HomeMy WebLinkAbout16-17210 CITY OF ZEPHYRHILLS /
5335-8th Street t
' l� (813)780-0020 �172�0
ELECTRICAL PERMIT
PERMIT INFORMATION � LOCATION INFORMATION
- - Permit#:17210 Issued: 3/30/2016 Address: 6741 6743, 6745, 6747 DAIRY RD
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: 2,000.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 45.00 Date Paid: 3/30/2016 Parcel Number: 02-26-21-0010-02600-0020
CONTRACTOR INFORMATION OWNER INFORMATION
Name: MARTIN ELECTRIC Name: RYMAN KEVIN & TAMMY
Addr: P.O. BOX 437 Address: 11248 MANSKER RD
DADE CITY, FL 33525 DADE CITY FL 33525-8506
Phone: (352)521-3319 Lic: Phone: 813-782-0825
Work Desc: REPLACE METER PACK
� APPLICATION FEES -
ELECTRICAL FEE 45.00
INSPECTIONS QUI ED �
ROUGH ELECTRIC ( .�
CONSTRUCTION POLE �
PRE-METER � �� _
FINAL
� I .
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 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.
�
\�
_ ;
CON CTOR 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 Zephyrhills Permit Application Fax 813-780-0021
Building Departrnent �
; =--�.
Date Recelved
� • �• �.Phone=Contact�for PermitHn �._ �
� , , . � - . �13 ��lz��S
Owner's Name ,� 11j� Owner Phone Number
Owner's Address � Owner Phone Number '
Fee Simple Titleholder Name Owner Phone Number
,,�
Fee Simple Titleholdar Address �'
JOB ADDRESS �7�l �c�f �Q �� .b7 LOT# �
SUBDIVISION PARCEL ID# �
� � (OBTAINED FROM PROPERTY:TAX NOTICE)
WORK PROPOSED '�NEW CONStR " - ADD/ALT Q � SIGN�' Q "Q DEMOLISH
� B f ,.INSTALL 8, - REPAIR
PROPOSED�USE. Q SFR . Q. COMM�, Q OTHER '
TYPE OF CONSTRUCTION• : Q BLOCK ` 'Q FRi4ME Q STEEC 'Q
DESCRIPTION OF WORK (��--� �/' � �- �
BUILDING SIZE �- ' 8Q FOOTAGE�. HEIGHT., .
QBUILDING $ '�fj*la:- 5::^e. r .
� _ VALUATION,OF`-'TOTAL GONSTRUCTION
�ELECTRI6AL , � �„.a AMP SERVICE "� PROGRESS ENERGY Q W.R.E.C.
�PLUMBING , $ - �
, t � �
QMECHANICAL $ VALUATION OF IIAECHANICAL INSTALLATION �
l
Q GAS , Q ROOFING �Q SPECIALTY-Q. OTHER; �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO q �j C/ ✓ �
. , i� I -
BUILDER COMPANY '
SIGNATURE REGISTERED Y/ N FEE CURR6t� ' .Y/N�
Address License#=
ELECTRICIAN. � . COMPANY: : /" ��f/�'� '�'�-IE�/�'!C-
SIGNATURE �' REGISTERED Y/ N FEE CURRE� Y/N
Address .D� �3 �l'� C� ',�1.� � 'LCo ., , ��cense_#.: :��..�7d O/���
PLUMBER , , �COMPANY•,� : . �
SIGNATURE ' " � .riEciS.�RE� ,Y/ N _ FEe cuw�en- Y/N. _
Address � Ucense#
MECHANICAL ' _ - . COMPANY � .�
"'-SIGNATURE s REGISTERED. Y./_.N. .` FEE cutt�n Y/N ., . "
Address�` ' � � � � � License#
OTHER ' ' ' COMPANY '
SIGNATURE� ` - � " REGISTERED � ' Y/ N:,,,_ FEE CURRE� Y/N� �
Address - I - �� � ' License#
�RESIDENTIAL.;.'°Attach(2);PIot;P..lans;..(2)sefs�of�Building^Plans;(1)'set'of Energy�Fortri§;''R=0-W`Permit fornew�construcyon,, � f " �
-,•Minimum:tem(10)mworkiqg'days�afte"r':subrtilttal:date:,R'equlred onslte;rGon§triic8on°Plans;Stormwater'Plans w/SilfFence installed,
� � $aNtary�Fapilitles�&�:1:Sdumpster Site;;Work;Permit for:subdivisions/lerge:pro]eots - :.,.-;. '"' ' "
COMMERCIAL Attach(3);complete sets'of Buildirig Plans plus'a�Ufe'3afety�Page;(1)set of Energy Forms.R-O-W Permit for new consUuction.
Minimum ten(10)warktng days after submltYal,date. Required onsfte,ConstrucUon Plans,Stortnwater Plans w/Siit Fence installed,
Sanitary Facllides&7 dumpster.Site Work Permit for ali new;projects:.All commercial requirements must meet compliance �
SIGN PERMIT AttacFi"(2jsets"of`Engi�eered�,Plans:;,�.��.•�:�":� _:.`;°- , ,. , ' -
'•"PROPERTY^SURVEY reyuired for,all_NEW_construcdon._ .- . -
Directions: .. ' - -, ._ '
Fill out appticaUon completely.
Owner S Contractoc slgn badc of appBcatlon,notaiized
If over 52500.a_Notice.of Commencement is requlred. .(AIC upgrades.over 57500) .
�. .°.:;,:�;;�3u�s.,.<.,,
Aqent(for the�contraotor)�or Power of'Attomey�(for the`owne�)ilvould be`someone with nota�ized letter from owner suthorizing same
OVER THE COUNTER�.PERMIT7ING •-•��-;(Front of Applicatlon Only)�
Reroofs If shingles Sewers- Service Upgrades A/C Fences(PlodSurvey/Footage)
Drivewaya-Not over Counter if on publfc roadways.:need's ROW � `
, . '�,'- " �
- �` ' �'�.., -
, _,_, ....
MOT1GE+DF DEED RES'�RICTIQ�IS: The uriders[gned,under�tands:th�t�t�ls=,p��rti.tamaybe.:subject tn"deed"cestrlctlons"� 4 ,
whlch may-bermore-restir•ictive=thi�n�Countjr,��r�eg�ilati�'hs�`:Ttieyunde�r,°signed�as'sumesrAr`espansihiilttyfo��'icoitipllance"with�'any��`�•��
applicable:deed restrlctions. , � .,�. ,<:..:,,,�:�ti,;.�.;4... - ,_ _ _. .. .,�__.� ,,;',' .. �.
ilNl.iC�NSED�CONTR'ACTORS A-ND;xCON`FR�►CTOR.:RESPONSIBiC1Tt�S:�� �ff ttie�iiwner-fias�-liir+ed��a��contr�ctor or
coniractors to undertake work, they m�ybe;r�qui►ed;�to:��itcen�e.d Irn.accordance:with.state�,and,•local cagulations=�.:}If��the�.,��� a =
contractor�ls nof Ilcensetl�;as=raqul�i!"by taw, bo#1t the.awner sciii�=contiactar�majr,.be��te�fwfor s mtsdemeanor vlolation
under state law. If the owner ar Intended1contractor;are.,uncertaln as to what Itcensing.requirements�may:�apply���for��the��>-�,���-�s�3- �
! . - ...wr 1.r V, tY�.,�K, .
intended work;they are advisei!ta;co'ntact the Pasico_County Building"Inspe+cttonrtC?lvlslon--L(censing~Sectlon af 727-847-
,._.._ -_ _.w. w,.
8009. Fe�rthermore� if the awner li�s"°tilred a con�'racfair�or conUactors� he is advised ta Mave thie contractor(s),.stgn r :._,_.
��;�..:,.�,R,.,,,�,�..,.,.,.,, :�
oortlons of,the"contcactor Block".of..thla,applicatian for.wwhich.they.-wlll be r.esponslble.-...If.you,.�as-.tF.i'e owner�sign'as�the' `""�""�''
rontraa#ot, ttiat°may�be an indPcatiom tFiat�Fie~is'-not.properiy�ticensed"and��ts rio#"ian�tted fo�pertnftticig jiriuileges In Pasca
Gounty. � � �-:,��. - ,.. . - ,
TRANSP�RTATION.INlPACT/U'1'ILITIE$�rMPAC'�rANb-RE30U�tCE REClJVERY�FEES:�The underslgned uridet�stands
that Transportatlon Impact Fees�:and.Reco.urse.Recave.ry.�ees mays.appiy�.ta�.the construction af newxbutidir�gs��change�of=�::� �'`�_,�`` ' � ,
use in existing buildings,�'or��expansionr'of-}existi�ig�biuildings; as speclfled.in Pasco County Ordinance number 89-OT and -
90-0T, as amended.;,:The undersfgned aiso:understands, th�t��such fee�,:�as�ysnay��;e�due;�w11F>�be identlf#ed at the•�time�ofs--.:�h,, ":,�:�
< �
permitting. It Is furtiie��understood that Tra��portatlon�Impact�Fees and�Resoucce..Recavery��Fees:must be paid prtor to
rege�ving.a."certi#icate�of�accupancy"�or#inat-.power�cetease. :1#�,E#�e proj�c#;does:no�lnvotve,�a:.certi�tc�fe{of accupancy�o��=�:t-4`>�,-�.
�inat power release;,;the,'::fees-.mu�t�-be paid pcior'to.permit issuance. F.t��tk�ermore;�if;Pascc;:County�Vllater/Sewer�impact:�.:- �° - -�
:._ ..,.
fees are due�.they[nust.be-patd:.prior to permit�iss4ance_;ln accordance�wlttt:appllcable Pasco'.County itirdtreances.
CONSTRUCTlON�LfEN'l:AW{Chapter 713�Elorlda Stattatea,as amend�d): if vatuatlon af wark fis�2,500.007or more, l:. �. �-:.
certify that I, �he�appiicant,_:have..been._provided�with--a�copy of�the�"Fladda=�onstrttatfon�.klen`-.L:av�---Homeawner's
Protection Gulde" prepared by:-ttte�Fiof�da Depa�tmenf of A$rlculhtre and Consum�r_A_f,Fatrs. If the appllcant is someane. - :,
„
r�.;.� ,w,•.;.
. p . "„ iY`the;aboye.descrltied`�locur�aent;and:;p.r.or�ise in,.gootl:failh•to... : :_::.;.
other than th�"owner", I certifjr":that,l h�ve.o�,tained�a�copy;of,
delivef it to the.��owner": rior>to.c:s�mmericemet�t-:�`-s' " �t: - , � . t _ _ . , .
CONTRACTOR'S/OWNER'S A�FI�AViT: i aei�ify;;th�t:alk:the.�inf.ormafion:in�this.application is accurate.and that att wark "
r�:,,:
wlll be done in compliance vvith all.appltcable laws.regulating construction, xoning and�land°develvprr�ent. Appllcation is
hereby made to obtain :a.perm,�t;#o.do:wot�cx,and �I�"stailatEon as Inc�{�ateti:=:.-:'1<<cerfi�jr.tliat no worlc:a� tnstalla#tori°,has��
cammenced prlo� to Issuance of°a`permlf�an'd that:all�wo�k will be pertormed to meet standards-of all laws regulating-
GQ(t3tNC�IQR} Caunty and Gity cocles, �oning regutatic�ns, and land devebp�ter�t r.egulatio�sr-tn'#he ju�lsdlction: � 1.:ai'so=x
certify#hat 1 u�nders#and that the regulations af other�goverriment agencles may�appiy�tot,th.e.,intended,work� and #hat it is
my responsibUity to ldentify�what::act(ons I must.take:to befin::cAr�pllance.,S.u�h agencles lnalude buk are.:not Itmlted to:
- Departhienf of E�virortmantal-�Pri3fejct�on=CypTess.'8ayheads; 1N�Nand Areas and Ernrironmentatiy Sensitive
L�nds,WatedWastewater Treatment. �
- Sauthwest Ftoricfa Wa#er Managemerit :=t�tstr�ct WeNs� Cypress. �ajrheads, Wetland Areas, A1te�ing
Watercourses.
- Army C�rps of Engtneers=Seawalls.Dacks,Navigable Waterways.
- Department, of Health'$ Fte�aabiiitative,ServicesLErrvironmental.H�atfh Unit:Weli.s, Wastewater=Treatmen#,
Se�ttc Tanks: '' � � ' ,
- US Envlronmental Protsctiort Agency Asbestos abatemen#. �
Federal AvlatLon;Autharity=Runways+ . " �
I understand that the foltowing:.r'es#riEtloris'apply ta the uss of flA:
- Use of fi0 is no#allowed in.Ftood;,2one"V"untess expcessiy permitted.
- If the fill material-is-to^.be»u`sei�_''i'n::Flood Zane. "A", It. is understoad that � drainage plan �ddre�sing a
"compensating volume"will be subm[tted at#lone ot'permitttng wl�lch is prepared by a profess�on$t englneer�
I(censed by the„State•of Florlda: � . -
- tf th� fiA materiaF:is.�to.be.,use� in Eft�d �one 'A" im connectlon�uvlth.r��ermi#ted buiid3r�g using stem wati
� construc#ion, i certifjr that flll w111°b.e;used only.to flll the area wlthin:the stefn vuail.
- if fill materlal Is to-be used ln any erea, f certify that .use. of such`fll! wlll not adversely atfect a�Jacent
properties. _If use o#fill is fonnd to ad�erse�yw�ffect adja�ent�prcfperties, the owner may be�cited for�iafating � ,
the condl�ions of the'buildtng-permit Issued•.under the'attached�ermit applicatlon, for-:iats less than.one (1�
acre whfch"ate etevated�by i�tl;a�t engineer�ed dralnage ptat�is required, • .
If i am the AGENT.FUR THE<OWNER,-I;prorrii�se In�ood f.aith ta Inform the�owner.af�.the:p.ermitting-condit�ans set forth tn -
lhis aftidavit�prior ta oommencin�constructlon. "!-un�lerstani! that a�s�iparate petmlt rreay bs requtred for electrtca# work, _ ,
olumbing, signs� wells, pa.ats; air condltioning,.gas.,..nr�o#i�er install"a o s�'no�,spec�fcatty inctuded-in,the application. .A . „ �r:
aermit Issued shall be conshued to be�a'�Iicense to proceed with ttie�yi►ork and`not�as:authority to violate,-cancei, alter, or �
3et aslde arty provlsEons of tlie.technlcal:c+odei�;�nor shall issua�ce�of a permtt.prevent the Bulldtrig OiiIctal from the�reafter �
�equiNng a.conection,.af errors in�plans,�cons#rvction.or violatlons of any codes: •Every permlt Issued shall"become��invalid
mless the work authorized.by such perrta(t:�s.comme�nced�wtthin sGc,�months af penntt lssuance, or if work aathar�zed by
ihe permif is suspended or.abandoned:for a;petiadofi�ix{i31 mortftis;;after.the ttme#he�war�k�•ts commenced,:An e�ctensian
I �nay be requested, in writi�ig,.from the`Bullding,Officlal for a peribd::nnt�to.exceed�snlnef��(90}days a�d will demonstrate
astifiable c�ause for-the�tenslon: If woric ceas+es:for ninety{90)c�ns.ecutive.day.sj..the fob�9s�consldered abacidonec�:._
NARNlNG TC! O1�dNfRc YQUR;FAILURE,Tt1.TR�CQEtD.A.:NC>TIGE QF=CtJMMEMCEME[�T;MAY•�RESif1:T tN YQUR
�AYtNG TWtCE�GR IMPROVEMEI�'S:'1•�.'�fCUR�PRflPERTY:�::1�:Yt1.tl�iiii�"�'E�D"7'a��18TAiN<�FINJ�pE11�iG;'C.ONSULT -
.- �"� = �- D �O � e4 �E3 �� O. �k r� � �:�� :� C � =- _ ...— - _--
°l.t)RIQA JUiiA�'(F;S.117':03). . , � - _ _. ._ ,' '�
)WNER bR AOENT CONTRACTO '
�ubsc�lbed and s+xom io{or ai�nned}befare me th!s Subscxib�d ar�d` ot afifrtned}`belore'me tts� . �
by
Nfio IsJare personally kno�m to.me or,has/have produced 1Mio'Is/are p.eraonallyknown`to me�or_hasJhave•produced •
ss raenanc�uon. as��t�nun�at�on.
Notery Pubttc . T4�`' Natary Pubtic
• :�::eyB�,. JACQUELINE BpGES
:ommisstan No. " ` Com��sstoy � �
�`��t `�` Expires December 12,2018 �
.a.=
'%�`$P"°.�` de
�}ame at Notary typed,printed or stamped Nar�s at-No
.,. - ,! .