HomeMy WebLinkAbout03-2076
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
2076
Perml um er: 2076
Permit Type: MOBILE HOME
Class of Work: MOBILE HOME SET-UP
Proposed Use: MOBILE HOME SUBDIVISION
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 5/19/2003
Total Fees: 3,207.50
Amount Paid: 3,207.50
Date Paid: 5/19/2003
Work Desc: MOBILE HOME SET-UP
Book:
Phone:
ACE REFRIGERATION, INC,
ACE AIR CONDITIONING & ELECTRIC
BUTTERFIELD MOBILE HOME SERVICE
MOBILE HOME SET-UP
MOBILE HOME MECHANICAL
MOBILE HOME TIFISUB 99%
WATER METER RES 3/4"
IRRIGATION METER
60,00 I WATER CONNECTION MOBILE He
35.00 MOBILE HOME PLUMBING
1,465.20 MOBILE HOME TIF/SUB 1%
180.00 IRRIGATION CONNECTION
180.00
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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 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 O_rdinance~
NO OCCUPANCY BEFORE C.O.
~._-- --------- ---..~-"._------------ .
Res. Rec -r:.5S.~ ~ '&sz- - -
'L tc6~~~?TURE -:t'I'O'" PERMITOFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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(~()JIDJ'l'lOljS OF' PEkl1JT AF'FJ DAVI'I'
A. IW'l'lCIi: Ol!~ DElia) kEI:l'l'RIC'l'IOHS
'J'be llndct::,;iyned lI11dl::rstand;; tllat tlii fj pt::;Lwi t lliay be .:>ubi t;Cl to "det::;d rl::stl.:i.ctions" vitti ell
IllQY be more r'estrictivt:: tllal1 Ci ty raljlll<:ilions. 'l'ht:: l!llcl<n:si gned al:i.:illllll:::.:i l:el;lPOlll;li bi 1J t'l tor
compliance \d th any, applj,calJle d<::",d Lt:::;;tl.'j,ccions.
B. IlNLlnIlISC;D CON'l'RAC'l'ORS AND Cl)I~'l'kjl.C'l'(JR Rb;SI:'ONSIJ3IJ.l'1'IES
1 f the UIIII;;;l ba::; bired a ClJlltractor lJi: contn:lctor.:i to undertake \c/Ork, they may be L'eqllir;;;d
to be Jicen.:ied in accoL'dance Hith aLate and local regulations. ]f the contracl:lH'ib llut
lic;t:;nsed a::; noquired /.Jy laH, both ellc l;\UI",l: and contractor lllay beo c.l ted for a Illi ;:;ddhll:::allor
vIolatiun lllldt::;r I;ltaLe JonL If the miller:, or intendt::d contractor .u:e \IIlcl::,rta1n l'll.> to 1~llaL
Ii ccnsinu requi r"nllell[.:;O lllay apply for the intended \'wl:k, they an" adviSed to conl:anl: the
Cit~i of Z.::phyddll:o buildIng Departll1i:::nt, tl13-'788-6611.
E'urtlltHHlort::, if the- ulmer has Idri:::d a contractor: or contractors, h.. is advi:;oad to hava thl::
conl:1:Olc[.o,l: (s) sign portions of the "Cont,ractor 5..ctions" of tbis OIppl i cation tor Ilhi cb tht;:lY
will bi::: responsibli:::. If you, a.:i the OHnet sign:;o a:o thi::: contractor, you ~re indicating l:hClt
you, rath,u t11c:in the cont!:actor, are rt:;;:;pon;:;iLle for the \'Iol:k. If the cCilltr'l'lctcn VJi;:;llbl;;
you to siyn al;; contrOlctor. that lIlay bt:: an indiccltion tJlaL hi::: is Ilot properl.y liclOnli>Cid and il:l
noL I::ntit.1 c;:d to pi:;l:lIIi tting privilegl::s in the (;,i ty of Zl::pbyrhills.
c. '1'RANS l'OR'l'A'l'J Oil H1PAC'1' }!'EES jl.ND lJ'l'ILI'l'Y CONNEC'I'ION f'E!!;S
n. COHS'l'ROc'rUION Ll!!;H LAW (CIlAP'f'j!;k '713, FLORIDA S'l'A'l'U'l'ES, AS AHENDE:JJ)
I cl;j:rtify that 1, tll\::: al?pUcant, have been provideod Hitll a copy of "li'lorida':;o COlltltulctJOIl
lien Lall - IJoHleOlInI::r:' s Pl:otecti.on Guide" preparl:::d by th.:: Inorida Dep,u:tlllent of Agricllll:urc;:
and COnl:lllll\Cir Affai.rs. It Ulii:: applicant i;:; someone othE:r that the "0111I=1:''', I cerify tll~t I
hOl VCi obtai lH::d a copy of tht:: abOVe descr'ibad document and promise in good tal Lh lo dt::,lj vcr
it to tbe "U\IIH:r(/ {H:iot' to COllllllellC",llient.
E. CON'i'HAC'I'OH' S/OWNER' S At'h~IDAVI'l'
I cert.ify tll"d: a]] tile intormation ill this appliCation 1.s accurate and t:Jlclt a.11 vw!l;: vdl1
be dOIIl::: i.n c.:ompliallC{;; HiLlI ali applicable Ialls n:lgulclting constulctl,on, :.:on1119, and land
de:velopllienL,
Appli t;ation j:;o her::eby made to obtain a pennit to do Iwr);: and installation as IlId! c~ted_ I
cerLi ty that no 110,1:1;: Ot illstaliatj,ol1 lias commenced pric'L' to is::l\Ianci::: of a {lli::ulIit c:ind that
all 1>0/01'1;: I,i 11 bl::: performed to IHl:::I::L ~tandards of all laHs rt:lgul Clting constnlUl:ion, City
codes, zonilHj r"::(Juli:tLiolll;, alld laud devl:::l1opwent rc;:gulation:;; 1.n tilt; juri",d1.ctJolI. 'I a]/::iio
certify tJlat J linder-stand lh"d: the regulations ot otber govii::rmnental agc::::lwi c::::1::i !Hay <;lPP.1 y to
the intf::nJed VIOLk, cllld that it is my .Lesponsibility to ide-oLify vlhat actiolll;l I IlIUl:;\, t<;lhe to
be ill cOlnpliallCe. Such "gencie:;o includebut an: not limited to:^'Department of
Bnvi.r:onmental Regulation-Cypre:o.:i Baybeac.ls, WeLl cHid Ar'eas anu I!;nvirollmentol.l,Jy /:""n:;oi tive
Lewd:>, Water/Wasti:;~'al:t::r 'j'r'eatment
ASulltlll'lfH.t li'loLldii WC:tt=r l1anag~llIent lli:;;t:r:ict-Wells, Cypl.ess BClyhead:;o, Wt::t1cwd An:a..,
Al tt:::r-illg vlalt::rcolll.:::;es
^jl.nLIY Curpo:; ut li:llgillceL",-Seallalls, Docks, Navigable WiitcnJays
AlJ,::pl'lr'l:llIl::nt of l1eodth &. RdlabilitaU,ve ServicC:I::i, EuvirOHllIE:ntal Hea.1th Ilnit-,w..l1:;,
Wa.;>t:eHatcL 'l'Lt::aLmt:::llt, Septic '1'0111)'5
'AU. S. E:nviLCJnWE:ntc:a.1 Protection Ageucy'-At>bcf;ltos abat.:::wE:nt
1 also certify that, jf fill material is to bE: u;:;ed in Flood Zone "A" or "A,etc,", it is
under.::ltooJ that a clr"inaVi::: plall addu:::s:;oiny a "culllpE:n.-:;ati IIg volmllc" viLli bt:: .;>llbud l.ted Hide!.
i,:o f)tepared l)~' a f)L'C.tesSi(illcll engilleer Leg.i::>te.Led in the state of h'loctd<l ptiol, to [ib!:lllil:
i:>l::illi:lIlCe.
jl. pe:cmit i SS\I.:::u shaJl bt:: conotl:lled LO be a license Lo proceed Idtll the VIO!]; i:llld not as
autho,dty to viole,.t:t::, callcel, alt{;;.l, or set: aside any provisiolll::l uf tilt:: technicC:ll COdt::b,
nor shall i.:isuaoce of a pentiL prevent the Building ofticied frolll L:l1ere<ltter reqlllrlng a
correction of err01S ill plans, construction, OJ: violations of Clny code. EVery ljerll1it
i:;osued sh,d] become inv,llid unless the Hork authori~ed by such permit 11'; COIIUllbllUcd Hitldn
::Ii" monllt.::l of i:S::luemce, 0): jf \>%rk authorized by the per-mi.t is sU::Jpended OL' ,dll'lndoncd fo!: Q
pt:itiod of six montbl:l aftcr tht::; timti: the vlOr); il;; COllUlLc:IICti:d. Oni::: 9!l dl'lY t:;KL"msion of tlWti:
may be c:iJ J ('lied fe)): tbb Fermi t \>o/i th fee charge 0f $15. O(). 'l'he (::..tti:lI",i on l;lllal1 be rf:CjI!bl:it:cd
in In1t1ng to tbe: Building Official. An'l'lpproved inspection must: be .Jogged d1ldng cacll l:ii,{
mOllth per::1od, or the projti:ct l,i11 be conl:dder::ed abandoned.
WAR1HNG '1'0 OWNER; YOUH E'AILllRh: TO RECORD A HO'1'IcE Ol!' COIVJMENCEI'1EN'l' HAY HESUL'l' HI YOUR
fAYING '!'VilCE h'uR I1vJPROVE:MEN'j'S 'I'D YOUR PROPER'f'Y. JI:f' YOlJ IN'I'END '1'0 Oh'l'ATN li'HIANCJNG, CONSl/L'l'
WI'1'!i YOUR I.EIWER OR AN A'r'l'OHNE;Y BEIi'ORE RECORDING YOUR NO'l'ICI!; OJ!" COlvJNENCEMh:H'l'. (fObS IJIW!!;H
$2,5UO IN V}~LlJl!: DO NO'I' NEED '1'0 RECORD AND POST A "NOTICE OJ!' COlvn'1E~NCEI'1EN'I"'.
SIGNATURE; OWNER OR AGEH'I'
--.-.-----,--.-.. -_.----_._-_._~_._- .'--- - -.--.--.----.----
SIGNA'rURE: CON'l'HAC'I'OH
s'rATE OE' H'LORI DA
COUN'l'Y Of' -.----__._.__.___
The foregoing j,nstr:urlI..nt, \hlS acknolllE:dgf::d
Before me this _.____,_ day ot __. , 19_
by ".__ h_____._'__h__ ,__,"_____,..____
(n<:illle of pE:nJOn ackno\'lledged)
o I,ho is personc:ally knol'i11 to me, or
S'rA'l'E OF h'LORUlA
COUN'I'Y OE' .___'__________......,_,_________.______
The: foregoiny instrulllbnt: was aclmol,/J bdgl::ld
b.:::fol:C: me this ._____day ot-------, 19
by -'___,.__..____._'__"..___....__,__.,_____"..._______,_ '_h____
(name of pe~~on aCknOHll:::dUc:d)
Olho is pe:rsonally kno\'ln to me, or
[J who has prodllced_.____
(tYpf:::
and ~lllol]c.lid []did nol:
of identification)
tal;i;; an oath.
l~who has p~oduced
, (t yp", ~-rT,l~;)lhi Tl~~~ l:J 011)
and Ilho [] did [lhd II(; t La ].e ",II Oa tll
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PASCO COUNTY, FLORIDA
JOLt{
--......"'-_.~-..-""'"..._-----_.-
~,-..........--_..'-....
Permit No. ,:J [' 7?-'
_._..~+._-~---_...., --~- -.._-, - .--..---------.
'j Date Permitted _ .{~ :..~f!i.__.!'...,3___
\J 1 (/ 1/, '
Builder Name/Owner Name _!'~:.,-,12~-':u~_L_d_~L!2~'\ '_d__ Control # ------__________.____u_._
County Parcel No, -3=L.~s.,)u_=::u~J:__C.._()Lf'..O-?_{~C~C' (:J~.___ SubDiv: (:./YbJ.t1.Q_l1t?J~'T!Lt ( (I I)
Address/Location __" _.i'7 ?o~f..5..___..!:.L'--'!.i-L1:.:~_3lr -~-~d'_--__'--'-___d____m___hu_,,,_____________ '
Classiflcallol1/Type of Use ----f!..~( \ 1:.d~_:a-'_t~/t1 ) -'--~--~--'----------'---'_'_--d_'_________'_____u_
TRANSPORTATION IMPACT FEE
Rate: __;-______~_ Sq Ft Unit:
Exempt [] Yes l~}fjo
How Determined
--- --..----~--._----- -....-----.--..--,.- .-. . ..---.-_.________....__0-.-. ._+_.....__
Impact Fee Amount --tu__-4__:iEo_.__~~"
Zone No. TAZ:
-----_.~--_. .-.-..-.-.... ....----.-.....-
SCIIOOL1MPACTFEE'~ -~
Account (056) Single-Family Detached HOLlse
(057) Mobile Home
(058) Other Residential
tI2:3) Collection Fee
Exempt LJ1es [] No How Determined
Amount $
-----........ ._~-- - -____. _,_ _.~ h_____.___ ~..._ ....
--_._._~..__._..,----_....--..._--.- -..,....
---- ~--'-----"-------"" ------.--
---..-------..------ ..._--_._----,--~-._-_.__.._.__._---
OPAR~(S AND RECREATION FEE
l.and ,Account Land Credit Land Total.
-.-...-.-.----.-. ----.----
Recreation Account
--
F3Sl.creatlorl Credit
Hecreatlon Total
Zone
TOTAL AMOUNT ,_~_____ _'_ _____________..____
Exempt [rYes [] No
How Determined
-.--.-~--,.- _ .-. h'_~__,..._._ ..-...____.._____ __.,.. ____....___,._.._..__ ..- ._..____0
IiEiRARY' FEE" ""----"'.,'-----..-,...-.-~-.~~--~,--~---
Land Account Land Credit
-'-..._......------,..._--,.._--~_..
L~,r)g Total"
Facility Account
FacllltygE~dit, ._'_.____.___.___, Facility Total '''__u____._______
Ilow Determined Total Amount
-.-----...-- --- .----...---...----
Exempt LJXEls,--EJ'Nc;-
'RESOURC'e FEE--'-~~
TOTAL AMOUNT
~ - -..---.....-
ERU
~.__._--~_.~ -..-. ...--....---. -. -"--'--'.-'-
..____.h_._._.._ ',. __.. . __._._._._._._ '__'__._____.__..
-........,.......~~..-.....-.."" "_..._..,.~..~........"..........~,....,......................-._..............~-........................-....~~..-............................_..._--............~.........-......,.....................----..".,~..--..._-_............--.-.-
Prepared By
'Od_, _________.________ Checked By
_.~-_.-- ----______..,. __'..n'__._.. ._.. ~_. _"_.. ___________'.__._._...._~
NO CErfflFICATE OF OCCUPANCY WILL BE ISSlIED OR FINAL INSPECTION
PERPORMED UNTIL HIE TOTAL AMOUNTS L1STI::D HAVE
BEEN PAID AND
REGEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
AcI;nowledgernent below does Ilot Imply acceptance of concurrence, but simply receipt of a copy of this form, placing
tile building perrnlt owner on notice of this assessment and the conditions of payment for same.
RECEIPT NO,
_t'~ ,'~'>-lJ DATE
f4ui{>BY--,~:~~~-::~:::..__:=.
DATE
....--..-...--- ..-...-. ........-.-..---.. __"h'___"_h'_'_..______