HomeMy WebLinkAbout04-3231
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
3231
Permit Number: 3231
Permit Type: MOBILE HOME
Class of Work: MOBILE HOME SET-UP
Proposed Use: MOBILE HOME SUBDIVISION
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 7/15/2004
Total Fees: 3,315.50
Amount Paid: 3,315.50
Date Paid: 7/15/2004
Work Desc: M.H SET UP
Address: 37440 NEUKOM AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number:
Phone:
H
ATLANTIC SERVICE & SUPPLY, INC.
CHARLES ROGERS
ATLANTIC SERVICE & SUPPLY INC.
LE LE
MOBILE HOME SET-UP
MOBILE HOME MECHANICAL
IRRIGATION METER
WATER METER RES 3/4"
MOBILE HOM~;]~~
6J '0 r~.-f.M .3;KP r""'--
(j!Ir
N
60.00 WATER CONNECTION MOBILE He
35.00 MOBILE HOME PLUMBING
180.00 IRRIGATION CONNECTION
180.00 MOBILE HOME TIF/SUB 99%
15.88
209.50
40.00
175.00
1,572.12
FINAL
REINSPECTlON 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
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
.~ CO~CTO~SI~ ~M.
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
I...
N
~
/
SCALE: 1" = 20'
60'
~
100'
Kenneth England
Lot #34, Neukom Ave
Zephyrhills
MH 32' x 56'
1792 s.t:
Neukom Avenue
5lS'd-V)~ fV\~\(Ji2) s1ku l~h ~f4)
{~y("-1i ~.
C'.,TE
B~}I!..::'IN .
"'"
rcrt..
ALL WORKSliAL f.
PREv AlUNG COD~ L0''';.r'L Y WITH ALL
CODE, NA nONAL Ell FLoRIDA BUlLDING
CITy OF ZEPl-1Vnr m CfRIc CODEANr
.. J lVULLS ORDINANCEs -
<;..1.
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8T11 St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
7k/oY
OWNER'S NAME
F>>C.LAJ./,) ~eAJJjdl/
31 tfL(o /f! ~ ,~PCl/h ,4'y
.3~
3Y-;:;>,,-:-';;?j. Ol?f'o. rY/dlJn-CJ3tjO
PHONE CONTACT FOR PERMITTING $3- YlJp.. /9'9 !
~K ~/3-~/;2-7/j'iJ
PHONE
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
SUBDIVISION (;.(/.(/7) $;~/:ZIU)J Ms;1
BLOCK
PARCEL ID #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: LJNEW CONSTRUCTION
OSIGN
PROPOSED USE:OSGL FAMILY DWELLING
o COMMERCIAL
o ADDITION
OALTERATION
o DEMOLISH
o REPAIR
~STALL
o MOVE
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
~BILE HOME
o OTHER
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
SeT .A.-p
DESCRIPTION OF WORK Z_f/,r/"'//LL, ~C/) J1J ~ t'!n~.l -:r
BUILDING SIZE
:3 ;! '-.k $,""6. "
SQUARE FOOTAGE
/7'12--
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.
~UILDING
a:rELECTRICAL
PERMITS REQUESTED
-If.3;2. ,3/
$
7~- (;//./" VALUATION OF TOTAL CONSTRUCTION
,.
~ /10 ">.".- ?;laG'~ est /~t',ec?fC..
~l/ AMP SERVICE ~ FLORIDA POWER ~O
W.R.E.C.
PJ" PLUMBING
n;:(MECHANI CAL
$
2 <Ie"
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o:rOTHER yn tf
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE MEAD YES 0 NO
CQ~TOR.$EC'1'ION
BUILDER
C #A/Z/.. ~ s -120tJt'~ S
Lk~,,-~~
SIGNATURE
STATE CERT OR REGIST # f/l.0(7r?t:'b<J7
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ELECTlUClAN 'Bsc-<r.E. C,UIA// p1~ COMPANY .47LAV"'~ .1"", 'JVP'l(y
SIGNATURE ~ ~. ...J'!~ . / STATE CERT OR REGIST # ~(! -000.::113?
******************************************************************
PLUMBER
e /!A/G~t'') ~6l'"~S
SIGNATURE
;> --7
c.//n. ~J /" 4"",~
COMPANY~..{..?/ ~/€ 730/ {?c,A).j';/
STATE CERT OR REGIST # ~# OcJOO6'tl",/
/
MECHANICAL
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COMPANY /1/2/?Il/T/... J;.e. .; ~rO?PL'v
I
STATE CERT OR REGIST # f? A {! (J ,/,1:7
SIGNATURE
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OTHER
. "I. .' . 01. ~,
COMPANY
~,'" {t;
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictionsn Mhich
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 Sectionsn 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 indication 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 Guiden prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "ownern, I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "ownern prior to conunencement.
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 conunenced 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 "An or "A,etc.n, it is
understood that a drainage plan addressing a "compensating volumen 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 conunenced 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 conunenced. 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 COMMENCEMENTn.
~~~
SIGNATURE: OWNER OR GENT
./7~ Ii =
( /:"LU ~~ -, :.t.A--
SIGNATURE: CONT CTOR
STATE OF FLORIDA
COUNTY OF H,~I-' ~"'.'1.II41-
The foregoing instrument w~acknOwledged
Befor':! me this -JIft;. day of '.lJ-tJ ,Lufli
by MARl!. a' . N So D
(name of person acknowledged)
~ho is personally known to me, or
STATE OF FLORIDA .
COUNTY OF !J,ILU]SOIUJl.5 L
The foregoing inst:sument was/acknowledged......l
Before~ this ~day of -JOIJ~ ,20~
by 'A2L~s ,. ",(1 ~
(name of person acknowledged)
~ho is personally known to me, or
6r>.~
Signature of
of identification)
Owho has produced
(type of identification)
and who Ddid [}ji~oath
l3o.A.1A6' n . .
Signature of person taking a kno edgment
and whoO did
Name t
amped
JUN-01~2004 11:15 FROM:PALM HARBOR VILLAGE 813-707-8984 TO: 6627183
Officiai Record, Book; 5323 Pa.ge: 1849, Pasco County, Florida (Not a Cc:rtifi.ed Copy)
P.005/009
Page 10ft
<<.'pre~lo_l!.~ Official Record, Book: 532.3 Page; 1849 N.e_~t .?>
Certified Copies of any deed should be obtained at the Office of the Clerk of the Circuit Court
\
~
R
c)
pl~
roe- .'IJII~ln~'mnfm'nnIR'I~Hfi
Itapt.; "37l1Z~ &.11
as: a'.38 . B.II
1l4I21/13 . . .. ~.v CI.t~
"'2~~U"14, n::d fOUNf], c;.qfl.
.d- att lie 5323.. PG 1848
THIS IND~N~CRE, made this p?/ dAY of April. 20Q3 by ~
SCAI:ZCJIS, DIC., . Plo.r:1da coz:po%'a~1o,IY" .1:\0.. ad4rea. j,. 76..5
GJ:l!llen Slope D~i.., ZtlpllyJ!'hil1e 1'1 '3!54.1, CGmat:.r ot baco, Stab
af ftod.da (Gr:act.M:-) U1c! ~II J:~ 1DIrIILNIJJ, .m.., a si'b4'1e 1IIAI1,
""0.. &ddr..1!I U 28 *p'~..r:1dgB :Ro&d., seuZ'ooJt, New llJalllpah:1ze
0387', Co...t:y o~ S~a1:e of 11I'... JlluDpehLlI:8,
(Or:IUl~) ;
THIS l.NS-rRUl'IElll'I' p.llF.P9UU:O en
PR~tUM TITL&. I~..sb.
14150 6th Str-ee~
OAct CXT~ rL 33&25
Gran'toJ:' SS
Qr.nt.4'!l~ S!]
~DBG
Witne5se~h that ~hp- Grantort for ond 1n conside~Q~lon of the S~
of Ten and no/loa and otbcT. good and valuable con~lderlt1cn to
it. in ha:l\d paid by the qr:antee. the LlZceipt whereof is be:.r:eby
.3cknowledgc::d, has gra.nted,' bn~~a1nec1 and Bold to the 9rant:l!leJ, his
hed.r:a and. assiqns, 1:he following described land sitl.1IJt:el' lying
and bo1nq in t.he C01.,nt.y of Po.nao, Stato at Flor:ictat to-wit ~
Lot 34, GRAND BORI7,ONS PHASE ONE. JtI per pl:a. tbenof NCQrdlld ill PI.t Book ~
h",. "-10Z.I'ubIk: Relmrda of P.~ Cowaty. Florid..
P.uu1 '3....25-11-8090...00110O-O340
Snbjecc to Resl:rletlanl fiW i.B OOIdal R.eewd 'look 315..'\, Pap !lCiS. IlJnelltled in Oflldal
"Record Bo.k 4"8. Page 82~ ....bII~ Record. .r PaICO Co....ty. 'Iorid..
Subject to e."o-.nh. ..Htrletlan. aDd rnerv_kltlfllllllhown OD Plat Book 34. .PaJtU 99-112-.
Pub-lie Record. or Paleo CotIntr, J'JoridA.
and t.ho grantor aces hereby fUl.ly w...r:~.ant the title to lS.o.id lancl_
and ~ill d~fand the same ogain$t the lawful claim9 of all pergon~
~homsC:H~ftr .
~ W%7WESS WBRREoF, the ssid grantor has ~aU2C~ tneae presen~B to
be si9ned the day and y~ar first ohQv~ wr1~cen.
~~~LORIDA
COUNTY OF. PASCO
QBMID JfORXI:Otfs I IllI'C .
G?..~JJ~~
By: P.ich~r.d L. Rehberg. Vice
px-es ldent.
(Corporate Seal)
- .-1
,JUN-Ol-2004 11:15 FROM:PALM HARBOR VILLAGE 813-707-8984 TO: 6627183
()fficia1 Record, Book:: 5323 Page: 1849, Pasco County, Florida (Not a Certified Copy) ?/"'"
~he foregoing instrument was ~ctno~ledged be!g~e me tbi~ ~day
at Apxil, 2003, by 1UCSA1m L. UB'BDG, Vie. P.r..ldant o~ CD\Jl.1Ilt)
KORlZORS, DIe., . l"1oz-MSa oo~..til)ll. _he ~... authozo.i.ad and.
qua1U~'" U. .~"" .... h.hall! or .....d ........~ a ~a
peX'Bcma11y Jmcwn. 1:0 JII.fJ_
'!)'Iota.ry ,~I.]blic
'5_~ Pr~YLo_u_~
SH,.RotlM. tlUMNEIl
Notlf' 1"\1"'11. SII\e 01 flO!ltla
My comlTl. ~p. ,My 18, 2005
CD/Ml. "II. OD .3428
P.006/009
,Pagel. oJ J.
Ne_~2.>.
JUN-09-2004 07:58 FROM:PALM HARBOR VILLAGE 813-707-8984
TO: 6627183
P.("J1/002
J
HOME OWNER J
AUTHORIZATION FORM
X A.
.
B.
PERMITS
SURVEY
A. I, --.kQ1IJ6""'t1l G::GJc;:l..4W~ ..:J'f) _. do hereby
authorize /}/UPr,JA. I1Lh,^,~o . to sign on
my behalf in Z.E.)>fIVi2/1/ds /A.vt'J county/city to pull
all building permits" and/or any special use type
permits. This includes septic permits and the set up
of any utility account and payment of utility taps.
B. I, ~E"\J~ r:;-. B1GiA.~b ~, do hereby
authorize Palm Harbor Village to order a survey for
my property.
Home Owners Signature: ()(' d0~ Ir
Date: 3f:J-'1fd f:-
~~~~-
Notary Public, State of Florida
( )Is ( ) Is not personally known to m.e
lol9 It. ,(LS1ON
Mt CortI'" r.. ~1181ft5
~.DD0181&1 .
-
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