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Home My WebLink About15-16511 CITY OF ZEPHYRHILLS 5335-8th Street (813)780-0020 16511 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit#:16511 Issued: 8/13/2015 Address: 38515 9TH AVE Permit Type: ELECTRICAL MISC ' ZEPHYRHILLS, FL. Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 100.00 Total Fees: 40.00 ' Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 40.00 Date Paid: 8/13/2015 Parcel Number: 11-26-21-0010-08600-0111 CONTRACTOR INFORMATION OWNER INFORMATION Name: HOMEOWNER Name: LONG DONALD CLAYTON JR Addr: Address: PO BOX 286 CRYSTAL SPRINGS FL 33524-0286 Phone: Lic: Phone: Work Desc: LUGS TIGHTEN FOR METER CAN APPLICATION FEES ELECTRICAL FEE 40.00 � � INSPECTIONS. REQUIRED ROUGH ELECTRIC '��I `� i CONSTRUCTION POLE � �� PRE-METER FINAL � ��l � , �� 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 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 fnancing,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 s�s-�saooao City af Zephyrhills Permit Application Fax 813-780-OQ21 6uildir►g Department _ qate Recelved . '�-.�,�.` .'" . -'"' i . �.�': Phone Con#act for Permitt3n � — �, - / /� - 1 i � -� �•- __,c_pwner's Name..� ,�� ! '�l� �/�� Owner Pho»e'Number, , � ` . 1Z� ��. Q �, � , , �Owner's Address � v j� � ��/ � � � , _Owher Phone,Number--�• �� - - Fee Simple Tltleholder Name � Owner Phane Number � � i I Fee Simple Titieholder Address �', ��'JOB AbDRE58� �(,J�JI �/� � LOT# �_� .� SUBD1ViSiON �� PARCEL ID# � (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSftt ADDtA�T Q 51GN Q Q DEMOUSH e INSTALL. 8 REPAIR PRQPOSfiD USE Q SFt2 Q CQN1M Q OTHER TYPE OF CONSTRUCTION Q BLOCK [� FRAME C] STEEL [� DESCRIPTION OF WOR!(� I I �Pt/ i..U ,� //1I �(C-'�IC�4/ �/I^� J'�^f� � �Ce Of�S � /%C�l� BUILDING SIZE SQ FOOTAGE[� 'I HEIGHT �� g��d��' �` �� VALUATIOiV QF TOTAL CONSTRUCTIOh1 QE�ECTRICA� �J��11��rlo � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. U U [�PLUMSING $ � � � ! [�MECNANiGAL � � VALUATION QF NIECNANICAL I�tSTA��AT10N � '��J il QGAS Q 120QFlNG Q SPEGIAi.TY � OTHER FINISHED FLOOR ELEVATIONS �� FLOOD ZQNE AREA QYES NO � � I BUILDER COMPANYi SIGNA7URE REGISTERED I Y/ N FEE CURRE� Y/N i i Addres� � License# � II ELECTRtC{AN� ��==/�''C�',��'/� COMPANY� �OC(Jt�� SIGNATURE `�..,_ REGI87ERED; Y/ N FEE CURRE� Y/N Address � License# �� PCtlNtBER � COMPANY� 31GNATURE REGIBTERED Y/ N FEE CURRE� Y/N Address � License# � f MECNRNICAL CQMPANY� SIGNATURE REGISTERED i Y/ N FEE CURRE� „ Y/N Address � License# � '� �.1 I � OTHER COMPAElY; SIGNATURE REGISTERED� Y/ N . FEE CURRE� Y/N Address � l.icense# �� RESIDENTIAL At#ach(2}Plat Plans;(2}sets of�BulidfngPlans;{1)set of Energy'Forms;R-O-W Permit for new cans#ruc6on, Minlmum.ten(40j.working;days;aftec submittal date. Required onsite,ConstrucNan Plans;Stormwater Pians w!S8t Fence instalied, Sanitary Faciltdes,8�1.dumpster,Site Work Rermit for subdivislonsAarge proJects CQNtME12C1A1. Attach{3}complete sets o#Saild9rig Plans plus al.[fe Safaty Page;{1}set of E�ergy Fanns,R-O-W Petmlt for new construcBon. Minimum ten(1�)working days after submlttal date. Required onsite,CansUuctian Plans,Stormwater Pians wi Silt Fence installed, Sanitary Facilides&1 dumpster.Site Work Permit for all new projscts.All commercial requirements must maet compliance SIGN FERMFT Attach{2)sets of Englneered P1ans._ - •""PROPERTY SURVEY required for all NEW constructlan. � - � Dlrectlons: � Fill out applicatlon completely. Qwner 8 Contraotvr slgn back of applicatton,natadzed j If av8r�25d0,a Natiae of Commencement i�requ[red. (AIC upgrades over�7500) '" Agent(for the contractor)or Pow►er of Attomey(for the awner)wauld be someone with notarized letter ftam owner authorizing same OVER'i'HE COtlNTER PEl2MITTING {Front of Apptication 4nly) Reroafs if shingles Sewers Service Upgrades A/G Fences(PIoUSurveylFootage) brivaways-Rlot over Cou�ter If an publlc roadways..needs R4W NOTICE OF DEED RESTRICTtONS: The�ndersigned understands°that this,p�cmlt.may.be•subJect to"deed"r�strictions" which may be:more testNctive.than County regulations. The undersigned assurries responsibiltty for compilance with any appticable deed restrictions. UNLICENSED GONTRACTORS AND CONTRACTOR RESPONSEBILITIES: If the owner has hired a contractor or � contractors to unde�take work, they may be required:.to be.Ilcensed in accordance.virith state.and•local regulations. If the contractor fs not Iicensed as requlred by law, both the owner and coratractar-may be cited for a misdemeanor violatton under state law. If the owner or tntended contractor are uncertaln as to what Ilcensi�g.requlrements may apply�for the intended work, they are advised to contact the Pasco County Bullding Inspectlon Dlvision—Licensing Section at 727-847- 8009. Furthermore, if the ouvner has hired a contractor or contractors, he Is advised to have the contractor(s) sign portions of the "contractor Block° of thls 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 Ncensed and is not entitled to permitting privileges in Pasco � County. , -� TRARISPORYAYION IMPACTIUTILITIES IMPACT ANm RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and.Reco.urse Recove.ry.Fees may�apply to the cons6rvction of new buildings, change of use in �xisting buildings, or.expansion.of�ezfstirig buildings, as spec(fled.in Pasco County Ordinance number 89-01 and 90-07, as amen�ed. The undersigned also understand�, that such fees, as�may be d�e, will.be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recov.ery Fees must be paid prlor to receiving a "certificate of occupancy" or flnal power release. :If the p�oject does not Involve a certificate of occupancy or final power release, the fees must be patd prior to permft issuance. Furthermore, if Pasco.County Water/Sewer Impact fees are due, they must be_pald prior to permit Issuance-in accordance with applicable Pasca County ordinances, CONSTRUCTION LIEN L�1W(Chapter T13, Florlda Statutes,as�mended): 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 Constructton Lten Law—Homeowner's Protection Guide" prepared by the Florida Departmenf of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner", I certify that i have,obtained a copy:of the abode.described document°and.promise in,good faith to deliver it to the"owne�"�prior to�commencement. CONTRACTAit'S10WPlEPt'�AFFIDAVIT: I certify that all the Information in�this application is accurate and that all work witl�be done in compliance writh all appl(cable laws regulating construction, zoning and land development. Applfcation is hereby made to obtain .a permit to do work and instailatlon as indlcated. °I certify that no w►ork or installation has � commenced prior to Issuance of a perm(t and that.ali work will be pertormed to meet standards of all laws regulating� I construction, County and City codes, zoning regulatio.ns, and land development cegulatlons in the jurisdtcdion. I also I , certify that I understand thaQ the regulatio�s of other government agencies may�apply�to the intended work, and that it is I I my responsibility to identify.what actions ! must take to be�ln:.compllance: S.uch agencles include buf are.not Ilmited to: ', - Department of Environmental Protection-Cypress. Bayheads, Wetland Areas and Environmentally Sensitive , Lands, WaterMlastewafer Treatment. ' - Southwest Florida Vliater 91Aanagement District-Wells, Cypress. Bay.heads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawralls, Docks, Navigable Waterinrays. - Department of Health 8 Rehabllitative Serv(ees/Environmental Health Unit-Well.s, Wastewater.Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Avi�tion Authority-Runw�ys. I understand that the following.restrictions apply to the use of flll:• - Use of fill is not allowed in Flood Zone"V"unl�ss expressly permttted. - If the fill material is to be used in Flood Zone "A°, It (s understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitt(ng which is prepared by a professional engineer Iicensed by the State of Florida. - If ihe flll material is to be used In Flood Zone °A" fn�connection w►ith.a �permitted building using stem wall construction, i certify that fill:will:•be used only to.fill the a�ea wlthin the stem�wrall. - If �fll material is to be used in any area, I certify that .use. of such flll will not adversely affect adjacent propertfes. If use of flii Is found to adversely:affect adJacent properties, the owner may be c(ted for v(olating the conditions of the building:permit issued under the attached permit application, for lots less than one (1) acre which are elevated�by flil, an engineered drainage plan(s required. If I am the�1GER9T FOR THE OWNEit, I;promise in good faith to inform the owner of the permttt(ng conditions set forth In this affidavit prlor to commencing construction. I undePStand that �-separate permlt may be required for electrical work, plumbfng, signs, wells, pools,, air condttioning, .gas, or other install�tions not specJfically included�in.the application. .A permit issued shall be construed to be a°Itcense to proceed with the work and not as authortty to,violate, cancel, alter, or set aside any provisions of the technical codes; nor shall issuance�of a permit.prevent the Buildfrig Offlcial from thereaffer requlring a correction af errors in.plans, construction or violations of any codes. Every permlt issued shall become invalid unless the work authorized by such permit�is commenced�withln six months of permit issuance, or if work authorized by the pe�mit is suspended or.abandoned foc a.period of six(8) montf�s'after the time the work fs commenced. An extension may be requ�sted, in writing, from 4he Building,Officlal for a perlod not to.exceed ninety(90) days and will demonstrate justifiable cause for.the extension. If work ceases.for ninety(90)cons.ecutive days,.th�Job�is conside�ed abac�doned. WARNING TO OWNER: YOUR.FAILURE�TO.REC.OttD A:NO'TICE OF�COMAAENCEMENT IVIAY RESULT IN YOUR PAYING TWICf�FOR IMPROVEMENTS TO YOUR.PROPERTY. IF�YOU<IN'FEND�'TA'OBTAIN•FINANCENG;'CONSULT WITH YOUR LENDER OR AN�A�'TORNEY•��FORE RECOR�DING'YOl1R'NOTICE`OF'C061Al1AENCEAAENT� FLORIDA JURAT(F.S.1 OMINER OR�1(iEPI'��%�•�r�� CONTRACTO�2 � �� - Subscrlbed and s to(or iflrmed)before me this Subscribed and'swom to r afflr ed)�be re m ftiis ��r� b�"��a/� r ��Nf �r r3—rs �bY:�� c�� ioN� V�o s/ar.e�p arsona y knovm to.me or has/haye prgduced Who ts/ar:�pe�rgonally own tc me or has/have produced • 1'�• l.6Zt1hE�[c��rt�— as Identlflcatlon. �G. l..l"4 v'EcrS��r� as Identlflqdon. � Notary Public � Notary Public Q+;�Y..°t�4., JACQUE I E BOGES Co I , Comm on N ',� �.=_ C ;ip. 'y�i�;,, �"' �o: Expires December 12,2018 Commission#FF 150422 -�� P•• �'�F��'�� BandedThruTro Fsinlnsurence000�3 _�,: :w: pF�°... Name o , Name oF Nota , �fi Pp�� Bonded ThN Troy Fein Insure ce 385•7019 , I DISCLOSUR$ STATED�NT FOR OWNER CITY OF ZEPHYRHILLS BUILDING DEPARTMENT )�� c L�,��- � I. i have read aad fully understand and agree to the provisions of this iastrument. i The undersigned states aad affirms that he or she is desirous of constructing, renovatiag, adding to or reroofiag his o er own domicile, that he or she actually occupies, or will occupy by /� / � said domicile, and same is not for rent, lease or sale. That he or she shall comply with the followiag conditioas: 1. That the owaer aad he or she alone shall act as the builder for all phases of constructioa. I 2. That the owaer will comply with all provisioas of the City of Zephyrhills ordinances and codes pertiaent to the building. 3. That ia the eveat various phases of constructioa are subcoatracted, he will engage only properly licensed subcontractors and will persoaally supervise I i � such work. � 4. That ia the eveat the Buildiag Iaspector shall require correetiona to be made, , the owner will assume full respoasibility to iasure they are made, aad upon completion will call for a reiaspection; before proceeding with the building. 5. That the owaer shall assume full respoasibility for the construction and will not expect supervision of his work fromithe City of Zephyrhills Building Departmeat. � 6. That prior to final inspection aay additioaal fees, including reinspection fees, must be paid in full. A written 'request from this office shall constitute an official aotice to pay additional fees. 7. That the owaer shall comply with all City, State and Federal laws ia regard to , social security, workman's compensation�, lien laws, etc. , where applicable. 8. That the owaer shall comply with all the safety codes issued by the Florida Industrial Commission. ' 9. State law requires coastruction to be doae by licensed coatractors. You have applied for a permit under an exemptioaito that law. The exemptioa allows you, as the owaer of your propesty, to act as your owa coatractor with certaia restrictions evea though you do aot have a license. You must provide direct oasite supervisioa of the coastructioa yourself. You may build or improve a one-family or two-family residence or a� farm outbuildiag. You may also build or improve a commercial building, provided your costs do aot exceed $75,000. The buildiag or resideace must be for your owa use or occupaacy. It may aot be built or substaatially improved for sale or lease. If you sell or lease a �, buildiag you have built or substantially improved yourself within 1 year after , the constructioa is complete, the law will presume that you built or substaatially improved if for sale or lease, which is a violatioa of this exemption. You may aot hire aa ualicensed person to act as your contractor or to supervise people working on your bui�lding. It is your responsibility to make sure that people employed by you h�ave licenses required by state law aad by couaty or municipal liceasiag ordiaaaces. You may not delegate the respoasibility for supervising work to ia licensed contractor who is not licensed to perform the work being doae;. Aay person working on your buildiag who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. aad withholdiag tax and provide workers' compensation for that employee, all as prescribed by law. Your constructioa must comply with all �applicable laws, ordiaances, buildiag codes, and zoning regul 'ons. i OWNER'S SIGNATURE .Ji �� DATE � /�//� ADDRESS PHONE - WITNESS � PERMIT #