Permit Details

Mobile Home Permit

Address	113 SW BLOOMINGTON TER LAKE CITY, FL 32025
Parcel #:	09340-070
Acres:	0.40
Owner:	Peterson Linda Marie
Subdivision:	Mason City
Zoning:	A-3
Flood Zone:	A
District:	4

Application #:	51914
Permit #:	000043065
Related Permit:
Submitted:	Monday, October 4, 2021
Issued:	Thursday, October 28, 2021
Expires:	Friday, December 10, 2021
Completed:	Friday, December 10, 2021
Status:	Completed
Septic Release?	Yes

Notes:

Job Details

Mobile Home is a:	Single Wide
Year Built	1987
Width (Ft.In)	14
Length (Ft.In)	60
Wind Zone?	2
Serial #	GAFLWF1AH18453491
Installation Decal #	81016
Residential or Commercial Use?	Residential
Driveway access to home:	Existing Drive
Are you applying for a 5 year temporary permit?	No
Septic # (00-0000) or (X00-000)	21-0808
Dev Permit #	F023-
Setbacks Front	30'
Setback Side 1	25'
Setback Side 2	25'
Setbacks Rear	25'
Elevation regulation	Minimum Requirement
Finished floor requirement	One foot above the road
Fema map number	12023C0415C
In floodway	N

Review Notes

9/30/2021	Application pending.
10/7/2021	Point Review - On Hold-Incomplete WENDI; PLEASE UPLOAD RYAN'S INSTALLER LICENSE!!
10/11/2021	Point Review - Printed-Online Application
10/11/2021	Plan Review - Reviewed WENDI: ENVIRONMENTAL HEALTH APPROVED PAPERWORK - 386.758.1058 PRE-MH INSPECTION ONCE APPROVAL IS GRANTED BY INSPECTOR TO BRING INTO COUNTY -PRE-MH FEE (PENDING) MOLLMANN'S WORKER'S COMP EXEMPTION CARD
10/19/2021	Zoning Review - Reviewed WENDI: ENVIRONMENTAL HEALTH APPROVED PAPERWORK - 386.758.1058 MOLLMANN'S WORKER'S COMP EXEMPTION CARD *APPLICANT MUST BE INSTALLER OR WHOMEVER IS PULLING THE PERMIT ON THE INSTALLERS BEHALF AND THEIR INFORMATION-- PLEASE CORRECT AND SAVE
10/20/2021	Final Review - Documents Required WENDI: ENVIRONMENTAL HEALTH APPROVED PAPERWORK - 386.758.1058 MOLLMANN'S WORKER'S COMP EXEMPTION CARD
10/28/2021	Final Review - Payment Needed
10/28/2021	Permit Issued Permit #000043065 created and approved.

Contractors

Name/ Business	License	Title	Role
Ronald "ryan" Norris Norris Mobile Home Mover & Set Up	IH1135009	Mh Installer (ih)	Contractor
Steven M Mollman Mollman Air Conditioning And Refrigeration Llc	CAC1819696	Cert. A/c Class “b”	Subcontractor
James D Williams Affordable Electrical Services Inc	EC13007092	Electrical Contractor	Subcontractor

Inspections

Inspection	Notes	Performed By	Date
Rescheduled 10/25/2021:Mobile Home - In County Pre-Mobile Home before set-up		Melissa Garber	10/22/2021
Passed: Mobile Home - In County Pre-Mobile Home before set-up		Anthony Aslan	10/25/2021
Septic Release Inspection		Health Dept	10/27/2021
Passed: Engineering - Setbacks		Anthony Aslan	12/10/2021
Passed: Mobile Home - Mobile Home Set-Up Final		Anthony Aslan	12/10/2021
Release to power company		Anthony Aslan	12/10/2021

Documents

File Name	Date	File Size
911 Address Form 20211004 152102.pdf	2023.12.26	168.71kB
Mh Application Information Page.pdf	2023.12.26	249.38kB
Property Appraiser Parcel Details Printed Page 20211004 152102.pdf	2023.12.26	533.89kB
Subcontractor Form 20211004 152104.pdf	2023.12.26	230.45kB
Peterson Eh 2021-10-27 15.15.34.334.pdf	2023.12.26	584.35kB
Certificate Of Mh Occupancy 20211210.pdf	2023.12.26	62.19kB
Mh Installer Auth 2021-10-26 10.33.47.798.pdf	2023.12.26	251.84kB
Site Plan 20211004 152103.pdf	2023.12.26	244.87kB
Out Of County Mobile Home Inspection Report 20211004 152525.pdf	2023.12.26	218.06kB
Recorded Deed 20211004 152103.pdf	2023.12.26	414.94kB
Mobile Home Permit Worksheets_blocking Diagram 20211004 152102.pdf	2023.12.26	607.70kB
Original Permit 20211028.pdf	2023.12.26	42.77kB
Power Release-mobile Home-mobile Home Set-up Final 20211210.pdf	2023.12.26	38.77kB
Approved Blocking 51914 2021-10-11 14.22.29.952.pdf	2023.12.26	733.32kB
Lidar 51914 2021-10-19 14.27.01.310.pdf	2023.12.26	75.22kB
Approved Out Of County Mobile Home Inspection Report 51914 2021-10-11 14.22.30.327.pdf	2023.12.26	291.10kB

Contacts

Building & Zoning Department
Hours:
Monday-Friday
8:00 a.m. - 5:00 p.m.

Location:
135 NE Hernando Ave.
Lake City, FL 32055

Mailing Address:
Post Office Box 1529
Lake City, FL 32056-1529

Office Phone:
(386) 758-1008
(386) 758-1124
Building & Zoning Director
Troy Crews, CBO
(386) 758-1040

Fax:
(386) 758-2160

Email:
Building Department

Columbia County, FL | Permit Details

Contacts