HomeMy WebLinkAbout15-16194 CITY OF ZEPHYRHILLS
, � � , 5335-8th Street
(813)780-0020 1 4
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:16194 Issued: 4/22/2015 Address: 6106 6102 14TH 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: C���'�` �
Cost: i 2� Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: �� Date Paid: '�—ZZf� Parcel Number: 02-26-21-0020-00300-0010
CONTRACTOR INFORMATION OWNER INFORM/�TION
Name: FIRST CLASS ELECTRIC INC Name: SNOKE JEAN DIETERICH PATRICIA
Addr: 7141 BERRY RD. Address: 2168 WATERSIDE DR
ZEPHYRHILLS, FL 33540 CLEARWATER FL 33764-6659
Phone: (813)782-7861 Lic: Phone:
Work Desc: INSTALL NEW POLE /2 GANG METER BASE W/ GROUND 1ST PRMT
APPLICATION FEES
ELECTRICAL FEE 45.00
IfdSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER. �
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� 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 f nancing, 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.
,
L
CO PER OFFI
PERMIT P RES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
�FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
. . CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 16195
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:16195 Issued: 4/22/2015 Address: 6107 6111 PLEASANT 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: �,�s
Cost: Total Fees: �' Subdivision: CITY OF ZEPHYRHILLS 2''d�fi�
Amount Paid: Date Paid: Parcel Number: 02-26-21-0020-00300-0010
CONTRACTOR INFORMATION OWNER INFORMATION
Name: FIRST CLASS ELECTRIC INC Name: SNOKE JEAN DIETERICH PATRICIA
Addr: 7141 BERRY RD. Address: 2168 WATERSIDE DR
ZEPHYRHILLS, FL 33540 CLEARWATER FL 33764-6659
Phone: (813)782-7861 Lic: Phone:
Work Desc: INSTALL NEW POLE &2 METER BASE W/ GROUND PART 2
APPLICATION FEES
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
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� 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.
CONTRACTO PER OFFI
PERMIT E , IRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�saso-oazo City of Zephyrhilis Permit Appiication �aX-a��aao-oa2�
� ` • Buiiding Deparfment
Date Recefvec! phone Contact for Permitting
Qwns�'s Name G�� �a aQ t Qwner Phone Number
Owner's Address Owner Phon�Number � �
Fee Simpio TitleMaider Name � � Owner Phone Number � �
Fee Simpte Titlafialder Address
� �JOB ADDRESS t �1- (� C t ����. �.,� 'E- (cz C� Ce( Z.a.or#
SUBDIYISION � � PARCEL{D#
(OBTAINED FROM PROPERTY TAX NOTlCE)
WORK PROPOSED , e NEW CONSTR[�DD/ALT Q SIGN CJ C] bEMOLISH
iNSTAIL Q REPAiR
PROP4SED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTiON Q BLOCK Q FFtAME � STEEL Q
DESCRIPTION OF Wl?RK '�—�k���r '"� .-Z r � ,��
BUILDING SIZE SQ FOOTAGE�_�� HEIGHT
QBUILDtNG � � � VALUATlON OF TQTAL CQNSTRUCTIQN
LECTR1CAt $ AMP SERVICE�'pv ��pROGRESS ENERGY Q W.R.E.C.
QPIUMBING � .r� � „n
� j � yrr
G� � i
OMECkANIGAt $ VAE.UATION OF MECHANICAL INSTALtATION
OGAS � ROOFING Q BPECIALTY Q OTHER �
FINISNEQ FLOOR ECEVATtONS FL.00D ZONE AREA [�YES NO �(}"
BUILDER GOMPANY
StGNATURE REGISTERED Y I N FEE CURREA Y/N
Address License# ( ��
.._. . j
ELECTRiC1AN ����� „f' „� COMPANY "{—(c/� � C.(�"�,S S .�,I�'C..- �c C.
SIGNATURE �.. I � REGISTERED Y/ N FEE CURRE� Y/N
Address ./� � Ucense# �--�-'"'�Q � 2+5~��
PLUMFIER COMPANY
SIGNA'TURE REGlSTERED Y/ N FEE CURRE� Y/N
Address License# � � �
MECH/WtCAt, COMPANY
SIGNATURE REGlSTERED Y I N FEE CURREt� Y I N
Address License# �� '�
OTHER GOMPANY
SlGNATURE �c�S7e�t�Q Y 1 N ��cU�tRSr� Y i N
Address .� License# � �
RESIDENTIAL Attach(Z}Plot Plans;{2}sets of Butlding Pians;(1}set of Energy Forms;R-O-W Perrnit for new construction,
Minimum ten(1Q)worCting days after submlttal date. Requfred onslte,ConsUuct�on Plans.Stormwater Flans w!Slit Fence Ins#alied,
Sa�itary FaciliHes&1 dumpster,Site Work Pertnit for suddivislonsAarge proJects ,
COMMERC4AL Attach(3}comptete sets of Sultding Ptans plus a life Safety Page;('I)set of Energy Forms.R-0-W Permit for new constructlon.
Nltnimum ten{10)wortcing days after subrnfttat date. Required onslte,ConstrucUon Plans,Stormwater Plans wi Siit Fence tnstaited,
Sanitary Facilities&1 dumpster.Site Wotic Permit for all new praJects.All commercial requirements must meet compilance
SiGN PERMi7 Attarfi(2}sets of Engineered Pians.
'•`"PROPERTY SURVEY requ�red for ail NEW consirucflon.
Directlons:
Fiil oat appllcatfon campietely.
Owner&Contractor sign back of applicallon,notarized
1#over S�'500,a Notice of Commencement Is required. (AIC upgrades over 57500)
" Agent(fpr the contraotor)or Power of Attomey(for the owner)would be someone with notarized lekter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of AppUcation Only)
Reraofs if shingies 8ewers Service Upgrades A/C Fences(P1atlSurvsylFoo#age)
D�Iveways-Not over Counter if on public roadways..needs ROW
; , , �;.
NOTICE OF DEED RESTRICTIONS: The undersigned undetgtands°�th�t this.p�rmit.may.be,subJect to"deed"restrictions"
which may be�more�restNctive th�n County regulafions. �The underslgned assurties responsibility for compliance with any
applicable deed rest�ictions.
UNLICENSED C�NTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be r�quired�to be:licensed In accordance.with state.and•local regulatlons. If the
contractor Is not ifcensed as requlced�=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 Ilcensing.requirements may apply-for the
intended work, they are advised to contact the Pasco County Building Inspection Divislon—Licensing Section at 727-847-
8009. Furthermore, If the ovmer has hired a conhactor �r contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block° of this appllcation 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 entitled to permitting privileges in Pasco
County. ' '
TRANSPORTATION-IMPACTIUTILITIES IMPAC�`AND RESOURCE RECOVERY FEE3: The undersigned understands
that Transportation Impact Fees and.Recourse Recove.ry.Fees may�-appiy to the construction of new bulldings, change of
use in existing buildings, or,expansion..of�existin���6u11dings, as spec(fied in Pasco County Ordfnance number 89-07 and
90-07, as amended. The undersigned also understands, thait.such fees�-as,may be�.due,:wfll be tdentlfied at the time of
permitting. It is further understood that Transportatfon Impact Fees and Resource Recovery Fees must be paid prior to
receiving a °certiflcate of occupancy" or flnal powec�release. :If the proj�ct:does not involve a certiftcate of occupancy or
final power release, the#ees mu�t be paid prior to permit Issuance. Fu�thermore, 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� Flor�da Statutes�as amended): �If valuatlon of work is$2,500.00 or more, I
certify that I, the applicant, have.been provided with a cmpy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and ConsumerAffairs. if the appi(cant Is someone
other than the"owner", I certify that I�have.obtained a copy,of the above..descrlbed document�and promise in,good;faith to
deliver it to the°owner"prior to�commencement.
CONTRACTOR'S10WNER'S AFFIDAVIT: I ce�tify that all the Information I�this application is accurate and that all work
will�be done in compliance with ail.applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain .a permit to do work,and installation as Indlcefed.. 'I certify that no work or installation has
commenced prlor to Issuance of:a permit and that.all work will be perFormed to meet standards of all laws regulating�
canstruction, County and City codes, zoning regulations, and land development regulatlons�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 respons6bility to identify.what,acttons I must take.to be,in..cotr�pliance: S,uch agencles include but are..not Ilmited to:
- Department of Envlronmental Protection-Cypress.Bayhead�, INetland Areas and Envlronmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management .I�istrict-Wells, Cypress. Bay.heads, Wetiand Areas, Altering
Watercaurses.
- Army Corps of Engineers-Seawalis,flocks, Navigable Waterways.
- Department of Health & Rehabilitative Seniices/Environmental Health Unit Welis, Wastevirater�Treatment,
Septtc Tanks. .
- US Envi�onmental Protection Agency-Asbestos abatement.
- Federal Avlatlon 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 permittsd.
- If the fiil materfal is to be used In. Flood Zone "A", it. (s understood that a drainage plan addresstng a
°compensating volume" wlil be submitted at time of permitting which is prepared by a professional engineer
Itcensed by the State of FloNda. '
- If the fill material is to be us.ed in Flood Zone 'A" in>connection�w1th.a pecmitted building using stem wall
construction, I certify that flll�:wlll=be used only.to.fiil the area wlthin the�stem�wall.
- If flll materlal is to be used in any area, I certify that use. of such flil will not adversely aff�ct adJacent
properties. If use of flll Is found to adversely..�ffect adJaEent properties,.the owner may be cited for viofating
the conditions of the building.permit issued under the_attached'permit application, for lots less than.vne (1)
acre whtch are elevated by flit,an engineered drainage plan ts required. .
If I am the AGENT FOR THE OWNER, I;�promise In good falth to Inform the owner of•the permitting condit(ons set forth in
this a�davit prior to commencing construction. I understand that a:separate permit may be requlred for electrical work,
plumbing, signs, wells, pools; air conditioning, .gas, or othec install�fions not•speciflcally included-in.the application. .A
permit Issued shall be constcued to be a I(cense to proceed with the work and not as authority to,vlolate. cancel, alter, or
set asfde any provistons of the technical codes; nor shall Issuance�of a.permit.prevent the Bullding Ofiicialfrom thereafter
requiring a correction nf errors in�plans, con§truction or vlolatlons of any codes. Every permit Issued shall become invalid
uniess the work authortzed.by such permit:is.commenced wtthtn sfx months of permit issuance, or if work authorized by
the permit is suspended or.abandoned for a period of six(8)montF�s.after the time the�work Is commenced. An extension
may be requested, in wrlting, from the Building,Official for a period not to exceed ninety�(90) days a�d will demonstrate
justifiable cause for:the extension. It work ceases:for ninety(90)cons.ecutive day.s�..th�)ob�is considered aba�doned.
WARNIIdG TO OWRIER: YOUR.FAILURE�TO.RECORD A NOTICE:OF COMMENCEMEMT MAY=RESUlT IN YOUR
PAYING TWICE FOR IMPROVEMEN73 TO YOUR�PROPERTY. IF�YO.U�IN�'FEND�'�TO�OB�TAIN•FIPFANGING;'CONSULT
WIT QU E O �ATTO � FO � , CO �� G:, ' 'OF� -` . �E
FLORIDA JURAT_(F. _17. _) ------ _—--—_- - - - - --- --- - - -- - —-- -
OWNER OR A(3ENT CONTRACTO
5ubscrlbed and swom (or aftirmed)before is Subscribed and'swom-to(ot affirmed)�be1 ts
by •bY
Who Islare personally known to.me or has/have produced Who Is/are p.ersonally�cnown to me or ha ave-pro uced •
as Identlflcatlon. as IdentlBcaOon.
Notery Public Notary Public
Commisslon No. Commisslon.No.
Name of Nolary lyped,printed or stamped Name oi Notary typed,printed ar stamped
I