HomeMy WebLinkAbout15-16253 CITY OF ZEPHYRHILLS
;- • 5335-8th Street
� (813)780-0020 16253
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATIO�! INFORMATION I
Permit#:16253 Issued: 5/06/2015 Address: 6046 GREEN DR
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: 500.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 5/06/2015 Parcel Number: 01-26-21-0010-12000-0011
CONTRACTOR INFORMATION OWNER INFORMATION
Name: PATTIE ELEC. & REFRIGERATION Name: ZEPHYRHILLS RRH LTD
Addr: 39111 PATTI RD Address: 7865 SOUTHSIDE BLVD
ZEPHYRHILLS,FL. 33540 JACKSONVILLE FL 32256-0416
Phone: (813)782-3319 Lic: Phone:
Work Desc: REPLACE BURNT METER COMBO
APPLICATION FEES
ELECTRICAL FEE 40.00
INSPECTIONS REQU ED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER T
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 vuork 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 fl 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.
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"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.
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CONTRACTOR PER OFFI
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PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�saeo-oo2o Ci#y of Zephyrhills Permit Application Fax 813-780-QQ21
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� Building Department
Qate Recefved
Phone Contact far Permittin
t
Owne�'s Nams �nrtn r� � Owner Phoae Number
Owner's Address Owner Phone Num6er � �
Fee Simple Titleholder Name �� � Ownar Phone Number �i �
Fee Simple Titlehalder Address
JOB ADDRESS D L� �0' � � �5 LOT# ��
SUBDIVISION PARCEL ID# � -
(OBTAINED FROM PRdPERTY TAX NdTiCE}
WORK PROPOSED , e NEW CONSTR e ADDlALT [� SIGN [� C] DEMOUSH
INSTAI,L REPAIR
PROPOSED USE � SFR [� COMM [_� OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q
DESCRIPTION OF WORK ,UU!" !� -�{�" C��l�L'� �
'i BUII.DING SIZE SQ FOOTAGE� HEIGHT L�� '
QBUiIDiNG � � VALUATION OF TOTAL CONSTRUCTION
����
,.�ELECTRICAL $ QO� AMP SERVICE�t}� Q PRQGRESS ENERGY [� W.R.E.C.
D�'
OPI.UMBlNG I,� �
�-�- �
�MECHANICA�. � � VALUATION OF MECNaNtCAI INSTALLAT{ON
Q�� Q ROOPING Q SFECIAL'i'Y �� OTHER
FINI5HED FLOOR ELEVATIONS �—_—� FLOOD ZONE AREA QYES NO
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I BUiLDER COMPANY
SIGNATURE REGISTERED Y/ N FEE GURRE� Y/IV
Address License# � �
SIGNATURE� ��
( _ .. �%t/V�, can�Pawv t'� , c c � � r� .�4�� �° d�
REGISTERED Y/ N FEE CURREA Y/N
' Address l Ltcense# (Gy ��� �
PLUMBER � � COMPANY
SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
Address License# �� �
, „ . ...
MECHAt�11CAt COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �^ �
OTHER COMPAMiY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
,,,,. ,,,. ,,...
Address License# �� �
RESlDENTIAL Attach{2}Pto#Plans;(2}sets of Buitding Plans;(1)set af Energy Forms;R O-W Persnit far new conshuction,
Minimum ten(1Q)working days after submittal date. Required ansite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facititiss&1 dumpster_SSte.Wark Permit far subdiv_isionstlarge projects . __
COMNfERClAL Attach(3}comptete sets of Build'mg Ptans ptus a Life Safety Page;(1)set af Energy Forms.R-O-W Permit fo�new ct�nstnsction.
Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaclliNes 8 4 dumpster.Site Work Permtt tar aii new proJec#s.Ail cammercia!requlrements must mee#comptfance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"""'PROPERTY SURVEY required for all NEW construcUon.
Dlrections:
FIII ouk application completely.
Ir Qwner&Gontractar slgn baak of applfcatlan,notacized
tf over$2500,a Notlae of Commencement ls required. (A/C upgrades over 57500)
" Agent(for the contractor�or Power of Attomey(for the owner)would be someone with notarized{etter from a�nmer authodzing same
DVER THE COUNTER PERMITTING ,(Front af Appiication Oniy}
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurveylFootage)
Driveways-Nat over Caunter if on public roadways..needs ROW � ' �
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NOTICE OF DEED RESTRiCT10NS: The understgned under�#ands°�th�t�his.p�rmit.may.be.sub�ect to"deed"restNcttor�s° '
which may be�mare r:estYictive�than Counky�regulafions. �The undersigned assurries responsibiltty for compUance with any I
appilcable deed restricttons. �
UNLICENSED CONTRACTORS.AND CONTRACTOR RESPONSIBIL1TiES: tf the owner has hired a contractor or
cor�tractors to undertake work, they may be.reQuired..to be:licensed In accordanc�.with state.and•local regulations. if the
contracfar is not licensed as requlred-by law, both the owner and contractar may be clted far a m3sdemeanor vlola#lon
under state law. If the awner ar Inkended-contractor are uncertain as to what Itcensing.requirements may apply�for the
intended work, they are advlsed to con#act the Pasco County Buiidittg Ertspectfon Dlvlston—L.Icensing Sectbn at 727-847-
8009. Fur#hermore, (f the owner has hired a cont�actor or contractors, he is advtsed to have the cantractor(s) sign
portians of the "contractor Black" of khis appllcatian for which they wiU be responsible. !f you, as.ihe owner slgn as the
contractor, that may be an indEcatian that he Is naf.properly licensed and Is not enti#led ta permitting privileges In Pasco
County.
TitI�NSPORTATI£1N-IMPACTIUT!l.1TIES lMRAG�'AND RESAURC�RECOYERY FEES; The understgned understands
that Transportatfon Impaat Fees and.Recaurse Recove.ry�Fees may�:apply to the construction of new buildings, change of
use in existing butldings, or�expansio�of•��e�isting!bulldings} as speatfled (n Pasc� County Ordinance number 89-07 and
90-OT, as amended. The undersigned also understands, thait such fees,.as,may be:due„wilt�6e tdentified at the time af
� permitting. It Is furtfier understood that Transportation Impact Fees and�Resource Recovery Fees mus# be paid priar to
rsceiving a °certificate of acsupancy"ar flnal pawer-releas�. :4#the pro�ect,does not Involve a certificate of occupancy or
final power release, the fees must ba paid prior#a perrnR Issuance. Futthermore; if Pasco County Water/Sewer Impact
' fees are due, they�must be-pald prior to permit lssuanae�ln accordance wlth appHcabie Pasco�Gaanty ordinances.
I CONSTRUCTiAN LiEN LAW(Cfiapter 715, flor�da Statutes,as amended): If valuatlon of work is$2,500.00 or more, t
certify that I, the appliaant, have-been provided with a copy of the "Flocida Const�uctian Llen Lav�Homeowne�'s
' Pra#ectlon Gu�de" prepared by the F�or�da Department of Agrlculture and Consc�m�r Affairs.- If#he applicant is sameane
other than the"owner", I certify that I have.abtained a capy,of the above described document�and.promise-in,goad faikh to
E defiver it to the°owner°�priar to�commencement.
CONi"RACTOR'SJOWNER'3 AFFiDAViT: I cerkify that all#he�informatlon in thls application is accurate and that all work
will'be done in campliance with all applicable laws regulating construction, zoning anc! land development. Appllcatlr►n is
hereby made to obtaln .a permit to do v+rork�and installation as Indt�ated.. 1 certify that na work or instaNation has
commenced prior to issuance of a perm(t and that.all work will be perf'ormed to meet standards of all laws �egulating�
constrnctton, Gounty and City aodes, zoning reguEatlans„ and land development regulatlons•In the�urisdtction. 1 also
certify that 1 uaderstand that'fFrB Teg�alations of other government agencles may�apply�to the intended work, and that it is
my responsibility to identify�what,actions 1 must take.ta be.ln:.corr�pllance, S.uch agenetes l�cfude bu#are-.not ffmSted ta:
- Departmen# of Et�viranmental Prbtection-Gypress.Bayhead�, Wetland Areas and Environmentally Sensitive
Lands, WaterMlastewa#e�Treatmenk.
- Southwest �-Fk�r�da Water Management .C}3strlct We11s, Cypress. Bay,head"s; V1letland Areas, A#tering
Watercourses.
- Army Corps of EngtneersSeawalls, Docks, hfavlgable Waterways.
- Depa�tment of Hea{th� & Ret�abilita#i�e Services/Environmentai Health Unit Well.s,.Wastewater-Treatment,
Septic Tanks. .
- US Envl�anmen#al Protection Agency-AsbesEos abaEement.
Federal Avlation Authority-Runways. i
!understand that the fo!lnwing.res#r4ctions app4y ta the use o#flN:
- Use af fi{I is not atlawed in Ftood Zone"V"unless expressty permitted.
- If the fill material is to be used In Flood Zone "A", it. Is understaod #hat a drainage plan addressing a
"compensating volume"uvlll be submltted at#lme of permitting wtiich is prepared by a prafessiona! engineer
Ifcensed by the Sta#e of Florida.
- !f the fiU materlal fs ta be us.ed In Ftood Zone "A" in>connec�ion�w1th.a permttted buiid�ng us�ng stem watf
� constructio�, I certify that fii1:�►111:be used only.to.fiil the area within the�stem walL
' - If fill material is to be usad In any area, 1 certify that use of such fiA wil! t�ot adversely affect ad�acent ,
� properties. if use of filt is foc�nd to adverseiy:�ffect adjaeerat�properties,.the owner may be cited for vlola#ing ;
the conditions of the bui(ding:permit issued�under the at�ached permit application, for lots less than.one (1)
acre whlch are elevated�by�1l;an engtneered dralnage plan Is requlred. . (
, If 1 am the AGENT FOR THE OWNER, I,�promise in goad falth to fnfarm the owner of the permitttng condltions set forth in
this affidavit�prior ta commencing constructlon. I understand that a�separate permft may be requtred for etect�lcal worfc,
plumbing, signs, welfs, poofs; ait condifioning,.g�s, vr otii�t. insfaliatians not•spec�ficatty included�in.the apptication. .A
permit issued shall be canstrued to be a Itcense to proceed wlth the work and not as authority to.vlolate,.cancel, alter, or
set aslde sny provlsfons of#he#echnlcal codes;�nor shatt issuance�af a.permtt.p�event#he Buildirig O#itcial fram thereafter
requiring a correction af eROrs in.pians; constructian or violatlons of any codes. �very permtt issued shall become invalid
unless the work authorixed.by such permit.�ls-coEnmenced�wlkhin sf�c months of permft Issuance: or if work authorized by
fhe permit is suspended or.abandoned for a periad of six(8)mont�s.after the tirne the�w►ork is commenced. An extension
may be �equested, in wrlting, ftom #he Building,Official for a period,not to exceed nlnety(90) clays and wil! demonstrate
Jus#�iabie cause for:the extensian: If work ceases.for ntnefy�90}cans.ecutive:days,.-the�ob�is.consideted abafldoned.
WARNlNG TO OWNER: YOUR.EAlLURE�TO.,RECQt2Q A NQTIGE:Q��COMMENCEMEi�T-MAY°RESULT IN YClUR
PAYING TWiCE FOR tMPR01tEMENTS T0 YOUR.PROPERTY. iP�YO.U�iN�EJ�ID�'TQ'OB-TAIN��FIN�ANE1NG;'CONSULT
WIT UR D O I�N TTO NEY FORE� ,�ECO � G:� OU � �� 'O �-' � �fMIE __�
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FI.�R,ClA.�E1R,43�{F.�.1S3.tD3} - - - -
OWNEIt OR Af3ENT CONTRACTO
8ubscrlbed and swom M{or sfflmted}before rne this Sub bed e 'se�m to(a� rmed}�befo me`tFii�
by
Who Is/are personally knovm to.me or has/have produced Who i'ere p.erson� r��cno n M me or has%h���%diiced
as IdentlRcatlon. tion.
Notery Pub�lc . % Notary Public
Commfsslon Na. �� � ;�,
=k�� �,. Commission#FF 150422 �
:�a: - � .
IVame oC Nofary typed,Printed or stamFec! Nam O �� `�` i�R�a��n . dOtB