HomeMy WebLinkAbout15-16596 i
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CITY OF ZEPHYRHILLS
5335-8th Street
; , (813)780-0020 1 96
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:16596 Issued: 9/16/2015 Address: 38721 WARMINSTER LN LOT 149
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: 145.00 Total Fees: 45.00 Subdivision: SLEEPY HOLLOW MHSUB DIV
Amount Paid: 45.00 Date Paid: 9/16/2015 Parcel Number: 02-26-21-0260-00000-1490
CONTRACTOR INFORMATION OWNER INFORMATION
Name: PATTIE ELEC. & REFRIGERATION Name: SLEEPY HOLLOW MOBILE
Addr: 39111 PATTI RD Address: 38615 LANSING AVE
ZEPHYRHILLS,FL. 33540 ZEPHYRHILLS FL 33542-6312
Phone: (813)782-3319 Lic: Phone:
Work Desc: REPLACE 15 AMP METER COMBO �
APPLICATION FEES
ELECTRICAL FEE 45.00 '
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INSPECTIO S REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER .
FINAL
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,which�ver is greater,lfor 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.
"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 Ap�lication. 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
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813-�ao-oo2a City af Zephyrhills Permit Applica#ion Fax 813-780-0021
Buitding Department
�, --
Date�tecetved phone Cantact for Perntlttin
Owner's Mame � � Qwner Phons Nurnber i
Owner's Address Oweer Phone Number � �
Fee 5lmple Titleholder Name � Owner Phone Number � �
�
Fee Simple Tltleholder Address
' ��J08ADDRE$3 � W� V� S "'C.V' � LOT#
,
SUBDIVIS{8N �� � PARCEL 1D# d �^ •�.� !' �. '7 !V
I (OBTAINED FROM PROPERTY TA)C NOTICE)
WORK PROPOSED " NEW CONS�R ADDIAIT � SIGN Q [� DEMOL,iSH
INSTALL REPAIR I
P#tOPOSED-USE Q SFR � CON1M �� OTHER
TYPE OF CONSTRUCYION • Q BLOCK � [� FRAME [� STEEL Q
DESCRIPTION OF WORK �.>C� /�M .( � f��1!� � QV
BUtIDING SFZE � � SQ FOOTAGE� HEIGHT
r���
�g���d���' � � VALUATION OF TOTAL CONSTRUCTION
���
ELECTRICAI. $ L AMP SERVICE ��'p Q RROGRESS ENERGY Q W.R.E.C.
�
QPLUMBtNG � �
�]MECH,4NICAL $ �� VALUATION OF MECNANICAL INBTAllAT10N
� ��� �z�-�
OGAS Q ROQFiiVG Q BPECIR�.TY � OTHER �
FINISHED FLOOR ELEVATIQNS �—� FLOOD ZQN6 AREA QYES NO
BUILDER COMPAt�Y
SIGNATURE REGI37ERED Y/ N FEE CURRE� Y/N
Address License# � �
ElEC7RICIAN ��f� COMPAt+�Y G7�--
SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y/N
Addrs�s License# ���/Z rp� i
PLUMBER � COMPANY
SIGNATURE REGI$TERED Y/ N FEE CURRE� Y/N
Address License# � �
MECHANICAL COMP�WY
SIGNATURE REGIS7ER D Y/ N FEE CURRE� Y/N .
Address License# � �
OTH�R COMPANY
SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N
Addrass �_ „—,._„—_ , license# � �
RESiDENT1AL A#tach(2}Ptbt Pians;{2}sets of Bullding'Plans;{1 j seEaf Eee�9y�Fa�ns;R=0-W Permlt tar new constructian,
Minlmum:ten(10}.wrorking days after,submittal date.-Requlre�onsite,Construcdon Plans;3tormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpste_r,Site Work Permit for suhdiVisionsAarge proJects
C4MMERCIIU. Attach{3}complete sets of Bultcling Pia»s piias a l.ife Safe#y Page;{1}se#of Energy Forms.R-O W Pem�tlt for new const�sctian.
- - Minimum ten(10)working days after submlttal dake. Require�onsi4e,ConsUucUon Plans,Stormwater Plans w!Silt Fence installed,
Sanitary FaciliHes&1 dumpste�.�Site Work Permit for all new roJects.All commercial requlrements must meet'complianca
SIGM PERMIT Atiad�{2)sets of Engineered Plans._ �
"`*PROPERIY SURVEY required for all NEW canstruction.
Dlrectlons:
FIII out applicaUon completely.
Owner&Cantraatar sign back of appficatton,notarfzed
if over§2540,a NoEtce of Cammencernent is required. {AtC upgrad�s ol er 57500)
" Agent(for the contractor)or Power of Attomey(ftar the owner)would be somgone with notarized letter from owner autho�izing same
DVER'i'HE COUNTER PEftMtTTlHG {Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
.priveways-Nat over Caunter tf on pubtia roadways..needs ROW �
T J
NOT'iCE OF DEED RESTI3ICTIONS: The undersigned undersQarads°�that this,.permlf.may,be sub)ect to mdeed"restrlctions"
which may be:more restcictive.�than County regulatlons. �The uirdersigned assumes responsibility for cort9pitance with any
appllcable deed restricttons. . _ . � �
UNLIC�NSED CONTPtACTORS Ie1tdD CONTit�aCTOR RES�ONSIBILITIES: If the odener-has hir�d a contractor or
contracto�s to undertake work, they may be req'uired-,to be.itcensed in.accordance.with state.and•IocaO reguiations. If the
contractoe is not licensed as requlred'tiy E��iv, both the owmer and:=contractor-anay be cited for a misdemeanor violation
under state lawr. If the owner or intended contractor �re unce�tain a� to what iicensing.requirer�ents may appiy_for�the
intended�rork, they are advised to contact tFie Pasco County Ba�ilding Inspection Dlvlsior�-Licensing Section at 727-84Z-
8009. Furthermore, tf the owner has hired a�cont�actor o� contractors, he Es advised to have the contractor(s) slgn
portfons of the "con#ractor Block" of this appllcation for which they wr110 be r�sponsible. If you, as.the owner stgn as tlie
cont�actor, that may b� an 9ndica#lon that�he Is noY.pcoperly flc�nsed and:is not�ntitled to permitting privileges fn Pasco
County. '
TIt�1idSPORTATION.IN�IPACTIIDTILITIES IIWPAC7 AND RESOURCE RECO!/ERY FEES: The undersigned understands
that Transport�tion Impact Fees and:Recourse RecoVery.Fees may'�pply,to�th�construcQeon of new buildings,�.change of
use in exosting buildings, or_expansion.of�ezistirig�:buildings, �s specifled.ln Pascv CounQy Ordlnance number �9-07 and
90-07, as amended. The undersigned also understands, that such fees,-,as��tnay be�due,,-:will tie (dentified at the tBme of
perrnitQing. It is further understood th�t Transportatfon Impact Fees and�Resource Recovery Fees must be paid prlor to
receEVing a "certific�te of occupancy" or flnal podver-release. .If the project does not involve a certificaQe of occupancy or
final power releas�, the.fees mu�t be paid prior,'.fo permit issuance. Furthermore;ff Pasco County�VOVater/Sewer lmpact
fees are due, @hey�.must be-paid prEor to permit-Issuance-In accordance with applic�ble Pasco County ocdinances.
CONSTItUCTIOfd Ll�fd'LA1A1(Chapter 713� Florida 3tatutes,,�� �mended); If valuation-of work is$?,500.00 or more, I
certify that I, the applicant, h�ve been provided 'dvith a copy of the "F9orida Co�structlon Lien:L�w—Homeovbner's
Protection Guide" prepared by the Florida Department of Agric.ulture and ConsumerAffairs. If the ap�plicant is someone
other than the"owne�', I certify that I have.obtained a copy,of 4he above.described docuFnent�and:prorr9lse in,good faith to
deliver it to the"owner"�prior to=com�nencement:�
CONTF�►CYOR'S101NNER'3 A�FSDAVIT: I ce�tify.that all the Information in this appl(cation is accurate and that all work
will�be done in compiiance with all applicable laws regulating eons4ruction, zoning and land development. Application is
hereby made to obtatn .a permit 4o do v�rork and installatlon�,as indicefed. 'I ce�tify that no work or installatton has
commenced prior to fssuance of a p�rmtt and;that all work will be pertorrr�ed to meet slandards of all laws regulating�
construction, County and City codes, zoning regula4ions, and land development regulations-In the jurisdfction. ( also
certify thaQ I uaderstand thaQ the regulatlons of other government agencies may apply�to the intended work, and that it is
my responsibiliQy to identify.what.�ctions I must take to be,in:.comp8ance: �uch agenoles iroclude but ar�.not Iimited to:
- Department of Er�vironenentaB Protection-Cypr�ss.��ayheads, 1Netland Areas and Envirorarnentally Sensitive
Lands,li�/a4ed6Na�tewater Treatment.
- Southuvest Florida Water �lanagernent .District-Vllells, Cypress.`�Bay.hea¢is�, 1Metland Areas, Altering
VVatercourses.
- Army Corps of Engineers-Seavualis, Docks, Navigable Waterways.
- Department of Health 8 Rehabilitative Serv(ces/Environmental Health lJnit-1Neils, Wast�wrater 7'reatrr�ent,
Septic Tanks. '
- 11S Environmental Protectfon Agency-Asbestos abat�ment.
- F�d�ral Aviation Authority-Runways�
1 underst�nd that the following,restricfions appiy to the use of flll:•
- Use of fll is not allowed in Flood Zone"Vp unless�xpressly permitted.
- If the fill material i§ to be used. in Flood Zone. "A", It Is understood that a drainage �lan addPessing a
°compensating volume" will be subriiitted,at time of permifting which is prepared by a professfon�l engineer
Ifcensed by the State of Florida. � �� �
- If the fill material is to be used In Flood Zone mA" (n�connectfon with':a perrmitted building using..stem wall
construction, I certiry that fiil:wlll:b.e used only.to.fill the area within:4he stem•wall. '
- If fill material Is to be used in any area, i �c�rtify that .use. of such flil wiCl not advers�ly affect adJacent
properties. If use of fl01 Is found to adversely.�ffect adJacent properties,.the owner may b� clted for viofating
the condi4ions of�he buildfng:permit issued�under the attached permit application, for lots less than one (1)
acre wrhich are elev�ted by illl, an engineer�d drainage plan is requtred. ,
If I am the�►G@NT POR TH� O1fl9�ER, I;promise in good faith Qo tnform the°owner of-the permttting condittons set forth in
this affidavit�prior to comrnencing corostructton. I understand th�t a.separate permft may be required �for electrical work,
plumbing, signs, vvelis, pools; air conditioning, .gas, or othec ir�stallattons not.specJ�icaily included-in the application. .A
permit lssued shall be construed to be a'license;lo proceed with tFie work and not as.�uthority to,violate,�cancei, alter, or
set aside�ny provisions of the t�chnical codes; �or shall (sstaance of a.permit.prevent the �ulidirig Official from thereaiQer
requiring�correction o.f errors In_plans, construction or vlolatlorus of any codes. Every permit issued sFvall become invalid
unless the work authorized by such permit�is-co,mmenced•wlthin six m.onths of permit issuance, or if�ork authocized by
the permit is suspended or abandoned for a.period of six(8)months.after Qhe time the wo�k Is commenced. An extension
may be requested, In writing, from the Building.Official for � p�riod.�ot to exceed ninety(90) days an� will demonstrate
justifiable cause for.the extension. if work ceases for ninety(90)cons.ecutiv�day.s,..th�job is considered aba�doned.
{OVVi4RNING TO OWNfR: YOUR.FAILURE TO;REC.ORD A NOTIGE OF�COIWMENCEMEMT MAl( I�ES[1LT IN Y(DUR
PAYING TWICE FOR 1MPR0!/E"91AEN.TS�TO YOUE�.:P13�OP�l37V. IF vOtJ�IPITEND�'T�O�TAIN�FIId�ANCI1dG;�CONSUL�
YIII7H 1fOUR L NDE O AN ATTORNEY�B FORE-RECO �D G:�YOU '� O =C 'OF- °' @ CE NT
– -FLt)�t1u�7iiit�Af(F:S.SiT.Q n� -- — _-
OYVNER Oi€AOENT �A,( G:�!�'�C/ CONTR�CTOR --
Subscilbed and svvom ta(or rmed)before me thls Subscribed and'swom to aflirmed�before me fhts
bY •bY
Who islare personally known to.me or has/have produced lNho.�s/are personally lcnown Qo me or has/have�produced
as IdentlBcatlon. , es IdentlBption.
Notery Public Notary Publlc
Commisslon No. Commission.Pto.
Name of►dotary typed,printed ar stamped Name of Notary typed,printed or stamped
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