HomeMy WebLinkAbout03-2152
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
2152
Permit Number: 2152
Permit Type: MOBILE HOME
Class of Work: MOBILE HOME SET-UP
Proposed Use: MOBILE HOME SUBDIVISION
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 6/16/2003
Total Fees: 3,207,50
Amount Paid: 3,207.50
Date Paid: 6/16/2003
Work Desc: MOBILE HOME SET-UP
Address: 37524 NEUKOM AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s):27 Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number:
Name: GRAND HORIZONS
Address: 7645 GREENSLOPE DRIVE
ZEPHYRHILLS
Phone: (813)782-1866
BUTTERFIELD MOBILE HO E SERVICE
BUTTERFIELD MOBILE HOME SERVICE
ACE AIR CONDITIONING & ELECTRIC
ACE REFRIGERATION, INC,
MOBILE HOME SET-UP
MOBILE HOME MECHANICAL
MOBILE HOME TIFISUB 99%
WATER METER RES 3/4"
IRRIGATION CONNECTION
40. I
60,00
35,00
1 ,465,20
180,00
175,00
WATER CONNECTION MOBILE HC
MOBILE HOME PLUMBING \
MOBILE HOME TIF/SUB 1% opf""
IRRIGATION METER iO".~
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I
209,50
40,00
14,80
180,00
-03
I ~L16
, t \
I REINSPECTION FEES: w~en extra inspection trips a e 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 paYn:!ent of inspecti~n 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 ~ .
~.L:'S~\k~' c51.
NO OCCUPANCY BEFORE C.O.
,;
~
?
SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPAR~~NT 5335 8th Street, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021 / _/~ _ O-:z..
DATE RECEIVE~, _~
PLANS REVIEW FEE
OWNER'S NAME 6-~J
.....
,JOB ADDRESS 1....,;/ ~7
/IoAI ""Z ..~...J
,7'7S~ Y Nc: ....j(o~ Av-e...
PHONE
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEl, ID it
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: 0 NF~W CONSTRUCT ION
o ADDITION
OALTERATION
o REPAIR
o INSTALL
Os rGN
o MOVE
o DEt10LISH
PROPOSED USE:: OSGL Fl\MILY D~lELLING
o COMMERC TAL
OfvlULTI - FAt1IL Y
o INDUSTRIAL
0# OF UNITS
o SWIMtHNG POOL
~LE HOME
o OTHER
DESCRIPTION OF WORK
o RESTAURANT & HEALTH DEPARTt/IENT APPROVAL
fr1,f(
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RES IDENTIAT~:
Cm1HERCIAL:
ATTACH (21 PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,
ATTl\CH (31 SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
o BUILDING
.~
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICl\L
AMP SERVICE
o FLORIDA POWER
o W.R,E,C.
o PLUfv1BING
o MECHl\NICAJ~
$
VALUATION OF
'\ '
//'1/:5)- )
MECHANCIAL IHSTA[,LATION ~
o GAS
o ROOF'lUG
o SPECIl\LTY
o OTHER
TYPE OF' CONSTRUCT ION: 0 BL,oCK
o FRAt1E
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
BUILDER
SI(;NATURE GJ~~;t:)
COMFANY L5.~
STl\TE CERT OR REGIST #
CITY PROCESSING it
**~***~**~***********~*+******+**~****~***+***~************~~****k
ELECTRICI~
uJ ,. - ~LiJ l:Jy;J,'
SIGNATURE ~_
COfvlPANY )1c... <<-
STATE CERT OR REGIST #
CITY PROCESSING #
PLUMBER
********************************k~*************~****~**********k**
L?~
SIGNATURE:
COt/]PANY
~D STATE CERT OR REGIST #
6-J ' CITY PROCESSING it
************ *****************************************************
MECHANICAL
SIGNATURE W ~.w
ffc..--
COMPANY -
STATE CERT OR REGIST it
CITY PROCE:SSING *
*****~*************~****4******************~*****~****~**~*******
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
**********************************************~**k********'*******
CONDI'.rrONS OF' PERlVJI'r AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned undel.'stands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes ret:iponsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED d)NTRACTORS Al'lD 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 ovmer and contractor may be cited for a misdemeanor
violation under state laH. If the owner or intended contractor al.'e uncertain as to vvhat
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 perulitting privileges in the City of Zephyrhills,
C. 'l'RANSPOR'{'A'rION H1PAC'l' FEES Al'llJ UTILITY CONNECTION FEES
D. CONSTRUC'rUION LIEN LAvl (CHAP'l'ER 713, FLORIDA STATU'rES, AS AMENDED)
I certify that I, tile 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 obt~ined a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to COMnencement.
E. CONTRACTOR' S/OWNER' S AFFIDAVI'r
I certify that all the information in this application is accurate and that all work will
be done in cm~liance 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 Hark 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 must 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 'l'reatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Ar:my Corps of Engineers-Seay/alls, 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
i.s prepared by a professional engineer registered in the State of Florida pri or to pe,['Jllit
issuance.
A permit issued shall be construed to be a license to proceed with the Hork and not as
authority to violate, cancel, alter, or set aside any provisions of the tecllllical 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 cOlllmenced H1thin
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 conunenced. 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 RESUL'l' IN YOUR
PAYING 'rWICE FOR IJvlPROVEMEN'l'S TO YOUR PROPERTY. IF YOU INTEND '1'0 OB'IIAIN InNANCING, CONSUL'I'
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'II. JOBS UNDER
$2,500 HI VALUE DO NOT NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEMEN'I'''.
SIGNATURE; OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OE' E'LORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by,
acknowledged
2Q_,_.
S'l'ATE OF FLORIDA
COUNTY OF
'llhe foregoing instrument Has acknowlec\jted
Before me this -----------s:lay of---,-._,,--, )_
by
(name of person ackno~lledged)
O/ho is personally known to me, or
(name of person acknowledged)
o who is personally known to me, or
of identification)
take an oath.
Dwho has produced
(type of identification)
and vlho Ddid []:lid not take an oath
o who has produced
(type
and whoD did Ddid not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
::- ~:~.::.,
o#!,..
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PASCO COUNTY~ FLORIDA
,......._-
Perrnlt No. .;:115:L
...._..~-.,--_._-..,- ..--., '...-..--..-------
Date Pennltted .L=.&~t2:3._
; .
. tl .~'
Bnlld., Nofllb/Rwnb' Name" Y/u",d (l~... Control # ___...._._.._._.~::_.__..
Cnnnty Polcel No. .,11/ :gL:t2L :I:c'{.'//!:..-I ,':;;(tf:J :.!L22 SubDiv: l.1.h~Q/~
," , , L
l....' ) //
Add res t:i/Lcll;i;j lion .=...2 'j,j ':J 1.-,/!{~ /7111 (..4CL_....__ _.'_.____ ..... __...'._.___.,._____._.
Classificatiollll'ype of Use ~?22 ~'~J.,_~.lLL.__,._______.__."._. _". ...______,,_.,., '...._..._....
TRANSPORTATION IMPACT FEE
Rate:_.._._.._____,_ Sq Ft L1llit:
Exelllpt ['j Yet;; 'h1 No How Determined _'___.._.._____._,.____.___ "__.._....,.,......_
Impact Fee Amount ..$ ..--L!Lll.1,~J"I._.. Zone No. __________ TAL:: _.__..,_..__, "_'.
- (j, It., LJ "2
SCHOOL IMPACT FEE -
Account (056) Single-Family Detached House
(05'1) Mobile Home
(058) Otller Residential
Exempt \~~':2s rj~I.~~on F~70",,[)~Ja'lftln"d ___ _______ _.___________ ... .....___
PARI(S AND RECREATION FEE
Land Accollnt ....____, Land Credit __________ Land Tqtal
---.-.- - ----.---.-...-. .----....-.-..
Anlot.mt
$ ,.'
-----=-:~:=~~-~._- .
."
----_.._..-~-.-._----...-...._..~._,.-.....-.~._._._-.
-~- .----,..-- .. ---~~...__."......,_.,--_.-,--_._,~.
Recreation Account F<ecreation Credit Hecreatlnn Total
'--'. --~-- -._-.."- ."-..-- ...-- -'--- -- ~- -..- - '--' -..--....--.....+-----.....-.--.-
Zunc
... -..-..------.--...--.. --..-..-.
'I'C>TAL. AMOUNT ..~___._..._........._...
EX8rnpt '--I y~s fJ No
L1i3-RARi FEE-------
Land ACCOlHlt
How Determined
-.-..-------..-. ~.__.._..__.._---._- .... --'-'-'--, -.-- ...-.-----.----......-- -....
...... -............---...........---.-.
.....~ --'""--...--.--..-
Land Credit
_.._--_.-._-_._~-~--.--~--
L.and Total
Facility AccOllllt '...
--- ....-...--. '-"-.+. '._.. ..__n....._ ..._...._ '_.
'- -'. ~--+.-"---~--'--"-'" ....-
Facility Credit ""_"_"__ __'."'___ Facility Total
Exempt l]Y&iS I] No
RESOtJ RCe-FEE------------
TOTAL AMOUNT
H_._....____...., ._..~..~__.__,~._.._
Ilow Deterrnined Total Amoullt
._.._--_...~_..._-- ------"_.-.__._..~.~_._~.
ERLJ
--.....--...........-.---..----.....
~._--_.__.._-~.- -._.__._--~.- .----.~~---_._-~
..---_._._----.-.~._... --.--p.-.----...-.....- ._~-
~~."..,._._-_.....__......~,.._..~..
--..-..-------
---"- -~~
-4__
Prepared By __.'__L, .,..
-. - .-.--- _._,-- .---.-.- '..-- .---..-----
Checl<ecJ By
---.--'--.-__h._..__..._.___~_.. '__.. _._"__~_..'"._.._._
NO CERTIFICATE OF OCCUPANCY WILL Bl: ISSUED OR FINAL INSPECTION
PERt:ORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND
REGEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
AGI;nowlbdgernenl bblow does lIolllllply acceptance of concurrence, but simply rbGelpt of a copy of thlt:! form, placlnu
tho bUilding pannit owner on noticE! of this assessment and the conditions of payrntlnl fur same.
-.-----.-... -__ __ 'h'._"_,__,,,~__,_, . ___ __ __".'__._..__. ________.
DArE
-"r<ECElv"ED 'Sy--' '.-....-_.u__._____
RECEIPT NO, " L .. l(,:.\'I,) DArE' L.. \... ( ) '\) ". BY
~d.____.i _, ,_ _'_____~___
.hi Ll. },_, ?\~!:(=.,.,___.. _...., .,_'__..