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HomeMy WebLinkAbout08-8615 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8615 BUILDING PERMIT Permit Number: 8615 Address: 3912 QUAKER RIDGE ST LOT 83 Permit Type: PARK MODEL ZEPHYRHILLS, FL. Class of Work: PARK MODEL SET-UP Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: MAJESTIC OAKS Est. Value: Parcel Number: 24-26-21-0030-00000-0750 Improv. Cost: 13,600.00 Date Issued: 12/08/2008 Name: NHCFL115 LLC Total Fees: 175.00 Address: 6991 E CAMELBACK RD STE B-310 Amount Paid: 175.00 SCOTTSDALE AZ 85251-2493 Date Paid: 12/08/2008 Phone: (813)780-9308 Work Desc: PARK MODEL SET UP 494 SQ FT BUTTERFIELD MOBILE HOME SETUP PARK MODEL SETUP 60.00 PARK MODEL ELECTRIC 40.00 CRANDALL,RICHARD PARK MODEL PLUMBING 40.00 PARK MODEL MECHANICAL 35.00 BUTTERFIELD MOBILE HOME SETUP BAHR'S PROPANE GAS&A/C,INC. I, , �- v PARK MODEL MECHANICAL PARK MODEL PLUMBING PARK MODEL SET-UP PARK MODEL ELECTRIC REINSPECTION 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." CONTRACTOR SI9I1ATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8615 BUILDING PERMIT -' z a^•., . .. a.� ,::� P sd�a 9 r�.ra�i �° ,,� ;,__ �,��q'�°t�.�s.₹.a�''S "� *a`*. Permit Number: 8615 Address: 3912 QUAKER RIDGE ST LOT 83 Permit Type: PARK MODEL ZEPHYRHILLS, FL. Class of Work: PARK MODEL SET-UP Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: MAJESTIC OAKS Est. Value: Parcel Number: 24-26-21-0030-00000-0750 Improv. Cost: 13,600.00 Date Issued: Name: NHCFL1 15 LLC Total Fees: 175.00 Address: 6991 E CAMELBACK RD STE B-310 Amount Paid: SCOTTSDALE AZ 85251-2493 Date Paid: Phone: (813)780-9308 Work Desc: PARK MODEL SET UP 494 SQ FT BUTTERFIELD MOBILE HOME SETUP PARK MODEL SETUP 60.00 PARK MODEL ELECTRIC 40.00 CRANDALL,RICHARD PARK MODEL PLUMBING 40.00 PARK MODEL MECHANICAL 35.00 BUTTERFIELD MOBILE HOME SETUP BAHR'S PROPANE GAS&A/C,INC. f\JO 1 PARK MODEL MECHANICAL PARK MODEL PLUMBING PARK MODEL SET-UP PARK MODEL ELECTRIC REINSPECTION 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." CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER City of Zephyrhills BUILDING PLAN REVIEW COMMENTS L7 � �-�- C ntract (o omeowner: , < Date Received: Site: M / 111 Permit Type: Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑ 1A / 1L This c4S;y6 t sheet shall be kept with the permit and/or plans. Ka1vii er— ans Examiner Date Contractor and/or Homeowner (Required when comments are present) C'Id'/i5U'VVLV %,ILy VI L61./lIyllrino I Ia[ILI Building Department Date Received I. Phone Contact for Permitting J-i-i-i-I III I 111111 iii I lilt iilIiiltilllIiiIlIilll 11111111 .11.. liii I. / LL L G 3'3r 6 Owner Phone Number g' Owner's Name C pp �_ /l+C u.rr(c gC �c 71s Qa/( t�2' Owner Phone Number Owner's Address tr Fee Simple Titleholder Name W� z93 Owner Phone Number I Fee Simple Titleholder Address JOB ADDRESS C/ x Gam" ( I C. LOT# PARCEL ID# T L/ -2 2/ -OO.Jd "- ó0060 G rs SUBDIVISION (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR B ADD/ALT SIGN 0 MOVE 0 DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM Q OTHER < Cs >v✓� -. TYPE OF CONSTRUCTION BLOCK FRAME STEEL OTHER a✓ V� DESCRIPTION OF WORK ° S t -C BUILDING SIZE K j v SQ FOOTAGE ` H HEIGHT Lrr.rT,r1u111111 liii ri 11111 run Lilt•iiii Fri-rn-ri Ii i-I-i-Li-El ti-ill-rut iii,,ii I.. 11-rrr1-I11111 I i-i-I-I-i-ri lilt.iililiitili liii Ui-UI-i ill ri-UI-I-ri inn.,rr1]TflL BUILDING [F[3 Q U VALUATION OF TOTAL CONSTRUCTION Eli ELECTRICAL $ 1 Z v �, AMP SERVICE PROGRESS ENERGY W.R.E.C. J PLUMBING $ !Q C. El MECHANICAL $ �>s - 1 VALUATION OF MECHANICAL INSTALLATION o GAS 0 ROOFING SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS L FLOOD ZONE AREAII 11111111111111111111111111111 till IiiiIiiI 11111 1111 llliltII I,Ii1hluIhuIhIhh11 iii.till 111111 11111111 liii 11111 It 11111111 i lilt.Il =YES BUILDER (� COMPANY t� ��" C�/ � FEE CURRENT Y/N SIGNATURE f - REGISTERED Y/ N �i Address 3 12 l 2- >� t/ PCc_ , GG. d L C I �c License# 1 00 �y b ELECTRICIAN COMPANYQY) cc l /PC ✓j SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N fjC Ze; L ji , License# I E R O6//0 Address �( PLUMBER �,/� COMPANY ������ /'`��d fru SIGNATURE REGISTERED Y/ N FEE CURRENT �Y/N /�'� License# / / (J0 c) ��1S�) Address MECHANICAL COMPANY c� r S Py'U G� 2 A k SIGNATURE � f t REGISTERED Y/ N FEE CURRENT Y/N Address tl {, ��( License# CA c vy3 9 OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N Address I License# 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/Sift 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&I 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. IllIllIltIl 1111111 III iiiiiit Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C 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 A/C 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 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'SIOWNER'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 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 OWNER OR AGENT' <" CONTRACTOR Subscribed and sworn to(or affirmed)b re,me th's Subscribed and sworn to(or aff ed ore m th Who is/are rsona y kno to me or has/have produced Who is/are perona to me or has/have produced as identification. as Identification. tary Public �� Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped 1Pav Pua TONI SCHMIDT ,0,' P�ut.� T0NI SCHMIDT MY r.CMMISSI0N#DD 616391 * * MY COMMISSION#DD 616391 * E EXPIPES:November 20,2010 P EXPIRES:November 20,2010 sfgre�f oe° 8ended Tiu Budget Notary Services q �F�oP`° Bonded mN Budget Notary Services • 1111111 11111 11111 11111 11111 11111 11111 11111 11111 11111 1111 1111 • NOTICE OF COMMENCEMENT 2008171776 State of o V 1 "` County of (___ 0 THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and In accordance with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement: 1. Description of Property: Parcel No. - __ -Ub G C>C� UQ 6 7 O Lot 3 3g("Z Qu c -' 12- 'dc - t- _ W, fl 3 Sy Z Legal description of the property and street address if avatable) aJe LCr Cc— ' 1') R�Gje O'►tj- Pt3 S1) (O l O 7- ! 1 Z Lf5 75' (18 2. General Description of Improvement I VAfi tasl`U c_,'-(n g 2 P6 fi y P , N\G * N n/ r•• v� 3. Owner Information: Name J y H L - t L I (S L-L 0 F..) m.. (c /C. c c( s e_ r - o s c( (€ A_2_ 2 ) N Address City -State p,s Interest in Property: Name of Fee Simple Titleholder: (If otherthan owner) I .. '-'0 --1A Address City State 4. Contractor: Name `\ 1 . 0. `-c ► GG`y & is —__ Address City 5. Surety: Name x Address City State Amount of Bond: 3 rrL O ' . 6. Lender: Nameo 0 N.V Address City state 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served r~� a as provided by Section 713.13(1)(a)(7);Florida Statutes: W KZ Name _ wW� In Address n Address City State O 8. In addition to himself,Owner designates O O of to receive a copy of the Lienoes �riO 4 Notice as provided in Section 713.13(1)(b),Florida Statutes. //�,.�•+ V■ 1" 9. Expiration date of Notice of Commencement Is one year from the date of recording unless a different date Is specified. 12 Date Signature of Owner STATE OF FLORID COUNTY OF CtJC O 7 The foregoing instrument ackno dged before me_the \_£?_ I — (date by \k-+fe z-'e,_- (name of person acknowledging),who is persona known to me or who has produced (type of iden' tionp as ident ea ion. Seat: (`J otpnY PpBli TONI SCHMIDT NOTARY * * MY COMMISSION#DD 616391 dv1pc053048 EXPIRES:November 20,2010 BondedThru Budget Notary SeMCes STATE OF FLORIDA t�4t • .. COUNTY OF PA$CO' • �` I �o THIS IS TO CERTIF'hTHAT FDREGLT1 CIS TRUE AND CORRECT C9 F'*'W ONIIZ.E r OR OF PUBLIC RECORD TIIf FIC *ITN $SMY t- HAND AN OFFICIAL SQAL 1tISAAY QF4- JED PITTMAN,CL CULT eO t•��o BY UWbt RK � ° 1 o I ' T'111 1I E m3 Nfl ❑ ❑ ❑ $ E 111'IiE E c a 'g '� Yi 1\Jj, j4. . : : : . : . : : 4: : : .! T ' ® s in -u /rh J 1c1 j L) qpDp JLI ji ' iE :11___________ Ill \ i unit ` M AA s 53 ; . .t.f. I II ! i rIi du ____________ YJ O 3.C �_y _ T_1iJ'lijHlWhii± lII NIll� Ill 1 J \I 3 I I • Ii • ss !! h C 0aII1 I g t �t ce .moaoC w = I c o RG"` A . j .E ; iJJa lEd C • W maw �9� s c if To 1111 - 0 . _____ gg l n x ! Z O KJI RI to 11IJ I J i—q CC C z ® V JECIX a a IH o E as C • E s� W, Sao m Y Y C�pc Q �¢ O L� f" tu Em O o o � � �pp o� ti.E o $ w O-0 F" . n m N= N C p Y - OFT. Cwt'.sT SAY ew ro i i 4; © flj ]r -; ; Tu.n►� X � l 'd�••1i r C 3L 1 � � w�za . �11Jt0o' i eaet�aisc+ zwra lalvw "Jd "I ' I t4-. 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