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09-9876
CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9876 MOBILE HOME SET -UP Permit Number: 9876 Address: 37119 N EUKOM A V E LOT #344 Permit Type: MOBILE HOME ZEPHYRHILLS, FL. Class of Work: MOBILE HOME SET -UP Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: GRAND HORIZONS Est. Value: Parcel Number: 34- 25 -21- 0180 - 00000 -3440 Improv. Cost: 9,700.00 Date Issued: N ame: GRAND HORIZON Total Fees: 7,148.08 Address: 7645 GREEN SLOPE DR Amount Paid: 7,148.08 ZEPHYRHILLS, FL. 33543 Date Paid: 12/14/2009 Phone: Work Desc: MOBILE HOME SET UP 28 X 44 BMI LL M•B L H•M LE - ICAL 40.00 EW - •NN I•N M•B LE 1,005.00 JAMES 0 MORTON ELECTRIC CO.,INC. MOBILE HOME SET -UP 60.00 WATER CONNECTION MOBILE HC 320.50 BMI LLC MOBILE HOME MECHANICAL 35.00 MOBILE HOME PLUMBING 40.00 BAHR'S PROPANE GAS & A/C, INC. PARK FEES MH 573.73 POLICE IMPACT FEE 254.00 FIRE IMPACT FEE 273.00 PUBLIC SAFETY 5% 26.35 TRAFFIC IMPACT FEE 99% 3,595.68 TRAFFIC IMPACT FEE 1% 36.32 WATER METER RES 3/4" 311.25 IRRIGATION CONNECTION 266.00 IRRIGATION METER 311.25 2 So l-t - Cre. s .-C1 °'" oo: +::. =:.;3 E . ,; . IP' 1 27 1 k'hica w lowtr, ' " :i, : ,a; _* t. e £,, , . *'K • i `j' 0 i %" . M•:ILEH•TES MOBILE HOME ELECTRIC MOBILE HOME A/C MOBILE HOME PLUMBING FINAL 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 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 r 6fr."--- Ir 4 4 le ' - CO • 'S SIGNATURE PERMIT OFFI ( - - PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER DATE: 12/16/09 TIME: 15:40 PASCO COUNTY ' FLORIDA � PAGE : 1 OF 1 0NTRACT8R #: ISSUE OFFICE: D AME: GRAND HORIZON HOMES LLC 0DR: 7645 6REEN SLOPE DR RECEIPT NUMDR: 0'1165286 OFFICE: DADE CITY /ST: Z-HILLS, FL 33541 ]R: RESOURCE FEE FOR Z-HILLS CHECK # 1712 #987� f; TOTAL AMOUNTr: 8.16 ::CNT COMPNY ACCOUNT CENTER AMOUNT DESCRIPTION/P[RMT DATA DP/CF. i14 B450 - 3630O0 - 2 2.72 ****** SOLID WASTE FEE 60 1.14 B450 - 363OOO - 2 2.72 ****** SOLID WASTE FEE 60 �14 B450 - 363000 - 2 2.72 ****** SOLID WASTE FEE 60 HEIVED BY \ � ) 1' 1'. 54.1, City of Zephyrliills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: , , L41 Date Received: / 2-8- 0 9 Site: 3 2 //"/ /Vete / / Permit Type: ype: Z � � �� /7 Approved w /no comments: ❑ Approved w /the below comments: Denied w /the below comments: ❑ l c sI J L a-) s H(tS s iv 114 This comment sheet shall be kept with the permit and/or plans. K. in Switr lans Examiner Date Contractor an. or omeowner (Required when comments are present) ' 3 s m 7 K O C) II Z H U) w m r" ?a 92. m x m D 23 c D_ m.< D n� R° O 70 x r 0 0 < r ' Z Ill 5 D� m m m z m m 0 �� rn JO '.< 74. mn m m m m m > D ) o 3 0 c_ DJ ---- m m i m� j [ ' m 0 77 o M m Z �.N mm = `� co lb. O ? o m m ° It C ■ p. C T w o ° � I i ( �q 3 ' . ❑ ❑ ❑ & ❑ • . r CD =° m m m ` ` - D r Xf : CD Mk 3 MI Alla ..., , 23 n r H ., Z Z .,,.,,,,,,,,§:5 _< F C° CO cc Z D m D ' D 33 * H n O c O O m le N D m O7 z F : 0) I/ K ( 0 0 Do Z H co 0) a- - m i "'6 V ` } x m D a' i c m D m D3 0 D •gy 2. m m 0 0 0 m Z 73 m � � ° mo m 33 - m > 0 ' 0 3 n c 13 m C DD p n Er o o E m m ° Cn m ;(N ❑ ❑ ❑ ❑ ► o m CD iN � rrn Mr XI 0 0 0 73 XI L7 -- 4 �J�j N Z Z ,� (b -< -< , y ` c am Z 0 m D • D D ° m o n D x f i P m O p O m ` \� T \. 0 H _+ c ( ,,,..,‘Al "` \ m cn co � C. PASCO COUNTY, FLORIDA Permit No. 98 7 Q r� / Date Permitted Builder Name /Owner Name 61 1 L {4Le Control # County Parcel No. 2S 21- D/ 50- 06000 - 3VniubDiv: Address /Location 3 7,1 /9 /t/eakorh 4s -e.. C6 F . --35/4 of Use /1'1bbe /e M•e rr , /1, v„44 TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: Exempt ❑ Yes ❑ No How Determined Impact Fee Amount $ ..9 403 2 - Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single - Family Detached House Amount $ /0 /A (057) Mobile Home (058) Other Residential 12ol Exempt Yes 3) C — No lection Fee How Determined PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone TOTAL AMOUNT $ 5 73, 7 3 Exempt 111 Yes E No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt Yes El No How Determined Total Amount / RESOURCE FEE ERU TOTAL AMOUNT Prepared By �` = Checked By IF NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY Acknowledgement below does not Imply acceptance of concurrence, but simply receipt of a copy of this form, placing the building permit owner on notice of this assessment and the conditions of payment for same. DATE RECEIVED BY RECEIPT NO. DATE BY • 813-780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 Building Department U! (? / O Date Received -- Of r Phone Contact for Permitting ( 313 21 -- 1 ( 4 4 _ Owner's Name s racy) 14 2('`{)S 1-131110e Owner Phone Number e - 1 d %Scs � � L 33� 1 Owner's Address /t7 - 1 ) ( 1 _� e e 01, yC 2 „ � )( ,C' �� �l �Uw Ph Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS .57119 /UeU 14Cirn ihj e . Z I�- t1l i l , 7/ 6354 LOT # 34 q SUBDIVISION �� 1 Z,c.�' PARCEL ID#I (95 c9I +0 10. - O crin - 34-t1-0 0 �> 1� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN n MOVE 1 1 DEMOLISH INSTALL REPAIR PROPOSED USE SFR I I COMM 1 1 OTHER 1 I TYPE OF CONSTRUCTION BLOCK I I FRAME I 1 STEEL [ OTHER ycb k I JC1rYuL I DESCRIPTION OF WORK ` BUILDING SIZE • ,) X . L} L) SQ FOOTAGE ) 1 73 HEIGHT BUILDING $ VALUATION OF TOTAL CONSTRUCTION 5-1 ocG ELECTRICAL $ 1 Oe C AMP SERVICE aco Mil PROGRESS ENERGY 1 ( W.R.E.C. I I PLUMBING $ ` ) /c I ( MECHANICAL $ ^ VALUATION OF MECHANICAL INSTALLATION I I GAS 1 1 ROOFING 1 1 SPECIALTY 1 I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 1YES ONO BUILDER COMPANY OCT, U 0_,. SIGNATURE *. REGISTERED I Y N I FEE CURRENT 1 Y/ N I Address I aS A , : i ,,2 Q , l I ( . . I dE3 `-IVY License # rf -i - no �Q` Li ELECTRICIAN -,_.,,,.., - D COMPANY itC �I ( ( SIGNATURE , A, k _ . REGISTERED T Y / N 1 FEE CURRENT I Y / N 1 l. Address g G.;Cl &) Et,cx.,r�.�11 6106 /7 , icy 5(4i, License# tit/ PLUMBER COMPANY 5u 1 (PLC SIGNATURE ` 1 !J ;l V �, � � `' ,k_ REGISTERED I Y / N 1 FEE CURRENT 1 Y / N I Address ' , 6 ' n 1 - % • PhL / , L .` L 1 1 (-) License # Tf) -( (r V MECHANICAL � COMPANY Y 5 SIGNATURE ( ,c :l c � XL L REGISTERED Y / N [ FEE CURRENT I Y/ N I , , Address 4 1 n� / i I Q -f`4) /9_11 _ ilil Z )) `� 1-1 I License # , -e � ' `-( ! D OTHER COMPANY SIGNATURE REGISTERED I_ Y/ N 1 FEE CURRENT I Y/ N I Address ( License # F 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) 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 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. 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 IMPACTIUTILITIES 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 Tots 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 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 ` j ob 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. 117g 3) �- \ " r t • � %, mom Wow im-Aiit _ , OWNER OR AGENT � ;, _ 1) �`t�`:+� J CONTRACTOR kbscribed and swor I t' or 'Trine.) be ore me this Sub cr /bed and s■ •m t• or FT e• ' •r ee this Cast. o by tS•E • , - - 12 lg /O dI by (-4S-- oU(L known to me or has /have produced Who is /are personally known to me or has /have produced Who is /are persona as identification. Ft - DC-- as identification. l i 4 o b, ---- ,___ - I j i / • A Notary Public Notary Public mmisslon No. Commission No. R C j� RICHARD S. MARTIN �.) 1 HARD S. MARTIN ie�40.r /�`� q"�wy Comm# DDO5354 • i��✓�4r 1V1n - 52 printed or stamped _� 4 , Name of Notary typed, printed or stamp,56 *, _ Expires 4/212010 Name of Notary typed, p _ N 32 :;,,, F `... Bonded by (800)332 - 4:_. Bonded by 800 - 24254 Florida Not r A' . , ,, a.VO . Florida Notary Assn.. Inc 1 11111111111111111111111111 11111 11111 11111111111111111111111 2009174972 ' NOTICE OF COMMENCEMENT Rcpt: 1276965 Rae: 10.00 DS: 0.00 IT: 0.00 12/08/09 Dpty Clerk Pe17111I NO. PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER Tax Folio No. 4 :-off = 1 -6 _ — -3(-41-40 12/08/09 0 48 to 1 of 1 OR BK 8 2�T PG 1261 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT I .Description of property (legal description): u i t ' A,t� al - . i , G ( i ' a) Street (job) Address: 3'73/ O 2.General description of improvements: bi_le_AY+K7.0 s .l 3.0wner Information a) Name and address: _ 4:2_ J S o__52 v1e c____ I _ ' b) Name and address of fee supple titleholder (if other than owner) �- c) Interest in property R 4.Contractor Information — - - -- - -- 1? a ) Name and address: • t _ itazt. 1- 1 P4 l� t I L , FL .5�f 'l b) T elephone No.: �`(3- 7/ - /(o Fax No. (Opt.) vi 5.Surety Information a) Name and address: STATE OF FLORIDA; COUNTY OF PASCO b) Amount of Bond: - 11 . 1 . -.) lu TO l ' ®° GUINU ISA c) Telephone No.: Fai t;:' �:) .irli t - COPY F O� 6.Lender ON FIL ZF POjN THIS OF-F -ICE a) Name and address: WITNE MY HAND OFFICIAL: SEAL THIS _ 7. Identity of person within the State of Flondadesi designated by owner u Pho ' a OF « • ! _ l . 0 IMI _ — gn Y po�tie IlZt KIee()AAItj I ark 4 - a) Name and address: - {}-- b) Telephone No.: ay Fax No. O X( - PUTY C(_FRK 8.In addition to himself, owner designates the following person to receive a copy of the Ltenor's Notice asprovtded'in Section 713.13(1)(b), Florida Statutes: a) Name and address: b) Telephone No Fax No (Opt.) 9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording'unless'a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER' CHAPTER 113, PART I; FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO' VOUR - A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST • INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. . STATE OF FLORIDA ° °w,. '= a - COUNTY OF ° NOG]rY Pliblir P " t om 3-61e o( Flwide 10. < ' J Etn;.:� a 4;g1 • �� - cure o Owner or Owner's Autho q zed Officer/Director /Partner /Manager of r ` O Expires 06/22/2010566784 L j C n. Pk � ,/' / P rint Name The foregoing instrument was aclmowledged before me this / day of [ 20 by 1---i ''-‘-• as 09e AA— (type of authority, e.g. officer, trustee, attorney in fact) for( )-fa )4' (ZI5 (name of party o f of whom instrument was executed). Personally Known �OR Produced Identification Notary Signature /,-- (2(I2 Type of Identification Produced Name (print) �2 L' 67:. ( /1 , Mar. L t Verification pursuant to Section 92.525, Florida Statutes. Under of perjury, l declare that 1 have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. 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