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Home My WebLink About15-16158 CITY OF ZEPHYRHILLS � ,_ 5335-8th Street �. (813)780-0020 • 1'6158 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit#:16158 Issued: 4/08/2015 Address: 5153 4TH ST Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRICAL MISC Township: Range: Proposed Use: NOT APPLICABLE Lot(�): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 650.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 40.00 Date Paid: 4/08/2015 Parcel Number: 11-26-21-0010-15700-0020 CONTRACTOR INFORMATION OWNER INFORMATION Name: DOUGLAS ELECTRIC Name: GOODING TODD Addr: 36425 COVINGTON RD Address: 5153 4TH ST DADE CITY, FL 33525 ZEPHYRHILLS FL 33542-4033 Phone: (813)293-3738 Lic: Phone: 916-797-6240 Work Desc: REPLACE WIRING AND CLOTH APPLICATION FEES ELECTRICAL FEE 40.00 � INSP � T NS REQUIRED � ROUGH ELECTRIC ' CONSTRUCTION POLE � PRE-METER - � FINAL � y �' , : REINSPECTION FEES: Reinspection fees will comply with Florida S tute 553.80 (2)(c)when e�ctra 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� 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 properly. 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. � CONTRACT R PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER . , ,. � _ . : ° ' .r =�5. _, ^::�.�,. ��t PROPUSAL, � }�, - .�� DOUGLI�S ELECTRIC TNC. `s"� 36425 Covingtan Roacl�`� �. Dade City, FL 33525 � ' - �:�. (352} 518-0222 � EC 0002552 (352}5-1{�=�225 Office Phone � � � • • Office F� ,' ; , '' ' � �.� " DATE: 4/8/15 '};' y�''�� , � Job Quotation .�,� ,. •� ` , :;it} :.x;;$:r.: `;�.,� � , TO: Gloria'Edwards. "��' ' � �_ Job Name: Edwards Residence ,, . ,,. ; � ■a�ii��ri°'i.��,A��IIr��r'��III��,�:��M��/�r��r��M��Ar��Ar��r��AM� .. �'s a � �. Vi�E PROPfJSE,AiVD HERE$Y ST:TBMIT SPECIFICATIONS AND ESTiMATIONS FORr`THE FOLI�OVi�ING: ..�` ., , . , �E � ,s. 7 - , �. �, �' S., ` .' `�` Di5COI1TI�CI&21C��remov,e clo�ti cavered.wiri�.g_feeciing vne circuit � ,` � ��;;Re=feed circuit�with new RomeX�'fo meet�c%ide.,V� j � .. "r'J�.�4 'i'.r: <.t„'�1�. . , ' ' a�',_ ; '�l x`-. _ „ , 4 P'`s r . ` ' �t� _''' " .! i I here�iy propase,.��to furnish.material and�.labor —�''ec�mplete in accordance with the above specifications,°far the sum',of:� '. �, �-'°"�A � ��` • , .i;FS �''f;�z'Y , � , , . �-' . � SIX HUNDRED�:EIFT�'DO�.LARS,($650.00) � . -r;,�r -r;,i..�-. ' � Payatiie upon co,mplefion of��i%c,rk. ' . '�.� '.,.;.;� .;� .,',: .� . ' ,, e .',}i ,{ .' ` _ � ' °k THIS�PRICE IS G40D FQR THIRTY{30)DAYS FROM DATE OF FROPOSAL. ,. -.. E ,. � .,a t i: � r i x ;�.,.. � � r, , - All�aterial is;guarariteed'to be as sgecif ed. All work to'_be completed in a workmanlike manner jac'cording':to standard practices. Any`,alteration;_or deviation:&om above specifcations involving F extra costs will�be executed anly'upon writtezi orders;'azici,will liecome an extra charge over and ; above estimate. ' � =� , , y _ , , . �{`.� - . Authorized;Signature: `� 's�`� ��`— Date:_�a ACCERTANCE OF PROPOSAL:` The abavezp�tces, specifications and condirions aze sat'isfactory and are hereby accepted: �You aze authorized to do the work specified,and payment is agreed''as listed bove. �� Signature: ' Date: � � kf�� . ' S a�a-�ao-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 Building Departrnent ' Date Recefved Phone Contaet for Permittin Owner's Name 0 l7'0� I Owner Phone Number '� '� ' Owner's Address �S � • Owner Phone Number Fee Simple TiUeholder Name Owner Phone Number Fee Simple Titlehotder Address JOBADDRESS LOT# � SUBDIVISION PARCEL IDH (OBTAINED FROM PROPERTYTA%NOTICE) WORK PROPOSED e NEW CoNSfR� ADD/ALT Q SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE � SFR Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK �� FRAME 0 STEEL Q - DESCRIPTION OF WORK l ? :� BUILDING SIZE SQ FOOTAGE� HEIGHT : QBUILDING S VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE aEGisrea�o Y/ N FeE cuw�n Y/N Address ' - License# ELECTRICIAN COMPANY ,S SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address 3��Ct�V�L1/4fc(/ I�,� o Z�/jy License# v , ��"�-� PLUMBER COMPANY SIGNATURE r�Gisrer�� Y/ N �Cu�aen Y/N Address License# MECHANICAL COMPANY SIGNATURE r�Gisr�o Y/N �Cur�n Y/N Address License# OTHER COMPANY SIGNATURE r�Gls�r�o Y/ N �e cuwxEn Y/N Address License# IIIIIIIIIIIIIIIIIIIIIIIIIIt1111111111111111Illllltllllllltlllllt111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, Minimum len(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(3)complete sets of Building Plans plus a L'rfe Safety Page;(1)set of Energy Fortns.R-0-W Pertnit for new consWction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit far all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW consWctlon. Directions:• Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice oi Commencement is required. (AIC upgrades over S7500) " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner aulhorizing same OVER THE COUNTER PERMITIING (Front of Applicafion Only) Reroofs if shingies Sewers Service Upgrades AIC Fences(PIoVSurvey/Footage) Driveways-Not over Counter if on public raadways..needs ROW � . ' 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 responsibilifq for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND 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 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 Buiiding Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a conVactor or contractors, he is advised to have the contractor(s) sign portions of the"contractor Block"of this application for which 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 enGtled to permitting privileges in Pasco Counry. • 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 buildings,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 flnal 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 713,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 "Florida Construction Lien Law—Homeowne�s Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs, If the applicant is someone other than the"owne�',I certify that I have obtained a copy of the above described document and promise in good faith to i deliver it to the`owner"prior to commencement. - CONTRACTOR'S/OWNER'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 regufating construction,zoning and land development. Applicafion 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 consVuction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. 1 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 agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,WateNWastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - ' - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. "� ' ' - Department of Health 8� Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatrnent, � 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 buifding using stem wall " construction,I certify that fill will be used only to fill the area within the stem wall. - If fill materlal 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 thari one (1) _ - � acre which are elevated by fill,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 othe�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 thereafter requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid unless the woric authorized by such permit is commenced within 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 is commenced. An extension , may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonsVate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the 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 PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMEN ENT. �� FLORIDA JUR.4T(P.S.117.03) OWNER OR AGENT CONTRACTOR ' Subscribed and swom ta(or affirtned)before me this S�ub�c,ri�b�e�d a Ld swom to(or affirmed)before me this by L��bY Who is/ara personally known to me or haslhave producad Vh��re��ly kQoym o me or haslhave produced as identificaGon. f%� �,I as identification. r Notary Public Notary Public Commission No. Com is on No. .•�`;�:.e a�•., JACQUELINE BOGES Name of Notary typed,printed or stamped Name of �d#. ;.:'rnt�9'df31�S �: �,:;: Expires December 12,2018019 "•.',�<''•111�;0?•� gp��ed ihm Troy Fain Insuren:e 800.385-