HomeMy WebLinkAbout05-5094
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
5094
i:'i f-
Permit Number: 5094
Permit Type: MOBILE HOME
Class of Work: MOBILE HOME SE -UP
Proposed Use: MOBILE HOME SU DIVISION
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 11/01/2005
Total Fees: 4,442.58
Amount Paid: 4,442.58
Date Paid: 11/01/2005
Work Desc: MOBILE HOME SE ...UP
Address: 7730 KAY MARIE AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s):232 Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number:
GRAND HORIZ NS
7730 KAY MARIE AVE
ZEPHYRHILLS, FL. 33542
Phone:
ACE AIR CONDITIONING & ELEC.
BUTTERFIELD MOBILE HOME SERVICE
ACE REFRIGERATION INC
MOB LE HOME SET-UP
MOB LE HOME MECHANICAL
MOB LE HOME TIFISUB 99%
WAT R METER RES 3/4"
IRRI ATION CONNECTION
FIRE IMPACT FEE
PUB IC SAFETY 5%
IL
60.00 WATER CONNECTION MOBILE HC
35.00 MOBILE HOME PLUMBING
1,572.12 MOBILE HOME TIFISUB 1%
180.00 IRRIGATION METER
175.00 PARK FEES MH
273.00 POLICE IMPACT FEE
26.35
209.50
40.00
15.88
180.00
573.73
254.00
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REINSPEcnON FEES: When extra in ~ction 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 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 de before any further permits will be issued to the person owning same
Complete Plan ,Specifications and Fee Must Accompany Application.
All work shall be rformed in accordance with City Codes and Ordinances
o OCCUPANCY BEFORE C.O.
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. PERM IT OFF I
SPECTION - 8 HOUR NOTICE REQUIRED
OTECT CARD FROM WEATHER
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ALL WORK SHALL COMPLY ALL
PREV AlLING CODES, FLORIDA INC
CODE. NATIONAL ELECI'RlC CODE ANf
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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
loh/ !t?S
I '
PHONE GONTACT FOR PERMITTING
OWNER'S NAME YJ
JOB ADDRESS ',7736
LEGAL DESCRIPTION: LOT(S)~
PHONE
BLOCK
232-
SUBDIVISION(7A'h',ud . /h;l!/z ;);.6j23
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IVORK PROPSED: 0 NEW CONSTRUiTION
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o SIGN !
PROPOSED USE: OSGL FAMILY ~WELLING
o COMMERCIAL I
PARCEL 10 #
(OBTAIN FROM PROPERTY.TAX NOTICE)
o ADDITION
OALTERATION
o REPAIR
GYtNSTALL
o MOVE
o DEMOLISH
OMULTI-FAMILY
0# OF UNITS
o SWIMMING POOL
~BILE HOME
o OTHER
o INDUSTRIAL
D
DESCRIPTION OF WO.,RK JVJuh;!! o(}, L Se1' L-t /
BOILDING SIZE 27.X l)(P ~_
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RESIDENTIAL: ATTACH (2) PL~T PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
SQUARE FOOTAGE /tJ12
HEIGHT
PERMITS REQUESTED
& (~~. S~Y E:ORMS.
FOR/ . _
c::
o BOILDING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o Progress Energy O!
W.R.E.C.
o PLU~lBING
o MECHANICAL
$
o GAS
o ROOFING
o SPECIAL
VALUATION OF MECHANCIAL INSTALLl~TION
o OTHER
TYPE OF CONSTRUCTION: 0 BLOC
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
BUILDER
COMPANY
STATE CERT OR REGIST #
E:(,ECTRICIAN
STATE CERT OR REGIST #
**************** *************************************************
PLUMBER COMPANY & -rt C/--lie (' d
/3
STATE CERT OR REGIST #
SIGNATURE L.-;,
MECHANICAL
* * *** ** * *** ** * ** t * * ** ** * * * * ** * **** * ***** ** *jJ******* * *** -1.**** ** ** *
COMPANY ( e...,
SIGNATURE ~
L5:
STATE CERT OR REGIST #
**************** ************************************************
OTHER COMPANY
SIGNATURE STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
Tha undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility {or
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 cipplication 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 indicati6n 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,pr6tection 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 compli~nce with all applicable laws regulating construction, zoning, and land
development.
Appli~ation is hereby made to obtain a_pe~mit 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 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 Protectiori 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. Bvery 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 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
STATE OF FLORIDA
COUNTY OF
;he foregoing instrument was acknowledged
Before me this _ day of ' 2CL-
by
(name of person acknowledged)
Owho is personally known to me, or
acknowledged
, 20_
(name of person acknowledged)
[1ho is personally known to me, or
o who has produced
(type
and whoD did 0 did not
of identification)
take an oath.
o who has produced
(type of identificatiol
and who Odid O: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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PAICO COUNTY, FLORIDA.
, Permit No. .....5 DC(/(
Date Permitted / /, /- D 5
Builder Name/Owner Name
Control #
SubDiv: V~ ~
~eT~3~
County Parcel No.
Address/Location
ClassificationfType of USEil
Sq Ft Unit:
Exempt
TAZ:
SCHOOL IMPACT FEE
Account (056) Single-F nhily Detached House
(057) Mobile H me
~o ) Other Re Itlential
3) Collectio Fee
Exempt . Yes D No How Determined
PARKS AND RECREATION F E
Land Account Land Credit
Amount $
Land Total
Recreation Account
Recreation Credit Recreation Total
Zone
TOTAL AMOUNT $
Exempt DYes D No
LIBRARY FEE
Land Account
How Determined
Land Credit
Land Total
Facility Account
Facility Credit
Facility Total
Exempt DYes D No
RESOURCE FEE
TOTAL AMOUNT
How Determined
Total Amount
~ 0,
ERU
Prepared By
Checked By
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORME I UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
Acknowledgement below does not I Jllly acceptance of concurrence, but simply receipt of a copy of this form, placing
the building permit owne. on notice of this assessment and th~ conditions of payment for same.
DATE
RECEIPT NO. ~ 1 (Oq
DATE
RE2J!:ED BY
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