HomeMy WebLinkAbout18-19212 CITY OF ZEPHYRHILLS
5335-8TH STREET
' -� (813)780-0020 �2
MOBILE HOME SET-UP
� PERMIT INFORMATION � . LOCATION INFORMATION �
Permit Number: 1921�2 Address: 37624 GILL AVE LOT 267
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: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0170-00000-2670
Improv. Cost: 30,000.00 OWNER INFORMATION
Date Issued: 2/07/2018 Name: SILVA, BRIAN K SR & BARLOW, DORI
Total Fees: 7,631.64 Address: 3145 HIDDEN LAKE DR
Amount Paid: 7,631.64 ZEPHYRHILLS FL 33543-5269
Date Paid: 2/07/2018 Phone: (508)837-9337
Work Desc: INSTALL NEW MOBILE HOME 1,493 SQ FT
CONTRACTOR S APPLICATIOId FEES
ALL FLORIDA MANUFACTU E HOME S MOBILE HOME ELECTRICAL 45.00 SEWER CONNECTION MOBILE 1,045.00
LILLEY AIR CONDITIONING INC MOBILE HOME SET-UP 65.00 WATER CONNECTION MOBILE HC 505.00
ALL F�LORIDA MANUFACTURED HOME S MOBILE HOME MECHANICAL 45.00 MOBILE HOME PLUMBING 45.00
LILLEY AIR CONDITIONING INC TRAFFIC IMPACT FEE 99% 3,595.68 TRAFFIC IMPACT FEE 1% 36.32
PARK FEES MH 573.73 POLICE IMPACT FEE 254.00
FIRE IMPACT FEE 273.00 PUBLIC SAFETY 5°/a 26.35
WATER METER RES 3/4" 473.78 IRRIGATION METER 473.78
IRRIGATION CONNECTION 175.00
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Ins ections Re uired
MOBILE HOME SET-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 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.
'`�-.
CONT C ORS SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
. 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 uvhat licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division�icensing 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 occupanc�'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 WatedSewer 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—Homeowners
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"owne�'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 pertormed 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,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Attering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Watenvays.
- Department of Health 8 Rehabilitative Services/Environmental HeaRh 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 certiiy 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 O AN ATTORNEY BEFORE RECORDING YOUR NOTICE O OMMENCEMENT.
FLORIDA JURAT(F.S.117 �
OWNER OR AGEN CONTRACTOR
Sy �rjpYr� sw or affi ed) foc��e thi� Su�s�u Q a swom o ffirme�beforg me� 's
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Who(s/ar per nally own to ' or has/hav duced Who fs/are pe n ly known to e or haslhave pr ed
es idenlification. as Identification.
— ` � Notary Public V� �� Notary Pubfic
, Commissio o. Commission No.
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Name of Notary G� i or stam e Name of Notary typed,printed or stampe S�aY PYs�•,, CK
:�: i: M`�C�MMISSION#FF 243�85 ;�?• •Y MY COMMISSION#FF 243095
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: RASCO COUNT'Y, �LOIRIDA
_ . . . Permit No. � Z '
Date Permittad J—ZZ--� g
Builder NamelOwner Name�"`I �(A�C.YVt�r►►,c��r�cv�eC7 Control#
'. Counry Parcel No. 3�-Z.SZI-b f 7o-000dt�..Z(,7o SubDiv: �, , r��
�; Addrass/Location
_ 3"7�Z� o � 1 � �-af 2 6 7
'"~= ClassiflcatioNType of Use YVtD�� '� `t-�Cv��
�; •
e,:
;-'.:. TRANSPORTAT�ON IMPACT FEE Rate: Sq.Ft Unit: 1, ��'3
?,��
'� :�=�` Exempt � Yes � No How Determined
�z,..
'�: � Impact Fee Amount _$.,�� (fl 32 •�C� Zone No. Tp,Z;
a�:�
'='= � SCHOOL IMPACT FEE
`t� Account (056) Single-Family Detached House Amount $ _ „�
, _ (057) Mobile Home
'� (058) Other Resldential
123) Collection Fee
Exempt [�Yes �No How Determined
PARKS APID RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit �Recreation Total
; Zone TOTAL AMOUNT $ �7�. `l �j
_ Exempt �Yes [] N4 How Determined '
LIB
RARY FEE
' Land Account Land Credit Land Total
k.
Fac(liry Account Facility Credit Facility Total
Exempt � Yes No How Determined
❑
T�t�l Amoun
RESOURCE FEE ERU �
TOTALAMOUNT
Prepared By � Checked By
,. NO CERTIFICATE OF OCCUPANCY WILL�E ISSUED OR FINAL INSPECTION
' PERFORMED UNTIL THE TOTAL AMOUN7S LISTED HAVE
, ;_. BEEN PAID AND �
"� RECEIPTED FOR BY A CENTRAL PERMITTtNG OFFICE.OF PASCO COUNTY
� �; �
i:� Acknowledgement bsiow does not Imply acceptance of concurrence,but simpiy recelpt of a copy of this form,placing
the bullding pertnit owner on noUce of this assessment and thQ conditions of payment for same. �
� t,
� DATE RECEIVED BY
RECEIPT NO. DATE BY
. �.
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
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SPECIFICATIONS: �� \ 3 ���- �
Square Feet: 1,493 r�� �i'�
Dimensions: 28'x 56' rrr D
SETUPS AND LANDSCAPING MAY VARY ALL SIZES ARE
APPROXIMATE AND NOT SHOWN TO SCALE
35162 State Road 54 W•Zephyrhi]]s,Florida 33541 • Office(813)788-3300
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5. t;�statt(2j of tf�e 1.5�"SQU2rC8 tClb2S(E {4$°tu�e})into t'�e`Up�racksf(J),in�ei#carria�e�St ard le���e���4t 400se for�;nst
adjus�.ment.
6. �:���t-�,Gam c�nn�c���r(r)i�sefy o�t��te�oitc�m:ar9ae ofi ths f-��am.
7. Sf4ue#ha sel�.,ts� 9.��°t�sb�(E)i;�to a 1.50b tube(�}an�at�.ach to i-b�rn cc;►nEctr,rs(F}and#aster►IcasEly���th bolt and nut.
8. R2,�ea�steps fi�fQt:�h 7 ta creatQ the"V'pattem of tize squa;e tu�vs Soose',�'sn�!a�-.�he ar,�te is not to er.ceed 45
degree and nct beiow 4Q d�yrees.
9,f�ft�r all bo!�s ere`,��`�:ene�,sEcure i.2a and 9.50II t��s usi�g foar{4}il�n-'I4 x 31�+°sef�:apgin�scre�a�s 1n pre-dnli2d hol�s.
e��TA4�!��T'l+�iA� (�i�F�t�'+��.��,'X'�t��S�C€'i3��TR�t+ESV�P.��.��,2'�'�YS'i��
i E-ic irGi�>L iiG9 "`J" ,LCs:�Gi�!l�SiP�'-.�&L.�i�F,��l F�^-,Q�C'izC3Pi}�L��i,h'A"i'E8'�'F14 4�€ErD f0?P�4Cfi�5T!',IIELtZ�2�'LG�TcS�Fes�+Y�;c TiES.
�!�i E:'CriE US�4F TEtiS SY3TcEd rsQ:d�RCS 1 c�`C4G€,E.T6�S SPr�,C�D/-.T 5s".
F�JL'R FQ�T(9')rROUttD At�;Gs�aR�.4R.Y fl�s.;5:'s�L�Y.CE��C,Ik:`:�2{�4:'E�E;C�nf:FJI`�:.�UFE:C i Ej�ER S�EC��i�S�tF'rEREh'f.
i0. Inst�lt remaining ve:#ical tie-down straps and 4'gro�snd ar+ci;ors psr harrra r,�arou;act;:r�r's ir�s�;;scti�ns. t�o;�;Csn�e:fi�e
an�ors to be sized a�rdin�to svil tory�e condition.As�y t�a�u�ach:�ffir's specifir�t3�ns ier si���n�231 anc,"��r i�ads in exc�ss of
A,�J001bs. require a�'anchor�er Ftc�ri�a Ca,:a.
"s1. �or�:EGch systsm is;eyuired to have a frame tfs en�s':�k�ii�zer ar��he3 af e�c�f�'.�ral arm�:a�ilizir�s i•��}t�n.Thss f;am:�fie �
stabil'�z.er plate nseds to be tocated within t8'�rom afi c�nter ground pan.
�2.Setect the c�rrect s�uare fv�e�arace�H}{ength for set up latsral�rarstrerse at su�porl{oca+.ion.The ieng�.�s cAme in ei��r 6�"
ar 72"lengths. (�'��th�e 1.5�"tube as the bot#�m tube, and the 'i.25"tube as t�`�e ir�sEr��tu�e.)
13.4ns!�11 the 1.50�ra;�sverse br�ce(H)fa ft�e ground p�,n cannc-ctor(D}with b�ft and nu+
14.Sfide 1.25"transve�se bra�e ir.to:t�� T.5�"brace and a�w:h to adjacs�t i-�eam cG�nect�r t{ �V�E�i b:Sd�'d.hL� flUi.
' 15. Sec��re 1.50"trans.+esse arm to 1.25'trar�sverse ar+r.�ssintl faur�4) ?f4"- '{4 x 3!4s seSf-tappinq sCre��s in o�e-dstlted holes.
�:..�y� ;:l.I:�ER i�C�it�i4f_+`3G1ES� It�C. Tciephone:93;-7?r-n,555
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a�s��,�.,�,��ic��r us��tr con�cR�e a�c��s�1�R!�4gT.� :��:. -4 �-�ss¢n�•a�
16. A c�aacrete risizrer,€oate,r or slab ri�ay be vse-r3 i��ace o�tf�e s_eei gsound pan.
a} i'tte c�-;rxete shafl b�e minim�.m 2500 pst ma� ,
�) A�s:�t$r..c��sr may be ei4her��gifisdinaf ar trarisverse,�nd rnust t�a rninirrzum ef 8°deep�zth a s�irsimum w"sd�h of i 6;;�c.�e�
6o!�giiv3�aily or�8#r�ctt�s`aa�sverse to ai�ovr propes distance o��eea��e co-��re`�E�ft an�f€�e edge of ine cr,�ncre:e(s���1ow).
cj� �ooiets inust tsave r�"snimutn surFace area of 441 sq.irt.(i.e.2'f�square),and mtsst be a minimum of 8'deep.
d) ff a rult slsb is used,the ciepth must he a�°minimum.
S�-aai inspec+.ion of the syst�n bra�cel's�si�iatio-a is not�a�uired.. Fc,o.era must afloYo�i�;at least 4a f��n#i-�cr�rtc.�ete bott to the��e
of 1#se c;or}�e�e.
S�:p3'�:Tfse bai#otn at att�favtin�s,pads,slabs and runners rttust 4�e F,es kscal jurisdicti4t►.
�.ar.�mro�w��:(n�od��i�a�tic�r�3
47. Vdher}�+sino Part�91U1 t+`d��A(wetsetl.simp;y instaSi ttte bracket i;t[unnerito3ter QR�h�E�en insYa�Ein i� n aErgd�crete use Fark#
'f 41-D-GPCA tdrvs�#l.The'lifJ2 (drysst)CA btacket�s attac�ed to the cxinerete using(��513'x3"cancrete wedge bolts{Sitnpson past#
S1�230t�N�:8"X 3"oC Po��rers equi�atent).Place#Fte CA tiracket in desirzd{ocation. MarFc Ir�it hoie fxatians,#fien usi�g a�!$"d9a�eier
masaniy bit,dtiH�hate#o a sninimur�i de��of 3". #��iaXz sure a11 dust and con�ete is bS��rt aui o;ihe hofss.Piacv we�gQ bcl�irs�d�i,�ed
hotes,thett pfac�'i'I01 (dry set)GA bradcet a�to w�doe f�lts and sfart we�ge bo;t ns.r�. Take a ham�nsr and Ctghdy d�ve�e vae�ge bo1�
d�w�by hittiag the n;�t(maki��g sure not#a hit the tap of threaas on br�t}.TItP�,S P@VxP Of CU'iCPE`B V1E���bo't n¢ef3�tc,Zbe s�r��i�•v t��ton
of c�rnxe�e.Com�iete by tight�ir�g nuEs.
�r���.:(�o���t�oz�re s�j
48, For�sre�s�t t{�t#1101-�'J-TAC�}ir�stalia�n sisrtp�y tnstall�e snchor batt int�runnerr�ooter.For dr�s�t insiallati�n(pari�110'E-!3 TAGA)
ma��`� bo�#hQ3e tocatiQs►s,ihe�usi�g a 518"diam.[n�sonry bst,d�ii!a hafe to a mi�imurr�depth of 3". �JEa•r.e sure ai6 dust an�co��e'�is
b{o•Hn o:�;of the hole.Ptac��Ue��batts(S"srr�pson paEt�`rS�fi23.70H 518'X 3'or r vwets e�uivalent)ir�t�(R}concrete dry transverse
co�+�sc:�s anci into dril►ed hote.(f needed,take a f�ammec and lightiy cirive the wedge bol�dourrrs by hi u�g the n�t(ma�ing sure n�t to hit
' the top o#threads on ba�t),then remove�he nu�. v f . e w r3 p t n ds at r t � a � f n
4�.itd:�en usiru3 patt�4iD1 CV�''d(vretset)or�t4?i CV�3(dryset),insiat{per sie�s 17&'!8.
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Data Current as Of: Weekly Archive - Saturday, January 6, 2018
Parcel ID 34-25-21-0170-00000-2670 (Card: 001 of 001)
Classification 00 - Vacant Residential
Mailing Address Property Value
SILVA BRIAN K SR& Ag Land $0
DORIS BARLOW Land $26,423
3145 HIDDEN LAKE DR Building $0
ZEPHYRHILLS FL 33543-5269 Extra Features $0
Physical Address
37624 GILL AVENUE
' ZEPHYRHILLS, FL 33541 Just Value $26,423
Assessed (Non-School Amendment 1) $26,423
Lec�al Description (First a�ines)
See Plat for this Subdivision Taxable Value $26,423
GRAND HORIZONS - PHASE THREE
PB 53 PG 120
LOT 267
OR 9626 PG 0548
]urisdiction
Citv of Zephyrhills
Land Detail (Card: 001 of 001)
Line EUse i fDescription Zoning JUnits Type _ Price _ __ Condition_Value
1 j 0200 ,MBL HM Bf_y00M1�<< 6,000.00 _; SF __� _$4.40 ; 1.00 ; $26,400
2 E 0200 `MBL HM SUB` OOM1 ! 42.00 � SF ` $0.55 1 1.00 ` $23
Additional Land Information
I ____ --- -------- - ----- --------------- ----- -- ---.------- - ------- ----- , --------------- ----
! � ' - �---FEMA --�--- - f �
Acres ; 0.14 I Tax Area , 30ZH � Code ; -- , Residential Code f. GDHZLPI
Building Information - Use 00 - Unimproved (Card: 001 of 001)
Unimproved Parcel 00 - Unimproved
Extra Features (Card: 001 of 001)
---------------�------- - --, ------------------ ------------------------
Line Description Year Units Value
--------______----------�----_�___--.___-- —_---- --------�----------- --------------._._._..__.—
No Extra Features
Sales Historv -See All 5 sales
Previous Owner: SIMPSON ARTHUR J ]R &JOANN R
---------------,------------- - �------- -- ,
..-:-------- ----------___��-- -
Month/Year Book/Page Type DOR Code Condition Amount
------ ----- ---�---------
------------ ------ -- ---
- --- -------- -------
10/2017 ;T_9626 / 0548 __ _ � Warranty Deed ; 01 � Vacant � $25 000
_ � ,
06/2006 i i -, ..___.. - - -----'-----------._.
7022 / 0683 Warranty Deed , Vacant � $28,000
-- ------ ------------ '----- - ------- . ----------- '---------- ---- -.--------------- --
12/1995 ; 3508 / 0207 Warranty Deed � , Vacant , Multi-Parcel Sale
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building DepaRment
• Date Received 1`�� a D I Phone Contact for Permittin `.. L'S-1 - �i � ��
Ownefs Name �.l Cl C� 1�Q Owner Phone Number
Owner's Address S �� �1� kJ� Owner Phone Number
Fee Simple TiUeholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS � ����\ t-\ �� L�J�. LOT# � �s
SUBDIVISION (� n Z� PARCELID� , - -�I- �`�� ' ����'�• n -
(OBTAINED FROM PROPERN TAX NOTICE)
WORK PROPOSED � NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL Q
DESCRIPTION OF WORK �'� Cl, C� �
BUILDING SIZE «��( SQ FOOTAGE �`7�3 HEIGHT `"► �
OBUILDING $< ,yALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE �� � PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ �� - !�J
� U `�
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS � ROOFING Q SPECIALTY � OTHER / ��
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ��hl--
. � ���
BUILDER • G• • •fe •COMPANY �� � lU l h.�I�f_ ��� ���
SIGNATURE /� f REGISTERED Y/ N FEE CURREN Y/N
Address �u �� License# � 1l L
ELECTRICIAN COMPANY �� \�'�l. ' lL6 �K_lS h.[�,�
SIGNATURE � REc157�iEo Y/ N FEECURREN Y/N
Address 1` �G � � Llcense# �C �• Q��`��0 �1
PLUMBER COMPANY �II � `t� � �= I-� �'� S�
SIGNATURE REGISTERED Y/ N FEECURREN Y/N
Address � L�o'�'cJ License# T ' �l7 a �
MECHANICAL � COMPANY , I f�Tl � C�ih �U
SIGNATURE REGISTERED Y/ N/ FEE CURREN Y/N
Address ` � �'� � ,( License# ��W S
OTHER COMPANY ,
SIGNATURE REGISTERED Y/ N FEECURRQJ Y/N I
Address License# I
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllllllllllll
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 submitlal da[e. Required onsite,Construclion Plans,Stortnwater 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-0-W Permit for new construction.
Minimum ten(10)woricing days after submittal date. Required onsite,Construction Plans,Stormwater 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 o(Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Dlrecllons:•
Fill out applicalion complelely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgredes over$7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage)
Drfveways-Not over Counter if on public roadways..needs ROW
Rapl:1930187 Ree: 10.00
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2018021702
.._ _... ._. ... _ .._ . NO'�IC]E Q�' CC►IVIMENCENIENT
Stateof ���C��� County of �f,l.�C.x
THC UNDERSIGNED hareby gives natice that impmvement wi3!be made to ceitain r�al property,
and izi accordance w'sth Chapter 713,Fiorida Statutes, the foIlowing information is provided in
this Notice of Commencement:
� l. Description of Pro�erty: Parcel I'�a. �y �-�J �I b�'��b��� ����
3�ts��.�1 C--�,�.1 (���c.. 2.h,1�S �35��
(Legal descrigtion af the property and street address if available)
2. GeneraI Description af Tmpxovement
, �� ����c.�.-�� ��.�- ���S�,ZI .
���A� '�p�nCJv'�.tL�..Q , �-r,(Y-,�c a 5�.�2.c� 'd�-�Gr�P.P��
3. 4wner Information; Nams _�j�.��h �J 1,�Ga
Address �1 L"�� �`} t�t�'2� �.��y �� �..�'1.��Y t�� Stata_�._._._
InteresC in Property:
PFlULR 5.0'NEiL,Ph.D:PHSCtl CLERK&�COMP7ROLLEfa
eziav2ei9�7�m 1 20$
Name of Fee Simple Titleholder: OR BK PG —
{If other than owner} - - -• -- -
Address City State
4. ContracEor:Name 1'`Re� C�A F1P_1'"
Address �Jto�l�-�' �`P_n.�C'�. �.-�City�L2 State ��
5. Surety:Name
Addiess City State
GUt'�„ * �r
Arnount af Band: $ C��� � . �` , at
6. Lender:l`�ame � ' .�
�i� �
�.'•��' s�
Address City State �. � '• o
4 4e ..l
7. Persons within the State of Florida designated by Qwnex upon whom natices ar other *��a 4c� � � ��
doctaments may be served as provided by Section 7i3.13{1)(a}(7),Ftorida Statutes: $
Naine Y�d� ' ��`�
Address City State � .* �
�
8. In addition ta himself,Owner deszgnates O ��r``�y' �`�� �
of to receive a copy of'the Lienor's Natice as Q o p���� �
pravided in Section 713.13(1}(b�,Fiorida Statutes. a'�a iy-w t- w
aQ��� � �
9. Expiratian c�ate of N'otice of Comznencement(the expiraaon date is 1 year from the date y.�F-ci.Q O
of xecording unless a different date is speci�ed.) ��Q p,� 'U
�
Ot-~-�tVisp Y
'U =O���\., w
Signature of Owner: `��, y�.��n ��
t.�-r.0�z o .._i
Swarn to and subsc ' d before me this�_day of ��-`�r`'�"" ,20� �U��� a z
Notary Pu b lic; �- u.. p�a� �_
o E-� �s u�
My Comrnission Expires: {.�. c� ---"""~="""'"" �.,�._ �W��.i- �
PC93053048JA '���"= M'+�`�'nss�7+teFF2�oss d ��� t-�- �
EXPIAES:Octo4ar2D,2ot9. �' S�Z — � }
�^L'%:,P;�+G`� Bo�emTtvws,rP�tMic�+�+'sn Cf) F—F^O S� [l, m
,,�.�.+s
1
PASCO COUNTY
-�� DEVELOPMENT SERVICES ,
P 8731 Citizens Drive Date:2/'f212018
COU'NTY FLORIDA New Port Richey,FL 34654
C)i�T•�Stxc.u.I•5��r.�„•l�,�c„s. 727-847-24'{1
*� �I�`f A f�E�IM fT �`� �
Receipt#: 1737034
FEE DESCRIPTtON ACCOUI�IT CODE UNITS iNVO10E# FEE AMOUNT PA10 RECEIPT# DATE
Impact Fee Residential Solid 24503100-329010 1.00 1319054 $57.23 $57.23 1737034 2/'!2l98
Waste Condo,Multi-Family MH
in Park,per Unit
TO7ALS: $57.23 $57.23
Recelot# Paid Bv Check# CC AuEh# Cashier ID Workstation Receiot Date Amt Paid
1737034 Credit Card Zhills 19212 456 177 BCCCP03W 02/92/2018 $57.23
Total Payments: S57.Z3
Pa or Address Phone
Jene Black
Comments•
Whife you will hc pa}ring your bill with Pasco County Development5ervices,the Full amount o(the ered'rt wrd or e-check fees,NOTshovrn abave,ls mlletted by
Flrst 811Itng payment servl�es.
`
MyReportslreports//PRODUCTION/PASCOlReceiptPOS V5.rpt 2/1?J2Q18 Page 1 of 1
Jacqueline Boges
From: FATHOM <support@gwfathom.zendesk.com> /�
Sent: Wednesday, February 7, 2018 1:20 PM � � c�, � C �
To: Jacqueline Boges lTl� ,
Subject: [Request received]37624 Gill Ave Lot 267 1 � i � Y -,�p ,
� �1 I �)C.�I'�-.
l/�� ,
##- Please type your repiy above this line -## �( G(� l�
Hello ]acqueline Boges, '�,Q.,�� � �
� �
We are working to resolve your request promptly and will keep you updated. One of our Support Analysts will keep
you updated on the progress of your request.
Best Regards, -
FATHOM Support Team
TO ADD ADDITIONAL COMMENTS, reply to this _ma' or click the link below:
htt s: wfathom.zendesk.com hc re uest 193729
� .�, { Jacqueline Boges "-
j --� ;
'------` Feb 7, 1 1:20 AM MST
�
New service water, sewer , irrigation f�dr 37624 Gill Ave mobile home set up
�
- ----- - - -------- - ---- -- - - - -- ----— -- ----- -- - -- -- ------
�
This email is a service from FATHOM. �
�
1
Jacqueline Boges
From: Sean Maddux(FATHOM)<support@gwfathom.zendesk.com>
Sent: Thursday, February 15, 2018 10:53 AM
To: Jacqueline Boges
Subject: [FATHOM] Re: 37624 Gill Ave Lot 267
I
I
##- Please type your reply above this line -##
Your request (#193729) has been updated. REPLY TO THIS EMAIL or click the link below:
https://gwfathom.zendesk.com/hc/requests/193729
Q Sean Maddux (FATHOM)
Feb 15, 8•52 AM M5T �
Accounts have been created and sent to our GIS team for mapping.
Best Regards,
Sean � FATHOM Support
f �� )acqueline Boges � �� �
I ,� �
� ----' Feb 7, 1 1 :20 AM MST _
New service water, sewer , irrigation r 37624 Gill Ave mobile home s up
This email is a service from FATHOM.
1
Jacqueline Boges �
From: Joni Karnas(FATHOM)<support@gwFathom.zendesk.com> ;
Sent: Tuesday, February 20, 2018 5:33 PM ,
To: _ Jacqueline Boges '
Subject: [FATHOM] Re: 37624 GiI1.Ave Lot 267
##- Piease type your reply above this line -##
Yaur request {#193729) has been solved. TO REOPEN THIS REQUEST, reply to this email or click the iink beiaw: �
htt s�U4wfathom zendesk com/hclrequests1193729
... ... ... ��� ��� -
;.i: jon�i Karnas {FATHaM)
a
q�� �
Feta 20, 3:33 FM MST
Hello, .
I have created the meter instal! work orders for both accounts.
986337-2983459: Water
986337-2983469: irrigatian
Best Regards,
)oni � FATH�M Support
0 Sean Maddux (FATHOM}
Feb 15, 8:52 AM MST
Accounts have been created and sent to aur GIS team for mapping.
Best Regards,
Sean � FATHOM Suppart �
��.:� � �acqueline Boges ,�
�.��.;
Feb 7, T 1:20 ANI MST
New service water, sewer , irrigation far 37624 Gill Ave mabi(e home set up
This email is a service fram FATHOM.
1 -