HomeMy WebLinkAbout14-15681 _; CITY OF ZE HYRHILLS
� ' � 5335-8T STREET
' (sis)�so-oo20 15 81
MOBILE HOME SET-UP
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�� a w�,���• PERMIT;;INFORMATION` `° '� ��..�;�,,�LO:CATIO.N��INF#O:RMATION� - �
Permit Number: 15681 Address: 37627 COREY LEWIS AVE 324 & 325 y
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: 34-25-21-0180-00000-3240
Improv. Cost: 4,100.00 ��>`"5��'���'��:_;�����OWNER�INF�ORM'-ArTION-
Date Issued: 9/30/2014 Name: BANDKAU BRIAN C & MARGARET
Total Fees: 7,444.94 Address: 2801 BANDKAU RD
Amount Paid: 7,444.94 OWOSSO MI 48867-9436
Date Paid: 9/30/2014 Phone:
Work Desc: INSTALL USED MOBILE HOME LOT AS IMPACT FEE
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r����CONTRACT�OR�S�` � '�� � APPLICATION'FEES:��t.,{�r��t�;'�rr�r������ �- �"-: ��,,,.
ALL FLORIDA MANUFACTU E HOME S MOBILE HOME SET-UP 60.00 MOBILE HOME ELECTRICAL 40.00
ALL FLORIDA MANUFACTURED HOME S MOBILE HOME PLUMBING 40.00 MOBILE HOME MECHANICAL 40.00
JAMES O MORTON ELECTRIC CO.,INC. SEWER CONNECTION MOBI E 1,005.00 WATER CONNECTION MOBILE HC 320.50
AIR TECH SERVICES OF PASCO INC WATER METER RES 3/4" 457.18 IRRIGATION METER 457.18
TRAFFIC IMPACT FEE 99°/a 3,595.68 TRAFFIC IMPACT FEE 1% 36.32
PARK FEES MH 573.73 POLICE IMPACT FEE 254.00
FIRE IMPACT FEE 273.00 PUBLIC SAFETY 5% 26.35
IRRIGATION CONNECTION 266.00
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MOBILE HOME SET-UP
MOBILE HOME ELECTRIC
MOBILE HOME A/C
MOBILE HOME PLUMBING
FINAL
REINSPECTION FEES: Reinspection fees will comply wit Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the following reas ns: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not ade when inspection called d)work not ready for
inspection when called e) permit not posted on job s te � plans not at job site(g) work not accessible
NOTICE: In addition to the requirements of this permit, there ay be additional restrictions applicable to this property that
may be found in the public records of this county, and there ay 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 urther permits will be issued to the person owning same
Complete Plans, Specifications and ee Must Accompany Application.
All work shall be pertormed in accord nce with City Codes and Ordinances
�
CO C R IG TURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS W THOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 OUR NOTICE REQUIRED
PROTECT CARD ROM WEATHER
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• � � � P'A C� Ct�lJNTY, FL{��tDA
Permit No. ! 5 E;�1
Date Permi#ked � - � -�
B�ilder NamelQwner Name A 1--L r�Q�I+D1`� �Q+UJr��7uPEControl#
County Parcel No. �'{ - 2S'-'Z-i - 4 tS�� -c'�,ipup-32YoSubDiv: GrQr,p' ({��tZ�fuS
Address/�ocatian � (,� �a{tt _w�� /�we 3�t{ ¢ �g
Classification/Type of Use ' � l�'',;��'��p,� ' '
TRANSPORTATION IMAAC FEE Rate: Sq Ft Unit: � � �i�
Exempt � Yes � Na How Determined
lmpact Fee Amount $ �3�-'�� Zane No. TAZ:
SGHdOL IMPACT FEE
Account (056) Single-Fa ily Detached Mouse Amount $ _ __�
(057} Mobile Fi me
(058) Qther Re idsntial
123) Collectlon Fee
Exempt [�] Yes [� Na How Determined
PARKS AND RECREA'flGth! EE
Land Account Land Credik Land Tota!
Recrea#ian Account Recreation Gredit Recreation Total
Zone TOTAL RMOUN7 $ �7 3. 7�
Exempt [] Yes [� tVa How Determined
LIBRARY FEE
Land Account Land Credit � Land Total
Facility Account Facility Credit Facility Totat
Exempt [] Yes � Na How Determined Tota!Amaunt __`"��
RESOURCEFEE ERU
TOTALAMOUNT
Prepared By _� _ Checked By
NQ CERTIFIGATE OF CCUPANCY WILL BE ISSUEp 012 FINAL lNSPECTION
PERFC)RC1flE UNTIL THE 70TAL AMOUNYS LISTED HAVE
BEEN FAID AND
REC�IPTED FQR BY CEtJ1'RAI.PERMITTlNG OFFIGE OF PASGO COUNTf
Acknowledgement befow does nok Im ly acceptance of cancurrence,but slmpiy recelpt of a copy of this form,p{acing
the building parmit owner n notice of this assessment and the conditions of payment for same.
DATE RECEIVED BY
RECEIPT NO DATE BY
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813-780-0020 City of Zephyr ilis @'errnit,4pplication Fax-813-780-0021
Buil ing Department
, �ate ReceiaecB � � � � - �
Phone Contac@ for Permittin
O�rner's R1ame � � Ov+rner�'hone fdumber �� - Z�-�i �3
mxuner's Address �1 ��� �(' �� ��rpho�ne'idum-ber
Fee Sirnple TitleholcLer @Name Ovvner�hone tdurnber
Fee Simple Titleholder Adciress
.IOB ADpRIESS � (� LOT# "l \I" �
SUBDIHISIOfd L PA1RC L ID# t,3-�1 � �
(OBTAINED FROM PROPERTY TAX NOTICE) ,
HNORE(PROPOSED e NEW CONSTR� ADDlA T [� SIGN Q � DEMOUSH �
INSTALL REPAI
�6iOPOSE�lDSE Q SFR Q COMM 0 OTHER
TYP�OF COIdSTRUCTIOfd Q BLOCK Q FFZ4ME � STEEL Q
10E5CRiPTIOfd OF MIOitK � `
IBIDI�.IDIRAG SIZE O(�� SQ FOOY6IGE � P9EIGEiT
�BUILDING $ ����j� VALUATIOIV OF TOTAL CONSTRUCTION
[�]ELECTRICAL $ � Q AMP SERVI E o�GOI� [� PROGRESS ENERGY Q W.R.E.C.
[�PLUMBING $ p� �/� �V�
� l �
���k y�D�,S
�MECHAMICAL $ ��Op� VALUATION OF MECHANICAL INSTALLATION ���0 ,\�� ��
�GAS Q ROOFING Q SPECI LTY 0 OTHER � `o �Q�
FIfVISHED FLOOR ELEVATIONS FLOOD ONE AREA DYES fV0 ���
l�°�'�H, {�,�
sus�D�R ���v ri�! � �n
SIGIdA7URE RE ISTERED Y/ N FEE CURRE� Y/M "��
Acldress y � O� S�� License# �'+-]I S��
�LECTRICIAfd CO ��,R�V �i�� , '
51GR1ATURE RE ISTERED Y/ N FEE CURRE� Y/N �
Address �t! 1�L . `e lV � License# �C ��`4
PLUflfl��R CO PAtdY �-T` 1 I + � ' ' KJI. S�J
SIGfdATUPtE G STERED Y/ IV FEE CURRE� Y/I� �.� `�
Address �� � � ����3 License# �f � �-1
{HIIECHds►MICAL CO PAfdY �� �I
SIGMAT6IRE REG STERED Y I N FEE CURRE� Y/fV ��e-
!1 � �
Address �i`"�� �� ���� License# (�
o�o-��R co �e►�v
SIGid�4TURE RE ISTERED Y/ M FEE CURRE� Y/M
dlddress License#
RE�ID�iNTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set f Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
__ __ Sanitary Faciflties 8�1 dumpster,Site'�1Vork Permit for s bdivisfons/large projects.,_ _ _ `�. _ ____
C�RANAERCIAL Attach(3)complete sets of Building Plans plus a Life S fety Page;(1)set of Ene�gy Forms.R-0-W Permit;for new consWction.
Minimum ten(10)working days aftertisubmittal date. R quired onsite,Construction'Plans,Stormwater Plans w/Silt Fence installed,
Sanitary F.acilities�&•1,dumpster.-Site:,Work Permit for all new projects;A�I commerciaYrequirements„must meet.compliance
SIGtd PERItAIT�` AttacH�(2)sets"of Engirieered Plans. '' . , _ ' , -
, •��� °•"PROP..ERTY SURVEY required for all NEW constru Ition. • � -
Directlons:� � � . � '; ,` :� .
Fill out application completely: ��_- � �_, - .
Owner&Contractor sign 6ack of application,notarized �`' � .; -
If over 52500,a Motice of Commencement Is•'required. (AIC upgr des over�7300) _•_ .
•° Agent(for the contractor)or Power of Attomey:(for the owner)would b someone with notarizetl letter from owner-aufhorizing same
O!/ER THE COUMTER PERMITYIMG ��(Front,of Application Only) '� . . � F :
Reroofs if shingles Sewers Service Upg�ades A/C Fences PIoUSurvey/Footage) • �... �
:'�" -
9riveways-Not over Counter if on public roadways..needs ROW .`=r
�1O'��CE pF p�Ep RI�,��OCYIOPI�: The undecsigned 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.
l3NLICENS�D COP17Rf�C70K�� �,R9� CONY�C�'�� �f���OR��I��L��'i��: If the o�vner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance writh state and locai 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 fo 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. Furfhermore, 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 uvhich 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.
' 1fR�f�SPO�TAT10�1 I�i1��CYlU�'IL9�'91�� �Rfl��►CY�R9� ���0�9��� �f�COlY��Y fF���: 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, w�ill 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 pouver 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.
�OIVSY�tlJC710�1 LI�R� L��VV(Chap�er 7�3, �loric➢���a�4ut��, �s ��rend�d): 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 Lavv—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.
�OWT�kiC°f0�'SlOWR41��'� 6�f��1��VV�': i certify that all the information in this application is accurate and that all work
will be done in compliance uvith all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do v�rork and installa4ion as indicated. I certify that no work or installation has
commenced prior to issuance of a permiY and that all work �vill 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 fhe 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 preas and Environmentally Sensitive
Lands, VVaterNVastevuafer Treatmenf.
- Southwest Florida Water Nlanagement Districf-Wells, Cypress �ayheads, Wetland Areas, Nltering
Watercourses. •
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. -
- Department of Health � FZehabilitative Services/Environmental Fiealth Unit-VVells, Wastewater Treatmen4,
Septic Tanks. _.,
- US Environmentai Protection Agency-Asbestos abatement. _ �
- Federal Aviation Authority-Runways. �
I understand that the follovving restrictions apply to the use of fill:�
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted. '
- If fhe flll material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at fime of permitting uuhich is prepared by a professional engineer
licensed by the State of Florida. � �
- If the fill matePial is to be used in Flood Zone "A" in connecfion with a permitted�building using stem wall
construction, I certify that fill will be used only to fill the area withiri�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 owiner may be cited for violating
the conditions of the building permif issued under the atfached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required. �
If I am the�C�IENT �OR THIE OWl�1fE�, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand fhat 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 Buildirig Official from thereafter
reguiring 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 4he �uilding Official for a period not to exceed ninety (90) days and uvill demonstrate
justifiable cause for the exte sion. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
�f!lARNIRIG TO Olfl9R���• V011�t IF�AIL�1�� TO �f����2D � Y�OYYC� OF COfifl�flE E�fl�i��f �AY f1��Sl9l.T 9i� YOI��
�. 6��YIP9G�iliC� IFO� d ��Vl��fil�6�lf� Y 1(O�Dff�I��Of�Eialflf. If�l�Ol1 INEY�FI O 0�1�l�9Pl �IPI�RI IRl2�, Ct7�7SLBfL�'
U�[TH YOl9� LE�1D�. O��W�1fYO�i�9 f��f�O�YI� �f�COl�l�lh��YOIJR R➢O'�° �C OF COf�Vf�iiEYVC ��llf.
FLORIDA JURfiT(F.S. 1 .03)
OlRIRlER OR AGEPd CORIT�tACYOR
S ,_s�cr�bed or a�rm d)before m this �G 1�91'L'L �d d o o( r a irmed)before me ' e, �,3g122
'�"`�'1
Who is/are nally nown to or has/h c ��� o Is/ar r ally no to e s/ha �Zp,
as Ide c,�6� .�55\0��y�e�'�' + as'�.�p s� �,
l�yGOQ�y0�'" � �~d • M �P`���'�"
. �r�' � a,,
fVo Public Notary Public
Commission PJ �� Commission fV . ��
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Name o(Notary typed,printed or s amped Name of Notary typed,printed or stamped
� � �ef�'�='.'�� '�j �� ,
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City of Z phyrhills
� BUILDING PLAN R VIEW COMMENTS
Contractor/Homeowner: A�-� ��aRiD� MR�u� c7uR�D �����'� ��Rv�cc
Date Received: � — � 7 — � y
Site: 3 Z 6 z 7 C�. R�y [.E w i S h�/C
PermitType: U��� Mo3+ � H��.r' Tn�5Tr9L�l�T��+U
Approved w/no comments I Approved w/the below omments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or pl s.
, �
�/
Kalvin Switzer— Examiner Date Contractor and/or Homeowner
(Required when comments are present)
r- . , .
` All Florida Manufactured Home Services ��������
's
' 3b814 Teresa Rd.
i Dade City,rL 33523 Date Estimate#
�� E 9�roizoia soa
� Name/Address Ship To
�
j Suncrest Homes Grand Horizan
I ?.ephyrhills,PL 33541
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pescription Qty Tata!
Building Perniit scrvice fee(docs not include county fccs) 300.OU
Break do�vn(iome and prepare for trunsport 3,200.00
Aeliver home to jab site. ' 2,2Q�.Q0
Prep site and inst�ll dirt pad 2,2U0.00
To block,anchor and wcather seal home 4.900.Oq
Intarior c2ose up trim,tatce down,prep for deivery,reinstal3 and pa'snt(+ar- 4,440.OQ
dependit?g on hpw home travels ___....,� _...__�^.__.._____.,..,..,_ r. ____,..__�.,�.._�.-,�,,. _ ._...�
� re seam carpet al marriage linc ~�m � � V 400.00
Instal3 new 240 amp service to hame _ ___._..� ��_�....�__�2,FQ0.00
___ ._ _-
'—""Itccoriricct cdsiomer Rc unif - '�" � - � '- "�- -���� � � � � 906:00���
Haokup wflter&sewer within ro homc. 550.00
F3uilding Pcrmit cast I,24�.40
County impact fea approe. 8.600.�0
�($�t�� $30.&56.0�
/ /
signature ���,(—�A.�J!lf�c.Gj 'L�,,,�l��-�'f�C�...
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Phone# Fax# E-maii Weh Site
813-45M4214 3�2-458-0070 afmhstic@�mail. om �r1��v.a1'mhs.com
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I Illlll Illll IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIIlIII
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� 2014154755
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' Rcpt:1632500 Rec: 10.00 —�
j � -�; DS: 0.00 IT: 0.00
i � 09/30/14 K. Garcia, Dpty Clerk
� Aker rewrding,retum ta:
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� PetmitNo.: . ��$IC� O�'Zi�Q'9'1B�➢'9L-^(fHC�QB1126'��I �v
Tax Folio No. 34�S�1 O��fO boo�o �l� Shate of Flor(da � County of Lake ��c
� The undersigned hereby gives notice Ihal improvement wiil be made to certain re I property,and in accardance with Chapter 713,Florida Statu(es,lhe �m D
following information(s provided in this Notice of Commencement. ���'
� �F..o
1.DBSCripUofl of the P�operty:(lega!dasaipffon ol fhe property and sfreet aQCress Il ave ebleJ �m
• l.egel Description: � �p � t l O i� �D �l.�- '�O�o r
b �I 4u �(9��
, SVeet Address: f '�S . �' --"j'7y ,�OO o
� � 2.General Descrietion of lmprovement � v
I � 1.�, .~ D
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! 3.Owner's Infortnatlon ar Lessee Infortnatlon If the lessee contracted tor the impr vemenl: �~�
� Cl �
i Name: r �# 0 m
i Add2ss: o lol� q�l ,��x
Interest in Property: ��.w
Name&Address of fee simple tltleholder(nmRerent rnan ownar): �
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v
. 4.Contrador Intormation w �
0
� Name: Phone No.: �`'3(,{�4 (.��(,l.{ r
m
� Address: �
� 5.Surety(/eppLCa6le,a ropyoflhapeyman7Dontlmusf tre aMaeheO): �
, Name: Phone No.:
Address: Amount of Bond: $
! 6,Lender Information:
� Name: Phone No:
Address:
' 7.Persons wlthln the State of Florida designated by Owner upon whom notices or ther doaments may be served as provlded by Section
713.13(1)(a)7.,Florida Statutes:
Name: Phone No.:
Addrese:
8.In addition to himseH or hersel(,Oumer designetes p(
to recelve e capy of the following llenars Notice as proWded in Sedion 713.13( )(b),Florlda Statutes: Phone No.:
9.Expiratfon date of notice of commencement(G+e explretlon date moy nor be eelore Ur completlon olmnshucflon andflna�psymen7 to tha cronfracror,Duf wiU ba�
yeer(iom the dete ol recrordrng unfess a diqerenf tlefe!s spetifredJ:
WARNING TO OWNER: ANY PAYMENT3 MA�E BY THE OWNER AFTER TFiE EXPIRATI N OF THE NOTICE OF COMMENCENlENT ARE CON9IDERED IMPROPER
PAYMEN7S UNDER CHAPTER 773,PART I,SEC710N 7'13.13,FLORIDA 9TATUTE8,AN CAN RESULT IN YOLIR PAYING TWICE FOR IMPROVEMENT9 TO YOUR
PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED ANO P09TED O THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO
OBTAIN FINANCINO,CONSULT YOUR LENGER OR AN ATTORNEY BEFORE COMMENC NG WORK OR RECORDING YOUR NOTICE OP COMMENCEMENT.
Undor ponalty oi peyury,1 daelare that I have read the torogoing noGee o/eommene m M and that the feeta ed thoreln are true to tha beat of my knowledge
and bellat.
9'pnaN " rwLessn,o wnalsorlssseecpuNOriradOffiwnD'neUUor/PaRnennieneger
sy�e�aya rr mo�
The focre,,go�i�ng�in�st�rumenl was acknowledged before me lhis �_day of 20�,by�Y1Q� 8(kv'l E�/as
�.�-�.7`X for who
Typeoleufn ee,artaneylnlaW N !ps onDen o/wAomfnstrumenfxmsexecr/hd
Is onally known or uced as type of Identificatlon.
�+"'� !JENE BLACK
•�• MYCpMAA1SSI0N �EE13gT� or e A,mr-srerea (pnntryyewstempmmmJSSiotreOnemeolAbteryPoDDcj
�'?a,ne+�'� EXPIRESOctobgrZ0,Tp15
�1'.p Fle�Nyry�,q,� As tuta,C rtnorrt,Eustls,F�ultland Perk,Howey In the Hllle,Grovetand,Ledy Leke,
Notice af Camman�mem-BFY9(U unly, aeaburg,Meaeotte,Mlnneole,Montvarda,Mour�t Dore,Tavares,Umatllle
i STATE OF FLORlDA,C01lNTY 0�p�1��� ,�o`Cli�c�
' -----TH1�1�TO CERTIFYTHAT7WE FQF���f�INCa I�A �,�C� � ��G�� �
TRUE AND CORRECT COPY OF TH�Q��l1M�NT •
ON FILE OR OF PIJBLIC RECORD IN THIS OFFICE •, �
WITNESS,I�Y HAND A OFFICIAL SEAL THIS • I„yo�-we7n�� .
�DAY OF w 2 dl °`�_�„�'; �t
PAULA S�J' IL, CL COMPTROLLER � '�
' -� �c , ad87
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ALL WORK SHALL COMPLY t��ITII ALL
PREVAILING CODES FLORID
, A BUILD
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� COD�,NATIONAL ELECTIZIC CODE AND
CITY Or ZEPHY_RHILLS ORLI�vTr1NCES
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. � � � C)Lii/ER TECHN LOGfES INC.
�
� INSTALLATION INSTRU TIONS
FOR FL4RIDA
MODEL 11�1 " " SERIE ALL TEEL FOUNDATION YSTEM
PAN CCy CRET revision 6/07
PATENT#6634950�OT ER PATENT PEIVDING �
�
I
, � P3g@ 1
OLIVEF�TECMtdOLOGI ,[te1C. cevision 6/07
FLORIDA INSTi4L.LAYiON IA19'fRlJ ONS FOR THE
�
14lODEL 1107 (STEPS 1-15�
I iONGCl71D/NAL ONLiR LLOW STfPS '-9
FOR ADDlPdG LATERAL A M:Follot�+Steps 1Q-f5
FOR C4NCRETE APPLICA ONS:Fo11ow Steps?6-l9
ENGINEERS STAMP ENGINF.ERS STAMP
1.SPECIAL CIRCUMSTANCES: If the following conditions occue- TOPI Contact�liver Technologies at?-80Q-284-7437:
a)Pfer height exceeds 48" b) Length of home exceeds 76'c)Roof eaves exceed 16°d)Sidewati height exceed 96"
e)Location is within 1500 feet of coast
2. Remove weeds and debr{s in an approximate two foot square to xpose firm soil for each ground pan (C) .
3. Pla�ground pan(C)directiy belaw chassis I-t�eam. Press or dri e pan firmly into soil until flush with or betow soil.
SPECI4IL NOTE:The longitudinal"V"brace systern serves as a p er under the home and should be loaded as any
other pier. It is recommended that efter leveling piers,and one-thi inch(1/3")before home is lowered completely on
' to piers,comptete steps 4 through 9 belaw then remove jacks.
T �J "0/"
NOTE: WaIEN IiVS7ALl.INt3 THE LOWGRIlDtNAt SYSTEM ONLY, A M!N MUM OF 2 SYSTEMS PER FLQOR�ECTfON tS REQUIRED.SO1L TEST
PR08E SH�ULD BE USED TO DE7ERMINE CORRECT TYPE QP ANCtfOR R SOiI.C�AASSlFiCAT10N.IF PROBE TEST READINGS A6tE BEYWEEN
17S 8 275 A S FOOT ABdCNOR MUST BE USED.[F PROBE TEST REAmlN S ARE BETWEEN 276 8�35Q A 4 FOOT ANCNOR MAY BE USED.USE
L;ROUND ANCHORS WlTOi DI�►GOIdAL T{ES AD1D STABOLRER Fl.ATES RY 5'4".!/ERTI�AII.TIES ARE ALSO REQUIRED OA1 HOMES SUPPUED
1�tITQi VERTECAL TiE CONNBC7i0 ROfNTS(PER FL�RIDA REQ.).
4.Select the correct square tube brace(E)length for sst-up(pier) �ight at support location. (The 18°tube is always
used as the bottom part of the longitudinal arm).Nate: Either tub can be used by itself,cut and drilled to length as long as a
40 to 45 degree angle is maintained.
PIER HEIGHT 1.25°ADJUSTABLE 1.50"ADJUS'�ABLE
(Approx.45 degrees Max.) Tube LengEh Tube Length
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24 3/�°to 32 1/4° 32° 18°
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.��;; -�*:,;;��-�: '`=r*r"i.'N:a �.;��1�:.'- - �r,5::�:v. � - <,�r5x;:k2�^�:�*t?z�<`:.;`- ��>'...r,a,r.:'e+:":1�"�:�E.��iy-�-rm`-. ;:.x�:.:�:1''',�.�._;t.�^-�=_
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5. Instatl (2)of the 1.50°square tubes(E {18'tube})into the"U" racket(J),insert carriage bolt and leave nut loose for final
adjustment.
6. Plac$1-beam connec#or(F)lo�sety on 4he bottorn flange of the eam.
7. Siide th�selected 1.25°tube(E)into a 1.50°tube(E)and atta to I-beam connectors(F)and fasten loosely with boft and nut.
8, Ftep�r�t steps 6 through 7 to create the"W pattem af the squar tubes loosely in place.Ths angle is not to exceed 45
degree and nat below 40 degrees.
8.After all boits are tightened,secure 1.25°and 1.50"tubes using ur(4)1/4°-14 x 3/4°se{f-tappfng screws in�re-driited holes.
TH8 MOD�L 1101`N"(I.QNS�RUDINAL&I.ATERAL PROTECTIOt�Eil iNATES THE NEED FaR MOST S7A8lLIZER f'LATES 8�FRAME YIES.
N�'1'E:THE IDSE OF THtS SYSTElN REt� IRES VERTlCAL TEES SPACED�►T S'4".
FOUR FO07'(4')GROUND�►NCHOR MAY BE USED EXGEPT ER�THE FiOME MAMUFAC41Jt2ER SPECIFlES DIFFEREt3T:
10. Install remaining vertic�l tie-down straps and 4'ground anchors er homs manufacwrer's instructions.NOTE:Centeriine
anchors to be sized according to soil torgue condition.Any man facturer's s�xecifica�ons for sidewall anchor loads in excess of
4,ODO Ibs.require a 5'anchor per Florida Code.
' 11.NOTE:Each system is req�ired to have a frame tie and stabilize attached at each{aterat arm stabilizing location.Thls frame tie�
' stabilizer plate needs to be located within 18°from of center g und pan.
li 12.Select the correct square tube brace(H)length for set up latera transverse aE support location.The lengths come in either 60A
' or 72"lengths.(With the 1.50"tube as the bottam tube,and the .25°tube as tlie inserted tube.)
I 13. install the 1.50 transverse brace(H)to the ground pan connect r(D)with bolt and nut
14.Slide 1.25°transverse brace into the 1.50°brace and attach to djacent 1-beam c�nnector(1 )with bait and nut
15. 5ecure 1.5U°transverse artn t 1.25°tr� sverse arm usin f r 4 1/4°-14 x 3/4°seif ta in screws in r�-dritled holes.
OLlVER TECH OLOGIES, INC. Telephone:931-786-4555
1-800- 7$37 Fax:931-T36-8811
www.oUvertedvsologies.com
page 2
'INSTALLATiON llSING GOHCFtETE RUt3tV�R/FOOTER �;��p�
, 16. A r.oncrete runner,faoter or slab may be used in place of the steel und�n.
a) The concxete shall be mir�imum 2500 psi mix
b) A concrete runner may be either longitudinal or transverse,and m st be a mfnlmum of 8"deep with a minimum width of 16 inches
longitu�nalty or 1 S inches transverse to allow proper disfartce be een the ooncrete bott and the edge of the concrete(see befow).
c) Footers must have minimum surtace area of 449 sq.in.�.e.21°s uare),and must be e minimum af 8"deep.
d) ff a fuil siab ls used,the depth must be a 4"minimum.
Specia!inspedion of the system bracket instaliation Is not nequired. Footers must aflow for at least 4°from the concrete boft to the edge
of tt�e concxete.
NOTE:The bottam of afl footings,pads,slabs and r�nners must be r local Juris�idicn.
LONG(T!!DlNAL:(Modsl 11Q9 LC"V")
17. VIO�en using Part#1101 W-CPCA�wetse j�simpty install the btacket in runnerlfooter OR When instatling in cured concrete use Part#
101-D-CPCA(drvsetl.The 1101 (dryset)CA bradcet is attached to e concxete using(2)5/8'k3'concrete wedge ba{ts(Simpson part#
S162300H 5/8'X 3"or Powers equivalent).Place the CA bracket in esired IocaUon. Ma�ic bolt hole IocaUons,then using a 5/8"diameter
masonry bit,drill a hole to a mirtfmum depth of 3". Make sure all du and voncrete is blown out of the holes.Place wedge bofts 6nto driUed
holes,then ptace 1101 (dry set)CA bracket onto wedge bolts and rt wedge boli nuts. Take a hammer and IighUy drive the wedge botts
down by hitting the nut(making sure not to hit the top of threads on It).The sleeve of concrete wedgg bott r�eeds to be at or betow the toa
of c��crete.Complete by tlghtening nuts.
LATERAL:(Mode11701 TC"Vn)
18, For wet set(part#1101-W TACA)installation simply install the anch r boft into runnerffooter. For dry set installatifln(part#1109-D-TACA)
mark boit hole locatians,then using s 5/8'diam.masonry bit,drill a hate to a minimum depth of 3". Make sure�11 dust and concrete is
blown out of the hole.Ptace wedge bolb(Simpson part#S162300H /8'X 3°or Powers equivaterrt)into(D)concrete dry transverse
connedor and into d�iQed hote.If needed,take a hammer and lighdy rive the wedge bons down by hitting the nut(making sure not to hit
the top of threads on bolt),then remove the nu� f h
19.When using part#1101 CWV(wetset)or 1101 CVD(dryset),instail steps 17&1 S.
NOttr'S:
1. LEfVGTH OF HOUSE IS TH ACTUAL BOX SIZE
2. • =STASL.�PLATEA�D T�LOCATiON (needsb
bek�iedw�18inch�a�foa�r gar�d pen aao�)
3 � LOCA'TION OF L BRA�ING Ol�LY
4 �-=TF�+��S11ERS�E&L LOCATK�IV,S
1 N N 1 " " " '
u
B F P 41 FP
ALL WIDTHS;AND LE GTHS UP TO 52'
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ALL WIDTHS;AND LEN THS OVER 52'TO 80'
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Florida apprrnred 4'gro�md� .,.��,,..,�. page 3
• enchars may be used In afl revision 6/07
locatlons excspt where -
hama manufacturera apecf- �
flcaUons tor sldewall susps � I
a!8 Ifl 6XC8S8 Of 4,0001b3. I- Tf8►ISYCfSO alT�i F�be3R1 'F I I I I I I 1 - 11
Th e s e t a c a U o n s�q u l r e a 5' • o o r m e c t� — �
ancha:Per F7orida Code. �H-Transverse arm
Top(125°)
�0'"��-�� � C=GROUND PAN
,
``
�
D=GROUND PAN CONNECTOR
a-Ground F.;�p y�,,� , U BRACKETS TRAfVSVERSE
�� connectors E=TELESCOPING V BRACE
transverse TUBE ASSEMBLY W/1.5 BOT
`�QR°`�O� d.g nd Pan TOM TUBE AIVD 125 TUBE
� � �� INSERT
, F="V° BRACE!-BEAM CONNEG
TORS ASSEMBLY
E-°V'Bra�Tub ` H=TELESCOPiNG TRANSVERSE
Top 1.25')
� ARM ASSEMBLY
�� (1.�) � 1=TRANSVERSE ARM I-BFr4M
�GiO1��" CONNECTOR
J=V PAN BRACKET
Mo ei # 1101 °V"
Longitude dry �r�gp�j��e • (��PB�emblyp
CAI1Cf@tB br"dC�Cet
part#1101 D-CPCA _ ,,-; .
% `.
� � (3rsde$-1l2°x t"
�artlaga Balt S Nut
wet bracket part#
1101 W-CPCA not G�ade 5-1/2"x 21/2• Model 1101 CVD
shown ceR�ye son� ue
1-BEAM CON ECTOR BRACKET Model 1101 CVW
not shown
Flodda approved 4'ground �---��- C=CONCRETE FOOTER/RUNNER
arn�ora may be used in all
�ocallons except wt�ere norr�e -- D=COIVCREfE U BRACF�f TRANSVERSE
manufacn►rers spectticaUons , CONNECTOR(o�nec.ts with grade 5-9/Z°x 2
for sldeweA straps are In � �_ 1/2�'carrtage bolt&nut)
e�ccoss or a,000 Ibs.These �" ���'�e"' F ����'�' " E=TELESCOPING V BRACE
locations require e 5'anch� ° — -
Per Fimida Code. �H-Ttanswerse arm TUBE ASSEMBLY W/1.5 BOT
Top(�.25') TOM TUBE AND 1.25 TUBE
bomom(�.5-) IIVSERT
F='V° BRACE 1-BFAM COSVNECTOR ASSEMBLY
p.�,�� p_:.y.�, , (connects with grade 5-1/2°x 4'camiage boft
U trracicet �nedors &nUt)
aansveBe � H=TELESCOPING TRANSVERSE ARM
`�""�0� �- e ASSEMBLY
� ''r� t I=TRANSVERSE ARM I-BEAM CONNECTOR
(conneds with grade 5-1/2"x 2112'�carriage bdt
8�nut)
E- ��T � J=CONCRET�"V" BRACKET(conr►ects with
Top(9.26") grade 5-1/2"x 4°carriage bolt&nut)
BaSam (1.67
_CO(IpBt9
Foot�/Runner
Model 1101 C "V"
OLIVER TECHN LOGIES, INC. Telephone:931-796-4555
1-800-Z 7437 Fax:s3�7s6-ss�1
www.ofivertecfinologies.c�n
, " . ,=PrEnt Foi%n'��
�
CITY OF ZE HYRHI�LS
UTILITIES W RK ORDER
WATER ACCOUNT N�,: aATE:
�:; I�
'� OWNER/RENTER/BUSINESS:Brain&Margaret Bandkau CONTACT PERSON: Linda Blatk
MATLING ADDRESS: 2801 Bandkau Rd PhC}NE NUMBER: $13-454-4214
Owosso MI 48867-9436 EMAIL ADRRESS:
SERVICE ADDRESS: 37627 Corey Lewis Ave lot 324&325
SHUT OFF SERVICE X� XQ WATER
TURN OR� SERVICE ❑ ❑ SEWER
INSTALL METER �X � GARBAGE
READ METER � [�X IN CITI
CHECK METER ❑ � OUT Ci1Y
Ol`HER �
DESCRIBE OTHER: 3/4 water
NUMBER O UNITS
DEP051T AI�OUNT
AMOUNT IST BILL
DATE
MISC. CHA GE
MEfER: FULL 3/4
IRRIGATION
WORK COMPLEfED SY&DATE ORDE TAKEN SY. lackie Boges
CfJMPLEfED
ORDE GIVEN BY:
Revised 9/2010
� ° � � Print Form
��^ --
CITY OF ZE HYRHILLS
UTILITIES W RK ORDER
WATER ACCOUNT NO.: DATE: �`�� %��l(�
OWNER/RENTER/BUSINESS:Brain&Margaret Bandkau CONTACf PERSON: Linda Black
' MAILING ADDRESS: 2801 Bandkau Rd PHONE NUMBER: 813-454-4214
Owosso MI 48867-9436 EMAIL ADDRESS:
SERVICE ADDRESS: 37627 Corey Lewis Ave lot 324&325
SHUT OFF SERVICE OX �X WATER
TURN ON SERVICE ❑ ❑ SEWER
� INSTALL MEfER ❑X ❑ GARBAGE
' READ MEfER ❑ ❑x IN CITY
CHECK MEfER ❑ ❑ OUT CITY
OTHER ❑
DESCRIBE OTHER: 3/4 irrigation
NUMBER OF UNITS
DEPOSIT A OUNT
AMOUNT LA BILL
DATE
MISC. CHAR E
MEfER: FULL
IRRIGATION 3/4
WORK COMPLETED BY&DATE ORDER AKEN BY: Jackie Boges
COMPLETED
ORDER IVEN BY:
Revised 9/2010