HomeMy WebLinkAbout07-6574
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6574
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
6574
PARK MODEL
PARK MODEL SET-UP
NOT APPLICABLE
Address: 3935 QUAKE RID
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: MAJESTIC OAKS
Parcel Number: 24-26-21-0000-00100-0090
16,150.00
3/26/2007
175.00
175.00
3/26/2007
PARK MODEL SET UP 13 X 38
Name: CAREFREE HOMES
Address: 3935 QUAKER RIDGE
ZEPHYRHILLS, FL. 33542
Phone: 813714-1801
CRANDALL, RICHARD PARK MODEL PLUMBING
BUTTERFIELD MOBILE HOME SERVICE
BAHR'S PROPANE GAS & AlC, INC.
KM
40.00 PARK MODEL MECHANICAL
35.00
---
\= \ ncJ,Q c9
3-;;;.~-07
,~
D
PARK MODEL ELECTRIC
PARK MODEL PLUMBING
PARK MODEL MECHANICAL
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 inspections 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
"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."
NO OCCUPANCY BEFORE C.O.
-P~ ~~
CONTRA . SIGNATURE PERMIT OFFI
~LL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335 - 8TH SfREET
(813)780-0020
BUILDING PERMIT
6574
Permit umber:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
6574
PARK MODEL
PARK MODEL SET-UP
NOT APPLICABLE
16,150.00
175.00
Address: 3935 QUAKER RIDGE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: MAJESTIC OAKS
Parcel Number: 24-26-21-0000-00100-0090
Name: CAREFREE HOMES
Address: 3935 QUAKER RIDGE
ZEPHYRHILLS, FL. 33542
Phone: 813714-1801
PARK MODEL SET UP 13 X 38
CRANDALL, RICHARD PARK MODEL PLUMBING
BUTTERFIELD MOBILE HOME SERVICE
BAHR'S PROPANE GAS & AlC, INC.
A K
40.00 PARK MODEL SETUP
60.00
}\bd
PARK MODEL MECHANICAL
PARK MODEL PLUMBING
PARK MODEL SET-UP
REINSPECllON FEES: Reinspection fees will comply with Florida Statute.SS3.80 (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 inspections 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
"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."
NO OCCUPANCY BEFORE C.O.
~-~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Jt h57{
Date Received
Owner's Name
Owner's Address
Fee Simple Titleholder Namel
Fee Simple Titleholder Address I
I 3q35 ~ke.r Rl'dg ~
I Majesf(v OcJC~ I PARCELID#I
c=:r NEW CONSTR El
UZJ INSTALL
PROPOSED USE D SFR D
TYPE OF CONSTRUCTION D BLOCK D
DESCRIPTION OF WORK lyC\.r ~ \YL6clU :)e.+-~.p
I J3x32 I SQ FOOTAGE I Lf9Lf
...111..........,1'..............11.....'111..........11.1111..11.......11.111...........11...................11'.....11111.......................
1$ J6{JOO. 0 ,
,
1$ 150. () ~
1$
1$ 500. <S~
c=J GAS D
FINISHED FLOOR ELEVATIONS I
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
I
I
I
I LOT # I 7'3 I
1.~;-2lo-ll- OOC)O-C01CO-OOU
(OBTAINED FROM PROPERTY TAX NOTICE) t:;t?
D SIGN D MOVE D DEMOLISH
D
D
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
ADD/ALT
REPAIR
COMM
FRAME
OTHER I pay~Wl{'JOLJ
STEEL D OTHER I
BUILDING SIZE
c=J
c=J
c=J
I
I
I
I
D
I
SPECIALTY D
FLOOD ZONE AREA
BUILDING
HEIGHT I
ELECTRICAL
AMP SERVICE
VALUATION OF TOTAL CONSTRUCTION
PROGRESS ENERGY
PLUMBING
200.04
c=J
D
D
W,R.E.C.
MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
ROOFING
OTHER
DYES
DNO
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BUILDER
SIGNATURE
Address
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
I ~Lt~~~E~~t!-J .
License # I
I CVOJ1.deJl
I Y / N I FEE CURRENT
License # I
1~~jtf~(RR~H1
License # I
Y/N
Y/N
Y/N
Llt0~
FEE CURRENT
Y/N
License #
Y/N
FEE CURRENT
Y/N
Address License #
11111111' 11111111111111111111111111111111 till 11111 11111 11111 11111 11111 11111 11111 11111 11111 III II 1111I1111111111111111111111111111111111111111111111
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 w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large 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 onsite, Construction Plans, Stormwater Plans w/ Silt 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.
11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111I11111111111111111II11111111
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 NC 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 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 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 buiidings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
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 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 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 using stem wall
construction, I certify that fill will be used only to fill the are8within 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 installations hot 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, 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 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)
CONTRACTOR
Subscribed and sworn to (or afflnned) before me this
by
Who is/are personally known to me or has/have produced
as Identification.
OWNER OR AGENT
Subscribed and sworn to (or afflnned) 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
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received
Owner's Name
Owner's Address
Fee Simple Titleholder Namel
Fee Simple Titleholder Address I
I 3q35 UlARkty R,'d<j ~
I rvlClje.s-f(v OcJC) I PARCELlD#1
r:=J. NEW CONSTR c=J
[Z] INSTALL D
PROPOSED USE 0 SFR D
TYPE OF CONSTRUCTION 0 BLOCK D
DESCRIPTION OF WORK l-po.r k- \YL0clJ. sed-~p
I /3)( 3'2 ! I SQ FOOTAGE I L{ 91
111111111111111111111111111111111111111111111..,1...11..111.................11......111111,..111...1111111111I11IIIII1I1I1111111111111111111111111
D BUILDING 1$ )6 r::> 0 0 .0 lo. I
,
D ELECTRICAL 1$ Lf50. () b I
D PLUMBING 1$ 200.06 I
D MECHANICAL 1$ 500. (50 I
D GAS 0 ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
I . , I I I I I , I II ~ , I , . I I . I I I , I I I I I II I I t I I , I I I II , I I I , , . I , . I , , , I , . . I , . : , . I I . I I I , . I II . I , . . , , . . , I . I I I I I I I I I fI II , I II' . I , I I , I , , . I , I I , I I , I I I , I I , , I ., I " I I , I I II
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
I
I
I LOT> I 7'3 :
1~~2(O'- tl- 0060-(X))C:D-OOU
(OBTAINED FROM PROPERTY TAX NOTICE) '0
o SIGN D MOVE 0 DEMOLISH
D
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JOB ADDRESS
SUBDIVISION
WORK PROPOSED
ADD/AL T
REPAIR
COMM
FRAME
OTHER I pa..v It-W'l 0 cl.t.-J
STEEL D OTHER I
BUILDING SIZE
HEIGHT I
VALUATION OF TOTAL CONSTRUCTION
PROGRESS ENERGY
AMP SERVICE
o
D
W.R.E.C,
VALUATION OF MECHANICAL INSTALLATION
BUILDER
SIGNATURE
Address
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Address
I ~kt!fM.l:JJ1J
License # I
Y/N
I CVOJldeJ/
I Y / N I FEE CURRENT
License # I
I ~~ ;f1~'~ fuRRt:1 tu;
License # I
Y/N
Y/N
Ll?cch YJ.
Y I N I
Y/N
FEE CURRENT
License #
,I Y I N
Y/N
FEE CURRENT
License #
11111111111111111111111111111111111111111 till 11111 11111 11111 11111 111111'11 11111 11111 11111 11111 III I 1111111111111111111111111111111111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Farms; R-O-W Permit far new constructian,
Minimum ten (10) working days after submittal date. Required ansite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisians/large 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 submiltal date. Required ansite, Construction Plans, Stormwater Plans wI Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new prajects. All commercial requirements must meet campliance
SIGN PERMIT Attach (2) sets of Engineered Plans. '
*"'PROPERTY SURVEY required for all NEW constructian.
1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111 " 1111111111111111111111
Directions:
Fill aut application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Natice of Commencement is required. (AlC upgrades aver $5000) .
Agent (for the contractar) or Pawer of Attorney (for the .owner) wauld be sameane with natarized letter from .owner authorizing same
OVER THE COUNTER PERMITTING (Front .of Applicatian Only)
Reroafs Sewers Service Upgrades NC Fences (Plot/Survey/Footage)
Driveways-Not over Counter if an public roadways..needs ROW
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11'\T'" 73 MI} 1t:1I\1'"" r oAMe;
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PI
8.
9.
State of
FL
NOTICE OF COMMENCEMENT
County of P A- s c ()
111111111111 1111I1111I11111 1111111111 11111111I111111 11I/1111
20070!51!574
Rcpt: 1084642 Rec: 10. 00
DS: 0.00 IT: 0.00
03/22/07 Dpty Clerk
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following infonnation is provided in this Notice of Commencement:
Description of Property: Parcel No.
2tl-'21u '2) -0000-001 DO '-0090
(Legal description of the property and streel address if available)
General Description of Improvemen'fX).( t '(Y\ 6 ~ \ 5(' t ~ L..-'-V
JED PITT"AN, PASCO COUNTY CLERK
03/22/07 11: 19am 1 III 1.
Owner Infonnation: Name jJ tJ C- - /-- L. II S ILL C. OR BK 7433 PG D4a
(pqq, E. ('(h)\D\ hr. d ~ S:D.~(t~'\e JAz .gSZj -Z4q~
Address City Slale -
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
Stale
FJ 33S4~
Slate
5.
Surety: Name
Address
City
Slale
Amount of Bond: $
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served
as provided by Section 713.13(1)(a)(7), Florida Statutes:
Name
Address
Slale
City
In addition to himself, Owner designates
of
Notice as provided in Section 713.13(1)(b), Florida Statutes.
to receive a copy of the Uenots
Expiration date of Notice of Commencement is one year from the date of recording unless a different date is
specified.
3/1/ /D 1
Dale
~f ,6/~
Signature~
STATE OF FLORIDA\)rll< l 0
::::: ::::: -...._ be... me too 2 J.s r 6{ M 6r Lh 'J 06 1 (dote) by
(name of person acknowledging), who is personally
~-;;;;; sJ~;;;~entification.
NOiARY
Seal:
known to me Of who has produced
dv/pc053048
~tJ'.y "It.
~ ......~ TONl8QfMI)T
,...'bil. * MY COMMISSION' DO 618391
~~.. EXPIRES: November 20,2010
"'ttOFf1.~<:J IlondedThru IludgetNolaJy Servlcel
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
txr;la/Jefd Jj 1/-:5
3- 22-01
3935 /1uaj& ~;/2f-
Permit Type: /. /Jar k /J1lJtfi I S I~ up
Approved wino comments: Approved withe below comments: 0 Denied withe below comments: 0
ContractorlHomeowner:
Date Received:
Site:
This comment sheet shall be kept with the permit and/or plans.
Bill Burgess - Building Official
Date
Contractor and/or Homeowner
(Required when comments are present)