HomeMy WebLinkAbout04-2967
1--- .
-1
I
CITY OF ZEPHYRHIL.LS
5335 - 8TH STREET
(813)180-0020
MOBILE HOME SET-UP
2967
Permit Number: 2967
Permit Type: MOBILE HOME
Class of Work: MOBILE HOME SET-UP
Proposed Use: MOBILE HOME SUBDIVISION
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 4/16/2004
Total Fees: 3,315.50
Amount Paid: 3,315.50
Date Paid: 4/16/2004
Work'Desc: MOBILE HoME SET UP-
Address: 37451 LILLEY BEA AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
! Lot(s): Block: Section:
! Subdivision: GRAND HORIZONS
I.. Name: GRAND HORIZONS
Address: 37451 LILLEY BEA AVE
ZEPHYRHILLS, FL. 33542
Phone:
L
MOBILE HOME SET-UP
MOBILE HOME MECHANICAL
IRRIGATION METER
WATER METER RES 3/4"
MOBILE HOME TIF/SUB 1%
WATER CONNECTION MOBILE HC
MOBILE HOME PLUMBING
IRRIGATION CONNECTION
MOBILE HOME TIF/SUB 99%
".2 ~;;.. :J ' iI.,r
, 'pi :F . j/'
p.~ tfP~ p,,j f>>1f
[-tr6 I
-------------.-~------~___~_l______ '______,__.__
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
I__!he paY'!lent ()f inse~ion!ees s~all be_made ~efor~_any f":lrther permits Will_be iss.!l~d to!he pers~n owl1ing sC!l11e _
I
Complete Plans, Specifications and Fee Must Accompany Application.
__ _________ _ AII_vv<:>rk s~all be perfo~med _i_n accordance with City Codes. and OrdinClnces
._--~~._~._~.__.-
-----.----..__________..__"_________u.._____.._.__ ____....________.. ____...______________..____....____._______________
NO OCCUPANCY BEFORE C.O.
-L!o'C6'~~ATURE-- ~MIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
r
/lJO
,
---
E'A>c~CA.J1 ~
uT JOb
~
6#J.?lJd IfaIP I UJ~ J
t<
,
t-o r 1
/"
n ./.
/
3.2 ' r-1J ~~
fJtob//c f,bgr ~,r~d
S~
/
.sl
...
.,.:::.
~
~
:..c.
~
~
~
(
60
, , 'I'
;......' 'i(' ~, ~-t /\J"r':'-'L-
-./'; ,""" ~- ~''1 .
..~ \~ ,~,~ -,...~
,,.., ...
./' 'I "il " .1 -~'\ ~~
'/ iYT"-"- i....1
. ,
,,~.t':'\C-_....2i~ I":-~~~~ j
I ' '.- '~"
,- . ". .", "'~' '
. '''\"., ",;;." j LJ<-..., :~
-,1/6-1 ~..
-. ':,'~_ ...,.,;',- 1_>-..; , _ , .'.'
/
ItJO
;
"r E,4}E~cvr
+
,.\ ~1Jlj:;'/"1;
'j 'I, .:.!j' "
~:. {L
~. -.
,-"\ ./1
K- ,.;y .," ~,'::;
::~//~/Jrr'-"
-- -- i}
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
1:d~1
PHONE CONTACT FOR PERMITTING
OWNER'S NAME I~"A' / ,J LJ J
!:2::~_'" /7vl7./"".-v
.,dB ADDRESS Lv 1:201 . ..l:7i5L.
PHONE
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
,L.,-r
PARCEL ID # 1~~2.~-21-0bl() - tJ2Fdt'- '4!lf' 020 ~BTAIN FROM PROPERTY TAX NOTICE)
,
L; If~ 1~~
4ve,
WORK PROPSED: DNEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL
DSIGN o MOVE 0 DEMOLISH
USE: DSGL FAMILY DMULTI-FAMILY D# OF .J'
PROPOSED DWELLING UNITS o MOBILE HOME
0 0 0 o OTHER
COMMERCIAL INDUSTRIAL SWIMMING POOL
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK --M. H.
32.r5'(
S4f
BUILDING SIZE
SQUARE FOOTAGE
/ b;; -"l-
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOFJ-IS.
IF' SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
o BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
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 AREAD YES 0 NO
L___
.~-.-..__._~--_.._------.--
CQN~atlf'.sleijlf-ot;.'r
., ,i"., ,.,.. "V';.;:. "';'~';'~h.". 'k';" "~."'..,
---~-----;-;r-"---
COMPANY /1 i.-if C/Vr- / l. I t!J
BUILDER
SIGNATURE W'->--/1.~
STATE CERT OR REGIST #
********************************************************,~*********
ELECTRICIAN _____.~7
SIGNATURE l0 ~_~~
COMPANY
/1c--e..
STATE CERT OR REGIST #
********************************************************~.*********
PLUMBER
SIGNATURE Uuy-- p~~
COMPANY o,-~.--h Jcj
STATE CERT OR REGIST #
MECHANICAL
SIGNATURE (.) "7_ LJ...J~
******************************************************************
COMPANY
h<.--<o?'"
STATE CERT OR REGIST #
********************************************************k********
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE 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 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 indication 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 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 "owner" 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, arid 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 jurisdictioIl. 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,ete.", it is
understood tllat 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 req\liring 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 vdthin
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 eacll 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 COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF ------
The foregoing instrument was
Before me this _day of
by
STATE OF FLORIDA
COUNTY OF ----.-----------.--
The foregoing instrument was acknowledged
Before me this _ day of , 20_
by
(name of person acknowledged)
Dwho is personally known to me, or
acknowledged
20
(name of person acknowledged)
Qho is personally known to me, or
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Ddid DUd not take an oath
Dwho has produced
(type
and whoD did D die! not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
r ~ :r; z -' ~I CfJ ~
- m (F- e m ::oC ~ .
C'r' '"' :r it: )> ;; ~ c ~ m::;::
"-,,,';... f; ~" IT C C --1 ::0 Zz ~
1lo::iE1-C' :1:' 7, s:: r < m
;;;"r: ~ r C C- O Z -1m f
00, :> ~ s:: z ,., mIJ ::0
)> :0 I "- IT, To G)
...' .~< m m en m ::0, )>
"-i^ ;~...,,~.,.,1 I' ..., m C/J .
mo, ~, --; m m jJ m )> (')
001 ---" ... :J:' Jj < jJ 0 (')
0;:; '=: r fj < 0 -f
'- fj
s:: '11', ::- m IJ
'U'I (t. "'! ~: m ..-.---., Z
,m -- m '~ .-" 0
m-l, - . .,. "- (J) r
ii1~1 v. r (J) .
O~l \.../" -' ;- 5' "tI
r.. m
I ~ ,t., ~ ;D
I - ..:-' 0 0 0 0 e 0 .;) ~
- -
~ ~. - "" -:.:, ~ .
I '"' ~, ~ -...J ,'~:::-' z
! I..r < "- r-. 0 (')
! "- t7 -... ~I m
... N=i
I t1:c ~ (, .~~ '"
c
"- m< (J)
i ~", z .
~.::' "'" ~'o m
i '\' 1'- ~"T1 ?J
I ."
;!;N :n
I - - 0
t-z I --..... " l=m CJ '.
I c
~ (I)" (')
~ i ~::t -<
, fJ!
i.~ 01 l" 5<
~~ z
;:0::0 "
jJ -:t: '" '.
~!<. 0 o_ W
m >r-
:oj :D ::t
~I;>-.,., );I r- '"
en a.
<, " ~I 0
mil 0
'"
Zi " Z" 0 ~ ~ .
IDI ~I I I I I I 1- 0 0 0
-<] ~
I 5- ~
0 z G) (fJ ~ m '"
e 0 )> m .:.,
-I :D ~ -I ;;
!: 0 )> 0 z 0 =i ID m m .:, .
I C;; ~ !: m p =i -< ~ :D :D ~
0 "tI
~ 0 0 -< m '"
c: ~
(') z C/) ."
:t: -I =i c: t-..
)> r- )> Z , ~
::g )> !: ;;j ~ U_i
Q C/) 2
m -I 0
III c: Q
z
r= -l ~~
r- ~
-<: .
i ~ 0 0 :D Z -I (fJ (J) ~ ::00
, --.. -I :t: m e :r ~ .
! C/J m
I \0 .\.--, :r m )> );I :D e )> m~
llo~! t::' m 0 0 Z -I ::0 F Zz ~
". :Il ^ ;:; , < m
r- 0 0 Z -1m
~~I ... s:: m s:: z ." (') m:n ::0 I
m -I ." m G)
m m C/J ::0, )>
C -I :D -I m C/J .
mo ,- '~ m m :D m )> I (')
00 <;:. :D :D < :D 0 (')
oS:: .". -..-t, fj < 0 -f
~~I .-;. m fj ::0
m Z
In ~ "- - ...... m -. 0
- -, (J)
-1m , ~,l \ (J) L- .
mOI~ \~, 'll"\
O~l~ .... '") "tI
... (f\ ....... m
,~ '4 - f\ :D
It' -: .... 0 0 0 EI D 0 ,-,' \ ."
""t: ' ' \. r-. 0
~. :D
",-" .., ~ .
I l:. ""'" .\:.
I'.:' ~~ '"', ~ z
- 0 (')
..... l". .... m
1'-"'" ", ~ N=i
j j', '"
' <--- -..... c
1--- -- t=,' F \. m< (f)
I.:, ~ ~O z .
- '-.. m
.. 0<, f2
i .-' "". . ;j"T1
.........;, ...
i '- "tI
:!;N :n
I \, ::-...... 0
I r-m CJ '.
r~ I f;;" c
I (')
~' I ;':1: jri
/-1:'< r-< Z
~I~ 01 O:xJ "
:n! ~ :!!::t ~ .
~l'" oj 0_
ml >r- '"
::P, ~I ... r- ::t
~~ !" '"
U) Is,
z~ g
~I co .
~! . IDI I I I I I I 0 ~ 0 0 ~ ~ 0 ~
-<I" -<I ~
I """"'0 '\ '"
I Z Q (fJ ~ ~ m -C w
! i ~
c: (') )> m ~ k ::t
-I :D ~ -I
I !: c )> 0 =i ~ m '" .
z 0 m )' ~
i C;; ~ !: rn p =i -< :D :D
i "0
i ~ 0 0 0 -< m y..:; '"
, c: 11> ." ~I
i (') Z
:t: -I =i c: r fjj
)> r- )> Z ~
%1 iii /r...}!1
Q &i !: ,~
rn -I 0 r-
ID c:
Z ''''' I
r= -I I~. I I ' I
r- " l"-1.
I .
'.
';""
\.{j, (~~~
J6~
PASC() COlJNTY, FLOf~IDA
....-...,"'......- .... -, "...'.,.,.""'......m_....,.._.....7."'~T"'. '''.' ~....~~,...'I",.'-".....'..'........,......,..............,'..OT' ,w'"'''' '........'......"......"-='.., ..........,._.._.......,. ,_,'...... '..~...".,..............,_,.. ~ "',,....__,...,...... _...,...."........<........."'__~.-.-......, ,.,., ,,<.,.,~.......
Pemllt Nu.
Date Pennltled
Builder Name/Owner Name __ (;2~~\;~{ ~J.t_l('!.1.{(r21'..J~____ ._ Control #
Cnllllly Par(;ell\lo,84.~ d:$.?l-()()I_Q~_,Q~8-~t:)___~a1{._ _ SubUiv:
Addless/l.()(:aflotl _ .;)_. -/:f,t),I.'._ _6::,j( v-:'_'{. -_L5.e.~"._.{t~(_,_._~.._
Classificatlc)/)/ Iype of Use._ Lt~,:, ~)Jk___Lt(.\}J..'-,c..,'___.___"
~ 1 {, " /'_1
.-', } ti
-- -7....:_d__:()"-___,
~_. II.
TRANspon rATION IMPACT FEE
Exelllpt IJ Yes r-t,] No
nat.e:
.-_._-- .,._-----~.-.. --.- - -
Sq Ft Unit:
Ilow I.>etemllned
-----.-....--.. ",,' .-.-...-.---- ,~..-
Impact I:ee Alllount .JIH=~.~:.~).__.
/' '
lone No, TA?:
....----.----" -'---'-_"'__"__' _n.
-,-'.,~,- -,.,~"".' " . ,---. -'-,-- '-""-",'-'~' "~".,',, .~ ''''- ,,,,"c.,, .'. ~""""_"'_ '.... .......,".,_,._...."..... "".." .'.._.._".,,,.. '"", __....,'..._~.. ".,.. '''... '...... .. "..
selloo!. IMPACT FEE
Account
(USE) )
((Jfj?)
(0513 )
112:3)
r (I Yes
SIIl~~le~Farnily Detached Ilouse
Mobile "Iorne
Other Residential
Collection Fee
[] No I low Uetennlned
Alllount
$
~"'''---''''-~' .._-.....- ..____ ___n'. _ ..._ ___'_........~.
EX81 npt
. -........-..---.---....-.-.... - -
p"Afi i<SA~i fi'RE(~ REATi6ifFEE" , ., .,..."'~...._,. '~"-'''''"--''-'-'-"''''""" "-..,,.~-_. _~"_...,_.""....."..~__....._..._...____.,,_._.
!Blld I\CCOlltll L.alld Credit Land Total
. --. "-'''..-..- -.. -...._- ".' .-- -..... .....~.__. ".-.- ...'-.,....
Recreatioll ACCCllltlt
necreatloll Credit
n.ecreatiot] 'rotal
2'0118
TOTAL AMOUNT
, .t___..
Exelllpt
I Yes 1-] No
Ilow Determlne(l
',~.-,... ...', '........'''...,,~-''"....'............... '_'~"'".- d'.., W'"'' _,._._.... ._ ....~.._.....,.._"..."......., .,...".
UBR^RY FFE
Land I\CCUlIIll Land Credit
........"..,.,.,,''''~........,..,
~-_._. - '--~.-. ._--'-_.~-.. _. -____n_. "M__..__.
Land Tolal
Facility ACCOllllt Facility Credit 'u_._._....___ _. __'._ Facility Total
. '.~- "---. --. ~ _ u ._.._._____.._...
Exempt II Yes [./ No
---. ..-----.., .. _ 4._...__.___ ~
How Uelennlned Total Amount
..-----. __._....._4...., ..~_u_.._ -"__'__'..n,..","
...~-..- '...". < .,~_....._-,-.'._" .,----.-_~n....,." '."'",.,._".. '>'.... ... '"~....~.....~...,...."'"_..__"''''....,,''_~_..._<~.._'''_,_~..._._"' ....,"",.~_~_.." ..,.""_".._,~
RESourWE FEE
TeIIN. AMOUNT
ERU
. .... _....._-~-.._._---...__._-_..~......_---
. -...._,,-.~._-- .-. ...~----~_._.._.._.-.._-.- -.-.-..--........
,.., ., .,." ....-, ..~. .. -, '" ~ ,
Plel l8ler! ny
." "-,"',,,. "',' .. "'" "~'," ..,...'... ".. "" ,..." """" "U"'_ " ,",_ ...... ... "... .. ..".. '.. "'''''''''' ...~, '.- '" '... _.',...' "'......,...... ._ _ .,,,... .... ....,"'.."
Checked By
.-..-._.--~.. _n _'_"_"", __
NO GI:HTIFIGATE OF OCCUPANCY WILL BI~ ISSUED OH I":INAL INSPECTION
PEru:CmMEU UNTIL TilE TOTAL AMOUNTS LISTED IIAVE
BEEN PAID AND
I~ECF.IPTl=D FOR BY A CENTRAL PERMITTIN<3 OFFICE OF PASCO COUNTY
AcknowlfJdgAllIflll1 below does flul Imply aCCfJptcHlr:e of conr:ulrence, !JIll simply I Ar:elpl of a r:opy of Illls form, plar:hl[J
Iho lJulldlng pel/IIII owner Oil notice of Ihls 8ssessIllent and tile condillons of paYll18111 for same,
DAIl:
.. .. --....- ..----..-...-..- "-_.
~-_.__...._-_._--------- .. ..--.--.- - ... ---....-...-----. ....-
nECEIVED BY
HECEIPT I.J{),
. - -. ---. .- --..-...-....-- -..-...
DATE
'--~...._--~"- ---...-__.__u__
BY
.-..._~. "'-'~"---'"" .....-..--...- - . --._..._..4..._'..__...._...._._._...~