HomeMy WebLinkAbout07-6399
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
6399
Permit Number: 6399
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: 1/29/2007
Total Fees: 4,442.58
Amount Paid: 4,442.58
Date Paid: 1/29/2007
Work Desc: MOBILE HOME SETUP
Address: 37153 NEUKOM AVE LOT 338
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number: 34-25-21--0180-00000-338
Name: GRAND HORIZONS
Address: 7645 GREEN SLOPE DR LOT 338
ZEPHYRHILLS, FL. 33542
Phone:
ACE REFRIGERATION INC
ACE AIR CONDITIONING & ELEC.
MOBILE HOME PLUMBING
SEWER CONNECTION MOBILE
WATER METER RES 3/4"
IRRIGATION CONNECTION
TRAFFIC IMPACT FEE 1%
PUBLIC SAFETY 5%
POLICE IMPACT FEE
ILE
40.00 MOBILE HOME MECHANICAL
808.00 WATER CONNECTION MOBILE HC
180.00 IRRIGATION METER
175.00 TRAFFIC IMPACT FEE 99%
15.88 PARK FEES MH
26.35 FIRE IMPACT FEE
254.00
40.00
35.00
209.50
180.00
1,572.12
573.73
273.00
MOBILE HOME ELECTRIC
MOBILE HOME AlC
MOBILE HOME PLUMBING_
FINAL
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
p~~"... ~~
CONT RS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
reV"-O 1,)-/9.WUUL \
Date Received
')V I ZOt\
G'feU\'S \()?(? ~ Dr-; ",(7,
Owner Phone Number
Owner Phone Number I
Owner Phone Number I . /-j-R
Ave- 9f\~~r LO" 133'25 I
PARCElID#1 '321, 2-5 - '2) - OI~O - 00000 '-33~O I
(OBTAINED FROM PROPERTY TAX NOTICE)
o SIGN D MOVE 0
o
o
Owner's Name
Owner's Address 17 {() y C;
Fee Simple Titleholder Namel
JOB ADDRESS
Fee Simple Titleholder Address I
1~1153 NeLA ~Ot'Y1
I GyrO r)d~ () ( , Let) \
I
D NEW CONSTR E3 ADD/ALT
1XI INSTALL REPAIR
PROPOSED USE 0 SFR D COMM
TYPE OF CO~STRUCTION 0 BLOCK D FRAME
DESCRIPTION OF WORK I mOb)' \ E:.- h a VY'eJI t1 ') t cd \
BUilDING SIZE 11- 1 K c; tLJ ISQ FOOTAGE I J 5/2- I HEIGHT I . I
11.1.1111 III""" II" 11.1:. III ~-:.. ~,.. I..' I" II"" II' 11111" I. I" II..... III' II.,.. I.... 1.11...... 11'1" I.... 1.11..... 11111'" II' 11111..... I I."
D BUILDING 1$ 351 OW, 0 () VALUATION OF TOTAL CONSTRUCTION
D ELECTRICAL 1$ 6 DO . c) 0 AMP SERVICE D PROGRESS ENERGY
D PLUMBING 1$ 250.00
D MECHANICAL 1$ J) ODD . ~ cl
D GAS 0 ROOFING
FINISHED FLOOR ELEVATIONS I
SUBDlVISIO~
WORK PROPOSED
DEMOLISH
OTHER I Yil ObI \ e... '')OWl e.
STEEL D OTHER I
D
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
t I , , t , , , I I I I I , I , , , ~ . I . t , I , . I I , I I I I , I , t . t , I , I I I I I I I , I , , , , , I I , , . I I I I , , . I , I , , , I I I I t I . . I I , . I , . . I I I , , , I I . , , . . I I I I , . . , , , . , I I , . . , , , . . I I , , . I I I , , . , . I I , f I I I
D
I
SPECIALTY 0
FLOOD ZONE AREA
OTHER
DYES
DNO
COMPANY
REGISTERED
License #
COMPANY
REGISTERED
COMPANY
REGISTERED
License #
COMPANY
REGISTERED
License #
COMPANY
REGISTERED
Y I N FEE CURRENT
YIN
IIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111111111111111111111111111111111111111111111' 11111' 1I11111111111111111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Stormwater Plans wI Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onslle, Construction Plans, Stormwater Plans wI Slit Fence Installed,
. Sanitary Facllitles & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGti PERMIT Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for ail NEW construction.
III , ! 111111I1 , 1111 , 1111'11111111 ! 111111 , 111111111111111111111111111 , 1111 , 11111111111111111111111111111111111111111111111111 i 1111111111111 j II111 j II
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 contractor) or Power of Attorney (for the owner) would be someone with notarized letter from oWner authorizing same
OVER HIE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades NC Fences (Plol/Survey/Footage)
License #
Driveways-Not over Counter if on public roadways..needs ROW
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 compiiance 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 noflicensed as required by law, both the owner and contractor may be cited for a misdemeahor 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 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 number 89-07 ahd
90-07, as amended. The undersigned also understands, that such fees, as may be 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 of occupancy 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 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; 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 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 usihg 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 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 thah 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 hot. specifically included in the application. A
permit issued shall be construed to be a license to proce?d with the worka~d not as authori~Y~o Violat~, cancet 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 Officia! for a period not t~ exceed nin~ty \90) da~s and will demonstrate
justifiable cause for the extension. If work ceases for mnety (90) consecutive days, the Job IS considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT INYOUR
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 haslhave produced
as Identification.
Notary Public
Notary Public
Commission No.
,~~~-rM~ft:-. JA UELlNE SaGES
n Nq:.:~.:*~ Commil::~on 00 621833
"~*'.....i~l Expires December 12, 2010
",'lfu'ft\'" Bonded Thru Troy Fain Insurance AIV'I.........7n1Q
Name of Notary typed, printed or stamped
Name of Notary typed. printed or stamped
111111111111111111111I11111111111111111111111111111111111111
2007012446
HOTICE OF COMMeNCEMENT Rcpt: 1067304 Rec: 10.00
DS: 0.00 IT: 0.00
T) 01/23/07 Dpty Clerk
Counl)' ot _~ as cO
EHE UNDERSIGNED hereby giltes notioe lhal im rOllt!men . , . _ ,
Chapler 713. "'QrK1a $taMes ItIe toIIowing Infom:lion is Pr1to~~~' ~Nto ~ncl\n 1'331 pro~r1)', and.n accordance wilh
' ~"'''''' 11'1 ~'IS ollCe 01 Commen~nr;
1. Deseriplion of Property: Parcel No. 2!1 - 25.- 2 I -Cf&J r ()()O 00 - 3 B 2C)
state of -fbtJ d ut
2.
(Lc,QilI4eoal>lior> of-" p~ ;ond WMI -.us" b"~el
GilIleraJ Description of Improvemem . VY) () b " \e
\r) 0)YJe set -ll-tL-___
..-----
3. ~erlnfOnnation: Nao1l3GY'{lVl'\ \,-\OnzoY\ ~~S-..-
. 7(~lc; Gef',,'<I_.~ . l)Yi<& ~2q),~Yhi\\:'iFL :<.3SLJ}
Add,"" l...~ Cil)o \ , _ $_ (
interest III Property:
~~92~~~~MAlg: r~:;o fOUNT:, C'iERt<
OR Bt< 7357 PG 1666
N81T1Q of F~ Simple Titleholder:
II1....tlJsfl_r)
.~...
1:\___-~
fit:1
AGdre$& ;:qy--__
Comrador: Narne~C 0u-HF,,r~A
8?J (',rill-B~ ~\~\:\
Surety: Name
Slate
fD32i2--
S""c
5.
~6
CiI,
Sraee -
Amount of Sond: S
6. lend~r: N8IDil
AOOffta
C<'ty
SllsI<:
7. Persoos Wllhin the Slall:! of Florida designated by ()l....ner upon whom notices or olt1er documente may be served
as pro\lided by Seclion 71 3. 13(1)(a)(7), Florida S1atlJles:
Na/lle
~i~
City
~~-
8,
In eddilion 10 hilTl5clf. Owrler d~nates
of
NoI;~.(I" providecllll ~'1i!'ln 713,13('1)(bl, Florida Sla'l,de!;l.
to reoeive 8 copy Olllle Uenor'Il
9.
Expiration date of Notlce (Jf Commencemenr is ooe year from the date of recofdlng ~ a different dab:: i:.
6pecified.
~A.Q~
1-22. 01
o;;>~
STATEOFFLORIQAUr.r, ~
COUNTYOr:~
.. befo", m.'" 3;;)..) ~ ~c200 ]_,..,
(name 0 on Elnowledgl J. who i& personally
. . .~ . ;- ~ of j~},tion) 83 identilication,
~~~..-
NOTARY
UZ..~Oi~lefll~nO e
.l'lt . )...-L~
known 10 me or wtto has pt'OOuc:ed
$eel:
.p'~.~~'<t. TONI SCHMIDT
*.. '.,. MY COMMISSION' 00 616391
EXPIRES: November 20, 2010
"". fi)r
~~~ OF f\..dI' Bonded Thru Bodget Notary Servtces
dvJt>C05304ll
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BUILDfNG SHALL COMPLY WITH
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PERFORMANCE BUSINESS PRODUCTS. INC. 813-71ll-8OO8 FAX 813-719-7919
CITY OF ZEPHYRHILLS
ZEPHVRHllLS, FLORIDA
WATER ACCT. NO.
DATE -.1l a'1 /0'7
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INSTALL METER 0/
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o SEWER
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-L No. OF UNITS
_ DEPOSIT AMOUNT
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_ DATE
_ MISC. CHARGE
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WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
ORDER GIVEN BY
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PERFORMANCE BUSINESS PRODUCTS. INC. 813-7111-aoos FAX 813-7111-111111
CITY OF ZEPHYRHILLS
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WATER ACCT. NO.
DATE 1/ 20t I c:> 7
OWNER/
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INSTALL METER U)/'
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_ DATE
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WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
Retain white form in office at all times.
Send pink & yellow forms to Water Service Dept.
Water Service Dept. to sign yellow form & return to office.
ORDER GIVEN BY
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