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HomeMy WebLinkAbout16-17363 :� - CITY OF ZEPHYRHILLS 5335-8th Street (813)780-0020 17363-�'� ELECTRICAL PERMIT �'!� PERMIT INFORMATION ' � - LOCATION INFORMATION � Permit#:17363 Issued: 5/18/2016 Address: 5600 BETHANY LP 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: 400.00 Total Fees: 40.00 Subdivision: SIXTH AVE Amount Paid: 40.00 Date Paid: 5/18/2016 Parcel Number: 12-26-21-002B-00500-0000 CONTRACTOR INFORMATION _ � OWNER INFORMATION � " Name: PATTIE ELEC. & REFRIGERATION Name: SIXTH AVENUE LLC C/O MHC OPERATI Addr: 39111 PATTI RD Address: 2 N RIVERSIDE PLZ STE 800 ZEPHYRHILLS,FL. 33540 CHICAGO IL 60606-2682 Phone: (813)782-3319 Lic: Phone: Work Desc: REPLACE METER CLIPS ' APPLICATION�FEES ELECTRICAL FEE 40.00 ' - INSPECTIONS 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 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. G���l� CONTRACTOR 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 Department Date 12ecelved . , . � `-phone-Contact%for'PernNttin'��� - � ' Owner's Name l/-e " �� � C� .v /'C� � � Own�r Phone Number ' Owner's Address � �• �' �" - • �� � Owne�•Phone Numb�r ' Fee Simple TlNeholder`Name��- ` ` � �F ' • Owner Phone.Numb�r":�-. . _ , _ �:��._. ,. , , . . , . _ . "�-- Fee Stmple Tltleholder�Address, . ` ' � _� ,�., - . .. ` JOB ADDRESS � �J �p�JL� Qr(� � ` ' LOT# � , SUBDIVISION .:µ: . _ � - ��a�c��iu# l.Z��'"�/„6U�(3 —��6Z�— G D� � �` : • • � �� � � � � � �(OBTAINED FROIL4 PROPERTY TAX'NOTICE) ` WORK PROPOSED ' NEW{ONSTR : " ��� 'ADD/ALT Q' -`SIGN ��Q � ' . Q` 'DEMOUSH - , _ B� '., INSTALL ��8.� .-_REPAIR -� - -. : ,. � . , PROPOSED:USE• . . Q� SFR. ` ,:`[� , ;COMM��. 'Q ' OTHER , :. � ; _ . ' TYPE OF CONSTRUCTION„ ;'Q". BLOCK' ;' ;Q'� -':FRAME , � .STEEL, -Q„-,;.-.a ,,.;, .� - - _ _ ' �. DESCRIPTION OF WORK r`e Gi� ' " " � �(�- -.`f( S ' ' ,. BUILDING�SIZE"' , � `'$Q.FOOTAGE: . ;HEIGH�`; . �-, ,'� ' . . � _ ° ,. OBUILDING $ '�;.��:«;��,, ,-..,.e,�:....... . , _ . , _, • ,. _, -- ��, _ '•VALUATION�F`�`OTAL�`CONSTRtJCTION ELECTRICAL $ • �-AMP SERVIGE �j�Q� ��/ PROGRESS ENERGY [_]: 1AI.R.E.C. v . . . QPtUMBING •..- $ , •- ' - ` :. . . : . _. � .-� � : . � . r�]�v�3 [�MECHANICAL' $ ' � ' .._VALUATION.OF.MECHANICAL,INSTALLATION -- �-f'=' /: . � QGAS , .�Q;. ;_ROOFING,c;��Q SPECIALIY°Q- OTHER � - . �r FINISHED FLOOR ELEVi4T10NS FLOOD ZONE AREA [�YES. NO : . l��..,� � � : ,.'s�:_.. .. . . . , �. : . BUILDER COMPANI(' ::� " -� • ' ' ` SIGNATURE REGISTERED Y/ N. - FEE CU��°`.,,,. �`�Y/:N._- _, „ Add�e�s _ _ ,�.,, . ,,. , ... � ,. . � � . , , . � - .. _ - ....�. : .�. 'l:lcense# ELECTRICIAN� . �n~ ,. �..v�-' -„ , .� :.`'t,:COMPANY '` .,� .� SIGNATURE y REGISTERED Y/ N F�¢uriite� `Y7 N' : ,� " Address ".-, i n'a1;� ',Licen'se#���/i �O�''.� - PLUMBER ��;4 . 4 , . , ,COMPANY� > > . . ,�. � SIGNATURE � � . _ t REGISTERE - ` '- y, . . , a; .�> <Y/-�N,:;; ;�_cu�En. .Y7N:-. Address ,— �. � .� . ,.. _ : , .Ucense#t. . .. - . .-,�; �. F•r- , . - � � .. _. . INECHANICAL , , „ � - ,. -.COMP _ !: - _ � SIGNATURE . ,. , .- ��- ., . . F;�' . ,. • .r . . ANY._.,,.:: " �;' _ :.�.;:t�•.,, ..,�.. REGISTERED;,� .. :Y./':N:.;.� .;�FEE,CURREN.; �:Y./�V_�'' . `, . . ,, , ,,,,;,, ,, ;, ,,; ,' .. . ' ;�=;..; . � . - . , ,. ... _ .-. _. . . _ , ,. . ,� .��.; .. , :�:,-.:: .. . ,. , .,:c .: . . Addresa.,,.:,,,�., , ... ;. ,.. - �• _.. . . . _. ... � ;. :.,,. ,.�_.� , ,;License:# OTHER ._. ,:�. ,,.�._I:�; �i° . � , , :E;:- ., , ,. :.�,.<��„ _ =`' . . , . - , .. . . . ., . -, . .. _. :; , .CO�IAPATIY�: - - �y - - SIGNATURE,- �,� �b. . . _ :4..._ _ r ,..:,: _ ..,. x-�: .,._.. .. �r. .. . . ..�•.,,<.,..,; , :._� _ .,; ;,. .,.- . .,. ,_ , , L,.N.,.r;, .,. _ ...<,�.� ..�, . �. .. :•� : • •, � .., ... .._ ,;,_� _ - REGISTERED_ .,Y/ N,:; ; �-�FE�:CURBE� =�;Y/;N.:` : /alddPeSS , ,. . - - '` �': ` - , �- _, . . . _ . . -. -' -. - , . �_;;: a�:�r.;;,�"_ _ ,:�;,,; ,-Ltcense# _ • �3'� �h._ • '- ". j � �. }�'.... 'r _ .,�J.�:.:� _ ' " _ _ _ ..;i.;. ..� _ r"'h:'`�.:.r."...�".-�'.:::����.�' .'Y .-}'�_[ ?vY,n'�:__: , r -. . i RESIDEN11ALi =�AttacFi„(2`,P1ot;Pla'ris;;"2:"sets•.of:Buildln``':Rlans;.���7�"s''etof�Ene �Fortns;;R�O�W-P.err`rilt:for,new`constnic�ton �- � ,. e ) �.). ,9 . _ _�..) . _. ►'9Y3 ,,... _ ,..:,..�,,.,,:,...,n t.:: �:.: - ..�:4•,,.Miniinum�,tenw(;1;0.);�'rArking;day;s�aiteri's`utiKiiittal�date;�Reguli�ed onslte;-ConsfruoHon�Plans;vStoimwater",.'Plans w/Siit Fence.(nstalled,- �.�,.:-,:.�� > � . . < <...... ,._,.,�:. , -• . I � Sanftary Fadlides&s�.dumRsterwSlte�Wor�c Per,�niE�or subdlvlslonsAanBe;pinJects;�r7-`s��-;�; ��";=�=r�:= �- - -� -''�'•�'�.-'-� ° '.- . � � COMMERCIAL Attach(3j`coriipl'ete'"sets of�Bu1ldlrigzPlans plus ahU�fe Safety Page;(1)set of Energy Forms.R-O-W Permit for new canstructlon. Minimum ten(10)working days'aRer submittal date. Requlred onsite,.Constructian Plans,Stortnwater Plans w/Silt Fence installed,., Sanitary_FadliUes,&1.dumRster.,Site.Work�Permit•for�Il�newfprojects:��All'commercial:oequlrements:musYmeet'compllance . . SIGW PERMIT AttacFi'(2)"`§ets of'En'g'�neer,ed�Pl'ans:�ti?;ts;:�sK`' ... _ . . _ "`.' , ' '. ' . ""PROP.ER7'1'SURVEY:reguired;UQr„a11�NE1N:constnictioq: - � ' - " �` - - - - , ' - - - - = :.3.. „�_ �Dlrectlons: •- =�:�=:`:ri<:,-;�;:a�;=: �y ,. _. ...._ _..._.._. __ _ .. . . FfU out epplicaUon completely. I Owner&Contrectorsign back:of appl(caUon,notarized If over�2500,a;Notice of.Commenc�ment la.require�: (�11C upgrades over E7500),�, . �•- ._.. . ..,._.._ .1..,:...:..,:<M�.: ._ _ ._ :_ . _ _' .. • 7�,`<:+:;.,;_;,�:,;,.._ _..,_.. ..._ ... - - . _ .. _._:: .._. . .,.. . , . .. ., AgenF(for tFie contracfor):or:Power of Attomey(forthe�owner).would:be someone.writh notarized letter from owner authoNzing same 'OVER THE COUNTER.PERMITTING�="--;~":�(Front�;ofyApplicatlon Only)~�� ' ' Reroofs if shingles �Sewars Soryice:Upgredes'/VC,' � Fences,.(RIot/Survey/Footage) __ .. - - _,�-:,�-.�_:�_;,_....__.�.-::.::-, __..- _'__,:, .. ,_�:, ;=:_' :.,;-� ;::��_. -..�s,� . . , _. . . , - . .;�r;�,;..�..-._., ,. , . �:: Drlv�ways-Not over Coun4er if on public roadweji�.:needs ROW .,„ ` �=,��' � :j ��. , . - , _. . ;�`- , , .. , _<< y . . , . .-.... . �� EE�,REBTR#CTI�NS.:The-unders[gned.,untle�tands.�tl��it;tlats,. .�;n.. �Y:, �., _ �p-, - ; �107'1G�O�D _iti m be�_sub ect�.to,..".de�d":testrlct,!'ons:�_ ; . - r.r..t.. t::. ,}'y.i ,J.i i,.� ,,}�i »ytb:�a, .,[r�- ,'y�S?.,:.,' _:�.:�'.'k'.�.�: .w;.i+' .ts.:. ;,�r_�) uuhich ma .:bewmore:°I";�lBtF(CEhIe��.tFf�F1�C0U11tyar�gi�ilatfar�s:"The-:.ilntlerelgned�tassumes,;r.esp.�n'�Ibility:.tor.compliance vulth-�any � ap licabte.�eed:restrtcttoris;- � -_ '�<;`._ • - ` - �- - _ _ .'i' _ ':',.. ;- . •- �y a: . �:...t.� �r.>:__�::;.. � , .. � _ _._. .._.. .... _rr.,.,...__ _ .�. UNLICEN�ED:�GONTRAC'FORS�:;�1ND�'�COt�TRACT�R`RE3POWSI�ILi�1�S:r:�i���he�ouvnec�hes��:fiiriad�'��-co�itractor or � cantractars�to undertake-work,:tlte .:me:�be;.r..�q,u'Ired;�to;�G.e,ifcensed.ln�,e�ccordance:with:staite;and,"•Iocal:;regulallons:',��If�ther� ='" • Y_ � .Y ... ��-.;...��.. �; z. .,, �...� ._.. .: ., .,. ... ... . . ,,. contrac#o�,;ts�iiot='llceinsed�'as�-requlredntiy law,�:lroth:Ehe owner�and:-co»Eractorwmay�beucit�for�gm#�de�riea�at.vlole�on under state law. If#Fie owner or Interidiad.>.;contra,�tor�a„r,e,;uncertaih as.to:what'Ilcenstng.�requlrementsti�mayr`apply��fci�r:�'tliea�-o�•�`������� `ntended�work,�they�are advlse�f'to'c�ntact ttie Pas�o��Qunty,BWiding Irtspec#ton�Dlvls3on--Llcensing:Section.a#727=84�7- 900�. FurtFiemioTe; if the��:owne��tias�:Flir�d`a°coritracto'r. or`contractars,�hei':is adviaed to Fiave�:#he .cantractor(s);,sign . , , a�ortlons af'the"contnactor Qlock°,.af:�this�appliaation,,for-_:whM,,ch<they;wllL;be.:�e.sponslt�le..,:,lf:::you;nas`:the"owner atgri:'as`41'ie•�' � �ontractor,.that"."ma3r be"ait'liidicatioit��a#.he"is�notY.propeily-liceiise�=aiicf�`�S'riat�en�8e�'`fa�°periii�ltting prl�lleges.ln Pasca. : �:,- , s �ounty. . _ . ���;�°-,' ;�: �� �..: - . .. ,. ._ . � :.- - ._..� .. . .� :. ,�. ,.....�......_ . fRANSPC�RTA'T10N:!!11lPACT/UT1�I�IES�11�tRA�7�a1�b�RESOUt4CE REC�VERY��EES:�'Th�°un�er�lgr�eifi�understands `�,. :hatTransportation Impact Fees:and.Reco.urse Recove.ry.�'ees,rinay��apptya:#a�#�e constructton,,of,new:bulidings;�change�of"�f�-A'�`:'' . ''' �se !n exisNng�buildings�:.���,expansibn::o'f��iii��ti��builtlings;'as'`specified.tn Pasco�County�eOrdlnance number 89-07 and _ �0-U7. as amend�d�„,Th� undetslgned r�lso,underst�ands, #li��`sr�oh fess,�:as>ma�:'�e;{due,�xni.ill'�t�e idenfi#iet! a�t the�time°�o#'�� ',... • �ermitting. It is furtiier unde�stoo�d that Traflsportatlan�impa`ct`Fees and�:Resouraa�Rei�ire�Fjr�Fees.:must tie paid prlor ta �, �ece�ving a."cerft�c�te��of:occvpancy",.or i1na�-.pawer�Gelease;�:1#�the proJBct:does:no���tr�voiue�a=.certt#�catie af occupancy=at'� =��" .�.; ' �nal powec:cele�se,_.the;�fe�;�i=:musC:`be�p�ildNprtar.to;.permit Is�u�nr.e. �F��thermore;s�f��Pasc��.County;Water/S.ewer��lmpact�., :°• _ � ; `ees are dus,they;must�be�,pald;pilpr to,:perrnit�lssy�nce;�n.accorilance w.ltfr;appllcable�.Pasco:County�drdlnances. CANSTRUCTtON`1:IEN'LAVIY:(Ci�apte`r 713��lo�td�i Statutes,��am�ndedj: if vatuatlon af wark is$2,500.00.or�more;�i � � �enify that I� the..applicar�t;_.have:>-been:;proVldetl�:•with,-a�-c�opy�,of,;•the.��:"Florida•�Construi:tion��L:len�-Lavu�-Hameowne�'s �rotection Gutde" ptep�ret# by�tl�e''Flor�tlsa-Dep�rtittet�t;af Agr[c.ultt�r�and Cotisumpt;ltffalr�: If the applEcant ls sameane;�,_ : F z, �ther than th�"owner", I certtfjr.th�t�l-have.obfellned�a�copy.of.the;above:.des�e'ibetl t�cu�ent.and;;pro,r�is�,tn;good;;falth:to - �... �efiver it to:#he"owne�r��pi�or�'torEonii�encemeiit:;: � `. ,>: .3.. . .. .=,,,`� , . ,.. . '�-`�..", .. __. . , CONTRA�TOR'�IOWNER'S�AFFIDAVIT: i.ce':,ttify�#ti�ak:atl�afh�-:informatitm�.i��:#hi�appllcatlon ls accurat�'and that�Il wotk ' nr(II'be done in compliance with.all.applioabfe�laws��egulaNng constructian, zoning and:_land�,devetopmant. Application is � �ereby made to. obtain:a..permftr,to;.do.:w�tk�:,and:"ifistallatlon a� indt�eted:�::.,:<I;,cectityAthat�no wori%;or install�tion"Fias �ammenced'prlor to Yssoance of a permlt'and thaf:alf wark will be perFormed�to meet-.standar.ds.:of:all lavus regulating� ' ;ansfrt�ctlon, County and City cades, xoning �eguiatta�s, and land development r.egtilations�in��the:jurisdlcttort..,�I���al'sc�� �ertliy that i u�derstand that the regulatibns of other�government agencies m�ay�apply�.to.,#he;intended work, and that it Is ny responslbllity to tden#I�r•what.ecttons I,must•.take:to be,ln:.comp!la�ce.,S.uch;agencles-lnciude�but�are:not tlmlted:to: . , .-� :...�;�•� r�x,5 ,x ., � ,,;. ..,,.,,. . '' i - Department of Environmenfai�°ProtBctf�ri-Cqp"ress:�Bayfi�ads�; 1�t/�►tland>Areas and Environmentaily Sensitive Lands,WatedWastew�ater Treatment. � ' � " � - e - Sauthwast Ftortda Water Managemen��..:l�istr�ct Wells; •Cypress."`�.Bay�i`�aits;�'�`Vl/etland Ares�s, Altering ' Waterccurses. - ,.. .. - - . - Army Corps of Engfneei�s=Seawalis;Dock's,Navlgatile Waterways. � , - Department of .Health,,&�Retiabilitative.,rServtceslEnvironmen#aI::;N�alth:.tinit Wells; Waste.water�Treatment, ; Septic Tanks: ' �_ � " • � , � � _ . - US Ernrlronmen#ai Protection Agency Asbestos abatement. .Federal Avlatlon:Authority=Rurnnrays: �:- ,�� . - • � understand that the_foNovuing:,resttiction.`s�appty Co'tF`te use af fllt:• . - Use of iill ls not altowed in Flood;Zane"V"unless expressly permitted. - �If the:flU-materl�I;�is�;to�:be��usetl�;in:,�Flood.-Zane. "A", tt"is und"erstood•�-tha#��a drainage'�plan addresstng a "compensattng votume"wlll.be submltted at#tme af permifting wtaiitch is prepared by a professianal engineer ' Iicensedby.the;�tate�arfa Flofid'"a:�-� � � � -- �•- . . - 1f:th�.f�ll_:tnaterlat`;Is._#o:be„used�1n �lood �orie "A" tn5 conn+actlon�v�►lth-:a��ermi#ted bnil�ing usln� stem wa11 � conatruction,:I csrtify,that fill?vulll:be t�sed only.to..fill the..area..within:,the stetn.,wall. � - . __ , , - !f flll".-materlaf-!s�to`=���used:in°aity..arsa;�!��certifjr that .use. of surtt.tIM! w!!I`.t�ot�adversefy affeat ad)ac:ent � pr�perties. If.use�af flll,is found to adver,seEy�..�ffecf�'�a'djatirefat�>pr�perties,,#he awner may be cfted for�iolating the cond�llons-�of`tF�ie'`tii�iilding�wpermlt i`ssued;'under the��attached,.permit;�pplicatlo�; for:lots less�than.�one (1) acre which are=efeVatetl�by,flll;an englneer�d dralnage�pt�n�ls requtr�ed. • . f I am the AGENT:FOR.THE�:OVIENER,,-"I:promt'se'In_;good,falth to i�form-the-ovimet�_of=�the:permttting condftlons set farth tn � �is aflidav(t`priar to comrrieiacing,consfitictitin:"1`understan+d��thet a�separate petmlt may be tequlred for etectrfcal work, ;`,; �lumbing, signs� weNs,�:pools;:air..cond[ttaNng,,gas�::ar�.other inst�a�'ons�not•spec�leaity inctu�ted�in.#he apptication;. �A • ._., - �' � � tl,�1..r ., _ ���,� �ermi�issuea�shan be:.cons�truea ta be�'a'llcense to;;pr.aceed with ttie;wor�-end not•as;autharity,.ta,violate;rcancel. alte�, or . �; et aslde any provlslons of`ttie:tech�iti�l�codes;�nar shalt fssusnce°of a.permlf.pr.eiran#�fhe Bulldtrig O#1lctal frorn thereafiter, � �quiring a coneatton;�f errnrs::in.;plans�,.`caristrqc�lon,ar dlolations°of any�codes: �Every�p�ermit�..l.ssued�shall become invalid ntess ihe virork aafhorized:by`sucti peri»it>�ts.co�imenced��wlflifn six manths:of>permit (ssuan�e, ar 1f wark autharized by . ie permit i's suspended.or.abandoned fbr,a�:#�eriod�ofi>sUc:�fB):montiis�`eiter tFie tir�e�the�work��is commenced. An extenslon �`. iay be requested. ln writing;;;from.`the'8uillding�Offt�i�i�•for a perlod4not'3o`-ex�eied��nlnety:�90):�ays a�d wilf demonstrate ,,�� � �s#1#iable cause fior�ttte eitten�lon: If�work ceases,for ntnety(9D)c�ns.ect�tive:days..tiae�ob,ls�cansEdered aba�tdoned. ; .. ., ,..,z��. .....��..,,,. , VARNING TO't�WNERs YtlUR.:FAl1.1r1RE�'t�?�;R�E�:Qt�iA;1at07'IGE�:.L7F�Ct�MMEMGEMEI�T:NtAY=RESUkT !N�'Yt?UR =- �AYING TWICE,FOR IMP,ROVEMEN�'�;i�'O::Y�CMti,R�;PROPEI�TY��.:�IF�:YO.U�iiV��1D�^T���H�AIN•,FINA�IEING;'C.ONSULT l�i' OU - D .. ,O� � 11� TTO. N �'R �.. _ > F. .p �:,, p � . .,,� :, ;: . `_o�f�aau�a;_tF:S.'liT:oa}---.---- - � - - . -� . -- _ .. _._—_ ______. _,._—__�___ WNER OR ADENT " CONTRAC7O� - ' ibsaibed arni sw�om to{or aifl�rnedj betore me thts ' , Su6isalbed'a 'swom=to rtned}�bsfore�me�tFii�, . by �"--10�l ,b - ho Is/are personally known to.m�or haa/heve produced Who:ls/ere p.ers . alty •to tiie�or�tresslha�ve�prodiiced � as:iden�BcsBpn: � � ' - ' as`iden8flca8on. � ; . r.;, Notery Pubiic , Notary Publlc ammtastan Na.' " Comc7Esisala . ', . ,,�.•••gs;�c, ACQUEUNE BOGES :i: �..= Comm' s' ,��• �me of Notaty iyped.Rrfnted or atamped 1Vame of tdotary iyp :� �T ecember 12. '" . '•,,°�M}°P�:, 'Ba?dedTtxuTmy.FdnlnsureneetluC•s5�.