HomeMy WebLinkAbout20-582 D
City of ZehY h rhills
"�� P:ERMI,T_NUMBER •"
-r 5335 Eighth Street
- Zephyrhills, FL 33542 3BILEHOME-000682-20
Phone: (813)780-0020
�rl Fax: (813)780-0021
Issue Date: 09/10/2020
Permit Type: Mobile Home
Property,Number Street Address 5 �
32 25 210040 01400 0130 7187 Steer Blade Drive
Owner Information. Permit Information Contractor Information
Name: D R HORTON Permit Type:Mobile Home Contractor: D R HORTON INC
Class of Work:Mobile Home New
Address: 12602 Telecom Dr Building Valuation:$2,000.00
TAMPA,FL 33637 Electrical Valuation:
Phone: (813)549-1968 Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$2,000.00
Total Fees:$110.00
Amount Paid:$110.00
Date Paid:9/10/2020 3:16:06PM �J
Project Description
CONSTRUCTION TRAILER SET UP
Applicatioh Fees. ?
Mobile Home-Electrical Fee $45.00 Mobile Home/Park Model/RV Setup Fee $65.00
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property.If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications add fee Must Accompany Application.All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
-- ---- uny or Lephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting (�5b eGtai a lvZ C� C�t�I�Or�8n CAM
Owners Name !� n r Owner Phone Number „_ _l.' {{ct
Owner's Address 2 334 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number_
Fee Simple Titleholder Address}
JOB ADDRESS ` / / "�+CA° ! G ter _ LOT#
SUBDIVISION1 PARCEL 1D# � "��
r (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRR ADD/ALT L.� SIGN 0 DEMOLISH
F-i 'INSTALL REPAIR
PROPOSED USE 0,,. •. SFR Q COMM OTHER d '�;/ f
TYPE OF CONSTRUCTION L BLOCK FRAME 0 STEEL
DESCRIPTION OF WORK --
BUILDING SIZE SQ FOOTAGE HEIGHT
QBUILDlNG 0d, VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING 1$ � �. � �J'�--• .
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
I
=GAS C ROOFING 0 SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER 0 �,�,.�.�e''"" COMPANY I'1
SIGNATURE .... REGISTERED Y'/ N FEft CURRES Address, 12 O License# c%CCU 39'642'
ELECTRICIAN > COMPANY . SCA
SIGNATURE REGISTERED Y/ N FEE CURREN T7 N Address. r License# �a 639-13-
PLUMBER COMPANY Pluto-
SIGNATURE -� "� �—'� REGISTERED Y/ N FEE CURB A Yl N
Address Z24100a 3361 Z- License#
MECHANICAL COMPANY IQINAIV,
SIGNATURE REGISTERED ( N FEE CU •Y/N /
Address 5- 0. S3' License# V
OTHER COMPANY G
SIGNATURE REGISTERED Y/fN EE CUR N{
Address 3 Li se# � �.
11 ! lIIILtlllllflLlli.iiilillill ° I !. lIIIIII ( [ llllllltll ! ! ! ! I ! 1 ! 1
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Farms;R-O-W Permit for new-construction,
Minimum ten_(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction..
Minimum ten(10).working days after submittal"date. Required onsite,Construction Plans,Stormwater Plans wl 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.
- ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ r r ■ ■ ■ ■ t ■ ■ • ■ ■ ■ ■ • ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ r ■ L ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■'■ ■
- - - - - - - - - - - - -
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
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions. '
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as.required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing.Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly.licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees'and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks,.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions-apply to the use of fill:
- Use of fill is not allowed in Flood Zone W" 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-T-O-Y-OUR-PROPERTY.-IF YOU-INTEND TO OBTAIN-FINANCING-CONSUL-T
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03)
OWNERORAGENT �"
CONTRACTOR
Sub ri e r}dbsworn to(or affirrr* d)befor,me this Subscribed and sworn to(or affirmed)before me this
�- a y
W o is re personally known to me or has/have prodbted Who is/are personally known to me or has/have produced
as identification. as identification.
Yllaw-mv,"If—A Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or st Name of Notary typed,printed or stamped
pu®` Notary Public State of Florida
Michelle Moyes
u�c• K My Commission GG 057321
for EXpireo 12/21/2020
0�
PERMIT APPLICATION
UTILITIES LOCATE CONFIRMATION NUMBER:
PROVIDE SKETCH IN THIS AREA, IF.ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS
APPLICATION.
AFFIDAVIT: Application is hereby made to obtain a permit to do work and installations as indicated. I certify that all foregoing
information is accurate and that all work will comply with all applicable codes. I understand these codes shall take precedence over all
approved construction documents,and issuance of this permit is verification that I will notify the property owner of Florida Lien Law
req., F.S. 713.
The issuance of this permit does not ensure compliance with deed restrictions and I understand that additional deed
restrictions may apply to this property.
All work shall comply with the current Florida Building Code, Public Works Design Manual and FDOT Design
Standards(if applicable). (Public Works Design Manual online link:www.ci.zephyrhills.fl.us/publicLworks.asp)
APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT
TECHNICIAN OR NOTARY PUBLIC.
NOTE: The City of Zephyrhilis is not responsible for maintenance or repairs of driveways. Driveways shall not alter
interfere with existing stormwater treatment and/ or conveyance.
PROPERTY OWNERS: By signing,this application: I"certify that I have read and understand the owner/builder disclosure
statement.-- (please initial)
1),e� sge- LACh-c 1',as
Applicant Print Name I -AP—Pllcant Signature Date
Permit Technician Signature (or) Notary Signature Date
Applicant is personally known to me or produced as identification.
(type of identification)
Page 2 of 3
PERMIT APPLICATION
OFFICE USE ONLY
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�•>� :P. R N�.
Concrete (min. 6'0 Y N
Asphalt Base (min. 6'0 Y N
Asphalt(min. 11/2'0 Y N
Length (min. 190 - Y N
Width (10'min—20'max) Y N
Existing sidewalk. Y N
New sidewalk. Y N
ADA compliant. Y N
Expansion material required. Y N
Contiguous parking pad. Y N
Triangular flare (3'W x 7'0 Y N
Visibility triangle o.k.?. Y N
Side setback(3'min. R.O.W.) Y N
Plan Review Fee
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Permit application-approved by: Date:
Page 3 of 3.
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