HomeMy WebLinkAbout06-5544
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
5544
Lew\~
Permit Number: 5544
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: 3/09/2006
Total Fees: 4,442.58
Amount Paid: 4,442.58
Date Paid: 3/09/2006
Work Desc: MOBILE HOME SETUP
Address: 37524 COREY ~ A V LOT 213
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number: 34-25-21-0170-00000-2.130
Name: GRAND HORIZON ,; ~
Address: 37524 COREY eet1tS AVE LOT 213
ZEPHYRHILLS, FL. 33542
Phone: 813788-5440
ACE AIR CONDITIONING & ELEC.
MOBILE HOME PLUMBING
SEWER CONNECTION MOBILE
WATER METER RES 3/4"
IRRIGATION CONNECTION
TRAFFIC IMPACT FEE 1%
FIRE IMPACT FEE
PUBLIC SAFETY 5%
L
40.00 MOBILE HOME MECHANICAL
808.00 WATER CONNECTION MOBILE He
180.00 IRRIGATION METER
175.00 TRAFFIC IMPACT FEES 99% COM
15.88 PARK FEES MH
273.00 POLICE IMPACT FEE
26.35
35.00
209.50
180.00
1,572.12
573.73
254.00
. ~ V
) ,,0- ,0
y\ -A)O ~
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
p::;-~~~~ ,&t:{-~
CONTRAC 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 l!'AX: 813-780-0021 :3 - 1-(j~
DATE RECEIVED
PHONE c:ONTACT FOR PERMITTING'--re; J .
OWNER'S NAME Ctlr1d HayiZ-CJr)
JOB ADDRESS -3 75:)'1 . Corey. Lou)) /lv-e..- Lof 2(3
LEGAL DESCRIPTION: LOT(S) BLOCK
PARCEL 10 # 31- 25- 21-eJ/70- 00000-- 2./30
PHONE . gIg. 7J~ -S-qt.j CJ
SUBDIVISION
(OBTAIN FROM PROPERTY.TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
DALTERATION
o REPAIR
0INSTALL
Os IGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
~OBILE HOME
o OTHER
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WO~ /.no~/Je
BUILDING SIZE 27 X. &>0
home f~fa/ la/fon arid Sr I-up
- f
I (p 2()
SQGJARE FOOTAGE
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.
t-j6C /
PERMITS REQUESTED
l!f' BOILDING $ 35.000. cO VALUATION OF TOTAL CONSTRUCTION
0 ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C.
0 PLUMBING
0 MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION
0 GAS o ROOFING o SPECIALTY 0 OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJF,:CT IN FLOOD ZONE AREAO YES
o NO
BUILDER
COMPANy8u +-rCy'teJd
SIGNATURE~~~ STATE CERT OR REGIST I
HH H.,. H..H.... H H HH' H H" H HH'H 'H,^H H' H H H H H H
E:(,ECTRICIAN COMPANY Ac f
SIGNATURE~'~~ STATE CERT OR REGIST I
******************************************************************
(!)
COMPANY 8L1 ffef~e.jd ftI} f{ ..s
@
PLUMBER
SIGNATUREt:=-~~ , STATE CERT OR REGIST I
******************************************************************
MECHANICAL COMPANY .Ac. f~
SIGNATURE~ ~~'~ STATE CERT OR REGIST I
*****************************************************************
~
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTIGE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibllity 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 ~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 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
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's.Pr6tection 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 compliance with all applicable laws regulating construction, zoning, and land
development.
Appli~ation is hereby made to obtain a.peFmit 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.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 becoIne 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
, 2~
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
~he 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 wrioD did 0 did not
of identification)
take an oath.
Dwho has produced
(type of identification
and who Odid DUd 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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BUILDING SHALL COMPLY WITH
ALL APPLICABLE BUILDING,
ELECTRICAL, PLUMBING AND .
MECHANICAL corms. ''1 Jct 'lJ~J 1/
f';If~
In addition 10 him&eIf. Ov.rler ~ignafes
ot
Notice ~s provided U1 SE!t."1il'ln 713.13(1 J(b), Florida Slall.JI~ll,
9. Expiration l1ate of No1Ic:e of Commencemel'll is one year from the dale of recordIng Ul1leu a different dare r.;
specified.
STATE OF FlOfW!' ,>
COUNTY O~ L "
'K for.;ogoing illlllrllO.ct W'fi a~dged
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..----...-----
ROBERTA BlITTERFIELD
MY COMMISSION' 00071797
EXPIRES: March 10, 2006
Bonded Tl1Rl BUllget Notal,! Servicos
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SeElI:
dllJl>Cll53043
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2006045311
HOTICE OF COMMENCEMeNT Rcpl: 976151
OS: 0. 00
~ 03/07/06
COUnty of {"'as ( 0
THE UNDERSIGNED ~eby gives notioe lhal j" r t' , .
Chaptp.f 713. 1-1()rida $taluteS, llle 1olJowjng Inforn'fa~:';'o~~~~' ~..~ ~In 1$a1 prOPl1l1)t, aM in accordance wilh
~,... ~"""'" 11'1 ulIS ,~llCe 01 CommeoCtlrT1enl:
1. DesenPlionofProperty: ParceJNo. '3~')'5. 2/ ~.OI7 0 -(')00 C(:J..- 2/30
staraot _(16y,d a
Rec: 10.00
IT: 0. 00
Dpty Clerk
2.
(L~ ~ of'" PI'l:lperty /lI1d WW'_IU$" &lIaJlalllel
~al Description of Imp<<>vemenr./.!JQb/'J e home Sf f -up
JEO PITTMAN, PASCO COUNTY CLERK
03/07/06 01: 06~ 1 4f.1..
OR BK 687~ PG 3~
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3.
Owner Information: Nl'Illloi Gro/1d J-)Or'iZeJr}
j~~/5 (i>{~er1j/6pe [;hrL- ~ ffFh:ph,llf
imere$t III Property:
Name of F~ Simple Tillerlolder:
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Addreis
City
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Amount of Bond; S
6. Lelldt}r: N8flWl
AI!Gr<tIJs
City
SIme
7. Persons WIthin the Slate of Flood.. designated by ().-..ner upon VllhQlTl notices or other documenl$ msy be ;;e"'ed
as provided ~ Section 713. 13(1)(a)(7), FIOMa Stalll'~s:
Name
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CllY
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to re<:leive e copy or ttM} Ller1or'.
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