Permit Details

Mobile Home Permit

Address	289 NW ADRIENNE GLN LAKE CITY, FL 32055
Parcel #:	01910-013
Acres:	6.25
Owner:	Stange Danielle Renee, Douylliez Justin Leon
Subdivision:	Carter Acres Unit 1
Zoning:	A-3
Flood Zone:	X
District:	1

Application #:	53866
Permit #:	000044352
Related Permit:	Culvert: 000044353
Submitted:	Tuesday, March 8, 2022
Issued:	Monday, May 9, 2022
Expires:	Monday, July 25, 2022
Completed:	Monday, July 25, 2022
Status:	Completed
Septic Release?	Yes

Notes:

Job Details

Mobile Home is a:	Triple Wide
Year Built	2022
Width (Ft.In)	45
Length (Ft.In)	76
Wind Zone?	2
Serial #	LOHGA1002574ABC
Installation Decal #	86628
Service Amps	200
Residential or Commercial Use?	Residential
Driveway access to home:	Culvert Permit
Are you applying for a 5 year temporary permit?	No
Septic # (00-0000) or (X00-000)	22-0354
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	12023C0195D
In floodway	N

Review Notes

3/8/2022	Application pending.
3/8/2022	Point Review - Printed-Online Application DALE: PURCHASE FORM 500 WITH BOTH SIGNATURES OR UPLOAD THE FOLLOWING: NEEDED: LAND OWNER AFFIDAVIT EH PAPERWORK
3/9/2022	Plan Review - Reviewed DALE: PURCHASE FORM 500 WITH BOTH SIGNATURES OR UPLOAD THE FOLLOWING: NEEDED: LAND OWNER AFFIDAVIT EH PAPERWORK
3/15/2022	Zoning Review - Reviewed DALE: PURCHASE FORM 500 WITH BOTH SIGNATURES OR UPLOAD THE FOLLOWING: NEEDED: LAND OWNER AFFIDAVIT EH PAPERWORK
3/16/2022	Final Review - Documents Required DALE: PURCHASE FORM 500 WITH BOTH SIGNATURES OR UPLOAD THE FOLLOWING: NEEDED: LAND OWNER AFFIDAVIT EH PAPERWORK
3/16/2022	Final Review - Documents Required DALE: PURCHASE FORM 500 WITH BOTH SIGNATURES OR UPLOAD THE FOLLOWING: NEEDED: LAND OWNER AFFIDAVIT EH PAPERWORK
3/19/2022	Final Review - Documents Required NEEDED: EH PAPERWORK
4/6/2022	Plan Review - Reviewed NEEDED: EH PAPERWORK
4/13/2022	Final Review - Documents Required NEEDED: EH PAPERWORK
5/5/2022	Final Review - Payment Needed
5/5/2022	Permit Issued Permit #000044352 created and approved.
5/9/2022	Plan Review - Reviewed
5/9/2022	Final Review - Payment Needed
5/9/2022	Permit Reissued Permit reissued to reflect updated information.

Contractors

Name/ Business	License	Title	Role
James D Williams Affordable Electrical Services Inc	EC13007092	Electrical Contractor	Subcontractor
Michael A Boland Ace A/c Of Ocala Llc	CAC1817716	Cert Class B A/c	Subcontractor
Brent M Strickland	IH1104218	Mh Installer (ih)	Contractor

Inspections

Inspection	Notes	Performed By	Date
Failed: Mobile Home - Mobile Home Set-Up Final	Duct Work On Ground, Need Septic And Drive Final	Troy Crews	7/12/2022
Passed: Engineering - Setbacks		Troy Crews	7/12/2022
Passed: Engineering - Initial Driveway		Smith, Blake	7/15/2022
Septic Release Inspection		Health Dept	7/19/2022
Passed: Engineering - Final Driveway		Smith, Blake	7/22/2022
Passed: Engineering - Setbacks		Anthony Aslan	7/25/2022
Passed: Mobile Home - Mobile Home Set-Up Final	Duct Off Ground	Anthony Aslan	7/25/2022
Release to power company		Anthony Aslan	7/25/2022

Documents

File Name	Date	File Size
Form 500 Containing Signatures.pdf	2023.12.23	453.27kB
Septic Approval Paperwork 20220504 134538.pdf	2023.12.23	1.00MB
Certificate Of Mh Occupancy 20220725.pdf	2023.12.23	62.18kB
Recorded Deed 2022-03-08 21.03.00.824.pdf	2023.12.23	69.79kB
Original Permit 20220505.pdf	2023.12.23	45.04kB
Approved Blocking Diagram.pdf	2023.12.23	911.64kB
Mh Application Packet 20220308 172044.pdf	2023.12.23	2.90MB
Mobile Home Permit Worksheets_blocking Diagram 20220509 105148.pdf	2023.12.23	923.21kB
Updated Permit 20220509.pdf	2023.12.23	45.01kB
Carter Acres 2022-03-08 21.04.34.859.pdf	2023.12.23	2.64MB
Lidar 53866 2022-03-15 08.56.42.666.pdf	2023.12.23	175.27kB
53866 Blocking Diagram 2022-04-06 15.20.25.564.pdf	2023.12.23	1.24MB
Power Release-mobile Home-mobile Home Set-up Final 20220725.pdf	2023.12.23	38.87kB

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