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Home My WebLink About15-15959 CI OF ZEPHYRHILLS 5335-8TH STREET (si3)�so-oozo 159• , � I B ILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION ' Permit Number: 15959 Address: 39724 COG HILL LOOP LT 159 Permit Type: PARK MODEL ZEPHYRHILLS, FL. Class of Work: PARK MODEL SET-UP Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: MAJESTIC OAKS Est. Value: Parcel Number: 24-26-21-0030-00000-1460 Improv. Cost: 2,400.00 OWNER INFORMATION Date Issued: 1/29/2015 Name: NHC-FL115 LLC Total Fees: 180.00 Address: 6991 E CAMELBACK RD STE B310 COG Amount Paid: 180.00 SCOTTSDALE AZ 85251-2493 Date Paid: 1/29/2015 Phone: 813-783-7518 Work Desc: PARK MODEL REPLACEME T 14 X 37 CONTRACTOR S APPLICATION FEES EASL R,LIONEL L. PARK MODEL TUP 60.00 PAR MODE ELECTRIC 40.00 CRANDALL,RICHARD PARK MODEL P UMBING 40.00 PARK MODEL MECHANICAL 40.00 EASLER,LIONEL L. BAHR'S PROPANE GAS&A/C,INC. � L � � ~ l � �� ` i Ins ections Re uired - PAR MODEL SET-UP PARK MODEL MECHANICAL PARK MODEL PLUMBING PARK MODEL ELECTRIC REINSPECTTON FEES: Reinspection fees will omply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the fol owing reasons: a)wrong address b) condemned work resulting from faulty construction c) repairs or corre ions not made when inspections called d)work not ready for inspection when called e) permit not pos ed on job site� plans not at job site g)work not accessible. NOTICE: In addition to the requirements of this p rmit, there may be additional restrictions applicable to this properly that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water m nagement, state agencies or federal agencies. "Warning to owner: Your failure to record notice of commencement may result in your paying twice for improvements to your properly. If you int nd to obtain financing,consult with your lender or an attorney before recordi g your notice of commencement." Complete Plans,Specifications Must Accom any Application. All work shall be pertormed in accordance with Ci Codes and Or inances. NO OCCUPANCY BEFO C.O. � CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 M NTHS WITHOUT APPROVED INSPECTION CALL FOR INSPE ION - 8 HOUR NOTICE REQUIRED PROTE CARD FROM WEATHER e+�-�e�o City of ephyrhiils PermitApplication Fax-0�3'�80-002� ' Buitding Deparlmerd Date Recelved — (j-- Phorte Cortfact tor Pertnittin � I D � Owners Neme 1V '� � L Owner Phone Number � Owners Addfess �''ta_� AZ... Wrner Phwre Number Fee Simplo Titleholder Name Q Owner Phone Number F¢e Simpla Titleholder Address — JOBADDRESS LOT� �� SUBDMSION PARCEL IDft o2 'a' •a' • � �1J"�[M� '��.7� (OHfAQJm FR017 PROPER7YTA%NOTICE) WOFiK PROPOSED � NEW OONSiR 8 ADD/ALT Q S16N Q Q DEMOLISH INSTALL REPAIR PROPOSED USE � SFR Q COMM � OTHER TYPE OF CONSiRUCitON Q BLOCK Q FRAME Q STE0. � �ESCRIPTION OF WORK BUILDIN[i SIZF ' � � S�FOOT � I R 1 HEItiMT � 1�BUILDING $ �Q V UATION OF TOTAL CONSTRUCTION ��l�V [✓�ELECTRICAL $' P SERVICE Q PROGRESS ENERGY Q W.R.EC. �LUMBING $ /� �ECHANICAL $ V UAT10N OF MECHANICAL INSTAI.LATION � 1�� QGAS Q ROOFING Q SPECIALTY Q OTHER ri�J/(�l� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � r BUILDER COMPANY G SIGNATURE rt[-cisiea� Y N �cuarien N � Address ► l t `(,.� � License# .� �Z � e, � p � 5�1� � EI.ECTRICIAN (,�J ` COMPANY '` C� ✓ G� SIGNATURE // kECiSrEaED N , �CUwie. ' /N Addtesc r 1 Licerxe# ` �Z PLUMBER COMPANY W{ �� SIGNATURE R[-ctsTH�� Y N �cuwten N Address �e# (] MECHANICAL �ppypq�,�y , �� SIGNATURE R�sisteo N . �cuR�n N. � LiCense#f lJ�l�l�77�� OiHER COMPANY ��T�� sia�o Y! �ECUrtken Y/N aaa� u�e�# i � � �� i � � � � � � �� i � � � � � � �� iii � � � �r � �� r� � � �� o � RESIOENTIAL Affach(2)Plot Plans:(2)sets oF Buildmg PI ns;(1)set ot Energy Fortns R-O-W Pertnit for r�ew�ion, Minimum ten(10)�days after s�mit I date. Required ansite,CaisVuction Plars,Stwmwater Plans w!Siit Fence installed, - Sanitsry FaG'I�ies 81 dumpster,Site Work amit fw subd'rviswns/large projeps � COMMERqAI. Attach(3)canplete sets d Buildmg Plans p s a Life SaFety Page;(1)s��Energy Fmrns.R-O-W P�mR for new oorsVudion. Min'rcnum ten(10)worldrg days aftgr su�n' al date. Required aisite,Canstnx:tion Plare,Stormwater Plans w/Sitt Fence instelled, Sendary Faa7ities 81 dumpster.�Site Work it for all rrew projeds.AO commerciai requaemeMs must meet compiiance SIGN PERh11T Attech(2)sefs of Eng'p�eered piarp, ""PROPER7Y 3URVEY recprired foraii om�stnution. D'uediorro: FII aA appCwation canpletely. . Owner B CoMractw sign beck af application,rrotar'vsd If over 52500,a NoHee of Commencement Is nqutrer. (A!C upg�adea over s76�) ° A9ent(ior Ure oorttrat�w)or Pawer of Arianey(for ttre )would be sameone with rrot�¢ed letterfrom owne�authwmng same OVER iHE COUNTER PERMITTING (FroM of Appl' ' pnty) ReroaFs if shirgles Sevuers Service Upgrades A!C Fences(PtoVSirvey/Faotage) Driveways-Not over Camta ii on p�iic roadways..needs W NOTICE OF DEED RESTRICTIONS: The undersigned understands that this pertnit may be subject to"deed°restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restridions. , UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may be required to be licensed in accordance with state and 9acal regulations. If the conUactor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contrador(s) sign portions of the°contractor Block°of this application for which they will be responsible. If you,as the own�r sign as the contractor,that may be an indiqtion that he is not properiy licensed and is not entitled to permitting privileges in Pasco County TRANSPORTATION IMPACT/UTILITIES IMPACT AtdD RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and 90-07,as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of pertnitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupanc.y'or final power release. if the project does not involve a certfiqte of occupancy or final power release,the fees must be paid prior to permit issuance. Furthermore,ff Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit is5uance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 773,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I certify that I, the appliqnt, have been provided with a copy of the "Fiorida Construction Lien Law—Homeowners Protection Guide°prepared by the Florida Department of/�qriculture and Consumer Affairs. if the applipnt is someone other than the°owne�',I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owne�'prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is hereby made to obtain a permit to do work and installation as indipted. I certify that no work or installation has commenced,prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiclion. I also certify that I understand that the regulaGons of other govemment agencies may apply to the.intended work,and that it is my responsibility.to iden6Ty what actions I must take to be in compliance. Such agenaes include but are not limited to: - Department of Environmental Protection-Cypress Bayheads,WeUand Areas and Environmentally Sensitive ' Lands,WaterMlastewaterTreatment. - Southwest Florida Water Management District-Wells, Gypress Bayheads, Wetland Areas, Altering Wateroourses. , - Artny Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater T�eatment, Septic Tanks. - US Environmental Protection qqency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone"V°unless expressly permitted. - If the fill material is to be used in Flood Zone "A°, it is understood that a drainage plan addressing a "compensating volume°will be submitted.at time of pertnitting which is prepared by a professional engineer � licensed by the S/ate of Florida. - If the fill material is to be used in Flood Zone"A° in connection with a permitted building using stem wall construction,I certify that fill will be used only to fill the area within the stem wall. � - If fll material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating the canditions of the building permit issued under the attached permit application, for lots less than one (1) , acre which are elevated by fill,an engineered drainage plan is required. If I am the AGENT FOR THE OWPIER,I promise in good faith to inform the owner of the pertnitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wefls,pools, air conditioning,gas, or other installations not specfically inGuded in the application. A , permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the'Building Official from thereafler requiring a correction of errors in plans,construction or violations of any codes: Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of pertnit 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,irom the Building Official for a period not to exceed ninety(90)days and will demonstrate jusffiable cause for the extension. If worlc ceases for ninety(90)consecutive days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR , PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ' FLORIDA JURAT(F.S.117.03) ' �L/�-�� OWNER OR AGENT CONTRACTOR Subsaibed and swom to(or�rtne�before me this Subsaibed and swom to(or�rmet� efore me this by by Who is/are personally known to me or hasrtiave produced Who ls/are personally known to me or haslhave produced as iden6fica6on. as idenGfiq6on. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printetl or stamped Name of Notary typed,printed or stamped I � -�� --, .. � f�la.�s�e. Oc�s �9�7�.�1 C�- �l� I 1 L�op �� Z.e�pl�r I�v:_1.9�.5, �- 33��,2 ?�-2�-21- bCj�b-U(�(�-b�SZj B�.�rr��r�� AI,L q�PLI�q�LE� �'d�'�-�' 'vVI7'F� ELEC;�CAL,PL�$��G �CH�`�i�Ir�.A�C�'D�S. c'ANI� ,`�`,%iy i�f C'�7` �,��)'C t � � pL��OF��.�HYRN�,��-�5- 3 ��R L�s � p�o�ed � �� aa'�--- �� 3� � ,��{� �. . � 0 � �y� � �� n� � �i �� C`'9 �-I' 1 I 1,��, � �� 2�, PERMIT WORKSHEET I page 1 of 2 I �,, PERMIT iVUMBER Installer �b�'�t ( Q l License# ��-� � b o��.�� New Home � Used Home [] � , Home installed to the Manufacturer's Installation Manual � Address of home g r f being instailed ` ��' L� �� 1 I �1�� C� ,S�Z Home Is installed in accordance with Rule 15-C � ��`-�� • � Sinqle wide � Wind Zone II' ❑ Wind Zone III �] Manufacturer ��bb�jPy'� Length x width � �x � Double wide [] installation Decal# ��'��5 NOTE: !f home!s�singfe w/de f111 out one ha/f of the b/xking plan Triple/Quad ❑ Serial# !f home!s s tr/p/a or quad wlde sk�fch!�remalndar of home / I understand Lateral Arm Systems cannot be used on a�r home(new or used) �oof System: `✓ Typical Hinged where the sidewaif ties exceed 5 ft 4 in. �� PIER SPACING TABLE FOR USED HOMES - Installer's inftials �� t,oad Footer. 18"x 16" 181/2"x 181/2" 20"x 20" 22"x 22" 24"X 24" 26"x 26" Typical pier spac(nq bearing size �268) (342) (400) (484)• (578)• (676) + ` ( � lataral CeP�nY �SQ�) 2' �_ /l � � � � I Show locations of Lon�itudinal and Latera!Systems � „ � � � , • IonglWdlnel (use dark lines to show these locations) � � � � � n � � � � � � � • tnterpolated trom Rule 15C•1 pier spacing table. 1 ' PIER PAD SRES� I-beam pfer pad size ]7`� � 2.2�� a ze n Perimeter pier pad size �'Yll{rl ��n��X��a�� x --�..Ll..�� -------------------------------------------------•-----...-------•--------------•--- �.� Other pler pad sizes x (required by the mf�.) x x � • Draw the approxlmate locations of mar' ge x a , II openin�s 4 foot or yreater. Us is x meM gewa pieraWilhin2�oi ndoi omeperR e16C ' sY I to show the pisl's. x X List ali marriape w peninp eater than 4 foot x • and thelr pier pad siz • ANCHORS •••• - r....�.°.-.- - . ..r Opening Pi ad size . . ........ .... ... ... ._..._.................... ..................._........... .............;...._.... ........................ .....�.....�.....�....�.._. _.....�_..�..7...�.... ...�....�. ! 1 � ( � r � � !._.. 4 . . . ...............�.. ..._.....�.......... ...�:_..... :....:_..�.._..............�. ..;._ _..�._..�_._I.....s� � ...T_......J.......... � ��..:_.... , , . .. ....�.:.. ..._...:�:. .._. �. . � �. ...._......._...+.. f � �....: , ::.._. .::: �....:�:�:::� � , . f_:.. .� , . ::; .�_... �.....��:::;::.. k..�.. .._.............. �.... { . .�.........T.... ._ . .........�.............. _..�....�. i �.._..........-� :..�._....................._..............._...i.....�.. �::: T...�....� � 1 ; ....�..... ...;._.....�:::......_..� �.._�.._�.........., � �' � � ,.....r.... . ....'......... . ._........... .. ._......'...: �. .... ....E._.�...... � ' i � i....i. � _�...._'•._I..._�...1:..r....._., 1. � �.....�........ , , . . 1 # � withln 2 of eMd of hom �. T : � �.t...� ; i.�...�...... � � �....i..._�.. � t ; ::;�::.:: "::�:�:�: � � ....... . :.... .. _....• .....y_..�._°...._.._ ...i_.�..._f_..�--••�...�__1_...i....!.......�_.,...�....�._.j.....t. ._� paced at 5 4 oc 1:::�1_:::i....�:�.1:::::�__�-::1::::� �..... 1� �... ._4....�.:::�::.w....�.._I.._.i..._;.....:.....�... ....L::I_�_�:...�... , �..._ , t : : ...,...:�::.:j:��l::.; .�' *..... � a I.....�.....�.....f.....�....�._.�..._�....:......_�.........�._.�.........�.._.f.....�.... ._..........' .. i � ...�..:. . ' OTHER'7'IES t , �� {....._. �_.._......:..__. ...�.....�.......... � �.... .. �....._......_;..._....!.... .... .........�.....,.....3.._. � ' s.... ......_� � • � ...1.-- ...... r • �t.... � , �............. � ..... .•. ' �.. ..`.....j..._ EDOWId OMPONENTS Numbe �....�....i.._�....�_..}._.±....�_..�.........:..._�.....;.....�.._.�_...j.........;....r. ...;....... ..�__�.._.�.........._..�....�.. ; � tongitudlnalT'ablllzingDevlce(LSD Sidewall : : : : . � , , ..........I._....._ ) . . . . ... !.....1....:.. • , i , , ...�....`-- ... ...�... _ ..�.. .... . ... ....�._.. :...; I....�....�....f....�.. �-�� i :...r... { .............._.�.. � ...i._......�._..�.. �...i._..� ...j.....�.....�....�..��.. Manufacturer� 1 LQ.. Lon itudinal ' ...:� j.....�..._..... . � _, _..r_...�.._i:: , .:�::..,. r....:: ::�:...a � � g 1 �-°- � E-° -°~�°•'°•°�°-;-•-• �, -...�. � � � • ' ' ' • Longitudlnal Stab111zing Devlce w/Late�I Arms Marriage walt ¢ f j � ..g...._....:._.._._. ,. ...i._.:...._.._;_.-�-..._..;..._ • ; {._..i.._�..... �_..'•--'i I ; � i_..:._..i....:... i..._k : . 1.....{..._I..._;.....�...._.....,-° � ...._... � Manuf ...... ! _ .i_.�...�.._. . �....�_.;.....�....I_...:_...._i � � • acturer .�..... i '( . , :r••_:•—�_...�•_-:••—' � � �Shearwail . . � � . , .....{._...._:..._� �i I i..........._....__;__.,.... , � ........:.....:.....:.._..... � T.._: i --.._..._._._. ....._...._._............�..... ....l....:,.....�....�....1....�....�....1.....�.....;._..�....;.....�....�....�.....�_. �.. � � ; :. r��....�_---. � ......,.--��--- ..............� . PERMIT WORKSHEET a e 2 of 2 PFRMIT NIIMRFR ■ r�u�u� ■av�uvr�■ � Site Preparatfon POCKET PENETROME'PER TEST ✓ Debris and organic material re ved The pocket penetrometer tests are rounded down to psf Water drafnage:Natural��Swale Pad Other or check here to declare 1000 Ib.soii without testing. Fastenins�multl wide units p� : X X X Floor: Type�as ner: Lenqth: Spacing: Walfs: Type Fastene . Lenqth: Spacing: POCKET PENETROMETER TESTING METHOD Roof: Type Fastener: th: Spacing: For used homes a min.30 pauge, 'd�qalvanized metal strip 1. Test the perimeter of the home at 6 locations. will be centered over the peak of the roof a3'tasEe d with galv. roofing nails at 2"on center on both sides of the center 2. Take the reading at the depth of the footer. GBSkRt fwaetherneootlna reaulrementl 3. Using 500 Ib.increments,take the lowest reading and round down to that increment. I understand a properly installed gasket is a requirement of all new and used homes and that� densation, mold, meldew and buckled marriage walls are a result of a poorly inst or no gasket being Installed. I understand a strip X X X _ of tape will not seroe as a gas . Instal e ' itials TORGIUE PROBE TEST , Type s�asket Installed: The results of the torque probe test is��inch pounds or check Pg. 8etween Floors Yes here if you are deciaring 5'anchors without testing . A test Between Waiis Yes showing 275 inch pounds or less will require 5 foot anchors. Bottom of ridgebeam Yes Note: A state approved iateral arm system is being used and 4 ft. anchors are allowed at the sidewall locations. I understand 5 ft Weatharproot�ng anchors are required at all centerline tie points where the torque test � P reading is 275 or less and where the mobile home manufacturer may The bottomboard will be repaired and/or taped. Yes_ . g. requires anchors with 4000 Ib holding capaci#y. Siding on units is installed to manufacturer's specifications. Yes,�— Installer's initials Fireplace chimney ins4alled so as not to allow intrusion of-rain water. Ye�� ALL TESTS MUST BE PERF RMED BY A LICEIdSED INSTALLER iscellaneous Installer Name ��pY1,�,� �� G f Skirting to be installed. Yes No . D ryer vent installed outside of skirtin g. Yes WA,� / Date Tested �r ��p ^�5 Range downflow vent installed outside of skirting. Yes iV/A V Drain lines supported at 4 foot lntervals. Yes,,,� , Electrical crossovers protected. Y�-� Other: Electrical Connect electricai conductors between multf-wide units,but not to the main power source. This includes the bonding wire between mult-wide units. Pg. (�?A Installer verifles all information given with 4hls permlt worksheet um na is accurate and true based on the - manufacturer's tnstallatton instructions and or Ruie 15C-1 &2 C�nnect all sewer drains to an existfng sewer tap or septic tank. Pg. �' Connect ail potable water supply piping to an existing water meter,water tap,or other �nstaller Slgnature D�te �^ ��•��J independent water supply systems. Pg. � , � . � � � 4 � . 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'� �: 'S� .,t .r.;`' ��;.-��.__-';: ity of Zephyrhills BUILDINGr LAN REVIEW C011rIMENTS Contractor/Homeowner: '�� Date Received: !— 2 ' � Site: � � � Permit Type: .�� $ k, G� t � Approved w/no comments: Approved w/ e below comrnents: ❑ Derued w/the belaw comments: ❑ �� This comment sheet sha11 be kept with the pennit and/or plans. ' ��"�..,r� Kalvi w er Plans Examiner Dat Contractar and/or Homeowner (Rec}uired when comments are present) �