HomeMy WebLinkAbout04-3182
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
3182
Permit Number: 3182
Permit Type: MOBILE HOME
Class of Work: MOBILE HOME SET-UP
Proposed Use: MOBILE HOME SUBDIVISION
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 6/22/2004
Total Fees: 3,315.50
Amount Paid: 3,315.50
Date Paid: 6/22/2004
--Work Desc: -M.H. SET UP ,
Address: 37419 ULL Y BEA AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block:' Section: .
Subdivision: GRAND HORIZONS
Parcel Number:
1_
Name: GRAND HORIZON
Address: 37419 LILLY BEA AVE
ZEPHYRHILLS, FL. 33542
Phone:
-~-----,--._~----
H
ACE AIR CONDITIONING & ELEC.
BUTTERFIELD MOBILE HOME SERVICE
ACE REFRIGERATION INC
H
MOBILE HOME SET-UP
MOBILE HOME MECHANICAL
MOBILE HOME TIFISUB 99%
WATER METER RES 3/4"
IRRIGATION CONNECTION
WATER CONNECTION MOBILE HC
MOBILE HOME PLUMBING
MOBILE HOME TIFISUB 1%
IRRIGATION METER
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FINAL
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-----.~----.--..--..~-~---~~-----.-.-_.__......L_.__~___.~__" _ --'--------._
REINSPEcnON 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
I-Thel"'yment oiinspection fees shall be made befor" any further pelTl1ils will be issued to the person owning same___ .
Complete Plans, Specifications and Fee Must Accompany Application.
- ._-~-------~ _~work shall beRerfo,"-medlr! accordance with City Codes and Ordinances
--- -- ---~---------- -- -- ------ ------ -
NO OCCUPANCY BEFORE C.O.
SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECE IVED
6 -/ <j -oC/
PHONE CONTACT FOR PERMITTING
OWNER'S NAME (,..ttt1IlJJ Horv-zo,v
JOBADDRESS..;J7C//? L,'/11 .I?-e;t l'Tu~
PHONE
LEGAL DESCRIPTION: LOT(S) BLOCK
SUBDIVISION (rIlH,vJ tf<.^/""f., ~,J
PARCEL ID #
(ORTAIN FROM PROPF.RTY TAX NOTICE)
WORK PROPSED: (JNEW CONSTRUCTION
(J SIGN
PROPOSED USE: (JSGL FAMILY DWELLING
(J COMMERCIAL
(J ADDITION
(J MOVE
(JALTERATION
(J DEMOLISH
(J REPAIR
(J INSTALL
(JMULTI-FAMILY
(J INDUSTRIAL
(J# OF UNITS
(J SWIMMING POOL
~ILE HOME
(J OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK ~, It.
J/ Kf(
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
(J BUILDING
(J ELECTRICAL
$
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
(J FLORIDA POWER
(J W.R.E.C.
(J PLUMBING
(J MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
(J GAS
(J ROOFING
(J SPECIALTY
(J OTHER
TYPE OF CONSTRUCTION: (J BLOCK
(J FRAME
(J STEEL
(J OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA(J YES (J NO
SIGNATURE
(~~~<~p
G()~CTORi$ECTIOlq'
. . .. CCMPANY F?..;ty1'./
STATE CERT OR REGIST #
BUILDER
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ELECTRICIAN ~
SIGNATURE LJ~P~
COMPANY J1 <: e....
STATE CERT OR REGIST #
******************************************************************
PLUMBER
SIGNATURE {~~p~
COMPANY x.'~k/ JiJ
STATE CERT OR REGIST #
MECHANICAL
******************************************************************
COMPANY ~ <:::::-
SIGNATURE
0-l ~_
/.~D
STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictionsH 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 SectionsH 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 GuideH prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "ownerH, I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "ownerH prior to conunencement.
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 conunenced 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 "AH or "A,etc.H, it is
understood that a drainage plan addressing a "compensating volumeH 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 conunenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned fora
period of six months after the time the work is conunenced. 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 VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENTH.
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
, 2~
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
, 20
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
C1ho is personally known to me, or
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Ddid [):iid not take an oath
Dwho has produced
(type
and wrioD did D did not
Signature of person taking acknowledgment
Signature of person taking acknowledgement
\..
Name typed, printed or stamped
Name typed, printed or stamped
. ----
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