HomeMy WebLinkAbout15-16234 �
CITY OF ZEPHYRHILLS
5335-8th Street
" �� (813)780-0020 16 4
� ELECTRICAL PERMIT
' PERMIT INFORMATION LOC�4TION INFORMATION
Permit#:16234 Issued: 4/30/2015 Address: 5345 5347 SATSUMA DR �
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: 250.00 Total Fees: 40.00 Subdivision: ZEPHYR HEIGHTS
Amount Paid: 40.00 Date Paid: 4/30/2015 Parcel Numb�r: 12-26-21-0040-00500-0090
CONTRACTOR INFORMATIOIV OWNER INFORMATION
Name: ON-LINE ELECTRIC Name: ENDER19 LLC
Addr: P.O. BOX 921 Address: 9664 ORANGE JASMINE WAY
VALRICO, FL 33595 TAMPA FL 33647-3021
Phone: (813)662-0362 Lic: Phone: (813)778-1840
Work Desc: CORRECTIONS FROM SAFETY INSPECTION RELEASE OF POWER NEEDED
, APPLICATION FEES
ELECTRICAL FEE 40.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE �
PRE-METER ,
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 fi) 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 youo�notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
�
�
CONTRACTOR PER OFFI
i PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM 1NEATHER
LIMITED POWER OF ATTORNEY ,
I,Horst Odparlik DBA: On-Line Electric,residing and as a principal place of business located at I
1721 Avant St., Valrico,FL 33594 hereby appoint Jim Staples as my Attorney-in-fact(agent)in
all matters relating to permitting and inspection scheduling in City of Zephyrhills for the
following address:
� 5345 Satsuma Drive
Zephyrhills,FL
This document shall be understood as a Limited Power Of Attomey,and my Agent sha11 ha.ve
full authority to act on my behalf only in relation to the subject(s) specified above.
This Limited Power Of Attorney sha11 become effective on this d�te: April 16, 2015. And
it shall expire on this date:Apri116,2016 or at an earlier date if revoked by me in writing.
Executed on this date: `������S�
r
Signature of Principal:'���� � �
� NOTARY PUBLIC: This document was acknowledged before me by
HORST ODPARLIK,who presented�,tU�L Lt� on
this date: �.I c. l�► LU�f '
Signature of Notary Public:
w....
� DONOVAN REED
Notery Publk,S�a of Fbdd�
CpmmEsaloM FF 162472
tAy canm,e�ires Dec.1Q 2018 '
My commission expires on this date: 12 !�
State of: �l.O�.Oi�
County of I-�t l�.S B�c�, �' �
813-7$0-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Buitding Department
Date Recelved /�s-- ��� _ �}
� l J Phons Con#act far Permitting !�� � ;�
Owner`'s Name 4 � � ((ij Qwner Phone Numba� �� �C 7� ^ 1 g�
Owner's Address � ` �-'� Owner Phone Nuri�ber � �
Fee Simple Titleholder Name �— � , , � Owner Phone Number � �
I� Fee Stmple Titleholder Addreas
� t �_�
JOB ADbRES3 � � �r � � LOT#
�UBDIVISION �� � PARCEL ID# ��
. (pBTA1NEp FROM PROPERTY TAX NOTICE)
WORK PROPC}SED e NEW CONSTR 8 ADDlAIT C� SIGN Q Q DEMOLIBH
INSTALL REPAIR
FROPQSED USE Q SFR Q GOMi1t1 � dTHER
TYPE OF CONS?RUC1'ION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK �� G�/S /!�
BUILDIN�SIZE �^ � SQ POOTAGE�� HEIGHT C��
QBUII.D]NG �—� VALUATION OF 70TAL CONSTRUCTION
QE�ECTRICAL $ �a �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING ��---l� )���
�
OMECHANlCA� $ VA�UATIQN OF MECHANtCA�INSTA�LATlON
QGAS � RC}OFINfia O SPECIAITY � OTHER
FINISHED FLQOR ELEVATIONS ��� FLOOD ZONE AREA QYES NO �
8t31LDER CONIRANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address - License# �— �
EIECTRIC1Afi+1 COMPANY � j�`-� �_�p 1� �
81GNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addres� License# � y �
P�UMBER � COMPANY
SIGNATURE � REGI57ERED Y/ N FEE CURRE� Y/N
Address License# �� �
MECHANICAl. COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address ��i License# �— �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �^ —�
RESlDENTfAt. Attach{2)Ptot Plans;(2)sets of Bu3tdang P1ans;{1}set of Energy Forms;R-O-W Permtt for new canstruction,
Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Wo�lc Permit for subdivisions/large proJects
C4MMEE2CIAl. Attach{3}complete ssts af BuiEding Plans plus a I.ife Safety Page;(1)set of Enetgy Fonns.R-Q-W Perrnit far new constructian.
Minimum ten(10)wo�lcfng days'after submlttal date. Required onsite,Construction Plans,Stormwater Plans w/Sflt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compl[ance
- SlGfhi PERMfT Aftach:(2)sets af Er�glneered P(ans. "
"'"PROPERTY SURVEY required for ail NEW construcUan.
Dlrections:
Fill out appUcation completely.
Owner&Contractoe sign back of appllcatian,notarized
If aver 52500,a Nottce of Cammenceme�t ts required. {A!C apgrades over�T500j
`" Agent(for the conhactor)or Power of Attamey(for the owner)would be sameone with notarized letter from owner authorizing same
OVER THE COUFITER PERMlTTING (Front of Applicati6ri Only} ;�'�` `4
Reroofs if shingles Sewers � Service,Upgrades''A/C'`�.: Fences;(PlodSurvey/Footage)
�;. ;�, .,. ., „ � ,
driveways-Not over Counter if orr.Qubiia roadways;.needs.,ROW;.°;,:`_,.:.,,,
.. •
�ITY O� / / / / BUILDINa
ZEPHYRi�iLLS DEPARTMENT
�' � UF ADDITION OR CORRECTI�N
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ADDRESS� DA PERMIT�,
3�� a 5' � S�-T�����' 2 � � � �9
THIS JOB HAS NOT BEEN COMPLETED, The following additions or corrections shall be made before the job
will be accepted.
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It is unlawful for any Carpenter,co�t�ctor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
covar or cause to be covered,any part of the work with flooring,lath,earth '
or other material,until the prvper inspector has had ample time to approve 780-0 20 FOR RE-INSPECTION
the installatlon, v/� , '�
�L(3�
OFFICE HOURS 7:30AM-4:30 PM MON.-FRI. INSPECTOR
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