HomeMy WebLinkAbout15-16129 _
CITY OF ZEPHYRHILLS
:� 5335-8th Street
- �- (813)780-0020 1612
ELECTRICAL PERMIT
I PERMIT INFORMATION LOCATION INFORMATION
� Permit#:16129 Issued: 4/01/2015 Address: 7422 TOWNVIEW AVE LIFT STATION 3
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: NOT APPLICABLE Lot(s).:. Block: Section:
Sq. Feet: , _nEst. Value: Book: Page:
Cost: ��.l�aJ+"� Total Fees: Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: Date Paid: Parcel Number:
� CONTRACTOR INFORMATION OWNER INFORMATION
Name: OWNER Name: CITY OF ZEPHYRHILLS
Addr: Address: 5335 8TH ST
ZEPHYRHILLS, FL 33542
Phone: Lic: Phon •
Work Desc: ELECTRICAL MIS TO LIFT STATION #34 � 31�y
APPLICATION FEES �
_ � �;��
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METE
FINAL � �
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 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.
.
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�o-rav-vucv city af Zephyrhills Permi#Application �aX szsaeo-ooz�
Buitding Department
�
Date stec$ived j - Phane Contact for PermPtting
� � � �r3^7 �3� ��
Dwner's Name � r.S L�C�I-� Owner Phone Number
.�- �— �
Owner's Address - Ov�7 � r 4wner Phona Number
Fee Slmpte Titlehoider Name �� I Owner Fhone Number �— �
Fee Simpie Titlehoider Address -
JOB ADDRESS O�+c� V � � � �� r LQT# �
SUBDfYtS#ON � � PARCEL tD#
(QBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADD/ALT 0 SlGN Q Q QEMOLlS4i
INSTALL REPAIR
PROPOSED USE [� SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FF2AME 0 STEEL Q
DESCRIPTIdN OF WQRK
SUILDIN�SIZE �� � SQ FOQTAfE[_� HEfG3iT ���
QBUILDING �� VALUATION OF TOTAL CONSTF2UCT14N
ELEC7RICAL ��� AMP SERVICE Q PRQGRESS ENERGY CJ W.R.E.C.
QPLUMBING �s�
[�MECHANICAL $ � VALUATION OF MECHANICAL INSTALIATION
�GAS Q ROOFING [� SPECIALTY � OTHER
=1NISHED FLOOR ELEVATI4NS �--��--� F1.00D ZONE AREA QYES NO
3UILDER GOMPANY
>IGNATURE REGI8TERED Y/ N FEE CURRE� Y/N
Address ��_—`�.��� License# � �
ELECTRICIAN � GQMPANY
iIGNATURE �iY REGISTERED Y/ N FE8 CURRE� Y/N
Add�ass �icense# �^ �
�LUMBER � COMPANY
iIGNATIIR$ REG15TERED Y/ N FEE CURRE� Y/N
Address �lcense# � `�
�ECHANICAI. � � COMPANY
�1GNATURE ( REGISTERED Y J N FEE CURRE� Y/N
Address License# � �
iTHER COMPANY
�tGNATtJRE REGISTERED Y J A1 FEE CURRE� Y/N
Address License# � �
:ESIDENTIAL Attach(2)Plot Ptans;(2}sets of Building Ptans;(1)set of Energy Forrns;R-O-W Permit for new construcBon,
Mlnfmum ten{10}wotking days after submittat da#e. Requlred ansite,Construction Plans,Storrnwater Plans w/Silt Fence installed,
Sanitary Facpides&1 dumpster,Site Work PermEt for subdivisionslfarge projects
OMMERCIAL Attach(3)complete sets af Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-Q-W Permit for new constructton.
Minimum ten{i0}working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed,
_ Sanitary FactlfUes 8-1 dumpster.Site Work Permft for a8 new proJects.-AI!cammerc3a!requlrements must meet compllance �
IGN PERMIT Aktach(2)sets of Engt�eered Plans.
;*"PROPERTY SURVEY required for all NEW cansbvction.
irectlons:
Filt aut appNcatian comptetely.
Owner&Contractor sign back of appt3cation,notarixed
If over 52500,a Notice of Commencement Is requlrad. {A/C upgradas over$7500}
Agent(for the cantractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
VER THE COUNTER PERMITTING (Front of Applicallon Only)
eroofs if shingtes Sewers Servlce Upgrades A/C Fences(Plot/Suroey/Footage)
Driveways-Not over Counter if on pualic roadways..�esds ROW
r
�.
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NOTICE OF DEED RESTRICTIONS: The undersigned under.stands°that this:p�rmit.may.be.sub)ect to"deed"restrictions"
which may he:moce_restcictive than County regulatlons. �Th�undersigned assumes responsibility for compliance with any
applicable deed rest�ictions.
UNLICENSED CONTRACTORS AND- CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required..to be:l(censed in accordance.with state.and•local regulations. If the
contractor is not Iicensed as requlred-by law, both the owner and conVactor may be ctted for a misdemeanor violatlon
under state law. If the owner or tntended contractor are uncertain as to what licensing.requlrements may appiy�for the
inlended work, they are advised to contact the.Pasco County Bullding Inspectlon Dlvlsion—Licensing Sectlon at 727-847=
8009. Furthermore, If the owner has hlred a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block° of thfs application for which they wlll be rasponsible. If you, as.the owner sign as the
cont�actor, that may be an indication that he is not properly licensed and is not entftled to permitting privileges in Pasco
Counry.
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 existing buiidings, or.expanslon of ezisting'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,.w(II be identified at the time of
permitting. It is further understood that Transportatfon Impact Fees and Resource Recovery Fees must be paid prlor to
receEVing a "certificate of occupancy" or flnal 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 prlor to permit�lssuance-in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713� Florida Statutes, as amended): If valuation of wrork 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 Agric.ulture 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°owne�"prior to�commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all.the information in this appl(cation 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 Installatlon 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 re ulatin -
9 9
construction, County and City codes, zoning regulations, and land development regulattons�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,in.compliance. Such agencles Include but are.not Iimited to,:
- Department of Environmentai Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WatedWastewater 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/Environmenfal Heatth Unit-Wells, Wastevirater Treatment,
Septic Tanks. _
- US Environmental Protectfon Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrlctions 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", ft. is understood that a drafnage plan addressing a
"compensating volume" wiil be submitted at time of petmitting which is prepared by a professional engineer
licensed by#he 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=b,e used only.to fill the area within the�stem wail.
- If fill materlal is to be used in any area, I ce�tify that use_ of such flll wili 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 buiiding.permit Issued under the attached permit applicatlon, for lots less than one (1)
acre which are elevated by flll, an engtneered drainage plan is required.
If I am the AGENT FOR THE O.WNER, I;promise in good faith to Inform the owner of�the permitting conditions set forth in
this a�davit�prior to commencing construction. I understand that a:separate permit may be required for electrical work,
plumbing, signs, wells, pools, air condttioning,.gas,_or:other Installations not spec�fically 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 Buildirig Official from thereafter
requfring a correction nf errors in pla�s,-construction or violaUons of any codes. Every permit Issued shall�become invalid
unless the work authorized.by such permit.•is-commenced�withtn six months of permit issuance, or if work authorized by
the permit is suspended or.abandoned for a period of six(B)months after the time the work is commenced. An extension
may be requested, in writing, from the Building,Offlcial 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,.th�job is considered abandoned.
WARNING TO OWNER: YOUit FAILURE�TO,RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE.FOR IMPROVEMENTS TO YOUR:PROPERTY. IF YOU�INTEND'TO'OBTAIN•FINANCtNG;�CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR�NOTIC�`OF COMMENCEMENT: ,
FLORIDA JURA�(F.S.117.03) �
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'Y. ".��T.. �:�ir�Rr7�Yi'ii2--
Subscribed a�d swom to(or affirmed)betore me thls Subscribed and swom to(or afflrmed)�before me thts
by •by �
VYho Islare personally known to me or has/haye produced Who Is/are p.ersonally known to�me or haslhave produced
� as Identlflcatlpn. as IdentlflcaUon.
Notary Public . Notary Public
Commisslon No. Commisslon No.
' Name of Notary typed,printed or stamped Name of Nolary typed,printed or stamped
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