HomeMy WebLinkAbout15-16215 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 16
,. ELECTRICAL PERMIT
��� PERMIT INFORMATION LOCATION INFORMATION
Permit#:16215 Issued: 4/28/2015 Address: MIS SEE L/S #15 PIEDMONT
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: T tal Fees: Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: � (1�`�CA�t Date Paid: Parcel Number:
CONTRACTOR I FORMATION OWNER INFORMATION
Name: OWNER Name: CITY OF ZEPHYRHILLS
Addr: Address: 5335 8TH ST
ZEPHYRHILLS FL 33542
Phone: Lic: Phone:
Work Desc: INSTALL METER CONTROL PANEL
APPLICATION S
��
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METE�
FINAL �
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 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.
"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.
L-���
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-Op20 City af Zephyrhills Permit Application Fax-813-780-0021
Bu�lding dega�ment
Date Recelved 2$' �� Phane Contact far Permltt#ng –
a,
Owner'�Name �- i�F d� � � f��� � Owner Phone Number
Owner's Address �33 ���' �� Owner Phone Number � �
Fae Simple Titleholder Name �^ —� Owner Phane Number � �
Fee Simple Tltleholder Address
JOBADDRE3S C� �✓"���b ��e����"r LOT# ��
SUBQIVtSION �"� ���h U����t��� PARCEL ID#
(OBTAINED FRdM PROPERTY TAX NOTICE)
WORK PROPt3SED e NEW CONSTR 8 ADD/ALT � SIGN Q Q pEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR [� COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEI. Q
DESGRIPTIbNOFWORK R►�SF�+�I l��„� Me�''"!' dr�trr,o, �' r, L S Cma
BtlILDING SIZE �� � SQ FOOTAGE C_� HEIGHT
QSt1!l.DiNG � � VALUATION OF TOTAL CONSTRUCTION
[L�ECTR{GAL $ AMP SERVECE � PROGRESS ERlERGY Q 1N.R.E.C.
_i
QP�UMSING
�,_�
QMECHANiCAI � � VACUATtON OF MECHANICAC INSTAILATiON
QGAS Q ROOF[NG � SPECIAI.TY �� dTFtER
FINISHED FL.00R ELEVATIQNS � F1.00D ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE �, . ,_. ,,,.,� REGISTERED Y/ N FEE CURRE� Y/N
Address License# �— �
ELECTRICIAN �w�'��� ,���'"'-��""e"�~ COMPANY
SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
.,,.....,, r�,
Address License# �� �
PCUMBEl2 CBMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �— �
MECHlW1CAL � COMPANY
SIGNATURE . REGI87ERED Y/ N FEE CURRE� Y/N
Address Liaense# � �
OTMER � COMPAfi�tY
SIGNATURE REGISTEREp Y/ N FEE CURRE� Y/N.
Address �icense# �— ��
RESID6NT4At. Attach{2)Plot Plans;(2)sets af Bullding Plans;{1)set of Energy Forms;R-Q-W Permit for new construc�an,
Minimum ten(10)worlcing days after submittal date. Required onsite,Construation Plans,Storrnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge proJects
COMME42CtAL Attach{3}complete sets af Buitding Plans plus a LiFe Safety_Paga;{1}_set of Energy Forrns.R-Q-W PermEt for new ranstructton.
-- Minimum ten(10)working days after submittel date. Required onsite,Canstruction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facillties 8�1 dumpster.Site Wqrk Permit for a0 new proJects.All commercial requl�ements must meet campNance
SIGN PERMIT Attach(2}sets af Engtneered Plans.
"""PROPERTY SURVEY required for all NEW construction.
dlrectlans:
Ffll out applicadan wmpletely.
Qwner&Contractor sign back of app!(cation,notarized
If aver�25�0,a Notiae of Commencement is required. (AlC upgradas over S75d0)
" Agent(for the co�tractor)or Power of Attomey(for the owner)would be someane with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application 4nly}
Reroofs if shingles Sewers Service Upgrades A/G Fences(PIoUSurvey/Foatage)
Driveways-Not aver Caunter if on public roadways..needs RQW