HomeMy WebLinkAbout03-2249
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
2249
Permit Number: 2249
Permit Type: MOBILE HOME
Class of Work: MOBILE HOME SET-UP
Proposed Use: MOBILE HOME PARK
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 7/24/2003
Total Fees: 175.00
Amount Paid: 175.00
Date Paid: 7/24/2003
Work Desc:. PARK MODEL SET UP
Address: 3452 ALABASTER DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE
Parcel Number:
Name: HILL CARL
Address: 3452 ALABASTER DR
ZEPHYRHILLS, FL. 33542
Phone:
I
- -~~ L !.
REINSPECTlON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-five dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
Th~ paYf!1ent ~f inspection fees shall be made before any further permits will be issued to the person owning same
Complete Plans, Specifications and Fee Must Accompany Application.
.________.~~I work shal! be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
~~ - ~~--
NTRACTORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING nllPunbmT 5335 8th STllBBT ZBPBYRRILLS. I'L 33540
Phone.813-780-0020 l'axI813-780-0021'
DATB RBCRIVBD '7-.at:l-{f!f'-3
PLANS llBVIBW I'BB ~
OWNER I S NAME Co.J I \.\ \ \ \.
JOB SITE ADDRESS ..$ y~d... A-'~b6-",hr Dr.
PHONE CONTACT t I'} -)1 Y - Cj/S"" ~
( & ~"'Vl"~ )
LEGAL DESCRIPTION: LOT(S) BLOCK
SUBDIVISION
PARCEL ID If J '-/- olfo- 2 \. - () oi'o- ODu D2:> - 1"D s: 0
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPS ED ; .iJ..NEW CONSTRUCTION
D ADDITION
DALTERATION
o REPAIR
f.:i(INSTALL
DSIGN
PROPOSED USE: DaSGL FAMI~Y DWELLING
o MOVE
D DEMoLISH
OMULTI - FAMILY
DIf OF UNITS
D SWIMMING POOL
~BILE HOME
D OTHER
D COMMERCIAL
D INDUSTRIAL
CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL
"BSCRIPTIOH OF WORK hrl( /YIi>d, I ~tr
BUILDING SIZE IV X 3 S- SQUARE FOOTAGE S () 0
HEIGHT
RESIDENTIAL; ~TTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
g, BUILDING
$
/rou
.
100
VALUATION OF TOTAL CONSTRUCTION
f\Y' L1 ,
~~u
PBRMITS RBouaSTBD
121 ELECTRICAL
AMP SERVICE
D FLORIDA POWER
M
W.R.E.C.
LS3 PLUMBING
i3l. MECHANICAL
$
/3)2:>
VALUATION OF MECUANCIAL INSTALLATION
[] GAS
D ROOFING
D SPECIALTY
D OTHER
TYPE OF CONSTRUCTION: D BLOCK D FRAME
?\/f
FINISHED FLqOR ELEVATIONS 2~
D STEEL
D OTHER
IS PROJECT IN FLOOD ZONE AREAD YES
D NO
BUILDBR
,/t ~ud
COMPANY U ~ If . i--u .s: 0 Lts
STATE CERT OR REG 1ST # I It 000060<1
CITY PROCESSING #
SIGNATURE.
BLBCTRJ:CIAH
.....*...*.**.........*.....*..........*......
SIGNATURE
COMPANY /Jot,?' h/'..-"\ I/iNT
STATE CERT. OR REGIST If c:- R d () 5."6 Y
CITY PROCESSING If
............*...*................................*..*..*..........
PLUllBBll
COMPANY U') /-I t:J..s" u >
STATE CERT OR REGIST # r HODo~ Coo y
CITY PROCESSING # .
'I ",
SIGNATURE
MBCRAHJ:CAL
*....********..******2i..~....~~.........
COMPANY If I,., r
STATE CERT OR REGIST. # 04-(" IJ ~II( t
CITY PROCESSING If
SIGNATURE
*....................*..............*.*.....*.........*.....*....
OTRBll
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
..*................................*.*...**.........*............
CONDITI0NS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. 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 advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furthermore. if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the ~Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of ~Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the ~owner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver.
it to the ~owner" prior to commencement.
E. CONTRACTOR' S/OWNER' S AFFIDAVIT
I certify that all the info~ation 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 or installation has commenced prior to issuance of a permit and that
all work will be perfo~ed to meet standards of all laws regulating construction. City
codes, zoning regulations. and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my responsibility to identify what actions I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*S.outhwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that. if fill material is to be used in Flood Zone "A" or "A,etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
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 thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work Is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be 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. JOBS UNDER
$2,500 IN iq 00 NOT N:J R RD AND POST A 'N:! rCEMENt lJf'
SIGNATU E: OWNER OR AGENT ' SIGNATU : CONTRI\.CTOR '-
STATE OF FLO~ STATE OF FLORIDC=~''s-.o
COUNTY OF ~1aO COUNTY OF ~
The foregoing instrument w~a. s cknowledged The foregoing instrument was c~nowledge~~
Before m~ this ~ qay-- ot ~ Z ' ~O"3 Before m th I!I ;:J,~ day of , ~~.:5
by .::S 4d-<<J.A1o-r, 4;.) a _ by
(name of person ackno"ledgedf
o who is personally known to me, or o,ho
'\ .0 who has produced 17 ?'L. tJ;3tJt7-7ff,y..?q~/-6 "-Jzf who. has
, (type of identification)
nd whoD did (r4t d not an 0 th. and
I ~~ .
(
. Bobbie Swetland
:'.' d:. lvi, C~M~~I~ # cqW~~lxPI~~
Name .'!} pr n diV12 pe
:'l,i';;Fl\-.~'~ BONDED THRU TROY FAIN INSURANC~ INC.
"!tlll'
Signature of person taking acknowledgm
",,~',j\~:::~ Bobbie Swetland
$~ '. :;~ MY COMMISSION 1/ CC893160 EXPIRES
Name
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T2ble A:
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'-wler
Sit<
PIER SPACING TABLE
16" >: 16"
3'
3000 psf
3500 psf
lSYJ" x"lSYJ"
20" x 20"
/ 7~X 2-S I'
26" >: 26"
4'
S'
8'
Shaded areas are at the maximum eight feet spacing.
FIGURE A
T
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HAX,
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FIGURE B
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BLOCKING (Single Tiered)
I,OeJrn (FrJme)
Wood Shims or olher maleriallppro\"Cd And limd by lhe dep3rlmcn! pursua.nllo Nics
15(-1.0105 An~ 15C.1.0106 (Wa' MI.'\imum)
CAp - 2' X S' l' 16' Pressure Treated Wood or other material approved and listed br Lhe
depJrlmCnl .
Celleu ConcrCle Oloe~
Ground Lnel
Foot~r or Pier Foundation
4' x 16' x 16' Solid (One Piece) or other nmerial 31lproved Ind listed by Lhe dep&llmelll
, '.
Sod and Organic Malerial Removed
BLOCKING (Double Tiered and Blocks Interfocked)
I-Ocam (Fr:llne)
Wood Shims or other material approved and listed by the depanment pursua.nIIO /\llcs
15C-1.0105 and ISC.\.OI06 (IV,' ML'\lmum)
(Option) Prcssure TICAted Plate 11" x I' x 16' Minimum)
Cap - 4' x 16'" 16' Solid B10el.: / .
2 _ 2" " S~ x 16' Pressure Tre:llcd Wood or Olher malerialapproved &rid liSled b~
the, dep:ll\Olent
(Option 2 - 4' x S' x 16') Must be perpendicular to I-Dnm
Celled Concrete Dlocl:
Ground Level
Fooler or Pier Foundalion
~. x 16' x 16' Solid Dlocl: lOne Piece) or olher material approved and listed by Lhe
d~pan/llenr _
Sod and Oralnie M;)lerinl Removed
II
C:)!l .
POCiffiT PENETROMETER TEST RESULTS
.
'..! .,r
"',1.
PROPERTY LOCATION:
Enw/et tJ
ff- LftF-/6;-
Test Location #1
/ I> (j 0 psf
X
Test Location #2
J 700 psf
X
Test Location #3
/7(j D psf
X
· Test the perimeter of the home at six (6) locations
.
Take the reading at the depth of the footer
t\
"S
--t-
.
Using 500 LB increment, take the lowest reading and round down to that
increment.
X
Test Location #4
C-. oil UlL k psf
X
Test Location #5
(<1./1 u~k psf
X
Test Location #6
(u,.,,(r--<..k psf
Soil bearing capacity used to determine pier layout:
\S-00 psf
I hereby certify that the above is a true and accurate representation of pocket penetrometer test
results taken by me at the above referenced location on 7 '2. \ 0 S
Month / Day / Year
S~4,^()~", Wc....L.
Name (please Print)
l..C~ IA cf.. u ~ A <--.c 5
Employer
AL
.
J~kl
Signature
a:\pocketpen. frm
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PHONE
(813) 788-0243 OR 782-5173
FAX (813) 782-7418
EMAIL: USARVSALES@CS.COM
}~
DATE
lD-~a-o'3
TYPE OF SALE
CASHD C.O.D.D
CONDITIONAL 0
SALES SALESMAN
~._...r
) ~ '11IIInItIII IU DELIVER
U.S.A. R.V. SALES
35350 Condominium Blvd.
Zephyrhills, Florida ~35~1
MDL#
M.D.O.B.# ~ /~~
F.D.L.#
F.D.O.B.# #/d~
BUYERS NAME . {, Q-rt:-
M.S.S.# r2. 'M"'-.JQ-:Jr:4 f~ U 0
F.S.S.# ~ fi5-d~r" 76b 9 L 0
PHONE 5\3-~S ~d-
u~~~, a:: ~ \.~ ~ S~t9-,-<:'le.r a~i"fc19
BUYERS ADDRESS ~ N"'l\ II f\ ~...l p",.-...,j '" ... Ib5 ~ '-\.5~ ..\4 \ lcl,-\-ev~Or/ve
-., . _\ .L .~t:" ? .7.. .run
A~ic~ESPURCHASED . LIST@ CASH PRICE TOT.
2004- S~ ~O-v"\< U "rL.. 0 ~ I1'\U- c.. "\ ~u."~ l5Z)
~.j uD ~JU" (\~ ~ VJ ~..._ I, ~-3 L-i- ~ IDe; F ~n.Q~ }(;\ L-o..~
d ~,...c ~ J\~ l^ -.\ ~O.1..D
~~ u--t~ _ I
:L \/......\ ~...... _.J-Al1 0 ~c)~~ 'DKWI..\....~~~t~-,
C'\ LL..1 - (g-\, - D 3 . .
\> \ 1'",," ~ \UI 'D~I/ -,~ of:.
aU ('(\ ~ ...L ~_9 "'~ ~JC
,^ Vi T-" ~. .. ^..\.. ~. ~~L 0 A ~ '-"'^-~ ~t:l ~
L'S::U 0( .NA IV\... ~ ~ ^.... b- 1"',,"1 r,.. t'! t 'AM. "..,J.. :,}.S ~O
~.~ ~ .l~~ -,~ 00
-
. .
ELECTRIC PLUGGED IN ONLY IF CORD REACHES AND MATCHES RECEPTACLE AT PARK. 12 WIDE PARK MODELS DO
NOT COME WITH GAS BOTTLES AND IS THE CUSTOMER'S RESPONSIBILITY TO GET FROM GAS COMPANY OF THEIR
CHOICE. ANY CODE PERMITS OR REQUIREMENTS DIFFERENT FROM ABOVE WILL BE ADDITIONALLY CHARGED TO
CUSTOMER OVER AND ABOVE SALES PRICE.
ALL SALES ARE TO BE PAID IN FULL WITHIN 72 HOURS OF SALE. ORDERED UNITS ARE TO BE PAID WITHIN 24 HOURS
OF ARRIVAL ON U.S.A. SALES LOT. NO UNIT IS TO BE PICKED UP OR DELIVERED UNTIL PAID IN FULL. AS OF MAY 23,
2002 DEPOSITS NOT REFUNDED.
U.S.A. RV SALES DOES NOT WARRANTY APPLIANCES. APPLIANCES ARE WARRANTED BY RESPECTIVE APPLIANCE
MANUFACTURER. ALL NEW UNITS WARRANTED BY MANUFACTURER. USED UNITS SOLD AS IS.
In consideration of the sum expressed after the words 'Balance Payable THIS IS A CONDITIONAL SALES CONTRACT CASH
In InstallmenlS' and the receipt and delivery 01 the merchandise to the BUYERS' PRICE .~~C\, D m
buyers as staled in Articles Purchased herein it is agreed as follows: NAMES SALES lID
1. Buyer will pay the full amount due in payments BUYER t;)Qqg
as shown DFIRST ADDTO DTERMS ADDRESS TAX
2. Until full payment is made, title to the TITLE - ,5 00
merchandise as stated in Artides Purchased. DSECOND o ACCOUNT CHANGEDCHANGED LICENSE
shaH remain in the seller. IMPACT FEES
3. The buyer will not sell, remove or encumber, PERMITS
in any way, this merchandise unless TERMS OF PAYMENT OTHER
with the written consent of the seller. CHARGES
4. Buyer assumes all rresponsibility for any TOTAL PURCHASE ~114~ ~z:
loss or damages to sold merchandise and PRICE
upon default of any payment or payments, the $ ON THE Down Pym't ,
seller, at his option, may declare the entire IN CASH
unpaid balance due, may retake the DAY OF 20_ TRADE-'IN '
merchandise, or allinn the sale and hold the
buyer liable for th.e full unpaid balance. $ EACH & EVERY. ,fl.'
5. This contract is subject to the approval of the PAYABLE AT C:O.D;. ;~.;'
seller's credit department and when accepted
shall be binding upon the heir, assigns and IQ Ii>OTALiOF'CREDITS .~ '1 ,~ ~
representative of the parties. There are no
agreements regarding it, other than these
mentioned above or attached in writing.
6, This order is not subject to cancellation or RECIEVED ABOVE ARTICLES IN GOOD CONDITION BALANCE 3> 3~~~ -n
deferment of shipping by the purchaser
I