HomeMy WebLinkAbout15-16006 CITY OF ZEPHYRHILLS II
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�813)7£�0-0020 160 6
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:16006 Issued: 2/11/2015 Address: 39451 TABETHA DR
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: 1,290.00 Total Fees: 45.00 Subdivision: ZEPHYRHILLS COLONY
Amount Paid: 45.00 Date Paid: 2/11/2015 Parcel Number: 12-26-21-002B-00500-0000
� CONTRACTOR INFORMATION ' OWNER INFORMATION `
Name: PATTIE ELEC. & REFRIGERATION Name: SIXTH AVENUE LLC C/O MHC OPERATI
Addr: 39111 PATTI RD Address: 2 N RIVERSIDE PLZ STE 800
ZEPHYRHILLS,FL. 33540 CHICAGO IL 60606-2682
Phone: (813)782-3319 Lic: Phone: (813) 782-1174
Work Desc: REPLACE METER CAN
APPLICATION FEES
ELECTRICAL FEE 45.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE i
PRE-METER _ ;
FINAL Z ( (j �S
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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 t) 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 properly 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.
�
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�aaao-oa2o City of Zephyrhil(s Permit Application Fax-813-780-0021
Building Department
: � t
date Reaeived Phone Contact for Permitting —
Owner's Name ,�Xt' �`Q 1^��-^ Owner Phone Number _
Owner's Address � Owner Phone Number �� �
Fee Simple Titleholder Name � �� Owner Phone Number �T �
Fee Simple Titleholder Address
�n � LOT# C�
JOB ADDRESS � ��I !/� it}L� �j V~�
SttBDIVISION �— � PARCEL ID# t��s"'u h � —dL��� " '����
- - - .�____- __ -. -_- _- -- -°- - -- -- - - - _ - -(08TAINED FROfM PR�PER7Y'TAX NOTICE)- - - -- -- - - -.- __
WORK PROPQSSD r�Ew ca�scR ADD/AE.T 0 SIGN Q 0 DEMOCtSN
e INSTALL 8 REPAIR
PRQPOSED USE Q SFR Q CQMM � OTNER
TYPE OF CONSTRUCTIQN Q BLQCK Q FRAMF ' � STEEL [�
DESCRIPTION OF WORK '� IC2 'M� -�2�
BUILd1NG SIZE �—� SQ FOOTAGE�� HEtGHT [�,��
�BU�Z���� r'� VALUATtON OF TOTA�COiVSTRUCTION
dE`LEGTRICA� $ � ANIP SEF2VICE �L9� � PRflGRESS ENERGY [� W.R.E.C.
OPLUMBtNG �6 � i-O(}�
(+ \17
QMEGHANICAL $ VALUATtON OF MECNANICAL INSi'A�LATION ��Q�
QGAS Q RC}C?F1NG Q SPECIA�TY 0 OTHER
FINISHED FLOOR ELEVATIONS r�� FLOOD ZONE AREA �YES NQ
L
BUiLDER � CONTPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
/ /
El.ECTRICiAN �2��"„ COMPANY �r-tG C-F� � (r :.Q U �
SIGNATURE ' i� REGIS7Ei2ED Y/ N FEE CURRE� Y N
Address License# �.-=�C., � ��P
PI.UMBER — _� COMPANY
SIGNATURE REGISTERED Y/ N P8E CURRE� Y/N
Address License# � �
MECHA[+11CAL COMPANY
SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N
.,,... ,,,.....„
Address License# �— �
OTHER � CQMPANY
SIGNATURE REGISTERED Y/ N FEE CURFtE� Y/N
Address License# �— �
RESIDENTIAL Attach(2}Plot Ptans;(2)sets of Building Ptans;{1)set af Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Pians w/Siit Fence installed,
Santtary Facilit+es&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3}comptete sets of Buitding Ptans ptus a Zife Sa#ety Page;(1}set of Energy Fornts.R-O-W Permit for new wnstruc6on.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/8flt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for ail new projects.Ail commerciai requirements must meet compiiance
SiGN PERMIT Attach{2)sets af Engineered Ptans.
""PROPERTY SURVEY required for all NEW construction.
Dlrections: -
Fill out application campletely.
Owner&Contractor sign back of appi�cation,notarized � `� `
If over$2500,a Natice of Commencement is required.,�(A/C upgrades over$?500)
*' l�qent(for the contractor}or Power ofAttomey{for the owner)would be someone with notarized letter frpm owner authorizing same
OVER 7HE COUNTER PERMIITING .,, (Front of Application Only)
Reroofs if shingles Sewers Serdice Upgrades A!C Fences,(Flot/Survey/Footage)
Driveways-Not over Counter if on putilic roadways..needs ROW �� '�-� -'
�
I -y_;'' - -
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations.�The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UtdLICENSED CONTRACTORS AND COiVTRAC70R RESPONSI�ILBTIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance virith state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
� portions of the "contractor Block" of this application for which they yrill be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly 6i�ensed and is not entitled to permitting privileges in Pasco
County.
Tlt�►NSPORTATION IMPACTIUTILITIES IMPAC7 AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as spECified in Pasco County Ordinance number 85-07 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 issF�a,nce. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LA1AI(Chapter 713, Florida Statutes, as amen�ed): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department 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"owner"prior to commencement.
CONTRACTOR'S/OWNER'S A►FFIDAVIY: I certify that all the information in this application 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 indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify,iivhat actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of�Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways. �
I understand that the following restrictions apply to the use of fill:�
- 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 submitted 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 connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill 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 fill, an engineered drainage plan is required.
If I am the�►GENT FOR THE 011VNER, I promise in good faith to inform the owner of the permitting 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 Building Official from the�eafter
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
I the permit 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, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
WARNING TO OWfVER: YOUR FAILURE TO RECORD A N0710E OF COMMENCEMENT �IflAY RESULT IN YOUR
_PAYING TWICE FOR IMPROVEIIAENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
IiVITH YOUi?LENDER OR�►N ATTORIV�If�EFORE �ECOQ3D9NG 70�R EdOTIC�-OF-C f�IENCEIl�Eld�:-- --� - - -_
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOIt
Subscribed and swom to(or affirmed)before me this Subscrlbed and sworn to(or affirmed) efore me this
by bY
Who islare personally known to me or has/have produced Who ts/are personally k to me or has/have produced
as Identlfication. as identification.
Notary Public Notary Public
g��:ew;,, JOEL E.BACON
Commission No. Co � Com i i 1
: ;�: a: Expires June 29,2018
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Name of Notary typed,printed or stamped �