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.1
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2823
Permit N mber: 2823
Permit Type: MOBILE HOME RV/PARK
Class of Work: PARK MODEL SET-UP
Proposed Use: RV PARK
Square Feet:
Est. Value:
Improv. Cost: 2,000.00
Date Issued: 3/12/2004
Total Fees: 175.00
Amount Paid: 175.00
Date Paid: 3/12/2004
---Work Desc: PARK MODEL SET UP
Address: 3534 MALACHITE DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE
Parcel Number:
Name: JACK & BETTY SHEA
Address: 3534 MALACHITE DR
ZEPHYRHILLS, FL. 33542
Phone:
1
REINSPECTlON FEES: When extra i'nspection trips are necessary due to any 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
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
. "Warning to owner: YOI."-rfailure to recorcfa 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."
. ______h_~_~_ Complete Plans, Specifications and Fee Must Accompany Application.--~----------
All wOI"I<._~tJ~1I be p_~rform~(ji.n~cc~~<!nce wi~h Ci~.fodes~nd Ordin~~ _____ .____
NO OCCUPANCY BEFORE C.O.
~
OR S GNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
MAR-11-j004 10:26 PM
P.03
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LOT CONSTRUCTION APPLICATION
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CONTRACTOR PHONE #
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..vi orne&' rcprcSentltivc v.ill 'rlsil )'Our Jot [0 dl~eulJS &11 plw and deWI~ wilb you. J! t1U oon''rN~.
(ion is IpproY~ and the eODttf'\lctlon.devt.tcs from thiJ plan, the constNctlon b 3ubject tqJmmFitlft~
rrmO\'lj It your expense, ,'.' ; .'."
Resident date Offi~ ReprosornatJw date
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4. NOTI~t O!' DEED Ri:8Ta:tC1'ION8
The uncklra.1gned under.tande that thie permit My be "Wljeat to .de~ re"tr.i.l;:tionsu whiClh
may be .ore r..trictiye than Cit.V ~8aUla~ion.. ~n. un~ra~gn.~ 488Qm.. reapona~btl1ty ~or
oomp1iance witb any applicable deed re.tr1ct1on..
B. UNLIC~N8iO CONTRACTORS AND CONTRACTO~ lE5PONS1BILITIES
If the o~.~ he" hired a oontractor or contractors to und&~ak. wor~, they may be reQUired
to be liceA.ad in A1~~...rri".,"e wit:h .t...~. QncI lQ",..l rO'i\lool.&L.l.um.. J:r 1:11e eontrector ia not
lAownaea .. reqUired by law, botb tbe owner and contractor may b. oited for a m1.~.nor
violation uncier .tate law. U' tll. Owner or 1Dtended eontractor a:;<e lUlcertll..1n a8 to loIhat
1~oenain9 requirement. may .pply for t~e intended work, they aZ'Q advised to contact the
City o~ %.~Y~h~11. .~~l~n~ Pep.r~nL, 813.780-0020.
rurthermore, it the owner ha" h1red 1I contractor or contractor., h. i. advised eo neve the
contractorl.) 8ign po~ions of the ~Contracto: Sec~i~.n of this applicatiOft for whigh they
will be relpons1ble. If yoU, as the owner .igne as the contractor, you are ~n~ioat1na that
ynn, r.<ath.r ~)wln the ~C>"'ior.ct:Q~, ..... .......pQnsl.tl.l.. tor the work. It the Qontrae~or willlhe.
you to liqn .a COft~raotor that may be an indica~ion that ne i8 noe properly liconeed and 1.
not entitled to Pe:mitt1n9 pr1v1lege. in the C1ty of Zaphyrhilla.
C. TAANsPOR.TA.'1'ION IHPAcT RES Am> UTILI'!.'Y COma:C:T!ON i'li1lilS
D. OONSn\t1CTUIOIf L:tEN LAIf (CHAPTER 7l;J, FLORIDA S'l'A'l'OTn, AS AMiHDl:D)
I =-rtify that I, the applicant, ~ve been prO'l'icl.d with OJ r:opy ot "Florida's Con8tructiol'l
lien LaN - Romeo~r'l Protection G~ae" prepared by tbe Florida Depa=~ment ot AqrieUlture
and Con8~r Attaire. If the appli~ant i, someone other that tho ~own.rw, T ~.~itv ~h.t !
h.v. cb~.1ned a copy 0: tbe above de.cribed document and promise in good faith to deliv.r
it to the ~~erN prior to Caanencemen~.
E. CONTlUlCTOR' S/OlfN!~'! ArrlDAvIT
I o8rtlry that all the inro~t.1on in thi~ appliCAtion ia a~~n~..~. and that All ~O~k wLll
be dOn. .1n COmpliance with all applicable lawe requlatinq oonstruct~on. zonin9, aQd land
dovelopment.
Appliqation is hereby mada to Obtain . p.~it to do NDrk and in.talla~ion .s indioated. I
certify that no W~~ or installation haa eommA~oed ~ri~r too i..u.~o. .f ~ ~~it snd tho~
all w~rk will be ~rtormed to meet ItaDdaros ot all laws r.qulat~~g conatrue~ion, City
code., Zoning reQulationa, and lana development regulations 1n the ;uri.dio~ion. I alao
c.rt~ty that I una.rltand that the regulation. ot other go..rnmental aQano1ea may aPPlr to
the intenda<1 ,",Ork, and that .tt i.9 IllY r.''r>0l\.~104.l.~~)' t... J..dqn1;~f~ Ntun: .at.!.....,. % u,u..l L....t. to
~. ill cOIlIplia!lC:.. Suoh a/lene1e. include but i1~e not l.l.lIU.t~ to, *Oap.artlllent or
En~lro~efttal keqUlation-cypress Beybaada, Wetland Areas and EnVironmentallY Sensi~i~
Land" ~at.~lNas~.wat.r Trea~nt
.8outh"R~ ~l~tida Wat.~ Wana...ent: Di.trie~,w.~~a, CYP~c.a a.ylw4da, ..t~ana Areaa,
Alterinq Watercouraes
*Army Corps of Engi~..rl-Se.w.ll., Do~k., N~v~gable Na~erwey.
.DepGrtmen~ o~ Health , lehab11ir.tive Services, Environm.ntal aealth On1~-Wello,
N.a.t.wlI!..~ 'I'z-eaa...nlr., e.'l:ie T"1\1c.I:I
.U.s. Enviro~nt.l Protectlon Aq8DQY-Aabesto. abatement
r a.l.lo oertify that, if' l!!.ll lIater1al io to b. !.l..d 1n FloOd Zone "1\" ar "A,eto.n, it 18
under,tood that a ~a1nage plan .dd....ing a "eomp.nsatin9 volume" will b4 SUbmitted whioh
J... pr"PI...ed by 4 p.u..'...l......l. ..rui~neer relJ.1!1tereC .1Q ~1'IliI 8tate or: Florida prior to perlll1t
i8'Ullnee.
A permit i.aued ahall be con. trued to be e license to prooe.d with the work .nd not a8
authority to violate, oaneel, alter, or ,.t aai~. eny provts1on. of the teChnical cOdel,
hor .he~~ ~88~nc. ut · permit pr...nt the Bu~~dinq 0~~1ct..I. fr~ thereatter requiring A
correction gf errors in plane, construction, o. violation. of any cOde. Every PG~it
i.lu.d s~ll beoeae 1n.al.1a unless the work authorized by suon P'~it 1. commenced Nithi~
.ix months of .i..aU<JuQe, or if work authorized by the pemti't .is suapended or aOa!l4O%le4 tor 'I
per~Qa Ot 81x months arter the t1me the work is commenced. One 90 day extension of ti..
Ny be e11o_d for th. perm..t t Nith fee ohaZ'9'e ot US, 00. 'l'h. .Jtt:enaion .hall ble requested
~n writing to the BUild1ng Off1cial. An apprOVed 1napeetion mUst be loqqed durinq each ,~X
month p.riOd, or the p&o;.~t will b. con.1~red abandoned.
IIA!UlUlIIY '1'0 OtQl'J:~: l'OOP,. FAIt~ TO .IlI:CORD A NOTICE or C~ HAY UBOLT IN YOUR
~AY'ING TtfIC!: F01l, tNPROVEMBNT8 '1'0 fOUR PROli'li:ll'n'. If YOO INtIl:l.tD TO OBTAJ:N rINAIoICINGl, CONSUI.:r
WUIf YOt11l. LENDER OR AN A~:rOIUlJ:Y HFOR! REcoaDING YOUR NOTICE 0(' CClMDlCDEN!. JOBS UNDER
a2, SOO IN VA1,tlI; DO NOT HEUl 1'0 Rl:CORD AND POST A "NO'l'ICI: OF COtOIEIiCEMl?IlT".
S IGNA'1'tJR& I 01fN!l1l, OR AGItNT
!!TA,n; or rt.oRIOA
CO!JNTY OF
Th. tor.aoing in.~rum.~t W~~ ~~~"~wl.ct~.d
!lefore me thill _ day or I 2ll-
by
(naae of pereon &CllaaowhcicJed)
Owho i. J:>.~.""'~' 1y "''''WI'l t", "'., Or
o who has Pnl~oec
(type ot .1aenUlicaUOlI)
-!Ond ...ti",C dJ.<1 !:::leU," n~ "'.100 o.n oa1;h.
SlQNA'l'URE: caN~IlAM'n.
STATII: or ftoR.IOA
C:OtlNTY OF
Th. e6~.,oL~ J..n."'~YDQnt ~. .e~~4edged
s.l:or. llIQ ttU.. -...l1ay of , 20_
by
(n~ 01: pOrion aoknowledqedl
Chho ~. P.~Don~lly known ~o me, cr
o who has produoed
(typs of identification)
..nd toho Odia ~;l.w nul 1..1<.. an ollL.b
Signa~urQ ot person taking acknowledgement
Slqnatu:e of per.on takin9 llckno~le~nt
W... trPed, printed oz .t~ed
Name t;yped, printecs or at_pea
, 'd
ILSt'oN
SllIH~^Hd3Z ,0 AllJ
~?'8D:B tOo~ '9 'qa~