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Home My WebLink About04-3351 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 MOBILE HOME SET-UP 3351 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 3351 MOBILE HOME MOBILE HOME SET-UP MOBILE HOME SUBDIVISION Address: 37430 GILL AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: GRAND HORIZONS Parcel Number: Name: GRAND HORIZONS Address: 37430 GILL AVE ZEPHYRHILLS, FL. 33542 9/07/2004 3,315.50 3,315.50 9/07/2004 M.H SET UP Phone: MOBILE HOME SET-UP MOBILE HOME MECHANICAL MOBILE HOME TIF/SUB 99% IRRIGATION METER WATER METER RES 3/4" 60.00 WATER CONNECTION MOBILE He 35.00 MOBILE HOME PLUMBING 1,572.12 MOBILE HOME TIF/SUB 1% 180.00 IRRIGATION CONNECTION 180.00 209.50 40.00 15.88 175.00 / 2.'2/1 Jlnd... /if FINAL 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 bip 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. (~~~ f~~ CO TRACTORS NATURE PERMIT OFF I CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECE IVED c;fjo ~ PHONE CONTACT FOR PERMITTING OWNER'S NAME ~,t}~J flo If I'~~ JOB ADDRESS 37'1:10 6.111 I1J1G L r:J ~ PHONE j1:J- LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # WORK PROPSED: ONEW CONSTRUCTION Os I GN PROPOSED USE: OSGL FAMILY DWELLING o COMMERC IAL (OBTAIN FROM PROPERTY TAX NOTICE) o ADDITION OALTERATION o DEMOLISH o REPAIR o INSTALL o MOVE DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS DSWIMMING POOL eMOBILE HOME o OTHER DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL Mt If ~ ~ 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 REQUEST~D ~~0~ o BUILDING o ELECTRICAL $ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o FLORIDA POWER o W,R.E,C. o PLUMBING b 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 PROJECT IN FLOOD ZONE AREAO YES 0 NO BUILDER SIGNATUREW~.- /l~ OO~TE(A.GTO~}i~EOlJ:'.t9N . .... .. ""C~MP~Y 'd~ STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY /1c:e.. SIGNATURE UJ~~p STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY ~ w '?--- ~ STATE CERT OR REGIST H ****************************************************************** SIGNATURE MECHANICAL SIGNATURE /f..J~p~ ;-fee- COMPANY 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 nlore 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 po~tions of the "Contractor Sectionsd 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. Appliqation 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 issuan~e. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter I 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 No'TICE 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 I 2~ 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 acknowledged 120_ (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or Dwho has produced (type and whoD did 0 did not of identification) take an oath, Dwho has produced (type of identification) and who Ddid Diid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped t< ~o I 1 ;71 ~ S~J 10 0""'0 ,- 0 ::0 ?: ,j 0 m ::;J <:r-' ( '> 1 .~~~ /60 "" 1f3 .::) Z 0 "'l. 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CfJ W ~ W ex: ex:UJ z () ... z ~ W ~ a:o UJ UJI- 5> 0 0 ::l ~ ~.., Zz :J :.:: a: ~ ex: I- z g 0 II 3:UJ :;;: ::> W . UJ a: c( W :I: ~ ,..., rr 'oc;: ", ~ ;> ? ~ ;1; !:; CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 eTH St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECE IVED C;/.:<hV I / PHONE CONTACT FOR PERMITTING OWNER'S NAME G-R19.-vJ /lOA/~<J.1J PHONE JOB ADDRESS 37Y(P.j 6--;/1 jqU~ ~ v/ J c; (J LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # WORK PROPSED: ONEW CONSTRUCTION Os I GN (OBTAIN FROM PROPERTY TAX NOTICE) o ADDITION o MOVE o ALTERATION o DEMOLISH o REPAIR o INSTALL PROPOSED USE: OSGL FAMILY DWELLING o COMMERC IAL OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SW IMMING POOL B MOBILE HOME o OTHER DESCRIPTION OF WORK .,),/1 Ii ~7k5"~ c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL ~~ 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 j;f 53 ~o o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W,R.E.C. o PLUMBING tJ 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 PROJECT IN FLOOD ZONE AREAO YES 0 NO SIGNATURE .~~~ qO~TRA.CTO~'9$ECT:t:QN . .,.""'~ COMPANY ~ BUILDER STATE CERT OR REGIST # ****************************************************************** SIGNATURE ,1.A) ~ p~ COMPANY /'lee ELECTRICIAN STATE CERT OR REGIST # ****************************************************************** SIGNATURE w'?-- ~ COMPANY d~ PLUMBER STATE CERT OR REGIST # MECHANICAL ****************************************************************** COMPANY *- ""L- ~~1 SIGNATURE (AJ '>- 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 mor~ 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 ~ephyrhills Building Department, 813-780-0020. Furthermore, if the owner has hired a contractor or contractors I he is advised to have the contractor(s) sign po~tions of the "Contractor Sectionsd 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. 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 issuan-:::e. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter I 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 fora 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 NO'rrCE 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 The foregoing instrument was Before me this _ day of by acknowledged ,20_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _day of by acknowledged , 20_ (name of person acknowledged) Owho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or Owho has produced (type and whoO did 0 did not of identification) take an oath, Owho has produced (type of identification) and who Odid []did not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped PASCO COUNTY, FLORIDA Builder Name/Owner Name ~~ Permit No, 335/ Date Permitted 'j - 7 - 0 t/ County Parcel No, 34-;).K'''' ~ t-()090~ Od-m 3'7<-t3J (O,r(( /1J~' ~~ . {f-" 12 { Zo J;1 ~ Control # _f' J.~.' ~ l '1" SubDiv: Address/Location Classification/Type of Use, ~hl {-e... TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: Exempt 0 Yes 0 No How Determined Impact Fee Amount $ (S 'B"f- Zone No, TAl: SCHOOL IMPACT FEE Account (056) Single-Family Detached House (057) Mobile Home (058) Other Residential J.:1 ~3) Collection Fee Exempt lJYes 0 No How Determined Amount $ PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Total Zone $ TOTAL AMOUNT ONo How Determined Land Credit ---t:and Total F "~ Facility Total Facility Account How Determined Total Amount Exempt RESOURCE FEE TOTAL AMOUNT ERU Prepared By 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 c" l~:)'()-P BY DATE RECEIPT NO.