HomeMy WebLinkAbout06-5871
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
5871
Permit umber: 5871
Permit Type: MOBILE HOME
Class of Work: MOBILE HOME SET-UP
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 37,750.00
Date Issued: 6/15/2006
Total Fees: 4,442.58
Amount Paid: 4,442.58
Date Paid: 6/15/2006
Work Desc: MOBILE HOME SETUP
Address: 37649 GILL AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number: 34-25-21-0170-00000-2920
Name:
Address:
GRAND HORIZON
37649 GILL AVE
ZEPHYRHILLS, FL. 33542
813782-1866
Phone:
M
ACE AIR CONDITIONING & ELEC.
B
MOBILE HOME PLUMBING
PARK FEES MH
FIRE IMPACT FEE
SEWER CONNECTION MOBILE
WATER METER RES 3/4"
IRRIGATION CONNECTION
TRAFFIC IMPACT FEE 1%
H ME
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
40.00
254.00
26.35
209.50
180.00
1,572.12
REINSPECTION 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
~,~ ~.
C6NT~C ;S SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
U I...r, uv-vv..c..v
'-'ILY UI LoOPIl] 111111<> , 01l1l1L "PPIIVULlVII
Building Department
Date Received
lo
srI'
Owner's Name
Owner Phone Number &J 3' 72" - 12 ~
JOB ADDRESS
( o(iz,DY)
Owner's Address 1-;&/15 Gree..n S \Dpe." Dn /.L
Fee Simple Titleholder NamJ
Fee Simple Titleholder Address I ~ / ~I..{q G/J J A /'e
131 (p L/q Gill Ave,
I GrOinol HoyfLO()
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~ LOT# ~qL~,q~1
PARCEL ID#13~-ZS'2) rOJ70 "00000" zq I () I
(OBTAINED FROM PROPERTY TAX NOnCE)
D SIGN 0 MOVE 0
D
D
Owner Phone Number I
Owner Phone Numb~r I
I
D NEW CONSTR D ADD/All
[\Z] INSTALL D REPAIR
PROPOSED USE D SFR D COMM
TYPE OF CONSTRUCTION D BLOCK D FRAME
DESCRIPTION O'WORK ~ot'>tt- S, ef-'^--D
BUILDING SIZE I B J X& 2 I SQFOOTAGE 12 /()<!g HEIGHT I
111.....1111111.1....11.1....1.11......................1....111...1....1,..11.1,............111.1............1,1...11..........,...1....,....1.,11
SUBDIVISION
DEMOliSH
WORK PROPOSED
OTHER
STEEL
ImOl:?J \l.hOIke.
o OTHER I
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0 BUILDING I~~oo. 00 I VALUATION OF TOTAL CONSTRUCTION
0 ELECTRICAL 1$ 4600.00 I AMP SERVICE D PROGRESS ENERGY D W.R.E.C.
0 PLUMBING 1$ zt;D 0 D I
D MECHANICAL 1$ 16DD . 00 1 VALUATION OF MECHANICAL INSTALLATION
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
1...1111.11..1.1..11.1...111111.,.,..1111111....11,.1,.......................'11.11,..1'111.11.1111111...........,11111........111.....,.1..11'111
BUILDER
SIGNATURE
Address
~~;::~~:N~~
Address ~
:~~::~':.E ~
Address
~I~~~';':,I;:L~
Address ~.
OTHER I
SIGNATURE
Address I
11111'11"'11111""11'111111111111111111111111"1111111111.'."111'111'11'1111111"1"1"11"1111"'111"111111111'.1.""1111'111111111"'111111
RESIDENTIAL
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.
COMMERCIAL
SIGN PERMIT
II & . I IIII j i III111I11III J J I IIIII J J 1 I IIIII ~ I . 1111. . . 11111". . I I I . III , I , ~ . . . I . IIII L . . III1III1IIIII111 i III . I I III i ~ I ~ ~ I i Ii 1111111. I. I . IIIII j . ~ i i IIII i ~ I ~ i
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\J~dersigned understands that this permit may be subject to "d~ed" restrictions"
, which may be mor~ 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 l:jtate and local i'e~ulations.lf 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 aqvised to- have the contractor(s) sign
portion~ of the "contractor Block" of this ~pplication for Which they will 'be responsible. ,'If '100; as the oWner sign as the
contractor: that may be an indication that he is not properly licensed and is not entitled to l\lerlTlittingprivileges in Pasco
County.
TRANSpdRTATION IMPA'C:rIUTII..ITIES IMPACT\ AND RESOURCE RECOVERY FEES: The undersigned Understands
that Transportation Impact Fees ana Recourse Recovery Fees may apply to the construction -of' heW bUildings, chahge of
use in existing buildings; or expansion of existing buildings, as specified in Pasco County Ordinance hLlmber 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 hot involve a certificate of occupancy or
filial 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 Statu~es, as amended): If valuation ~f .,.,o~k!s $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 applicatioh is accurate and,that all Work
will be done in compliance with all applicable laws regulating construction, zoning and land developrnent.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 l'lOt, advei's~ly 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 ~nstallations not specifically in~luded. in the application., A
permit issued shall be construed to be a license, to proceed With the work a~d not as authorl~ ~o vlol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the BUilding OffiCial from the~eaft~r
requiring a correction of errors in plans,construction or violat~o~s o~ any codes. Every ~ermit 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 commence~: An extension
may be requested, in writing, from the Building Official for a period not t~ exceed nln~ty (.90.) darsand 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 o.BTAIN 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 haslhave produced
as identification.
CONTRACTOR '
Subscribed and swam to (IJr affirmed) before me this
by
Who Is/are personally known to me or haslhave produced
as identification.
Notary Public
Nolary Public
Commission No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
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FAX#: 7~7-815.7000 FAX if: 813-780-0021 :
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DATE: ~ (.,-11..{ -Oee, # OF PAGES: :
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MESSAGE: We have'two permits in our office. Each permit co'Vers two lots. Since they :
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will be combin#lg the two lots to make one lot we need to eliminate one lot/pared id. \
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JUN-:l4-2006 16: 52
PA~CO COUNTY DEU REUIEW
727 815 7000
City of Ze~~yrhills - BuilQipg Dept
Phone: (813)-78Q..0020
,.
-FAX: (813)-780~P021
Keel) Parcell1otl~ddress
37649 Gill Aveiilot 292
,',
Parcel-34-25~1-0170-00000-292o.
ide
Comb'
37641 Gjll A'11 L t 291
Parcel-3 -25-21-0170-00000-2910
37611 Lilly Be~ Ave Lot 257
..
Parcel.34-2S~~1-0170-0eOOo-2570
37623 Lilly ea~ e Lot 258
Pare 1-34-25 1-0170-00000-2580
Any problems 9r questions, ph~ase let.~ know. Thank you_._u
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NoTICE OF COMMENCElePAT
Counry of ---I1l5 { ()
tHE UNDERSIGNED hereby gilles norioe lhat it, . , .
CnaptPJ 713. "'Qrj.ja Statutes, 1l1e following Infom~:'=r:~to~~~' ~~~ ::-i:na1n f6al prO~Ily, end in accordance with
~ r" "",,,..,n u,I!! '.....tlce at COIllIllef)Ct!JrTlent:
}, DesenPlionotPro~rty: Parcel No. ~~ - 25 -2) - .6170 - 00 000 ~q 10
. . 3Y -is -21 -0/7Q-OOC>OD - 2920
(l.<:glJl ~ of'" Pl'Ol>et1y and WtMI _$$ If ;V~lIrfel ",. ,. ,
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---
/111I1111111 1111I111111111I111I111111111111111111111111I1111
2006114022
3.
~er Infolmation: Nl'IlJhW G ('avid
Jf!l/5 Grten5}O-fe.
imere$t III Property:
tJ3~ J
(;1_
Rcpt: 1003982 Rec: 10.00
OS: 0.00 IT: 0.00
06/05/06 Dpty Clerk
Naill'! of F~ Simple TtrlslOlder:
(If....... tIJsn _r)
Slllre
-k~
fi.31QL Z
S..e
5. Surety: Name
A.ldo-ei&
Cil)o
Amount of Bond: S
SC8ttr -
JED PITTMAN. PASCO COUNTY CLERK
06/05/06 11: 41am 1 of 1
OR BK 7019 PG 1714
6.
LeMar: Na~
A<Nr...~
Cil)
SIDle
7. Persons within the Slate of Florida t1l!$ignaled by ()..Wler upon whQm notices o( other documents may be ;;e"'ed
as pro'lided by Secrioo 713, 13(1)(a)(7). Florida Statutes:
Name
Ad"w~
CIty
5"'1".-
B.
In addition 10 hiIntidt. 0IA.tler ~
of
NoI;OO) <15 providea In Se<..'1ion 713.13('1 )(b" Florida Slah,Jlf.!3.
to reQ!ive ., copy oj the Lienor's
9,
expiration date of No1Ic..l 01 Commencernenr is 00& year from tile dale of (ec<<dlng unIeG$ a difTereot dare i8
specified.
~ gD Z41t.
;>'* /
STAT F FLO~ to
COUNTY Or:
~~r~Oing in~ll was ~edkkbefl)re me the
\'--.K ~<..k,- ~-- Q.. '€ '("1
known IQ me or who has produced
(t?~~.Q,,,.Q~
(dale). by
(name of perscn ackllO\Nl.Qdglng). who ili personally
(type of identification) as idenlillcation.
Sf>~: +()~~;.v.;~"'t. ROBERTA BUTrERFlELD
*..~ . MY COMMISSION' DD 513185
"'~.. EXPIRES: March 10, 2O~O
dvJt>Ql53048 -;...~ OF Fl~~ Bonded Thru BucIget Notify Services
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PASCO COUNTY, FLORIDA
Permit No.
Date Permitted
J3uilder Name/Owner Name G-(la..-D ~~1::Jx"--/ &J\.(1ltf \~ Control # ~
County Pafcel No. 3Lf ~ L~ - 2.\ :.. Ol'10 - 0n000-29'20 SubDiv: GrAr-Jt) ~~~
I
Address/Location 31.k19 G-i , I AVe
ClassificationlType of Us~ H~ Ie W~-e. ~-t-u.f I ~~E ~c...--.:..\ to
TRANSPORTATION IMPACT FEE, Rate: Sq Ft Unit:
Exempt 0 Ves U2tNO How DEltermlned
Impact Fee Amount $ I,~~r .o;;r~ Zone No.
~~ll
~1/~/6k
TAZ:
SCHOOL IMPACT FE.E
Account (056) Single-Family Detached House
(057) Mobile Home
(058) Other Residential
J123) Collection Fee
Exempt JMl Yes 0 No How Determln~d
Amount $
PARKS AND' RECREATION FEE
Land AoeeUf-l ' Land Credit
land Total .
Recreation Account
~ ~ . R~creatlon Total
. TOT~
How Determined -.
Zone
Exempt 0 Ves 0 No
L1BRAR~.__
Land Account
Facility Account
Facility Credit
land Total
Facility Total
Exempt 0 Ves 0 No
How Determined
c-__..
RESOURCE FEE
TOTAL AMOUNT
, ERU
-----------=
Prepared By ~
Checked By
NO C!:RTIFICATE OF OCCUPANCY WILL aE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMO~NTS LISTED HAVE
BEEN PAID ANQ
RECEIPTEO FOR PY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
Acknowledgement below does not Imply accep~al1ce of conc!lrrence, but simply receipt of a copy of thll? form, placing
the building permit owner on notice of this assessment a'1d thE! conditions of payment for same.
PATE
RECEIPT NO.
RECEIVED BY
DATE
BY
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