HomeMy WebLinkAbout05-3740
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813}780-0020
MOBILE HOME SET-UP
3740
Permit Number: 3740
Permit Type: MOBILE HOME
Class of Work: MOBILE HOME SET-UP
Proposed Use: MOBILE HOME PARK
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 1/07/2005
Total Fees: 175.00
Amount Paid: 175.00
Date Paid: 1/07/2005
Work Desc: REPLACING MOBILE HOME
Address: 6063 RIDGEWAY DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: ZEPHYR RIDGE
Parcel Number:
Name: ALAN MILES
Address: 6063 RIDGEWAY DR
ZEPHYRHILLS, FL. 33542
Phone:
JAMES 0 MORTON ELECTRIC CO., INC. MOBILE HOME MECHANICAL
GATOR TRANSPORT
BAHR'S PROPANE GAS & AlC, INC.
L H T-
MOBILE HOME PLUMBING
40.00
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10 .y ')}JAtl.t- LY
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
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
NO OCCUPANCY BEFORE C.O.
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CONTRACTORS SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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APPLICATIOU FOR PERMIT
CITY OF ~:PHYRHILLS
BUILDING DEPARTMENT
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m'lNER' S NAJl.JE L;' fi 1'1 n Ii'. I./JS'
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JOB ADDRESS LoOw 3 '/J~/(lqeuJQJ.{
LEGAL DESCRIPTION: LOT(S) tf'7 I
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DATE RECEIVED 1/- / ~ - (J y
PLANS REVIEW FEE
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PARCEL 10 ff 03---d-..61-;}J-OI30-0{)()a)-OCf70
IOBTATN FROM PROPERTY TAX NOTICEl
WORK PROPSED: [JNEW CONSTRUCTION
o ADDITION
DALTERATION
o REPAIR
o INSTALL
0::; I GN
o MOVE
o DEMOLI SH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
ri'MOBILE HOM
o OTHER
BUILDING SIZE
c:J RESTAU~~T & HEALTH DEPARTMENT APPROVAL
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WORK K-eO:Q(1) YlGj (110 ~);.-E ~on'7 '€..
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-- v ..' f.LIv SQUARE FOOTAGE i '... '.J
HEIGHT
DESCRIPTION Of'
HF.SI DENTI AI.:
COMNfmCIAL:
ATTACH (2) PLO'l' PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY F'onMS.
ATTACH (3) SETS O~ BUILDING PLANS & (1) SET ENERGY FORMS.
PROPER']'Y SURVEY REQUIRED E'OH ALL NE:W CONSTRUC'l'ION.,'l" .. !
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VALUATION OF TOTAL CONSTRUCTION (/! 1. ID,
;15,&0
~
$
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PERMITS REQUESTED
.f"
g' 8UILDING
/
(1} ELECTRICAL
AMP SERVICE
o
FLORIDA POWER
'0
W.R.E.C.
BpLUMBING
iB' MECHANI CAL
$
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VALUATION OF MECHANCIAL
TYPE OF CONSTRUC'rION: 0 BLOCK
o FRAME
o STEEL
INSTALLATION t,lO
~)<1(#
o GAS
o ROOF'ING
o SPECIALTY
o OTHER
o OTHER
FIN1SHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
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BUILDER
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COMPANY (51 {"..L:~,t) r /raf!)~
STATE CERT OR REGIST #.
CITY PROCESSING
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SfGHATURE
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ELECTR:!CIAN, 1 1 COMPANY -i . _. \ - ~..J it' (! ~I G
t >~ "/ h' /l L/ / /fLn - _ STATE CERT OR REGIST H ~ r ~ ~. . ~.
SIGNATURE 1\ c,r l':r" P'=2!..L-<A.. / / "vcrr-.. CITY PROCESSING # _ _~ _
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SIGNATURE /(~-"L'i~J{ . feLl,
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COMP ANy;)6. /1') r "/r..,; ll.!!'. 0 ,:) y""
STATE CERT OR REGIST # ::/",;.'t)o/)O </.:;: '7
CITY PROCESSING 1#
PLUMBER
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l.tECHANlCAL "\ COMPANY /~J"" <: ..1..,,,/' (.:... . J/
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SIGNATURE /C;'7'[;f,tCIl&. -;/ / /."'&-#/'-. CITY PROCESSING It
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OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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!:ONDl'l'.LONS f.lIe PE,;).Ml'I' AF/oID.'":i::.'~'
.~\. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perwit. may be su;:je.:~t. to "'deed .::esl:r:i,::t:.i.,'ns': ,,1:\-::1;
may be more restrictive than City regulations. 'I'h.~ uncersig;led asswnes respOi:sU;;J.i 1'" for
compliance with any ~pplicable deed restr1ctions.
B. UNLICC:NSEp CONTRACTORS AND CONTRl\CTOR RESPONSIBTLI1'IES
If the owner has hired a contractor O.r: contractors to undertak":! "'od~, they may b", n;!q'J.i..red.
Lo 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 [or;) misdcmeclilol
violation under state law. If the mvner or intended contractor are uncertain ':'5 to \1/;31:
licensing requirements may apply for the intended '''lOrl:, they are ad,,:i.:~ed tel c0ntact the
City of Zephyrhills Building Department, 813-785-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor (s) sign portions of the "Contractor Sect:j.ons'" of this application fG~ Ir:hich Ull'Y_
will be responsible. If you, as the owner 51gn5 as the contr~ctor, you are indicatillg that
you, rather than the contractor, are responsible for t.ne 1tlOrk. I f the contraccor wishes
you to sign as contractor that may be an ir!dicatic.n that he is not. properly licensed rtnd .~~
not entitled to permitting privileges in the City of 'Z.ephyrhills.
C. TRANSPORTATION IM.PACT FEES AND UTIl,ITY CONNECTION E'EES
D. CONSTRUCTUION LIEN LAW (CRAPTf~R 7L~, FLOP.IDA S'I'I-\TOTE:S, AS AMeNDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide" pre;:>ared by the Florida Depa rtment ct l\gricul ture
and Consumer Affairs. If the applicant i.s someorle othel: that the "owner", 'r '.'eri t.y thi:lL I
have obtained a copy of the above described document and promise in go::>d b i th to (leL~ ve[
it to the "owner" prior to commencement.
E. CONTRACTOR' S/OWNER' S AFFIDAVIT
I certify that all the information in this application is
be done in compliance with all applicdble la1tlS regl:lating
development.
Application is hereby made to obtain a permit to do work and installalion as indicated. I
certify that no work or installation has commenced prior to issuance of a permit al:d that
all work will be performed to meet standards of all laws regulating construction, C).t',:
codes, zoning regulations, and land dev'elopment regulations in the jurisdiction. ] ,1150
certify that I understand that the regulat i.ons at othe.r governmental agencip.s lIlay appl:i 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, !fletland Areas and E~\vironmenti~.lly Sensi ti -12
Lands, Water/Wastewater Treatmer-t
*Southwest Florida Water Management District-Wells, Cypress Bayheads, ~ei::la,~d Area.';,
Altering Watii'rcourses
*Army Corps of Engineers-Seawalls, DOCKS, Navigable Waterways
*Department of Health & Rehabilitative Servicl;!s, Enviromr.ental 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,et~.~, it is
understood that a drainage plan addressing a "'conpensating volume" will be sUDnLi.tted "/hj ch
is prepared by a profr.!ssional engineer registered in the State of Florida prior to per.mit
issuance.
A permit issued shall be construed to be a license to proceed \~i th t:he \-lOrl;: i'dl'J. l1':;t as
authority to violate, cancel, alter, or set aside any provisiollS of ~he technical cod~s,
nor shall issuance of a permit prevent the Building Official from thereaftei: requiring <I
correction of errors in plans, construction, or violations of any code. Every permIt
issued shall become invalid unless the \oJ::>.::k authorized by such permit is cOllunenced 1tlitbin
six months of issuance, or if work authocized by the per~t is suspended or abandoned tor ,~
period of six months after the time the work is conunenced. One 90 day exten:~ion of t.ime
lllay be allowed for the permit with fee charge of $15.00. The extension shall be requestf.-d.
in writing to the Building Official. 1m approved inspection must be logged during '~<v:h s1:r
Inonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD 1\ NOTICE OF COMHENCE,>1ENT MAY RESULT ; N YOUf~
PAYING TWICE FOR IMPROVEMENTS TO YauP. PHOPEll.TY. IF YOU INTEND TO OBTAIN FIfJAN'~ING, C0WW]/!'
WITH YOUR LENDER OR AN ATTORNEY BEEURE RECORDING Y~UR NOTICE O~ CO~~ENCK~ENT. JOtl~ UNDEP
$2:9,00 IN VALUE DO NOT NEED TO RECORD AND POST A "NO'rICE OF COHMEI;J-CEMENT".
accurate and tha t. <11.1
construction, z')ning,
.wrk \-,j}.l
and l.alld
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SIGNATURE: OWNER OR AGENT
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SIGW\T\JRE: CONTRACTOR
STATE OF f.L~I ~J:\
- COUNTY OF ,t<.:::> C-lJ
The foregoing instrument wa~ ackno~ledged .
Before me this ! I ~ day of ND \fe..r\r\. i?f;'.Y'Jt!J~L/
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by ,,(:) ~'\ tA.A, VV'1 fJ 0 "'--
./(name of person acknowledged)
Gf~ho is personally known to me, or
STATE OF ["LORi D,1\-I'
COUl,JTY OF _ i'-'Cf..S ~8 .---.-
The forego1nCj inst~ent was ,ackno}'J1edged
Befor~ me this ~day of 1ILt'tN!/'Yll:Jev, ~ f?t7t!J'f
by (>01'1Vl.u. f21cOJr-
_ (name of person acknowledgedl
E2(ho is pers0n;:~1.1y known to me., or
cknowledgemen i:
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(type of identjfic~t~onl
and who Odid [)::lid net take an Ooth
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take an oath.
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