HomeMy WebLinkAbout06-5356
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
5356
Permit Number: 5356
Permit Type: MOBILE HOME
Class of Work: MOBILE HOME SET-UP
Proposed Use: MOBILE HOME SUBDIVISION
Square Feet:
Est. Value:
Improv. Cost: 35,000.00
Date Issued: 1/27/2006
Total Fees: 4,442.58
Amount Paid: 4,442.58
Date Paid: 1/27/2006
Work Desc: MOBILE HOME SETUP
Address: 37616 LILLY BEA LOT 238
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number: 34-25-21-0170-00000-2380
Name: GRAND HORIZON
Address: 37616 LILLY BEA LOT 238
ZEPHYRHILLS, FL. 33542
Phone:
MOBILE HOME PLUMBING
SEWER CONNECTION MOBILE
WATER METER RES 3/4"
IRRIGATION CONNECTION
TRAFFIC IMPACT FEE 1%
POLICE IMPACT FEE
PUEUC SAFETY 5% ~
\' (' ~~o~
A
40.00 MOBILE HOME MECHANICAL
808.00 WATER CONNECTION MOBILE HC
180.00 IRRIGATION METER
175.00 TRAFFIC IMPACT FEE 99%
15.88 PARK FEES MH
254.00 FIRE IMPACT FEE
26.35
40.0
35.00
209.50
180.00
1,572.12
573.73
273.00
FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to anyone of the following reasons: 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
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies
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
~ ~-~
CONT TO SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED .
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TK St, Zephyrhills, FL 33542
813-780-0020 l!'AX: 813-780-0021 j-2L/ -0 ~
DATE RECE IVED -
PHONE GONTACT FOR PERMITTING ~t3.7 ~~- StJ'/O
fEY'1
PHONE
BLOCK
SUBDIVISION
vWRK PROPSED; 0 NEW CONSTRUCTION
o ADDITION
(OBTAIN FROM PROPERTY.TAX NOTICE)
OALTERATION 0 REPAIR ~STALL
OSIGN
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
~BILE HOME
o OTHER
c=J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL
DESCRIPTION OF WORK . ..rrJ[l6j Je nOtYJe Se + -Ltp
L./2J.3) SQGJARE FOOTAGE /'128
BUILDING SIZE
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT 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.
& (1) SET ENERGY FORMS.
FORMS.
NOC.~
PERMITS REQUESTED
o BUILDING
$ ~5 66Q
0'"
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
o NO
BUILDER
SIGNATURE W~ ~A ~b
COMPANY
STATE CERT OR REGIST #
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E:(.,ECTRICIAN
SIGNATURE P'7'"
COMPANY A C f
PLUMBER
/3~
******************************************************************
COMPANy!1-m;/eJd JYlI-IJ
STATE CERT OR REGIST #
SIGNATURE
0~/]~
STATE CERT OR REGIST #
MECHANICAL
******************************************~**********************
COMPANY Cf!...
SIGNATURE V'7'7~tf!{)i~
V
STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED K~~TK~~r~u~o
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 wor}~, they are advised to contact the
City of zephyrhills Building Department, 813-780-0020.
Furthermorel if the owner has hired a contractor or contractors, he is advised to have the
contractor(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
you1 rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indica~ion 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 1 have been provided with a copy of "Florida's Construction
lien Law _ Homeowner1s.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 corrunencement.
E. CONTRACTOR'S/OWNER1S 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 I 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 corrunenced 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
Lhe 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.8. Environmental Protection Agency-Asbestos abatement
I also certify thatl 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. Every permit
issued shall becorne 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 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
acknowledged
1 20_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
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
Owho has produced
(type
and whoD did 0 did not
of identification)
take an oath.
Dwho has produced
(type of identification
and who Ddid [):iid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typedl printed or stamped
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I..I~~.., - I c.CC' I _07_7
State of f~) 0(}d(l
NOTICE OF COMMENCE:'MENT
County of Rlj( ()
111111111111111111111111111111111111I11111111111111111111111
2006014566
Rcpt: 962745
DS: 0.00
01/24/06
Rec: 10.00
IT: 0.00
___ Dpty Clerk
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement:
1. Description of Property: Parcel No. j'-I-2S-21-[) J76-L){)('){:;.O- 2380
(Legal description of the property and street address if available)
2. General Description of Improvement V)/10bi )e_ \,C:YYKY_ '~Je.+ -L..t,p
3.
Owner Information: Name G V it ()(j }/ ('; (120 j'1
?&/-/5 OfPeYJ SJope_. CY)\/f2ep~7j V ['1/1 L\
Address City' ,
F I :]'2 ~}I J
Stale
Interest in Property:
Name of Fee Simple Titleholder:
(If otherthan owner)
JED PITTMAN1 PASCO COUNTY CLERK
01/24/06 1 : 24am 1 of 1
OR BK 6808 PG 550
R4.
State
Address City
C",,",ctoc N,~,IJ 4 ~h e !Jjfffet.:tlef,1
3't160 !31l,-+fr!-/;l)eJo 1-/1 Zeohv/r h, JIJ
Address City' J
E / 3j~(/2.
State
5. Surety: Name
Address
City
State
Amount of Bond: $
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served
as provided by Section 713.13(1 )(a)(7), Florida Statutes:
Name
Address
City
State
8.
In addition to himself, Owner designates
of
Notice as provided in Section 713.13(1)(b), Florida Statutes.
to receive a copy of the Lienor's
9. Expir?tion date of Notice of Commencement is one year from the date of recording unless a different date is
specified.
cK.
/ 2':'/--0 ~7
Date
STATE OF FLq~DA
COUNTY OF ;- (( \ ( (,
Seal:
The'"Qing i~strument w ackno~d befor, me the :2(lc~: '/ (,() &! (date), by
l('\ \. ~,^-Cl L . ~ '"'L..lA. 10 -e ame of person ackn wledging), who is personally
knoym.tq me or who has produced ~ (type of identification) as identification.
:;X ') /~ ---
.:J l~_ I:> iJ.,- ,:t; ERFIELD !
NOTARY..".,' '. .. M COMMISSIONIIDD071797 I.
EXPIRES: March 10, 2006 Ji I
">;,~~",,,o,,,,,,,< BondedThru BudgelNolal'J Servic<;~,.1
dvlpc053048
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PASCO COUNTY, FLORIDA
Permit No.
Date Permitted
S3JO=)G
\ I -;:}, I (j In
Builder Name/Owner Name G-.:>e.An'D ~0"\~
Control #
County Parcel No. 314 -25- 2\ - 0\70 - oo.oco -2~'K-D SubDiv: ~-,ca\L1.\-\c)'( \ 2~
Address/Location 370\ <.0 L\ \ \'-i?Rc~ Lo1- 23?;
Classification/Type of Use (J\ob\ \...JL \-\c,'....y-y"\..lL-
TRANSPORTATION IMPACT FEE
Rate:
Sq Ft Unit:
Exempt 0 Yes ~No
How Determined
Impact Fee Amount $ i 5'6 '6 I b 0
Zone No.
TAZ:
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House
(057) Mobile Home
(058) Other Residential
J.:1J3) Collection Fee
Exempt 10 Yes 0 No How Determined
Amount $
PARKS AND RECREATION FEE
Land Account Land Credit
Land Total
Recreation Account
RecreaJion Credit
Recreation Total
Zone
TOrAt-AMoUNT
-.,...._......._._~--
$
Exempt DYes D No
LIBRARY FEE
Land Account
---
How Determined
.tand-Cr.e_gj~
Land Total
Facility Account
-'., --- --"---
Facility Credit
-..._-
-----~ty Total
-----..---..... .~._"
Total Amounf
Exempt DYes
D No
How Determined
RESOURCE FEE
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 the conditions of payment for same.
DATE
RECEIVED BY
RECEIPT NO.
DATE
BY