HomeMy WebLinkAbout15-16447 CITY OF ZEPHYRHILLS -�`
f < -. 5335-8th Street
(813)780-0020 'I 6447
ELECTRICAL PERMIT
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PERMIT INFQRNIATICIN !C?CAT14N INFORMATlON "
Perrnit#:16447 lssued: 7l15/2015 Address: 6202 PEARL. ST
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: Baok: Page:
Cost: 300.00 Total Fees: 40.i00 Subdivision: OAKSIDE MHP
Amount Paid: 40.Q0 D�te Paid: 7/15l2015 Parcel Number; Q2-26-21-4020-4Q300-OQ10
CCINTRAGT4R tNF4RMATlQN ( QWNER INFfJRMATIC?N
Name; FIRST CLASS ELECTRIC INC Name: SNOKE JEAN & DIETERICH PATRICIA
Addr: 7141 BERRY RD. Address: 2168 WATERS�DE DR
ZEPHYRHILLS, FL 33540 CLEARWATER FL 33764-6659
Phone: (813)782-7861 Lic: Phane:
Wark Desc: POLE REPLACEMENT
APP ICATI�N FEES -
ELEGTRiCAL FEE 44.Q0
�
" INSPECTIONS REQUIRED -
ROUGH ELECTRIC
CONSTRUCTIdN POLE
PRE-METER
F1NAL�.=�j 7�(�'"
REINSPECTIOAI PEES: Reinspection fees wil!comply with Florida Statute 553.80 (2)(c)when e�ctra inspection
trips are necessary due ta any one of the following reasons: a)wrang address b) condemned work resulting
from faulty construction c) repairs or correctioes nat made when inspection called d)work not ready for
inspection when catied e) permit not posted on jab site t} plans nat at job site g)wark not accessible.
iVOTICE: In addition ta the requirements af this permi , there may 6e additionai restrictions applicable to this praperty that
may be faund in the pubiic recards af this county, and there may be additional permits required fram other gavemmental
entities such as water management, state agencies or federa! agencies.
"Warning to awner: Your Failure ta record a notice of commencement may result in your paying twice far
improvements to your property. If you intend�o obtain frnancing,cansult with your iender or an attorney
befare recording y�our notice af commencement."
Compiete Plans, Specifications and Fee Musi:Accompany App{icatian. AI{work shali be performed in accordance with City
Codes and �rd9nances.
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C4N �T R PER OFFI
P EXPIRES IN 6 MONTHS WITH4UT APPROVED INSPECTIO
CAL1. PQR INSPECTI4N - 8 HOUR NCtTICE REQUIRED
PR4TECT CARD FR4M WEATHER
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,CITY_. OF / / / / BUILDIN�
' ZEPHYRHILLS DEPARTMENT
OF ADDITION OR CORRECTION
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ADDRESS • D E PERMIT f
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� THIS JOB HAS NOT BEEN COMPLETED. The foliowing additions.or corrections shall be made before the job
F will be accepted.
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' It is unlawtul tor any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
� � cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 FOR RE-INSPECTION
or other material,until the proper inspector has had ample time to approve
the instailallon.
OFFICE HOURS 7:30 AM-5 PM MON.-FRI. INSPECTOR „ U���
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a��-7saoa2o City af Zepl�yrhills Permit Appiication Fax 813-784-0Q21
Butldi�g bepartment -
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Date Received Phane Contact for Perc»itt3n —
Owner'a Name Owner Phane Number
Owner's Address � �t�� Owner Phone Number �� �
Fee Simple Tltlehalder.Name � I 1 Owner Rhone Number � ��
I
Fee Simple Titiehoider Address
JOB ADbR�SS ! LOT# �
SUBDIVISIdN � � PARCE�ID#
t08TAINED FROM PRBPERTYTAX NOTICE)
WORK PROPOSED NEW tONSTR ADplA � SIGN Q Q DEMOi,ISN
� e lEVS'iALL � REPAI
PROPOSED USE Q SFR C] CQMM 0 OTHER
TYPE OF CONSTRUCTIQN Q SLOGK Q FRAME � STEE� Q
DESCRIpTION CIF WORK .`L J�"' �-C( � /�/C°
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BUILDING SI2E � � SG!FObTAGE C� HEIGHT ���
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0��«����'' $ , � VALUATIONI OF TOTAL CONSTRUCTION
El.ECTRICA� $ �j�,.� ._.�--- AMP SERVI E �(�'� PROGRESS ENERGY Q W.R.E.C.
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C]PLUMBlNG �;��
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QMECHANICAI. ($--� �VAIUATlO QF MEGHANICAI INS7AI.l.ATl4N
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QGAS Q ROpFING [[�] SPECI LTY � OTHER �
FIfVISHED FL�OR ELEVATlONS FLOQQ)ZONE AREA QYES NGl
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BUILDER COMp/Wy
SIGNATURE REGlS7ERED Y t N FEE GURREA Y!N
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Address � Cfcense# �� ���
E�ECTRICIAN . _ C�MPANY I�/�� ���-�� '�f
SIGNATURE - - FtEGlsrEREa Y! N �EE CU�tEn Y t i+!
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Address � � � -• Llcense# �c_.-- �C�C��,��
P�.UMSER C�MPANY
SIGNATURE RE�tSTERED Y t N FEE CURREt� Y t N
Address � , License# � �
MECFlAP!!GA! C IMPANY
SIGNATURE REGISTERED Y! N �E GURrtEt� Y!IV
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Address I License# r ��
O7HER � C IMPANY
SIGNATURE ttE�15TERED Y/ N... FEE CURREA Y/N
Address I License# � �
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RESIaENTiAL Attach(2)Flat Plans;.(2)sets of Building'Plans;(1)set of Energy Fotms�R-l?-W Pennit for'new cansiruc6an,
Mi�imum,ten(1.0):working days after submittal date. Requfred onsite,ConsUvction Plans;Stormwater Plans w/SAt Fence installed,
Sanitary Faaiti�es 81 dumps#er Site'Woric�ReRnit for subdiVi"sionsnarge projects �
COMMERCIAL Attach t3)complete sets of Bultdirig Plans pius a Ufe Safety Page;{1)set of Energy Fctms.R-Q-W Permit for new constructlon.
Minimum ten(10)working days'�after submittal date. Required onsite,Construc8on Plans,Stormwater Plans w/Silt Fenee i�stallsd,
Sanitary Facttities&1 dumpstec Site Wark Permit for a�l new proJects.AII commercial requlrements must meet compilance
SlGM PERMIT Attach(2}sets ofEnginesred,Plans.,., �
•`••PROPERTY SURVEY reguired for all NEW canstru�tton.
Dlreatlo»s: '
Fill out applicatlon completely. �
t3wner&Contractor sign back of applicaUon,natarized
if over S25d0,a Nattce of Cammencement is regWred. (AlC upgrades over Si'500)
'* Agent(for the contractot'}ot Fovirer of Attoritey(for the owner}would�e someone with natarized}etker from owner authorizing same
OVER THE COUNTER PERMITIING..,,r,.;.,;,(Fron�of�AppticatiomOniy)�^--�,�u°°•�,
Reroots if shinglas Sewers %Service Upgrades:A!G_ "'' Fences(RlotlSurveylFootage}
t; „ ; - ,, „',;;;: .,; , ° . ,
Driveways-Not over Counter if ori pubtic roadways:.needs RdW= ''7 ';
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NOTICE QF DEED RESTRICTlONS: The unde�stgned under�tands°th�t this_p�rmlt.may.be.subJect to"deed"restrictions" ,
which may be�more.r.estcict{ve�th�n County reguiations. �TFie uridersigned"assumes responsibitity far°campiiaiice with�any �
appUcable deed restrictions. '
UNLICENSED CONTRACTQRS AND CONTRACTOR RESPaNSIBIt�ITiES: If the owner has hired a cantrac#or or
contractors to undertake work, they may be requfred.#o be:ilcensed In accordance.with state.and•local cegulation�. =If�the
cant�actar is not !lcensed as required'by law. both the awner and contractor�may be�cfted-for a�misdemeanor violatlon
under state law. If the owner or tntended contractor:are uncertaln as to what ticensing.requirements.may appiy�far�the
intended work; they are advised to contact the Pasco County Bullding (nspection Dlvislon--Licensing Sectian at 727-847-
8009. Furthermore� tf the owner has hlfed a contfac#or or cotafractots. he Es advised to have the conUac#ar(s}, sign
portions of the "contractor Blockp of thls application for which they will be.responsibie. If you, as.the owrier sign as the
contrac#or, tha#may be an lndicatlon that�fie Is not.properly Hcensed and ls not entltlsd to per�ciltttng privileges !n Pasco �
Counry. ' '
TRANSPORTATION IMPACT/UTIUTIES IMPAC�'�ANb RESOURCE RECOYERY°FEES: �The underslgned understands
that Transportation impact Fees and.Recourse Recove.ry.Fees may�apply:ta°ths'canstruction of new bu{IdEngs,.;change of ;
use in existing buildings, or-.expansion•.of-�ezis#iri,g'�6uildings, as speclfled.in Rascv County Ordinance number 89-07 and
90-07. as amended '�he undersigned aiso understands, thaE.such fees.:as;may��e�due,.wlll�be tdentified at the�time of . �
permitting. It fs furtfier understood that Transportatton Impacf Fees and Resource Recovery�Fees must be paid prior to
�eceiving a "certiflcate of occupanay"_or flna! pawer.release. :If the project daes not Involue a:certfflcate of accupa�cy.o�
finat power release, the fees must be-paid priar ta permit issuance. Fu�thermore;�i#Pasco County£WaterlSewer Impact- •
fees are due�they�must be.paid prior to permit�lssuance�in accordance with applicable Pasco County ardinances.
CONSTRtlCTtCtN LIEN LAW(Chapter 713R �larida Statutes�a�amended); !€valua�on of work ls$2}504.00.ar more� 1
certify that I, �he applicant, have been provided with a copy of the °Florida-Construct(on Lien.L'aw—Homeawner's
Protect(on Gu(de" prepared by the Ftorlda Department of Agricuikure and Consum�r Affatrs. If the app!lcant{s someone
other than the"owner", 1 certify that i t��ve,obtained a copy;of the.above.descrlbed documettt�and.pcomise in,good fa�h ta
del�ver ft to the"owner".prior to�commencement: ' � .
GCINTRACTOR'SIQWNER'S AFFIDAVlT: 1 certifjr ttiat all#he;lnf.ormatlon in this.applicatlon is accurate and that alf wock
will�be done in compliance with all applicabla laws regulating canstruction, aoning and land development. Application is
hereby made to obtaln .a pe�mit to c!o wat�k and {nstalfatlon as ittdl�ated.� 1 cerilfjr that no work .or Instailattan has
cammenced prtor ta (ssuance of a perm(t and that.al( work wtll be performed to meet standaTds af aN laws regutating-
c�nstruction, Caunty and City cades, xoning regulations� and land development regulations-in the jurlsdtction. 1 al'so
cer#ify that i understand that the regulafians af oti�er government agencies may apply�ta tFte intended wortc, and that it is
my responsibility to identify�what,actions I must take.to be,in<.corr�plianae. S.uch agencies include but are.not Iimited to:
- Deparkmen# of E�vironmental Protec#ton=Gyptess.�Bayheaci�� Wettand Areas and Envlronmental4y Sensitive
Lands,Water/Wastewater 7reatment.
- Sauthwest Florida Water Management .Distrlct Wells, Cypress. 8ay�eads; Wetland Areas, Altering
Watercvurses.
- A�nny Corps of Engineers-Seawalls� Doaks� Navigable Waterways.
- Department af Health�8 RefiablE3tative,ServlceslEnyironmental Health Unit Wells, Wastewater Treatrnen#,
Septic Tanlcs. � .
- US Environmentai Pfotectlan Agency-A�bestos abateme.nt.
- Federal Aviat[on.Authority-fiunways. �
f understand that the following.restricttons apply to the use of flll:�
- tlse af fli1�s not allowed in F4oad Zone"V"unless expressly pe�mltted.
- If the fiil materfal fs to be used, in �Flood Zone "A", ft Is understood that a drainage plan addressing a
"compensaEing volume°w�4t be submltted at time af permttting which Is prepared by a professlona! engineer
Ilcensed by�he State of Flo�ida.
- !f the #ill material.is to be used in Flood Zona °A" In�connec�ian�wlth.a �ermikted building using stem wall
� aonstructio�., 1 certify that fiil�w�it=be used only.ta.fill the area within the�s#em�wai{.
- If ffll material is to be used in any area, I certify that .uee. of such flll will not adversely affect adjacent
prape�ties. tt use of ff11 is fonnd to adversely:�ffec#adjacen#praperties,_the awner may be cited for viatating
the condi#ions of the building:permit issued under the.attached'permit application, for lo#s less than ane (1)
acre whlch are e4evated by i�!!;$�engEneered dralnage plan is requlred. �
if 1 am the AGENT FC3R THE OWNER, I;�promise in good faith to inform the owner nf-the permitting conditions s�t farth in
this affidavit�prior to commencing construction. I unders#and that a:separate permit may be required for electrical work,
plumbing, signs, wetts, poots;. air canditloning,.g�s� ar other Ins#all�tions not.spec�calty inclu�ied In.the applicatEon. .A
permit issued shall be construed to be a�Iicense to p�oceed with the work and not as:authoNty#o_violate,cancel, alter, ar ,
set aside any pravislons of the techntca4 codes; nor sha111ssua�ce�of a.permit.prevent the 8u!ldirig U#tTcla!from theteafter
requlring a carrection af errors in ptans, constnuction or vialatlons of any codes. Every permit issued shafl become invaiid
unless the work autho�lzed.by such permit�Is.commenced�within sfx months of permlt issuance� or if work authorized by
the permit is suspended ar.abandoned for a:perEod of siac{�}manfhs.after the time#he�wa�k is commenced. An extens{on
may be requested, In writing, fram the Building,Official for a period not to exceed ninety�(90) days and will demonstrate
justifiable cause for.the extenslon: If work ceases:for nlnety(9Q}conseoutive:dayst..the�ob�is.consEdeted aba�doned.
WARNlNG Tt'y OWNER; YOUR.FAl1.URE�TO,REC.QRD A:NATIGE gF COMMENCEMEMT MAY RESULT IN YOUR
PAYtNG TWiCE.Ft1R iMP VEMEN: S Tt1 YQUR=PRCiPER7Y. IF°YI���tNTE�1D°'TQ�CIBTAIN�F1PtANCtNG,�CONSU�.T
WITH Y U AN A N � O . R COR�F1 G�� �U � - � 'OF� E EN �
F�o��aa.�u�►�r{F. �. � . . .
OWNER OR AGENT ~� - v - -- - - - ---CONTRACTO .�- - — - -- , _ -__..-__ _�_ _-_
Subscdbed and sw+o to{or af�rmed}before lfiEs .. 6scrib a 'swom to(at afftrmed)� �" e tliis �
by y'__".
Who is/are personally knawn to.me or has ave�"roduced 'o is re personaliy kna M me "r has/have�produced •
as tderttlflcatlon. as IdenBflcaUon.
�- Notary Pubtic . No#ary Pub11c
Commtssion No. Comm st .No.
,.,�. �'N'';, JACQUELINE BOGES
:�.e�.
Name of Notary typed,printed or stamped Name of IJota �ytp pt,�nt ¢ 150422
.; 4r; Expires Decembec 12,2018
'��.,j����`�,`,' Bonded Ttw Troy fain Insittanca 800395-7019