HomeMy WebLinkAbout15-16677 i
CITY OF ZEPHYRHILLS
s � 5335-8th Street
(813)780-0020 16677
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:16677 Issued: 10/15/2015 Address: 5234 TANGERINE DR
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: - Page:
Cost: 500.00 Total Fees: 40.00 Subdivision: ZEPHYR HEIGHTS
Amount Paid: 40.00 Date Paid: 10/15/2015 Parcel Number: 12-26-21-0040-00400-0200
CONTRACTOR INFORMATION - " OWNER INFORMATION
Name: SHOCKER ELECTRIC Name: OSTEEN TIMOTHY DARREL & CAROL
� Addr: 2147 E MONTICELLO AVE Address: 2331 D R BRYANT RD
LAKELAND FL 33801 LAKELAND FL 33810-1400
' Phone: (863)581-3545 Lic: � Phone: (863)559-5309
Work Desc: REPLACE METER CAN
- APPLICATION FEES
ELECTRICAL FEE 40.00
��
INSP C NS 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,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.
"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.
�
,
CO TRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s��-�ao-oozo City af Zephyrhills Permit Application FaX a�aaaaoa2�
Buiiding Department
+'r ,• •
Date R�ceived plypne Cantact far Rermlttin ��~ ��1 - � � �
Owner's Name �S`��- Owner Phone Number 7,�_�/ 1 ,�3�
Owner's Address Owner Phone Number
Fee Slmple Tltleholder Name � -� Owner Phone Nurober �- -�
Fee Simple Titleholder Address
JOB ADDRESS ��f Yl �"� �'1'"� �� �3 a LOT# C�
SUBDIViS10N �` � PARCEL 1D#
(OBTAINED FROM PROPERTY TAX NQTICE)
WBRK PROPt3SED NEtN CONSfR ADD/AtT SiGN Q Q DEMOUSH
INSTALL 8 REPAIR
PROPOSED U5E � � SFR � COMM � OTHER
TYPE OF CONSTRUGTION Q BLOCK ° Q FRAME � STEEL Q
DESCRIPTION OF WORK '� � G C� {,�{'C� ,� , $'J t �
BUIlD11dG SIZE �! �� SQ FOOTAG£[� HEIGHT ���
�8����� � � � VALUATION'OF TOTA�CONSTRUCT�ON
L�.� �J
E�ECTRIGAt $ �O�-�£,� AMP SERt/ICE � PRC}GRESS ENEF2GY Q W.R.E.C.
QPLt1MBING ��
�6 � �'
OMECNANtCAI $ VA[.UATION OF MECHRNICAt.lhlSTAL�ATIt�IV
QGAS Q ROQFING Q SPEGIALTY �'] OTHER
FINISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA [�YES NO
BUtIDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA ,Y/N
Address License# � � �
EIEC'tRICFAF! �✓ "`��� COMPAt�lY �`J � ���.-f�,C �
SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
Address � License# �.�-�3c� �t 7 a �
PCUMBER ..�� COMi?ANY
51GNATURE . REGISTERED Y/ N FEE CURREA Y/N
Address License# �i ��
MECHANICAL COMPEWY
SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N
Address License# �� �
O'iHSR , COMPAMt
SIGNATURE ' REGISTERED Y/ N FEE CURRE� Y/N
Address Licanse# � �
RESfQENTIRL Attach{2)plot Plans;{2)sets af Building Plans;{1)set af EnergyFarms;R O-W Permlt for new canstruo�an,
Minimum,ten_(10)working days after submittal date. Required onsite,Construction Plans;Stormwater Plans w/Silt Fence installed,
Sanita"ry Facilides&1.dumpste.r,Site Work=Rermit for su6dlvisions/large proJects
CONIMERCtAL Attach{3)+camplete sets of Sultd�rig Plans pius a tife Safety Page;(1)se#of Energy Fortns.R-O-W Permit for new canstruc�on. ��
Minimum ten(10)woridng days after submittal,dake. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facflitles&1 dumpster.Site Work Permit far ail new proJects.All commercia!requlrements must meet comp!}ance
SIGN P�RMIT Attach{2)sets af Eqgineered P1ans. . .. - ,
""`PROPERTY SURVEY requireci for all NEW construcUon.
D}rections:
Ffll out applicatlon completely.
Owner&Contractor sign back of appltcaNan,nota�ized
tf aves�2500.a fitottce of Commencement is requtred. (A1C upgrades over 57500)
`" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter fram owner authorizing same
OVER'ftiE COUNTER.PERM!'FTFNG {Front of Rppticatlon Only}
Reroofs if shingles Sewers 8ervice Upgrades A/C Fenaes(Plat/Survey/Fookage)
Driveways•Not over Caunter if on pubiic roadways..needs ROW
.. �
0710E OF DEED RE$TRI�TIONS: The.undersigned understands�thatthis:p�rmit.may.be.subJeatto"deed"restrlctions"
hich may be..more resC�ictive�than Counky�iegulatiQns. 'The underslgned as�sut�i�s responsibility ior�cbmptlatace irvitli ariy �
�pl(cable deed reshiations. • `
�11.ICENSED G�NTR�CTt�RS ANQ CC?N'fRACTQR RESPO�YSi�i�lTI�S: If�4he owner has �hired �a contractor or
mtractors to undertake work, fhey may.be;requiredl:to�be:;iicensed In accordance.wtth state.and�tocai regulations. If fhe
� yntractor is not Iicensed as'requlred`tiy law, bottr the owner ant��conUacton�may be-clfed��for a•misdemeanor violatlon
� tder state law, tf the ownet'or intended�contractor:,are uncertaln as ta what iicensing.requlremen#s may apply,=for�the
tended work, they are advised to contact the Pasco County, Buliding:lrisPectian Divlsion--L:icensing Section at 727-647-
)09. Furthermoret �lf the owner has Mred a cvntracto� iir contractors, he Es advlsed to have the contractor{s), sign
xtions af the "contractor Black" of thts appticatlon tor which they wiD be r.esponsible. tf.you, as,.#he awne� `sign�as the
mtraotor, that may be an indication that�he Is not.praperly licensed and is not�entlNed to permitting pFiuileges in Pasco
ounty. �
RANSPORTATION�IMPACTIUTIL:ITIEB IMPACT AND�RE�OURCE RECOVERY�FEES:�The undersigned understands �
�at T�anspartatio� Impact�ees and.Recourse Recovery.Fees may�-apply to°the construc#lon af new bulidtngs,;change of .
se in existing buildings, or.expansion.of�existin,g'�6uildings, as speclfled.in Pasco County Ordinance number 89-07 and
�-O7, as amended. The undersigned alsa understands; tha�t.s�ch fees�.as=may be�due,�wlll-.be identified at the time of- •
ermitting. it is furttier understood�that Transportation Impacf Faes artd Resource Recouery�Fees must be pafid prior to
�ceiving a "certi�cate:of occupancy" or�flnal power..release. .If Ehe proJect;.does,not involve,a�.certiftcate of occupancy or
nal pawar release, the_fees must be pald pr1aT ta permtt Issuance. Futkhermore;iF Pasco Caanty 1NaterlSewer Impact
:es are due, they;must be:pald prlar to permlE-I�suance-In accordance wlkh�applicable Pasco�County ordinances.
�ONSTRUCTK?N LIEN�LAW{Chapter 713,Elor�da Statutes,as emended�: ff vaivatiott otwork is$2,5U0.00 ar more, !
ertify that i, #he applicant, have.beec� promtded with: a copy �f the °Flocida�Canstru�ttan� Lien Caw .—Hameowner's
rotection Gulde" prepared by the Florida DepartmenY of Agric.ulkure and ConsumerAifairs. If the applicant!s someone
ther than th�°awner°, 1 certify that I�have.:obtayined�a copY:of.the abave..descrlbed�iaaurnent�ant#.pcamise°1n.goad faKh to
elive�it to.the"ownec"�prior.to-commencement.' �
:ONi'RACTOR'SIQWNER'S AFFtQAVIT. i cerl�y.that alt.the,informatidn 4n tht�applicatlon is accurate and that al!work
►ill'be done in aampilance wf#h ali.appttcabie laws regulattng constructton, zonfng and�land development. App(ication is
ereby made to obtain .a pe�m4t to do,.wo�lc.;and InstaUation as ind[cated:. °I certffjr that no work or insta4latton has
ommenced prior ta issuance af a permit an� that':a11 work will be parfarmed to meet s#andards of aH iaws regutating�
onstruction, County and City codes, zaning regulations, and land development regulatlons�in the jurisdlatlon. ( al'so
E er#Ify that 1 understand that ttte regulattans of o#her government agencles may�appEy�to the Intended work� and that it 1s
�y responsibility to(dentify�what.actions I must take:to be�in:.compliance. Such agencles include but�are..not Ilmited to:
- Depa�tment of Et�vtronmentai�Protection=Cypress.'Bayhead�; Wetland Areas and Et�v{ronrnentaily Sensitive
Lands,WakedWastewa#er Treatment.
- Southwest FloNda Water Management: _District-Wells, Cypress. Bayheads�, Wetland Areas, Alkering �-
Wa#erc:aurses. ,
- Army Corps of�ngineers-Seawalls, Docks, Navlgable Waterways,
- DeparEment of Hea4th� & Rehabllita#ive ServloeslEnv�tanmental Health Unit Wells, Wastewater�Treatment,
Septic Tanks. _
- US Environmental Protection Agency-Asbestos abatetrnent,
- Federat Aviation Authority Rurtways.
understand that the following�restrictions�apply to the use of flll:
- Use af fili is not ailcwed 1n Fioad Zane"V"tanless expressly permltted.
- If the fill mate�ial is to be .used. In ,Flood, Zone "A", (t. (s understood that a drainage plan addressing a
°cornpensating volume" will be subrr�Itted at time of permitting_which is prepared by a professfonal engineer
licensed by#he State of Fiorfida.
- If the fill mater(a) is to be used M Flood �one `A° in+connection�with.��permitted building usfng stem wail
co�str�ction, E certify#hat�i16<will�be ased only.#o f�ll the area wlthin the stem•waii.
- � If flll materlal is to be used In any area, I �certify #hat .use. of such fill wil) not adversely affect adjacent
proper#les. If use of filt is focrnd to adversely.�fFect adjaeent�properties�.the owner may be cited for vlolating.
the cond(tions of the buitding,permit issued under the attached permit application, far lots less�#han ane (1)
acre whtch are elevated�by tlll,art engineered drainage plan is required. .
`i am fhe AGENT Ft?R THE OWNER, i;�promtse 1n gaod fatth to in#arm the owner of•the permitttng condittons set forth in
iis affidavit`prior to cammencing canstruction. f understanid that �-separate permit may be requlred for electrical work, ,.
�umbingt signs, wetts, paols, alr condlt�oning,.ga�s, or-athet insf�tii�tlons-noE.spec�icaEly insluded-Ert.the applfcation. .A
�ermit Issued shall be construed ta be a (fcense to proceed with the'work and not as:authorify to,violate, cancet, alter, or , ;.�
et aside a�y provEstons of the technical.codes;�nor shall Issuance�of a.permit.prevent the 8ulldirig Oificlal from the�eafter '
equiring a correctia�af errors In.plans, canstnactian or viotations of any codes. Every petmit Issued shall become irnra4id �
�Ness the work authorized.by such permit�s-commenced�within six_manths of permlt issuance� or if work authorized by ; ,
�e permEt Is suspended nr.abandaned for e period of slx{8)mont�is.after the time the�work is cammen�ed. An extenslon .
�ay be requested, tn writing, from the Building,Official for a perlod.:not#o.exc�ed ninety(90) days and will�demonstrate �
�skifiable cause for the extensian: If work ceases.for ninety(90}consecutive�day.st..the jati.is cansidered aba�doned. -. ;
VARNING TO CIWNER: YOUIt.,�AILURE�TCl.�REC.URD.A NOTIGE OF•COMMENCEMENT NFAY�RESUL,T IN YOUR �
FAYING TWiCE FQR IMPRO{%EMEI�T�TO YQUt��PROPERTY.,�IE°YQ.U�IN�'�'E�D�'TQ'OBTA�IN��14tAisiCING;�CONSUl.T �
VIT Y U D O N ATTO NEY� OR �� CO D G:�YOU � _ �C �°OF� °` CE NT'
_+�oRec��=,�u!�az{�.�.�.t�.o:,� . . .
►WNER OR AOEN7 CONTRAGTO
ubscrtbed and swom b{or atflaned)before me khla Subscribed and's ot _ed)� efore me diis '�
�Y �Y._
ilfio is/are pe►sonally known to.me ar haslFieve produced Wha Is/are p.ersonally knovun•to me or ha ave pmduced
as Identlflce8on. as IdendficaUon.
Notecy Pabttc . Notary Fubllc
rommisslon No. Comnnleslon.No.
lame ot NotOry typed,printed or stamped Name oT Notary typed,pdnted or stamped