HomeMy WebLinkAbout15-16217 CITY OF ZEPHYRHILLS
:. � � � 5335-8th Street
(813)780-0020 1621
ELECTRICAL PERMIT
� PERMIT INFORMATION LOCATION INFORMATION �
Permit#:16217 Issued: 4/28/2015 Address: MIS SEE L/S #30 DERBYSHIRE
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:�Ul�k.�� Date Paid: Parcel Number:
CONTRACTOR INFORMATION 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 FEES
��.� ��- l Z i�
- INSP CTIONS REQUIRED �
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
� FINAL �
REINSPECTlON 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. i
� �
^ CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a,��-�so-aozo City of Zephyrhills Permit Application Fax-813-780-ooz�
, - Building Department
Date Received �'jf� Phone Contact for Permittin
Owner's Name C�`�'` d� �E �. �+, t� Owner Phone Number
Owner's Address �3�/ �� s� Owner Phone Number �
Fee Simple Titlehalder Name � � 4wner Phone Number � �
Fee Simple Titlehalder Address
JOB AbDRESS �} ��c�,,r� �i,� �.�e��f+ 7�,.f �'s�� t{ j� LOT# ��
SUBDIVISION ������.IC*6,�i � PARCEL iU#
(QBTAINED FROM PRQPERTYTAXNOTlCE}
W4RK PROPOSED � e NEw CONSTR 8 ADQtALT Q 3tGN Q Q DEMO�ISH
INSTALL REPAIR
PROPOSED USE Q SFR � CQMM � OTHER
TYPE QF CONSTRUC710N Q BLOCK Q FRAME � STEEL [�
DESCRiPTI{�N OF W012K ` I 1't4iL3 �'�.f' ,� c��� S Ca.��.�� wh
�UILDlNG SIZE � � SQ FOOTAGE t� NEIGHT ��
QBUILDING �� VAt,UATiON OF TOTAL CONSTRllC'f10N
ELECTRICAL $ AMP SERVICE C�/PR4GRESS ENERGY Q W.R.E.G.
QPLUMBING ���
QMECHANICAL (;� � VAI.UATION QF MECHANICAL INSTALLATION i
�
OGAS Q ROOFiNG Q SPECIALTY C� OTHER
FINISHED FLQOR ELEVATIONS �� FLOOD ZONE AREA [�YES NO
BUILDER COMPANY
SIGFIATURE REGISTERED Y/ N FEE CURRE� Y/N
Addreas �Ecense# �— �
ELECYRICIAN d�������, —'___..� R�M�D Y/ N FEE CURRE� Y/N
SiGNATURE `�'
Addre�$ Ucense# r� �
PLUMBER � � COMPANY
SIGNATURE ( � REGI9TERED Y J N FEE CURRE� Y/N
Address Ucense# �^ (
MECHANIGAL COMPANY
SIGNASURE REGISTfRED Y I N FEE CURRE� Y/N
Address � License# �i � �
_
OTHEFt COMPANY
31�NATURE REGISTERED Y I �1 FEE CURREA Y/N
Address License# � +
RE3IDEN'TiAL Aktach(2)Plot Plans;(2)sets of 8uilding Plans;(1}set of Energy Forms;R-O-W Permit for new construction,
Minlmum ten(10)working days after submltta4 date. Regutred onsite,Construatlon Pians.Stormwater F'lans w!Silt Fence instailed,
Sanitary FaciliUes&1 dumpster,Site Work Permlt for suhdivislons4arge proJects
COMMERCIAL Attach(3)compiete sets af Buiiding P{ans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcUon.
Mtnlmum ten(1d}wotking days after su6m[ttal date. Requfred onsite,Construction Pians,Starmwater Pians w!Silt Fence instai{ed,
Sanikary FaciltUes&1 dumpster.Slte Work Pertnit for all new proJects.All commercial requlrements must meet compliance
SIGN PERMIT Atkach(2)sets of Engineered Plans.
""*PROPERTY SURVEY requlred for aEi NEW cansUvatlan.
Dlrec#ions:
Fiti aut applicaH�an campletely.
Owner 8 Contraotor stgn back of app{(caHon,natarized
If over ffi2500,a Notice af Commencement is required. (A!C upgrades over 57500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
�VER THE COUNTER PERMITfING (Front of ApplicaUon Only)
Reraofs if shingles Sewers Service Upgrades A/C Fences(P1ot/Survey/Footage)
Driveways-Not over Counter if an public roedways..�eeds ROW