HomeMy WebLinkAbout20-22427 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22427
MOBILE HOME SET-UP
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22427 Address: 4241 SKYDIVE LN
Permit Type: MOBILE HOME ZEPHYRHILLS, FL.
Class of Work: MOBILE HOME SET-UP Township: Range: ook:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 18-26-22-0010-08600-0000
Improv. Cost: 4,000.00 OWNER INFORMATION
Date Issued: 2/03/2020 Name: CITY OF ZEPHYHRILLS
Total Fees: 110.00 Address: 4241 SKYDIVE LANE
Amount Paid: 110.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/03/2020 Phone:
Work Desc: INSTALL TEMPORARY MOBILE FOR STORAGE
CONTRACTORS APPLICATION FEES
WINSTALLERS INC MOBILE HOME ELECTRICAL 45.00 MOBILE HOME ET-UP 65.00
DOUBLE M ELECTRIC
V'
MOBILE HE ET-UP
Insi0jections Required
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 performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
6k9-
IV CONTRACTORS SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-78DO20 City of Zephyrhilis Permit Application Fox-8113.780-0021
Building Deparlmon1l
QateRacalvocI4 1-2,/-?'o
Phan*Contact for PormItUna
................
C 0 fre
wase;time J0A/vv11r areNy Owner Phone Number
Owner's Address Sw/)/ve 4wo OwnerPhoneNumbo r
Owner Phone Number
WJOBADDRESS KylDIV, 1AA , 7c fhyebIG ?SsI-
T --LOT#
SUBDIVISION PARcfR_IDA F-
WORK PROPOSED NEW CONSTR r_1 ADDIALT SIGNDEMOLISH'
INSTALL L_J REPAIR
PROPOSED USE SFFt r__1 COMM OTHER ---- --
TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL '7�W.PJME���
DESCRIPTION OF WORK T_t:Me1DeAf_y t4,6).- �71TOCAC-IC
BUILDING SIZE I .2q Ic Piz SO FOOTAGE -HEIGHT
4gBUILDINP S '41Co ON OPTOTAL CONSTRUCTION
po VALUATI
*ELECTRICAL is AMPSERVICE DUKE ENE�tGy W.R.E.C.
MPLUMBING Nr Cf'&
=MECHANICAL S VALUATION OF MECHANICAL INSTALLATION
=GAS F-1 ROOFING f—I SPECIALTY[=� OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES
........... ... ......
HIIHILHH HHHHH HHHHO MIMI
BUILDER 4/1 COMPANY
SIGNATURE W ►
I YIN FEE CURM: LXL"--J
Address 513o7' v_eeVICW -P)Z,JVPA r-1-V475<
ELECTRICIAN COMPANY T0:061,- A 01&fr)ML
SIGNATURE t/a-lloll -REGMTSM0, I Y/'.N ' FEECURPa A Y/N
Address V 91t Ile,f IZ6 17 7'�/F4 Licenset I r:--,c a,
PLUMBER COMPANY
SIGNATURE SEGISTERED I YI-N Fa CURM
Address Licenso#F_
MECHANICAL COMPANY
SIGNATURE REGISERM I Y/N M CURFUU, LXLNJ
Addroso F Llsease
OTHER COMPANY r
SIGNATURE I 'Y/,N..- Fee C�URREN-
Address 14CM64.F—
RESIDENTIAL Attach(1)PlotPlins,(i)sets of 86flng'Plans,(1)set of Energy Forms;'R-OV Permit for new construcilon,
.Mifilinurn ton(10)workin4 days aftersubmlital date:Fte4liltidonsllebdnst?ucg6n�Plihs,Siormv�atdePlans'�il Sit Fence instWied,
Sanitary Facilities&,1%dumpsterSita Wdrk Permillor stiladIvislonsnarse projects
COMMERCIAL Attach(2)Complato,sels of8uVdI*ngrPIans,-pIus a Ufo:Safety?ago;(1)set of Energy Forms.R-OV Permit fdr-new construction,
Mln[murh ten(110),warking-idarls,after submittal date.-RequIred-onslite;CcnstruLUan Plans;Storrawater Plani wl Sill Fence Instatiodl,
Sanlla:ry.Eqcq1tI6s&j.d4moste?."Slie'Wbik Permit f6r ill'new projects.All corfimeidil.requlf�emonls must meet compliance
SIGN PERMIT Attach(4 sets cl Engineered Plea'
-PROPERTY SURVEY required for all NEW construction.
Fill out application complatoy.
OwnbF&Contractor sign.back of qppncatLon.noIariza d
Ive f or WOO.a NWI66-ot Cornmortcomant In iiilulriod. (AlCuparadvoovorS7500)
Agent(for the contractor)orPowaroWtomey#or the owner)would be someone with notarized fetter fr=oviner authorizing same
OVER THE COUNTER PERMITTING (cqpy.of contract required)
Reroofs If shingles SewersService Upgrades A/C Fences(Plot/SurveylFootage)
Driveways-Not over Counter If on public roadways-needs ROW
813-780.0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Data Received • 2 y. Z o ?Z7 2Y3-
Phone Contact for.... in
Owner's.Name DaNNI>. UP�hi!"i�'�"vSAa �P/w f A Owner Phone Number 1 '?g
: ;-,Owner's Address 'ZZ I Sw j; CAN Owner Phone Number' �U 0:5
ZL�1�'l�y �u3' �� 33 Sy2 Owner Phone Number
JOB ADDRESS, 4 ZW I -NY � C t/�N�, Z e�hY e fi, S �35YZ LOT#
;SUBDIVISION �. PARCEL ID#
(OBTAINED FROM.P.ROPERTY TAX,NOTICE)
;.WORK PROPOSED NEWCONSTR ADD/ALT SIGN Q Q 'DEMOLISH
INSTALL. 8 REPAIR
PROPOSED USE, SFR Q COMM OTHER
TYPE OF CONSTRUCTION BLOCK C]. FRAME STEEL
DESCRIPTION OP WORK 71r.W Po 1t AY Mo6 o To teAC-1 C
BUILDING,SIZE 214'1c112 � SQ•FOOTAGE;= HEIGHT
i BUILD1PfG $ '//600 r Dv VALUATION OF:TOTAL CONSTRUCTION'
ELECTRICAL. $, AMP'SERVICE Q DUKE ENE�IGY' Q 'W.R:E.C.
=PLUMBING
=MECHANICAL $, VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING =__SPEPIALTy_= OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE-AREA. [, YES
�Y
. .
BUILDER COMPANY l!v1�JST1+1�5
SIGNATURE ' REGISTERED I Y/.N FEE CURREN . `Y•/N
Address, Z6 o ovr-p- tFiW _(2,N49A FG 1%5'C License# �t~� �aZ St Q�
ELECTRICIAN --- `� COMPANY PooI;Ie 1�'teGCy!(,c�L
SIGNATURE REGISTERED' F Y"!`-N " FEE CURREN
Address License#
PLUMBER COMPANY
SIGNATURE -REGISTERED. YY N FEE CURREN
Address. License.# �.
MECHANICAL .:. -COMPANY -
SIGNATURE'. , REGISTERED Y/ N FEE CURREn Y!N '
Address,. License-#
OTHER COMPANY
SIGNATURE REGISTERED Y/,N,,.,. FEECURRE' .-.
Address License# � .
j
RESIDENTIAL Aftacli(2}F!tot t?lans;(2)sets of Buitding'Pians.(1):set of.Energy Forms`R=O=tN'Permit fot new constructon,
•Minimum•ten:(,Id).ikorkind.'db S'after submittai''date Required onsite;Construction_ •Plans;Stdrn`OAd Pla�sw%Silt Fence installed,
Sanitary.FacilitiesE ,1:.dumpster„Site Wdrk�Permit�for Si Wdivisions/large projects
COMMERCIAL Attach(2}cornpiete,sefs of.;BuitdingiPlans:pius a:Life. afety:Page;(1).set of Energy Forms.R-O�W Permit for:new.cahstruction.
Minimum ten;(10)yporking,days.aftersubmitta(date:;Required onsite;Construction•Plans�;$tonnwater Plans<w/Silt Fence installed,
Sanitary.Eacilibes:&1;diirtipste�'.Stfe'1%Ifoik'Pbrimf for all'new projects.All commercial.requirements must meet compliance
SIGN PERMIT Attach(2)sets.of Engineered Plans.
"PROPERTY SU1RVEYrequired for ail NEW construction.
Directions:
.Fill out application completely.
Owner&:Contactor sign.back ofapplication;,notarized
'if over Woo,a Notice ofCommencemen!Is required. (A/C upgrades 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 (copyrof contract required).
Reroofs if shingles Sewers Service Upgrades A/C . Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways-needs ROW
I
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'undertaice'work, they maybe re4dired-'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'.foc'a;misdemeanor violation
understate lave )f 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,lnspection•Division,=Licensing Section at 727-847-
8009. Furthermore, if the owner has hired :a contractor:ot 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 applyto the:constructiori of,riew buildings, change of
use in existing buildings, or expansion of ez§ting buildings, as specked in Pasco County Ordinance number 89-07 and
90-07, as amended. The.undersigned.also.._understands,-that•:su`ch fees, as may be,due,_will be identified at the.,time of
permitting. It is further understood that`Tr'ansportation.Impact Fees and Resource Recovery Fees must be paid.prior to
receiving.a "certificate of occupancy" or final-.powerxelease. 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$2,5.00.00-or more, I
certify'flint'l; the• applicant;'have'Uben<-provided with a•copy of the "Florida:,Construction-Lien Law—Homeowner's
Protection Guide" prepared by the Florio.Department of:Agriiculture,and;Consumier Affairs. If the.applicant.is:someone
other than the"owner";,I..certify that-1.have'obtained a copyof the,above described'documentand 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 wiiork--•and instollation'''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•"�C'ity'`cod es;:zoning-regulations, .and"land development regulations in the jurisdiction. I also
certify that I understand that the-regulations of other.government agencies z may apply,to:the intended work, and that,it is
my responsibility.to identify what actions:1,must take to be-incompliance. Such agencies include but are not1imited to:
Department of Environmental Protection-Cypress Bayheads, Wetland-Areas-and Environmentally Sensitive
Lands,Water/Wastewater:,Treatment.'
Southwest Florida Water Manage ent District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps,of-Engineers-Seawalls, Docks, Navigable Waterways._
Department of-,Health &s`Rehabilitative Services/Environmental Health Unit=Wells, Wastewater Treatment,
Septic Tanks,. �
US,Environmental-Protection Agency=Asbestos.abatement.-
- Federal Aviation.Authority=Runways:'
understand•that'the..foilowiog-.restrictions..applyto,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.:,"Afi,;.it.,Is• understood,.that a;drainage;plan addressing a
y..,.�, .
'compensating volume will.be_:submitted at t'irrie'of•permitting;virhich s,prepa.6d by a professional engineer
licensed by.the State of Florida. ..;„
If the fiill'enaterial�'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 the7stem 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 filLis found_.to adversely affect-adjacent.:properties,the:owher-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. Iunderstand.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 issuedshall be construed to. be a license tol 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 afterthe time the.work is commenced. An extension
maybe requested, in writing, from the_Building Official fora 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 RES.ULT'IN YOUR
PAYING TWICE FOR-IMPROVEMENTS TO'YOUR-PROPERTY. ]F:YOU_INTEND.TO.OBTAIN FINANCING,CONSULT
WITH•YOUR.LENDER_OR AN ATTORNEY BEFORE-RECORDING YOUIt NOTICE.OF.0 MME EMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn t ( r ffirmed)before me thl§_
by Eby •mee. &Cie f C/?l
Who is/are personally known to me or has/have produced i Who i r rsonalfg1kriown to me or has/have produced
as identification. \&etSL!CeA,05wF as identification.
Notary Public Notary Public
i
Commission No. C
7
Name of Notary typed,printed or stamped kar6e of Notary typed,printed or stamped {
.4
,5
;E
I 1
1_ J
' I
LA
i
:
I i f !• fflil -
1�1'__rLL
LC
--N _ -oJ- --i
I ,
--I
' , I l i , � i J � .I N
I
-- ! -- -- - -�- -
i
1
__-'----�--'-- --- -J-_i__ �, TLC _ � __J_� .l__ 1----
-
1
!
66T
I
I
1-3
Ul
LU
- 1- - �--- =0
1
1 , '
..j
1 d I ION
1,`
1
Tit -iI
,
- r--1 I
i I
7-7
KX
_
I r I !
i
I I
,
,
1
,
- -'-- -- -sd --' - -- --- -- -
I
i
- -
,
,
I
I-
!
--
;
f I
, ---T--
• � I i -- 1--- i I �---- 1 I ' I I i , , � ,
' f
i I I I
'
I ,
'
I
I