HomeMy WebLinkAbout15-16533 CITY OF ZEPHYRHILLS
� 5335-8th Street
(813)780-0020 16533
ELECTRICAL PERMIT
PERMIT INFORMATION . ' LOCATION INFORMATION
Permit#:16533 Issued: 8/24/2015 ! Address: 38706 DAUGHTERY RD
Permit Type: ELECTRICAL MISC , ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC ; Township: Range:
Proposed Use: MOBILE HOME PARK ; Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 750.00 Total Fees: 40.00 � Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 8/24/2015 Parcel Number: 35-25-21-0010-12600-0000
CONTRACTOR INFORMATION � � -I OWNER INFORMATION .
Name: PATTIE ELEC. & REFRIGERATION ! Name: MRVZ PARK INVESTORS LLC
Addr: 39111 PATTI RD � Address: PO BOX 1462
ZEPHYRHILLS,FL. 33540 INVERNESS FL 34451-1462
Phone: (813)782-3319 Lic: , Phone:
Work Desc: UPGRADE TO 100 AMP PANEL j
- � APPLICATION FEES -
ELECTRICAL FEE 40.00 �
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� INSPECTfONS REQUIRED - `
ROUGH ELECTRIC
CONSTRUCTION POLE /� �
PRE-METER /� (f�
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REINSPECTION FEES:(c)With respect to Reinspection fees will 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
first 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 properly 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 pertormed in accordance with City
Codes and Ordinances.
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CONTRACTOR � PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-TSO-Q020 City of Zephyrhills Permit Application �ax 813-780-0021 '
._ __,........,..,:_,.,.,�_.,��..�„P��,,,w. Building Departiment
;a� :� :i: >.,,, ti , �.�«r_ -
Date Received. �.h�,,, ` ' _ '`� ' � Phone Con'tact for Parmittln 1 . _ .�.. .. �}�� . � � y. �
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Owner's Name,. . .�, :�,V.�J..' .,.,t ��� � li 'LL� `, C�rntne�Phone_NumiierR•_ f.,j , � "�
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Owner's Address . � �� � Ow�er Phcn�Ftnri►6er �
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Fee Slmple Tltlehalder Name;- QwnenRhone.Number��;�
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Fae Stmple Tilleliolder Address I
JdB ADDRESS �-J 7 G' -�-'��` LOT# �__,�
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SUBDIVtS10N �— ---� PARGEL ID# � � -�.rj"��-�`"'���L%-� r�C>�
{ {OSTA4NED FROM PROPER7Y TAX NOTtCE)
WORK PROPOSEQ NEw CONSTtt ApQ/ALT C� SIGN Q [� DEMOCtSH
� INSTALL 8 REPAIR �
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CON3TRUCTION Q BLOCK �Q FRAME � STEEL Q
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DE3CRIPTION OF WORK (..�' C �- � ��l!\�L.` '� I L�C�b��✓� •'`�
BUi�DING S1ZE SQ F001'AGE��_� � HEIC�HT C��
[�BUILDING � —� VAIUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ % � AMP SERVICE f p� Q ���ROGREBS EfdEf2GY Q W.R.E.G.
7.�
[�PLUMBIN(3 r$ —�� �����
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[�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
1
' QGAS Q ROOFING CJ SPECIALTY [.'I� OTHER
FINISHED FLOOR ELEVATIONS � � FLOOD ZONE Ai EA QYES NO
BUILDER COMPANY
SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N
Address � License# i �
ELECTRICIAN � COMPANY . � C Cd �.? 'c• , �.,t�'�(7 N(
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SIGNATURE � F2EGISTERED I N FEE CURRE� Y/N
Address v�� f 1C � `���� Cicense# t= � ��ft� (��� �
PLUMBER COMPANY
SIGNATURE REGI$TERED Y/ N FEE CURRE� Y/N
Address �Icense# � �~�
MECHANICAL � COMPANY
SIGNATtlRE REGI3TERED Y/ N FEE CURRE� Y/N
Address 1.icense# �—� i�
OTHER COMPANY
SIGNATURE REGISTERED Y/ i� FEE CURRE� Y/N.
Address , l.Icense#�� �
RESiDEN7iA1: Attach(2)Rlot P1ans;(2)sets of Bullding Plans;(1)set of EnergyForms;R-C1-W Permit for new construction,
Mintmum ten(1dj wartcing days.aftec.submittal date. Requlred onsite,.Construc�tEan Plans,Stortnwater Ptans w!Sitt Fence instalted,
Sanitary Facilifles 8�1 dumpster,Slta Work Pert»it for subdivislons(large proje�ts -
COMMERCIAL Attach(3)�complete sets of Bullding Plans plus a Llfe Safety Page;(1)set of Energy Forms.R-Q-W Permit for n�w consUucUon.
Minimum ten(1d}wartcing days after submittal date. Required.onsite,GanstrucNan Plans,Stormwater Pisns w/Sitt Fence Instatled,
Sanitary Facfli8es&1 dumpster.Site Wotk Permit for all new pr+�a}ects.All commercia!reqniremeats must mest c�mpliance
SIGN PERMIt Attach(2)sets of Engineered Pians..
•*"'PROPERiY SURVEY required for alt NEW construction.
Dlrectlon�: i
Fi{I out applica�an completely. �
Owner&Contraator slgn back of applicaUon,notarized
If over�2500,a Notice of Commencement la required. (AIC upgrades over ST500)
" Agent(for the contractor)or Power of Attomey(for the oumer)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITI'ING (Front of ApplicaUon Only) {
Reroofs if shingtes Sewers Service Upgrades NC Fences(Ptot/SurveylFootage}
Drivewaya-Not over Counter if on public roadways..naeds ROW
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NOT1C@ OF DEED RE�TY3ICTIONS: The undersigned under�tands�4h�t thls.p�cmiQ.may.be,subJect to"deed"restric4lons"
which may be:more restcictive=th�n County r+egulat(ons. �The und�rslgned assurries responsibfltty for compl0ance with any
appifcable deed restrictions.
URILICENSED CONTItACTORS AND CONTRACTOR RESPARI�I�ILI`TIES: If the owner has hired a contractor or
contractors to undertake work, they may be required.-to be�itcensed in accordance.with state.and•local reguiations. If the
contractor (s not Ifcensed as required by law, both the owner an� conUactor may be^cited for a misdemeanor vlolation
under st�te law. If the owner or intended�contractor are uncertaln as to what licensing.requirements may apply:�fior�the
intended work, they are advised to contact the Pasco County Bullding Inspectlon Dh�ision—Licensing Sectton at 727-847-
8009. Fu�thermore, If the owner has hlred a cont�actor or contractors, he I� advised to have the contractor(s) sign
portions of the "contractor Block° of thfs appllcation for whlch they wilt be respvnslbla. Ii you, as.lhe owmer sign as Qhe
cont�actor, that may be an indication that he is not.p�operly 9lcensed and is not entitled to permitting privileges in Pasco
County. '
'�RANSPORTATION,IMPACTIUTILITIES IMPAC�'AND RESOUitCE RECOVERY�FEES: The undersigned understands
that Transportatfon Impact Fees:and.Fteco.urse Recove.ry_Fee� may�aor�ly�to=ths c�ns+.ruc!l�+� of n�bv b�+!!dings, �h�nb��f _
use in existing buildings, or�expansion�•of-;existiri�g�buildings, as speclfled.in Pasco County Ordinance number�9-07 and
90-07, as �mended. The undersigned also understands, that:such fees� as�may�be�due,,wlll:be identified at the time of
permitting. It Is further understood that Transportatlon Impact Fees and Resource Recovery;Fees mus4 be pald prior to
receiving a "certificate of�occupancy" or flnal power rele�se. :If the project.does not Involve a certificate of occupancy or
final power release, the,fees mu�t be pald prtor to permit Issuance. F��thermore, If.Pasco County Water/Sewer Impact
fees are due, they�[nust be-paid prior to permit-Issuance-0n accordance wlth�appllcable�asco�County ordinances.
CONSTRUC3'ION LI@Rl 1.�4W(Chapt�r 713� Flor�da Statute��a��re�ended): If valuaaon of wrork is�2,500.00 or more, i
certify that I, the applicant, have been provided with a copy� of the "Florida Constructton Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department�of Agrlculhare and Consumer�Affairs. If the appllcant is someone
other than the"ow�er", I certffy that 1 have.obtqined a copy;of.the�bQVe.des.cribed document�and ptomise�in.good faith to
deliver it to the`owner"prior to•commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify�that all the Inf.ormation In-this application is accurate.and that all work
witl�be done in compliance with all.appN�able laws �egulating construction, zoninp and land development. Appltcation ts
hereby made to obtain .a permit to do work.,and Instellatlon as IndiCafed.� I certffy that no work or installatlon has
commenced prior to Issuance of a permtt�and that.all work will be pertormed to meet standards of all laws regulaking-
construction, County and City codes, zoning regulatio.ns, and land developr�ent tegulations in the jurlsdiction. I also
certify that I understand that the regulations of other government agencies may�apply�to the intended work, and that it is
my responsibllity to identify�wrhat,acttons I must take to be,ln:.corr�pllance: Such agencles.lnclude but are..not Ilmited to:
- Department of Environmental Protection-Gypress.Bayheads, W�tland Areas �nd Environmentaily Sensittve
Lands,WatedWastewater Treatment.
- Southwest Florida Water (Vlanagemera@ .I�Estrict-1Mells, Cypress. Bayheads; Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis, Docks, Idav(gable Waterways.
- Department of Health� & Rehabllitatfve Servlces/Environmental Health Unit Well.s, Wastewater Treatment,
Septic Tanks. � ,
- US Environm�ntal Protectlon Agency-Asbestos abatement.
- Federal Avlation Authority-Runways.
I understand Qha4 the following restrlcdons apply to the use of flll:�
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the flll materfal is to be used in �Flood:Zone "Ap, It. (s und�rstood that a drainage plan addressing a
"compensaBng volume" will be subm9tted at time of permitting w6lch (s prepared by a professional engfneer
Iicensed by the State-of Florida.
- If the fill material ts to be used (n Flood �one "A" in>�onnec�ton w9th.a permitt�d bullding u�ing stem wal9
� construction, I certify that fill,:will:b.e used only.to.flll the area within the�stem�wall.
- Of flll materlal is to be used in any area, 1 �certify that .use. of such flil will rlot adversely' affect adJacent
properties. If use of flll is found to adversely:a�fect adJac�r�t properties,.the owner may be'cited for viofating
Qhe conditions of the building:permit issued under the �ttached permit epp((cation, for lots less lhan one (1)
acre which are elevated�by flll,an engineered drainage plan Is required.
If S am the/sGENT FOR THE 011f�NER, I�promise In good falth to Inform the own�r of Qhe perrnitting condit(ons set forth in
this affidavit prtor to commencing constructlon. I understand that a=separate permlt may be requlred for electrical work,
plumbing, signs, wells, pools,. alr conditioning,.ges, or other inst�ll�tions naE•spec�ically Included�in.the�application. .A
perre�ft issued shall be construe.d to.be a`OOcense to_proceed with ttti��work and not as.authority to.vDolate,cancel, alter, or
set aside any provisions of 4he techn(cal.c�odeis;:nor sh�ll issuance of a.permit.prevent the Bulldirig Oifici�l from thereafter
r�quiring a correction af erro�s in.plans, construction or violations of��y codes. Every permit Issued=shall become invalid
unless the wrork authoriz�d.by such permit:is-comrnenced•within sCx months of permlt issuance, or i�work authorized by
the permlt is suspended or.abandoned for a:period of�six f8)months..after the time the�work is commenced. An extension
may be requested, in wciting, f�om the Building,Official for a perlod not to exceed nlnety�(90) days a�d�w►ill demonstrate
justifiable cause for.the extenslor�. If work ceases:for ninety(90)cons.ecutive:day.�...th�Job ls.constdered aba�doned.
VVARNIMG TO OWPIER: YOUR.FAILURE,TO.,REC.O.ltQ:A NOT�IG@ OF�COMAABMCEMENT NtAY RESULT-IPI YOUR
6�AYING TWIC�.FOR IMPROVEMENTS TO:YOUt�P�OPERTY.�IF�YO.U�IN'�E�D�'�TA�O�TAIN��FIPFANCI�VG;'CONSULT
WITH I�AUR LEND�R:OR AN��4'�ORNE1��BfFOR��RECORflIN����OUR`WOTI���°OF COMAl1�I��dCE11MENT:
FLORIDA JURA'�(F.S.1.97.0� , � � �, �'��� � �
OWNER OR A(�ENT ��7 '' CONTRAGTOR �—'�L�I 7(� '/:1,��
Subscribed and ewom ta(6r aHirmed) efore m�thls Stibsalbed and's�tp�(or aflirme )�be�'e me thls
by �/ ,by %
Wfio Is/are perso Ily k�tbvm to me.or haslhaye produced Who(s/are p.erson Ilyacnown to me•or haslh ve�produced
as Identlflcatlon. a dentlflcaflon.
Notery Public . Notary Publlc
Comml I n No. Commissio o.
"""'� JOEL E.BACON �
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