HomeMy WebLinkAbout03-2523
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
2523
Permit Number: 2523
Permit Type: MOBILE HOME
Class of Work: MOBILE HOME SET-UP
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 11/19/2003
Total Fees: 3,315.50
Amount Paid: 3,315.50
Date Paid: 11/19/2003
Work Desc: M.H. SET UP
Address: 37642 LANDIS AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): r:L. Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number:
Name: GRAND HORIZON
Address: 37642 LANDIS AVE
ZEPHYRHILLS, FL. 33542
Phone:
IL E E
MOBILE HOME SET-UP
MOBILE HOME MECHANICAL
MOBILE HOME TIF/SUB 99%
IRRIGATION METER
WATER METER RES 3/4"
60.00 i WATER CONNECTION MOBILE HC
35.00 MOBILE HOME PLUMBING
1,572.12 MOBILE HOME TIFISUB 1%
180.00 IRRIGATION CONNECTION
180.00 '
i
!
209.50
40.00
15.88
175.00
I ACE REFRIGERATION INC
I
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~REINSPECTION F-EES: When-extra hlspection-trips are necessary due to ai1y one 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 /l
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible ( I
, .
NO OCCUPANCY BEFORE C.O.
The payment of inspection fees shall be made before any further permits will be issued to the p.
--------_..,-_._-~-.~-----_.,._-------_.._-- -....---..-..----------.. - - --~~
/
Complete Plans, Specifications and Fee Must Accompany Application,
____.. _~ .. _~I_work sh~11 be performedi~ccor9~ce wi!~ City Codes and Ordinan.~es
~
SIGNATURE PERMIT OFFI
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
DATE RECEIVED //- I f- 0 3
PLANS REVIEW FEE
OWNER'S NAME ~ItM~J
JOB ADDRESS----3 7 'Y~
tltJlQ. I ~Q~
.
~h c.J~ /9(/-4-.
PHONE
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: 0 NEW CONSTRUCTION
o ADDITION
OALTERATION
o REPAIR
o INSTALL
o SIGN
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
~ILE HOME
o OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
M.1t J~
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.
PERMITS REQUESTED
o BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o tvJECHANICAL
$
VALUATION OF MECHANCIAL INSTALLA7ION
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 ZOl\IE AREAO YES
o NO
BUILDER
SIGNATURE i.AL~ /? -/4/1.1
COMPANY
STATE CERT OR EGIST
CITY PROCESSING #
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ELECTRICIAN
SIGNATURE AJJ~~
COMPANY ~C-c-
STATE CERT OR REGIST #
CITY PROCESSING #
PLUMBER
SIGNATURE ---.U.c.,---4~~
******************************************************************
COMPANY /1~
STATE CERT OR REGIST #
CITY PROCESSING #
MECHANICAL
******************************************************************
COMPANY Ac:..",-
,1.7 ~ STATE CERT OR REGIST #
SIGNATURE --1.....L o.,,---L~r-.JeJ CITY PROCESSING #
*-~***************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
'~,..",
*x***************************************************************
,1
.~
.,
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 contractoi 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 corrunencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application i~ 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 corrunenced 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 corrunenced 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 corrunenced. 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 logge~ 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 COMtvJENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF C()['1MENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
20_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument \vas
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)
Dwho is personally known to me, or
(name of person acknowledged)
Uho is personally known to me, or
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Ddid D:iid not take an oath
Dwho has produced
(type
and whoD did 0 did not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
I
10-01-20032:16PM
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PASCO COUNTY, FLORIDA
--..........---..- -
---.----
. ,
Builder "'arne/Owner "'ama -_f~_It~ ____ ~~r~f /I ___._____._ _____
COllllly P8I'cBII'Jo, ..Q'1.-:2.S-:-..._CJ./=-Q.flLO...... O~&OO.: SubUlv: __...____________________..
Address/Location ---,p7i?!:!-:J.-__~~____..Ai e . ____.._.._.____.._....____________.__
Classiflcatloll/Type of Use .-..-..-l!.:w.bJi____J~___....____._______....__ ..... ..________ ._..______
Permit No. ~ 5:J. 3
Date Pennltie'(J-=7Z.:2.1..~~~=
TRANSPORTATION IMPACT PEE
berl1pt [I Yes [~o
Hate: Sq Ft Unit:
-..- -.------------- ---- "'- ._~--_._. ,----.- -.-
Ilow [Jetermlned
Impact Fee Ainount._~________.._....______..____..
-.--..-., -..-..--- ..---.....-.... '--. -, '.._-_..~--_.- .._-.. ......--..----.-..---.----. ---..---
Zone No. TAZ:
--------.--
SCilOOL IMP ACTFEE--.;......--------
Accuullt (056) Single-Family Detached I'louse
(057) Mobile Home
(058) Other Residential
_112>> CQ!leotlon Fee
Exell\pt [_~ as fJ No l'low Detennlned
"""'--"-~---.....-_._..... .
-~-..-..
Amount $
..------...,...--..-----.-- -,..... "-+_.._-_._~.,-~--
-----..-~.-..-- ---- -~ -__"_. h_.__~.__
-----.---..----.--.-.......-----.
P'AR~(S AND R ECREATTO'N FEE .--___N~__
Lalld ACCOllllt Land Credit
.---------- ----.-.---..-..-.--.---.....--.-------.--.-.-- --..-...
---'-'~- -- +-. -..--.....--..-------.
---Land Total
H8CIsatlufl AccUllnt
-+-----.- .-----.....-..-.--
Hecreatlon Total
ZUlle _______=~-;~~
EX8111Ui//[T Yes [] No
~
TjB'RARYFEE'--~"-..-..-_._.--_.~------------.~-_._---___._~_._._.__..________
Land Ace"",,1 .---. ...._____~::----------- ___ Land Total _.______ __.______
Facility AccolJnt _____ Facility Credit Faolllty Total
-.. -.-::.:-:=:"----.---..- --.--.------..---- ..----...-..--.....-...---...
Exel~__Et'ie; [] "'0 How Delannlned ________ Total AllIolll1t ____________
,...-
--.----~.-----.. .J/ ---- -----...-----.-----.~~--.__.---_~
~;~2Iu~~~1I~~~1JfJt:-}i?:JliN ) ERU .. -m-______m___
--- -.----
TOTAL AMOUNT
. .~-_....__._--..-- ...-....--- -..---- -- ------
Ilow Determined
--'~---_._--..--..-.-._-- ._-. -_._- --~ ,._-~ ---.---- '--~--.-... "'_.. _h_
'... -'......~....~......_......._..4.~ ....~....................._~...._...._._~____,.........................____......-.
.-.~....--..-.-............---_....Io........____.._________
Prel lared By __." ..__._......._.___...____.__ ....._________ Checl<ed By ____._.__._____.__._..____...______
NO CERflFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PEHPORMED UNTIL TI-1E TOTAL AMOUNTS LlSTl::n HAVe
BEl:N PAID AND
HECl:IPTED POR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
Acl\l\owledgelnent bCilow does Ilolllllply acceptance of conourrence, but simply reoelpt of a copy of Ihls form, planing
tilE:! building permit owner onllollca of this assesslTlent and the conditions of paYl116nl for same.
---'---...-- .-.---.
DATE
.. -TlEC-~;)'lw- :--- ....t. ..-_:~. ---
"\ . ...- ... } .)
j.J/!iL BY 7J~Y2iu--.j- .:. ~.".<~
---.-- _._... -- .-.... ...- ..----.----..--.--.--__..__.h____
DATE
RECEIPT HO.