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HomeMy WebLinkAbout06-5800 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 MOBILE HOME SET-UP 5800 Permit umber: 5800 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: 37538 C REY LEWIS AVE LOT 215 ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: GRAND HORIZONS Parcel Number: 34-25-21-0170-00000-2150 Name: GRAND HORIZON Address: 7645 GREEN SLOPE DR ZEPHYRHILLS, FL. 33542 Phone: ACE AIR CONDITIONING & ELEC. -U MOBILE HOME PLUMBING PARK FEES MH FIRE IMPACT FEE SEWER CONNECTION MOBILE WATER METER RES 3/4" IRRIGATION CONNECTION TRAFFIC IMPACT FEE 1% L 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 35.00 254.00 26.35 209.50 180.00 1,572.12 (,'", f\ \~D (0\ \('\ \ 6le o 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~-~ CONTRACTOR IGNATURE 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 Fee Simple Titleholder Address Date Received Owner's Name i);--/ "/~ I I I LOT# I 2/5 I PARCEL ID#/1L..r25 . 2/ '0/7{) -()CYXx).. ~f5() I (OST AINED FROM PROPERTY TAX NOTICE) SIGN D MOVE 0 Owner Phone Number Owner Phone Number I Owner Phone Numb~r I JOB ADDRESS SUBDIVISION WORK PROPOSED B D D I 'mob j J .e. . ho rY\€; SeT -L( P SQ FOOTAGE I 2-/0 ~ @/ D D NEW CONSTR INSTALL SFR BLOCK ADD/AL T REPAIR COMM FRAME D DEMOLISH IT OTHER I mcbJ le. (,.p~/ D STEEL G--- OTHER .1 I I I PROPOSED USE TYPE OF CONSTRUCTION DESCRIPTION OF WORK BUILDING SIZE 13 1 X (pg I 111...................................,..................,1.,.",1,1.,.........,...."....,.1..,1.........1.,1111",.1,1111',.1""""'11,1""" D BUILDING 1$ J t;/)co/ 00 D ELECTRICAL 1$ !C(}:).0cJ D PLUMBING 1$ l~(). 00 D MECHANICAL 1$ )C>oo. 00 D GAS D FINISHED FLOOR ELEVATIONS I HEIGHT I ROOFING I I I I D I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. VALUATION OF TOTAL CONSTRUCTION VALUATION OF MECHANICAL INSTALLATION SPECIALTY D FLOOD ZONE AREA OTHER DYES lEJNo 1111.,11111111.......",.".,,11111.1.,.1.,.,....1.1,..."...........'.....1...,..11.11,...1...,....1,..1111"r,II...,I...III.,IIIIIIIIIIIIIIIII.1 Address BUILDER SIGNATURE ELECTRICIAN SIGNATURE Address PLUMBER SIGNATURE !~~ Address ~I~~~I~:L!~ Address . OTHER I SIGNATURE Address I ) :::- RESIDENTIAL I II' , f f 1 , , I' . II , f , I t r I I . I I I I . I , I , 1 , I' , , I' , I . I f I' . I" , , I ' , II , , , II , , II , 1 ~ I , , I I I II I , , II , , , I I' I , , II , I 1 , III I , I , r , r I , I I , I , . , I I I , III , , I I , I I I r I r I , , I I I IIII COMMERCIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onsile, 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 on site, 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. SIGN PERMIT I , ~ . II J . II ~ I II , 1 I , 1II11III1 ~ I III . . II & . II ~ . I & . II, III & II. o. III1I 11111,. . II'. II. II j IIII , III' i it'. II, I. , I ~ I . III. III' , J I ~ I I . II ~ . II. , . III I I ~ , . I i 11111. I ~ ~ Directions: Fill Qut 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 Attomey (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 NC Driveways Fences (PloUSurvey/Footage) 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 forconipliance 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 oWher sign as the contractor, that may be an indication that he is not properly licensed and is hot 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, \NiII 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 ail 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 ho 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 hot 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, VVetland 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 "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 hot 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 perniitting 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 specificaily 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 pernilt 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) daysand 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 Subscribed and sworn to (or affirmed) before me this by . Who is/are personally known to me or has/have produced as identification. CONTRACTOR Subscrlbed 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 I 100 r CA5c/f1t:V T L ~ r c2.15- 37">33 GRAAJ d I - rl 1< I t:,O 3t' jJ1~~/t.C ;;-"", €i 3( X 6' . 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(/) ::J> (/)(/) .....> 2-0. ro.o. 3~ ~'~ .ow !9ro 0:;:: 0.._ _c rnW _'0 u<= <l>(l) cO. c<D 0-0 ()~ ro 1:5 w c ,... (5 o 1/111111111111111111111111111111 1111I11I111111111I11111I1111 2006100453 NoTICE OF COMMENCEMeNT Rcpl : 998595 Rec: 10.00 M . 0.00 IT: 0.00 ~~'116/06 _______ Dpty Clerk Coun~ of ~J [' b 'THE UNDERSIGNED hereby giveI' norjee Iho:11 im r 1" . -_. Chapter 713. f-lorj<ja StMutes, tile roIJowjng 'nfom~~p'r~::~~' ~~Nto ~ln mal prop(tn)-, ana in accordance with - ,., .... In ""15 Olrce 01 Commef)c"'lTIenJ; 1. Description of Property: Parcel No_ ~ L1 2S '2-1 ~ ()~_ 70 j.DO 06 Q -2i 3d ~-I:gp. JED PITTMAN, PASC01COUNT1Y CLERK 05/16/06 10:36am of - {l f~~ - .' OR BK 6989 PG 1951 Owner Illf~ation: _ Nam.o uvaf10. v7 z.c; Y} 2!!.'1~ (l(~I.<: ~fbjyhdlr _f! !}5rJ imere$r In Property: --/3 ?J5lF7 { .-Li..t!f:' <t; w >- u.. ~ .... ~ 1i!:E 0 ex: (.!)z(/) >- ~ ZO(/) < u ~__~jl~O ~ ~ Srattr fi? =:J w (.,) ~ wg~ ~!::: ~ol:t ~ a I-l:l:!O:z: a: <t; I- CI) I- (\j _ <{ 0 :z: u.. :r -' U wvJ:o.....~ ~ ;;::cn!:!::it~(/) lle.1 1-4___ I- 0 0 A<!aI~"" Chlr Simc 0--- IE c.;J ex: ;i ....jQ.c.;JI-O- Persons within the Slale of Florida designaled by Owner upon whom notices or other doclJment$ may ~ ~ ~ ~ as provided by Section 713. 13(1)(a)(7). Florida Slalules: 0 >- ~ 15 ~ 0 1-~c.;Jiilo WZ~~ir?~ I::: ~ < u.. 0 ~O ~02: ~ a: a: < ~ I-O:z: state of _f~ fori/del 2_ ~'--- ll.eoll ~ of.oe prOJ>efly t!lI1d WM' _'5$ If ~~~I&D/el ~a1 Description of Improvement 1'11:1 hi-II hcY/i f!-, 3. Name of F<le Simple Titleholder: ("....ll1Bn _r) R ==- ~0acm &{{;!d:~- L'#f}6 . hHcA ill Lv 11 f _ c-. 'l:Jy h /lfJ Surety: Name Slife -4. 5. A.ldoe$$ CiI) Amount of Bond; S 6. Lend~r: Naffiil 7. Name Add-%~ City B. In addition 10 him&elf. Owner d~ignates of Notice a~ provided 1/1 Sec..'tion 713_13("1)(b}, Florld>1 Stall_lle(l. 9. Explralion date of ~ of Commencement is 0118 year from lhe dale of recording unle$$ a different dare r,; specified. to nMe~ 8 copy Olltwl UElnOl's 5 /5'- {j 10 D;>,* STATE OF FLORIDA i-d \( /1 COUNTY O~ r tJJ (--, ~ lhe orli'going ill(ltr lei [~OWI,d9fl be,.,/(! me the .. ....~~~~.e.~1 known 10 me or wtto has pr~~~ Seal: ";;>'\~~.:~.(t> ROBERTA BUTTERFIELD *..~ * MY COMMISSION' 00 513185 ~~,.. EXPIRES: March 10,2010 'f'tOFF'-~<J Bonded Thill Budget Notary Services /Slh t~/jV)4 q 2dJ ~ (oale). by (name of persC)r{,cknowfedgIOQ), who is personally (type.of identification) as identification. -.2rL "'\ d~JlX053048 >- co ~~~ ~ (1 ;0 Z -1 en (JJ s: ::00 ~ :I: m en c :I: m )> m:E :I: m > );i :II C ..., '0 ::I m 0 0 Z -1 ::0 F Zz ""'t fb'5'~ .~~ :II ^ '!: F 0 0 < Z -1m m ~:1'"-::!" 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