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HomeMy WebLinkAbout15-16567 f, CITY OF ZEPHYRHILLS � 5335-8th Street (813)780-0020 165 ELECTRICAiL PERMIT PERMIT INFORMATION 1 LOCATION INFORMATION i Permit#:16567 Issued: 9/04/2015 Address: 5645 20TH ST S6 Y? ZO�S+r�- 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: Cost: 500.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 40.00 Date Paid: 9/04/2015 Parcel Number: 11-26-21-0010-11000-0011 CONTRACTOR INFORMATION I OWNER INFORMATION Name: FIRST CLASS ELECTRIC INC Name: LUNA MANUEL H & TERRY B Addr: 7141 BERRY RD. Address: 5652 19TH ST ZEPHYRHILLS, FL 33540 ZEPHYRHILLS FL 33542-4464 Phone: (813)782-7861 Lic: Phone: Work Desc: INSTALL NEW 200 AMP METER BASE P��1C� APPLICATION FEES ELECTRICAL FEE 40.00 INSPECTIONS REQUIRED ROUGH ELECTRIC CONSTRUCTION POLE PRE-MET R FINAL � � � � � - ��-��� Jr �� 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,lfor each such subsequent reinspection. NOTiCE: In addition to the requirements of this permit, therel 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 App'lication. All work shall be performed in accordance with City Codes and Ordinances. ` � , C N R PER OFFI PERf�- IRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTIOPI - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-002o City of Zephyrhills P�rmit Application Fax 813-780-0021 �� Building depertment �. - Date Rscetved Phone-CcMact far PermIttln — Owner's Name u�1. Qwner Phons Nnmber Owner•s Address Gwner Phone Number r� �� Fea Simple Titleholder Name � � Owner Phone Number �� � Fee Simple Tltlehalder Address JQB ADDRESS �� CJ7�I� � LOY# �___`_� � SUBDIViS10N �` �� PARCEL ID# ( (OBTAINED FROM PROPERTYTAXHOTICE) 1NORK F#20PQSED NEW CONSTR ADDIALT � SIGN Q Q DEMOLiSH INS7ALL 8 REPAIR , PROP4S�C!USE Q SPR a COMM � OTHER T1fPE OF CONSTRUCTION Q BLOCK � Q FRAME C� STEEL Q DESCRIPTION OF WORK �� �C¢G� ,�i��' , ��.� � � BUILDING SIZE ��__� St�FQOTAGE � HEIGHT ��� QBUI�DlNG �9r� VALUATION OF T �TAL CONSTRUCTION L � ���������A� $ AMP SEFiVICE � �� pROGFtESS ENERGY � W.R.E.C. �? Q Pl.UM811VG �> � QMECHANiCAL $ VA�.UATION QF M CHAPlIGA�IFVSTALIATION ��� �' i � OGAS Q ROOPING Q SPECIALTY � 4THEF2 � 6 FINISHED FLOOR ELEVATIONS �� FLOOb ZON�AREA QYES NO SUI�DER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N Addre�s License# �� � ELEC7RIC11W � COMPANY (�-` ( ��c.,5 -r�- �fCc-�v c. c.. SIGNATURE � REGISTER�D Y/ N FEH CURREA Y/N Addrass License# ��- � �C�G� ZS'"� Pl.UMBER GOMP� SIGNATUF2E REGISTER Ip Y/ N FEE CURREA Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address License# � � QTHER COMPANY SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N Address � License# � � REStQENT1AL �Attach{2)Plat Plans;.(2}sets of Building"Plans;{1)set af En�rg}t�Fotms;R-Ci-W Fenntt far new construction, Minimum ten(.1.p):working�days after subrriittal date. Required onsRe,Construction Plans;Starmwater Plans w/Silt Fence installed, Sanitery Facilttles 8•1.dumpste.r,Site Work Pertnit for subdiVi$tonsllarge pro}ects COMMERCIA� Attach(3)compl�te sets of Sailiiing Plans plus a Life Safe#y PI�age;{1)set af Energy Forms.R-O W Permit for new canstructlon. Minimum ten(10)working days'after submittal date. Requiretl onsite,ConsUuction Plans,Stortnwater Plans w/Silk Fence installed, SaNtary Facilities 8 1 dumpster.Site Wark Permit for all new proJects.R8 cammercial requitements must meet comp!lance 51GN FERMlT At#ach{2)sets of Engtneered Plans._ «"••PROPERTY SURVEY requlred for all NEW constructlon. Dlrectlons: Ffll out applica�on completely. , Qwner&Contractor stgn back o#applicaUon,notarized If over�2500,a Notice of Commencement ls required. (RtC upgrrades pver$7500j " Agent(for the contractor)or Power of Attomey(for the owner)would be so�eone with notarized letter from owner authorizing same L Y,'. DVER THE COUidTER PERMIITING (Front of Applica6on Qnly} ;. .,w,,,,_r.w...-.,-:.�.:Y..,._,�..._._,.._�.-i : Reraafs it shingles Sewers Secvics U ra :N.C..�. Fen urve /Foota e ; �� � �4 ��' , 4 , ...q - .es d� ces(Plot/S r s > r , -� ; , . .:....;.�.. .x...;..,. _ � , - ,,,...,;��e . i y; :����i:. - u� � •ir;; -, ,;'�:. -`s;....-,,, ¢ � { - f; {t:• Driveway�-Not over;Counter,lf on publicroadways,;needs°RtOW ! �� ° ' " ,- ''� " �?t • fr ¢ :��•,s� .,,:,-i�..,, ,.» ;. ,- . ` .I ._:�, .... ?'� . -,?' k 4..,t �.,r.��-...,.,:.,.-.:..., ,r .,, ..a. . � . �,�. i 21F t.:,i.� n.*1+�r..r.r_f /•tr�Yv�. e�+a.r.w. rr�s•A'��—nv+wcet�.-'.v�.o.�+r+.a y.r+� I I �� _i NOT'10E OF DEED RESTRICTIONS: Th�e undersigned.under�tands:�.th�t thfs,p�rmif.may.be.subJect to"deed"restNctions° � which may be•more�r.est�ictive:thart Cou ty:regulati'ons. �The undersigned assumes responsibitity for compllance with any applicable deed reshictions. . • 11NLICENSED CONTRACTORS .AND �ONTRACTOR RESPONSIBILITIES: If the owner-has �hired a contractor or contractors to undertake work, they may�be,;required-:to.be.Ilcensed In.accordance.wlth state.and•local regulattons. If�the contractor is not I(censed as required`b�� law, both the owner and�oontracto�=may be-cited for a-misdemeanor violation under state Iaw. If the owner or Intended>contractor-are:uncertaln as to wh�t Iicensing.requirements may apply.�for�the intended work, they are advised to conta c��t the�Pasco County Bullding�Inspectlon Division—Licensing Sectlon at 727-847- 8009. Funhermore, If the owner has hi�ed a contractor or contracto�s, he is advised to have the contractor(s) sign portlons of the "contractor Block" of thls �ppllcatlon for which they will be responsible. If you,.as.the owner'stgn as th� cont�actor, that may be an indication tha��he is not.properly Ilcensed and is not entitled to permitting privileges in Pasc� County. � TRANSPORT,ATION..IMPACTlUTILITIES�IMPAC7'-ANb�RESOURCE RECOVERY�FEES: The underslgned understands tFiat Transportation Impact Fees and.Rec urse Recove.ry.Fees may�apply;to�the construction.,of new bulidings, change of use in existing buildings, or=expansion.o �ezistiri,g`6uildings, as speclfled in Pasco County Ordinance�number 89-07 and 90-07, as amended. The undetsigned also,understands, that.such fees,-.as,may�;�e due,:wlll:be identified at the time of permitting. it Is further understood that ljransportation Impact Fees and�Resource Recovery-Fees must be paid prior to rece�ving a °certiflcate.of occupancy" or f�nal�powec.release. .If�the project does not involve�a-.certificate of occupancy or final power release, the,fees mu�t:be pa d pcior to permit issuance. Ft�rthermore;�if:Pasco County Water/Sewer Impact fees are due, they.must be�paid.prlor to p�rmit-Issuance-�n accordance with applicable.Pasco�County ordlnances. C'OfdSTRUCTION LIEN LAW(Chapter 713� Florlda Statutes, a� amended): If valuation of work is$2,500.00 or more, I certify that I, the applfcant, have�been provided with- a copy� of the "Florida Construction_Llen L'aw—Homeowner's P�otection Guide° prepared by�the Florida Department of Agric.ulture and ConsumerAffairs. If the applicant is someone - o#her than the°owner", I certify that.I hav�.obtaJned�a copy;of.the.above.:described document°and.promisein,good,fa(th to deliver it to the°owne�'prior to�commenc�ment: ' ' . C'ONTRACTOR'S/OWNER'S AFFIDAVIT: I ce�tify:,that all the Information In this applicatlon is accurate and that all work will�be done in compliance with all applic�ble laws regulating construction, zoning and:land devetopment. Applicatlon is hereby made to obtain .a permit,Co do,_�nrorl�:;and installation as Indlceted: 1 certffy �that no work'or InsEallation has commenced prior Qo fssuance of a perm�f and that.ali work will be pertormed to meet standards of all laws regulating- construction, County and City codes, zo ing regulatfons, and land development regulat(ons-in the jurisdtctton. I aiso certify that I understand that the regulatio�s of other government agencies may apply�to the intended work, and that it is my responsibility to identify�what actlons I�nust take to be�in<.corrlpliance: S.uch agencles Include but are..not Itmited to: ' - Department of Environmenta� Protection-Cypress.�Bayheads; Wetland Areas and Environmentaliy Sensitive � Lands�WatedWastewater T�eatment. - Southwest Fiorida Wate� Management -.Distric�-Wells, Cypress.��Bay.heads;- Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navlgable Waterways. � - Department of Health�'& Rehabilitative ServiceslEnvironmental Health Unit-Weli.s� Wastewater Treatment, Septic Tanks. ` . - US Environmental Protection�gency-Asbestos abatement. Federal Avlation Authority-Runways. - I understand that the following,restrictions�apply to the use of flll:� - Use of fill is not allowed in Flood Zone W unless�expressly permttted. - If the fill material is to be used in.:Flood Zone "A", It. is understood that a drainage plan addressing a �� "compensattng volume" will be submitted at time of permitting which is prepared by a professfonal engfneer Iicensed by the State-of Florld�. - If the fill materlal is to be used In Flood Zone °A" in�connectfon with=.a permitted building, using stem wall � construction, I certify that fill�w�ll=be used oniy.to fill the area w(thin the�stem�wall. - If flll material is to be used n any area, I certify that .use. of such flil will not adversely affect ad)acent � properties. If use of flil Is fou d to adversely:�ffect ad)acent propertfes�.the owner may be clted for violating � the condilions of the building:�permit issued under the_'attached permit applicatlon, for-lots less than one (1) ' acre which are elevated by flll,lan engtneered drainage plan Is requtred. If I am the AGENT POR THE OWNER, I;;p�omise in good faith to inform the owner of the permitting condftions set forth In this affidavtt�prior to commencing construdtion. I understand thafia�separate permit may be required for electrical work, plumbing, signs, wells,.pools; air condltio�ing, .gas, or�other Installations nol�spec�fically included in.the application. .A pe�mit issued shall be construed to be a Ii�ense to p�oceed with the work and not as.authority to,violate, cancel, alter, or set aside any provisions of the technical c�des;�nor shall issuance�of a.permit.prevent the Bulldirig O#flcial from thereafter requtring�coRectio�nf errors in.pla�s, co structlon or vlolat(ons of any codes. Every permit issued shall become invalid unless the work authorized by such permi �is.commenced•within sfx months of permit issuance, or if work authorized by the permit is suspended or.abandoned for period of six(8)montF�s after the time the�work�•Is commenced. An extension ma r�,be requested,_in_writing,from the Buf`ding,Offici_al_for a perlod_noLto_exceed_Nnety_�(90)__days_and=will=demonstrate justifiable cause for.the extension. If work eases:for ninety(90)cons.ecutive days...th�job:is considered abandoned. RNING TO OWNER: YOU FAILU� �TO..RECORD �1 NOTIGE:OF�COMMENCEMEMT MAY RESULT IN YOUR WA R PAYING TWICE,FOR IMPROVEMENTS <.PR�OPERTY. IF°YO.U��INTEND�`T�OBTA N•FIN�APICING;'CONSULT WI�TH YOUR LE. D O �B FO. E�� ECO �� G.�Y° R� O �C °O ' ' E FLORIDA JURA�( S.117• ) ; � l � � OWNER OR A(3EN � I CONTRACTOR Sub�scrlbed and swo (or afRrmed)be th I Subsc►Ibed and'swom to(or affirmedpbe nTe ils � by by Who Is/are personall known to.me or haslhave produ�ed Who Islare personally known to me or h, slhave�produced � 'Y, � IdentlBcativn. as IdendRcaUon. � f . ` � It S � � '�� Note I Public �---. /� C� �-�—'" Notary Public ', ` . ' .,� Commiss �No Commiaslon'No. ';� _ „��,,,,,, . , f :�ti�"'•��; JOELE.BACON I P�� i Nam of Nota . � ��i �1� 9,2018 N�e of Nolary typed,pri e� ,p .BACON ��a;�w°.P`` Bo�ed TFw T�o F I =• :•= Commission#FF 137073 ,' Y aminswana800.3B5.7p}g :;�,�:;; Expires June 29,2(118 � '�''�A.��,�°��, c� Bonded Thru Trry Fain Inswenca 8CM1�3B5-7019 . I 8M i -, I