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Home My WebLink About20-22245 I CITY OF ZEPHYRHI LS 5335-8TH STREET (813)780-0020 22245 MOBILE HOME SET-UP PERMIT-INFORMATION LOCATION INF.O.RMATION'`' ,''-- Permit Number: 22245 - Address: 4330 20TH ST Permit Type: MOBILE HOME ZEPHYRHILLS, FL. Class of Work: MOBILE HOME SET-UP Town hip: Range: Book: Proposed Use: COMMERCIAL Lot(s) Block: Section: Square Feet: Subdi ision: CITY OF ZEPHYRHILLS Est. Value: Parce Number: 13-26-21-0070-07400-0000 Improv. Cost: 5,663.59 . OWNER INFORMATION Date Issued: 1/14/2020 Name: NESTLE WATERS NORTH AMERICA Total Fees: 110.00 Address: PO BOX 120029 Amount Paid: 110.00 STAMFORD, CT. 06912-0029 Date Paid: 1/13/2020 Phone: (813)469-7004 Work Desc: CONSTRUCTION TRAILOR TEMPORARY SET UP CONTRACTORS APPLICATION FEES AL T TRU ION MOBILE HOME ELECTRICAL 45.00 MOBILE HOME SET-UP 65.00 EXODUS ELECTRIC CORP v MOBILE HOME SET-UP Ins ections Re uir d - MOBILE HOME ELECTRIC MOBILE HOME A/C MOBILE HOME PLUMBING FINAL REINSPECTION FEES: (c)With respect to Reinspection fees wil I 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 Mu t Accompany Application. All work shall be performed in accordance wi h City Codes and Ordinances NO OCCUPANCY BEFORE C.O. CONTRA ORS SIGNATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHO JIT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Alston Construction Company, Inc. DATE INVOICE NO DESCRIPTION INVOICE AMOUNT ETENTION DISCOUNT - NETAMOUNT 1-06-20 661903 TLRPRM 110 . 00 . 00 . 00 110. 00 - ---------- -- --- ---- --- --- - - CHEC CHECK DATE K 1-08-20 NUMBER 70553 1 TOTAL> 110 . 00 . 00 . 00 110. 00 PLEASE DETACH AND RETAIN FOR YOUR RECORDS 1901 Butterfield Road alston Suite 1020 Downers Grove,IL 60515 C O 'N S T R U CT ION www.alstonco.com January 6,2020 City of Zephyrhills Attn:Jaqueline Boges 5335 8d,Street Zephyrhills,FL 33542 Jaqueline, Please be advised that Dan Niemann Superintendent for Alston Construction is authorized to sign on behalf of Alston Construction. Please let me know if you have any questions. Thank you, ike Keough Regional Construction Manager CC: Ron Walden Dan Niemann OFFICIAL SEAL LISA A GIANNINI Notary Public—State of Illinois My Commission Expires October 30,2022. Allentown I Atlanta I Chicago I Columbus I Dallas I Edison I Houston I Las Vegas I Memphis Q Nashville I Irvine I New York I Park City I Reno I Sacramento I San Jose I Seattle/Tacoma Williams Scotsman,Inc. Your William •Scotsman.Representative Contract Number:1186385 901.S Bond St,Suite 600 Isaac Green" Revision:1' :� W. - Baltimore,MD 21231-3357 Phone.(410) 31-6000 x78499 Date:December 03,.2019 Fax: Ernall:,isgre n@willscot.com Toll:Free:80 =782-1560 Lease Agreement . . . Lessee:17506622 " Contact: Ship To.Address: " Alston"Construction Company Inc Lisa Giannini. 8175 Folsom Blvd Suite 100 1901 Butterfield Road,Suite 1020 ZEPHYRHILLS,FL; 33542 Sacramento;California,95826 Downers Grove„IL,60515 Phone:(331)998-2595 Fax: Delivery Date(oh or about):: 12/18/2019 E-mail:Igiannin i@alstonco.com Rental"Pricing Per.Month. . Quantity Price Extended, : 40x10 Mobile Office(36x.10 Box) Unit Number: . $525.00 $525.00 " Prem OSHA Step&Canopy 2 $92.00 $184.06 Window/Door Security.Bundle-.30-40 1 $40.00 $40.00 Minimum,l:ease Term: 3 Months Total Monthly Building Charges-:`: $525.00. - Subtotal.of.Other Monthly Charges: . $224.00 . Total Rental Charges Per Month: . . " $749.00. Delivery&Installation.:. . State Approved.Building'Plans" 1 $500:00 : $500.00- Foundation'/Tiedown Plans 1 $198.75, $198.75" Block and Level - 1 $1,079:18, $1.070'.18 Delivery Freight 1. . $392.86. . $392.86. Teardown 1 $352.94 $352.94 Return Freight : 1 .$392.86 $392.86 : :Total Delivery&Installation Charges: $2,916.59 Final Return Charges*' . . . . "Due On Final lnvoice... $0:00•. . Total Charges Including(3)Month Re tal,.Delivery;Installation&Return" $5:163.59 Summary oi'Charges," Model: M04010: QUANTITY: 1 Total.Charges.for.(1)Building(s)i. . $5,163.59 . Additional Services:For your convenience,we also recommend the following items(not ncluded in this Agreement) BY INITIALING BELOW;Lessee;HEREBY ACKNOWLEDGES AND CONFIRMS THAT.IT HAS SELF TED"THE INITIALED RECOMMENDED ITEMS TQ BE ADDED TO THIS,CONTRACT AND AGREES.TO PAY THE ADDITIONAL SPECIFIED,AMOUNTS)IN ACCORD NCE WITH THE TERMS AND CONDITIONS OF THIS: CONTRACT. Initial Recommended Items- Billing Frequency. Qty, Price Extended" Property Damage Vllaiver.(9h0)Alt. Monthly 1 $60.00 $60.00 General Liability-Allen Insurance Monthly" 1 $22.00 $22.00 Basic Office/Conf Package Monthly . . 1 $135.00 $135.00. Williams Scotsman,Iric.. . Your Willia 's Scotsman Representative Contract Number:1186385 �` 901,S Bond St,Suite 600 Isaac Green Revlisfon:l EW L L �. Baltimore,MD.21231-3357. Phone:(410 931.6000�x78499 Date::December 03,2019.. . . Fax: Email:fsgre n@willscot.com Toll Free:8 0-782-1500 - INSURANGE`REQUIREMENTS'ADDENDUM QTY PRODUCT . : . EQUIPMENT VALUE/BUILDING DEDUCTIBLE PER UNIT 1 M04010 $1.9440.00 . $2000.00 1 CT408; $5342.00. . $300.00 Lessee:Alston;Construction,'Company Inc Pursuant to Section 13 of the Williams Scotsman Lease Agreement and.its Terms and Co ditions("Agreement");aLessee-is obligated to provide ' insurance to Williams Scotsman,'Inc:("Lessor")with the;following'insurance coverage: 1. Commercial General Libbility Insurance: policy of combined bodily injury and pro eriy damage insurance insuring Lessee.and Lessor :. . against any liability arising out of the.use,.maintenance,'or possession the.Equipm nt.Such insurance shall be iri-an amount not less than'. $1,00.0,000 peroccurrence,naming the Lessor as Additional Insured and Loss Paye r 2. Commercial Property Insurance:covering:all losses or damage,in an amount equal to 100%of the Equipment Value.set forth in the.Lease 'providing protectiomagainst perils ihcluded'within the classification and special extended perils(all"risk"insurance);naming the Lessor as Additional Insured and Loss Payee.. Commercial General Liability Insurance Lessee is providing Commercial-General Liability Insurance in accordance with the.requireinents set forth Section�13 of the:Lease and will. provide a certificate.of insurance in the inanner:and,within the time frame set forth in the A reement. If Lessee fails to deliver the required certificate of insurance,Lessee understands and agrees that the Lessor has the right to im ose.a missing insurance certificate fee. Commerclal:Property Insurance Lessee:is providing Commercial Property insurance in accordance with the requirements set forth Section 13 of the Lease.and will provide a certificate of insurance in the.hianner and wbin-the time frame set forth in the Agreement.If Lessee:fails to deliver the required certificate of insurance, Lessee:.understands and agrees that the Lessor has the right to impose a missing insuran I e certificate fee: By sighing below,the Lessee:agrees,fo:the,terms and conditions stated herein.:All:other Terms and Conditions of the-Agreement shall remain the. same and in full force.and effect.Each'party is.hereby,auth6rized:to.accept'and'rely upon a facsimile or electronic.signature,of the other partyon this Addendum. Any such•'signatuce shall be treated as an original signature for all.purposes: Otherinrise,if elected on.'preceeding pages:. . Commercial General Llabllity Insurance Lessee:elects.to-participate in the-Commercial General Liability Insurance.Program,where,y Lessee:will receive'insurance coverage.through American Southern'Insurance.Company("Insurer".).and administered by Alldih.Insurance Gi up("Agent°): The Lessee:•ac I nowledges and agrees that. the policy issued.by the-Insurer is a third party liabili.ty'policy that.covers those amounts.that Lessee is legally obligated.to pay:due to bodily.insurance., and.property damage arising from the proper use and occupancy of Equipment leased fr m.Williams Scotsman.up to the policy limits. Coverage is subject to underwriting and specific terms and conditions set forth in the.policq. An,outline o cover is available uponrequest..By.signing below,: Lessee:.understands and agrees that the Lessor is not providing:the insurance.coverage a d serves only.as abilling agent forthe'lnsurer and fts:Agent;':: and,accordingly,it assumes no liability therefore.. .Signature of Lessee:. Print Name: . Date: Damage Waiver Program. '-. Lessee:elects to participate in the Lessor's Damage Waiver;Program:,Lessee:understand, and agrees that under this program,the Lessor waives,for'. -- a fee,Lessew's.obligation,to.carry Commercial Property insurance and Lessee:'s liability to Lessor-for.repair or replacement-of the modular units -leased from Williams Scotsman resulting from loss'ordamage as.specified in Section..12 of't a Lease: Lessee:remains liable to Williams,Scotsman for the amount of the damage.deductible per unit of equipment'noted above.Please refer to the. greerhoritfor specific details on coverage,exclusions;and restrictions on coverage:.The Property-Damage Waiver is not and shall not constitute a cont act for insurance:. Signature of Lessee:. Print Name: . Date: Williams Scotsman;Inc. Your Williams S otsman Representative Contract Number;t.186385 LL T Batimoe,MDt21231-3357 Phone:(410)9316000x78499;. Date:Decembe,Suit.6160'0 Isaac Green r 03,i2019-. Fax Email:isgreen@ Illscot.com . ;Toll Free:800-78 -1500 Clarifications. ; . . .. 'Final Return-Charges are estimated and will be charged at Lessor's market rate at time f.return for any Lease.Term greater than twelve(12)_ months. ."All prices exclude applicable taxes. All Lessees and Leases are subject to redit review., .16 addition to the stated prices,customer.. shall pay,any local;state or provincial;federal and/or personal property tax or fees related to th equipment identified above("Equipment"),its value or its use: Lessee acknowledges.that upon delivery of.the Equipment,this Agreement may be up ated with the actual serial number(s);delivery date(s),: lock serial number(s),etc,if necessary.and Lessee will be supplied a copy of the updated infor atiom Prices ekclude takes;licenses,permit fees;.utility- connection charges;site preparation and permitting which is the sole responsibility of Lessee, nless otherwise expressly agreed by Lessor in writing: Lessee is responsible.for locating and marking;underground.utiliiies,prior to delivery and compi arice with all applicable code requirements unless otherwise.expressly agreed by the Lessor in writing.Price assumes a level site with`clear acce s: Lessee must notify Lessor prior to-delivery or.return of any.poteiitiially hazardous conditions'or other,slte conditions.that may otherwise'affect delive y;installation,dismantling or return.of any Equipment. Failure to notify Lessor of such conditions will result in additional charges,as applicable.Physic I Damage,&Commercial Liability insurance coverage is required beginning.on the date:of delivery. Lessor is not responsible for changes required by de or building'inspeotors.Pricing,Is valid for thirty(30) days. Invoicing Options(select one) [ ]Paperless Invoicing.Option. ]Standard'Mail Option Williams Scotsman prefers electronic invoicing,an efficient,.convenient - Custome prefers to receive paper invoice via mail. Fees may apply: and environmentally friendly process: To.avoid fees;provide us with the Invoices ill.be rnailed to: proper email address for your invoices. 8775 Fo som Blvd Suite 100 A/P Email: Sacrame to California 95826 A/P Email on File: . . Enter a new billing'address: =� e� R 813-78D-0020 City of Zephyrhills Permit Appli tion Fax-813-780-0021 Building Department Date Received �jv Phone Contact for Permitting — 1 1 1 1 1 1 1 1 1 1 1 1 1 Owners Name Pis�`� a f • apikvv G caner (hone Number � r? e 41 77 �ry i Owners Address 3J0 S 1- Le qrhr Owner hone Number Fee Simple Titleholder Name Owner hone Number Fee Simple Titleholder Address J� y JOB ADDRESS 30 P-o ` 5-r ,Ge /-) rj,, i s � / LOT# SUBDIVISION D PARCEL ID# I J f1 s` 41`OD (OB AWED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR B ADD/ALT = SI N = = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR = COMM = O ER TYPE OF CONSTRUCTION Qp BLOCK S�JJ Q �FRAME Qr ST EL Q DESCRIPTION OF WORK /`�l7�LtG(/ L2 is G i'I GG.r� 'J_r *� D 7- -a L P' BUILDING SIZE �C> L SO FOOTAGE H IGHT ! `— kBU'ILDING $5 9/IDJ 7 Y�� VALUATION OF TOTAL CONS I UCTION =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. PLUMBING $ /_ Z►/`1 _ =MECHANICAL $ VALUATION OF MECHANICAL'INSTALLATION 01 =GAS = ROOFING 0 SPECIALTY = O HER ---� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER , COMPANY !! �7 l 0 6! P Lt G SIGNATURE REGISTERED Y/ N FEE CURREN Y/N !j Address License# ELECTRICIAN , c COMPANY 45eo4x5 Lc SIGNATURE REGISTERED YIN FEE CURREN Y/N Address R 3J lu 17 m tt1 tg V r le N License# eC 13 0614, b PLUMBER COMPANY SIGNATURE REGISTERED LI Y/ N FEE CURREN Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address I I License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# 1111111111111111111111111111111111111111111111111111111111111111111 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,C nstruction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsflarge projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)s t of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,C nstruction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects. I commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ****PROPERTY SURVEY required for all NEW construction. • 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 ' 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$750 ) Agent(for the contractor)or Power of Attorney(far the owner)would be someone with otarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Fo tage) Driveways-Not over Counter if on public roadways..needs ROW r, NOTICE OF DEED RESTRICTIONS: The undersigned understands that t iis 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 ands 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 i i Pasco County Ordinance number 89-07 and 90-07,as amended. The undersigned also understands,that such fees, s may be due,will be identified at the time of permitting. It is further understood that Transportation Impact Fees and I Zesource Recovery Fees must be paid prior to receiving a"certificate of occupancy"or final power release. If the projec does not involve a certificate of occupancy or final power release,the fees must be paid prior to permit issuance. Furt iermore, if Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance witt applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amend d): If valuation of work is$2,500.00 or more,I certify that I, the applicant, have been provided with a copy of the " lorida 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 indicat d. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be perfo med to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land deve opment regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencie may apply to the intended work,and that it is my responsibility to identify what actions I must take to be in compliance. c uch 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, C press Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers-Seawalls,Docks,Navigable Waterw ys. Department of Health & Rehabilitative Services/Environmen al 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 pei mitted. - 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 connec ion with a permitted building using stem wall construction,I certify that fill will be used only to fill the area wit in 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 attach Ed permit application,for lots less than one (1) acre which are elevated by fill,an engineered drainage plan is equired. If I am the AGENT FOR THE OWNER,I promise in good faith to inform th 3 owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separ ate 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 pei mit prevent the Building Official from thereafter requiring a correction of errors in plans,construction or violations of any cc des. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six mont is of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six(6)months after he 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 swom to(or affirmed)before me this Subscribed and swom to(or affirmed)before me this by by Who islare personally known to me or has/have produced Who is/are personally mown to me or has/have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed printed or stamped t C Ave�,s - JA C Aver •# K �4 Krusen�Park Awake Wesleyan Church � ,,: Ln °+►m r. maw Amvets Post'��', a ' 550 of Florida I •y J- .� ! SA- idil J 1 _---Thornton Dr A Q )21 1 o IE�phyrh Is,.SkatPpark; iAiston Ave; 4� ANe 9r• Alston Ave o ^11 r L'J — UA Si n & MGirtenance -- 11 ReadyRe'freshiuyNestle® 4 = v N 1 4 i+w .. rW 'Yr• El r , m r Google r