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Home My WebLink About05-3889 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 MOBILE HOME SET-UP 3889 Permit Number: 3889 Permit Type: MOBILE HOME Class of Work: MOBILE HOME SET-UP Proposed Use: MOBILE HOME SUBDIVISION Square Feet: Est. Value: Improv. Cost: Date Issued: 2/24/2005 Total Fees: 1,372.50 Amount Paid: 1,372.50 Date Paid: 2/24/2005 Work Desc: M.H. SET UP Address: 37639 NEWP RT DR ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: ZEPHYR RIDGE Parcel Number: Name: SHIRLEY ADAMS Address: 37639 NEWPORT DR ZEPHYRHILLS, FL. 33542 Phone: IL H JAMES 0 MORTON ELECTRIC CO.,INC. BUTTERFIELD MOBILE HOME SERVICE ACE REFRIGERATION INC MOBILE HOME MECHANICAL WATER METER RES 3/4" WATER CONNECTION MOBILE HC 35.0Q MOBILE HOME PLUMBING 180.00 SEWER CONNECTION MOBILE 209.50 40.00 808.00 .' 3P f03 REINSPEcnON 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. "~/ ~ - ~ L, iCVltAu:l / C~ ~ . J'-tONTRACTORS S GNA TURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Shl r IV-j /lkAA {; 11)'1-<11 7& Ne.t<Jpod br, L.t2f~rhJ'j(s PI. 33510 / \ (03 -;;J.-(y-~J - t) /3.0-00000- 07&tJ j ? ~Jtl1 r {Z, ~ .e.. II /::;)D (pO "" "0 ~ , '0 ~ <::::J "- -~ ,,~ "'J ", f\J d ~ ~ l.. ~ &01 \ ,JevJport- })r, f) ~ \! f....'1 rfl fivfKM.J <) j),9-l' ISh- W. rtJ~kJ) FtA l N J rJ2L'T(c:.J ,''!' ...... .. i! ~T Z/t ,"/1 S' APPLICATION FOR PERMIT CITY OF ZEPHYRR~LLS BUILDING DEPARTMENT DATE RECEIVED :;/7 ~) PLANS REVIEW FEE OWNER'S l'lANE Sh \ (' {~ . ~ S JOB ADDRESS j flCt 37 !Jwfc}r {hr, LEGAL DESCRIPTION: LOT(S) 1 ~ BLOCK () PARCEL 1D ff 03-;).~ -CJ..J- O/30-a:offl- 0-7&0 PHONE(iI3) 7/4 -ILl! S Zvp^t~ ~ I(s SUBDIVISION -7(?,ph 'ir Rlr-:~ e (OBTAIN FROM PROPERTY TAX NOTICEl vWRK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATION o REPAIR o INSTALL o SIGN o MOVE o DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL ar;;OBILE HOME o OTHER BUIl.D!NG SIZE D REST:URAN~ & H~IJH DEP~RTMENT APPROVAL _ New /Jloblk flVlJ1e ?/aceme/tf 3tJ X (Pf?' SQUARE FOOTAGE ;( ) 7 (fJ HEIGHT DESCRIPTION OF WORK RESI DENTIAI,: COMMERCIAL: ATTACH (2) PLO'l' PT-aANS & (2) SETS OF BUILDING PI.ANS & (1) SET ENERGY FORMS. ATTACH (3) SETS m' BUILDING PLANS & (1) SET ENERGY ~'ORMS. PROPERTY SURVEY REQUIRED I"OR ALL NEW CONSTRUCTION. PERMITS REQUESTED ~8UILDING $ Go DOO I ;),00 VALUATION OF TOTAL CONSTRUCTION [iJ/ELECTRICAL l!]/PLlJMBING AMP SERVICE o FLORIDA POWER "0 W.R.E.C. iD/MECHANI CAL $ /5VO VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOF'ING o SPECIALTY o OTHER TYPE OF CONSTRuc'nON: 0 BLOCK o FRAME o STEEL o OTHER FIN1SHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES o NO L CoN~CTc>.J{:~$j:CTlpij . .. .... . COMPANy:e,~~ikrtl-efJ ~ S<L!jjii STATE CERT OR REGIST ##, L::' tJ(j)J?, CITY PROCESSING ## BUILDER ~ SfGW\TURE. UlfLLj nef)-JL ***********A***************.************************************** ELECTR'!CI~ ( J SIGNA'ruRE . .. I~ COMPANY (YlrJrItJ/1 E7ev4/c. STATE CERT OR REGIST ## e IZ ooa. '1'13 CITY PROCESSING # .PLUMBER ~ u .. :'llGNATURE j/~ ****~***********.~l***********'k***k*************.***************** COMPAN15U !krille~ /I S:~ STATE CERT OR REGIST It tJt?a7cm CITY PROCESSING 11 ~\- SIGNATURE ~lRLL cn/~^-- COMPANY STATE CERT OR REGIST CITY PROCESSING ## ***********.**********4******************* ******~*****************************~*****************'l********** OTHER COMPANY STATE CERT OR REGIST ## CITY PROCESSING # SIGNATURE A*~******.-***.***~****.*~**********.*******************k********* ;:ONlJIT10NS r.'!~ pE.;.o.Ml'r A.FF'ID.c-:.j:~ T' A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permi t. may be subjec.t: to '.'deed ;:estril::ti(1n~" ",J~.\.c:h may be more restrictive than City l:egulalions. 'I'h-= undersigned assumes respoiJs~_Li_..! .U.V for compliance with any applicable deed restrictions. B. UNLIC~NSEp CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertak~ "'oJ:k, they may be recpli..red to be licensed in accordance with state and local regulations. If the contracto~ is not licensed as required by law, both the o.mer and contractor may be cited for;} misdemeaIlor violation under state law. If the mmer or intended contractor al:e uncertain ;;5 to HI;3\: licensing requirements may apply for the intended "'orJ~, they aLe advised to cont<:lct the City of Zephyrhills Building Department, 813-796-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor (s) sign portions of the "Contracto~ Sections'" of this application to;: ".:hich Lhey. ",ill be responsible. If you, as the O\-lI1er signs as the contractor, you are indica:-ing that you, rather than the contractor, are responsible for the ..lork. 1 f the contract.or wishes you to sign as contractor that may be an indication that he is not properly licensed and .:.-" not entitled to permitting privileges in the City of ~ephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION 'E'EES D. CONSTRUCTUION LIEN LAW (CHAPTf:R IB, FLOP.IDA S'l'j-\TUTE:S, 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 Depa rtment ct l\gricul ture and Consumer Affairs. If the applicant is SOlOeor.<=! other that the "owner", .f cel:ity tbaL I have obtained a copy of the above described document and promise in ,;ood Ld. tl~ to ;;:!e.L veJ: it to the "owner" prior to commencement. E. CONTRACTOR' SImmER' S AFFIDAVIT 1 certify that all the information in this application is aec'.lrate and thc.t elll ,JOrl~ \.,jU be done in compliance with all applicable laws regl.:lating c(JII~,truction, 2:')nin'1, and land development. Application is hereby made to obtain a per-mit to do werk and installalion as indicated. I certify that no work or installation has commt~nced prior to issuance of a permit ar:d I:IJ<tt all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. ] also certify that I understand that the I:cgulat ions af other governmental agenci~s may appl~... to the intended work, and that it is my responsibi lity to identify what actions I 1':Ust t:c.ke to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, 'jletland Areas and E!1vironment~.lly Sensi ti -,e Lands, Water/Wastewater Treatmer.t *Southwest Florida Water Management District-Wells, Cypress Bayheads, ~~ei.::lald Areas, Altering Wat,'rcourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Servic~s, Enviromr,ental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to b~ used in Flood Zone "A" or ~A,etc.ff, it is understood that a drainage plan addressing a -"conpensating volume" will be submitted t./hi ch is prepared by a prof~ssional engineercegistered in the State of Florida prior to permit issuance. A permit issued shall be construed to be a license to proceed \"ith the \-lOrk nlld n0t dO authority to violate, cancel, alter, or set aside any provisiollS of ~he technical cod~s, nor shall issuance of a permit prevent the Building Official from thereafter requirilig a correction of errors in plans, construction, or violations of nny code. Every permll issued shall become invalid unless the './ork authorized by such permit. is conur.enced. ,,-lit-hin six months of issuance, or if work authoclzed by the perr-tit is suspended or abandc,ned tOl: <~ period of six months after the time the work is commenced. One 90 day exten:5ion of til!ie may be allowed for the permit with fee charge of $15.00. The extension shall be request.l'-d in writing to the Building Official. Jm approved inspection must be logged during each Silo month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD 1\ NO'l'ICE CF COM}olENCE;"l.ENT MAY HESUVr ; N YOUt< PAYING TWICE FOR IMPROVEMENTS TO YOUI< PROPERTY. IF YOU INTEND TO OBTAIN E'IIJANCING, C0NSU1/f ~~OUR LENDER OR AN ATTORNEY BEE'ORE RECOP.DING ~'UR NOTICE O!! COl"'J.1ENCE."'lENT. ,TOrs.:: UNDEP l' . 50p IN VALUE Dp NOT NEED TO RECORD AND POS'I' "N 'rICE OF CO~CF.MON'l'''' ~/LY2~ ' ~---- SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR . STATE OF FLQ.I:lI D!\ COUNTY OF ~~ The foregoing instrument was acknowledged Bef...()re me this ~ day of R.brU11.rLj , ~ S- by [',>() ~ IA!L m ("c c "- (name of person acknowledged) ~o is personally known to me, or STATE OF FLOHID!\ cour.!'l'Y OF _ '"PO....5-C!. 0 ----- The foregoinq inst.rument wC\S- eckno\'lledged ~. ,.<#-.. ~ru..c:u-... . .:J-aIS Befo~ me L.hJ.s -L~day of '1, ]~-- by ~ ~. \^-D-... IIY\P & i-'- -.. _ (name of person acknowledg~dl ~ is personally kno"'ln to me, or o who has produced (type of identification) and whoO did 0 did not ta ke an oa th . ~~. CL-.o(~ Signature of person taking acknowledgement o \."ho has pr0d'-l~ed _____________ (type of identificat~ool :t::~da:,~_:J}te an O'.~__m SignatuJ:e of "f>l:son t'1kinq ackno\oJ] edqme;:t .~ S~'''''.,t...~ Name typed, ~nT'~j~~~ '\;",::,1 ~ July 22,2008 Harne tY~x~~I~stamped -!JjMyCommisaionD0340488 '~::,I ExpnsJuly22.2008 r r' r r ,......, r\ 103110 ('I t3 ~- PERFORMANCE BUSINESS PRODUCTS, INC_ 813-719-8008 FAX 813-719-71119 CITY OF ZEPHYRHILLS ZEPHVRHILLS, FLORIDA ~ (-) 'f<l? WATER ACCT. NO. DATE ,;2.4y(05 , :$ >? 73 U r:?:llb. /~IL ~ ~~- - () SERVICE ADDRESS 37 ~ 31' N e c:...) fo (T Jr. MAILING - .:::;...--' ~I: I:J (, SHUT OFF SERVICE 0 TURN ON SERVICE Q../ INSTALL METER ~ READ METER 0 CHECK METER 0 OTHER 0 O/"WATER o SEWER o GARBAGE ~N CITY o OUT CITY -L No. OF UNITS _ DEPOSIT AMOUNT _ AMOUNT LAST BIU :P/y _ DATE _ MISC. CHARGE WORK COMPLETED BY & DATE COMPLETED ORDER TAKEN BY Retain white form in office at all times. Send pink & yellow forms to Water Service Oept Water Service Oept to sign yellow form & return to office_ ~- .:2<(- tJ 5 IV- PASCO COtJNTY, FLORIDA SubDlv: Sq Ft Unit: TAl: SCHOOL IMPACT FEE Account (056) Single-Family Detached House (057) Mobile Home (058) O~her R sldentlal J.:123) Collec n Fee Exempt U Ves o. How Determined Amount $ t' gtf] .~ '. PARKS AND RECREATION FEE. Land Account Land Credit land Total Recreation Account Recreation Credit Recreation Total Exempt DVes ~ TOTAL AMOUNT $ 573,73 Zone How Determined LIBRARY FEE land Account Facility Account .- Exe~ No RESOURCE FEE TOTAL AMOUNT Facility Total 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 FOFt BY A CENTRAL PERMITT'NG 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 thQ conditions of payment for same. DATE RECEIVED BY RECEIPT NO. oofo"3073 DATE ") 'so IOrBY . Ie eN...} J:U "" - ----- CFNTt:;TA! PF~'Mrry:-nli:::- l ,/ \ ;' l t' ;1; / ;' .-" . - ... --- --'.---'..'----, ""~. 'VO'::' ,". .~. ".... .~... ,'" ,.....~_ ! r \ {. : i; -~ ,'''~ ,.' ....1