HomeMy WebLinkAbout06-5436
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
5436
Permit Number: 5436
Permit Type: MOBILE HOME
Class of Work: MOBILE HOME SET-UP
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 6,650.00
Date Issued: 2/09/2006
Total Fees: 175.00
Amount Paid: 175.00
Date Paid: 2/09/2006
Work Desc: MOVE MOBILE HOME TO A NEW LOT
Address: 6045 HARRIET T
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: PINE CREST M.H.P.
Parcel Number: 03-26-21-0210-00000-0450
Name: PINECREST MOBILE HOME PARK
Address: 6045 HARRIET ST
ZEPHYRHILLS, FL. 33542
Phone:
T
ENVIROMENT AL CONTRACTORS
EEL
MOBILE HOME MECHANICAL
IL
35.00 MOBILE HOME PLUMBING
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FINAL
REINSPECTlON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to anyone of the following reasons: 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
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies
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
~~~
CTORS SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
SEMINOLE FORM 408
. . FLIt 1977 LAWS
PS 713.13
NOTICE OF COMMEN,CEMENT
CPREPARE IN. DUPLICATEl
State of Florida }
County of \
The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance
with section 713,13 of the Florida Statutes, the following information is stated in this ~TICE OF COMMENCEMENT.
De,cdOtion of O'operty l# f 4( r~. . ..MIAI' . ~p ;?K~ . ae.~ I.;j"tle . ;J;lde.):r.k
\ 1111111111111I1111I11 1111111I11 111111"'111111 \1\" 11111111
2006027193
.......,0.0..0.0.... ...... ".' ............0........ .................. '0.. ,.... ...... 10. " - - ............ ..,.. ,... ,.. ...... ..,
G ene,el d..cdOtlon of Imo,ovemente .' .l.J(4 .b.'/". . ./J,.JN- e. . . . . i'e /uu. f,.;'~ . . . . .. . . . . . . . . . . . . . . . . .. . .. .. .. . . .
Ow..,.. .IJ'I~ .C..~:lM.j.k j/,.J#<""" fi >':L......... ...........................................
Add'.'.' . (;c]/. ./f.,..l"" .er.5.i~ee.t . .. Z:'/'l' >j,/~ .. . . . },3, .~.&.. . . . . . .. . . . . . . . . .. . . . . .. . . .
Owner's interest in site of the improvement.......... .., .. ... .... , ., .., , ... .,. . , , . ,. , . . .. ... , . . . ., .' .., . " ., . , .. ..... .. , . " . ., ....
Fee Simple Title holder (if other than owner)
.....0..0... ..... ........ .... ..........0 ......... ........... ..... ... ... .... " .0..
.
Name......,:...... :'....:........,..."............. ........... ,.....,....,...,..
Ree: 18.50
11: 0.00
Opt.'J ClerK
Rept.: 968131
OS: 0.00
. 02/09/06
Address ...,...,......"......"...,.,...........,...... - . . . . . . . . . , . . . . . . , . . . . . . . . . , , . . . . . . , . . . , . . . . . . . , . , . . , . . . . , . . . . . . . . .
.--/ .,I.
Rntmc,", .~" "'~S ..i.rJ...llCr............t.. ,c........ ft!. !'1.!'.f?R'.. .r"?....................................
. d,... J'?8.5j... BC,YJ':?r({).I?~...7 77) L;tr..... .?:i'l>:5.':1.I.......... ............. ...
Surety (if any) ................,....,............,...,.......,.:.............,......"............... ,. . . . . . . . . . . , . . . . , , , . . . . . . . , . .
Address '.'.........,........"........:......................................:.,...,.......... Amount of bond $ . . , , . , . . . . . . . . .
Any person making a loan for the construction of the improvements:
_ . JEO PITTMANi PASCO COUNTY CLERK
Name ............. ..................................................... .......... ~:~~06834m ~G i485
Address ........... '.' . . , . . . . , . , , . . , . , . . . . . . . . . . .. , . . . . . . . , , . , . : . . . . , . , .. . . . . . . , '.' , . . . . . . . . , , , . . . , . . . . . . . . , . . . . . . . . . .. . . , . . . , . . . .
Person within the State of Florida designated by owner upon whom notices or other documents may be served:
Name ,..... -.. ,.. , . . . , , . . ........, .. .,. , . .. ...... .. . , , . ,. .. .. ... , , ., . ., ,.. ., ... ,. . , . . . . , ... . . ... . , . . .'. ... ., ,. , ., .... ., ...... , . ,
Address .........,.",.",..".,.,......,......,...."......,.....................,...,.,....,.,..,.,............,.,.,.,.,......
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in SectiolL/'
713.13 (1) (h). Florida Statutes. (Fill in at Owner's option). . V
. Name:.., .... ....,.,~... ,; '~'.'~'-~--- .... ...,.....,.. ..".... .......,.., ,........,."..,.,...,...-.......'......'.......
Add,"" T~'; ~;~~~;~~~~~~~~;;.; ~;;~~~~....................... .~. ;~~. L.J~ {:e~ &~,<. ;;;e
. Owner . /+4 ""1'"Hot212 ~~ ~fr,(,:;7'L
Sworn to and subscribed before me this ...............;. - . . , . . , . . . . . . .
.;l~..daYOf..~~J<JJ.~~~6k
Notary Public
~':\. Ruth D Forrester'
;..!'t:.. .; My Commission DD13~462
.... or,.df Exptres August 0 1 20~
OR BK
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. GEJOER ROAD
6834
2
1486
PG
of 2
Pinecrest Mobile Home Park
6037 Harriett Street
Zephyrhills, FL 33542
"
~
CI~Y OF ZEPHYRHILLS PERMIT APPLICATION
BUIrING DEPARTMENT 5335 8~H st, Zephyrhi11s, FL 33542
813-780-0020 FAX: 813-780-0021 a. ((, /0 I,
,1 DATE RECE IVED
PHONE CONTACT FOR PERMITTING
d~ " I L :J>t~
OWNER'S NAME ;;;/ e Ce?~ Itl.. kif of' ;t4ff e tv--,,[.- PHONE. ff/3 r 78,1 M 6/ICL
JOB ADDRESS . ~ r'~ ~)')n/t' ~ . Cj,fJ.er-. f- ~ WI- t.1 ..\-0 I.-b\- 4-~
LEGAL DESCRIPTION: LOT(S) () 1.((:; BLOCK (!)oooO SUBDIVISION O/;.jo
PARCEL ID *' 0:5-;{/d.- ~/" C'),,;J.)O. oo600-0>4{OIOBTAIN FROM PROPERTY TAX NOTICE)
- ,
WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION o ALTERATION 0 REPAIR
DSIGN ~VE 0 DEMOLISH
PROPOSED USE: ~. FAMILY DWELLING OMULTI-FAMILY 0* OF UNITS
o INSTALL
o COMMERCIAL
o INDUSTRIAL
o SWIMMING POOL
~~BILE HOMI
o OTHER. -t
.... '(
~' i_
Qt,( S u. ~"e
DESCRIPTION OF WORK f1/I (")cJ I!.-
/' .., ) ./ /..... )
BUILDING SIZE _d.. L L!L.
. /
o RESTJ~.uRANT
f/:(IJ bIle
& HEALTH DEPARTMENT APrROVAL
~ t(euJ tt) of
6DO I
;10 ij.I P
SQUARE FOOTAGE
HEIGHT
~)
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
& (1) SET ENERGY FORMS.
FORMS.
N.o.c... _
PERMITS REQUESTED
o BUILDING
~ ELECTRICAL
o PLUMBING
o MECHANICAL
$ {g~,C5t) VALUATION OF TOTAL CONSTRUCTION
I <' 0 AMP SERVICE 0 Progress Energy 0(
C}."" c; Cl L1'
W.R.E.C.
o GAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
$
TYPE OF CONSTRUCTION: 0 BLOCK 0 FRAME
FINISHED FLOOR ELEVATIONS ;/5)1 e. L3 .bll
o (3dVe. {3 it 5 e ()r<<- tk' e..-
o STEEL
o OTHER
~.
IS PROJECT IN FLOOD ZONE AREAO YES
BUILDE
S
STATE CERT OR REGIST * ~~~"{J b\)~ ~ )
*************************************************************
COMPANY E~)l/II6P)f))fAJldL. ~,()~rIU~TDtS c&i.j
STATE CERT OR REGIST * e (l.. /) 0 t J ,; 3 K
ELECTRICIAN
SIGNATURE ~})Oj1 ~. 9jVV"'f~ ~r
******************************************************************
COMPANY ~..\".r:~<"~S ~k <>.,,~ ~-\-~~
STATE CERT OR REGIST *' .~ ~()OO~ l\ ~ )
*************************************************************
COMPANY
MECHANICAL
SIGNATURE
STATE CERT OR REGIST t
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST t
A. NOTIGE OF DEED RESTRICTIONS .~
The undersigned understands that this permit may be subject to "deed restrictions" 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 cbntr~~tors to undertake work, 'they may be required
to be licensed in accordance with state and iocal regulations. If the contractor is not
licensed as required by law, both the owner and contractor may" be cited for a misdemeanor
violation under s~ate 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 po~tions of the "Contractor Sections" of this ~pplication 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 indication 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, hay~ b,een provided with a copy of "Florida's Construction
lien Law _ Homeowner's.Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to commencement.
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.
Appliqation is hereby made to obtain a permit to do work and installation as indic~ted. I
certify that no work or installation has commenced prior to issuance of a permit and that
all work wiil 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 a~e 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 "A" or "A,etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a proIessional 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 ~nd 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 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 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
$;1,500 IN VALUE UO NOT NEEU TU RECORU-AND POST A "NOTICl' COMME EMENT".
,-".')'\C_. cl,:-W ~ fp,i.'(...MGI!-
SIGNATURE: OWNER OR AGENT . 1 .' . ,;
STATE OF FLORIDA . .<2 A.I1. /\. .' STATE OF FLORIDA /.. s ~. 0
COUNTY OF fJ!--v UV' COUNTY OF v c-A.- "-
The foregoing i~ument waJ2~Ckno ledged..-- The foregoing ins~q.uaent was ...as;kBowledged... -
~. {)'') , t' /. d f ~ 20[;1.0
Befor">,,,e this _ d', of fa~~, 2<l:f:- Before me_ , , , a 0 "' v ' ""'-
by UJa.r\~ _--"-~{'"~~_ ' by .'IJ~:::> t1 ~c r,c
(name. of person acknowledged)' . name of person cknowledged)
~ho is personally known t2;e, 'or D$~3-J(,{,- .0 is personally known to me, or
f'dJ' ,CfJ. < 11 ). . .~ - '/-> !,.'f) 0
UII"t who has produced (J(J1-ttfGt ..~ who
(type of identification) . ~ .~
an~ ~ake an oath. and ~_ ake an oath
Signature of person taking acknowledgement edgment
Name type~~;;~~60~~d
\;: Of ,,'" ExpIreS August 0.1 2006 ,
Name typed, pr1.nteg.f.Qr $.."\;,~d
("l I ~(J.0 l;".,i ;:acl ;u.d. i'ltOtarY servte..com
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