HomeMy WebLinkAbout03-2571
~--'
I
I
I
I
,
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
2571
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: MOBILE HOME SET-UP
2571
MOBILE HOME
MOBILE HOME SET-UP
MOBILE HOME SUBDIVISION
Address: 37606 NEUKOM AVE
ZEPHYRHILLS, FL.
Township: . Range: Book:
Lot(s): ~ / Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number:
12/26/2003
3,315.50
Name: GRAND HORIZONS
Address: 37606 NEUKOM AVE
ZEPHYRHILLS, FL. 33542
Phone:
~. )fr-~v.., '1').4],J
T/t' 11'
~lfj~\O~a..J1 0
9-\~ cr
~/
MOBILE HOME SET-UP
MOBILE HOME MECHANICAL
MOBILE HOME TIF/SUB 99%
WATER METER RES 3/4"
IRRIGATION CONNECTION
. i
60,00
35,00
1,572.12
180.00
175,00
E
WATER CONNECTION MOBILE HC
MOBILE HOME PLUMBING
MOBILE HOME TIF/SUB 1%
IRRIGATION METER
209.50
40.00
15.88
180.00
c O~ "
~~O~
i
I
----. _. 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
_JJ1~_paYrT1.en!Qf~nspection f~s ~hall be .l!Iade before any further permits will be issued to the person owning sam~
.;a:; ')
Complete Plans, Specifications and Fee Must Accompany Application. ':f1?/) ~ft'j1 /If/It-
__= - All work shall be::O:~;::::~:::: and oroinan(ces~~~~ f17
.,/ <-"t ~/L;~/ _ ~
'CON~RAeTORlSIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
3
{;
[j
; 0--.
~
~ ~
;0 !
~
i
at
~"\
'.
;;::
.I,
;0
Oen
-J
-Jc(
-0
J:-
a: a:
>9
J:u..
1'1.00
w::l
N:E
u.a:
o~
>lii
~N
(3
U
?:
r;j
...
U
:J
Q
o
a:
a.
i2
w
z
iii
:J
'"
W
U
Z
~
a:
o
II.
a:
w
Q.
I
cr
~J
';'')
;:::r
~
;: (
~ -(\
~
~
o
'I'
at
;;::
~
'"
U
?:
r;j
...
U
:J
Q
o
a:
a.
~
UJ
z
iii
:J
'"
UJ
<.)
Z
~
a:
3
lL
a:
III
a.
f-
i.J
en
-J
-Jc(
-0
J:-
a: a:
>9
J:u..
o..<Il
w...l
N~
u.a:
o~
>lii
I-N
U
I
~ ,
~ I
\ 1
5\
"
. \
\"{ .~
UJ
ce ce ~
I.U UJ UJ
~ \:( ~ ce
~ UJ ~
a (/)
~. ~ 0 0
"
'~I
'\
.....
......
~
-...:~
~
o
z
r..:
()
()
ct:
ex:
I.U
~
s:
~.1
ill
~
I.U
~
o
I
~
l- ::t
~ iii
~ ~ Ii; W
Z <( 5 CJ
~ ~ ~ ~ ~
~ 0 o::l U
>- t:: ci a. 0 ~ (j
jJ ~ i i i i I II~
z
UJ
:.::
~
ce
UJ
o
[3
,
I
I~o
fil~
tu~
ii~
:::i:0
OU
UUJ
:.::!;;(
ceo
~""
C'
'<:
J;r'~ 0
(f'J
(f'J
I.U
ex: w
a U w
a :> 0
'ex: ct: a: :> ce
w ce
ex:UJ C) UJ (/) UJ W
l-
I.U~ Z () u. (/) UJ
Zz :J u. z :::i:
~UJ :> 0 0
<( ex: I- -'
o ex: z -'
~ UJ ::l ~
(f'J :I: ce
(/) ::l (/)
I- ;;;
~
\,
'< UJ
ce ce c;J >-
w w <( >- l-
f-, ~ CD I- U
. . ~ ce
w <( U I-
~~ (/) c;J ;;; ::l
0
0 0 y 0
'''/
0 73/0
0
(f'J
z '. (f'J
r..: ....J I.U
() ex: UJ
() a 0 UJ
ct: a :> 0
'ex: ct: ce 5
ex: UJ a: ce
ex:1.U C) (/) w
UJ I.U w I-
w~ Z () u. (/) UJ ce
~ Zz u. UJ
~UJ :J :> 0 z :::i: l-
s: <( ex: 0 -' w
o ex: I- z -' :::i:
::i: w ::l ce ~ ~
(f'J :I: ~ (/)
(/) ;;; W
a:
~
.~
o
;
~
y ~
~
\~ "
\
Ii' \::t-
o
ce
UJ
I-
UJ
:::i:
o
,1i
a:
ce
UJ
I-
W
:::i:
:.::
o
UJ
:I:
o
/
ce
UJ
:I:
o
I- ::t
~ iii
o Ii;
~ <(
<( -'
~ ~
o ::l
~ 111111
~
Z
::l
u..
o
W
CJ
II:
<(
:r
U
o
11
'\
.~
4...~~
~
~
~.~
~~
t<~
o
ce
UJ
I-
UJ
:::i:
:.::
o
w
:I:
o
ce
w
:I:
I-
o
I .
r
"
'0:
UJ
o
a:
tr~. 0
\~
\
~
>
-~
'-.."
\;
I
I
1>-
i~
'UJ
I~
I~
I~
I
I
I
I
i
I
I
I
1
[
I
1>-
'CDO
OW
wI-
I-W
w-'
-'a.
a..:::i:
::eO
00
ow
1X':~
ceo
I~""
i
I
\
\'
1
: :~
.-
'-
'J
-;
'.1
; ~
,..,
.~
'!3
! ':
-it
:"1
'n"
!~'-
fL,';' ;,.).)'''-:.+ ,(-
j"~
/0 I 1
:{
....-
To 0 ,e<.-~. ~
'>I~ 11/
1
I
j
I fL -,jr -..:..'....5
~ '7/
.,.
~jd
Mob/LE H~/YJe,
.;jJIKOb 55A..::>
~ '- ~ ~4:>tJ I:} d
LjhS" G t' e/teA.#t
sH~
1Y~~1"~
.R.'" .t
I
/3
/
I
'I
I I
j .
I
II
I '
I
l"-
i-
....,
~
'='
60
/
U.1
,.)~I
~~
~
~
\..l-
/
5'7'
I
I
u.l
Q., C
'<>
~ >.~
"" ~--.
?; ,:; .
... ,.....
. ~ i.lo
Cl (> .
~,.<:!:,
~l:-.R
~~~
)0
"
jot)
/
I~ i
~~
~ ~ ~
("~ ~
~ l<.
10-.
l>oc
~
..
.,.,..
....
~
~
-..
-<
10
.~
{', (l ,S"A '
~\~
, ~,lev?,,- #~
- 1 l !,\ j, ~
\ '" iJ'J\; !\
l hI( \.1 :.,
IV
~llt l~/
r<,
~ '-'
N
~ ---
.tX1 ~
~ ~
~ .J.....
/'
,. / - "-:-
I ~~ ~
~ ~ 3:
~ '"
~ \:'.... ~
~ \)-. \'
j "-
L
/
30
r' }( ;10 , .', iJt!'l! II
-L
t<
~o /
I
>1
c-d
~JO~..::::l
~'JI1CC : V S66 [-c l-c
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
OWNER'S NAME
6-A.1'1#f/~~ If Q.L, ( .... ,,--V
JOB ADDRESS L~ f 7. I
.J 7' 0 '-
LEGAL DESCRIPTION: LOT(S)
PARCEL ID #
WORK PROPSED: 0 NEW CONSTRUCTION
o ADDITION
o SIGN
o MOVE
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
DATE RECEIVED
PLANS REVIEW FEE
PHONE
/lJ <. ~- K (0""" /I L.' ~
BLOCK
SUBDIVISION
(OBTAIN FROM PROPERTY TAX NOTICE)
o ALTERATION
o REPAIR
o INSTALL
o DEMOLISH
OMULTI-FAMILY
o INDUSTRIAL
~MOBILE HOME
o OTHER
0# OF UNITS
o SWIMMING POOL
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
/J'},f/
BUILDING SIZE
SQUARE FOOTAGE
RESIDENTIAL:
COMMERCIAL:
HEIGHT
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
& (1) SET ~FORMS.
fORMS. Y ~r
)(;'51
PERMITS REQUESTED
0 BUILDING $ VALUATION OF TOTAL CONSTRUCTION
0 ELECTRICAL m1P SERVICE 0 FLORIDA POWER 0 W.R.E.C.
0 PLUMBING
0 [vlECHAN I CAL $ VALUATION OF MECHANCIAL INSTALLATION
0 GAS o ROOFING o SPECIALTY 0 OTHER
padWE~S ~o pa~uT~d 'padli~ aWEN
~uaw6palMOU~OE 6UT~E~ uos~ad JO a~n~Eu6TS
lj:+EO UE a){E:+ :+OU PHD PTPO OljM pma
(UOT:+EOTJT~uapT JO edli:+l
paJnpo~d SElj OljMD
~O 'ew 0:+ UMOU){ lill1?UOsJad ST OljtQ
(paopaTMOU){Oe uos:red JO aweu)
-02: '
paope1JMOU)(OE
,
liq
JO liEP- STlj~ aw a:roJeg
se"l '4ua\Jm:r:+suT 6uT06e:roJ alj,1
.30 X.LNOOJ
\101'(10'13 30 3J.\f.LS
padwE~S JO pe:+uTJd 'padli:+ aWEN
:+uawe6palMou~OE 6UT)(e:+ uos:rad JO e:rn:+EuoTS
'lj:+EO UE e)(E:+ ~ou PTPD PTP DOljM PUE
(UOT:+EOTJT:+uePT JO adli:+J
paonpoJd SElj OljM 0
JO 'aw 0:+ UMOU)( Alleuos~ad ST OljMO
(pe6paTMOU~OE uosJad JO aWEu)
-Oc '
pa6palMOU~OE
liq
JO liEp - spn am eJ:oJag
SEM :+uawnJ:+suT 6UT06a~oJ aljJ,
- 30 X.LNOOJ
\fOI~O'B dO 3'J.\fJ.S
. A. ~OTICE 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 Guiden 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 "ownern prior to commencement.
E. CONTRACTOR' 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 "An 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 fora
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 ~1AY 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
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENTn.
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
CITY OF
ZEPHYRHILLS
IINOTICE"
OF ADD.ITION OR CORRECTION
BUILblNG
DEPARTMENT
DO NOT REMOVE
DATE J. PERMIT ."
t " 10 3 '2~
THIS JOB HAS NOT BEEN COMPLETED. T~e following odditiqns or corrections sholl be mode before the job
will be accepted.
E..~~, ~:(Ae ,~+r rV'w k'l'rs
Jb.- , I" 5 (k (. +.0."-
ADDRESS
)7~oc;.
e u ko./I.1
Av<
S,",,,, U
be
e.x~oserJ
I
It is unlawful for any Carpenter, Contractor, Builder, or other persons, to
cover or cause to be covered, any part of the worK with flooring, lath, earth
or other material, until the proper inspector has had ample time to approve
the installation,
OFFICE HOURS 7:30 AM - 5 PM MON,-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-0o;;JJ: RE-IN~
INSPECTOR It-
,
I] A~; (; () <.: () lJ N wl"Y, I~' (." () r~ I [) 1\
".Hh"_.l-'~'~, .'~ . J~.."'""""_,, ~~.," .
"'....,...,...,.,,'~ ............,."....,+" 1'-'..'....,......"., ~o.' ';.."'"'' ".""" ,..., ,..,...... ~...~,,,..""~, ,". _<C,,,. ,_'._,. ...n..,-, ,"0.. _'''' ""'''',",",'"~'' ""'.. ,_ . _'. ~_'~.,....' ....cr_ ......"..,...,. ..........,,,,,,,,
IJ811111t Nt), :J~ 1/
I >ate Pen llllledj~ ~/c1'~<..J-~u
B IIl1del 1'1" IlIefl h.yl1el N alll$'~"",.~<l~ ,l Qt'wfJJJti. C IIl1trol II .
r: 01111 ty I' a"." I I "" ,3 'I . :;',fi: -:,2 /. l' (;;1 Q .- <,;.! rilXY P ,;1/8111>\1 Iv: C /_y. "",,(Ll~$"'$
AddIEJSs/II)(;81IUII ,3 Z~u{) 4z :Z-/~~:~(J2'211. [2'1-<< :uuu_. ___/
C;lassifl( :8t11 1I1/l'ype {Jf LJse (---:~~.)? /?(;zt:i&.u~2~7:1~
THANSPOH IA110N IMPACT FI~E f~ale:
[:?)(Hllllil II Yes \J~o Ilow t>etsl'lnlned
/....
i'J .-'
1I11liEld Fee AlllOlll il :li !l::-.!:- >?..8)---:--~ lone I\)u,
Sq H 11111t:
TAi:
'ijii ii6f)['iMP'j\r,;r.FEif....." ......"... ......-.~...._. ".... ""u'''_~,
/\Cl all II 11 (O(3fi) Slllule..F arnily L>etauhed House
(on'?) Mobile 11011\8
(()f)!3) (Hher r~8sldellt1al
j) 2:3) CC})le<:tlun Fee
E)(8111pt 1Y1Y8s L II\Jo Ilow IJetennined
/
"~".~ ,~~ ,',' .....
.,-.. ,.... .l._...
AIIIOllllt $
.2,'./)7
...../l? /~
'f) AfH<s Ar~ f)m~GREAW()trFEE'
L811d /\CCOI1I1I Lalld Credit
Land lolal
Hel;1 Hellion /\(;CUllllt
F<f'lCleatioll Credit
necreatlull Total
ZUI18
TOTAL AMOl lilT
'I'
d
EX8111L>1 II '-( es '-I t'lu
Ilow Uetennlllsd
.z::-. :::::.. ,~~,_, "".'.,1___.. '._ _."<0-,.,... 0..;,
LIBRARY FFE
Land 1\\ :culll II
Lell 1(1 Credit
Icmd ., utHI
hwllll)! /\CCllllI It
-.-':'- ,,'--:~
Facility Credit
Facility lotal
F)(f3111pt .' '....1 Yes I I t.~() Ilow UeI81'1lIInedu.nu. ,.
~(E,~~ij~~~,F;~7 ....C... --'--zy-:;;;;- ;;;-------...
.IJJ//__un._..~. .,
Total AlllOlIllt
',',. '.." ...,. "" "" .........~..... -'. ~ ",....., "'''..", _...,,~._., .. o. ", ,., ,; .... ,_ ...~ ,....... ~'"."'" ,. .. ,_. .," ,_,"" ,,'
Ef~l J
" ~',.,. .. .,..," ." " """"'. u,.,. . .c..,., , ^. ". ", L'.", -.......'-.. '-'.' ',.. ,- ~ .., .~.,' ..__ ".' ~ ,.", ,,_, '._""'''' '""'" .'" .O-'U"'''.
1'1 f'll lalwl Hy
Checked f3y
I~f) GI~lnIFIGA"'E or: OCCUPJ\NCY WILl. 81: ISSllI~l) on FINJ\L INSPP.CTION
pi:m:'or~M~I) UNllL 'IIIE TOTAL AMOUNTS I.ISTf.:D HAV~
BF.l~N PAil) ANn
rm(:I::U'TI:ll FOR BY A Gt~NTRAL. PEHMITTING OFFICE OF PASCO COUNTY
AckIIO\^llf.lduelnent bHlow dues lIot Iillply acceptance of COIH:1IIT81Ice, but simply lenelpt of a copy of II Iii;; fOIlIl, placlllO
tlte h\lildlilll pelllllt owne, Oil IIollce of this assessment and the Gondlt/<)jJs of paYlllunt fOI S81ll8.
~~ECEII)I I,ll},
IlAII::
. liE'GR i)h if- .r) .' .' .
!J-jlf,~B. tlY ~Vl).C~l(Q-
DAlE