HomeMy WebLinkAbout06-5428
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813}780-0020
MOBILE HOME SET-UP
/
5428
Permit Number: 5428
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: 2/08/2006
Total Fees: 4,442.58
Amount Paid: 4,442.58
Date Paid: 2/08/2006
Work Desc: MOBILE HOME SET-UP
Address: 37635 LILLY BEA A V LOT 260
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number: 34-25-21-0170-00000-2600
Name: GRAND HORIZON
Address: 37635 LILLY BEA AV LOT 260
ZEPHYRHILLS, FL. 33542
Phone:
ACE AIR CONDITIONING & ELEC.
PLUMBING FEE
SEWER CONNECTION MOBILE
WATER METER RES 3/4"
IRRIGATION CONNECTION
TRAFFIC IMPACT FEE MF 1%
POLICE IMPACT FEE
PUBLIC SAFETY 5%
40.00 MECHANICAL FEE
808.00 WATER CONNECTION MOBILE HC
180.00 IRRIGATION METER
175.00 TRAFFIC IMPACT FEE MF 99%
15.88 PARK FEES MH
254.00 FIRE IMPACT FEE
26.35
35.00
209.50
180.00
1,572.12
573.73
273.00
~J\~\~
FINAL
REINSPECTlON 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
~~ ~-~
CO~~~C.' -RS SIGNATURE -PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021 j. - G, - ()~
DATE RECEIVED
PHONE GONTACT FOR PERMITTING .~~
OWNER'S NAME G (o.Vlc) \-\OV\.ZOV) PHONE 8'/3 -7 8J _<;<-1'1 ()
JOB ADDRESS 37(i!;f, LilIJ I~ AvL Lof 2(pO
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
PARCEL 10 #
'3'1 '~S. - 2/-0170-0()()()o-2cPOO
(OBTAIN FROM PROPERTY.TAX NOTICE)
WORK PROPSED; 0 NEW CONSTRUCTION
o ADDITION
DALTERATION
o REPAIR
~STALL
DSIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
'laMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
~OBILE HOME
o OTHER
BOILDING SIZE
c=J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL
WOJU( trlDb,\e. ~O~ 5~ +-~p
2L(xs z.
DESCRIPTION OF
SQGARE FOOTAGE
124~
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.
REVIEW DATE:
CITY OF ZEPHY L
PERMITS REQUESTED BUILDING OFFICIAL
o BUILDING
$ 3S/XiJ.cc->
~. i 9!-~
()
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
SIGNATORE.{ .t~", 0-~
COMPANY
STATE CERT OR REGIST #
********************************************************,<*********
E~ECTRICIAN
SIGNATORE ~.~ /~
COM PAN yA ( e ~
@J
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY ~ ff(';lfcJd (V\1-I1
@
SIGNATUREV'~,." ....3 ,_~
*******************************************~**********************
COMPANY 4 C ~
STATE CERT OR REGIST #
MECHANICAL
@
SIGNATURE t,/~ -8-...~
STATE CERT OR REGIST #
********************************************************k********
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTION~
Tha 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 Zephyrhil1s 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 ~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~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, have been provided with a copy of "Florida's Construction
lien Law _ Horneowner'sProtection Guide" prepafed by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is som~one 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 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 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 '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
,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
r 20
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
o who has produced
(type
and whoO did 0 did not
of identification)
take an oath.
Owho has produced
(type of identification
and who Ddid [J:l.id not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typedr printed or stamped
Name typedr printed or stamped
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111111111111 11111111111111111111 1111111111 111111111111111111
2006023728
Rcpt: 966921 Rec: 10.00
hI NOTICE OF COMMeNCEMeNT os: 0.00 IT: 0.00
fa. 02/06/06 -- Dpty Clerk
stat&of Dyiatt
Counly of _ S t..6
!HE UNDERSIG':"ED ~reby gives norice r/lel ilTlprO\fement will be ma~ to oen.ain rl)lIl _ . _ _ .
Cl1aprf'.f 713. 1-1<>rida SUllutes, ltre toIIowing Information i", pro''':'''~''. ..... N . prop.:,rty, aM," aCCordance Wllh
.n"..... "'.IIIS orrce of Coml1leflCtllTJent:
1, Descriprion of Property: Parcel No. 3'1 - 25... 2 J - 0 I 7 6 ~ () 0 000 _ 2 to 6 c)
2.
CL<'1Jij1 ~Iior> of.... P~!r and w..... -<a$1I ~~l8IlIel
~ar Description of ImPf'ovemenr_
JEO PITTMAN PASCO COUNTY CLERK
02/06/06 03: 05pm 1 10'141 4
OR BK 6828 PG
3.
DINner InfOlTllation: Nllm.!l ~~;;; f Wrl
.J!!45 G(-eel1~ ~ ~~Y'h~\b
~-, 3~ I
$1ilW
imeres( IfI Property:
Name of P=<!e Simple TirlslOlder:
ll1.....lIJlWlowner>
R
=-~-/i~i1 r.;--
8&9!JD . 'iPh~
~~ ~'.
Slate
PI 335q2
s...
5. Surety: Name
A~&
CiI)o
Srate -
Amount of Bond; S
6. Lend~r: N8m.;l
A<!<II"jjaa
S/mc
City
7. Person:> wllhin the StarE! tJf Florida rJesi9na!ed by ()wner upon whQlT1 notices or other documents may be ile"'ed
as provided by Section 713. 13(1)(all7). Aorida Statules:
Na/lle
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B.
In addition (0 him6eIf. ~ef ~
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9. expiration elate of Notlc:e of Commencement is 00& yeM fmTI the date of recording unIe$$ (I diffetent dare ~
Ilpecifle{l.
to reeeive 8 copy or (0. Uenor's
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STATE OFFll)'VJ,A "'-
COUNTY OJ:: I a:::>( 0
~ for~oing in!3ttelll ~nowledgecl before me tile
\<'-~ Y'l L. ~~oQ -t7(
known IQ me or wtlo has produced
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ROBERTA BIJTTERAELD
MY COMMISSION # DO 071797
EXPIRES: March 10, 2006
Bonded Thru Budget Notary Service.
(dare). by
(name of person acknowl<&dglng). who ill personally
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PASCO COUNTY, FLORIDA
Builder NamelOwner Name (S~Gnd ~"\L.crr-.
Permit No. 5 y. '2 '6'
Date Permitted 0("" &-O(p
Control #
County Parcel No. 34 -2S. d-~ - O\,D - 00000 - 2toaoSubDiv: G,.(""cvc-d ~I(~~
Address/Location 01<':'35 L.:, \\"-1 ~ Au L.o+- '2<00
ClassificationlType of Use tylotlJ l.1L ~
TRANSPORTATION IMPACT FEE
Rate:
Sq Ft Unit
Exempt D Yes Q1Jo
How Determined
Impact Fee Amount $ 15%<6'" .co
Zone No.
TAl:
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House
(057) Mobile Home
(058) Other Residential
J.:1)3) Collection Fee
Exempt L1 Yes D No How Determined
Amount $
Zone
PARKS AND RECREATION FEE
Land Account ~ Land Credit
~
R'ecr-eation Credit
, ----.....
~---.....
TOTAl-AMOUNT
~-
>~
Land Total
Recreation Account
Recreation Total
$
Exempt
DYes D No
How Determined
LIBRARY FEE
Land Account
'~
Land~it
..........""" "'--..."
-.
Land Total
Facility Account
Facility Credit
---
~......
Facility Total
,.............
Exempt DYes D No
-"
How Determined
Total Amount
RESOURCE FEE
TOTAL AMOUNT
........
---0.
.0-
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
RECEIPT NO.
RECEIVED BY
DATE
BY