HomeMy WebLinkAbout05-3745
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
3745
Permit Number: 3745
Permit Type: MOBILE HOME
Class of Work: MOBILE HOME SET-UP
Proposed Use: MOBILE HOME PARK
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 1/10/2005
Total Fees: 1,946.23
Amount Paid: 1,946.23
Date Paid: 1/10/2005
Work Desc: M.H. SET UP
Address: 38756 VULCAN CIR.
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: VILLAGE GROVE
Parcel Number:
G RARD PIERR
38756 VULCAN CIR.
ZEPHYRHILLS, FL. 33542
Phone:
NG
LILLEY AIR CONDITIONING INC.
HARRY'S MOBILE HOME MOVING
LILLEY AIR CONDITIONING. INC.
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MOBILE HOME SET-UP
MOBILE HOME MECHANICAL
WATER METER RES 3/4"
E
WATER CONNECTION MOBILE He
MOBILE HOME PLUMBING
PARK FEES MH
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209.50
40.00
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REINSPECTION 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 OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
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APPROV~'- U
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APPLICATION FOR PERMIT
CITY OF ZJ~l?HYRRILLS
BUILDING DEPARTMENT
DATB RECEIVED d It I 05
PLANS REVIEW FEE
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m'INER'S NAJl.JE "..-, { r ("t.- r a
JOB ADDRESS-3't75 ""-ItA
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~UBDIVISION Vtlla..s~ (Drove r/ii:J-d.
LEGAL DESCRIPTION: LOT(S) f(;/ BLOCK 6
PARCEL 10 ff O;)-di.c-aJ- 0 01 D-oOOOD~ 0(0 1/
(OBTAIN FROM PROPERTY TAX NOTTCEl
vWRK PROPSED: ONEW CONSTRUCTION
o ADDITION
o Al,TERATION
o REPAI R
o INSTALL
Os I GN
o HOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
~OBILE HOME
o OTHER
BUIl~DING SIZE
c:JRESTAU~~~ & HEALTH DEPARTM~~T APPROVAL
New /~1ob/ Ie tIofYt€ ~P;QCefne 11 i-
I </ X' 5 :2 SQUARE FOOTAGE '7/0
HEIGHT
DESCRIPTION OF WORK
RES I DENTI ,lHo:
COMl.mRCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY f'OHMS.
J\TTACH (3) SETS 01.<' BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED f'OR Al.L NEW CONSTRUCTION.
o GAS
o ROOF'ING
PERMITS REQUESTED
$ /0{ 000 VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE 0 FLORIDA POWER '0 W.R.E.C.
1'500.00 ~
$ VALUATION OF MECHANCIAL INSTALLATION ::M '314
o SPECIALTY 0 OTHER
rgI BlIILDING
0" El.ECTRICAL
[g'" PLUMBING
[g""~ECHAN I CAL
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FIN1SHED FLOOR ELEVATIONS
I S PROJECT IN FLOOD ZONE AREAo YES
o NO
C G~TQt{{~$iCTJ:ON ?U(U I S
BUILDER/ -- ' . .,'. .... ~OMPAN~;+()..f(~ S fYJDb~)e {,km~%~{.e L~
s r GHA'~ l-~~'-AmtJ1J>- ~~*~E P~~~~S~~N~E~I ST #. ::t:}.Iooo co 8'1
***********.********k*********************************************
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ELECTRf'iAN { VI
SIGNA'r~- UL'1rJ<h--
COMPANY lv' /I~ E/ec:h- Ie
STATE CERT OR REGIST # cR 0 c 1.5 73
CITY PROCESSING #
PLUMBER ._ ~
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k~**+*~*********..~***********k*****************k***************** Ia~r~-
~l 'l i/:t; I.l)"--purll's
COMPANY rr O' .p t'Vl e r 'OuerS
STATE CERT OR REGIST # ;:r.Hoocoo ffl
CITY PROCESSING #
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~~ ,'--fl//},..., STATE CERT OR REGIST It CRCo /o9tJJ 7
31GN^TliRE~Al-("A- I ~ CITY PROCESSING #
******~***************A********.****~********************_~*******
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
**.*********************~k****~****k******k*********************.
,:OND1T:tONS c)F PE".Ml'!:, J\r."l;).~':.i:~ '.'
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands thar. thie permit may be sub jnc" to "deed ,estd.,ti,.ns" ~"'oh
may be more restrictive than City regularions. 'rhe unciersigu~i ass.....s responsil>" i', for
compliance with any appli.cable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contraCtors to underrake .ork, they may he req"',e"
to be licensed ~"n accordance with state and local Legulations. If the contracto;: is not
licensed as required by law, both the owner and cont.ractor may be cited for: il misdemeanor
violation under state law. If the o~,mer or intended contractor are uncertain d5 to ul;:!.\:
licensing requirements may apply for the inl.ended wor1~, they a1:e adv.l.:"ed to conti.\ct the
city of Zephyrhills Building Department, 613-78f.-6611-
Furthermore, if the owner has hired a contracror or contractors, he is advised to have the
contractor (s) sign portions of the "Contractor Sections'.' of this appli.catiolt to:: which they_
will be responsible. If you, as the owne-r signs a<;; the contractor, you are .indica':iuy that:
you, rather than the contractor, are responsihle for the work. If the contractor wishes
you to sign as contractor that may be an indication that he is not propedy licensed and .,"
not entitled to permitting privileges in the Cit.y of '!.ephYlhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY cotmZCTl0N 'E'EES
D. CONSTRUCTUION LIEN LAW (CHAPTf~R 713, FLOP.IDA S'l'j.\TUTES, AS AMeNDED)
I certify that I, the applicant, have been provided \-lith a copy of "Florida' s CC!ls:~r'.lct:iljn
lien Law _ Homeowner's Protection Guideu pre~ared by the Florida Department cf hgriculture
and Consumer Affairs. It the applicant is someone othel: that. the "owneru, 'i cerlt',' thCll 1
have obtained a copy of the .above described document and promise in good [;\1 th tc (!eLc veJ:
it to the "owneru prior to commencement.
E. CONTRACTOR' S/OWNER' S AFFIDAV!'l'
1 certify that all the information in thi5 applicat.i.on is accurate and that ill1 W0r1~ HLil
be done in compliance with all applic;'lble laws regl.:lating construction, 2:')ning, and l.alld
development.
Appli ca t ion is he reby ,..de to ob ta i n a pc rmi t to do wo r k and ins ta 11 a l ion as i "di ca red. J
certify that no work or installation has commenced prior to issuance of a permit al:d tha'c
all work will be performed to meet standards of nll laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. ] also
certify that I understand that the regulat ions of other governmental agencies may CJppl~' to
the intended work, and that it is my re?ponsibility to identify what actions I I,~ust tc.ke t.o
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-cypress Bayheads, wetland Areas and E~vironmentally Sensiti-e
Lands, Water/Wastewater Treatmep.t
*Southwest Florida Water Management District-Wells, Cypress Bayheads, \'i(~i:lal~d Areas,
Altering Wati.rcourses
*Army Corps of Engineers-seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-WI:!lls,
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 "AU or ~A,etc-~, it is
understood that a drainage plan addressing a ..'conpensating volumeu will be submitted '-Ihi ch
is prepared by a prof~ssional engineer registered in the state of Florida prior to permit
issuance.
A permit issued shall be construed to be a license to proceed with \:he work and n-:;t as
authority to violate, cancel, alter, or set aside a~y provisions of ~he technical cod~s,
nor shall issuance of a permit prevent the Building Official from thereafter requiring CI
correction of errors in plans, construction, or violations of any code. Every pennlL
issued shall become invalid unless the \-Iork authorized by such permit. is commenced wit.bin
six months of issuance, or if work authorized by the pe~t is suspended ~r abandoned tor "
period of six months after the time the work is conunenced. One 90 day extenzion of time
may be allowed for the permit with fee charge of $15.00. The extension shall be req~est~,J
in writing to the Building Official. ?J1 approved inspection must be logged. during eac:h s.i.~
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUH FAILURE TO RECORD A NO'l'ICE OF COHMEllCEi"!ENT MAY RESUJ~'r ~ N "(OUi{
PAYING TWICE FOR IMPROVEMENTS TO YOUF PROPERTY. _;U:._.:'l...OU INTEND TO OB'l'AIN ~'IUAN~IHG, C0HSU1;r
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORD~G Y0UR1NOTICE OF CO~~ENC~ENT. JOB2 UNDEP
..- /'
('~'2,500 N VALUE,? NO'!' NEE"?TO RECORD AND pc",~9~
.3 I GN1\'rURE: COHTAAC'I'OR
.S'l'ATE OF ~r,IDA~
COUNTY OF f) V"I .
The foregoing ins~.rument wa~ckn.owledge~l .
B e me thiv ~- day of (U't.1,.U:.t.A"j, .:uvs
by V
(name of person acknowledged)
who is personally known to me, or
STATE OF ~-LOIU DArt ,I
COUH'l'Y OF _ r 0 r \ ctu....
The foregoing ins~ment w~aclmO\-lledged_
BefoL:)e this 9- day of o..,~, JIJ,;UJ17~
by n 1II V\D....]Z'Vm e r- ---
~ (name of person acknowledg~dl
~ho is personal1.y kno,","Il to me, or
o who has produced
(type of identificationl
]=-da:~~ .n o.th.
signature of person taking acknowledgement.
o Nho has prvd..,~ed
(type of identification)
J who Odid DUd not tn'. an onth
. /JJh ~'- ~Jn. .ff;.e -.------
Signature of 1>.~.c.san t:'1kinq ackno",'1 edqlOent
{ij1J SuUlI AM l.IYeIIM
Name t:yped". [l.j~~r
.... III" EJcpnS Jlity 22.
I!afh:r:~~~ stamped
..." ExpftI July 22. 2008
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PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719.7919
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
6_ I<c,/b
WATER ACCT. NO.
DATE
3/;e-/o5
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OWNER/
RENTER
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MAILING
SERVICE ADDRESS
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~ATER
A-o 7-/
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SHUT OFF SERVICE 0
TURN ON SERVICE rzv/
INSTALL METER 0/
READ METER 0
CHECK METER 0
OTHER 0
o SEWER
o GARBAGE
~N CITY
o OUT CITY
--L.-- No. OF UNrrs
- DEPOSIT AMOUNT
- AMOUNT lAST Bill
'3~,'
-
us, ~
_DATE
- MISC. CHARGE
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
Retain white form in office at all times.
Send pink & yellow forms to Water Service Dept.
Waler Service Dept. to sign yellow form & return to office.
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