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Home My WebLink About15-16305 �� CITY OF ZEPHYRHILLS - 5335-8th Street (813)780-0020 16305 ELECTRTCAI. PERMIT PERMIT INFORMATION LOCATION INFORMATION Permi##.163Q5 Issued: 5/2612015 Address: 38311 12TH ST Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTR�CAL MlSC Township: Range: Proposed Use: NOT APPLICABL.E Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Gost: 300.00 Tatai Fees: 40.00 Subdivision: CITY OF ZEPHYRHiLLS Amount Paid: 40.00 Date Paid: 5/26/2015 Parcel Number: 11-26-21-0010-0340Q-0131 Ct}NTRACTflR INFQRMATION OWNER INFORMATI4N Name: HOMEOWNER Name: FOSTER JOHN D & GLORIA J Addr: Address: '1985'1 LE{�NARD RD LUTZ FL 33558-5124 Phone: Lic: Phone: 813-39Q-0068 VUark Desc: INSTALL PANEL BOX C� R1�6c t3�NrN�3 NO�S� APPLICATION FEES Ei.EGTRICAL FEE 40.00 1NSPECTI{�NS REQU�RED ROUGH ELECTRIC CONSTRUCTION POLE �lrnA r� PRE-METER �Q�,. „ � FINAL ��f ti �`.. 1�� P �., �.- � Z� �� 1 ( ,-- REINSPECTION FEES: Reinspection fees will camply with Florida Statute 553. � 2)(c) when e�ctra inspection trips are necessary due to any ane of the fallowing reasons: a)wrong address b}condemned work resalting from faulty construckion c) repairs or corrections not made when inspection called d)wark nat ready for inspectian when called e) permit nat 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 appficable to this property that may be faund in the public records of this county, and there may be additional permits required from other gavernmental entities such as water management, state agencies or federal agencies. "Warning ta ewner: Your failure to record a notice af commencement may result in your paying twice for impravements ta your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of comm�ncement." Camplete Plans, Specifications and Fee Must Accampany Application. Ali work shall be pertormed in accordance with City Cades and Ordinances. � ' CO TRACTOR PER OFFI PERMIT EXPIRES IN fi MC}NTHS WITHOUT APPROYED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PRCITECT CARD FROM 1NEATHER 813 780-0020 City of Zephyrhills Permit Application Fax-813-780-4021 ; Building Department date Received ��j '� O�S Phone Contact for Permitting � � — (/�� Owner's Name a �� (.'�.� �'4' Owner Phone Number �,�` 3/�7��G'6 �' Ow�er's Address � g � I �(/ Qwner Phone Number �— � Fee Stmple Titlehotder Name �I �"j dl/l/ �/''d S'� Owner Phone Number � � Fee Simple Titleholder Address JOB ADORESS �-~�`� � E� � LOT# �___,_� SUSdIVIS14N � � PARCEL ID# (087AINED FROM PRQPERTY 7AX NOTICE) WORK PROPQSED e NEW CONSTR 8 AdDlALT � SIGN Q Q DEIViQ�[SN INSTALL REPAIR PROPOSED USE Q SPR Q COMM 0 OTtiER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTIflN QF WORK � JG J G l G �r C.t a BUItDING SIZE J�O ��.� SQ FOOTAGE S�� HEIGHT C�1� QBUl�DING �� VALtJAT10E!OF TOTAL CONS1'F2UCTION QELECTRICAL $ �� Q� AMR SEF2VICE Q PR4GRESS ENERGY [� W.R.E.C. QPLUMSlNG $ �� rtS �,� ,.. QMECHAMCAL $ VALUA710N QF MECHANtGAL INSTALLATtON C]GAS Q RQOFIIVG Q SPECIALTY 0 OTHER FINISHED FLOOF2 ELEVATIONS r�� FLOOD ZONE AREA QYES NO L SUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# �� / � E�.ECTRICIAN � CO3i�PAtdY �t`�/L1 . �G�' L�tf' SIGNATURE v REGISTERED Y/ N FEE CURREI� Y!N Address l.icense# �— � P�UMBER I COMPANY SIGNATURE REGISTERED Y I N FEE CURRE� Y/N Address License# � � MEGHANICAL CQMPAMIf SIGNATIIRE �^ REGISTBRED Y/ N FEE CURRE� Y/N Address �icense# �— � OTHER COMPANY StGNATURE REG�STERED Y I N FEE CURRE� Y/N Address �icense# �� ! RESIDENTIAL Attach(2)Plot Pfans;(2)sets af Buildirig Plans;{1}set of Ene�gy Forms;R-O-W Perrnit for new construction, Minimum ten(10}warking days after submittat date. Requited ansite,Construction Plans,Stormwater Ptans w/Silt Fence instatfed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects COMMERCIAL Attach{3}camplete sets of Bu3lding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new cons#n�c8on. Minimum ten(10}working days after submittat date. Required onslte,Construction Pians,,5tormwater Ptans w/Silt Fence Installed, Santkary Facilities&1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compifance StGN PERMIT Attach{2)sets of Engineered Pfans, *"'PROPERTY SURVEY required far a(I NEW construction. Dtrectians: Fifl aut application campletety. Owner&Contractor sign back of application,notarized If over$250Q a Nottcs af Commencement Is required. {AIC upgrades over$75Q0) '* Agent(for the contrector)or Power af Attomey(for the owner)would be sarrieone with notarized letter from owner authorizing same DVER THE GOUNTER PERMITTINtG {Front of Appticafion Onty} Reroofs if shingies Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-lVot over Counter if on publlc roadways..needs RQW , � . i NOTICE OF DEED RESTRICTIONS: The underslgned understands that thfs.permit may be subject to"deed" restrictions" which may be more.restcictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance.with state and•local_regulatfons. If the contractor is not licensed as required-by law, both the owner and contractor may be cfted for a misdemeanor violation under state law. If the owrner or intended>contractor are uncertain as to what Iicensing requirements may apply for the �, intended work, they are advised to contact the Pasco County Bullding Inspectton Division—Licensing Section at 727-847-, 8009. Furthermore, tf the owner has hired a cont�actor or contractors, he is advfsed to have the contractor(s) sign portions of the "contractor Block" of this appllcation for which they will be responsible. If you, as.the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and.Recourse Recove.ry Fees may apply to the construction of new buildings, change of use in existing buiidings, or expansion.of existin,g 6uildings, as specifled in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may�be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. .If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit Issuance-fn accordance with appllcable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713� Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I certify that I, the applicant, have.been provtded with a copy of the "Florida Construction Lien Law—Homeowrner's Protection Guide" prepared by the Florida Departmenf of Agriculture and Consumer Affairs. 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"owne�"prior to commencement. � CONTRACTOR`SIOWNER'3 AFFIDAVIT: I.certify that ali the information in this appl(cation is accurate and that all work will�be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain .a permit to do work and installation as indicafed. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulat(ons in the jurisdiction. I also certify that I uaderstand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to id'eritify what.actions I must take to be,in.compliance: Such agencies include but are not limited to: - DepartmenY`of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. . - Southwest Florida Water Management District-Weils, Cypress. Bay_heads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehab(litative Services/Environmental Heatth Unit-Wells, Wastewater Treatment, . Septic Tanks: - US Environmental Protection Agency-Asbestos abatement. - Federal Aviatlon Authority-Runways. I understand that the following restrictions apply to the use of flll:� - Use of fill is not allowed in Flood Zone"V"unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a °compensating volume" will be subm(tted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. � - If the fill material is to be used in Flood Zone "A" in�connectfon with.a permitted building using stem wall construction, i certify that fill witl be used only to..fill the area within the stem wall. - If fill material ls to be used in any area, I certify that use of such fill will not adversely affect adjacent p�opertfes. If use of flll is found to adversely_affect adJacent properties, the owner may be cited for violating ' the conditions of the building.permit issued under the attached permit application, for lots less than one (1) acre which are elevated by flll, an eng(neered drainage plan is required. . If I am the AGENT FOR THE OWNER, I,�promise in good faith to inform the owner�f the perm(tting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, .gas, or other installations not specifically included in the application. .A permit issued shall be construed to be a license to proceed with the work and not as authority to.violate, cancel, alter, or set aside any provisions of the technical codes; nor shall issuance of a permit prevent the Buildirig Official from thereafter requiring a correction of errors In plans, construction or violations of any codes. Every permit issued shall become invalid unless the.work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the pe�mit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension may be requested, in writing, f�om the Building,Official for a period not to exceed ninety (90) days and will demonstrate justi�able cause for.the extension. If work ceases for ninety(90)consecutive days,..the job is considered abandoned. 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 — lNITH YO!!E3-R.EMDER-OR-AN-A�ORNEY=BEFORE R�GO�DINC-XCIl�R-NOTICE 9��9MAAENCEM�NT�- -- ----- - --- FLORIDA JURAT(F.S.1 . 3) OWNER OR AGENT �� CONTRACTOR Subscribed and swom or aiflrmed)be ore me this Subscribed and swom to(or afftrmedpbefore me this by �by Who Islare personally known lo me or haslhave produced Who Is/are personally knovm to me or has/have produced. as Identlflcatlon. as Idendficadon. Notary Pubiic _ Notary Public Commisslon No. Commission_No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped : DISCLOSIIRE STATEN�NT FOR OWNER CITY OF ZEPHYRI3ILLS BIIILDING D$PARTN�NT I, �'L�J � • �� have read and fully uaderstand aad agree to the provisions of this instrument. The uadersigaed states aad affirms that he or she is desirous of conatructiag, renovating, addiag to or reroofiag his or her owa domicile, that he or �he actually occupies, or will occupy by said domicile, and same is not for rent, lease or sale. That he or she shall comply with the followiag conditioas: 1. That the owner and he or she aloae shall act as the builder for all phasea of construction. 2. That the owner will comply with all provisioas of the City of Zephyrhills ordiaaaces aad codes pertinent to the buildiag. � 3. That ia the event various phasea of coastructioa are subcontracted, he will engage only properly liceased subcoatractors and will persoaally supervise such work. 4. That ia the event the Building Iaspector shall require corrections to be made, the owaer will assume full respoasibility to iasure they are made, aad upoa , " completioa will call for a reinspectioa before proceeding with the building. 5. That the owaer shall assume full respoasibility for the construction and will aot expect supervision of hie work from the City of Zephyrhills Suildiag Departmeat. 6. That prior to fiaal inspection aay additional fees, includiag reiaspection fees, must be paid in full. A writtea request from thia office shall constitute aa official aotice to pay additioaal fees. 7. That the owner shall comply with all City, State and Federal laws ia regard to social security, workman's compensation, lien laws, etc. , where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Induetrial Commission. 9. State law requires constructioa to be doae by licensed contractors. You have applied for a permit uader aa exemption to that law. The exemption allows you, as the owner of your property, to act as your own coatractor with certaia restrictions evem though you do aot have a licenae. You must provide direct onsite superviaioa of the coastruction yourself. You may build or improve a oae-family or two-family resideace or a farm outbuildiag. You may also build or improve a commercial buildiag, provided your coets do aot exceed $75,000. The buildiag or residence must be for your owa use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substaatially improved yourself withia 1 year after the construction is complete, the law will presume that you built or substaatially improved if for sale or lease, which is a violation of this exemption. You may aot hire aa unliceased person to act as your contractor or to supervise people workiag on your building. It is your responsibility to make sure that people employed by you have licenses required by state law aad by county or municipal licensiag ordiaaaces. You may aot delegate the responsibility for supervising work to a licensed coatractor who is aot licensed to perform the work beiag doae. Aay pereon working on your buildiag who is aot licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. aad withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your constructioa must comply with all applicable laws, ordinaaces, building codes, aad zoniag regulations. OW1dER'S SIGNATURE D� DATE S '�� V��/� �nnx�ss 3�' PHONS � `-"� WITNF.SS PBRMIT # � CM � �/�c, r; c. ' �a l�e ��ec�,�c'�S ,��c�, � S_ /ao� ��o�i d - �ti�-�I�� ,�i ��.� 7 - Z yb ��5� ,�y0 � �lc�-�el� ��C � "fz� a� (.�_._,►/ �;,{��i fi �,�� _� /'��'C U�'� /�LC�y �� J � ��r � oC`/ ' �/��C �"� °o aa��-� l �Gd��e /Jaor �,oe.,��r� � 1��. �� i�� r�� T�f`� �� 1� �,/ ► �� 3�� 1j /� T� � Vl� _ �vu��e.