HomeMy WebLinkAbout10-10150 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
• (813)780 -0020 10150
BUILDING PERMIT
Permit Number: 10150
Address: 3815 QUAKER RIDGE ST LT 55
Permit Type: PARK MODEL SETUP 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- 0000 - 00100 -0090
Improv. Cost: 2,400.00,
Date Issued: Name: NHC -FL115 LLC
Total Fees: 175.00 Address: 6991 E CAMELBACK RD STE B310
Amount Paid: 175.00 SCOTTSDALE AZ 85251 -2493
Date Paid: 3/08/2010 Phone: (813)780 -9308
Work Desc: PARK MODEL REPLACEMENT 12 X 33
EA L -:Ti • L L. M• :ILE H•M ET- P 60.00 - ARK • • EL TRI 00'
40.00
CRANDALL, RICHARD PARK MODEL MECHANICAL 35.00 PARK MODEL PLUMBING 40.00
EASLER, LIONEL L.
BAHR'S PROPANE GAS & A/C, INC.
CO ( 1 )
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PARK MOD S T -UP
PARK MODEL ELECTRIC
PARK MODEL MECHANICAL
PARK MODEL PLUMBING
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 our notice of commencement."
AID
CONTRACTOR SIGNATURE PERMIT OFFI FR
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
1 .
( Contract iomeowner: i . 41 s
Date Received: ` /6 10
Site: oh
Permit Type:
Approved w /no comments: ❑ Approved w /the below comments:
IS,
Denied w /the below comments: ❑
4 isthI
This comment sheet shall be kept with the permit and/or plans.
d 6 . ,7% - -2 ''
Bill B e ss — B;o . g Official Date Contractor and/or Homeowner
(Required when comments are present)
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Buedig Department 10 1 b
Dale Received a ,- / / r v
6, Phone Contect Permitting 14:71 1 - 1 t: o 1
,1 Q
Owner's Name NNC • FL 11S, U.C. Owner Phone Number p O 13.1W -93438 1
own er$ address
l . Cost ate AZ. P a d s Z f331 C) l Owner Phone Number I O► "J • p3 1 8 l
Fee Simple Titleholder Name 1�lat
Owner Phone Number (
Fes Simple Titleholder Address l
JOB ADDRESS r� 3T , s1� � , (),,in V , b f . Q:�. r/ (� LOT # 1 55
SUBDIVISION rrlt' y `c- bG S PARCELID#I2t! Zt • /�W) • ` ' �a,' (A�
(OBTAMEO FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH
INSTALL REPAIR
PROPOSED USE [- - sFR 1 1 COINA n OTHER
TYPE OF CONSTRUCTION Q BLOCK r7 FRAME Q STEEL , I ' OTHER
DESCRIPTION OF WORK edoton (Yin L r oc k re pia t BUILDING BUILDG SIZE 1 IV . t SQ �FOOT T AGE 39 l p HEIGHT I
C BUILDING IS NO "
W . VALUATION OF TOTAL CONSTRUCTION aCACCI. via
7 ELECTRICAL $ 1 AMP SERVICE n PROGRESS ENERGY n W.R.E.C.
1 yr PLUMBING 1$
1 1$ VALUATION OF MECHANICAL INSTALLATION
Q GAs n ROOFING n SPECIALTY n arRel
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 JYES NO
;;: �., igeliY � / / � / /�., ,, I J �,,, ,,,///�����^ ? REGISTERE N FEE cuRRENT b N Address 'Hoff 3rLl I c L . -046T lit yJ & `� License# I IR- b000Z 1p
ELECTRICIAN (�a��d�C..�, o ' COMPANY 1 Cr ^ • Et ckt tc
SIGNATURE REGISTERED
k AP N FEE CURRENT EL CO N
Address II' Eder b s a i , 1 • ! - • 1 h.I I k -3's4V License # 1 ELtt 12-9 i 0
PLUMBER C S N 6 � � - � - K . ( COMPANY 1( G ,C� M` IQ r I M�� �6 I
SIGNATURE /�� I r. REGISTERED 'IIJW I FEE CURRENT kut..,j
Address EP ►1�1I! i .�. M 4 / / w License # I (N • ()moat to
1
MECHANICAL
COMPANY 1 r
' ,/ h
SIGNATURE L i s { A O Pc C
. ` Aix_ � ° -.�� REGISTERED N I S FEE �RRENT Y
Address l
ss 00611 ryW lI3rd. ALG. Jcnv iris, E. " ) License# 1C0(4 fl y'S 1
OTHER
SIGNATURE COMPANY
REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N J
Address 1 1 License# I
RESIDENTIAL Attach (2) Plot Plans (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit far new construction,
Minimum tan (10) working days after submittal date. Required crake, Consbuction Plans, Slormwster Plans w/ Sit Fence installed,
Sanitary Facilities 8 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) world g days after submittal date. Required onsite, Construction Plans, StOnnwater Plans w/ Set Fence instaled,
SIGN PERMIT A Fealties 81 dumpster. Site Work Pence for all ner
new projects. All coneraet requirements must meet compliance
() sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Directions:
FB out application completely.
Owner 8 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 A tnmey (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERI/TTING (Front of Application Only)
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 -1347-
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: 1 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 pernit 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 govemment 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 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 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 08TAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03) �
OWNER OR AGENT CONTRACTOR
Subsc bed and sworn to (or affirmed) before me this
Who is/are personally known m me or haamave produced � b/(
as id tion. t ° l�i�r'� -rte known to or has/have produced
6 /6 .e'r'r- T.103j as won.
Notary Public .. v• Notary public
`
Commission No. Commission No. bb 8(0 33 aA,
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
GLENDA M. WYNN
r# Notary Public, Slated Rodda
CominbsioltiDD881b
My comm. expires Feb. 27, 2013
II
Plan Review
Modular Home Set -ups and Aluminum Packages
1) All property markers shall be exposed and clearly marked at time of first
inspection.
2) All set -backs shall be met.
3) All
garages shall comply with section 309.2 (Fire separation ).
4) Access shall be made available at time of inspection.
5)Manufacture specification manual, approved plans and permit shall be available
at time of inspection.
6)No electric, plumbing, mechanical or framing is to be covered without
inspection and approval first.
7)R.O.W. Use permit required for driveways on public streets.
R.O. W. - Right Of Way
F.B.C. - Florida Building Code
140\ C CaS
3S 6 Gtvolix._ eldie 5L
Lot 55
Ze-Ouir In\ U, c 3354z
2-4 214).11 • Obto • Op■ofD CO9 0
I •
,),
REVIEW DATE
CITY OF ZEPHYRHILLS
PLANS EXAMINER
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