HomeMy WebLinkAbout06-5798
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
5798
Permit Number: 5798
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: 5/17/2006
Total Fees: 4,442.58
Amount Paid: 4,442.58
Date Paid: 5/17/2006
Work Desc: MOBILE HOME SETUP
Address: 37539 LILLY BEA AVE L
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number: 34-25-21-0170-00000-2510
Name: GRAND HORIZON
Address: 7645 GREEN SLOPE DR
ZEPHYRHILLS, FL. 33542
Phone:
ACE AIR CONDITIONING & ELEC.
IL H ME
MOBILE HOME PLUMBING
PARK FEES MH
FIRE IMPACT FEE
SEWER CONNECTION MOBILE
WATER METER RES 3/4"
IRRIGATION CONNECTION
TRAFFIC IMPACT FEE 1%
40,00 MOBILE HOME MECHANICAL
573,73 POLICE IMPACT FEE
273,00 PUBLIC SAFETY 5%
808,00 WATER CONNECTION MOBILE HC
180.00 IRRIGATION METER
175.00 TRAFFIC IMPACT FEE 99%
15.88
4,
35.00
254.00
26.35
209.50
180.00
1,572.12
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 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
r~'7 L7,~ ~~
CONTRACTORS IGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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2006100454
f k NOTICE OF COMMENCEMENT
; Rcpt : 998595 Rec: 10,00
_.,_~~()dt( f,;;-,/ ^ OS, 0.00
. C"""".fj~ 05/16/06 _ IT, ~~~e Cle.'
THE UNDERSIGNED hereby gives nO/lee the( illlprowme I . "
Chapter 713. 1-10rK1a StaMes, tile toIJow;ng IOfomlalian ;8 ~r~:: ~. ~eNto ~a," roal pro~tI)<, aM in accordance with
,... e... In Ul'S otlCF,! 01 CommeoCt!lmem:
J, Deseripljon()tPrope~: Parcel No, '3'f2S "2/ 'O/1{) -CX:::OO() - 2 S: / ()
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(L<;fIal ~ or,,,, PIl>I>e1Iy dnd Wooe. ~ If ll~..llelllel
Gtlf1t;<rdl DesCl'iption ofrm~vemem rYJ6h)'/fL
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3.
- JED PITTMRN. PRSCO COUNTY CLERK
05/16/06 10: 36am 1 of 1 2
Owner Information' NllmG'roflC! florn'z:dn OR BK 6989 PG 195
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City Slate -..J a ~ ~ ~ :5
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Persons wflhin the Slate of Florida designated by Owner upon whom notices or olhel' documenl$ may be l.i..r.Q...~ ~ ~ :5
as provided by Section 71 3. 13(1)(a)(7), FIorRf8 Statutes: ~~.. ~ 8 iil c
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In addilion 10 him&elf. Owner a~ignates
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to re<leive EI copy ollhe LierJor's
9.
Expiration date of Nol1ce of Commencemenr is on& }'eat from ttle dale of reeOi'dln9 lIf1Ie$$ a different dare ~
Iipecifled.
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Signature of ,~
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STATE OF FLORIDA r~ <. (' (',\
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." MY COf.IMISSION, DO 513185 NO'r'A~Y
EXPIRES: March 10,2010
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2006100454
f k NOTICE OF COMMENCe!ll!ENT
""" Rcpt : 998595 Rec: 10.00
S1a~Of~'6()da lJ-5CQ OS: 0.00 IT 0 00
, COllnlYOfJ!!:..::..___ 05/16/06 _. : D~ty Clerk
t.HE UNDERSIGNED hereby gives notice thaI ill1prowment wj" be Imld ' ., .__
Chapter 71:3, 1-1QtVja St<lMeS, the following Infemlation i.. pro id ,,' .... ".~() ~na\l1 f~al prop.tlTy, and In accordance with
~ II e... In u,IS ..otq 01 CommenCl!lrF1em:
1. Descriplionof Property: Parcel No_ '3'1.$. 2/ '()/1.D -OCO06 -- 2~) / ()
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(L<:gaJ ~ of II", pr=y ISI1d w.. --':!$$ " ,..~I"llo'el
Gen",rar Description of 'lnPl"overnenr rn 6h)) e/
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- JED PITTMRN. PRSCO COUNTY CLERK
05/16/06 10: 36am 1 of 1
Owner Information: Nllmf]y{Jflcj !-Itin'ZdYJ OR BK 6989 PG 1952
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STATE OF FLORIOA,f){, < ('(\
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* MY COMMISSION' DO 513185 NO"f'A~Y
EXPIRES: March 10,2010
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813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received
Owner's Name
l:Jn )e./
Fee Simple Titleholder Address
~ LOT # 125}
PARCEL 10# I 3'1'25 -7 __) - 0 / ~70 'ooOQ:]-25l ()
(OBTAINED FROM PROPERTY TAX NOTICE)
D SIGN D MOVE D
G' OTHER '{V}()bJ~, hofY1/./
D STEEL D OTHER I
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
Er
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ADD/AL T
REPAIR
COMM
FRAME
NEW CONSTR
INSTALL
SFR
DEMOLIsH
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HEIGHT I
"1111111111111111111111"'111111111111"11111111111"11........111.....11.11.111.............11111.11111.........11111.1.1.111111111.111111111.',
0 BUILDING 1$ 6~OOO ,60 I VALUATION OF TOTAL CONSTRUCTION
0 ELECTRICAL 1$ )DCD,O(} I AMP SERVICE D PROGRESS ENERGY D W.R.E.C.
0 PLUMBING 1$ 2~{). 00 I
0 MECHANICAL 1$ / roD. 00 1 VALUATION OF MECHANICAL INSTALLATION
0 GAS D ROOFING D SPECIALTY D OTHER ~
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES
1111.111....'111.........1111.11.1111..........111111..........1111......1111..,1'1111111...'....111.1111111111111...11.......11111.......1111.111
BUILDER
SIGNATURE
Address it., 7 e-l
ELECTRICIAN! 9-,~ ~~ ~---'-'"
SIGNATURE '~/~
Address
COMPANY
REGISTERED
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
Address
OTHER
SIGNATURE
I
COMPANY
REGISTERED
Address
I I I I . , I I , I I I I r , I I I I . . , , I I I I I I I I , I I I I I I , I I I I . . r I I I , .1 I I I I , . , , II I I I I I I I I ~ I I I , , I , I I I I II r , , r I I I I 1 I I I 11 , r , I I I , I I f I I I I I I , , I , , I , I I II , , I I I I I I , r , , I I I I I II I I
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) !'iet of Energy Forms.
Minimum ten (10) working days after submittal dale. Required onsile, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requiremenls must meet compliance.
Attach (2) sets of Engineered Plans.
....PROPERTy SURVEY required for all NEW construction.
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
I ~;;:fel1J.~f!S
License # I
Y/N
Irte
Y/N
FEE CURRENT
Y/N
License # I
/' -
I ~~+I~~ij IYl/-I r
Y I N FEE CURRENT I
License # I
Y/N
~~/
Y I N I
Y/N
FEE CURRENT
License #
YI N
Y/N
FEE CURRENT
License #
1111&111111.1111 ~ .111& 1111111111111111.1111...111.1111. ~ .1.1111111.11111..11111111111111 illlll.llllllllllllll. ~ III i 1I11I11I ill 1II11 I ~ I ~ lilll i i II i i
Directions:
Fill Qut application completely.
Owner & Conlractor 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 lelter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Driveways Fences (PloUSurvey/Footage)
NOTICE OJ: DEED RESTRICTIONS: The undersigned understands that this 'permit may be subject to "deed" restriction~"
, 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 contrador(s) sign
portions of the "contractor Block" of this l:!pplication 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 neW 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 maybe 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 ofoccLipahcy 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 all 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, Aitering
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 of.fill 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 "A" 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 ~i11 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,ccmstruction 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 the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and Will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abahdoned.
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.
FLORIDA JURAT (F.S. 117.03) ,
OWNER OR AGENT ' CONTRACTOR
Subscribed and sworn lo (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this
by by
Who Is/are personally known to me or has/have produced Who Is/are personally known to me or has/have produced
as identification. as Identification.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed. printed or stamped
Name of Nolary typed, printed or stamped