HomeMy WebLinkAbout03-2351
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
2351
Permit Number: 2351
Permit Type: MOBILE HOME
Class of Work: MOBILE HOME SET-UP
Proposed Use: MOBILE HOME SUBDIVISION
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 9/11/2003
Total Fees: 3,027.50
Amount Paid: 3,027.50
Date Paid: 9/11/2003
-Work Desc: MOBILE HOME SET UP
Address: 37546 NEW HORIZONS
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number:
Name: GRAND HORIZON
Address: 37546 NEW HORIZONS
ZEPHYRHILLS, FL. 33542
Phone:
BILE H
MOBILE HOME SET-UP
MOBILE HOME MECHANICAL
MOBILE HOME TIF/SUB 99%
IRRIGATION CONNECTION
WATER CONNECTION MOBILE HC
MOBILE HOME PLUMBING
MOBILE HOME TIF/SUB 1%
IRRIGATION METER
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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 t!
inspection called (d) Work not ready for inspection when called r;) "J - 5 Jf cr
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible ~5 'S
The 1?9_YrI'lent Clf_l!1spectJgn fees shall be made before any further permits will be issued to the person ownin.9 sam~_"
Complete Plans, Specifications and Fee Must Accompany Application.
.. _ AII\iII.ork shall be performed ir:' accordance with City Codes and Ordinan~___
NO OCCUPANCY BEFORE C.O.
------------------.-------------- -- .-
t."'e'O~~IGNATLiRE ~MIT OFF!
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021 C'~/_
DATE RECEIVED 7 / /~/ tI "3
PLANS REVIEW FEE
OWNER'S NAME
1r'''l.~..P
/fo,^/~'-"""'
PHONE
JOB ADDRESS ,]-J S-y~
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LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
DALTERATION
o REPAIR
o INSTALL
o SIGN
o MOVE
o DEMOLI SH
PROPOSED USE: DSGL FAMILY DWELLING
OCOMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
flMOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK At, -tf /:),~Xf
BUILDING SIZE
SQUARE FOOTAGE
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.
PERMITS REQUESTED
o BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
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
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A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" whiph
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 f8r 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, 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 plansr 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
COUNTY OF
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8-11-20037:43AM
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PASCO COUNTY~ FLORIDA
--~..........-._~-~
Perrnit No, .,-._2,3.,L'il~_____
Date Pennllled -S I! - tJ:'5~ , ,
W~r Nome/Own. r N am" ___ y 11tH j "f! _ /1 t!) '~h Control # ~~~~ _ ~_------'---,-._
ounty Poreel No 3 tj--U;;).J~ O_Q!Q~DO~'l_ SubDiv: >>("~-14.L~
Address/Location _ ,~.~2, Z_~Yt. j~!.~,:L_II(I.8 ( ! {~_~..5::_.._,_____~.._____..., __..__~____
Classification/Type of Use_..__,_~, __,._
.. .n_ _.."--"--.-_._..._~.___....,..~_____._~.__.._..._..~._n'__'__n....__.____..
-.--_"__. __n____"__. _.___~_,'"___
TRANSPORTATION IMPACT FEE
Exempt [I Y bb []/No
_.._._--"-._---_._~-
Hate: '..__________.__ Sq Ft Urlit:
Ilow Determined
Inipacl Fee ArnoLJnt ..,'~._~_____"
--+_.__..---P-----_._~~_._."-_.._- .._ __ .. .__....._._..__.."._,__~,~_____
Zone No, TAZ:
--.--.---.--.....--
SCHOOL IMPACT FEE~--'._._-_.__.
Account (056) Single-Family Detached I.jouse
(057) Mobile Horne
(058) Other Residential
('12~) Collection fee
EXBrnpt [Q~/t:;~ [J No How DetBrrnined
.......-......-------~
Amount $
--.-... -.... ...._-..-.- .,.- ----.
.'--...---.-.-- "' -_._._~-----_.,.-.- -'...----.--
PARKS ANDRECREATfoN FEE
Land ACCollnt Land Credit
~---_._-----_._--~.._.__.._- --- _.~-----~._._-.-.. .-.---.-......--
Land Total
ReCI6ation ACCOllrlt
Hecreatio[L.GfffclH-- Hecreation Total
~-_._--_.._.,._.__._- -.----- --'--"~_. _._---~-_. ------.-.-
lOl16
TOTAL AMOUNT .~____ ".......______.....___.__
EXBlllp! r~~:j\;es [] No
How Determined
-'-,..,._-,._--...~--- --"--_._~-.,_.. --_.._.._'~..._._--_._..._~---_.._,_.._...__._------
LIBRARY FEE
Land ACCOlllI1
- --'-'--'.'__...n______ "'_'_h.___._. __"~..., . _ "~'__'_" 'h__ ___ ._"_____..__..._.._~._._..,_.
Lcllid Credit
......----.L:arWfTotal
--~:.-=~~-----_., -
F aGility AccoUllt
.-- ,_,,_.:;",_=~=,'facilrtY"C~rec.iit ....'----__.m___ n_.__ Facility Total
_.._ .--_0._____--.'.-.-..--.-..-
Exempt L_J Yes [] No
.--. . ".-. -" _ _.ft...________
How Determined
Total Amount
-----'--.-..~--'..---~-71..--
~(~~~IU:~~l~~~ I() ,51
.,..__.~-~~_.. ----.-------- ...~_.__.~..__.~.
-----.----
.---.....~
. ERU----
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- -~_...._-,._--_...._----_.~-----
....-- ~....-.............-....-..--._~~.- ~...................-_- ~...~._~--,....-...........--_......._-
-_._----...--~....-
Prepared By . ...n._________n.____________________._ Checked By
----".-----__._.___..n___ ._...._.. _ "'_.~.________
NO CERTIFICATe OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PEH:FORMED UNTIL THE TOTAL AMOUNTS LISTeD HAVE
BEEN PAID AND
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
Aclmowlbdgernent bt:llow dOBS not Imply Clcceptance of COllcurrence, but simply receipt of a copy of Il1ls form, placlnu
the building permit owner on nollc8 of tlils assessmbnt and the conditions of paYllltlllt fur same,
_"n _. -- - ~_.. _'.. ____+__ _.___ .-~u__u_'..__._u. ._______
DATE
RECE IPT NO, (o(/!jl~/1:) DAlE LDa?J.!!~
/