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Home My WebLink About15-16022 CITY OF ZEPHYRHILLS 5335-8th Street / -- � (813)780-0020 160 7 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit#:16022 Issued: 2/18/2015 Address: 5215 16TH ST Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 250.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 40.00 Date Paid: 2/18/2015 Parcel Number: 11-26-21-0010-19500-02a6 CONTRACTOR IIdFORMATION OWNER INFORMATION Name: HOMEOWNER Name: KING, MARY ALANA Addr: Address: 5215 16TH ST ZEPHYRHILLS, FL. 33542 Phone: Lic: Phone: (813)992-0841 Work Desc: REWIRE BATHROOM ADD GFI APPLICATION FEES ELECTRICAL FEE 40.00 � ,n � 1 INSPECTIO S REQU D ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER FINAL 1 � � 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 fl plans not at job site g) work not accessible. NOTlCE: 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. f � CONTRACTOR PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER a�3aso-oo2o City of Zephyrhiils Permit Appiication �ax-s��-�so-oa2� Building Department Date Reaeived~ " Phone Contact for Permitting Ciwner's Name � 1�" A/ l�� Owner Phone Number l.J Z c..'� Qwner's Address ��s l�cL�' � Owner Phone Number �— � Fee Simpie Titlehoider Name � � Owner Phone Number � � Fee Simpie Titiehoider Address .raB Aa�RESS �2)� ��i �'��'�� -�..� �— �o�# C_� SUBDIVIStQN � � - PARCEI.!D# (OBTAINEd FROM PROPERTY TAX NOTICE) ' WORK PROPOSEd HEW CONSTR� ADDIAlT 0 S1GN Q Q t}EMOLISii INS7ALL REPAIR PROPOSED USE SFR [� GOMM � OTNEt2 TYPE OF CONSTRUCTION Q BLOCK [� FRAME � STEEL Q DESCRIPTION OF WORiC l,?`�-�� 9�� t� �'F� ��' BUILDING SIZE � � SQ F04TAGE� HEIGHT C`—� , �$��»�' � �c��d–�°a-�� VAlUATIt}EV OF TOTAL GONSTRUCTION .� QELECTRlGAt. �� AMP SERVICE � PRQGF2ESS ENERGY Q W.R.E.C. QPLUNlBiNG r> � L CJMECHANICA{. �> � VALUATtON OF MECHANIGAL lNSTA�tATiQN C]GAS Q ROOFlNG Q SPECIALTY � OTHER � � FINISHED FLOOR ELEVATIONS �� FLOQD ZONE AREA QYES �� 6��L}�� v�'r��V'--- BtJ1LDER � �� ! COMPANY� StGNATURE � REGISTERED Y J N FEE CURRE� Y/N Address License# �— � ELECTR#CtAN , COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# �� PE,UMBER � COMPANY SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N Atldress License# � � MECHANICAI CONlpANY � $IGNATURE REGISTERED, Y/ N FEE CURRE� Y/N. Address .�� ic�nse# � � C?THER COMPANY � SIGNATURE REGiSTERED Y/ N FEE CURRE� Y/N Address �icense# �� RESIDEt3T1AL Attach(2�Ptot Plans;(2)sets af Build'+ng'Plans;{1}set of Energy FoRns;R-t1-W Permit for new constrvation, Minimum ten(10}working days after submit#al date. Required onsite,Construction Plans,Stortnwater Pians w/Siit Fence instalied, Sanitary Facitities&1 dumpster;Site Work Permit for subdlvisionsAarge projects CQMMERCIAL Attach{3}campiete sets of Buiid9ng Pians plus a Life Sa#ety Page;{1}se#af Energy Forms.R-U-W Permit for new construotion. RAinimum ten(1d}warking days after submittat date. Required onsite,Construction Pians,5tormwater Pians w/5ilt Fence installed; '� I — � Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All ctammercial requirements must meet compliance SIGN PERMtT Attach{2}sets of Engineered Plar►s. , � '�"'PROPERI'Y SURVEY required for alt NEW construction, � Dfrectians: Fili aut appiication completely. Owner&Contractor sign back of application,notarized . !f aver�2540,a Hotice of Cornmencement is reqcrired. {AlC upgrades over$T500} '* Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nota�ized letter from owner authorizing same OVER THE COUNTER PERMITTlNG . ~:•,:�{Front af ApplEcation'On1y}' .":- '_ , .- --. _ � . .. .-_ .,.... _ __ , Reroofs if shingles Sewers ? Service Upgrades, NC:.;: Fences(RIoUSurvey/Footage) - � - , , , • _. ,, , - , - ,. ,. . , .. ' drlveways-Not over Caunter if on pu61lc roadways:.needs ROiN"� ` � ' ' ` - ; � '., _-, .,. .....n. , . , .. , �:..,.' . .., NOTICE OF DEED RESTRICTIONS: The undersigned understands`that this,permit may be subject to"deed"restrictions" which may be more restricttve than County regulatlons. �The undersigned assumes responsibility for compllance with any applicable deed restrictions. . UNLICENSED CONTRACTORS APID 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 regulations. If the contracto� is not licensed as required�by law, both the owner and contractor may be cfted for a misdemeanor violation under state law. If the owner or intended contractor are uncertaln 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, 1f 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 wrhich 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 Recovery.Fees may apply to the construction of new buildings, change of use in existing buiidings, or expansion of existing buildings, as specified 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-in accordance with applicable Pasco County ordinances. � CONSTRUCTION LIEN LAW(Chapter T13� Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I - certify that I, the applicant, have been provided with a copy of"the "Fiorida Construction Lien Law=Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and ConsumerAffairs. 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'SIOWNER'S AFFIDAVIT: 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, zonfng and land development. Application is hereby made to obtain .a permit to do wrork 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 perFormed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations tn 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 what actions I must take to be.ln.compliance. Such agencfes 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-Seawalis, Docks, Navigabie Waterways. - Department of Health & Rehabilitative Services/Environmenfal Health Unit-Wells, Wastewater Treatment, Septic Tanks. � - US Environmental Protection Agency-Asbestos abatement. - Fede�al Aviation 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 submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florlda. - 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 certiry that_use of such fill will not adversely affect adjacent properties. If use of flll is found to adversely affect adjacent properties, the owner may be cited for violating the oondiQions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by flll; an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, 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 specificaliy 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, aiter, or set aside any provisions of the technlcal codes; nor shall issuance of a permit prevent the Buildirig Official from thereafter requiring a correction of errors In plans, constru�tion or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is.commenced within s:ix months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extensio� may be requested, in writing, fro"m the Buiiding,Official for a perlod not to exceed ninety (90) days and will demonstra#e justifiable cause for the extension. If work ceases for ninety(90)consecutive days,-th�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.P.RO�ER-TY. iF YOU�INTEND'TO OBTAIN FINANCING; CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING�YOUR-NOTICE:OF�COMMENCE�IIENT �' _FLORIDA JURAT(F:S. 117.03 . _____��_._�� -�-- -- _-- - - - -/-�--°--- - _- - OWNER OR/e(3ENT � CONTRACTOR� �� - Sy�b'c,�ib�d�a�n bswom o(or afflrm d)before m this Subscribed and swom t `�or a d be re e �� Y °� IMA.�,�--�-��-� �S�- !�=�" 2-/�-l� �by � iM�h-� ��I:.l�t� �l 1��r- � Who is/are p rsonally own to me or has/have produced Who is/are rsonally known to me o has/have produced --- ckG��as Identlflcatlon. � c -:�,�.y L•�'�on�� as IdendficaUon.. . i �� Notary Public . l' Notary Publtc Com issl n Commis lo o. �io}'�YPY�j�.'�s QUELINE BOGES =,,; '�k: Commission#FF 150422 Name ,' P� � � 18 NameofNotary , p •f�g qf��nsurenre800.385-7019 h auN�' I%.�,',Rd��°.� Banded Thru Troy Fdn Inawanea 600�388•7019 • n�st�.ostrtx� s�.�rsrrrr .FaR owr�R CITX OF .ZEPHYRH2L7+S BVII.DZNG DEPAR'Et�Nfi _� ,�� '�,,f�-►.1�- ��,/,\{�� • have read azxd fu11y uz�ders tasid and agree •ta th� provisions a� �thi.s instrument. .The undersigried .states and af�irms that he or she is desirous of constsuctiug, rexxovat.iszg, adding to ar 2eroa�ing his ar her owsi domicile, that he oz she actually occupies, or wi13 occupy by said domici:le, and same is not faz •ren.t, lease or sa1e. That he or she sha11 aomply wi-th the followiiag caadi-�,i.ons: 1. R'hat the owner axid_he or she alone sha1,1 act as ~the bvilder fos all phases af' aonstrsscti.ozz. . 2. Tha� the owsier wi:ll coacply witiz a11 provisians of �the City of Zephyrhil.�.s ordinances arid codes pertinent, to �he hvildiizg. 3. That in �the event various phases a� constsuction are su�cantracted, he wi11 EIlgage only �propesly licensed subcantsactors and will personal.�.y superv�.se such work. 4. Tha-C in the even� the Huilrling Inspectas� sha11 xec�,;�re correcti.ons to lae mad,e, the awner will assttme full respoasibiliiy �ta insure •they ase made, and upon completion wa.13 ca13 �or a reinspection befose psoceeding with the builcZing. 5. That the owner sYxa11 assume fu11 responsibility for the CCf21S�11Ct.7.0A and wi�.l nat sxpea•t_ supervisicn of his work f'rom the City af Zephyshills Bu:z.lding Depar�esit. 6. �iat pri.or to fizxal inspec�ion aa.y addi�.ional fe+�s, izicluding reinspec�.on fees, must �ae paid in �ull. A wri�t�n request �rom �.s office shaZ1 constitute axY of£icial nota.ce '�o pay additiosa�al �'ees.. 7. That th� awz:es s�a11 comply with a1l Ci.iy, State and �`edesal laws 3.a reg2rd ta socs.al �eaur3.ty, workaran's comgensation, liea laws, etc. , where applicable. B. 2'hat. thc awn+�r shall cflmply vri.th aI.2 the s�ety codes issued �ry the Flasida Iadustsial Gcrmm.ission. 9. Sta�e law r��+7;res constructiazr to be done by licensed contractors. You have appl,iet3 for a pezmit under an �P�FStion ta that law. fihe �cemption allows you, as the ownes of your property, to act as yaus owzx corrtractor vrith aert�,in restric'�i.�ns even though you do no� have a license. You =nust .psovide c�.z.r�e� onss.te supervisiosz of the coastructi.on yourself. You may build or imp�ove a one-fami.ly oz� two-fam3.ly resid�uce or a farm. outbuildiag. You•may also bui].d or 3.mprove a commercial buz.lding, psovided your costs do ziot �cceed $25,000. , Z'he buil,ding or residence must be �ar your awn use ox occupancy. St may not be bu.ilt ar subst,aati.aSly �,mpraved fcr sale or lease. If gou se7:l or lease a bui.lding you 23a.ve built or substan�.ally improved yoursel�' wit:hin 1 yeas after the cous�f-suct.ian is cc�mplete, the law w:i11 ps�sume.that you bv.i.lt or substa=i�.a12y imp�oved •if' for sale or I,ease, wh�.ch is a vialation af tlz.is E7Cea�ptian. '1'ou may not hixe ar,� ua13.c�sed FiF:rsos�. to act a's yovr caatsactor or to supessrise peaple wcsrk.isag cn your buiZdiag'. I�, is youz responsibili�y ta make sure that peraple e.mp].oyed by yau ha.ve licenses se?,;red by state law and by �aunty os muz�.cip�1. licensing ordinances. You may� not delegate the responsi}�ility far superv�.sing work to a licensed contractor who is no�. licexiseci to perfa� ttAe wor3c b�.iag dene. Arsy p�son worka.iig oxi. yous buildiTig wha is not I,iceused must war3� uacdes yavs r3ixect supex�risian anci must`be P�ployed by you, which means that you must deduat E.I.C.A. and withholding ta�c and prav,i.de workess' campetisati.on �or that e�plcye�, aZI as prescs�.bed by 3aw. Yous construction must comply with all applicab�,e 1aws, ordinan.ces, building codes, atid zr�ning regulations. (�flWNER'S SIGN�.TURE � GL>''1 r �A'L'E G-� � �� ADDRESS . PHONE . W=fi.tZE88 - PEF�NI2T #