HomeMy WebLinkAbout15-16337 CITY OF ZEPHYRHILLS
� - ' ' S335-8th Street
(813)780-0020 163
ELECTRICAL PERMIT .
PERMIT INFORMATION LOCATION INFORMATION
Permit#:16337 Issued: 6/03/2015 Address: 39336 6TH 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: 500.00 Total Fees: 40.00 Subdivision: ZEPHYR HEIGHTS
Amount Paid: 40.00 Date Paid: 6/03/2015 Parcel Number: 12-26-21-0040-00100-0031
CONTRACTOR INFORMATION OWNER INFORMATION
Name: EAST PASCO ELECTRIC, INC Name: PEREZ ROBERT & MARIBEL
Addr: 10411 CONNERLY RD Address: 4635 RIVER OVERLOOK DR
DADE CITY, FL 33525 VALRICO FL 33596-7878
Phone: (813)782-8622 Lic: Phone: 813-841-4689
Work Desc: REPAIR METER BASE
APPLICATION FEES
ELECTRICAL FEE 40.00
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INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
Flfd'fCC "
�1���- �6��
REINSPECTlON 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.
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NT O - PER OFFI
PER EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application ' Fax-s�a-�so-oo2�
Building Department
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Date Received , - Phone Contact for•Permittin` - ° _ ' ` . '
Owner's Name � � Owner Phone Number l�f� -
/ - �
Owner's Address �'�� ��� Ql���l�C Owner Phone Number
Fee Simple Titleholder,Name Owner Phone Number
Fee Simple T(tleholder Address �
JOB ADDRESS � ��P C� � LOT# �
SUBDIVISION PARCEL_ID# ������`��U��-'��IdU� ���
� _ BTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED ' NEW CONS7R i4DD/ALT' �SIGN� Q Q DEMOLISH
=B �INSTALL e �REPAIR " ° ' '
' PROPOSED USE Q SFR �Q -COMM 0 OTHER
TYPE OF CONSTRUCTION �Q BLOCK .Q FRAME Q STEEL Q:
DESCRIPTION OF 1NORK �/�Z ���
�BUILDING SIZE'��—�..SQ FOOTAGE�„ .HEIGHT - 7. ,
QBUILDING $ ' .VALUATIOMOF TOTAL CONSTRUCTION
LECTRICAL ; $ _ AMP SERVICE �(�J �PROGRESS ENERGY �Q W.R.E.C.
. � � -
QPLUMBIIVG $ �
QMECHANICAL $, VALUATION OF_MECHANICALdNSTALLATION c
. + J� -
QGAS > Q ROOFING Q SPECIALTY Q OTHER -1 1�/� 1 I
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
$IGNATURE REGISTERED Y/ N FEE CURRE� �Y/N
Address ticense# �
,
ELECTRICI - COMPANY G� '` `
'SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#�� (6(J ��p G/ -
P.LUMBER . . COMPANY -
SIGNATURE ;REGISTERED, , Y/ N - FEE CURRE�<,. Y/N
Address � ` , License# -
MECHANICAL ' COMPANY - �
SIGNATURE � - ` ' � x � REGISTERED •„Y/.N ^ ,_ FEE CURRE� Y/N ,
Address' , � '`;'. • � ` " License.#,�
OTHER � � COMPANY -
SIGNATURE • �- REGISTERED Y/ N . FEE CURRE� Y/N.
Address - ,•,t�, � � �� - - ` �L'icen§e# � �
RESIDENTIAL Attach(2)'Plot•Plans;(2);sets•,of Building;P..lans;(1):sef of Energy.Forms;R-O=VV=Permit for new construction, ' �
��Minimum ten,,(.1U),,working day,s=after.-.submittalydate:"Requirea.on§Ite,�Construotion Pians,Stormwater Plans w/Silt Fence(nstalled,
5anitary Facilities`&-,1 dumpster-SitealNork;Permit#or;subdiyisionsLlarg,e:�projects,. �' •- e _
_ COMMERCIAL Attach(3)complete.sets of Building�Plans plus.a Cife Safetji Page;°(1)§et of EnergyForms.R-O-W Permit for new consUuction.
Minlmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanftary Facilities&1 dumpster.Site Work Permit for all new,projects.�All commercial requlrements must meet compliance
51GN PERMIT Attach�(2)sets°ofEngineered,Rlans.l,"�"`: � : - _ -
" ""'PROPERTY SURVEY required for�all NEW construction. _. .
)irecttonsr � . � -
Fill�out application completely.
Owner 8 Contractor sign back of appl(catlon,notarized
If over�2500,a Notice of Commencement is required. (AIC upgrades over a7500)
'" Agent(for the con'fractor)'or-Power of Attomey(forthe owner)would be someone with notarized letter from owner authorizing same
�VER THE COUNTER'PERMIT'TING,_ ��_ (Front of.Application_Only). . � �
�eroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage)
Driveways-Not over Counter if on pu6lic roadways::needs ROW '
NOTICE OF DEED RESTRICTIONS: The ur�derslgned under,stands that#his.p�r:mit may be subJect to"deed"restrlctians"
which may be�more�estcictive.#han Gounty regu4atlons: 'The undersigned assumes responslbili#y fo�compllance with any
applicable deed restrictians.
UNLICENSED CONTRAGTORS ANQ CQNTRACTOR RESPQNStBtLITiES: If the owner has hired a cantractor or
contractors to undertake work, they may be required..to be.licensed in accardance.with state.and•locai regulattans. If the
cont�actor is not licensed as required by law, both the owner and contraator may be clted for a misdemeanar violation
under state taw. !f the owner or Mtended contr,actor are uncer#ain as ta what ticensing.requlremen#s may apply.for the
intended work, fhey are advised to contact the Pasco County Building Inspection Divlslan—Llcensing Seckton at 727-647-
8409. Furthermare, it the owner has hlred a contractor or contractors� he is advtsed to have the canfraetar{s) stgn
portions of the "contractar Biack° of this applicatian for which they wlli be rasponsible. If yau,.as.the owner slgn as the
contraotor, that may be an indicatfon that he is not.properly licensed and Is not entftled to petmikting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES�IMPACT ANb RESClURCE RECOVERY FEES: The undersigned understands
- -._..�_ .that Tcans�ortat�on_I�PactEees and.Recourse Recovery_Fees maY�a�p�Y�to the_constructton af new buildings,change_of ___
use in existing buildings, or.expansian=of existirig`buildings, as specifled in Pasco County Ordlnance number 89-07 and
90-07, as amended. The undersignec! also understands, that such fees,-.as�may_be due,.wlU be identlfied at the time of
permitting. It is further understoad tha#Transpartatlon Impact Fees and�Resource Recave"ry Fees must be paid priar to
receiving a °oertificate.of occupancy° or flnal power.release. :If�the;project�does not(nvolve a certificate of occupancy, or
final power release; the fees mus# b� paid prlor to permi# Issuance. Furthermo�e,- if Pasca�County 1NateclSewer Impac#
fees are due, they�must be pald prior to permit;lssuance�ln acaordance with,apppaable Pasco'County ordinances.
CONS7RUCTION LIEN LAW(Chapter 713, Elor�da Statutes�as amended}: If valuatlon of work is$2,5Q0.00 or more, !
certify that I, #he. appRcant, have been provided -with a copy-of the "Fiorida Construction-Lien Law—Homeowner's
Protection Guide" prepared by tFie Flarida D�pa�t`menC of Agriculture and Consumer Affair.s., (f the applicant Is someone
ather than the°owner�, 1 cert#fy that_1 have,_.obtained a copy;of fhe above.des.cribed document and.prom}se in,good fatth to
deliber Jt to lhe"owner"�prior ta commencement.� � �
CONTRACTOR'S/QV1tNER'S AFFlDAYIT: ! cer,tify,#hat�all,the informatlon in this�applicatlon is accurate and that alf work
will�be done in compliance with all appiicabie iaws reguiating cons#ruction, zoning and land develapment. Applicatian is
hereby made to obtain .a permit to do work and instailatian as indlcafed. 1 certify that no work or instaqation has
commenced prfior to issuanae of"a permtt and that.all work will be performed to meef standards of,.al1 laws reguiating-
oonstruction, County and City codes, zoning regulations, and land development regulations-in-the,jurisdiction. I also
certify that f uctderstand thaf the �egulations of other government agenctes may apply to t�e Intended wark, and fhat 3t is
my responsibility to identify�what.actions I must take to be�in..compliance. 5uch agencies include but are.nat limited ta:
- Qepartment af Environmental Protectlan-Cypress Bayheads, Wetland Areas and Environmentatty Sensitive
Lands,WaterlWastewater Treatment.
` - Southwest Florida Water Management .District-Wells, Cypress Bayheads; Wetland. Areas, Altering
Watercourses.
- Army Corps af Engineers-Seaw�lis, Docks, Navigable Waterways.
- Deparkment of Health & Refiat�il�tative ServlceslEnvironmentai Neatth U�it Vitetl.s, Wastewater Treatment,
Septic Tanks. _ .
- uS Environmental Proteckior�Agency-Asbestos abatement.
- Federal.Av�atfion Authority-Runwagrs.
I understand that the follawing,restricfions apply ta the use of flll:�
- Use of f�lf!s nat allowed In Fload Zone"V"unless expressfy permitted.
- If the fill� mateciai-is, to bs_ used in .Flaod Zone "A", tt. (s understaod that a drainage plan addressing a
'"compensating volume" will be submltted at time of permitting whIch is prepared by a professional engineer
ticensed by the State�of�Florida: -
- If the fill,matecial is_to-be used in Flaod Zane °A" in connec�ion with.a {�ermitted buifding using stem wall
� construction, (certify that fi11 virill.be used anly.to.fitE the area wlthin.tbe s#em.wall. .
- If fll material is� to be�used in �ny �area, I�certify that use. of such fiil will not adversely affect adjacent
properkies. !f use of ffli !s found to adversely�af€ect ad}acent properties,,the owner may be clted for viotat�ng
the canditions of the building,permit issued under the aifacfied permit applicatian,-for-lots less than one (1)
acrE which are elevated by�flll, an englneered dralnage plan Is required. •
tf i am the AGENT F�R THE t)WNER,.l;�promise�in good,faith to Infarm tfie owner af_the.,permitting�conditlons set forth in
this affidavit prior to commencing construction. I understand that a separate permlt may be requtred for electricaF wark,
plumbing, signs, weifs,. paols,.air canditionfng,.gas,..or..othet�.instaElatians�not specl#icalty Inciuded-in the application. A
permit issued shaii be canstr.ued�to be�a�license to-p�oceed with the';work and not as:authori#y to.yialate,.cancel, alter, or
set aside any provisions of the tecfinlcal�code�; nor shal! Issuance of a permit prevent the Buildirig()fflcia!from thereafter
, requiring a cocrection nf-ercors in.plans,-constie�ctian or viotations of�any codes. Eve-ry permit issued shalFtiecortie=�inva{id
� unless the work authorized by such.permit:�is.commenced�wlttiin si�t.months of,permit issuance, ar if work authorized by
� Ehe permit is.suspended or.abandoned for a�perlad-of�siat{6)�manths�after the t�i»e the�work Is commenced. An exterision
may be�requested,,in writing; from the"Building.Officfal for a perlod',,�not to:�exceed�ninely'(90) daysya�id�will-demonstrate
J�stifiabie cause for the extension; tf work ceases.for nittety�80}consecutive days,-the�ob�is consEdered abandoned.
WARNING TO OWNER: ' YOUR.tFA1LURE.TO.RECORD A�:NOTtCE,OF:C.OMMENCEMENT-MAY RESURT IN-Y011R
PAYING:TWlCE:FOR,IM.P;;ROVEMENTS:TCI:YOUR-:PRt}PERTY.�•IF�YOU�tNTEND=TG��OBTAtN�FlNANGING,�Cf3NSUlT
WITH. .OUR LE DE AN ATTORNEY�H ORE�R CO �ING�� U E CE ENT� "
FL'ORlOA JURAT(F.S:11T.U3} ., ; , - - • - ' � ,' . , ,.
' OWNEtt"OR Af3ENT �u . . . ,:. . . ; . ..CONTRA O . '
Subsctlbed and swom to{or afffrmed)befare me this Subsc;rlbed a {or affi befoFe m Is _
by by;,.� . � _ �:� ,.,. • :. _.
Who Is/are pers,onally knovm.to;me,or.has/have produce.d, Who Is/are p.ersonally known:to me-or ha ave uced, �
. �` as IderitlfEcatli�n. � s Sden�fication.
Notary Public - . . , Notary Publlc
Commisslon No. Comm4ssfon.No.
Natne af lVotary typed,printed ar stamped Name of Notary typed,pdnted or stamped ..
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