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Home My WebLink About05-5101 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 MOBILE HOME SET-UP 5101 Permit Number: 5101 Permit Type: MOBILE HOME Class of Work: MOBILE HOME SET-UP Proposed Use: MOBILE HOME SUBDIVISION Square Feet: Est. Value: Improv. Cost: Date Issued: 11/02/2005 Total Fees: 4,442.58 Amount Paid: 4,442.58 Date Paid: 11/02/2005 Work Desc: M.H SET UP Address: 37525 LILLY BEA AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: GRAND HORIZONS Parcel Number: Name: GRAND HORIZON Address: 37525 LILLY BEA AVE ZEPHYRHILLS, FL. 33542 Phone: MOBILE HOME SET-UP MOBILE HOME MECHANICAL MOBILE HOME TIFISUB 99% WATER METER RES 3/4" IRRIGATION CONNECTION FIRE IMPACT FEE PUBLIC SAFETY 5% ACE AIR CONDITIONING & ELEC. BUTTERFIELD MOBILE HOME SERVICE ACE REFRIGERATION INC 60.00 WATER CONNECTION MOBILE He 35.00 MOBILE HOME PLUMBING 1,572.12 MOBILE HOME TIFISUB 1% 180.00 IRRIGATION METER 175.00 POLICE IMPACT FEE 273.00 PARK FEES MH 26.35 209.50 40.00 15.88 180.00 254.00 573.73 f [ If '36-f>} ~<3q let REINSPECTlON 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. ~~ ~~ CONTRACTORS GNATURE PERMIT OFF I CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 STH St, Zephyrhills, FL 33542 813-780-0020 FAX:S13-780-0021 DATE RECEIVED /()/3//{lS f I PHONE CONTACT FOR PERMITTING OWNER'S NAME CfaIJJ Ho() 'lOt/) JOB ADDRESS JJ52S ~J):J /Je {^- ~1 ~(lq LEGAL DESCRIPTION: LOT(S) BLOCK PHONE SUBDIVISION PARCEL 10 # (OBTAIN FROM PROPERTY.TAX NOTICE) WORK PROPSED: DNEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR cvINSTALL DSIGN o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING o COMMERCIAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL 0"'MOBILE HOME o OTHER c=J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL DESCRIPTION OF WQRK Jv1obJ.t. lk,YJ ( 5e! r 4.p ~/ yC;) BUILDING SIZE SQGARE FOOTAGE 5r.( I 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 AREAD YES 0 NO BUILDER SIGNATURE~' STATE CERT OR REGIST # ************* **************************************************** E~ECTRICIAN SIGNATURE Ur ~.e_l!:> COMPANY A( ( STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANy/:30tTn" -;;~A{j SIGNATURE .t?-/~.....- D J~ ~. STATE CERT OR REGIST # * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * t/* * * * * * * * * * * * * * * * * * * * *.* MECHANICAL COMPANY Lf C L SIGNATURE ~~ )3-<-,~~ S _~ STATE CERT OR REGIST ff ***************************************************************** 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" which 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 '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 ~s advised to have the contractor(s} sign po~tions 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 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 STA~UTES, AS AMENDED) I certify that Ii the applicant, have been provided with a copy of "Florida's Construction lien Law _ Homeowner's.protection Guide" prepared by the Florida Department ot 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 conunencement. 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 constructiont zoning, and land development. Appli~ation is hereby made to obtain a,peFmit to do work and installation as indicated. I certify that no work or installation has conunenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulationst 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-seawallst 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."t 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, cancelt 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 conunenced 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 conunenced. 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. JOBB 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 , 2L.. by (name of person acknowledged) Dwho is personally known to me, 'or acknowledged ,20_ (name of person acknowledged) C1ho is personally known to me, or o who has produced (type and wrioD did D did not of identification) take an oath. Dwho has produced (type of identification and who Ddid [):lid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typedt printed or stamped { /00 1< { 1 ~() 9'tl~+- / 31 /111 bile- HDMe s/ , S'I ( jot> I E/l5t!"J<<~;(jT 'V .... ..... M ..... 150 ~ <D >-:li; ~ Jj~ 5DYL'Vl4 WMa-~"}~e ~ . c:~~ f1tL- ~~~\1i.l'i{) ~ $ ~ (tV T ,;l. ~9 aSd~) Llt.!-y 8elt & frO c( Iio 12 /2f).v J .._L .'.vORKSHALLL..'_hY'L. 1.... \,1 id. ~ : EVAlLINOmDES, FLORIDABUllDIN( .. .~. NATIONAL ELECI'RlCmDEANT .. -~n' ,\1TH,." , S ORDINA."lCES AU WORK SHALL COMPLY WITH AU. f /. -- PREV AlLING ('~-:~" FLORIDA BUllDINO I t::(0l ~) C~~:T"-roC:::-:~ ... .~__~~~:) ~ I m .... c: I m ~ ...., '-' (/J ~ :I: m > ~ ::0 C )> m~ I m a 0 z -I JJ F -" :go~ ::0 ^ 5: F < Zz "-i 0 0 Z -fm m 0::0 ~ 5: m 5: z "T1 (5 mJJ JJ 10 ~^ m -I m (/J "T1 m G) -I m JJ, f) ma m ::0 -I m (/J aO ::0 m ~ m )> ::0 ~ 0 (') 05: 1'5 0 :-l 5:" m 1'5 ,,' m JJ ~ Z hi~ m jijg:J ~ C/) p C/) ~ 'J o III -< ri! ~~ 0 0 :D 0 \\D ~ ~ 'J z \ 0 (') m N=i 1Il c \ m< (J) () ~O z ~ ~ m ;I'" 8l "U ~N :D 0 r-m 0 () bi"tl c (') ~ :J: 91 ~< ~ 0 0:0 z ::0 :!!:J: p 0 <II 0 ~ m o_ w ::0 >. :t ~ r- , en i ~ ^ m ~ z ~ <II () ~ I I I I I I t-~ ~~. ~ 0 ~ ~ J <II m g C ! ) i: C1 c )0 c ~ a -I Ill. ~ co Oa 1ii ~ !l: m -< '>. 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"U ~ ~N :D t- o r-m 0 () bi"tl c (') ;':J: 91 0 0 5< z ::0 ::0 :l:l:O p 0 0 -:J: <II m m () ::0 ......... ::0 ~ gj= ~ G) "- ~ r- :::t < ^ en co m l"\.l m 10 z Z ~~ g III I III I I I I 0 ~ 0 \1\ <II () -< ~ -< I I t- O 0 ~ ~ 0 G) (/J ~ <II C > m m I w 0 -I a ::0 :E !:i '"" :t !l: C )0 ~ '" ~ c z a III m m \I', co .... 1ii !l: m 9 ~ -< e; ::0 ::0 ~ 'Jel ~ 0 'V -< c: 0 0 m -- co (') Z tR '" ~ -- -L) S; -I ::j c: \ ~ )0 z N ::0 iij ~ l:) !l: "" \r} m 0 ~ III c: N z \J\ F -I ~ \)J J .' PASCO COUNTY, FLORIDA Builder Namelowner Name ~J 7 County Parcel No. 3'1..).. .s-~,.D ,t;O-dC.,eo-~~lO Address/Location '37s~S- (i (! '1 15eo.. Ii 1<. ClassificationfType of Us~ ~ to '( ( '4L tio1\L TRANSPORTATION IMPACT FEE Rate: Exempt D Yes ~ How Determined Permit No. S!o I Date Permitted '(~;{ -()S Sq Ft Unit: Impact Fee Amount $ IS ?~ Zone No. TAl: SCHOOL IMPACT FEE Account (056) Single-Family Detached House (057) Mobile Home (058) Othe Residential 123) 0 lection Fee Exempt s D No How Determined PARl(S AND RECREATION FEE Land A.ls~unt . . Land Credit Recreation ~ount Recreation Credit Amount $ Land Total Recreation Total Zone TOTAL AMOUNT $ Exempt 0 Yes How Determined LIBRARY FEE Land Account Facility Account Exempt DYes D No RESOURCE FEE TOTAL AMOUNT Prepared By Land Total Facility Total Total Amount ERU NO CERTIFICATE OF OCCUPANCY WILL BE ISS D OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNT 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. DME R RECEIPT NO. ~~L{c)l!, DATE ~ BY ~,. ,. .,;i. ,,:. -- . fl.' ----- - -- - -------- ".. .,Uo ." ..-.. I::' 'Y' 'r ~./.~:., ,. 't .:,. " .... .., j ) p' Ii ".i / v/