HomeMy WebLinkAbout15-16457 CITY OF ZEPHYRHILLS
i` � 5335-8th Street
(813)780-0020 16457
ELECTRICAL PERMIT
PERMIT INFORMATION I LOCATION INFORMATION
Permit#:16457 Issued: 7/22/2015 Address: 39516 9TH AVE
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: Book: Page:
Cost: 200.00 Total Fees: 40.00 Subdivision: SUNSET ESTATES
Amount Paid: 40.00 Date Paid: 7/22/20�5 Parcel Number: 12-26-21-0300-00000-0260
CONTRACTOR INFORMATION OWNER INFORMATION
Name: REESE ELECTRICAL INC Name: WINDSOR MORTGAGE HOLDINGS LI LL
Addr: P.O. BOX 862 Address: 4235 MARY ELLEN AVE UNIT 301
ZEPHYRHILLS,FL. 33539-0862 STUDIO CITY, CA 91604-1859
Phone: (813)788-0091 Lic: Phone: (813)239-4685
Work Desc: SAFETY INSPECTION INSIDE HOME AND GARAGE
APP ICATION FEES
ELECTRICAL FEE 40.00
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INSP CTIONS QUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER I
FINAL `1.Z3�[�
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 fi) 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�o 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
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIEtED
PROTECT CARD FROM WEATHER
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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
,. Building Department _
Date Recalved Phone Contact for Permlttin —
Owner's Name � �l� Owner Phone Number
Owner's Address Owner Phone Number
Fee Slmple Titleholder Name Owner Phone Number
I
Fee Simple Titleholder Address
JOB ADDRESS � �I � � �v�� LOT# �
SUBDIVISION PARCE�ID#
(OBTAINED FROM PROPERTYTAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/AL�T [� SIGN Q Q DEMOLISH
INSTALL e REPAI
PROPOSED USE Q SFR � COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK �� �*-� ��.t.y _ o �,.�� � ,(�
�
BUILDING SIZE SQ FOOTAGE I�-1 HEIGHT
i
QBUILDING $ VALUATIO OF TOTAL CONSTRUCTION
�ELECTRICAL $ v , J AMP SERVI E Q PROGRESS ENERGY Q W.R.E.C.
v
QPLUMBING $
QMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION
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QGAS Q ROOFING Q SPECI LTY � OTHER
I FINISHED FLOOR ELEVATIONS FLOO�ZONE AREA QYES NO
BUILDER C�MPANY
, SIGNATURE REGISTERED Y/ N FEE CURREF Y/N
Address License#
ELECTRICIAN ����(� _ `' 1�
C�MPANY -e.�2S� I:-� ��0-Gls-<<.�l
SIGNATURE V`"�`�— RE ISTERED Y/ N FEE CURRE� Y/ �C
Address C� � (�"?� I License# l� e �bc� (� S�
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
I SIGNATURE RE�ISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER C�py�ppp�Y
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N.
Address I License#
RESIDENTIAL Attach(2).Flot Pians;(2)sets of Building'Plans;(1)se of Energy�Forms;R-O-W Permit for new construction,
Minimum ten(10),working days after.submittal date. Required onsite,Construction Plans;Stormwater Plans w/S(It Fence installed,
� Sanitary Facilities&1 dumpster,-Slte Work Permit for subilivisionsAarge proJects - - - � - - �
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction.
Minimum ten(10)working days after submlBal date. F�equired onsite,ConsUucUon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaciliUes&1 dumpster.Site Work Perm(t for�II new projects.All commercial requlremerits must'm�eet compliance
SIGN PERMIT Attacli-(2)sets of Erigineered Plans., .
""PROPERTY SURVEY required for all NEW constructlon.
Directions:
Fill out applicatlon completely.
Owner 8 Contractor sign back of applicaUon,notarized
If over 52500,a Notice of Commencement is required. (A/C upg des over 57500)
" Agent(for the conVactor)or Power of Attomey(for the owner)would e someone with nota�zed letter from owner authorizing same
DVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs If shingles Sewers Service Upgrades A/C Fenc (PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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NOTICE C1F DEED RESTRICTIONS: The undersigr�ed unders�tands°:that thls.p�cm[f.may.be.sub�ect to°deed"restrictfans° _
which may be:more�restcictiveFthan Gounty regulations.`'The undersigned'a§sumes-responsibilitji for�compitance wi41i any �
applicable deed reshictions. , • -
UNLICENSED Ct�NTRACTt3RS _AND CCiNTRACTOR RESPONSI�ILITIES: -ff the owner has hired a cantractor or
contractors to unde�take work, they may be required-,to be,llcensed In accordance.with state,and�local regulations. :If the '
contractor Is not Ilcensed as�requlrerf=by taw� both the aw�er a� contractor=may be-cited for a misdemeanor vlolafion
under state law. If the owner or Intended�contractor are uncertaln as to what Ilcensing.requlrements may•apply.•:�or��the �
intended work�ihey are advlsed to contact the Pasco Gounty Building lnspectton Rlvislori—Ltcensing Sectton at 72T-847-
8009. Pur#hermore, if the ovmer fias hified a contracto� or contractors, he is advlsed ta have the contractar{s}, sign
portions.of the "contrector Black" of this applicatian far whlah they will be.responsible. If you, as.the awner sign�as the
con#ractar, that rnay be an Indica#ion that Fie is not.properly licensed and�ls nat entitEed to�pemiltti�g.pr�vfleges 3n Pasco
County. .. � • . , � , . .
TRANSPORTATICIN IMPACTlUTIl:ITIES IMRAG'i'ANb RESQURCE REGQVERY�FEES: The underslgned understands
that Transportation Impacf�ees�and Recaurse Recove.ry.Fees may,•�appiy��to°the constivction of new buildings, change of
use in existing buildings, or.expansl�n•of�texisti�ig'�buildings, as speclfled.in Pasco Caunty Ordinance number 89-07 and
90-07, as amended. The undersigned atso understands, #hat such fees,.as;-ma}r�e�due;,wlil..be identi�ed at the�time af-
permitting. It Is further understood that Transportatfon Impact Fees and�Ftesource Reco�ery Fees must be paid prlo� to
rece6ving a °cer#l�cate_of occupancy" ar flnal pawer.-release. :1#�the pro3ect does nat invoive a.certtficate of occupancy ot
flnal power retease, the.fees must be pald pctor to permit Issuance. F�rthermare;if Pasco County�Water/Sewer impact
fees are due�they must be•pald prior ta permit-Issuance�in accardance witti applicable Pasca County ordinances.
CONSTRUCTlON 11EN LAW{Chapter 713� Flar�da Statutes,as.amended):, if valuation af wark Is�2,500.00 ar more, 1 �
certify thak I, the applicant, have.been provided wlth�a �copy' of the° aFlorida Construction. Lierr Lavw�-Hameowner's
Protection Guide" prepared by the Florlda Departme�f of Agricu[ture and Consamer�Affatrs. if the appllcant Is someane
other#han#he°owner", I certify that I have.abtained a capy.of the abave..described_documenk°and promise In.gaod fatth to
deliver it ta the"owner"prior to=cornmencement.
, CONTRACTOR'S/OWNER'S AFFIDAVIT: i cert,ify that aii the{nformaNan imthi�appticatlon is accurate and that atl work
will�be done in compliance with all-applicable laws �egulating constructlon, zoning and:land devetapment. Applicatian is
hereby made to abtaln .a permif.Ca-do work.-:and trts#allatlon as tndt�eted: °I certify that no work :or tnstaEla#ion has
commenced prior #o Issuance of'a�permit and that.ali work will be performed to meet standards of all laws regulating-
aonstructton, Gounty and City codes} zonfng regulatlo�ns, and land devefopment regalatlons�in the �u�isdtction. i aiso
certify that I undersfand that#he regulations of other government agencies may�apply�to the lntended work, and that it is
my�esponsibility ta identify�what.actians 1 must take to be,tn:.corr�pliance. S.uch agenctes include bwt are.not Ilmited ta:
- Department of Erlvironmental Prbtection-Cypress.Bayheads� We#land Areas and Ernironmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest FEorida Water Management .Dfs#rfc#-Wells, Cypress. Bey.heads; Wettand Areas, Alte�ing
, Watercourses.
i - Army Gorps ot Engineets-Seawalls,Docks, Navigable Waterways.
i - Department of Health & ReF�abitita#ive ServicesJEnvironmen#al Fleafth Unit Wells, Wastewater�Treafinenf, `
Septic Tanks. � .
- US Environmental Protection Ag�ncy-Asbestos abatement.
- Fede�al Avtatlon Aulhorlty-Runways.
I understand that the foAowing restrictlons apply to the use of flll:•
- Use of fi8 is not atiawed in F1oad Zone"V"untess expressiy permitted.
- If the flll material is ta be used�ln �Flood Zone. "A", It. Is understood #hat a drainage plan addresstng a
"comper�sating valume"w�1{ be submit,ted�at time of permltttng which Is prepared by,a professianal engineer
licensed by�he State of Flor(da: � � '
, - If th� fll! materia# fs to•be used in Flood Zone "A° in=connec�ion�with.a permitted bullding using stem waii
� construction, I.aerttfy that flil<�rlq-be used only.to.fitl the area within the stem�walL - �
�) - If ffll materlal is to be used tn any area, I certify that .use of such flll wlll not adversely a#fect adjacent
properties. If use of fill is found to adverseEy:�ffect adjaeent��properties,.the awner may be cited tor vio�ating
� the conditions of the building,permit issued�under the.attached permit applicatian, for lots less than one (1)
acre whfch are elevated by�1l,an engEneered dralnage plan is requtred. .
If I am the AGENT FOR THE OWNER, I,�promise In good fatth to inform the owner of the permitting conditions�set forth (n
this affidavlt�prtor ta commencing construc#lon. ( understand that a�separate perm(t may be requtr�d for eleaMca! work,
, plurr�bing, signs, wetls, poots; air conditianing,.gas, or oti�er €nstallations nat.spec�tcalty inctuded in.the application. .A
permit Issued shall be construed to be a�license to proceed wlth ttie work and nat as�authortty to.vlolate, cancel, alter, or
set aslde any provisfons af the.technlcat codes;�nor shall issuanc$tof a.permi#.prevent the Bvlldi�ig O#ficiaf from thereafter
requlring a correction af errors in.plans, canstruction or violaUans of any codes. Every permi#Issued shail became invalid
unless the work authorized by such permit ls-commenced within sC�t months of permtt issuance, or if work autharized by
the permit is suspended ar.abandoned for a:periad af§ix(8}months.after the#ime tha�work is commenced. An extension
may be requested, In writing, from #he Building,qfficial for a perlod not to exceed ninety�(90) days and will demonst�ate
�us#ifiable cause for.the extension: It'wortc ceases.for ninety(9Q}consscutive day.s,..the�ab�is consldeted aba�doned.
WARNING TO C?WNfR: YC1UR-FAtlURE-TO.,REC.QRD A�tQTIGE OF�COMM6NCEMEMT MAY=RESULT tN Yt?UR
PAYtNG TWiCE,FOR�IMPROVEMENTS TO YOUR-PROPERTY. I�°YO.U•1N'�END�TQ�OBTAiN��FIPtANG1NG;'C.ONSULT
—���e4��v���!J . �� -����1-/l�� !►l�� -�t3E�� IE�E,I �D fa�; OI! :'_ p � � =' _ � E E _ T�-. ._._- - - -- - -
FlOR1DA dURA�(P.S.117 �_ _
OWNER OR AGIE� �v��.�_ CON`FRACTO -� �
Subsafbed and swont to(or aflirmed}befcre me this Sabsctibed and'swam�#o ot af�r�ned'trefore me thts
by �by '
Who is/are personally knov+m ko.me or has/have produced Who.is/are p.ersonally known ta me or has/have�produced �
as Identl�catlon. as IdenBficatian.
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- Notary Public Notary Public
Commisslon No. Commiaslon.No,
Name o1lYotary typed,printed or stamped Name af Natary typed,prtntad ar stamped