HomeMy WebLinkAbout03-2252
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
2252
Permit Number: 2252
Permit Type: MOBILE HOME
Class of Work: MOBILE HOME SET-UP
Proposed Use: MOBILE HOME SUBDIVISION
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 7/25/2003
Total Fees: 3,207.50
Amount Paid: 3,207,50
Date Paid: 7/25/2003
Work Desc:- MOBILR HOME SET UP
Address: 37616 NEW HORIZON BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number:
GRAND HORIZON
37616 NEW HORIZON BLVD
ZEPHYRHILLS, FL. 33542
Phone:
MOBILE HOME SET-UP
MOBILE HOME MECHANICAL
MOBILE HOME TIF/SUB 99%
IRRIGATION METER
WATER METER RES 3/4"
WATER CONNECTION MOBILE HC
MOBILE HOME PLUMBING
MOBILE HOME TIF/SUB 1%
IRRIGATION CONNECTION
I~P
t-/5--t73 S"'; ~t./, G I~
/C(-
I L 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
i inspection called (d) Work not ready for inspection when called
I (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
"D!e pay~ent of inspection fees shall be made before ~my 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
- R-es. 'Q~(, '-r55"'~-
NO OCCUPANCY BEFORE C.O.
~~>>/~ - ~~
CONTRACTO S SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
P.2
5-18-2003 11 :leAM FROM
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 ~
813-780-0020 FAX:813-780-0021
DATE RECE IVED 0 ~5,~ 3
PLANS REVIEW FEE
OWNER'S NAME
G-A~J
II 04 f.2.. (V1/
t!JII;t1> J7 1:./ -'
JOB ADDRESS 1.0-7 (,.J-'y
LEGAL DESCRIPTION: LOT(S)
PARCEL ID #
WORK PROPSED: DNEW CONSTRUCTION
PHONE
r
AI-cw #O~/1..e"rV n Iv..J
BLOCK
SUBDIVISION
{OBTAIN FROM PROPERTY TAX NOTICEl
o SIGN
o 110VE
o ADDITION
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
DCOMMERCIAL
DALTERATION
o REPAIR
o INSTALL
DMULTI-FAMILY
o INDUSTRIAL
~LE HOME
o OTHER
0# OF UNITS
o SWIMMING POOL
DESCRIPTION OF WORK
kif
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
~4~
SQUARE FOOTAGE
BUILDING SIZE
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
o BUILDING
PERMITS REQUESTED
$
o ELECTRICAL
AMP SERVICE
VALUATION OF TOTAL CONSTRUCTION
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
o FLORIDA POWER
o GAS
o OTHER
VALUATION OF MECHANCIAL INSTALLATION
o ROOFING
o SPECIALTY
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
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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 indica~ion 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 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, canoel, 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
STATE OF FLORIDA
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PASCO COUNTY, FLORIDA
--......-.-.-~~
...~--.....--.._--
Permit No. ---__:2:!:,X:'-:Z______
Date Pennltted '7 - .;l:..,s.,__~.3 __
Bulkier Name/Owner Nama JJ~LI ~ LQ "~( d"~~, Control # _~_"__""___
Courlty Parcell'Jo, .3.'-I::-~'~"'"'::";;{L-:C!.QlQ-Q~Tt=i7' / S,u~o.lv:J ,fJ 'f?!1-~~-f:Wl,'_lc.~) tJ lotS
I?'IC'/r..ij 07 ')
Address/Location --____Z) 7it.lk.___.!V t~.J__Jl'() (2 (2~:'-"-/JlJtL_________________________
Classifica lIoll/Type of use----!1112_~l.l~_l:.1:-O__kJ..~______.________.._______ ..______ __
TRANSPORrATION IMPACT FEE
Exempt [] Yes lz,rtJo
Rate: ______________ Sq Ft Unit: ___._______________
How Determined
Impact Fee Arnollntt____..1L~lLf!_______..
--..-----.---.---------------------..----------...-..--.--
Zone No. TAZ:
-------- -~.__.,_._----,--
'SCnOOLIMPACT FEE'-.~--'-
Account (056) Single~Famlly Detached HOllse
(057) Mobile Home
(058) Other Residential
{'I 23) Collection Fee
Exempt It:YYes fJ No How Detennlned
------
Amount $
.. -----._____Uh.___ . "..__."._...__..,...__
---.------...--------.- ----...-------
--...--...-------..-.-..-....-,-..
PARKS AND RECREATION FEE
l.and Account Land Credit Laoc:J.:rntal
_._-~-_._. ....- ...~--_. --.:::-..--
. ----.
Recreation Account Recreat-iorfCredlt
. --------------~~----.--.
----.-.--------..-------------.,...-...--..----.---
"-
-----__..H__._._____.... _ ".___
-.--.--.-.-
Recreation Total
Zone
-.--.--..-.-..--.--- ----
. - -.. ---.-----. ---_._--~
..---
-.-
Exempt [LY~rf' [] No
TOTAL AMOUNT ..,L___ ______~______,.,__
How Determined
~-,---..c:::;:;:____~___"
LIBRARY FEE
Land Account
-----_.._..._-~----------_.._---_._----..._-----~......_-.--.
"---~..--...","---~
Land Credit _ Land Total
-----------------=-=: '-- - ,,- .-___.h _.. ._______.___.
-------
F aclllly Account_____ _______ ______ ~:~-il~~.-CI:et1tC-~-__---_----------- Facility Total ..___________________.
Exempt [J Yes_-.1],Ntr"'-/llow Determined _______..___ Total Amount ____________
--~...--..,~-.....---_""______................_u~ __~
RES~OYRCE FEE
TOTAL AMOUNT
. ..~.._--_. .--.--,-- .. --....,,--~--_...--_.-.
ERU----~----~-
. .__.-._----_._._---._--..~.-
~------_.-.-.._-.-~.__._--- --.--,,--.-
-'_........._.._-,.._._.._-~-~.,---...........-............-....""~-~
.-...........~..
Prepared 8y -uu--__uu__u_____.___u_u___________________ Checl<ed By
-_._--~---_._..__._---.._- ------------_.~
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
reRFOf~MED UNTIL THE TOTAL AMOUNTS L1Sn:D HAVE
BEEN PAID AND
RECeiPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
Acknowledgernent below does notlrnply acceptance of concurrence, but simply receipt of a GOPy of this form, placing
thE; building permit owner on notice of this assessment and the conditions of payment for samB,
~--- ..-.._.. ......--. .....-. - -... ......----..---. --~.~_.__._-_._-----..__.._._~_..
DATE
/ / ---------
/. .' i nECEIVED
? // . - .
JIL) rZBY _' ~_________
-......-.--.---..--..------.
I' .~ y/
REC;EIPT NO, ~--lf7...c!._::._2 _ DATE
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