HomeMy WebLinkAbout03-2051
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
2051
Perml um er:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc: M.H. SET UP
2 51
MOBILE HOME
MOBILE HOME SET-UP
NOT APPLICABLE
5/06/2003
3,207.50
ress: 3 553 N
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
. Subdivision: GRAND HORIZONS
I Parcel Number: 34-25-21-0010-02800-0000
,.'. . (,Y\t'. G8'IERI'IIICIRU.'.lIt,';;; "<8'::;, .... ,:ii'i;...;: '<;<1
Name: GRAND HORIZON
Address: 37553 NEW HORIZON BLVD
ZEPHYRHILLS, FL. 33542
Phone:
IN .
BUTTERFIELD MOBILE HOME SERVICE MOBILE HOME SET-UP
MOBILE HOME MECHANICAL
IRRIGATION CONNECTION
MOBILE HOME TIF/SUB 99%
WATER METER RES 3/4"
60:00 I WATER CONNECTION MOBILE He
35.00 , MOBILE HOME PLUMBING
175.00' IRRIGATION METER
1,465.20 MOBILE HOME TIF/SUB 1%
180.00
209.50
40.00
180.00
14.80
v
\1,1))
fP la r
J'31
~~
~ ~Ol'P)
(1"
I
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-five dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any furt~er 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.
\~-~I,_O-~~S'R<<;;~<~"I/O~t'~~. .
M~~'c~~~~_. . ) (p / - PERM~FFI~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s\
~'}O
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUIllDING IHllPARTMElN'r 5335 8th S'rREBl'r ZmPHYRHII,IlS, fl, 33540
PhoneI813-780-Q020 FaxI813-780-0021
fJA'rBJ RBelUVlilo ___~-:-..?c ___~_~___
PI,ANSR!IIVIBlW rmBl___~ ___. __ .___
UNNEJR I 8 IIM1EJ~_-.k.!i.~~~__liB.J~L '-z...1!>.L!!!____________.___________________ PHONEl CON'l'Ar~'!'_. ____.
.108 S!TEI ADlJR B8 8 ...:1--:7.5.'..'> :J---.--lJ!.~~_.tb_..!'!:.1 i._<h..J~_________?:::..I .f~ >:: ~_.___ __________. ___
LEGAL DESCRIPTION: LOT(S)
B UJC' K
SUBDIVISION
~~._'--'----
_.._--_....._--~....~-......_--'--~~-
PARC~El1) In #_._.3 L/- :2.:;-:~L -I!~!J!__=-q~ 0 -oot?q_______~.~~T^-~:~__~~RO~~~~:~~~'.~___?~!__.~~~~=.c.!I!'~~._
WORK PROPBEIJ I LJNEJ~I l'ONSTRUCTION [J ADDI'rI(H1 []AI/rElRA'I'ION [1 RBlPAIR LJ IN8'1'1\1,1,
[JSHm
[} MOVE
o DElM01,ISII
PROJ,lOSElD USEl: [.lSGI, FAMILY DWElIJIJIW'~
Ch1tJI.'I'I. FA!vIU,Y
[1# OF UNITS
CJSWH1MING POOL
-ttM08 II, I1J It or"E
I] OTHER
fJ Cm1!v1HlRC!IAI,
o INDlJS'I'RIAI,
IlESCRIPTION OF t10RK
o RI3J8TAURANT & HElAIJTII DBlPARTt'1I1JN'r APPROVAL
If ffii(
__...h.::.._________...~-- ._______.____.__.__.____. ___.______.______. .._________.._____.__~. __ _.._ _____ _.
SQUARE FOOTAGE HBlIGH'r
--" .-------------
8urr.nIN(~ SIZEl
...-----..----..-.-----
RESIIJElNTIArll
Um1MElR(!IAIJ I
~-_.----.._~.- -.---.--..----
A'J''r1\CH (2) PI,o'r PIJAIlS & (2) SElTS OF BUIltDING PLANA & (1) SElT E1NElR(P{ FORMS,
AT'llAJ~H (3) SE'l'S OF BUiLJJING PLANS & (1) SElT E1NI1JR(~Y FOR~18,
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUUTION.
iERMITS REQUESTED
[] BtlIJ.1JINn
$----------._._._, VALUATION OF TOTAl! CON8TRlH!'rION
[1 ElI,l!ICTRlCAI,
---.---______ AMP SERVICE
[} FI.oFUDA POWER
[] W,R,E1,Cl.
[] PI.tIMBING
LJ HE:l!IH\.NWAIJ
.
$ --- ----'------
- VALUATION OF tiECHANCIAI, Il-ISTALIJATTON
[] (JAB
[J ROUFIN(3
[J SI?ECJIAJ/l'Y
[J OTHER
'l'YPlil OF CONS'1'RUc!'rrON I [J BI,oCK
[J FRAME!
[J STElEJ.
[) OTHER
FINI8HEJIJ Fr.oOR EIJElVATIONS
--..-------
IS PRO,fE)CT IN FLOOD ZONEI ARElA n YElS
[) NO
EHIILnlll~
81GNJ.\'1'lJREl --~~LJ~_..__________
"'**.**'*'*****************""*****'****"*'***'******t**'***,**
cmiPANY _~___._~_______.____._~..____.______.__. .__
STA.TEl CElRT OR REGIS'l' # ----..--___.h.___________._______
CITY PROCESSING L_,.___._____.____._~...__...____.____.
BJr,BJOTRICIAN C011PANY -..LJ_S_-=:::....____ ______________________._ _.___
S] l3llATlJRFJ ______ _.~_~~-.------------ ~'~~~Ep~~~~8~~N~El~TS'1. #_____._____._______________.____
PI, UMB BI R
*~**~**********************************************'***********'**
COMPJ\NY--~-_--h-----h..--.--.---,______..
STATE CElRT OR REGTST # _______.____._..____.~.
CITY PROCESSING #
-~------ ---..-.-----.--.---. --"---"'---"---
SWNATtJREl .._l."")._~
S ImlA'l'tJREl ----.!:d_
*******'*"******'***************'*****'***********'*********'**'*
COMPANY ~-~------"--"-'-------'"'-._'__h___'''
STA'rEl (~ElRT OR RElCH 8'1' #_________._____________________.__
CITY PROCEl8SING #
------~.-....---~- -..--..--.-.---..--..---------..--------.--
MBlCHANICAr.
.---- -- ------'~_._._-_..._---"--_._-,---._..._-~._----
*.********'*************.***,*******,*************,***..*...*****
OTum!!.
----...._-------_.~~--~----.-
(~ot,1PANY
STA1'E CElRT OR RElmsT-#-~~-"-.----_. - ~._-----..-'-_.._.__...__..._----
c!r'rv PROCESSING # ~--"'.'~---_'___'_R___"_____"______,,
S WI-IA'l'UREl
~------_._--_._-
******************'**********************'*********'*'***********
.----.--.-~-~-. ~._.- ---<----.---------...____. _._ __,._ L"._~__.. _.____,
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any, applicable deed restrictions.
B. 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
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the ~Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of ~Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the ~owner", I cerify 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.
E. 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, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my responsibility to identify what actions I lfiUSt take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-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
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
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 code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be 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. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
19_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
19
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
C1ho is personally known to me, or
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Odid Diid not take an oath
o who has produced
(type
and whoO did Odid not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
-L r....
A)C 4/ .....J 0 v
1<
"
~
'"
l
~
l
r~1
... .,
~ ~
, t-' ~
~ ... . .
~ 0...
~ ..... . ~
..
, .
~
~ " ~
~ ~
~ !-
~
~
t""I
t---
~
~
~
~
0.. ~
~ >--....
~~~
~6~
. u.. ~
o 0> .
~~j
~~-
,... ::l
~~
"-
-
tf\
'- 1-
0 u.. - - -
~
....
, ~
--L
:r ~ '~'Q
~ ""
~__ ~ t ...~ .' .... ~
, .-
~ 1
~ ~. ~
- I,,)
~ '~J ~~
~
" ~
~
~
.... ....
c:--. ~
-.. ...
...
I'd
~-.JOd.::!
'v
,...
~ '"
, r
- ,
~ ~ 1'\
~ ........ ....... ~
~ ~
" ~ ---S
~ ) '.,j
e, :Y ~
~
k. -<
.~ ~ .~
~ ~
""'i
~-.Jd::- l :~: ::-007.:-10-17
.~
........
~
~- -l ~
' c:"- VI I- -l
;\4' i--:::.., z iii
;:) I- W
'.~ ..; .... ~ 0 (I) Cl
'(1\ '0( I;::; ~ <C IX:
" '-. Z <C -l <C
;:) l- I- J: ~.
rl\ ..(\ ~ iii z (.)
ll. ;:)
... ",-> w >- 0 0 0 ~ u ......
-", Q. !!!
'. '" ~ a:: ~ I- ei w ~
- ....., a:: >- Q z Q <C Q ~
'\-\\, W W !D f-
f :\ ~ ~ a:: '~ f- -l I I j I I I
w <C ;:)
W (f) Cl 0 t(\
'" 0\ !;( \ ili
;;; '" ~ 0 0 0
~ 0 '\. z
~ w
:.::
... N r:5
0
0 en "- a::
"I ~
'" ...J W
;:. ...Jc( ~ 0
'" a::
;;; -0 0
J:-
<i a: a: ~ --.
~ >g - ..... .J
iii J:u.. ...
'"' Q,uf ~
()
=> UJ::f
0
0 N:i:
a:
a. LLa: t'n
f8 O~ J: \A \
w Q. \i
z
(jj >w \:J \,'"\,
:> I-N
lD (3 ['-....
W c:::x
() i a -
z ~
~ ~ .J ;-n 0 ~
.... 0 0 0
a: ....
0 .) '~ >-
lL
a: <:.} !DO
w ,- '., OW
Q. ..... -) wf-
; (j) f-W
,. (j) W-'
0 \0' W -lQ.
W Cl.~
Z cr 0 w ::;;0
~ 0 '> 0 00
~ 0 0 a:: '> a:: a:: Ow
<C W a:: w a:: w .~~ :.::!:;:
~ (f) W f- I-
';1 (f) W w W a:: 0
'cr <9 W u. ::;; I- ::;; ~""
crw 0 lJ.. Z W N'. ---
cr WI- Z ;; 0 0 -l ~ :.:: a:: .. \
W :::i ....I 0 W
~ Zz cr f- Z r:5 0
3:w ~ ::J a:: <C W J:
W J: ::J (/l W :I: 0
~ ocr ~ (j) (f) f- ~ a:: 0
~ ....I
~ I- ....I
~ z iii
'^ ;:) Iii W
0 '~
i; ,c ~ Cl \\
J t1\'1 '1 ~ <C IX:
Z <C -l ~ \~
.~ ;:) l- I- .
I, ~ z (.) ~
ll. ;:) U
~ W >- 0 0 ~
Cl t= ei Q. ~ !!!
ell ~ a:: w
<> a:: a'i >- 0 z 0 <C Q ~
W f-
"- - :::.. w ~ a:: U ~~ I I I I I I
do r j
;::: -- W <C Z
'" W ~ (f) Cl d t'r\
!;( >- ili ,~
;;; 0\ 0 0 !D
~ 0 ? z .\.) z
0 ~~ w
.. >
0 a
0 en a::"~
"I a::
'" ...J ~ .'-...... W
;:. ...Jc( 0
'" a:: a:: /~~
;;; -0 o ! 0
J:- \
U a:D: \' /\ ,
;;; >g ~
rJi J:~
'"'
() Q,cn \
::l tu::f ~
0
0 N:i:
a:
a. LLD: r-
ia o~ f"{\ I ~'J
w Q. I
Z \
(jj >w If". "
:> !::N -\. .~
lD ~)
W U ~
() d
z ~
~ 0 0 0 0 .~
~ ,~
lL f\r:, >-
cr .- -,~ !DO
w ''V '~ OW
a.
(j) \ wf-
I-W
0 \/\ (j) ') ~~
w W Cl.::;;
z cr 0 w '- ::;;0
~ 0 '> 0 '- 00
~i 0 0 a:: '> a:: a:: "~' ow
0 c( w a:: W a:: W ~ :.::!:;:
(f) w l- f-
<C 'a:: w (f) w W W ;\{' '. ,,--. a:: 0
<9 u. ~ f- ::!E ~""
crw 0 lJ.. Z W
a:: WI- z ;; 0 0 ....I ::!E :.:: a::
w ::i ....I
~ Zz a:: I- z r:5 0 0 W
3:w ~ ::J a:: <C w :I:
W :I: ::J (f) W J: 5
~ ocr ~ (j) (f) f- ~ a:: 0
.-. ~-hl i ': .'._ ,~
~.:: 1"" ~,...,,, t;.~ ~~~.. f: .... ..J F;,~ 'Ff .:~ ::;u:;: -::;: .::;":"7 '::;;
j~!f-~1~(:lf".~I) ;-iOI:~-I?:Gi.~~::;
.C:' '(: t:;:~.: .-,:.r~'f~.~~_::::.~~~ :\~E,:;j ~-~C'i~' ~::.:tJ~\.i
:: ':::' ~:; ~,... i=::
.,;::-'7 .~. :."'::.,
: '- __-r.n ,
,:;'::::.~:.:::::: ;::,..,... ;""li.."fTI..:
',,;:(;.-:::.:..:.;,:)
.:~~~::.~: _:::::~ :'i~~.C'!::~
(JF" i?:,~::'::;lL~ F"',; ~.'i :: _'._ ,_..3
'l-t.~ S,~.~.'''..'::~~.::'-.~21._..~'f;, ::"'.,:'-.:'2S~:t:.-. i "-1
._, _2 .:) :.: \3
f:i''\.~.r ;:;~~.;~(: -r f: F~;: ,:_;~,":;.) '::':-~7 (;'
- .:; ~'-;,i ~,~: i.. <
C~ ;:: j'...~ .-~
;:~: t: i'T~ F:Ol\! ..{
,-;:.C,:::::Li;T
! .::.1.(
":':..i'I-~C: I... i....~
JE~3(:RrPTI~JN/I!~f~RM-- 0~'T!4
.....01:;
....-.(-,
., ....
-".1
;... ,- ;
';.i.-;+,:.:.:5(
-":';'(:O..-~';./'_.. 0..'-
--;f':'~':*:;f':'f:;f
';3;:1_~:~~) ~.Uf~':.t~3'-;;::
-,_.,....
-~.
~
./;:?'\ /
---- .. ---- -/-/r -..
/: .' ,
._~" V
,,-
.
PASCO COUNTY, FLORIDA
Permit No. ._-,-z::~(!.;2..!.______._
Date Permitted __ 3~_r(_.._C3 _
Builder I\~alne/Owner Name __,._...:.QJ.:....~~':_~'c:.~Q__il~_~~~_____ Control # _________________.__._
COllllty Pal (;ell'I().}_ll:.(;l~~__<>!-J -Jl!C?/Q__Q.-?:JLO(L_JLP C1S2...__ SubDiv: (,,'1f::.tL(:_~.!{QKI.2~L1t~L{/ i)
Ad d res s/l_ 0(;8 tlo 11_')'1 ~~~)__:?_ __.~L~_~::~ _ fLQJ5_ \ ~. Q _N___-'JJv.. (l________________ n_______. ~___
Classificatlonl rype of Use _Q~_('~J~~_~Q__.hl 'F~ l_~~:~~:""_...________.____._n_ ______.__________ _._.________
TRANSPORTATION IMPACT FEE
Hate: _.___________ Sq Ft Unit: __________._____._
Exempt [I Yes [;JNo
Ilow Determined
Impact Fee Amount ~_~____.l,.~I~__~~__....1)t'___
Zone No, TAZ:
-..-.."--,-......
SCHOOL IMPACT FEE
Exempt
(056 )
(057)
(058)
~t. 'II ~3)
~/rYas
Single-Family Detached HOLlse
Mobile I-lome
Other Residential
Collection Fee
[] No I-low Detennlned
Arnount $
Account
PARl<S ANn RECREATION FEE
Lalld Accollnt Land Credit
Hecreatiol1 Account
Recreatipn-erEidft
Hecreatlon Total
Zone
..---'-"
TOTAL AMOUNT ._~_.____.._____.__ n_________
---
Exernpt J]-Y6S/ [] No
How Determined
'~,:";""..--....---.~,-"-",,,,...............................----,~.......-......--,....._--~................._.......
LIBRARY FEE
Lanel Accourlt
Land Credit
/ -rand Total
.......--.-------:=.---:::=-.. -- _..
Facility Account_ . __________~______ Fa0I.1~y-Credlr~~_.._.______________. Facility Total
. EX8I1lpt[J Ve!)-'['] N-~
How Determined Total Amount
RESOURCE FEE
TOTAL AMOUN'r
ERU
PI 81 lar-ad By
__ ____.__ ___________ Checl<ecl By
NO GERflFIGATE 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
AGl\rIowledgernent below does Ilot Imply acceptance of concurrence, but simply receipt of a copy of this form, plaG1nu
tlte building permit owner on notice of this assessment and the conditions of paYl1lent for samB.
DATE !
RECEIPT NO. {s,J !:..!~1_ DATE
-- F~ECE IV-EO-S-y---------------------.
BY