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Home My WebLink About05-4921 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813}780-0020 MOBILE HOME SET-UP 4921 Permit Number: 4921 Permit Type: MOBILE HOME Class of Work: MOBILE HOME SET-UP Proposed Use: MOBILE HOME SUBDIVISION Square Feet: Est. Value: Improv. Cost: Date Issued: 9/14/2005 Total Fees: 4,442.58 Amount Paid: 4,442.58 Date Paid: 9/14/2005 Work Desc: M.H SET UP Address: 7736 KAY MARIE 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 EL MOBILE HOME SET-UP MOBILE HOME MECHANICAL MOBILE HOME TIF/SUB 99% FIRE IMPACT FEE POLICE IMPACT FEE WATER METER RES 3/4" IRRIGATION CONNECTION E 60.00 WATER CONNECTION MOBILE HC 35.00 MOBILE HOME PLUMBING 1,572.12 MOBILE HOME TIF/SUB 1% 273.00 PARK FEES MH 254.00 PUBLIC SAFETY 5% 180.00 IRRIGATION METER 175.00 209.50 40.00 15.88 573.73 26.35 180.00 --- . C. \0\1)\05 ~'. 1<< EINSPECTlON 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. ~ &-e-~ CONTRACTORS SIGNATURE I PERMIT OFF I CALL FOR !pI: ECTlON - 8 HOUR NOnCE REQUIRED PROTECT CARD FROM WEATHER ~-01-2005 3:5~PM 100 _ 'If EA5cl11&./' ~ U> r ,J3 / 773~ Gi<A)J c.1 I i FROM 1< I f /gO r 'I 19'~ ;J.7 IJ.' r , J9 ~ Ka. y I1Il << V'" ~ ~ J1.// e ..... Jh~ /Z-bAJ'y {no hi LC f(tlnfC / 60 >1 53- P.8 ( /00 t~A5c~eJt/ r ---L >/ ~ 1 "S0~~ ~ ~-0\\~ ALL VV0J:1.(~IU)..6,J-\""'V.."iJ.~'Ii....:i WlTHAL-l..,. rREV AlLING CODES, FLORIDA BUILDlNC CODE, NA TlONAL ELECTRlC CODE AK 1 OTY OFZEl'HY'" .., . o0RDlNANCC '1/ ,,) tb .' . I i CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECE IVED 1/r;L/ ~ r- PHONE CONTACT FOR PERMITTING OWNER'S NAME (}ro/1d /~/() f / LOY) JOB ADDRESS 773& fray (vJarl( Ave . Lot '2~/ LEGAL DESCRIPTION: LOT(S) BLOCK PHONE SUBDIVISION PARCEL ID # (OBTAIN FROM PROPERTY,TAX NOTICE) WORK PROPSED: oNEW CONSTRUCTION o ADDITION oALTERATION o REPAIR o INSTALL o SIGN o MOVE o DEMOLISH PROPOSED USE: oSGL FAMILY DWELLING o COMMERCIAL oMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL ~BILE HOME o OTHER DESCRIPTION OF WORK D /l~ ~ 27 :IS'S RESTAURANT & HEALTH DEPARTMENT APPROVAL 5~* ~~p BUILDING SIZE 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 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 AREAo YES 0 NO BUILDER COMPANY SIGNATURE b</ -/"'--)-<:. -- <;; ~ STATE CERT OR REGI ST I ****************************************************************** COMPANY flr--{' , , ELECTRICIAN SIGNATURE Ucy- L~~~.> STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY l?v -r1C~c/ c:t./~ /C'S,~ STATE CERT OR REGIST # _ ***************~::****************************************** COMPANY 4c.-L ~":;v->-- A.-/;;s-,~ STATE CERT OR REGIST I ***************************************************************** SIGNATURE MECHANICAL SIGNATURE OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTIC,E OF DEED RESTRICTIONS The undersigned understa~e that this pe~it may be subject to "deed restrictions" which may be more restrictivetban 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, botb 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 tbe 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 1s advised to have the c~tractor(s) sign portions of the "Contractor sections" of this 'pplication 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 tbat Ii the applicant, have been prnvided with a copy of "Florida's Construction lien Law _ Hmueowner's.Pr6tection Guide" prepared by the Florida Department of Agriculture and Consumer AffairS. If the applicant is someone other that the "owner", I cerify tbat I have obtained a copy of the above described document and promise in good faitb to deliver it to the "owner" prior to commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the info~ation in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development. Application is hereby made to obtain a p,~it to do work and installation as indicated. I certify that no work or installation has "conunenced prior to issuahce 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 I understand tbat 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 tc be in compliance. Such agencies include 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, 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 witb 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 pe~it is suspended or abandoned for' period of six months after the tiine the work is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The .xtension .hall be requested in writing to the Building Official. An approved inspection must be logged during each si 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, CONSUl 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 acknowledged , 20_ STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged 'Befcre me this _ day of ' 20- by (name of person acknowledged) owho is personally known to me, or Owho has produced (type and whoO did 0 did not (name of person acknowledged) C1ho is personallY known to me, or of identification) take an oath. o who has produced (type of identificatil and who odid Odid not take an oath Signature of person taking acknowledgmen Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped ~ J: iii (j; c::: :t m "'" m:E ~ J: m )> ;;j Il C :> m a 0 z -i :0 j= Zz ~ l>>~ Il ^ s:: r 0 0 < Z -fm m I~ r (5 :0 s:: m s:: z "T1 G) m:o OIl m -i (J) "T1 m :0....... f) << m m ~^ -i -i m (J) m Il m ~ m :> 'ma Il Il Il 0 () aO 1'5 < 0 :-i oS:: 1'5 s::'tI m m :0 ~ Z "hi \ ::::- m p r-i en J mm en ;:rio ;!l OCD -< :D ~ 0 0 0 \\D "'-1 ~ J ~ ~ z () (') ~ m N=i al c ~ m< !a J ~O z m h 81 ~"T1 " ~ :;N :II 0 r-m 0 (:.) 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C) z z /--- ~ ~ 0 0 ~ ~ ~ CD CD I I I I I I ~ 0 -< -< ~ .. ~ (J) m 1 c:; 0 m .:. (J> a Il =E ~ c; .J~ ~ c )> c z a :::j ~ m m ~ in ~ ~ m p :::j -< :Il Il ~ \J\ 0 "V -< Cl f' c: 0 0 m 0 z lI:l "II "- ~ -i :::j c: ~ -'J ~ ~ )> z ~ ~ ;;j ~ C) m 0 \J', P c: IV'\- DJ Z F -i \.Iv VI "'- :) I ! PASCO COUNTY, FLORIDA Permit No. Date Permitted Builder Name/Owner Name 0.J/11:41 tf} ~ Control # . J..€>'"r County Parcel No. 311:- :l~~- ;II- 01'70 - "Deco ;t ~ L SubDiv: Address/Location 7 71 ~ ,16; jJJ~ /JV-e , ClassificationlType of Us~ 7721 ?~/t;-~5 TRANSPORTATION !MP~FEE Rate: Exempt D Yes ~o How Determined Sq Ft Unit: Impact Fee Amount $ / G 8~ SCHOOL IMPACT FEE Account (056) S!ngle-Family Detached House (057) Mobile Home (058 O~her e'dentlal 1 ) Coli ' Fee Exempt Yes No How Determined Zone No. TAl: Amount $ Facility Account " RKS AND RECREATION FEE Lan ccount Land Credit Land Total Recreation Credit Recreation Total Zone TOTAL AMOUNT $ Exempt 0 Yes How Determined LIBRARY FEE Land Account Land Total Facility Total Exempt 0 Yes 0 No Total Amount RESOURCE FEE TOTAL AMOUNT ERU Prepared By Checked By NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL IN PERFORMED UNTIL THE TOTAL AMOllNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUN 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. PATE RECEIPT NO. RECEIVED BY DATE BY