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Home My WebLink About15-16407 _ "' CITY OF ZEPHYRHILLS ,..- 5335-8th Street (813)780-0020 1640 ELECTRICAL PERMIT PERMIT INFORMATION � LOCATION INFORMATION Permit#:16407 Issued: 6/26/2015 Address: 5109 9TH ST 38620 2ND AVE � Permit Type: ELECTRICAL MISC i ZEPHYRHILLS, FL. Class of Work: ELECTRICAL MISC Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 800.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 40.00 Date Paid: 6/26/2015 Parcel Number: 11-26-21-0010-20600-0015 CONTRACTOR INFORMATION i OWNER INFORMATION Name: PATTIE ELEC. & REFRIGERATION Name: SAMPSON, GILBERT &ANNA Addr: 39111 PATTI RD Address: 39028 3RD AVE ZEPHYRHILLS,FL. 33540 � ZEPHYRHILLS, FL. 33542 Phone: (813)782-3319 Lic: � Phone: (813)862-3813 Work Desc: REPLACE RISER � ' APPLICATION FEES ELECTRICAL FEE 40.00 ' INSPECTIONS REQUIRED ROUGH ELECTRIC I CONSTRUCTION POLE � PRE-METER � FINAL I � �� J � �� jv I 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 follow�ng 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 i n job site f) 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 managi ment, state agencies or federal agencies. I "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 Code�s and Ordinances. i � i � i I CONTRACTOR I PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED . PROTECT CARD FROM WEATHER ; � � 813-780-0020 City of Zephyr�ills Permit Application Fax-813aeo-oa2� Bu{lding Depatfinent r "'� - � Date Itece[ved Phane Contact�for Permi#t1n – Owner's Name � �a �` tr`�' �� {}w»er Pha�e Hum'ber.., , _ J.�._..»`.�x.'f Owner"s Address ' �- Ownec,Phane Numtier,. 'r .: � �__ & � � . _ � -_ -> ��-. _. ,-. _.z..r ,. Fee Slmple Titleholder Name Owner.Phane Number - ! Fee Stmpte titleholder Address 7 � JOBADDRESS ��D � � r7gb2'8 Z�`� �v�" LOT# C� � i sueo�v�sioN �— � � PARCEL ID# ��, - �.I-' �010 "'�U 1p bG�— Caa 1 ' (OBTAINED FROM PROPER'!Y TA3(NOTtCE) V4fORFC PROPt?SED NEW CoNSTR ADDJP�tT � SIGN Q [� DEMOLISH e INSTALL 8 REPAIR PROPOSED.USE Q SFR � CQMM Q C?THEE2 TYPE OF CONSTRUGTION [� BLOCK [�' FRAME � STEEL [� DESCRIPTION OF WORK -C C�V'"� �� 4-'f GI�V`` �C'.c- BUILDING SIZE �— � SQ FOOTAGE�� HEIGHT �� i �8��' �� . � VALUATION QF TOTAL COIVSTRUG710N .� t�/G� LECTRiCAI. $ �� AMP S�RVlCE Q� PROGRESS ENERGY Q W.R.E.C. /� ��--� o��,M��,� $ 6,�07 � � QMECHANICAL $ VA�UATION t�F MECHANICAI.INSTA�IATICIN � QGAS Q RQQFiNG � SPEC�AI.TY [� OTHER FINISHED FLOOR ELEVATIONS FLOOD ZQNE AREA QYES NO i I , BEJI�DER COMPAN1t � �' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Addresa � Cicense# � � ( ECEC7RICIAN ��!�,1 CBMPANY �t�. N t t � ��t rc �V`�-- t O r� SIGNATURE -� REGISTERED Y/ N FEE CURRE� Y/N i. � Address t l �.� a I License# �� QO� /2-!p � � PIUMBER �I Mpp(�}( SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address � license# � � MECHAPtICAI. COMPANY SfGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address � License# r� t � , , . , I OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N. Address ! License# � � EtEStDENT1Al. Attach(2}Piot Plans;.{2)sets af:Building Pians;{1}set af Energy Farms;R-0-W Permlt for new constructton, Minlmum.ten�(10).working;days after.submittai date. Required onsfte,CanstrucUon Plans;Stormwater Plans w/Silt Fence installed, Sanitary FaciliUes&1•.dumpster.Site Work�Rermit for4su6didisionsAarge qroJects C4MMERCIAI. Attach(3)complete sefs of Svitdltig Plans plus a t�fe Safe#y Page;{1}set af Energy Fotms.R-O-W Pemrlt for new cans#ruction. Minimum ten(10)working days after submittal date. Required onsite,ConsUuctian Plans,Stortnwater Plans w/Silt Fence installsd, Sanitary Facilides&1 dumpster.Site Work Pertnit for all new proJects.All commercial requlrements must meet camptlance SIGN PERMIT Attach{2)sets of Engineered:Plans.,,. "`""PROPERTY SURVEY required for all NEW const i ctian. �}1�9CtI0iiS: FIII out appUcaUon completely. Owner&Contractor sign back of appiica�on,notadzad if over 52500,a Nottce of Commsncement is requlrad. {A!C upgrades over 3T500) " Agent(for the contractor)ar Power of Attomey(far the owner)would�be sameone with notarized letter from owner authorizing same OVER THE COUNTER AERMIITING (Fmnt�af Appllcation Onty) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Foatage) Driveways-Nat aver Counter if on pubtic roadways..needs ROW i � ' -- — LVOTICE O�DEED RESTRICTION5: The undersigned under.�tands°that this.permit.may.be,subJect to°deed"restrictlons" whfch may he:more rest�ictive than County regulations. "Phe undersigned assumes responsibiltty for compliance with any applicable de�d restrictions. , UNLICENSED CONTItACTORS AND CONTRAC'PO@Z ItESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be requlred_to be:llcensed In accordance.with stat�.and�local regulatfons. If the contractor is not I(censed as required-by law, boQh the owner and contractor may be cited for a misdemeanor violatfon under state law. If the owner or Intended°contractor are uncertain as to what Ilcensing.requirements may apply�or the ' intended work, they are advised 4o contact the Pasco County Bullding Inspectlon Divislor�—Licensing Section at 727-847- 8009. Furthermore, If the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign ' portions of the "contractor Block° of thls appllcatlon for which they wrfll be respo�sible. If you, as.the owner sign as the contractor, that tnay be an indication that he ts not.properly licensed and is not entitled to permitting privileges In Pasco County. 'PRANSPORTATION IMPACT/UTIL{TIES IMPACT ANb RE�OURCE RECOVERY FEES: The undersigned understands that Transpor�ation Impact Fees and.Recourse Recove.ry Fees may apply to the construction of new►buiidings, change of use in existing buildings, or expansion•of�existing`buildings, as speclfied in Pasco County Ordinance number 89-07 and 90-07, as amended. �he undersigned also understands, that such fees, as may be�.due,.will::be identified at the time of permitting. It is further understood that Transportation 0mpact Fees and Resource Recov.ery Fees must be paid prior 40 receiving a "certificate of occupancy" or flnal.powrec release. :If the project does not involve a certificate of occupancy or final-power reVease; t�e fees must be-paid�prtor to"permif f�suance: Furthermore; if Pasoo County Water/Sewer Impact fees a�e due, they.must be-p�id prior to permit Issuance-In accordance wlth applicable Pasco County ordinances. CONSTRUCTION d.IEN I.AW(Chapter 773� Florlda Statutes,as �mended): If valuatlon of work is$2,500.00 or more, I certify that I, the applicant, have.been provided with a copy of the °Florida Constructlon Lien Law—Homeowne�'s Protection Guide" prepared by the Florlda Departmenf of Agricuiture and ConsumerAffairs. If the applicant is someone other than the"owner", I certify that I have.obtained a copy;of the above..described document and promise in,good faith to deliver It to the°owner"prioc to commencement: CONTRACTOR'S/OWNER'S AFFID�IVIT: I certify that all the Information In this applfcation is accurate and that all work will be done in compliance w►ith all applicable laws regulating construction, zoning and:land development. Application is hereby made to obta(n .a permit Co do work.and Instailation as indlcated: 'I certify that no wrork or installation has commenced prior to fssuance of a permit and that all work will be performed to meet standards of all laws regulating� construction, County and City codes, zoning regulations, and land development regulations�in the jurisdict(on. I also certify that ! understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify.what,actions I must take to be,in:.corr�pliance: Such agencles includ�but are not Ilmited to: - Department of Environmental Protection-Cypress Bayheads; Wetland Areas and Environmentally Sensitive Lands,WaterMlastewater Treatment. - Southwest Florida Water Management Distrlct-VUells, Cypress. Bayheads�, Wetland Areas, Altering � Watercourses. - Army Corps of Engineers-Seawaiis, Docks, Navlgabie Waterways. - Department of Health 8 Rehabilitative �ervlces/Environmenfal Health Unit-Welis, Wastev�rater Treatment, Septtc Tanks. _ - US Environmental Protectlon Agency-Asbestos abatement. - Federal Avlation Auihority-Runways. I understand that the following.restrictions apply to the use of flll:� - Use of fill is not allowred in Flood Zone"V"unless�xpressly p�rmltted. - Of the fill m�terial is to be used in �Flood Zon� "A", (t. is understood that a drainage plan addressing a ucompensatirrg volume" will be submitted at time of permitting wrhich is prepared by a professional engineer Iicensed by the St�te of Florlda. - If the �II materlal.is to be used in Flood Zone �A" in�connection with_a permitted building using stem wall construction, I certify that fill�:will-be used only.to.fill the area uvithin the�stem�wall. - If fill materlal is to be used in any area, I certify tha@ use of such'fill wlll not advers�ly ;affect adjacent properties. If use of flli is found to adversely:affect adJacent�properties, the owner may be c(ted for violating the conditions of the building.permit fssu�d�under the.attached permit application, for lots less than'one (1) acre which are elevated by flll, an englneered drainage pla�Is required. if I am the AGENT FOR THE OWNER, I;promise tn good faith to inform the owrner of the permitting conditions set forth in this affidavit prfor to commencing construction. I understand that a�separate permit may be requtred for electrical work, plumbing, signs, wells, pools, afr conditioning, .gas, or other installations not spec�ically included-in.the application. A permit issued shall be constcued to be a license to proceed with the work and not as-authority to,violate, cancel, alter, or set aside any provis(ons of the technical codes; nor shall Issuance�of a.permit.prevent the �ullding Oiflclal from thereafter requfring a correction af errors In.plans, constnaction or vlolations of any codes. Every permit issued shall become invalid unless the work authorized by such permit�Is-commenced�w(thln sGc months of perreilt issuance, or If work authorized by the permit is suspended or.abandoned for a period of six(6) montf�s:after the time the work is commenced. An extension may be requested, in writing, from the �uilding,Official for a perfod.not to.exceed ninety(90) days and will demonstrate justifiable cause for.the extension. If work ceases.for ninety(90)consecutive days,..th�job�is considered aba�doned. V9fAItNING TO OWNER: YOUR.FAILURE�1'O,REC.ORD A. NOTIGE OF�COMMENCEMENT MAY RESULT IN YOUR PAYIidG TIRIICE.FOR_IMPPtOVEM�NTS'TO YOUR�PYtOPER°C1F. �IF�YOU�INTEND?�YO'OBTAIIV�FIfdANCING,�CONSULT WITH Y UR ENDE O. AN ATTORNEY B FORE�R COR� G:`YOUR' O � C �`OF° ' E CE ENT� FLORIDA JURAT(F.S.117.03) ' OWNER OR A(iENT -GONi'�CTAFt Subscribed and swom to(or aflirmed)before me thls 'Subscribed and'�wom to or flirttied)'befare me'PFifs b� �bY 4�o Is/are personally knovm to.me or has/haye produced Who.ls/are per�onally wn•to me or haslhave produced • as Identlflcatlon. as identlflcatlon. Notery Public :•r:'';,, J .BACON otary Public �M: :k- I Commisslon No. Com ssi _No. _:;• �o; Expires June 29,2018 � q •„o�e�,,. on e �u roy an nsurance �.�;.,n„•�. Name o/Notary typed,printed or stamped Name oP Nolary typed,printed or stamped P-_,