HomeMy WebLinkAbout06-5626
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
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:
5626
MOBILE HOME RV/PARK
PARK MODEL SET-UP
MOBILE HOME SUBDIVISION
Address: 3839 LAUREL VALLEY BLVD #33
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: MAJESTIC OAKS
Parcel Number: 24-26-21-0000-00100-0330
1,800.00
4/12/2006
175.00
175.00
4/12/2006
RV/PARK MODEL SETUP
BAX R,GL
3839 LAUREL VALLEY BLVD LOT 33
ZEPHYRHILLS, FL. 33542
Phone:
MOBILE HOME PLUMBING
MOBILE HOME MECHANICAL
35,00
(I~~{€D
0; 1/1/ D1e
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REINSPEcnON 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 inspections 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
"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. "
NO OCCUPANCY BEFORE C.O.
~~~- ~-~
C NTRACTOR SIGNATUR PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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Pocket Penetrometer Test
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Test the perimeter of the home at six (6)
locations
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Take the reading at the depth of the footer
Using 500 LB increment, take the lowest
reading and round down to that increment
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perimeter
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This Site Rounded Down to / (J(j() PSF
· Test must be performed by a licensed installer.
Date Tested: 3l:)J-d () L(
Licensed Installer Name:~ ~~
License Number: J-H C~l)~;;L
I hereby certify that this test was performed at the address.
Hemanao Co, Dev, Dept., 789 Providence BouJevard, BrooksvilJe, FJoriOa, 34001 . (~2J.7~5/) . Fax i3.??P.?_4..:~415
Westside Office 7431 Forest Oaks Boufevam'. Spring Hif!, Florida. 34606 . (352}oac-ouou . Fax: (352)~
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Longitl' ~nal Stabilization for Florirfa
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',!~',:en USElg fG71gitU IDa! stct~ll!Z?t;t);i ;:'r;l~..; S;08\\:"an pef~meter anC!lors VI/it} 'i(1~Ona~ ties ana stJu:~~ze~ P]2Lt?S
2'.'?~, S'-i :nust be used c; ''1e h~y::s \ieiticai ties are also reQuired on homes supplied \v:th '!er::;a! tie r.:cn
'cC:Ql GC:C1IS (pe; i:=!orida reguiatlcflS),
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rncre :h(:r'~ 15' frOfT! tr~e end the harne !ij1axjnlufD foof slope tor sfngte units & double seetle!:-' ;S ::,.'~ 2 !Gr-
~riD:e SeCLG;;S is 3.5/12~ far lre aoo\/e nurnber of systems.
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2:-:'" repreS8:HS singlE se:::t:on LC t:: ; c' \-,::;jt:; dcuble sec;tic:1 up to 32"' v..ddt~, and tripie St?;_~tu;n hnr:le~;
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State .of F1orid:a
DEe.~~"T OF
IDGffiVAY &~ A.."ND MOfOR \:mIICLES
TAl..i....>\....liA$SEE., FI..OlUDA 32399-U5OO
FR...;:D 0. DKKr:....SO"'<, In
~~~
May L 2001
}r'15~ &'1Cn:e ,Srrriib.
Dil-ec!c~r ofManmactured Hcu-~g Division
i'ie DewT. En~ag~ lnc_
5~:') 1 ~J\~eaton Dri-~:-e
.~J:ianta. (=~~~::;;a 30336
Dear l~is_ SInrti~:
\<,,~ e ",-ish. to ~'k:nowledge receipt of your specifu:ari<:ms and test results certifyir;: tt!ar
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yom ". ecto:- }'.j ~}''Sten: uS"...ec belOW oom:phes "W'1w. ~ spec1 ca!lon.S 2I1Q reg-~.0I".s =:l <x: U,c;;:
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D~~ ~:en.t 01. F...lgt:r~'e):- :sa:r~:- ~ .M<.F.dlr \teuiCieS>; !:'.a.ies l~ -.:. .\,;"it.:~.~ i:)t...-i .UiJ l a:nn ~ -' \..,-
: ~Cl ~)8,~ Florida A,.~~:n-tl~+T\:-e Coo.e..
Based o-n the information ~u.i.ittro to tl:ri:s burean., the fono~i!".g product is listed f~:r sale
3::2C ~~ in Flenda ~i1en the it-,sr21lation instructions shc~ the '\l.d~~ the S'j"'Ste!n v-..~as t~ei ~-e
D~~--:Qe-~ a: ;n~l12:tiOTI. s~tes_
)1.o.nEL "#
IDE~"TIFlCA~
DESCRIPTION
5S~ :;, 59-3~.c.
v ectc..~- Xi S}~stern
LateralfLo!'~~tu.dm2.l Stabilizing :~):-~s~-eI:~
If yc.'t! b2.~'e ar}.~-' q~Jes:ri0T;s~ p}ease arivise at {407') 623-1 34f:J.
Si!:h.-ere l}'~ ~
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Phil B-~!t, Program M:anage:
Bure2n of Motor HomeR<t<-....
R~emona1 Vehic1e Constr'.lCti{)T.';
Di....ision ofMotcr Vebides
PRE ~ sir:
DI'>~FI~ ffiGH'"*.=-.:l ?iU~OL ~ DRf\-r:R UCENSES. M<:1!'OR '\ir.:H1CLES" ADMIN1S1k'l..TPlE SEK'n,a;:.s
2900' J<~ P:r.rl.--~ Neil ~ ~ T~ Florida ~
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Stare of Florida
DEPAR'fMENTOF
mGIDilA~r SM'KIY Ai~j) MuroR '\i"'EHICLF..S
TALL~""-~ FL()R}l)A ~
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MEMORANDu"'i
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tc create ".J"cif0.rn:; ~cn stm:-dmds fur fu.ese systems- A se-co~~-y 'benefr: .of
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813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date ReceivI!d
Owner's Name
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Owner's Address I 3s"3Q
Fee Simple Titleholder Nam~
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Fee Simple Titleholder Address
LOT #
JOB ADDRESS
SUBDIVISION
BUILDING SIZE
WORK PROPOSED
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ADD/All
REPAIR
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FRAME
NEW CONSTR
INSTALL
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BLOCK
PROPOSED USE
TYPE OF CONSTRUCTION
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D BUILDING 1$ /8co I VALUATION OF TOTAL CONSTRUCTION
D ELECTRICAL l$wO I AMP SERVICE D PROGRESS ENERGY 0 W,RE.C,
D PLUMBING 1$ t~-o I
D MECHANICAL 1$&;00 I VALUATION OF MECHANICAL INSTALLATION
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I ~/+ I FLOOD ZONE AREA DYES DNO
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BUILDER
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SIGNATURE
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COMPANY
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FEE CURRENT 'I Y / N
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License #
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License # I
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FEE CURRENT
License #
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Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
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Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades Ale Driveways Fences (Plot/Survey/Footage)
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions. '
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 Pasco County Building Inspection Division-Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of hew buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance humber 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify 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.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that aU Work
will be done in compliance 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, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government 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 Protection-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.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use offill is not allowed in Flood Zone "V" unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "N in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
, acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. 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 codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time th~ work is commenced: An extension
may be requested, in writing, from the Building Officia~ for a period not t~ exceed nln~ty <.90.) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job IS conSidered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT INYOUR
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.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT
. ~SCri)ed and swqITrto (or lJJfim1e.~ befQCe, this.
7,. C}I/P It by ~~/ ~.~ .--
'Who is/are personally known to me or has/have pro ced
.- \. '. ' as Identification.
CONTRACTOR
S~CribeP and swom~ (or am ed)/.
j :J7/u;.,. b~ ( ,
%0 is/are Der~ohally known 0 me or
(
COMMISSION 11 00482819
EXPIRES OCT 17 2009
BONDED 1HROUGH
RU INSURANCE CQMI>>fY
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