HomeMy WebLinkAbout05-5286
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
5286
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 12/29/2005 Name: PINE CREST MHP
Total Fees: 175.00 Address: 6021 CRESTON ST
Amount Paid: 175.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/29/2005 Phone: 813782-6112
Work Desc: MOBLE HOME MOVE FROM ONE LOT TO ANOTHER LOT
5286
MOBILE HOME
PARK MODEL SET-UP
MOBILE HOME PARK
Address: 6021 CRESTON ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: PINE CREST M.H.P.
Parcel Number: 03-26-21-0010-00000-0820
ENVIROMENTAL CONT.
ENVIROMENT AL CONTRACTORS
MOBILE HOME MECHANICAL
35.00 MOBILE HOME PLUMBING
40.00
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FINAL
REINSPECOON 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.
h J15iA~~ r~ ~
CONTRACTORS SI NATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
LEGAL DESCRIPTION: LOT(S)
OWNER'S NAME ~ e t1 e.)rf J1/()J~!r
JOB ADDRESS . /O!J. / C~e~foJ<. Sf
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n '< .;)~ . ;./" O()/O #
CI~Y OF ZEPHYRHILLS PERMIT APPLICATION
BUIrING DEPARTMENT 5335 a!!H st, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021 . / .'
. ,1 DATE RECEIVED ~ -,2 /}-o~
PHONE CONTACT FOR PERMITTING '7{12 - If, 1/2..
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PHONE $/ ~ . j~";-bl/ d.. '.
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PARCEL ID ."
BLOCK oeo 00
O{)OOO . 0 ?~tJ
SUBDIVISION
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(OBTAIN FROM PROPERTY TAX NOTICE\
WORK PROPSED: []NEW CONSTRUCTION
[]ADDITION
[]ALTERATION
o REPAIR
o INSTALL
DSIGN YMOVE 0 DEMOLISH
PROPOSED USE:)5(SGL FAMILY DWELLING []MULTI-FAMILY 00. OF UNITS pif"MOBILE HOMI
[] COMMERCIAL [] INDUSTRIAL [] SWIMMING POOL []OTHER
DESCRIPTION OF WORK
c=J RESTAURA~T & HEALTH DEPARTMENT APpROVAL
C)U of ~ oK c!?P~J<.h(1 .
I /)
BUILDING SI~E ~o
I C( 1 fI" ('Z <1(,j,t e.,r-
RESIDENTIAL: /ATTACH (2) PLO (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
SQUARE FOOTAGE
7t9t1
HEIGHT
j)
PERMITS REQUESTED
[] BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
R ELECTRICAL
o PLUMBING
~ MECHANICAL
o GAS [] ROOFING
J.s-o
AMP SERVICE
o Progress Energy ~
W.R.E.C.
$
/.t(v . () D
VALUATION OF MECHANCIAL INSTALLATION
[] OTHER
[] SPECIALTY
TYPE OF CONSTRUCTION: [] BLOCK [] FRAMj
FINISHED FLOOR ELEVATIONS 1(1"'~()Clc. cJ ~"'" e-
[] STEEL
. [] OTHER MQ},t ffi/;d e..
IS PROJECT IN FLOOD ZONE AREA[] YES
JZNO
c" BUIIDER . .' COMPANY G- '" "ol 0:'- 5 ~ 0 rt .~ ~ ~~t .ur
SIGNATURE i~-@ m STATE CERT OR REGIST .:[1]. 060<:> 'f II @
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~(f/ ****************************************************************** ~
",II ELECTRICIAN COMPANY . !NVlaO..MUlTALCOllTaACl'OaS
SIGNATURE fttJtL/1 ~ ~~~~R STATE CERT OR REGIST ." F: t- 60 I 3 S.3f
j /". COMPANY G-~<!< ~ \"'~,~";\- ~~ ~ Sd'.t> \'
~ f-Ir STATE CERT OR REGIST i .ttI.'oc'l6 7 f!)
,~***********************************************.*********.******** ~
;S.HECHANICALfi COMPANY !NV.'IONM8NTAlOI"'lD_L ~
SIGNATURE ~ k, ~~-)P STATE CERT OR kGIST i 0 It (! / r IIf l/ 7 :2---
************************************************~*****************
r\V PLUMBER
SIGNATURE
********************************************~**.*****************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST .
A. NOTIC.E OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to. "deed restrictians" which
may be more restrictive tban city regulations. The undersigned assumes responsibility for
campliance with any applicable deed restrictians.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the awner has hired a cantractar or cantractars to undertake wark, . they may be required
to. be licensed in accardance with state and l~cal regulatians. If the cantractar is not
licensed as required by law, bath the awner and cantractar may be cited far a misdemeanar
vialatian under s~ate law. If the awner ar intended cantractar are uncertain as to. what
licensing requirements may apply far the intended wark, they are advised to. cant act the
City af Zephyrhills Building Department, 813-780-0020:
Furthermare, if the awner has hired a contractar ar cantractars, he is advised to. have the
cantractar(s) sign partians af the "Gahtractar Sectians" af this ~pplicatian far 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 cootractor wishe'
you to sign as contractor that may be an indication that hs is not properly licensed and is
nat entitled to. permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTI.ON FEES .
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES,' AS AMENDED)
I certify that I, the applicant, hay!;! been provided with a capy'af "Flarida's Canstructian
lien Law _ Hameawher's.protectian Guide" prepared by the Flarida Department af Agriculture
and Cansumer Affairs. If the applicant is sameane ather that the "awner", I cerify that I
have abtained a capy af the abave described dacument and pramise in gaad faith to. deliver
it to. the "awner" priar to. canunencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infarmatian in this applicatian'is accurate and that all wark will
be dane in compliance with .all applicable laws regulating canstructian, zaning, and land
develapment.
Appli~ation is hereby made to obtain a permit to do work and installation as indicated. I
certify that no. wark ar installatian has canunenced priar to. issuance af a permit and that
all wark will be performed to. meet standards af all laws regulating canstructian, city
eades, zaning regulatians, and land develapmerit regulatians in the jurisdictian. I also.
certify that I understand that the regulatians af ather gavernmental agencies may apply to.
the intended wark, and that it is my responsibility to. identify what actians I must take to.
be in campliance. Such agencies inolude but are nat limited to.: *Department af
Enviranmental Regulatian-Cypress Bayheads, Wetiand Areas and Enviranmentally Sensitive
Lands, water/Wastewater Treatment
*Sauthwest Flarida Water Management District-Wells, Cypress Bayheadsl Wetland Areas,
Altering Watercaurses
*Army Carps of Engineers-Seawalls, Dacks, Navigable Waterways
*Department af Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Enviranmental Pratectian Agency-Asbestas abatement
I also. certify that, if fill material is to. be used in Flaad Zane "A" ar "A, etc.", it is
understaad that a drainage plan addressing a "campensating valume" 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 .canstruedta be a license to praoeed with the wark and nat as
autharity to vialate,cancel, alter, ar set aside any pravisians of the technical cades,
nar shall issuance af a permit prevent the Building Official fram thereafter requiring a
carrectian af errors in plans, canstructian, ar vialatians af any cade. Every permit
issued shail become invalid unless the work authorized by euch 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 ~e allowed for the permit with fee charge of $15.00. The e.tension shall be requested
in writing to'the Building Official. An approved inspection must be logged during each six
manth periad, or the project will be cansidered abandaned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. Ie 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 "NOTICJ;:JbF COMMENCEMENT".
~'lr~ c} ,;lp,;t,J/ ~H(,f ,i- ~~
SIGNATURE: OWNERMOR AGENT I S~TURE: CONT~ OR
STATE OF FLORIDA' 'l7_ ~. ~ATE OF FLOAIOA 1/.
COUNTY OF . . b&:1 (){ COUNTY OF
The farfjain? ~~ns ument wa"^~ck~o~i.~dged - The foregoing inst~ument was:f,fF~~w1,7dged -
Before thH C,~.of ,jJ~ 2<Lk~ Before me t)l.i,s ~ay of . f "tl, 20 Zi
by ',,,, "". ~, ' bY' ;)!1 rr-e'> h '" j ,,~ ;"
(name of person acknowledged) , / '(name of person acknowledged)
t:i.wha..;bs pe.rsanally . awn to. me, . ar fPqha is persanally knawn to. me, ar
. L ~ I) '3&3-J /,,~ -
~ha has praduced .tA ~.s-;t - s-f'f,O 0 who. has praduced
( ype af identificatian) . (type af identificatian)
at take an oath. and WhO,9~~ ~/,ot take an oath
W ~ . L_.-.:;::...---"-)~7 /P"v"/ ..
C=-___ ,- "
Signature of person taking acknowledgement Signature of person taking acknowledgment
".,. Rui!\ 0 Forrester
aX' aJ1l~aommls I
~ '.I Expires August 01 2006
.Of'"
Name typed,
ri~~ ar EO~~ANf
~~ MY COMMISSION # 00469894
~~~i FXl'lRES: Sepl.8.2009
'''OF'''~
(407) 398-0153 Florida NoIarI SerVice.com
Name typed, printed
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BUIlDING SHALL COMPLY WITH
ALL APPUCABLE BUILDING,
ELECfRlCAL, PLUMBING AND
MECHANICAL CODES
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Pine C~ Mobile Home P.ark
6037 HaFriet Street .,~~
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GEIGER ROAD
Memo for the File
Phone conversation on 12-28-05 with Diane of Pine crest MHP. Inquired where the
mobile home was moving from. 6012 Harriet St being moved to 6021 Creston St. Asked
if there was a prior mobile home on 6021 Creston St. Diane stated there was. Bill
Burgess stated since there was a previous home on the lot no connection fees or impact
fees would be required to be collected.