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Home My WebLink About04-2667 I -I CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 MOBILE HOME SET-UP 2667 Permit Number: 2667 Permit Type: MOBILE HOME Class of Work: MOBILE HOME SET-UP Proposed Use: MOBILE HOME PARK Square Feet: Est. Value: Improv. Cost: 1,800.00 Date Issued: 1/23/2004 Totall Fees: 175.00 Amount Paid: 175.00 Date Paid: 1/23/2004 "-Wor Desc: MOBILE HOME REPLACEMENT Address: 6135 PEARL ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: WILLIAM ZACK Address: 6135 PEARL ST ZEPHYRHILLS, FL. 33542 Phone: ENVIROMENTAL CONTRACTORS ENVIRONMeNTAL CONTRACTORS 35.00 I MOBILE HOME PLUMB'NG 1f o/?ft'rp,,~! 1p:</3 I I h : ., 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 _l"he _PClymentof inspectio~ fees ~h~~~_ maQ~_ before any further permits will be issued to the person ~wnin9. same__ _ -:&- - II Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances -..,---.---.., ----- '-,r-....---.- .---..----,---.-, // NO OCCUPANCY BEFORE C.O. -- -~o~ .. ..... . r~~MITOFFI- CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ') /C(rv y (f7/t/h JjJ I;X 1.2- If).:d /30D (P/35. pe,I+~L sf. 3B;'~c:L CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-'0021 (, DATE RECEIVED //j)..FDL PHONE CONTACT FOR PERMITTING;::~-7/ttJt.1/- 2aC~ PHONE 71-3..:- 7i1;J. -C9DJ y- ~ L-f.rhvrh,Jf)J Fe ~3Q<.fc1 !F"C , BLOCK R=fl~/ Sf SUBDIVISION L"cK'.J' 011KSJJf! (YtIHP tO~ OO,,1,OO~ OO( 0 IOBT-P>.IN FROM PROPERTY TAX NOTICE) G y1{'f~~T') IN o ADDITION OALTERATION o REPAIR JiINSTALL o MOVE o DEMOLISH LING O~1ULT I - FAMIL Y o INDUSTRIAL 0# OF UNITS o SWIMMING POOL KlMOBILE HOME o OTHER o COMMERCIAL c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK mob; I P. ho me se.t up BUILDING SIZE ,/8')( ;;1..1 SQUARE FOOTAGE 51(, I Ii )/ 9 Jove.. V-o ,,(jaM ~ ~ 8' HEIGHj~Wl17 1'u i;.,,( I} & (1) SET ENERGY FORMS. FORMS. RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. 1& BUILDING o ELECTRICAl, $ 1800 ~i1 /{O o PERMITS REQUESTED VALUATION OF TOTAL CONSTRUCTION AMP SERVICE ~ FLORIDA POWER o W.R.E.C. l51 PLUMBiING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL g] OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES 0 NO L__~_l.,__.._"____ BUILDER k{ C()NTRAC~:a:~5S'UCm:'.()N ] ,.,' ',' .,' '.' . ....,'/ ..'C:::'Y-~ ~~1.-:--7-;;:;~~-:7~~J-_i~7_=;;p 7:,~ . I r STATE CERT OR REGIST # J}/J,!OO tjt 7 SIGNATURE ****************************************************************** ELECTRICIAN SIGNATURE ~~1 ~ (f COMPANY E ,<.J iJ J f..o A) At? e ;t} 7 # L M UT STATE CERT OR REGIST # E tlc()/ )"5 f~ crk I/- *********************************************************** PLUMBER COMPANY ?d\ft-- ,7;a"s/hrl ~11) .Je,/~t/} "4c. . STATE CERT OR REGIST # f!l~(/Odrtf'l MECHAN1CAL ****************************************************************** COMPANY SIGNATURE STATE CERT OR REGIST # ***************************************************************** OTHER COMPANY SIGNATURE STATE C A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be may be more restrictive than City regulations. The 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, 813-780-0020. 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 indica~ion 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 corrunencement. E. 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 indicated. I certify that no work or installation has corrunenced prior to issuance of a permit and that all work will be performed 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 Sensi.live Lands, Water/Wastewater Treatment *Southwest 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 corrunenced v,ithin 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 corrunenced. 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 COMMENCE[VjENT 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 .1 , $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOT)teE OF COMMENCEMENT". / ;I~ subject to "deed restrictions" which undersigned assumes responsibility for ( fJ dJe,,,,,,, l r& d SIGNATURE: OWNER 0 ENT STATE OF F~~ COUNTY OF The foregoing \' n trument vias ackno\'ilerlged Before me this L- day of::J()..J(\ , 20'bY by 'IV, \\ c:; . (name of person acknowledged) Owho is personally known to me, or CONTRACTOR STATE OF FLORIDA ,'~ CO U N T Y 0 F \.L... - a..7i:7U The foregoing instrument ,va~" cknow1.edged;/ Bef2E-~ this day of .' -1< , 2CIJ~ by c:.-..q6 , (name of rson acknowledged) Qho is personally known to me, or ~who has produced FL ctL.l.dN.J~;)~-J~-/d-1 L/ (type of identification) ~~~anttlL Signature of person taking acknowledgement E'{V\.~ \j -=ro.Ct-::'Dh Signature of person taking acknowledgment "'''''''' Bobbie Swetland {~~' r~,-: MY COMMISSION /# CC893\60 EXPIRE~ \. ...../~ YP@~roT ,I U~E, ilJl:arnped '.;r?flt'~~ 3 -- /5) ,. i1.5 .... " ~ f'..... . - ~ SHf1LL Wlll-1N Y>rlN A.{,t'ilh1UJt1 I o{-r ~ li.l &~,s~<lI1'f 6 ~ I " \:) ~ .' ,. 'I'." . . .''''~lJAL \ ~L ,.UJ.U'\..uJ.lii..J...............,,'--/..~..,&..., \owlJ. 1 L r'RE AlLING CODES, FLO:uDA B CODE, NATIONAL ELECfRlCCODEAN" CITY OF ZEPHYRHP_LS ORDINANCE" ;'3'1 4-0 41 ,,' d..~ .). /, " 31 3'" ~1 .:ur 31 ~, , B ... ra .... 5+.. .' ,',- f3 . . D /. 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