HomeMy WebLinkAbout04-2960
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
2960
I
4/16/2004
955.00
955.00
4/16/2004
MOBILE HOME SET UP
Address: 38023 LEONDIAS DR
ZEPHYRHILLS, FL.
Township: Range: Book:
I Lot(s): Block: Section:
~
i Name: SHIRLEY WHITFIELD
i Address: 38023 LEONDIAS e....z,v,
u_J Phone: ZEPHYRHILLS, FL. 33542
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:
2960
MOBILE HOME
MOBILE HOME SET-UP
MOBILE HOME SUBDIVISION
MORTON ELECTRIC
MARSHALL PHELPS MOBILE HOME INST
SOUTHERN CLIMATE CONTROL INC
M L
MOBILE HOME SET-UP
MOBILE HOME MECHANICAL
WATER METER RES 3/4"
60:00 I WATER CONNECTION MOBILE HC
35,00 MOBILE HOME PLUMBING
180,00
200.00
40,00
(]~ I]~ s!-11'()~
ji 3~ ip.W;,Jt
dj(J1VtJ
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REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-five dollars ($3S.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
II'l.~payment of inspection fees shall be made b~fc:>r~i3_I'l't fu,:!her permits will be issued to the person owning same
Complete Plans, Specifications and Fee Must Accompany Application.
All wc:>.rku~h~U ~E~.J~erformed in accordance with Cit'i_~c:><1l:!,~C!ndOrdinances...__
NO OCCUPANCY BEFORE C.O.
-:I:;;~ (/ t' ~i, .~~,
~~RAC~OR5 51 NATURE -- --~MITClFFI
i
I CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
L PROTECT CARD FROM WEATHER
SCALE: 1" = 20'
I~
53'
10'
23'
MH
24' x 48'
1152 s.f.
20'
Leondias Dr.
.1
J'
'1:'::'-:'< fUN
--7 "r7 i P!~ ,
____ t ...--
- .,} -L4")
fill ':-';';'- ~ ,~,
,\..",,-[ --
Lot 52
Wayward Wind MH Sub.
ID# 14-26-21-00160-0000-0520
80'
APR-16-2004 FRI 01:12 PM PLANT CITY FACTORY OUTLE
FAX NO, 813 719 7999
P. 03
". .._.f-.....
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53'
~I
10'
'7
2J'
MH
24' x 4X'
1152 s.f.
,..
80'
SCALE: I" = 20.
20'
Leondias Dr.
Lot 52
Wayward Wind MH Sub.
IDH 14-26-21-00160..0000-0520
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 85 St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECE IVED
#Sftc/
~- ~ loti
a. f
OWNER'S NAME
\' /j;L.L ~r;: w tt I'll eLD
1X'tJ.13 L eOA/[JJA S ~ !WY-..-
PHONE CONTACT FOR PERMITTING
/)'tfUf,4 Myo<j'It('fv
PHONE -'PI 3 . ~h;; '11f13
JOB ADDRESS
LEGAL DESCRIPTION: LOT (S) -S;"- BLOCK
PARCEL 10 # /'1-)[.,-2/. tJ/(pO. OOo/JO - O~-.;J.tJ
SUBDIVISION M)NIN.l'J. tJIH('>
(OBTAIN FROM PROPF.RTY TAX NOTICE\
WORK PROPSED: [JNEW CONSTRUCTION
OSIGN
o ADDITION
OALTERATION
o DEMOLISH
o REPAIR
)8 INSTALL
o MOVE
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
~'MOBILE HOME
o OTHER
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
/JJII Se.1v?
11"1' X S')...-
SQUARE FOOTAGE
/::>11
HEIGHT
BUILDING SIZE
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
& (1) SET ENERGY FORMS.
FORMS.
PERMITS REQUESTED
JF () 9fC
u;:rBUILDING
IZY'ELECTRI CAL
$
Si. {} ()()-
7-00
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
~' W.R.E.C.
~LUMBING
~CHANICAL
$
o GAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
~ OTHER /11//
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES EJ NO
COMPANY 11t/Jllfo.AJ E~c.l/
SIGNATUR STATE CERT OR REGIST # E /< (JOO,:;) ~~3
IJJA.e..<:IIAJ..l-
gO~q~R)SECTION
, . /J;I!~/
COMPANY '-
?iI~<Py'~~ STATE CERT OR REGIST
BUILDER
SIGNATURE
# 211. OOO() 3017
I
*****************************************
PLUMBER COMPANY
SIGNATURE 1Jf,1;zSfl"'., ?/I~'~~ Il~ STATE CERT OR REGIST # 2110120030;7
******************************************************************
MECHANICAL " COMPANY 57:)/,/'7/-1 u..d I?L/.I?1Arc.-
SIGNATURE ! /, .v,/-STATE CERT OR REGIST # (!4e.-0,;2/3'Y
OTHER COMPANY
SIGNATURE STATE CERT OR REGIST #
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 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 po~tions 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
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 Guideu prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone 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. CONTRACTOR'S/OWNER'S AFFIDAVIT
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.
Appli~ation 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 volumeU 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 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 R AGENT
M.~ CUA-<J--rJ
SIGNATURE: CONTRACTOR
acknowledged
, 2~
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
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)
Owho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
of identification)
take an oath.
Owho has produced
(type of identification)
and who Ddid [}:iid not take an oath
Owho has produced
(type
and whoO did Odid not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
396786
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.~J!i1
PERFORMANCE BUSINESS PRODUCTS. iNC. 313-719-<'1008 FAX 313-719-7919
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
~~.~~~~
WATER ACCT. NO.
'i I
-7 It;' IC4/
-' / - /
DATE
OWNERI
RENTER
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72.- ;:'
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MAIUNG
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A/to
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) eA.>' <..L-":.::-......i
SERVICE ADDRESS
SHUT OFF SERVICE 0
/
/
TURN ON SERVICE (].J/
INSTALL METER 0--/
READ METER 0
CHECK METER 0
OTHER 0
1YWATER
o SEWER
o GARBAGE
Q/lN CITY
o OUT CITY
_ No. OF UNITS
_ DEPOSIT AMOUNT
_ AMOUNT LAST BILL
--/
/
_ DATE
'-...
L__StJ:J;)
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ji<' 'cL ",2 y-
_ MISC. CHARGE
WORK COMPLETED BY
& DATE COMPl.r::IED
ORDER TAKEN BY
4-/6.- (.IV
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C\f-
ORDER GIVEN BY
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. Retain white iorm in office al ail 'imes. / I'
Send pink ,';' !ellow torms to Water ServICe Ceot. tI
Water Service Oept. to sign yellow form 3. retum to offICe,
MAY-10:-04
03:40PM
FROM-HOIAE LOAN CORP, TAMPA
'-/
8132692214
T-204 P,002/002 F-075
"-'
MAP DF SURVEY
SECTION 141 TOWNSHIP ~ Sl1UTH1 RANGE 21 EIIS~ PASCD CIJtJNTY FLORIDA
----
CONCRETE POn \lItH
€:t.E:CTRIC /littERS
LOT 63
LOT 51
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u tOT 53
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LOT 52
-,7."1'
at. 7"
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!
I t:; MAIL taxES ON
~ ClI/IfCRETt PA
j~ .....,,"16'[ ,9>."....
- -----;1!!:-- N;.47'l6'E
~TE~ UN[
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METt:RS
.ff:: 11'2"
53.00' - -'--1--
15.0' .......LIOHt
or "'OLE
25,00'
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5S0.80'CM)
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~'t;."J~~ .. CONCRLl'E:
~ - CaVERn
_ · IISF'H1\L T "AVENiN'!'
~
A D~Qrlnf) of' $89.47'16'J.I was tJ$SIJ/'/ed
alonG 1;hg ~enter Un. of' L.eandias Lane.
LE~9Q( deSt=r/pt1on obtained fron dlfmt
(Hllfsbol"O"'f/h Tftle, /nr:.> '
lJESCRIPTIDN:
Lot 52, Wayward Wind Mobile Home SUbdilrision, according to the Plat
Book 28, Page 61 of the Public Records of Pasco County, Florida.
IIlll4WIIDIlo
SNrley Whitfield
Hwne l.,Qrm Cg~;on o( TeJc"~
Ameltcon PlonefJl' 1ifIe IftSurvr<<:e ~pcm>,
HlNsborolJlJh 71tltJ, fne,.
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SW'JtC',. ~TY SHlVN Ht:~ Lln IN rmw zqc )(
1If;l;fJR1Jr"(; m TI{i t.M"DAC4l, n_ l~,,<< RArr: NIIP,
ClhuvlTl'- ~ IUfIfJl Ji!IIIfJf1 Htt:J (J
HM> <<"'orp. f01'I'IQcR :J4 /!J!Jl:!
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NOKTHSTARSVR~.I4NDMAPpmG
CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
I ADDRESS ,DtTE PERMIT 0# I
. 311 au LeatJd;a\ Dr. >/b/"" :Hf.o .
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job
will be accepted.
,
* A \~{..,v ty\c;.r kvs \ ~li hi elfo~d -t>r /n5ti"{:o-"
-J All d;~~ ~l~LI hi J,e.!>r ope,.. .e~.t-;r~dy ..for ,','1 \fet.t:'i1
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 mallerial, 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
780-0020 FOR RE-~CT10N
INSPECTOR 1B I-
"
\0~~
PASCO COUNTY, FLORIDA
Builder Name/Owner Name ,Shft,.(-ty w/11ffrt-tr/
County Parcel No. __'___________
Address/Location 380 ~ 2> ~~ L A).
~
ClasslflcatlonlType of Use ~IoL~_14~.
SubDlv:
TRANSPORTATION IMPACT FEE
Rate:
Sq Ft Unit: _
Exempt [] Yes [~o How Det~rmlned
Impact Fee Amount $ C)if ~. ~:9')f . .i.<one NO.,
./.., /"-"/'/- L-7
-tr ,J~ ~,
TAZ:
-----------
SCHOOL IMPACT FEE
Account (056) Single-Family Detached '-louse
(057) Mobile Horne
(058) Other Residential
.1123) S2!!eSUon Fee
Exempt LJ Yes LJklo How Deterrnlned
Amount
$ _Jfr1 . ~
,.:ii7~-::;7' c:rj
~-""'l"f'.4:>.-:--"""'"
PARKS AND RECREATION FEE
Land Account Land Credit
Land Total
----".~--
Recreation Account
---------
Recreation Total
Zone
TOTAL AMOUNT ,~_________
__ Yes [J No
L1S'RARY FEE ~-
Land Account
How Determined
'I" ______
---.-,.. ~",.......
-... -_. w
Facility Account
Land Credit
Land Total
-.---.,----
Facility Total ,
[] Yes 0 No
How Determined
Total Amount
RESOURCE FEE -
TOTAL AMOUNT
. .Lf~ ,-
:t.~
ERU
------..,_.._~-
__ 1tI~_.....__.,.
~--..._-----,-
Prepared By ,_,_______~___,
Checked By
NO CERTIFICATE OF OCCU~ANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
Acknowledgement below does not Imply acceptance of concurrence, but simply reGelpt of a copy of this form, placing
the building permit owner on notice of this assessment and the conditions of payment for same.
DATE
RECEIPT NO. '~33
RECEIVED BY
DATE 5-\\ -aLl BY ~\j.) '0,"'....