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Home My WebLink About05-4804 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 MOBILE HOME SET-UP 4804 Permit Number: 4804 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: 37539 GILL AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: GRAND HORIZONS Parcel Number: Name: GRAND HORIZONS Address: 37539 GILL 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 TIF/SUB 99% WATER METER RES 3/4" POLICE IMPACT FEE IRRIGATION CONNECTION PARK FEES MH 40.0 60.00 WATER CONNECTION MOBILE HC 35.00 MOBILE HOME PLUMBING 1.572,12 MOBILE HOME TIFISUB 1% 180.00 FIRE IMPACT FEE 254.00 IRRIGATION METER 175.00 PUBLIC SAFETY 5% 573,73 209.50 40.00 15.88 273.00 180.00 26.35 (;:.....1 <8." .os~ ( 7);/0 ~ C(l1- !JJ IcheJ/ ~ );f 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. . ~-. CONTRACTORS SIGNATURE PERMIT OFFI CALL FOR IN PECTION - 8 HOUR NOTICE REQUIRED . PROTECT CARD FROM WEATHER S:DNVNImIO Sl'1Il-lliAHd3Z .10 A.LI:J ~ ~ .JNVaaOO:JrnJ..:)3'131VNOllVN'gOO:) r: tJ QNI<l'1lf18 VanJ<Yl:I 'S3UO:) DNfTIV i\3i: . ' V V' ..J...,I::/9> '1VHnN " n.n" , n' .__n,." .... ~ !0- m --:t'vV C'r-lt...'1JO(W ~}..-v.""'5. >1 1< , '0 , , 'IJ.-r J.7 J:. ; I 100 ~ G If k.1tft $ ( _ 9( {A5c#levf ~ //)0 , /I .1X'-( ,,1' r&A 56,wteJt) r --L ~ / >1 60 I I I I u> r ~~/ ~ ~ f7S31 CI a , fli/c I GRAJJ cl JIo~' Z/JA.J.J' I I i I I I_I 1___ - I I _,-.,-. I t":lIIl I CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED g-/3/oS I . PHONE CONTACT FOR PERMITTING OWNER'S NAME Or an C( )-{ 0 If Z ClI'1J JOB ADDRESS . ~ -J~31 Ci/ / ,A Ve Ltrf 2 ~ I PHONE LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # WORK PROPSED: []NEW CONSTRUCTION (OBTAIN FROM PROPERTY.TAX NOTICE) o SIGN o ADDITION o ALTERATION o REPAIR o INSTALL o MOVE 0 DEMOLISH ~LE DMULTI - FAMIL Y 0# OF UNITS HOME o INDUSTRIAL o SWIMMING POOL o OTHER PROPOSED USE: DSGL FAMILY DWELLING o COMMERCIAL DESCRIPTION OF WORK RESTAURANT & HEALTH DEPARTMENT 5&~ APPROVAL BUILDING SIZE 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 t1 ~ 01 o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o Progress Energy 0 W.R.E.C. o PLUMBING o MECHANICAL $ VALUATION 6F 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 AREAD YES 0 NO BUILDER COMPANY SIGNA;URE Pt-;z- ~",u.,. STATE CERT OR REGIST * ************* **************************************************** ELECTRICIAN SIGNATURE LJc--r~..t1 J, ****************************************************************** COMPANY Ace STATE CERT OR REGIST # PLUMBER COMPANY!?hf7d!lfJd tJ~_ 13- ~ ~ STATE CERT OR REGIST # **********************************;~~;~~~***i4(:~**************** SIGNATURE MECHANICAL SIGNATURE L/~ &--- ~ ~ ~ ***************************************************************** STATE CERT OR REGIST # OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTICE OF DEED RESTRICTIONS The unde~sicjned understands that this permit may be subject to "deed restrictions" which. may be more restrictive,than city regulat~oh~. The undersigned assumes responsibility for compliance with any applicable deed restr~ct~ons, 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 contractc ,. may' be cited for a misdemeanor violation under state law. If the owner or intended cont~ctor are uncertain as to what licensing requirements inay 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 co~tractor(s} sign portions' of the "Contractor Sections" 0~ this ~pplication for which they will be responsible. If you, as the owner signs as the~ontractor, you are indicating that you, rather than the contractor, are responsible for the work, If the 6ontractor wishes you to sign as contractor that may be an indicat;iont;.hat 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, M ~ENDED) I certify that Ii the applicant, haye been provided with a copy of "Florida's Construction liEm Law _ Homeowner's' Protection Guide" prepared by the E'l )rida Department of Agriculture and Consumer Affairs . If the applicant is someone other I ',lat 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 LS accurate and that all work will be done in compliance with ,all applicable laws regulatJ J construction, zoning, and land development. Appliqation is hereby made to obtain a permit to do wo: k and instaliation 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,lC:iws regulating construction, City codes, zoning regulations, and land dev~lopment regulation', in the jurisdiction. I also certify that I ,understand that the regulations of other go ernmental agencies may apply to the intended work, and that it is my responsibility to idp ltify what actions I must take to be in compliance. Such agencies inolude but are not lir ~ed to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Are 3 and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, fypressBayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-seawalls, Docks, Navigable Wat, rways *Department of Health & Rehabilitative Services, Enviro mental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U, S. Environmental protectiori Agency-Asbestos abatemer : I also certify that, if fill ,material is to be used in l!"'lood Zone "A" or "A, etc.", it is understood that a drainage.plan addressing a "compen';C1.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 coceed 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 cicial from thereafter requiring ~ correction of errors in plans, construction, or viold~ions of any code. Every permit issued shall become invalid unless the work authorized by such permi't is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for la periC?d 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 abafldoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE I)F 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 ,2L. 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._ of identification) take an oath. (name of person acknowledged) C1ho is personally known to me, or Owho has produced (type of identification: and who 0 did O: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 =i :t m tii c J: m "" "'" '-' ~ -,' :J: m > ~ JJ C )> m~ m 0 0 Z -i JJ j= Zz ~ JJ ^ ~ r 0 0 < Z -1m m 10 1lO~ r 0 JJ ~ ~ m ~ z "T1 G) mJJ -i "T1 m JJ....... )> OJJ m m m (J) !i^ -i -i m (J) () m JJ m ~ m )> () mo JJ JJ ~ 0 00 1'5 0 :-f o~ \ m 1'5 JJ Z ~" m m p ;2~ en 'J m-i en -im mO ~ iR o~ :D 0 0 0 \\ 0 ~ :> ~ z 0 0 ~ m N==i CD c: ~ m< C/) r'J Z \}.\ ilo m } fZ '-.l) ~'T1 1l ~N Jl 0 Do r-m 0 J ~ lii." c: \ -J: ~ '('l ~ i!!< z O:J] r H 0 :!!J: '" 'J ~ c_ ~ JJ >. IJ\ 0 ~ '::I m . i JJ en \" ~ ^ 1'\ 'J ] ~ m ~ z 1--- ~ ~ 0 0 ~ . 0 ~ ~ ~ I I I I I I ~ '" ~ (J) m \ f c m 0; u !I: c )0 c z 0 -i ~ ~ m \J\ ~ ~g -< JJ JJ iii ~ !I: m P :::j 0 0 ~ -< m ~ p c: 0 0 - (") z II) "T1 % -l ::j c: ~ .~ )0 ~ )0 z ~'t :D !I: ~ CO) 0 m c: """- CD Z ~ -l ~ tj - Sl 0 JJ Z ~ (J) en ~ JJO ~ tJ :J: m ~ :J: m )> m~ :J: m ~ JJ C ~ j= ~ m 0 )> Z -l Zz m 1lO~ JJ ^ ~ F 0 0 Z -1m fo 0 JJ ~ m ~ z "T1 G) mJJ OJJ m rTl (J) "T1 m JJ....... )> m !i^ -i iri m (J) () m JJ ~ m )> mo JJ JJ ~ 0 () 00 ~ 1'5 0 :-f o~ m 1'5 JJ Z ~" m ,,~ m p ~-i en ~ J -im en mO ...... iR OCD -- :D -< ~ 0 0 0 ~~D <Jj 'J ~ ~ ~ z 0 0 m ~ N==i CD c: m< C/) C) z 0<) ilo m i fZ \ ~'T1 1l ~ ~N Jl Q 0 \ r-m 0 C) lii." c: 0 0> "" -J: 0 V\ ~ i!!< z ~ O:J] r 0 ~ 0 ~ :!!J: ~ ::;) JJ JJ c_ '" 0 0 >. .:. m m " . 0; JJ JJ en '" 1 G> ~ f'\ g <: ^ '" () m m ~ ~ z z 0 ~, 0 0 ~ 0 CD CD I I I I I I r ~ '" -< -< c;; I 0 z ~ (J) m .:, 0 m '" c 0 ~ 0; o~ -i JJ :e ~ !I: C )0 C Z 0 :::j ~ m m \J\ JJ ~ iii ~ !I: m P :::j -< JJ 0; P 0 ~ 0 -< m 0 - c: II) 'TI '~ (") z E2l $: -l :::j c: ~ 0(\ ~ )0 Z :D !I: ~ CO) m 0 ~)- p c: CD z ~ -l ) PASCO COUNTY, FLORIDA Builder Name/Owner Name G~~ ~<~A-- 7) County Parcel No. 3'l-'AS-;J. t-o''1 O..~eCloo':A"/(.) ClassificationlType of Use, 3 753~ (;/(/ 1VLnh//-e, I}ve.. )0 T It 1 ~ Address/Location TRANSPORTATION IMPACT FEE Rate: Exempt 0 Yes ~ How Determined Sq Ft Unit: Impact Fee Amount $ t 5 8 D SCHOOL IMPACT FEE Account (056) Single-Family Detached House (057) Mobile Home (058) ,Other Residential jj2~ Collection Fee Exempt Q-'Yes 0 No How Determined Zone No, TAZ: Amount $ PARKS AND RECREATION FEE Land Account Land Credit Recreation Account Recreation Credit Zone Exempt DYes D No LIBRARY FEE Land Account Land Total Exempt Facility Total Facility Account How Determined Total Amount RESOURCE E TOTAL A~e5UNT /'" 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 tha conditions of payment for same. DME D~~/ R RECEIPT NO. ~2~ DATE ~ BY ~~:: E:: ;-.) 'V'1::~ ,.:\ I... 1::-1::: 1:;.: ;..,.-; ::: ur ..... ~t~ :~"'.~ ','.:.: :)i::', ! '::. ': <>-:"-',/<>':::' ./,......,: ..,...t.,..,..,::,.. . . ....... .'. ".......... i:';::l~:;CCf ,:;OUf",q'y, 1"1 ..i',:;,' I D"'I j> (:,U 1::: L Uj CONTRACTOR #= 999999 NAME: GRAND HORIZON ADDR: 37521 LILLY BEA AVE C/bT:: Z....HILLS [::, ~ :;,.11: C!F F I: EO::: :0 I :,:E::CF ]T'r !'HJI'iE:F:,: (,'OU~,;.)~,:j!, ::?4 OF F I. F:: :0;011:.1::: ':: J T'( FCW~ :: CI-I[;:::I::: *t 2B14 PEF::i'fj I T"fUO::; ~:;Ul.. ID I,IJtl:3TC i,,"'HI LL::::: LOT ::?4B CON'fRACTOR= 999999 TOT {it.. (..,j")CHJNT:: COMPNY ACCOUNT CCNrER (\ceNT 1:1.4 B4!:.:,iO .... :::;6~;,~,;000 .... "') A'.. 1d..4!,::,; i'H"HJUi',rf DEbCh:IP'I'IUN/j>EF:rvlT DtiT(:\ DF:/CR :I. :;:: .. ,<1!.5 ,)(-,)(-.)t,:n:'it,)(. SUL J:O WPISTE FEE 60 ..--....., h:ECEIVED BY I /