HomeMy WebLinkAbout04-3138
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
3138
Permit Number: 3138
Permit Type: MOBILE HOME
Class of Work: MOBILE HOME SET-UP
Proposed Use: MOBILE HOME SUBDIVISION
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 6/07/2004
Total Fees: 3,315.50
Amount Paid: 3,315.50
Date Paid: 6/07/2004
Work Desc: MOBILE HOME - 27 X 64
Address: 37509 LILLY BEA AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): 206 Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number: 34-25-21-0010-02800-0206
Name: GRAND HORIZONS
Address: 37509 LILLY BEA AVE
ZEPHYRHILLS, FL. 33542
Phone:
ACE REFRIGERATION INC
ACE AIR CONDITIONING & ELEC.
MOBILE HOME SET-UP
MOBILE HOME MECHANICAL
MOBILE HOME TIF/SUB 99%
WATER METER RES 3/4"
IRRIGATION CONNECTION
WATER CONNECTION MOBILE HC
MOBILE HOME PLUMBING
MOBILE HOME TIF/SUB 1%
IRRIGATION METER
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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 ($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
TIle pay!!,~nt of inspe<:!i.c:>.n f~s shall be m..C!de before ~IlY fu!!~~r permits will be issued to the per~Clrl owning sa~.____
Complete Plans, Specifications and Fee Must Accompany Application.
. ~_______ .~'Nork sh.all b-: performed inaccon:l~nc~ with City Cod-:s and Ordina,!~es ________
NO OCCUPANCY BEFORE C.O.
--- ---~-- -----~~- ---- -- ------ ~- -----~
<~T~Oi'~- ~MITOFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
DATE RECEIVED
~"1- (J f
JOB ADDRESS
PHONE
PHONE CONTACT FOR
O~
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 #
WORK PROPSED: ONEW CONSTRUCTION
OS IGN
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
(OBTAIN FROM PROPERTY TAX NOTICE)
o ADDITION
OALTERATION
o DEMOLISH
o REPAIR
.~ INSTALL
o MOVE
OMULT I - FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
~OBILE
o OTHER
HOME
D RESTAURANT
DESCRIPTION OF WORK '--.O!l.~
BUILDING SIZE [)l Y- uLt
& HEALTH DEPARTMENT APPROVAL
(h ()h l-€-
SQUARE FOOTAGE
l~d8
HEIGHT
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.
,...-,.--..--'" .' --.......
AMP SERVICE
o FLORIDA POWER
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\t~ fP
"'-., '>
W . R . E :'C-;---
PERMITS REQUESTED
'16.BUILDING
~LECTRICAL
$
VALUATION OF TOTAL CONSTRUCTION
o
~PLUMBING
~ECHANICAL
$
o GAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
padille~s JO pa~u1Jd 'pad^~ aweN
padille~s JO pa~u1Jd 'pad^~ ailleN
"
~uaw6paTMou~oe 6uT~e~ uosJad JO aJn~eu6TS
~uailla6paTMou~oe 6u1~e~ uosJad JO aJn~eu5TS
IneO ue a){e~ ~ou P1I=O P1PO Ot{M pue
(u01~eo1J1~uaP1 JO ad^~)
paonpoJd set{ ot{MO
. t{~eo UI2 a){e~ ~ou P1P 0 P1P OOl{M pue
(u01~eo1J1~uaP1 JO ad^~)
paonpoJd set{ ot{MO
JO 'aill o~ UMOU){ ^TTeUOsJad s1 0t{1]
(pa6paTMOU){Oe uosJad JO ailleu)
^q
- OZ ' JO ^ep- sTt{~ aw aJoJaa
pa6paTMOU){Oe seM ~uaillnJ~sU1 5UT05aJoJ a4~
JO 'aw o~ UMOU){ ^TTeuOsJad s1 ot{MD
(pa5paTMOU){Oe uosJad JO ailleu)
};q
-oz ' JO };ep - s1t{~ aw aJoJas
pa5paTMOU){Oe SI2M ~uaillnJ~suT 5UT05aJoJ a4~
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 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 "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
STATE OF FLORIDA
COUNTY OF
STATE OF FLORIDA
COUNTY OF
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IJenTlIlI-./Il. ,:;)". .\(
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I late Pellllllled_L-'.7t..!,(l__
TRANSPORTATION IMPACT FEE Hate:
EX8rllp! I. I Yes \(;{ No I low Determined
t
[I"
Illlpat:l Fee Allluunt ,.~.._ -L;-~--~:<;," ~--
"'" '" ~-".- ._~,,-~"...., -:.:lit....i..':~.:!:..Q..'l, . .._...,....,.~....
SellOOL IMPACT FEE
Accuunt (056) 8inOle"Farnily [letadled House
(0111) Mobile Horne
(058) Otller Hesldential
1,~L2::l) C~leGtiun Fee
Exernpl ' Yes r I No Ilow Determined
.,\
"r' AJ~ i<s"AH f)'r~F.CRE A:fio i~' FE'f,~'
LaI HI ,L\ccullnt Land Credit
'-"-----'-----..-. --.-- _._--_...,.~
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lune No,
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. -,,, .~, ',.1 t."'_" _'''''''''''''''~ ..~
. ,-~,~""'.-.,.. '..,",~ ~"" ,.-. ..., ~".""_''''''''''.~ ...,.....
Arnount
$
land Tolal
neclealiulI ACCUIIIII
I ~ecreatioll C;redil
Hecreationf( ltal
ZOlle
TOTAL AMOUNl ,~j
l-:X8111pl II Yes [] No
Ilow Uetennins(j
"'_- '0 """. " _" ~ ,.'...._,_~..__.._..~.. .-.~_._,
LIBRARY FEE
I,dlld /\I;(;ollltl
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li:lIHI (:redil
land lntHI
Fadlity AC(;Ollll!
Facility Credit
Facility Total
Exempt II Yes I:J No
I low [ letennined
Total Alllollnt
"""~~-~,.,~.. ,,,__,+,'........ I.' ......,.".".,.~......._....,~.. "
RESOURr.E FEE
TCITAl Nvl()IH'JI
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EnlJ
IllHpared By
Cllecl,ed By
Nt) CElfI'IFICA'fe OF OCCUPANCY WILL 81: ISSUED on FINJ\L INSPI~CTION
PEnFORMED UNTIL TIlE TOTAL AMOUNTS LlS'fEIl 'lAVE
BEI2N PAID AND
HEf:EIPTEIt FOR BY ^ c.a:NTRAL PE:RMITTING OPFIGE OF PASCO COUNTY
1\c1\1 Iliwledyp.1I lent below dOBS 1I0! II Ilply aCI :eptallc.8 uf (;()IlCUrI Bllce, m,11 sli nply I 8celpt of a copy of II lis fOil n, plal:1I 1[1
II," 1",11,,,," p.'",lt G"'~"'.~Q"t;!JGt "'''d'Ii''~'OI oay",.,,1 I", sa",.. .
DAI F: I ~r:CEIVED BY
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