HomeMy WebLinkAbout03-2534
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
2534
Permit Number: 2534
Permit Type: MOBILE HOME
Class of Work: MOBILE HOME SET-UP
Proposed Use: MOBILE HOME SUBDIVISION
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 11/24/2003
Total Fees: 3,315.50
Amount Paid: 3,315.50
Date Paid: 11/24/2003
Work Desc: MOBILE HOME SET UP
Address: 37346 NEUKaM AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number:
Name: GRAND HORIZON
Address: 37346 NEUKaM AVE
ZEPHYRHILLS, FL. 33542
Phone:
ACE REFRIGERATION INC
MOBILE HOME SET-UP
MOBILE HOME MECHANICAL
MOBILE HOME TIFISUB 99%
IRRIGATION METER
WATER METER RES 3/4"
60.00
35.00
1,572.12
180.00
180.00 I
WATER CONNECTION MOBILE HC
MOBILE HOME PLUMBING
MOBILE HOME TIF/SUB 1%
IRRIGATION CONNECTION
-)" Sf- ~
,.
209.50
40.00
15.88
175.00
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---____ 'n_ . _.--.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
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
_!he e.ayment of inspection fees~hall be ma.9~_ beforec:l/1Y further permits will. be issued to the person_.Qwning _s~me
Complete Plans, Specifications and Fee Must Accompany Application.
__~.!l!k shall be !?~rformed in. accorda"ce with City Codes and Ordinanc~~__
NO OCCUPANCY BEFORE C.O.
/ tc;'N~~TljRE ~MIT 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 I (/ i../ () '2
DATE RECEIVED 1 II :J
f
PLANS REVIEW FEE
OWNER'S NAME 6-^II/NJ Ifo"/~.
JOB ADDRESs-Lor '1"- j7:JY./" lJev~CJ" Au~
PHONE
LEGAL, DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
(OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: 0 NEW CONSTRUCTION
o ADDITION
DALTERATION
o REPAIR
o INSTALL
o SIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
~ILE HOME
o O'l' HER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
~tI 4~.
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
A~1P SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o ~]ECHANICAL
$
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
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
BUILDER
SIGNATURE W9,--IZJ,~f)
COMPANY
STATE CERT OR R
CITY PROCESSING
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ELECTRICIAN
SIGNATURE
(r<7-~4~
COMPANY A ~ c..
STATE CERT OR REGIST #
CITY PROCESSING #
PLUMBER
******************************************************************
COMPANY. ~~~
STATE CERT OR EGIST #_
CITY PROCESSING #
SIGNATURE ~ ~
-Ll~~
MECHANICAL
*-****************************************************************
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COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
~~ ~4~f..~
*.~***************************************************************
OTHER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
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A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictionsU 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 contracto~may be ~i~edfor 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 SectionsU 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
0, 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 Guideu prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is som~one other that the "ownerU, I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "ownerU prior to commencement.
E. CONTRAC'rOR' S/OWNER' S AFF'IDAVIT
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 "AU or "A,etc.u, 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 conunenced 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 COMMENCEMENTu,
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
, 20_
STATE OF FLORIDA
COUNTY OF'
The foregoing instrument \"ras acknowledged
Before me this _day of , 20
by
(name of person acknowledged)
Qho 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)
Owho is personally known to me, or
of identification)
take an oath.
Owho has produced
(type of identification)
and who 0 did []did not take an oa th
Owho has produced
(type
and whoO did 0 did not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
. 9-05-2003 2: ra6P~4
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CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
ADDRESS AI J DATE PERMIT",.
i 7 ) l./ I v e u.. " 01"'\ 1 ., 0" 25 '5 ~
THIS JOB HAS NOT BEEN COMPLETED The following additiqns or corrections shall be made before the job
. will be accepted.
.
&b : \" ho.~~
S:df C{?~k.
doe~ /\ tJ t
0", Su u ~
/Y\e~ t
$,',,( P
ftf Ie 9 ~,'''''eol
7 'Il. I
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
7BO-O~;-INSPECTION
INSPECTORK ~
,:)AS(;() (;C)\JNl'Y, FL.()r:~II)A
.' ,_._,,~. ....,".,"n..... ..',' -"-H.....'.., .". ".'_""--'.'.L,_ '~"".,_....".'''""".,..,,. '
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,",~. ...... ,.~~~. p,.., "",...,' ..' ," ", ".'. ~ .....'"
Peltlll! 1'.10,
IJal8 Penllll!ed
BIIII> I ar He Illa/' ,>wller Name ~.t:ht,-,jl~!#.:"~ ~~._ . . ~ Gnr~t;olll
-:1." 0 '1 'A
COlli tfy Pal'(;81Ilo, J /1- -~.~S-: :,~ L-=-Q_QLQ~_Q_tl ~t't~ "311I>DI\I:
Addl88S/101 :<:111011 J1 ,.;/if; NR.?.J~)2-:\. /1 ~f:_
C;lassiflci'lfloll/lype !)ILJsellJ'Oi;~<--.~_ ~2-1-~~._
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1/ - olt./ -1'3
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lR/\NSPOH IAltON IMPACT Fl:E
F~ate:
Sq n Utilt:
F:X81111 It I I YAS !iJ'(.lo
Ilow Determined
II llpad h''H3 AIIIO! IIi! f~j.(:; J.- J(
I
10l\e 1\lu.
,I'AI
'ij(':n6()CiMfiACT'FRi.r"'''-~'h''".''"'. ....~ '".,....,... .
AC;r;UIIIlI (rJljfi) Slllule..Falnlly Ilelaclled I louse 1\IIIOlltll ~I;
(1)1) l) Mobile f IOlllEj
(mill) (libel' r~esldel1l1al
(I ;d:3) C;ollec:1I1J1l Fee
E)(elllpt I ~'?es L] I\Jo How Ueterrnltled____._
..PAf~l<sANf)t~f:6REATi()trFE'Ef . ......', ",."'"
Lc.ll\d /\I;COI II II I ,alld Credit
- .., '~_>J'''_'_'' . ..d,u." .."~..,, . _' _.~.... '''_., ,
land Tot81
nel;j AHlioll /\(;(;UIIIII
'<.ecreatlfifi (;!erllt necleaUull Total
LUlie
rOTA I. AMOUI'll .1.
g~u;ljnpr I l'les I.] I'Ju
'Lis R AiiY i~ F if
L.f:Hld /\CCOIII il
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I 81HI Cledlt -.....".,
""". .--
181111 lotHI
FadlllV!\(;(:(l11l11
. _ Facility Credit
. Facility Total
F )(8Wpl.' . I' Yes
jl\ju
How Uetellllilled
Tota11\1lI01l11t.
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"'" '" -, ... '- ~ 'to. .. ...~..,~...',. "''''''4'.'. '_,". "'___
1)/81 )8lerl Hy
Checked By
NO CF.RTlFIGAlE Ol~ OCCUPj\NGY WILL 81: ISSUEI) on FINJ\L INSPI::GllON
PEIU:CJHIVIl-=1U UNllL lJ IE lorAL AMOUNTS USIl::D HAVE:
BF.~N PJ\ID AND
l~f:CI~IPlIEn FOR BY A (a:NTI~AL. Pcl~MITTINO OI~FICE (JF PASCO COUNTY
Ackl \1 Iwledyel nent bHlow does lIolllllply al~cept8IiCE1 of COliclllrelice, hut simply 18cslpl of !:1 copy of Ihls fOlIn, plac:lll(J
tin:! hlllldltlU pt3l1nll owner on notlc8 of this asseSSlllsnt alld the GondlllollR of paYll18nt fl)l RAllle.
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DATE