HomeMy WebLinkAbout05-5002
I I
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
5002
Permit Number: 5002
Permit Type: MOBILE HOME
Class of Work: MOBILE HOME SEt-UP
Proposed Use: MOBILE HOME SUBDIVISION
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 10/11/2005
Total Fees: 4,442.58
Amount Paid: 4,442.58
Date Paid: 10/11/2005
Work Desc: MOBILE SET-UP
Address: 7718
ZEPHYRHILLS, FL.
Township: Range:
Lot(s):234 Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number:
Name: GRAND HORIZONS // lM"'/;e v1
Address: 771~ f--/"WVrfl. "ve
ZEPHYRHILLS, FL. 33542
Phone:
E
ACE AIR CONDITIONING & ELEC.
ACE REFRIGERATION INC
MOB I E HOME SET-UP
MOBI E HOME MECHANICAL
MOBI E HOME TIFISUB 99%
PAR FEES MH
POll E IMPACT FEE
WAT R METER RES 3/4"
IRRI ATION CONNECTION
60.00 WATER CONNECTION MOBILE HC
35.00 MOBILE HOME PLUMBING
1.572.12 MOBILE HOME TIFISUB 1%
573.73 FIRE IMPACT FEE
254.00 PUBLIC SAFETY 5%
180.00 IRRIGATION METER
175.00
REINSPECTION FEES: When extra in .on 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:
I
(a) Wrong address (b) Condemned work~resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for i spection when called
(e) Permit not posted on job site (f) Plan not at job site (g) Work not accessible
The payment of inspection fees shall be m de before any further permits will be issued to the person owning same
U
CONTRACTORS SIGNATURE
CALL FOR I
P
Complete Plan I Specifications and Fee Must Accompany Application.
All work shall be rformed in accordance with City Codes and Ordinances
o OCCUPANCY BEFORE C.O.
<62
~.
! PERMIT OFFI
~, CTION - 8 HOUR NOTICE REQUIRED
OTECT CARD FROM WEATHER
I T
.~ \.f) .... :l
\;) z jjj
ci) ~ ~ w
\ I!? 0 c:l
~ :I a:
Z C( ...I C(
~ ~ .... .... :l: /
\ IL fij Z 0
~
"\0 ~ w >- 0 0 0 ~ c;j /
'" Q.
~ a: ~ .... ~ w :I !!l
W >- (3 Q C( Q :I
....
~ 3: a: (3 .... ~ I I I I I I
':- ) W C( ~ ~
:1 W rn " 0
'" Xi) ~ ~ >-
~ Cl 0 0 0 al
Z
'" W
~ H :.::
(j) ~
'" ...I a:
;::: ...1< W
:2 Q
-0 a:
'" :r::- 0
0 a:lX ~
~ >9
r1 :r::u.
u a.uf
=> oJ
0 ~.~ oJ
0
0:
a. LLlX
~ o~
z no
lij >w
=> ....N ~
III
W (j
u
i 0 ~~D
~ 0 0
0: >-
~ alO
rJ') ....... OW
w....
d rJ') ~\~ ....w
W ~c:
Z 0: W 0.2
(.) W
r-: Cl ~ (.) 20
J () Cl ~ a: a: 0(.)
~ <( W W a: W (.)w
rn w .... ~ .... :.::~
......0: C) W U- rn w W a:o
0: O:w () u. z 2 W 2 ~'"
W WI- Z ~ 0 0 ~ 2 :.:: a:
~ Zz ::::i .... z 0 (.) W
$:W < :J a: <( W J:
s: 00: ~ W J: :J rn W J: 6
rJ') rn .... ~ a: (.)
c C'-
~
~ e:r-
\..D
~
!6C '" 1
....
.... ~
en ':- \i)
~ :1
'"
C ~
'"
g (j)
"I
'" ...I
;::: ...1<
C ~ -0
'" :r::-
0 a:lX
~ >9
~ :r::1L
C c.uf
;:) w::l
0
0 N~
0:
a. LLlX
C gj o~
w
z Q.
lij >w
=> ....N
'"
w ()
u
C: z
~
~
0:
~
C
Cl
.... :l
z jjj
~ ~ w
0
I!? :I c:l
a:
Z C( C(
~ .... .... :l:
IL fij Z 0
W 0 0 ~ ~ c;j
>- Q. 0
a: . , ~ >- .... 0 w :I !!l
W . .... (3 Z Q C( Q :I
3: a: (3 .... -I I I I I I I
W <3 :J
W rn ~ 0
~ 0 'ls1c'/D
Cl
~
.
0 ~~D 0 0 ~
>-
alO
rJ') OW
A~ w....
d rJ') ....w
Z W W ~c:
0: (.) W 0.2
G Cl ~ (.) ~8
Cl ~ a: a:
~ <( W ~ a: w ~~
rn W ~ ....
......0: W rn W W
O:w C) () u. 2 2 a:o
0: u. z W ~'"
WI- Z ~ 0 0 :::l 2
W Zz ::::i :.:: a:
~ .... Z ~ 0 (.) W
~~ $ :J a: <( W J:
:::> ~ J: :J ~ W J; '=
d~01-2005 3:57PM FROM
I
jtJ(J
E-'t5CIVl€~r 'tf
II
r
~o/
~
U-'-t-I~~ ;).1'
s"Ufe-"" 1"106 { -
II_1M
F
,
1f'
(
/),e. v-t t.VA/
P. 13
/
J(!JO
r
E4.5eN.{eA://
~
60' ~I
.~~ I
'5 ~ ~,..~ \ SV' D~',.h
\"~ \0\' tf' /V U
Ave. .
Co T c1 3 if
77/8
~ JtU cl JIoR /2.0.v J .
s:r-s:r-
OlOOlO
::l:::l::l:::l
elQelQ 0
-.... -.. ~ -.
~c:~2' u
-.Q.. - Q. 2.
~ .:r ~ 5'
(I) III Ollll ::l
..., --. -,: - :0.
~~ -f
ffi
'0- 10
::::5-.:::: ~
FN'(1:)N"
'" 5' " S' z I
lQ lQ 0
I ~ ~ 0
=:.
:Sa S. -0 -0.
o 0 o. ~.
, (I) (l) Z
I ~ r:: In U
j Z Ol
en -f 0..
I r- -S:! en (fl
III N'
~ (I)
~
I :b
3
I CIlI.
i
~S::S-0. (fl;:: ./:>.
U -. ;:::,
ro ~.::l ~ w9=
" -.
"'ii).:e. ::E (l).::l
:?:o eOl 0 o.N
~(l)9:= -l Ql - -n
-;::::l -0 ::0
:I: 01-
~~ In -.(0 )> I
::0: ./:>.::l :!:
-f :.0.. rn 01
ffi 00 -l ;::l>.
o- m
I I z en I ::r !
e 0 C/) I
::1 ::l
I 0" co
(0 I
I -, r
I i
Olr
::l-'
0..S!l.
::r !!!...
(1)-
::;'3
"Oll)
_.-,
CD ::!.
-'.Ill
"0:0
ll)(I)
0..;::
!!1.1ll
N=
(1)0
(flu
0"(1)
(I)::l
05'
;:::0 .
- .en
:0.
ro
III
CD
-,
iil
::l
./:>.
0'
o
3
,.Ill"
3.
..
D
G
:ti
~
"0
;0
OJ
:!i.
S'
:;
~
!l.
G.
::>
Co.
2.
".
o
3
CD
"i
:D-
C
;0
~
'"
n
B
(f)::E
<ll)-'
3-1ll
o-~::E
0"0
=(1)<1>
o :!'Ill
(J):5 "0
5(J)~
;:: ./:>.0
.x
::r 0' -3'
(I).g; III
"S!.O Cii
(1)"'-
!i?;~.g
(I) III
ll)......
ro o'
-,::l
. (J)
co
G;3'
-Ill
::r-,
-.....
(f) -.
ll)
I I
I
I
I
,_...l_.;
q
:'-"'Y-"':
i
,
I
i
I
!
:
~
!
i
!
:
:
I
I
i
,
:
I
I.
I
:
I
r
:
i
:
i
:
!
i
I
I
~--1.'-1.
d
:--r'-':
I
:
~o
(0.....
.o::r
e(l)
-. -,
ro"O
0.0;'
0--'
<"0
_Ill
::r c.
(I)(J)
3_.
.N
-(I)
:O(J)
~
-0
(I)
::2.
3
(0
~
U
g:'
"0
III
C.
en
N'
(I)
.- :0
(I)
-' j~
.~ ..... . .
.~ I~ .~ IJ
.j-.. x I~
xx xxx IX II\; X xx
N
~I~ 'u h CD
r\:a ,
Nl~
~ I I ::I
,.
I
0"
(I)
III
3
"0
0;"
..,
"0
III
C.
(J). ."'11
~'- jjj
:II
~.
o
en
N
m
en
S'
~
o
l!l
2l.(f)(f)(f)(f)(f)
~
VI,
I~ -1
-{
'<
~ "0 ~- ~
o' ::re 0
!!!.. (I)::J
1 ~ .., c. ~
"0 <1>(1)
~ (ii' -..,
::r(J)
.., (1)0)
. (f) (f)::J :;;.:::;;
"0 c:Cl.
III ::J-::J-
~ Q. CDr 00
;::D>
\; ~~ 33:
(I) III
_ll> iii-Cii'
(ii- ;::
m.., III III
~::1 ~~.
O(J) '5' :;
CD< -10
h CD(fl lll-
Q).
o _ 0.._ o -
~, ~ (I). ,,~
'2. II> 013
c - .Q -.
Co ;::l>m t:Q.
:; ~6l Ill<ll
!!!. (J) Q..~
::r ?::l ~.~
0 ::l.
--.~ ~ Q.t:
c- o- (I)....
(fl0 C/jg
(1)0 (I)
CL~ 5". e ~Q)
en
Ill. 0 .(J) (I) -::J-
"'::l !if . c. 2-!!!.
")<:".en
5'g, m- 0 ........
::J. ::l.o
ffir C/l- . ll> "....
_0 ::J <1>....
O::l [ < 3::J-
m :Q. ::r 1ll<D
=r.c ii): 0 S'!;!:
00. en :3 Q.O
::E _. (D. 00
::J ...,:><;-
-ll) S- S.
::r _
(I) III (D g,1Q
m::l f ;:: ::J--o
(1)0. 0 0_
Or .., 3 Ill.
"D> (j; lll::l
Ill-
~~ (I)
::l~ .e,
!:!!.-(J)
<
(J)
--
(I)
3
(fl
n r::r
{lCD,
III ~. @
. _.::> a.
.;::-CO
en'- "'T1'
13 lS.g .
5'(1). CD
....... ~.
..... J:!
~ (])
'" . m'
O1X .::0
S.~
q en
-a
..... )>
~ 52
.....
~. ;Z;
(;> G)
.j>. x -;
~ .....
CD )>
..... OJ
~ r
m
I\) 1'1.
~O 0
~ : ::0
0 x
.s '" c
q en
m
A~ 0
.::I:
CD ..x- o.
.~ '" s:
,..~ m
en
I\)
~.~
01 =
.gx
*.~
I\)
OJ q
-...j x
~ Iv
Of
r
CD
::J
:0
g:
><
;::
~
I~
X
N
'"
I
;:
"Q.
(D
o
c
Ol.
0.
o
o
c
Q:
(D
::E
a:
(D
o ~D
CfJ 3"
~ (fl
![ [ll
'l:i: [
,3'
:::J
0
rD
n
III
'It:
f;L
.:::>
0
r
(~
()
I
!
i
L
s:
Ql
:J
e
-..
Ol
~
::;
~
0"):-
~.a.
::;0.
:OID
--m
1;;00
-0
~-.,
m-=:"
0..0
3
(I)
-a
m
;::a
:s:
-,;
If...... Z
.c
""- :s:
-4- m
-+
.~ m
~;:o
~.f
C\
::l
en
...-
~
~
\"-
Do
--+-
~
w
--.z
r
0'
(I)
::l
(fl
(D
=t::
CfJ
S'
:0
m-
;::
c:
(I)
""0
rn
;%J
3:
=i
:E
o
;U
^
(f)
::r:
m
rn
-f
I
o
3
CD
en"
5'
(fl
!it
ro.
0.
5'
III
o
o
o
..,
0..
III
::J
()
(I)
;;.
5'
e:
(j)
I Z
0 ~
3
CD I
5' 0
m 3
!it CD
ro
c.
0 ,
::r
(I)
s:
ll)
::I. e
c:
iii' 00
(I)
" 0..
C I
..,
(I) 0
...... 3
en CD
::l
(fl
!if
a 0
o'
::l
s::
III
:::J
C
~
:;f
5'
0..
N
o
::l
(D
~~
~
5'
a.
N
o
~
DD~
"0
Dl
co
Cl>
.....
o
-.,
tv
:5"0
0.0
"ro ::J
0::J
roro
::JO
0.-
roll>
::J=
;''8
~Oj
roo-
-, 'CD
~:;:
Oll>
~~
UlUl
<C
UlO
-0
ro_
3<
UlO
. 15-
-oS'
~:o
o
lI>
::J
(0
X
~
S'
:0
::;:
W
ro
...,
3
(0
ro-
.""
:;:
[l)
ro
...,
a;-
u
o
.,
o
-
::r .
(0
.,
::I
C/l
....
!!!..
CD"
....:
en
10'
::I
0)
....
c:
....
en
o
o
::I
::I
(0
9-
~
U3
~
CI>
...,
0.
.,
W
S'
Ul
0-
ll>
::J
CI>
><
~
S'
:0
U3
~.
~
a;-
o
o
.,
U3
CI>
"8-
o'
a;-
::J
^
"
C
3
tr
5'
lQ
lJ
:p
S?o
t..)
:s
1/1
-
~
c;-
..
<
Cl)
..
::;;
;"
(ii" 1/1
III e!...
(')
o :s
~ 0-
~3
CI> III
Ill.-
:s ()..
O-:s
!:tu:i
c: -'.
Cl) di
:c:r:s
~ :E
~$
g ;t'
_ in"
:T'O
Cl) <II
.. .
3
;:;:
:E
o
...
""
(II
::r
Cl)'
CD.
-
.f/) ()
00
C::J
d ::J.
roCl>
'9-
;Jm.
Ciq~
-',root-
=' ::!.
00
-0)
c:_
0.0
CDo
U3::J
-0.
::rc:
Cl>o
0--
00
~~
-'0-
::JCI>
:0 ....
:If.~
:;'(1)
CD::J
g3
-c
::;:;::;:
('D T'
(I)::;:
::J --
3~
Cc
;::;:::J
;:1;f
0:-
roO-
cs.
2.::J
-0
Ul _
-00
10::::
. ro
3
ll>
S'
o
~
CI>
...,
o
0)
ro
m'
(j).
r0-
c.
::J
V>
~
ro
...,
).
r
r
z
w
3
ro
m.
0"
a-'
0-
!!!.
omo;uoen
:T"(i)til~<Co
Cl> 9- S':cCl> a:
~'5'=co ~~
9!.~g-~0-
QV>::;::::o-
~:~ ..~.~ (I)
V>O-O --.
00:;: !!!..~
<o<(i)-
~~(I)O-~
Ulo.:=!.Og:
o ll> -~ So .
(3,....~ ~.
ro..I>-iiio.~
.0 __CI> U3
-o(i)o
.~ S!. 0- -
, S'.o~
-<ro-s.;:i
~< !!!'::i'
ll> 0-:0
-CI> .
CIl.O Z
, .... -< 0
-< v>' CI> I
iJl Co1V>
i .~.I
i ~.~
I(
I .,
z
);
s:
1ii ....
o .0
2-
iii !!!.
~ 0"
~ .~
C
III
I I
~ 0..0 0 ....
Ei' S' ~ 5...~
:::::
Ol (ii' oi Ol..~
I::J N ., ., 0
to ""'-l CI> CI> ..,
501~~~
""0.00(1)
CIl .... E;. ~o.
~. (i) a; CI> 0>
-(1)0.0..,..
:::rCll. ll> CI>
~m!!""'m
i 5. ~ :r.;-
-CD...,
~~<!!!.3
ro ::J. Q. f/)
a; a>~~
s:2:~ro
'CD~=3.
3=g (ii'
o ro.Ol
0-'0 0: g
~ ~Q.g5'
Ol-_ ~::r 3. ~ :0
'0 'C/>. C
(i) 3:;:-en
;ri- .CI>::J' 5 ~
3 ~ .Q.ll>
0lCl>!!1::J
--cna.
s.~w' .I>-
~og.?
g..o Of
~ ~;::S!
~
iir
Vi
Sro
~~
:!!
a;
'0.
0>'
o
CD.
o
:::r
3'
.::J
CI>.
-<
5'
CIl
[
(i)
0.
en
o
Ol
en
::J
S!.
.::;J
.m
0-
o
.-
0'
3
0-
'.0
ll>
...,
.0-
'~
~
lI>
III
...
::T
CD
.,
'0.
(;
2-
;;-
lQ
a
;:l ,~
(ii en
o'
.::J
o
....
.., .
Ill'
S'
::;: lJ
*1 :c
:1 !
.iJl ,
I !
z
o
....
CD
~~-;l
~(j]~
S'::;;CI>
:0-<'"
NO="
--lCu;
01!!;0
S'(I) ::
oo.::r
::J'CD(I)
'00-
o IDO
c ::l.B
5.5 15
en 01 '0
Q ll>-a
-::JO-
Cl>om
.en ::r_
en 0 (I)
:lfCil!!l.
=:If(ii'
@;:;: .
:c :::r~
5.g N
:~ (j)
Q'g.'
g,.:c.
III I S'
::J 0
9-1 ::r
QI g
!". c:
::J
:x>g.
roo
C/l-,
-g.
CI>
o
^
:;-
lDlDlD!!l.
0.!Jl.!Jl. Ol
S:lf:lf~
3.CI>(I).0.
CI> CI>..
0::J::J
-<:."T1
:::!'.<o-
0. Ol,
:c =0
(l)enCil
0-
m ~-<
3eniJl
-<I
CI> ,.
en.
11
I
I
-0 -{.
:0<
, '0
Ii
I :><"...
!!l.
r
I
x
I
~
(j]~
ll> -.
&.5
501
o
ll>0
~o=
..,'
g S~
::JQ
0. CD
0.3.
OCl>
:If:=!.
::J .CIl
.om
:T~
~....
_.:::r
.::J.CI>
0-
~~
=!CI>
Cl>CIl
:=!.-
x
I
c
::J
en
!iI
~
en-
~
iii'
Vi
Oll>::r-
"""""-,:OC:
iii~35.
'OcCI>CI>
CD;:;:cnc;.:
~ !a..~ iii
;-0l;:5:
g.g ~Ol
en 0.""'0
CI> ::!. 0 ...,
<'< 0 0
<D S'5.g
ll> en <D .::!.
CJ> a;- ~ ::.
Ol. =ll> ::J
:o~_en
0) o' iii
CIlO::J=
",-,; - CD
CI>::J30.
'"" 0 0.:6
:0 -Ill
ll> _0. en
~3iti
S2.!tL=
O"c.CI>
!!1,~ ll>
::J<:""
:0 ll> 2.
_,::I c::
:::! 0._.
~CTCD
~5 3.
<D ^ CI>
a..~::J
. CI>....
0.0
~3~;:
::JO)-
0..--
CD :::!~.:::J
....WCD
!!l.:c.::;:
O)CI>
::J~~
O-lll 0.
~ ;;f 5;
5:'~' ~
'OCI>
1(;:
I
I
I
!"
-{
ll>
""
CI>
5'
CI>
-.
CI>
Ol
0.
S'
:0
.~
5'
CD
0.
.CD
'0
5'
!a.
5'
<D
0'
o
ro
:-'
-{
CI>
!!l.
5'
CI>
'0
(0
-.
3'
CI>
~
o.
-
5'
CD
:::r
o
3
CI>
~
(J)
0-
o
~
o'
::J
!"
-0
o
C)
~
m
-l
"'0
m
Z
m
-l
;:0
o
s:
m
-l
m
;:0
-l
m
en
::!
z
G>
s:
m
-l
:r:
o
o
\
~ ~ :!::
OIllO
.....=0
.. en :-1
G'l
III
U>
."
CD
...
j"
..
~
~
.. a ~~~~~
. g, - .... '0 '0'0.
s.O"cCI>CI>W
;o(l)CIl"""
::JOo.CI>IllOlll>
ll>CI> CIlCJ>U3
=' a. =r ro m CD
en CI>.O ::J ::J ::J
1ll(j)3!!1~~
.~~~ "I'~' ....:..-.
- < ll> .s::~
~::~. IIV~
CI>:::r::J I
::J CI> '
""'0 W
!!1(Oo
Ol:o
g^"Olrrr
ocCI>CI>Cl>
0--:0555
a s=..<t> 5"-'S: g.
;~ ~r"f"I"
0:0:;:. ~,
CI> 0_.
en~c.. ~ .
III <D ; ,-
a5.~. I,
~ iii' ~.en en en
o*g~ ~ -g
~::J N' Q, Q_ Q.
~i ~.~~.:p .,:P<
.ill 5' m. "'~
:c9!. ./.
W tn ,,'"
<"" =:- --
. -0' ...
. ., !
r i
><
I
- 0-=/--- --.--
-'::J'
OCl>
::J''O
Cl>o
00
"':><-
::J'CI>
CI>-
-'-0
Cl>w
-::J
OCD
0.::;-
Cl>O
Q.3
lllCl>
-. ....
CI>CI>
->--'
SiR
0""
_en
0" III
. .,
cnCl>
0....
=0
c:
::J
I~
:E~
:=:~
::J'....
00
.=r
CI> <>
~ 0
::l.
:c
x
I
><
!
'0
CJ)
-
~o
~~
CI> :::!.
-.'"
0. III
~.5.
~o
~:C
.. III
z2.
wO
2"3
wet
~H
III en 0
~ :;:~
5" III 0.
lQ (i)
~ ,
I
-0
III
0.
.en
;;:
lI>
"
.,
CD
'0
III
.~
0'
~
:E
a:
CD
c:
~
iif
o
=r
~
I.
."
-m-----
:::0
s:
=i
z
c
s:
{D
m
;:0
."
m
;::0
s:
=i
~.
o
;::0
"
en
::c
m
m
""""
rr
r
'U
III
to
-<It
N
o
-
N
I I
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8rK St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE: RECEIVED
/O-/D- f)~
PHONE QONTACT FOR PERMITTING
I
OWNER'S NAME C rand 1-10 (12 () /)
JOB ADDRESS 77/ g Ld~eo..
LEGAL DESCRIPTION: LOT(S) I
I
PHONE
L61 23i
BLOCK
SUBDIVISION
PARCEL 10 #
(OBTAIN FROM PROPERTY.TAX NOTICE)
WORK PROPSED: 0 NEW CONSTRUCTION
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
DSIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY aWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
~OBILE HOME
o OTHER
_ 0 fESTAURANT
DESCRIPTION OF WO.RK ;Yloblle flory'/!
tl () i. .'/--1
BUILDING SIZE 6 ~ /
& HEALTH DEPARTMENT APPROVAL
5(1- Lip
,
SQl1-ARE FOOTAGE
HEIGHT
RESIDENTIAL: ATTACH (2) PLaT PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SE~S OF BUILDING PLANS & (1) SET ENERGY
IF SIGN PERMIT ONLY (2) smTS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURV~Y REQUIRED FOR ALL NEW CONSTRUCTION.
& (1) SET ENERGY FORMS.
FORMS.
PERMITS REQUESTED
{j5DD2
o BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o Progress Energy CI
W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALlrY
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 I
~
SIGNATUREW~ ~ . -.. ..-e:>--
COMPANY
STATE CERT OR REGIST #
***************1**************************************************
E~ECTRICIAN I COMPANY /4 CP. /l;J'.i'41If C:;Dfee-
SIGNATUREi0-- ~?'dq ({,,-_, STATE CERT OR REGIST I
***************1**************************************************
COMPANyBIA-1fed^e1 d:
PLUMBER
SIGNATURE .(.
STATE CERT OR REGIST #
SIGNATURE L-~
\
******************************************~*******t:~7*********
I ._ COMPANY - e ~ , ,f'pA)K_ :201-"12
STATE CERT OR REGIST #
/7.
MECHANICAL
*************** ***************************************,*********
OTHER COMPANY
SIGNATURE STATE CERT OR REGIST #
A. NOTIC.E OF DEED RESTRICTIONS
The. undersigned understands that this permit may be subject to "deed restrictions" wliich
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 l'aw. 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:Ftions 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, have 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 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 regulating construction, zoning, and land
development. .
Application is hereby made to obtain a permit to do work and installation 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 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, 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 pre~ared 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 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. 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
~he foregoing instrument was
Before me this _ day of
by
acknowledged
_, 2U--
acknowledged
I 20_
(name. of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
C1ho is personally known to me, or
D who has produced
(type
and wrioD did D did not
of identification)
take an oath.
Dwho 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
II
PA~CO COUNTY, FLORIDA
Permit No.. Q OD~
I Date Permitted /(J-//-GJ~
! ,
Builder Name/Owner Nam~~.K' 7J1jIs Control # ' ,
County Parcel No, 3lf' ;lor- ~ I - I7D . Of) oll D - J HO SubDiv: ~~ ~tJ 'iJ;>;r
Addr~S.S/L~catlon. '7'l/~. eX.d!-</ ' . ( f~nT ~3'1
ClasslflcatlonfType of USE? ~_~ _
TRANSPORTATION IMPACi FEE Rate:
Exempt 0 Yes ~. No ' How Determined
Impact Fee Amount $ ~ ~ t iJ . Zone No.
SCHOOL IMPACT FEE!
Account . (0.56) S. in9Ie-. F~mIlY Detached House
(057) Mobile H me
(058) Other Re Identlal
1~3) Collectio Fee
Exempt \A!es D No! How Determined
PARKS AND R~CREATION ~EE
Land Account I. Land Credit
I
Sq Ft Unit:
TAl:
Amount
$
Land Total
Recreation Account
Recreation Credit Recreation Total
Zone
TOTAL AMOUNT $
Exempt DYes D No
How Determined
LIBRARY FEE
Land Account Land Credit
Land Total
Facility Account Facility Credit
Facility Total
Exempt 0 Yes 0 No How Determined
RESOURCE FEE Q I
TOTAL AMOUNT 0 r 0 '"I
Total Amount
ERU
Prepared By
Checked By
NO CERTIFICATE OFIOCCUPANCYWILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
. BEEN PAID AND
RECEIPTED FOR BYIA CENTRAL PERMITTING OFFICE OF PASCO COUNTY
I
Acknowledgemenl below does nOII~ply acceptance of concurrence, but simply receipt of a copy of this Ionn, placing
the building permit owne, on notice of this assessment and thE! conditions of payment for same.
BY R~~
II-Lo-OJ ~
DATE
RECEIPT NO. ~~o,~DATE
--- .~._- -,--'- - -,.--
i.j
. d . . ~ :
1..1 ,\
'j:
!:
.f t .~., n., .,' "'.... ,:~. 'Y' ... ).._14 ,:.. I' .. ':!' " 'i t:~:
; ~
.:1"