HomeMy WebLinkAbout03-2436
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
2436
2436
Permit Type: MOBILE HOME
Class of Work: MOBILE HOME SET-UP
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 10/29/2003 I
Total Fees: 1,727.50
Amount Paid: 1,727.50. I
Date Paid: 1 0/20/2003 ~
Work Desc: MOBILE HOME SET UP
Address: 37428 NEUKOM AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number: 34-25-21-0090-00000-0360
GRAND HORIZON
37428 NEUKOM AVE
ZEPHYRHILLS, FL. 33542
Phone:
H
LILLEY AIR CONDITIONING INC.
LILLEY AIR CONDITIONING. INC.
MOBILE HOME SET-UP
MOBILE HOME MECHANICAL
IRRIGATION METER
IRRIGATION CONNECTION
WATER CONNECTION MOBILE Hr"
MOBILE HOME PLUMBING
WATER METER RES 3!4" v
I ~N 1f $/96
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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
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
"1}1e paYI!l~nt oti!1spectil:m fees shall be made before any further permits will be issued to the person owning same.
Complete Plans, Specifications and Fee Must Accompany Application.
________~ work s.b~1I bel?erforrl1~d in _a~!=ordance with City Codes andOrdinances
--- - -- n___N()~CUPANCY BEFOR~ C.O.'?oL~_'?.uhi' f,~ __
/~RE-- - ~M~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRE~T o~
PROTECT CARD FROM WEATHER
L,lb.\ ~ o~ 4{V'--1
OWNER'S NAME ~\ Ih~ ~...JJ9 Z~~
JOB ADDRESS 31) l.f ~ AJ~u k(Jf)l thNL.
LEGAL DESCRIPTION: LOT(S) ~La BLOCK
PARCEL ID # 3'1-JS-.}.1-00QO - Oc9{){)O"O?:>0D
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021 ~!1.. 0 I () '2
DATE RECEIVED I .~
PLANS REVIEW FE -
PHONE 813 -5'1&-53 Y9
SUB D I V I S ION G:::l\fCAlI\cO +t'Y' \ 4f\'1, hI 1-
.
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ~EW CONSTRUCTION
OSIGN
o ADDITION
OALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
PROPOSED USE: ~SGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS W MOBILE HOME
~1-~J~ o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
N..W
.3 8. 1(. lc.8
3d-- "X ~ t3 1M 0 lo I \..e.. hUl\- ~ ~y::)
SQUARE FOOTAGE tA08S
HEIGHT
I Lt'
BUILDING SIZE
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
IB- BUILDING $ c'J-d--OOCV VALUATION OF TOTAL CONSTRUCTION
~ELECTRICAL Mo AMP SERVICE rti FLORIDA POWER 0 W.R.E.C.
1& PLUMBING
EPMECHANICAL $ iOCO~ VALUATION OF MECHANCIAL INSTALLATION
o GAS o ROOFING o SPECIALTY 0 OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
fll FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
SIGNATURE
cM-~~
COMPANY Je.vtV'1 r1c...r> vn \t- ~
STATE CERT OR REGIST # J- ftD()()0/-::L./
CITY PROCESSING #
BUILDER
********************************************************~~*********
SIGNATURE
~a~~
COMPANY t-.l Llt-~
STATE CERT OR RE 1ST #
CITY PROCESSING #
ELECTRICIAN
********************************************************,.*********
SIGNATURE
-~t~
COJvJ PAN Y J-e..V\ v-: \ 1'\tfJ rn \-t-. ~p
STATE CERT OR REGIST # ~ t+o 000 {J.J
CITY PROCESSING #
PLUMBER
SIGNATURE
*******************************************~**************
COMPANY .
~ STATE CERT OR REGIST #
~ CITY PROCESSING #
MECHANICAL
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
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
license.d 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, 813-788-6611.
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 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 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
~L~
SIGNATURE: CONTRACTOR
acknowledged
20__
STAT~ OF' FLORIDA
COUNTY OF
The foregoing instrument was acknowledibed
Before me this _day of ,_
by
(name of person acknowledged)
C1ho is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
(name of person acknowledged)
Dwho is personally known to me, or
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Ddid Diid 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
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OLM!R1'ECHNOl~ INC.
FLORIQA INSTALI.ATION INSTRUC1IONS FOR TIE
IInIWI' nM ---. AlL S'I'HL 1InI~ 5"r.i._
MODEL 1101 (~ 1-15)
MODEL 1101.... LOtNJlTUOlllAL ~Y: ~ INS1RUCTIONS 1-11
-'
1. SPECIAL CIlCU~CES: It the following c:andIIioM oocur - STOP1 ConIlICI 0IIww ~.t
1-aod-2B4-N37 : a) Pier heigN exGMda.ur b) Length of home WCMds 78" c). Roof..,.. 8lICMd 16" .
cl)SdewaII height e>>aed 96'" e) Roof PItIch greaf8t Ihan 4,37/12 (20 dagr.ea) r) LocaIioR Is wiIdn 1-500 feet of coast
;, :~';~'
INST.. 1 A110N QIil RROtJND ....
2. ~... and ~ in., ........w.....1Mt ....~. CIlpGJIe...... sqI_.......... pan (C) .
3. Place graund PM (C) cIrKIJ.... ....1-IIeam . ~... fIrMt.................1uIh ... ar 1MIIaw",
SPECIAi... NO'I1:: The ~ ~-.,............ pler'1IIIIder _ ftaine... shauId "1o:ICI8d as.,
-- piIr. It.. ......aded that ............,...... and ............ (112") bIIIft..... Is ........ ~1_1y on
ta pieIs. complete __ 411R1ugb 'e..... .
INST.411 aTlON OF LONGITUDINAL CROS8BRAC& ~
NOTE: F IN8TALUIIG11tE IIQIIB,IJ 11Of-f. LOI4GI7UI1INAI..OM.~ A ..... OPaSVS._PER
J!:1boR sec:tlON 18 EaudU!b. .FOUR FO(n' (n GRouIID McIfOR MY iEuisI!D 1ixcI!p, WHER& 1INftJ.
FACTUIU:RsSPa:w. A 00-, ~ U$E 8Rb\IND AIICHOR8 wwnt Dit'itUNilll. 1'IE8Ai1&
s-r-- ~ PI.A1'ES E'VERV...... . ~ J'E8 ARE__'" na _tc-E. ......... WI'rH .
VI!lincM. 'II!! COI.Er:rDI~ ....R.OMJA
... SeIeld .... ClDmICt .............. CE) IBqgIh for eel -
used .as llellicMlom _ of "'1ongiIudIneI8III1). ~
PIER tteGHT 12!1'
(Approx. 45 degrees M8X.) Tube
. i?~.ta:
24~to.32'W
III
III 48"'
5. (1)G1tha- 1.50-..........:(E (ir
IOQIlt -....~
6. PI8ce....... CCIPMCkIf' (FJ ...., an the baIIDIR..... d the......... ~QII"'" ........ ..... ..~
bralketis .. ~on _lIiIIe - gnJIIIId ~ V ~ (Q) fOr~ end .,.................. CftIIIAS.
7. Sb Ihe ."dad 1.25"' tube (E) tntoe 1.", (E) and lIIIiI!l:h fD ........_....(F) BAd..... ~ will
boll and ....
8. Repeat stI!lpS 5 through 7 to creete 1M crossed ')(' pdeIm or... SCI'B1:t 1Ubes IooNIy In pI8ce. NOTE: The angle is
rlOt to eJU:eed 45 dearee and not below 40 degr8es.
9 fnsI;III braciRg bolls aM __ (G)-1ft.. ~ dn!do.. GIlly, ~ baIh......... __ they auss.. PIle
null on bGIJ IInds -.d tigI1IDn. IMPORTANT: Db nut CIUIIh 1IIlIe.
10. AIIJ!:r" ...... ~.... sean 125' ... f.W lubes wing faar(4) Ut-.,.. It 3Ir........ IICI8WS in pre-
driIed hales. ~
11. In'" r"inlng ver1iCa11ie-down .... and 4' ground ~ per hOme rn8ftUfac:turw's insuuc:lion.. AI loads In
.... ol3.150 poonds at sheat waIs, coIurMs. and cenIerfine. must haw ftve toot (51 anchora Installed regerdless
of soil concItions. per the state of Aorida.
INSTALLATION OF LATeRAL ~U!!SCOPlNG TRANsVERSE ARM SYSTEM
NOTE: THE IIOD& 1101 (LONGITUDINAL & U-TERAI.. PROTECllON) ELIMINATes THE NI!ED FOR ALL
STABIiJZER PLATES & FRAME TES~
12. Select.. conect square 1uIIe.... (H) IeAglIt for ........... trans.--_ ~ IIJc:aIiQn.. The I8ngIhs come in
either so- al'7r1enGllw. (WIIh "'.50'" lube _the batIDm lube. .... ht1Zf1" tube as" ._led tube..)
. 13.IMIaIIhe 1.50 transwne brace (H) to the-greund.... c:onneao. (D)lIIIiIh baltancl nut.
14. Slide 1.25" tran5\1e1'S8 bIac:e inlD Ihe '.50- brac:a 8ftd lIIIIIBch eo edjaoeftl........~ ( I ) ... bak ..0 nul.
15. Secure 1.50'" Cranaverse arm 10 1.25- .....~_ ann UBing lour (~) 114- -14 x 3f;l- sell 1.,.--. ..... in ~iIt.d
holes.
~-'"
-:
. Ii..
t::~i-: .
,;;,;..: .
~r
~"~,!.~ .
: '~~..;:"'
'0 '=-:'.' '.
:,.:..:~:;:_..:.~.
".. .'--". ......
~:.~ ~4~:?/.
.~~....
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'~<,'l-
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.~~...
:t.:.
.~~ . $tNGL.e SEC110N ALL WIDTHS
:~;: UPTD 7B"
~~:.: NCM: WIMIlnil......modeI1101-L
~~........ ill....... anIrI. 2......
. ..~"rt T~~..........t......
..' ....nIqUiAJd 011 a1llnglB..... Jioui&
L~'"
~:'(r" '..
. OF HtJUBE ls.1tE ACTUAl. 8Q)C SIZf!
..~:.,.. = LENent' OF ntE HOUSE (FLOOR) DJVOED BY....
l!!~' .
~ = I.l)tA1IQN OIFASFMODEL 1101 (IA'I'EIW. & l~
.~~~ BRAClMGJ.
~~ = lOGA"I'ION Ofi MODB.. 1101-L (L()NGntJDINAlBIW*G ONLyt.
..~... ~
~~.~'f3- · LOCATION OF TRANBYERSE ARM ONLY MODEl.. 1101.
.. ..
~:.... .. ..
...~::
.. ... .
~:L
REQU{REI) NUMBERANDLOCA~ Of ~~ES
SlNGl.ESEC1.lON ""r- ~.~ ~~~S~
-~~~ ".'III'=').'-~.."~
DOt:JBLE WIDf!S" AU.. WIDnIS
UP 1'076.
'11WlE WlDI;S AU. WI01l4S
lP~""
.. ..- ~ -,w' " " . __.... . _ _~.,..
. ~~ ..:..........:.... ~. ~_' 0 0'
. ~ '-~~.. ~#. _~r.._~ . '"'~ ..
~... - ~ ~-
t-
.
III_
~,
".:
C.~MN
D .. GAC)dND IWt CXJNI)IEEfQR
U _7 calm.
E.~ ICCAOSSlIIW:E
.... "11 IlIn'WI ueor.
~ IlIND 1.21S TlIIE
INIERT
F - a-. 8RItCE f.IIEAM CCHEC
lOR \111M'll Y
6oCROlS MACI; ClMP
~,...~
M -"lSIA:<XlI _ lRAN!NERSe
AIItN --~y
I -1'RAtBUEJ-. ARM 108EA11
~CTOR
~~ .-
.......,
~ l!-C ~....
'----~ ......2FJ
~ .... &U")
8-0- \.
...c:a.. .............. C'...........
t ..,a.....................
_____ .............3*....
S"................_
. ...... ........I1It... .....
......-............ .....
...... .....--....
_ can.....-...fIt tr...--.
REVISED INSTRUCTIONS 2I2W02
~~..........--
A DNISION OF OlNER TE~ INC.
1-aoo-....7437
........ II 1 ~ - -III oo-a
~~
II'IIC 131.,..."
I
FLOOR
WIDTH
17 3/16" X 25 3/16" PIER fOOTER SPACINGS"
(MIN. '432 '7 /8 SQ. IN)
MAXIMUM I-BEAM PIER SPACING .
MAXIMUM PIER SPACING (SOIL BEARING CAPACITY)
1000 (PSF) 1500 (PSF) 2000 (PSt) 2500 (PSF) 3000 (PSF) 3500 (PSF)
120" WIDE frl.OOR"
H4" WIDE FLOOR..
~160' WIDE rl~
184' WIG! flOOR..
MIN. PlEII CAPACITY
. 70 1{2" 110 1/2- sa NOTE '4 SEE NOTE '4 SEE NOTE 14 SEE NOlE '4
:;9 1/2" U 1/2- SEE NOTE'" 5EE HOlt 14 SEE ~OTE 14 stE NOlE '4
s.. s..:-) 85" 116" sEE NOlE '4 SEE (\IOTE '4 SEE NOTE ,..
47 1/2" 75" 102- SEt NOTE '4 SEE NOTE 14 SEE NOlt 1/4
3004 lllS. 04507 lBS. 6009 LBS. 7511 \.85. 9013 L8S, 10.!l16 lBS,
24" X 24" PIER FOOTER SPACINGS.
(MIN. 576 SO. IN}
MAXIMUM I-BEAM PIER SPACING
FLOOR MAXIMUM PIER SPACING (SOIL BEARING CAPACITY)
WIDTH 1000 (PSF) 1500 (PSF) 2000 (PsF) 2500 (PSF) 3000 (PSI=') 3500 (PSF)
120' WIDE flOOR.. 95 1/2" SEE NOlE ,.. SEE NOTE '4 SEE (II()'ft '4 sa HOTt '4 SEE NOT[ 114
I..." WIDE f\00fl- 81' SE[ NOTE '4 SEE NOTE '4 SEE NOTE f4 SEE NOTE '4 SEE NOTE ,,,
160" WIDE F'LOOl'h 7"" 1I!1" SEE NoTE '4 SEE NOTE '4 SEE NOT( '4 sEE NOTE '4
Ill"" WlOf FLOOR.. 65' 101' SEE NOiE 'of SEE NOTE ,. SEt NOlE '4 SEE NOlE fl4
MIN. PICIt CAPACITY 4000 lBS $000 l.SS 8000 l8S. 10.000 lBS. 12.000 lUS. 14,000 l&S.
NOTE: UNIT "'DTHS WITH .. INCluoES A &. OvERHANG ON 80tH SIDES MAICIMUM.
r.OR TYPICAL PIERS SEE P~GE SU-OI-0021
~'\";"'''''''''''''* I
NOTES: .. :'l.~;".." DII'IA MIPIIlI'IA: " ~
I. ,.-rAIIICAltD PlEA ,. lAY .USlD AS All A1EJlIIAtE TO H COHCRIIt , /(i"ST f.'il~.-../ . \. 'os & e c ".c.~s.. .
FllOtICS ,[CJC III 'H.IMD5OI IOU stT-1lP MUAl. ,. i~ No. 0.... '\ -T"Y - 14.0'- ,,,,,,
z. 1l1[ PIIE-F~D I'IO/"~ AlIE 11111( IIISTAWD PIJt 1Mt i 910334 \ * ! pf'OVEO BY
1IAIlIIF~ 1lS1Al.lA1IQII1II$1II\lt1IONS llIID W[[l M _1M .. . --. . = ......
3. = ==1$~ TO I[ 00ICIl1ll AS SPrCftD .. 111[ ~ -0 \.. &TATe OF ./ ~ j ..~: ~!i' 0C1 11 ~I
/lOIIES 1NSTAI.lA'1lOIl ilfSTl\lClKIIS. \ ~"'~'AA"r-'l:"~:~ .
4. 11Io1. I'IDt SPACING It ml \lIIIlS 111m r t-lIEMI$ /10' FOR UNITS"'" III" (Jl '.1ir;~O ~., . INC.
12' HI(MlS (2.' MAX. F'ROIl (JlDS). ~ -17'ii &L~KOlIolE
1M JACOBpS.o.E80NlI _HOMES 1lU~==~- DR'. 't: OJU. lJAll! 09-22-01 ll(V.1tYD
..., ~... MIl canDM. !!!!__ _I~
=.,,=s.:w:===-~ PRE-FAI. 11 X ~ t 24" flIER PAD SPWNG -
SAm.:o.~) ~=J4695 ~~:.::= llII''-1UIlIt. SU-Ol-0025
JENNINGS MOBILE HOME
863 967 6655
'*
Z003-LUU4
;)TX\"i~ OF FLO~m:\
10/05/03 10:43pm P. 002
J. o.c. -\..lU\.IVU\.'q.
:::llITIES
~~:)~3 C;Kf~/\.L Lif~;:~NS;:~
i\HJST 1m Plc1I'LA'{EH IN A CONsr'WI IOUS PLH'io;
c:X!"I'~ES SEPTEMBER 30.20 04
ICHINES
HOOMS
3EATS
EMPI.OYEES
0-10
~;l)PPLEMENTAl
FlENEVVl\L
NEW LICENSE
TR!\NSFER-
DRIGINAL TAX
25,00
P~OF
SINESS
182 ;If MOBIL.E HOME SET-{JP SERVICE
SJNESS
DRESS b83 OLD BERKLEY RO
AB - AUaURNDALE
ME JENNINGS' MOBILE HOME SET UP
t~~~5 THOMAS .JENNINGS
683 OLD BERKLEY RD
AUBURNOALE FL 33823
!\MOUNT
Pf:Nj\L,f
COI LFCTION COST
,umL
25.00
~JOE G. TEDDER
TAX COLLECTOR
PAID 08/07/03 1201613.0001
IS ~:r.:Rz.;IlY LlCE~SEn Tn ENG,\GF. ~N ltUSINK';S.
!'flO!'I':SSION, OR OCCUI'.\TION S;'f<:CWIF.D IWRE()i'j
25.00
.130 ":.'1.\['< S';'~E{o;T. BARTO\\". 33/:30 rll(,Jl ~:\.!-,!nl
JOE G. TEDDER
TAX COLLlECTOR
....", -"-r.'j _.. .~,. _
.
2003-" MoIdJe Rome Installer Ueeuse @)
Weens..:
Thomas G. J-ennings
UceAse Numbsr:
IH0600121
eJli'IIlI/IIlIlWc
v
9-30-04
llbu~rPlflllh . ~.,Jltpwa7Saf1(y_IlaIar__. ........,...lIoUdIe
~
10-1-03
p (WctJ CD. ::ID# IOl[qCj
~
~&ijV~
eN.
Cj'
i~~~
PERFORMANCE BUSINESS PRCDUCTS. iNC. 313--719-8008 :=AX 813--719-7919
c3~1L(7)
CITY OF ZEPHYRHILLS
ZEPHYRHIlLS, FLORIDA
WATER ACCT. NO.
DATE / tJ,/;2 0/ ~
.'
OWNER;
RENTER
r/I.I>M7A-)1 ~f)78
,75
:57~2 g /;u;J1Ynt C~. ~{)r
~ WATER
MAIUNG
SERVICE ADDRESS
SHUT OFF SERVICE
o
TURN ON SERVICE
~
~
o SEWER
INSTALL METER
o GARBAGE
READ METER
o
'1;id IN CITY
CHECK METER
o
o OUT CITY
-'-- No. OF UNITS
OTHER
o
_ DEPOSIT AMOUNT
3-/1 . . .' ._
/I ~<LV~ .'J11;t.
_ AMOUNT LAST BILL
_ DATE
_ MISC. CHARGE
WORK COMPlETED BY
& DATE COMPlETED
ORDER TAKEN BY
Retam white form in office at all times.
Send pink & yellow forms to Water Service Depl.
Water Service Depl. to sign yellow form & return to office.
~~
1~' ~
I
~
?ERFORMANCE BUSINESS PRODUCTS, iNC. 31~J...719-8008 FAX 813--719-7919
D 3--, '7 ,~) '6
CITY OF ZEPHYRHIUS
ZEPHYRHILLS, FLORIDA
WATER ACCT. NO.
DATE If) / ~~ /0 "?J
I / (
~ ~/.
OWNER/ / I
RENTER (" , ~A1.#-. ~~l'7'-5
;t;~;;;;;~,
SERVICE ADDRESS '~ 7"1:2 9 7( ~
MAIUNG
V~4-
.....
./
/ j/./1<...
LVI ~ :g~
.
SHUT OFF SERVICE 0
TURN ON SERVICE ~.
INSTALL METER ~
READ METER D
CHECK METER 0
OTHER 0
'P WATER
o SEWER
o GARBAGE
'9' IN CITY
o OUT CITY
-L No. OF UNITS
_ DEPOSIT AMOUNT
k-II .'. ~
)f W' /JJ1
_ AMOUNT LAST BILL
_ DATE
_ MISC. CHARGE
WORK COMPLETED BY ORDER TAKEN BY
& DATE COMPLETED
Retain wnite form in office at all t.mes.
Send pink & yellow forms to Water Service Dept.
Water Service Dept. to sign yellow form & return to office.
./ )' .....J, /~1 .
V ~~-A~~
CITY OF
ZEPHYRHILLS
IINOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
ADDRESS DATE PERMIT -# I
~1~fkf N {v..kOM Av~ u.1dO J 2->i :{" .
THIS JOB HAS NOT BEEN COMPLETED The following additiqns or corrections shall be made before the job
. will be accepted.
-f----.Ll,,;lr does 'l,0.\ frla ~ ~t - b<l<'k.f by wkere ~U"~
!VI (u k-trS Ct~ f \~ ~ cJ <9 CAA
-i M\ l.!.\-' L},.y 0/. +c..hf~
s k U ,in tA.." V (in
..for ~ ^ ~,t?-e c .L"'~'1
,
It is unlawful for any Carpenter, Contractor, Builder, or other persons, to
cover or cause to be covered, any part of the work with flooring, lath, earth
or other material, until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-001Jtl. RE-INSPE~
INSPECTOR i/ K
V
CITY OF
ZEPH.YRHILLS
IINOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
PERMIT -#
o 'Lll ~(.,
THIS JOB HAS NOT BEEN COMPLETED The following additiqns or corrections shall be made before the job
. will be accepted.
~ . '"' c.r/<.ers o.-.ly Skow.~) (,. I ~d_::_h~._~J 0-"
hCt ~ k. (9 .(.. 1-1.0,~ of I 0 I ~ .s re.) u :"..e d
ADDRESS
37 il.'6
Nevko",,",
l
It is unlawful for any Carpenter, Contractor, Builder, or other persons, to
cover or cause to be covered, any part of the work with flooring, lath, earth
or other material, until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30 AM - 5 PM MON.-FRio
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR RE-INSPECTION
INSPECTOR IjJ(I II- ~
I
PASCO COUNTY, FLORIDA
. " Permit No. . ~:50 .
Date Permitted 0/ !2 ~/ () 3
. ~~~%wner Name5{;-t141g: < ~ l;fcij~ontro' # . '
County Parcel No. -Sd:/~..'J.:2 D?.o -~" "Vtno SubDlv: ~~>>J;'
Address/Location -S.7-Y.2r? ~.ea~ ~
Classification/Type of Use ~/} ~ -W~
TRANSPORTATION IMPACT FEE
Rate:
Sq Ft Unit:
Exempt 0 Yes 0 No
How Determined
Impact Fee Amount $
Zone No.
TAZ:
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House
(057) Mobile Home
(058) Other Residential
\ rJV3) Collection Fee
Exempt ~Yes fJ No How Determine
PARKS AND RECREATION FEE
Land Account Land Credit
Amount $ __.__~_
~
Land Total
Recreation Account
Recreation Credit
Recreation Total
Zone
TOTAL AMOUNT $
Exempt [] Yes 0 No
How Determined
LIBRARY FEE
Land Account
Land Credit
Land Total
-----------
Facility Account Facility Credit
--...---- --
Facility Total
Exempt [] Yes 0 No
How Determined
Total Amount
RESOURCE FEE
TOTAL AMOUNT
55~
ERU
Prepared By ___
Checked By
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
AGlmowledgement below does not Imply acceptance of concurrence, but simply receipt of a copy of this form, placing
the building permit owner on notice of this assessment and the conditions of payment for same.
-------------
RECEIPT NO. ((fyq eel DATE
/I !~ JiG
r /
DATE
BY