HomeMy WebLinkAbout05-4498
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
4498
Permit Number: 4498
Permit Type: MOBILE HOME
Class of Work: MOBILE HOME SET-UP
Proposed Use: MOBILE HOME SUBDIVISION
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 6/20/2005
Total Fees: 4,442.58
Amount Paid: 4,442.58
Date Paid: 6/20/2005
Work Desc: M.H. SET UP
Address: 37232 NEUK M AVE LOT21 0
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number:
Name: GRAND HORIZON
Address: 37232 NEUKOM AVE
ZEPHYRHILLS, FL. 33542
Phone:
ACE AIR CONDITIONING & ELEC,
BUTTERFIELD MOBILE HOME SERVICE
ACE REFRIGERATION INC
MOBILE HOME SET-UP
MOBILE HOME MECHANICAL
MOBILE HOME TIFISUB 99%
WATER METER RES 3/4"
FIRE IMPACT FEE
PUBLIC SAFETY 5%
IRRIGATION METER
60.00 WATER CONNECTION MOBILE HC
35.00 MOBILE HOME PLUMBING
1,572.12 MOBILE HOME TIFISUB 1%
180.00 IRRIGATION CONNECTION
273.00 POLICE IMPACT FEE
26.35 PARK FEES MH
180.00
209.50
40.00
15,88
175.00
254.00
573,73
rlS 1/r!oS 'j?;3,I3rIJtdt-td
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
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.
LJ~<OC7L~ r~- ~
CONTRACT S SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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CITY OF ZEPHYRHILLS PERMIT APPLICATION .
BUILDING DEPARTMENT 5335 8's St, Zephyrhills, FL 33542 ~ . , _
813-780-0020 FAX: 813-780-0021 0 )
DATE RECEIVED
PHONE CONTACT FOR PERMITTING
OWNER'S NAME Crand f!()YiZC>rJ5
JOB ADDRESSJI 2.:;2 NeuklJIYJ Aye..
PHONE
Lof
2/0
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
WORK PROPSED: DNEW CONSTRUCTION
DSIGN
(OBTAIN FROM PROPERTY.TAX NOTICE)
DADDITION
DALTERATION
D REPAIR
D INSTALL
o MOVE
o DEMOLISH
PROPOSED USE: []SGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
~BILE HOME
[] OTHER
c:J RESTAURANT &
DESCRIPTION OF WORK mOb/It hdJ??t
)7 x 50
HEALTH DEPARTMENT APPROVAL
s-ef - CAf)
,
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
D BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
[] GAS
o ROOFING
o SPECIALTY
[] OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
BUILDER
SIGNATURElj/,...~ /3.. '&/"" ~_<-,L
******************************************************************
COMPANY
STATE CERT OR REGIST #
ELECTRICIAN
SIGNATURE V/,- ~.:;;z ~ ~~~
7'
COMPANY A cL
STATE CERT OR REGIST #
******************************************************************
PLUMBER
SIGNATURE V7-- - B~7:;~1~
COMPANY /3u.H(YpeJd
.
STATE CERT OR REGIST #
MECHANICAL
******************************************************************
COMPANY A c. e.
SIGNATURE
~7-- - /5: ~ A::~ STATE CERT OR REGIST #
- /'
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
Tha 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 po~tions 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 Ii 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 som~one 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 corrunencement.
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 corrunenced prior to issuahce 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 corrunenced 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 corrunenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall b~ requeste~
in writing to'the Building Official. An approved inspection must be logged dur1ng each S1X
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: CONTRACTOR
SIGNATURE: OWNER OR AGENT
acknowledged
, 2Cl-
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
,20_
(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 [):lid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
'1
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PASCO COUNTY, FLORIDA
Permit No. '-I '-(1 g-
Date Permitted . Co -~ 0 - 0 S
Builder Name/Owner Name G J\o. ~ ~ 1-1- Rlion Control #~ .. ,
County Parcel No. ..F/- a.~- A 1- 0 1:1 D- DODD 0- ~t.1 ~ 7~ SubOlv: tfl-..i2~ /JVfP
Address/Location '3 I 2-32 I'JJ;~ Ave.
ClassificationlType of Us~ f'Y4f;;~ ~
TRANSPORTATION IMPACT FEE, Rate:
Exempt . D Yes ~ How Determined
Sq Ft Unit:
Impact Fee Amount $ i5?ffj-
Zone No.
TAZ:
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House
(057) Mobile Home
(058) Other Residential
Jj29} Collection Fee
Exempt G}1'es D No How Determined
Amount $
PARKS AND RECREATION FEE.
Land Account Land Credit
Land Total
Recreation Account
Recreation Credit
Zone
$
Exempt DYes D No
LIBRARY FEE
Land Account
How Determined
Land Total
Facility Account
Facility Total
Exempt DYes
How Determined
Total Amount
RESOURCE FEE
TOTAL AMOU
/
./
/,,/
Prepared By
ERU
Checked By
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
. Bt:EN PAID ANO
RECEIPTED FOR BY A CENTRAL PJ:RMITTING 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 th~ conditions of payment for same.
DATE
RECEIPT NO.) ~32e7 ? DATE fo (2--1
RECEIVED BY
BY t::L- :T ~ .
CONn~F1CT[m **::
NAME~ GRAND HORIZON
ADDR: 37232 NEWKOM AVE
C/ST~ Z-HILLS, FL
CENTRAL PER~ITTING
Pr-:)t;CO COUNT)'., FI..JJh:IDA
)) (.-:, .~.. ;::::~ () () /" ::?~? ./ () ~.:5 'YO T tfi F:: :: :!. !.=.=j :: ~=:.; ()
PAnE~ :I. OF :I.
I ::;nl..lE OFF I C:E :: D
F~ECE I PT f'H.JiyrHI:~:~ ()OH~.!;::.~~:r79
OFFICE:: DI:..DE CIT'l
FOR: RESOURCE FEES PERMIT #4498
CHELl::: # :'~'7:-:';::=j
f1CCNT
:1.1. 4
TOTAL AMOUNT::
COMPNY ACCOUNT CENTER
B450 - 363000 - 2
2::.~..14
AMOUNT DESCI:;~IPTIDN/PEF\MT DATA DR/CI~
22.14 ****** SOLID WASTE FEE 60
~ ,.....-.--U
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F'FCFTVET EYe..-- ~
' .. ., ..... ..) { .... '.,..........................,.......,.........,...............,......,..... .....,.~.....,........,..................................
CDNTRf'lCTOF.: **::
NAME~ GRAND HORIZON
ADDR~ 37238 NEWKDM AVE
C/ST~ Z-HILLS, FL
CENTRAL PERMrTTING
P('~SCO COUNTy '1 FI..'J,:; IDA
DAT~~ 06/29/05 lIME: 15:48
F't~)HE ~ :1. OF :l.
IbSUE OFFICE:: D
I:':FCEIPT Nl.H-tiI.m:: 008~~;~,~~:r75
OFFICE:: Df~DE CITY
FDR~ RESOURCE FEES PERMIT #4493
CI-IFCI::: ** 27;:;~:;
ACCNT
114
TOT AL AlrfOUNT ~
COMPNY ACCOUNT CENTER
9450 - 363000 - 2
;;'~~_l.. 14
AMOUNT DESCRIPTI()N/PEF~MT Df~TA DR/Cf~
22.14 ****** SOLID WASTE FEE 60
F~ECEIVED BY
....K~..:.:.............Z~~....!...................................................
CONn~ACT(m '*::
NAME~ GRAND HORIZONS
ADDR~ 37226 NEWKOM AVE
C/ST~ Z-HILLS, FL
CENTF~AL.. PEI:;:M I TT I NC:;
PASCO COUNTY~ FLORIDA
~A'~'~:::: 06/29/05 'T':[MI~:: :L5~4:L
PiqUE = :I. OF :I.
I EmUE OFF I CE:: D
I:,:ECEIPT NI..J,.'IBr.;::: OOB;:.!;::.~f.l7:1.
OFF:[CE:~ DADE CITY
FOR~ RESOURCE FEES PERMIT #4500
CHELl::: # 2T:5~j
{-)CCNT
1:1.4
TOT(4L AMOUNT::
CDMPNY ACCOUNT CENTER
B450 - 363000 - 2
::.~::.~ .. :1.4
AMOUNT DESLRIPTION/PERMT DATA DR/CR
22..:1.4 ****** SOLID WASTE FEE 60
.' ~
j/.... 'I 11' /
~~ECEIVED BY ........~.~........~,_.~...!..............,._...................,....................
CONTI:;:ACTOR ..::
NAM~: GRAND HORIZONS
ADlm:: 3"7724 KAY MAI:;:IE AVE
C/ST: Z-HILLS, FL
CENTRAL PERMITTING
PASCO COUNTY, FLORIDA
DAT~= 06/29/05 TIME: 15:39
P(.~(iE :: 1 OF :l.
I ~::; nUE OFF I CE:: D
HECEIPT 1'\!tH'H-m:: oon~;,:;::.~B6~::;
OFFICE: D{lDE CITY
Fcm :: F~E:SDUf~CE FEES PEJ:;:M I T #4~:j()~~
CI-IECI::: .. 2'7:::;~j
i~CCNT
1.14
TOT AL AMOUNT::
CDMPNY ACCOUNT CENTER
B450 - 363000 - 2
22.1..14
AMOUNT DEnCRIPTION/PERMT DATA DR/CR
22.14 ****** SOLID WASTI~ FEE 60
RECEIVED I-W
-(~'~=--~-~-'_....__mmm_............__........
CON'TRACTm-.: **::
NAME: 8RAND ~]RIZONS
ADDR~ 37643 LILY BEA AVE
C/ST~ Z-HILLS, FL
CENTRAL PERMITTINC:i
PASCO COUNTY, FLORIDA
DAT~= 06/29/05 TIME~ 15~36
F'ACiE: 1. OF :I.
T~::;SUE OFFICE:: D
PECEIPT i'~LJMBr-\::: O(H3;:~;.~f:l!':'j9
DFF:,:CE:: DADE CITY
FOR~ RESOURCE FEES PERMIT #4505
CHECl=:: .. 2'7:::;::5
ACCNT
U.4
TOTAL AMOUNT:
COMPNY ACCOUNT CENn:}~
B450 - 363000 - 2
;.~;;.~ " :I. 4
AMOUNT DESCRIPTION/PERMT DATA DR/CR
22.1.4 ****** SOLID WASTI~ FEE 60
RECEIVED BY ~l-/ ~ J Cc I' ~
...,...f~,.....................,.........................:hJ.:............................................................
C(]Nn~ACT[m # ::
NAME~ G~AND HORIZON
ADDR: 37649 LILY BEA AVE
C/ST~ Z-HILLS, FL
CENTRAL PER~ITTING
PASCO COUNTY~ FLCiRIDA
DA'~'l~~::! 06/29/05 '?':!:~~::: j.5::3:1.
P(:\OE:: :l. OF :I.
I SSI.JE OFF I CE :: D
I:~CCE I PT NUj"'lBF~:: <) :Hr:;::.~B~.:;6
DFFICT:: DADE CITY
Fen:<: \:;:ESDUf.:CE FEES PEF~M I T 450]
CHELl::: # 27::~;~5
f~CCNT
:1.14
TOT AL. Al>10UNT:
CDMPNY ACCOUNT CENTER
8450 - 363000 - 2
::.)2. :1.4
AtvlOUNT DESC\:~IF'TION/PEF~MT DF,T,,:) DR/C1:;~
22.:1.4 ****** SOL.ID WASTE FEE 60
f.:ECEIVED BY
1//' ~
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