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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
4803
Permit Number: 4803
Permit Type: MOBILE HOME
Class of Work: MOBILE HOME SET-UP
Proposed Use: MOBILE HOME SUBDIVISION
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 8/09/2005
Total Fees: 4,442.58
Amount Paid: 4,442.58
Date Paid: 8/09/2005
Work Desc: M.H SET UP
Address: 37521 LILLY BEA AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number:
RAN HORIZONS
37521 LILLY BEA AVE
ZEPHYRHILLS, FL. 33542
Phone:
L E
ACE AIR CONDITIONING & ELEC,
BUTTERFIELD MOBILE HOME SERVICE
ACE REFRIGERATION INC
o
MOBILE HOME SET-UP
MOBILE HOME MECHANICAL
MOBILE HOME TIF/SUB 99%
FIRE IMPACT FEE
PUBLIC SAFETY 5%
IRRIGATION METER
PARK FEES MH
60,00 WATER CONNECTION MOBILE He
35,00 MOBILE HOME PLUMBING
1,572.12 MOBILE HOME TIFISUB 1%
273.00 POLICE IMPACT FEE
26,35 WATER METER RES 3/4"
180.00 IRRIGATION CONNECTION
573.73
209,50
40.00
15.88
254,00
180.00
175,00
(:/~J
5/-10 - O'"=>@
fE. ~ 0 7Zlfr) IC~
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.
Q~L~ ~.
CONTRACTORS SIGNATU - PERMIT OFFI
CALL FOR INSPECTIO - 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 RECEIVED
~/3~5
PHONE GONTACT FOR PERMITTING
OWNER'S NAME G(o.nd Ho r \ ZOV\S
JOB ADDRESS 3"75 Z I . Li nj ,r:?eo... L6-f2Lf ~
LEGAL DESCRIPTION: LOT(S) BLOCK
PHONE
SUBDIVISION
PARCEL 10 #
WORK PROPSED: []NEW CONSTRUCTION
(OBTAIN FROM PROPERTY TAX NOTICE)
o ADDITION
DALTERATION
o REPAIR
o INSTALL
o SIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
~OBILE HOME
o OTHER
BUILDING SIZE
c:J RESTAURANT & HEALTH DEPARTMENT
fVl f{ ARt- .~
.27 ~ 1; (/:)
APPROVAL
DESCRIPTION OF WORK
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION,
& (1) SET ENERGY FORMS.
FORMS.
PERMITS REQUESTED
*' 1/10 3
o BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C,
o PLUMBING
o MECHANICAL
$
o GAS
o ROOFING
o SPECIALTY
VALUATION 6F MECHANCIAL INSTALLATION
o 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 COMPANY
SIGNA;URE k../~~ ~~= ~ STATE CERT OR REGIST #
******************************************************************
ELECTRICIAN
SIGNATURE iv/rd.., ~..t2_L
COMPANY A Le,
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY &.if-{ ('iff e I J
~~ /~ ~~ STATE CERT OR REGIST #
******************~***********.***********~*********************
COMPANY ~ C. E:-
SIGNATURE
MECHANICAL
SIGNATURE
~ ...J~4.-' &~7~ J:Z,
STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
,')
,
A. NOTICE OF DEED RESTRICTIONS
The. unde~signed understands that this permit may be
may be more restrictive than city regulations. The
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIE:i
If the owner has hired a contractor or contractors to uncertake work, they may be required
to be licensed in accordance with state and local regula' lons. If the contractor is not
licensed as required by law, both the owner and contract< " may be cited for a misdemeanor
violation under state law. If the owner or intended cant' ctor are uncertain as to what
licensing requirements may apply for the intended work, th yare advised to contact the
city of Zephyrhills Building Department, 813-780-0020.
Furthermore, if the owner has hired a contractor or contra tors, he is advised to have the
contractor(sl sign pOrtions of the "contractor sections" ., this 'pplication for which they
will be responsible. If you, as the ownsr signs as the ,ontractor, you are indicating that
you, rather than the contractor, are respousible for the work. ,If the contractor wishes
you to sigu as contractor that may be an indication that he is not propsrly 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, A~ 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 Fl ,rida Department of Agriculture
and Consumsr Affairs. If the applicant is someone other ",at the "owner", I cerify that I
have obtained a copy of the above described document an' 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 '.s accurate and that all work will
be done in compliance with all applicable laws regulatJ 1 construction, zoning, and land
development.
Appli,ation is hereby made to obtain a permit to do wo < and iustaliation as indicated. I
certify that no work or installation has commenced prJor to issuance of a permit and that
all work wiil be performed to meet standards of all l,,,ws regulating construction, city
codes, zoning regulations, and land dev~lopment regulatioD~ in the jurisdiction. I also
certify that I understand that the regulations of other go erumental agencies may apply to
the intended work, and that it is my responsibilitY to id, ,tify what actions I must take to
be in compliance. Such agencies include but are not li~ ~ed to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Are 3 and Environmentally Sensitive
Lands, water/Wastewater Treatment
*Southwest Florida Water Management District-Wells,
Altering Watercourses
*Army Corps of Engineers-seawalls, Docks, Navigable Wat rways
*Department of Health & Rehabilitative Services, Enviro ~ental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatemer
I also certify that, if fill material is to be ussd in ,load Zone "A" or "A,etc.", it is
understood that a drainage plan addressing a "campen ",ting 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 1 ~oceed with the work and not as
authority to violate, cancel, alter, or set aside any rovisions of the technical codes,
nor shall issuance of a permit prevent the Building Of ~icial from thereafter requiring a
correction of errors in plans, construction, or vio10~ions of any code, Every permit
issued shall become inv'lid unless the work authori,ed by such permit is commenced within
six months of issuance, or if work authorized by tho permit is suspended or abandoned for 'a
period of six months after the time ths 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 aba Idoned,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE 'lF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF yOU INTEND TO UBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS ONDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICr. OF COMMENCEMENT".
subject to "deed restrictions" which
undersigned assumes responsibility for
ipress Bayheads, Wetland Areas,
SIGNATURE: CONTRACTOR
SIGNATURE: ,OWNER OR AGENT
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
;he foregoing instrument was acknowledged
Before me this _ day of ' 2<L-
by
(name' of person acknowledged)
Owho is personally known to me, 'or
o who has produced
(type
and wrioD did 0 did not
acknowledged
, 20_
of identification)
take an oath.
(name of person acknowledged)
C1ho is personallY known to me, or
o who has produced
(type of identification
and who Odid [):iid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
'<1.12-1995 2:<12AM
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PREV AlUNGCODES, FLORIDA BUUDING
CODE, NATIONAL ELECfRlC CODE ANf
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PASCO COUNTY, FLORIDA
Address/Location
Permit No.
Date Permitted
Builder Name/Owner Name t:~ ~ Control #
County Parcel No. 3 Y-.:.l.{'"-;;t. ..() ("It)- 06(/00-).&10 ~'Ii" SubDiv:
j ;//'1 l3ec.. 1ft/e. il/r~q f'
~
1/803
~-i-tJS
ClassificationlType of Use.
375;;)1
-jn.fJ/JI!e
TRANSPORTATION IMPACT FEE Rate:
Exempt D Yes ~ How Determined
Sq Ft Unit:
Impact Fee Amount $ 158~
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House
(057) Mobile Home
(058) Other Residential
.J) 2.91 Collection Fee
Exempt lcJ"Y'es D No How Determined
Zone No.
TAZ:
Amount $
RKS AND RECREATION FEE
La d Account Land Credit
Land Total
'on Account
Recreation Credit
Recreation Total
Zone
"
TOTAL AMOUNT $
Exempt
How Determined
LIBRARY FEE
Land Account
Land Total
Facility Account
Facility Total
Exempt DYes D No
Total Amount
RESOURCE FEE
TOTAL AMOUNT
ERU
Prepared By
Checked By
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOl)NTS 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 th~ conditions of payment for same,
DATE
RECEIPT NO. ~S /2 7"DATE
~ RErl
Q J SBY
I
CGNfPACTOR #: 999999
LI::,NTI:;:{.)L PFF~/Yi :': TT:r I,.".::'
;:>(:":::C'O C:CJUNT\'., Fr.:.h J .0(:1
DAfE: 09/08/05 TIME: 14:28
i::'(H::iF :: :I. OF 1
TbSUE OFFICE:: D
RECEIPT NUMBR: 00855126
OFFICE: DADE CITY
i-!(:j!"iE;: C:iF;/:IND HO;:':I/'.fJN
('d)l)h:: :::,:'.7:'5:,::;-:; GILL ti'v'E
C,,/~:rr:: /.:>+IIL.L
Fe:;,;: ::
(:ICCNT
:1.:1.4
CON rh:(ICT(Jf:~:: 99';'>9':;'>'/
TenAL (~NOLii\rf::
COi>1PNY (,~CC.:CIUNT C:ENiTJ,:
SOL I .0 1,,\Jtl~:;TE
2, "'" '1.1 ,",
......,.. .... ....::)
CHEC:I':: # 2814
Len :Ul1
B4::';0 .... ::,!;6:':,;000 '..
",
:I.i:::.. 4~,:',i
AMOUNT DFSCRIPTION/PERMT DATA DR/CR
18.45 ****** SOLID WASTE FEE 60
':~ECE IVEn BY