HomeMy WebLinkAbout06-5431
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
v
5431
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc: MOBILE HOME SETUP
5431
MOBILE HOME
MOBILE HOME SET-UP
MOBILE HOME SUBDIVISION
35,000.00
2/08/2006
4,442.58
Address: 37608 LILLY BEA AVE L T 239
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number: 34-25-21-0170-00000-2390
Name: GRAND HORIZON
Address: 37608 LILLY BEA AVE
ZEPHYRHILLS, FL. 33542
Phone:
H
ACE AIR CONDITIONING & ELEC.
I
PLUMBING FEE
SEWER CONNECTION MOBILE
WATER METER RES 3/4"
IRRIGATION CONNECTION
TRAFFIC IMPACT FEE MF 1%
POLICE IMPACT FEE
PUBLIC SAFETY 5(% . Y dP
(' O~
,r' ( L.\:\ \ 9"'"
40.00
808.00
180.00
175.00
15.88
254.00
26.35
LEC
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
~/
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
~-.
CONTRACTORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
..
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8~H St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021 2---1 ~O I
DATE RECEIVED ~ ~
---
PHONE GONTACT FOR PERMITTING \~i
OWNER'S NAME G(a.vt\ \~()"\ 2-0 ()
JOB ADDRESS 31(P08 . Lj\\~ B.eCL
LEGAL DESCRIPTION: LOT(S)
L6t 23Cj
PHONE 2\3~'7W -s '-I L-/ 0
BLOCK
SUBDIVISION
PARCEL 10 #
3~ -25- 2-1-OI70-000()O - 2390
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION o ADDITION DALTERATION o REPAIR ~NSTALL
o SIGN o MOVE 0 DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS ~OBILE HOME
o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
c=J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL
DESCRIPTION OF WO.,RK .tfJci?i)t ~ se.i -L.o/
BUILDING SIZE 1!:1 'I- 5b SQGJARE FOOTAGE 12.4 g .
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COt-'JMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORt<1S. ~
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ,~EVlEVV (
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTIOl'tITY OF ~:::~ 't:.~
BUILDING OFFICIAL~/q . '--J
PERMITS REQUESTED I .~
35. ~ ()
$ 000.
VALUATION OF TOTAL CONSTRUCTION
o BUILDING
o ELECTRICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
o PLUMBING
o MECHANICAL
$
o GAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
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 COMPANY
SIGNA'rUREk.J'7"'<~<.:::J STATE CERT OR REGIST J
***********************************************~******************
COMPANY he
EJ;,ECTRICIAN
SIGNATUR~~- ~
(i)
STATE CERT OR REGIST #
******************************************************************
PLUMBER COMPANY I~ t-1cAd II f\1J-1 s
SIGNATURE~~ STATE CERT OR REGIST I
"**""'**'*'*'~""*"""*'.*"""***'i1'*'*"*'*.*....**,*,..
MECHANICAL COMPANY /1 G€--
SIGNATORE~~ STATE CERT OR REGIST I
*********** *****************************************************
u\
&
~)
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTIGE OF DEED RESTRICTIONS
Th~ undersigned understan~s that this permit may be subject to "deed restrictions" which
may be more restrictive than city regulations. The undersigned assumes responsibiLu:.y 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 is advised to have the
contractor(s~ sign po~tions of the "Contractor Sections" of this ~pp1ication 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 Zephyrhi1ls.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that Ii 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 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.
Application is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installa-tion 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
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT",
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
acknowledged
, 20_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
,20_
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
Owho has produced
(type
and whoO did 0 did not
of identification)
take an oath.
o who has produced
(type of identification
and who Odid []:iid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
"
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2006023727
NOTICE; OF COMMENC~
Coun!)' of PaSLO
!HE UNDERSIGNED hereby gives. notice 1h61 ii, rOVemen . . __ .
Cl1aptpJ 713. 1-1()llda St21utes, the 1oIJowjng Infom~tjon ;6 Plito~~~~_ ~Nto ?""a1n f-om prOPftlty, aM In accordance with
. ~ ....,- In ,,'IS otlClj! 01 Commef'JCI!lrT1em:
1. DesenPlionofProperty: Parcel No. =3LJ -2.S~- 2 L9/76 -00000 -- 239 0_
stat&o( FJDf,da.
Rcpl: 966921
OS: 0.00
02/06/06
Rec: 10.00
IT: 0.00
_________ Dpty Clerk
2.
(L~lIII ~ or... PR>I>et'ty ..00 _. __If "~<JUall/e1
~a1 DeSCIiption of ImPl"OVemenr_
JEO PITTMAN~ PASCO COUNTY CLERK
02/06/06 0" : 05pm 1 of 1
OR BK 6828 PG 1143
3.
OIMler'nformation: Natrlo3 Oranti HfJv1'lti1 '
:zy'\ Green S/'r C>v ?1;.pkp'h./U
imeresr III Property:
Ft uffT
SlilW
HarTle of Ft!e Simple TiIIl1!tloIder:
(11"'1ttr lIIsn owner)
AGan"j; City --
R eon."""" ~J?f", Sl..tftU!Je leA
~uft dieJd l/l -~YMIJ
Srille
t.l K'Bff2
S.....
5. Surety: Name
~,
Cily
Srace -
Amount of Bond; S
6. Lerld$": Nama
Acrarft15
Sllote
Ci~
7. Per3Ol'lS Wllhin the State or Florida designated by ().-.ner upon whom notices or olh~ documents may be!: served
as provided bl' Section 7t3.13(1)(a)(7). Florida Statutes:
Nallle
~&
City
~~-
8.
In addition 10 1lin16eIf. Owner dta6ignafes
of
NcI~ (lJ; provided In SE!I..'fIDn 713. 13('1)(b) , Florida Slallllf.!$_
to reaeive e copy oj N Lienor'll
9.
Explration ~ate of ~ of Commencement is one year 1'rom IIle date of recording LVlleG$ a difl'erent dare i:s
6~_
~.k-fJ, d~~
O~'*
STATE OF Fl~'9A
COUNTY OF: 0-c,C0
~ for~oing in$truOlel1l was ~~~fO~ me the
t.? · <: '^ Q. nO-. ~ -,'P Y1'.'1
known 10 me or who has prodUced
SP..aI:
"Iol'Y PII,>.
*W"*
~~~
"'OFf\.U"-
ROBERTA BlITTERFlEID
MY COMMISSION # DO 071797
EXPIRES: March 10, 2006
Bonded Thru Budget Notary SeMces
(dale), by
(name of person acknowl.&dglngJ, who is personally
- .__ ( __Qfi~lifiG8lion) as identilcetion.
/~J Ie -.i.-
L/' t.t_.
NOTA~Y
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