HomeMy WebLinkAbout15-16426 / �
CITY OF ZEPHYRHILLS
53 5-$th Street
� - ' (8 3)780-0020 �� 2�
ELECT ICAL PERMIT �
PERMIT lNFORMATION LOCATION INFORMATION
Permit#:16426 lssued: 7/02/2015 Address: 37531 EILAND BLVD
Permit Type: ELECTRICAL. MISC ZEPHYRHILLS, FL.
Class of Work: E�ECTRIGA� M1SC Township: Range;
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 5Q0.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRH(LLS
Amount Paid: 40.4Q Date Paid: 7/02/20 5 Parcel Number: 03-26-21-Q010-06100-0020
CONTRACTOR INFORMATION {�WNER 1NFORMATION -
Name: EAST PASCO ELECTRIC, INC Name: ACME DEVELOPMENT CORPORATION
Addr: 10411 CONNER�Y RD Address: PQ BC}X 1299
DADE CITY, FL 33525 CRYSTAL SPRINGS FL 33524-1299
Phone: {813)782-8622 Lic: Phone:
Work Desc: CHANGE OUT METER BASE
APP 1CATIC?N FEES� . •
ELECTRICAL FEE 40.00
- INSPEC tC}NS QUIRED �
ROUGH ELECTRIC
CONSTRUCTION POLE �
PRE-(ViET����-
FINAL
REINSPECTION FEES: Reinspection fees will cam ly with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any a��of the fo[lawi g reasons: a)wrong address b}condemned work resulting
from faulty consfiruction c) repairs or correctio s not made when inspection called d) wark na#ready for
inspection when catled e) permit nofi posted n 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 6e found in the public recards of this caunty, and there may be aciditianal permits required from other gavernmental
� ` entities such as water management, state agencies or federal agencies.
"Warning to awner: Your failure to record a n tice of commencement may result in your paying twice for
impravements to your property. If you intend o abtain financing,consult with your lender or an attorney
before recording y ur notice of commencement."
Complete Plans, Specifications and Fee Must Accompa y Application. Ali work shall be performed in accordance with City
Cad s and Ordinances.
CO TRACTOR PER OFFI
PERMIT EXP RE5 IN 6 MClN NS 1NITNOUT APPRC►VED INSPEC'fI0
� CALL FOR INSPECTI N - $ NOUR NOTICE REQUIRED
PR+DTECT ARD FROM WEATHER
813-780-OQ20 City af Zephyrh 11s Permit Application Fax 813-780-OQ21
BuAdi g Department
� _ .
Date Recelved phpn$.Contaat f r Permfttln -
Owne�'s Name C.��•� �����m�'`� � �-�-I�`� Owner Phone Number ��� '� 6� -��-� �-.�"
Owner's Address C� ���" c�'�l�'( �� +���� L Owner Phone Number � .- �
Fee Simple Titlehalder Narne � Qwner Phane Number �— �
Fee Sfmpte Tltlehoider Address
JOB ADDRESS �v`� �� ` l a ��� 21��i 4�� �C.. c� ( �oT# �__�
SUBDiVIS10N � � PARCE ID# ''�
(OBTAINED FROM PRdPERTY TAX H0T10Ey
Wf3RK PROPOSED tVEW CONSTR ADDJA T Q 31GN` Q Q DEMdLISH
e lNSTALL 8 REPAI
PRQPQSED USE Q SFR � CQMM Q t�THER
'fYPE OF CQNSTRUCTlQN Q B�4CK Q FRAM � STEEI. Q
DESCRIPTION OF WORK � � �V � �-
BtlILDINC,SIZE r� � SQ FQOTAGE HEIGHT ���
QBtlIt,DING �� VALUATIO OF TOTAL CONSTRUCTION
ELECTRICAI $ ��� AMP SERV CE Q PRCIGRESS ENERGY [� W.R.E.C.
QPLUMBING � � �
QMECHANIGAL $ VALUATiQ OF MECNANICAL tNSTALLATlON � "" �
�
QGA3 Q ROOFWG CJ SPECI LTY � QTHER
FINISHED FLOOR ELEVAT{ONS (��� FLOQ� ZC?NE AREA [�YES NO
�.
BU1lDER G MPANY
SIGNATURE �3TEREa Y 1 N FsE cuttt�ti Y.J N
Address Lfcense# �— ���
ElECTRICIAN {(��( C M PANY CA�t'���b ��t'..'�i C. ��tJ C,�
SIGNATURE ! Y\�-`_�� � GISSERED Y 1 N F�cutzRen Y!N
Address l( 2.r( �e�..� �- c3�YSZ��y,` Ltcense# ���jba 3QC�� �
P�UMBER C MPANY
SIGNA?URE ��s7��o Y/ N FEE CuRr� Y i N
Address License# i �
MECHANICAl, C MP.ANY
SICiNATURE GISTERED Y/ N FEE GUf{REE Y/N
Address License# j ` �
OTHER C MPANY
SIGNATURE R GISTERED Y/ N FEE GURRER Y/N
Address � L,icense# �— �^�
RESIDENTIAL Attach(2?Plot Plans;,(2}sets.of:Building Plaas;(1}sef of Energy Forms;R-O-W Pemilt far new construction,
Minimum te�(10)working days after.submittal date. Required onsite,Construction Plans;Startnwater Plans w/Siit Fenae installed,
Sanitary Fac3liUes,&1,dumpster,Site Work•Pertnit for subdivistonsllarge projects
GbMMERCIA�L AtEach(3}carrtplete sets vf Buitdlrig Ptans pius a�.Ife afety Page;{1}set af Energy Fomts.R-O-W Pemnit for�ew constnsction. - - _
Minimum ten(10)working days'after submlttal date. �tequired onsite,Canstructton Plans,Starmwater Plans w!Silt Fence installed,
Santtary Feciti8es&1 dumpster.Site Work Permlt for all new proJects.All commercial requtrements must meet compliance
� StGM PERMlT Attach(2}sets af Engfneered-P.lans.. �-: , . '
"""PROPERTY SURVEY required for all NEW cons ction.
Dlrestfans:
Ffli ouk applicadon completely.
Owner&ContracMr sign back of applicaUon,nota�ized
If over 52800,a Notice of Cammencement is reguirsd. (A/C up rades avar 57500)
"' Agent(for the contractor)or Pawrer af Attamay(far the awner)would be someone with notarized ietter ftom ov+mer authorizing same
DVER THE COUNTER PERMi'F1'iNG .(Front af;Application tJnly} ":;
Reraofs!f sh3ngles Sewers � Serviae',.Upgrades,A'G;, Fenc s:(PIoUSurveylFootage}
� ,;i;
.- , . 'r�,' . . - .
Driveways-NotaverCounterifon'pubiic•roadways.:needs�ROW;..,;_ • �
f t
NOTi�E QF�EED RESTRICTIONS. The underslgned under�tands.that this p�rmlt.may.be subJect to"deed"resUrictions"
which may be�more restcictive-than County reguiatlons. �Tha undersigned assumes resp�snsibitity for campiiance with any
appllcable deed restrictions.
UNLICENSED CONTRACTQRS ANLt GONTRACTOR R�SPONSfB11:�1�5; If the awner has hlred a cont�ac#or ar
contractors to undertake work, they may be.required.to be:licensed In accordance.with skate.and•Iocal regulatlons. If the
cantractar fs not Itcensed as requlred`by law� bath the owner and canuaator may be cited�for a mtsdemeanor vtolaklon
under state law. if the owner or tntended>cvntractot, are uncertatn as to wha# iicensing.requireKnents may-apply-for the
intended work, they are advised to contact the Pasco Coumty�uilding lnspection Division--Licensfng Section at 727-847-
8009. Furthermoce, Ef the awner has hired a contrac#or ot canfractors. he t� advised to have #he can�ractor(s} slgn
portions �f the "contractor Block" of this appllcation for which they will be re�spon�ible. . If you, �s.the owner sign as th�
cantraator, that may be an Indicatlon that he Is not praperly licensed and is not entttlsd ta perrnitting privlleges !n Pasco
County,
TRI4NSI�ORTATION IMPACT/UTILITIES IMPACT ANb RESOII�CE RECOVERY FEES: The under�igned understands
that�'ranspor�atian lmpaat Fees and.�tecourse Recove.ry.Fees rnay appiy�ta tfi�cartstruction of new bulldings, change of
use in existing buildings, or.expansion-of�ezfs#in,g`�buildings, as specified.in i�asca County Ordinance number 89-fl7 and
9Q-07. as amended. The underslgned alsa undetstattds, thaE such fees..as;may�b��due,.=wll1 tie identified a#the�time of
permittfng. It is fu�ther understood tha#Transportatlon Impacf Fees and Resource Recodery'Fees mt�st be paid prfor to
recetving a "cerfiticat+� of occupar�cy° or finat power. release. :!f the proJect,do�s.nat invplve a aertfficate of occupancy or
final pouuer release, the fees must be paid prior ta permit issu�nce. Furthermore;if Pasco_Cau�ty WaterlSewer-Impact
fees are due, they must be�paid prior ta permit issuance-in accordance with applicable Pasco Caunty ardinances.
CONSTRtlCTICtN LIEP]!AW(Chap#er 793, Fiar�da Statutes.a�arnended): �f valuatlon of avork Is$2,500.�0 ar more, 1
certify that I, �he applicant, have-been pravided avith a copy of the "Florida-Canstruction Lien Law—Homeawner's
ProtectEan Gutde° prepared by the Ftorlda Depa�kment af Agric.ulture and Consumer Affairs. !f the applicant Is someone
other than the°owner", I c�ertify that t have.obtained�a copy of the above.described document-and promtse�in,good faith ta
deliver ft to the powner"p�ior to�cammencement:
C�NTRACT�iR'�lQitt�NEFt'3 APFIDAViT: 1 ce�tify.that alt the informatlon in this appllcatlon is accurate and that all work
will�be done in compliance with all appOcable laws regulating cc�nstruc#lon, zpning and:I�and development. Application is
hereby rnade to ob#a�in .a permit t� do worlc and instailatfQet �s ind{cated��. 1 ce�tlfy that no work or Inst�i4atton has
commenced prfor ta issuance of a permlt'and that.all work will be pertormed t� meet standards of ali laws �egufating
const�uction, County and City codes, xoning regulatio.ns, and land development r.egulattons�ln the jurisdlctton, I al'so
certify lhat ) u�derstao�d thaf the regulatians of ather gavernment ageo�cies rnay apply�ta the 3ntended w�rk, and ti�at it is
my responsibility to identify.what.actions I must take:to be,in.cortlpllance. such agencles�include bwt are.not limited to:
- Departmen# o# Er�vironmental Prot�ctioe�=�ypress.'Bayheads, Wetland Areas and Environmentai4y Sensitive
Lands,WatedWastewater Treatment.
- Southwest F1o��da Water Management� .DistrEct Welis, Cypress. Bay_heads; WeNand Areas, Altering
Wa#ercourses.
- Army Corps of Engineers-Seawralls, Docks, Nav(gable Wa�erways.
- Department of Hea}th � Rehabilitative �ervlceslEnvironmenfal Health Uitlt Wells� 1Naste�vater Treatrnent,
Septic T�nks. � .
- US Environ�nental Pratsctlo�Agency-AsbesEo�aba#ement.
- Federai�►viation Auihmrity-Runways. �
1 undersQand that the following.restrictions apply to the use nf flll:
- Use of fill is not sltowed in Flood Zane"V"unless expressly permit#ed.
- If the foil material fs to be used. In Elood Zone "a4", It. is unders�om�d that a drainage plan addressing a
"cornpensating valume"w�li be subrnitted at#ime of permttting which ts prepared by a professianal englneer
liaensed by thc�State of Flmr(da. �
- !f the fil! materia! is to be used in Flood Zone �A" in>connection uvith.a permitted building using stem wall
canstrUCtion, i certify that fili�.will-6e used anty.to.fil1 the area wifihin the stem wa11.
- If fill materlal is to be us�ad in ahy area, I certify that use. af such fiil wlil not adversely affect adjacent
properttes. If use�#�ilt is found Eo adversely:affect adjaesnt properties,.the owne�may be cited for vi�iatit�g
the condilions of the building:permit issued under the atkached permit application, for:lats less than �ne (1)
acr$�►rhOch are elevatecl�by f!i!,aa engfneered drainage pl�n is required. .
(f i am the AG�tdT�OR TNIE OWN@R, l,:promise in good faith ta inf�rm the owner of the perrr�itting�onditians se#forth in
this affidavtt prlor ta �ommencing construction. I underst�nd th�t a-separate permlt may be requlred for electrical work,
plumbing, signs, welts, paots; a!r condittonittg,.gas, or other insfatlations �a# spec�tcally included in.#he appltcation. .A
perr�it Issued shall be construed to be a Itcense to�proceed with the work and not as:authority to,violate,cancet, alter, or
set aslde any provlsians af the technl�ai cades, nor sha!!issuance�af a.permlt.pcevent the Bulldtrig Offlcia!from thereafter
requtring a correction af errors tn plans, constructian or violations of any codes. Every petmit issued shati become invalid
unless the work authorized.by such permit�Is.commenced•wlthtn s(x months of permit Issuance� or if work authorized by
the p�rn�ft is suspended o�.abandoned fo�a perioc!of slx(6}-rnontF�s after the tlme the work is commenced. An extenslan
may be requested, in writing, fram the Building.Offlcial far a period not to exceed ninety�(90) days and will demonstrate
justifiable cause for.th�extensiort. if work ceases for nlnety{9U}consecutive.days,.tb,�ob is.consldered abandoned.
WAl�NIN� Tt� OWN�R; YDUR FAILURE TA,R�ECORD A NATICE OF�COIWMERlCEMENT NIAY�RES[1LT IN Y�UR
PAYiidG'illt/!�E FOR tMPitOVEMEPOTS TO YQUFt PItC1SERTY. IF YOU�tM`F�D�°T�'t�BTA1N�FtNANC1N�,�CONSUt�T
WI7H Y IJR END O AN ATTORNEY� FORE R�COItfl G= OU > O �C 'OF� �' E CE T�
FLORIDA JURA3{F.S.1f.Z.Q3} __ ' _ - -� - � - - --- —- , —
OWNER OR AC3ENT CONTRACT `"�i1/ .�-
Subscribed an�swom to{or sfflrmed}befare me this Subscribed a s�y # I aV`� e�e`fo me th�—. i
Y �'
Who islare persanally known to.me or has/have produced Who Is/are persona knawn M me or haslh�produced
as idendflca8on. as IdenUftcaflan.
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Notary Pubite . - NoRary Publtc
Cammisslon Ha. Cam isst •M
:iA'a,:Y:vq�;,, SACQUEItNE$OGES
,�:
1Vame a1 Natary typed,prfnted or stamped Name o4ldota t� e��'Kg��ber 12,201$
�%,',F,pr��,°,:'�` Bondsd Thnr T�ay Fen In:nrancs 80d�385dOS4
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