HomeMy WebLinkAbout04-3067
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
3067
Permit Number: 3067
Permit Type: MOBILE HOME
Class of Work: MOBILE HOME SET-UP
Proposed Use: MOBILE HOME SUBDIVISION
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 5/12/2004
Total Fees: 3,315.50
Amount Paid: 3,315.50
Date Paid: 5/12/2004
--Work Desc:MOBILE HOME SET UP
Address: 37450 GILL AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number:
Name: GRAND HORIZONS
Address: 37450 GILL AVE
ZEPHYRHILLS, FL. 33542
Phone:
-_._~--~._-~-----..~----
B
I ACE REFRIGERATION INC
MOBILE HOME SET-UP
MOBILE HOME MECHANICAL
MOBILE HOME TIF/SUB 99%
IRRIGATION METER
WATER METER RES 3/4"
60.00 WATER CONNECTION MOBILE HC
35.00 MOBILE HOME PLUMBING
1,572.12 MOBILE HOME TIF/SUB 1%
180.00 IRRIGATION CONNECTION
180.00 I
I
;:;;.~ ~/~~~~ II' de 0 ~<~,..~ t~
I
------~-._---~---------- -----_!_----------~-- -- ---
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasOns, a
charge of Thirty-five dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
.J1l~p~ment of insp~io!!!~~.?~~C!!Lb~_made~fore_.9I1Y furt~rpermits will be issued to the person owning same
- - -- ---. -------~---_._-------_.
Complete Plans, Specifications and Fee Must Accompany Application.
--- -------- ___A"._wor~haIIJl~...E~rfol'..med. il'l_accordance with City Codes and Ordinances
- --'- -.._---~-------------------~
- - -
----- ----- - -- --
NO OCCUPANCY BEFORE C.O.
.----------------------------.---
..-ttO'lr,:RAC~R~E- - --~MI1' OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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HO:-:L:l I.Jt1517; 0 I T"OOc-,::'O-T'
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
PHONE CONTACT FOR
.5'-/1- oU
DATE RECE IVED L
PERMITTING ~
OWNER'S NAME ~~ _t k:rL f L 0'V1 3
JOB ADDRESS,- L J ) I OJ..kJ n Let
/ ~ 9- BLOCK
PHONE
~ 3CJ 7 )$:)50
LEGAL DESCRIPTION: LO'1'(S)
SUBDIVISION
PARCEL 10 #
WORK PROPSED: (JNEW CONSTRUCTION
DSIGN
o ADDITION
o MOVE
(OBTAIN FROM PROPERTY TAX NOTICE)
DALTERATION 0 REPAIR kINSTALL
o DEMOLISH
PROPOSED USE: 0 SGL FAMILY DWELL ING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
}?MOB I LE
o OTHER
HOME
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
~ :l- LLf> Y))CS\oll~ Mu'YLL
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 & (1) SET ENERGY FORMS.
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 PRO,JECT IN FLOOD ZONE AREAD YES (] NO
L_____o________
CON'1'RA~mR;~~;,smC'1':t()N
". --- .- ....,.,.", :', . "'--"'.-. !"\i-:';..t.r".-:,,_:- .' ..~.-.-;..,.-.~ ,; ...... '''-,',.J'..: ._;.:,:,. ,~. ,:c.. :/.' ,
COMPANY -li-':;~---------
.1
BUILDER
SIGNATURE W c:.,.--rl~
STATE CERT OR REGIST #
********************************************************~*********
ELECTRICIAN. ~
SIGNATURE W~~ -
COMPANY
f:1~~
STATE CERT OR REGIST #
******************************************************************
PLUMBER
SIGNATURE
.1-J~_O~
COMPANY AJ~
STATE CERT OR REGIST #
MECHANICAL
******************************************************************
COMPANY
/1 c.~
SIGNATURE
1...J. ~_ n .c..A~
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 restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsioility 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 ~ontractor, 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 li.cerrsed 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.
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 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 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
acknowledged
, 20_
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
acknovil.edged
20
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Ddid Diid not take an oath
Dwho has produced
(type
and whoD did D did not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
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PASC() COtJNTY, FLORIDA
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Permit No.
Date Pennilled
- ~
") .., f" . /
. l _ _
~-h~"~?~~..:~i~:Z=
Builder I'JElll1e/Owner Name (..<!.~1 i (, 1.- /!f.) I" .') \
CIlllllly Pa,,,.lllo. ...' 'I ...._;~~J,;,~~~I.,~,:...;~L
Control #
~_..~ "'--'--'-"--' -"-."""" '_h__.... '_"W.._~. .
SubUiv:
Addl8ss/LucaUoll .. ___.:' L) (-J C_-_(L:_LU_J L~....\'____
-....--.-,.....-.. ._, -_.._~.__..--..~,. ~'-'---. ."..--.-.
Classlficatloll/lype of Use__ IL\,fJ<Ld,c,:_.{L~).Gc'::'...
_._.__n______.....__._..___~__.._.. _.._____.,,___.__. .., ____.. ____~~.._. .._.____ ~_.,___,_____~
.n~^NSpon IATION IMPACT FEE
. - . ----_. ..____~. '_'m_ _._"'_~.. ..._.__._..~~____..____~____
F~ate:
8<1 Ft Unit:
Exempt [I Yes [] 1\10
Ilow Deterrnlned
. -"~-_."-,._..------..-",._--..- --.---
Impact Fee Amount . $ (,) 8 (l<
- - ._".... ...... -r--"'-'--'--,--,~,,---,-,-
Zone No.
TAl:
"s61TGc.iLTMPAG'T FEE".."..-............'" .~"n'"~".,'.."c,~ '.'" '''"'0-' ~~'."n...~.._.'n.n"'.~,,"_
,-" r..":_~""'~"-~.,,...~,.,,' '-".' ~'_;"'" .-""."r_""-....."....,._
Account
(056)
(051)
(OfiB)
(12:3)
I....~, Yes
Sint1Ie.-Farnily [)etacl1ed Ilouse
Mohlle I--Iome
Other Residential
Collection Fee
[] No Ilow Detennined
Atnount m
.._--~-- -- .-,"., ,. - ...,..,..,,-------..-. .-..
."'-'-~". -~. - ~...- -.-.-.----.--.......
Exempt
PArH<s)\N [)RECREATioN' F Eff"...'.~~'-.~_..,-~'"'..-""..,~._~_..."'._._'..m_'_n".". ...~.'~,....c"_.._.__..._...,,........._._.._.._.~_
Lalld Account I..and C;redit Land Total
.-----....--. --.-.-.~...~._."_._.." -'- ....,....-...-..- . _.~_.__".~n._ _________~.._
r~ecl (3811011 !\CCCHJllt
_.__._._.--._._~--. ..-. ~+_._---
I ~ecreatiofi f:reclit
r~ecreatlon Total
ZUlle
TUTAL AMOUNT
-~-_.. ---
Exelllpt II Y 8R '-J No
Ilow Detern lined
I_.....,.~:;..:.,~.,"'""._,-" ...... .."', .~~...,~ ,.~."",
l.IBRARY FEE
Land Accrllllil.
~._.._.__._-_....~.__.._--. .. '--'-'-""-- _._-.- ..,.. --'--_'~_'.._,--... ...--- '_'__.,.,.~
,..... ~-~.,.,..._..~""......~-,.."..........'" ',--......~.....,...""..,, "'."".' .. .. '.~ '~'''''''''.'
LClI HI Credit
-""~'----- _. -, ----~- ...----~.__. ,-.
Land Total
Facility ACCUllllt
r=acility Credit
...'" ...___ ___h_____. '~_...__._..." ,.__..__
Facility Total
Exempt [J Yes [) No
. -......---.-.. .----- .. - -..---- -,~-
.-0'...----,--" .-..- ...-. '-'_~"W-" .-., .. -....--.." ~._w, -'.......,"~-..-".."' -__"~__-.."-"'"~"._..."="_._..__-~ '_'_a."__.., ,__...._ '--"~-~"___or." __~,.~~~'"... .,_"~.".__..__...._,,__._____..
RESOlmCE FEE ERU
TOIAI. AMOUNT
How DeterHlined Total Amount
.-. '-~------'__""_n_ . __,_,.._.. ____....... '._'._. _.. '_~'____._
---"-""-' ,.,.,-. -- ....- -. - .._....-,-~.._._--..._.._"..- '--".--.-" -'--.
--.- --'''- '._'--,- "-."-, .-.--._~"..._~_..,.-.. ..----..-
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.,."".:""'-......,.,...,..-..,.""''''-'''''''''''''''''21><1_......, ""',.....,,_"',..-=..... ........~_
[.lrerlarecl By
._h --.- ----_____u__________ Checked By
-- .-~--.. ''''-'-.'' --...~._-----.-~-- --"'- -------- '0__-. .... _'_0
NO t:p.ln'IFIGAT~ 0\: OCCUPANCY WILt. Bl:: ISSllED OH F/NI\L INSPECTION
PEHF(mMEU UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND
HEGEIPTI:() FOR BY A CENTRAL PERMITTING Or:PIGE C)F PASCO COUNTY
AckllowledoemfJn! below does lIot Imply acceptance of COnClltlenC8, bllt simply receipt of a mpy of this form, placlllrJ
tl1elJulldlng penl1lt owner on notice of tllis assessment and the conditions of paymenl for same.
-'.----.___..._..0........" "'_.....
DATE
-.---.----.,- ----. -------
nECEIVED BY
FU:C:EIPT NO.
---.----..-.....-. .---..--._-~_.-...
D/\TE BY
-~_._.--_.~-_..-.--. --.-----,..--______ 'h_...
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