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Home My WebLink About15-16076 CITY OF ZEPHYRHILLS ' 5335-8th Street F (�1�)780-0020 160 ELECTRICAL PERMIT � PERMIT INFORMATION � LOCATION�INFORMATION - Permit#:16076 Issued: 3/10/2015 Address: 5430 17TH 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: 3/10/2015 Parcel Number: 11-26-21-0010-14600-0170 CONTRACTOR INFORMATION OWNER�INFORMATION � Name: FIRST CLASS ELECTRIC INC Name: PADGETT SHAUN Addr: 7141 BERRY RD. Address: 5430 17TH ST ZEPHYRHILLS, FL 33540 ZEPHYRHILLS, FL. 33542 Phone: (813)782-7861 Lic: Phone: (813)782-3348 Work Desc: INSTALL 5 NEW CIRCUITS - APPLICATION FEES ELECTRICAL FEE 40.00 INSPECTIONS REQUIRED � ROUGH ELECTRIC � CONSTRUCTION POLE PRE-METER � FINAL 'j - 1',� � i � � � r1 � � 1S �� Q 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 f) 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 pertormed in accordance with City Codes and Ordinances. CON O PER OFFI PERMI E PIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER o�a-,o�-�� Gity of Zephyrhil(s Permit Applicetion Fax-813-780-0021 Building Departmen# Date Received Phone Contact for Permitting - Owner's Name �- Owner Phone Number ��,�� . Owner's Address Owner Phone Number Fee Simple Titleholder Name �— � Owner Phone Number ,,,,,,,, � Fee Sfmple Tltleholder Address ,� .. � J08 ADDRESS ��t�� ! �� ' L _ � LOT# 5USD11/tS10N �� PARCEL iD# _ _ _ . _ . _-U ---__-_T - _� - - - - -- -"- - - —_ (OL3F13dEt9 PRQiS-PRUFERTYTdX,1'CTi4.E}J___-, - -_--- WQRK PROPQSEp e NEW CONSTR 8 ADDIA�T Q SIGN C] Q DEMC}LlSH INSTALL REPAIR PROPO$Ed USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME .: �� STEEL Q DESCRtPT10NOFWORK � � t ^ �(t/�u C� -��-.T°�I� 1:J� Cc�S� BUIl.DiNG SIZE �� SQ FOQTAGE C� HEIGHT �,�� BUILQING ri �� VAt�UATION QF TG1TA�COtVSTF2UCT10N L ECTRICAL $ AMP SERVICE r�(� �PROGRESS ENERGY [�] W.E2.E.C. � QPLUMBING � � �t+ � � OMECHANICAL $ VALUATION OF MECHANICAL INSTAlLA710N �� QGAS Q RQOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS C�� FLOOD ZONE AREA QYES NO BUILDER GOMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# �i �� ELECTF!lCIAN / GOMPANY '7-�u"�'J'��5� �" �'G��/t G- 51GNATURE ��- REGISTERED Y/ N FEE GURREt� Y/N Address � ;/� -. t 2 License# � ,��'" �c�d��'" �� PLUMBER COMPANY SIGNATtIRE REGISTERED Y/ N FEE CURRE� Y/IV Address Ucense# r� �� MECHANICAL COMPANY � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Addr�ss License# �— � OTHER CQMPANY SIGNATUi2E REGISTERED Y/ N FEE CURRE� Y/N ' Address l.icense# �— � ' RESidENTiAL Attach(2)P�ot Plans;(2}sets of Building Plans;(1)set of Energy Forms;R-O-W Permit far new aonsbvctlon, � Min3mum ten(10)waricing days aRer submittat date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed, San(tary FacAtdes&,1 dumpster,Site Work Petmik far snbdlvfsiansllarc�e protects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Farms.Ft-O-W Permit for rtew constru�tian. Minimum tan t10}working days after submittat date. Required onsite,Construotion Plans,Stormwater Plans w/Silt Fence installed, Santtary Fac111Ues&1 dumpster.S{te Work Permtt Eor ait new proJects.Att cammercia!requirements must meet camptianae SIGN PERMIT Attach(2)sets af Engineered Plans. ""PROPERTY SttRVEY required for atl NEW construction. Dlrect(ans; Fill out appiication campieteiy. Owner&Contracior stgn back of appficatlon,notarized If aver 52500,a Natiae of Commencement is required. (A!C upgrados over S750Q) " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner author3zing same DVER THE COUNTER PERMITTING {Fronk of Application Only) Reroofs if shingtes Sewers Service Upgrades A/C Fences(PIoUSurvey/Faotage) Drlveways-Not over Counter if on public roadways..needs ROW �OTICE OF DEED RESTRICTIONS: The undersigned understands�that this;pptmtt.may be subject to"deed"restrictions" vhich may be�more restrtctive:than County regulatlons. "The undersigned assumes responsibiltty for compllance with any ippNcable deed restrictions. - , 1NLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or :ontractors to undertake work, they may be required-to be�licensed in accordance writh state.and•Iocal regulations. If the ;ontractor is not Itcensed as required by law, both the owner and contractor may be cited for a�misdemeanor violatton inder state law. If the owner or Intended contractor are uncertatn as to what Iicenstng requirements may apply_�or the ntended work, they are advised to contact the.Pasco County Butlding Inspectlon DIvlslon—Licensing Section at 727-847- 1009. Furthe�more, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign ' �ortions of the "contractor 61ock° of thls appl(catfon for which they wlll be.re�ponsible. If you, as.the owner sign as the ;ont�actor, that may be an indication that fie is not.properly Hcensed �nd is not entitled to permitting privileges in Pasco ' �ounty. �RANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES; The undersigned understands hat Transportatfon Impact Fees and Recourse Recove.ry.Fees may apply to the constnictlon of new buildings, change of ', ise in existing buildings, or.expans6on of-ex6stB�g'bu9lddngs,-as specifled in Pasc� County Ordinance n�mber 89-07 and I �0-07, as amended. The undersigned also understands, that such fees, as'�may�be�due;,will be identified at the time of �ermitting. It is further understood that Transportation Impact Fees and Resource Recov.ery Fees must be paid prior to •eceiving a "ce�tificate of occupancy" or flnal power release. :If the,project.does not involve a certificate of occupancy, or •inal power release, the fees must be pa(d prior to permit issuance. .Furthermore;if_Pasco County Water/Sewer impact `ees are due, they must be pald pri�r to permit(ssuance-in accordance w[th a�plicable Pasco County ordlnances. CONSTRUCTION LIEN LAW(Chapter 713, Florlda Statutes�as amended): If valuation of work is$2,500.00 or more, I �ertify that I, �he applicant, have-been provided with a copy of the "Florida� Construction Lien Law—Homeowne�'s Protection Guide" prepared by tFie Florida Department of Agric.ulture and Consumer Affairs. If the applicant is someone �ther 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 AFFIDAVIT: I certify-that all.the information in thl.s applicatlon is accurate and that all work will�be done in compliance with all applicable laws �egulating constructlon, zonfng and land development. Application is hereby made to obtain .a permit to do work..and installation as indicafed: 'i certffjr that no work or tnstallation has commenced prior to issuance of a permit and that.all work will be pertormed to meet standards of all laws �egulating construction, County and City codes, zoning regulations, and land development tegulations�in the jurisdtction. 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.in:.corrlpliance. Such agenc(es include but are not limited to: - Department of Environmental Protection-Cypress. Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Wate� Management District-Welis, Cypress. Bay.heads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navtgable Waterways. - Department of Health & Rehabilitative Serv(ces/Environmental Health Unit-Wells, Wastewater Treatment, Septtc Tanks. _ _ - US Environmental Protection Agency-Asbestos abatement. - Federal 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#ime of permitting which (s prepared by a professional engineer Ifcensed by the State of Florida. - If the fiil material is to be used in Flood Zone °A° in�connectfon�with.a permitted building using stem wall � construction, I certify th.at flll�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 flll is found to adversely:affect ad)acent properties,.the owner may be cited for violating the conditions of the buildfng.permit issued under the attached�permit application, for Iots less than one (1) acre which are elevated by flil, an englneered drainage plan is required. . If I am the AGENT FOR THE OWNER, I,promtse in good faith to inform the owner of the permlttfng conditions set forth in this affidavit�prior to commencing construction. I understand that a separate permit may be requtred for electrical work, � piumbing, signs, wells, pools, air conditioning,.gas, or other installations not specifically included-in the application. �A permit issued shall be construed to be a Ucense to proceed with the work and not as:authority to.violate, cancel, alter, ar . i set aside any provisfons of the techn(cal codes, nor shall (ssuance of a permit.prevent the Building Official from thereafter � requiring a correction af errors in.plans, construction or violations of any codes. Every permft issued shall become invalid ' unless the work authorized by such permit is.commenced with(n siX months of permit issuance, or if work authorized by the pe�mit is suspended or.abandoned for a period of six(8)months after the time the work ts commenced. An extension � may be requested, in writing, from the Building,Official for a perlod.�not to.exceed ninety (90) days and will-demonstrate justifiable cause for.the extension�. If work ceases,for ninety(90)consecutive days,.th�job�is considered abandoned. WARNING TO OWNER: YOUR.PAILURE.TO,RECORD A NOTICE OF COMMENCEMENT MAY�RESULT IN YOUR PAYING TWICE.FOR IMPROVEMENTS�TO YOUR PROPERTY. IF YOU-INTEND?TO OBTAIPI�FINANCING��CONSULT WIT R LE. O TTO E-RECO �I 'O . �� E FLORIDA JURAT(F. 1. .0 ) - OWNER OR AGENT �� CONTRACTOR Subscribed and swom ta(or atflrmed)before Subscribed an om to(or afftrmed)� by I .by Who Isfare personally knovm to.me or haslhaye duced Who Is/are personally knovm to me or as/ha duced as Identlflcatlon. as Idendflca0on. ' Notary Public Notary Publlc Commisslon No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped