HomeMy WebLinkAbout06-5463
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
5463
Permit Number: 5463
Permit Type: MOBILE HOME
Class of Work: MOBILE HOME SET-UP
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 35,000.00
Date Issued: 2/17/2006
Total Fees: 4,442.58
Amount Paid: 4,442.58
Date Paid: 2/16/2006
Work Desc: MOBILE HOME SETUP
Address: 37530 COREY LEWIS AVE L
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s):214 Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number: 34-25-21-0170-00000-2140
Name: GRAND HORIZON
Address: 37530 COREY LEWIS AVE LOT214
ZEPHYRHILLS, FL. 33542
Phone:
ACE REFRIGERATION INC
MOBILE HOME PLUMBING
SEWER CONNECTION MOBILE
WATER METER RES 3/4"
IRRIGATION CONNECTION
TRAFFIC IMPACT FEE 1%
FIRE IMPACT FEE
PUBLIC SAFETY 5%
40.00
808.00
180.00
175.00
15.88
. f\ ~ 273.00
oY" II 2635
(\ (1 j\o?JI~~
BI AL
MOBILE HOME ELECTRICAL
WATER CONNECTION MOBILE HC
IRRIGATION METER
TRAFFIC IMPACT FEES 99% COM
PARK FEES MH
POLICE IMPACT FEE
40.00
209.50
180.00
1,572.12
573.73
254.00
/
(b..o .-
0d --0-
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
~ ~... '1Z_~
~\ ~ ~
c~ S 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 ~
DATE RECEIVED
~.
PHONE cONTACT FOR PERMITTING J~J
2 - f~ "0 0
t' d.~
OWNER'S NAME Or all d tI Q (loW '1
JOB ADDRESS ;3 7530 CO(tj ,Lewl~ Ave..
LEGAL DESCRIPTION: LOT(S) BLOCK
PARCEL 10 # Jq -25'2-) ~o J70- 60000- 2J4o
PHONE
<g/3-1 ~<g-5'1L/ (J
Lot 2J'j
SUBDIVISION
(OBTAIN FROM PROPERTY,TAX NOTICE)
\YORK PROPSED: 0 NEW CONSTRUCTION
o ADDITION
DALTERATION
o REPAIR
GrrNSTALL
o SIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
~BILE HOME
o OTHER
BUILDING SIZE
c=J RESTAURANT & HEALTH DEPARTMENT AP?ROVAL
WQRK h1o.bi\<- \.1OYY\l cS!- t-~
Z 7 ~ Lj 5SQGlARE FOOTAGE
DESCRIPTION OF
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.
NOL
/
e( BUILDING
$ 5~ 600.00
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
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
o NO
BUILDER
SIGNATUREit/~ /\~ STATE CERT OR REGIST #
******************************************************************
COMPANY Ace.
EJ;,ECTRICIAN
SIGNATURE y~ 13~7
~
STATE CERT OR REGIST #
******************************************************************
PLUMBER
SIGNATURE tJ~~'
COMPANY&ff(/teJd MHS
~
STATE CERT OR REGIST #
SIGNATURE
*******************************************it*********************
COMPANY Lice-
~/_~ ~~ STATE CERT OR REGIST #
*****************************************************************
e>
MECHANICAL
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTIC,E OF DEED RESTRICT1UN~
Th~ 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 1aw. 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 ~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 indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhi11s.
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's ,Protection Guide" prepaced 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 compliance with all applicable laws regulating construction, zoning, and land
development.
Appli~ation 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 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-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.3. 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 provision~ 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
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_
acknowledged
, 20
(name of person acknowledged)
Dwho is personally known to me,or
(name of person acknowledged)
[1ho is personally known to me, or
Dwho has produced
(type
and wrioD did D did not
of identification)
take an oath.
D who has produced
(type of identification
and who Ddid ,[)did not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
R
6.
111111111111 11I111111111111 11111 1111I1111I111111111111111111
2006030492
Rcpt: 969533 Rec: 10.00
fk A NOncE OF COMMeNCEMeNT DS: 0.00 IT: 0.00
stat&of J- DY\'~OtD 02/14/06 ____ Dpty Clerk
County of -J as (. D
!HE UNDERSIGNED hereby gives notice lflat ill rO\fertJen w' _ .~~-,
ChaptPJ 713. "'Qfi1a StalUtes ttre fOllowing 'nfom~tion i~ Plilo'':~~' ~,,~ ~naln f'Bal pro~l1'y, aM In accordance with
' V",",,, In utlS ,,,,,,lICe 01 CommenCt!lrrJem:
1. Desenpliono/Property: parcerNo,---.JLf-2S-- 21 ~ 0170-00000- 2/1../ Q
2,
(L~il ~ or II.., PfOJ>elty aPd WtfC, -.-e", II &~"''''Diel
~ral OeSQlption of ImprovemenrJ:.nDb\1 e l1 ~ Sef -L~
-~-
3,
"-.--
Owner '''formation~ Nalllli G((li')dl:l1J Vi L6'1
2...1d15 GveM ~~ Dr-L've-~~
irneres( In Property: Ol..0Y\t.V-
Name of Fee Simple T1t1sJolder:
83?5tfJ
$.ilW
f/l'oII.."OIIin owner)
AtIcIre:Js 13
C__ u.t~~d.
'3&q,)0 \)kt,tt~ i Lv-,
Adc:11",,"
c:qy----, $1"'"
(YlCb\'\,.e, (~O~V\Q.." <;~Vk L
~1!.iliJ. ~:Lg3)'12
5. Surety: Name
Ad"dt1li&
-~-
s_
CiI)
Amount of Bond; S
JED PITTMAN~ PASCO COUNTY CLERK
02/14/06 0":0~m 1 0'5913
OR BK 684ta PG 1
Lel~: Na~
AINI~.1l
~
SQIe
7, Persons wllhin the Stale tJf Florida designaled by Owner upon whQm notices Of other documentlJ may be served
as prolrided b)' Section 713,13(1)(a)(7). Aorida S1alules:
8,
Name
Addr$6~
~..-
City
In addition 10 hirntieff. Owner d~ignates
of
Notice (11) provided in Se<..llon 713. 13('1)(b,l, FlorIda Slatl.lto;os,
to IlKleive 8 copy ot Vwt Lienor's
9, Explratior. aate of ~ of Commencement is 00& year from tile dale of recording unleG$ a difl'erw dare i:s
"pearle(!,
2 ~ rll) L~
0..."
@~,LQ~
STATE OF FlORID!9/,.. I"
COUNTY Or: ----I...IDL.I.J
Se$I:
"wJlX:053048
(dale). by
(name of person acknowledgIJ)Q). who is personally
_____ (type of id lion) as identilice1ion,
,!\..."v P"I'(
*~*
I.P~~,"
"'''~OFf\..r:1'''
ROBERTA BIJ1TERFlELD
MY COMMISSION t DD 071797
EXPlRES: March 10, 2006
Bonded Thru Budge! Notary ServIc6s
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BUILDING SHALL COMPLY wrm
ALL APPLICABLE CITY OF
ZEPHYRHILLS ORDINANCE.
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