HomeMy WebLinkAbout15-16243 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 16243
�� � ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:16243 Issued: 5/05/2015 Address: 5728 5730 BROADMORE ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: • � Subdivision: TREE LANE VILLAGE
Amount Paid: '�c D te Paid: Parcel Number: 10-26-21-0000-00100-0000
CONTRACTOR INFORMATION OWNER INFORMATION
Name: JIM'S ELECTRICAL SERVICES INC Name: TREE LANE LTD
Addr: 18302 EASTWYCK DR Address: 10912 N 56TH ST
TAMPA FL 33647 TEMPLE TERRACE FL 33617-3004
Phone: (813)810-4079 Lic: EC13005496 Phone:
Work Desc: SEE BP#16242 PAID REPLACE METER CAN & RISER
� APPLICATION FEES
�
INSPECTIONS REQ I D ,
ROUGH ELECTRIC
CONSTRUCTION POLE .�.
PRE-METER
FINAL � ' '
` �r �730� 3 ° _
�I(� " �z'
�
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.
--- ---�_.._ -�
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
-– — :�
813-780-002p City af Zephyrhills Permit Applicatian Fax-813-�so-ooa�
Building DeparEment
Date £Celve`d r p�
•a� ,�— "'� r7 Phone Contact for Perm�tting O l� ��° – 7`���
Owner's Name Owner Phone Number
Owner's Address Owner Phone Number C� �
Fee Simple Titleholder Name �� � Owner Phone Number �� �
Fee Simple Tttleholder Address
JOB ADDRESS �� 1 .�� r�� �V v�°S}- �' ���� .�rOC�W�0✓�-�5 L.OT# C�
SUBDiVIS10N �5�4�� �r�V�-� � PARCEL ID#
(OBTAINED FROfN PROPERTY TAX NOTICE) ,
WORK PROPOSED e NEW CONSTR 8 ADDtALT 0 S1GN �J Q DEMOLISH
INSTALL REPAIR
Pt2QPOSED USE Q SFR Q COMM � OTNER
TYPE OF CONSTRUCTION Q BLQCK Q FFtAME �� STEEL Q
DESCRIPTION OF WORK �� ��'.... �'1�d�/`� � p� '�0.��f.�.,, '
BUILDlNG SfZE �� � SQ FOOTAGE��� HEIGHT ���
�B�i�'���� $ �VALUATION OF TOTA4 CONSTRUCTION
�...,,�
�EC'CF21CA� $ �? �p Q � ar��s��v�c� � PROGRESS EhtE12GY Q W.R.E.C.
o��
QPtUMBING �, � - �,(�"'}�
QMECHANtCA� $ VALUATtON OF MECHANICAL(NSTAL.l.AT10N
f� ( � ,-I f
QGAS Q ROOFt{dC Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS �W� FLOOD ZdNE AREA QYES NO
BUtLDER COMPAHY
SIGNATURE _,, REGISTERED Y/ N FEE CURRE� Y/N
Address License# r— �
` -�.
��EC�trc�,a� �;���,s----� conn�a�nr �.��te�I.�1�-�� �C��o ��S�4�
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �����c r y�9� ��
PUlMBER � � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � �
�lIECHAN}CAL COIVIPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address ticense# �' �
OTHER COMPANY
51GNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �" �
RESIDENTIAt. Attaoh(2)Ptat Plans;(2)sets of Bailding Plans;{1)set of Energy Forms;fi-Q-W Perrnit for new construction,
Minimum ten(10)woricing days after submittat date: Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facillties&1 dumpsker;Site Wark Permit for subdivisionsAarge proJects
COMMERCIAI. Aitach{3)c�mplete sets af Bntld�ng Plans pius a Life Safe#y Page;{i}set of Energ}r FoRrts.R-tt-W Permlt far new canstn�ction.
� _ Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Sita Work Permit far all new proJeots.All commerciaf requtrements must mest compltance " -
StGN PERdld1T Attach{2)sets of Engineered Plans,
'•""PROPERTY SURVEY required for all NEW constructian.
O[ractions:
Fill out applicaHon completely.
4wner&Contractor sign back of applfcatton,notarized
If aver 5250D,a Not}ca af Cammencement is requfred. (A!C upgrades avar$7500)
'" Agent(for the contractor)or Power of Atkomey(for.the owner).would be someone with notarized letter from owner autho�izing same
wY{Si.Y�i++ '
OVER THE COUNTER PERMIfiTiFIG ��r(Ftonf of Appticatian Only) • �� �
Reroofs ff shingles Sewers ' �Service',Upgrades.lA/C,,, � Fences(PlotiSurvey/Foo#age)
Driveways-Not over Counter if on,public roadviray,s.,needs;ROW��='•�-�'���'
� ,.,.�,., ._ ..