HomeMy WebLinkAbout15-16704 �
CITY OF ZEPHYRHILLS
' S335-8th Street
(813)780-0020 16704
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:16704 Issued: 10/30/2015 Address: 5525 10TH ST HISTORIC
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: 150.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 10/30/2015 Parcel Number: 11-26-21-0010-10200-0090
CONTRACTOR INFORMATION OWNER INFORMATION
Name: ROGERS ELECTRIC Name: EVER AFTER HOMES LLC
Addr: 33184 PORTAGE PATH Address: 3445 HAYSTACK RD
DADE CITY, FL 33533 WESLEY CHAPEL FL 33543-5172
Phone: (352)583-5611 Lic: ER-05521 Phone: (813)451-5348
Work Desc: CK ELECTICAL
- APPLICATION FEES
ELECTRICAL FEE 40.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER �
FINAL � (
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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.
"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 Application. All work shall be pertormed 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 r.
PROTECT CARD FROM WEATHER ���a`���
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813;�so-oo2a City of Zephyrhills Permit Application Fax-813-780-0021
� , Building department
Date Reeelved Phone-Carr#act for Parcntttin
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Qwner's Name �'U�-�i"rl� �7���►,�-�s �..L C Owner Phone Humber g�� °�.�f��3 Y�"
Owner's Address �:-��� �� c v�� 5 � Owner Phone Number � �
II Fee Simple Tltleholder Name �� � Owner Phone Number � �
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Fee Simple Titleholder Address
' S An�.� �-S (-�-�G v� ��
JOB ADDRESS LOT#
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SUBDIVISION � � PARCEL ID#
(OBTAINED FROM PROPERTY TAX NQTICE)
� WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH j
i
' INSTALL 8 REPAIR
I PROPQSED USE Q SFR Q C{)MM C] OTHER
' TYPE OF CONSTRUC710N Q BLOCK R Q FRAME C] STEEL Q
DESCRIPTIONOFWORK �� ��=C�~«�` ��'I � S�"� V�'¢'"'��
BUiLDiNG SIZE �` � SQ FOOTAGE C�� HEIGHT ���
QBUI�DtNG ($—"— ._ _,. .., -
L , � VALUATION QF TOTAL CONSTRUCTION _
I QEIECTRICAI. ($ �y��-� r�-'-°� AMP SERVICE Q PRQGRESS Eh1ERGY [� W.R.E.C.
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QPLUMBING ($ �
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QMECHANICA� r$ VALUATION OF MECHANICAl.INSTACIATlON
L���:
OGAS . Q RQ4FII+IC� Q SPECIALTY �� OTHEF2 I
FINISHED FLOOR ELEVATIONS ��_-� FLOOD ZQNE AREA QYES NO I
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BUICDER COMPANY I
SIGNATURE REGI$TERED Y/ N FEE CURRE� Y/N
Address License# �— �
EtECTRICIAN �Csv ��'S F{ f2o�e2f �(1 z�'Zf ,�Ll7�l'�`2� �'„�C
� COMPANY �
SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N
Address License# � ��
PLUMBER CBMFANY
SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � �
MECHANICAL , - COMPANY
SIGNATURE REGISTEREO Y% N FEE CURRE� Y/N
Addrsss 4 License# �— ��
OTHER COMP/.1NY .t
SIGNA7URE ' ReG�STe�� Y/ N FEE CURRE� Y/N
Addrsss License# �� �
RESIDEPlTIAI: Attach�2}Plof P#ans;(2}sets=of=8aildiitg'Plans;{1}set of-Energy°Forms;R O-W Permit for new canstruction,
Minimum:ten;(�1.0)-woricing days after"submittal date: Required onslte,Constivcdon Plans;�Stomnwater Flans.w/Silt Fence installed, � � �
Sanifary 6acpiUss.&,.1.,dumpster Site Work�Rertnit far-subdidistonsllarge proJec� � "
CONIMERCIAl. Attach{3}comple#e seEs of Buildirig Plans plus a l.ife Safety Page;(1}set of Energy Forms.R-O•W Permit-#ar new conshuction.
� Minimum.ten(10)working days after submittal date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed,
San{tary Faailities&1 dumpstar.Site Worfc Permft for all ne+nr projeots:All cammercia!requtrements must meet complfance
StGN PERMIT Attach'{2}sets afEnglneered Plans:., �'.�
"'"PROPERTY SURVEY required for all NEW canshuctlon.
pirectlons: � .
Ffll out applicadon completely. ' � ,'. � -
Owner$Contra�tor sEgn back of applicaUon,notarized _ -- �__ . � � � `
ff over 52500,a Notice af Commencement is required. (A►C upgrades over�7500) ` "'� ."•:','�
" Agent(for ttie contractor)or Power of Attomey(foc the owner)would be someone with notarized letter from owne�authorizing same
—__. _ .�.-,c�->:��__ . r...>
dYER 7HE COUNTER PERMITFING (Front of�Application Only) , , . ,-,, � ¢s�V:'•,
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) �� ,, ,, , - .. ,- - 4 ,
�
Driveways-Not over Counter if on public roadways..needs ROW � . _,. .�.,.. .�, . - � _ Mf i
..�._ �.., . . .. . ,._ �.�,,.,t�,.,,�,:-,._.-�,. �.. .
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NOTICE OF DEED RESTRICTIONS: The und�rsigned understarrd�that 4his.permit:may be subject_tg,"deed"restrictions"
which rri�y be�more�.restrictive.�than Gounty�+egulations. �7tie undersigned�assumes`responsibility for°co�vipliano�with any
applicable deed restrictions. . • � �
UN�.I�ENSED CONTF�►CTORS IAND CONTRACYOR RESIP�MSI�ILITIE�: If the oaenerhas hiced a contractvr or
contractors to undertake work, they may be;required..to be<Iicen�ed In accordance writh state.and�local:regulations. If the
contractor is not IEc�nsed as required"=by law, both the owrne� and conVactor inay be cited-for a�misdemeanor vlolation
under state law. If 4he owner or InQended°contractor,are•uncertaln as to what Ilcensing.requirements rnay-apply��on"the �
intended work, they are advised to contact the Pasco Coundy Bu6lding Inspection Divlslon—Licensing�ectton at 727-847-
8009. Fu�thermore, If the owner has hired a cont�acfor or co�tractors, he is advised to have Qhe contractor(s) sfgn
portfon� of the "contractor Block" of this appllcatlon for which �hey will be responsible. If you,�as.the ovtiner sign as tEie
contractor, that�may be an ir�dication that�he is noY.properly lice�sed arid is not entitled to permitting�p�ivileges in Pasco
County.
TR�4FVSPORTATION.IMPACTIUTILeT1E��IMPAC7'AND RESOlD1�CE RECO�I@RVfEES:�The undersigned understands
that Transportation Impact Fees and.Recour�e Recove.ry F�es cnay apply-to the construct(on of nev�r buiidings,:change of
use in existing bulldi�gs, or.expansfon-�of�exi§tin,g:buildings, as �pecified in Pasco Coun�► Ordinan�e rourvober 89-07 and
90-07, as amended. The undersigned also understands, that:such fees,.�s:may.be�.due,�will,�be i�entified at the time of
permit4ing. It is further und�rstood that Transpor4ation Impact Fees and Resource Recovery'Fees._mu�t be paid prior to
r�ceiving a °certificate of occupancy" or flnal power.�ele�se. .If Qhe project,does not ir�volve:�a�certiflcate of occupancy or
final power release, the#ees must be paid prior to permit Issua�ce. F��therrnore;if Pasco Count�+ Water/Sewer Impact
fees are due, they�must be pald prior to permit-issuance-in accordance wl4h applic�ble Pasco Courat�r ordinances.
CONSTR�ICTION LIEPI�L.AW(Ch�pter 713� FIoPlda�Qatut����a am�roded�: If valuatlon of work i��2,500.00_or more, I
cerQify that I, �he appllc�nt, have.been provided with a r.mpy �f the "Florida Constructlon Lien Law—Homeowne�'s
Protection Guide" prepared by the Florida Depa�tme�f of Agric.ulture and Gonsumer Affairs. If the appl6cant Is someone
other than the aowner", I certify that,l,have.obtained�a�copy,of th�:�bove.descrlbed aiocurnent;and.promise in,good faith,to
, deliver it to.the°owrner".prioe to,commencemen4:-
CONTR�4CTOR'�IOWIVER'S AFFIDAVIT: I certify:that all the;Bnformation in thls applicat(on is accurate �nd that a!I work
will'be done in compl(ance with all appl(cable la�rs regul�ttng c�nstruction, zoning and�land deveYopment. Application is
hereby onade to obtain .a .permit to do work and .installatiora �s Indl�efed....'I certify that no w�rk or (nstallatton has
' commenced prior to lssuance of a permit and that:all work will be pertorm�d to meet standards of all laws regulating�
construction, County and City codes, zoning regulations, and 9and d�velopment regulations-in the jurisdtctton. I also
certify that I understand that the r�gulations of other governm�nt ag�ncies m�y��ppEy�to the intend�ed work, and that it is
my responsibility to identify�what,�ction� I must teke to be,in<.cor�lplianc�: Su�h agencles include but�ar�not Iimited.to:
- Department of Eo�vironm�ntai-Protection-Cypress.'�ayhead�, VVetland Areas and Env(ronmentally Sensf4ive
Lands,WaterMlastewater Treatment.
- Southwest Florida Water Nianage�ent Distrlct VVelis, Cypress. ��ay.heads�, Wetland Areas, Altering
Watercourses.
- Army Corps of Engtneer�-Seawalis, Docks, NavigabEe Wate�►ays.
- Depar�ment of Health & Rehabilitative Services/Endironme�fal He�lth U�it-Wells� Wastewater�Treatment,
Septic Tank"s. _
- LIS Environmental Protectlon Agency-Asbestos abaternent.
- Federal Avl�tion Authority=Runvaays.
I und�rstand that Qhe following:restric@ions apply to th�use of flIY:�
- Use of fill is not allowed in Flood Zone°10"unless ex�ressly perrniQQed.
- If the #ill materfal is to be used. in Flood Zone. "A", (t. Is understood 4hat a drainage plan addressing a
"compensating volume" will be �ubmitted at time of perrroitting which is prepared by a professional engineer
Iicensed by the State of Florlda.
- If Qhe fill material is to be used in F9ood Zone �A" ira�connection�with.a permitted building using stem uvall
consfruction, I certify tha#fill:wlil=be used only.to.fill th�area within the stem wall. '
- If fill material is to be used in any area, I _certify that use. of such flll will not adversely a�fect adjacent
propertfes. If use of flll is found to adversely:�ff�ct adJacent properties,,the owrner may be c(ted for violating
the conditions of the building,permit Issued und�r the.at�ached permit applicatfon, for lots less than one (1)
acre which are elevated�by flll, an engineered drainage plan is required.
If�I am the ACsEN'T FOR YHE.OWOdER, I;promise In good fadth to Inforea�th�owner of�the permitting conditions set forth In
this affidavtt prior to commencing constructfon. I underst�nd thet a-.separate permit may be requlr�d for electrical work,
plumbing, signs, wells, pools; air conditioning, gas, or other Installations noQ.specifically Onciuded�in #Me appiication. .A
permit Issued shail be constru�d to be a Iicense to p�oceed with the wrork and not�s authority to,vimlate,�cancel, alter, or
set aside any provisions of the tech[alcai codes; nor shall issuance�of a.permit.prev�nt the�ulldirig 06ficial from thereafter
requiring a correction af errors In.plans, consfruction or violations of any codes. Every permit fs�ued shall become invalid
unless the wrork authorized.by such permit:is.comm�nced�vvithlr� six m.onths of permit issuance, or if work auQhorized by
the permit is suspended or abacadoned for a period of six(B)motvths aRer th�time the�work ts commenced: An extensio�
may be �equested, In writing, from the �uilding.Offlcial for � p�rfod not tm �xceed nlnety (90) days and will demvnstrate
justiflable cause for.the extensioro. If work ceases for ni�ety(90)�onsecutive days,..th�)ob�is consid�red abandoned.
VVARIVIWG TO OWN@R: YOUR.F�ILURE�TO,REC.ORD A MO'�SGE OF CANIMENCEMENT MAY-Itl�SUl.T IN YOUR
PAXIRfG'TWICE.FOR 10AP MENTS TO YOUR:PEIOPERTY. IF°YOU�IN�'�ErID`TO�O�T/11N�F1111�1NCING;'CONSd1LT
^� 1A11�' UR-tEN�� :O �'6Tf:�ZI���-B l�9R��R��OR�1�G:��OlJR`NOTICE�`O��OMMEN��AlI�tdT�
FLORID�4 JURAT(F.S.1.17.03 -- - ` -' --- -- - --- -
OWtdER OI�i4(iENT CON4RI8�TOIt
Subscribed and swom to(or aflirmed)before me thts Subscribed and swom to(or aiflrmed)�6�fore me ttits
bY �bY
Who islare personally knowm to me or"haslhav�produced Who Is/are personallyknov�nn•to me•or haslhave�produced
as Identlflcatlon. as IdenBflcation.
� Notary Public _ Notary Publlc
Comm lon No.�-. Commission No.
•'"'Y:�i%�;.,, JOEL E.BACON '
Na e .�9b t�}e Name of No&ary typed,printed or starnped
,; x ires une
��'•.;dF e�°:'� Bonded Thm Troy fain Insurance 800-3857019