HomeMy WebLinkAbout05-4877
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
4877
Permit Number: 4877
Permit Type: MOBILE HOME
Class of Work: MOBILE HOME SET-UP
Proposed Use: MOBILE HOME SUBDIVISION
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 8/29/2005
Total Fees: 4,442.58
Amount Paid: 4,442.58
Date Paid: 8/29/2005
Work Desc: M.H SET UP
Address: 37648 R Y LEWIS AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number:
Name: GRAND HORIZON
Address: 37648 COREY LEWIS 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"
IRRIGATION CONNECTION
POLICE IMPACT FEE
PUBLIC SAFETY 5%
E
60.00 WATER CONNECTION MOBILE He
35.00 MOBILE HOME PLUMBING
1,572.12 MOBILE HOME TIF/SUB 1%
180.00 IRRIGATION METER
175.00 FIRE IMPACT FEE
254.00 PARK FEES MH
26.35
209.50
40.00
15.88
180.00
273.00
573.73
Jofv p 5 /0:/1 jA,Mt rt
ff II
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.
~~
PERM IT OFF I
CALL FOR INS ION - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8~H St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
~/z~~s
I
PHONE GONTACT FOR PERMITTING
OWNER'S NAME aT w.d fI~Vi 20 VI C:;::, I ~ .
JOB ADDRESS '17(p'-f~ Core:} 'J Ave
LEGAL DESCRIPTION: LOT(S) BLOCK
PHONE
Lof 22 ~
SUBDIVISION
PARCEL 10 #
(OBTAIN FROM PROPERTY.TAX NOTICE)
WORK PROPSED: 0 NEW CONSTRUCTION
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
o SIGN
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
o MOVE
o DEMOLI SH
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
~BILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK 5(-{ '1t'" 41 If
BUILDING SIZE 3 / I (P Z
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) 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
AMP SERVICE
o Progress Energy 0
W.R.E.C.
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
BUILDER
SIGNATURE .?<./~ ~~
COMPANY
STATE CERT OR REGIST #
ELECTRICIAN
******************************************************************
COMPANY jJ {-R...
SIGNATURE Lv/~ /2..~ ;zt-~
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY,&rddd
J~~ ~.J'~~-t. STATE CERT OR REGIST #
********************************************h*********************
COMPANY Ii t' -<- .
,
SIGNATURE
MECHANICAL
SIGNATURE
~7_R~azc/
*****************************************************************
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 subjE
may be more restrictive than City regulations. The undeJ
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIE
If the owner has hired a contractor or contractors to uno
to be licensed in accordance with state and local regulat
licensed as required by law, both the owner and contract
violation under state law. If the owner or intended con
licensing requirements may apply for the intended work,
City of Zephyrhills Building Department, 813-780-0020.
Furthermore, if the owner has hired a contractor or,cor
cohtractor(s} sign pOftions of the "Contractor Sect10n
will be responsible. If y6U, as the owner signs as ~h
you, rather than the contractor, are responsible ~0J. t 1e
you to sign as contractor that may be an indica~ion t ,at
not entitled to permitting privileges in the City of Zef
C.' TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION .FE
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTI
I certify that Ii the applicant, haye been provided wit
lien Law _ Homeowner's.pr6tection Guide" prepared by t:
and Consumer Affairs. If the applicant is someone oth
have obtained a copy of the above described document '
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 regulat: 19 construction, zoning, and land
development.
Appliqation is hereby made to obt*1n a permit to do w0 K and instaliation as indicated. I
certify that no work or installation has commenced pri ~ to issuance of a permit and that
all work wiil be performed to meet standards of all la~ regulating construction, City
codes, zoning regulations, and land development regula ions in the jurisdiction. I also
certify that I understand that the regulations of othe governmental agencies may apply to
the intended work, and that it is my responsibility tc identify what actions I must take to
be in compliance. Such agencies inolude but are ,'not 1 ~I L ted to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Area and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cyp: p-ss Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-seawalls, Docks, Navigable Waterw ys
*Department of Health & Rehabilitative Services, EnvironmeI tal Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.8. 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 ;f Florida prior to permit
issuance.
A permit issued shall.be construed to be a license to proceerl with the work and not as
authority to violate, cancel, alter, or set aside any provi' ~ons of the technical codes,
nor shall issuance of a permit prevent the Building Offici~l from thereafter requiring a
correction of errors in plans, construction, or violatinD3 of any code. Every permit
issued shall become invalid unless the work authorized oy such permit is commenced within
six months of issuance, or if work authorized by the p:rmit is suspended or abandoned for la
period of six months after the titne .the work is comme! ,ced. 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 COt1MENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU ]NTEND 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".
t:. to "deed restrictions" which
1igned assumes responsibi11ty for
rtake work, . they may be required
Jns. If the contractor is not
_ may' be cited for a misdemeanor
ractor are uncertain as to what
hey are advised to contact the
ractors, he is advised to have the
, of this application for which they
c)ntractor, you are indicating that
work. .If the 6ontractor wishes
he is not properly licensed and is
,yrhills.
,S
J, AS AMENDED)
. a copy of "Florida's Construction
!l Florida Department of Agriculture
r that the "owner", I cerify that I
ld ?romise in good faith to deliver
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 ackn6wledged
Before me this _ day of ' 2CL-
by
(name' of person acknowledged)
Owho is personally known to me, 'or
o who has produced
(type of identification)
and wlioO did Odid not take an oath.
acknowledged
, 20_
(name of person acknowledged)
C1ho is personally known to me, or
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
I
1()9
.~
~
~9~~
'l~
I
>\
3/' l"
J1'I;1bilE HIJAI6 SlfCd
~T
3f' . ..
j.9~
/
.'3
.%1(1,
,
.to
~x"l#H
/
fa>
f 05c#lEA/ T
..
=i
~ V~ J1I)W-jl;VO
~?- ~\Ji 1\F,{J
. Lt9 r ;22. 6
37' L(~ {bRC"Y IPv/~5 flt/6
GR~.uC( /l:>R t'ZP,U5
G'd
Wi\.;"-
~~,:""y,-y
R .L\..\......."'J...i
.~vA.lLINGCO;-- '~"'-,,...~ WITH
CODE. NA nONAl.. 'ES, FLoRIDA BUD..o AJ......
CITy OFZEP~CTRlCCODE;:;C
"'b Pr / 0 ~07Z-CEs .
WOi:i:::l
W~0G:V S66l-€0-V
(
\.....
o
(Y"
~
l!)
~
c
o
1c2C ~
u:; ~
~ '":-
:2
CD
c ~
8
'I'
o
;:;
C ~
t.i
~
~
C, g
c
o
a:
0..
13
o ~
:)
III
W
o
c i
~
a:
~
en
...J
...J<
-0
~-
I:[: a::
>9
::J:u.
o.~
W-J
N:E
LLa::
o~
Q.
>UJ
....N
(3
c
cJ
L
c
-
~
rI
\I
\c)
~
o
160 ~
~ - ~
o '1'
'"
iii
C) ~
CD
~
o
;:;
C: ~
t.i
i!:
~
C; g
o
a:
0..
C; I
:)
III
W
o
C i
a:
~
en
...J
...J<
-0
::J:-
I:[: a::
>9
::J:u.
o.uf
w::l
N:E
LLa::
o~
Q.
>UJ
....N
(3
c
cl
( -
W
~
Cl
~
J
d
z
i-=
()
~
0::
W
~
3:
'0::
O::w
WI-
Zz
S:W
00::
\.-N
N
'\-
";:)
~
V\
. -
:i
-:z
c:l
z
~
<(
~
C/)
C/)
W
0::
Cl
Cl
<(
W
()
~
W
C/)
a:
~
D)~
W
C,)
~
W
CI)
LL
LL
o
l-
=>
J:
CI)
a:
W
::
W
CI)
W
~ >-
a: t5
~~
I- ::l
!i iii LU
~ i i ~
z < ~ ~
=> I- I- J:
LL ~ Z U
>- 00, ~ is ~ cj
t5z ~ ~ ~ ~
~ -i I I I I I I
o
it
~
J
>-
III
Z
W
:.:
~
a:
W
o
a:
o
~
z
W
\~ a
~ ffi
t 0
~l5
t
~
o
W
C,)
~
W
CI)
Z
o
z
a:
=>
I-
a:
W
I-
W
:!:
::l
~
CI)
~
o 0
..:::-
a:
~
W
~
~
W
a:
a:
W
I-
W
~
:.:
C,)
W
J:
C,)
~::J
>-
lIlO
OW
wI-
I-W
~a:
a.~
~8
C,)W
:.:1;(
a:o
~..,
W
!;(
Cl
d
z
t-:
()
()
<(
0::
W
~
s:
'0::
O::w
WI-
~~
00::
-\....N
~~
c:l
Z
~
<(
~
\..
~
~
\:J
C/)
C/)
W
0::
Cl
Cl
<(
W
()
~
W
(/}
0\\
W
C,)
~
W
CI)
It
o
l-
=>
J:
Cfl
a:
W
::
W
CI)
W
~~
III I-
~ C3
Cl ~
o
o
W
C,)
~
W
CI)
Z
o
z
a:
2
a:
~
W
~
::l
~
CI)
z
a:
W
J:
6
~
I- ~
!i iii
~ i ~ ~
z < 5 a:
=> I- I- ~
LL ~ Z u
1~ 111 1 I I
~
o
f
N
o 0
,I
a:
~
W
~
o
L5
rr
a:
~
W
~
:.:
C,)
W
J:
n
~
a:
W
J:
h
~
z
W
:.:
~
a:
W
o
a:
o
~~
W
~~
J ~
'-- l5
('(\
~
>-
lIlO
OW
wI-
I-W
~a:
a.~
~8
C,)w
:.:1;(
a:o
~..,
CON'I'RACTOR #= 999999
N(.:llY\E:: (:jf;:M-ID HOF,: I ZON
ADDR= 3764& CORE? LEWIS AVE
C/~:;T:: Z....HJLi...~;l FL
CE~J~^~ ~~~M:~'rIYC
i'I~~I;::;CC :::0..1....] T {" FL:;:;.' I D(.:1
DArC= 09/08/05 TIME= 14=34
;::'(113E :: 1 OF :!.
J ~;~:;I.JE UFF 1 CE:: :0
RECEIPT NUMBR= 00855].46
OFFICE:: XViJ>E L:ITY'
FOR::
CONTRACiOR= 999999
F'EF~(-'HT 4fP7
~:;OL I D vN',:::rn:
CHECk ** 20:1.4
LOT ;?:?t">
ZH J I... L~:;
(.:iCCNT
11,(.1
TOT {.:IL. ~tj'rjOUNT::
C.~Ol>1PNY (lCCOUNT CEi"\lTIJ.:
B45() .- 363()()O .-. 2
1 E: .. 4~:.:j
AMOUNT DESCRIPTION/PERMT DATA DR/CR
1E:..45 ****** SOLID WASTE FEE 60
h:ECEI',..JED BY
. I
PASCO COUNTY, FLORIDA
Permit No. ... i't 7 7
Date Permitted c?--~/-o 5"-
Builder NBmelOwner Name 0./1/""1/1 ,~~ Control #
Ita \"'I.&. .
County Parcel No. BlI .7.,5'"-;),1- 01'1 0"0 00tm-~'ilJ .;z}v"t)ubDlv:
Address/location ,37ft; C( fj . ~ ~ ~ . flu f' .
ClassificationlType of Us~ !Yl !Jhl/e /~
TRANSPORTATION IMPACT FEE Rate:
Exempt 0 Yes~' How Determined
Sq Ft Unit:
Impact Fee Amount $ /....5 ~ g
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House
(057) Mobile Home
m058) 0 her Res. Ide ntial
. 12 Collection Fee
Exempt es 0 No How Determined
Zone No.
TAZ:
Amount $
PARKS AND RECREATION FEE
land Account Land Credit
Land Total
Recreation Account
Recreation Credit
Zone
TOTAL AMO
$
Exempt 0 Yes 0 No
LIBRARY FEE
Land Account
How Determined
Land Total
Facility Account
Facility Total
~xempt
How Determined
Total Amount
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 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.
DATE n h/,.<::.. RECEIV
RECEIPT NO. ~!V? DATE ~ BY