HomeMy WebLinkAbout18-19858 CITY OF ZEPHYRHILLS
5335-8TH STREET '
a (813)780-0020 198 8�
MOBILE HOME SET-UP
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19858 Address: 37947 12TH AVE
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: FRIENDLY MHP
Est. Value: Parcel Number: 10-26-21-0010-06400-0020
Improv. Cost: 5,000.00 OWNER INFORMATION
Date Issued: 8/16/2018 Name: FRIENDLY MHP LLC-MULKEY DAN
Total Fees: 200.00 Address: 2908 EAGLE ESTATES CIR N
Amount Paid: 200.00 CLEARWATER FL 33761-2805
Date Paid: 8/16/2018 Phone: 813-387-4762
Work Desc: MOBILE HOME REPLACEMENT
CONTRACTOR S - APPLICATION FEES
SERENE COMMUNITIES LLG MOBILE HOME ELECTRICAL 45.00 MOBILE HOME SET-UP 65.00
JAMES O MORTON ELECTRIC CO.,INC. MOBILE HOME MECHANICAL 45.00 MOBILE HOME PLUMBING 45.00
SERENE COMMUNITIES LLC
FARRELL AIR CONDITIONING
� n
1�
MOBILE HOME SET-UP Ins ections Required
MOBILE HOME ELECTRIC
MOBILE HOME A/C
MOBILE HOME PLUM G
FINAL i
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 performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
f W�jo
CONTRACTORS SIGNATURE PERMIT OFFIjFA
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIOlf
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
DocuSign Envelope ID_5C2705AA-24964EF8-816E-D57F A54�EC`B�����hiIIS Permit Application re y/� 63-2 r
Fax 813 780-0021
Building Department
Date Recelved '84 Phone Contact for Permitting JM
Owner's Name Dan Mulkey Owner Phone Number (813)387-4762
Owner's address 4030 W BOY Scout B1Vd Suite 850 Tamp Owner Phone Number
Fee Simple Titleholder Name Friendly MHP LLC Owner Phone Number
y
Fee Simple Titleholder Address 4030 W Boy Scout Blvd Suite 850 Tampa FL
JOB ADDRESS 37947 12th_,%,Zephyrhills FL 33542 LOT III
a SUBDIVISION Friendly MHO PARCEL ID# 10-26-21-0010-06400-0020
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED [a INSTALL
CONSTR® ADD/ALT = SIGN O Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK FRAME [=3 STEEL QISW Mobile Home
DESCRIPTION OF WORK Mobile Home Install
( BUILDING SIZE I SO FOOTAGE 750 HEIGHT 12
lYi
_�• BUILDING $ VALUATION OF TOTAL CONSTRUCTION $5,000
4,250
(� r7JELECTRICAL 250 AMP SERVICE PROGRESS ENERGY Q W.R.E.C.
1dj PLUMBING $250 41'19
� ®MECHANICAL50 VALUATION OF MECHANICAL INSTALLATION y
1\� ( QGAS Q ROOFING Q SPECIALTY r 471 OTHER=
1 FINISHED FLOOR ELEVATIONS 24„ FLOOD ZONE AREA YES NO
BUILDER COMPANY Serene Communities LLC � S
SIGNATURE AMt1Ul. "� REGISTERED I Y/ N FEE CURREn I Y/N
�J `•"�— Address 25 N w dward Ave #88120 Tal ahassee FL 32313 icense# /
ELECTRICIAN COMPANY
SIGNATURE 16 N FEE cuRREt,
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED i Y/N FEE CURREn Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN LILIN
Address License#
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREn 1 Y/N
Address License#
ltllilllllllllllllllllllllllllllillllllllllllllllllllllllllllllllll
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,Stonmwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/targe 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,Stonmwater 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(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
ore)
DocuSlan"yw.loyojp.PC270SM-2496-45F"16F-057FA54EC3B7 x-1113-78D-0021
y.hills Permit Application Fa
Building Departivent,
ontoRacaivad Phone Contact for Ponrifflin
'1 "1 Owner's Name Dan Mulkey Owner PhonuN,,mber (813)38 -4762
Owner's Address 4030 W BOY Scout Blvd Suite$50 Tamp Owner Phone Number4
Foe Simple'ritiolliolder Name IFriendlyMHPLLC OwnerPhonoNurabor
Fee Simple Titleholder Addreas 4030 W Boy Scout Blvd Suite 850 Tampa FL
JOB ADDRESS 37947 12th.PlZePhyThills FL 33542 LOT
PARCELID#E10:-26-2�1=-0010-06400-0020
SUBDIVISION FFriendly MHP
WORK PROPOSED NEW CONSTH ADDIALT t0WAJNW FROM PROPEITTY TAXrtm No
t� i12 INSTALL REPAIR = SIGN [:] = DEMOLISH
PROPOSED USE M SFR M COMM r__1 OTHER Mobile Home IF
TYPE OF CONSTRUCTION F-7 BLOCK E3 FRAME STEEL .[n ISW Mobila Home
10 DESCRIPTION OF WORK JMobfle Home Install
BUILDING stzE 60 FOOTAGE 750 HEIGHT 12
.. . . . . . . . . . . . . . . " . . . . . . . . .. . . . . . . . . . . ..
MBUILDING 14,250 VALUATION OF TOTAL CONSTRUCTION
®ELECTRICAL AMP SERVICE F-1 PROGRESS ENERGY = W.R.E.C.
®PLUMBING
1�50
1
IMMECHANICAL 1$250 VALUATION OF MECHANICAL INSTALLATION %,
=GAS ROOFING Q SPECIALTY = OTHER=
RNISHEO FLOOR ELEVATIONS rL4n FLOOD ZONE AREA MYES NO Fs/1 :3
. . . . . . . . . . . . . . ... . . . . . . . A . . . . . .
IA__
BUILDERCOMPANY Serene CommuriftieS LLCsS
SIGNATURE &Lqmil'klum1 REGISTERED I Y/N WE—CURREh YIN
WTd..rd Ave, #8812,0 T, ssee FL 323
Address 75 N yah. tense# z
I
ELECTRICIAN COMPANY
SIGNATURE k REcisreREo N.._J FM cunREN t t N
Address
PLUMBER COMPANY
SIGNATURE REGYsTERED I Y/N Fee CURMEA
Address License F_
MECHANCAL COMPANY A�C- COCI
SIGNATURE REGISTERED I YJ�N FEECUF03a I YIN
Address Cp S:,? Licensev '8171
Cor4m-erce4,fe P-"l 3v�&,)]
OTHER COMPANY
SIGNATURE .19T ERED I YIN F56CLFRREN L)LLN
Address Licor*e#r
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum tan(10)working days after submittal date. Re4ulred bnsite,Construction Plans,Slormwater Plans w/Slit Fence Installed,
Sanitary FadIffies&1 dumpater Site Work Permit for subdIvislonallarge projects
COMMERCIAL Attach(2)complete sets or Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constfudion.
Minimum ten(10)working days after submittal date. Required onsite.Construction Plans,Slormwater.Plans w/Silt Fence Instaned,
Sanitary Facilities&I dumpster.Site Work Permit for ag new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
—PROPERTY SURVEY required for all NEW construction.
. . . . . . . . . . ... . . . . . . .
FBI out application completely.
Owner&Contractor dan,back of application,notarized
If over$250,a Notice of Commencement is required. (A/C upgrades over,$7600)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notartzed letter from owner oulhotWng tame
OVER THE COUNTER PERMITTING (copy of contract required)
Raroole if shingles Sewers SeMca Upgrades A/C Fences(Plot/Survey/Footage)
On[voways-Not over Counter it on public roadways-needs ROW
DocuSign Envelope ID:5C2705AA-2496-4EF6-816F-D57FA54EC3B7
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit maybe 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 IMPACTIUTILITIES 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 1 have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'SIOWNER'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.
1 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 VAIA. 1wLW leUt CONTRACTOR 6"PAiv-
Subscribgd and sworn to(or(or affrmed)fb a this Sub V�pd nd sworn to(or affirmed)before me th' — - '- —
by, ril l 17 J _by .�/l�1 c7 O/ — :r
Who I are personally kno n to me or hasfiave produced Wl o is/are ppersggnJ�ally own to r�sthave produced
JLr vL1 S�� as Identification. /( l�S�L1 �r as identification. ~! `
1 )lublic � %f( (/ w V- Notary Public
,Commission No. n No.
IRENE A DOWNES
Name of Notary E A D O W N E S
_ rytypedWF"'Y
04at- 0 orl a- otary otarytyped, lapS{ate of Florida- o ary Public
= Commission # GG 15789 __ Commission #GG 15789My Commission Ex TresMy Commission Expires p iii July 26, 2020 ';'ta �°�` July 26, 2020
PERMIT NUMBER PERMIT WORKSHEET page I of 2
Installer 0 License New Home El Used Home
Home Installed to the Manufacturer's Installation Manual
Address of home 371 Ift fir Home is installed in accordance with Rule I 5-C
1:1
being installed
Single wide Wind Zone 11 Wind Zone III ❑Manufacturer Length x width j"t-12 .9 PF__
4. Double wide ❑ Installation Decal# V4 n 5&
NOTE: ff home is a single wide fill out one half of the blocking plan
ff home Is a triple or quad wide sketch in remainder of home Triple/Quad ❑ Serial# fL EL PF- qZ?A?%!92
I understand Lateral Arm Systems cannot be used on any home(new0�A used)
where the s1dewall ties exceed 5 ft 4 in. PIER SPACING TABLE FOR USED HOMES
Installers initials
Load Footer
Typical PiMsoalcing it 16"X16' 181/2"x181/Z' 201x29' 22"x
beadng sme WX 24" 26"x 26'
lateral W in) (256) (342) (400) (484)* (576)* (676)
21 -r 0 —
t=0
Show locations of Longitudinal d ancMmA%stems
(use ark lines to show these!$qi "
_41.n9idInal
0
InUP tRule Y15C,�l pier spacing table
Lj L_j L_j < L1I2 f PIER FAD SIZES- L___POPUL_A 1!1111:
Cl)
W LIJ
L) I-b ad size ZJQ Pad Size S fi-
irg, *7t - _W
Li C - 16 x 1f'
0 Per r r Pad size OUF
i�XiE_ - &9-0- 7___T6_X I a
r-q,IE > Id.5 X 18.
5*_51 it hjhj sizes _x 22:5
-------------------------------------------------------------------------- ot 5 342
i ( 1 16 360
req e mfg.) IIX22 Draw the approximate locations 13 1/4 x 26 1/4 348
1 of marriage 20 x 20- 400
L_j 1_1 Lj L_j U / wall openings 4 foot or greater. Use this 17 3/16 x 2FM- 441
marriage wall piers within 2'of end of home per Rule 15C symbol to show the piers. 11 1/2 X 25 1/2 446
11 El 24 X List all marriage wall openings greater than 4 foot 1 676
U L_j and their pier pad sizes below' .
........ PI ad size ANCR-01
4ft 5 ftloo
r---
4
------ I-L Opening
WAI
...... J-4
TJ
......... ..... .
FRAME TiE
within 2'of end of bWnq
L.L. -4-: c2 q
spaced at 5'4"o
_T_
........ .... . TIEDOWN COMPONENTS
OTHER TIES
-------- Longitudinal Stabliftin Number
------- g Device(LSD) Sidewall
Manufacturer Longitudinal
Longitud"Inlal AWDevil �Ljtera!Afrms Marriage wall
.... ....T_
Manufacturer
Pit
..
Shearwall
PERMIT WORKSHEET page 2 of 2
PERMIT NUMBER
Site Preparation
POCKET PENETROMETER TNT Debris and organic material removed eollo�
The pocket penetrometer tests are round/down to—psf Water drainage: Natural—Swale—Pad j�Other
or check here to declare 1000 lb.soil without testing. Fastening—multi Vildo units
Floor Type Fastener: Length: 'Spacing:
Walls: Type Fastener: Length: Spacing:
POCKET PENETROMETER TESTING METHOD Roof: Type Fastener. Length: Spacing:
W For used homes a min.30 gauge,V'wide,galvanized metal strip
>- LLJ U
1. Test the perimeter of the home at 6 locations. 0- will be centered over the peak of the roof and fastened with gaiv.
LU roofing nails at 2"on center on both sides of the centerline.
F- Lu
2. Take the reading at the depth of the looter. < W 2 3 0 CQ
N ¢ 0 Gasket(wntherproaft requirermni)
3. Using 500 lb. Increments,take the lowest LL 0
reading and round down to that increment. wow > (79,1N!Toderstand a property installed gasket is a requirement of all new and used
z a names and that condensation, mold, meldew and buckled marriage walls are
Lij =J(jiALL gult of a poorly installed or no gasket being installed. I understand a strip
x x x 0� 0 101- C :m:�iio pe will not serve as a gasket.
I.-
< 0 0
0 Installer's initials)>PkrV
TORQUE PROBE.TEST 0 W -
I- W
, _j asket Installed:
The results of the torque probe test is inch,pounds or check 5 LL Between Floors Yes
here if you are declaring 6 anchors without testing A test C (0 Between Walls Yes------
z W 0 1,-
showing 275 inch pounds or less will require 4 foot anchors. H 0 0 Q Bottom of ddgebeam Yes
ZIX
Note: A state approved lateral arm system is being used and 4 ft. Z.0Z<0
anchors are allowed at the sidewall locations. I understand 5 ft Weatherproofing
anchors are required at all centerline tie points where the torque test 4000'
reading is 275 or less and where.1he mobile Home manufacturer may The boffornboard will be repaired and/or taped. Yes_. P
requires anchors with 010,W ding capacity. Siding on units is installed to manufacturers specifications. Y j
Installer's initials Fireplace chimney installed so as not to allow intrusion of rain AdVes 4
ALL TESTS MST B FORM; D VBICENSED INSTALLER Miscellaneous
0
/or
Installer Name Skirting to be installed. Yes—No Range downflow vent installed outside of skirting. N/A
Yes
Date Tested Dryer vent installed outside of skirting. Yes /—N/A
Drain lines supported at 4 foot intervals. Yes—f
Electrical crossovers protected. Yes
Other
Electrical
Connect electrical conductors between multi-wide units,but not to the in power
source. This Includes the bonding wire between milt wide units. P9.
Installer verifies all information given with this permit vv;orksheet
Plumbing Is accurate and true based on the
4
manufacturer's lnsOlatiQn instructions and or Rule 11604 &A
Connect all sewer drains to an existing s septic tank. PA.tap
D
Installer Signature 10i� a
sewer
Connect all potable water supply piping to an )astino water meter,water tap,or other
independent water supply systems. Pg,
�•_ CKM UNKiFMCE s •••�_ ��_••
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—S00006,&4 E
Y
AIR CONDITIONING
or
January 08,2018
To: Whom it May Concern,
Please allow the following to pull permits on behalf of Farrell Air Conditioning,Inc.
O Gail Potter
• Robin Potter
a Steven Galatolo
• Domenico D'Ascenzio
If you have any questions or require any additional information please let me know.
727-845-7663
Thank you,
Steven Galatolo
CAC1818177
Farrell Air Conditioning
ffm
ROY SHOUTyar Pu61i�-State of FloridaState of Florida.County of Pasco ommis5i0P A GG W95784Short���
Comm.Ex 1ies Jun 30,2021ed lhroUgh NalicnalNoluryAssn.
Roy
Acknowledged before me this 5—day of y_U�2018 by Stephen Farrell as Vice President/Owner of Farrell Air
Conditioning.who is personally known.
Hillsborough
County Florida
i
I, Benjamin Rodddey CBC-1262319
(License 9iolder's Name N®PCorripaiiy Maine) (Cor+tractoi's:Liceros®#1
hereby authorize the following to act as my agent(s) in obtaini g permits in Hillsborough County, Florida.
- Irene Downes j D520-401-55-515-0
Thomas Hancock j H522-830-80-014-0
Alicia Alderman A436-013-73-956-0
Seieena Mendoza M532-793-84-909-0
Chloe Raynes R520-119-84-920-0
i
I
I
Mi orm superse es::any previous y s'e�- r e. a 00.0 s :o_°aut or�zatlon:
This form must contain only the people you want to pull permits in your name.To make changes to this form,you must:submit a new
form.This form will delete and replace any previous authorization form and the information contained thereon.
license Holder's Signature: I Date: 05/11/18
State of:
County of:
Before me,personally appeared, �yL�,� �v -zi who produced
1 L� sl✓ as identification or is persona ly known to me,and who did affirm and subscribed before
me this day of 20
Affix Seal Signature of Notary Public
S Nome of Not n
_a nt8 0 o i otary Public
�� Z' '� �; — i ?� Commission#GG 15789
- My Commission Expires: %� `oQe;F My Commission Expires
t 3 , 2020
8of3 i
HCFLGov.net
DocuSign Envelope ID:5C2705AA-2496-4EF8-816F-D57FA54EC387
2018089069 666
Permit No. 1.21-0010-06400-0020
NOTICE OF COMMENC ENT
State of Florida county of RaSCO
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property.and In accordance with Chapter 713,Florida Statutes,
the following Irtforriiation is provided In this Notice of Commencement I
1. Description of Property: Parcel Identification No.10-26-21-0010-06400-0020 Rept:1960689 Rec: 10.00
I DS
street Address: 37W7 12th St Zephyrhills FL 33542 1 05: 0.00 IT/29/2018 K. A. : 0.00
, Dpty Clerk
2. General Description of Improvement Mobile Home Install := PAULA S.OINEIL,Ph.D.POSCO CLERK 6 COMPTfiOLLE
I
4 05/29/2018 iff"01:52 1 of I
3. Owner Information or Lessee Information if the Lessee contracted for the Imp n vement: OR SK 973 TPC 12,84
Dan Mulkey
Name RIVA Ste 850 Tampa FL
Address city State
Interest In Property. Owner I -_
Name of Fee Simple Titleholder Friendly MHP LLC C/o Dan MWIkey
Same as above (it different from Owner listed above) I
Address t City State
4. Contractor. Serene Communifles LLC
75 N W=Ard Ave#88120 Tdlahassee FL
Address city state
Contractor's Telephone No.: 813-4001-1058
S. Surety: N/A
Name
Address city State
Amount ol'Bond: Telephone No.-
6. Lender Name
Address city State
Lenders Telephone No.:
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes:
Name
Address City State
Telephone Number of Designated Person:
8. In addition to himself,ft owner designates i of
toreceive a copy of the Llen is Notice as provided In Section 71 3.13(i)(b).Florida Statutes.
Telephone Number of Person or Entity Designated by owner:
9. Expiration date of Notice of Commencement(the expiration date may not bell before the completion of construction and final payment to the
contractor,but will be one year from the date of recording unless a different data Is specified). 4/30/19 .
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, P kRT 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSP TION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK:)R RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of r' I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best
of my knowledge
Vd%llef.
STATE OF FLORIDA VPJA,AtAr.l."
COUNTY OF PASCO T-(
Signature of Ow6ar or Lessee,or Owner's or Lessee's Authorized
Officer/Direch"IF"FifteriManager
MGR, Friend y
S@
The foregoing Instrument was acknowledged before me thlt;a::aLday of by _ZWAj A14a e-A--,�,/
as &e_.' =T�
re (type of authority,e.g.,officer,trustee,attorney In fact)for
(ri{ame orparty onbeW of am ent was executed).
Personally Known 9 Produced Identification 13 Notary signatureJRL�A_Ipl"tE "❑4 2t .
Type of Identification Produced INarne(Print) &25rA,96, A 9D(.I&L)'Vz_9
'no
IRENE A DOWNES
%--S-State of Florida-Notary Public
IZ Commission #GO 15789
I-
MY commission Expires
July 20, 2020
wpdata/bes/nogoaoommencemenLpe053048�
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2017079123
Rept: 1865940 Ree: 18.50
DS:3535.00 IT: 0.00
05/24/2017 eRecording
Prepared by and return to:
Neil S.Schecht,P.A. PAULA S.O'NEIL,Ph.D.PASCO CLERK 8 COMPTROLLER
3630 W.Kennedy Blvd. 05/24/2017 12:54 PM 1 of 2
Tampa,FL 33609-2906 0R BK 9174.5 PG 2►Q 3 3
813-353-9500
File Number: 17-9838
[Space Above This Line For Recording Data)
Warranty Deed
This Warranty Deed made this 22nd day of May, 2017 between Friendly Park, LLC, a Florida limited liability
company f/k/a Friendly Ours MHP/RV Park,LLC,a Florida limited liability company whose post office address is 903
Pinellas Bayway S., Unit 107, Tierra Verde, FL 33715, grantor, and Friendly MHP, LLC, a Florida limited liability
company,whose post office address is 2908 Eagle Estates Circle N.,Tampa,FL 33607,grantee:
(Whenever used herein the terms "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives,and assigns of
individuals,and the successors and assigns of corporations,trusts and trustees)
Witnesseth, that said grantor, for and in consideration of the sum of TEN AND NO/100 DOLLARS ($10.00)and other
good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged,
has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land,
situate,lying and being in Pasco County,Florida to-wit:
The South 1/2 of the North 2/5 of the Tract 64, in Section 10, Township 26 South, Range 21 East,
Zephyrhills Colony Company, according to map or plat thereof as recorded in Plat Book 1,Page 55,
Public Records of Pasco County,Florida;LESS road rights of way.
AND
The middle 1/5 of Tract 64, in Section 10, Township 26 South, Range 21 East, Zephyrhills Colony
Company,according to the map or plat thereof as recorded in Plat Book 1,Page 55,Public Records
of Pasco County,Florida;LESS road rights of way.
Parcel Identification Number: 10-26-21-0010-06400-0020
Together with all the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining.
To Have and to Hold,the same in fee simple forever.
And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the
grantor has good right and lawful authority to sell*and convey said land;that the grantor hereby fully warrants the title to said
land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all
encumbrances,except taxes accruing subsequent to December 31,2016.
DoubleTimes
OR BK 9545 PG 2034
2 of 2
In Witness Whereof,grantor has hereunto set grantor's hand and seal the day and year first above written.
Signed,sealed and delivered in our presence:
Friendly Park,LLC,a Florida limited liability company
Okla Friendly Ours MH Park,LLC,a Florida limited
liability corn
A $
Witness Nae id ,Manager
Wi s
By:��f4-
Witn Name % i 5J4 Marie R.Savidge,Manager
ess Name: e�M
State of Florida
County of Hillsborough
The foregoing instrument was acknowledged before me this 22nd day of May, 2017 by Nelson L. Savidge and Marie R.
Savidge, Managers of Friendly Park, LLC, a Florida limited liability company flkla Friendly Ours MHPIRV Park, LLC, a
Florida limited liability company, on behalf of said firm. They L]are personally known or [X]have produced driver's
licenses as identification.
[Notary Sea]] Notary Public
Printed Name:
My Commission Expires:
NEIL S.SCHECHT
Iv1Y CCMMMMON 9 FF 055M
EXPIRES:October 8,2017
e0nded Thm w1myPu tUndennit m
•,.. rash
Warranty Deed-Page 2 DoubleTimee
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contrac r/Homeowner: .� - ���:s�►-e a ct-n .c-
Date Received:
Site: 7-7 ct t7_- -IA F44 w j) eul .
Permit Type:
Approved w/no continents:❑ Approved w/the below comments: "e Denied w/the below comments: ❑
I.A A "a 16 4y)
1 .
`��-� r�
This comment sheet shall be kept with the permit and/or plans.
Bi'1 Burgess-Building Official Date Contractor and/or Homeowner
(Required when comments are present)
CITY OF / / / / BUILDING
ZEPHYRHILLSNOTICE DEPARTMENT
OF ADDITION OR CORRECTION
D • NOT - •
ADDRESS DATE PERMIT,f �\
3 7q4 7 11- '"jq-G-a
THIS JOB HAS NOT BEEN COMPLETED, The following additions or corrections shall be made before the job
will be accepted.
�Jye Of � m f ►ice �� /'�,i
r
It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth 78t]-t)�2� OR R -I PECTION
or other material,until the proper Inspector has had ample time to approve
the installation. �rf
OFFICE HOURS 7:30AM-4:30 PM MON.-FRI. INSPECTOR (�/