HomeMy WebLinkAbout03-2325
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2325
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
2325
MOBILE HOME RV/PARK
PARK MODEL SET-UP
MOBILE HOME PARK
Address: 3530 BERYL LN
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE
Parcel Number:
8/28/2003
175.00
175.00
8/28/2003
PARK MODEL REPLACEMENT
Name: ARCHER TED
Address: 3530 BERYL LN
ZEPHYRHILLS, FL. 33542
Phone:
. -
REINSPECTlON FEES: When 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 paYl!1ent of inspection fees shall be made before any further permits will be issued to the person owning same
"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
n_~fo~_ recordin9 your notice of commencement."
Complete Plans, Specifications and Fee -Must Accompany Application.
__________ _ n__~I_work s_hall~e performed in accordance.with City Codes and.Ordinance~__~__
__=- __ << __ NO OCCUPANCY BEFORE C.O. ~ _
=--t ~CTOR STGNUL PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
71/1" ,- (i, \ 51t~~CITY OF ZEPHYRHILLS PERMIT APPLICATION
, 1~ BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542
, \ .......---:~~ ______ 813-780-0020 FAX: 813-780-0021 ;;? _ Z-D~
~ ~;~ ' DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME
11~ c/u v-
PHONE
JIJ- 7/ J: u ~) S~
JOB ADDRESS 35 30
1 70
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
g
PARCEL ID # .)'-1- J(,- 21- 02;..<u- 2-:'.)00- 0)/:,0
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ONEW CONSTRUCTION
o ADDITION
OALTERATION
o REPAIR
[2g'INSTALL
o SIGN
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMME RC I AL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
~ MOBI LE HOME
o OTHER
D
DESCRIPTION OF WORK, ;Ie)
/YY~)I
RESTAURANT & HEALTH DEPARTMENT APPROVAL
:x I f-'li/' (/a, I< (IJf uci / ~:YJ" T
SQUARE FOOTAGE 5 J D HEIGHT
BUILDING SIZE
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 GAS
o ROOFING
PERMITS REQUESTED
$ 'Ju (') VALUATION OF TOTAL CONSTRUCTION
It) (\ AMP SERVICE 0 FLORIDA POWER ~/ W.R.E.C.
$ !_r0(~ VALUATION OF MECHANCIAL INSTALLATION
,
o SPECIALTY 0 OTHER
Q--BUILDING
GYELECTRICAL
~UMBING
Ud"'MECHANICAL
TYPE OF CONSTRUCTION: 0 BLOCK 0 FRAME
<J (,
FINISHED FLOOR ELEVATIONS ~
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE AREAO YES
[;8f NO
SIGNATURE
M
COMPANY ro &. ~
S'l'ATE CERT OR REGIST # :r 11-(j:.:.:"::-60 r
CITY PROCESSING #
BUILDER
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ELECTRICIAN. '. > ;(. .,,'.' icU'L
SIGNATURE ,/;?;tZAA. /vt;{ -
,r:;
COMPANY r2 ~h"1 7/11 -1</;1/ I V.-J
STATE CERT 0 REGIST # EZ -- (j() <;-6 y'
CITY PROCESSING #
******************************************************************
PLUMBER
j/L!Jc:li
COMPANY
STATE CERT OR REGIST # T 1/ oc:.lcc. bur
CITY PROCESSING #
if) 14 ,C v
SIGNATURE
******************************************** :(*A*****
MECHANICAL , COMPANY '-
SIGNATURE ,l/ R/~Y Fj
I.. t4':t /f~~
,
STATE CERT OR REGIST
CITY PROCESSING #
*****************************************************************
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" wh{ch
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. 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, 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 cOlnmenced. 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
$2,500 IN E DO NOT NEED TO R ORD AND POST A ~NOTICE OF CO M CEMENT".
SIGNATURE:
/
//
.... ~,7
SIGNA RE: OWNER OR A
STATE OF FLORID~
COUNTY OF '. Qo.6t!...{)
The foregoing instrument was
Before .me this ~ day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of
by
acknowledged
, 20
(name of person acknowledged)
Owho is personally known to me, or
iWhO has produced FJ- t.u$ 00- 79.1/-7J-.)6-/-0
(type of identification)
an~ ~ ~d~d not 11~ oathr and who Odid
~D:I!l.~ ~"'-
Signature of person t~king acknowledgement Signature of person
(name of person acknowledged)
Qho is personally known to me, or
Owho has produced
(type of identification)
~id not take an oath
taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
POCKET PENETROMETER TEST RESULTS
PROPERTY LOCATION:
(;1Jf\.P/it IJ /1
if ~;
Test Location #1
2C1x> psf
X
Test Location #2
7. c:'c psf
X
Test Location #3
2o..:::.c.,) psf
X
· Test the perimeter of the home at six (6) locations
· Take the reading at the depth of the footer
· Using 500 LB increment, take the lowest reading and round down to that
increment.
X
X
X
Test Location #4
2 ~==- psf
Test Location #5
~o~:> psf
Test Location #6
20"'~'<'~ psf
Soil bearing capacity used to detennine pier layout: ..2~o
psf
(J/:VC k
I hereby certify that the above is a true and accurate representation of pocket penetrometer test
results taken by me at the above referenced location on f Lb 6 ')
Month / Day / Year
S )'VI~~~~ ~A
Name (please Print)
d/---U~
. Signature
u) u- ceJ
Employer
a:\pocketpen.frm
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PIER SPACING TABLE
F""lcr
Silt
16" x 16"
18~" X'l8~"
20" x 20"
/71 )SI'
26" x 26"
1000 psf
3'
4'
S'
8'
(...:\<."" '\.<:
3000 psf
3500 psf
FIGURE A
l3LOCKIl'\G (Single Tiered)
I.Oeanl (Flame)
T
Wood Shims 01 olhel maleri"1 appro'ed and liSled by lhe d<~mll1<nl pwrl~;L'IIO "'10
ISC.1.010S ilnd ISC.1.0106 (IY,' !.!;l.\imum)
Cap - 2".X 8' ~ 16: Prolure Trealc: Wood or olher maleri"! a~pro\.eu ind listed b)' the
depaf1mCnl .
)6"
MAX.
-L
Celleu Concrele Dloc~
Glound Leyel
Footer 01 Pier Foundation
~"x 16. x 16. Solid (OM Pie,,)or olher malerial ::pproved alld lilled by ~~e depU'lmerll
. ..
Sod and Organic Malerial Remoyed
FIGURE B
. .
. . .
" , . ,
I If ~ .
'If. ,t
BLOCKING (Double Tiered and l3locks lntcrfockcd)
I.Oeam (Fr;llne)
Wood Shims 01 othel m;llelial apploYCd i1nd liSted by the depmnlenl pursUVlllO I\Jlcs
15C.1.0105 &nd 15C.1.0106 (IV.. MiI.\imum)
(Option) Plosure Tleated Plillell. x 8' x 16.l>linimum)
Cap - 4" x 16. >; 16. Solid Block .'
2 - 2" x 8" x 16. PleHule Tlealed Wood or other malerial approved &J\d Iilled b~
lhe. depanOlent
(Option 2 - 4. X 8. x 16.) MUll be pelpendlculallO J.Oeam
--r-
~p
Jl/,AX.
Celled Concrele Oloc~
Glound Leyel
fOOl" 01 Pier Foundadon
4. x 16" x 16. Solid Dlock (One Piece) or olher mater,iaf,Mppro>cd and filled by lile
de pJf1/l1e nl _
Sod Dnd Or~.njc Mated;\) Removed
\~ ,
t~ ;
.. ~. .:*
~... / r
'/>'., ,0'
11
S I TR PI.AN
(RESIDENTIAL USE ONLY)
PARCEL LD.
r2!L
SEC
~
TWP
dL
RNG
IM20
SUBD
OO()Ju
BLOCK
{J'i6o
LOT
DATE:
tY /cl6/()J
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All drawings shall be drawn to scale or fully dimensioned for all parcels.
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SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DIMENSIONS AND SETBACKS. ALSO, INDICATE
ANY BODIES OF WATER, TREES (INCLUDING SIZE, DIAMETER, TYPE), AND ROADWAYS (INCLUDING
NAMES) ADJACENT TO THE PROPERTY. INDICATE TIlE SIZE, YEAR, AND NAME OF MOBILE; SUCB AS.
12' X 60'. 1981. FLEETWOOD.
ALL "EASEMENTS", "PROPERTY LINES",'''RIGHT-OF-WAY'', and "JURISDICTIONAL LINES" must" be
shown on all site plans.
DO NOT ENCROACH INTO ANY EASEMENT WITH A STRUCTURE.
HOUSE CO~STRUCTIOI'l
rear (60')
PROPOSED ADDITION NOBILE HONE SET-UP
rear (eO') rear C ISO')
.... b 50' 40' -
(, .... I
~ ~ II)
0 II) b.
- - - - ..': ...
. ~ . . fS' -'c-: Exl8tift. .
.. " " ~Z ..
.. '. '. '. Slid ...
I&l
;I
C
Z
o
C
o
tc
50'
ROAD rUNE
"OAD NANE ROAD "ANE
PL = PROPERTY LINE
R/W = RIGHT-Of-WAY 0 - TREES
APPROVED SITE PLAN MUST BE POSTED AT JOB LOCATICB.
NOTICE 01' nEED RESTllICTICB
THIS PKRKIT IDaY be subject to ''Deed Rutrictiorw" which are IIOre r~trictlV'8 than Couaty
regulations. The permit holder assu.es responsibility for c~lianc~ with any applicable
deed restrictions.
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