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Home My WebLink About06-5643 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 MOBILE HOME SET-UP 5643 Permit Number: 5643 Permit Type: MOBILE HOME Class of Work: MOBILE HOME SET-UP Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: 2,000.00 Date Issued: 4/11/2006 Total Fees: 175.00 Amount Paid: 175.00 Date Paid: 4/11/2006 Work Desc: RELOCATE MOBILE HOME IN PARK Address: 6017 CREST N ST LOT 83 ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: PINE CREST M.H.P. Parcel Number: 03-26-21-0210-00000-0830 Name: PINECREST MOBILE HOME PARK Address: 6017 CRESTON ST LOT 83 ZEPHYRHILLS, FL. 33542 Phone: RT ENVIROMENTAL CONT. MOBILE HOME MECHANICAL MOBILE HOME ELECTRICAL 40.00 I ('~\OU '( \ ~ \\ \~ FINAL REINSPECTION 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 ~ ~ rfL_. ~ t~A.. /A-I/Lfl--. ~ TRACTO/S SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER LEGAL DESCRIPTION: LOT(S) O " I ::E::~:: l:; e;:Cf4l~:i ~f( B"~ PARCEL ID # 03. M;';' ;J... / A oiVO p CI~Y OF ZEPHYRHILLS PERMIT APPLICATION BUIrING DEPARTMENT 5335 8~H st, Zephyrhi11s, FL 33542 813-780-0020 FAX: 813-780-0021 , 4 _? /j\ J ,1 DATE RECEIVED ~ ~O C/~ PHONE CONTACT FOR PERMITTING ....--_~4_ C~[:f;;;r:-k-'_7{6L~ BLOCK () f>tJ do SUBDIVISION 6;J /0 ODOOO. 0 ~3 0 (OBTAIN FROM PROPERTY, TAX NOTICE\ WORK PROPSED: o NEW CONSTRUCTION ZION o ALTERATION o REPAIR o INSTALL o SIGN MOVE 0 DEMOLISH PROPOSED USE: ~ FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS ~LE HOMI D COMMERCIAL D INDUSTRIAL o SWIMMING POOL DOTHER CJ RESTA~NT & HE~LTH DEPARTMENT APl?ROVAL/ DESCRIPTION OF WORK e I, ~ ~ -1: II!. II' Ie Ii # e I A.:: ~~. BUILDING SIZE /~ J Y sI~ ) , ' SQUARE FOOTAGE 'fi 80 , HEIGHT /0 ' 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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. D BUILDING $ PERMITS REQUESTED ;} Do 0 io 0 D VALUATION OF TOTAL CONSTRUCTION ,1 6--0 AMP SERVICE 0 Progress Energy ~ W.R.E.C. f{L ELECTRI CAL o PLUMBING D MECHANICAL D GAS D ROOFING D SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER $ TYPE OF CONSTRUCTION: D BLOCK o FRAME D STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO ... t4r~j SJl., -t - \.\ e-- STATE CERT OR REGIST # -=t -\\ 0 0 f'.:l 0" (, 7 ****************************************************************** J.~ COMPANY IHVIIOlQllIIl1'AL~"1 STATE CERT OR REGIST i E!2-tJ 0 13 S ~ ~ '\\ \ \ COMPANY G-J 0' T""",5 po,.+ o...J S{f."k.. STATE CERT OR REGIST # ::]:tj () () C)OL/.t 7 T ****************************************************************** ~ MECHANI COMPANY SIGNATURE ~.~) STATE CERT OR REGIST I , ***************************************************************** ELECTRICIAN SIGNATURE ~ ,.JJ. CZ;/..;,~fP ****************************************************************** PLUMBER SIGNATURE OTHER COMPANY SIGNATURE STATE CERT OR REGIST # <+; , A. NOTI~E OF DEED RESTRICTIONS Th~ 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 contractors to undertake work, 'they may be required to b~ licensed in accordance with state and t~cal regulation~. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state 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 "Gontractor Sections" of this ~pplication for which they will be responsible. II you, as the owner signs as the contractor, ydu 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 STA'rUTESrAS AMENDED) I certify that I, the applicant, haye been provided with a copy of "Floridars 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"r 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 indicated. 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 are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetiand Areas and Environmentally Sensitive Lands, water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areasr 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 thatr if fill material is to be used in Flood Zone "A" or "A,atc.", it is understood that a drainage plan addressing a "compensating volume" will be submitted which is prepared by a pro<essional engineer registered in the state of Florida prior ~o permit issuance. A permit issued shall ,be ,construed to be a licenSe to proceed with the work and 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 sball become inv,'id unless the work authorized by auch permit is commenced within six montba of issuance, or if work authorized by the permit is suapended or abandoned for'a period of aix months after the time. the work is commenced. One 90 day extenaion of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to.the Building Official. An approved inspection must be logged during each six month period, or the project will be considered abandoned. , WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF you INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIC OF COMMENCEMENT. JOBS UNDER ~$.2: 500 IN VALUE DO ;OT NEED TO RECORD AND POST A "NOTICE COMME EMENT". ~, ()--L c\ J.A \ ~A I\Sl E AlJL, ~ft- SI TURE: OWNER OR AGENT \ STATE OF FLORIDA j) COUNTY OF ~C~ The foregoing instrument wa~ acknqwledged - Before frrie ,this~ .~_daLof J)(l('~ . 20t9~ by . /SJj~~ ~~ . (name' of person acknowledged)' . t!Lwho is personallY J~o~n :; mD ~~r3/)(,t - ~o has produced Lf1()./)( .tAll ': ~Ol. -$5'~ - 2:l (type of identification) an~O~::l1:':ke an oath. Signature of person taking acknowledgement ~OUNTY OF ~ :'. C. 0 The foregoing instrument wa.~c~Wledg~d Before mUh!~ 2Jt-r1ay of-t / ,200" by ,~t:)~l"\.f'r __~ (name of person acknowledged) ~o is personally known to me, or Owho has produced ~ (type of identification) and who rJd.tf;! D:iid not take an oath on taking acknowledgment ~ Name typedr uth 0 fonester' pri .~ Gelb~ao1384 :~::_ " J EX"'"'s August 01 2006 >t o. ,..CT ......- , Name t~ prtl)"~~y.&fampE,d -i...1' MY COMMISSION II DD469llM ~.,~" EXPIRES: Sept. 8. 2009 (407) ~153 Florida Notary 5arYIca.com I~ /1 ( C p ~ r 11(~ tr,t .4j/11..e reLY'l (vi tI 8"3 , Cre.,<: f 0{\ -..j f 60/J:J/fl/l'H~);:: t.'tt.. 5"':>-e- e ()' 5 - a,& ~ d. / ~ () J./o" 00006.. 0 ~3_0 _ , (:- "' > ,..... ~ 35 1" - , '-", ~ ..v I.. (:{i-71 t " .;; f3 -7 ~ ~ ,}.. If' v ~ ~ ---. ol.- ING SHALL COMPL Y WITH PLICABLE CITY OF LLS ORDJN ANCK w(, fL e.--}- v' 0-- 5{~ e: e- -r /:l..J ~' """ C:J I I ~ - Q;J [;Q " --y~ ~ -. ~ ~ ~ ~ IN ')'f >'fll tr fi:.:t'l ~ 4' - dd ~ s, ~~ -j~ I i~ AI'- . 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