HomeMy WebLinkAbout17-18853 CITY OF ZEPHYRHILLS --'
• . � 5335-8TH STREET /� '
�sis��so-oozo 1 8'53
MOBILE HOME SET-UP
PERMIT INFORMATION ` LOCATION INFORMATION
Permit Number: 18853 Address: 5325 8TH ST
Permit Type: MOBILE HOME ZEPHYRHILLS, FL.
Class of Work: MOBILE HOME SET-UP Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-15300-0010
Improv. Cost: 1,200.00 OWNER INFORMATION
Date Issued: 9/18/2017 � Name: CITY OF ZEPHYRHILLS
Total Fees: 65 .78 ,' ,�1 (��� Address: 5325 8TH ST
Amount Paid: 65 . 8 �"L' ZEPHYRHILLS, FL. 33542
Date Paid: 9/18/201 Phone:
Work Desc: CONSTRUCTION TRAILOR FOR TEMP (CITY HALL) FEE WAIVED
� CONTRACTOR S APPLICATION FEES
AD MORGAN CORPORATIO MOBILE OME SET-UP 60.00 MOB LE HOME ELECTRICAL 40.00
ALL PHASE ELECTRIC&MAINTENANCE MOBILE HOME PLUMBING 40.00 MOBILE HOME MECHANICAL 40.00
SAMPLE PLUMBING INC ,��,Q��S��
4�
f
,
✓
� ,,
Ins ections Re uired
MOBILE HOME ET-UP
MOBILE HOME ELECTRIC
MOBILE HOME A/C
MOBILE HOME PLUMBING
FINAL
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 may be additional restrictions applicable to this properly that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be pertormed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
�
CONTRACTORS SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
, � Building Department
Date Received Phone Contact for Permitting ( 813 ) 927 -- 7346
Owner's Name City of Zephyrhills ' Owner Phone Number
Owner's Address 5335 8th St;Zephyrhills,FL 33542 Owner Phone Number
I Fee Simple Titleholder Name City of Zephyrhills Owner Phone Number
Fee Simple Titleholder Address 5335 8th Street;Zephyrhills, FL 33542
JOB ADDRESS 5325 8th St;Zephyrhills, FL 33542 LOT# 1 &2
SUBDIVISION PARCEL ID# 1 1-26-21-001 0-1 5300-001 0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEw CONSTR e ADD/ALT � SIGN � � DEMOLISH
INSTALL REPAIR
PROPOSED USE 0 SFR Q COMM 0 OTHER Construction Trailer
TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL �
DESCRIPTION OF WORK Temporary Construction Trailer
BUILDING SIZE SQ FOOTAGE 672 HEIGHT
XX BUILDING $ 1,200.00 VALUATION OF TOTAL CONSTRUCTION(DEMOLITION ONLY)
�ELECTRICAL p AMP SERVICE 100 amp � PROGRESS ENERGY � W.R.E.0
�PLUMBING �
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � ��
��
�GAS � ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER �� �_� COMPANY AD Morgan Corp
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address 716 N. Rene ie Dr.;Tampa, FL 33609 License# CGC044502
ELECTRICIAN /��� COMPANY All Phase Electric&Maintenance, Inc.
SIGNATURE ` � �G REGISTERED Y/ N FEE CURREN Y/N
Address 4301 W South Ave.,Tampa,FL 33614 License# EC0001749
PLUMBER COMPANY Sample Plumbing Inc.
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address 4103 W.San Rafael St.,Tampa, FL 33629 License# CFC1425683
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY PAW Materials, Inc.
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address 6640 SR 52;Bayonet Point, FL 34667 License# LDE-09451
_.., _ _-
RESIDENTIAL Attach(2)Plot Plans; (2)sets of Building Plans; (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 Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety 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 Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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 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 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 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
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to or affirmed)be ore m this
bY �4 0 I b L E�.-
Who is/are personally known to me or has/have produced Who is/ar ona kn to me or
as identification. "" 'ication. TERRY ULUNO
' �_°. �+£ Notary Puplk-Shte of Florlaa
• ;�� •� Comml:sfon�Ff 227642
Notary Public � '9�F�OFF„����r �Comm.Explr�i May S,2`0-1Y9
��7�1�
Commission No. Co � sion No. " C6-f"�.
Name of Notary typed,printed or stamped Na e of Notary#yped,printed stamped
i .
n ' IIIIIIIIIIIIIIIIIIII�IIIIIIIIIII�IIIIIIIIIIIIII��IIIIIII��II
2017142162 ,
� Pertnit No. PaKel ID No '�'2�'Z'� � 0p�� ���y����� '
MOTICE OF COMMENCEMENT
Stetc of r L OR'��A Counry ai /�ktL J
THE UNDERSIGNED hereby g'rvaa notke fhat inpmvemenl vAA he made to aeAein real properly,and in ecoordaRce rAth Chapter 713.Floride SteMes,
, fhe follmving m(artnadon is provid¢d fn thfe Nalice oi CommencemenL
1. �esafptlon of Property:Percel IdenU(Icalian No. (,I-�6�21-•Do/o- 13400�D ZOO •
Street/+edreu: 533T $Yw jf.__, 2EPNYQH��o,f� F�. 33S'yz
2. Generet Descrfption of Improvemeni �P hI rR v GT�O i✓ I� /V�M� G/ T y L�AL c
8 .r��� /tiL p&1D✓��Y� �T.s
,3. Oxmer Information ar Lessee infortnation if the Lessee contraaed for thn fmprovemenL
c,T y df �6Pk ylLN�c�l -
S33S' fl�i f'i. 2�.41a1'/LH�ot f .�
Aderess cily state
Interest!n Property: �W N rs M1
Neme af Fee Simple TIIIehWder.
(II diBerenl han Owne�Itated ebove)
� I Address City Stete
;
� 4. Contraetor.�.�. 1�O A��� CO��•
7/G �°/Z�rE cw�� DR. TAM�OA �
address b Ciry siete
Conlractofs Talephone Ko.: 7!�O 3� Y s���g�10
5. surey: �.l6E1LT,� /dlVtuAL //�0,1'�R�N�E eu,h4/�qL�
Name
�� bv�._Ju�rE �7Oo SEArr�E �
A dress Ciry Stele
Amount or Barrcl:S�-�� y7 y. �� 7elepnone ho..
6. Lender:
Neme ' -
Adaress Ciry Sleie
Lenders 7elophone No,:_ _
Ii Persons wifhin Ihe Stale oi Florida designoted by the ovmcr uaon vfiom nolices or other dounnents mey be served es proNdetl tiy
SeNon 713.13(1)(a)(7),Florida S�lutna:
Namo
�
kddte65 Ciry Sfete I
Telephotre NumOer ol Desi�neted Person: �
8. In eddilbn to hirxeH,lhe atimar deelgnetes af_ i
� lo receive a copy o/the Uenafe Notice as providsd In Section 713.13(1}(b),Florida Slehrtos.
I TaJephone Number at Person or Enitty Desipnated by D�xfer:
�
9. Erpiradon dato of NolEee of Commencemetd(tho erpiration dsie rtiey no[be before Ihe cample0on of cons[rucfion end itnel peyment to Iha �
conlredor,bul will ba one yaar han tha date of recordirtg unlass a diiferent date is speci5ed): D�L S A'��/L .�1, Z O/� �
WARNING TO OWNER: AN1'PAYMENTS MA�E BY THE OWNER AFfER THE EXPIRATION OF THE NOTICE OF COMMEHCEMEM �
ARE CONSIDERED IMPROPER PAYMENTS UNDER cHAP7Eit713, PAR77, SECT10N713.13, FLOR(DA STAMES,AND CAN
RESULT IN YOUR PAYING 11MCE FOR IMPROVEMEHTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED ANO POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAJN FINANCING,CONSUL7 .
WRH YOUR LENDER OR!W ATfORNEY BEFORE COMMENCING WORK OR RECORDIN6 YOUR NOTICE OF COMMENCEAIENT �
Under penely o/pa�ury,I dedare tha��l have rsad Ilie toregoing noGce of eommancemed and that the faqs sleted Iherein are W e lo the Dest
of wtedpe antl belw(. ' �� � l �
`���a`�fi�9Yiru���� � � .
O���Ss�/C•.'�iJ�i Signalure of Owner or Lessee,or Owne�C essee's AuthoAzetl , �
� •�G USf O�'• � OYcerlDtreclodParineNMnnepar '
` �� P�9 �`� �' $ f.
�*' `����S "
— . � :
�O� �'�ro ��' � SlpnelaiysTitlero�c �
� ' yte y: �.. �1
�g� d"ng�mt was�Cgnqpledged b tare me Ihis��ny oDG.fJ�/ri�ft .by /f_J✓�� �.
: � T (type of euthority,e.g.,oRcer,Wstee,atiomey in faet)tor '
• (nam?of�paA on behelf oi m InsWmrnt was erecuted). �
� Perc Idenlifita n❑ Ho!ary Signature /]�� ,�,�/���'���
7ype of IdenlificaEon Produted {Ynme(PrinQ �(�/`/ �_ �/��/I'�.lY ,
Rep�,:18931']� ReC: 1�.00 PAULR 5.0'NEI L,Ph D PRSCO CLERK a COMPTROLLER '
DS: 0.00 I7: 0.00 �9/07/2017 10:1 am 1 of 1 �'
09/07/2017 J. R. , Dpf.y Clerk OR BK ��0� pG 2128 ;
� " - _. ... . .
, wpdo!ero�slnoliceeommencementyc05304U
1
�e���e�° ���,T�o� Ft�(�RI�A �OUN1'Y OF P�►���
�o ° • � THIS IS TC+C�i TIFY TMAT TF'IE F0�'EGOING IS A
�� ' � �e � TRUE AND CORRECT COPY OF THE DOCUMENT
��0 '"� � �� ON FILE OP.OF PUBLIC RECORD IN THIS OFFICE
� : ���.v � � WITN,ESS�fY HAND ND FFI IAL SEAL THIS
� �06`�� �� � �,�� DAY OF � 2�_
��• � `:�fi_, �_� ���, 4' � PAULA 'NEIL, CL K& COMPTROLLER
� . ; o���' Y DEPUTY CLERK
� � ����