HomeMy WebLinkAbout15-16089 CITY OF ZEPHYRHILLS
� 5335-8th Street
- � � (813)780-0020 . 16� 9
ELECTRICAL PERMIT
-' PERMIT INFORMATION ' LOCATION INFORMATION -
Permit#:16089 Issued: 3/13/2015 Address: 5825 APOLLO 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: 450.00 Total Fees: 40.00 Subdivision: TREE LANE VILLAGE
Amount Paid: 40.00 Date Paid: 3/13/2015 Parcel Number: 10-26-21-0000-00100-0000
CONTRACTOR INFORMATION OWNER INFORMATION ' -
Name: JIM'S ELECTRICAL SERVICES INC Name: TREE LANE LTD C/O TEMPLE TERRACE
Addr: 18302 EASTWYCK DR Address: 5825 APOLLO ST
TAMPA FL 33647 ZEPHYRHILLS, FL. 33542 �
Phone: (813)810-4079 Lic: EC13005496 Phone: (813)984-1533
Work Desc: REPLACE METER JAWS
APPLICATION FEES
ELECTRICAL FEE 40.00
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� INSPECTIONS REQUIRED �
ROUGH ELECTRIC
CONSTRUCTION POLE '- ` 3 ° �
PRE-METER �- �` „
FINAL � - l 3 ^L 5r V f-�
REYNSPECTION 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
in§pection when called e) permit not posted on job site fi) 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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CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
��,.��ti,-�,U�� City af ZephyrhiNs Permit Application Fax813•78Q-0021
Building Department
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Date RBCeiv�d Phone Cantact for Permitting
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� Owner's Name —���' �^^^�} 1�"'7" ��S� t3wner Phone Number � � ^-�f� -- 1 .���
Owner's Address Ownar Phone Number „_ _
Pee Simpie Titiehotder Name � � Uwnar Phone Number ��,_.,_. �
Fee Simple Titiehoider Address e
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', SUBDIVISIbN � �re�. �v'``'Z— PARCEI.lD# _ --- - --
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t WBRiC PRBPOSED � NEW CONSTR AdDlALT C� SiGN [� Q DEMOl18H
I e INSTAL� 8 REPAiR
PROPOSED USE Q SFR Q COMM [�'] OTHER
TYPE OF C4NSTRUCTiQN Q BI.00K Q FRAME ���� STEEL Q
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DESCRIPTlON OF WORIC
% BUILDING SIZE � �� 8�1 FOOTAGE� HEIGHT C�,�
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�8���-����' � �� �� VALUATIQN OF TOTAL CONSTRUCTION
QE{.ECTRICAI � ��) AMP SERVICE Q PROGRESS ENERGY Q W.F2.E.C.
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I QPl.UMBING (9� r� �bO��
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�MECHANICAL $ VALUATION OF MECHANlCAL INSTALLATlON �
[�GAS Q RQOFING Q SPECIALTY [� OTHER
=iNiSHED FLOOR ELEVATIONS (��� FLOQD ZONE AREA QYES NO
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3UIl.DER COMpANY
51G�fATURE REGiSTERED Y J N FEE CURRET Y I N
Address License# � �
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EI.ECTRICIAN �V�,4,, �c�___---r, "'---`" ��M�� ��NS FEE CURREn Y/N
�IGNATURE
Address � �� `"'�. �p--S�'��C� .c`�.. t" `C`� �1--3 �;Y7 Ucense# �C lrjU o�j Y 9��
�LUMBER COMFANY
,IGNATURE � REGiSTEF2Ep Y/ N FEE CURREr Y 1 N
Address License# �� �
�ECHANICAL COMPANY
�IGNATURE REGISTERED Y 1 N FEE CURREt� Y J N
Address ` License# � �
ITHER GOMPANY
�IGNA7URE REGISTEf�ED Y/ N FEE CllRREP Y J N
Address License# � '��
� ESIDENTiAL Attach(2}ptot Plans;(2)sets of Building Plans;(1)set of Energy Fartns;R-Q-W Permit far new construction,
� Minimum ten(10)working days after submittal date. Required ansite,Gonstructtan Plans,Stormwater Plans wt Sflt Fence fnstalled,
� Sanitary Facilides&1 dumpster,Site Work Pertnit for subdivistonsflarge proJects
OMMERCIAL Attach(3)complete seks of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new canstruction.
Minimum ten(10a working days after submit#al date. Required o�slte,Construction Plarts,Stormwater Plans wt Siit Fence instailed,
Sanitary Facilities&1 dumpster,Sike Wark Permft fvr all new proJects.AI!commercia!requfrements must meet compitance
IGN PERMIT Attach(2a sets of Engineered Plans.
""'"PROPER'1Y SUR'VEY required for a!!NEW construction.
Irections:
Ffll ouk application camplskely.
Owner 8�Gontractor sign back of application,notarized
If aver S250Q,a Notice of Comrnencement is requfred. (AtC apgrades ou�r�750d}
Agent(for the contractor)or Power of Attomey(for the owner)wauid be someane with natarized letter fram owner authorizing same
VER TNE CbUNTEl2 PERMITTING (Front of Appiication Oniy}
eroofs if shingles Sewers Servica.Upgrades A/G_-....•=Fences(RiotiSurveylFootage}
Driveways-Not over Gounter if bn publfc roadways..needs:ROW , �
NOTICE OF DEED RESTRICTIONS: The undersigned under�tands that this.p�rmit.may.be:sub)ect to"deed"restricttons" Y
which may be.more restcictive than County.regulatlons. �The undersigned assumes responsibility for compliance with any
applicable deed rest�ictfons.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be requlred_to be:licensed in accordance.with state.and•local regulatlons. If the
contractor is not Iicensed as required-by law, both the owner and contractor may be cited for a misdemeanor violatton
under state law. if the owner or intended contractor are uncertain as to what licensing.requtrements may apply•for the •
intended work, they are advised to contact the.Pasco County Building Inspectton Divislon—Licensing Sectfon 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 thls application for which they will.be r�sponsible. if you, as.the owner stgn as the
contractor, that inay be an indication that he is not properly Ilcensed and is not entitled to permittfng 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 ex9sting buildings, or expansio� of�exisfin,g`buildings, as specified in Pasco Coun�y Ordinance number �9-07 and
90-07, as amended. The undersigned also understands, that such fees, as:may:be�.due,.wfll be identlfied at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be pald prfor to
receiving a °certificate of occupancy" or final.power release. .If the project does not (nvolve a certificate of occupancy or
final power release, the fees must be paid prior to permit Issuance.;�,'����thermore, if Pasco County Water/Sewer Impact
fees are due, they must be-pald prior to permit issuance-In accordance with applicable Pascv County ordinances.
CONSTRUCTION LIEPI LAW(Chapter 713� Fiorida 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 "Florida Construction Llen Law—Homeowner's
Protectio� Guide" prepared by the Florida Department of Agric.uiture 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'3 AFFIDAVIT: I cer,�tify that all the Information in this appllcatlon is accurate and that all work
will�be done in compliance with all appiicable laws regulating constructlon, zoning and land development. Application is
hereby made to obtain .a permit Co _do work and installatlon as ind(cated. '1 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 regulaking
construction, County and City codes, zoning regulations, and land development regulations-in the jurisdiction. I aiso
certify that I u�derstand 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.compliance: Such agencies include but are.not Iimited to:
- Department of Environmental Protection-Cypress.Bayheads, Wetland Areas and Envlronmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management- District-Wells, Cypress. Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawails, Docks, Navigable Waterways.
- Department of Health & Rehabilitative ServiceslEnvironmenfal Health Unit-Wells� Wastewater Treatment,
Septtc Tanks. .
- US Environmental Protectfon Agency-Asbestos abatement.
- Federai Aviatton 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 expressiy 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
Iicensed by the State�of Florida.
- If the fill materlal 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.flll the area withln the:stem•wall.
- If flll 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 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 englneered dralnage 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 permtt may be required for electrical work,
plurrabing, signs, wells, pools; air conditioning, .gas, or other installatfons not specifically lncluded�in the appiication. A
permit issued shail be construed to be a Iicense to proceed with the work and not_as authority to.violate, cancel, alte�, or ,
set aside any provisions of the technical codes; nor shall issuance of a permit.prevent the Bulldirig Oificial from thereafter
requiring a correction nf errors in.plans;constructlon or violatlons of any codes. Every permlt tssued shall become invalid '
unless the work authorized.by such permit.�is.commenced•withln six 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 ts commenced. An extension
may be requested, in writing, from the Building.Officfal 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,.the job�is considered abandoned.
WARNIPIG TO OVi1NER: YOUR.FAILURE.TO,RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAVING TWICE.FOR IMPROVEIVIENTS YO-1rOUFt�i?ROP�RTIf. IF Y0tJ�1NTf�ND`TO�OF35''AIN FINANCING, CONSIJLT' - --
WITH Y UR L NDE OR AN A'TTORNEY B ORE�.RECO �DI G�YOU O �IC�:O O E CEMENT�
FLORIDA JURAT(F.S.1.17.03) .
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OWNER OR AGENT CONTRACTOK��- 7-�'�`=--�- --�-------- ---
5ubscribed and swom to(or aflirmed)before me this Subsaibed and swum to(or affirmed)�before me tfits
by �bY
Who is/are personally k�ovm to.me or haslhava produced Who Is/are personally known to me or has/have produced• •
as identlflcatlqn. as identlflcation.
Notary Pubiic . � Notary Public
Commission No. Commi si .No.
,a����.�..
Name of Notary typed�printed or stamped Name of Notary typ �f�: e ;��(3��n#FF 137073
_.:,�:o: Expires June 29,2018
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�'�p��?:'� Bonded Thn�Troy Fein Insurance BQO-385d019