The URL can be used to link to this page

Home My WebLink About16-17201 CITY OF ZEPHYRHILLS 5335-8th Street ,,.. � (813)780-0020 1720 /w ELECTRICAL PERMIT \ PERMIT INFORMATION � LOCATION INFORMATION Permit#:17201 Issued: 3/24/2016 Address: 5832 10TH ST Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 250.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 40.00 Date Paid: 3/24/2016 Parcel Number: 11-26-21-0010-02300-0130 CONTRACTOR INFORMATION� OWNER INFORMATION � Name: HOMEOWNER Name: MENTLICK MITCHELL Addr: � Address: 5832 10TH ST ZEPHYRHILLS, FL. 33542 Phone: Lic: Phone: 813-713-1785 � Work Desc: REPLACE METER CAN APPLICATION FEES � ELECTRICAL FEE 40.00 INSPECTIONS RE UIRED 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. CONTRA OR PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL�FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhilis Permit Application Fax 813-780-0021 Buflding Department Daf��Racelv�d Phone Contact'for Perm(ttfn – Owner's Mame �/ : L' t° '�" t � l' Owner Phone Number " (3 J��5 ✓ Owner's Address � �� Owner•Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titieholder Addr�ss " JOB ADDRESS ✓"� , �OT h t " �C !2 t/' c�f S ✓ LOT# � SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED � NEW CONSTR ADD/ALT � SIGN� Q Q DEMOLISH � B INSTALL .B I REPAIR . PROPOSED USE �—SF Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK ' Q FRAME [� STEEL Q DESCRIPTION OF WORK ��L I!�L'� IM C �I� �N BUILDING SIZE SQ FOOTAGE� HEIGHT , QBUILDING $ VALUATION�OF T07'AL CONSTRUCTION QELECTRICAL V' $. a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. . QPLUMBING $ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� QGAS [� ROOFING Q SPECIAITY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. NO ' BUILDER COMPAMY� SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N. Add►ess License# � ELECTRICIAN � COMPANY dl?'1G 47dj2�� SIGNATURE �" REGISTERED Y/ N FEE CURRE� Y/N Address - �License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N .� Address License# ° MECHAIdICAL COMPANY SIGNATURE REGISTERED Y,/ N FEE CURRE� Y/N Address � License# . OTHER COMPANY S�GNATURE REGISTERED Y/ N . F.EE CURRE� Y�/N Addres� License# s . RESIDENTIAL Attach(2)PIot:Plans;.(2)sets=ofBuilding,"Plans;`(1)set of Energy'Fortns;R-O=W Perrr%it for,"new construction, Minimum..ten;,(10);working'days,after�submiftal�date. Requlied ons(te,ConsfrucHomPlans;Stortnwater Pians w/Sllt Fence installed, _ Santtary�FacillUes�&1,;dumpste,r,,,Site�Work�Pertnftforsutidivisions/largepro]ects� � �°`�' � � COMMERCIAL Att�ch(3)'complete sets of Building Plans plus a Ufe Safety Page;(1)set of.Energy Forms.R-O-W Pertnit for new construcUon. , . ,,,-, Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w!Silt Fence installed, Sanitary Facilitles 8 1 dumpster.Site.Work Permlt for all'new projeofs.All commercial requlrements must meet compllance SIGN PERMIT Attach"(2)'set§of Erigineered�Plans.. :: ;K . - , ""PROPERTY SURVEY reguired_forall NEW constructlon. � Directlons: FIII out applicaUon completely. Owner 8 Contractor sign back of appllcaUon,notarized If over 52500,a Notice of Commencement is required. (A!C upgrades ovar$7500) '" Agent(for the contractor)or Power of Attortmey(ior�the owner)would be-someone with notarized letter from owner authorizing same , •, DVER THE COUNTER..PERMITTING ��(Front:of Applicatiori�Only) � �� " " � " Reroofs,if�shi�gles Sewers Seniice Upgrades AIC : Fences(PIoUSuryey/Footage) ' ` - ` Driveways-Not over Counter ff on public�roadways..needs ROW- -... ;:.. � � �� NO'f�CE OF DEED RESTRICTIONS: The undersigned und�e�tand��-,th�t this.;p�rm[t.maybe,subJect to,"deed"restrlcttons" 4 which ma be�more.-r.est�ictive.�th��Goun �r ulatlong: �The'.un'dersigried'assumes•-res'onsitiili :for�com 1lance'with an Y tY s8 P tY P Y appAcable deed restrictions. . : UNLICENSED COPITRAC�ORS �AND COM'PRACTOR RESPONSIBILITIE�: if the owner has hired a contractor or con4ractors to undertake work, they may.be_r.equired..to:�be;llcensed In accordance.with state.and•local regulations. If the cont�actor ts not.lfcensed as�cequlred by law, both the owner and-contcaetv�-may�be-cited�for a4rnisdemeanor violation under state lavb. If the owner or Intended�-contractor.�are.uncertaln as to what Ilcensing.requlrements�rnay>apply�:„for�the intended work, they are advfsed to contact th�Pasco County Building 1nspect(on Division—Llcensing Section at 727-847- 8009. Furthermore, tf the owner has hl�ed a contractor o� contractors, he Is advised to have the conUactor(s), sign porQfons of the "contractor Block" of-this application for which they wiil be�espo�sibl�. If you, as.the owner sign'as the contractor, that may be�an fndication thet�he is not�.properly Iicensed and is not�entitled to perrriftting prlvileges in Pasco County. TRANSPORTA'T10N-IMPACTIUTILITtES-�IMRAC't�A(�D-RESOURCE RECOVERY FEES: The undersigned understands that Transpo�tatfon lrnpact Fees:and.Reco.urse Recove.ry.Fees may��appiy��to.th�constnactlon of new bulldings,.ch�nge of ' use in existing buildings; or�expansion:-of�aex(stin,g'�6uildings, as specifled.in P�scv County Ordinance number 89-07 and 90-07, as amended..,The undetsigned �Iso�understands, that such fees,-�as,may�be�.du�;;�will��be identified at the<time�of permitt(ng. It Is fu�tlier understood that Transportation Impact Fees and Resour.ce Recovery'Fees mus4 b� p�id prlor to receEvireg a "certificate..of occupancy" or flnal.powec�release. :If the projecE.daes.not involve-.a certificate of occupancy or flnal power rele�se, the�fees mu�t be pald prior to permit issuance. Fu�thermoce,-�if Pasco,County Water/Sewer Impact fees are due, they�must be-.paid prior to permit•Issuance=in accordance with applicable Pasco County ardinances, COtdS7'ttUCYION LI�N"LAW(Chapter 713� Fla�rlda�t�tutea�as smended): ff valuation of work is$2,500.00�or more, I certify that I, the applicant, have�been provided with a copy� of the "Flor(da��Constrcactlon Llen Law—Homeowner's Protection Guide" prepared by the Florida Departme�t of Agric.ulture and Consumer Affairs. If the appllcant Is someone other than the"owner", I certif�r that I�have.obtained�a copy,of the above..described docur�ent°and.p.r.or�ise�in,good f�ith to deliver it to the`owner"prior to�commencement. CONTRACTOR'S10WNER'S AFFIDAVIT: I certity that.all the-information I��thi.s applicatlon is accurate and that all work will'be done in complEance with all applicable laws regulating con�tructlon, zoning and:-land development. Appllcation is hereby made to obtain .a permBt to do work.and Installatlon as indtcated:. I cert6fji that no wiork�or Installatton has commenced prior to Issuance of a permit and that.all work wrill ba performed to meet standards of all laws regulating� construction, County and City codes, zoning regulatians, and land developm�nt tegulations-in the jurisdfction. I also certify that I understand that the regulatlons of other government agencies may�apply�to the intended work, and that it is my responsibilily to identify�wha#:act6ons I must•take:to be�in.corr�pliance: Such agencies Include but-are.not Iimited to: - Department of Ehvironmental Pratection-Cypcess.�Bayhead�;�1111etl�nd Areas and Envlronmentally Sensitive Lands,Wat�r/Wastewat�r Treatment. - Southwest Florida Wate� �llanagement .Distrlct-Wells, Cypress.��Bay.h�ads; Wetland Areas, Altertng Watercourses. - Army Corps of Engineers-Seawails, Docks, Navigabl�Watetways. - Department of Fiealth 8 Rehabifltative Servlces/Eravironmenfal Health Unit:Wells, .Wasteu�rater�Treatment, Septic Tank§. . - US Environmental Protection Agency-Asbestos abatement. - Federal Aviatlon Authority-Runways. Y understand that the following:�estrlctions apply to�the use of flll:� - Use of f101 is not allowed in Flood Zone"V"unless expressly permitted. - If the fill m�terfal Is to be used::in.�Flood Zone. "A", 9t. (� understood that a drainage plan addressing a "compensa4ing volume" will be submitted at 4tr�e of permltting which i� prepared by a professional engineer Ilcensed by the St�te-of flo�ida: . - if the flli rnaterlal.Is to be used in Flood Zone °A" in>connec�ion�with:��permitted building using stem wall � construction, I certify that fill�:wlll=b.e used only.to.till the area within the�stem•wall. - IF ftll material is to be used In any area, I c�rtify that .use. of such flll will not adversely affact adJacent propertles. If use of flll is found to adverse6y.affect adjacent�properties,.the owner may be'cited for viofaling the condi#ions of the"building,permit Issued•under the at�ached�p�cmit application, for�lots less than one (1) acre whleh are elevated�by�illt, art engtneered drainage plan is required. • If I am the AGENT FOR THE OWNER, I;�promise In good faith to inform the owner of-the permitting condftions set forth in this affidavtt�prior to commencing construction. I under�4and that_aaseparate permit may be requlred for elect�ical work, plumbing, signs, wells, pools; air condiUoning,.gas, or other insta�llations not•specJflcally Included�in.the application. .A permit Issued shall be construed to be a�Iicense to�proceed with the work and not as:authority to.violate,cancel, alter, or set aside any provlslons of the technical codes; nor shall Issuance�of a.permtl.prevent the�ulidirig Official from thereafter requfring a correction nf errors In.plans, construction or violatlons of any codes. Every pertnit issued shall become invalid unless the work authorized.by such permOt�Is.commenced�within six months of permlt issuance, or If work authorized by the p�rmit is suspended or.abar�doned#or a:period of six�(6)months..�fter the fime the�work fs commenced. An extension may be requested, in writing,.ftom the �uilding:Officlal=for a perlod:not to.ex�eed nin�ty�(90) days and v►�ill demonstrate justifiable cause for.the extension. If work ceases:for nlnety(90)coros.ecutive:day.s�..th�Job is.considered abandoned. WARPlING TO OWNEFt: YOUR FAIUJRE TU..R�C.�RD:A NOTIl;E:OF�COMMENCEAAEMT:MtAv�RESULT IN YOUR PAYING TWICE FOR IIkAPRO!/EMENTS�YO YOU.R�-PR�OI��RTY. IF°1ROt1�IIV�'FEND�T��O�T�AIN��FIN�ANEING;�C.OPISULT ' �ii��G��.EnD�cF?OR AC�A�'CE��l��S�E�'��2a��Y�lJ�`'N�'fIGE'OF''�OI�l1�E�dCEIVdENT� FLORIDA JURA�'�(F.S.1.17.D3) � OWNER OR A(iENT CONTRACTO � �'bscrl d and swom to � �i e b o e me is Subscrib nd'swo ` (or a )' e me� IB -z �6 bY `�� K z �'�,b - .� _ x�- �G� WFio I are personelly . wn to.me or has/h�ye pro uced IR/ho s/are p rson ovyn to me or-has/have�produced. • � I.�:i��2r Cand�as Identlflcatlon. � ,�: ��L�2rS L� �� es IdentlBcaUon. / , ��-✓�! Public ��- °`f� Notary Public Com slon :��:�Y�"y�.'•-•, JACQ �N�� Comr�issl �;�:�'a�, JACQUELINE B ES ;;; ';,:: ;,,: •;._ ommission � ;�. :;; Expires December 12,2018 :^: :o; Expires December 12,2018 Name of No ��'rin Name of tfrf�r,'�d,� W � � � DISCLOSIIRE STATENl�NT FOR OV�NER CITY QF Z�PIiYRHILI�S BIIILDING DEPAitTl�NT I, have read and fully uaders�aad aad ' agree to the provisiosrs of this iastrumeut. The uadersigaed states and affirms that he ar she is desixous of canstructing, reaovatiag, addiug to or xeroofing his ar her own domicile, that he or she ' ac�ually occupies, or wi11 occupy by said damici3e, and same is not for reat, lease or sale. fiha� he ar she shall comply with the followiag coandi�ioas: 1. Tha� the ovPner and he or she alone shalZ act as the builder far all phases of coastructioa. 2. Tha� the owner wi1.1 camgl.y with a21 provisiaas of the City af Zephyrhills ordiaances and cades pertirzent to the buildiag. 3. Tha� ia the event various phases of coas�ructioa are subcoritracted, he will eagage oaly prapex2y lieensed subcontraetars and will persoually supervise such work. 4. That ia �he eveat the Bnilding Iasp�etor sha23 require carreetions �o be made, the owuex will as�ume full respaasibility to a.asure they are made, aad upon completioa will call �or a reinspec�a.on before proceediag with the buildiag. 5. That the owner shall ass�une full respoasibiZity for the con�structioa aad will aot expect supervision of his w�ark from �he C3ty o� Zephyrhi.11s Suildiag Departmeat. I 6. That prior to fiaal inspec�ioa aay additioaal fees, iacludiag reiaspectiou � fees, must be �aid ia fall. A written request from this of�iee shaZ1. constitute aa off3.cial aotiae to'pay add3.tioaal fees. 7. Tha� the owaer sha11 comply with all City, State a�nd Federal laws ia regard to saei.al security, workman's compensa�ion, lien laws, etc. , where applicable. 8. Tha� the owaer shall comply with alZ the safety codes issued by the Florida Iadustrial Commissioa. 9. State law rec,�uirea couetruction to lae doae by liceused contxactars.. You have �pp].ied for a permit uuder an exemptioa �o that law. The exempGion allows you, as the av�mer of your progerty, ta act as your avrn contractar Trai�h certain res�ricta.ons evea though you do aot have a licease. You muat provide direct I oasite supervision of the constructioa yoursel€. You may bui3d or imprave a one-family or two-family reside�nce or a Earm autbuilding. You may also build or improv�e a commeXcial bui,lding, pravided your coets do aa� exceed $75,Q40, The building or resideace must be far your awsz use or occupaacy. It may aot be built or substa�ntially improved for sale or lease. If yau sell ar lease a buiSdiag you have buil.t or eubstantially improved yourself ctirithi.n Z year after the coastructioa is complete, the law wiZ1 presume tha� you built or substaatially improved if £or sale ar lease, t+rhich is a violatioa o£ thia exemption. Yau may not hire an unlicensed persoa to act as your coatractor oac to eupervise peop].e working on yaur building,. It is yaur respoaeibility to make sure that people employed by you have licenses requireci by state Iaw and � ' by caunty or municipal liceasiag ordiaaaces. You may aat delega�e tb.e respoasiba.lity for supervising work ta a liceased caatractor who is aot liceased to perform the work beiag doae. Any persoa workiag on your building who is aot licensed muet work vader your direct sugervision and must be emgloyed by you, which meaas that you must deduet F,I,C.A. and withhoZdiag ta�c and provide workers' campensatian for that employee, all as prescribed by law, Your eonstructiaa must comply wi�h all applicable laws, ordi.aaaeesj building codes, aad zauing regulations. OYtI+iER'S STGNA2'URE.�'"� � J DATEEl�/' � r� �u ADDRESS "'. , �' �' c -' 2 PHON�3 � WITNBSS PERMZT # .� , . - �