HomeMy WebLinkAbout06-5799
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
5799
35,000.00
5/17/2006
4,442.58
4,442.58
5/17/2006
MOBILE HOME SETUP
Address: 37642 GILL AVE LOT 264
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number: 34-25-21-0170-00000-2640
Name: GRAND HORIZON
Address: 7645 GREEN SLOPE DR
ZEPHYRHILLS, FL. 33542
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:
5799
MOBILE HOME
MOBILE HOME SET-UP
MOBILE HOME SUBDIVISION
Phone:
MOBILE HOME PLUMBING
PARK FEES MH
FIRE IMPACT FEE
SEWER CONNECTION MOBILE
WATER METER RES 3/4"
IRRIGATION CONNECTION
TRAFFIC IMPACT FEE 1%
EEL
40.00 MOBILE HOME MECHANICAL
573.73 POLICE IMPACT FEE
273.00 PUBLIC SAFETY 5%
808.00 WATER CONNECTION MOBILE He
180.00 IRRIGATION METER
175.00 TRAFFIC IMPACT FEE 99%
15.88
. 0
35.00
254.00
26.35
209.50
180,00
1,572.12
( . \"0
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(gi 0 f.L
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
~~-Z! ~~
CONTRACTO~GNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813~780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received 5-)
Owner's Name Gyq C ~-Z '')VJ
Owner's Address 17 u if S &e~r) ~ lotx'../ (Jy') / €-,/
Fee Simple Titleholder NamJ
Fee Simple Titleholder Address I
13-7 hL/2. Cd! A ve-
I GVOrid HOYt26h I
D" NEW CONSTR c=J
CLr INSTALL D
PROPOSED USE D SFR 0
TYPE OF CONSTRUCTION D BLOCK 0
DESCRIPTION OF WORK I m O\] i \e \" () \tY) e, ~ e -+ -\..l ~
BUILDING SIZE I '2> " x. 5 -, I sa FOOTAGE I 17 Co 7
,....,11,..,.,1111111,.,...........,11..,........".......,.............,..,11111111111."....11111111.1,...'.1111111111111111111,...1111111111111
D BUILDING 1$ 35000,c> ~
D ELECTRICAL 1$ j f::f::D ,C> 0
D PLUMBING 1$ 2;0, cO
D MECHANICAL 1$ IWQ, ()C>
DGAS D
FINISHED FLOOR ELEVATIONS I
I LOT # 12&1'
PARCELID#13Lj-2-S~ 2J -Or76 -OQOCO-2&/16
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0
D
G
D
DEMOLISH
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
ADD/AL T
REPAIR
COMM
FRAME
OTHER
STEEL
I mOD l-'-e hoY1-\ <---
D OTHERI
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HEIGHT I
ROOFING
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AMP SERVICE
o
PROGRESS ENERGY
D
W.R.E.C.
VALUATION OF TOTAL CONSTRUCTION
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY D
FLOOD ZONEAREA
OTHER
DYES
C~Z:rNO
1,.......,..,..,.".111111,...,1111,............,1"'11,.,.....,1111111111111111111111111111111111111111..1111111111111111111111"'1111'111"11111
BUILDER
SIGNATURE
Address (). -f -{ ~ ~, it
::C;;;:~~;N!. ~~/
Address ,
I Bf-t,fd,f)eJd /Vl (-Is Y/N
Y I N I FEE CURRENT I
License # I
COMPANY l!fre
REGISTERED Y I N FEE CURRENT Y/N
License # I
I Er/e-/e{1dd IV! (~j Y/N
Y I N FEE CURRENT
License # I
COMPANY I~c~
REGISTERED Y/N FEE CURRENT Y/N
License #
COMPANY
REGISTERED Y I N FEE CURRENT Y/N
License #
PLUMBER
SIGNATURE ~A-
Address .. gc 86 -I-:/p./, of 1- /)
~~~:::~F~\--)
OTHER I
SIGNATURE
Address I
RESIDENTIAL
I . , , , , 1 t I I 1 , I I I I I , I I I I r I I I I I I I I 1 1 , I I I 1 , r I I . I 1 I I . 1 , fl I I , 1 , , I I I I , , , I I I I , ~ 1 r I 1 . , , , , I 1 , 1 , , , , I I , I I I I , r I I I I , , I I . 'ff , I I I 1 I 1 1 . 1 I I I I II , I I I I I 1 I I I 1 I I I I I I I I I I
COMMERCIAL
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 requiremenls must meet compliance.
Attach (2) sets of Engineered Plans,
....PROPERTY SURVEY required for all NEW construction,
SIGN PERMIT
II ~ , IIII1I , ~ , I ~ I ~ III . I I ~ II. I 1III1II ~ . . 111I ~ . II . . ~ I j ~ . I..~ I . I . I I. I ~ ~ . . 11II . 1111. I1I1IIII ~ ~ j i II J ~ I 11111. ~ . III i j I , III j ~ ~ 11III ~ J I1IIII , II i 11111111111 i i
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 conlractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner aulhorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades NC Driveways Fences (PloUSurvey/Footage)
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this perr nit may be subject to "deed" restrictions"
, which may be more restrictive than County regulations. The undersigned assum I'lS 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 aCcOrdan<''' with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor r ay be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what ,icensing reqUirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspectl n Division-Licensing Section at ri.t-847-
8009. Furthermore, If the oWner has hired a contractor or contractors, he is advised to have. the contrador(s) sign
portions of the "c;:ontractor Block" of this application for which they Will be re~ ponsible., If you; as the oWner sign as the
contractor, that may be an indication that he is not properly licensed and Is ! ,ot ef1titled to permitting privileges in Pasco
County. ' ,. .
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVE r{y FEES: The undersigned understahds
that iransportation,lmpact Fees and Recourse Recovery Fees may apply.to thf construction of hew buildings, change of
use in existing buildings; or expansion of existing buildings, as specified In Pa! ~o County Ordinance humber 89-07 and
90-07, as amended. The undersigned also understands; that auch fees, as m Y,be due, iNiII be identified at the time of
permitting, It Is further understood that Transportation Impact Fees and ResOl 'ce Recovery Fees must be paid prior to
. receiving a "certificate of occupancy" or final poWer release. If the projtct dO'" i not ,involve a certificate of occLipahcy or
filial power release, the fees must be paid prior to permit issuance. ~ 10' ej if Pasco County Water/SeWer Impact
fees are due, they must be paid prior topermit issuance In accordaAM wfth r ",pfl :able Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amend81"): ' valuation of work, is $2,500.00 or more, I
certify that I, the applicant, have been provided wtth a copy of the -Floric] Construction lien Law-Homeowner's
Protection Guide" prepared by the Florida Department of AgricUlture and Con! Jme.r Affairs. If the applicant is someone
other than the "owner", I certify that I have obtained a copy of the above descril !d 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 tb 3 application is accurate and that ail Work
will be done in compliance with all applicable laws regulating construction, Zl ling and land developlllent.Application is
hereby made to obtain a permit to. do work and installation as indicated. I certify that ho work or installation has
commenced prior to issuance of a permit and that all work will be perform<~d f(, meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land develop me' It regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies me apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. SUet :1gencies include but are not limited to:
_ Department of Environmental Protection-Cypress Bayheads, WE 'lnd Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Southwest Florida Water Management District-Wells, C1Pr' is Bayheads, VVetland Areas, Aitering
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmenbil1 t-f :alth 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 perrr ,tted.
If the fill m~terial is to b.e used in .Flood Z.one "A", it ~s. under.stood that a drainage plan addressing a
"compensating volume" Will be submitted at time of permitting whlcb 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 rermitted 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 hot, advetselyaffect adjacent
properties. If use of ~i11 is found to adversely affect adjacent properti~s the owner may be cited for violating
the conditions of the building permit issued under the attached permll application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is requ ired.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the OW'ler 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 installationsn'Jl specificaily included in the application. A
permit issued shall be construed to be a license to proceed with the work ~\ nd 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 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 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.
FLORIDA JURAT (F,S. 117.03)
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who is/are personally known to me or has/have produced
as identification.
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
by
Who is/are personally known to me or has/have produced
as Identification.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
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05/16/06 10: 36am 1 of 1
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