HomeMy WebLinkAbout06-5582
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
5582
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:
5582
MOBILE HOME
PARK MODEL SET-UP
NOT APPLICABLE
Address: 3804 LAUREL VALLEY BLVD LOT 51
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s):51 Block: Section:
Subdivision: MAJESTIC OAKS
Parcel Number: 24-26-21-0000-00100-0510
15,000.00
3/27/2006
175,00
175.00
3/28/2006
PARK MODEL SETUP
MAJESTIC AKS LLC
3804 LAUREL VALLEY BLVD-LOT 51
ZEPHYRHILLS 33542
Phone:
CRANDALL. RICHARD
BAHR'S PROPANE GAS & AlC, INC,
MOBILE HOME PLUMBING
40.00
/- ('~dP"",
y\ 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
t.A --t1,#/I',Q , r~ ~
C6NTRACT i 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 317
DATE RECEIVED~'
PHONE CONTACT FOR PERMITTING-r;y'J 7 g g - St;t.;{)
. (f!)
OWNER'S NAME [! at t II" u &0/ I r! J "'0 (VI 'j , 5/ n Oo/j PHONE !?/J 1 ii'll - 22 {'8
JOB ADDJ'.'?:'?r1S/ 1-=/-1 1fo111J $/vd u! ii, L
LEGAL DESCRIPTION; LOT (S) BLOCK SUBDIVISION MAP:>-\-;\"" OAts
PARCEL ID #
Zl/-lru - 2J (){")Oo-. CO/OO .- (JOCI ()
(OBTAIN FROM PROPERTY.TAX NOTICE)
WORK PROPSED: ONEW CONSTRUCTION
o ADDITION
OALTERATION
o REPAIR
~NSTALL
OSIGN
o MOVE
o DEMOLISH
PROPOSED USE; OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APpROVAL
DESCRIPTION OF wo..RK Par l:..)I}o d.e / 5el - Ltp
BUILDING SIZE /iJ! q f;;
'SQQARE FOOTAGE
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.
o BUILDING
$ 1~66() r"
PERMITS REQUESTED
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 AREAO YES 0 NO
BUILDER
SIGNATURE~~~
COMPANY
STATE CERT OR REGIST #
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E:LECTRICIAN
COMPANY fYt.a 17~~~ I
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SIGNATURE 7-~ "J~~7 ___
STATE CERT OR REGIST #
PLUMBER
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COMPANY ;Bit ffC?~/;;/ d )/1 lis @)
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SIGNATUREV~ _
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;3~ _ ' STATE CERT OR REGIST I
********************************************~~********************
. COMPANY Xa III' .5
MECHANICAL
SIGNATURE ~~ ~--S ~~~$~ ~ STATE CERT OR REGIST #
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OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOT.IC,E OF DEED RESTRICTIONS
Tha undersi~ned understands that this p~rmit 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 quired
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 mi demeanor
violation under state 'law. If the owner or int:ended 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 c6ntractor or coritractors, he~s advised to have the
corttractor(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 $TATUTES, AS AMENDED)
I certify that Ii the applicant, haye 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 compli~nce with ,all applicable"laws regulating construction, zoning, and land
development.
Appli~ation is hereby made to obtain a.p~Fmit 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 wiil 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 IUY responsibility to identify what actions I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulatiorl-cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment '
*Southwest Florida Water Management District-WellS, Cypress Bayhea9S, 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 ~
peri,?d 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 si
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, CONSUl
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
;he foregoing 'instrument was acknowledged
Before me this _ day of , 2~
by
(name' of.J;l_E'!.~son ackn'owledged)
Owho is personally known to me, or
Owho has produced
(type
and wrioO did 0 did not
acknowledged
r 20
(name of person acknowledged)
[1ho is personally known to me, or
of identification)
take an oath.
o who has produced
(type of identificatic
and who Odid []did not take an oath
Signature of perso~ taki~g acknowledgmen
Signature' of person taking acknowledgement
Name typedr printed or stamped
Name typed, printed or stamped
i
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11II11I11I11II111II11I I1111 II1I1 I11II 11111 1111I1111111111111
2006053411
State of f I or I d '"
NOTICE OF COMMENCEMENT
County of Pas c 0
Rcpl: 979449
os: 0.00
03/16/06
Rec: 10.00
IT: 0,00
Dpty Clerk
/1.
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement:
Description of Property: Parcel No. "].//'20-, ..2/ .(jtOQ()O(()O -00 C;I {J
Lo-t:#: SI v'Yla.~e:sf,'c.. OakJ\.1<v W~s.ott
(Legal description of the property and street address if available) ,
General Description of Improvement f 1'2 r 1<. ':n 0 cJ ~ I 8.(...+ v...p
-- 2.
--- 3.
Owner Information: Name e OJ c. f r <-<-
3?8(( Cha.l'1ce'1 RJ..
Address
l<<Soor-f Iio~ I Uc
2t.pJ,j ...h', lis
City
~~91~~T0T6MA0~'3P7ASCO COUNTY CLERK
~. pm 1 of 1
OR BK 6888 PG 1698
1="L
335'1 ,
State
Interest in Property:
Name of Fee Simple Titleholder: N tf c.. - t= L II 5. L L C.
" q ~ I E c....CA,l"r>.(., I b. a. c.. rellf ~'Jan owner)
c::S/.oo.,ik 4S-310 ~c.1J-tlsJI:.~
Address, , City
Contractor: Name WafJh e... l~ fA l-Ic// /I~(J
j;jC(:gO 6kNt',.hrlcl !--/l 2ephy vh /';) j
Address City ,
/)2 ~S.:\~ I
Slate
1";- -7 ~ c: Lf '7
.....J./ .~ ~
, Slate
5. Surety: Name
City
Address
State
Amount of Bond: $
6. Lender: Name
City
Address
State
7, Persons within the State of Florida designated by Owner upon whom notices or other documents may be served
as provided by Section 713.13(1)(a)(7), Florida Statutes:
Name
Address
State
City
8.
In addition to himself, Owner designates
of
Notice as provided in Section 713.13(1)(b), Florida Statutes.
to receive a copy of the Lienor's
9. Expiration date of Notice of Commencement is one year from the date of recording unless a different date is
specified.
"'~, AI~
Date
.3.(l/- D~
STATE OF FLORIDA.,
COUNTY OF 1/,7.\ (' {l
'I'f/l
/1 I~.i
I~ li.{./ (" /;
The foregoing instrument was acknowledged before me the
known to me or who has produced
(date), by
(name of person acknowledging), who..is p~rsonally
(type of identification) as identification.
~' I ~ . 'I ,
I /', ," . .~ I 1_' ~' , . / J
';O;A~~\'c/ : t'. .7/', J / r~~LV J~_
Seal: i<V P
...t;\~....~"t~ ROBERTA BUTTERFIELD
... ~ * MY COMMISSION # DD 513185
"'~,.. EXPIRES: March 10, 2010
dv'Pc05304g..~8" OF f\.<f><:; Bonded Thru Budget Notary Services