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Home My WebLink About03-2187 . r---' . CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 MOBILE HOME SET-UP 2187 Permit Number: 2187 Permit Type: MOBILE HOME Class of Work: MOBILE HOME SET-UP Proposed Use: MOBILE HOME SUBDIVISION Square Feet: Est. Value: Improv. Cost: Date Issued: 6/30/2003 Total Fees: 3,207.50 Amount Paid: 3,207.50 Date Paid: 6/30/2003 Work Desc: MOBILE HOME SET-UP Address: 37620 LORENA AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): 129 Block: Section: Subdivision: GRAND HORIZONS Parcel Number: 34-25-21-0010-02800-0129 GRAND HORIZONS 7645 GREENSLOPE DR ZEPHYRHILLS, FL. 33542 Phone: I MOBILE HOME ELECTRICAL MOBILE HOME SET-UP MOBILE HOME MECHANICAL MOBILE HOME TIF/SUB 99% WATER METER RES 3/4" IRRIGATION CONNECTION SEWER CONNECTI N MOBILE WATER CONNECTION MOBILE HC MOBILE HOME PLUMBING MOBILE HOME TIF/SUB 1% IRRIGATION METER rXF'/J'/P7 .;j(F5' i (f o~//-03 3:<// 5f&tfl H- REINSPEC1l0N FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Thirty-five dollars ($35.00) shall be made for each trip for each trade: (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for inspection when called (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible ~Jhe payment of inspectionfees shall be made before any further permits will be issued to the person 0 Complete Plans, Specifications and Fee Must Accompany Application. . A / I All work shall be performed in accordance with City Codes and Ordinances /) J I NO OCCUPANCY BEFORE C.O. 75:fIJFf 9-F~~.rt!-V.ro'l.n.- ?-~1/P-~ e~-. ONTRACT S SIGNATURE PERMIT OFF I CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ... - ':::'::1- LIc::JU.:S ~: k:::l / f-'r,.1 , , FROM r--S-'1' -1. ~ / ~ 6' lj,T IJ 9' 3 ?~Jo Lo~eA..JA GJe Ft,(.,c( .f,6,e I Za~ f AvE /00 .P.l , .., a ..-- /~;'vC"' ~.--(~,'R' .~~. :::>>/ Jr<-:> j ---,,' A --, ..-;L L.' , F/tT f r7:z- ~ /U~ '5 f /..,. ;Q~./:2~ I v' /{.'- pr7 /' "c~7C .A?eJf./ 7' L I- ::l M z iii ::., ::l I- W l!? 0 ~ C3 ~ 2 a:: C- Z <I ....I <I ::l l- I- ::J: iii z 0 ~~ IL ::l W >- 0 0 0 ~ (j I, 11. .. ~ a: ('J I- ei w 2 !!! ClIo ...... a: ~ >- G z C <I C 2 .... -J W W l- i! ~ s: a: G I- 'l I I I I I I r w 0&( ::l ":- W s: (f), 0 ~ 0 ~ ~ !;( ~D iD iD <0 .~ 0 0 ~ ... a z z () W W <0 ~ '" j$ '" en ~ ~ a: "" -I .~ W ;. -Ice 0 ;; -0 a: J:- 0 :j a: a: ~ >9 n J:LL:. J 0.(1) ~ :J w:::::l :J J N:i: I: L LL.a: ~ 2 O~ ~ u a.. e >w \ ii ~ \J ) I-N 0 u C3 ..~ ~ ~ 0 )t -~ 0 0 0 11 c ) L C >- U ~ !DO " L OW (t wI- I-W '" (j ~a: " I::: z W w " 0..:;; jO 0 :;;0 'c: .-: :> 0 ~\~ 00 1'- I u a: ~ a: c:: I~ W W w ow U en w I- a: I- ~< <( ......a: en W W W a:o CJ u.. :;; I- a: a:w u.. z W :;; ~O/I 1- Z .c WI- 0 0 ....I :;; 3 W :J ....I ~ a: ~ Zz I- Z j$ ~ 0 W c: ~w <( ::l c:: W J: <;; ~ J: ::l en W J: b &! oa: ~ en f- ~ a: 0 d tlf ....I I- ....I I"-- z iii \.I .~ ::l ~ W .~ ~ 0 l!? 2 C3 ~ a:: ~ ~ Z <I ....I ~ ::l l- I- 0\ to, "- LL iii z 0 0 0 ::l ~ (j W >- 11. 0 r ~ I- ei 2 !!! "- c:: a: >- G W " ,"\ W W I- Z C <I C 2 (60 .~ ~ s: a: G f- -1 I I I I I I W 0&( ::l W s: en ('J ;1; 0 .. !;( C 0 0 ~ 0 >- a !D z W ~ en j$ -I a: -Ice W 0 -0 I a: J:- a: a: k 0 >9 J:~ a.uf ~ w:::::l N:i: ~ LL.a: ~ l o~ ~ a.. >w a I-N ~, C3 ~ '" ~ \l. :> ~ 0 ~'~ 0 0 0 ;g~. I E '- ~ :0::.9 .... >- =~r ~ "- !DO I~ . \<1\ ~ OW wI- I;~' (j I-~ Wo.. ~ E' Z W ....I:;; a a~ 0 W 0..0 _5-;1 .-: ~ 0 ~o u :> a: c:: IE.2' ~ U w a: W a: W ow .91~ en W l- I- ~< en W W I~O/I'! CJ u.. :;; I- W a:o a: z u.. Z W :;; ~"" w 0 0 j :;; ~ I~~( :J a: 13[0 ~ ~ <( I- Z j$ 0 0 W c: , ::l a: 0&( W J: ~-gi ~ J: ::l en W J: b z en I- ~ a: 0 1.9l .11_ CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5~35 8th Street, Zephyrhills, FL 33542 813-780-0020 FAX:813-780-0021 DATE RECEIVED ~-.:30 -O~ PLANS REVIEW FEE OWNER'S NAME &I'-~~ j( CJ{l. (-",:/\1 PHONE JOB ADDRES S L... 7 { '2- 1 J 7"2. 0 J.. 0 ~ -( "" ..q /Jv-<- LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION fr~J tfc.~;'-Z"'~':' PARCEL ID # WORK PROPSED: 0 NEW CONSTRUCTION (OBTAIN FROM PROPERTY TAX NOTICE) o ADDITION OALTERATION o REPAIR o INSTALL o SIGN o MOVE o DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL OMULT I - FAMIL Y o INDUSTRIAL 0# OF UNITS o SWIMMING POOL 'EtMOBILE HOME o OTHER DESCRIPTION OF WORK c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL Mrrt BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. o BUILDING $ VALUATION OF TOTAL CONSTRUCTION --------~ ~ ---/~ ) ~ PERMITS REQUESTED o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES o NO BUILDER SIGNATURE LJ~ ~ COMPANY B.I~ STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** SIGNATURE w~~ COMPANY /1 c.. ~ STATE CERT OR REGIST # CITY PROCESSING # ELECTRICIAN ****************************************************************** SIGNATURE h/~~ COMPANY /?<~ STATE CERT OR EGIST # CITY PROCESSING # PLUMBER SIGNATURE ****************************************************************** COMPANY )1 c.. ~ W <>. -d'7~ /-M STATE CERT OR REGIST # ~ CITY PROCESSING # MECHANICAL ***************************************************************** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** 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, 813-780-0020. 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. C~NSTRUCTUION 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 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 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE 'OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged , 2CL- STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _day of by acknowledged , 20 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or Dwho has produced (type and whoD did Ddid not of identification) take an oath, Dwho has produced (type of identification) and who Ddid Qiid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped ",,1 ~.. . ...1.... ......:t..: ,::t:': :;C:~"..i:C1:: ,~. ',-.i;'~i\1l:::;~ .:.i!"'f::;q~jJ') '..jC1F:,~ ..;:~:;i"'!~::; .:. .::~',~: 1:;' :~ "<> ,"~~' -. . '~:': i:;= ~::::=:~-",l ~:= i._ ::::: j==- j~: c -,..: .., _i_."; . ::",::1:;,:, ',:F'::' '.'.., ,-: ic ':. :..' :::.... ,::.i. ,'" ", i i...i~j'I.:::'f'\ :;,:~:: ~:J J ::' L.. F~ C: ::: ;:.C:F~ ':>:::::;,'l'Tj ::: -- ;;=*218'7 '*2<:4\3 ; ~.-1- ; ;':~L. ;:li....T(}L.;~....i :;i:::r:l....~.; ;': :::} ~'\'l 1::1 ~"""~ ../ ;<:.~ c: ~::: C} t; i';~ -~ ": ~::>.,J -""7::::;,: ::')f1i c: 1.; r..~ .- t:..+ 3.ct.:5',; .-.. ~:;(;:.:Si,.::-= (, ~_::. fl V/ ,.~ "'-h {,/ /Y"'J'-- ! ~- "-' '" ",n.._ ...t. .... '..~ ....., ...~ .._ .... ....l..~ .... ._. .._ .... .... ...., '" n" .... _._ ......~. ... .... ,..~. ... .n. .... ....; "'<'d.:.d:--... :~ 0ESCR:~~:'T:GNi"':~'~RM'7' _ )f.:!(o.,<r',E*.JE- 3Ci_L::;' J.h'~":~3'~':: i:"~::.::: 1" . . l:~ .... ,...,..-"'........-.. -'..it..;: -t PASCO COUNTY, FLORIDA -...-,.....-....--...-....---.............. ....--............- Permit No, c2 / ??,1' ~--_.______~_"l_"____ . Date Permitted ~.4.a--:502.3 /, Vi / ';7'/ ' - Builder NamQ/Owner Name _\2:- ~.~~~.~ Control # .~______.______ Cow rly Pamel No.$:i=~,Q~ _dL:L>QI-I.L:c>>2fl;" L.7/dJ BubDlv: ~.o.mL'Q];{~ Address/Location __ -3.__76 Q2-Q------:.x:~j/ALt<t.-_*_4--.:.--~-.--.----_____ -______n______.___ Classiflcallolll1-ype of Use (=-"-22 ?k!U~-~:;2i~____________________.__n__.__ TRANSPORTATION IMPACT FEE Rate: __n_________ Sq Ft Unit: ________.______.__.. Exenlpl [_J Yes [iN 0 How Determined ---------h------___.__._._____.._____n.__.___ Impact Fee Amount -lJ~lQ-p.3~(_ Zone No, ____________._ TAZ: ____________ !e._:-g () ().3 _~.__~ __._~______~__ SCiT60i IMPACT FEE Accuunt (056) (05"1) (058) \ 1_~.'II'J 3) \;rYes Single-Family Detached House Mobile Home Other Residential Collection Fee [J No How Detennlned Amount 11' . _._._-- 'I) _____.____~;;-~:~:~ __ ._______...__ -.......,<.-.:::..._----------_._-- ....- -~ - -- ----------------.---.-..----.-.--- ,--- Exempt --_.._--_..__._-_._-'---_.__._------..-._------~..-. '-.'- _._~------ PARKS AND'RECREATION FEE LSlld Account Land Credit Land Total -------- - - "'~"--'-~ ..---.--- ---.__ .."h____.-._.____.__.._. ,._...__ r~ecreation Account Hecreation Credit ,.____..~n_._____.....___..._ ________ r~eGreatl(Jn Total Zone TOTAL. AMOUNT .h..~____u______________._____ Exempt rJ Yes [] No . How Determined --..----.------. ._----.~._. .-- ---~ -.---...- --.---. -.."-.~_.--..--.---_.......-..~.......--......................-..............__._.M...........~~.~....,............................._.............-...-........."___......._-..-......_...............~~_..._.................._.___........__............" LIBRARY FEE Land Accounl Land Credit Land Total ... --..._..----....._-_._~ ---- ...~- ....-..-- ..'--....- .. ._.._....,~_._-~ Facility AcGoul1t__._______________ Facility Credit __._____.___________ Facility Total .-_____...R__._._._.. Exempt [] Yes I] No RESOURCE FEE TOTAL AMOUNT Ilow Determined Total Amount --.----- -----.-..----.----- ERU _._~._.._--_._'---_._-_..._--._.-._-- ".-------.---. ._--..---_.~-._~-----_.._- ......._..~,.'"-_..._..-"-'.._...~............-........,....~_..............----..--........----~--.......-- ....~--...-.... -~ Prepared By __h_____ ___..._____________________.__ Checked By -"-"--" .--------- ..---.-.-._._..__.4__.~..____.__...___ ..._ NO CErnlFICATE OF OCCUPANCY WILL BE ISSUED. OR FINAL INSPECTION rERPORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND REGEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY Aclmowledgernent below does 1I0t Imply acceptance of concurrence, but simply receipt of a GOPy of tills form, placing Ille building permit owner on notice of Ihis assessment and the conditions of payment for same, ------..----.. - -~--~ ..---- .-.----..- ------_._~._---- -.------.. DATE. ~. nECEIVED BY RECEIPT NO. 0!1:)R!!(_ DATE~//l~)_ Bydll'~_____ ------_._---~,.-- -- --..--------.---------..----.