HomeMy WebLinkAbout15-16532 _
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CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 � 1 32
; � ELECTRICAL PERMIT ° � ,
PERMIT INFORMATION, � LOCA ATION
Permit#:16532 Issued: 8/21/2015 ' Addr ss: 385 11 VE
Permit Type: ELECTRICAL MISC PH . HI S, FL.
Class of Work: ELECTRIC SERVICE REPLACEME T Township: ange:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 2,000.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 45.00 Date Paid:.�. 8/21/2015 Parcel Number: 11-26-21-0010-05300-0115
CONTRACTOR INFORMATION ��'��.. i OWNER INFORMATION =
Name: PATTIE ELEC. & REFRIGERATION \ � Name: SURRATT SAM W III & LINDA
Addr: 39111 PATTI RD Address: PO BOX 908
ZEPHYRHILLS,FL. 33540 `' � ZEPHYRHILLS FL 33539-0908
Phone: (813)782-3319 Lic: �� Phone:
Work Desc: REPLACE METER PANEL COMBO 200AMP
- APPLICATION FEES
ELECTRICAL FEE 45.00 -
INSP TIONS� UIRED - �
ROUGH ELECTRIC I
CONSTRUCTION POLE `� n
PRE-METER �
FINAL � ��
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REINSPECTION FEES:(c)With respect to Reinspection fees wrill comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
frst reinspection,whichever is greater,for each such subsequent reinspection.
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.
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"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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G%�`��
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 �HOUR NOTICE REQUIRED
. PROTECT CARD FROM WEATHER
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: Mike Wells Pasco Coun� Property Appraiser
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Data Current as Of: Week'ly Archive - Saturday,August 15, 2015
Parcel ID 11-26-21-0010-07100-0110 (Card: 001 of 001)
Classification I O1 - Single Family
Mailing Address i Property Value
HERNENDEZ ABAGAIL Ag Land $0
7029 GLORY RD Land $16,800
ZEPHYRHILLS FL 33540-7948
Physical Address Building $20,598
5716 12TH ST Extra Features $428
ZEPHYRHILLS FL 33542
Leaal Descriotion (First 4 Lines) )ust Value $37,826
See Plat for this Subdivision Assessed (Non-School Amendment 1) $37 826
CITY OF ZEPHYRHILLS �
PBiPG54LOTS11 & 12
BLOCK 71 Taxable Value $37,826
OR 9081 PG 2136
lurisdiction
Citv of Zeohvrhills
�— .— �-.__�rd: 001 of 001)--- --------Y----------------- ---
Land Detail (Ca
Line r��Use Description� Zoning__ Units ' Type j Price 'Conditionj_Value
--- ---'------- --�— --!-
1 ; 0100 � SFR� OOR2 � 8,400.00 i SF i $2.00 � 1.00 � $16,800
Additional Land Information
_��._._._._.-.r-------�_.._ _ FEMA _._�_. _---;._.,.-----------.______T___-----.._..--
-�-------____--�-�- -------1-_�_
Acres � 0.19 i Tax Area i 30ZH � Code ; X iltesidential Codei ZHLHLP2
BuildinA Information - Use O1 - Single Family Residential (Card: 001 of 001)
Year Built 1938 Stories 1.0
Exterior Wall 1 Asbestos Shingle Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Wall Board or Wood Wall Inte�rior Wall 2 None
' Flooring 1 Pine or Soft Wood Floo�ring 2 None
Fuel Electric Heat Forced Air - Ducted
A/C Centra I Batlis 1.0
Line ; Description j I Sq�Feet _j_� Repl. Cost New __
----�-------1---------i--------- BAS �---�-}------� 684 � $28,441
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----------------------------__.__—_____- ---- --_._ --------�-------------;-__--------
2 � FOP i � 12 ; $125�----
--- -_..__..._�.__._----------;-- -----� --_—__--__-----..
3 j FEP �-I--_.._. _.__160----��__'_-- -- �4,657 ---- -
Extra Features (C'ard: 001 of 001)
--------------- --- ----- ,------�-----r-----�- -____—____--- , --------------
Line I _ Descr�ption ___�__ _ _ Year___ _ ;_ _ __ _Units � Value �
— --- --------------- - - ------ --.-..__�.- ___-_.___
1 UDU-M � 198;7 r 1 i $58
_ _ _.---....._____. ._� .___ i. ._.,_.__.�_________. - -----_. __. _._- ---
' ' r ' ' ' ___ _,..,T_..."__.._.�_�__.�_. ' __.�;-.__ ` _"_"�M._____""___'
2 DCFENCE 1993 ? 990 ; $370
Sales History- See All 6 sales
Previous Owner: I WEISS KENNETH
__-_-----.__.__---- ------------------ ---- __--__--____._.. _ .
-- - -- -----
Month/Year ; Book/Page _ ; _ Type� , DOR Code _; Condition ; Amount`
09/2014 � 9081 / 2136 Quit Claim Deed � li ; Improved � $14,000 '
- --------..__ ____ -----___-- -- -----------__-;---------..
--- �__-____ _.____..._.�---------__-------__.....__._- ----- ---
08/2009 � 8155 / 1373 I Quit Claim Deed � 11 � Improved ; $0
-- ----------- -'- --_-___ ___-_---------'-------------- ----_—_
01/2004 ' S713 / 1754 � ..___�.- ----------;-- -.-
� � Quit ClaimlDeed � � Improved $0
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http://appraiser.pascogov.com/search/parcel.aspx?parce1=2126110010071000110 8/21/2015
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813-�ao•oo2o City of Zephyrhills Pe jmit Applicatian Fax-813-780-0021
8uilding bepa�ent
Date Recuived phone Contact for Perinittln ° - °�� -��--
' �m � I . -�, ,. , , , , }
Owner's Name ��rr�- Qwner Phona Num6er'
1 . .
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Owoer's Address � �`1"'Owrie�'Ph'cfnA�ldumber�y: � ,•� �
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Fse Slmpl�Titlehoider Name � pwn�r Rhone Number
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Fse Simpie Tltlehoider;Address �
JOB ADDRESS � � � � V'�. � LOT# �_�
- �
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3tJ8D#VIS101+i �` � '� PARCEL tD# I
I (097AINED FROM PROPERTY TAX NOTICE)
WORK PROPQSED NEW CONSTR ADDIRLT � SlGN Q � DEMO�ISH
INS7ALL 8 REPAIR I
PROPOSED USE Q SFR � GOMM Q OTHER
7YPE OF CON3TRUCTION • Q BLQCK � FRAME � STEEL Q
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D�3CRiPY10�d OF WORK � "��{' �c. �
BUI�DING S1ZE SQ Ft)dTACaE � HEIGHT C��
�BUILQlNG � VALUATION OF TdTAL COFISTRUCTIQN
, /���
�ELEC1'RIGAL $ ��� � AMP SERVICE ,�v Q 'PRQa�SS sNE�c�Y [� w.�.E.c.
QPLUMBING ���
QMECHANICAL $ VALUATlON OF MECHAIVICAI.INSTALLATION /���"(-
� �
QGAS Q ROOFING Q SPECIALTY � OTHER
FIIVISHEd FLOOR ELEVATIONS � � FLOOD ZONE ARE'I QYES NQ
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BUiLDER COMRANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N
Address �Icense#
B�EGTRICIAN COMPANY � l � "C C !� �
SIGNATURE " Re�isrEREO N �E cuRREn Y!N
Address 1 �Ic�nse# ��. �, (�?c�a �2{p�1
P�UMBER COMPANY I
SIGFlATUF2E REGISTERED Y/ N FEE CURRE� Y I N
Addre�s �icense# � �
,,,.. .,_,_,
MECHANIG1e1!_ CQMP/1PlY I
81GNATURE REGISTERED Y! H PEE CtlRRE� Y 1 N
Addrs�s License# C �
07HER M. 1_Y. � COMPANY I
StCaNATU}tE ,,.. RE�1STEftED Y/ N FEE CURREh Y/hl.
Addres� license# �- �
RESIDEIdTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)seEof Energy�Fonns;R-O-W Permltfor new canstruction,
Mlnlmum.ten{10)warking.days after.submittai date. Requitei!ansite;Construction Plans;Stormwater Plans w!Slit Fence installed,
Sanitary FacillUes&1 dumpster,Site WorlrRermit for subdivislons/large projects,
COMMHItC1AL Attach(3)�complete sets of 8uflding Pians plus a Ufe Safety Page;(1)set of Energy Forms.R O-W Permit for new construotlon.
Minimum tan{14}warking days after submlttal date: Required onsite,Gonstructton Pians,Stormvtrater Pians w!Silt Fe�cs 3nsta1led,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All cnmmercial requlrements must meet compllance
SlGN PERMlT Attach(2)sets ot Engineered Plans._ j
""PROPERTY SURVEY requlred for alt NEW consfruct(on. �
Directlons: (
F18 out appllca�an campletely. I
Owner&Contractor sign back of appllcaUon,notarized
If aver 52500,a Not4ae of Gommenceme»t la required. (AIC upgrade�over�7544j
'" Agent(for the conhactor)ar Power of Attomey(for the owner)would be sameone with nota�ized lekter from owner authorizing same
DYER TliE COUNTER P6RMiT1'ING {Front of Applicaflon Oniy)
Reraafs if shingtes Sewers Service Upgrades A/C Fanaes(PlatlSurvey/Footage}
Drtvewaya-Not over Counter if on publlc roadwrays..needs ROW
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NOi`iCE OF DEED RESTRiC'�qONS: The uflders3gned tandergtands�th�fi thl�,�ptct�tt.rn�y b�,subject#a"d�ed"restrictiansA
which may be:r�oocrei_restrictive than Caunty re�ulatfons. �The under�igned assumea responsibllity fo�compliance with any
appilcable deed res#�Ictions. •
UNLiCENS�D COPITRACTORS AND CONTRACTOR RESPONSiBILI'F1E�: (f the owner fias hlr�d a contractor or
aoa�t�actors to undertake work, #hey may be rgqulred.to be-licer�sed In.�ccordance.with state.and•local regulat0ons. If the
oontractor ts not licensed as required��y I�r, bath the owner and e;ar�t�ctor may be cited for a �mis�eaneanor vialatlon
under state law. If the awner or intended�contractor are uncenain as to what Ncensing.requlrements may apply�for�the
it�tended work, they are advfsed to cortt�at the Pasca County BatldEng tnspectlon Qhrtslon—E�Icer�sing Sectlon at 727-847-
8008: �urthermoPe, If #he owner has hired a cont�acfor or contrractors, fie is advised to have the contractor(s) sign
portions of the "contracto� 81ock° of thls �ppllcakian for which they wtill be xesponsible. If yau� as.#he owner sigra as the
cor�tractar, that rraay be an indla;atian that he 3s not.pr�perl�+ Oicensed and Is not enti#1ed #v penrti�t�r►g privlleges In Pasca
County.
Tt2l�idSP�RT�T1�►N�I�lPA�T�i��'�i:9T1ES 1�Fl�A��'A�d��E��?�1RCE�E��2',�ERY P�E�; '�h�-�a�de�tg�►e�_�nd�r�tand�
#hat Transportation impact Fees and.Reco.urse Recove.ry.F�es may��apply#a°ti�e construction of new bulldings, �hange of
use 1n existing buHdtngs, or expansion�of:existiri,g'�buildings, as specifled.9n Pasco County Ordinance number.69-O7 and
8�-07. as amended. T9�e und�cs{gned also.u�darstar�ds, th�E.such#eesa as�may�b��due,.will 6e�identi€fed at the time of
permikting. It Is further understaod that.Tra�sportation Impact Fees an.d:Reso�rce Recovery��Fees must be paid pNor to
recefving � °cerfi�cate of occupancy" or flnal pawer�elease. :If#he proj�ct.does not f�voive a cert�Ecate af occupancy o�
flnal power rel�ase, the,fees mu�t be paid pr�or to per�nit Issuance. F��#k�ermore;df Pasco.County dNaterJSewer Impact
fees are due�they�must be-pald pHor t�permlE-Issuance�tn aacordance�with�ppDcable Pasco�County ordlnanc�s,
C�NSTRUCTimN l.1EN-LA1►tf(Chapter 713l,Fi�r�da S#atut��,as am�ndedy: If valuatimn of wark Os$2,500.00 or more, 1
aertify that I, the appll�ent, h�ave been provided with � copy� of tFae� �Florida Const�uctfon Lien Law---Homeowner's
Protectlon Guide" prepared by the Fiotida Department of Ag�tc.uiture and ConsumerAtfairs, If the appilcant is sameone
ather than 4he°owner", I certify that! have.o�talned a capy;of.the abave..des.cribed tiocument�and.p,comise in,gaod faith to
deliver IQ to the°owner"prior tvYcommencement.
CON�'RAC'Tt3Ft'SlC1WNER'S AFPIDAVIT: i ce�ti�'y that aii_the information lmthl��ppllcatlon is aacur�te and that a1i work
will be done in compliance wi4h all.applicable laws regul�ting construction, zoning and lae�d�devetopme�rt. Applicatian Is
hereby made �a ab#a[n .a pet�mEt Ca do wrork..and i�sGa!latlart as IndECeteci. 1 cehlfy that no work or Installa#ion has
aommenced prior to Issuance of a permit arvd that.all work wlll be performed to meet standards of all laws regulating�
const�uctlon, County and City codes, zonln� regulatlonst and land devebpment regtafa#tons�in 4he jurtsdfction. ! al'so
certify that 1 u�dersfand that the regulations�f other gaver�ment a�encies m�y•appiy�#o the intended wark, and that it is
my responsibi0ity to Iden#6fy�what.actions I rrsust take:to be,in:.campliar�ce. �.uch ag�ncies.include but are..ncet Ilmited to:
- Department of E�tvir�nmental P�tection-Cypr�ss.Bayheads, 1tVetland Areas and Er►vlranmentally Sensitive
�.ands, Water/Wastewater Treatment.
- Southwest Florida Vitater Ma�agement I��strlct VYeNs, Cypress. Bay.heads, Wetland Areas, Altering
Watercourses. �
- Army Corps af Engineers-Seaw+�lls, Docks, N�vigakile Wa�eoways.
- Depa�tment of H�alth� 8► Ret�abiiitative S�rviceslEnvironmenfsi Heatth tlnit lNells, Wastewater Treatmenf,
Septla Tanks. � ,
- US Environment�t Protectfan AgencyAsbes#os abatemen�.
- �ederai Avletlon AuthoNty-Runw�ys.
I und�rstand that the following restrictlons apply ta the use of flll:�
- 11s�of fiil is not allawed 3n Flood Zor�e"V"unless express4y perml#ted.
- If the fill materEal is to be u�ed In �Flood Zone "A", It. (s understood that a drainage plan addressing a
°c�rnpensatfng voSume"wiit be submltted at time of pecrr�i#tlt�g wh�ch is prepared by � professionat englneer
ilcensed by�he Stake-of Florida.
- !f the fl!I materlal is to be used !n Fic�od �one 'A" In�co�nec�lon�wlth.a �ermitted buliding using stem wat!
� canstruction, i certify that filt:will.b.e used on6y.#a fii)the ar�a�rithi�the��@em�n+a{i.
- If �ill materlal Is to be used in any are�, I certify that uae of such flll will r�ot adversely affect adJacent
propeKies. If use of fiil is fonnd to �dvers�ly:affeat ad�acer�#��properties,.the ownet may be�Eted for vio[atMg
the condltions of the buiitling:p�rmlt issued under the a�t�ached permit appllcatian, for�lots less than one (1)
acre which are etevaterl�by tllt,a��ng4neered drainage plan is required. �
If t am fhe AG@NT�OR YH�OWNER, i;�pra�mise in good faith tm inform the�wmer of the permitting�onditlons set forth in
this affidavik'prlor to commencing construction. I understand.thet aM.�eparate permlt nnay be required for electriaal work.
plumbing, s�gns, wells, poals; alr condltionln9�-9as. or �tk�er Insfa�ll�#lons not•apec�lc�lly Includsd-in.#he applicatf�n. �A
perre�f4 Issu�d shall be canstcued to be a'It�ense to proceed with the uvork�nd not as:a�athority to.v6alate,cancel, alter, or
sek asicle any provlstons of the teahnlcal cades,:nor shati fssuance�of a.permlt.pr.event the Bulldlrig Offi�clal iram therea#ter
requiring a cor�ection nf errors In.plans,-�ons�nictbn or viotatlons of any cades. Eveoy p�ermik Issued shaii becon�e invalid
unless the wa�k authorized.by �uch permi��Is.commence�d•within sGc months af permlt issuance. or if work authorized by
Ehe permi#is suspendecf or.aba�doned for.a,period af�s�C f�)rroonfhs.efter the#irne fhe�wo�tc�is commenced. An extensfon
may be requested, In writing, from the Bu6lding,fJfficial far a peirtod not to exceed'nin�ty�(90) days and will demonstrate
jus#Ifiable cause fa�r lhe�xtensio�; tf wortc ce�ses�for nlne�r�90)cons.ec�ttive:day.s,..the job-ls constdered aba�d�ned.
WARNlNG Tt� AWNER; YOUR.FAI�URE.TQ,R�CO�tD..A NQTIG� OF�GOMt9A!lEMCEMENT NtAY RE�ULT IN YOUR
P�1YiNC'�WICE FtIR�iMPRO'VEMENTS TfJ.YOU�P1�t1PERTY. �1�°Y�U�11!��E�D"Tt1.�JB-TAIIN�•�9tr�At�CI1VG;��qP1Sl1LT'
WIT AUit D �O. Id �T N �� FO . E� � COR� �, �.:U � O ;� "O �. , E
FlORipA dURAfi(F,S.'!17. - . L�f��.
OWNER OR AOERIT �CONTRACTf��,,__,,,,, �
Subscribed end swam M r a rme before me thts S�' s+�f�ji�d a "swom-M ot flttmed)'beifore ttie'tti#�
by ,_LL_,'�� -
Wlio is/are persanally ta.me or has/havg produced Who Is/are p.er�on o ta me•or has�have�produced •
as ldentl�caaon. as iden8�catton.
Notery Pubtic . LU�k'' � C Notary Puhtic
Commisslan Na. Ca�r o "°i%s•. JACQUELlNE ES
_,,: ;w= ommsssti
'�. :;; Expires December 12,2018
Ptame ot fVatacy typed,printed orstamped Name ot ot�y;�d,�9t�9ef tY!`
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