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Home My WebLink About14-15571 , CITY OF ZE HYRHILLS "-'• 5335-8 H STREET •�� s -- T._ `- (813)7 0-0020 ,A�5571 MOBILE H ME SET-UP ( :��.�'.� _��PE�RMIT�INFORMATION j � � �LOCATION�INFO;RMATION?�. -` °" Permit Number: 15571 Address: 37733 NEUKOM AVE LOT 90 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: 34-25-21-0090-00000-0900 Improv. Cost: 72,988.00 ' � �� :OWNER�INFORMAiTION:�;�.�:.»,s:'.;��'�� l ; .� Date Issued: 9/11/2014 Name: VANWART MARTYN A& MARION Total Fees: 7,444.94 Address:. 37516 W DEMOLAY ST Amount Paid: 7,444.94 813-788-2004 Date Paid: 9/11/2014 Phone: Work Desc: INSTALLATION NEW MH 28 X 49'4 ET UP � GONTRACTOR$ �= APPLICATION�FEES ' � KURT ALLEN MOBILE HOME SET-UP 60.00 MOBILE HOME PLUMBING � 40.00 KURT ALLEN MOBILE HOME MECHANIC L 40.00 MOBILE HOME ELECTRICAL 40.00 TITAN ELECTRIC AND AIR INC SEWER CONNECTION MOBILE 1,005.00 WATER CONNECTION MOBILE HC 320.50 ' VULCAN INDUSTRIES WATER METER RES 3/4" 457.18 TRAFFIC IMPACT FEE 99% 3,595.68 TRAFFIC IMPACT FEE 1% 36.32 PARK FEES MH 573.73 PUBLIC SAFETY 5% 26.35 POLICE IMPACT FEE 254.00 FIRE IMPACT FEE 273.00 IRRIGATION METER 457.18 IRRIGATION CONNECTION 266.00 (��,e�Du.v��e��ee.�� L.�t��}� � �� eAL�EA �u��. to-�`I-t`I � °f:3 a� oAw� P",j;�f.; -_ - w�.-. � � Ins ection� �Re` uired . . ,. , ::xt�=��'X. MOBILE HOME SET-UP� MOBILE HOME ELECTRIC MOBILE HOME A/C MOBILE HOME PLUMBING ' FINAL 1(� � 1�{ ' �� h'�R��- �,� REINSPECTION FEES: Reinspection fees will comply ith Florida Statute 553.80 (2)(c)when extra inspection trips are necessary due to any one of the following re sons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections n t made when inspection called d)work not ready for inspection when called e) permit not posted on jo site � plans not at job site(g) work not accessible I NOTICE: In addition to the requirements of this permit, the may be additional restrictions applicable to this properly that may be found in the public records of this county, and ther may be additional permits required from other governmental entities such as water manageme t, state agencies or federal agencies The payment of inspection fees shall be made before an further permits will be issued to the person owning same � Complete Plans, Specifications a d Fee Must Accompany Application. � All work shall be pertormed in acco dance with City Codes and Ordinances CONT CTORS SIGNATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - HOUR NOTICE REQUIRED PROTECT CAR FROM WEATHER � , � � � C�,`��\��'��IN -- - l?��C�'�` � Print Form- ii� - - - — CITY OF Z PHYRHILLS UTILITIES ORK ORDER WATER ACCOUNT NO.: DATE: Sep 11,2014 OWNER/RENTER/BUSINESS;Martyn&Marion Vanwart COfVTACT PERSON: MAILING ADDRESS: 37733 Neukom Ave Lot90 PHONE fVUMBER: Zephyrhills FL 33542 EMAIL ADDRESS: SERVICE ADDRESS: 37733 Neukom Ave lot 90 SHUT OFF SERVICE XD ❑x WATER TURN ON SERVICE ❑ ❑ SEWER INSTALL MEfER ❑x ❑ GARBAGE READ METER ❑ ❑X IfV CITY CHECK MEfER ❑ ❑ OUT CITY OTHER ❑ DESCRIBE OTHER: 3/4 irriga ion meter NUMBER OF UNITS DEPOS AMOUNT AMOUN LAST BILL � DATE MISC. C ARGE MEfER: FULL IRRIGATION 3/4 WORK COMPLE�'ED BY &DATE OR ER TAKEN BY: Jackie Boges COMPLETED OR ER GIVEN BY: �� ,.y��,�,� � ��,��,y�� Revised 9/2010 � �- � l� ;�� , , � Print Form � S 1 CITY OF ZE HYRHILLS UTII�[TIES ORK ORDER WATER ACCOUNT NO.: DATE: Aug 15,2014 , OWNER/RENTER/BUSIfVESS:Martyn&Marion Vanwart �p�1TACT PERSON: MAILIRlG ADDRESS: 37T33 Neukam Ave�at 90 pHQNE hlUMBER: Zephyrhills FL 33542 EMAIL ADDRESS: SERVICE ADDRESS: 37733 Neukom Ave lot 90 SHUT OFF SERVICE �X 0 WATER TURN ON SERVICE ❑ ❑ SEWER INSTA��METER 0 ❑ GARBAGE READ METER ❑ ❑X IN CITY CHECK METER ❑ ❑ CYUT CITY QTHER ❑ DESCRIBE OTHER: 3/4 water NUMBER OF UNITS DEPOSIT AMOUNT AMOUNT lAST BILL DATE MISC. C ARGE METER: FULL 3/4 IRRIGATIQN WORK COMPLEI'ED BY&DATE OR ER TAKEN BY: 3ackie COMPLEfED QR ER GNEN BY: _� Revised 9/2010 I I S � Cit�r of Ze h rhills CONTRACTOR P,U HORI ZATION FORNd STATE AIR CONDITIONING LICENS # CAC1815590 _ QUALIFIERS NAME: MAX D. SYSK R. BUSINESS NAME: TITAN ELECTRI AND AIR, INC I authorize the following individuals to s gn for and obtain peimits. X*'�I�IS AUTgIOl2�ZA'I'I011\1 SUPElt EI)ES ALL PREVIOiTS SIIBIVIITTED AUTI�O1tIZATIONSX MAX D SYSK, JR KATINA LOOM MICHAEL BISHOP STEVEN ELL Sinature o uccla aer:...... ......(.n. . ...... . ti, g fy f State of�ounty of�� woin to and suUscribed before this ay � — � � \'-` _ Notary Stamp here �� V��- saav n�B SANDY CANNON a°�•••.,��n � * MY COMMISSION�EE 868540 EXPIRES:January i�.2017 �j�rFOFF�O�\oP Bonded Thru Bu?�t Notary Services 1 1 City of Z h rhills CONTRACTOl� AUTHORI ZAT ION �°ORI� STATE ELECTRICAL LICENSE # ER 005285 QUALIFIERS NAME: MAX D. SYSK R. _ BUSINESS NAME: VLTLCAN IlVDUS RIES, INC I authorize the following individuals to s �n for and obtain peimits. X*THIS AUTFIOlaIZATION S�JPEIa DES ALL P1tE�0iJS SUSlo�iITTEI) t�UTI�ORIZATIONS*' MAX I� SYSK, JR KATINA LOOM MICHAEL BISHOP STEVEN ELL Signceture of yualifier:... ......(./.1,�... . . ..... .... State of�l-,County oi� � woin to and subscriUed before this ay � - Ql � 1`' - �� ` Notary Stamp here o�PpY PUg�� SANDY CI6NNON a ;•"•, � T �rv c:,'+�MISSION#EE 868540 * ��,t �:X��iHES:January 27,2017 �,�TFOFF�O�� Bonded ThN Budgel No�ry Services , , "V ��. � I r�u�� t _ r � City of Z phyrhills BUILDING PLAN VIEW COMMENTS Contractor/Homeowner: �� Date Received: �— �—� 1 Site: � �'77 /��D Permit Type: � � ` /�2(�� G� Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ �'I' � � This comment sheet shall be kept with the permit and/or lans. /`�l��T1r�» �. r /, ��2,�iL I��V � �'f Co�� Kalvin Switzer—Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) ; � � � : �A CO COU�dT'Y, FLORID�4 Permit No. ��js'J/ Date Permitted ��/S/�! Builder Name/Owner Name l�.U.r I -!/��1 Control# County Parcel No.��—� -Z�-(�(j 10^CCCGa-G/�r,p SubDiv: ��eNnG� �y'z�s Address/Location ��7� /�eu�C.Ua� 1S'2� �p;'� �rj Classification/Type of Use �lQ� it/-�tv j�S Xs(�.(� TRANSPORTATION IMPAC FEE Rate: Sq Ft Unit: Exempt � Yes � No How Determined Impact Fee Amount $ �� Z• Zone No. Tp,Z, SCHOOL IMPACT FEE Account (056) Single-F mily Detached House Amount $ � (057) Mobile H me � (058) Other Re idential 123) Collectio Fee Exempt Yes � No How Determined PAR6(S AMD RECREATION EE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone TOTAL AMOUNT $ ��3- T 3 Exempt � Yes � No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt � Yes � No How Determined Total Amount -�J RESOURCEFEE ERU l'OTAL AMOUNT Prepared By � Checked By NO CERTIFICATE O OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION PERFORM D UNTIL 7HE 70TAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR B A CENTRAL PERMITTING OFFICE OF PASCO COUNTY Acknowledgement below does not mply acceptance of concurrence,but simply recelpt 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 � s��-�ao-oozo City of Zephyrhills�ermit Application Fax-813-780-0021 Building D partment � Date Received ��3 �� (�l}I K,[ �-(��y � Phone Contact for P rmitting - Owner's Name I �lr h V U�w�V� Owner Phone Number �J�7�p �oW�7 Owners Address � /,)1 � �/V� ��"��`� Jt Owner Phone Number Fee Simple Titleholder Name ��-�- Ovmer Phone Number Fee Simple Titleholder Address SG`VY�� JOB ADDRESS �� 33 N e��n-, (�-(/�Q� LOT# �� SUBDIVISION V�V�C�. �IVvIL(h�lS pARCELI �'I�aS��f' QO' C��' U��6 (OBTAINED FROM PROPERTY TAX NOTIC� WORK PROPOSED e NEW CoNSfR� ADDlALT Q SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE � SFR Q COMM Q OTHER / � TYPE OF CONS7RUC710N Q BLOCK � FRAME Q STEEL Q DESCRIPTION OF WORK dKJ X-17 T��W�(��OJ� V�C7 BUILDINCi SIZE �`t U 11 �C �� `� SQ FOOTAGE �3�� HEIGHT �31 �BUILDING S�y� n c� VALUATION OF OTAL CONSTRUCTION i-o -� b � �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �PLUMBING $ I�,�%� � ' �MECHANICAL $ VALUATION OF ECHANICAL INSTALLATION � OGAS Q ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZON AREA QYES NO � BUILDER COMPA u�r �� SIGNATURE REGISTE ED Y/ N FEE CURREN Y/N Address �xY V 3 J-� JIY�I�-Gt V�C, �� 3�� License# f17 /DO��T u ELECTRICIAN �. REOGIMSTE o ��/�vl FEECURRENS�fY� G� I�� SIGNATURE Address �r��'�� T �l 33�07 License# C. O� Sa� PLUMBER // COMP Y �U�-�� ►"t 1,�G` SIONATURE / REGISiE ED Y/ N FEE CURREN Y/N Address ��3 Z� �u)� tY °� J 3� License# �IT/�o�S��f!J MECHANICAL � COMP 1! 7�N ��1�- � �r � SIGNATURE rtecisre eo Y/ N FEE CURREN Y/N U Address ��UX� (�y�� / Gt 3��Q�7 License# L��/�J J�� OTHER COMP SIGNATURE REGISTE ED Y/ N FEE CURREN Y/N Address L'icensa� Illilllllllllll � lllllllltllllllllll Illlllllllllllllllllllllltlllll RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of E ergy Forms;R-0-W Pertnit for new construdion, Minimum ten(10)working days after submittal date. Requir d onsite,Construction Pians,Stormwater Plans w/Silt Fance installed, Sanitary Fadlitias&1 dumpster;Site Work Permft for subd'isions/large projects COMMERCIAL Attach(3)complete sets of Buiiding Plans plus a L'rfe Safety Paga;(1)set of Energy Fortns.R-0-W Permit for newconstrudion. Minimum ten(10)working days after subm'rttal date. Requir d onsite,ConsWdion Plans,Stortnwater Plans w!Silt Fence installed, SaniWry Fadlities&1 dumpster Sita Work Permit for all ne projects.All commercial requirements must meet compliance SI�N PERMIT Attach(2)sets of Engineered Plans. •'••PROPERN SURVEY requ(red for all NEW construction Directions: Fill out apptication completely. Owner&Contredor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500) " Agent(for the contrador)or Power of Attomey(for the owner)would be so eone with notarized letter from owner authorizing same OVER THE COUNTER PERMI7TING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plo Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF,DEED RESTRICTIONS: The undersigned unde tands that this permit may be subject to°deed"restrictions" • wFiich may be more restrictive than County regulations. The ndersigned assumes responsibility for compliance with any � applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RE PONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may be required to be li ensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the own r and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are un rtain 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 o contractors, he is advised to have the contractor(s) sign portions of the"contractor BIocK'of this application for whic they will be responsible. If you, as the owner sign as the contractor,that may be an indication that he is not properly icensed and is not entitled to permitting privileges in Pasco County TRANSPORTATION IMPACTNTILITIES IMPACT AND RE OURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fe s 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, th t such fees, as may be due,will be identified at the time of permitting. It is further understood that Transportation Impa 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 is uance. Furthermore, if Pasco County WatedSewer Impact fees are due,they must be paid prior to permit issuance in a ordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statu ,as amended): If valuation of work is$2,500.00 or more, I certify that I, the applicant, have been provided with a c py of the "Florida Construction Lien Law—Homeowners Protection Guide° prepared by the Florida Department of P�q iculture and Consumer Affairs. If the applicant is someone other than the"owner", I certify that I have obtained a copy o 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 t e information in this application is accurate and that all work will be done in compliance with all applicable laws regulatin construction,zoning and land development. Application is hereby made to obtain a permit to do work and installati n as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all wor will be pertormed to meet standards of all laws regulating construction, County and City codes, zoning regulations, nd land development regulations in the jurisdiction. I also certify that I understand that the regulations of other govern ent agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in ompliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypre Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management Dist ict Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navi able Watervvays. - Department of Health & Rehabilitative Service /Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos batement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use o fill: - Use of fill is not allowed in Flood Zone°V"unles expressly permitted. - If the fill material is to be used in Flood Zo °A", it is understood that a drainage plan addressing a "compensating volume°will be submitted at tim 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 ill the area within the stem wall. - If fill material is to be used in any area, I ce ify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely a �ect 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(1y acre which are elevated by fill,an engineered dr inage plan is required. If i am the AGENT FOR THE OWNER, I promise in good fa'h to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understan that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or othe installations not specifically included in the application. A permit issued shall be construed to be a license to proceed 'th the work and not as authority to violate, cancel, alter,or set aside any provisions of the technical codes, nor shall iss ance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans,construction or viola ions of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced ithin 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 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 NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPE TY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LEIVDER OR AN ATTORNEY BEFORE REC RD(NG YOUR IVOT F COMMENCEMENT. FLORIOA JURAT(F.S.177.03) /J OWNER OR AGENT f!'Lfs�-G11�.YVSe�� CO TRACTOR / �'�� '�d an b�wo��( r affirm��befor�e rn�this� � b cribed end bsworn to r affirrpe�t�,efy�e_�this CQJA CF \1 d�t1J�'Ai' V'1 !yi—L lJZ o i are,persyna�ty�own o me or has/have produced is re pe known to me or haslhava produced ►�t�(1J' as ident�cation. as identification. Notary Public Notary Public Commission No. Co ission No. Name of Notary typed,print o of Notary typed,printed or stamped �� KITINA A.BLOOIvi ��' I�ITINA A.BLOOM � MY CORqNISSION#EE8625b2 MY COMMISSION#EE86230R � °�, � EXP[RES:Februery�5.2017 �` EXPIRFS:Febcuary 25,2017 a orN'' � J. . � � PL�T �Y �I��l�'3�, �,L� � �s�'°° � 209 outh Frontags Roac! Pian City, Fiorida ,335B3 (813) 70 -8888 • (813) 650-890Q 81lYER{S} i PHaN .. / �yr G E DA7E/ J �'/� ''! b' .� ADDfiESS �. ! � � � y � � � j �wJ� � SAkES fIS� . DEUVEHYADDRES$ ' MAi{E 8 M4DEl � Y E 0EDR40��nS i F1, rtZE s HtTGN SfZE &70GK NtiM9EH � �c�n�� : �� ; � '��'�;�'8��s2'w�2 SEAIAt.MUMB i CQL�R i PRO?QSED DEUVERY QA'FE �KEY NUMEERS �w o us � ?� i t AATE OF BiFtTl1 E DRIVER'S LiGEMSE �ASE F {CE OF t1N(7' $ BUYEf� lBUYER OPTi4hlAL E�UiPMEM' ; GO-SUYER CO-BUYER �.£?CA'f1{�P�1 � i3-V1�L{3E THiC#t�+lESS�_ OF tidS �.ATlQtsi SUB-TOTAI. $ .c � CEILING i EXTERkOR SA�ES 7A}C� ' f s'� FLOORS � i �• 6zt I TN1S IAtSUl�iTlON IIVFORMAT�QlV WAS FUFtNISHE'LJ BY TtiE MAf�t! ACTURF7� NO�! AXABl.E ITEM { Atdi)IS DISCLOSF'D{IRt COMPLIANCE WIThi THE'FEDERAL TflAL7E'C B9MJSSION VAR US F�ES AND IiVSURANCE ` RULE 1fiCRF,SECTfON 460.76. �'j� �-�--,--- ,` Ot�i"It3�fA�. 11tP �P�IT.�.A�t?R ARID A�CC5SOF31ES �� CASH Pl��#GHAS�PRtC� � J�4' _'^`�_ t t �'� T $ �� TRADE-!N ALLOWANCE $ _ � � /� t� � ' �SS SAL.t1UE on above $� ! S f2� Q,,,. NET Al.LOWANCE $ 'r f GASN DOWN PAYMENT � � j � td I A' t L : CASH AS AGREED s�AE�.�Fncs $ � � i LESS TaTAL CREDITS $ �' } SUB•'FOTAL �v r'� � ; SALES TAX(Ii Not fnaluded Above) � I _ � �npaid Batance�9 Cash Sate Frlce $ � i REEVIARKS: ' ��t CHAN�S CAN 8E MADE T4 TNIS HOME ONCE ti HAS BEEN �i ' ORDERE��f�-�nit.) ' ' NO ITE0.1S OF ANY KINfl PI.AGED Oft STQRED IN NOME 9Y Ct1$T� y Ui�CE1L t�tQt#E tS FASD#N Eii Ff{t�ul.} I Pt0 R30NiES OWED PLANT�tTY HOUSINR LLC WILI. �L�DUE TO FAC7C}RY SERtf{CE AML1 YtiARRANTY W4RK PEND7d5iG��.�"�jc�-tlNt-) � "' rj}J�YJ� � Ci1S70�.4ER ACCEPTS tHIS RIGNT OF PLANT CITY NOUSING,LLC TO HiF2� CiP . COM�+CTQRS AS NECEBSARY TC1 D�CIJi'E'fHtS ALI. NTRACfOR5 r ! SFlAU.8E UCEl4SEII AND$QNflEU AS REQUtREg BY�C��tnit} f – � l(quldated Damages are agreed Ro be $ or � 1�ot t�e cash prtee.vrhfchev�r ts greater. BALANGE CAARIEp 70 OPtiOHAL EUUIPMENT � REFER TO?ARAGRAAMI�6 Or7 7HE REVEqSE SIdE OF TH15 AOREEVL9EPIT. f1ESCRtPT10N OFTfWDEIN ;MAiSE ;MODEI �y�/{p I COLC3R BEpADOMS i SiZE '717LE ;SERIAI " X i NO. ;N0. apnoucar ou�ne� � NY DEBT BUYER QWES ON TRADE-tN fS Tp BE PAID SY Cf DEALER ❑ BUYER �uyer is purchasing the above described manufactured hama, the pUonal equipment and accessories,the insurance has been voluntary, the Bityer's trade-in is free from all claims whatsoevet'*eaccept as not d, Tii� i�EVERSi� S!�?� ai th'ss agreement contains ADi3iTtf}i��L EFiiVIS A�Ni9 CaiVDi1'1f3idS, including, but not limifed ta, pravisions ; regarding WARRAP!'!Yx�X�I.UStO�dS AN�LIMITATiON OF��iiUiA ��5. � L?ealer anc3 Suyer acknow�edge ancf certify fhat suctt adtfitfartat t rms and conds�c�ns printed on fhe ather sfde of this agreement are agreed to as part of Ehis agreement,the same as ifi printed above ihe 5ignatures. The agreement contains the entire a�reement beiween the Dealer a d Buyer and no ather represer�tation or irtdu�amez�t,verbal ar�vrittan, has been made wF�ich is not containsd in #his agrsernen#. Buyer{s acknowiedge receipt of a copy gf#his agreement and ihat Suyer(s} have read and understand the back of this agreernent. PI.ANT CtTY#�!C}UStNG, E.�C � � .r��--� eurR .A a�� -� s,c;aEa --t'�''—' � .K-�e Not Uafrd Unless 5ignod and Accepted by an Of4cer oi if�e Ca^»parry wan Authorizsd Agent gpGL�iL SECURi'iY NO �'�"� " " �G d � S1 SiGiYEB X $UYE4i . �� SOCIAL SECURftY NO. / ! �p��-' A PiA1N LANC,UAGE FUACFiASE A.��REEMEt1T Rev B 2114� , � I�urt llen 209 S Fron age Road Plant City, FI, 33563 July 31, 2014 Contractor Au horized Form City of Zephyrhills County Contractor ID State Certified License #IH1025140 Qualifiers Name Kurt Allen Business Name Kurt Allen I authorize the following individuals to si for and obtain permits. THIS AUTHORIZATION S ERSEDES ALL PREVIOU5 SUBMITTED AU HORIZATIONS Nancy Armstrong Sean Swonger Sandra Cannon Carol Creech Sirio Ramirez Kitina Bloom Steven Bell Mark Dixon Signature of Qualifier: �... � State of County o _ S om to and ubsc 'bed before this dy � � O � S�gna (�Il �j,� Notary Stamp here �1p0.Y PUB�i SAYVDY CANNON � ;"••, o * * MY GOMMISSION#EE 868540 EXPIRES:January 27,2017 �r�tFOF F��\or Bonded Thm Budget Notary ServKes €��! � ��. ��. . cr �. � �---,-�.., � �� QQ� _ ��`�1�T��-��5�� , ;-t,� �� d!��.��7��'� �1��r�Id�� 4.� '� ',...�. . �.� QV� �,titt�'t`s "��o�=y�,j 1�1`'`,�`��y .��4;:� ��`� �L��j �1�'�'�`Z 1<i � � T11 ��11��d��., � � A , � �. � �� - - _.�._.----t��r��S��ld � ��'��6l4-i��Md��'�'�"s� � ,.�"T�.-.-_��.�•�i��i�� . �, � � �n .. �._ _---- ---- :� Y ��$Q _ � t; -f � .� ,� � d � �.�.� m�, c � � � ,�; � � � �� . ��-�� o f� � C� `�"" ! , - --� � P�f�f!/lIT'�iR/�6��htEET I ��,!w�r�=-� , � Pa9e�i of 2 ''� �lU,� d`t'��Qk� ��1Da'� �/�/� New Home � Usecl Nome (� - . ' Llcense# � Morne installed to the Manufacturer's Instaliation Manual � t 3�?�3 3 /l�,��.� ✓a-�� - ,C, Home is inst�NecJ in accordance wiih Rule 15-C � . ��y� j�S ' ` �.�� Single wfde [] Wind Zone li �] Wind Zone lll � . Manufactur�, ��,��,a,�, L.ength xwidth �-��' � `� �� y Double wide � Installation Decal# �� . NOTE: if home is a single wide fill�ut one hal�of fhe blocicing pfan TriplelQuad [� Serial# %/3 ,� !f tiome Is a frlp0e or quad v►�fde sketch In remainder of home I i understand l,ateral Arm Systsms cannot be usod on anyhome(new or used) where the sidewall ties �xcQed 5 ft 4 in. PIER SpAClNG TABLE FO(�USED hIOM�s InstaU�r's initials ��, Load �ooter 16"x �6" �8'I!2"x 98 20"x 20" 22"x 22" 2�}"X 24" 26"x 26" Typ�cal pfer spacin� bearing size 2, �' ' � ioiera� capacity (5q in) �256) 'i/2"(342) {400) (484)' (576)' (676) ��I I .�� Show locations of longiEudinal and Lateral Systoms 5 �' � use dark Ifnes to show these locatfons � s Ionqlluvinai � �'6 p�"s�--' ps ps n5 " lnterpolated from ule 15G1 pier spac ng lable, PIER pqD SI�ES I'AD S�ES {-beam pier�ad size �a ;�� A ze � n Perfineter piei�pad size )� -(� X ' --�.�...� __.________� --,.-----�-----______�.__--------„----- _ �therpierpadsiz�s �-yX�� x � .,�i,,.� (requirecl bythe mEg,) X x Draw the appro�amate locations af marria x �.,�"� wal!openings 4 foot'or greater. Use thls x � rrk�rriopuv,rntlplerswilhln2'ofendoiliomoperRulotSC symbol to show tha pl�rs. X List all marriage wall openings greater than 4 foo x and their pier pad sizc?s below. A�(�ICHORS -rv^�'1'9^T'r'r-r'�^'1-'1^T'r-r-r-�-�-�-T-r-r-r---- � �1�1�11 � � ,-�-r-r-�-�-,-,-T�,.-,._ p � Pierpadsfze � T.r.�.`�_.�- i � i � i � � i i i L_!_�_i_1_ i r i � � i � i r � i ! i � i � �_T'T'r-i_�^��;-T-i i � � i T`�-��,.�....i_J-T�P��'_I'_�_�•l'4'i"�'i 4� � 5fl ;-r-;-��-;-;_''_�_�_�_�_�!_�-�-;-;-;�;-;-;_�_{�_�-_�__�_ � � � � � J ?,yX 2.c/ � i � i �---- I.....^-� J-.t-L..L�� _�-��a_J_i_L.L_!._i_.+_r..1_a_L_�_�..J�J...+..1_i...t_�...,_.i_.�_L..L...�_i„j_J_i_�._t_L_� h�_�_i_.i..i_�_o_i..,�_i_..1�.1...1�J��4..i,_i...�i...i..i_i..i..�..i_.i_.i-�_�_�_w..1�J..J��..4.i..�_i FR/AMETIES �F�'� 1 1 � I 1 1 1 �',^y-� 1 1 1 1 1 1 t 1 1 1 1 1 I 1 1 i � i ��i i�i�i i i T�h"�"i`1'l'T^r'�"r-i- �-i'r-�'�-��T-r-r-r-i-�-�-r-�-�-r.-i'�..�-�-�.-�-� i i�i�i'ir� i i'i ��i"�'�-i within 2'ofendofhome t'-�-i--i-i_7_P_r..�,,..�__i � �.i � i i i �_ � i � i �'i-�-��i-r-r-r--r�-'1 7-r-r-i spacedat5'4"OC i i`7 � �!"'i`i �' i 7"1'^i'�-'�'i'�-i-p-�-�-^j^-�•.�-7"i_i'r'i L�"i"i"i`T-1-�-�--�-�-�^�-�-�-�-�..J_J..1_L_�,..�i�..��;..i�;..'�j�I-!- i � x-�_'--�-� TIEDOWNCOMPORtENTS OTNE.faTIES �f�'i'J�i.;�1-j-;..;..J_;��L..L�I...I�J�J...l�1.�L�1_J�J..J..1_L..1.�1�..7...J.. � 1 1 I � 1 �1 1 1 ' I 1 J�S..L..4_l.�l Number --�-J-.�..1�H..��1..1..J��1...1-L�N.L�1--I--t-�F-M..L..+...I..J...��..i..�..L�l�..l...l�J..J�4-F.1-..I...J I i-�' ' ' ' ' � � � � � � � � � � , , , , , , , , , � � � � � �ongltctdlnal�Eabll3xing t�ev►ce(L.SD) Sidewal) -j`�'�'�•_�_�_�i-�•K-�_i...ti'rti-N'�-r-H_r..i..��•7�*_t-„�_� � t � F^�-��'`� Manuiacturer /� �-�.r-- ' ' � ' '-�'--'-�- Longitudinal �. � � � ~-,-"-+'�-~-''",""-T-'-�-�-�"�';'�°*-�-��-;-;-;-;�-;._N_;_.;_.;_;-�_;,_; LongftudfnalSteblizing evlc w/LateralArms Marriagewall � .--.'-; ._� :. :.: !_;-; �_%--'--•-�-�-;-r-;-_�_;_!_;_,_;. � � � � � � � � � , -.._, _�_.�_.�_�_�_�_�_� Manufacturer 1 i1f�il�r � � Shearwall �__ ��F:i�/117" 16V��K�f-��`@' ��f� ��1�8�� (�agQ 2 of 2 . C - tl 1 � e repara on � The pocket p�netromet�r fests are roundecl down to 1� G�J d�bris and organic material rernoved ti� or checl<here to declare 1000 Ib, soil `---nS� Water drainage; Natural Swale Pad wlthouttesting. Other � - � ! 5�� S�� astening mu �vyi e un s )t i5'L� Floor: Type�astener: �Rac; Length:�� 5pacing: r �� • POCKET�pEN�7-ROMEfER TIES'TII�G MEfypp Wails: Typo Fastener: P�� Length: ' S acin a � f�oof: Typo Fastener: Len th:�� p g� '1. Test th�perimeter of the hom�at 6 locations, 9 --G �-� Spac(ng:_ >� Far useci homes a m) , 30 gauge, 8"wide,galvanized met�l strin will be centered over the poak of 4he roof artd fastened with galv. 2. Talc�tf��reading at Qhe depth af the foot�r. roof�ng n�ils at 2"on center on both s ides of the c�nt�rilne. 3, Using 500 Ib, increments,talce the low�sh Gask�t(wo�thorprootlnu ro ulromont reading and round down to that increment. I understand a properly installed gaslcet is a requirement ofall new and u homes and that condensation,mold, meldew and buct<led marriage wails a e • X ''�"' X t'v;, , � a result of a poorly instailed ar no gasket being installed. I understanc� a stri n X y3 8 u oftap�will notserve as a gas ket. R B Installer's initials_ )�� Tlie rQSUlts oF the torque probe test is �� pYpe gasl<et C��. ��A1 Installed: here if yau are declarin �� -----�nch pounds or chacfc � owing � inch pou►ids or less wlil equi�ra�}foot an� ""�ho�s ��s �� 1 �� 8etw�en UVaIIS 1'eS °' Note: A state a j,.,S l A�1 z g4�om of rlcigeb�am Yes ,__�� • pproved lat�ral arm system is being used and 4 ft. F;.c�i"� –�"' anchors are allowed at the s(d�wall looatfons. I understand 5 ft 2nchors are requlred at all c�nterline tie polnts where the torque Qest eat erproo ng reading is 275 or less and where th�mob(le horne manufaof�irer may The bottombo�rd will be repaired and/ortapecl, Yes � , p requlres anchors with 4000 Ib halding capacity. ` - ��+a Insfaller's initials 5�ding on units is installed to m�iiufacturer's sp�clflcatlons. Yes� Firepl�ce chlm�ieylnstalled so as not to allow intrusion of rain water. Y�s,��A AI.L TESTS MUST B1E P��p��Ep BY�1 UCEiVS�D ONSTALLER Installer Narne 1��y�,j �� sce aneous I � Sk(rting to bo installed. Yes � No Date i'ested �--3?„-Z r� �y Dryer venf(nstallecl outside of slQrtfng, Yes�—' N/q Range downflow vent installecf outside ofskir Ing. Yos ��q � Drein Ifnes supported at4 footlnfervals. Yes � Electrical crossovers protected. Y�s � ec r ca Other; %onnect �lectrical conductors bc�lwoen m ulti-wlde units, but not to the main,power ��-�� ource, Thls includes fhQ bonding wire between rnult-wide units. l�g, �^ Pnstaller veri�ies all Bnforrnation given with this�aerrni�wrorEc um ng sheet onnectall sewerdrains to an e�sting s�worEap orseptietanlc. p�, �� js�ccurafe ae�� r�r� b��,p� m� th� manufacturep's iresta I r i in r �ior�s�a�d or Rul� �15C-� & 2 onnect all potable w�fer supplypiping to an ��asting water meter,water tap,or other ''�--_�'�--�..��-.. 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Ss rftl � � e�-------z_t?!�� /Y7 �� (�te z/U} _ � - - " �ii s"��.,._"� [a�!t} � (s��/a'} � � , "' �'-yr�--� ro•i�/�r....� m-r��_...1 .�t-ao--� ar-s 3f�--� aY-�--t, i '� r•s'-«-( wr-s'-•-� a5-a��'� aa'-u'-�I � Check with your sale5per�on for optional items & availability of speciality it�ms on th5.s print. . . � , . � ; . Patenf N�mber � ,� f�22t139 �' ,��r�► �t��r` � �` S,► i II e i � : 1Qf27�04 � N�a: Yaur set must E�des�gr�d iay a �rsd Pr+a�oa�ai Ertgl�reec i�a!! ar o�te t�E#!� � fallom►ing conditione oecur. Lacatian ts wi#�in i.5i�0 fieet Ccast Roa�eaves e�s 1 sf i 1�er Height e�cc�ee�ds 48' Ma1e beam spacing excee�ds 99.�" i S��+raft t�ht exC�eds 8�* ; 1 R�f�er to the Wome Nlanufacdsrer In Iaflan lnshuctions for pier la�tions. 6' Dtsc � anc�hvcs 48° tan,g wi�t vet#�c�t t�ss r�equine�d $# maxim�sm ��' cest�r abng ta�h ( si�tev�ralis stertirtg a maodmrsm af 2'-0" n from�ertd offha hane. Vert'i��l ties mus#be � # used at a!I c�►nec�n pa�rtts(umist� by the Etome manttC•ac.Kuc+�r: Ceeter�'tns aac.�at�tc� t f�,sized�ct�irg ta sa�totqe�t�t�d . 1�iy�ttd�chtn�r's speciR�iaions�forstdew�ti ' anchorlc�ads in excess of4,00D tbs a 5'anc�: ' t � 2 R�fer to ihe Systems Piaaement s far the bcation of I.+or�gibidinal Lat�t�l Braci�g Sy�tem., (Sa�At�cfred�. Each m is tequ��ed to have�frams tEe and stabai�ar ! atlachet�at�h#��t acm St�bili�irt toc�an. I � � Rernove�u€to�fit�t 50i1 at SQ3#�ad tara�or�. � � d Att�ch tube cg�r ta SD3 pler pads(see Oetail�mbiy Drawinga c�+nber p�c!cer�ctar�am, � ievsl pad. Ang�e D�€ve P'ms rney be n verticaltyth��fo�r{4}s�sc itt SD3 pierpad eiow or a�terhome is tatalty seL Ar�gie �ive pIn�may be driwan up�o t�en degrees(10)cr�`af � ver�lcal, f�yau+rhoa�se ta cM�ve pir�s aifie�hor�ne i�se�d��ot c�er s�Ss ttt p�er p�+d. ' 16"otiwe pins mustt�sused in Fto�ft�t. � s l.�eveihcmeonc�ncre#e�ocksordei sbee�pi+�cbyM�ttutaMan. � e IrtsY�►fl Langttudina!a�d Laffiral Brac� �n accardancs with Sysi�ms Plaa:ameatt Pian en�! ' O�tst�AssembtY��rawit�- � i 7. �n�ta4lver#ic�lanc��t�s,fi�antefiesandslalaitizersaE�ae;htatsra3asmsys#+amlcc�#ion.. ( Th8M1k you fo1'US�ti�Millute M�l1 P'IUduC�*3� I M�'yOU have 2►1'►Y[;UBS�JOriSM�1lG'dS8 C8N T�1 Ft�E = aE( 43�6-72'�?. [1►'t�Q�I7.2 �'--t� � rvw�� TNE tlSA 3tI5 Wast K�ng St. East Fl�t Rodc, Nar#h Caroti�a 2872� 1 � \ C f FL�RIDA ZUNE I i AiV� I I LG1NGrTU�ItVAL AND . I.�TEI�AL BRACING � STEIVtS PLACEMENT For Roof slopes p �+a 4l12 p3tch :ach system is roquired ta have a frarne ti and stabilizer attached at each lateral arm s#abilizin Iocation. Revised 7f2002 NOME DIMEN3JONS R PRESEIVT BOX SIZE EGEND �-�n9 i�u d i n a t L ngitudin�i and l.aterai l,atara�Bracing Bracing System �ir�g gy�� System ; b � E .� � � . o o� � m � : • SINGLEAND DOUBLE WiDE SINGIEAND DOUBI.E WIDE UP TO 48'LONG-4 SYSTEMS 49'7G 101dG-6 SYSTEMS 52'I!�l.Ul�lNG HITCH 88'INClUDlNt3 WiTCH FOR TRIPLE WIpE OR'fAG UNITS- FOR TEtiPLE WIQE OR TAG UNIT3- 8 SYSI'EMS OVER 52'BOX/SB'�NCLUDING MRCH 8 SYSTEMS UP TO 52'P30W 56'IN�LUDING t�E6TC�0 3 � :f Y tAtE�. ar�cE ��tus�s �c�r�coN r�€r� ..��.� _..� - � . � _..� - �� -`� � E,� C3 �� L4NGyTUD1NAL B6�AGE F!»E�C TU�ES � +C�N{�RF3E ro �nr � a {.er�1h�liatE�wift't Pi+e�Height SI ViEW ' Q IAT�i�`AL BRACE DETAtL � �ABLY��.�,,, �" x Z " GfTADE 3 ' NtiT IiN� W � t'RA1A� BEN��t 4-�'x�` SEtf DRIl.UNG � SCt�E��S'► � 2-�. SI14� ' - IS ��At.t. On'ti�R 60�F�OR � MAX. SP�IN � �.�'S AIt�£ 7'tt�ti' �, tJtjERK 'iUBE G'i.�P " • �F�OR '�9.�' 1��1iX. 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U� ��Q`� �Q{�`e-i/'� � �3 7 Rept:1630b01 Ree: 10.00 J 5s'11 os: 0.00 �T: 0.0e ��' 09/19/14 8. McBee, Dpty Clerk OTTCE OF CO The tmdasgned hacby givcv notice tbat unprovcmmt will be made miain rral propaty,mmd in aoc�d�ce with C3�tar 713, Floridn Sfatrrtrs,fhe following mfarma4�is provided'm this Natice Camm�c�ent � uas- �_�Q��-o4c:1� 1. DFSCRIF'fION OFFROPFRIY(Leg�il desaiption of ffio pmpaty� ad�ess,if uvalaWo)iAC FOLIO NO.:� 1 SIIHDIVISION�1rLtV�E'X LliJ y`Zt�'� HLOCK TRACI' IAT��D SI.DG UNIf ' . 3 .Ne�(c� /h� �.. �-�.�Y�s 33s�/ Z GENFAALDESCRIP'170NOF�OVEMENI: _ �� +��(�, L 3. Oq'NEIt'IIVPORNfATtOlYDR7.$45EE'INFORNIATION7FISELES�E ONTRAGTIDFORTHERiYROVIIC�NTc' �N��..: 3 S�t� w. ��.�(�.� ,S� i,,� �.zl.lS ��i �.��„�,,: 335�I a Nane�d addtrsa affeo dm}ie 5tlehdda(ddffcnnt Stm Owae lisocd a6ove): 4. 8.CONTRAC?OR•SNAME: ��a�,: — S �i�c,► h��: ��3 -70�—C�� s. SURE!'Y cif appliaWg a aapy af�ha pqymcrt bmd i�attidw�: � 7.�3�� a t0 O �r�- a Name�d ad�rrsc: ��D N 6 Phwn mimbc a a�n�ut�b s x..�.o az 6.a LF1vDFR's NA➢� ��,� m �i/N r Lrnaa'■ad�m: hPLaac acmbc. ;�N J 7. Pas�s within the State of Flarida d�atad by Owna upcm notices or otha dac�mmmts may be saved as grovidal by o Sc�tion 713.13(1)(a)7.,Flarida Statutes: ��3 a � � a Namo aad adrtrw: .a�.+o G� n h PLme�6es atd�ti�oatcd pasant: y'� S.8.JR 8f�1�10II fD b1IDSC�0!bGS�,QIVIIe dGSlgaBftS Of ��pa m � -bo re�v�a c�•or,e��ie�sx�ix asprw;ae�ia sedioa�is:3 cr)N�Floriag s�tuC� � :/�� o � b.Plmna numba of paeoa er c�i►Y deaia+uted bY Ownc: V I � -i 9. Fv�uation date of notice of wmmmcement(the otpaation date vill be 1 year&om Ih�date of rmord'mg unl�a differ�t date is , � spect5e�: .2Ui_ r m z O CO CE C P SE 3 C .RESULT YOUR.PAYIId 11A1[CE;EORII�AP.ROVEMIIdTS ..O .. O 71!..ANOTICE.OF�OMMENCIIkiENT. .BE J S S IN CO CIN F O b fyl��TY.Ii //��?" Signatate Owner or Isasee,or Qwner's or Leaseds �Print Name an Provlde Signatory'a 11delOtB«) Aathort$ed�ar/Diteetot/Par�ei/Manager) State of `lXC/ - Connty of - , Thc f�egomg iostrummt was admowledgal bef�e me this�_day of"C�20_�_ T �. � C�L�✓ C ( e af ascm) (hPe of autharity,...ag.officer,hvstee,attrnney in fad) far v (aame of paRy on bebalf yf�vh�iastn�mt�vas IXeouted) / p�ersoaalh,Knowa �/or Producxd Ideatifiratim Ty of Idmtification Produced 11 - ---- �� p•DAId1SS OB �O�' ` (��8tare of 1Vutary PabIIc) � ZS;20t7 �°�1�'pe+°t Stamp Commissianed Name of Notary Rtblic) �� 1RES:Feb�oaY .. xev.io-is-u W..,� � -�. o°��►�.�c��` .J . ♦ STATE OF FLO �► RIDA, COUNTY 0 � • ' THIS IS TO CERTIFY THAT THE FOREGO NG�IS A y�� TRUE AND CORRECT CO Y OF THE DOCUMENT . e�,�,�ta ' � ON FILE OR OF PUBLIC CORD IN THIS OFFICE . l�y�'� :°►_••, , � W�TfyE,��S�fyJ,Y HAND AN FF CIAL S AL THIS * ' {� /7��DAY OF '' p� PAULA S O'NEIL, CL &COMPTROLLE �� ,as� o� . � � � ' � c�� BY e PUTY CLERK �'Ti��.