The URL can be used to link to this page

Home My WebLink About07-6617 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)180-0020 MOBILE HOME SET-UP 6617 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: 4,442.58 Amount Paid: 4,442.58 Date Paid: 4/12/2007 Work Desc: MOBILE HOME SET-UP 6617 MOBILE HOME MOBILE HOME SET-UP NOT APPLICABLE Address: 37600 C REY L WIS AVE LOT 218 ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: GRAND HORIZONS Parcel Number: 34-25-21-0170-00000-2180 37,700.00 Name: GRAND HORIZONS Address: 7645 GREENS LOPE DR ZEPHYRHILLS, FL. 33542 Phone: 813782-1866 ACE REFRIGERATION INC BUTTERFIELD MOBILE HOME SERVICE ACE AIR CONDITIONING & ELEC. S T- , MOBILE HOME PLUMBING PARK FEES MH . FIRE IMPACT FEE . SEWER CONNECTION MOBILE. WATER METER RES 3/4" ,0' IRRIGATION CONNECTION TRAFFIC IMPACT FE:~ ~~~~\A),\ 40.00 573.73 273.00 808.00 180.00 175.00 15.88 AL MOBILE HOME MECHANICAL POLICE IMPACT FEE PUBLIC SAFETY 5% WATER CONNECTION M{)BILE HC IRRIGATION METER TRAFFIC IMPACT FEE 99% 35.00 254.00 26.35 209.50 180.00 1,572.12 ~'IV/ . / CV-~ , 5 ~1Wr-- -UP 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 V::;~~/~ ~~ CONTRACTO SIGNATURE PERMIT OFFI - - -CALL FOR ;NSPECTlON - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: ~~ - (,,)\~d \--\oc\~ y-\ \-0-( Date Received: Site: ?7<OOO Cor~ ~ o..u~:f1 Q}.l <6 Permit Type: !Y\Db 1l.!L. i--\OYY"UL ~n Approved wino comments:1 Approved withe below comments': 0 Denied withe below comments: 0 1I1 " 10, - ~*1 C;,pc-L This comment sheet shall be kept with the permit and/or plans. Bill B 1{ \\1 Date Contractor and/or Homeowner (Required when comments are present) . i' 'ii' ,,' / 1.1 " ('''.'.' ~_ f"V.t".~.^. I I ' , ./ ". :/ i I "",""1."0"'" ... ......~. .t. -'0 .... \ " _'0_'- ~ o~~_ __0 _ _._ ~ _~_ ~ ~_. ___, i i '-W-~ s:r-s::r- DlOIlolO ::l::'::3;:' clQ s:::lQ -+. -. ...... -. DlC!'IlolE' ~s.~e- .., ::......;:,' (1) III CD III ...,.....-, ..... -I iii 8 :E z 0 0 3: "'ll 0 Z m z -I C/) :ta ~ 1Il ~S:b~ CJ>:f '0-, (1)~::30. Ilol:;: III ::!.:O ~ 0-. <b::l ~~ 2'1lol 0 o.N ll!..(1)Q;= Ilol - "ll -:f::3 -I ....0 ~ :t 01- ll!..~ m -CD ::u .j>.::3 3: -I '0. m iii 00 -I o- m z C/) I ::r s::: 0 C/) 3 3 0' CI> . ;:l! \~ 01 5 ;:l! ::u en -I < ~ '0 :f- n' ::r c ~ ~ 5- ~__~r -g, ~ ~ ~ ~ ~~ ~ cn[ ~~ III c: ~::r ~~' l i . ~ ~ \; _Ilol inili' h m'~1lI1l1 ~ 3 S'tI.!, o en 't]'::" .., ~ K - ;:l!~ ~ is: S' ClIo et ~ ;~ t~ ~ '::l ~ ,;;- .......< !? a:c:: ~ 0 0' Ill.... (1)0 (=t::r ~ r "" ~ ll!.. 0. ~ III :0 o' ~o_ ~ 0 -~ :;: CI> III ..", ::3 ;:, 0 ::3 CJ>b CJ> ~ ii1~ ~ \N g: 0' ::l ::;' < 3'" -. 'It: :0 ;::+ III CIl S: --- ~~-2'-_.,_.____._iii~__,_g---_.s:..S!: ---~_..,- ,l,l::\........"........ ~ 0. (ij 3 Q, g 1', \- <::;' tll !!l::t,~ ........... :;: ll!.. S" 0 s' __ C>, mill !.1! ....IQ ~ CD ::l < ~'t] " " 0. 0 Oil ,........ Or .., 3:.J ,.... ~~ ~ CD fl"-. (A g~ 8 ~I\ ~en ~: < (fl, It 3 (fl 3 Ol 3, Ol "' .. ~ ~ '0 ii' .. ~ 5 ._----~--_._- a Ol ::J 0. a ::J o 3 .. '0 ~ '" c: 10 '" () I'" ::: ~ I.....~ ?=I;::;: ;::;:~ xx xx xx x x xx x~ I; U1 ~Io: a~ I~ ~ II\: 10: ~~I rr ::l ~ mr~ 1Il ..., ~c5 ....... -n III III Q' .c R'Sol. ,2:(J)!Il ..... ....... 01 "-> . 8lx '-Ol J:! m ;;c en 'lJ > 9 z G> ~ m j'" m " o ;;C c en m o :t o 3: m en ...' CD ..... ~~ ~o; ... rq "-> .......0 .j>. . 8x -~ "-> ~I'i $x ."-> ~ ~ ~ 01>< ~~ '" Cj)q -..JX 0>", -~ ~ o nt s:: III ::3 C ji;' o C .., m.o. ::lo. :0'" CD -'en ~en -0 Ill_ =::r Cl>o 0.3 CI> ....; .., u. CD -. o c: tu 0. o o C 0' ~ ::E c: CI> en ::;' :0 CD ::E c: CD " Ilol,j'" b @Q iJ ., S' ::l-' CI> 0' ! o.~ ,Q::r .... (1) -Ill !__J cCD 3' Dl 0 ::r- -..... 3 CD- "''0 CD !ll. '0 ::;'3 (fl::Eo ~(D' CD '0 B,(J)(fl (J) ::3 '0 III <Ill.... C".... .... (D' ::;. -..... 3-1ll <'0 '0 .... [ CD ::!, O';;~ (D' :0 ....Ill _Ilol '0 '0:0 , S2.. '0 :;: ::r 0. .... III Illtll _<bCl> tll(J) '0 0. ;:0 0.::E o 2. III 3 N' III (fl "'ll c: !!!.Ill (fl:5'O _CD 0. N. iii iD ecn (J) tll N= g-(fl'g N' ::u CDo CJ>'O :f .j>.~ CD ~ 0'(1) .....~_. (1)::l ::r03 c 'C 0::;' CI> !? III C/) !il. '1J ::E:O '0 - N III -.0 tll (D' , CJ> <b...._ m 'C .., :0 "':0 0 C/) 1Il '0 .., ~-'o S' tll Cl>Dl Dl Dl ~g 1C 0. ~ - --- Iii (fl ~::l ~ '-.) c:r N' s: (fl !D tll CO 'K ~ III CJ>- ::l CD3 - .j>. -Ill ~ X 0- ::r.... ~ !? (ii.ai. :0 CD o ~D en ~ ~ 'It: :;:E ::;' 0. N o ::3 (1) ::l (fl PI ![ o. ::l o CI> ~ = 'It: ~~ ~:;:E 8g: D ~ o ::l 0(} CD 0= [J 0 I o 3 CI> (ij" ::;' CJ> PI CD 0. ::;' III o 8 .., 0. Dl ::l @ ::E g: ;u c: ro I o 3 <b ::;' (fl PI ~ c.', 0' ::r <b ~ III ::l C - tu o C- eil '- (fl ::l Ul PI SI 0' ::l :s:: tu ::3 C ~ C\ ::l (fl - ~ ro .... "'tJ m ::tI 3: ::j z c 3: III m ::tI Z > Ul Z Ul~~ <Il<ll, (I) ~~ m ![ ~<Il~ R~ ~ ..... ~ ro a O~<Il <Il~ ~ ~~ (I) ~ _ ~ ~~@ ~ -<Il ~ Z y, ~ Ul ~~ Ul UlO (I) I>> 0 ~~I>>I>>> ~~c cO <Il -- a 3 0 <Il<ll~~ N- I>>~::E ~~ ~ DI>>OOUl ~CS ma ~ ~I>> <Il m ~e~~~ ~~O ~~ a a- W @~QQm ~<Il= X ~::E iU <Il8 ~ Ul_.UlCllI>> oa~ I v.> N ..... ~I>> _ CIl~ W I>>CIlI>>I>>~ ~~<Il . . , ~ ~ro ~ ~~ ~~ ~~@@~ g~o ~C ~ ~ 0 ; s n ~c ~~~~~ c~a m~ I m 0 ~ C I>> g Q ,,~g 0 ~ 0' <Il R:5 a; 9::5 <Il :::: Am ~g ~ ~Ul ~ ~ -~~::E~ Ul ~ ~ ~ <Il~ (I) 9:a ,m ~~@~~ o~~ ~~ (I) <Il ~ 3 >< :5 <Il m ~~ ~ ro ~ I>> 0 I>> 0 ~ ~ ~ CIl~ ~ ~ ~ I>>I>>~ -~a ~_ <Il <Il m . '6' ~ ::E <Ilc m ~ I>> ..... - I>> m 0 <Il ~ a I>> ~. Z -. ~ -' O~.....- ~- ~. ~ 3 m -u~ ~ ~<Il ~ 8al>>~1>> CIlO<ll 0- - ~~ Ul <Il~ ~ ~=<Il~ ~~~ c~ :5 ~ ~ o CD 'lI g 3 m 0 .- ~ B !!.!.3 ==::E in. R @ I>> ~ ~ I>> ~ C ~~ ~ ~ ~~a~~ @~ X ~3:::: Q, ~ ~ ~ 3 <Il,' 0 ~ 0 <Il <Il ~ CIl .0 5~ 0 <Il ~ - m <Il ..... C' <Il::E r:;- m c::-:2:l>>m Cc I::E~ <Il ~ -' X I>> ::;- ~ -. 0' C -. ~ ~ = 3 :;. - ~ ~ S ~ <Il ~ in' ~ ~ 3 a III ~ <Il <Il- <Il..... ~1\ - (I) ~ m ~ 0 ~ <Il - m ~3-0- ~<Il -, 0- ~ 0 ~ ~ ~ Cc ~ 0 -OUl CIl I>> ..... 3 ~ Ul ~~ _ I>>o<ll~~ ~eo ~~ ~ ~ (I) I -. Y ~ ~~ -.<Il ~ I>> <Il 0 <Il m ::E ~::ES 0 5'1>>=00:]' ~~ .......... - I>> (f) III eo 0:- - ~ 0 <Il ::i" ~ ~ I>> -. -. ~ ..... ..... ~ ro 0 <Il g ~ ~~'5.S' c ~ I ~ ~ ~ ~ (b z ~ ~ c - Z ~. 3::E -Ul g. ~ @ ~ - 0' Q . -.~-- -~--- -- '-'-~.g,-- -- -- -- --- -.- .w---w---..<Il-if"S-~---Q---g-- - - -_..~ --3-<Il---s.---~.----EC.-- ro' . _ m -. 3 ~ ~I>> !". c <Il ~ (I) ~ m =" -u..,..,o C S: 1>><Il~~ ~ ~ ~ 0 ~ ~ ,v_ _ -. ~-Ul~ >~ ~ :I: ::E,:P~ z ~ c~~~ _Ul X !" 0 ~ <Il (f), Ul iil'_~;::I! mQ c (I) 3 ~ 0 o~. ""'0 I ~ III > ca~ ~ ~ ~ F @,c= ,<Il ~ ~ m ~~ ~ Q ~ ~ 3(1) o ~ ~~ ~ ~ ~ :; 3 :J III I/l ,... III - !!. :l ~ CD e Ii' ... ' Dl' ... (f) n < IE - <Il ~ e ... III ... ::;; - CD iD' e .", I/l ... III -, _, I/l III ::l III I/l n 5' -n !!..e 0 -... III III ... c:..... 3 o CD a. ::l III -, ::l 0' ::l Co::l !!t. ~ (Q ... e -. g CD di !:!:C"::l g ~ :c III CD ;:;: III Co :r ::l 0 - C-::l :r 0 - iii' ... :r~ ;;0 <Il CD ... e 3 <Il ;:;: C .... :c III C1I S- O 0 I ... ~ .... " III , QD :r 0- N CD CD , - c' '-.\ omo::uow ~~iU~<a. ~ ~:;j.~ ~ a -'_<Il ~ .. ~ :;j. ~ii ~ ~moas aUl~:]'g ~-a 5'~_. 0~::E ~~ <o<~..... ~::l.CDo.~ Ul ~~ 0 <Il ~I>>::s.?- "",....:1(1) !a.~~o:~ ~ _I>> <Il <Il .-0= en ~2.~Q,,, . :;j'o~ .J _ C -. --<Il-::l. m:< !!.!.:;j' I>> ~~ oo<Il. Z . Q,~o ~UlCD m ~IUl :p -< (l)Z Ul "- > ~(J)~ :;. 0: ~ <Il _.<Il '2.:5 ~ III 0 00:= <Il~o oc3 2:~~ 3 ~o Ullll :::J _.-, <IlClla. ~.:;j.::E ~2L= _lll~ ~=<Il [~@ -~ CIlOI>> 03::;- I>>lll<ll CIl~a. ~CI>> 2.orR -no- oc~ ~@~ e~~ ::E~~ :;j'~. ~~-< lji 3i<llCll o'~ :::J~ 00 -~ ~Ul 1>>' :;j'~. ~ 1m :dl <Il . ~ ~ <Il Ul I ~~ ~< .~ (I) ~ I>> CIl ~ ~ ~ ,~ :e Gl !!l. ::l" Gl -a Cl ~ ::l CD 3: iii' " !.. Di' ::l Gl o C III ~' Ul - ~ ~ ~ CIl [ iii' 00 5' tDtDtDCIl O(l)<Il- g:~~~ 3mm.. o~~ -<'T1 ::l.<e :8-~0 (I) oo~ ~ <Il~-> (I)'<Il 3UlCll ~ <Il CIl ~ v z ); "" Ol>>~- -~oc ~<Il3~ ~CIl<ll~ CD~Ul~ ~ lll,~ =Q,:::S1>> ;-1ll~5. 2.'8 Sf I>> Ul 0 -~ (1)::1.8 ~ :<< 0 <Il :;j'R1i: 'lll Ul <Il ::1. Ul-~< III CIl-' I>> =lll ~ :0 ~::t 5e. ~og~ is:;;3 ~ . 0 O~ ~ -I>> I>> .0. Ul CIl",~ @=>~ ..... CD _. ~C::Ul m.CIl III :::s~.... ~I>>~ _.:::s c :::s 0._. ~~@ ~C3 ~O<ll o.~~ . ~- _ 0 c3; :::Sl>>- a.~- <Il ::l.~ ~I>>(I) ~~ ~ 1>><Ill>> :::s~~ 0.1>>0. :~lji S:~~ ~<Il ~~ (I) ::l. ~Ul a.lll !!J.R a~~,::l,::l,::l ~o o_~~~~ ~.., 5'o-c(l) (1),(1) :c ~<IlCll'TI'TI'TI ~llJ _ 0 <Ila.D) I>> III z:!. iil<ll UlUlUl 1>>0 =a~rorom c3 Ul<ll03~~~ ~llJ mCD ~~~ 11)~ ~~~:."fF~~ ~ g ~~? ;. cn< -~ v.> ::l ~ <Il (I)<IlO 3" llla. ....lll o~:g roo ~ ~ ~ 0 c (I) (I) (I) 3 I g ::~ :5 :5 :5 S: ..... ;;:r.so ,.. r+ ,.. ..... U!fff; i I~ ~or~(/)(/)(J) 0~1>>~~~ ~ ~ ~.~,~,~, f i i, r~~r"~r~ ~ ~., . I>> - - ~ _CIl <~ , '6. ::U~'T1 01>>0' ~~~ Q III III ~ Gl .. i .. ~ .. i '" ! c ;i ~ a 0-1 ~~ 0(1) ~~ (1)0 00 ^~ ~<Il (1)- X @1i: I o~ ~a -3 !!l~ <Il<ll .....~ 8m o~ 0=1>> . ~ Ul(l) o~ =0 C X ~ I ! o ::E::E ~:J ~- 00 -",,---ir,-,--. :;j' :p x I ~ Ul - o so (I) .... CJl ;:;: Gl 'lI ., Gl "C III ., III .. 0' ::J "0 m ::0 s: =i z c s: OJ m ::0 -0 m ::0 s: =i ~, o ::0 " en :I: m m -I ~ III lC CD N o .... N T I L BUILDING SHALL COMPi'Y'{\hTH ALL APPUCABLE BUILDING, ELECfRICAL, PLUMBING MECHANICAL CODES J8 I BmLDING SHALL COMPLY W ALL APPLICABLE ClT"" OF ZEPHYRHILLS ORDINANCE, I CA5EP1e:v T 1< t ARR.lv,t.J(.: 4 -'11- 01 REVIEW DATE 41 J S7 CITYOFZEPHY~-" ~LDlNG OF>'rlAl~t ~(!)I I f./ ilJ5"t- it{ ~ ).')/ /fd' ;1101) ,ole Ir6 I.., . sHED ;10" T , S'b ( /tJ() ~ / >1 6() !PJ r d. '15--- 3 Ps-,J;- i./iy' ,6cri- ...... G R A A.J d j-), if( I 2-{JA.J..J NOTICE OF COMMENCEMENT 111111111111111111111111111111111111111111111111111111111111 2007063336 State of Florida County of Pasco 3) THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statues, the following information is provided in this Notice of Commencement. I) Description of Property: Parcel No: j if - 25 . 2 J - 0) 70 - 60060 -24 5{) Rcpl : 1090261 Rec: 10. 00 (Legal Description of the property an? street address if available) ~\~fi':7 IT: ~p~~ Clerk 2) General Description ofImprovements: mob,' e home se.-t -Lq:::L_ . ~~91 ~~~~M'1': /-faSCO 1 CO~'Tl CLERK OR BK 745' PG 1767 H OJYles LL C ~"{ . ~ '" i \ b j:J j ~s ill ~ State Owner Information: Name Grand '7lo~5 Gr-e&1 & lope. Address Hl)Y"'ZO{) \x- Interest in Property: Name of Fee Simple Titleholder: (If other than owner) 4) City leI State Address '2eehjvh, JI-s City -.F / 3.35'-/2 State 5) Surety: Name Address City State 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( I )(a)(7), Florida Statutes: Name Address City State 8) In addition to himself, Owner Designates Of 713.13(1)(b), Florida Statues. to receive a copy of the Lienor's Notice as provided in section 9) Expiration date of Notice of Commencement is one year from the date of r ~ - JQ-01 Date ~~~:~::o~o) (() IOt~ daj of Apr1 j 2(X)f (Dore. by (name of person acknowledging), who is personally known to me or who has produced (type of identification) as identification. SEAL: +o\,,::~.~~~to TONI SCHMIDT *.~ '* MY COMMISSION # DD 616391 ~ EXPIRES: November 20,2010 '\~ OF f\.<JI>"'~ Bonded Thru Budget NotaIy SeM:ea /~'-ScJ~ NOTARY i STATE OF FLORIDA COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE ANO CORRECT COpy OF THE DOCUMENT ON FILE OR OF BLlC RECORD IN THIS OFflC7 JITNESS MV HAN 0 OFFI IAL SEAL THIS DAY OF - ~? 2_ A C CI JCOURT DEPUTY CLERK o 1,J- (OU-UUL.U \..IIl.Y VI ,"'f;JtJlI'yIIIIII~' ""'lllnl 't-'t"II-_"I_1I Building Department Owner's Address I 7 (p 4 5 Fee Simple Titleholder Namel me LLC Cree'/? 5/0 Pe.. ;)1/ r Owner Phone Number Owner Phone Number I Owner Phone Number I Fee Simple Titleholder Address I i~~~tR~~eMI r-Y. NEW CONSTR E3 o INSTALL PROPOSED USE D SFR D TYPE OF CONSTRUCTION D BLOCK D DESCRIPTION OF WORK I h'lo\?dt \'\.OYNL s.e~ BUILDING SIZE 13) 'j.. 5 ) Isa FOOTAGE ~ 11,1.1111111.1111111111.111111111111.11111.1,..1.1.111111......1..11..111111111,.11111111111.1..,....111.11..1..1,1..1111111111,..11111..111111111 1$35. 006.00 Ll ()(){), ~ 0 1$ 'thO. 0 (J 1$ L '25D. oC> DGAS D FINISHED FLOOR ELEVATIONS I JOB ADDRESS ~ LOT # I z J)? 3LJ - 25-21 -OlIO - 00000 - Z J'ilO (OBTAINED FROM PROPERTY TAX NOTICE) D SIGN D MOVE D D D SUBDIVISION A v-L- PARCEL 10#1 WORK PROPOSED ADD/ALT REPAIR COMM FRAME DEMOLISH OTHER I Yl'1(lb" f! ..,' STEEL D OTHER I o o D D I I I I D I SPECIALTY D FLOOD ZONE AREA BUILDING HEIGHT I ELECTRICAL AMP SERVICE VALUATION OF TOTAL CONSTRUCTION PROGRESS ENERGY PLUMBING D D W.R.E.C. MECHANICAL VALUATION OF MECHANICAL INSTALLATION ROOFING OTHER DYES CJNO 11'11111"'ttlllllllllllllll"",II"'I.'I'111111111111'1..1111111111'..'111.1,.1.1."1'1.1......1'1"11'11,111'11'11"'1"'11111111"'1111111"" BUILDER I ~-f-tR/ ftl d )V)J-/ J IG/N I SIGNATURE Ct) N FEE CURRENT I Address License # Ill-/{J()()oo~6 I ELECTRICIAN ~[f I SIGNATURE 1&/ N FEE CURRENT I ~/N I Address License # IE S ()(X) GO (0 I f' PLUMBER Il(uHfeld fYll1S I SIGNATURE <Sf I N FEE CURRENT I~Y /N I Address License # 1//-100006'(,0 J MECHANICAL ~ce SIGNATURE C{I/N FEE CURRENT IT' / N I Address License # ICAC039755 I OTHER COMPANY I SIGNATURE REGISTERED Y/N FEE CURRENT Y/N Address License # I 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111I11111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-Q-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. 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 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 AlC Fences (PloVSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED!~E,STRICTIONS: 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 IJI,'ith ar,1Y. 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 contr~,ctcir; 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 Transporta'tidri'lA1pact Fees an(j\Re'co.urse Recovery Fees may apply to the constructioh of hew buiidings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco CoLinty 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 illeet standards, of all laws reglllating 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 T~nks. US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways. I understahcfthaf 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 "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 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, construction or violations of any codes. Every permit isslted 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 OWNER OR AGENT! s1scribed and sworn to (or are this r/J.-r) 7 by Who is/are personally known to me or has!have produced as identification. CONTRAC~~ ~SCrlbed and sworn 0 0' rm before ',' " -!2-() 7 by , Who is/are personally known to me or has/have produced as identification. , ) , l ,~fl4JuJM ~:z. n'-L,' ....;.'.... JACQUELIN SOGES ComTUJ85lon .... . ~""" . '1.l Expires December 12, 2010 Name of Notary , prln e or s ampe Notary Public Name of Notary typed, printed or stamped ill'1b"15" f ~ (') JJ Z c! (j) en ~ ~~ i CS'5.~ ~ :r ~ ~ :r m m JJ c:: ~ '0 '" m (') ~ Z -l ;g E ~ g>:r~ go~ ~ JJ ^ 3: 0 0 r;:tm m ~,...::; 3: m z =ll c.=5 z :c ~.~~ ~::o m nl 3: (j) m G') :c~ ~; nl m ~ (1)'< - nl m (j) l?m.g +- E, ::0 ~ m > '0 ~~, (')~ ::0 ::0 ~ 0 ~ .... '" O-u ~ (') 0 00'0 ~fii ~ m m :c z cn3:t; oF m p riS'(I) g fiinl en ~oa nlo (S' en ~~!!!. OOJ ~ ~m;;: -< -- ~ o~~ ~ 0 0 0 ~~ 0 ~ (I) 3 ~' < ~ l>>('i' (") ~(I) ~l? ~-' N=i 3~ m< 0- ~ ~O f9: ('i' - ~." ~ ~ P 3:N r-m &;"0 -:t ;I! < o~ :!!:t gr: r- en I I I I I I ~ 0 ~D 0 0 ~ 0 z ~ (j) m c:: (') m -l ::0 ~ r: 0 ,. 0. ~ (') =l OJ ~ ~ Iii ~ r: m =l -< ~ ::0 f) 0 "V -< ~ 0 0 m c: ~ 0 Z IR "Tl ~ -l ::j c: -I:.. ~ ,. z ::a r: i;J 6.. :::::- G) m 0 \J III c: Z :;:-.. ~ -l ...J -------------------.....- [I. ~ (') ::0 Z -l (j) en ~ ~i i w :r ~ ~ c:: :r m 1 m ::0 c:: '0'" m (') 0 Z -l ;g j= Zz ~ :r~ go~ --..;:. ::0 ^ 3: F 0 0 Z r;:tm ,...::; ..L.... c.=5 :c !)os: 3: m 3: z "'11 0::0 m nl (j) "'11 m G') :c~ ~; m ~ i!Q' nl ::0 -l m (j) > -, m ~ m ~~, (')0 ::0 ::0 ~ 0 ~ - ~ 1 '" 03: + (') 0 Q'f9: 3:-U m (') :c -ufii m Z 3 ('i' ...., m p (1)(1) fiinl l-Of' en oa nlo en ~~ OS! CD'e ~ J ~~ 0 0 0 \ lr{ 0 ~fn ~ ('i' - t (I) (") l? ..j N=i ?!- m< C: ~O ~." 3:N Fm <n"O -:t ;I! < 0 O~ ::0 :!!:t 0 gr: m JJ r- ;;j en ^ m z 0 ~ 0 0 OJ I I I I I I f- 0 -< ~ 0 Z ~ (j) m c:: (') m -l ~ r: 0 ,. 0 ~ (') =l ~ m Iii ~ r: m =l -< ::0 ~ "V ..l-. f) 0 0 0 -< m c: IR 'TI 0 Z ~ ~ ~ -l ::j C - ~ ,. Z ( ::a i;J -- G) r: ~ C m 0 -....,J III c: z F -l ~