HomeMy WebLinkAbout04-3095
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
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Permit Number: 3095
Permit Type: MOBILE HOME
Class of Work: MOBILE HOME SET-UP
Proposed Use: MOBILE HOME PARK
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 5/20/2004
Total Fees: 1,372.50
Amount Paid: 1,372.50
Date Paid: 5/20/2004
Work Desc: M.H. SET UP
Address: 38763 VULCAN CIR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: VILLAGE GROVE
I Parcel Number:
. Name: ZACKARY GARACI
Address: 38763 VULCAN CIR
ZEPHYRHILLS, FL. 33542
Phone:
DOLPHIN ENTERPRISES INC
MARSHALL PHELPS MOBILE HOME INST
DOLPHIN AIR SYSTEMS
M
MOBILE HOME SET-UP
MOBILE HOME MECHANICAL
WATER METER RES 3/4"
WATER CONNECTION MOBILE HC
MOBILE HOME PLUMBING
-----~-----__~__~___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
_!h~paY'!lent of ins..e.ectip!1 fe~s~hall bemade bef~re ~ny further pen:nits ~i11 ~~ issued to the person ()Wning sc!~___
~~---~-~~~~~~~~~~~~~
_~ ~~_u_.u._J'!OJ>CCUPANC!.I5EF()REC.()~ ~'i~/ ~~___
CONTRAcl11~- ~MIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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APPLICATION FOR p~T
CITY OF Zm?HYRJrILLS
BUILDING DEPARTMENT
DATE RECEIVED ..s-- .../ /-t] 'I
PLANS REVIEW FEE
LEGAL DESCRIPTION: LOT(S)
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OlrJNF..:R' S NAME
JOB ADDRESS
BLOCK
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SUBDIVISION/V lit{ q -e ere) tl -€.. ?i< I
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CJO()t)o - CJY50
(OBTAIN FROM PROPF.RTY TAX NOTICEI
WORK PROPSED: [)NEW CONSTRUCTION
o ADDITION
OALTERATION
o REPAIR
l1'I N STALL
Os I GN
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
/
QI MOBILE HOME
o OTHER
BUILDING SIZE
CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL
II &/AJ ()II;) 61 'Ie !Io }-r1 e '-p )CL ~ e f'/'L ef/lf-
dCj Y 5 :J-. SQUARE FOOTAGE /;).. tjF'
HEIGHT
DESCRIPTION OF WORK
('5' '.' , <1
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PERMITS REQUESTED
ngSIDENTIAL:
COMM~:RCIAL:
ATTACH (2) PLOT
.l\.'l'TACH (3) SETS
PROPERTY SURVEY
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r!1/Bll ILDING
rri EI.ECTRI CAL
rrf' Y.UMBING
~ MECHANICAL
$
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1(5, t)tI~/ J-&tiO
/50
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
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FLORIDA POWER
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W.R.E.C.
$
VALUATION OF MECHANCIAL
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FIN1SHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE
SIGNATURE
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COMPANY 'ZLrs. r ~I S /Jtl/Se~
STATE CERT OR REGIST #..z:: 'tJ~ '3tJ7
CITY PROCESSING #
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BUILDER
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ELECTRICIAN
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SIGNA'ruRE
COMPANY DlJJ;;/,/11 c714r~n :Ses-
STATE CERT OR REGIST # C /? J')~CJCJ '5~ 7
CITY PROCESSING #
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COMPANY j17(,-r shJ!. '?!!e(~s j1), j/, S~
STATE CERT OR REGIST ff ~lItJotJO 301
CITY PROCESSING "
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SIGNATURE
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COMPANY !..-/Ol;./h / ~,I /J-tv 5'yS~-S
{'J \ ~ ~ i 1 () /I STATE CERT O~ REGIST " (!.H{!C) 5 7/1 s:-
~ ~ CITY PROCESSING #
UECHANlCAL
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SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
OTHER
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CONDl'rLONS r)F PE.i.>.Ml'r A.FFID.c',V::_T
A. NOTICE OF DEED RESTRICTIONS
The undersigned underst:<lnds that. this permit. may be
may be more restrictive than City regulations. Th~
compliance with any applicable deed restJ:'.Lctions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertak~ OoIod~, they may be req~li.red
Lo be licensed in accordance with state aod local ~egulations. If the contractor is not
licensed as required by law, both the owner and contractor may be cited for rr misdemeaIlor
violation under state law. If the mmer or intended contractor aJ:e uncertain ':'5 tc. H/:31:
licensing requirements may apply for the intended wod:, they are ad"i~ed tc. contact the
City of Zephyrhills Building Department, 813-786-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have ~he
contractor(s) sign portions of the .Contractor Sections" of this application fo~ which they
will be responsible. If you, as the owner signs a~ the contractor, you are indica~illg that
you, rather than the contractor, are responsible for the work. If the contracLor wisJles
you to sign as contractor that may be an ir~dication that he is not properly licensed ,-.nd .:.'"
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTIl,ITY CONNECTION E'EES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLOP-IDA S'I'l-\TUTES, AS AMeNDED)
I certify that I, the applicant, have been provided with a copy of .Florida's Construction
lien Law - Homeowner's Protection Guide" pre;>ared by the Florida Department ef l-\griclll ture
and Consumer Affairs. If the applicant is SOlneOr1\~ other that. the "owner", 1 eerify that r
have obtained a copy of the above described document and promise in good ["i th to (leL~ veJ-
it to the "owner" prior to cooonencement.
E. CONTRACTOR' S/OWNER' S AFFIDAVIT
1 certify that all the information in this applicat.i.on is
be done in compliance with all applic;'lble laws regl~lating
development.
Application is hereby made to obtain a permit to do work and installation as illdicated.
certify that no work or installation has commenced prior to issuance of a permit al:d I:hrtt
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. ] a.Lso
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my respons.i.bility to identify what actions I E!USt I:c.ke t.o
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and E~vironment~lly Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, W(~t:lar~d Areas,
Altering Wat.rcourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Servic~s, 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 ~'lood Zone "A" or ".A, etc,", it. is
understood that a drainage plan addressing a "conpensating volume" will be su.blTLitted ",hi ch
is prepared by a prof~ssional engineer registered in the State of Florida prior to permit
issuance.
A permit issued shall be construed to be a license to proceed \"ith the work and nr;t as
authority to violate, cancel, alter, or set aside ar,y provisions of ;:'he techniccLl cod",s,
nor shall issuance of a permit prevent the Building Offi.cial from thereafter requiring CI
correction of errors in plans, construction, or violations of any code. Every permll
issued shall become invalid unless the work authorized by such permit is cooonenced within
six months of issuance, or if work authc.rized by the perr.lit is suspended or aba!ldc,ned tor <l
period of six months after the time the work is commenced. One 90 day exten:sion of time
may be allowed for the permit with fee charge of $15.00. The extension shall be req~e5t~d
in writing to the Building Official. ?Jl approved inspection must be logged during each sl1'.
month period, or the project will be considered abandoned.
WARNING TO OWtIER: YOUH FAILURE TO RECORDA. NO'l'ICE OF COHMEtICEi"!ENT MAY RESULT 1 N YOUK
PAYING ~ICE FOR IMPROVEMENTS TO 1'OUI< PHOPf:RTY. IF YOU .9I.-~ND TO OBTAIN E'HlAN-:;ING, C:.JNSULT
WITH )lOUR LENDER OR AN ATTORNEY BEE'ORE RECORDING YC'UR ~TIc'E O~ CO....MENCE.."'lENT. ,JOB':: UNDEP
$2000 IN VALUE DO NOT NEED TO RECORD AND POST A "NO'1;ICE OF COl~EHCEM~N1'''.
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;L/"/TPL./t/LA... -?<///&...LI~. _ t?{) , ~.k-~/~~-
SIGNATURE: OWNER OR AGENT 3IGIU\'rURE: CONTRACTOR
subject to "'deed .::est ri,~tt('nc;'-. Y\:J~.Ldi
undersigned asswo':':s respoils~_LiJ ity for:
accurate and that. ilL1
cOllstruction, z')ning,
W0 r); \-, j .j. .l
and laud
I
S'l'ATE OF l"LORI Dl\
COUNTY OF ~c....s: W ____
The foregoin9 instrument was acJaloHledqed
Befo.r:.Rme this If)'l+-day of ,M.~. ~q..()(),/
by l.ji) Y1 lAc...- 1'1,:1 0 0- '--
(name of person acknowledg~dl
~~ is person;:~ily known to me, or
STATE OF ~RIDA
'COUNTY OF "lSC-D
The foregoing instrument was acknowledged
BefQl:e me this 10'/--'r-.. day of fY1.~, -.EL.C6L(
by DCIt\V\.~ V~l--...
(name of person acknowledged)
~ho is personally known to me, or
o who has produced
(type of identification)
and whoD did Odid not take an oa th.
~~~~~
o ,."ho has prod.\(;ed____._________
(type of identific~t~oll)
Odid !lot take i:lO ooth
and who Odio
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Name typed, p_
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i Nofrny Pubfc - Stato of Rc-'-'"
-r. ~J.}f :<-,:".... My Comm4 &:Pies Jun 1 B. ~:~::4
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ASS (342 sq. in.) 2000
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SPACING
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MAIN I-BEAM BLOCKING
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PAD SIZE SOIL PSF SPACING PAD SIZE SOIL PSF SPACINQ
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(256 in.) - '" " - .. (576 .in.) f--- - -'" ,..-_ -... .--. .-. ..
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MAIN I-BEAM BLOCKING 160' FLOOR
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(MINTM1JM FOOTING AREA IN SQUARE I:.'iCHES)
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T ran s m i s s ion Res u I t R e PO r t (M e m 0 r y TX) (M a y , 11, 2004
2:46PM)
CITY OF ZEPHYRHILLS
*
F i Ie
No, Mode
Destination
P g (s)
Result
Page
Not Sent
----------------------------------------------------------------------------------------------------
5357 Memory TX
817278157000
P,
OK
- - -- - --- - - - - - ---- - - - - - - - - - - - ------ - - - --- - - - - - -- - - - - - --- - - --- -- - - -- - --- --- ------ - - - - - - --- - - - --- ------
Reason for error
E.]) Hang uP or line fail
E ,3) No an s w e r
E,2) Busy
E.4J No facsimi Ie connection
533:5 8'" Stn!NH
Zephyrhi..,. FL 33e42
City ~-F .z:~phyrhills
BlUilding D~part......~~t
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JUdy- County AcId~ng
727--815-7000
..--.... Bobble S-uanct
p...... Fax cov<er only
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- 05111/2004
-
ADDRESS REQUEST
ce:
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CJ ..---- c..... ___e xx. ........ --...v ~Cl -------. 1ILh_...-:I.
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f \NDuld like 10 request an address 'f'or a. nevv mobile horne to 'front . LC.A.N CIRCLE
In VUIElQiB' <3rove Subdivision
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Thank.. ag..ln"
P--=_I lID -...,26-.2....-OO-'cI~30
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PERFORMANCE BUSINESS PRODUCTS. iNC. 313-719-8006 FAX 1l13-719-7919
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CITY OF ZEPHYRHllLS
ZEPHYRHILLS, FLORIDA
WATER ACCT. NO.
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DATE
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MAIUNG 3 / 7d. ( sJ..1%! 59'4:)
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SERVICE ADDRESS '3 S 7 t '=) 1 -I, &.. ~ ,
OWNER/
RENTER
53~yS
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SHUT OFF SERVICE 0
TURN ON SERVICE cr'
INSTALL METER 0--'
READ METER 0
CHECK METER 0
OTHER 0
~ATER
o SEWER
o GARBAGE
0. IN CITY
o OUT CITY
---L- No. OF UNITS
_ DEPOSIT AMOUNT
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~- / /7
,/- (.,/
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_ AMOUNT LAST BILL
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_ DATE
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_ MISC. CHARGE
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
...--
5-. ;2Z-c'y ~
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Retain white form In otfice at all :imes.
3end pink 3. yellow 'orms :0 Water Service Dept.
'Nater Service Oept.:o>lgn ~Iellow 'orm &-elum ,0 ':lffice.
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PASCO COUNTY, FLORIDA
Permit No. 3905
Date Permitted
Builder Name/Owner Name GARACI
Control #
County Parcel No. 02 26 21 001 D 00000 0430
Address/Location 38763 VULCAN AVE, ZEPHYRHILLS FL
SubDiv:
Classificationrrype of Use
TRANSPORTATION IMPACT FEE
Rate:
Sq Ft Unit:
Exempt
DYes 0 No
How
Determined
Impact Fee Amount
Zone
TAZ:
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House
(057) Mobile Home
(058) Other Residential
.J:I23) Collection Fee
Exempt U Yes D No How Determined
Amount $
PARKS AND RECREATION FEE
Land Account Land Credit
Land Total
Recreation Account
Recreation Credit
Recreation Total
Zone
TOTAL AMOUNT
Exempt 0 Yes D No
How Determined
LIBRARY FEE
Land Account
Land Credit
Land Total
Facility
Account
Facility Credit
Facility Total
Exempt
DYes 0 No
How Determined
Total
Amount
RESOURCE FEE
TOTAL AMOUNT
114
7.74
ERU
Prepared By VLW
Checked By
NO CERTIFICATE OF OCCUPANCY 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 receipt of a copy of this form, placing
the building permit owner on notice of this assessment and the conditions of payment for same,
DATE RECEIVED BY
RECEIPT NO. 7{P'ZSSc..l
BYV,~
DATE 10-28-04