HomeMy WebLinkAbout15-16486 _ � CITY OF ZEPHYRHILLS
5335-8th Street
' (81i3)780-0020 16486
� ELECTRICAL PERMIT
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PERMIT INFORMATION ; LOCATION INFORMATION
Permit#:16486 Issued: 8/03/2015 Address: 5628 5632 13TH 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: Book: Page:
Cost: 600.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 8/03/201�5 Parcel Number: 11-26-21-0010-10600-013
CONTRACTOR INFORMATION OWNER INFORMATION �
Name: FIRST CLASS ELECTRIC INC Name: FUNES JUSTO A
Addr: 7141 BERRY RD. Address: 9113 CHARLIE FARM CT
ZEPHYRHILLS, FL 33540 GAITHERSBURG MD 20882-1427
Phone: (813)782-7861 Lic: Phone:
Work Desc: INSTALL NEW 100 AMP METER��AND DISCONNECT
APPLICATION FEES
ELECTRICAL FEE 40.00 �
INSPECTIONS REQUIRED �
ROUGH ELECTRIC I
CONSTRUCTION POLE
PRE- TER I
FIN L � -- �
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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� 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 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.
CON RACT PER OFFI
PERMIT X ES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
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' CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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s�a-7eo-oo2o City of Zephyrhills Permit Application Fax 813asaoa2�
•- � Buftdi�g Department
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Date Reaeived phone-Co»tact for Permlttin
Owne�'s Name I Qwner Phone Numbar
Owner's Address Owner Phone Number �-� �
Fee Slmple Titleholder Name � � Owner Phane Number �4 �
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Fee Simple Titleholder Address
JOB ADDRESS LOT# ��
% SUBDIVISION �� � PARCE�ID#
(OBTAINED FROM PROPERTYTAX NOTICE)
WdRfS PROPOSED NEW CONSTR ADD/ALT' � SIGN Q Q DEMOL15ii
e INSTALL 8 REPAIR
' PROP03ED USE Q SFR � COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL Q
DESCRIPTION OF WORK ''1�L`>�t �-(_ t.�G� / �� � `� �SC�,7 �� C�
BUILDING SIZE �_ � SQ FOOTAGE�. HEtGHT �–______�
OB�j�'d��� �—� VALUATIOTV QF TOTAL CONSTRUGTION
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��ECTftICAL $ f � ...,�- � AMP$ERVIGE ��� PROGRESS ENERGY Q W.R.E.C.
���
i QPLt1MBING � � ,��tt�
� 'b
QMECNANICAl. $ VALUATION OF MECHANICA�lNSTA�lAT10N
OGAS Q RQOFING Q SPECIAL'FY [� t)THEf2
FINISHED FLOOR ELEVATIONS �_____..� , FI.00D ZONE AREA QYES NO
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BUI�DER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/,N
Address � L`icense# r �
ELECTRICIAN C8NlPANY � �S '-' �l1 '-�l�
SIGNATURE REGISTERED Y/ N PEE CURRE� Y/N
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Addresa ( License# ��r �����G�
PLliMBER C�MPANY
SIGNATURE � REGISTERED Y/ N FEE CURREA Y/N
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Address � License# � �
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MECHANICAL COMPANY
SIGNA7URE REGISTERED Y/ N FEE CURRE� Y./N
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Address I License# r� �
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OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N.
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Address � i:lcense# � �
RESlDEN'FlAt: Attach{2)P!a#Plans;(2}se2s of_Building Plans;{1}se#of Energy Forr►�s;R-O-W Permit for new�nstructian,
Minimum ten(10)working days,after.subttilttal date. R�equlred onsite,CanstrucHan Plans,Stortnwater plans w/Silt Fence installed,
Saoitary FaGliUes&1.dumpster,Slte Wat1c Permit for subd[VisionMarge praJects
COMMERCiAL. Attach{3)camptete sets 6f Buitding Plans plus a l.�fe Safety Page;{1}set af Energy Fonns,R-U-W Psrmit#or new cans#ruction.
Minimum ten(10)woricing days afker submittal date. Required onsite,ConsUucklan Piane,Stormwater Plans w/Silt Fence installed,
Sanitary Facilides&1 dumpster.Site Work Parmit for al!new proJects.All commercial requtrements must meet compNance
StGN PERMIT Attacti{2)sets of Ei�glneered Pians.,
""'PROPERTY SURVEY required for all NEW constructlon.
�jt9Ct�0�18: i [� __ _, � 1 'F;'"'_-.
Fill out applicaUon completely. ; , ` ' � �, ?
C)wrner&Cantraetor slgn back of appiicatlan,natarized'.'. ` '•:� � '`,,;{ '
If aver�x540,a Nottcs of Cammencement is.requirad. _{AIC upgiades over b7500) '�' ��``, � - ,����. _� �
" Agent(for the cantractor)or Power of Attomey,(far the,owner)would tie.someone with notarized letter fmm owner authorizing same ', ,
dVER THE COUNTER ASRMiTTfNG (Front of•Appltaation�Only}`;" �. . �., � �-.� �=;:�! -�
Reroafs if shingles SeW81Xi ServiCe'Upg��CI6S,rA/G'"_ Eenrres;,(PIoUSurvey/Footage) " � • �r�; �•- . . .,, ' i
�. .,. � ... .: c �i;, ' , ' - �. r..,. F'' _ '
-�i; . t,.y 4 ..
drivewaya-Not over Counter if on pubiic roadways„needs�ROW:;��`�;��., , . . ,, , , _ - � � - �
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NOTiCE OF DEED RESTRlCTlONS. The underslgned undet�tands°that;thl�,p�rmit.may be.subjea4 to"tteed"restric#{ons"_ _
which may be�more test�(ct(ve.�tha�n County��egulafions. 'Tt�e undersigned assumies responsibility far�compliance with any
appllcable deed restrictions. .. , .
UNLICENSED Ct�NTRACTt3RS -AND Ct3NTRACTOR RESPONStBt�iTtES: -If the owner has fiired a conh�actor ar
contractors to undertake work, they may be;requtred-:to be;licensed In accardance.with state.and•local regulatlons. •If the
cantractor is not iicensed as'requlred�'by law, both the ovmer and conUactor rrtay be�cfted for a-misdemeanar violation
under state iaw. If the awner or Intended�contractor are uncertain as to what Ilcensirtg.requirem�nts may apply=�for the
_ intended work�they are advised to contact the Pasco County Build(ng�lnspectton Diviston—L(censing Sectlon at 727-847-
8009. Furthermore, if the awner has htred a contractor or cantnaotars, he is advised ta have #he con#raator{s) sign
portians of the "contrector Black" of this applicatian for which they will be tesponstble. if you, as.#he owner"sign'�as the
eontractar, that inay be an Ind�catioo that he is naf properly (icensed and is not enti�eci to permitt�itg privlleges In Pasco
County.
TRANSPORTA7lON-lMPACTIlIT141TIES[MRAG7 ANb RE3QURCE RECOVERY FEE3: The underslgned understands
that Transpartation Impac#Fees and.Reco.urse Recave.ry.Fees may;��apply#o�the consfruction af new buitdings,�change of
use in existing bulldings, or.expansion-of��existin,g�buildings, as specifled In Pasco County Ordinance number 89-07 and
90-07, as amended. The underslgned also�undet�s#ands, that such fiees�:as=may�'be�:due;.:wlll be identi�ed at the time of-
permitting. It fs further understood that Transportation Impact Fees and�Resource Racovery`Fees must be pald priar to
rece�ving a°certiflc�te of occupancy" or final power=release. :lf�the project does not involve.a.certiflcate of occupancy or
final pawer release, the fees must be paid prior to permit issuance, Furthermare;if Pasco.County WaterJSewer-Impect
fees are due, they must be�paid pNor to permit-Issuance°In acaardance with appllaable Pasco County ordinances,
CONSTRUCTION tlEN LAV11(Chaqter 713� F1or�@a S#atutes�as amended): if vaiva�on tr�work is$2,50d.00:or more, !
certify that I, the applicant, have-been provided wtth a capy af the aFlorida Constructian: Lien_Lavw—Homeowne�'s
Protect(on Gu#de° prepared by the Florida Department�of Agricuiture and Gonsamer Aff.atrs. If#he appltcant 3s someone
other ihan#h�"owner", i certtfy that i have.obtained a�capy,of the above..described tlocument�and.p.r.omise in,gaod�faith to
deliver it to the"owne�'prior to>commencement: ' .
CONTRIICTOR'SlOWNER'S AF�IDAVIT: 1 cerki#y:that ali the Mfarmation{n#his applicatton is accurate and that atf woric I
will�be done in compl(anoe with ail.applicable laws regulating construction, zoning and land develc�pment. Appitcation (s
hereby made to obtain .a-perm�E.to do work,and Install�tlon as inclt�ated. °I ce�tify�that no wark"or tnstaltation has
commenced prior #o Issuance of a permit and that.all work will be peN`ormed to meet standards of all laws regulaxing-
construction, County and City codes, zoning regulatians, and land develapment regulatlons�ln #he jurisdiotion. 1 aiso "
certify that I uc�der`st�nd that the regulations of ather government agencies may�apply�#o the intended work, and that it is
my responsibility#o iden�fy'�what.actlons I must take.to be,in:.c+�t►lpliance. S.uch agencles-include bu#�are.nat Ifmtted to;
- Qepartment of �tivironmental Protectian-Cypress.Bayheads, Ulletl�and Areas and EnvEronmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Fiorida Water ManagemenE. District Welis, Cypress. Bay�aeads� Wetiand Are$s, Attering
Watercourses. -
- Army Corps af Engineers-SeawaUs��Docks, ldavigable Waterways.
- Depattment of Health�J� Ref�abltttative ServlceslErniranmenfai F#ealth 1Jnit Welis, Wastewater�Trea#ment,
Septic Tanks. .
- US Enviranmental Protection Agency Asbestos abatement. �
Federai Avlatlon Authority-Runways.
1 understand that the following restricNons apply to�the use of flll:� �
- Use a�fill is not allawed in Flood�Zone"V"unless expressly permitted.
- If the flil materfal is to be used...7n Flood Zone "A", It. fs understaod #hat a drainage plan.addressing a
°compensating volume*wtll be submitted at�ime of pecm3fting which is prepared by a ptofess�o�al engineer
Iicensed by�he State of Flor(da: �
- If the till rnaterlat is to be used in Ftood Zone °A" in�connec�ton�with.a �erm�tted buiiding using stem waf!
� constrtiction, I certify that fiil:will:be.used only to fill the area within the stem Mratl.
- If flll material is ta be used in any areat ! certify that .use. of suati flll will nat adversely aifect adJacent
properties. If use of fltl ls found to adverseFy:�ffect ad�aeent��propertie��.the awner may be cited for vlolating
the conditions of the building.permit issued�under the.attached permit applicatian, for lots less than.one (1)
acre whlch ar�elevated by f#li,an engineered dratnage plan 1s requireii. .
If I am the AGENT FOR THE OWNER, i,�promise I�good faith to inform the owner of#he permitttng conditbns set forth in
this affidavtt prior to commencing consnuctlon. ! understand #hat a�separate permit may be requtred for electrical wark,
plumbing, signs, welts� poals;.air condifianing, .gats, ar other. installatt6ns no�.spec�lcatty included�in.the application. -A
permlt issued shall be constnued to be a�Iicense to praceed with the work end not as~authority to.vi�late�.cancel, alter, or .
set aslde any provlsEons o#the technlcai.cod�s;�nor shaD issuance�of a.permft.pcevent fh�Bulldtrig{3f�fcial from thereafter
requiring a correctlon af errons in.plans, canstructlon or vlolatlons of any codes. Every permlt Issued shall become invalid
unless the work authori�ed.by such perm(t.�ls_commenced wlth(n sGc months of permlt issuanae� or 1#wark authorized by j
the permit 1s suspended or.abandoned fo�a:period of si�c{8)mantt�s after the tirne the�wot'Ir is commenced. An extension �
, may be requested, In writing, from the Building,Official for a period�not to exceed ninety�(90) days and will demonstrate '�
just�iabte cause for.the extension: If work aeases far nlnety{90}consecuthre_days;-.the Jab��s consEdered aba�doned. �
WARNING TQ QWNfR: YOUR.�AIl.URE-TO�RECQEtQ,A MQTIGE 9F GOMMEMCEMEMT�MAY RESUCT tN YC►UR
PAYING TWICE FOR iMPROVEMENTS TO YOUR�PRt3PERTY. .I��YO.U�I�i'�EM�D�`TQ�OBTAiN��Fi1�tJ�NGtNG,'GONSULT
WIT • OU - �4 - TTO _ _O. :� CO �f7 Cs>� �U '- ,O �.�
F�.ORIOA dURA�{F. 24 03) _ �_ ,— —— -- -- ..________ _ . -
OWNBR OR Al�ENT CONTRACTO `
Subsctibed and swom (ar af�rmed)before t � Subserlbed and'svwm (or afflrtn d)� ��e t�
bY �bY .,,._
Who islare personaliy knovm to.me or has ave produced Who(slare personally kno �tt�me or b s/have produced •
as lden fica�on. es iden�8ca#ion.
V Notary Publlc . Noiary Pubilc
Cor» Ron Na. Comn�issio . .,,,��••.
��""'��- JO�L E.BA '�`�� '�:= Commissior�#FF 137073
•``�`�:.e�'�,- ission#FF 137073 =�.
N eofl+iotary " o7at�t8p�e , Q�asaota Nameof ata .,.,; t �� �sm�ssao4s
�'�rR;�0.~ 8ondadiiwTro7Fain�aK
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