HomeMy WebLinkAbout06-5429
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
5429
Permit Number: 5429
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: 37610 COREY LEWI
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number: 34-25-21-0170-00000-2200
Name: GRAND HORIZON
Address: 37610 COREY LEWIS AV LT 220
ZEPHYRHILLS, FL. 33542
Phone:
RFI L
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
808.00
180.00
175.00
15.88
254.00
126.35
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ELE
MECHANICAL FEE
WATER CONNECTION MOBILE HC
IRRIGATION METER
TRAFFIC IMPACT FEE MF 99%
PARK FEES MH
FIRE IMPACT FEE
35.00
209.50
180.00
1,572.12
573.73
273.00
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
~~ f~~
CONTRAC~R 'I~ATURE 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
{
JOB ADDRESS 21-0
DATE RE CE IVED Z - to -- () (0
.----
PHONE GONTACT FOR PERMITTING I e( I
PHONE
g 16- 7~- 54t/ D
Lew,'s
SUBDIVISION
LEGAL DESCRIPTION: LOT(S) BLOCK
PARCEL 10 # 3LJ -'l5-21-0J70-<::DCDD--22.00
WORK PROPSED; DNEW CONSTRUCTION
o SIGN
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
(OBTAIN FROM PROPERTY.TAX NOTICE)
DALTERATION 0 REPAIR ~STALL
o ADDITION
o MOVE
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
~OBILE HOME
o OTHER
c=J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL
DESCRIPTION OF WO.RK mobi \e. \10Ml2-
BOILDING SIZE 2, X 50
5E t-LCP
15 \2-
HEIGHT
SQUARE FOOTAGE
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. REVlEVVDATE:
o BOILDHJG
$ '65 oc:p .
I)~
PERMITS REQUESTED
o ELECTRICAL
AMP SERVICE
o PLUMBING
o MECHANICAL
VALUATION OF TOTAL CONSTRUCTION
o Progress Energy 0
W.R.E.C.
o GAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
$
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A. NOTICE OF DEED R~~TK~LI~U~O
Th~ undersigned understands that this permit may be subject to "deed restrictio
may be more restrictive than City regulations. The undersigned assumes respons.
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 r~
to be licensed in accordance with state and local regulations. If the contractor is j
licensed as required by law, both the owner and contractor may be cited for a misdemeanu~
violation under state ~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 cbntractor or contractors, he is advised to have the
contractor(s~ sign po~tions of the "Contractor Sections" of this application for which they
will be responsible. If ybu, 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 _ Homeowner'sPr6tection Guide" prepaied 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 compli~nce 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 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
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
~
..: _....~ ""''ITT'Ill"'"\n+
t...T::lC!
:=I~lrn'"'tA11 ~rlnprl
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
STATE OF FLORIDA
COUNTY OF
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2006023726
NoTICE OF COMMENCEMeNT Rcpl: 966921
Pa. DS: 0.00
02/06/06
Counlyof_ S[O
'THE UNDERSIGNED hereby gives norioe thel in rOlle' . -
cttaptf'.f 713. "'QrKta Stalutes, the toIIowing 'nfom~tion ~pnli~~ ~.I~~~~ ~al" fj)al prOP01lT)r, end in accordance with
~ _ v.......e... In ....IS ,..Ol:ce of CommenCl!llT1ent:
1. Deseription of Property: Parcel No. .5 Lj - 2. 5 ". '21 -91 -70 - 00 6 OC> - 22.00
state of fJ 0 6d a
Rec: 10.00
IT: 0.00
Dpty Clerk
IL~I ~ of II... prop.:tly and W"lOe. ~ If b,,",lI&tlIel
JED PITTMAN~ PASCO COUNTY CLERK
02/06/06 0~ : 05pm 1 lOf1412
OR BK 6828 PG
2.
Geno;.ral Description of Im~ovemem
--.-.-
3.
~.,~- N'_~~ U:O~(j
1f.d,( r;/~ SlaV<- {% Iff ?D/1hv1VI1/il.J
Adtlresa , , W J
interest In Property:
&I 55)(7 J
N81111a of Ftte Simple TiOOtIOIder:
(If .......1IJ&n owner)
~$ --qy------
R c_..." -- 'WfBq~&-ttyI(eJd
'i~!3D rDld1l ~kili L4nl. _ 7t/h:p1Jd'J
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SC3Ie
5. Sure1y: Name
Addoel;,
citJo
Sraeer -
Amount of Bond; . $
6. Lendt)r: Name
A<Iat~D"
CRt-
SIldc
7. PersOl'ls wllhin the Slate of Florida designated by O....ner upon whom notices Of other documents may be served
as provided by Section 713. 13(1)(a)(7). Aorida Statutes:
Name
A~&
City
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B.
In eddition 10 hiI116eIf. ~ dtiignat;;$
(It
NoIioo as provided in ~'1IDn 713.13("1)(b), Florldo1 Slalule$.
Explrati&.1 ollie of No1lQ! of Commencernenr is one year from ltle date of recotdlt1g unIeG$ a differerlt dare i:-s
s~_
to receive tI copy Of the Lienor's
9.
<2..~L.6(~
0",*
STATE OF FlOJ;lJQA c.>
COUNTY Or: VCt~(
The for'1!going inslrurnelll ~CI<nowledged before me tile
R \ CJ...w. V' &... l '_~ e.. "'" b-e. Y'9
known 10 me or who has produced
(dale), by
(name of person acknowledging), who is personally
/ ~pe of i~ficalion) as idenlilication.
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NOTA~Y
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SP-$I: o'\tJ':.Y';~"(0 ROBERTA BUTTERFIELD
~.... MY COMMISSION # DO 071797
[* 1< EXPIRES: March 10, 2006
~ ~ .
~..... dl-'" Bonde<l Thru Budget Notary SaMCeS
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PASCO COUNTY, FLORIDA
Builder Name/Owner Name (-=>\f'v-d ~v-\~
Permit No. . 5<....\-d-. ~
Date Permitted '~- -&0
Control #
County Parcel No, 3L\ -25 - d. \ - uno - D0006 - ~~b SubDiv: Gran:\. 1-\oV-\ ~
Address/Location 3/~ID Core,--\ lewIS Au - Lr.,,\- do.c-:>
ClassificationlType of Use 1f'n6b'\ L2.. !-k:tv-no._
TRANSPORTATION IMPACT FEE
Rate:
Sq Ft Unit:
Exempt D Yes ~o
How Determined
Impact Fee Amount $ 1'5%~ ,CSD
Zone No.
TAl:
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House Amount $
(057) Mobile Home
(058) Other Residential
j)~) Collection Fee
Exempt L3'Yes 0 No How Determined
PARKS AND RECREATION FEE
Land Account ............ Land Credit Land Total
~,
Recreation Account '-'''-"Recreation Credit Recreation Total
'--.
Zone
----,..,J~OTAL AMOUNT
$
Exempt DYes D No
How Determined
'.....,-
~
't:and_~redit
Facility CredR'--,_
Land Total
LIBRARY FEE
Land Account
Facility Account
Facility Total
Exempt DYes 0 No
How Determined
""-
Total Amount
RESOURCE FEE
TOTAL AMOUNT
........
~.
ERU
"
-,
Prepared By
Checke(;l 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