HomeMy WebLinkAbout05-4864
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
4864
Permit Number: 4864
Permit Type: MOBILE HOME
Class of Work: MOBILE HOME SET-UP
Proposed Use: MOBILE HOME SUBDIVISION
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 8/25/2005
Total Fees: 4,442.58
Amount Paid: 4,442.58
Date Paid: 8/25/2005
Work Desc: M.H. SET UP
Address: 37519 ILL AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number:
Phone:
LE
ACE AIR CONDITIONING & ELEC.
BUTTERFIELD MOBILE HOME SERVICE
ACE REFRIGERATION INC
L
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 HC
35.00 MOBILE HOME PLUMBING
1,572.12 MOBILE HOME TIF/SUB 1%
180.00 IRRIGATION METER
175.00 FIRE IMPACT FEE
254.00 PUBLIC SAFETY 5%
573.73
8 .
209.50
40.00
15.88
180.00
273.00
26.35
Ie! 9-J;:}-t75 9';t' K,,~'
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.
~-~~ ~-~ ~~
CONTRACT~ATURE PERMIT OFFI
CALL FOR INSPEcnON _ 8 HOUR NOTICE REQUIRED _
PROTECT CARD FROM WEATHER
08/.23/05 TIm 10 ::HFAX 8l~1823966
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
~7ft'
,
PHONE CONTACT FOR PERMITTING
OWNER'S NAME 0nJJ1tl
JOB ADDRESS ~ 76-1::/
HO(tZOi'1
C'I/ Av~
PHONE
Loi 27P
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: []NEW CONSTRUCTION
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
DSIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
~ILE HOME
o OTHER
BUILDING SIZE
MH
27 x5 )
c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL
AJot f
~CRIPTION OF WORK
SQUARE FOOTAGE
HEIGHT
o BUILDING
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 LL"O.. "vSHAL . '
. . .' ~v 1'0....... L C01\.1PL Y WITH ALL
'~V AlllNGCODES, fl.ORIDA BUILDING
...~DE. NATIONAL ELECI'RlCOODEANr
'~ITY OF ZEP1NI;' "-:f(' 0RT)INA NCF'"
<;6/ t: "Z (~ ;,-
(';A)
W.R.E.C.
PERMITS REQUES~D
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o
Progress Energy
o
o PLUMBING
o MECHANICAL
$
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
.
,y
BUILDER
COMPANY
SrGNATURE~~, ~~~~~> S'IATE CERT ORREGrST I
******************************************************************
COMPANY Act-
ELECTRICIAN
SrGNATURE~'~- )<..._-~-#e,j'
STATE CERT OR REGIST #
PLUMBER
******************************************************************
COMPANY & -t-f-eJdI~
SIGNATURE
STATE CERT OR REGIST #
MECHANICAL
* * * * * * * ** * *** * * * * * * * * * J+.Z. * * * * ** * * **.~ * ** * * * **.*
COMPANY L
SIGNATURE ~ ~ ~_ ~~r~ STATE CERTOR REGIST #
*~*************************************************************
OTHER
COMPANY
c.
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The. unde~signed understands that this permit may be subject to "deed restrictions" which
may be more restrictive.tban 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~i6n 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 or 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 and 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 regulatLng construction, zoning, and.and
development.
Appli~ation is hereby made to obtain a permit to do wc'rk and instaliation as indicated. I
certify that no work or installation has commenced prior to issuance 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 Iunderstartd that the regulations of other governmental agencies may apply to
. ~~~,intenped work, and that it is my responsibility to identify what actions I must take to
;~l!l~j;ji,~qfJm.pliance, Such agencies inolude but are not limit ed to: *Department of
\~~n~~~pnmental Regulation-Cypress Bayheads, Wetland Area~: and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cyrcess 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 perm1t is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for la
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. JOB~ 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 acknowledged
Before me this _day ()f-' , 20_
by
(name of person acknowledged)
C1ho is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foreaoing instrument was acknowledged
'Before m~ this _ day of ' 2L-
by
(name' of person acknowledged)
Dwho is personally known to me, 'or
o who has produced
(type of identification)
and wrioD did 0 did not take an oath.
Dwho has produced
(type of identification'
and who Ddid [}:l.id not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
.
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i'i()f'\E :: CiH(':\'ND HOR I i:CJN
ADDR~ 37519 GILL AVE
C/nT:: Z....I--IIILb FL
FOR~ CHECK # 2814
F' E F~ lyLei' ,;{ d 6 4 i... err H::.::)' B
SOLID WASTE Z-HILLS
CONTRACTOR: 999999
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18,,45 ****** SOLID WAS'fE FEE 60
F:ECE rVED BY
PASCO COUNTY, FLORIDA
Permit No. ... t.fK ~ V.
Date Permitted ;r- - ;;2S -b S-
Builder Name/Owner Name 8 J\tlA,rt.LQ [~~ ~ Control #
o '~r
County Parcel No. 3I.l.~S~ 2J..{)i70-001t()O-~"'O .;?~ SubDiv:
Address/Location '0 '1 S I q G ( I ( f\ vrc. .
Classification/Type of USE? j'v\.ob~ \-e.._ ~
TRANSPORTATION IMPACT FEE Rate:
Exempt 0 Ves ~ How Determined
Impact Fee Amount ~ 5 ~ Zone No.
Sq Ft Unit:
TAZ:
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House
(057) Mobile Home
(058) Other Residential
J.:12~ollection Fee
Exempt [.J/res 0 No How Determined
Amount $
P KS AND RECREATION FEE
Lan count Land Credit Land Total
Zone
Recreation Credit Recreation Total
TOTAL AMOUNT $
Exempt 0 Ves 0 No
LIBRARY FEE
Land Account
Land Credit
Land Total
Facility Account
Facility Credit
Facility Total
Exempt 0 Ves 0 No
How Determined
"-
"'"
-~',
RESOURCE FEE
TOTAL AMOUNT
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 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.
R~Y
7/e:/ IJS BY . ~
DATE
RECEIPT NO. ~/~SDATE
/'
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PA'RCElA. n. #
~PEOF,BUlLDING
REMARKS
SUBDIVISION
/~~/n::t. #: t/(ft, t/
WMrr~: ;Coritr.actor .orOwner
Y,EUliOW:~BlQg.'Dept.
RJN~: lUt!llt18s1D8pt.
.SBCDENBGO,:O..,eral;Sentlces
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