HomeMy WebLinkAbout07-7041
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7041
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:
7041
PARK MODEL
PARK MODEL SET-UP
MOBILE HOME PARK
Address: 3913 QUAKER RIDGE ST L
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: MAJESTIC OAKS
Parcel Number: 24-26-21-0000-00100-0090
15,000.00
10109/2007
175.00
175.00
10109/2007
PARK MODEL SETUP
CRANDALL, RICHARD
BAHR'S PROPANE GAS & A1C, INC.
L
PARK MODEL PLUMBING
IC
40.00 PARK MODEL MECHANICAL
hncJ.a&
111,tilo!
l~
PARK MODEL PLUMBING
PARK MODEL SET-UP
PARK MODEL ELECTRIC
REINSPECDON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to any one 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."
p~
CON CT SIGNATURE PERMIT OFFI
- - ~~ ~~ EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF
ZEPHYRHILLS
IINOTICE"
OF ADDITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
ADDRESS DZE PERMIT ." I
"3\\ 7:, Q..J~?17- Kll)(flL ~I flIer u 7~1 \
THIS JOB HAS NOT BEEN COMPLETED. T~e following odditions or corrections shall be made before the job
WIll be accepted.
CD y.;1U i) (""II.... Wi T ~ -' I>LW rtt:PPJ)f\~ 4- ~ Sb,'"L r-Jli.-C
C?>
It is unlawful for any Carpenter, Contractor, Builder, or othe, persons, to
cover or cause to be covered, any part of the wor1< with flooring, lath, earth
or other material, until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30AM -4:30 PM MON.-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR RE-INSPECTION
INSPECTOR j&Jtl6"6SS
o 1.)-/ oV-VVt:.v
\..IllY VI L-Ct-lll,llllll..;J I vllllll. I 't't"I_-"I_11
Building Department
Date.Received
Owner's Name
Owner Phone Number 7 ?l3 - 3'17
Owner Phone Number I
Owner Phone Number I
Fee Simple Titleholder Address
JOB ADDRESS
S-freef
LOT#
I {p2$>
PARCELlD#lz4 - 2(P- 21- ()OOO -00100 - 6.5170
(OBTAINED FROM PROPERTY TAX NOTICE) b0~a
ADD/ALTO SIGN D MOVE 0 DEMOLISH
REPAIR
COMM [Z]
FRAME 0
/2 '14 Z
1111111111111111111111111'11111111111111111111111111111111111111111111111111111111111111111111111111111111111I"1""1111111111111111111I"1111111I111
D BUILDING 1$ Jt; 000. 0 b
D ELECTRICAL 1$ GOO. Co 0
D PLUMBING 1$ 260. 00
D MECHANICAL 1$ 760. 0 ()
D GAS 0
FINISHED FLOOR ELEVATIONS I
SUBDIVISION
WORK PROPOSED
~
o
o
NEW CONSTR
INSTALL
SFR
BLOCK
PROPOSED USE
TYPE OF CONSTRUCTION
~
BUILDING SIZE
ROOFING
I
I
I
I
D
I
SPECIALTY 0
FLOOD ZONE AREA
OTHER
STEEL
I par ~ l'Ylode\
D OTHER I
HEIGHT I
VALUATION OF TOTAL COINACTlON
AMP SERVICE ISO PROGRESS ENERGY
D
W.R.E.C
OTHER
OCft' ('\. (J OA-d'
TI~' -~-
all.s<" - J
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VALUATION OF MECHANICAL INSTALLATION
BUILDER
SIGNATURE
Address
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Address
DYES
czfNO
ISu ffev-hl.) r1 (VI HS
I Y / N I FEE CURRENT . I Y / N I
License # I / HOODOO goo
Ie rondell
I Y / N I FEE CURRENT I Y / N I
License # I ~ ROO/'Z9/D
I ~U-fi(/leld fV}HJ
Y / N I FEE CURRENT I Y / N I
License # 11/-100000 80
I Bo.hr's P/oPCif>e f- ~as
I Y / N I FEE CURRENT Y / N I
License # I CA C 0'13 9'1 f?
Y/N
Y/N
FEE CURRENT
License #
1111111111111111111111111111111111111111111111111111111111111111111 " 1111111111111111111 " 1 " 11111111111111111111111111111 " 1111111111111111111111
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/ Sill 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.
11111111111111111111111111111111111111111111111111111111111111 , 11111111111111111111111111111111111111111111111111111111111111111111111111111111111
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 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 buildings, change bf
use in existing buildings, or expansion of existing buildings, as specified in Pasco county Ordihance 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 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 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 hot specifically included in the applicatioh. 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)
~
OWNER OR AGEN~ . ,
$.V cri ed and swQ!.!l to (or~rmedfbeJe,re 'athlS
l't{ 2. 67 by r€.f. I.A-rre-rll-eJ
Who is/ on known to me or has/have produced
as identification,
~~ ,';)~ Notary Public
commiss~ Karen L Miller
€:t i~ Commission # DD609664
~ .' .
Name of
~I.~
~.~L~
Notary Public
,
TIDV'.... '1nWanC0, In<: 110O-386-7018
Commission No. "'''Al K
i;,,;flJ ..~. arenL. MiII"..-
::t i~ Commission # DD609
Name of Notary typed, p ober 29, 2010
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REVIEW DATE 1-
CITY OF ZEPHYRHILL2 \..
PLANS EXAMINER 1../
:4LL WORK SHA
PREVAILING CO~L COMPLY WITH ALL
6~~~~~~ONAL ~~fc~~~~~UlLDn'i'3
lIYRHlLLS OR!) vEAN~i
- INANCES
1111I11111111111I1111I111I111111111111111I111111I111111111
2007158754
State of
Flando....
NOTICE OF COMMENCEMENT
~ fA S(" n
County of
Rcpt : 1130527 Rec: 10.00
D0S :/201' 00 IT: 0.00
19 /07 Dpty Clerk
---- 3.
Owner Information: Name tV H c.. - FL 1(5. LL c...
<.oqq, f. C lA.'(T\LlbocA< A cA ~ 6-3/0
Address City
.sco-Hsd~~
~2-<-1
Slate
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
R :::ctor. Name~ r&-f-ft/Il t{f
~lJ 60.-// !3JVd ~ph::Vhi IIJ
Slate
f) J 30"ll2
Slate
5. Surety: Name
Address
Slate
City
Amount of Bond: $
6. Lender: Name
Address
Slate
City
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
Slate
City
8.
In addition to himself, Owner designates
of
Notice as provided in Section 713.13(1)(b), Florida Statutes.
to receive a copy of the Uenor's
9. Expiration date of Notice of Commencement is one year from the date of recording unless a different date is
specified.
L /;:;;;rp~. A~/'l~/?~
Signature of Owner ./
9120/01
Date I
STATEOFFLORIDAM 0
COUNTY OF ,,(J (
q/20!O --J
dvlpc053D4B
.,p'\~V.c~~C' TONI SCHMIDT
~' . -I< MY COMMISSION # DO 616391
* EXPIRES: November 20, 2010
~"6 OF f\.~<>... Bonded Thru Budget Notary Services
(date), by
<name of person acknowledging), who is personally
(type of id,pltification) (!S identification.
I (~\:. j~'L2~. alJ
NOTARY
Seal:
11111111111111111111111111111111111111111111111111111111111
2007158754
NOTICE OF COMMENCEMENT
State of
Flortdc'-.
County of
~(j, c.,c ,j
Rcpl: 1130527 Rec: 10.00
OS: 0. 00 IT: 0. 00
09/21/07 Dpty Clerk
---- 2.
--- 3.
Owner Information: Name NHC-- I=L If.s, LLC-
ColiCf, f. Co,ynlJbo.c.A< Ad.. 'S{.~ 6-3(0
Address City
Sc fJ fisd V'- ~
,Rj}-Z 2s2s.)
State
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
R
Address . k City ,
Coo.._ N.me~ f;,.-f-tu. ~1((
51:!>) Gall f3 '2e,{Jh~V hi IIJ
Address City I
State
f/ ?5Sli2
Stale
5. Surety: Name
Address
City
Slale
Amount of Bond: $
6. Lender: Name
Address
City
Slate
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
State
City
8.
In addition to himself, Owner designates
of
Notice as provided in Section 713.13(1)(b), Florida Statutes.
to receive a copy of the Lienor's
9.
Expiration date of Notice of Commencement is one year from the date of recording unless a different date is
specified.
.--:-----/
~ r,:7C~/?/7~
Signature of Owner
9/20/0-;
Dale '
STATE OF FLORIDA M /.
COUNTY OF l..(J ( (..)
The foregoing instrument was cknowledl'led before me the q/2()!O -? (date), by
'-re /i.. CU/t?- //. (name of person acknowledging), who is personally
D g L. ICE lv'S E (type of identification) as identification.
--r-"" {) ""1 .
IIJ:J\ JI. .)C.ti~"""--,o!7.r
NOTARY
-i',\~Y,c~~" TONI SCHMIDT
.' '.,. MY COMMISSION # DO 616391
* EXPIRES: November 20, 2010
"'~"EOF f\.O~<>~ Bonded Thru Budget Notary Services
Seal:
dv/pc053048
j
. L'u'
eJ'
City of Zephyr hills .
BUILDING PLAN REVIEW COlvIMENTS
Date Received:
. ,
,
.~..JI.Jl.1CJ f6\~~.
, u
q - '2. \ -0, ,
'Contractor/Homeowner:
Site:
. .
,3ql~ 0u~ (4cl,! SA- l!~~..
~Q~1d. mo~ ~,~ r
J>ermit Type:
ApProved wino co~ents:D
Approved withe below _eats: " . Deoie.r ,,:,!l1ie below =eats: . ...0
. .P,F~~r, 111j/uEt2S B~~;~L. a-I- . ;b:rJe:
M/,ec/b~ ~. .. .
'of"
. ,
;with the permit and/or plans.
Date
~.
Contractor or Homeo"WIleI'
(RequiIed hen comments are present)
:!-;J./___Oj'