HomeMy WebLinkAbout07-6404
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
6404
Permit Number: 6404
Permit Type: MOBILE HOME
Class of Work: MOBILE HOME SET-UP
Proposed Use: MOBILE HOME SUBDIVISION
Square Feet:
Est. Value:
Improv. Cost: 45,000.00
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: 37201 NEUKOM AVE LOT 337
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number: 34-25-21-0180-00000-3370
Name: GRAND HORIZONS
Address: 7645 GREEN SLOPE DR LOT 337
ZEPHYRHILLS, FL. 33542
Phone:
ME
ACE REFRIGERATION INC
ACE AIR CONDITIONING & ELEC.
T-U
MOBILE HOME PLUMBING
SEWER CONNECTION MOBILE
WATER METER RES 3/4"
IRRIGATION CONNECTION
TRAFFIC IMPACT FEE 1%
FIRE IMPACT FEE
PUBLIC SAFETY 5%
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
273.00 POLICE IMPACT FEE
26.35
35.00
209.50
180.00
1,572.12
573.73
254.00
/' \, 'IL
0~\i\o1
MOBILE HOME ELECTRIC
MOBILE HOME NC
MOBILE HOME PLUMBING_
FINAL
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
- ~.
SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
ContractorlHomeowner:
bY- ~ \-\D< l7 .c.r-6'I
Date Received:
\-"d-3-07
Site:
37a.o\ ~.Q.uk~ p...~.g, 337
Permit Type: rl!nO; l 0- I.-\-Oyy"\.o_
Approved wino comments: d Approved withe below comments: 0
Denied withe below comments: 0
This comment sheet shall be kept with the permit and/or plans.
Contractor and/or Homeowner
(Required when comments are present)
813-780-0020
City of Zephyrhills Permit ApplicatiOn
Building Department
,C1l\-O I,.:>,-(OU-UU'; \
Date Received
Owner's Name
Owner's Address
Fee Simple Titleholder Namel
Owner Phone Number
Owner Phone Number I
Owner phone Number I
I
E3
D
D
YYlObi k hom e.,
ISQ FOOTAGE I J Lf ?? g
liJ
PROPOSED USE D
TYPE OF CO~STRUCTION D
DESCRIPTION OF WORK I hl:.to..\ I
BUILDING SIZE I 3 / X 4 3
11...,..11.,....""11.."111.....'.....,......11"'11....11'.........,.......11'1111...11.....'....'...11"1111...'11111111111111111'11..11...111
D BUILDING I$L/~ooo.() b I
D ELECTRICAL 1$ 2 r;o. 0 () 1
D PLUMBING 1$ 2 5D. 0 lJ I
D MECHANICAL 1$ loW.CO I
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
11'111"1111111"1""1111"'1111""'1111'1111111'1"'1"1'1111111"111111111"11"111"111"11111""11111"'111"111"'111"1111"11111'1'11"1
Fee Simple Titleholder Address I
19120 I
I G{Qnd l10Yt20Y1
JOB ADDRESS
SUBDIVISIO~
WORK PROPOSED
NEW CONSTR
INSTALL
SFR
BLOCK
ADDIALl
REPAIR
COMM
FRAME
DEMOLISH
OTHER I YYloolle h(\Vhe~
STEEL D OTHER I
HEIGHT I
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
D
NeG ../
W.RE.C.
PROGRESS ENERGY
VALUATION OF MECHANICAL INSTALLATION
BUILDER
SIGNATURE
Address
~:c:'~I~~':~!~
Address
I ~(~{r,{J~~~:1~ I ~N I
License # I
COMPANY
REGISTERED
License #
COMPANY
REGISTERED
License #
OTHER COMPANY
SIGNATURE REGISTERED YIN FEE CURRENT YIN
Address License #
PLUMBER
SIGNATURE
11111111' 1111' IIIIIIIIIII!IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111111111111111111111111111111111111111I1I111111111111111111
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 onsite, 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 onslte, Construction Plans, Stormwater Plans wi Slit Fence Installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
II.llll!1111111111111111111111111111111111111111111111111111111I1111111111111111111111I11111111111111111111111IIIIIIIIIIIIIIillllllllllllllllllllll
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 THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades Ale Fences (Plot/Survey/Footage)
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 compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner has hired a contractor or
contractors to un,dertake work, they may be required to be licensed in accordance with slate 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 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 hew buildings; change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance nLimber 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be dLie, 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 UN, 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 not 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 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 hot. specifically in?luded. in the application. A
permit issued shall be construed to be a license to proce~d With the work a~d not as authon~y!o vlolat~,cancel, alter, o~
set aside any provisions of the technical codes, nor shall,lss~ance of a permit prevent the B~II.dlng OffiCial from the~eaft~r
reqUiring a correction of errors in plans, construction or vlolat~o~s o! any codes.. Every ~ermlt IsslJed, shall become Invah~
unless the work authorized by such permit is commenced Within SIX months o,f permltlssu~nce;. or If work authorized. by
the permit is suspended or abandoned for a period of six (6) mo~ths after the time th~ work IS commenced.. An extension
may be requested, in writing, from the Building Offici a! for a penod not t~ exceed mn~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 has/have produced
as Identification.
Notary Public
~~
com' slon No .,<,rt.;:-? _,JACQUeLINE: BOOE5
,i" j. ,-e;.
~'.~ Commission DO 621833
~~. .. I ' &C6.IIb.:.. 12, lO 10
Name of Notary typed, ,."..,,:tlr ~Fainlnsurance800-385-7019
Notary Public
Commission No.
,-
Name of Notary typed. printed or stamped
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B H Constrution
8137156585
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BUlLr.1J1~G SHALL COMPLY WITH
ALL APPLICABLE BUILDING,
ELECTRlCAL PLUMBING AND
MECHANICAl" CODES
1<
BUILDING SHALL COMPi Y WITH
ALL AllPLICABLE CrTY OF
ZEPHYRHILLS ORDfN i\NCE.
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REVIEW OATE;~' ~?
CITY OF ZEPHY:S C-t"-
BlJ1LDlNG OFFICIA __J_L~
11111111111111I11 1111I11111 11111111111111111111111111111111I
2007012447
NOTICE; OF COMMENCEMeNT
County of -_Fils { ()
'tHE UNDERSIGNED hereby gives nO/ioe thaI im"rO\lemen w' be . . ' _
Cnal'tf'.f 7n. 1-1Qrida Sta1utes, tile 1oIJowjn" Infomlation is P}D'-'~~' . 1~~Noto ~a\n f&llIl prop."ny, 8M in accorQanre with
" " ."'".. ,n u.rs tICI';! 01 Comlllet)Cl!Iment:
1. Deso:-.fiption of Property: Parcel No 3.!:1 - 25 ~ 21 - a! if 0 - OOO<::Y:J - '33; 0
state of -Lbr/ do.-
Rcpt: 1067304 Rec: 10.00
DS: 0.00 IT: 0.00
01/23/07 Dpty Clerk
2.
(Lq,aJ ~ of f... pll:lperty ClI1d WM. ~ If .....'IaDI..)
G.3n.::ral Oe3cription of Improvernenr -1Y1f)hilc ~} e
-~--
se+-lAf ond /hsfo I L
3.
Owner Information NanllO (}YOhd H6VJz.on 'H6Jr7t'S
Jif..'/5 erN1-? Slope Dv i,epliyh II Is
imerest In Property:
EJ 3,0[J
$lliIol
JED PITTMAN fASCO COUNTY CLERK
01/23/07 0~: lam 1 of 1
OR BK 7357 PG 1667
Name of F<le Simple Titleholder:
fI' 4.-ll1&n _r)
-"'-I~~;,
.'-'''';
AoIJress City -_.
""-<<.-~ld
2~} Cedi g\ _ ~VSy\1ills
Slale
5. Surely: Name
[~ ;;?TJ2
~s
Cil)
3_ -
Amount of Bond; S
6. Lend~r: Namtl
A<IGs'~a
City
SIme
7. Persons wtthin the State of Florida designated by Owner upon whom notices Of other dOCUfJ1ent5 may be se'''ed
as provided by Section 713.13(1 )(a)(7), FloM8 Statutes:
Na/lle
Addr~~
City
-;;;-~-
B.
In addition to him&elf. Owner d~e$
of
Notice <l~ provided III Sec..'fion 713, 13('1)(b), Florida Stall,/tes.
to reoeive lJ copy 01 II1e Uerlor's
9.
Explralion d8te of NoUc::e of Commencement: is 0IlEl year' from the date of fecO(dlng unle~ a differer.t dare i:;
specified.
e.~ ;; Q-eJ,~
1-22 -QI
o~~
STATE OF FlORIDA PdSCO
COUNTYO~ - - ~ J n
~,' ' . fOf oing \l1strurnem Cl<nowted eel before me the d)d VI... 11 (ll: ~~dJc:o Adale), by
1.M (name of son ~nowledg~). who i& personally
known to me or wtto has pr<lduced ;~. "--u::Jl. (type f idenfilice . ) as identilication,
~I: ~^~ ..,. ._._
NOrA~Y
~~~v.~t> TONI SCHMIDT
.' '... MY COMMISSION # DD 816391
* EXPIRES: November 20, 2010
dVI)X:0531Ull >p ..3-
~"~OFf\,<$-'" BondedThru Budget Notary ServIces
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PERFORMANCE BUSINESS PRODUCTS. 'NC. 813-71l1-8OO8 FAX 813-719-70111
CITY OF ZEPHYRHILLS
ZEPHYRHlLLS, FLORIDA
WATER AGel. NO.
DATE\/2~ /07
..
OWNER!
RENTER
br~ ~,,~c;
MAlUNG 7lo~ G('~ e l'"'\ S I ar~ ~ Lei"' 33/
'"2--e e~1 r hi \ (""".. ~I 3354 '2
SERVICE ADDRESS 37010' f\..S..eu Kerr.-.. (l.ue, ~T 33 ')
[Q/' WATER
SHUT OFF SERVICE 0
TURN ON SERVICE GV'"
INSTAll METER @/
READ METER 0
CHECK METER 0
OTHER 0
5/41(~ ~
~ (oYoy
WORK COMPLETED BY
& DATE COMPlETED
ORDER TAKEN BY
~
ORDER GIVEN BY
o SEWER
o GARBAGE
I];V"IN CITY
o OUT CITY
--l- No. OF UNITS
- DEPOSIT AMOUNT
- AMOUNT lAST BILL
_ DATE
- MISC. CHARGE
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,
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PERFORMANCE BUSINESS PRODUCTS. U>lC. 813-71NOO8 FAX 813-7111.78111
CITY OF ZEPHYRHILLS
ZEPHYRHlLLS, FLORIDA
WATER ACCT. NO.
DATE~/2'" ID7
..
OWNER!
RENTER
br~M ~'<\ "2O'0...e,
7l.o~ G".e e ~ 51 ope.. l')r l-.o-r- 3'3'/
~-efhA;""'hi \lc,... t:-, 3354'2.
SERVICE ADDRESS 37ao \ ~u KeJ""Y'n. Q..D.e..
MAILING
i--c:>-r 33 7
u;;v' WATER
SHUT OFF SERVICE 0
TURN ON SERVICE G1/
INSTALL METER ~
READ METER 0
CHECK METER 0
OTHER 0
o SEWER
o GARBAGE
[iV'IN CITY
o OUT CITY
-l- No. OF UNns
_ DEPOSIT AMOUNT
5/41(~ ~
p~ loYoY
_ AMOUNT LAST BILL
_ DATE
_ MISC. CHARGE
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
~
ORDER GIVEN 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.
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