HomeMy WebLinkAbout03-2572
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
2572
Permit Number: 2572
Permit Type: MOBILE HOME
Class of Work: MOBILE HOME SET-UP
Proposed Use: MOBILE HOME SUBDIVISION
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 12/12/2003
Total Fees: 3,315.50
Amount Paid: 3,315.50
Date Paid: 12/12/2003
Work Desc: M.H. SET UP
Address: 37404 NEUKaM AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): .If l! Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number:
GRAND HORIZON
37404 NEUKOM AVE
ZEPHYRHILLS, FL. 33542
L-__ Phone:
EH
MOBILE HOME SET-UP
MOBILE HOME MECHANICAL
IRRIGATION METER
MOBILE HOME TIF/SUB 1%
WATER METER RES 3/4"
E
WATER CONNECTION MOBILE HC
MOBILE HOME PLUMBING
IRRIGATION CONNECTION
MOBILE HOME TIF/SUB 99%
n B~.-f.V
0111'~-?j ~~f
Ill'\?-~I · ~()P
~;t1t"'P
(!,o. )o:!J
19- J-'J-
G
10117- Vb3
___ _ __ . ._--.--L--- .--
REINSPECTlON 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
_ Th~_payment ()tinspecti()!l fees shall be mad~ before al!Y further permits wilLI?e issued to the person owning same
AllcomkPlehtellPblans, :peCifjCda~ions andd Fee M~shtc~ccocmodPany AdP~d.tion '- J .
_ __ __ ___ __ _~.E~ s a e pellorm~_ In accor ~nce Wit Itx es an r Ices __u__
____.._ NOOCCUP~NCYBEFOREC.O'_J ._
"flW~~ ~
CONTRACTO~NATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
I
go ~I
O:Il,
>;>;,
;;:10
00
oS::
s::"
"In
'-i
mm
~~I
I
II
I I
'-- i
~
'-,
l
~
I
1--- I
~~It~ ~I
c;) \..s.;, ~
~~ ~
;I~ ~
,
I
i
i
(fJ C/)
Z -i :r m
:II c c :0
0 0 m if, :II -i <
:r )> ~ z 0 0
-i m 0 , 0
:r To
m 0 ;::: , z " m
:II ^ m s:: (f)
(fJ )>
s:: -i m m m 0
m m m :II ~
-i :II < 0
m :II (j (j :0
:II m m m
C/)
C/)
I
~ \ 0
0 0 0
----:'0,)
r- ""-.,
~.
'-
......
r
\',
~,
,"
y:
\
~
~
",
I I I III 1;
~ ~ ~ ~ !il
~ In c:: !!l c::
' Z -t Z
C') -t)>::j
:I: ~!C CIl
)> CIl 0
i!5 -t c::
In lJl Z
~ -t
',-> "
r~
t
~'.
1\
~
~
o
I I III l t
~ ~ ~ ~ !il
CIl In c:: CIl c::
r> Z::j Z
C') -t J> ::j
:r '!c CIl
)> In 0
i!5 -t c::
In lJl Z
~ -t
~
:r
m
:II
o
o
~,~
o :II
=i ~
-< c;)
m
o
C
-i
o
=i
-<
o
:r
m
o
;>;
s::
m
-t
m
:II
:II
m
)>
o
s::
m
-t
m
:II
o
o
o
c::
-i
o
=i
-<
EJ
\.
Z
o
=i
-<
z
(f)
~
F
;:::
m
-i
m
:II
~~
o
c;)
)>
:II
~
c;)
m
o
(f)
m
:E
m
:II
-i
c::
:II
Z
o
z
(f)
m
~
(j
m
~
~'
~
m
:II
(f)
:r
c::
-t
o
"
"
(f)
m
~
(j
m
C/)
m
:0
<
o
m
)>
o
o
:0
m
C/)
en
o
o
(f)
m
:E
m
:II
~
)>
r=
Z
(;)
:00
m:E
Zz
-1m
m:o
:0 ___,
~
)>
r=
Z
(;)
fil~
Zz
-1m
m:o
:0......
()')
"'"'
f':
r'
....
r-
r-,
,~~
~
"-l
m
:0
f)
(")
:-l
Z
o
I
I
.;.'
"
m
:Jl
~
~
z
()
(") m
ll>
N=i ~ .'
z
m< m
~o 12
~." "
:Jl
0
~N 0
'm c
()
'" -<
Y'J: w
;I! < z
"
O:c CD
:!:!J: c;;
0_ ~
>,
, t
C/) 0
g
\" ~
v CD
0 u-' ~
~
m '"
J ~
r- '"
--
~ [:
\j.)
o~
"v
~
"-l
m
:0
f)
~
z
I:)
I
"
m
:Jl
."
0
:Jl
~
Z
()
(") m
ll>
N=i c
w
Z
m< PJ
~o
~." "
JJ
0
:r;N 0
i=m c
t;;" ~
$Il
-J: z
;!!< "
O:c CD
:!:!J: c;;
0_ ~
>, '"
, Iio
I C/) ~
'J ~
CD
0 \..0 ;;;
~ .:,
m J 2
'"
-C c
~-..
'>-:. .... E
\.,"-'
0-'
---../
1<
IoC
C""'5"EnTe'~r L
~:J
I
t,o
( , , ~
I~~ '-' ~/2
tho b ; U /II",.!" ~~
MMiuJ I~
Jt~1 --t
.JHd
,
J t
4f7
4J~,~
~
~
i~
~
~
loc
~
()/C ('f) eM>>+J'
/
~o
(0 T LfO
~ ......, ,', .'1" "- J /,.:C r J UO'm /J t/ z:;'
~.,/" " 7 ~I /V<-- v ~ C. /I. ~
6rrA.ud ~~/~'uJ
r:: 'c:::
" / \~
i. . \yYu .
~'"...I":~,
~I ~ A ' -
II <V' ' '1.'..-4,'
\ ,,.1, I
, i I ,'t-\
I ,,\ ' "
J,-." . . f i .In., , I...
~ l}Jl.f 1,)
1 .,
>1
,
ICO
, I erl,%:At'€-e//
+
~
WO~
N~l~:9 €00e-9l-6
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME
G-P_~ J /1<., A I~.LJ~
PHONE
.-
JOB ADDRESS /.. (., 170
:;.7yuy
/v ~_ {<..."'''7 itv' .~
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 #
(OBTAIN FROM PROPERTY TAX NOT~CE)
WORK PROPSED: ONEW CONSTRUCTION
o SIGN
o ADDITION OALTERATION o REPAIR o INSTALL
o MOVE 0 DEMOLISH
OMULTI - FAMIL Y 0# OF UNITS ~ILE HOME
o INDUSTRIAL o SWIMMING POOL o OTHER
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
)11 }i
BUI LDING 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 ELEC'!'RICAL
A~1P SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o ~lECHANICAL
$
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 ZOl'-lE AREAO YES
o NO
BUILDER
SIGNATURE -L::!~.......... L7.,._.A~
.-',,' J. I'
COMPANY 8~/1<.~ Ii ~ V
STATE CERT OR REGIST #
CITY PROCESSING #
*********************************************************,*********
SIGNATURE
LV':r- LZYiJilI
COMPANY J<7c.. ~
STATE CERT OR REGIST #
CITY PROCESSING #
ELECTRICIAN
******************************************************************
SIGNATURE
~Jc';r-~~J
.- -::: 'f p
COMPANyO'~/{C'--"/ / L v
STATE CERT OR REGIST #
CITY PROCESSING #
PLUMBER
*i****************************************************************
MECHANICAL COMPANY .rJ '-:. "-
J STATE CERT OR REGIST #,
SIGNATURE L...,l ~- ~--I,~/ CITY PROCESSING #
*.~***************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
<<:::~
,1
.~
*****************************************************************
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
fuay b~ 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 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 som~one 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 conunencement.
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 conunenced 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 conunenced 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 conunenced. 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 COMMSNCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
, 20_
STATS OF FLORIDA
COUNTY OF
The foregoing instrument \vas acknowledged
Before me this -----!:lay of-----, 20
by
(name of person acknowledged)
Qho is personally known to me, or
(name of person acknowledged)
Dwho is personally known to me, or
Dwho has produced
(type
and whoD did Ddid not
of identification)
take an oath.
Dwho has produced
(type of identification)
and who 0 did O:iid notta ke an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
~ITY OF
ZEPHYRHILLS
"NOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
ADDRESS DATE PERMIT." I
51404 ~~.!-. ~, ''t-,1-- oJ 2572.. .
THIS JOB HAS NOT BEEN COMPLETED The following additiqns or corrections shall be made before the job
. will be accepted.
,
~~~~
~.L/t~ f7-w$~/I?I~
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR RE-INSPECTION
INSPECTOR ~ . ~jj
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.
PASCO COUNTY, FLORIDA
Permit Nn, --...__e?f2..2~_...
Date Pennllled _.i~:::./-.':1.,=_.t2~
Builder Name/Owner Nanie _JJ ~___~__ Control # ____.____ _.___
COllnty Parcell\jo. 3,Y-:~~J:::"OO LO..:::",O 0 YO _____._ SubDlv: .__'..'....,_.._.___,_.____,.
Address/Location -.-3~L~~::t--~ ~_.__6_~< --~----~.-----_________h,___
Classlflcatlc1I1/Type of Use
'_..._--_..._~.._._~--_._~_.._-_.~------._~.__._---- .--"---..-.-.- -_. --.------- ._-~~-_.---
TRANSPORTATION IMPACT f:EE Hate:
Exernpt 1-,] Yes l ~~ '.Iow Determined
Sq Ft Unit:
--.------.----..--..-....,.---.- - ..'---.--,.---- --
Impacl Fee Alllollnt__t__1._5_~..[___ __
. f
~ t...........~~................... .---..~.,.--..-,.._-...............~-..."'..............-.............".~....."'...""".........'''''......L'~....'_..................,_,""..."'.-........,...........,,l.~_,...
'sci10C)CiMPACT FEE'''.... .. -
Acuount (066) Single-Family Detached HOllse Arnollnt n; ___._.___..____ "______..___
(057) Mobile Home ._.__.__.______.,., ..___ _
(05B) Olher Hesldentlal _ ____ __ . __ _ __ _ '_... __ _
Exempt [~(tle~~on F~~ow Deten nlned __._ ___. ___ __. _ ._____. _ _ ___ __ _.___.
Zone No.
TAl:
P'ARi<s ANf)" RECREA:rION FEE >-">..~~-'-_.---_._.,-~=~~._>->>-.-,--,--"~-.,."'-...".~_M.,----.~..
Land Account Land Credit -AfJTotal
F~e(:1 eatlon I\CCOllllt
--~---_.~-_... ......- -_.,~.".-..~-...._,,_.--_.
._.~
~...-
--~~____n__.
.~ [OJ Yes [] No How Determined ---'--.--------..--,-,_______h___ _____.._____....,.......
t'j'B'RARYFEir'..'-~.--......,.,-.._-~.~--.u~-.~-...-.--..~~.._._---'"._.~._~-.-.-~.-.-..,.,_..___._.._.,,_._.
Land l\cccl\\lll Land Credit _.-----kalld Total
.. "..-- ....-.---.-----... ----~_--n....__ ._____..._.._.._.___...__.__. _.______
--
--
Fadllt)1 ACUOlllll__ ,__~~._-:=-1~aciiftY(:redit ___.____.__.....__._ Facility Total '__..___._,..____..
.-----
E)(elllpt/~+]y;s [] No
,/'"
RESOm~CE FEE..'~...------.._-..~-~ " \)I ~-.-~-~ERU-~~~=_____=~~~.~=~===-==_~
'1'()'!'At, AMOUNT ..---..---------1....J..::!.__~
Recreation Tolal
ZOl18
TOTAL AMOUNT
" $--.,-..-..--------,.., '-""-- ,.. ---.-.--
Ilow Determined
Total Amollllt
---'__""_','_n_. _n____~__
...._,.. ""." .'.... ............. ......~..... ~.n."'......'-'....'""..,__"'-"........... "'._~...............,................._".... ,.........-....-....u......._~.-.........._ .
~..........................~..__-........,_...."~......----.........--_...'-..-
Prepared By --.------..-'_____'_h__,___,______.__ Checked By ____..___._____..,_.__ __ ._
-- ....~---_.-
NO CERflFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
1:)1:1~I::OJ~IVlED UNTIL THE TOTAL AMOUNTS LISTED HAVE:
BEeN PAID AND
RECEIPTED FOR BY A -ceNTRAL PERMITTING OFFICE OF PASCO COUNTY
Acl\l\owledgemsnt below does Ilot Imply acceptance of concurrence, but simply receIpt of a GOpy of Ihls form, plac\n(J
the building permit owner on notice of this assessment and the conditions of paYl1lenl for S8me.
--'~~--.~,--.-.----.- .,~-~..- ... .. ---.-----.. ____'-.__h.__..__~.___
DATE
RECEIPr NO, (.QliO~_~DATE
--nECEIVE[5 'BY -- .----- --------..,
) '\ -~ ''QOY
w.-_d.-.________.. '~_.._.w
_~~h ~
-N '(J~~I,~-...-