HomeMy WebLinkAbout15-15940 CI OF ZEPHYRHILLS ���
: � 5335-8TIi STREET"
(si3)�so-oozo 1594
B ILDING PERMIT .
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15940 Address: 3340 MALACHITE DR
Permit Type: PARK MODEL ZEPHYRHILLS, FL.
Class of Work: PARK MODEL SET-UP Township: Range: Book:
Proposed Use: RV PARK Lot(s): Block: Section:
Square Feet: Subdivision: EMERALD POINTE RV RESORT
Est. Value: Parcel Number: 24-26-21-0020-00000-0340
Improv. Cost: 72,376.00 OWNER INFORMATION
Date Issued: 2/03/2015 Name: TROTTIER THOMAS & PHYLLIS
Total Fees: 180.00 Address: 3340 MALACHITE DR
Amount Paid: 180.00 ZEPHYRHILLS, FL. 33540
Date Paid: 2/03/2015 Phone: (207)252-3518
Work Desc: REPLACEMENT PARK MOD L 13 X 37
CONTRACTOR S APPLICATION FEES
HARVEY MOBILE OME IN PARK MODEL SE UP 60.00 PARK MODEL ELECTRIC 40.00
DAN HOUSE ELECTRIC INC PARK MODEL PL MBING 40.00 PARK MODEL MECHANICAL 40.00
HARVEY MOBILE HOME INC
HOMEOWNER
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Ins ctions Re uired
' PARK M DEL MECHANICAL
PARK MODEL PLUMBING
PARK MODEL SET-UP
PARK MODEL ELECTRIC
REINSPECTION FEES: Reinspection fees will c mply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the follo ing reasons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corre ons not made when inspections called d)work not ready for
inspection when called e) permit not post d on job site� plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this per it, there may be additional restrictions applicable to this property that
may be found in the public records of this county, a d there may be additional permits required from other governmental
entities such as water ma agement, state agencies or federal agencies.
"Warning to owner: Your failure to record a otice of commencement may result in your paying twice for
improvements to your property. If you inten to obtain financing,consult with your lender or an attorney
before recordin your notice of commencement."
Complete Plans, Specifications Must Accompa y Application.All work shall be pertormed in accordance with
City Codes and Ordi ances. NO OCCUPANCY BEFO C.O.
1 _. --� .
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� CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MO THS WITHOUT APPROVED INSPECTION
CALL FOR INSPECT ON - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills
'i BUILDING PLAN REVIEW C4MMENTS
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ContractarlHameowner: ��RVE t!�t�atl.� �OME .� C .
Date Received: � r 3 ~ � 5
Site: 3 Ya i�ALI� '�' tT� Qr
� Permit Type: SiVSTA /� X $'?'+ �ARi��+tObEL
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' Approved w/no comments:❑ Approved wlth below comments: � Denied wlthe below comments: O
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This comment sheet shall be kept with the penmit an or plans.
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'n ate Contractor andtor Homeowner
(Required when comments are present)
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' 2015015369
Pertnit No. Parc 1 ID No_ ��I�a�0'01/- f7Do'ZO� DOOC��O �1 d
NOTICE OF COMM NCEMEN�
state ot L O 1� Coun ot QS CC7
THE UNDERSIGNED herehy gives notice that improvement wili 6e made to cert n real property,and in accordance with Chapter 713,Florida Statutes,
the following Infortnatlon Is provided in Ihis Notice of Commencement:
1. DescNption of Property: Parcel IdentiHcation No. c� -a a - �O�D-bo0oo-Oa
SVeetAddress: 3 l� 1 aGh' v F"' � h � / 3 3Sy d
2. General Descripllon of Improvement t ' m G
3. Ovmer Infortnation or Lessee Intortnation if ihe Lessee contracted far th improvement:
�W'�'d-i�Ir -
Name
33 a � v l,u-t'3�-1 7�nhurh�l.)S
Address City ` Sta�
Interest in Property: t�
Name of Fee Simple Titleholder.
(I!difterent from Owner listed above)
Address Ciry State
4. Contractor. il . YI C�
Name
Address SUMIi��!'{�i P lGl� �
City State
Contractor's Telephone No.: o�� - � 3 y�+-4 !
5. Surety:
Name
Rcpt:1657747 Ree: 10.00
Address DS: 0.00 IT: 0.00
te
I AmountofBond: 3 02/02/2015 D. W., Dpty Clerk _
� 6. Lender. N q,.
Name ppULR 5 0'NEIL,Ph.D.PLiSCO CLERK & COMP7ROLLER_
Address °2'°Z�Z01914�m P� 1534
OR BK .ate
Lendefs Telephone No:
7. Persons wilhln the State of Florida designated by lhe owner upon om notices or olher documents may be served as provided by ��,����°�c, ��
� Seclion 713.13(1)(a)(�,Florida Statutes:
°� � �
Name �' �
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a
Address Ciry State � o �
Telephone Number of Designated Person: In Gcrf"SYe?'r�� � �
B. In addilfon to himself,the owner designates a{_ ,� � � ��
to receive a copy of th Llenors Notice es provided in Sectlon 713.13(1)(b),Florida Stetutes.
Telephone Number of Person or Entity Designated by Owner. {[ 1887 •�
� 9. E�iralfon date of Notice af Commencement(the expirallon date may 1 be before lhe compleUon of consWCtion and final payment lo the S?., 0 �i �
icontrador,but will be one year fram the date of recorcJing unless a diHer nt date is speGfied): , ��oF�.��`�
WARNING TO OWNER: ANY PAVMENTS MADE BY THE OWNER FTER TF{E EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 7 3, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RECORDED AND POS E�D ON�THE JOB SITE BE�FO E THE FIRST I SPECT ONRI YOU IN�END TO OBT�AIN INANCING,CONSUBT ¢ Z U �
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING W RK OR RECORDING YOUR NOTICE OF COMMENCEMENT. � � � � � W U
Under penalty of perjury,I declare that I have read the foregoing notice � mmencement and that the facts stated thereln are true to the best u z � O �r J �
a£my kno�titedga and be:ieC / � • Q
U (n J Q F-
STA7.E OF FLORIDA / �' �� �W N � W
COUNTY OF PASCO • � p1J
� Sig[rature o Owner or Les e,or OwreYs or Lessee's Authorized � W � � a p
OfficeNDire adPartrerlManager � 0 F � Q �
1- wu- � U U
S+gnatorys �tlelOifice � � �O u- «3
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The foregoing instrumenl was acknowledged befora me lhis��ay of 20��by 7�10 rn a.S l,� . //'a-�-f�i r U Q � � �
es (rype o(authoriiy,e.g.,ofticer,Wstee,attomey in fact)for =V V w
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(name o/f�party on behalf of whom Inslrument vras exewteC). , Q } (.J m � � U
Personally Known❑0�Produced IdentlficaUon(�I Notary Sfgn lure Li{{ �L 1�.,,.�n��.t� � � W= Z O J
Type of Identification Produced �L �L� Name(Print �n:C+:n P_ n �„'�,( �-.(-�l�hCt UelZ O ��j,�j 0 � _ � Z
�Yri'r"Fk C.K.OUTfENHAVER u- Q p �p �',� � I
:P �.:: Commisskn#FF 086049 O H z W � (A
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hy, ma�an.�TArcwiw.n.,mousmio F- � W LL Z�
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� wpdata/bcs/nolicecommencement�c053048 �I
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e��-�ea-oa2o City of Zephyrhilts Permit Appt'scation Fa�o-sis-7eo.4ox1
� ' ' 6uiiding Department
• hr�'SS�
Date Receixed �c'1 �s t'7 ��1�
"r_r_nT�_�_ PhoneContacYfarPermitttng ,�.�.3tst '-t't
- -r"I"�ir'
�wnars Name �o � r i � Owner Phone Number c7n��` as�- �J$`
Chvner's Address � d Owner Phone Number � �
Fae Simple Titlehaldet Name Ownar Pfione Number �` �
Fee Slmple TltlehatderAddress
JOB ADDRESS SJ� �^1e. �,.,)V n ��S- LQT# � 3�'�
susfl�vas�aa Frnerald �; a� PaRC�L�flte �?y -ata-at �t�oao- �i��at7-0.3U t>
(OBTAINED FROM PROPERTY TAX NOT�E)
WORK PROPOSED � NEw coNSrR 8 ADalALT � S{GN �] �] DeMOIlSH
INSTALC REPAIR
PROPOSED USE � FR Q COMM � O7HER i e
TYPE OP CON9TRUCTlON Q BLQCK Q FRAME � STEEL Q
�HSCFttP710N OF WORK �f.. �QCG � i Y1$�i�� 13�C 3�7 � A,Y� {�
6tJilDING S�ZE C� X �� i SQ FOOTAGE �b t HEIGHT ��
QBUILDING � � !+��� VAIUATiOtJ QFTOTAI CONST12UC7IOt�t
QELEGTRICAL $ AMp SERVICE �� Q pROGRESS ENERGY � W.R.E.C.
� �PLUMBING $ � ��
iQMECHAiVtCAl. $ � VA�UATI4N OF MECNANIGA�tNSTALlATION ���
QGAS Q OOFING Q SPECIALTY � OTHER
iFtN!$HED FZOOR ELEVATlONS ROOp ZONE AREA QYES NO
BUILDER CIJMPANY N a.�-�� rnob��e ��11?1 r�°� �n�
SIGNATURE !, REGISTEREO Y I N FEE CUftREA Y(N
Address J�O�� �1 �M�'afd, ��l'� / License# 7��f1loJio���
PL CTRIC�fAN ` ' 1 .� 4�,/f� - 'COMPANY ��+"t �tlt1�3E�' �t�.°L�'iG ^�`
� �IG�UR� t�� rv-���-�';!� � R��isT�rtEO Y i H F�cuRrten Y 1 N
�AdarOS � ��� 3rd ......L 7 w�1 7�{ L1C@t4Se# E�+r�L1D�S"'/ c3
PLUMBER ��`///` � CQMPANY �GU vtL{ }Y1oI7i It l`�OM.. I fI G �
SIGNATURE (� r��is�aeo Yflu F�cuRpEn Y!N
Address 13oa $ f m � ' (=G.3+1 � LlCense# �)�I�I�O�Dc�C.� �
MEGNAHICA� ��1��, COMPAtdY ��a��...- � T"
SIGNATURE t REGI5TERED I IJ FEE CURFiE� Y J N
Address Ucense# �"V��� �
I J
�' OTHEA N7 p� COMPANY � �( �-
SIGNATURE � REGISTERED Y F N FEE CURRE� Y/N
Address License# {_� �
IIIIIIIIIIIt11111111111111111111111111111t111111illltllllllif111111
RESIDENTIAL Attach(2j P101 Flans;{2) ets of 6uik3ing Plans;j1�sat o€Energy Fprtns;R-0-W Permit Eor navr constr¢cticn,
ARinimum ten(10}working deys aHer su6mirial date. Required onstte,Constrvction Ptans,Stomrwater Ptans wl Sit Fence iastatied,
SaniYary Facflitles 81 tlu pster,Site Work Partnk for subdivisfonsllarge projects
COMMERCIAL Attach(3)complete sete Buiiding Pians plus a Life Safety Page;('I)set of Energy Forms.R-O-W Pertnit for new constructian.
M�nimum tep{90)working days aifer salamitta!date. Reqa4red onsite.Gonstrucfion Ptans,Starmwater Ftens wi Siit Fence insfailed,
Sanitary Faeitittes 8 f du pster.Site Woric permit far att new projeets.AU commerciat raquirements must rneet compliance
SIGN PERMI7 Attach(2)sets of Enginee ed Plans.
•"'PROPERTY SURVEY required fqr all N�W eanstruciion.
Directions:
Ffll out applicadon complelely.
Ovmer&Contractar sign back of appl'ica ion,notarized
llover 52500,a Notice of Commence anf is required. {AtC upgradas aver 5750Q}
" Agent(for the contractor)or Power of Att mey(for lha owner)wouid be someonB with notarized letter from owner authorizing same
pYER SNE CQUNTER PERMITTING { ront of Applicetion QnSy}
Reraafs tf shingtes Sewers Secvi Upgrades A!C Fences{PIoVSutveytFootage}
Driveways•Not over Countet ii on pu6lic oadways..needs ROW
s�s-�so-ooao City of Ze hyrhills Permit Application Fax-813-780-0021
B�iiding Department
` A (`,h r��S s�.-<
Date Received Phone Co tact for Permitting ����� ��ry - ���d�
�
Owner's Name �h� � � j �^ ` Owner Phane Number o���� r���- �5
Owner's Address �� � '"�� ��f�Owner�hone Number �— �
`,."
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Yitleholder Address °' -
JOB ADDRESS �� ' !�-FC.. IJ fl ! PL 3'�sLI LOT# �
SUBDIVISION EfYI+�'ald �1�Oj(1�e��U r?�� P RCEL ID# ,��-1 � �c�-a f - Ooao - �7�Z7`� b�,ti�O
{OBTAINED FROM FROPERTY TAX NOTECE)
WORK PROPOSED � NEW CONSTR e A D/ALT � . SIGN Q Q DEMOLISH
INSTALL R PAIR
PROPOSED USE Q SFR Q C MM _� � OTHER rnp i ie e
TYPE OF CONSTRUCTION Q BLOCK Q F ME � STEEL Q
DESCRIPTIdN OF WORK �'� I QCP � 1 Y1 �( ��j''i�?j� r L(,V� p�{,
BUILDING SIZE �I� � e7� t � SQ FOOTAGE y6 / HEIGHT C_____�
Q BUILDING $ ;� � , D��� VALU TION OF TOTAL CONSTRUCTION
QELECTRICAL ��j.� � AMP S RVICE �� Q PROGRESS ENERGY � W.R.E.C.
�� l..r
QPLUMBING $ �
.,,,�� �����
QMEGHANICAL $ � � --- VALU TION OF MECHANICAL WSTALLATION
� �.,
QGAS Q ROOFING [� S ECIALTY [� OTHER
FINlSHED FlOOR ELEVATIONS �-----� F QOD ZQNE AF2EA QYES NO
BUILDER � �. COMPANY �1 Ct-Yv Y�'?D{'J�I�,', �PY1 N � I nG
Bt�NATURE C REGtSTERE(3 Y I P) FEE CUi?RE{� Y J N
� , ,
Address 1�Da� S y'�� �u*�rneo"'�i'elC(, 3N`l / �icense# ���J���t°�� �
� �r .,,,Icx.n �DU3°� ��+e[r�'n.G
'� ' E�L CTRICIAN �.� � COMPANY
, SICs��TU� REGISTERED Y 1 IV FEE CURREh Y J 3�I
�� Address c� �vl� $ ''°� L �r,,�' /�--3N�7� �icense# ��"�'30L)/�`��
� ., � ., � .
PLUMBER ����� ,�� � COMPANY F�i�Gtc'V-el. Yti"lp�j'tl� H'oMC IlG
SIGNATIlRE l� REGISTERELI Y 1 3�I FEE CURRER Y 1 N
I Address �30� S � m e l�- �L� � License# 17j ��������-/ I
MECHANICAL COMPANY �
SIGNATURE R��IS�EREa 1 N FE�cuRREn Y 1 N
Address License# �� �
OTHER j'�/? �_ � COMPANY N( �—•� '�
SIGNATURE r REGISTERED Y 1 N FEE CURRER Y J N I
( Address License# � �
IIIIIItItlIIIllililt [ tltllltlillllllill [ IE [ ilII1111ii11lltliii111ti
RESIDENTIAL Attach(2)Plot Plans;(2)sets ofi Building Plans;(1)set of Energy Forms;R-O-VU Permit for na�v cons#ruc;�on, - -_
Minimum ten(10)working days after submittal da . Required onsite,Construction P{ans,Stormwafer Pians w/SiSt Fence instaHed,
Sanitary Facilities&1 dumpster;Site Work Permi for subdivisionsllarge projec#s
COMM�RCIAL Attach(3)complete sets of Building Plans plus a ife Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten{10}working days after submittal da . Required onsite,Construction Plans,Starmwater Pians w!Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Wark Permi for all new prajects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""'PR4PERTY SURVEY required for all NEW co struction.
. . . . . . . . . . . . . . . . . .�,,...�,�,:..�^
Directions: �
Fill aut application completely
Owner&Contractor sign back of application,no#arized
lf aver$250Q,a Notice of Commencement is required. (A/C pgrades over$7500)
*' Agent(for the cantractor)or Power of A#torney(for the awner}w uld be someone with notarized letter from owner authorizing same
QVER THE COUNTER PERMITTING (Frant of Applicatian Onl ;
Reroofs if shingles Sewers Senrice Upgrades AJC F nces{P1ot/Survey/Foatage}
i Driveways-Nof aver Counter iE on public roadways..needs RQW
.
'NOTICE OF DEED RESTRICTIONS: The undersi ned understands that this permit may be subject ta"deed" restrictions"
which may be more restrictive than County regulati ns. The undersigned assumes responsibility for compiiance with any
applicabie deed restrictions.
UNLICENSED CONTRAGTORS AND CONTRA OR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be.require to be licensed in accordance with s#ate and IocaE reguEations. 1#the '
cantractor is not licensed as required by law, both the owner and contractor may be cited far a misdemeanor violatian
under state law. If the awner or intended contract r are uncertain as to what licensing requirements may apply far the
intended work, they are advised to contact the Pas o County Building Inspection Divisian—Licensing Section at'727-847-
8009. Furthermore, if the owner has hired a co tractor or cantractors, he is advised to have the contractor(s) sign
portions of the "contractor Slocic" of this applicatio for which they v�ill be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly li�;ense��and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT' ND RESOURCE RECQVERY FEES: The undersigned understands
that Transportation Impac# Fees anc! Recaurse Re very Fees rnay apply to the canstruction of new buildings, change af
use in er.isting buildings, or expansion of existing uildings, as specified in Pasca County Ordinance number 89-07 and
90-07, as amended. The undersigned also unders ands, that such fees, as may be due, will be identified at the time of
permitting. lt is further understood that Transporta ion Impact Fees and Resource Recavery Fees must be paid prior ta
receiving a "certificate of accupancy" or final powe release. ,If the p,roject does not involve a certificate af occupancy or
final power release, the fees must be paid priar ta permit issuance.. Fu�thermore, if Pasca County WaterlSewer lmpact
fees are due, they must be paid prior ta permit issu nce in accordance with applicable Pasco County ordinances.
CONSTRUCTlON LIEN I..AW(Chapter 713, Florid Statutes,as amended}: If valuation of work is$2,50Q.00 ar more, I
certify that I, the applicant, have been pravided with a copy of the "Flarida Construction Lien Law—Homeowner's
, Protection Guide" prepared by the Florida Departm nt of Agriculture and Consumer Affairs. If the applicant is sameone
other#han the"owner", 1 certify that 1 have obtained a copy af the above described dacument and promise in good faith ta
deliver it to the"owner" prior to cammencement.
CONTRACT4R'S10WNER'S AFFIQAVIT: I certify ti�at alE the infarmatiorr in this applicat'ron is accurate and that all wark
will be done in compliance with all applicable laws egulating canstruction, zoning and land development. Application is
hereby made to obtain a permit to do v,rork and installation as indicated. 1 certify that no uvork or instaUation has
commenced prior to issuance of a permit and tha ali work wi(I be performed to meet standards of all laws regulating
canstruction, County and City cades, zoning regu ations, and land develapment regulations in the jurisdiction. I also
certify that 1 understand that the regulations of oth r government agencies may apply to the intended wark, and that it is
my respansibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department af Environmental Protecti n-Gypress Bayheac3s, V11etland Areas and Environmentafly Sensitiue
Lands, WateNWastewater Treatment. ,
' - Sauthwest Florida Water Managem nt District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps af Engineers-Seawalls, Do ks, Navigable Waterways.
- Department of Health & Rehabilitativ Services/Environmental Health Unit-Wel1s, Wastewater Treatment,
Septic Tanks.
- US Environmenta! Protection Agency-A bestas abatement.
- Federai Aviatian Authority-Runways.
I understand that the following restrictions apply to t e use of fill:
- Use of�11 is nat allowed in Flaod Zane" ' unless expressly permitted.
- If the fill material is to be used in FI od Zone "A", it is understoad that a drainage plan addressing a
"compensating valume" will be submitt d at time of permitting which is prepared by a professional engineer
licensed by the State of Florida. i
- !f the fiN material is to be used in ,Flo d Zone "A" in cannection with a permitted building using stem wall '
' construction, (certify that fill wiH be use only ta fili the area within the stem wall.
- If fill material is to be used in any a ea, I certify that use of such fill will not adversely affect adjacent
praperties. If use of f[I is faund to adv rsely affect adjacent properkies, the owner may be cited for violating
the conditions of the building permit is ued under the attached permit application, for lots less than one (1)
acre which are elevated by filk, an engin ered drainage plan is rsquired.
If I am the AGENT FOR THE OWNER, I pramise in good faith to inform the owner of the permitting condi#ions set forth in
this a�idavit prior ta commencing constructian. l u derstand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air canditianing, gas ar other installations nat specifically incEuded in the appGcation. A
permit issued shall be construed to be a license ta roceed with the work and not as authority to violate, cancel, alter, or
set aside any provisians of the#echnical codes, nar shall issuance of a permit prevent the Building dfficial from thereafter
requiring a correctian of errors in plans, constructio or violations of eny codes. Every permit issued shall become invalid
unless the work authorized by such permit is com enced within six months of permit issuance, or if work authorized by
the permit is suspended ar abandoned for a period f six(6} months after the time the work is commenced. An extension
may be requested, in writing, from the Building Offi ial far a period not to exceed ninety (90) days and will demonstrate i
justifiatale caiase for the e�ctensian. If work ceases f r ninety{90}consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAt�URE TO R GORD A NOTICE OF COMMENCEMENT NfAY RESULT IN YC}UR
P,�►YI(�C-�1!!�lGE FQR 11�lPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND T BTAIN FINANCING, CONSULT
WITH YQUR LENDER OR AN ATTORNEY BEFO E RECORDING YOUR NOTI OF OMMENCEMEN7. -'
F�OftIDA JtJRRT(F.S.197.43}
pWNER OR AGENT CONTRACTOR r
Subscribed and sworn to(ar a�rmed)be#ore me this Subscribeci and swam o( r �rme }befare me thi
by /�- �/s— �y 11'1 ,`� ��� �u,fy`eh �ra-��ii
Who is7are persanally known to me or haslhave produced �(ho i�/ar��ersonally known to me or has/have produced
as identificatian. as identificatian.
Notary Public IJotary Public
Commissian No. Commission No.
:�'•'��"b"s:�.= �mmisston#EE 219257 �
Name of Notary typed,printed or stamped Name af Notar}t t � � � �K�E F� '��gpa3g5.7D19
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I' � � Repl:1348276 Reo: 18.s0
DS: 336.�D IT: 0.00 j
`01/31/31 K. Garota, Dply Cle�k �
PREPARED BY/RETURN TO:
M(chelle L DeHart Pau�.a s.o�r�c�.Ph.D.PN5C0 CLERK L COlPTRO
American Home Ti�e of Land O'Lakes,Inc. : 01/o3�iBKi �f�;��p� �ofi951 %
2047 Osprey Lane Suite A � ��0
Lu�,Florida 33549
FILE NO.:LL110015 '
$48,000.00
W NTYDEED
TNIS INDENTURE,made this 24th day of J nuary,2011 betw�n:
Glen H.Beckman and Annie T.Beckman,h band and wife
Grantor,whose mailing address is:8122 S.Oa oodAvenue,Neenah,WI 54956AND
Thomas G.Trottier and Phyllis V.Trottler,h sband and wffe
� Grantee,whose mailing address is:3340 Mala hRe Drive,Zephyrhills,Fl 33540.
Wherever used herefn the terms"grarrtor"and'grantee"inclu�all the parties to this instrument and the heirs,
' legal representatives and assigns of irtdlviduals and the successors and assigns of corparations.
' WITNESSETH That the said grantor,for and i consideration ofthe sum of TEN DOLLARSAND OTHER
GOOD AND VALUABLE CONSIpERATION t it in hand paid,the receipt whereof is hereby acknowledged,has
grarrted,bargained,sells and transfers u�to the said grantee,his heirs and assigns torever,all thet certain parcel I
'� of land lying and being in the Courrty of PASCO and SNate of FLpRIDA,more particularty described as follows: '
Folio No.:2426-21-0020-00000-0340
Lot 34,THE EMERALD POINTE RV RESOR ,PHASE ONE,eccording to the map or plat thereof as
recorded in Plat Book 34,Page 87,Public R rds of Paaco County,Florida.
TOGETHER with all tenemer�ts,hereditamer�ts and appurtenances,with every privlege,right,title,interest and
estate,dower and right of dower,reversion,re einder and easemerrt thereto belonging or in anywise
appertaining.
TO HAVE AND TO HOLD the same in fee sim le iorever.
Page 1 of 2
Warramy Deed
1 � ,.. ,.
•
OR BK g50S, p� 19-'�
sa
� 2 _ of z �
And the said grantor covenants with the said gr tee that F�is lawfully seized of the said lartd in fee simpte;that
he has good rlght and lawful authorily to sell an convey said land and will defend the same against the lawful
ctaim of all persons whomsoever,and that said land is free and clear of all encumbrances,except taxes accniing
subsequent to December 31,2010. Subject to trictions,reservations,covenar�ts,and easements of record,
�, and,applicable govemmental regulations. '
IN WITNESS WHEREOF,the seid grantor has hereunto set hishand and seal the day and year above written.
WITNESS:
Print Name: len H.Beckman
'-` J
� / �iSn�.��
� Mnie T.Beckman
Print Name: �, �n,�
, STATE OF: FLORIDA
COUNTY OF: PA3C0
The foregoing instrument was acknowledged before me this:24th day of Jan�ary,2011 by Glen H.Beckman
and Annie T.Beckman,who is/are personatly k own to me or has produced C��i vP�S �-iCo cls� as
idemifica6on.
WITNESS my signature and official seal at ythills In the County of Pasco and State of Florida,the day and
year last aforesaid.
My Commission Expires:
NOTARY PUB IC- e of Florida
•� w T�CHFIIELD8IANT
g,�+ � hiY00?k�91&SIOPJ60D716203
A ?� p�pipE$:Jem�aryi8.�12
Bonl�TTmi tb�'Rlie U�t
Page 2 of 2 •
Warraniy peed
, • ' Page 1 of 1
Mike Wells Pa co County Property Appraiser
Data Current as Of; Weekly Archive - Saturday, December 6, 2014
ParcelID 24-26-21-0020-00000-0340 (Card: 001 of 001)
Classification 00 -Vacant Residential
�� Mailing Address Property Value
TROTTIER THOMAS G&PHYLLIS V Ag Land $0
3340 MALACHITE DR Land $35,243
ZEPHYRHILLS FL 33540-7417
Physical Address Build'Ing $0
3340 MALACHITE DR Extra Features $4,766
ZEPHYRHILLS FL 33540-7417
Leaal Descrit�tion (First 4 Lines) Just Value $40,009
See Plat for this Subdivision Assessed (Non-School Amendment 1) $40,009
THE EMERALD POINTE RV RESORT
PHASE ONE
PB 34 PGS 87-90 Taxable Value $0
LOT 34
]urisdiction
Citv of Ze�hvrhills
Land tail (Card: 001 of 001)
.._._..__�._.._� .._... ...._�. .... ..... ... _�... ....._......,. _._._..._..�:--... .._. . .�.. .._._.._.. .. �.._...�._. . .. _..._ .��. _�. �.. �.. �
.. �._ .._ _. _.._....M�........ ..... ..____.._._....
� ;Descri tion Zonin Units ; T e { _ Price � Condition . Value
Line � Use �
� _. _____. .-� --.. .__. .;._. p._..._._..._._ .__. .. 9..._._. ..__._. ._. ._._._..;-.-.--.__YP.�..._...._._� _.__.
r _.. .----....__.._._. ..._.. ....
1 � 0200 ' MBL HM : OOC2 2 500.00 ' SF $14.05 F 1.00 ' $35,125
� SUB ' !
_.. ._._ __...---...._..._5_._..._ _....-----. : _. _ _.._... _._..._. ..__..._... _.._._._.._...-------- ---...._.---...---.. _. _..._..._.__.
,
. _. �--........... .... ..._...... __.._ .---.._.__.. _...�.. �
2 ; 0200 � MSUBM 3 OOC2 254.00 � SF $0.43 ! 1.00 $109
....... ...... .__...._...�_.�._..�..,. ._...... .._.__.: .. ... ...�...._.� ...... ... .... .... . � .. .,. .x_.... ��...._.�..._� ; ... ... ... .. � .�...........____...
; � MBL HM ' .-.s._ .
3 ; 0200 S�B € OOC2 910.00 ' SF � $0.01 f 1.00 � $9
� F
Additi nal Land Information
.. _. ---.. ._._.. _. ._._. .._---.. ............___..._._..._._.. .__t - -----...-. . .__. ._._._.. ._._.____...,. .._ __
----..._._.._.._ .____. .. .......... ........_.
Acres ± 0.08 Tax Area ; 30Z ' FEMA Code f -- ;laesidential �ode. EMPTCPi
Building Information Use 00 - Unimproved (Card: 001 of 001)
Unimprov d Parcel 00 - Unimproved
Extra Fe tures (Card: 001 of 001)
. _.. .._--.._.._. ._. ._. _......_..�;.._. _.. ,. - - -. __. ___ _. ...__. .___.
Line . Description...�.._:_�_._ �.�...,_Year _.__.____. ..:�._._._.._�.�__...Units__�.___.__._.��..._...M._._,__Value ._._._. ._._
__�__...��.��...�....._.....__......._...�..w._.___..__................ - --
1 DWC ! 1997 1,120 $1,371
__ �.... __-----.._�.� ,..... .___...k__.._.... .._..__..- -•--._.. .__ .�. .._.._�.-----.._._.. _..__...---..__...._------._._;._._.___. _.�..._...._..._. _.._._...._.._------.._...._� _...._._._..._. ..-----._.._...�.._.__..._....
2 BRK SAN 2012 504 $1,455
_�.... ...__.._._..---. ._.._._... ,,. .......__....�_.. ._..._ _.___..__....�.._....�.� .�..__.._�.�__�..�.. .._.._..�..__....__..___.._.�:. .._.... _ � . ...._._ . .� �...__.___
_ ..__....._..._.. -- - -.._.._._.....__ __.. ..__.._. ..__�..
3 UDU-M 2012 1 $1,940
Sales Histo -See All 4 sa6es
Previous Owner: BECKMAN GLEN H &ANNIE T
.. ..._............... .. .� .�..._. ...�..._......_..._ ._......_._...._.... ... ......� ._..__. .._.._.,.. _. _�.� .....__...._.._. .... __._ .. ._... ....�..�._ _ ..._....___.,.. .
. ._. . _. _._. ...__. _.
Month/Year ; Book/Page _ ' Type :DOR Code Condition� Amount . .r .
-. ._._�,�_..._....,.......___,....�._._..._.._._.,�__..._. .. .
01/2011 8508 / 1951 V1larranty ; 01 ' Vacant $48,000
. Deed €
_._..._.._.�_._,..__._...�......._..._..._....__..___._._.._.�.._..�_...__._..�..........._........._....._�.�._..:.,..,._..,.._...._._....._M..._.._........_...:�. ....._.. _._..._.,._.......,..__._.,._.....,._........._..__._. ._
03/2004 ? 5781 / 1Z32 �Narranty ; Improved � $30,000
Deed � -
.. __ .... ... .. .....-...:. _... ._ _.._ _.._._..._._ _. -----
02/1997 3705 / 1774 ; �Narranty ; Vacant ' $12,000
Deed ;
I
I
12/9/2014
„ �. ' ' Page 1 of 1
�I�CI:' @IIS PascoCounNProoertvAppraiser
_ Le al Description
24-26 21-0020-00000-0340
Assessed in Section 4,Township 26 South, Range 21 East
of asco County, Florida
THE EMERALD POINTE RV RESORT PHAS ONE PB 34 PGS 87-90 LOT 34 OR 8508 PG 1951
Please be advised that ou�legal desc iptions are for assessment purposes only, and are not
intended f r use in/egal conveyances.
ii
�I
' 12/9/2014
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' EMERALD POINT BOARD OF D( ECTORS -
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� APPROVED BY�,��� „ , i���..� ` DATE: ������'� -
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� PROPERTY_EUALUATION COM 1TTEE , ,
; � � � p� � ;
. APPROVED BY: �� DATE_ 1��f—j�r
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� EXPIRATION DATE: i �2- j '% � ,- � - _ , , ,
, . .. - -- -- - . - --- - � - - -_ _. _ . ._ _ _ _- . .
; INSPECTI4N BY: - - ,
i . - - . - -
'�, � FINAL INSPECT(ON BY: , , . � � ;
� � ,
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� , PLEASE RETURN TO OT IMPROVMENT COMMI�TEE . ;
� . - . _ : - , - - - - - -. i
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Procedure or Lot lmprovement Requests �� "�7/
(Please refer o the "Rules and Regulations")
l. Al! requests are to go to the Chair an of the Lot Improvement Committee, You can hand
deliver it to the Chairman or place it in the EPPOA mail box outside the EPPOA Office. The
. Chairman will present it#o the Lot Improvement Committee for their review on a weekiv
basis.
�. �4n r� uest vvhich is t� T fillecf out ro er� vvhich� includes,
complete detail�d/�ketc or pam�hl�t of-Par-k IVlode�-to be
purchasec� v�ith picture , to incluc�e fiootprint, setbac�€s, front �
eleva�ion, back ele�at6o , l�ft 8� right ele��fion and tnust include
all sizes and locat�on� f v�indovvs an� door�, vuith length, v�ic!#h
�nd height o� the over�l structure inclueli�g color o� sidin�, trir�,
shutters, c�oors and pav rs, (if applicable ), �il! be re$urned to th�
a tic��t �nrithout an �c ion bein taken.
3. The Committee will reviEw all req ests and visit the site of the request as necessary.
4. After the Committee has recomm nded approval or denial of the request, it will be presented
to the Board of Directors for their pproval or denial. The final decision of the Board to approve
or deny�he request must be mad by at least three {3) directors, one of which must be the
Board liaison ofi the Lot lmprovem nt Committee, ifi available.
5. There will be NO more one day a provals or last minute approvals. Request will take 7 to 14
� days for appropriate review and c nsideration, .�if necessarv) thus giving the Committee and
Board members time to review an consider the request in a thorough manner.
6. The original request will be dated nd signed as approved or denied, and after being copied
the ori inal will go in#o to the mem ers file and the copy returned to the Lot owner by the
9
Board of Director liaison or the Ch irman of the committee.
7. The committee will foilow up on re uests to determine that the request as presented and
approved is being adhered to.
8. Any permit will be ACCEPTED F R APPROVAL between October 15 and April 1 ofi each
year, however, each ov►rner must understand and knov� fher rnust be enou h rrberr�l�er�
of the Committee to review and recomrr�end to the Board for their a roval.
As the owner ofi Lot# '�� , I nderstand the Lot lmprovement Committee and/or the
Board of Directors witl enter the property to follow the external progress of the construction or
improvement. as submitted on the Lot lmprovement Request.
�
Lot n Si -- Date
� � , i 1�3G !y
�q� � �
� `^'-' � ��_t� OF lotimp-p.od2 03/22l2014
�
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l�:
% •
�°r ,ate Recd / / LOT I ROVEMENT �2EQUEST Permit No�f�
To: EPP03 �ot Improvemen� C�;rynittee § B ar�' of Direc�ors
Erom: � '°t
Lo�.#/Address: � � r ��t• � _ "�
t '
Phane number where you can be reachec: � " G -
We zequest EPPOA approval fox construc ion, addition to our a.nstallation, on the followi.ng:
( )Shed ( )Lanai ( )RV Port (�Park Mo el ( ) Gottage ( )Goncrete Slab ( ) Pavers
AlI requests far constructiori/addit.ion /remodeling are required to have a complete,
de�ailed/sketch ar pamphlet of Park Mcs e1 to be purchased with pictures, �o include faotprint,
setbacks, £rant alevation, back eleva��on, left & right si.de elevation and top elevation. A11
elevatians must include all s.izes and locations of windows and doors, with 2.enc�.h, �ridth anc3
heigh�t of the averall structure. In ad 'tion, all requests requize and Aeust inalude the fu12
description, 3ncI.uding color o£ siding trim, shutters, doors and pavers if applicab3e. "PRIOR
, TO BEGZNNIN� CONSTRt7CTIQid" a copy of t e Zephyrhi3ls building permit and a capy af the
I completed engir�eering plans must be RE L7RNED to the "LOT ZP�ROVEMENT COE�9MITTEE", these will be
' returned to you for construction_ Upon com�letion of your cons�ruction a complete copy af the
engineezing drawings af the structure, (as bui],t) perxni�s, inspections and final permit
approvals must be returned to the Emer ld Pointe Lot Imgrovement Committee far Offica fi�i.ng.
Comments-
� 1�..:t' R 8 � "` �"
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I.Qt t}wner's Signatura � • r � Date� /..� � / �?`-
- t �1-� �r - - M-' 1 !f 3��1�/
Lot Improvemen� Committee '
Contingent Approval Date i Reaommended �a be Denied ` ,
f
Comments-
Carrnni.ttee Meiubers:
Page 1 OF lotimp-r.odt 03l3?J2U
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�� PLE�AS� R�TLTRN 1�FT�R �T.I�II�II�iG �,LL I�IECESSA�2Y DQCL�NTATIQN
�,S NOTED IN CO�+iMENTS S CTION UNDER CONTINGENT APPROVAL DATE.
Date Recd j�/ �f /��'� LQT I ROVEMENT REQUEST Permit No_�/Z��
Lat Imxsravemerzt Comta�.ttee:
Einal Approval Da�e ��' % �� ,�` � Date Denied ' %
Co 'ttee Members:
_ �,,, -��
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r �
� ��� �� �� { 1 *�
� J�
33aard af Directors
Agproval Date �,'_�;'�V� Da� Denied
Board Members�
'-��� � ,,t,'�('�"''�,,�,'�u�
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--:��� � �-.��..�. -
Remarks: . I�'U' �
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��S71 �� }� �t .�"i
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� SEE ATTACHED DRA.WINGS/SKE CHS FlJR ALL REQUIRED DETAII�S .
�.�J, �-X-�e.r�c� � f�� Y�c�cl�l Rve� e��c-:� ���s�:��-�c s`h�, �
�' �c'���n! r� �fn , �
Page 2 OF lotimp-r,odt 03C'.�.?r
: �
l
� ����'� 13025 S. Hwy 441
Summerfield, FL. 34491
���� ������ � e (352) 347-5290
Fax (352) 347-5141
PURCHASE W�,harveysrv.com
.�S'� M lGC�:�c. �i? �.t A�•//f EMENT�, v - ~
SOLD Tb �i�l ��- ����'i PHONE aL-�- �?���- �S_l DATE �Z_�,.����
ADDRESS ,�',� ��;�/� G,'��f SALESNiAiV �,,� �`��r�e
BUYERS D.O.B. D.L.# O-BUYERS D.O.B D.L.#
SUBJECT TO THE TERMS AND CONDRIONS STATED ON BOTH SIDES OF THIS AGREE NT. SELLER AGREES TO SELLAND THE PURCHASER AGREES TO PURCHASE THE FOLLOWING DESCRIBED PROPERTY.
FROX . •- Sl'OCKNUMBERS
MAKE S/' C�'n�c � o�� �;,� N90D L - �. 9ZO�ti�S � � ;�7 w /
SERIAL# NEW YEAR PROP05ED KEYNUMBERS
USED �G /.$' DELIVERYDATE
UNLESS OTHERWISE SPECIFIED IN WRITING: PRICE UNIT $ .Z.SoQ —
•All used units sold as is NO WARRANTY. OPTIONAL EQUIPMENT c t .' 12 y -
•All tires,wheels,axles are Property of Harvey Mobile Ho e, Inc. COST OF SET-UP PARTS
•All permits are customers responsibility.
•All Electrical connections are customers responsibility.
• Maximum Blocking height-ground to frame 20". SUB-TOTAL � (o ---^
•Maximum Sewer&Water run 20 ft.to existing utility. ��
• Maximum step height 32��. SALESTAXIFNOT
• Maximum skirting height 28��. INCLUDED BELOW IN 4e �- �
• Sewer, wafer, steps, and skirting aren't always included NON-TAXABLE ITEMS 'd
•Any material used above pre-set maximums to be paid y FEES IF NOT INCLUDED BELOW IN (4fl
customer.
PAYMENT POLICY 1. CASH PRICE G�f� � ��� SG'
ORDERING A HOME TR,4DE IN � o 00 —
•20%down prior to ordering. �ess eni�NCe
• balance less$2000.00 prior to delivery oN nsove �
•$2000.00 due upon County Final Inspection. NET ALLOWANCE
STOCK HOME
PAYMENTW N O a O G � �
CASH AGREED
• 10% at time of signed purchase agreement. see"REMARKS°
• balance less $2000.00 prior to delivery 2. LESS TOTAL CREDITS
• $2000.00 due upon County Final Inspection. 3. UNPAID BALANCE OF CASH SALE PRICE
OPTIONAL EQUIP ENT, LABOR AND ACCESSORIES
3 if'�- r � 1 r6� � ' ' t � G� l v��- � U . �
r� , / �
/ " � � f0. .r�% ' %r+�' /✓ i z [� � /7'G���4-� ' t r' P cri ri"' - � i�c°
I
_ I
TiUe to the within decnbed unit passes �
as of the date of signing of the retail
instaliment or security agreement by
the purchasers even though physical
deliverymaynotbemadeuntilalatar gALANCE CARR ED TO OPTIONAL EQUIPMENT $
date.
DESCRIPTION OF TRADE-IFI Y�+R �p v � size
MAKE MODE — p� BEDROOMS TITLE NUMBERS
SERIAL NUMBER COLOR AMOUNT OWING TO WHOM ,
TRADE-IN DEBT TO BE PAID BY ❑ DEALER ❑ CUSTOMER �
The undersign certifythatthe matter printed•on the back hereof is agre d to as a part of this agreement,the same as if itwere printed above the signatures;that undersigned
is of statutory age or has been legally emancipated;that the purchas of the above described trailer,mobilehome or vehicle;the optional equipment and accessories
thereon, the insurance as described has been voluntary; that the property being traded in is free fro all encumbrances whatsoever, except as noted herein.
The undersigned agrees each paragraph and provision of this contrac is severable;if one portion thereof' i alid the remainin portion shall,nevertheless,remain in full
force and effect.
� I,OR WE,H CKNO D ECEIPT OF A COPY OF THIS ORDER
'd'fir✓"�ir � d,��,�� yc�D R SIGNE �i�._. PURCHASER
Not Valid Unl igned ed by an Officer of the Compa y
By - '� SIGNED X _ PURCHASER
Appro d �ect to eptance inancing by bank orfinance com any
`� ,
. ' . U�7� � �� y�� v����X%/�
� ro/�i4/.�3'c�di� � �C!y�"'t> /LC_..C'.�iC?7""'
��U I� � "
37'
9'-4° 7'-8° 20'
im�amsAta�n
Windows �
�raneom Only���� Tren�cm T�anum ADaro N7mWrv 1
������' �'��f�Y:��" �!�e'"•�� Wdk IqHay f��:�'�1�'!��}�"�s� 5
f�
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, ,�, 0 � a ��-
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� BEDROOM ' 7� � a
f � r�
9-4 '� �,—�„� I �q�} ����
" !; w�atcrop '
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_ ^F `�$ m odiol ��r ��, �
000r � �
P� KITCNEw � .
Y � i LIVING ROOM �fl� I �p� � ���
r, g�.p� �r
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Sldl} N � fiMrt C�0" Prn�ry '-' � •' - J r
• Cab, Cu6, Ceb. vmi�a�� ^ �---.(��,
�' '' r'u.° 'fi�`�''.G�'�1'.�:�}.r� ..� '°�i�+Y,�iFt3 ��'�'`''"l�'.ti3 ff".�'� 'I�M1n�I`1dJ'i iui�- �;��"�cr�iS�U'tnl - �
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' � SlTE BG1M
314��C'i'D137'-13"- 1BEpROC�iV�-'��ATf-I �
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p� PG�4���'� DIVI9ION8
�� -''^"� 111 3d1 65 �'�'f� � � '
����Q�����.�n^`r "''-.�""'. � 112 344 GS8� �"�:w''� "��
���� 116 348 B41 � ao�
� • lE8 366 69I an�m�eYr
. ��a��✓'" ,.,,. 131 6EQ 812 a e Dnrs TIAd ¢atm
������0��°''� id3 631 v --20 . 9HGET 0[+
Tum & Phyll'e Troliler !43 636 HDX I.CsNQTN DESCRIPTi01d DRARAJG Nt12AAL�8
Park tdodal CSIy 171 630 ,_ „
�aa s�a s'� a �iai—crn
.
37'
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9`IO'—►774# �s'-s•--�1240# s+'-u•�1240# �
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FLORIDA ONLY �q"�a�'
PIER POINT LAYOUT PIERS �I-BEAM WiTHOUT PERIMETER FOUNDATION o-A����:
nivzszoivs �t��
DESIGNED FOR 20�PSF ROOF ZQNE iit 341 552 y
z
� I-BEAM PIfR SUPPORTS: SEE INSTALtAiION MANUAL TABLE 6 , RG. 16 FOR SPACING AND LOAD REQUIREMENTS us safi s7z� DRA7R7 8Y:f8 �� �►
125 355 591�
�SI�EWAL PIER �JPPORTS: SEE INSTALLA1lON MANUAL TABLE 5 , FlG, 9 FOR SPACING AND LOM RE4UIREMENTS isi 5o a12°� a,va o�/is/2aia�� �
SEE ABQVE DIAGRAM FOR LOC. OF PAT10 DOORS OR 48" OR LARGER OPENINGS. la3 sai ss�r ox—
189 K 535 BOX LENGTH DTsSCR�TIDN ARAWING NUMBER
DNtiBY: JN DA1F:08/26/203 iex 53e 37'-0" 3714-1FK—CATH 14-03550-01N
„,,..�...,.,,,.,..p�ge 1 of 2
����fIIT 111�C2'�'�.`������
� � � IJsed Home ❑ ,r,{ `
�RMII' NU�I►. r� _ --M-----w�—`° � New Hc�me '� �.�
��� �° ���°a `� Home Inatalled to the Manufacturer's Installatlon Marlual ❑
nslaller Llcense# �-::.. �;
.�---�.
YA 1 r�r� 1 ��� .�
��� 3 Home Is installed In accordance wlth Rule 1 - W�nd Zone Ill
�eldreBg 3 �� `� Single wlde [� Wlnd Zone II � lJ
np Ins�f home ,
� falled � ��i � ` nouble wlde ❑ Inetallatlon Deca�#
' Lenpth x wldth �X � -
� Trlplel4uad ❑ Serlal# � �' ��� ,.... �jCJ k
�enura � - �.--- -
�urer
N�rE; lf home Is a alhgeA wlqued'wlde aket h Jn remelnderrof home PIER SPACINO TA�L�FOR USED�H�M�3 � � IZ?C.
���Z �
� If home la e.trlp ,
” 22"x 22" 24"X 24" ��678)"
whee r g�a nd Laleral Arm Syatem�a�nnot be used on anY home(ne"H or u �� ��� 1g x�e �g���„X 18112" 2�(���� �4��. �57e)• ( •
re the sldewall tles exceed ►nstaller's Initlals �� e�e �2�� (342) _
. ��� .��q�n�
. �
.y . ,
� lelerel a
z� � e
Show U8e dark Ilnea to�show theae IocatlonBjYetems a
� , longlludlnel ( g .
S a��t ,
In1 ated ram Ru '
PIER PAD 91ZE8 . a x8 �
ad slze 2/ X z 9 X . .
. I-beam pler p �/� x
' � , x �
�� .� Perimeter pler pad alze X ,
, ) o �l�v x
� ' Other pler pad e�zea X
. _.._��....................... _ �.� I.._ (requlred bY the mig.) x
�.._ -
__ .., arrlage X .
---�--'--- � roxlmate locailons of m
-� r ...__--- �
---_`........:..........-_---_-_- „ Draw Ihe�pp reater, Use thls x
I'.� I well openinga 4 foot or p X •
eymbol to ahow the plers, X
��n�n�2'01 en��home per Hula 16C Llet all marrlage wall openinga�rsater than 4 foot. AMCNORs
and thefr pler ped alzea below, �
� � � - Pler pad slze �� �_5 ft._._--
.
-- ..... Openin� • �
. _ c .................... ��yqM�T1Ea
_' -�=- _-_ � - - . .... .. withln 2' of end o�hO ►0
�`_ '-_ �' -_ `' __ spa�oTHt�IE3
- -- - --
-_�' -_ '` ____- --' N CCIMPONEKTg Number
,, �,{__ _-_ ____ __ , 71��o'W Sldewall --_-"""°'
..,....... ..............
• . .......... ............... .
`r =` -- --' - dlnal Sta fllzing���fce (LSD) . �onp�tudlnal�I �
�_ -_ __ _ - Long(tu r �,,���.�c�S-'--- ��rrlage wa �.
r f,0.rrris .,
6 A
� - r er
u _���'��t
� - --•�.I. Manutaot e �+/�t � all ...-��-
. _-� ` �_ -- __. ..G..••.• - L.angftudlnal Stabllizln�pgv�.G _ � i P�..._.... �heal'w ,
__ •�..��� �}— ,
- er
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ur
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..
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, � _ _ ...................... •• � .,....,..............,... ............. Man -
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....
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-'• PA6E 01 -
. ��r�120H9 15:4�H 678�745760 BRIAN tlAl._E�
- � � �ngc I
OL2tt�R TEC�tN0I.06tkS,(N�� rcvirion tat7?
� FLbRtDA IN�TALL4 ION 1NSi"RUGJfTTONS FdR 7HE
� . . D�L
t� oF1.z1aY^v^{s'r�s i-15}
. •4oNC1T JN.4L 4NLY FOt1AFYS`TF'PS 7-A
• �DR,4DDf Ld7�J?�4L AfZN1:FallbW Sfap�iA-�'5
� FOP,GONC APFLtGdFJONS.Fo(1�W Steps�G-19
FNCIxF6F�;fi iawa Euc�tN�Efig srn�f�
'1. SP�GJAL GIRCtIMSTA+�GES:tf�e t'o�iowing c�ndi#i ht occur-STt?PI Coni2cf 41ive�Te�hno�ogres aC j-800-284�i437';
a) Pierheight��sr,aed�d8" b) Len�th of hame er, �eds 76't}Raaf eaves excoed is�d}Sid�waiS heigEstexteEd 98"
e) Locafion Is Wrfhin'f 51J0 feet ofi coast
� 1 �2 D .
- 2_ Rernove weed�and debfis in ah approXitn�fo two fno squaro to e�ose firm soil�Y�a�h ground pah {G),
3.P1�ce ground pan(C}direc�ty b�lour ch�ssis I-f5ean . ress oC dri.fa pah firmly ihfo soli URfi�I fJUSF+u�it��or belo4w soit.
SPEG[Al.,NOTE: 1'he longifudinal"1/"braca systam s es as a pier under the home and should be Iaade�J es sny
at'�, et'pfer.It is tscommended ihai sf�ar feve(ing piars, nd one-ittird inah('!�`j baFbre home is loweted compl�tely on
ta piers>complete�feps+"through 9 6etow then r8mov jacks.
int �L�T otd.OF oNGC7` AL"v-'BRA� Y57�
- NOTE= WHEH IFI�ALLmIG THE LpNG�1?lrYAL SYSi��1 `: ,a NiiKtMU�h'OF ZSYSTEMS PEA FLG�Oft SEC`i'f�7N IS}2E�UtF2EE3.SD(Z'I'E�ST
pR05E SHbl1L0 H�(JSFD TO DE7ER6TIHE CiJRFZ�Gi'TYPE Q AA�GNpf2 PER u�`OII.CLA6SIFjCq7JON.IF pR06�TEST READINGS AR�H.�"1"1NE�N
?Ta�&273 A 5 FOL7T.aNCHOR[,tfUST BE US�II.!�PRb&E i i REAAtNGS ARE 6E71M,�'FN Z7o"&3�D A�F�OT AhIGHpR A7,4Y B�USED.USE
�RDUND1tNGHQR�SNTrN i7tA60xAL 71ES.aHA STA$t�tZE� LA�S EV�RY�S4".4r�RTICIFL T!6 AREALSO REL2UI32E0 C7hi 7-�6M�s SU�PLtPD
�'�%�N VERi1GA1,i1E C NHECT1C71v`PD�r+d75(PER F'LOzJD.:P,EC).
=',5al�cf Hia cotrecf�quare tu�a brace(E}Iengzh fot se�-up{piGr}tteioh�a�suppor�(oc�tio�_�he'E8`iu�e is alu�ys
use�2�fha barorn pari d�,he IRngiu.rdinai ati-n)_i�oi�' iihar f�rb��an b2 usaJ!�y it=�lf,cui ahd drilled to len�ih ss long as a
!0 �O i5(�°Of�cc 2t34�8 15 ria'in�3Jt1£?o_
P1EP.HcIGHT i25"ADJL�SlA !t 9,50"�;.DJUSIASLE
�,��rrr�x.��d�oraes Ahax_) i u�e?�nc�h Tube Lana=J�
� - -
7 3(�.'"io 25' ?�' T8"
2�JI�'w 32 �I?:, �z� ��- -
3��m�i° �r 7 ar .
�oY x����° - �._� -��°
5. 1nst�il(2}a;the 1�.�0"squar�fnbas {� {18"tu6e})irt.n 'e"U"bracics#{J),niser catri�ge b�it and Ie�Ye n�t loase soi fir�l
a dj us�ent. .
�_ placs I-bearn�anneCtor(F)loos;�y on th�b�brr'r1Mng ��the I-beam. �
i. Stfd�Eheselected'f.2�"�i�e(�}irito a 1.50°�be�E}an a�?ach to 1-bs„n cQnncctor(F)Gr�d i�sLen ta�se[t v�ith boli and ituz
8, Rep��s��Ps 6 thraugh 7 Er5 craate-fha"W pet�em o�th square tubes le�osety In place.Tne�ng(e is notto exceed a5
degree and rtoi below�D degreec.
9 A�ier a11 balts are iigFte�ed;secure `f.25"and'3_50"iub�using four(�)114.z-1�x 31�"�lf�tappitt9 scsews in pre,dri!le�1 ho3es_
1AI T LA77QN pF LATE , L LE��GC}PIh! ANS'✓� ,4f2M ST�NI '
TtiE R9t7DEL 1'3R'1 '�ltn({.,C3h'GiTLTl3th2AL&LA7'�F�4L PRC}'S'�CT! M}E'LFNfJN,47ES Tri�N�EI3 FOR t�IOST STAS77.�ER PtA'C�5&�RAM�TI��.
FfCiTE TFiE LtSE C1F THIS SYSTE R�Qu{�S VEFCf1CA�77ES SPACED.4T 3'a.",
FDUk FqOT(4')GP.DUh(pANGN013 p7A'f BE iJ.S�D EX �PTYYIiEF'iE TH�H�ME NfAt�lU�'ACTiiRER�PECIF7�S DfFFEFtEh1T,
'(Q,Instatl retnarnin�verGical de.dawn straps and 4'ground a chors per horne manufac�rsr's instructiQns. NoT�Centeriine
anc�ors fo'be sized according tn soil t�rque con�itian.An manuFacturvr':�specifir.a6ons'fi]r sidewall anchQr lo�d$in excess of
�,Ot}�lbs,requite a�'aRChar p�er�orida Gade. '
' 7���q�:�ach sys#em Is required to hav�a framo 5e and s bil[zzr at±ached'at ea�(��a}eral�r,n s�e6iti�ing loca#ion,"�"his frame fie&
sfabilizerpla'�e needs ta be Ic�cafed uv9fhin 36"fr�rtt otcen 4rground gac�.
��,Selee�t}te correct square hrbe brace (H)J�ng#h for�et up atera!transversa at suppot�IacaEiot�_7ha Iengths come in ei't�'ter 60"
ar72"feng�hs.(tNith fhe 9��"iube as fhe baf'�m tube,�n #he'1�^5"tube 8s the inserted tube,) .
�s.tn�ft trre t.sa tr$n�,�rrs��rac�{rt)to r.hs gmund gan co riector(D)with bPjt and nuf.
1�.��de 9.25`tr��sverse braca mto#i�e Z.SO°btace and afra #a ad)acent t�beam�onrtectot('1)with i3alf and ttut
�5.Secure 9-SD'transverso arm�0 9_2S'transverss arm usin four 4 1/4"- 4 x 3/4"sel�ta ei screvvs in �re-dnllod hales_
, OI��YER T CHNOLOGI�S,fNC. Tetephone:93i�98-4�5
� Fax.83'1-T9G-8811
_ / . � � ao-2aa�;r�z ,�����era��..�.��
�
. 02!20/2009 15:46 6785745706 BR?AN VAf�ME . PAGE 02
q � . pa�;c�
T Ycvisinn h:fl'
'f 6. P�cohcieto runner,fboter of slab may be used In pla of th�sfoef grourtd pan,
�} The r,onCrete shafl l�minimum?SDO psi mix
b) A concreto rvqr�er m2y pe el5ler tongnudinal or nsverse,alitl musf be�minirnUFn aP 8'deep with a minrrhum wi�tli of 16 ihthas
longihldrn�lry or 18 idrhfls trahsvorse fo allow p per�st�nce bei�veeh th�concrete bolt and th�edge of the�on�ret�(see belo�t�)_
c) Footets rnUSt have mitl�mum s�,Iff�te area of 441 ,ih.(i.e.21"squaro),�hd must be a riinimum of B''deep.
c� I�a fu�l slab ls�sed,the depth rnust be a 4•min7 um,
Spe��l inspecGoFi of Bie syst�m 6racket inslallaHo is na#required_ Foolet�mu�t allowf�raf leas��'frotn tfie r.onotete boft to ftie edge
af the corlcrete.
NCSTE: 7he botto7rl of a!f footings,pads,stab�and N1t en mlist b�per Jocal jurisd(c{ion.
LONGl7UDINAL•(Model iioY LC"V')
i7. When uFin�Part�-ri j N/�PCA(WPtSPII �mply in II the bracket Ih tunner/Pootet QF2 Wheh ir1��allinG fn �ufed.cx�hr�ete U�e Part i
i0j-b-GPCA fdn�seil 77-ie 1i0i (dryset)CA brackel s�t�ched Yo th2 conctete using(2)515"r.3"concrete wedg� Iwit�(5impson po ri R
Si62300H 5/e"X 3"�r Powers equrva�ent).Pl�r,o the C4 brdcke#fh desired looati�n. Mark bolt hofe f�cauons,th�n using a 5/e'diarneier
' masonry bit,driff a hole m a minlmuttf depth of 3"_ M ke sure all�lus{alid concrete is biow�h out oi tbe hdl�s_Plac�wedge bolt�into dhilled
holes,theri place 1101(tJry set)GA bracket oh� wed e boks and s�ert wedge bolc r�uE�. 7ake�hammer ahd&qfitl)�dri��e fhe wedgo 6of�
down by hitiing d�e nuc(fnaking sure nbt to hit the i�p f threads on bol#).�a glepv�oF�ncr5te a��dqz boll n�a.tJs tv.b2�t or belaw�e fnn
of concr�te Co;npl�to b��frghienino nuis.
LATER.4L=(ModeJ 11Di l'C"V")
'f6. For Wet�ei(par��'f 01-W-TACA)Jnsta(I�vn�Imply i siall ihe encFror bolt Into Funnerfroofzf.�or dry set insiallatloh{part;i101-D-TAC�J
maYk bolihole lacafi�ns,fhen ucrrig a 5/8"dism,maro r�� bit, drifl a hofe fo�minimufn depth of 3". Makg sure all dusi and bbncr�ie f;
bfown oU!oithe hol�,PJabe wodoe bort{Simp�on p� �162300FI 5/b"a�"or Powers equhalarrt}info(D)con�re[e dry�n;�erse
�orine�tor and lnto drilfed hele, If heeded,t2ks a hanm and liglitly drive the wodge bolt down 6y hi�ing i�he nilt(making sutz not to hii
th� �p oi thY@at�s on bpll),ther remova ihe nut Th-sl va of C�ZtE N«d0�boli nasds{' be at or �IovJ���o f concroie_
19.Whon u61hy par f 110i GVIM(v,�e�e�)or iio� cvD(d ��f),insiali pers�cps t7�js.
Na�es_ �
'1. LENGTH �F NOU E IS THEACTUAL 50X S(LE
2. • —�,4E�--��P1s1 ,4n�D F�J��1�L0.,4�l�CtJ (r��
l��w�3�n�8' c�f�-c�g`asxl�oroa�)
' 3.� LOt,qi�1�L R1D�14L„B���G�4'
='-f��=�lR4NSUEt�'F LONC,I i IJDI�^L LDG�TIa'�IS
�� llfFRED IVUNiB�R AND LO Al'!OA( OF h�IDb�L ']1 �`V" OR �101 � "�"
_ $Rr^�E FO UP T �4172.R0 � �f1.CN
- �,LC.WIDTHS; �ID LENGTHS UP TO 52'
J
I I � _
� � . � �
� � I *
� i � � � �
I
�LL VV1D77-IS;AN LEl�f GTNS Q1�ER 52'TQ 80'
s �
• s � •
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� •� • • .
• •
• • � •
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NflM�S INITH 5112 RO�F P1l'CH R�QUfRE: P�R FLORID,4 REGULATIQNS �
6 sysf�ms fQr home lengths up to ��'and 8 sy fems�for hom�s over�2'ant3 up SD', Ona s�bilizer �
plate and fi'ame t�e rEqUired at ea�h lateral i�ra ing system. -
• H1r'.�6/2009 15:40 6785745706 BRIAN VALFJ�ITE PAGE 03
FloHdaapp�veda-grouhd i J $ r,i�>4 i
anchar_hay 6e Oa=d In 211 �s•/ �� r��...�.�...�....
16cr5ons ercept W'rtere �,/ r Tn'isinn C�07
' ' � '}� �
homemanufadurcts d- ' i( I 6,�,,,"rr�i�•. ;�,�
f�raU�ior aldew.;n..�3 .r �^'
'1 P �� ' , fi' �•.�`� � �� �
ere lq r�cc�;s of q,000 fbs, �1 7rah.�tarae arm I•' sm f� i�r11171!pll1�Y�f��I
Theaela�GoN�reqUlre a 5' t%''�.� rconn�tiyr I--\'•,J ,� .
ar1zhor.PerF`1otldz Code � ' " � '-
�i��� �H-Tran.: reerm � • �
� / />t��. Top�i ' •� � ' .
. / .I p�..E��`'bofM (1.5'} /i` � ..
ri��' �j \�� G=GROUND PAN _
�� ��� '• � �` , �r D=GROUND f'AN CONNECTaR
r�' � . �`� °� �i /-�� �-"--�.1•�:•�
��D-�G`roun�t � �j' U BI�A�KET'S TRAN5VEf2SE
/ f ,\/ ' j� / F-;'V'hfsce I-bcFam �
% -'% . P31 �'" %� '�;'` rnhhbdor E 4 TELESGOPING U BRAL`E
���% ����"'��o"�r /� 4 �ti%' TU�EASSEIl45LY W(1.5�OT-
f; „connecror,-- ���. . J-tllbtlndPan TOMTUpEAND 1_25TUBE
� �//></ � V Br;r,kal hl$ERT
�/ /�4� � I
�, � � " �="V" Bf�A,GE I-B�A1�i CO)�(�IEG
`f� / /� `���J T�RS ASSEA�18 LY
._. E-'v^BrarPlub � H=T�lE�SCOPING TRAr1SV�5E
�''\�%%� � T�P�1?�� � ARM ASSEAdBLY
`���:• �'.� soitom(i_s) I ���j�WSVER��ARM 1-8EA11,{
i��L=� �..-Ground Psn COfJN�GTOR
.1 � I
• . �=v p,aN B�,cxFr
�. � j= �
_:� _:''-
�~-� )
�� Model m �101 "V" �
baan ri3r d�,np
Longitudedry - ai€r„ �x,�ior (i1F`_r�..:.-enbly _
L � N,rrrn=_r_�ari Fi.:,�� ,��
concre�e hracks� �r` -
. P'-�''fi01 aCPC„ ,•� - _ r �` •:��^�'� �_
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YVei bro�kci}Ja�i i':�7��"' '�d.F �_,;�'�t��"'.y-
'�709 Uti�-�'r��.rn-.f70i L _- ��r ' � ...�i _ Y';��;�� —
� ^��,.
-•z�'�,.=, -• ''` -=�aS-i/Z°x=Th_• (Vlod-cl �1D1 �1iD`
S�vYI '•"���� =-_,ae 8or3 N�t
- ��� =tTvl Co�vUEGiO�6P..;GKc� �ioCTcl 110� GL�N .,.
TIOt EilOinr�'7
iFli���p�ruv_d9'oround ,i j r+ .—, � -
�ancnar rrU.y b���d;n en -=_i �, �• C=con1CRETE FOO i ERIRUNI���
���r�+.-tir�n:sxczptwnere ncno . ;�-�,�-� - D=COMCR�CE U SR.C��TP.RNSVtP.SE
i V�C�.Jt='r QIGIE'JfG �j'' /b �
�w;adc:,�U����n i`r .-% , ���•:f�I CON�[CTOR(ca�ngct wtE1'+gr�,e 5-11i"X 2
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Po er of Attorney '
_i/26/2015_
Date
I hereby name and appoint Chris ine Duttenhaver, Kayla Bowman, Cheryl Harvey
or porothy Saska
� To be my lawfui attorney in fact t sign my documents pertaining to permits for
the City of Zephyrhills Building Di ision.To sign for any and all, documents until
further notice.
i
License# EC13001573
Dan House Electric
. ����
Daniel B. House Signature of Con ractor
State of Florida �t
County of C� ��
+�
The foregoing instrument was acknowl dged before me this �� day of
---�
Gfl � 20 �
By � who"s ersonally know to me or ,
has produced as identification and who did or
did not✓ take an oath.
�
Noary Public(Signature)
;�"''�;: STEPHANIE ROBINSON
�': ••e MY COMMISSION�EE62826
I�� .�
�$ ` ,a �,.�� FJCPfRESAugust20,2016 �JL, ( �, ' �J1�:��G+(1
I�0�13��-0153 �o,�,s.,,�..� —rt ��
Printed Name of Noary Public