HomeMy WebLinkAbout21-1588 .j.®
. ,.y City of Zephyrhills PERMIT NUMBER
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5335 Eighth Street
Zephyrhills, FL 33542 :)BILEHOME-001688-20
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 08/25/2021
Permit Type: Mobile Home
Property Number Street Address.
34 25 21 0180 00000 3590 7851 Kay Marie Avenue
Owner Information Permit Information u Contractor Information
Name: RAFEL&OROZCO COLON Permit Type:Mobile Home Contractor:ALL FLORIDA
Class of Work:Mobile Home New MANUFACTURED HOME SVCS LLC
Address: 7851 Kay Marie Ave Building Valuation:$27,000.00 (AFMHS)
ZEPHYRHILLS,FL 33542 Electrical Valuation:
Phone: (787)509-3536 Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$27,000.00
Total Fees:$7,358.64
Amount Paid:$7,358.64 I �o (d j
Date Paid:8/25/2021 12:04:12PM (((
Project Description
INSTALLATION MH 28 X48 SQ FT
Application Fees
Irrigation Connect Fee $175.00 Public Safety Impact Fee-Police $254.00
Irrigation 3/4 Meter(Cale) $473.78 Mobile Home Sewer Connection Fee $1.045.00
Mobile Home-Mechanical Fee $45.00 Mobile Home Water Connection Fee $505.00
Transportation Impact Fee-Mobile Home Park $3,595.68 Park Impact Fee-Mobile Home $573.73
Mobile Home-Electrical Fee $45.00 3/4 Water Meter Fee(Cale) $473.78
Public Safety Impact Fee-Admin $26.35 Mobile Home/Park Model/RV Setup Fee $65.00
Transportation Impact Fee-City $36.32 Mobile Home-Plumbing Fee $45.00
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.
CO-NIVrCTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
• 00004236)
FORPTY OF -
BILLING CONTACT
JAMES WAGNER
ALL FLORIDA MANUFACTURED HOME SVCS
LLC (AFMHS)
36814 TERESA RD
DADE CITY, FL 33523-6537
INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION
INV-00004236 1 08/19/2021 08/19/2021 Due NONE
REFERENCE NUMBER FEE NAME TOTAL
MOBILEHOME-001588- 3/4 Water Meter Fee(Calc) $473.78
2021 Irrigation 3/4 Meter(Calc) $473.78
Irrigation Connect Fee $175.00
Mobile Home-Electrical Fee $45.00
Mobile Home-Mechanical Fee $45.00
Mobile Home-Plumbing Fee $45.00
Mobile-Home_Sewer.Connection_Fee__-___
Mobile;Home,WateLConnection,Fee=
Mobile Home/Park Model/RV Setup Fee $65.00
Park-impact=Fee;Mobile'Home - =-T=�=- �- •_ _—__ $573 73
Public Safety Impact
7851 K -- Public_$afety�lmpact=_FFeeee=.-AP=doC mlicteiyrry- y'-_--,---
Transportation=lmpactaFee-i
Tarso -- ---�-- --�--� -- 3-$;$25$25396465'3:6035028rtaoI .
ay
�-,
`
Marie Avenue Zephyrhills, FL 33541 SUB TOTAL $7,358.64
REMITTANCE INFORMATION TOTAL $7,358.64
City of Zephyrhills
5335 8th Street
Zephyrhills, FL 33542
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August 19,2021 -- 5335 8th Street,Zephyrhills,FL 33542 �y ��� Page 1 of 1
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department rr �
Date Received a s Phone Contact for Permitting
Owners Name Lai(lei l.t.i //�� Owner Phone Number J
/ Owner's Address lr\ Ar Owner Phone Number
r
Fee Simple Titleholder Name F Owner Phone Number
Fee Simple Titleholder Address t
JOB ADDRESS %tz, ` au (Y)a r` I 1 t 1 ®-�T#
1.1 Q�
SUBDIVISION (.!. It l��1 PARCEL ID# 3y- — - �, - b �b — ✓ _rD
t
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN 0 Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL Q
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE laibl HEIGHT "1 l
BUILDING $ VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ AMP SERVICE vV PROGRESS ENERGY Q W.R.E.C.
PLUMBING IS
\6�
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER COMPANY 1 '�
SIGNATURE p � 11 REGGIIS/TfERED�1 2 Y/N^� FEE CURREN u YIN
Address '�'{ �c. 1�--& r I J5S)✓ License# � VA �L
ELECTRICIAN COMPANY \\ \ \1 11
SIGNATURE REGISTERED I
�Y I N 'FEE CURREN Y/N —�(
Address M,..Q, J d 1 on C\(7_5'11W# E C I bb�v 1 TQ 11^^
PLUMBER COMPANY
SIGNATURE REGISTERED (�Y//NN �? FEE CURREN Y/N
Address T I JJ Wense# ` 1 11 l
MECHANICAL COMPANY C T
SIGNATURE REGISTERED YIN 3 FEE CUR/rR�E�`N�M I YIN
Address Q License# ' v %
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address I License#
i!i!!!!i!!iill!!i!i!!ii!!it!!!!1
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,Stornwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Persil 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 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.
-
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement'is required:(AIC upgrades over$7506)
'• Agent(for the contractor)or Power of A_ttomey;(fo"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
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
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 slate and local regulations.If the contractor is not licensed as required by law,both the owner and
contractor may be cited for a misdemeanor v olation 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.,
f• UBSE vi •nme"t"Qrotection Agency-Asbestos abatement.
Federal'Aviation Authorjty-Runways.
I understand that the following.restrictions apply to the use of fill:
Use of fill is riot 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 P AN ATTQRNEY BEFORE RECOR12ING YOUR NOTICE QF COMMENQEMENt.
FLORIDA JURAT(F.S.117.
OWNER OR AGENT CONTRACTOR
s rib an s or ( a Ji.imed)before me this s r b nd swor toy( affirmed) org mkt is
W islar erso ally known to me or has/hav roduced Who is/are personally known to me or has/have produdLld
as Identification.
yp,o(��� p as identification.
r �IVotja�ryPublic L]i"t�VfiISC_ Notary Public
Commission No. 11 �7 0 Commission No.
0.
Name of NotaryItyped,printed or stamped Name of No tally typed,printed o stamped
LYNDAJENEBLACK ra LYNDAJENE BLACK
MY COMMISSION c'C'
# 347465 " ;
*; MY COMMISSION#GG 347465
f* EXPIRES'October 20,2023 a EXPIRES:October 20,2023
'°?;rEe'a�' Bonded 711fu No'M Pubs Undelvrtttera :1,.reoF Bonded Thru Notary PublicUndenrtiters
2/24/2021 34-25-21-0180-00000-3590 1 Pasco County Property Appraiser
Parcel ID 34-25-21-0180-00000-3590 (Card: 1 of 1)
Classification 00000-Vacant
Mailing Address Property Value
COLON RAFAEL A &OROZCO YARLEY T Ag Land $0
V Land $27,493
7851 KAY MARIE AVE Building $0
ZEPHYRHILLS, FL 33541-7738 Extra Features $0
Physical Address
7851 KAY MARIE AVENUE, Just Value $27,493
ZEPHYRHILLS, FL 33541 Assessed (Non-School Amendment 1) $27,493
Legal Description (First 200 characters)
Non-School Taxable Value $27,493
See Plat for this Subdivision School District Taxable Value $27,493
GRAND HORIZONS - PHASE FOUR PB
61 PG 023 LOT 359
Jurisdiction
CITY OF ZEPHYRHILLS
Land Detail (Card: 1 of 1)
Line 'Use Code Description I Zoning Units Type Price Condition IValue
1 0200V LP1-1 Mobile Home Sub OOM1 6,000.00 SF .$4.40 1.00 $26,400
2 0200V LP1-3 Mobile Home Sub OOM1 1,987.00 SF $0.55 1.00 $1,093
Additional Land Information
Acres Tax Area FEMA Code I Neighborhood Code(s)
0.18 30ZH X { GDHZ
Building Information (Card: 1 of 1)
Unimproved Parcel
Extra Features (Card: 1 of 1)
Line ,Code IDescription y ear iunits (Value .
No Extra Features
Sales History
Previous Owner: WALLINGFORD DIANE
Month/Year Book/Page Type ,DOR Code Condition mount
11/2019 10014 / 0716 Warranty Deed 01 Vacant $32,000
04/2010 8314 / 1175 Warranty Deed 3 01 Vacant $32,000
03/2007 7446 / 1045 Warranty Deed Vacant $0
12/1995 3508 / 0207 Warranty Deed j Vacant $0
10/1993 3214 11147 Warranty Deed Vacant $0
https://search.pascopa.com/parcel.aspx?parcel=2125340180000003590 1/1
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KEY FEATURES:
• 3 Bedrooms,2 Baths Split Plan ---1
• Great Room/QPen,
• Large Eat-in Kitchen7Dining
RoomMa
• Custom-Cabipets&,Upgrade
Appliance:Paekage . 0 '
• Very Lar9 v
B.Beclrooms` I
• Glamorous Mast&8ath w/China i
Sink"&Linen C,atiiriet t. _ i .
• Large Closets . .F-� Fr
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Jacobsen Standard Features
Fiberglass Shingle-Roof I
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VVood .SiieatFiing lExterior Wails ' __"i r I-rr IF
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• Truss Roof:Rafter System rrrr'r
• lnsuiated'.Ffex-Duct..System , N xi ��m " rrr.I Fr-
p=rr-rrrr-r-
• Ventilated,Roof'Cavity
,rr.rrrrrr
• Vinyia.ap.,Siding ; rrrrrrrrrr-r Y ! Rl
a-rrrrr � rrrr I
2" x 6" Exterior Walls M is :-emuz r-rrr ,• ;rrrrrr=� '
• 2"x"4»interior illalls r" i.o ►; frrf LOOFFFF
F' 2 c,"F D
• Double Nlarria_ge lNails` I . LL; rrr`rrt PzE:F F—
• Decorator-ypsurn Interior Walls" !,:
Reinf rc%d,PolyvIn: l,Bottom;Board �. x .:rr i
• Solid Steel:l=Beath Frame ! :
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• " _Tie-Down Correctors - p
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• phut-offvaives°on all Sinks i 1-C-r ,� ,-'
and Commodes sa., ..r C�N7EGlN$ i >,
.. .. \-, �'yl"' I: y.0 _Y ,_S _._ • SHELF. _ ! '.
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SPECIFIGATK?NS:
Square Feet 1;280
Dimensions:.28'x 49'
SETUPS AND LANDSCAPING MAY VARY.ALL SIZES ARE .
APPROXIMATE AIVD NOT SHOWN TO SCALE ;rv;
35162 State Roati_ 4 W: 'Zep}iyrhills,Florida 335'4l" Ogee(813)788-3300 `
www.sunerestsales.com email:sales@suiierestsales.coni
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467 Swan Ave • Hohenwald,TN 38462 • (800) 284-7437 • www.olivertechnologies.com • Fax (931) 796-8811
OLIVERTECHNOLOGlES,INC.
INSTALLATION INSTRUCTIONS FOR FLORIDA
MODEL 1101 "Y"SERIES ALL STEEL FOUNDATION SYSTEM PAN&CONCRETE(revision 5/18)
PATENT#6634150&OTHER PATENT PENDING
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OLIVER TECHNOLOGIES,INC.
FLORIDA INSTALLATION INSTRUCTIONS FOR THE
MODEL 1101 "V"SERIES ALL STEEL FOUNDATION SYSTEM
MODEL 1101"V"(Steps 1-14)
LONGITUDINAL ONLY:Follow Steps 1-9
LATERAL ONLY:Follow Steps 1-3 and Steps 10-14
ENGINEERS STAMP FOR CONCRETE APPLICATIONS:Follow Steps 15-18 ENGINEERS STAMP
1.SPECIAL CIRCUMSTANCES:If the following conditions occur-STOP!Contact Oliver Technologies at 1-800-284-7437:
a)Pier height exceeds 48" c)Roof eaves exceed 16" e)Location is within 1500 feet of coast
b)length of home exceeds 76' d)Sidewall height exceed 96"
INSTALLATION OF GROUND PAN
2.Remove weeds and debris in an approximate two foot square to expose firm soil for each ground pan(C).
3.Place ground pan(C)directly below chassis I-beam.Press or drive pan firmly into soil until flush or below soil then install pier per
manufacturer's instructions or per Florida Regs.
SPECIAL NOTE:The longitudinal"V"brace system may also serve as a pier under the home and should be loaded as any other pier.
It is recommended that after leveling piers,and one-third inch(1/3")before home is lowered completely on to piers,complete
steps 4 through 9 below then remove jacks.
INSTALLATION OF LONGITUDINAL"V BRACE SYSTEM(Model 1101 L"V")
NOTE:WHEN INSTALLINGTHE LONGITUDINAL SYSTEM ONLY,A MINIMUM OF 2 SYSTEMS PER FLOOR SECTION IS REQUIRED.SOILTEST PROBE SHOULD BE
USED TO DETERMINE CORRECTTYPE OF ANCHOR PER SOIL CLASSIFICATION.IF PROBETEST READINGS ARE BETWEEN 175&275 A 5 FOOT ANCHOR MUST
BE USED.IF PROBETEST READINGS ARE BETWEEN 276&350 A 4 FOOT ANCHOR MAY BE USED.USE GROUND ANCHORS WITH DIAGONALTIES AND
STABILIZER PLATES EVERY 5W'.VERTICALTIES ARE ALSO REQUIRED ON HOMES SUPPLIED WITH VERTICALTIE CONNECTION POINTS(PER FLORIDA REG.).
4.Choose one of the approved longitudinal tube installations;either Diagram A or B.Then select the correct square tube(E)length from the
diagram for appropriate pier height at support location or cut and drill 1.5"square tube to achieve appropriate length.
PIER HEIGHT 1.25" 1.50" PIER HEIGHT 1.50"
(400 Min.- 456 Max.) Tube Length Tube Length 9/16"Dia.(562)hole (400 Min.- 60°Max.) Tube Length
7 3/4"to 25" 22" f
_ L,. R 7•;/4., s; `32=;_:, ' '`,T8_.:�,; - 1 18 to 25. 28
33 to41 44 18
=40 to 48
Part E "' " '
- 30 to 40- 44
Diagram A 0.75" -
Diagram B
5.Install(2)of the 1.50"square tubes(E)into the"U"bracket(J),insert carriage bolt and leave nut loose for final adjustment.
6.Place I-beam connector(F)loosely on the bottom flange of the I-beam.
7.(For Diagram A installation)Slide the selected 1.25"tube(E)into a 1.50"tube(E)and attach to I-beam connectors(F)and fasten loosely
with bolt and nut.(For Diagram B installation)Attach the selected 1.5"tubes(E)to the I-beam connectors(F)and fasten loosely with bolts
and nuts:
8.Repeat steps 6 through 7 to create the"V"pattern of the square tubes loosely in place.
9:Using standard hand tools tighten all nuts and bolts.(For Diagram A installation only,secure 1.25"and 1 .50"tubes using
four(4) 1 /4"-14 x 3/4"self-tapping screws in pre-drilled holes.)
INSTALLATION OF LATERALTELESCOPING TRANSVERSE ARM SYSTEM(Model 1101 T"V")
THE MODEL 1101"W(LONGITUDINAL&LATERAL PROTECTION)ELIMINATES THE NEED FOR STABILIZER PLATES&FRAME TIES.
NOTE:THE USE OF THIS SYSTEM REQUIRES VERTICAL TIES SPACED AT 54".
FOUR FOOT(4')GROUND ANCHOR MAY BE USED EXCEPT WHERE THE HOME MANUFACTURER SPECIFIES DIFFERENT.
10.Install remaining vertical tie=down straps and 4'ground anchors per home manufacturer's instructions.NOTE:Centerline anchors
to be sized according to soil torque condition.Any manufacturer's specifications for sidewall anchor loads in excess of 4,000 lbs.
require a V anchor per Florida Code.
11.Select the correct square tube brace(H)length for set-up lateral transverse at support location.The lengths come in either 60"or
72"lengths.(With the 1.50"tube as the bottom tube,and the 1.25"tube as the inserted tube.)
12. Install the 1.50 transverse brace(H)to the ground pan connector(D)with bolt and nut.
13. Slide 1.25"transverse brace into the 1.50"brace and attach to adjacent I-beam connector(1)with bolt and nut.
14.Secure 1.50"transverse arm to 1.25"transverse arm using four(4) 1 /4"-14 x 3/4"self-tapping screws in pre-drilled holes. Page I
PATENT#6634150&OTHER PATENT PENDING Revision 08/23/18
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INSTALLATION USING CONCRETE RUNNER/FOOTER
15. A concrete runner,footer or slab may be used in place of the steel ground pan.
a) The concrete shall be minimum 2500 psi mix
b) A concrete runner may be either longitudinal or transverse,and must be a minimum of 8"deep with a minimum width of 16 inches
longitudinally or 18 inches transverse to allow proper distance between the concrete bolt and the edge of the concrete(see below).
c) Footers must have minimum surface area of 441 sq.in.(Le.21"square),and must be a minimum of 8"deep.
d) If a full slab is used,the depth must be a 4"minimum. Special inspection of the system bracket installation is not required.Footers
must allow for at least 4"from the concrete bolt to the edge of the concrete.
NOTE:The bottom of all footings,pads,slabs and runners must be per local jurisdiction.
LONGITUDINAL:.(Model 1101 LC"V")
16. When using Part#1101-W-CPCA(wetset)simply install the bracket in runner/footer OR When installing in cured concrete use Part#
101-D-CPCA(dryset}.The 1101 (dryset)CA bracket is attached to the concrete using(2)5/8"xY concrete wedge bolts(Simpson part#
S1623ooH 5/8"X 3"or Powers equivalent).Place the CA bracket in desired location.Mark bolt hole locations,then using a 5/8"diameter
masonry bit,drill a hole to a minimum depth of 3".Make sure all dust and concrete is blown out of the holes.Place wedge bolts into drilled
holes,then place 1101 (dry set)CA bracket onto wedge bolts and start wedge bolt nuts.Take a hammer and lightly drive the wedge bolts
down by hitting the nut(making sure not to hit the top of threads on bolt).The sleeve of concrete wedge bolt needs to be at.or below the
top of concrete.Complete by tightening nuts.
LATERAL:(Model 1101 TC"V")
17. For wet set(part#1101-W TACA)installation simply install the anchor bolt into runner/footer.For dry set installation(part#1101-D TACA)
mark_bolt hole locations,then using a 5/8"diam.masonry bit.drill a hole to a minimum depth of 3".Make sure all dust and concrete is
blown out of the hole.Place wedge bolts(Simpson part#5162300H 5/8"X 3"or Powers equivalent)into(D)concrete dry transverse
connector and into drilled hole.If needed,take a hammer and lightly drive the wedge bolts down by hitting the nut(making sure not to
hit the top of threads on bolt),then remove the nut.The sleeve of concrete wedge bolt needs to be at or below the top of concrete
18. When using part#1101 CVW(wetset)or 1101 CVD(dryset),install per steps 17&18.
Notes:
1.LENGTH OF HOUSE IS THE ACTUAL BOX SIZE
2.[3—=LOCATION OF TRANSVERSE BRACING ONLY
3 ® =LOCATION OF LONGITUDINAL BRACING ONLY
4,�J-=TRANSVERSE AND LONGITUDINAL LOCATIONS
ALL WIDTHS AND LENGTHS UP TO 52'
Al I WIDTHS AND LENGTHS OVER 52'TO 80"
Ell 1 .1 11
HOMES WITH 5/12 ROOF PITCH REQUIRE:PER FLORIDA REGULATIONS
6 systems for home lengths up to 52'and 8 systems for homes over 52'and up 80'.
PATENT#6634150&OTHER PATENT PENDING Page 2
Revision 08/23/18
I-Transverse Arm,I-Beam Connector I-Transverse Arm,I-Beam Connector
B
Part#1101-D-TACA
H-Transverse Arm H-Transverse Arm Part#11 01-W-TACA not shown
Top(1.25'1 Top(1 257
Bottom(1.5'1 Bottom(1.51
I Cement Block I 1 CMU-Pier
Omitted I op Omitted I I
LFor_ari y J Conned orD-Con e Transverse `ForC`ity J
D-Pan Transverse Connector
< ' C-Concrete5lab/ 16°Max.��
C-Ground Pan Footer
Anchor
Bolts
Model#1101 T"V" Model#1101 TC"V"
Florida approved 4'ground anchors may be used in all locations except where home manufacturers specifications for sidewall
straps are in excess of 4,000 lbs.These locations require a 5'anchor.Per Florida code.
C=GROUND PAN/CONCRETE FOOTER OR RUNNER
D=GROUND PAN/CONCRETE U BRACKETS TRANSVERSE CONNECTOR(connects with grade 5-1/2"x 2"1/2"carriage bolt and nut)
E=TELESCOPING V BRACETUBE ASSEMBLY(1.5"TUBE BOTTOM AND 1.25"TUBE INSERT)OR 1.5"TUBE
F="V"BRACE I-BEAM CONNECTOR ASSEMBLY
H=TELESCOPING TRANSVERSE ARM ASSEMBLY
I=TRANSVERSE ARM I-BEAM CONNECTOR(connects with grade 5-1/2"x 2"1/2"carriage bolt and nut)
J=V PAN BRACKET(connects with grade 5-1/2"x 2"1/2"carriage bolt and nut)
I-Transverse Arm,I-Beam Connector
F-"V"Brace I-Beam
H-Transverse Arm Connectors
Top(1.25'1
Bottom(1.5")
Part#1101 D-CPCA
Part#1101 W-CPCA not shown
D-Pan Transverse Connector _
/Concrete Transverse Bracket
0
0
C-Ground Pan
/Concrete Footer -Pan V Bracket/
Concrete V Bracket
E-"V"Brace Tube(151 —
1 e
t
Part#1101 CVD
Model#1101 "V" _
Model#1101 C"V"
Page 3
PATENT#6634150&OTHER PATENT PENDING Revision 08/23/18
- Terry L.Rhodes
}1j A SAFER Executive Director
IDA
2900 Apalachee parkway
HIGHWAY SAFEV' D MOTOR VEHICLES Tallahassee,Florida 32399-0500
www.flhsmv.gov
MEMORANDUM
TO: All Steel Telescoping Lateral Arm Manufacturers
FROM: Wayne Jordan, Operations Services Manager, Manufactured ing Section
Florida Department of High Safety and Motor Vehicles
DATE: August 6, 2018
SUBJECT: Elimination of Requirement for Supplemental Frame Ties and Stabilizer Plates at All Steel
Telescoping Lateral Arm Locations
The Department has reviewed some concerns expressed by several of the steel telescoping lateral
arm mahufacturers regarding the Department's requirement to install supplemental frame ties and
stabilizer plates on the steel telescoping lateral arm systems.
In an abundance of caution;the,Department required supplemental frame ties/stabilizer plates at
each lateral arm location In June of 2002.After researching data from storm reports,the Department
has found no evidence of the need for these supplemental frame ties/stabilizer plates.With this
information in m!n"d,the Department will discontinue the requirement for the supplemental frame
ties/stabilizer plates at each lateral arm location.
Manufacturers who wish to change their installation instructions to remove this requirement, must
resubmit their last engineering report showing the whole house test without the use of supplemental
frame ties/stabilizer plates. upon receipt and review of the engineering report,the Department will
remove the requirement for supplemental frame ties/stabilizer plates. Each manufacturer will be
notified within two weeks of receipt of the engineering report.These reports must be sent to my
attention at 5701 East Hillsborough Ave,Suite 2228,Tampa, Florida 33610.
if the need arises in the future,the Department may impose additional requirements to the steel
telescoping lateral arm systems with a change to Florida Administrative Code Rule 15C-1.
------------------------------------------------------------------------------------------
• Service - Integrity - Courtesy - Professionalism • Innovation - Excellence
An Equal Opportunity Employer
����j��~�^ ���� OliverV ^ ���x, �e�/� Installation y �frwr°�
.� ��^^n. o�_� v�x Technologies Revised
Jordan, Herbert^HorbartJnndan@flhsmvQovp Fri, Aug 24. 11:37AM (3 days ago)
' hn Brian Valente
You are viewing an attached message. Gmai| can't verify the authenticity
of attached messages.
unon.
The department h�si received Oliver Technologies engineering report showing Oliver Technologies All steelFoundation
Brace System Model 11D1V was tested withoid frame ties/stabilizer plates. Pursuant to the departments memorandum
of July 23,2018,Oliver Technologies may start offerino the Model 1101V All Steel Foundation Brace System without
the frame fie/stabilizer plate ot each lateral arm location. |n order tn avoid any confusion bo building departments,
Oliver should send the new installation instructions to your suppliers who sell the Model 1101V System.
Operations Services Manager
Manufactured Housing' Section
813-302-5032
'
From: Brian Valente
Sent:Thursday,August 23,2O1812:53PM.
to: Jondan,Horbe�
Subject:Oliver Technologies` Revised Installation Instructions
'
HI Wayne,please seethe attached Install6ition Instructions that reflect the changes we spoke about on Tuesday. If you
have any questions or notice�� errors, please let meknow.
Thank you for all of your help.
Brian Valente
Oliver Technologies
FL,Sales
678-574-0946
,.A
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367,Swan Ave o Hohenwald, IN 38462 0 ziu`%�-�:.:r~ .--=��_`�=��_.,�_F�,:•..�...;�u_.�=��.��.:�.��'-; ,_I� .. .. _� •
(800) 284-7437 s -xvw'w.olivertechnologies.com o PaxT(931) 796-fi8"]l`'`k
InstallationJnstructions forABS"Pads
For use on.all Mobile and Manufactured Homes, including
HUD approved Homes and .Modular Building
Patent#t5503.500.and other patents pending
GENERAL INSTRUCTIONS:
1.Alf pads are:to be installed:flat side down,ribbed side up.
2.The ground under the pads should be leveled as smooth as possible Mth all vegetation and debris removed. Pads to'be placed on evenly
compacted soil,at or Below the frost-line or otherwise protected from the effects of frost.Refer to NCSBCS/ANSI A225A
3.Pier 8.pad spacing will be determined by the manufactured homes'written set=up instructions or any local or state codes.
4.Center blocks on ABS pad and complete pier.
5.The open cells between the ribbing on the upper:side of the pads may be filled with soil or sand after installation to prevent any accumulation of
stagnant water in the pads:
6.A pocket penetrometer maybe used to determine the actual soil bearing value. If no soil testing equipment is available-use an assumed soil
value of 1000 lbs./square foot.
NOTES:
is All pad sizes shown are nominal dimensions and may vary up to 1/8'..
2.The maximum:deflection in a single pad is 5/8'measured from the highest point to the lowest point of the top face.
(NOTE: Actual test results were less than 5/8')
3.Pad loads.are the same when using single stack or double stack blocks.
4:The maximum load at any intermediate soil value may be interpolated between the next lower and next higher soil values given in the
table below-
5. Any ABS.pad configuration may be used to replace a home manufacturer's recommended concrete or wood base-pad.
6.Steel Piers: All pads are tested with"steel piers on 1 Q06 PSF soil density unless otherwise noted. If required,attach with
.2'#12 x W hex tech screws. Minimum Pier Base 7 1/4'.The Multi-Pad configuration requires a minimum 9 1/4'.pier base.
7.Available pads tested on 2000 PSF soil capacity using steel piers are: IC#1055-14, 1055-9-1 1055-7 and 1055-13.
8. If soil capacities exceed 3000 psf,use the 3000 psf soil values from the table.
PAD SIZE ID N0: PAD AREA
Oval 16'x 18.5' 1055-23/AIT-06-1000 288 s .in. 2000 Ibs. 3000 lbs. 4000 Ibs.
Oval 17'x 22' 1055-161Arr-oE-1 001 360 sq.:in. 25001bs. 3750:lbs. 5000 tbs.
va 1 7 5'ii 2 105 384 go.in. 2667 Ibs. 4000 lbs. 5334 Ibs. =. 6667 lbs 9600 lb
a 1 5° 2 5' .: . : 055-1WA =06- 00 :.: 432 s .in. 3000:Ibs. 4500 Ibs: .6000 Ibs.
Oval 21'x 29'. .1055-22/Arr.06-1003 576 s .in. 4000'lbs. 6000 Ibs: .8000 Ibs.* 10000 Ibs. 12000 lbs.
Oval 23.25'x.31.25° 1055-20/AIT06A 004: 6.75 s in.: 4688 Ibs:. 7032:lbs. 9376 Ibs..*-.: . i 1
PAD SIZE ID NO. PAD AREA 1000 PSF 1500 PSF 2006 PSF 2500 PSF 3000 PSF
S uare 16°x 16' 1055-14/A =06-1005 256 s ,in. 1778.lbs. 26641bs.: " 3556 Ibs. 4445 lbs. 5333 lbs.
S uare 18.5'.x 18,51 1055-9/A -06-1006 342 sq.in. 2375 lbs- 35501s. 4750 Ibs 5935 Ibs. 7100 lbs .
S 6dare=20°z 20' 1055-7/AfT-06-1607 400 s in. 2750 lbs: 4126 Ibs. 500 Ibs. 6875.tbs. - 8"250.Ibs:
_.-..
uare ` 2 °. . . . . .1055 `3! -06- 8 0 . . 76 s i 000 bs: 6000 Ibs.. . 6 bs t
_ QO bs `. 800 lli "`
*Indicates that Piers are required to be double blocked.
EXAMPLE: 16'x 80'section(Alabama only)
PAD SIZE 1000 PSF 2000"P$F
Oval 16'x 18.5° 3,0„ 6,0„ rir:,;_
Oval.17 22' 31911 71611 a?
Oval 17:5"x 22.5' 4,0„ 8101,
Oval 17.5°x 25 5": 41511 gip„ A. Q rx: ;�. �.
ENGINEER APPROVAL
Revised 08.08.12 Page 1/2
A -
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�" � �1 Y.iti� s ?���,�.<K•�;r•k�•�'1� _-•�s;fl:.1rt1 1.• �rk�.�' �_ ;�
467 Swan Ave o Htih.eriwald,TN 38462 0 (gOD) 284-7437 . wwvv-olivertechnologi^es.i:om � Fax (931) 796-8811 �`�,-. � -:
Mutti-Pact Configurations
Soil Bearing Maximum
ABS Pad Types 8"Cell Block value Load
Oval 16'x.18.5'Pad 2.00 Square Feet ID 1 1055.23/AIT-06-1000 32-x 185" Single Stack 1000lb5.1 sq.R. 4006It--
Oval 32'x 18.5*-Pad Con urallon(03) 4.00 Square Feel Pad Configuration Double Stack. 2000 lbs.1 sq.R- .. 8000Its.*
Oval 17'x 2T Pad_ ._ 2.50 Square Feet ID 9 1055-16-AIT-06.1.001 34'x 22' Single Stack 1.000 lbs.}sq.14 50001b5.
Oval 34'x 22'Pad Carifigurailon(03) _ 5.00 Square Feet Pad Configuration Double Stack___2000 tbs.1.sq.FL 10000 lbs.x
-
Oval 17.5-x 25.5"Pad 3.00 Square Feet J ID 8 1055-171AIT-06-1002 .35-25.5- Side Stark. 1000 lbs-1 sq.ft_. 6000 lbs.
Oval 3T s 25.5"Pad Configuration(03) 6.00 Square Feet i _ Pad Configuration __Double Stack 2000 Its.l sq.It. 1 12000 lbs.
'Concrete blocks_are only rated at 8000 pounds,8001 pounds and higher.must be double stacked.
PAD ASSEMBLY
-
............. ............. a4.
w
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'rs§-- �: „+"��yy -+.},�'._^.ryi.- � _ __ '•i�•-,"t _'7 f'Y^-.tc"v ..y 5�:''S` ___
�`4'•'l-• • _ < •- - - _ '.�..Z#-tie -4-
.�-=� -- ::fir. � - - •F-�- - -
-t'
_
s
�x Jv
-STEP 1 -1 Y x 22''ABS Pad STEP 2 - (2) 17" x 22'r ABS PADS STEP 3 = Complete Assembly
(34" x 22" Configuration) 34" x 22" Plulti-pad Configuration
NOTES:
1. General instWctions(on reverse)apply to all multi-pad configurations.
2. The 32"x 18.5"pad configuration is formed by using-(3) 16"x 18.5"ABS Pads. Place(2) 16"x 18.5"side by side,and place
(1) 167 x 18.5"on top,laid in the opposite direction to the bottorn pads.
3. The 34"x 22"pad:configuration is formed.by using(3) 17"x 22"ABS Pads. Place(2)17"x 22"pads side by side,and
(1)Tf x 22-pad on top. The top pad is laid in the oppsite direction as the bottom pads_
4. The 35"x 25.5"pad configuration is farmed by using(3) 17.5"x 25.-5":ABS Pads. Place.(2)17.5"x 25.5"pads side by side;and
(1) 17.5"x 25.5"pad on top.The top pad is laid in the opposite direction to the bottom pads.
F V.
STATE SPECIFIC NOTES: X''
TEXAS:17.5"x 22.5"ID#1055r21 and 23.25"x 31.25"ID#1055r20 may not be installed in the State of Texas.
CALIFORNIA:Use an assumed value of 1000 lb/sq.It.unless engineering and calculations are provided.
ALABAMA: For the Slate of Alabama.all ABS pads shall not have more than 3/8"deflection.See chart on
page one for details on correct installation in Alabama.The 23.25"x 31.25"ID#1055-20 may
not be installed in the Stale of Alabama.
ft'J!t•�t{•'"
ENGINEER APPROVAL
Revised 08.08 12 Page 2/2
Stare of Florida
DEPARTMENT UP
HIGHWAY SAFETY AND MOTOR VEHICLES
• c�we
TALLAHAu^SEE, ]FLORIDA 32399-0500
FRED U. DICKINSON, III
Executive Director
February 18,2000
Mr.Lon Larson,General Manager
Manufactured Housing Foundations Systems Incorporated
A,Division of Oliver Technology
562 Glenheather Drive
San Marcos,Calitom' is 92069
Dear Mr.Larson:
We wish to acknowledge receipt of your specifications and test results certifying that
your ABS.Pads listed below,complies with the rules and regulations set by the Department of
Highway Safety and Motor Vehicles, Florida Administrative Code,Rule I SC-1.0103.
Based in,the information submitted to this Bureau,the following products are listed for
use in Florida when the installation instructions are provided at the job site.
Foundation Pad Capacity_"art
Pad Pad MAXIMUM:PIER L,O?J5 ,IN POUNDS
Configuration Area Soil.Bearing Capacity PSF
(Sq.lat.) 11000 2.,000 3,000 Remarks
qne padl7.0"x 22.0" 2.5 2,500 5.000 7,500 MAX=7,500
Configuration using 3 (three) 5.0 5,000 10,000 NIA MAX=10,000
17.0"it 21.0."
N(77'E All Pad configurations are approved for single and double blocked colurnrrs.
Single block columns not to exceed 8,000pounds
Sincerely,
Phil Bergot,Program Manager
Bureau of Mobile Rome and
Recreational Vehicle Construction
Division of Motor Vehicles
PB:bse
Revised Much 17,2000
DIVISIONS/FWRIDA HIGHWAY PATROL • DRIVER LICENSES • 1VIOWR VEHICLES • ADMINISTRATIVE SERVICES
2900 Apabchee Parkway,Nelt Ki Tk ;(n Rullding, Thllahagsee, Florida 323"-0500
lilt P!llw-A'
OAQCO COUNTY, FLORIDA
.- ., Permit No. Lsi 8
Date Permitted
Builder Name/Owner Name Mrrh M A(s 1-tC- Control# ''
k County Parcel No. 3q 2,,S2 t D 16o Qaoa 3,517 0 SubDiv:
YAtAe
AddresslLocation 7 E56 i ii 6gfi ,�//__
Classification/Type of Use fk6kw//t'_ �d"�
TRANSPORTATION IMPACT FEE • Rate: Sq.Ft Unit: 3
Exempt [�Yes ❑ No How Determined
Impact Fse Amount $. c i;3�.(� Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House Amount $
(057) Mobile Home
(058) Other Residential
} 23) Collection Fee
1 Exempt 6 Yes Q No How Determined
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
4 '
E
Recreation Account Recreation Credit Recreation Total
Zone TOTAL AMOUNT $ �73, 73
Exempt ❑Yes ❑ No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt ❑Yes ❑ No How Determined Total Amount ` .r
RESOURCE FEE ERU
TOTAL AMOUNT
Prepared By ��^ Checked By
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN.PAID AND
RECEIPTED FOR'BY A CENTRAL PERMITTING OFFICE-OF PASCO COUNTY
Acknowledgement below does not Imply acceptance of concufrence,but simply receipt of•a copy of this form,placing the building permit owner on notice of this assessment and the conditions of payment for same.
DATE RECEIVED BY
RECEIPT NO. DATE BY
INSTR#2021177154 OR BK 10419 PG 3480
' Page 1 of 1
08/19/2021 04:02 PM Rcpt:2342071 Rea 10.00 DS:0.00 IT:0.00
t—
rroTxc ;o�:corr�cr
State of_F'ior,An County of
THE UNDERSIGNED hereby-gives noticethat improvement.wi l be made to certainreai:propert ,
and in accordance with:Chapter 7'13,Flbrirla'StaEutes ttie:folln ing 3r�forination'is:provided;
this,Notice of Commencement:
: t
1. Description ofProperty: Parcel.No. nM C)n 3 g
(Legal.descri tion of�the property:and street ad s if available)
2. General-Description-of Improvement
j
3. Owner Information: Name n t-Address �\ r 1 C YV�C» QV�Y �
te-- E"l �
Interest in Property: 1 �3
p 'hid:z;-�ti ot•,o °y.>
Name of Fee Simple:TStleholder: i � �"� 4 ,,�:' � ,,A+ ��, m `♦\
,(If other than owner)
Address. K,
City i State
r '
4: Contractor:.Name lie
Address 4AAL; `1 e(-e SG )ed City State F l
5. Surety:Name I
Address ' City State o
i v
Amount of Bond: $ i v C tU cn o
6. Lender:.Name C a � o
U IV
t I o . N w
Address City State a+ •� �,
7. Persons-within the:State of Florida;designateddby Owner.upo ..whom.notices or other 1 a 0 a
documents may':be-served,as provided?by:.>Saction'713.13('1)'(a).(7};:Florida<Statutes: i Q � ° 8 "' @
cao � m aia
� L U C? L
Name
� c ooli
I � i � Q L a � T
Address City I State o co
8. In addition to himself,Owner designates co (U � ¢ o
of to receive a c py of the:Lienor's:Natice as 2 Y T
pravided.in Section 71°3.13(1),.(b),Florida°Statutes. " i
I
g -F piratien date of-Notice o£Co�uc&�nt(tbe.expiratian.Uate is i year from the'date
of recording unless.a different.date:is:;speaMed.)
Signature of Owne �'�'
Sworn to,and-.subscribed before me this day of Z�c
Notary Public:
wy Commission-Expires:
20930530481A WMAJENE BLACK
MY COMMISSION#GO 347465
EXPIRES:OcWW20,2023
+ '•;7,gr.?,",• ..-WThm Notary Pu111-U1111-t -
i
f
PAS Receipt Date: 08/26/2021
BUILDING CONSTRUCTION SERVICES Receipt Number. 2067457
8731 Citizens Drive
COUNTY FLORIDA Suite 230
OPEN Sri MAWPLACES New Port Richey,FL 34654
727-847-8126
NOT A PERMIT **
Paid By Check# CC Auth# Cashier ID Workstation
Check 1033 JDAWSON BCCCP41 L
Fee Description Amount Paid
Impact Fee Residential Solid Waste Condo,Multi-Family MH in Part 16.64
Total Payments: $16.64
Pa or Address Phone
All Florida Manufactured Home 36814 Teresa Rd 813-454-4214
Comments:
3425210180000003590
7851 Kay Marie Ave
While you will be paying your bill with Pasco County Building Construction Services,the full amount of the credit card or e-check fees,NOT shown above,Is
collected by First Billing payment services.
myrepoits/reports//production/PASCO/Customer Receipt vl f rpt Print Date: 08/26/2021 Page 1 of 1
INVOICE1111 : •
FOR OF '
BILLING CONTACT
MICHAEL BERRY "
HUTTON CONSTRUCTION INC '
2525 BROAD ST
CHATTANOOGA, TN 37408
i
INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION
INV-00005589 11/30/2021 12/30/2021 Due NONE
REFERENCE NUMBER FEE NAME TOTAL
BNC-001555-2021 BP REVISION FEE $67.50
7631 Gall Boulevard Zephyrhills, FLORIDA 33541 SUB TOTAL $67.50
REMITTANCE INFORMATION TOTAL $67.50
City of Zephyrhills
5335 8th Street
Zephyrhills, FL 33542
r
November 30,2021 5335 8th Street,Zephyrhills,FL 33542 Page 1 of 1