HomeMy WebLinkAbout04-3025
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)180-0020
3025
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 4/29/2004
Total Fees: 3,315.50
Amount Paid: 3,315.50
Date Paid: 4/29/2004
I---..~-----~._-_.~--_.-_...
. Work Desc: M.H. SET UP
3025
MOBILE HOME
MOBILE HOME SET-UP
MOBILE HOME SUBDIVISION
Address: 37427 LILLY BEA AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s):: Block: Section:
Subdivision: GRAND HORIZONS
, Parcel Number:
I
Name: GRAND HORIZON
Address: 37427 LILLY BEA AVE
ZEPHYRHILLS, FL. 33542
Phone:
-------'-._~------
ACE REFRIGERATION INC
MOBilE HOME SET-UP
MOBilE HOME MECHANICAL
MOBILE HOME TIFISUB 99%
IRRIGATION CONNECTION
WATER METER RES 3/4"
E
60.00 WATER CONNECTION MOBILE HC
35.00 MOBILE HOME PLUMBING
1,572,12 MOBILE HOME TIF/SUB 1%
175.00 IRRIGATION METER
180.00
209,50
40.00
15.88
180.00
t~ 6J1WYj4J-
5;1110 [( ;2.."35 7)()!(+Jur LI-
I
I_.___.______.._~_________...._ ______~______... -----------.-- -- . _ -- m___~___ .... .--~-----.-...-------
! REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
I charge of Thirty-five dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
__IJ'1~_e.C1Y!!lentoLinsp~~ioI'1Jees shalll:>.E!_llladelJE!fs>re anx.furt:t!.er Pe.rtl1~ willlJe issue<:it() thE!J)~rson owniI19~ClI11E!_
Complete Plans, Specifications and Fee Must Accompany Application.
All ~.9rk sh~'-lJe_p~rforr11ed_in accorda.l1Ee lJ\Ii~h_City COcl_~_C1l1d OrdiI'!.CJI1ces____
NO OCCUPANCY BEFORE C.O.
---- - -------------
; /1 ~N"(~g~URE ~MITOFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8D St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
i.( 4$ ftt/
I ,
PHONE CONTACT FOR PERMITTING
OWNER'S NAME (,-p, 641'f.1 J If () ~ ,;'u,,)
JOB ADDRE~~)L"'(~~ -&-e14 "fluJJ...
LEGAL DESCRIPTION: LOT(S) BLOCK
PARCEL ID # 3<( - "Z> - ,:<"/-00/0 -- O~g-OO P r .;Jc~)
PHONE
~~
SUBDIVISION
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: (JNEW CONSTRUCTION
Os IGN
o ADDITION
o MOVE
o ALTERAT ION
o DEMOLISH
o REPAIR
o INSTALL
PROPOSED USE: (JSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
~LE HOME
o OTHER
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK M . rt 5 -R-X ~A/r
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
o BUILDING
o ELECTRICAL
$
VALUATION OF TOTAL CONSTRUCTION
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: (J BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
SIGNATURE
W~B~
C()~QTOR<smCTIQN
COMPANY 8.1~
BUILDER
STATE CERT OR REGIST #
******************************************************************
ELECTRICIAN
COMPANY rJ..c'~
SIGNATURE
1.AJ ~Ll~'>>
STATE CERT OR REGIST #
******************************************************************
SIGNATURE
W~O~
COMPANY l3~
STATE CERT OR REGIST #
PLUMBER
******************************************************************
MECHANICAL
COMPANY
)'9e.~
SIGNATURE
0../ ~___ LJ~>>
STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictionsH 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 SectionsH 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 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, 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 "AH 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 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 COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
, 20_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of
by
acknowledged
, 20
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
C1ho 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 Ddid Odid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
,
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