HomeMy WebLinkAbout13-13884 CITY OF ZEPHYRHILLS j
5335-8TH STREET
, (sis)�so-oozo 13884
� BUILDING PERMIT
Permit Number: 13884 Address: 3703 BLACK DIAMOND DR LT 241
Permit Type: PARK MODEL ZEPHYRHILLS, FL.
Class of Work: PARK MODEL SET-UP Township: Range: Book:
Proposed Use: MOBILE HOME PARK Lot(s): Block: Section:
Square Feet: Subdivision: MAJESTIC OAKS
Est. Value: Parcel Number:
Improv. Cost: 2,400.00
Date Issued: 2/20/2013 Name: NHC FL 115 LLC
Total Fees: 1,053.00 Address: 3703 BLACK DIAMOND DR LOT241
Amount Paid: 1,053.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/20/2013 Phone:
Work Desc: REPLACEMENT PARK MODEL SET UP 14 X 36
CRANDALL,RICHARD PARK MODEL PLUMBING 40.00 PARK MODEL MECHANICAL 40.00
EASLER,LIONEL L. TRAFFIC IMPACT FEE MF 99% 864.27 TRAFFIC IMPACT FEE MF 1% 8.73
BAHR'S PROPANE GAS&A/C, INC
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PARK MODEL MECHANICAL
PARK MODEL PLUMBING
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� 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.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your properly. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
i n� �,
ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
ai�-7so-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021
/ u�� Budding Department
Date Raceived Phone ContactforPertnitti l+' I C
Ownera Name 1 V - � � Owner Phone Number � - � -,
Owne�"s Address C ' pYmer Phone Number �
Fae Simple Titlehddar Name � Owner Phone Numbsr �
Fee Simple Titlehdder Address IV� �
JOBADDRESS ��D� �� � 'M(,` LOTlf ��
1C�L_�-!
SUBDIVISION �—T�IlL �G„�S PARCEIIDK Z�7-/�p"(,� '��"� I ���
(OBTAINED FROM PROpER7Y TAX NOTICE)
WORK PROPOSED � NEW CON5TR 8 ADD/ALT � SIGN O � DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM � OTHER
TYPEOFCONS7RUCTION Q BLOCK Q FRAME Q STEEL �
DESCRIPTION OF WORK
BUILDING SIZE { i X , � Sq FOOTAGE �� HEIGHT C� �
BUILDING $ � VALUATION OFTOTALCONSTRUCTION � '1��/l L(.0 •�(���
OC V
�ECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
PLUMBING $
AECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
Q�S Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER �J/ �'/ �`��,��-C'-,�_ COMPANY� .J1N-t FlvlUb� /���Q�
SIGNA7URE (.�1•��(-,�
�.� � � �,�� �a25 �Q
ELECTRICIAN ,/ L j�`/�G'� COMPANY � �L�
SIGNATURE f REGISTERED 1 N FEE CURRE� /N
"`� 1 � ��# �.2pui2�ilU �
PLUMBER / / COMPANY ��"C� (�I��bl( /� G��,i, �
SIGNATURE (i1. �-�� �x__�?VL
REGISTERED �Y71 N FEE CURRE� 4 y�—
"''� L�# 1 N I I�1 SZC t,�—�
MECHANICAL COMPANY LY i!j 'F'� �„ �
SIGNATIRE REGIS7ERED ` N FEE CURRE��—
A�� License# U D I
OTHER �MP�
SIGNATURE REGISTERED Y/ N FEE CURREf. Y/N
�� License# —�
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Atlach(2)Pbt Plans;(2)sets of Building Plans;(1)se}of Energy Fortns;R-0-W Permd for new corutn�ction
Mmimum ten(10)working days after submittal date. Required auite,ConsM�ctfon Plaru,Stormwater p�ans Nr/Sitt Fenc:e installed,
Sanitary Facilities&1 dumpster;Site Work Permd for subdivisions/large projects
COMMERCIAL Attach(3)complete sets�Building Plans plus a Lite Saf�y Page;(1)set of Energy Forms.R-0-W Permd fa new construdion.
Minimum ten(10)worlcing days aRer submitta�date. Re�ired p�i�e �gt�p�P�� Stormwater Plans w/Sitt Fer�ce installed,
Sanitary Facilities 8 1 dumpster.Site Work Permil/or all new projeds.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW consWction.
Direttions:
Fill out application completely.
Owner&CoMracta sign badc of applicatbn.notarized
M over SZ500.a Notice d Commencamant is req�rred. (MC upgrxJsa over 57500)
" Agenc(ror me cornra�xw)a Power or Anorney(r«u,e owner)wa,ld be some«,e wan naarized�etter fr«n owner ainr�orizirg same
OVER THE COUNTER PERMIT7INC, (Fr«rt of qpp�icatfon Ony)
Rert�ofs'rf shingles Sewers Service Upgredes q/C Fences(PIoUSwey/Footage)
Drivnways-Not over Courker"rf on puW�c roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this pertriit 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 conVactor 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. Furthertnore, if the owner has hired a contractor or contractors, he is advised to have the contrador(s) sign
portions of the"contractor Block°of this appliption 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 FEE3: 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 identfied 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. Furthertnore, if Pasco Counry 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 Departrnent of qgriculture 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"owne�'prior to commencement.
CONTRACTOR'S/OWNER'S AFFtDAVIT I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulaUng construdion,zoning and land development. Application is
hereby made to obtain a pertnit to do work and installation as indicated. I certify that no work or instaflation has
CommenCed prior to issuance of a pertnit 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 appy to the intended work,and that it is
my responsibility to identlfy what actions I must take to be in compliance. Such agencies inGude but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentaly Sensitive
Lands,WaterMfastewater 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 Heakh 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 permilting which is prepared by a professional engineer
licensed by the State of Flo�da.
- If the fill material is to be used in Flood Zone °A° in connection with a pertnitted building using stem wall
construction,1 certiy 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 adversey affect adjacent
properties. If use of fill is found to adversely affed 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 permk 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 wo�ic and not as authority to violate,cancel,aRer,or
set aside any provisions of the technical codes,nor shall issuance of a pertnit prevent the Building Official from thereafter
requiring a correction of errors in plans,consVuction or violations of any codes. Every peRnit issued shall become invalid
unless the woric authorized by such per►nit is commenced within six months of permit issuance,or'rf work authorized by
the pertnit 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 Oificial 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 Y R LE R A ATT RNEY BEF RE R C RDIN Y UR TIC F C NC MENT
FLORIDA JURAT(F.S.117.03) �
OWNER OR AGENT CONTRACTOR � `�
Subscribed and sworn to(or afirtned)before me this Subscribetl a � to(ar afi ed)pe{ore me this
by 2— �l by
Wh0 is/are personally known to me or has/have protluced Who is/are personal known to me or has/have produced
as identlfication. as iden6fica4on
Notary Public ` Notary Pubhc
Commisslon No. � �
•
°�'�"�._ . • EE 040520
Name of Notary typed,pnnted or stampeU Name of � , ���n
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contracto omeowner: �,�p�
Date Received: ,.� — � — ��j
site: � �t� � �Z����
'�����1� _
Permit Type: � �'
Approved w/no commen s: Approved w/the below comments: O Denied w/the below comments: O
This comment sheet shall be ke�t with the pennit andlor plans.
• �f,.
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Kal ' Swi lans Examiner Date Contractor and/or Homeowner
(Required when comments are present)