HomeMy WebLinkAbout04-2691
CITY OF ZEPHYRHILLS
5335 -IITHSTREET )
~780-0020_..-/
MOBILE HOME SET-UP
Q
Permit Number: 2691 Address: 3523 ALABASTER
Permit Type: MOBILE HOME ZEPHYRHILLS, FL
Class of Work: PARK MODEL SET-UP Township: Range: Book:
Proposed Use: MOBILE HOME PARK Lot(s): Block: Section:
Sqtlare Feet: Subdivision: EMERALD POINTE
Est. Value: Parcel Number:
Improv. Cost:
Date Issued: 1/29/2004 i Name: SINGER
Totail Fees: 175.00 I Address: 3523 ALABASTER
Amount Paid: 175.00 ZEPHYRHILLS, FL. 33542
Date Paid: ,1/29/2004 ,,' J Phone:
---Wor'~Desc: PARK MODEL SET UP---- --~-'---.--------.-------~--
DOLPHIN AIR SYSTEMS
DOLPHIN ENTERPRISES INC
E L
MOBILE HOME MECHANICAL
-up
MOBILE HOME PLUMBING
-------------_.,--------'-----------_.._----~-.__.-'-----._----,--------._-_._-~--._---~--"....-
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
i (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
1_,.h~~ClYm~rlt_ofinsp~~ion f~~_shall be m~<:I~l:leforeany further permits will beissu~d to tile p_~rson owl1ing_ sam~ __ .
Complete Plans, Specifications and Fee Must Accompany Application.
,. __All w()...~~i:llLbe perforn:!ed .!'1~~~on:lance wit~, City Code_s ancl..Or<:linance~______
NO OCCUPANCY BEFORE C.O.
----- -- --.--..-------..-- -----.--.--.---.----.---- ._- .-----.. ----,- ----,. ---.------.------..--.....-
~
CONTRACTORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TA st, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
DATE RECEIVED
/- c2-~-Df
,
PHONE CONTACT FOR PERMITTING '71 y- C;/ .)1
OWNER'S NAME S'.Il ~/
JOB ADDRESS .> J ;2J fa.. ~5~' L-t (2~
LEGAL DESCRIPTION: LOT (8) BLOCK SUBDIVISION t../J'1-(,.<.,IJ tfPf
PARCEL ID # dY- 2h- 2(-() U Y O'()0 DO U ~/Z5. 90BTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ~NEW CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR ft'INSTALL
PHONE ')? t - () '2 yy
Os I GN o MOVE 0 DEMOLISH
PROPOSED USE:~SGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS mMOBILE HOME
o COMMERC IAL o INDUSTRIAL o SWIMMING POOL o OTHER
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK ;{ (J /or J ;W6~ / Ie! v/
BUILDING SIZE / Y X $ J- SQUARE FOOTAGE S-'0 C>
HEIGHT
/ 3 ~-bl/
RESIDENTIAL: ATTACH (2) PI,OT PLANS & (2) SETS OF BUUDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUUDI.NG PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~~~~ING
$
12 c :J
/j ~
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
]g. ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o
W.R.E.C.
I2K PLUMBING
0(, MECHAN I CA,L
$
/Iu J
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK .R" FRAME
FINISHED FLOOR ELEVATIONS 3:{~ S 2 v
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE AREAO YES
,t&r NO
SIGNATURE
~
<<A'
COMPANY SqU { w~~
STATE CERT OR REGIST # :I J 0 2:.0u.h oyf
,
BUILDER
SIGNATURE
* **************************************
COMPANY A f1h,'l K~t~-;Je S
STATE CERT OR REGIST # G/L tJ o {)OSS-{.,
******************************************************************
PLUMBER
/tt-
4LJ
COMPANY If 5t4- It u S q 6. .\
STATE CERT OR REGIST # II-/-u:::'::::'::::'6a ,Y
SIGNATURE
SIGNATURE
* * * * * * * * * * * * * * * * * * * * * * * * * *Jtt * * * * * *)'-? J:.. -
COMPANY {Jot tJG7'''1 H-r'x ~~ '#tS-!,<~
STATE CERT O~ REGIST # eM OJ-7 ~l f
MECHANICAL
*****************************************************************
OTHER
COMPAN'L--
SIGNATURE
STATE CERT OR REGIST #
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, 813-780-0020.
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 ZephyrhiJls.
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 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 commenced 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 Sensitive
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 if I the State of Florida prior to penuit
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, SOjIO NO!j:7CORD AND POST A "NOTIL OF COMM7J:t
SIGNATURE' OWNER OR AGENT SIG~E' CONTRACTOR
STATE OF FLOD~ STATE OF FLORIDA '~
COUNTY OF T:,~-~<V? COUNTY OF./ a.-5 4J
The foregoing instrument was acknowledged The foregoing instrument wa~cknowledged .1/
Before n~ ,phis -:z.b- djiY) o~ ' 20kl/ Before ~meApis d2.L.z-dB.)1 .o~--- , 2ll~
by r ~d.../J44:t4:11rJL, ~ by ~~IIJ't{ tL.Lrg--
(name of person acknowledged) (name of person acKnowledged)
Dwho is personally known to me, or C1ho is personally known to me, or
llJ...t:iho has producedr/ j).L ~j,~tJtJ-7RJj-'/'f~.::2,b7-0
(type of identification)
a,f)d/0h0EfdI9 ,~i~ n~,t(! "tak~ aD oa,th,
(,"'~;py~. y~51PMJ"
Signature of person~aking acknowledgement
~~ has producedFf. ./)L. tJ5tJt)., ?fl1-7.5)5(-o
"__ (typer'C)f identification)
~nd", W,hODdJ) . ~id n~Veke/~:r
'. ,.,j~~' L/..;/ --(dUd: "
Signature of person taking acknowledgment
~"""'"
Name Gi~IY~' print~b~iW~~~~Qed
N :.~ MY COMMISSION I CC893160 1XPIRES
"4'. ':;:l February 22, 2004
";f.';,9f.,1~~" GONDEO THRU TROY FAIN INSURANC~ INC.
Nam~= /_ MVroMMlsSlSRl#~93~ fjBli#:l,d
'~i-., ..~ February n 200,l
"P.r.,~~" J' lNDED THRU TP.(lY FAIN INSUR," ",~ .K
3S d 3 Alo....bCL~
U.S.A. R. V. SALES
35350 Condominimum Blvd.
Zephyrhills, FL 3354 J
~
PHONE:
(813) 788-0243 OR (813) 782-5173
. FAX: (813) 782-7418
<4t>'1 ~MAIL: USARVSALES@CS.COM
~#,~5-~3Cc
MDL#
DATE ~
1-14-0
TYPE OF SALE -.
CASH D C,O.D, D
CONDITIONAL D
SALES SALESMAN
WHEN TO DELIVER
M.D.O,B # M.S.S, # U D
F,DL # F.S,S, # , L D
F.D.O.B.# --u--- (HO~E~13-~bS i3 ~ R 0
BUYERS NAME ~ -.e c2 ~ ~ \
BUYERSADDRESskt") J:~oJJ.d 'rt z- ~ ~V S~ 0
ARTICLES PURCHASED LIST @ CASH PRICE TOT.
1. All sales are final. To be paid in full within 72 hours of sale - unless written otherwise upon
sales contract.
2, No cancellation on ordered units per phone order or conditional sales contract signature,
3, Deposits not refunded as of May 23, 2002,
4. USA RV Sales not responsible for delay caused by manufacturer, permits, weather or any
other cause beyond dealers control.
5, Any code permit requirements other than code of Pasco County will be charged above and
beyond sales price,
6. Appliances warranty by respective appliance manufacturer, Customer responsible to call
appliance dealer not USA RV Sales.
7, New Units warranty through manufacturer not USA RV Sales, USA RV Sales not
responsibl$ for condition or warranty of new units.
8, Used units 'sold as is. No warranty.
9. Trade In condition expected to be original factory equipped - clean, good, everything
properly working and ready to sell condition. If trade is misrepresented, customer is
responsibl~ to pay all costs to bring trade to expected condition.
CASH
PRICE
SALES
TAX
TITLE
LICENSE
IMPACT FEES
PERMITS
OTHER
CHARGES
TOTAL PURCHASE
PRICE
Down Pym't
IN CASH
TRADE -IN
C,O,D,
o
-
Purchaser
TOTAL OF CREDITS
Coon
Co-Purchaser
BALANCE
f'1 C'r .'S> f6\' c..; {) "
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cPy oJ6 ,21 a(j$lo OUO()O l2.sa
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COMPLY WInl ALL
ES, FLORIDA BUll.DING
ELECT'RlCCODEM'r
U-HLLS ORDNANcrc-:
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Pocket Penetrometer Test
Jo~:) :::>
~0 :.:.a
LU ~C)
t~
* Test the perimeter of the home at six (6) locations
*Take the readi!'g at the depth of the footer
*Using 500 Ib increments, take the lowest reading and
Round down to that increment
L0:>~
,'2-000
:2-u ~ u
. ( (ovl cJ~ +-(?
Test locations
This site rounded down to )6vo ,pst
/:U~
.-. Signature
* The minimum distance between the finished grade under all new and
used mobile/manufactured homes and the bottom of the I-beam shall
be 18". Where the grade is sloped, 250/0 of the lowest member of the
main frame may be set below 18"; however, under no circumstances
l1Iay the bottom of the I-beam be set below 12" from the finished
grade. ' ,
* Concrete pads or foundations shall be a minimum of 2,500 P$f.
* Plastic pads or foundations shall be tested in the lower 500/0 of each
soil class.
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. .---L :.:::~.:::;.;: ;::; . =:::::::::::--- 'Celled eonae.. block
' --------~ *Ground level
'-......... ~ *Footer or Pier foundation
4" X 10" X 10" Solid (One Piece) or
Other material apProved and listed
By th~ department
'.
Load Bearing
~:~
2000 psr \
2500 psF
t
. Figure B
\J'
"AC.
Figure C
14,
~~.~\<,~~':. ',.,:,
,....~
Pier Spacing Ta1Jle':",~"._~
~t,
15" x 16" 18 1/2" x 18 'I.~" ,:Zf)~x 20" 26" x 26"
3' 4' 5' 8'
--
4'6" ~6'V' 7'
6'
7'6"
~-
BlOcking (Single Tiered)
*I-Beam (Frame)
*Wood shims or other material
aPProved by the department
pursuant to rules 1Sc-l.010S and
lSc-l.010G (11/2 MaXimum) .
*Cap 2'" x 8'" x 10'" PressuJ"C Treated
Wood Or other materlill ilpproved
and listed by the department
*Sod and organic material removed
BlOcking (Double Tiered)
*I-Beam (Frame)
*Wood shims or other material
apProved by the department
pursuant to rules lSC-1.010S and
lSc-l.0106 (11/2 MaXimum)
*(Optlon) Pressure treated Plate
*Cap 4" X 10" X 10" Solid block
2 2" x 8" X 10" Pressure treated
WOOd or other material apProved
And listed by the department
Option 2 (4'" x 8'" x 10'") must be
PerpendiCUlar to I-beam
*Cel/cd concrete block
-Ground level
"'Footer or PIer foundation
4'" X 16" x 16" Solid (One Piece) or
Other material apProved and listed
By the department
*Sod and organic material removed
I-Beam Frame Attachment
*MaxJmum Mechanical Height AdjuSbnent
*MaxJmum HeJght Under I-8eam
*Ground Level
* FOoter or PIer fOUndation
*4" X 16'" X 16" solid (One piece)
"SOd and organic material remoVed
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