RV with new park Model installation with electric, plumbing and AC
BUILDING SIZE �3�4��X45 SQ FOOTAGE 605 HEIGHT �
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ " AMP SERVICE o2�O Q PROGRESS ENERGY Q W.R.E.C.
JPLUMBING $ ��e C.nG� � �
� �j�� Y'-
�ECHANICAL $ O VALUATION OF MECHANICAL INSTALLATION �l V ��
[i"�� I
�GAS Q ROOFING Q SPECIALTY � OTHER �r/�
FINISHED FLOOR ELEVATIONS ,/�� FLOOD ZONE AREA YES NO �
1 Y1i{n l��l , �
BUILDER COMPANY BMI LLC
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address 39838 Stewart Rd.Zephyrhills,FL.33540 �icense# IH/1025370
ELECTRICIAN COMPANY `�� �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address 1�p� � �• C� �/ License# ���
PLUMBER ' COMPANY ,�
SIGNATURE REGISiERED Y/ N FEE CURREA Y/N
Address � eyO0.�� � � ,� :��5 3�;,yo
License#
MECHANICAL COMPANY �� •
SIGNATURE REGISTERER Y/ N FEE CURRE� Y/N
Address � � � � .'3'"�y �
License#
OTHER COMPANY
SIGNATURE REGISTERED Y I N FEE CURRE� Y/N
Address License#
IIIIIIIIIIIIIIIIt1t1111111111t11111111111111iit1111111111111111111t
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Forms;R-O-W Permit for new construction,
M(nimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large proJects
COMMERCIAL Attach(2)compiete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction.
Minimum ten(10)warking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed,
Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects.All commercial requlrements must meet compliance
SIGN pERMIT Attach(2)sets of Engineered Plans.
•"'PROPERTY SURVEY required for all NEW construction.
Directtons:•
Ffll out application completely.
� Owner&Contractor sign back of application,notarized
If over S2500,a Notice of Commencement is required. (A/C upgrades over 57500)
'I '" Agent(for the contracror)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMIITING (copy of contract required)
Reroofs if shingles Sewers Senrice Upgrades A/C Fences(PIoUSurvey/Footage)
Drfveways-Not over Counter if on public roadways..needs ROW
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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 required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of 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 ali the information in this application is accurate and that all work
will be done in compliance with ail 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 I
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigabie Waterways.
- Department of Health 8� 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 fili the area within the stem wall.
- If fill materiai 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 included in the application. A
permit issued shail 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.1 .031
t
OWNER OR AGENT CONTRACTOR
Subs ' �l�n bswo � o a ir dQefor i b5crib d and bYom to(o`irtned_)pe or e i O��e
1 J W
Who is/are personally known to me or hasfiave produced Who is/are ersonally known to e or has/have produced
as ide 'f ion. as identification.
, � tary Public ' 4Q olary Public
Commi sion No. �o� Co mi sion No. 1�
� d ar���
Name of Notary typed,printed or StamAy�c��$a�t� me o Notary ryped,printed or stamped �AR Maria Mae Santos
�ZARY,��, Man s
� NOTARY PUBLIC e so NOTARY PUBLIC
� �STATE OF FLORIDA � �STATE OF FLORIDA
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� =Comm#GG065127 � =Comm#GG065127
�s/NCE���e Exp�res 1/23l2021 ��'t'CE 19�� Expires 1l23/2021
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City of Zephyrhills
BUILDING PLAN REVIEW COl��IVIENTS
ContractorlHomeowner: ,��� �---�--�
Date Received: �-�f
s�r�: v��z-� ��c�,`a�
Permit Type: � ('�1 ������3`����
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Approved w/no comments: Approved wlthe below camments: ❑ Denied wlthe below comments: D
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�his coxnment sheet sha1l be kept with the permit and/or plans. j
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�2 -l�
:alvin Switzer— ans am.iner Date Cantractor andlor Homeowner
{Required when camments aze present} i
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� -- --- - --
Data Currertt as Of: Week]y Archive - Wednesday, August 2, 2017
� � Parcel ID 24-26-21-0034-.00000-OOCQ (Card: 001 of 001)
Ciassification 77 - Clubs, Lodges, Union Halls
Mailing Address Propertjt Vatue
NHC-FL115 LLC Ag Land $0 I
ATTN: TAX DEPARTMENT Land $22,579 (
27777 FRANKLIN RD STE 200 Building $457 176 �
SOUTHFIELD MI 48034-8205 Extra Features $39,123
i
Physical Address
3751 LAUREL VALLEY BLVD �
ZEPHYRHILLS FL 33542-8408 .Iust Value $518,878 �
ASSeSSed (Non-School Amendment 1) $518,878 �
L�ga1 D�SCt'i(itiOn (First 4 Lines} ' �
See Plat for this Subdivision
Taxable Value $518,878 I
MA]ESTZC dAKS CQMMUNITY-
PHASEONE
PB 35 PGS 107-112
TRAC7 C
Jurisdictian
City of Zephyrhil(s
Land Detai[ (Card: 001 of 001}
,. , _.. _. _.. --. _.. _. _ �
Line ;Use �Description �Zoning �Units jType iPrice >Condition Value
_�,.__. ..�,.�. _.. ...._.____,...__ .__._.____._�,,.__..._ .._.��._.
1 �.�, 7700 C�l1B �� OPUD � ~. �l.$8 . � � AC � �$12,010.00; 1.00 ° $22,579
Additianal l.and Informatian
_.__...��.._,_ ._.__.�.__._.___._.._._. ...___...��...__._.__,--__._�_..__ .�.__..__.___._.._._ �._______.,_-.._..�... �.___....._
�..�.. ._.._�.___ _ .�.._...,__...� _..._ .---_ __�...
Tax ; � FEMA ; �
Acres � 1��$ � Area ; 30ZH ; Code ; �- Residential Code{ 3ZHR.R1 €Commercial Cade£RRVPCl.4
Building Infarrrtation - Use 77 - Clubs, Lodges, Nalls {Card: 001 of OQ1)
ear Built 1998 Stories 1.Q
E�cteriar Watl 1 Average Exterior Wall 2 None
Roof Structure Gable ar Hip Roof Cover Metal
Infieriar Wa1t 1 Drywall Interiar Wal! 2 None
Flooring 1 Sheet Vinyl Flaoring 2 Carpet
Eue! Electric Heat Forced Air - Ducted
/C Central Baths 4.0
Line 3Description V . ,W .. . Sq. Peet� .�. m �.� , Repl. Cost New
�..__._._�.�..,w.1_._..�,,.�._._.,._..._,�...�. .._.....,....._ BAS 6,252 $581,061�.� -__._.
.�..._..._...._...._._._.�_..�.�._._._.� ;.�......__.n..�. FOP �'._...__,.___ ___._____ ..�1 492 __. __._m ...., ...__..._�41,637T_�. __. _
;
,
_,.. _ __ t - - - - ` r __.._ ,_.
3 � CAN 440 � $12,268
Extra Features (Card: 001 af OQ1)
�._.�.._. .__.�._._._��_._....�..___._._..�...___�_....._Y..�_.�,_...�__. ,_. __,._.._�._�_.___,w_._.__.. .._____._.�.._._...�......._.____,..�..�._�._...��_
Linew��T m ^ Description ^^ ^ ;Year jUnits Vaiue .����, .���
.�. _..{. PAV CON_ . _... M1998�..... ,__�_�.�T. .__.._._1,952.____� _ ._...��.._�3,382_.._._._
2 ; TENNSCT 1998 12,960 $17,010
w.._....�__ .��..__. ._..,.�..____._w. ..._;�...�... .�.W,.__..._�..._.__.� , ._,. ____�._� ._.�..,._.��.�,...._._.�2,052_�,..___r
�3 �� ; CLFENCE 1998 � 4,560
_.�_._,_..__....�__.. .___....m. �.��,_._...__.��...__..,___._.----------....._ � ._.,.�..___. ,�.__ ._.__....m� � ,.�__.... �. ..�..... ._ ,_
�__. �.,.�.__..._�..__..._.._,_. $$,064
4 ; PdOLCON 1998 ; 640
_.. � _. �� ._,_ .. _.._. _. .._. _..
...
5 � FIRE Pl.. = 1998 ' 1 $1,575
..,x_,�_.._�._, _..�_ ,�..,._ .._ ._. .�__ ,...�._ ..,,_..,.._ .�. � ._...��._.. ._._._____.. _..,_�. e.._. �
... ,.._.. ,�..Y�. ...____�__.�..,.� �,._ _.�._ ..�,... _...._ �.. .. _�_ __ .��_�....�. _.
6 ; SHUFFLE ; 2001 ...'N.M "µA m3,744 .._ $1,872
__.�...__..�.....�__.. ...___._...___�.�...,..V_ _... ..�.wM. _..,_ ._._..,._._.. .__�._......r...__.�__._... __. _ ..,...._.._�.......��.... ._._.�._...
7 � UDU-M t 2043 - ; 1 , _ $390
8 CANOPY 2003 ' $40 $4,778
Sales History - See All 4 sales
Previous Uwner: MAJESTIC OAKS RESORT LLC
_.,...___.....�____ _..._,...._�__............ ....._..._.....
.. ......._.__... .._. ..,..... __..�_,� .. ��.....__...�_._..._. ...�._._..__
MonthjYear BookjPage iType ;D4R Code �Canditiort Amount
_ _,. :.
__ _ _ ___ � . _ _ A.. _ �. �.. � _.
.mV„^ 01/2006 6825 / 0087 � Warranty Deed ' Improved � Multi-Parcel Sale
..._.:_ _..__�. ._.._..__,__._. �..__ ..;..,__...___.. ...._. ....._. .�_.; ... _.__._...._.. ......__.__..._........ __. __. ..,_...,.. _. __
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1) ALL EXTEf�IOR DOORS, F3A'Y WINDOW.S, RECESSED
l ;^ ; BCOCKI�G SIDEWAI:LS AND EXTERIOR 4VALl. OFEN.INGS 48"
,.__�
OR GREATER. �WILL REQUIRE. BLOCKIi�G ON EAGH SIDE.
.• o�r;ne�s no�ncanas ' mo:ar: ' � m�: � r�:
�, ��o �- .�Y 261-RH1951z PIEit FOUNDATION F�101
` ' � $FT PORCH PLAN
'h1ANUFACYURED BCAUTIfULLY': u,c�vrt+enu:wo tuwre:�H��stz �doPwRurr'.i�pcpram�:rtw.
cu�nyc.i�>m w�ac,�uwr.iw.
OaT c2�C}16� noiiuw�u.nm,�iiuhue;,wtetwwa
mronn nmmie�roevrr
' pA.BDY2a7►HNY100FISTtAtgpTY.R.�056 scu�ur-i4� -- --- —T —
, . �=
_ PERM[T WQ�tKSH�ET � � �pag�1 of.� '�
PERMTi'NU111tB�R �
' ~�� �r� � New Hame '� Usad Ham� �j
!�s„tall�r • � },�,�
, ��..T��..���„- �, Ltcenss# ���� s�r�;��Q ' i��t
I Ffome tnsfaited ta fhe Manufacturar s Installatlon Manual
Address of heme �,_ r�C� 1�,��f'l�'��� �� • • _ • }iome is insfaRed'in. ccattiance wlt RUIe 16-C '[�
being[nstalled �. r — C. • �, + � 'Sfngfs wide ,��r�nd 20�21 � Wtnd 2ona III ��( •
Manufacturer ( „¢�1��("��i C,�,�, Length x wldth „�,3`y j�x�� Doubie wi4s ❑ instal(afian becai# � �
NOTE: • lPhome Is a single wfde P!!!out or�s hatf aP#he ktackfeg ptatr , . TrfpisJQuad ❑ Sarfial#
IF hnme Is a trlpla Qr quad wCde skatch In�mafader of hame ����.�t�. . �'
I-understand Latera!Arm Systems cat�naf be used on any home{new ar us_ed) PlER SPACINQ,TAcBL.E FOR USED HOM�S
where fhe�sidewaU tles exceed 6 ft 4!n. _J j,�7 .
lnsta4ler'slnitlals Z��� L0� FOOt61' .�S°X'I$„ '�8'{P�"�X'E��I�' 2a"X�O° '�'�X'�2"� Z�nX'��� ZBnxx6�
• beadng slze
Ty�lcal ple�iatng -� aapacity (sq►n? t25s) �(342} {��oo) (As4}'� (�7s)* (see)
�
�/' a��+
Show locattons of�ongttud(na!and Latera4 3ysksms s
� ���� (usa dark.11nes to show thes lor.a#Ians} � 2 s. �s
s 8 s
0 8 � .8
• InterpoSakedirom Rule.95�'�piarspsctn�tabfa. . .
Pt�R PAD SiZES , �F'O: A.
' � I-beam p(er pad slze ,��,��,��s�.'. a '�ize` n
Perlmeter pler pad s�Ze 1�1iS,�_�UC.� • x'���8`..
.x :
other pier pad slzes :x ;
(requlred b�th�mfg.) x;
x
�� Di�aw tha approxlmate locatlat�s of marrlage
wa(I opentngs 4 foot ot greater. Use thls x
' m en WIIhN 7 ot atd o!hame P�Rule 16C symbol•ta show the plers. , x �
� x
tist ati marrlage walI opentngs greafer than 4 foQt . X
and fheir•pter pad sizes�etow.
, . ANCHORS .,
opening Plar pad slze �
, 4fk .._�.5ft�
l=RAME'CYE�I
with[n 2'a4 end af ho►�tg
spaced at 5"4"ac ._�., '
n•
�.. . TienawN caMPoNENTs aTN�R Tt�s
Number
Long��+�c�tnal Sta6lTlzing psvFce(LSD) Sidewal( �
Man (� tt�rer . . Longtfudinal ' Y`
Lon f�udtnat st�_fliztng De.vfce 4u!Cate�t'.rms_ Man'Iage Waf(
� . . .._.... ...._.. .___ M��uti��cU���'tortdcl t�amP��ti'de Sna��s�� --- .
,
w � .:� �, C .
i '* '
� PERMIT WOIZKSHEET ,page�z of z �
PERMIT NUMBER .�
- - ,
POG P ER T S Slto Preparntlon
The pocket penetrometer.tests are rounded down toa�� sf Debrts and organlc material removed;�� -
or check her�to declare 1000 lb.soll without e'stt ing. p Wat�r drainage:Natural Savale Pad„�,_Other •
X�� X� • X� FasEanln mul v�de un ts: •
�-" �loor. TypeF.astenar, � S Length; • `J� Spacing; '�
POCKET PENEfROMETER TEST(NO METHOD w���s� 7Ype Fastener. Length:" Spacing: �
Roof. Typa Fastener. � . Length:_ r' Spacin�: 1 ��
1, Test the perimeter of the home at e locations. For used ttomea a m 30 gauge,8" de;g�iyanlzed'metal strip 4
wllf 6e cenfered over the peak aP fhe roof and fasfaned=wlth galv,
2. 7ake the readfltg at the depth of the foofer.
roofing na11a at 2"on cenfer on both sides of the centerllne,
� ' 3. Ustng 6001b.Inorements,take the loWest Q�*k�t tw.atherprootrna rvdulr.mmtl •
readtng and round down to thaf increment � I underetand a properiy fnetalled gaekeE fs a requlrem�nt of all new and used •
� - -- homes and thaE cohdensatton,tr�id,meldew and buckled matiiage walls are
a result oi a poody Ihstalled•or no gesket bethg inst�lled. I undetstahd_a strlp
X,�� X„� X� of tepe wIA not sery�e as a gasket. ��5
��; Installer's Initlats '�&. �
• O P OB S •s ��
The results of the torque probe test Is,�(�Inch pounds or check p�e gasket_ Installed: • � '
here tf you at�deciaring 6'anchore Wlthout testlhg . A test Between Floors Yes �C' �
showing 278 Ihch pounds or less wlll reqttin�'foot an� ors. � •Batween.Walfs Yes_ X
Bottom of rldgebeam es
Note: A state approVed later�l erm sysEem fs being uaed and 4 ft. ' :,� ���-, ;��
anahors are allowed at the sldewall IocaHohs. I understand 6 ft � p � WOatho rootin ,_: r
anchors are reqUlred at all centetilne tle potnts where the torque test -. - '
reading Is 278 or less and where the mobile home mahufacturer may The bottomboard v�;be repa(red and/or t�ped:�Yes � �� � °
re'uires anchors with 4000 tn ca acl,�, �'-� ` . P g, '
a 9 p �Y S l d i►ig.o n u n i t s i s I n s t a l(e d to mah u fsc fure r's spectflca ions. ' es,,,�_ -
, ---�_, Installer's tnit(ala Firep lace oh(mney Installed so as not to allow in6us(on of raln water. Yes
ALL 7ESTS MUS7 BE PERFOltM�D BY A LICENSED INSTALL�R Mlscel nn�oua
Installer Name • Sklrting to be.Installed. Ye$�No
D�te Tesfed � . Dryervent Instal(ed outslde of s in�. Ye`s���(/A
. Range ilownflow vent insfailed outatde of ek rtlT ng;Yes_�"N/q
Draln Ildes supporEed at°4 fioot littervals, Ye§
c� aEleidtrlcal ct�ossovers protected. Yes,,�_�' �`
leafrlcal �t�' , �
. �-:
, Connect electrlcal conducfors be�ween muiti-wide uqit�,but not to the main power � "
source. Thls includes the bonding w1re between mult-wide unffs. pg. "` ,
�� . InsEaller�verltles a[!tnformatton.glven�wtth this permtt worksheet • �
_ . _ umb ng , Is accvrate and true b�sed on the I'
� connect all sewer draina to an existing sewer tap orseptic.tank. Pg. manufacturer's installation fnstructlons and or i�ule 15C�1'&2 ',
Connect all potable water supply piping to an exisfing water mater,water tap,or other Installer Signatu Rate��17 , I
. Independent water supply e�ystems. pg.
�`erry L.Rhodes
-. Executive Dixectcrx
.. . , �SA��R
�. ,�. .
HIGN1f�fAY SA�Ei�'�;QFlD€�t3Tt�R V�!'€CL�S 2900 Apalachee Parkway
Tallahassee,Florida 3Z399-050Q
vavuw fihsmv gov
Mr. Andy (Jliphant Navember 18, 20'I5
Hame Pride lnc.
42'1 Hart L.ane
P..O. Box 160387
Nashville, Tn. 37216
Dear Mr. Qiiphant
We wish #o acknowledge receipt of your specificatians and test results certifying
that Nome Pride Lt�ck dQwn Anchc�rin� S�s#em {HP �QS) listed below complies�nrith the
specifications and regula#ions set by the Department of Highway Safety and Motor
Ve�icles, Rules 1�C1.0105, '15�-1_0107 and 15G-1.0108, Florida adrr�inistra#'sve Code.
Based on #I�e in#ormation submitted to this bureau, the follflwing prod�act is listed
for sale and use in Florida when the installa#ion instructions shcawing the way fihe system
was tested, are prc�vided, at installa#ion sites.
Identification Descriation
HP LDS Longitudinal and Lateral Stabiiizing System
lf yau have any questions, please cnntact me at 813-612-711�
Sincere(y,
4�C�
James McGowan
Field Services IV9anager
Bureau of Dealer Services
lVlanufactusec� No�sing Section
�
• Service • Integrity - eouz'tesp ^ Prafesszonalis.rn • Inrzavatian • Excellence a
�Equal Oppoxtunity'Employer
/���
/'��
y
r'
ws�""'��
f��.rr'."�-
i'""--
Str��tl��s
llati°�,In
si.n�In`sta S st��n`
re+��°'� chQri�'`g �
anuf a�� 1�o�r►m �` � & 3
l�j- I,ock , ,�,on.es
�ln.d
tate �.� Y��.,.,�,����.
e s � � � � ��;�
(�`ar T�'`- :,� �x �� n. r;k� ��-`�-�;�3.:��
i ., " � ' "isn`,. ,�?�' � ":�'4°;Yy.���
�t'Y���z. �a� i ;�.r,u`": g ,r��
�L�� �t p ik. ,v •'� � xw
.,,,s, � `3�,<, �;���' �� ,��,
,�., fi �,
.S ,i.0 ,"{.afiC; .3.�':'` �y" �i.�
� �" �,.,5^'e4�sv ^�.,�va+>; ;n�` i{'�
Sg£ �, si �y."r, •x^s�
✓.4�""��`� .«N". ,r � '•.� �t�r.�:,,?'..,.%^
Fzg��+ � ,;�a
.w,:w4ye����, e 56 .,�N ;��ry BY�';'�'"�'.<
�?tv`�".A
.:���':f�3�.�.�rvrvY��`k•
I-Beam Connection
� �
" � �� . �
�8 8`� � Lateral/Longitudinal
o o �� Strut
�o
C � • �° �
o y,
� p
T �
Anchor& � ��•�
Stabilizer ��
�
��
.
' � �
, ��
NOTE: If one or more of the following conditions exist contact a Registered Professional Engineer. ,
• Location is within 1,500'of the coastline.
' • Pier Height exceeds 48".
• Roof eaves exceeds 16".
i • Sidewall height exceeds 96".
• Length of home exceeds 76'
REQUIREMENTS FOR USE
1. The use of the Lock Down Anchoring System requires sidewall vertical ties at no greater than 5'4"on center.
2. Centerline anchors to be sized according to the soil torque conditions.
3. Sidewall anchor loads in excess of 4000 pounds requires a 5'anchor.
' 4. Sidewall vertical ties can use 4'anchors in soil type 48.
Facing the home Facing the home ,
LEFTCORNER RIGHT CORNER
I', 5. Homes requiring 4 Lock Down Anchor -_:..-: ,-.-,u»,.:..��_,rT--.--.._.-. --- w_...>. ..- _ __._...�-�:.(� .,
assemblies require the longitudinal -j�"�� `�� ���_ _.
�_..� _.__. .................
.:�-. � .. _ ;
and lateral strut on each anchor.All 'I �
' _ �.
..
struts must be installed towards the ; f� ` �
center of the home. � �\ �
, , �``..; .
�}.. ._... f:`i j'��:Kwv' ."'.4.�::e L� y—" . ,
;:,?.�:i, ,,.a. �,,:�4`etrr:� r�..`•.s{� ',nwt`i"s`�"��;y'n`sti}"�t " %.?rW�""4y%
..�7.:�_�a,.i:a, ti_�r=:-i:�.<:i�.�'t�;t s�; a".N 2 r'F,^y`;^7;`}�'. r" 4.,,_���rc
- •�,; - ���µ , -I.:��
�`�?��tF;',r�' ";;::.�A3=��.�;..� t�, 4
.. • .., �,. ,�_ ., ._.., , . �.N?,., .�� >�:�•r �.
Facing the home Facing the home Facing the home
LEFT CORNER CENTER RIGHT CORNER
6. Homes requiring 6 Lock Down Anchor
� ^---f-rr—,—� , -,-�^---.
_. . ......
assemblies only require longitudinal ;.,,� �,, J �
struts on the 4 corner positions. The - '�'""'"�'""`g='`-�"�v""�""" ,_____.. ._J� . _
� !_»�_; �a° �� ��,�
, two center positions only require a ' f =��= { -�
� lateral strut. All struts must be installed � .��.. ',��!�' � . ' \ 4 �
towards the center of the home. j ' ��
�-+'�...�-'.. _�._�.Y'i_�`�...t .
rY:y I'Y,'�ti, �":ua�:'�?�:.�,.,'i.`i�`'..b{.`',jat �,�Y„-„��y..(;.� .t;;' z�iy_.R �e^'i'w`:�:"y;.-:; �� .�.=.�.ty`
:'ar'-x,'.:�:,r;� '��C ks.:-:,4`3y�'��`:;,?'• ,{s'�.�. ���.:0.�ti�r,��3 :..��",�,...:.,+�.s�.xS� �^ �: ;n i
_:'� _ ti r".�''�''�'�:n,. 'a",4'�: i.fs y,).�,L-. 1� �,•:`:TZ' ':,ic' v,4a.._�'-;�
�,�- ,.t,., •L��: . ::.�^s:;'�<',��.' "�'y= . �wra e ,�i= ,Y _.
. � , ei .. . . �<..�w>c,\ . .J 's'.a• .- ;..� y.�, �'�'�.�4��:, • .:�\r�i' ,- , ,
I
' 7. The placement of the corner systems should be at a sidewall vertical tie that falls no more than 11'and no less than 5'from the end of the house on '
each corner.
1. HOM E�PRIDE
NUMBER OF LOCK DOWN ANCHOR ASSEMBLIES NEEDED:
Wind Zones 2&3 with roof pitch 6/12 or less.
• Single or pouble section homes 30'to 52 in length(excluding hitch) 4
• Single or pouble section homes greater than 52'to 76'in length(excluding hitch) 6
NOTE: Roof pitches greater than 6/12 will require additional systems,contact Home Pride,Inc.for assistance.
NOTE: Homes less than 30'—Lock Down System should not be used.
NOTE: Home manufacturers may provide a placement chart for specific models in their installation manual. The manufacturer's placement chart supersedes the
chart below.
ANCHOR ASSEMBLY PLACEMENT
I Usin 4 Anchor Assemblies Usin 6 Anchor Assemblies .�
B g
Y
..m... Y.._�__ � �T� � � �J
..m. .�_ i i �M�1 l»J� .�t_.���
_ r—
�.'_'
; �
i _ _ _ �— _ _ � _ _ _ �-- _ ... _ _ _ .... ... ..... �
i �i i a � _ -�.— :
i �--- � (w
-- . .., i.
��—
Lock Down AnchorAssembiv Components List °$
1. Ground Anchor with Strut Attachment Cap ����' �
"\
2. Stabilizer � � �`
3. LateralStrut 1 �
4 Longitudinal5trut \
5. Beam Clamp Assembly �` / � i' �
�_._--�'// ns � �
ss /� \✓
�'/�'�=-.:.� ��tl3
' � � ��"`--� � ^�tc�`S i.!
/.� "<..... v:T..4y;`y
.���'`'y J'Y7"-�Y,i:
i �4 -yi_„„_��;,S�µ��l�v
�'3.`��.`d E•'�.i:-. .
I n"Y�'�.," �al
: a �..
�r-� ��� �
�
Lock Down Anchor AssemblV Installation Instructions
The Ground Anchor with Strut Attachment Cap will take the place of one perimeter anchor �� -`�'
and align with a sidewall vertical strap.Install this anchor at a slight angle,not to exceed
15 degrees. This assembly includes a stabilizer plate that is installed with the anchor and
attached with a U-bolt and two nuts.The stabilizer plate should be driven into the ground �"�"'eV"'"s"°�
when the anchor is about 2/3 installed.Attach the stabilizer to the anchor shaft using the
U-bolt and nuts then complete the install of the anchor until the strut attachment cap is ��;;
flush to the ground or slightly recessed into the ground,no more than%" The Strut �•����;;f:�',, F�-$:- � h ��,
�..�Y ��.� ���, _�; {�,� -�
, -a. "'�,``�
Attachment Cap should be installed within'/="or flush to the top of the stabilizer plate. ��� �,,�"„ � �-�-�' s�^�{��`�� �_�yJ�'��'\ �•t�
�., -+��,�T
(See illustretion to the right.) .,s-�- `^�'�`--�"��— � � __
, .._+�e� �c�vt i ; � '.iw � t,. , :
.�" Ki.'�'_<`~ .� 1'->�~ I ��s�• ti =s
� _ .e , r°�1 .. . ':.�", r�. Y� .
' NOTE:State of Florida allows a 2'pilot holes to be drilled to assist anchor installation in extremely hard soil conditions. If this process is used during installation
of the Ground Anchor with Strut Attachment Cap the soil must be placed back in the pilot hole and compacted at 6"intervals. This process should take place
when the anchor is 8"-10"from fully installed—allowing room for the soil to be placed back in the pilot hole and properly packed.
H-OME�f'RI �E 2.
�
a. • r.
Once the ground anchor assembly is fully installed,attach longitudinal and lateral struts according to the diagram under anchor assembly placement(page 1.). The
I�teral arm.fasteners are to be installed tightly(nuts and bolts). The eeam Clamp assembly has two holes for the bolt and nut placement. Depending on the width of
the beam,the corresponding hole should be used that pushes the front of the metal plate as close as possible to the upright of the beam. See the illustration on page
2,#5.
Lateral struts should be installed in line with the center anchor head and attached at the top of the I-beam.
Lateral strut angles must fall within 10 degree minimum-60 degree maximum. Longitudinal strut angles must fall within 10 degree minimum-50 degree maximum.
, Longitudinal Strut longitud3nal Strut
qttached Point Atiached Point
' facing the home IEFT CORNER Frcing th�homc BiGHT CORNF,P
1
�,I 1 �
�
��f � �
J,N'J
I:ateral5trut lateral Stmt
l,ttached Point Attached Point
\
Sidewall Sfwp Sidexell Strap
Cornection � Connectian
I After the Lock Down Anchor Assemblies have been fully installed and all permiter anchors and straps fully installed and tightened—each strut has 4 self tapping
screws that must be installed as the final step. Predrilled holes are provided on the outer strut indicating placement. If the predrilled holes can not be accessed,
install the screws as close to the predrilled holes as possible-making sure they are tapping into the inner strut. �
The Lock Down Anchoring System should only be used for homes in the state of Florida. This anchoring system is not designed,tested or approved for use in any
, other state.
Contact Home Pride Inc.276-466-0502 or at contactusC�hpanchors.com for any questions concering this product.
Legacy Engineering listing#113
Notes:
PRODUCT WARRANTY
Home Pride warrants its Lock Down Anchor System(HP LDS)against defects in workmanship and material at the site of its initial installation.The HP LDS is specifically
designed and approved for use in the State of Florida. This praduct is not approved for use and shouid not be used outside the State of Florida. This product must
not be reused or reinstalled at any other location. If used in violation of this Warrenty or not installed in accordance with installation instructions,all written and
implied warranties are void and disclaimed. HP LDS products which are found to have defects will be replaced or repaired at Home Pride's option.This Express Warrenty
is limited to replacement of product only and does not cover any labor or installations costs. When the product is replaced,all Warranty rights are extinguished.This
Warrenty is only to the benefit of the original purchaser and is not trensferable. �
There are no other warranties(express or implied)whatsoever which apply to the HP LDS product or to items that are functionally part of the HP LDS produd. Home
Pride disclaims any and all other implied warranties,including(but not limited to)warranties of habitability,workmanship,materials and fitness for a particular purpose
to the extent allowed by law and any implied warranty that exists despite this disclaimer is limited to a period of one(1)year from the effective date of this Warranty
These IimiYations shall be enforceable to the extent permitted by law.
HP LDS products which are examined and are found not to be defective will be returned to user and all costs associated with examination of the anchor product will be
incurred by the user The user is responsible for all maintenance of the HP LDS product including regular monitoring of stability and integrity of HP LDS products. ,
For a warranty claim,contact your distributor or Home Pride Inc.at 15100 Industrial Park Road,Bristol,Virginia,24202.
i
3. NOME�PRIDE , �
_......_-----------._._....— �
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INOTICE OF COf19il9ENCF1111ENT
Steceaf Florida Countyof Pa�
THE UNDERSIGNED hereby gives naUce that irnprovemertt will be made to certain real property,and in aa:ordance with Chapter713,Florida Stawles,
� fhe foiowinp IMortnatlon is prohded tn thfs Notioe aPCamrrren r�t^r (��
1. Desaip8onofPropefly:ParzclldonUflqtlonNo. "OG�O�' "' � ~�`�'—��
StreetAddress: � �L1 1 N• L :
2. Generel Oesvipltcn of�mprovement MObile HOme Inst011
I3. OvmerinfortnaUon or Lessee Intortnetlon(fthe Lessee mntraaedforihe 6nprovementi
' I`1 NG-�4115 LlL
a777 7 9�"riohr�t:n . 5�t �a �.}1'1r.�rceld N�. Ngb3�{
aaarsss cn,� srece
IMeresf in Property:
Narne of Fee Simple TiUeholder,
(If diHerent irom Ovmer Iisted ebove)
� 4. co�aor.BMI LLG LartY W BJ Booker #Iwta2537o ��ti S�
Name 39838 Stewart Rd. Zephy�filllS FL.
rwdresa Ciry s�ete
CoMtacmfs Telephone No.: 813'��4-�476
5. Surery:
tJame
� Addres . CitY Sfatn
� Amount of Bond:S Teleptwna No.:
� 6. Lender:
� Neme
Addras City State
lende�a Telephone No.:
7. Persons within the Stete of Fbrida Aesignated by the ovmer upon w�om nolices or ather dowments mey be served as provided by
Sedton 713.73(1)(e)(�,Florka Slatutes:
Name
AddRas CitY SYete
Telephone Numberof Designaled Persan:
8. In addltion lo himself,the ovmer desiBnates o(
to recaive a copy of Me Liena�a Notlea ac provided In SeUlon 713.13(1J(b),Flaida Statules.
Telephona Number o(Parson or EnUry Destgnatetl by Owner.
i
9. f�liaHon date of No11ce of Cammeneemerrt(the e�iratbn date may not be balere ehe eompletan of construalon and fina!peymartl to tha
eontrador,butwill ha oneyenr ham tha date af recordrtg uNess a tlitfereM date is apedfled):
WARNING TO OWNER: ANY PAYMENiS MADE BY THE OWNER AFTER THE FJ(PIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713. PART 1 SECT]ON 713.13, FLORIDA 9TATUTE3, AND CAN
RESULT IN YOUR PAY{NG TWICE FOR IMPROVEMENTS TO YOUR PROPE�RTY. A N0710E OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST 1NSPECTION. IF YOU INTENO TO OBTAIN FINANCING,CONSULT
I WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING Y011R NO710E OF COMMENCEMENT.
� Under penatty of peQury,I dedere that I have rea0lhe forepping no comma ent and that Cie feps stated therein ere 4ve to the best
� of my Wiowledge and bdiet . I
� STATE OF FLORIOA / • I
I COUNTI'OFPASCO ' J
Rep�,:1896689 Ree: 10.00 � o���re aor�iPee�ernHan�ng'erOwneraor�essee'snuthcrized
� DS: 0.00 IT: 0.00
� 09/26/2017 J. R. , Dpby Clerk �sie��coysn rnnce
� The foreeoing 1�5rument uras adm dped befare me this day of ,20�by � Q.
(type of au oriry,e.9..o�cer,lrustea. may in Tacx)for
i • (nome of p �ehaB af nstnane d�._
� Personally WQ�@ P�oduced Identfiration❑ Notary Signatu
i 7ype af ICentlBceGon Produced Name(Prtrrt)
I
I � pAULN 5.0'NEI L�Ph.D.PRSCO CLERK 8 COMPTRdLLER `�r M��Santos
09/26/201 0:24am 1 ofq 1 NO7aRY PUBUC
I OR BK ��0$ P� 2 i27 • �< �
I � STATE OF FLORIDA
, Cqrur►#GG065127
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