HomeMy WebLinkAbout15-16210 CITY OF ZEPHYRHILLS
1� 5335-8th Street
' (813)780-0020 1621
- ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:16210 Issued: 4/28/2015 Address: 5123 21ST ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 1,650.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 45.00 Date Paid: 4/28/2015 Parcel Number: 12-26-21-0010-00100-0150
CONTRACTOR INFORMATION OWNER INFORMATION
Name: REESE ELECTRICAL INC Name: MCCOY FERN C
Addr: P.O. BOX 862 Address: 1020 WITHLACOOCHEE ST
ZEPHYRHILLS,FL. 33539-0862 SAFETY HARBOR FL 34695-3437
Phone: (813)788-0091 Lic: Phone: 305-799-3420
Work Desc: SERVICE UPGRADE 150 AMP
APPLICATION FEES
ELECTRICAL FEE 45.00
�
e
INSP NS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL - r
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one 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� 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 properly 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.
"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."
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City
, Codes and Ordinances.
.
V ,v�
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-Od21
Building Department
Date Received •• �'- Phone Gonlact for Permitting -
Owner's Name C�O I1 Owner Phone Number �0� "��9 -3,��•V
Owner's Address �� !Z.� �•�� �`-'�Sr Owner Phone Number �� �
Fee Simple Titlahotder Name � � � Owner Phone Numbar � �
Fee Simple Titiehoider Address
JOS AdDRESS 1 Z� �.ti;l �J�C. LOT# �,�
SUBDEV{SION � � PARCEL ID# �z f �� ' '�`,• b01� ' Q��d
(OBTAINED FROM PROPERTY TAX Np1'ICE)
WQRK PROPQSED e NEW CONSTR 8 ADp1A�T � SiGN Q Q DEMO�ISH
INSTALL REPAIR
PRQPbSED USE Q SFR Q GQMM � QTtiER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRiPTiBN OF WORK ��G �� rR�� � 'rr'� �+^'ti"��•
BUILDING SIZE � � SQ FOOTAGE�__� HEIGFIT [�`�
QBUlLDING �u� ti/A�UATEON OF TOTAL CONS7RUCT10N
��ECTRICA[. $ AMP SERVICE ��t�. �~PROGREBS ENERGY Q W,R.E.C.
„t65t�.�v�
QPLtlMBlNG J�$ --� _i�
L— �b`t/`
OMECHANICAL $ VALUATlON QF MECNANfCA�INSTA�lATION 7�'►
OGAS Q ROQFING Q SPECiALTY � OTHER
FINISHED FLOOf2 ELEVATIONS �� FLdOD ZONE AREA QYES NO
Bl1di.��t�� �. - - C�AtifTAPdI'- _ - -- - —
- ---- --_ __. _`.__ ---- - --
SIGNATURE REGISTERED Y/ N FE�cuRa�n Y/N
Address License# � �
El.ECTRtClAA! r�t COMPANY �2.5�. ����'�'�1rGR,•� c�..L�t.G.
SIGNATURE � V�""� REGISTERED Y/ N FEE CURRE� Y/N
Addrsss i"� � �... �J !33 License# �C- �f3t�l3'S 3 �
PI.UI�]BER COl4�PATIY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address license# �� �
MECHANICAL COMPANY
SiGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �— �
OTHER CQMPANY
SIGNATURE RE�is7ERE� Y! N FEE CURREA Y/N
Address License# �— u�
REStDENT1AL Attaah{2)Piot Pians;{2)sets of Building Pians;{t)set of Energy Forms;R-Q-Vtt Perm�t for new canstrvction,
Minimum ten(10}working days after submittal date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects
C4MMERCIAL Attach(3}camplete sets of Buifdir►g Pians pEus a Life Safety Fage;('1}set of Energy Forms.R-Q-W Permit for new c.ansttuction.
- - Minimum ten(10}warking�days after submiktal date. Reguired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
San(tary Facilities&1 dumpster.Sike Wa�k.,l?ermit for all new projects.All commercial requirements must�meet compliarice
StGN PERMtT Attach{2}sets of Engineered Plans. ` .
""PROPERTY SURVEY required for all NEW conskruction.
Dlrectians: , � -
Fill out apptication campletely. �� ' . �
Owner&Contractor sign back of application,nokarized �t f , f
1f aver$2Sd0,a Notice of Commancement is required. �{AlC upgrastes;ovef`:$T580)' , ; ! '
'" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same - `, }
DVER THE COUNTEtt PERMI'f'1'ING {Pronf af Apptication Only}„, �- " °�-•° �_ - i...,,
Reroofs if shingles Sewers Service Upgrades A/G�� = Fences:(Plat/Survey/Footage) , '� „ '`' ;� ` '° ' ,_
Driveways-Nat over Gounter if on publlc roadways..rteeds F2flW � - ? _� ' ` " ` ' ? ` {