HomeMy WebLinkAbout05-5219
-/
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
\
~
5219
Permit Number: 5219
Permit Type: MOBILE HOME RV/PARK
Class of Work: PARK MODEL SET-UP
Proposed Use: MOBILE HOME SUBDIVISION
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 12/07/2005
Total Fees: 175.00
Amount Paid: 175.00
Date Paid: 12/07/2005
Work Desc: PARK MODEL SET-UP
Address: 3518 BERYL LN LOT 79
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE
Parcel Number: 24-26-21-0020-00000-0790
Name: MARTIN FRED
Address: 3518 BERYL LN LOT 79
ZEPHYRHILLS, FL. 33542
Phone: 863608-1251
,
GARY KOSMOS ELECTRICAL CONTRACT
PETERSON CONST & MH SET UP, INC
AIR WORKS LLC
60.00 MOBILE HOME MECHANICAL
35.00
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REINSPECTlON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
U~.~ ~.
--~~&f -
CONTRA OR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
DEC105/200~NON 04:23 PM
ZEPHYRHI!1.$ auILDI/'G FAX Ilo.813-760-0021 p 001/0
. . 01
cJ::rr .. ZEPBYJUlILLS piaQa-r APPLICA'l"ZON .
BOIUJIblGpIIPARftGlm' B33S.".It, Zephy%J:l:l..l1., n,'3Ud2, '~
. 813-780-0020 FAX! 813-780-0021. or"'
., DAn IIICE1V8D ,.
I1IIONIl C~~ 5'OR PIl1lldI~!I'INC:
PAIlC'iL 10 * .
HOAX PROPS ED. ~EW CONSTRU
OSIGN
PROPOSED asS, DsG'L r>>lIL-r
OCOlC'lERciJli.
D ADDITION
DMOVE
OA~T6:RA'1'~ON
o O'EHOLISH
(J REPAIR
D I NS'l'ALL
OWNER'S NAMI:
'HO~B l( p')- (J>I1r. ' I~I
JOB ADD1lll.8S
OMVL'I'I-rAMll.Y O. OF I1l'1lTS
QINOOBTRIAL . DSWIMHING POOL
~8ILS MDtfE
o otHER
DIl5C1UP!U:O" OF WOJU(
BUILDING SIZE
IF !tIGN
H!:IGH'1
i'LANB , (2) SErB or BUUDIWG PLANS, (1) S5:T ENu.GY mRH9.
. OF BI1ZLnt NG PLANS , (11 SET !IiIERG'i i'OElHS.
,9 01' ENGIIU:EREO Pl.AN/3 "REQUIRED.
REQUIREO FOR ALL.NEW CONSTROCTION.
1l.I:SIDf:NTIAI., ATTACK
PERMJ:rS IUi:QUl!:STED
C BOILQING
o E:LBC'1'lUCAL
o PLUIf8ING
o H~CHAN1CAL ~
o G.,.S 0 ROOFIMG Cl S.PECll'U. Y
$
VALOJ\1'ION OF 'I'DTJU. CONS'1'IUICTXON
AMP 8EIWIC&
o ProOI....ss Energy 0
Ii.R.E.C,.
VJl.LOA'l':ION OF Mt.CHANCIA!. INS'l'ALLATION
o O'r'HER
TYPE OF COI'fSTRUCTIOIlI 0 'BLDC
rI~SHED FLOOR ELEVA'l'IONS
o rRAHE
o STE~L
Ll 0'1'11&1\
IS. PROJEC'l' IN FLOOD ZONE' ARDons 0 IIl;l
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SIGNATURE
STATE CCRr OR RBG:rS'I' t
.
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CQMPAlfi j/)~'n '1.2 D ct-ru.(1 w
STATE CEIl'!' OR RliGlS't t f( fflnBg~
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STAn C1:RT OR REGIS'!' t 111 () Q{)t;35lJ
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STATE CER'l' OR l\EG:IS'.l't CO C ~d3)..
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SIGNATURE
O~JDR
COMPANY
SIGNATUR
. SIGNA'I'ORE
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STATE CERT oa asG~S7 .
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DEC/05/2005/MON 04:24 PM
ZEPHYRH liS au! WING
FAX Nt. 813-780-0021
P. OJI/OOI
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A. NonCE O&' DUD Rli:8TRICTI: i-ls
The. \lna..rdgned underatall.de hat this peJ:lIlit may b. .sUbject to' "~8d tastrict1ons" whioh
may be more res,Crictive. th,an City requlatione. Ttlo undeuiqned assl.llIles reaPoflllibHity tor
compliance with my'llppl1cab 1& deed re.trictions. .
B. ONLICENSSD CON~RACTORB b CON~RAt~OR RESPONSIBILl~IES
If' t.~ D1<ner. nas n.l..rM a con ractor or. Qont~\ptorB.. t.. underl:ake wDrk, they IIlllY be required
to be licen.ed in eccor.dance ~1th ~t.te and iaeal tegUlat~ons. I~ the contractor is not
l..icen.ecl as raqu1red by Lilw, "oth the o_er end oontract()Z ....1'. be c.1ted for e' lIIi..d......Dor
violation ~nder a~.t. law. f the owner or .intended contractor are Uncertain ee to ~het
licensing req~rement8 .~y a ~ly for the 1ntende~ workl they are a4v~ed to contact the
City ot ZephyrhLl~s. Building Department, 813-1BO-0020.
FllrtlleX\llOre" 11' tile gwner ha 'h.ired ~ contractor or cODtraotor,B, h. ie advised tg h&ve ~h.
contractor Is) Biqn po,,~.L"n" I. the "CotI'::i:act:or. Sectione" oL I:his Iipp~;icab.oil ror ioIbich t"ey
~ill be' tespons1ble. 1. f you '.as i;he owner signe a' the cotltr4icl:or, yClu ar.. indicai:inq that
you, rather thoan the. contrac c:'r, arlll ('esponaibl. for tha work. :It: the contractor IIi she.
you to iti<;Jn .. ocntractO:l:t.n. ti. _if be an. ;i.ndication that he ie not: propl!r~V .l.i~I).t.<! and ie
not entitled to permittiDq p ~.1l.ge. in the City of Bepbyrhillm.
C.- 'rRMISP01U'ATIOIl IHPAC'I' FE ~ AND t1TILU'lt. CONNECTION P'l!:E:S '
O. CONs'fR0C70rON LIRN LAW C flAPTl!:R 713. MAIDA STATUTES,' AS IIHEltfO&:D) .
I 'oerf1fy that I, t~e'appI1c n~. "Aye been proyided ~.i.th a copy'of "Florid.). Construction
lien Le.. - Homeown.r'e.Prote ~on ~~id.wpr8pared by the Florida Departn.nt of Aqr1eu1~u~e
and Con.~~.r ~ffair.. If tn ~~plicant ia ~omeon. other that tne ~owner", Io.riCy ~hat I
beveooteineo a copy 01 the V9 descr~ed do~ent and pro~~.. in ~oQd faith to del~ver
it to the ~ownerM prior to~ eneem.nt.
'E. CONTRI\Ct'OR' S/OWN&Il.' B A!'F :VIT
I cartjfY.~hat all. the 1n~o on in thia applicatiQn'i, accurate and that ail wo~k viIi
b. done in compliance with .a ~ appllcab1. la"8 ~equl&tinq ggnetructLOh, zoninq; 4n~ land
d.....lopm.nt.... . .
Appllqation 1s hareby nadet 'Obtain. permit to do ~tk and in.talia~ion as indicated. I
. eert.ity th..t no wbrk crlnat 1..ti.on Ii.... OOlllllll!ncea prior t9 i..el2ance at e perl\lit and that
all work wilL b-. p~rfQ~.ed ~ meet standards of all lews requlating oonstruction,:tty
C~8, zoning requlat.io118, C1. ,.land claveloptU!ril: regulatioru. in the jur isciiCtion , I also
.certify th..t ! .und.rstan'd tn '. the re;uliltions o~ .other govern_ental agencies may apply to
the intended work, and that .1 . is my r..ponsibll~ty'~o identity what actions I ~st t.ke to
be in compliance. Such eqen 88 inolude but are not limited to: .Oepar~meni: o~
~nTiro~.nt.l Requliltion-Cypr sa Bilyh..ds, Wetl~nd Ar..s a~d En~ironaehtally sen.it1v9
Lands, Ifllt4u;/W..t.....ter Trea ent . .
'Soutb.wut Florida "ate%' Mana lIll\ent Districl:-WelLs, Cypress B"Y.h.aCls~ Net,Und A:ntUi
Alt.erinq Watereours_. .. ..
.AxayCorpe D~ Engi~eere-S.aw
.Department of Health , Re
W.s~ew.ter 7re.tment, Septic
.u.s. En~ironmantal Pro~.cLio
I also oertify that, if fl11
understood that adrainaqe pl
1s prepared 'by a professional
.ieaU&I\ce.
A pernit issued sh~l.be .coh. r.ued to be a licenae to prooeed witb the wo~k ~nd not: aa
autb.orlty to vio~at., .ca~o.l} alt.rj or Bet asids.any prOvi5iona ot the t*chDLcal codes;
nor ..hall i..uilnce of . perm! prevent the Building O~fiQi.1 f~om therearter tequ~ln~.1l
correction of e~rora in plans .con8truc~ion; or violations Of any code. ~e%y ~ermlt
issued shall becdme invalid u less the work authorized by such permit'i. oommencea within
eil< Il\Onths of issuanc;:,;; ~ ;11' ""J:k authorhed bytne petio-:l.t: .1. llu.p.i1cti1d or abandoned for 'a.
per.t.od of e.ix months atter th t iille . the work ia cOmlnenced. One 90 day eat:e~icn at U.I
.may be allowed tor ~he permit *itn (ee eharga of $l$.OQ. ~h. extension enel~ be ra~~.t.d
In writin.. to.'th. llu.l..ldin9' O:f ieial. ".n ap~Oired ;l.hspl!etion ltIust bel09Qed clw:inQ each six
.cntb period, or the proj~ot ~ll be coneidered abandoned. .. ,.
lfARIUNG TO OWNER: YOUR rAILU It TO RECOIUl A ~'rrce OF COHMBNci:MENX WAY RESULT IN YOUR'
PAYING 'lWICIiI FOR IHPRO~TS '';0 'YOUJ\PIl6PIll\TY. IF YOU INTDlP TO OBTAIN rlNANCING, CONSULT
Ifl TN YO(IR LENDER OR AN AT'l"OIl.N i BEI'ORe R.li:COROING Y'oull ROT .ICI: or C6tnif;NCEM5:HT. JOB's uNDBR
... SO. '" ...."" '" "",.""", "__... __ ~'~"";q.~~~
SIGNI\TOllEl OWNEI4. 01\ AGDlr SI NAtU CONT at{ '.
STATE OF FLORIDA '6':I\.TI: OF FJ,.ORlDA (~ .
COUNTY or COUNTY OF
The foregoing 1Dst~WIIent Waf TIle ioi:eqOi~9 lost
Betore ne tnis_ dill' of. BeforCl m. his
.~ ~.
(nilfte' or pereon aeknowle
o who ill person"liy known to
tLe, Docc.~ Navigable'Waterways
litBtivw Serviees, Enviro~ent.~ Health Un1t-We~"
~tn):s .
'J AQ.noY-I\".il.eto:s a~temont
. i:.rlill i:s to .b$ used. in r.l.OQd Zono "AU or ;oA....l:c,;; I it: i.s
ft. edclreuil1q a ;'compensatJ.nq'volwile;' ",ill be submH:ted which
engineer req1stered in ~he Stata of Florida prior to penult
1'1". typec:t.' print.ed. or
(ne.. o~ p. on acknowledged I
o,no' bperaonally 'known to lI.f or
o who has produced
(type
and. ..liDO d~d Cldi.d Ro't
~o has
Signature or person taking ~c ~wledgeR8nt
S19natur~ 01. parson
N..... typed, pZ'~n~ed 02." i1t_ped
""~!/"""" . Bobbie Swetland
f~l:"~ MY COMMISSION # 00268763 EXPIRES
~~. .~j . ..Februa~ ']J., 2QO~. '... ...... _____
..,,;:.....It--- 60NOEDTHRU TROY fAIN INSURANCE. IN(
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DEC/05/2005/MON 04 23 PM ZEPHYRHILLS BUILDING FAX No. 813-780-0021 POOl/DOl
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 S'K st, Zaphyrhills, FL 33542
813-780-0020 ~AX'B13-7BO-0021
DATE RECEIVllD
PHONE CONTACT FOR PERWITTING
yo/-'-H,9 43~C-
0.."" ,AM< fwn H CVJ 11A.-
JOB ADDRESS <..0.1 'lCJ . 5S I ~ ~1 ~lJ )
LEGAL DESCRIPTION: LOT (S) 'lg BLOCK
PARCEL ID *
WORK PROPSED: ;(NEW CONSTRUCTION
DSIGN
PROPOSED USE: OSGL FAMILY DWJ;:LLING
DCOMMERCIAL
(OBTAIN FROM PROPERTYT~ NOTICEI
o ADDITION
o MOVE
DALTEAATION
o DEMOLISH
o REPAIR
o INSTALL
DMULTI~FAMILY
o INDUSTRIAL
0* OF UNITS
o SWIMMING POOL
~lOBILE HOME
o OTHER
BUILDING SIZE
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
I y)( 3LP p~J( rnec-LU'_
sQUARE FOOTAGE ""F)()l--I
HEIGHT
DESCRIPTION OF WORK
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS ~QUESTED
o BUILOIim
o EI..ECTRICAL
o PLUMBING
o MECHANICAL
$
VALUATION OF TOTAL CONSTROCTION
- AMP SERVICE
o Progress Energy 0
W. R.~;.C.
$
VALUATION 6F MECHANCIAL INSTALLATION
o OTHE'R
o GAS 0 ROOFING 0 SPECIALTY
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
BUILDER Wtll (O-m , . '? ~OMPANY
SIGNATURE ~0k~'~~~E CERT OR REGIST jI 1M CX)OO~S'l{
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STATE CERT OR RF<GIST it f ( COn ,:)~ ~
EUlCTRICIAN
SIGNATURE
SIGNATURE
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SIGNATUR ~Q~
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STATE CERT OR REGIST jt CO C C07d.~
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST t