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HomeMy WebLinkAbout15-15960 , , CI OF ZEPHYRHILLS 5335-8TH STREET (sis)�so-oozo 960 B ILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 15960 Address: 3848 LAUREL VALLEY BLVD LOT 40 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: 24-26-21-0030-00000-0390 Improv. Cost: 2,400.00 OWNER INFORMATION Date Issued: 1/29/2015 Name: NHC-FL115 LLC Total Fees: 180.00 Address: 3848 LAUREL VALLY BLVD Amount Paid: 180.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/29/2015 Phone: Work Desc: PARK MODEL REPLACEM NT 14 X 37 CONTRACTOR S APPLICATION FEES EASLER,LIONE . PARK MODEL S TUP 60.00 PARK MODEL 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. n�Y , •� � 2- In ect ons e u PARK MODEL MECHANICAL PARK MODEL PLUMBING PARK MODEL SET-UP PARK MODEL ELECTRIC REINSPECTION 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 corr ions not made when inspections called d) work not ready for inspection when called e) permit not po ted on job site fi) 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 property that may be found in the public records of this county and there may be additional permits required from other governmental entities such as water anagement, state agencies or federal agencies. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. 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 performed in accordance with City 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 T CARD FROM WEATHER a��-�so-oozo City of ephyrhills PeRnitApplication Fax�1&780-0021 Buiiding Department , Date Received � phone ntact for Pertnitting �� U � Owners Name IV 1..,� 1 � l� Owner Phone Number 1 OwnersAddress q�a_ AZ. OwnerPhoneNumber Fee Simple Titleholder Name �F'� Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS �t lX1• LOT# � SUBDMSION 'L PARCELIQq � '� 'd'�" �.(J' , (OBTAINm FROM PROPERfYTAX NOTIC� WORK PROPOSED NEW CoNSrtt ADD/ALT Q SIGN Q Q DEMOLISH � INSTALL e REPAIR PROPOSED USE � SFR Q COMM Q OTHER TYPE OFCONSTRUCTION Q BLOCK Q FRAME Q STEEL � DESCRIP'iION OF WORK BUILDING StZE 1 X � I SQ FOOTAG 51 HEIGHT � �BUILDING S Qp V UATION OF TOTAL CONSTRUCTION ��LI�� -1 �LECTRICAL $ P SERVICE Q PROGRESS ENERGY Q W.RE.C. �LUMBING $ ^ �� 0/% �1ECHANICAL $ V UATION OF MECHANICAL INSTALLATION ' � � �r I ' 1 QGAS Q ROOFING Q SPECIALTY Q OTHER 2'��� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ����'� )✓ �_�+� BUILDER � COMPANY , VG „J/ , SIGNA7URE ' RE�is7EaEO Y N FEECURREA N ` ,n,���,�" Vl �7 �` 1 Address 1 l� � � Licerue# � �Z�L�� ���� ELEC7RICIAN COMPANY u� C. SIGNATURE REGISTEF2E� N �cuw�En !N�' Address � p ', licetue# �Z PLUMBER COMPANY f`�lC""1 � SIGNATURE REGISTERFD Y N FEECURREt� N Address � License# MECHANICAL COMPANY ,S �l� SIGNA7URE REGISTEF2ED N FEECURREA N Address License# OTHER COMPANY SIGNA7URE REGISTEFtm Y/N FEECURREt� Y/N Address License# 11111'11111111111111111111111111111111111111111111111111111111111111 , RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building PI ns;(1)set of Energy Fortns;R-0-W Pertnft for new consVuction, Minimum ten(10)working days after subm' al date. Required onsite,ConsVudion Plans,Stortnwater Plans w/Sitt Fence instailed, SanRary Facilities 81 dumpster,Site Work Pertnit for subdivisions/large projects ' COMMERCIAL Attach(3)comptete sets of Building Plans lus a LiFe Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new consWdion. Minimum ten(10)working days after subm' al date. Required onsi[e,ConsWc[ion Plans,Stormwater Plans w/Silt FerKe installed, ' Sankary Faalilies&1 dumpster.Site Work Permit for all new projeds.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engirreered Plans. , ""PROPERTY SURVEY required far all W consWction. Directlons: Fill out application completety. Owner 8 Contractor sign badc of application,rrotarized If over E25�0,a Notice of CommencemeM is required (A/C upgrades over s'7500) "' AgeM(for the contractor)or Power of Attomey(for the er)would be someone with rrotarized letter from owner author�ng same OVER iHE COUNTER PERMITTING (Front of Applicati n Onty) Reroofs'rf shingles Sewers Service Upgrades A/C Fences(Plot/SurveylFootage) Driveways-Not wer CouMer if on public road�rays.. ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this pertnit may be subject to"deed"restrictions° . . which may be more restricfive than County regulations. The undersigned assumes responsibility for compliance with any appticable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work,they are�dvised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hlred a contractor or contractors, he is advised to have the contractor(s) sign portions of the"contractor Block°of this apptication for which they will be responsible. if you,as the owner sign as the conUactor,that may be an indication that he is not properiy Iicensed and is not entitled to permitting privileges in Pasco County. TRAIdSPORTATIOM IMPACT/UTILITIES IMPACT AND 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 permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupancy°or final power release. If the project d0es 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. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amendedy: If valuation of work is$2,500.00 or more,I certity that I, the applicant, have been provided with a copy of the °Florida Construction Lien Law—Homeowner's Protection Guide°prepared by the Florida Oepartment of Agriculture and Consumer Affairs. If the applicant 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. CONTRAC70R'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 indicated, I certify that no work o� installation has commenced prior to issuance of a pertnit and that all work will be pertormed to me@t standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other govemment agencies may apply to the intended work,and that it is my responsibility to identiiy what actions I must take to be in compliance. Such agenaes include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/WastewaterTreatment. - Southwest Florida V1Fater Management District-Wells, G�rpress Bayheads, WeUand Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treafinent, Septic Tanks. - US Environmental Protection P�qer�cy-Asbestos abatement. - Federal Aviation Authoriiy-Runways. I understand that the following restrictions apply to the use of fill: - Use of fi�l is not allowed in Flood Zone"V°unless expressly pertnitted. - 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 permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone`A in connection with a permitted building using stem walf consVuction,l certiTy that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, 1 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 ated for violating the conditions of the building permit issued unde�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 etectrical work, plumbing, signs,wells, pools, air conditioning,gas,or other installations not specifically 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,atter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter requiring a coRection of errors in plans,construction or violations of any codes. Every pemiit 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 pertnit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension may be requested,in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENbER OR AN ATTORNEY BEFORE RECORDING YOUR MOTI E OF CO MENCEMENT. FLORIDA JURAT(F.S.117.03) L11�cft-f' ( �i��d�� OWNER OR AGENT CONTRACTOR Subsaibed and swom to(or aftirtne�before me this Subscribed and swom to(or affirme� fore me this by by Who islare persanally known to me or hasJhave produced Who is/are personally knawn to me w has/have produced as identification. as identlfiption. Notary Public Notary Public Comm(ssion No. Commisslon No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stampetl _ � � . : Ma'es ic Oaks J L #40 Sid lot lines have additional 6'-6' setb cks to existing structures_ '� O� Minimu Spacing between Structur s 13' ������ �� 13,�$If IyI1�TG S� L� L��G, . L A�'pLIC.' L�� .�' CpI_,, ��,L t.I;�Ci A.NI� Ei EC=� , � r � �:sG��.?'a,,J�r ,�.t�. :. Park Madel ���'��I�1fU f� i � ��� l-z�� CeTY �F�-FHY NILLS PL/��lS E ll�IfV �R <<} 3 ' 70' ' 6" - 19'-10" Minimum paci g between Structure 13' 23' Existing Concrete Driveway 12' wide 40' 1�.x�� � 1�1�rd . �u . a��a�- n000 �c�i oo.c�u PERMIT WORKSHEET . page 1 of 2 '• PERMIT NUMBER New Home [�.j� Used Home ❑ Installer 1 a o n-e l �a���� License# I�� I b o��IO - � Home installed to the Manufacturer's Instailation Manual � Address of home � p �-(l�-Y-Q� �(�Qs� ��� ��(�,_� Home is installed in accordance with Rule 15-C � • being installed ���r`�• s �� � �v`� Single wide [� Wind Zone II ❑ Wind Zone III ❑ Manufacturer CJ(�'_�[J� Length x width ,�-t�X �J� 1 Double wide ❑ Installation Decal# o�1 u�� NOTE: if home Is a single wide fill out one half of the blocking plan Triple/Quad � Seriai# • • •�i��J� If home Is a trlple or quad wlde sketch in remalnder of home / Roof System: `V Typical Hinqed I understand Lateral Arm Systems cannot be used on any home(new or used) PIER SPACING TABLE FOR USED HOMES where the sidewall ties exceed 5 ft 4 in. �,pJ� installer's initials �� Load Footer bearing size �6"x 16" 18 1/2"x 18 1/2" 20"x 20" 22"x 22" 24"X 24" 26"x 26" Typical pier spacinp �p ty (sq in) (256) (342) (400) (484)' (576)* (676) f � I � iaiera� c aci 2' �_ � � � IShow locations of Longitudinal and Lateral Systems � �� � � � longltudinal (use dark lines to show these locations) � � � � n � i � i r i i � � i " interpolated from Rule 15C-1 pier spacing table. PIER PAD SIZES I-beam pier pad size ��°� X ZZ'� a ize n n �t x Perimeter pier pad size rYll 1'l ��0 X��n x . x . � 3 ��� � Other pier pad sizes x ---; ..l-----------------------------------------•------------------ ------------------------ • t.. ...i �� ,,,� � (required by the mfp.) x x 3 ��• •• Draw the approximate locations of mar' ge x � � II openings 4 foot or greater. Us is 6 x marri ge wa piers wfthin 2'of nd of ome per R a 15C i••• •••� sy I to show the piers. x X List all marriage w pening , eater than 4 foot x 6 and their pier pad size e . ANCHORS •--••-----•..... ..........�...._...._----�----,..._. ------.._....--- p ni Pi ize � � � '� , , , . ; �---- r r----r-,:•-- i----•------..°�----------�..°---°•---� , ----.... . -----;...--I...._�.....}.....�..._E....i....1..-��----i---.�.....�.....;.....f.....f.....�..._.�.. .�.-- -..;... ; ( I �..---�..--�--�-�---���---��,-��-�r � ; 4 ft �5 ft ; : ; � ; : , I � -------.......�.------ , i � , � . . . � � -•�--- ��- , •�---l---�•,--...,..--F. .!_...----;-�---......... ; I ; ; --, ,....-----..._,_.... � ........- ��---!....�....:....-�----- � ' ' � � I---..!..._1---- � � � ; �----,�---.�....�....;....j....-;�--��---�- f f---��r � ; � ; {-----j.....�..._;..-�----�....�....�---�j----.,.....i----j---, , t�--;----, ;...._--�----•'r-------+-----;--�-;----;-�--;--�--E----�F---•--•--a-�--,-----+-•--•a--�--�---••�•---F----�,----+•-�-s..---'--�--i---�-+•--•�+----'•----•..__F...-'--'---�...--�--�-�+---••a•--�-�-----: FRAME TIES , , i i i i i i � i t ' I � � • � ._..._--�------�..---�--------•---...----�-- � . . , . � , . --••--�-�--r---- - - �--;----�-- ---+. i i i i : ; ; . . . , � ; ; ; , ..,.---- t----�----� , - ; � � � � ; � � , , , . , , , ; , , ; , -- - � ; ?----;---�-- --.;...--;--�................�--*----�----•• '�----!...; �---•----- {..-�-----��----�----.�.. � .,......�-- ' �--�---•- , , ; , , , i 1 . ; ---•-�---�-�- -._.---- , i T----; i , ; , ; f , • --�- �-----i�----�----.,.....�---�T----;..-�;•--�----�----�----;----���----F...------=----!.__;..... --..�_..:.---: within 2'of end of hom � , . , : , , , , ; i i i • i i ; i : i � , i i i i � i � � ; ; 5�4��0 ,.----+-••--�•---•---•- ��----•-�--,...-----�+---•-:-•- , �-�---,--•�'-�--�•-----._..._.._... ; , --•---- '- i..... : . , f . �...., .......1.... . . ,--..I_....a.._..,f.....a"""""I-....:..'_("""_�"'"'r' r""'1""'",...i "";""�'""�_"""'�"....,'"""�'" , � "";.. .."i"'_; ""',.. , ; ; � , . ; ; , , , ; � ' ; ...1_..... ._.,_....i..... , _..I d at c ......j.....:.....:..........._....--.. . ---_�- -.....---... -- ; i ."'" "'"".......... � � F !---••{..--i�:--±.....�----�•-_�•.-_:-.•L-•-��----+----�-.._.�....-�----�---...---�----r. ' � ! i....-•'•--��----�—_i..._l-...1....1..-'----�---i----"-.i---���-•�i-----'-----' TIEDOWN COMPONENTS ; , ; , ; i , . ; � i i ; i ;-..r...-i----;---� ; i i i ±----•�° i i i . , h��--�--���--'---��+-��--�---..;....-;----i-�---...;....;----?---�...-;�---f----,�---;�--- ---�---��t----'--�t- ' � � --;� � � ...;--- ' --.;.....� r ; � : , ; � I ° : � _....:...._�.----i.....;----G----;..._;....,....;....-a•----�---�._...j.....�----�G-------�-�-•-�---�+---..;------�---'--..i -•-----..:----'---.... � ._...'----a.._.'. .... � Lon ifudinal abilizin Device LSD Sidewall : : ,---•� . , E . � , .-....�----G�---.F_..-�--------------------------i.---�,--....------'•--- �----+----�-�•--`---..i---��----?----��-�-'- � � � ; i . � ; � . { �- � •� --------+- , . . i : ; � ° , ; I ' i �---•1-----�-----;----'�----%----?--°T----�'----�'--�-�---°'-"-�----�--..�...-i-'--'- -;---°i-----f--�°�-----j----' i-----j-�--�i----;.....�---�;�---�r�--t-�-�---�--�--;..---;---�r--;----�---;�---;-•--=----------;-�---i�----;----}----�+---:---:--- �-t-��-+---��`�----`-...;-------..:---:-------- - LongitudlnalStabAfzingDev�i w/L��L�LS s Margagelwall . , , , , . , , � „ • . � , , , S ...-------..--+;�----�---{�--;--�:.----: _1...--��---- '---�.....:----+---��-----i----f�-�--F--. • a � � ..-i�---�a----+----�----�--- � ( ' ° ' Manufacturer � ' � ' hearwall - -�-- -� , � � i � ; , � � � ; f- J- � � ; , i._..,----��---�- � � ..i_...;-- �--�;---���----�;�----�..._.� , , , � , � , ; „ , . , ; •-------.._-�--=�----_.._.:--�--•--�--•-��--�-�-------=-----�---�-----:..-----....:----��----�----:...-----��----=�----�-----�----�----�=---�--......._:.---`..--�---�=---- �-----�--�---��----��---= PERMIT WORKSHEET a e 2 of 2 PFRMIT AIIIMRFR e Site Preparatton POCKET PENETROMETER TEST , The pocket penetrometer tests are rounded down to!� Debris and orpanic material re�oved ✓ psf Water drainage:Natural ✓ Swale Pad Other � or check here to declare 1000 Ib.soil without testing. - X�� X� 1 Q� X (5(�� Fastening multi wlde units 4, . Floor: Fastener: Length: Spacing: Walls: Type a Length: Spacin�: POCKET PENETROMETER TESTING METHOD Roof: Type Fastener: Length: Spacing: For used homes a min.30 p "wide,galvanized metai strip 1. �Test the perimeter of the home at 6 locations. will be centered over the peak of the ro astened with galv. � roofing nails at 2"on center on both sides of the �e. 2. Take the.readin�at the depth of the footer. - �99ket fwaatharomotlne reeuiremenll��. 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 d that condensation, mold,meldew and buckled marriage walls are a result of a p installed or no gasket be(ng installed. I understand a strip X� X (1p� X��� of tape will not serve gasket. Installer's initials TORQUE PROBE TEST Type s�asket Installe . The results of the tarque probe test is a��0 inch pounds or check Pg. 8etwean Floo Yes here if you are declaring 5'anchors without testing . A test • Between Walts Yes showing 275 inch pounds or less will require 5 foot anchors. Bottom of ridgebeam Yes Note: A state approved lateral arm system is being used and 4 ft. anchors are allowed at the sldewall locations. I understand 5 ft Weatherproofing anchors are required at all centerline tie points where the torque test reading is 275 or less and where the mobile home manufacturer may The bottomboard will be repaired and/or taped. Yes,�_. Pg, requires anchors with 4000 lb holding capacity. Siding on unfts is installed to manufacturer's specifications. Yes�— lnstaller's initials Fireplace chimney installed so as not to allow intrusion of raln water.,fer �� ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER Iscellaneous , Installer Name ( ]�Y1P � (�C � Skirting to be installed. Yes No / Dryer vent installed outside of skirting. Yes . N/A V Date Tested __�� ��� ` � � Range downflow vent installed outside of skirting. es N/A�� Drain lines supported at 4 foot intervals. Yes� Electrical crossovers protected.�Fe�-�� Other: Electrical Connect electrical conductors between multi-wide units,but not to the ma' power source. This Includes the bonding wire between mult-wide units. Pg.�� Installer verifies all informatlon given with this permit worksheet um na is accurate and true based on the manufacturer's installation fnstructions and or Rule 15C-1 &2 Connect all sewer drains to an existing sewer tap or septic tank. Pg. Connect all potable water supply piping to an existing water meter,water tap,or other installer Signaturel�/ L�" � Date � ��o /S . independent water supply systems. Pg. ---- � �- �, . 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Approved w/no comments: Approved w/t e below comrnents: ❑ ]7enied w/the below comments: ❑ � This comment sheet shall be kept with the permit and/ar plans. i ; � �� d '�� 1�' � , �, Kalvin Switze Plan E iner T?at Contractor andlor Homeowner (Required when comments are present) ° � � ' � u I --- ----. � - - - -