HomeMy WebLinkAbout06-5801
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
5801
Permit Number: 5801
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: 37604 COREY LEWIS AVE LOT 219
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number: 34-25-21-0170-00000-2190
Name: GRAND HORIZON
Address: 7645 GREEN SLOPE DR
ZEPHYRHILLS, FL. 33542
Phone:
-up
MOBILE HOME PLUMBING
PARK FEES MH
FIRE IMPACT FEE
SEWER CONNECTION MOBILE
WATER METER RES 3/4"
IRRIGATION CONNECTION
TRAFFIC IMPACT FEE 1%
H E
40.00 MOBILE HOME ELECTRICAL
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
5.
40.00
254.00
26.35
209.50
180.00
1,572.12
(1~~~tD
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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 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
~~~TURE t'~M~
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
D _ NEW CONSTR CJ
c:v INSTALL CI
PROPOSED USE D SFR D
TYPE OF CONSTRUCTION D BLOCK D
DESCRIPTION OF WORK IlY'ldJJ \(1- -~. se-t Up
BUILDING SIZE 11')1. r; I I SQ FOOTAGE I jr; X> )
1111111111.11..........1111,...11.............1........................1111....1111111111111......11111.11.........1..1...11.....1111...111111111.
D BUILDING 1$ ?h666, c:D
D ELECTRICAL 1$ /C:()6.00
D PLUMBING 1$ 250. DO
D MECHANICAL 1$ J ;60. D0
D GAS D
FINISHED FLOOR ELEVATIONS I
JOB ADDRE
SUBDIVISION
WORK PROPOSED
ADD/ALT
REPAIR
COMM
FRAME
LOT# 12/1 I
-oooco- 2/90
D
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D
). I 7
lOST AINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0
DEMOLIsH
OTHER frv}r')b I ( e _ V1 G}rl..(2j
STEEL D OTHER I
I
I-
I
ROOFING
I
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I
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SPECIALTY D
FLOOD ZONE AREA
HEIGHT I
AMP SERVICE
VALUATION OF TOTAL CONSTRUCTION
W.R.E.C.
D
o
PROGRESS ENERGY
VALUATION OF MECHANICAL INSTALLATION
OTHER
DYES
[bdNo
1111................11...11.........1111...11..........................11111..11111111111.11...11.'11.11111......11111......111111.111....11.11111
BUILDER
SIGNATURE
Address g gc M-I-{<.".I) (L,{ [0/1 e.
ELECTRICIANl r"~_ ~ ~_ --~--'~-~"-
SIGNATURE .
Address
COMPANY
REGISTERED
PLUMBER
SIGNATURE
Address
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Address
I ~f'luivd M f-{S
Y / N I FEE CURRENT I Y / N
License # I
I~Le.
Y/N
FEE CURRENT
Y/N
License # I
I *~~~u{;!ffj
License # I
Y/N
Ilkf /
I Y / N
FEE CURRENT
Y/N
License #
Y/ N
Y/N
FEE CURRENT
License #
I I It. . I , I . I , I I , . I I r I t I I I , I t I I , P , I I . , , I I I I I I , . I I I I I II I I I . , , I I I I I r I I I I I I ~ , r , I I , , , I I I r , I , , I , , , I 1 I I I r , , I I , I I I , r I I I I I I II I I I , , , I I I I , I I I I , I I I I I , r I I . . , I 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 onslte, 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.
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
II' . 111111111. 111I III. I III .. III , I II HI 1111. HI. H ~ .. II . . II , I . I 1111 . . II , . III d I III HI.. 1111 & I1111 H . 1111. .. i I1III11 i I 111111II11I H I II ~ I. i i 111111 Iii
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement Is required. (A1C 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 NC Driveways Fences (Plot/Survey/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 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 accordat Ice with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractC', may be cited for a inisdemeanor violation
under state law. If the owner or intended contractor are uncertain as to Wtl~t licensing reqUirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspectlo'\ Division-Licensing Section at 727-847-
8009. Furthermore, if the oWner has hired a contractor or contractors, he is advised to have the contraclor(s) sign
portions of the "contractor Block" of this application for which they Wilt be responsible. _ If you; as the oWher sign as the
contractor, thatniay be an indication that he is not properly licensed and is h\ ' entitled to permitting privileges in Pasco
County. -
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVEI ,,-Y FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to H '.. construction of new bUildings, chahge of
use in existing buildings, or expansion of existing buildings, as specified in F' asco County Ordinance hUinber 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as nay be due, Wilt be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Rest 'Jrce 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 occUpahcy or
final power release, the fees must be paid prior to permit issuance. Furtherm~ 'e, if Pasco County, Water/Sewer Impact
fees are due, they must be paid prior to.permit issuance In accordance with apph able Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter_713, Florida Statutes," amended.: It valuation of work_is $2,500.00 or more I
certify that I, the applicant, have been provided with a copy of the "Florida :onstruction Lien Law-Homeowne;'s
Protection Guide" prepared by the Florida Department of AgricUlture and Cons' ,ner Affairs. If the applicant is someone
other than the "owner", I certify that I have obtained a copy of the above descr;l .ed 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 tJ'1 application is accurate and_that ail Work
will be done in compliance with all applicable laws regulating construction, zon1lg and land development. Application is
hereby made to obtain a permit to' do work and Installation as indicated. · certify that no work or installation has
commenced prior to issuance of a permit and that all work will be perforlT' ;d to meet standards of a\1 laws regulating
construction, County and City codes, zoning regulations, and land develo~ 'ment regulations in the jurisdictioh. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, ahd that it is
my responsibility to identify what actions I must take to be in compliance. Such agc'ncies 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 permittc ':I.
If the fill material is to be used in Flood Zone · A", it is under~ tood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting wtllch is prepared by a professional engiheer
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 f.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 perinittlng 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 shallbecom8 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, prhlted or stamped
Name of Notary typed, printed or stamped
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REVIEW DATE:
CITY OF ZEPHY II,
BUILDING OFFICIAL
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Ho.lJCEOFCOMMENC~ Rcpt:998595 R ,10 00
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Countyof_ Vt - _ --_____ Dpty Clerk
'T.HE UNDERSIGNED hereby giv8a noIioe t/lel im r n w' . . . _ .
Chapter 713. "'Ql'ida Statutes, Ure Following InfOm~t~pr~.,;ld"~"I'1'~Nto ~f\n rl)a1 properly, 8M 111 aCCordance with
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STATE OF FlORIOUf- (/c\
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*..~. ... MYCOMMISSION'OD513185
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