HomeMy WebLinkAbout08-8177
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
8177
Permit Number: 8177
Permit Type: MOBILE HOME
Class of Work: MOBILE HOME SET-UP
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 7,700.00
Date Issued: 8/11/2008
Total Fees: 6,965.58
Amount Paid: 6,965.58
Date Paid: 8/11/2008
Work Desc: INSTALLATION MOBILE HOME
Address: 37041 NEUKOM AVE LOT 350
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number: 34-25-21-0180-00000-3500
Phone:
ACE REFRIGERATION INC
BMI LLC
ACE REFRIGERATION INC
MOBILE HOME PLUMBING
SEWER CONNECTION MOBILE
WATER METER RES 3/4"
IRRIGATION CONNECTION
POLICE IMPACT FEE
PUBLIC SAFETY 5%
TRAFFIC IMPACT FEE 1%
40,00 MOBILE HOME MECHANICAL
1,005.00 WATER CONNECTION MOBILE He
220.00 IRRIGATION METER
266,00 PARK FEES MH
254,00 FIRE IMPACT FEE
26,35 TRAFFIC IMPACT FEE 99%
36,32
40,0
35.00
320.50
220,00
573,73
273,00
3.595,68
sW-v
MOBILE HOME ELECTRIC
MOBILE HOME A/C
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
~cn~~ ~
CONTRACT SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-BOO8 FAX 813-719-7919
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
WATER ACCT, NO,
DATE 8.. U-~
OWNER/
RENTER
~ ~'~0\'1
ICo~$ G~~{e>p! ~
2epk~.-L'll~ 91 "335~/
SERVICE ADDRESS 37 D<./.-I A.{.eu..1<..Drn ~ Coi-3Sl:>
MAILING
~
'---
SHUT OFF SERVICE 0
TURN ON SERVICE l\V
INSTALL METER ~
READ METER 0
CHECK METER 0
OTHER 0
~TER
o SEWER
o GARBAGE
~N CITY
o OUT CITY
~NO. OF UNITS
_ DEPOSIT AMOUNT
(0 3ft/- w~~.de..r-
~ 3/ cf lrv~jQ.-'i 'dn ~
P tprl: f #= 811 7
_ AMOUNT LAST BILL
_DATE
_ MISC. CHARGE
METER: full
irrigation
WORK COMPLETED BY
& DATE COMPLETED
~~
Retain white form in office at all times.
Send pink & yellow forms to Water Service Depl.
Water Service Depl. to sign yellow form & return to office.
From:
Jun, ~,08 12:55p
~~,.
813 7166585
06/06/2008 14:17 1364 P.002/002
J.ff" Wrede
813 71&_
8137823966 p.2
12118/2001 12:08 1712 P.OO2IOO2
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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~omeOwner:
Site:
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~g7/J',t/1 7?~~ &. Jor~50
'/1111 -:5 /d0
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Approved withe below comments:'y Denied withe below comments: 0
Date Received:
Permit Type:
Approved wino comments: 0
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This comment sheet shall be kept with the permit and/or plans, .
Ii([i 2>-Sv% ~~>
Kalvin Switzer lans Examiner Date ontractor and/o omeowner
(Required when comments are present)
P ABeD ,'COUNTY;.:FLORIDA.
Permit No. " B {. (7
Date pennltted' f$.~tl-iJ YS
j3uilder Name/owner Name '.6 M:t L LC.- . ~ontrol # ..
. county parcel No. 3 <f- zS - Z-( - 0 L ~ 0 -0lX.(j) ...3500 SUbD~V:
'AddrasS/Loc~tion '3r"JO <I ( tJ ~k 0 f'Y'> ~ Lv +-'~"3$(j
classltioaUonrryPB of,us~ ~,~~. ~~ ~~
TRANSPORTA110N IMPACTf.~' . Rate: - ' " Sq F~ Unit:
;:xempt 0 yes 0 No . H~ p~milneQ
llT1pac~ fee Amou!'t $. (:)1,02 .6t. Zone'No. .
109 <I
TAZ:
SOHOOL IMPAG'f' FeE:.' ,
Account (056) Single-FC!mlIY [}e1ached House
.' . (057) Moj:dle Home
(058). 'Other fUlsldential -. _
. . .J:I23) Collection fee .
Exempt .U YaEl 0 NQ How Detannln~d
7
PARKS AND' REOREATION FEE'.
Land Account ' LaTld Credit
~ndTotal '~
Rf;Icreati~n ~otal,
Recreation Account
Recreation Credit
Zone
TOTAL.AMOUNT:. '$" 513. '7..3.
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Exempt 0 'Yes 0 No
LI~RARY FEE'
l.:and Account' .
.;RE!!9!'~.;A9Pount
":<::;~?7'w\jAHi.(.,~~~~\s:y.,;.~,;\:I..':7:r.',' ~ ~,.: '." . . -' .
;:xempt 0 Yes . 0 No
'RESOUROE FEE'
TOTALAMOI,.JNT ..
Hoyt .p.etsnnlneq
t-alld Credit jotal
FaQlIItY qredlt
, How Detennlned . Total Amount
, ,ERl,I
prepared By
9:~
Che,*ed By
NO 9ERTlrlCATE Of OCGUP..A.NCYWlU-. B~ ISStJED OR FINAL iNSPECTION
PEflFORMED U,N11"-TI-fE TOT,6J.. AMOlfNTS LISTED HAVE
. Bee!\! PAID ANP. '.
RECEIPTED FORay A aE~A.LPEfU\/lrmNG OFFICE, OF PASCO COUNTY
Acknowledgement below daes 110t I!nPIy Bmeplai1~ of CollC!lrrBl106..but',s1mplY raaeJpt of-a coPy of thiI! form, plaalng, ,
. the building fl!llTlllt o~flr on notj[;e oI'lhIs El8SIl88ITIflI1\ Bf!i:! thEt co~d1UoI1$ r;lf pB~~t1Dr same.
:*
RECEIVED BY
PATE
RECEIPT NO.
DAlE
BY
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NOTICE OF COMMENCEMENT
1111111111111111111111111111111I 111111111111111111111111111I
2008114914
County of Pasco
State of Florida
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: 9-1- as - B 1- 0 I~O -~ .. ,=15rY)
~~ HoI.~ ,.tar 350) .3'"704\ 6'Vc!.O&(On-.. Avs, -Z~H-V~H ILLS) )=L.. 3~5Lf,
(Legal Description of the property and street address if available) c
2) General Description of Improvements: cY(oa,~ ~a ~<!:'rUD
,
3)
Owner Information: Name ~N otOO/S
10 c<<!: ~tVOR A "" I t:l U ~
Addres~
~UL.A IN 0~n LO(j.Jj tblA/a;h)
O/S~O 90UG",Y ~l2RNce
City State
Interest in Property:
OWNlCfL
Rcpl : 1196291 Rec: 10.00
OS: 0. 00 IT: 0. 00
08/05/08 _____ Dpty Clerk
Name of Fee Simple Titleholder:
(If other than owner)
4)
Address
Contractor: Name 33m.r J..L<:-
39 i 3"B" S'ruwMO ~ 0
Address
S3bLfQ
State
City
State
}=L
~1'I>,lt.~/LW
Ity
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(1)(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 recording unless a different date is specified,
c~~~
/ Date
State of Florida ~S
County of ~ CD
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Signature of Owner - Jean Louis Poulain
Th~Oing instrument was acknowledged before me the
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(Date), by
(name of person acknowledging), who is personally known to me or who has produced
(type of identification) as identification,
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813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received
"'II"'."
Owner's Name
Owner Phone Number
"P63rn~one Number I
Owner Phone Number I
Owner's Address
Fee Simple Titleholder Name
JOB ADDRESS
Fee Simple Titleholder Address I
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bm.n:'\ ~r\1C~ I
WORK PROPOSED
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1e.~J\s ~L~3e:;L\ \ I LOT# 13!5()
PARCEL ID#~ ~C) -r') \ -6 ft0 -cYfY.'(') - ~ SC:f:')
(OBT A'NED FROM PROPERTY TAX NOT'CE)
D ADDIALT D SIGN D MOVE D
D REPAIR
D COMM D
D FRAME D
I m0'()\ \e j ~~ . '~<<l\."CU:-\C"'{)
SQ FOOTAGE I \ 3C\. L\ I
NEW CONSTR
INSTALL
SFR
BLOCK
DEMOLISH
SUBDIVISION
PROPOSED USE
TYPE OF CONSTRUCTION
OTHER
STEEL
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OTHER 1fT10'ri1 k. ~~ _ I
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DESCRIPTION OF WORK
BUILDING SIZE /91o't.5 ~
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1$ 5,cao, Ci'-l
1$ loOO,OCJ
1$ (cCO,(X)
1$ r 5~, t'lD
1
c=J GAS D
FINISHED FLOOR ELEVATIONS I
HEIGHT
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ROOFING
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D
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AMP SERVICE
~
PROGRESS ENERGY
D
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W.R.E,C.
BUILDING
VALUATION OF TOTAL CONSTRUCTION
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ELECTRICAL
PLUMBING
MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY D
FLOOD ZONE AREA
OTHER
DYES
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COMPANY ~~
REGISTERED I Y I :--
I
Address 13~&%'SV~ hl4-: fQJ 1:-~\'3 335Lld
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Address na.~ l.J. fUeJ/\~lO\ ~,~. /nJ(ep~15
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Address I~~ Skh'af-L ~'8 55C)L\()1
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BUILDER
SIGNATURE
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MECHANICAL
SIGNATURE
FEE CURRENT
I Y/N I
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I Y IN I
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Y/N
FEE CURRENT
License #
I Y IN I
License # I ES C:f"C'lM(o \
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FEE CURRENT I Y I N I
License # tt::t\ -Lt:ro/014
FEE CURRENT
Address
I A.Cf_
~ Y/N
\5
COMPANY I
REGISTERED
License #
OTHER
SIGNATURE
YI N
FEE CURRENT
Address
1""1"1""1'1"1'1""1"1'1"111"""11""'11'"111'1'11""11'11'111""11"""1"111""1111"1"""1'1111"""'111"""""'1"11'111
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 on site, Construction Plans, Stormwater Plans wI Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (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 all new projects, All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans,
""PROPERTY SURVEY required for all NEW construction, .
"'111"""1"111""'1"'11""1""111""'1"'1"111"111"'111"'111""'111'1"11""11'1""11111"1'illllll""IIIIIII".IIIIIIIIIIII",,1
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 cqntractor) or Power of Attorney (for the owner) would be SDmeone with notarized letter frDm owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage)
License #
Driveways-Not over Counter if on public roadways..needs ROW
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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 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 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 ~hat a s.eparate perm~t may ?e requir~d for elect~ica.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatlons not speCifically 1n?luded.1n the application, A
permit issued shall be construed to be a license to proce?d With the work a~d not as authorl~y !o vlol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the B~II~lng OffiCial from the~eaft~r
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 th~ work is commenced: An extension
may be requested, in writing, from the Building Official for a period not t~ exceed nln~ty (.90) da~s 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, 11 . 3)
OWNER OR AGENT
s~c~be9 and sworn r affirmed) before me this
?sL JJL11' by tS"
Who i~re personally k . wn to me or has/have produced
~"'.-~ as Identification,
Notary Public
Notary Public
o
Name
ed, prfntedJlfB
Notary Public . State or Florida .
ea..,lIIIIIool~Dec 1,2CQl
COmmlsllon (# DO 376090
IIondecI By NaIIonaI Notary Assn.
Name of Not