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Home My WebLink About16-17215 CITY OF ZEPHYRHILLS . ; 5335-8th Street (813)780-0020 17215 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit#:17215 Issued: 4/04/2016 Address: 5413 4TH ST 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: 1,200.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 45.00 Date Paid: 4/04/2016 Parcel Number: 11-26-21-0010-09300-0070 CONTRACTOR INFORMATION OWNER INFORMATION Name: MARTIN ELECTRIC Name: KUEFNER BECKY JO Addr: P.O. BOX 437 Address: 5413 4TH ST DADE CITY, FL 33525 ZEPHYRHILLS FL 33542-3939 Phone: (352)521-3319 Lic: Phone: Work Desc: UPGRADE SERVICE 1200AMP APPLICATION FEES ELECTRICAL FEE ' 45.00 � INSPECTIO S Ui D ROUGH ELECTRIC I CONSTRUCTION POLE PRE-ME . • 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. � CONT OR PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813a�o-oo�o City af Zephyrhills Permit Application Fax 813-780.0021 Bulldtng Department � �.- -e. . J Date Recelved . . Phone Cantact�far PeTin[itin .� � _ Owner's Name Gt'�,. �b "cY'►£.�C' Owngr Phane Humber Qwaer"s Address ��3 � �• �a 2 Owner Phone Number � � . Fee Slmple 7ltleholder Name� � � � Owner Phone Number �� i:��' '�� Fee Slmple Tltleholder Addre�s '" JOB ApDRESS ��"�,�J �� LOT# C� suBawisioN � �� . PaRCE�.i� 1l- 2�O-2.l • CX�1� --O�r�� - ad'7 0 � - (OBTAfNED.FRCMPROP6RT1!7AXNOSICE)� WORK PROPOSED '�NEW CONSTR' ' : ADD/AL1' �` SIGN' Q Q DEMO�ISH . � INSTAL,.L � REPAIR � PRORt}SED=U3E Q SFR � COMHJI` � OTHEF2 . . TYPE OF CONSTRUGTION�": `[�] BLOCK '' 'Q FRi4ME � STEEI:: '[,�` DESCRIPTIOMOF WpRK �°�" �v l� '�' �� "�"�� BUILpING SIZ� •�� SQ FOQTAGE'��. , HEICiHT :�„�� QBOILDING � � .VAWATION�O�F'70TAL�CONSTRUCTION �EIECTRICAL r>�� AMP SERVICE � PRQGitESS ENERGY Q W.R.E.C. L � �PLUMair�� . � --� . C�.. �� :. �f��-� [�MECliAN1CAL $ ' �VALUATION dF MECFiANICAC INSTALLA'TtON ` QGAS Q FtQQFII?tCa •Q SPECIALTY �. - .OTNER. _ FINISMED FLOOR ELEVATIQNS �� FLOOD ZONE AREA QYES NO BUILP�ER COMPANY ' � SIGNATURE REGISTEREp Y/ N FEE CURRE� ` Y/N Address - �� License# I � ' � M�.�-; �.t��r- ` ��., ELECTRtC1AN. 7��'' �_ - CQIIIIPANY' � i'1 1 c�. SIGNATURE a� RE(31STERED Y/ N FEE'CURREh �Y/N ' Address �•�1��'C'� �� L. 3 � . . -Ucense#: ��3�� `J � PUJMBER . . . ; CdMP<ANY� � � � ' SIGNAYURE "� ,REGI3TEREP Y./.:N FEe cuRttE�- Y/N _ � - Address � Ucense#�� MECHANICAL � CQMPANY � + SIGNATURE- ' ' " ` :.. i?EGisTeRea , , � Y./_,N FEE 6u�n Y/N,,. Address � " .License# � � O'fHER ' - . CdMPANY �� f . � SIONATURE � " ' - � ' `REGISTERED Y/ N..=_ FEE,CURRE� Y/N . . Addreasi - .�; _, .;.-� - •,'.�,;.-.,,,�,_::" - . ._ . License# � _ , . - � RESiDENT{At:: ::�"fAttacfi(2);Ptof;Plahs;�;(2}sets�of�Bultding'Plans;?(�1j'sefof Eneryy^Fornti's;`R=t?-W`Pemi#ffar=iievir�construcUon, ' �� 4�.. �;Minimum;ten;(:1,q)workling:;days',;afte�.su6iiiitfal;il'ate:,-Requlreil.onsite;CbnstruaHon Plans;S`tomiwater'Plans w/Silt Fence installed, � Sanitaiy Faciit�ess��rlydumpste.r.�;SiteiNorkiPermik-for�ubdfdi_slons/larc,�e prbJects - ` �� ' ' . �� COMMERCIAt Attach 3 com lete set�'of`Builiiiri�`Ptans�'lus arLife Safe Pa e• 1 set of Ene . Fomis.ft•O-W Permit for naw cdnstnsction.� " t ) P 9 P iY 9 ,t ) T9Y Minimum ten(10)working days'after�submittal'date. Required onsite,ConsWcdon Plans,Stormwater Plans w!Silt Fence Installed, Sanitary Faciiltles 8�1 dumpster.Slte Wo'rk Permit for aii new'projects"s�AiCcommerciai reguirements must meei compltance . : SiGN`PERMi7 At#acti"(2)sets of�Erigineered;Ptan's:;;f,��;.:��.:`, _ , , �, • ` � - "*"PROPERTY SURVEY re,qui,red for,all NEW conshuctlon. Directlonst . ` .--�- ..:, . ,. Fill out applicatlon completely. Owner&Contractor slgn back of appltcatiast.not�rized if over�2500,a Notice.,of Commenaement is requlred. (A!C upgrac9es avor S7S00) ,. -,.:;:;�,<<4�- " Agent(for fhe t�ntr'actor}or Power of"Attoiiieyw(for tttie�owner)w6uld tie sameone wtth�notarized letter from owner authorizing same OV,ER THE COUNTER�P,ERMITI'ING�• -•�� -�(Front-of Application•Only)��.� ` :. � � Reroafs if shtngles Sewers Service Upgrades A/C Fences,(PIoUSurvey/Footage) Driveways-Nat over Caunter if an public roadways..iieeds ROW '� � � i � _ .; _. ,� ' Y � tn:i�_..� .:,...� NOTICE OF DEED RESTRICTIONS: The underslgned;undergtands;.th�t,this�p�rmi�,.may.be..subJect toz,deedr,restrictlons_,._° :___,,,.�. , which may be�more-r.estHotivertth�n��Gounty'reg�latlons:'The�under`slgned��assumes-�esporisllitltty�for`complian'ce=with any' � "�, �" ' appflcable deed rest�ictions. , � � � . "�� ' .::.w..;--;,,,�;..� ,..��- ' : � _ . :...-._..r �.. , . , UNUCENSED-�CONTRACTORS -AND•CONTRACTOR.RE�PONSIBILITIES:�� If}�he owner has��hired��a�-contractor or cont�actors to undertake work, they may�:be�r�qulr�ed.tto:�be;Ilcensed In.accordance.with.state�:and,local regulations. ;;If.the�> �� °� -_� �= �ontracto� is not��Ucensed.�as��requlred'�tiy law, both�the owner and�contracto��may�be�•aited�fior�a°ml'sdemeanor violatlon under state law. If•the owner or intended�;cantcac{tor,�are:uncertaln as to what Ilcenaing,requirements4may�,apply:��for�:.the -..-��= ;��= _ intended work;they are advised to contact tFie�.Pasco County,Bullding Inspection,Diyislon=Licensing~Section at 727-847- , _�.�.. 8009. Furthermore, If the ovmer has"hired a conhacto�or confractors, he is advlsed to heve the contractor(s),.sign , .,�.,.�. _ �..�.,.. .� ,-; .�.,-�, oortlons of the "contractor Block°_of.this,application for;which,they..will.be.responsible.-.:If.you,,.as-fhe_own'er sign as�the�' �� `- ' �ontractor, tfiat maybe an Indication`'that'he�Is not properly�licensed-and�'is not�entitled"to per'mfffi'ng prlulleges In Pasco: _ � County. • .. ,:;•_ . _.. . , : -. - - - - � ..,..._ _.. � - - TRANSPORTATION•IMPACTIUTILIT�ES�IMPAC'I��ANb�RESOU�tCE RECOVERY�FEES:��T�he��unde7signed understands lhat Transportation Impact Fees:and.Reco.urse.Recove.ry.�ees maysapply.;tv�the construction of,new,bulidings�.;change=of-- " � use in existing buildings, or�expansien�'of�ezlslin�g�6uildings,"as spectfied.in Pascv County Ordinance number 8g-O7 and e0-O7, as amended..:,_The_undersigned also-utiderstands� thait:�such fees;-as}may�;�,e�:;due;:,will��be identlfied at the`time��of-,�� = � � - permitting. It is iu�tlier'understood that Tra�spo�tatlon Impact`Fees and=Resource.Recovery�=Fees mu�t be pald prtor to receEving.a"certiflcate=of occupancy" or flnal-.power�:release. :If•the proj�cf,does:not involve�;a=.certiflcafe;of occupancy�'o�_=�' �=�� - ' final power release;;the;.fees�mu�t�be paid p�ior:,to permit Issuance. Ft��thermore;�If,Pasco�County�VNater/Sewec.Impact; - .. � Fees are due,they.�_must.be-pald::pMor to.permit�lssuance:�n,accord'.ance..wlEF�applicable Pasco'-County ordinances. CONSTRUCTION LIEN"LAW�(Ctiapte�'T13� Florlda Statutea�as amended); �f valuation of work is$2,500.00;or more,;I. ••.. � . ,_ oertify that I, �he-applicsnt,.,have-been _prov.ided,-wlth-a-copy-�vf�•the ":Florida�-Construction._Llen_Lavir—Homeowne�'s Protection Guide" prepared by,the Flo�ida Department�of Agric,ulture and Consumer.Af_fairs. if the applicant is someone-- - � _ __ :� .. ,:,�.;�. � �, other than the`owner", I certifjr..that.l�h�ve,obtained%a��copy,of,the above:�escrlaed��locur�ent;and,:pr.omisetn-,good:.faith�to:. , : . .�_. : � .�.,_.: -� deliver it to the:`owne�'-p�ior-to;;comme�ce�inent:�'..��,y: :.. . .. - - . _ - . . , CONTRACTOR'S/OWNER'S AFFIDAVIT: I ce�tifj►;;th;ataall�the.,Informallon in,this�application is accurate and that all work ' - will'be done in compliance with all�applicable laws.regulating constructlon� zoning and��land•development. Application is hereby made to .obtain :a .permit„to,,do.;woi`14.�and :InsCallatlon as indi�aEed:�•:�4 certffy"th'at no w;ork:or, installatlon'has commenced p�lor to Issuance of�a�pe�mlf"and that`:all�work will be perFormed�to meet standards.of all laws regulating- construction, County and City codes, zoning regulatians, and land development cegulations•In the Jurisdictlon: I::al'so� certlfy that 1 understand that the regulatlons of other�govetmment agencies may�appty�to the intended,work, and that it is my responsibllity to identify�what.acttons I must.take:to bedn:.compllar�cs:;S,uch agencles=lnclude but�are::not Iimited to: , - - Departfient of E�lvironmental-Profection=Cypress:'Baylieads; 1111etland Areas and Environmentally Sensittve Lands,WaterlWastewater Treatment. - Southwest Fiorida Water Management '.:I�istrict-Wells� Cypress. �ay.k�eads; Wetland Areas, Aitering Watercourses. - Army Corps of Engineers=Seawalis, Docks, Navigatile Waterways. - Department of Health�'8 Ref�abilitative Servtces/EnviFonmental Health Unit:Well.s� Wastewater Treatment, Septic Tanks�. � ' , - US Environmental Protectlon Agency-Asbestos abatement. � Federal Aviatton:Authorl Runways. • tI!-. ., n I understand that the following=rest�icflons'apply to°the use of flll: - Use offill Is not�allowed in Flood;�Zone"V"unless expressly permitted. - If the fili matehal is �to_�b,e'�u`sed�'1'n �Flood Zone. "A", It. is understood that a drainage plan addressing a "compensating volume"will be submitted�at time of permifttng whlch ts prepared by a professional engineer Iicensed by the:;State of=Florida: - If th� flll maferlal::is.to be.��used in Fiood Zone 'A" in5 connecfion�wlth.a•�pecmitted building using stem wall ' constructfon., I certifjr that flll wali=b.e;used only.to.fill the area within�the=stem�wall. ' - If flll materlal Is to�tie used In any-area, I �certify that .use. of such flll will not adversely affect adJacent ' properties. If�Ise of flll Is found to adversely_�ffect adJacent'propertles,.the owner may be cited for violating - the cond�ions of the bullding;permit issi�ed•under the-at�ached permit applicatlon,•for�lots less.than.one (1) acre which are elevated by f111,a�englneered drainage plan fs required. • . If I am the AGENT.FOR THE-OIMNER, I�promise In good faith to I�form the�owner of-the:permitting condft{ons set forth in � lhis atfidavtt'�prtor to commencing construction. "I'understand that a=s�parate permit may be requtred for elecMcal work, - olumbing, signs, wells, pools; alr conditioNng,.gas, or otMer Insfal at ons��not•speciflcally included-in.the application. .A . �ermit issued "shall be construed to tie a°Ilcense to proceed with tFie'�work and not-as:authoNty to,violate,�cancel, aite�, or , � set aside any provislons of tFie.technical:codes;�nor shall issuance�of a permit.prevent the Bulldirig Official from the�eafter �equiring a.correction af errors in.plans;const[uctlon orvlolatlons of any codes.-�Every p'ermlt Issued shall become•invalid rnless the work authorized:by such permit:�s.coEnmenced�withln sGc months of permit issuance� or if work authorized by ,,..�... ihe permtt ts suspended or:.abac�doned�for a:perioc�of�six:(6)montlas�.aRer;the time the�work��is commenced.-.An extenston �nay be requested� in writing��from the;Building.Offi�i�l for a period.;nof�to exceed�nlnet��(90}days a�d�will demonstrate ustifiable cause for.�the extensior�. If work,cease�:for ninety(90)consecutive:day.s...the job�is.cons(dered aba�doned:' NARNING TO OWNER: YOUR.FAILURE,TO.,:RE.CO�tQ�A„NOTIGE�OF;•COMMEMCEME(�T�MAYtRESULT IN-YOUR �AYING TWICE,FO,R;IM..P.,ROVEMEN�S-Tfl YO.UIZ>�PROPERTYr:�IF�.YO.tl�l�l�E�D�`T��OBTAIN��FIN�ANCING;'C.ONSULT �,UITH YOUR LE�VDER:OR AN�ATTORNEY�fFORE��R�ECOR��IwC:=�YOUf�'NO��C-� ! � �,OMII�IENCEtV1EN�._�-- = - -- _ -_-- " �LOF:i^uR3ii�3'�(F:S.-9`iT:03)`--__ _. _ - .. _ ,. .-. . )WNER OR AOEN7 :.CONTRACTO ` I, iubscrlbed and swam M(or a�irmed)before me Ihls ' Subscxibed'and'swo (or aflirme re me:tht� by •by� ' � Nho Islare personally knovm to.me oc has/have produced 1Mio`Is/are p.etsone own� me or_heslhave�prodi�ced • as Identlflcatlon. as identlflcadon. _ , I . Notery Publlc �:2 Notary Publlc � :ommisslon No. �' Commla on . �wV��"'�-� JACQUELIN OGES .;; •:�;� omm ss on � � ;N: :o<: Ex ires becem6er 12,2018 Jame of Notary typed,printed or stamped Nan're of No ' °p1�In�d��i��i '�"0' ' '''