HomeMy WebLinkAbout15-16434 i
CITY OF ZEPHYRHILLS �''�
' = 533�-8TH STREET .%
(sis)�so-oozo 16433'`
MOBILE HOME SET-UP f`
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 16433 Address: 3621 COPELAND DR
Permit Type: MOBILE HOME ZEPHYRHILLS, FL.
Class of Work: MOBILE HOME SET-UP Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section: '�
Square Feet: Subdivision: CITY OF ZEPHYRHILLS I
Est. Value: Parcel Number: 24-26-21-0000-00100-0070
Improv. Cost: 1,500.00 OWNER INFORMATION I
Date Issued: 7/20/2015 Name: MORROW REALTY HOLDINGS LLC
Total Fees: 140.00 Address: 3058 SUTTON WOODS DR
Amount Paid: 140.00 PLANT CITY FL 33566-9606
Date Paid: 7/20/2015 Phone: (813)715-0404
Work Desc: TEMPORARY TRAILOR SET UP FOR CONSTRUCTION 12 X 60
CONTRACTOR S APPLICATION FEES
STINE CONSTRUCTION INC MOBILE HOME ELECT ICAL 40.00 MOBILE HOME SET-UP 60.00
� ROWLAND ELECTRIC CO.,INC. MOBILE HOME PLUMBING 40.00
PIPE PROS INC
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Ins ections Re uired
MOBILE H ME SET-UP
MOBILE HOME ELECTRIC
MOBILE HOME A/C
MOBILE H E P1,UIV�BINC�
FINAL ��
REINSPECTION FEES: Reinspection fees will compily with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the followmg reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or correction's not made when inspection called d)work not ready for
inspection when called e) permit not posted or�job site � plans not at job site(g) work not accessible
NOTICE: In addition to the requirements of this permit, 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 management, state agencies or federal agencies
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be perFormed in accordance with City Codes and Ordinances
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CONTRACTORS SIGN URE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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CITY O� ZEPHYRHILLS
� ` 5335-8TH STREET
(sis)�so-oozo 16434
� MOBILE HOME SET-UP �
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PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16434 Address: 3621 COPELAND DR
Permit Type: MOBILE HOME ZEPHYRHILLS, FL.
Class of Work: MOBILE HOME SET-UP Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 24-26-21-0000-00100-0070
Improv. Cost: OWNER INFORMATION
Date Issued: 7/20/2015 Name: MORROW REALTY HOLDINGS LLC
Total Fees: 140.00 Address: 3058 SUTTON WOODS DR
Amount Paid: 140.00 PLANT CITY FL 33566-9606
Date Paid: 7/20/2015 Phone: (813)715-0404
Work Desc: TEMPORARY TRAILOR SET UP CONSTRUCTION 12 X 60 (#2)
CONTRACTOR S I APPLICATION FEES
STINE CONSTRUCTION INC MOBILE OME ELECTRICAL 40.00 MOBILE HOME SET-UP 60.00
ROWLAND ELECTRIC CO.,INC. MOBILE HOME PLUMBING 40.00
PIPE PROS INC
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Ins ections Re uired
MOBILE OME SET-UP
MOBILE HOME ELECTRIC
MOBILE HOME A/C
MOBILE HOME PLUfjABING
FINALT2,"��-(.•��
REINSPECTION FEES: Reinspection fees will com�ly with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the follow�ng reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspection called d)work not ready for
inspection when called e) permit not posted on job site f) plans not at job site (g) work not accessible
NOTICE: In addition to the requirements of this permit 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 management, state agencies or federal agencies
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in�accordance with City Codes and Ordinances
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CONTRACTORS SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MON IHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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CITY OF ZEPHYRHILLS
� ' 5335-8TH STREET
(sis)�so-oo20 16435
MOBILE HOME SET-UP
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PERMIT INFORMATION I LOCATION INFORMATION
Permit Number: 16435 Address: 3621 COPELAND DR
Permit Type: MOBILE HOME ZEPHYRHILLS, FL.
Class of Work: MOBILE HOME SET-UP Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 24-26-21-0000-00100-0070
Improv. Cost: - OWNER INFORMATION �
Date Issued: 7/20/2015 Name: MORROW REALTY HOLDINGS LLC
� Total Fees: 140.00 Address: 3058 SUTTON WOODS DR
Amount Paid: 140.00 PLANT CITY FL 33566-9606
Date Paid: 7/20/2015 Phone: (813)715-0404
Work Desc: TEMPORARY CONSTRUCTION TRAILOR 12 X 44 (#3)
�CONTRACTOR S i4PPLiCATION FEES
STINE CONSTRUCTION INC MOBILE HOME ELEC�RICAL 40.00 M BILE HOME SET-UP 60.00
ROWLAND ELECTRIC CO.,INC. MOBILE HOME PLUM ING 40.00
PIPE PROS INC
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` Ins ecfiions Re uired
M BILE HOME SET-UP
MOBILE HOME ELECTRIC
MOBILE HOME A/C
MOBILE HOME PLUMBING
FINAL � ��
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the followir�g reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspection called d)work not ready for
inspection when called e) permit not posted o�job site � plans not at job site(g) work not accessible
NOTICE: In addition to the requirements of this permit 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 mana�ement, state agencies or federal agencies
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
Complete Plans, Specificati Ins and Fee Must Accompany Application.
All work shall be performed in�accordance with City Codes and Ordinances
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CONTRACTORS SIGNAT RE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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s��-�ao-oo�o City af Zephyrhills Permit Application Fax-813-780-002�
s � 8uflding Department -
- l��r/�� �e z�U �
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Date Recelved � 36 f� phone•Cantact far Permittin �t 3 � 7�"�=�1 r�
i Owner's Name t�f d 2�W ���'�"' i _OwnarPhane Nut»ber �l� °?����"t !t
iI �
Owne�'s Address �� ��D ��P��''�� ��-� Owner Phane Number _
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Fee Simple Tltleholder Name � � Owner Phone Number � �
Fee Simple Titleholder Addrass
' JOB ADDRESS ���'w �S A�30�J'�,� I LOT# �_���
SUBDIVISION � � PAR EL ID#
� (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEw CONSTR ADDlALT � SIGN Q [�] DEMOI.ISFi
e INSTALL 8 REPAIR
PROPOSED USE � SFR Q CQM�jI � OTtiER f'1"1p+�vt..ra rU "i�e z i,ri�—
TYPE OF CONSTRUCTION [� BLOCK Q FRAflI'E Q STEEL Q ,
DESGRIPTION OF WORK � ��• I'E Tv� . C�1'"� � �.. �Z�� y� n$
BUILDING S1ZE ����'Q ���/���+-��SQ F001AGE / �� � HEIGHT �J� f, , �
�B�«d�N�'' � j ,Sta�� VALUATf N OF TOTAL CONSTRUC710N
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�ELECTRICAI � � AMP SER CE Q PROGRESS ENERGY Q W.R.E.C.
�P�UMBING � �
QMECHANtCAL (�& VALUAT[OiU OF MECHANICA�INSTALLATION
L
QGAS Q RQQFIfUG � SPEO#A�TY [� OTHER
FINISHED FLOOR EI.EVATIONS FI.00D ZONE AFtEA QYES NO
�, ,
BU[�.DER � COMPA4IY �7�1$�� �G.v 3%",t��e i�cx.J .�I-.c? .
SIGNATURE /''�� REGI8TERED Y/ N FEE CURREA Y/N
Address d�Sa �/Z� — � , �-
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I.ECTRICIAA! c�,, GOMPANY �'
SIGNATURE �"'�`�C �������� REGI3TEREb Y/ N FEE CURRE� Y/N �
�
Addres� � Ucense#
PLtlMBER �� ` C�dMPA41Y
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
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Address � liCense# � � II
MECHANICA[. COMPAt�lY
SIGNATURE REC,ISTERED Y/ N FEE CURRE� Y/N
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Address License# �� �
OTHEl2 CiOMPANY
SIGNATURE RECal3'TERED Y/ N . FEE CURRE� Y/N �
I
Actdress � license# � �
RESIDENTIAL. •Attach{2},Plot Plans;(2}sets of:Bullding"F'1aas;(1}s�t af Energy=Fanns;R-O-V4t Permit Ear aew construct(on,
Minimum:ten(10)working days,after submittal date. Required ans(te,ConstrucNon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary EaciliUes:81,dumpster,Site Wark•Re.Rnitforjsubdivisions/large�proJects
COMMERGIAi. Attach{3}camplete sets of Bu�lii3iig'Plar�s plus a Ufe Safety Page;{1}set of Energy Fonns.R-0-W Perm�t for new co»shuctlon.
Minfmum ten(10)working days after submittal date. Requ(red onsite,Constructian Plans,Stormwater plans wl Silt Fence installed,
Sanitary Facilides 8�1 dumpster.Site Wark Perrnit for�all new projects.All commercial requirements must meet compllance
SIGN PERMlT Attach{2)sets of Eiiglneered Plans..,, • -
""PROPERTY SURVEY requir�d for all NEW canstruaUon.
Direattons:
Fill aut appllcadan completely.
Owner&Contractar stgn back of applicatlan,natarized
If aver SZ600,a�iotice af Comnnencement is required. {AIC up rades over 57500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMtiTIFit'a (Frant af Appticat3on Only}
Reroofs if shingles Sewers Service Upgrades AIC _ Fences(PIoUSurvey/Footage)
Ortvewaya-Not over Counter tf an public roadways..needs ROW
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NOTiCE OF DEED REST.RICTIONS: The undersigned undergtands�.#h�t,thi�;,permif,may,be,subJect to;"deed"restrtctlons° `�
' whlch may be:�more�rest�Icttve.�than County"regulat(ons: -Tfie`underslgned``ass'umes'�esponslbility�for compliance wi#Fi�-any
appiicable deed restrtations. . � �°
UNl.ICENSED CONTRAGTQRS AND=-CONTRACTCIR RESP�NSIBiLITlES: If the awner has �hired a contrac#ar ar
con#ractors ta unda�take work, they may.be:requlred.:to be,Itcensed In accordance.with state.and•local regulatlons. tf the -
contractor ts not Itcensed as requlred"�by law� both the owner and�contractv��may be-clted�for a�misdemeanor violatlon
under state law. If the owner or Intended .contractor. are:uncertain as ta what Hcensing:requirements�may-apply��'or�the
intended work, they are advised to contact the Pasco County 8ultding'Inspecttan D1vlston--LicensingASection at'727-847-
8009. Furthermare, tf tfite awner has hl�ed a cont�actor or contracfors. he is advlsei! to have the cantractar(s) sign
portlons af the "contractor Bloak° of thls app!lcatlon tor whlch they wlit.be resp�nslble. !f yau,-as.fhe owner sign�as�the '
contractor, that may be an indicakton that he is not.properly flcensad and Is not en#18ed�to permltting privileges in Pasco
County.
TRANSPQRTATiON,IMPACTIUTN:ITiES IMPAC'1'AND-RESC1U�tCE RECOVERY FEES: The undersigned understands
that Transportatian impact Fees and Reca.urse Recave.ry.Fees may�-,appiy�ta the construc�on of new.buildings,.ichange�of - ' '
c�se fn existMg buildfngs, ar.expar�sion�of-=ezistiri,g'�6uilt�ngs, as speci�ed.En Pasco County t�rdinance n�mber 89-07 and
90-47, as amended. The underslgned also:understands, tha�t:�such fees;.as 4may�'be:due.;wlll.�be Identified at the"time�of '
permitting. It Is further understood that T�a�sportaUon Impact Fees and Resource Recovsry'�ees.must be paid pr4o� to
receFving a gcertiflcate of occupancy" or final pawer release. :if•the.project does not Invalve:a certffioafe of occupancy or
final power reiease, the fees mast be paid prior fo permit issuance. Fu�thermore;�if Pasco County�lNater/Sewer-impact
fees are due,they must.be�pald.pcior to permit-issyance-{n accordance with appiicabfe Pasco�County ordinances.
CONSTRUCTtt?N I.fEN 1.AW(Chapter 793, Elotlda Statutes,as amertdgd�: if vafuation of wark is$2,500.00.or mare, i �
certify that !, the applicant, have been provlded wi#h- a copy- of the "Florida Constructlon #.len Law Homeowner's
Protectfon Guide" prepared by the Florida Departmen#of Agrlculture and Gonsumer Affairs, If the appllcant Is someone
other than the"awne�", I cerlify khat I have,obtained a copy.of.the.above..des.criped document�and.promise in,good faith to ,
deiiver it to the.'owner"prior to•commencement: .
CONTRACTt�R`StOWNER'S A�FIDAVlT: 1 ce'r,tify,that.ait#he,information in thts applicatton is accurate and that ati wartc
will'be done in aompllance w#th all applicable laws fegulatl�tg construction. zoning and land devetapment. Applicatior� is
hereby made to obtatn .a permit to do work.and Insta!latlon as lndtcafsd: '1 caKftj+ that no work.or instaflation has
commenced prlor ta issuance of a permit and that.all work will be perFormed ta meet standards of al! laws regulaxing-
constructian, County and City codes, zoning regulatiQns, and land development regulatians�in the jurisdtction. I ai'so
certify that 1 understand that the regulatians of ather gavernment agencies may�appiy�ta the intended work, and that it is
my responsibitity to ident#fy�what.ac#tans t must�#ake.fo bectn.comlpllanca. Such agenctes inctude but are.nat timited to:
- DeparEment at E�vironmentai Protection�ypress.'Bayhead�, Wetiend Areas and Environmentatly Sensitive
Landsr WatedWastewater Treatment.
- Southwest Florida Wate� Management :CJistrict-Welis� Cypress. Bayheads, Wetland Areas, Altering
Watercaurses.
- Army Carps af Engineers-Seawalls, Doaks�Navigabte Wa#erways.
- Department of Nealth 8 Retiabilitative,Seniices/Envitonmenfal Health Unit=Welts, Vilastewa#er�Trea#merrt,
Septtc Ta�ks. .
- US Environmental Protection Agency-Asbestas aba#ement.
- Fede�al AvPatlon Authority-Runways. �
i understand fhat fhe foilowing.restrlctions appty to the,use of fllt:
- Use af ftll is nat ailawad in Fiood Zone°�J"uMess exprassiy permitted.
- If the fil! material_is to be usei�. In �Fiaad Zone. "A", ft. ls und'erstood that a dratnage plan addressing a
"campensating volume" w111 be submltted at time of permltting whlch Is prepared by a professEona! englneer
Iicensed by the State of•Florida.
- if the fili materlal is to be used in Fload Zone "A° in>connection�with.a permltted building using stem wall
' canstruction, f certify that fiii:wili�b.s used only.to fifl the area within the stem�walt.
- if filF inaterial is ta be user3 in any ar+ea, 1 aertify that .use of'such fitl wilt ttot adverseiy'affect. adjacent
prape�lles, If use of fi111s found ko adverseEy:�ffect adJa�er�t��prope�ties,.the owner may be cited for vlofating
the candltlons of the buildtng:permit`Issued�under the akEached permlt applicatlon, far lats less than ane {1)
acre which are elevated�by flll,an engtneered drainage plan is�equlred. .
If I am the AGENT FOR THE OWNER, l,�promise in gaod faith to inform#he owner of#he permitting conditlons set forth in
fhis affrdavit prior to cammencing construation. 1 understand that a-s�para#e permtt may be required fior elecMcai work, �I
pEumbing, signs, weits, poois; a!r conditloning..g�s, or other. fnstall�tlons noE.spec�tcalEy insluded-in.the appiication. .A ,
permft Issued shall be constnaed to be a'Ilcense.to proceed wlth the wark and not as-authorlty to.violate,�-cance#, alter, of
set aside any pravlsions of the technical.codes; nar shall Issuance�nf a permit.pceven#the 8ulldlrig�#flcla!from thereafter
requiring a correction af errors In-plans, cons#nictlon or violatlons of any codes: Every permlt issued shall become tnvalid
untess #i�e wo�k au#horized.by such permit is.commenced�wtthin stx months of peirmtt issuance, or if work authorized by
the permit is suspended or.abandoned far a:pertod ofsGe(8)months.after the tirne the�work is cammen�ed. An exfensian
may be requested, fn wrlting, from.the'Building,Off#cfal for a pertod not#o exceed nlnety(90)days a�d wi11 demonstrate
Justifiable cause for.the extenslon. !f work ceases for ninety(90j cans.ecutive:daysr..the Job�is cansidered aba�doned.
WARNiNG TQ OWNER: YOUR FAiLURE�TO,REC.O�2D A NOTICE OF•COMMENCEMENT NFAY�RESULT IN YOUR
PAYING TWiCE,FOR IMPROVEMENT3 TO YC1Ui�.PROPERTY. tF�YO.U�iN�EKID�`TQ�OBTAIN•FIRtANCtNG,'C.ONSULT
WiT�i YUUR�.END�R QR AN A'�TORNEY�BfFORE�REGOR�i1NG=YQU�TICE'OF��� lli'f�4ff ENCE�ENT�
FLORIDA JURA�'(F.S.U 7.03� _ � - -- _ -�- . -
OWNER t3R AGENT CONTRAGTOR�, ,
Subscribed and swom to(or aHirmed)before me this Subsctibed and'swom to(or aflirmed)'befonei me'tliig.
by •by
Who tsiare personaily knrnm to.me or hasfiave produced Who tslare p.etsonaity knawrrto me ar hasfiave�pradisced
as Idendflcatlon. as ldenflBcaQon.
Notery Pubtle Notary Publlc
Commisslon No. Comnnisslon No.
Name ol Notary typed,printed or stampad Name of tdotery typed,printed or stamped
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' ' e�3�e°'°°2° City o Zephyrhills Permlt Application F�.e��.�eo.00z�
��9��ent
oaca Ree.rwd f� 36 /S— . �(lixl i�i e L�u r�
PhoDe Contacttor P�rmklln ��S � �sz� y��5
O�erner's kamo I�p.a?>.�r., S �-t_ I
7•�"! Owrrr Phon.Mumber ,r5 -7 5.��`i�!
Ow�Ilddnse � �!�D �'D(J si LnuJ P I�j�._ Owner Phon�Numbar
Fo�SImp1�Tkbadd�r Nartro I Ow�pr Rhom Numbar
I
FN 81mpt�Tkl�hold�r Addnrn I
J08 ADDRESS s+�M�s- tq S f-�np,� I LOT/ �
SU8DM910N PARCEL ID�
toer�w��tor vaovemrvuc►qrrc�
WORKPROpOSED e NEWCONSTpe pDb/ALT � SIGN Q O DEMOLISH
1NSTALL REPAIR
PROPOSED IiSE Q SFR Q COMM Q OTHER ,a,Z �r ���,L
TYPE OF CONg7RUCi10N O g�OCK Q FRAME � STEEL Q
DESCRlPT10NOFWORK � EA. T�Mo . I01—�i c�. -I R�p,y�n$
' BUILaING 812E J.�--,t!o o .��N,�tq,1� �BG FOOT�iE I�lr � y�G� �� !
�BUILDING S r r p G, iq�UpTION OF TOTAL CONSTRUCTION
QELECTRICAL 5 AMP SERVICE [� PROGRESS ENEROY Q W.RE.C.
�PLUMBING S
QMECHANICAL $ VAUTATIQN OF MECHAfVIGA�INSTALLA7►ON
0� Q ROOFING Q SPECIALTY Q OTHER
FINISHED FlOOR ELEVATIONS FLOOD ZONE AREp Qy�S NO
i
BUILDER �/ "'� / CONPANY
SIGNATURE �G�._ �/ �7"!{/� �i,.u�rc,_•��cuJ �i�-c
��� - Y 1 N FEE CtRiRE� Y!N
�dmyss �S� ivzYf, L°.err.l� ���� iLyu•;�, 3356t-
ucense�
�ecrwa,w �f���% /� co�,P�v,r I�owlanc� �I�@�iL l'C�n n
SIGHATURE �"" "`�� pECas�pEp Y/N FEe Wpap, Y/N
naa�. ✓��f7 S . a �ud�i�Pl1� 1�lunf('��/,FL 3� uo�s a�3�
P��� COMPiWY
SIGNATURE pEGSiErem Y/N �E cuaqeh Y/N
Addne� I Llcense�f
IHECHANlCAL COMPAHY
910NAT11RE ttEC�tSr�Ep Y!H FEEpURF� Y!N
Aednas I LVeense p
OTHER C�P�Y
SIONATURE kEGi37H2Ep Y 1 N FEE CUNREn Y/N
Addf�as I
LJcensa q
RESIDENTIAL At�ch,(2)Plot Plerm;(2)sels of Building Pigro•(1)sei ot Fr�ergy Forms;R-0-W Perrnk for new oorutrudyon,
N9nimum mn(10)working days efler eubmCtat date. Requtred rnn�ta,Conawctbn plane.Stamwatv p�m,�w/8nt Pmce Insmited,
Sanflwy FacAlBes 81 dumPS�a;Sfle WorSc Permfl forsub�vlslo�l�9e Prolects
C06ANERCIAL Attad�(3)compyte g�p�g��p����a Life Safety Page;I1J set of Enerpy pom�s.R-O�W Pc:rmit�r new cauVuWOn,
Mnlmum ten(10)woriclrp deys afler eubmf�tal date. Requ6ed orroiie.Conatrudbn Pla�u,3tnmrwater Plarte w/SOt Fence InalaAOd�
SanMary FerBBks 8 7 dumpsler.91m Wor4e IPermlt lor ap new pro)epn.AII commerdai roqulrernents must maet canpUance
SIGN PEIWIT Atfach(2)aeFs o(Engineered pians.
""PROPERTY SURVEY reqWrad fer yli NEW eortstructlon.
QIf�CUOtIS: I
Fiq out epplinHon completdy. -
Owner 8 Cantractw slgn back of appUpUon.noferized
H owr f2S00,a Natl�¢o/ComrtunwrrNrt b r�qulnd. (AfC uppr�owr�7500)
" Agent(for Bie contraclm)ar Power oi Attomey(for the owner)wauM be saneone wlth natarized letlar from amer atAhortring same
DVER THE COUNTER PERMITTiNG (Front olApplka�n Only)
Rerooh If ahlnplea Seaers Service Upgrodes AFC Fencm(PbUSurvey/Footage)
��waY�-Nat wer Counter tt on public rnadways..needs ROW
s��-reo-oo�o Gry of Zephyfills Pertnft Applfcation F�$,�-'►s�ooz� '
Bu9��p pap�tre�rt
' i�.J CL�io r'.�
o.b n�e.nira � 36 /.� p�co�to.F.m� ��3 3 75z_�y��5' I
OrmwbNam� ��okP,�W ST£'t+- I OWnrPAarNumh�r p�3 �7S��Ci�l '
o�m�r.Adm+a. � �� Co p�u ua�o �7�. I o.mr Plwo�itwnbR
Fw 81mpb Tlt4holdr Nan� I Ormr FMon�Num� �
I
Fa 8lmpl�TNf�holdw Addna� I �
JOBAGDRE88 SpM� �S A�ov I LOTS � ��I
BUBDMSION PARCEL IDi �
(OS►AM�FROr iRDVFJRt/TIUCNOilCq I
WORKPROPWm e NEWOOttSTRB ADp//ILT Q SIQN Q Q DEMOLJSH
INS'T/1L1 t�PA1R
PROP08ED USE Q SFp �] COMIVI � pTMER ,�� -re �u„�
TfPE OF CGNSTRUCTION Q e�oac p Frta� p s�r� �
DEBCRIPTIONOFWORK 3 Ef�. TE n� . D1=�c.�I Ttz�a�y�n$ �
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SIGNATURE /// � /N FffqiRRe� Y!N
a�sur.sa �S� �dQi�4 L`e�izK ���- !l re�� 3356 4 uoaaes
ELECTRICIAN � �p/�ry
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MlNmum�(1�wakYq daya eller�ubrt�fai dMe.Repuhed ond10.Qauhuc�on Ple�.Stwmwater Plam w/Sflt Faue Instelkd.
Sanitmy FediBOS 81 AltrtlpaYw;310�Wak P�nitRtor w�bdNYbmllape paj�
CCNIeERCIAL Athd�(3)oampfeta�afe of BaAdMp Pleris pie a LHe Safeb�Ga(1)aet of Em�py Fam�.R�Q-W P�rtnN(ormw oonttrudlai.
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SIGH PFAAIR A1Gah(21 eeb of Englneer�d Wn�.
""PROPERrY SURVEY requWd fOr W!EW cpMhucdOn.
Dinetlom:
F91 uu!�pplicatbn aomplefdy.
owner a c«maam.eign ba�a.ppQcano+,.r,oa�kea
If ov�r 576�0.�Natlw o!Co�namwA b rpuH�d. (AfC�ww f7D00)
� " Ayant((or�e aarttedor)or Power et Attwrhy(for Ote owner)waid i ranrar wl4i nodtr�d IMf�r fiam owr�at euTho�ixfnp rame
DVER TN£COUNTER PERNfll7NO (Frant d Appdnfon ddy)
Reroofs If ehinpbs Bew�rs Servb Upp�des AIC Fenw{ObV3�or�Y►Foobp�)
DrNwiall�Not over Cotnter H an pubQo medwaYs..�a�ds ROW
Building Dept
I Shaun David Bryant, do hereby designate the following
individual(s) as having the authority to sign and submit applications and
related documents for the purpose of obtaining plumbing permits under
my State License CFC 1427426 I� furfher acknowledge and accept as a 'i
licensed contractor my responsibiiity and liability for each project '
permitted under the authority designed on this form, and that by failure
to assume and fuifill said dut�I may be grounds for the initiation of
disciplinary action against my c$ontractors license. This shall remain in
effect until written notification of�cancellation.
Shau id nt, License holder
CFC 1 742 license holder
DESIGNATED SIGNERS •'�' �
Kevin McLeod
State of Florida
County of Hillsborough
Subscribed and sworn to before me this 8th day of July , 2015
Notary ublic
�1�':��••. SUSAN REEO
_� �
.. ,: Commfsslan#FF 017972
My commission expires: 8/31/2017 �;�qH�,, Expires August3l,2on
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Single-Wide Deluxe Mobile Office (model 1260) j Acton Mobile Page 1 of 4 ``�.
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Single-Wide Mobile Office Trailers - � � -�
Single-Wide Deluxe Nlobite C?ff�ce�model 1260}
Delwce Mobile Qffice Trailer Models
Deluxe units include upgraded interior features.Exteriors re finished in T-1_11 wood.In addition to stock floorplans,
custom canfiguratians are available.
file:!//C:CUserslKevin/AppDatalLocaUTemp/Low�TDBOXHYY.htm 6/30/2015
Single-Wide Deluxe Mobiie Office (model 1260i � Acton Mobile Page 2 of 4
12'x 60' t
Our 60-foot mobile office models come with two offices,an
optional bathroom,and can be customized with steps,ra i ps,
skirting,awnings,and more.
[nteriar Finish
• 8'Overhead Shelf(1)
• Private Offices{2)
• T-Grid Ceilings
• Vinyl Tile Fiaors
• Waod-grain Paneled Walls
Exterior Finish
• Detachable Hitch
• 401b.Roof Laad
• Standard L7rip Rail Gutters
• 1-beam Frame
• Wood Siding
Electric
• Vandal resistant exterior lights at all doors
• Exterior phane 1 data jack access
• 125-amp breaker panel
• 124I240 Volt,s'sngle-phase
• Fluorescent ceiling lights
lnsulation
• R-11 Walls and Floors
• R-11 Ceiling
Heating&Cooling
• Supply and Returned Ducted
• Central NVAC
Windows&Doors
� • Steel daors with security plates&heavy duty loc set
• Hydraulic door closures
• Mini blinds
• Interior security bars
• 1-iorizontal sl'sder windows with screens
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Single-Wide Deluxe Mobile Office (model 1260) � Acton Mobile Page 3 of 4
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Dotted lines indicate optional interior configuration.
Models shown with optional/extra accessories.
Units may vary in color and size.
See Accessories(/Office-Trailers/Accessories.aspx)
AvailableforSale or Lease.
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Mobile OfficeTrailers(/office-trailers) Single-W de Mobile OfficeTrailers(/office-trailers/single)
Single-Wide Deluxe Mobile Office(model 1260)
About Acton Mobile
Overview(/about-acton)
Industries(/about-acton/industries)
Leadership(/about-acton/leadership)
Recent News(/Knowledge-Base/Acton-Mobile-Acquires-Mobile-Minis-Mobile-Office)
Quick Links
Customer Credit Application
(https://onlineapp.dnbi.com/createApp/New+Acton+Mobile+Industries+LL?
token=e2EZdW8oDJntPiFmtbqp%2Fw%�D%3D%OA)
Document Library(/support/document-library)
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Temporary Infrastructure(/temporary-infrastructure)
Contact Us
Locations(/locations)
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Careers(http://acton.catsone.com/careers/)
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Single-Wide Deluxe Mobile Office (model 12601 � Acton Mobile Page 4 of 4
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�O New Acton Mobile Industries LLC ALL RIGHTS RESERVED
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