HomeMy WebLinkAbout15-16577 i
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i CITY OF ZEPHYRHILLS
�,r 5335-8th Street
� (813)780-0020 165
ELECTRICA�L PERMIT
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PERMIT INFORMATION ' LOCATION INFORMATION
Permit#:16577 Issued: 9/10/2015 I Address: 39450 SOUTH AVE HANGAR 200
Permit Type: ELECTRICAL MISC � ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC � Township: Range:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 590.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 9/10/2015 Parcel Number: 13-26-21-0000-00100-0000
CONTRACTOR INFORMATION i OWNER INFORMATION
Name: REESE ELECTRICAL INC I Name: CITY OF ZEPHYRHILLS
Addr: P.O. BOX 862 Address: 39450 SOUTH AVE
ZEPHYRHILLS,FL. 33539-0862 ZEPHYRHILLS, FL. 33542
Phone: (813)788-0091 Lic: Phone:
Work Desc: RELOCATE METER FEE WAIVED �
APPLICATION FEES
ELECTRICAL FEE 40.00 �
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INSPECTIONS REQUIRED
ROUGH ELECTRIC ��
CONSTRUCTION POLE /
PRE-METER � �
FINAL � -� 6 -C I �
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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 r.equirements 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 cornmencement 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.
V�
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS 11VITH�UT APPROVED INSPECTIO
CALL FOR INSPECTION — 8 HOU1R NOTICE REQUIRED
PROTECT CARD FRONd WEATHER
s��-�so-oozo City af Zephyrhills Permit Application Fax 813-780.ao2�
� r' Bu3lding Departmsnt
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Date Recelved Phone Caetact for Pert»tffin –
Owner"�Name �{? , Owner Phone Number
Owner's Addres� Owner Phone Number � �
Fee Slmple Tltleholder Name � � � Owner Phone Number � —�
Fee Simple TltleholderAddress
JOH ADDRESS 3 '�1 Sr.� S .,��e ut •v 2 v LOT# ��
St18DiViS10N �� � PARCEL ID#
I (OBTAINED FRdM PROPERTY TAX NOTICE)
WORiC PROP03ED � e NEW CONSTR�ADDtAl.T � S1GtV Q [� DEMOI.ISH
INSTALI. FiEPAIR I
PROpOSED USE Q SFR Q CQMM [I� OTHEE2
7YPE OF CONSTRUC710N Q BLOCK ° [�] FRAME [� STEEL Q
(i DESCRIPTION OF WORK Q G� "' 4 H �Q �r � .4l�I.� +..�� �G��,,L.��I
BUILDING SiZE � �� SQ FOOi"AGE��� HEIGHT
�����'�t�fi'' � � VALItATtON OF TO fAL CONSTRUG710N
QEI.ECTR{CAl $ C a� AMP SEE2tlICE Q PROGRESS ERiERGY Q W.R.E.C.
7 �� �t?r�
�� OP�UMBtNG � � /_� � ']
� r�. � V �
I OMECNAN�GA� $ VA�UATION C}F MEGHANICAL INSTAL�ATIC?N �1'
, �
[�GAS [� FtOOFlNG Q SPECIAl.TY �� OTHER
FINISHED FI.QOR ELEVATIQNS ��� FLOOD ZONE�REA [�YE$ NO
BUI�DER COMPANY
I SIGNATURE REGISTERED Y/ N FEE CURRE� ,Y/N
�a�$$ Lice�se# � �
E�ECTRICIAN � {��j� � � COMPANY ~�o-C� wt•..l t�..+•L .
SIGNATURE "���Vi ""'"'"—"' � REGIS7ERED Y/ N FEE CUF2RE� Y/N
, Address �. b'�,,... �S 7Q1 License# �C(,�i L�G l'3�� �
PCUMBER � CpMp� (
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address license# �� �
MECHANICAI. COMPANY
' SIGNA7URE REGISTEREU Y/ N FEE CURRE� Y/N
Addre�s License# � —�
OTHER COMPANY
SIGNA7URE REGISTERED Y/ N . FEE CURRE� Y/N
Address License# � �
REStDENTiAi: Attach{2}Ptot Plans,.(2}se#s of Building'Plans;{1}set a#Energy�Farms,F2-O-W Permit far new construc6on,
Minimum ten,(10)working days after.subrriittal date. Requlred onsite,Constructian Plans;Stormwater Plans w/Silt Fence installed,
Sanlfary FaGlities&.1 dumpster 51te Warlc�Pertnit for subdfVisionsAarge proJects
COtUlMERCIAi. Attach(3}complete sets of Buitdirig P1sns plus a l.ife Safety Page;{1)set af Energ}r Farms.R-O W Pettnit for new construcUon. �
Minimum ten(10)working days afker'submfttal date: Required�onsite,Canstruction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1-dumpster.Slte Wa�lc-Permtt'for all new proJects.All commercia)�equlsements must meet complfance
SlGN PERMIT Attaeh{2}sets of Engineered Plans. "
•"'PROPERTY SURVEY requlred for all NEW construcUon.
Dtractians: ' �
Fill out applicadon completely. � '
Owner&Contra�tor sign back of app{icatlan,notatized'� , �< < �
if cv�r S2S4Q,a.Notice ot Commenceriier+t ls requirad.' (,,NCUpgrades over S75�d)
" Agent(for the contractor)ar Power of Attomey(far the awner)would be some�one with notarized letter from owner authorizing same
dVER THE COUNTER PERMITTiFIG {Front af Apptication Onlyj , `�
Reroofs If shingles Sewers Service Up�rades A/C Fences(i?lot/S rvey/Footage)
... . ... . ...t.:._ :....,
�"a'= `;..:�` � ;;
Drivaways-Not over Counter if on pubiic�roadways.ne�ds,ROW' ' �;
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NOTICE OF DEED RESTRICTIONS: The undersigned unders�tands;,th�t this.,p�rmit.may be.subject ta"deed",restrict(ons" � ',
which may be�more�r.esttictive-than County°regulatlons. �Tfie�underslgned�assumes responsibilityfor�compliance with any ,
appHcable deed reshictions. . _ � :�� ' ,..,- ,..:•' . - ..:
UNUCENSED CONTRACTORS -AND CONTRACTOR RESPONS181GTIES: If tFie owner has �hi�ed�a contractor or
contractors to undertake work,they may�be�re�quired=.to be;licensed in accordance.with.state.and•local regulattons. ff�the �
contractor Is not Itcensed as requlred`by law, both the owner and=contractor�may be-cited for a�misdemeanor violation
under state law. If the owner or intended contractor,are,uncertain as to what Iicenstng.requirements may apply fior the
intended work, they are advised to contact the Pasco County Building�lnspection Divisiori—L•icensing��ection at 727-847-
8009. Furthermore, If the owner has hi�ed a contracto��or contractors, he is advised to have th� contracto s , sign
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portfons of the "contractor Block" of this application for which they wlll.be responsible. If.you�.as.fhe owne�'"slgn'as�the '
cont�actor� that may be an indicatton thaf he Is not�.properly'licensed and�1s not entitled to perrr�itting privileges in Pasco
County. "`' '�`•,��,�r.=�. . -� 4.._..,.
TRANSPORT/�TION.IMPACTIUTILITIE$IMpACT'�►Nb�RESOURCE RECOVERY FEES: �The undersigned understands
that Transportation Impact Feas and.Recourse�,Recove.ry.Fees may�apply to�the constructPon of new buildings,:change of
use in existing buildings, or.expansion of�ezfstiri�g:�6uildings; as specffied in Pasco County Ordlnance number 89-07 and
90-07, as amended.,..The undersigned also:understands, that such fees�,as�niay;;be�:due;:;will:be (dentified at the�time�of
permitting. It is furtFier understood that Transportation Impact Fees and Resource Recovery'Fees rroust be paid prior to
recetving a "certi�cate of occupancy" or flnal power�release. :If the project does not fnvolve,a:certificate of occupancy or
final power release�the-.fees must be paid prior to permit issuance. Ft��thermore;-if Pasco County V1latedSewer:Impact
fees are due, they�must be�pald pNor 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, tfie.applicant;'Fiave tieen_ provided� witFi �a copy of`the"�"Ft'drida'Construction�tien_Law=Homeowner's
Protection Guide" prepared by the Florida Departmenf of Agric.ulture and Consumer Affairs. if the applicant is someone ,
other than the"owner", I certify that I have.obtained�a copy.of.the above.described docur�ent°and�pr.omise in,good faith_to
delive�ft to the`owner"-p�ior�to�commencementc'
CONTRACTOR'S/OWNER'S AFFIDAVIT: I cectify that all the.information in this appllcatlon is accuraite and that all work
will�be done in compliance with all appUcable laws regulattng consiruction, zoning and land development. Application is
hereby made to obtain .a permit to do. work,;and installatlon as Indlcefed. '1 certffy that,no.work or Installatton has
commenced prior to fssuance of�a permtt"and that'.all work will be pertormed to meet"standards of all laws �egulating-
construction, County and City codes, zoning regulatrans, and land development cegulations�in the jurlsd(ction. ( aiso
certify that I understand;that the regulations of;other government agencies may apply�to the intended work, and that it is
my responsibility to identify�what.actions I must take to be,in:.corrlpliance: Such agencles include but�are.not Ilmited to:
- Depa�tment of Eilvironmental-Protection-Cypress.�Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florlda Water Management• :.Distrlct-Wells, Cypress.`�Bayheads,_ Wetland Areas� Altering
Watercourses. _
- Army Corps of Engineers=Seawalls;Docks, Navigable Waterways.
- Department of Heaith�8 RehabiHtative Services/Environmenfal Health Unit Wells, Wastewater Treatment, '
Septic Tanks. ' � ,
- US Environmental Protection Agency-Asbestos abatement.
- Federal Avtation Authority=Runways.
I understand that the following.restricttons appiy;to the use of flll:�
- Use of fill is not allowed in Flood Zone"V"unless-expressly permitted.
- If the fill materfal (s to be used'in :Flood Zone. "A", it. is understood that a drainage� plan addressing a
"compensating volume"�'wili be,sub'mitted.at time of permitting which is prepared by�a professional engineer
Iicensed�by the State of Florlda. � ` , � � � ' ` � - •� - -
- If the fill materlal is to.be used In�,Flood Zone °A° (n�connection wlth�:a�permitted,building using_5tem wall
� construction,�1=cer.tiy th�at fill•:wJll-be used only.to.fill the area�wlthin the st'em�wall. ` ' -• �- � � �
- If flll materiai ts to be used in any area, I� certify tfiat .use of such flll will not adversely affect adjacent
propertfes. If use of flll Is found to adversely:�ffect adJacent��properties,,the owner may be cited for viofating
the conditions of the buflding:permit issued.under the attached permit appiicatlon, for�Iot� less than one (1)
acre which are elevated by f111,an englneered drainage plan is required.
If I am the AGENT FOR THE OWNER, 1;-promise in good faith to inform the owner of•the permitting condltfons set forth in
this affidavtt�prior to commencing construction.� I understand that a�separate permlt may be requtred for electrical work,
plumbing, signs, wells,.pools; alr condttioning, ;gas, or other install�tlons nol•spec�ically included�in.the application. .A
permit Issued shall be constcued to be a license to p�oceed with tFie'work and not as.authority to,violate;cancel, alte�, or
set aside any provisions of the technical codes;';nor shall Issuance�of a.permlt.prevent the Building O#ticial from thereafter �
requiring a correction af errors in plans, construction or vlolations of any codes. Every permit issued shall become invalid
unless the work authorized.by such permit:�ls-commenced•within sGc months of permit issuance, or if work authorized by
the permit_is suspended:or._abandoned_for_a.period_of-six-(8)=montE�s-.after-the time-the=work�ls-commeraced.—M-�xtension —
may be requested, in writing, from the Building,Official for a perlod.�not to exceed ninety�(90) days and will demonstrate
justl�able cause for-the extension�. If work ceases-for ninety(90)consecutive day.s...th�job�is considered abaadoned.
WARNING TO OWNER: YOUR.FAILURE�TO,REC.ORD A.NOTIGE.OF•COMMENCEMEMT�MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMEN.TS TO YOUi�<PROPER-TY. IF°YQtJ�INTEI�ID'Ta'OBTAIN�FIPFAWCING�'CONSULT
WITH YOUR LENDER:OR AN ATTORNEY�BfFORE RECOR�DING'YOUR�NOTICE�°OF�COMAiIENCEI9MENT:
FLORIDA JURA�(F.S.117.03) " ' � -
OWNER OR AOENT CONTRACTOR � _ L "
Subscrlbed and swom to(or aNirmed)before me this Subscribed and'svvam to or aflirmedpbefore me this�
by �by
Who Is/are personaliy knovm to.me or hasfiaye produced � Who Is/are p.ersonelly known• me or has/have�produced •
as Identlflcatlon. s Idendflqtion.
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Notary Publlc � Notary Publlc
Commisslon No. � Commiaslon No
Name of Notary typed,printed ar stamped � Name oi Not typ��tlp�Inte,��ag�N
=�• �:c:: 7073
,+, ,�,_ Commission#FF 13
- � :�.�,:'a; Expires June 29,2018
'••��Ri i�.�0.'` Bonded TIw Tmy Fain Insurance 800.395-7019
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