HomeMy WebLinkAbout04-3195
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
3195
Permit Number: 3195 Address: 6013 RIDGEWAY DR
Permit Type: MOBILE HOME ZEPHYRHILLS, FL.
Class of Work: MOBILE HOME SET-UP Township: Range: Book:
Proposed Use: MOBILE HOME PARK Lot(s): Block: Section: ;
Square Feet: Subdivision: ZEPHYR RIDGE
Est. Value: ! Parcel Number:
Improv. Cost:
Date Issued: 6/30/2004 I Name: CLAYTON McCANN
Total Fees: 1,372.50 Address: 6013 RIDGEWAY DR
Amount Paid: 1,372.50 ZEPHYRHILLS, FL. 33542
Date Paid: 6/30/2004 .. .__t:'hone-=--_____________
-----Work-Desc-:- M.HSET-~ --------- . -
DOLPHIN ENTERPRISES INC
GATOR TRANSPORT
DOLPHIN AIR SYSTEMS
ILE
MOBILE HOME SET-UP
MOBILE HOME MECHANICAL
WATER METER RES 3/4"
WATER CONNECTION MOBILE HC
MOBILE HOME PLUMBING
~fclpy 3:33
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.REINSPErnONFEEs:-wtien-extrainspectTon trips-a~e necessary duetoany one of the foT'-ow,ngrea50ns~-a---1
charge of Thirty-five dollars ($35.00) shall be made for each bip for each trade: I
(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
Tl1..e ~aYI1"1f;!lltJJ!ins'pE:!cti~!!.feesshall belllad~E.~for~ cmy!ur-t:her I?crmits w!ILbe is~uecjto the pers~n OVl/!!!1l9 same ____
Complete Plans, Specifications and Fee Must Accompany Application.
- ._A~orkshaILE~ pert'~.!T1~c!ill_9~~-,"c:Ianc~_\~th City <;~~~s~Il~L Or<!inallce~_
r - -- -- --- =--- - -- - - N9J)CCUP~NC! BEF9_R~_ C.O,___ _____ ____ _
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CONTRACTORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATE RECEIVED tP - ~ -01(
PLANS REVIEW FEE CO-
/) r I . n
OWNER'S I'JANE L t {(J..-! tu 1,\ fr'1 e.l'ctll1 VI
it? {) /3 .-;q/ d'q eu.Jo-v pr,
. ..../ j
LEGAL DESCRIPTION: LOT (S) 55
/c::-'\ (j C "/ <('
PHONE (613/71 i -~~-
JOB ADDRESS
- {'f /
SUBDIVISION Z~Dj~ ir /6aj ~
PARCEL ID ft 03-d{P-~!-(!)130-{)OO{)O '~OS5CJ (OBTAIN FROM PROPERTY TAX NOTICE)
VlORK PROPSED: rfNEW CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR 0 INSTALL
BLOCK
OSIGN
o HOVE
o DEMOLI SH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
On OF UNITS
o SWIMMING POOL
,/
IIrMOBILE HOMf
DOTHER
BUILDING SIZE
CJ
WORK fl.ew
d? /~ ~'r;) ,
RESTAURANT & HEALTH DEPARTMENT APPROVAL
II' II --7)/
i 1,7 () h / / € HfJIJ7 e / Ia..(! c{! 1/7 ~ It
,/
1-
DESCRI PTION Of'
SQUARE FOOTAGE
/ "l C/ d-.
i 0 I
HEIGHT
RESIDENTIAL:
COMMfo:RCIAL:
ATTACH (2) PLOT PLANS {. (2) SETS OF BUILDING PLANS {. (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS (. (1) SET ENERGY FORMS.
PROPERTY SURVEY REQIJIRED E'OR ALL NEW CONSTRUC'rION.
ri BHIL1HNG
oJ' ELECTRICAL
g PLUMBING
r;i MECHANICAL
J/ ".) fJ t'Y.7
$ /(/.../t'/{.
" /
VALUATION OF TOTAL CONSTRUCTION
l-(~lS) 7;<1-9C;/~
AMP SERVICE
o FLORIDA POWER
'0 W.R.E.C.
$
/ ~t:"
'') ."7) rl
I .-' (/ V '
,
VALUATION OF MECHANCIAL INSTALLATION
o GAS
D ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
D FRAME
D STEEL
D OTHER
FIN1SHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
L
SfGNATURE
"'-0:: - /./'1 A/! -.4' /1,
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(,,/'7 '.7
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C~C'l'Of{.~;SEC'.l':t~
COMPANY GCt--Yvr 7ra-/1 ~l)rf-
STATE CERT OR REGIST n. -- /'/CC'/'JO Vt>7
CITY PROCESSING #I
BUILDER
***********~********~*********************************************
SIGNATURE
.~U~
COMPANY DO(t:;/71:1 67kr/Jr;'. er,
STATE CERT OR REGIST n t"12mc;.[)S& 7
CITY PROCESSING n
ELECTR!CIAN
****~*.*********.*A**************.**************A****************~
PLUMBER
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i '01. 1/..' L..<,/
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,
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G~~y //:"ahs',ol'r/'-
COMPANY, ,
STATE CERT OR REGIST #I J:lraOtJOl/b?
CITY PROCESSING "
SIGNATURE
SIGNATURE
********************.************************~**t~***~~1****:**~**
COMPANY Dc I phil-'! t:fJ Y S ys. Y-e.n"-&
STATE CERT OR REGIST It cl9t:!.-CJ S--71Ir
(2J~ 14~ CITY PROCESSING #
I~CHANICAL
******~k**************A*************~****************************
OTHER
COMPANY
STATE CERT OR REGIST #I
CITY PROCESSING #I
SIGNATURE
A*t**********~********.*~****************************************
i~ON))l Tl0NS r.'!" rr::;"Jvll'r ltFFI D/:.i::_"
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this pCl:JlI1l:. llIay be .su;;Je.:~I-. to "'deed ::estri.::t.1onc:;''- ....:\i.sb
may be more restrictive than Ci t.y regulal.:iQns. Th,~ unciersigned aS5Wfi-es respOilsiLi.!.i tv for
compliance with any applicable deed l:estrlctions.
B. UNLICr;NSEp CON'IRACTORS AND CONTRACTOR RESP.)NSIBILITIES
If the owner has hired a contractor or contractors to undertak~ ;..Iork. they may be r~q~li..re(J
to be licensed ~n accordance with state and local ~egulations. If the contracta~ is not
licensed as required by law, both the owner and cOlltraetor may be cited [or. ;} misdemecHlor
violation under state law. If the mmer or intended contractor are uncertain 0'.5 to ub:l.1:
licensing requirements may apply for t:le intended -"'orl~, they are ad"i~ed te. 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 the
contractor (s) sign portions of the "Contractor Sections"- of this application fo:.: 1r:hich they
will be responsible. If you, as the owner signs as the contractor. you are indica~illg that
you, rather than the contractor, are responsic.le for ::he ..lork _ I f the contrac\:.or wishes
you to sign as contractor that may be an iI!dication that he is not. properly licensed ,~nd -~.:'
not entitled to permitting privileges in the City of ?ephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTIl.ITY CONNECTI':-N F'EES
D. CONSTRUCTUION LIEN LAW (CHAPTER 7l:~, FLOP-IDA S'I"NfUTES, AS AMr:I'IDED)
I certify that I, the applicant, have been provided ,,,ith a copy of "Florida's Ccnsr.rllct..i_c.n
lien Law - Homeowner's Protection Guide" prepared by the Florida Depa rtment ef l\g.ricul ture
and Consumer Affairs. If the applicant is someOT,e other that. th~ "o;-mer", .'f ceri f.y that I
have obtained a copy of the above described document and promise in ';o::>d Ld. th tc ;:leLc veJ.-
it to the "owner" prior to comnencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this applicat.i_on is acc'-'rate and that aLL work \-d..U
be done in compliance with all applicable laws regulating construction, z')ning, 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 conunenced prior to issuance of a permit. ;H~d tIJat
all work will be performed to meet standards of all laws regulating construction, C]. ty
codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
certify that I understand that the regulations ::>f othEr governmentat agenci~s Illay apply to
the intended work, and that it is my responsibility t::> identify what actions I !':ust t'7-_ke t:o
be in compliance. Such agencies include but are not limited to: *Department 0:)[
Environmental Regulation-Cypress Bayheads, Wetland Areas and E!'lvironmenti.~lly Sensiti-/2
Lands, Water/Wastewater Treatmer.t
*Southwest Florida Water Management District-Wells, Cypress Bayheads, w<el:lard Areas,
Altering Wat~rcourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Enviror~~ntal 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 addre:::sing a "'conpensating volume" will be submitted ../hj ch
is prepared by a prof~ssional engineer registered in the State of Florida prior to pe[n~t
issuance.
A permit issued shall be construed to be a license to proceed \"ith the work pnd nr;t as
authority to violate, cancel, alter, or set: aside ar,y provisions of ~he technical -::od;;o5,
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 periull
issued shall become invalid unless the work authorized by such permit.. is comcencea lr/ithin
six months of issuance, or if work authc:,rized by the perr:dt is suspended or aba!ldc,ned tor"
period of six months after the time the work is commenced. One 90 day exten:oion of time
may be allowed for the permit with fee charge of $15.00. The extension shall be request~d
in writing to the Building Official. 1m approved inspection must be logged during each S.i.l',
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NO'rICE OF COHMENCEi-1ENT MAY HESUJJT ~ N YOUt<
PAYIN,..G., TWICE FOR IMPROVEMENTS TO YOUF PROPlmTY. IF yO'U'INTEND TO OBTAIN F'HJANCING, CONSULT
WITH ybUR LENDER OR AN ATTORNEY BEFvRE RECORDING Y0VR NOTICE O~ CO~1ENC&~ENT. JOR~ UNDEP
$2;500tzVALU;, : N~,~Ff~TC~;:ORD AND PO",' A "ffIC~~ ~7;CFt)/{~
/L-).L . (; i(/iGu, i / (./l/ '(77.. _--.E.X"'O PVt/VGL I 1__._____.
SIGNATURE: OWNER OR AGENT SIGHATIJRE: CONTRACTOR
STATE OF fo'LORJ Q4-.,
COUNTY OF .t:"aSe i) _____
The foregolnq instrument was ackuO\-lledged
Befoq> n2e thi.s /1""'-- _day of J"vu'\. e ,]tit ~'O'f
by L) L.- V1 V'- c~ kY\ l" 0 ,-
", (name of person acknowl~dg€'dl
g;ho is personaily known to me, or
STATE OF F~IDA
'COUNTY OF tA$ (! D
The foregoing inst~ument was acknowledged
Bef~e me this ~ day of .J lA V\. e . }(l1J,9.ti{)t{
by UC"lYl(~ moo.......
(name of person acknowledged)
~who is personally known to me, or
o who has produced
(type of identification)
and whoD did Ddid not take an oath.
/, ../ /:
J.~/.2.~' ~ P'~...L.&
Signature of person taking acknowledgement
o \-lho has pr0dll~ed_____________
(type of identificat~on)
and who Odid [):lid net take an oath
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j'~:< /',/'("'"
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Signature of r)f~.cs:>n t'lkinq acknm.;1 edqrne;:t
Name type
Harne t " "Ii ~~I^~rLAVAfiHlnp d
.. Notary Pubic - Stato of Rc~da
~<'?m My Comm. Exp\"<os J;::;.;~~;Z::~4
~ .~, Com!'Tll;;lcm t- C. -, - ~
)""""._:~~~~''R>;''''l;"..",._"."~,,,,."li.''-'''''
pcJU$.UI ^~ WMJg~
t"ifari'PUbrc~ ~e~ i:."Ci ,.J.:l
My Comm. Expres Jun Hl. 2.:,," i
Commlsslon" CCY)_'7~.5
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Q T LAIM DEED
TIllS QUITCLAIM DEED~ EXECUfED 11DS DAY OF 2004
*YFIRSTPARTY. GRANTOR, JANETL. SMl1H& BERNARD L. SKORA WHOSEPOSTOFFICE
..,IDDRESS IS 6007 RIDGEWAY DRIVE, ZEPHYRIDLLS. FLORIDA. 33542 TO SECOND PARTY,
(JRANTEE, CLAYTON R MCCANN &. DAISY P. MCCANN 506 SHEPHERD ROAD XENIA, omo
45385
I
WITNESSETH, lHAT TIlE SAID FIRST PARTY, FOR GOOD CONSIDERATION AND FOR
TIm SUM OF SIXT'EEN lHOUSAND DOlLARS ($16,000.00) PAID BY THE SAID SECOND
~ARTY, TIlE RECEIPT WHEREOF IS HEREBY ACKNOWLEDGED, DOES HEREBY REMISE,
~ AND QUITCLAIM UNTO lHE SAID SECOND PARTY FOREVER, AIL TIlE RIGfIT,
tInE, INTEREST AND CLAIM WInCH TIlE SAID FIRST PARTY HAS IN AND TO TIlE
lfOllOWlNG DESCRIBED PARCEL OF LAND. AND IMPROVEMENTS AND APPURTENANCES
THERETO,INTIlECOUNfYOF PASCO, STATEOP FLORIDA TO WIT:
IioT 55, ZEPHYR RIDGE SUBDMSION, CITY OF ZEPHYRHIU.S TO FORMAIL Y BECOME 6013
$oGEWAY DRIVE, ZEPHYRHILLS. PASCO COUNfY, FLORIDA PARCEL 03-26-2l;013()"'()()()()o-
Q550P&L 01638-18-5 .
diRANTORS COVENANT 1HAT 'IHEY ARE TIlE LAWFUL OWNERS OF TIlE ABOVE
$ENnONED PROPERTY AND ALSO COVENANT lHAT 1HERE ARE NO LIENS OR
ENCUMBRANCES SO lHAT 'IHEY HA VB THE RIGHT TO CONVEY TIlE ABOVE MENTIONED
$OPERTY, GRANTORS 00 NOT MAKE ANY REPRESENTATION OR WARRANTY
~GARDING TIlE QUALITY OR CONDmoN.OF TIm ABOVE MENTIONED PROPERTY.
$OPERTY TAXES FOR YEAR 2004. (APPROXIMATELY $300.00) TO BE PRORATED
IN WITNESS WHEREOF~ THE SAID FIRST PARTY HAS SIGNED AND SEALED 1HESE
~ 1lIE DAY AND ~FIRST ABOVE WRlTI1!N. SlGNBDTA
A fC ~FMff'7h
NAME OF NAME OF TY
sjr ATE OF FLORIDA }
CPUNIY OFP-AS~ }
: ON ..::r~i.. 17. ~oot./ BEFORE,ME ;r1A~OPM1'3L.Tt
A!PPEARED~-.....-..~,,-. ..{".~ ~ &vtl.~~A-
..fF.R~NAll v 1(Nl\WN TO ME (OR PROVED TO ME ON TIlE BASIS OF SATISFACTORY
EjvIDENCE) TO BE THE PERSON(S) WHOSE NAMES(S) ISIARE SUBSCRIBED TO mE WITHIN
INSTRUMENf AND ACKNOWLEI>GED TO ME mAT HFJSHEIIHEY EXECUrED TIlE SAME IN
HlSlHERlIHEIR AtmIORIZED CAPAClTY(IES), AND lHAT BY lDSIHERIIHEIR.
StGNATIJRES(S) ON nm INS1RUMHNT 1lJE PERSON(S), OR nm ENTrrY UPON BEHALF OF
WHICH TIlE PERSON(S) ACfED, EXEClITED TIm INSlRUMENT.
~OAL~
SiGNA OF NOTAR AFFIANT KNOWN ~
I TYPE OF ID fi py-;;:::- (
. .ow O. PADGETT
:~ MY COWUISSION , DO 118452
'..;:;w.", : .. EXPIRES: May 16,2006
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S~GNATURE OF PREPARER
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ADDRESS OF PREPARED
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PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-71"_7010
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
WATER ACCT. NO.
DATE I. - t ~ () c(
~~~iE~'?CUf /e~s
IIomes-
MAILING 31 7;;"1 side ~ .5' Cf w
-;;;?- ~~rlll lis FI. 3357".3
SERVICE ADDRESS ~O (3 Kt~r:< LJ~ &V' L,i. .-5-S
U I
o ~TER
SHUT OFF SERVICE
TURN ON SERVICE IbV
INSTALL METER ~
READ METER 0
CHECK METER 0
OTHER 0
o SEWER
o GARBAGE
~ITY
o OUT CITY
-1- No. OF UNITS
- DEPOSIT AMOUNT
}~ I,
Y
- AMOUNT LAST BILL
w-dlr ~
_ DATE
_ MISC. CHARGE
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
7-/-& C/ ~
Retain white form in offICe at all times.
Send pink & yellow forms to Water Service Dept.
Water Service Dept. to sign yellow form & return to office
)Nni:(.~CTm,< ,* :: ..
.'.:!. ME:: G~iTOI;: T~SPOf(r
nm:: 60:1.;'::; I'l:"f""D(:;EW(.:.rY Df;~
/ST':: ZI:;:PHYRloofU.LS'I FL.
CENTf<('li,., F'E:I:;~iY1:[ T'i' :J:Nr:;
PASCO COUNTY~ FLORIDA
DATE:: Oi:l/:/.O/().,(t lfME :::G-f::46 -,-
P{4(,E:: 1 OF :I.
IfmUE OFFICe:: D
ru~CEIPT NUMBR:: 00741625
OFFICE: DADE CITY
JR:: CHECK M CASH
RESOURCE FEE 3195
:;CNT
1.:1. .it
TOTF}!... AMOUNT::
C:OMPNY ACCOUNT CENTEH
8450 - 363000 - 2
1'07.. :1.4
AMOUNT DESCFnPTJClN/PEF~MT D(4rf~ Dh:/Cf<
:I. "7 .. 14 ~H(")~')('o)~* BOl... I D WfiSTE FEE 60
ECElVED By-:J_~.~~.._._.._._..... _...._..........
PASCO COUNTY, FLORIDA
Permit No. ~ II/S--o
Date Permitted ~ -;JQ -0'1
ame/OWner NamL)!/JM" CL1A<fAJY2 9'1C Control #
, ty Parcel No. t) ~- ..2.1,,-:lI-/J/:tJ- /JI?Oa) -O~-j"O SubDlv:
~,""IU".'on htJ~tJ~
i~JaSslflcatlOnlTYpe of Use .... ~ .....
TRANSPORTATION IMPACT FEE. Rate:
Exempt 0 Yes ~NO How Det~ln8d
Imp." Foe AmounO $ I, ,2""lf .I ~4l'"'. No.
SCHOOL IMPACT FEE
Account (O~~) _ . Single-Famitv Detached House
C\li57} MQ~II~ ':l~.mI <J~-O if
--{Q6&T.--otIiel Realden~> ~5
.-023} ~cllon Fee (
Exempt U Yes 1KI. No How Determined
PARKS AND RECREATION FEE
Land Account Land Credit
7~+
Sq Ft Unit:
TAZ:
Amount
$
t,,'1
Land Total
Recreation Account
Recreation Credit Recreation Total
Zone
TOTAL AMOUNT $
Exempt 0 Yes 0 No
LIBRARY FEE
Land Account
How Determined
Land Credit
Land Total
Facility Account
Facility Credit
Facility Total
Exempt 0 Yes 0 No
How Determined
Totll Amount
RESOURCE FEE
TOTALt\OUNT
\\
\'\l\L\
ERU
Prepared By
Checked By
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMO~NTS USTED HAVE
BEEN PAID AND
RECI!IPTED FOR BY A CENTRAL PERMITTING OFFICI! OF PASCO COUNTY
ACknowledgement below doee nollmply acceptance of conCllr"n~, but simply recelpt 011 copy of thla form, placlng
the building permit owner on noll~ of this Is....mentll'\d lhll condltlol\l of payment for IlIme.
DATE
RECEIPT NO.
RECEIVED BY
':\ -4 \ W;:.f::':IJA TE <:6 - \ \) ~Ltsy 'C) \ :::J. ~ ~ A- --'