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Home My WebLink About05-4857 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 MOBILE HOME SET-UP 4857 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: M.H. SET UP 4857 MOBILE HOME MOBILE HOME SET-UP MOBILE HOME SUBDIVISION Address: 37 407 LILLY BEA AVE ZEPHYRHILLS, FL Township: Range: Book: Lot(s): Block: Section: Subdivision: GRAND HORIZONS Parcel Number: 8/22/2005 4,442.58 Name: GRAND HORIZON Address: 37407 LILLY BEA AVE ZEPHYRHILLS, FL 33542 Phone: R 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" IRRIGATION CONNECTION POLICE IMPACT FEE PARK FEES MH 60.00 WATER CONNECTION MOBILE He 35.00 MOBILE HOME PLUMBING 1,572.12 MOBILE HOME TIFISUB 1% 180.00 IRRIGATION METER 175.00 FIRE IMPACT FEE 254.00 PUBLIC SAFETY 5% 573.73 209.50 40.00 15.88 180.00 273.00 26.35 Pi 1 ti /or 9 :2-0 f{ffi J<+ 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. p-~~;~) ~-. CO CTOR IGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED . PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL ~13542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED 8/;/~)- PHONE GONTACT FOR PERMITTING OWNER'S NAME G'~ (,:t()d ~l6(\ 20 () JOB ADDRESS 374 D7. LIJlj-BeCl Ave LEGAL DESCRIPTION: LOT(S) BLOCK PHONE Lot 197 SUBDIVISION PARCEL 10 # WORK PROPSED: 0 NEW CONSTRUCTION (OBTAIN FROM PROPERTY.TAX NOTICE) o ADDITION o ALTERATION 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 APrROVAL M. U sd 27 x,5S ~ DESCRIPTION OF WORK 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 o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL o PLUMBING o MECHANICAL AMP SERVICE o Progress Energy 0 W.R.E.C. $ 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 AREAD YES 0 NO BUILDER SIGNA;URE/d~ /Z- .~~ ****************************************************************** COMPANY A c e. STATE CERT OR REGIST # ELECTRICIAN SIGNATURE 47----- /? ~c:;h STATE CERT OR REGIST # ********************************************************'W********* PLUMBER SIGNATURE~~-7 COMPANY!3IJf!t/-t"e1 of MECHANICAL Rc7~.Ob ~. STATE CERT OR REGIST # * * * * * * * * * ** ** * ** * * * * * * * * * * * ** * **** * * * * * * ** * 7t * * * ***** * * * * * ** * * * **,* COMPANY L=tC-~-/ SIGNATURE ~ STATE CERT OR REGIST # ************************************************ OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTICE OF DEED RESTRICTIONS The und.~signed understands that this perntit 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 indication 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, haye 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 aDd 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. Appli~ation is hereby made to obtain a permit to do work and instaliation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work wiil 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 inolude 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, Enviror"uental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U. S. Environmental Protection Agency-Asbestos abatemer'!: I also certify that, if fill material is to be used in 'lood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "compensati:1g 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 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 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 STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged 'Before me this _ day of ' 2~ by (name' of person acknowledged) Owho is personally known to me,or o who has produced (type and whoO did 0 did not acknowledged 20_ (name of person acknowledged) C1ho is personally known to me, or of identification) take an oath. o who has produced (type of identification and who 0 did []did not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped . ~ y ~~ .... :I z iii ;:) f!] ~ 0 ~ w G-. ~ ~ ~ -c a:: z -c ;:) .... .... J: u.. in z (J - w 0 0 ;:) " co 1.0 ~ > A. 0 ~ 16. ~ a: a: > .... ei w ~ !!! W W al .... e:; z c -c c ~ I"- ~ t ~ 3= a: e:; .... I I I I I I I III ':' W -c ::> ;2 '" ~ w ~ (f) C!l a 0 c; t:r ~ ~ 0 0 0 > in . Cl al Z Z II) W ~g g ~ x: ~ (J) - ~ co ..J ;::. a: . 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Jd' ffJS. f...'.....n.t.hl ,....-.,..".. T "'''V' "". , ". ..... :~.! ", _ "t., " '. : _.. .. ::.' "" 'y' . . , . '. . _'.,' '.:: CON'fRAC'fOR #: 999999 NAME: GRAND HORIZON ADDR: 37407 LILLY BEA AVE C/ST: Z-HILLS FL, f'('I~:)C(J CUU"..l']'y" 1::1.:j'::ID?) too. <>::.? ....... <>;:::- ,/' <> :.....; or T iY:~::: :: :f. .l.:. :: ~.:.::(? "(l(:jE :!. (ir :I. !::::~/.JE ::::+FJ':E:: D I<:':::CE I j:'T ;'.'t,i!viIJF,::: :)fY,;j:j:l. :.;.';;? OFF I: C:r::: Df:\1)E I:: I "[''y' FUF,::: CHELl::: ** ::~B14 SOLID WASTE PERMll 4857 LO'r 197 Z-HJLLS (:,CCNT :1.:1.4 CONTRA(:TOR: 999999 TDT(:)L f~l~yK)I..JN'r:: CCIMf'NY ACCOUNT CENTER B4~.;.:.iO .... ;:.';<::,:.::.:000 .... ,h) ,,", :l.B" 4!.;.:j AMOUNT DESCRlf'TION/f'ERMT DATA DR/CR :1.8,,45 ****** SULID WAS1'E FEE 60 F,:ECEI'JED BY ., ... .......-................................ ................... PASCO COUNTY, FLORIDA Permit No. tf 8:5 7 Date Permitted g- ~ 25 -05' Builder Name/Owner Name a~t(J ~ ~. Control # . ~ AD '\ . County Parcel No. 3 Lf - .JS'- ';).1- tJ170- oO"Oc)~A'IO I Cf'7 SubDlv: Address/Location ,-9?/-.fV 7 /.//1:. Be~ /pvt='. I ClassificationlType of Us~ m.o~. I~ TRANSPORTATION IMPACT FEE Rate: Exempt D yes ~/ How Determined Impact Fee Amount $ /5 It e- Zone No. I Sq Ft Unit: TAZ: SCHOOL IMPACT FEE Account (056) Single-Family Detached House (057) Mobile Home (058) Other Residential jj 2~ Collection Fee Exempt ~es 0 No How Determined Amount $ PRKS AND RECREATION FEE. La Account Land Credit Land Total Recreation Credit Recreation Total Zone TOTAL AMOUNT $ Exempt 0 Yes 0 No LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt 0 Yes 0 No RESOURCE FEE TOTAL AMOUNT How Determined 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 OENTRAL 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. ~3S!3LDATE $BY RE