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HomeMy WebLinkAbout16-17392 1 CITY OF ZEPHYRHILLS I 5335-8th Street � ., } �si���so-oo20 �73�2 EI.ECTRICAI. PERMIT PERMIT INFORMATION LOCATION INFORMATION � Permit#.17392 tssued: 5131i2016 Address: 4834 97TH ST Permit Type: ELECTRICAL MI�C ZEPHYRHILLS, FL. Class of Work: ELECTRICAL MlSG Township: Range: Proposed Use: NOT APPLICABLE � Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Gost: 1,000.00 Tafial Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 40.00 Date Paid: 5/31/2016 Parcel Number: 14-26-21-0010-0220Q-011q CUNTRACTCIR 1NFORNIATtON flWNER INFORMAT[QN Name: JAMES O MORTON ELECTRIC CO.,INC. Name: FEDERAL NATIONAL MORTGAGE ASSO I Addr: P.O. BQX 1537 1055 GElGER RQ. Address: 2904 ESPERANZA XING ZEPHYRHILLS, FL 33539-1537 AUSTIN TX 78758-3658 Phone: (813)782-7237 Lic: ER OQ02443 Phone: Woric Desc: CHANGE OUT 100 AMP PANEL APPLICATION FEES E�ECTRICA�FEE aa.00 INSPECTIt�NS REQUIRED R4UGH EI.ECTRIC CONSTRUCTION POLE PRE-Ii�ETER--�- FINAL 1�� -� v REINSPECTION FEES:(c)With respect ta Reinspection fees will comply with Flarida 5tatute 553.80 (2)(c)the lacai goverr�ment shati impose a fee af four times the amount of the fee impased for the initial imspection or first reinspection,whichever is greater,far each such subsequent reinspection. NOTICE: In addition to the requirements of this perrnit, there may be additional restrietions applicable to this properly that may be found in the public records of this county, and there may be additional permits required from other gavernmenfial entities such as water management, state agencies or federal agencies. "Warning ta owner: Your failure to record a notice of commencement may result in yaur paying tw[ce for improvements ta your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." Comp(ete Plans, Specifications and Fee Must Accompany Application. Ail wark shafl be per�ormed in accordance with City Codes and Ordinances. � G�� � /� �,' 1J1,r Y CONTRACTOR PER OFFI PERMIT EXPIRES IN fi M{�NTHS WITHt}UT APPR4VED INSPECTIO CALL. FOR INSPECTION - 8 HOUR NOTICE REQUIRED PRCiTECT CARD FROM 1NEATHER �'�3-780-4020 Fax-813-780-0021 .� City of Zephyrhills F"ermifi Application . BuHding Department , � �� • �ived ` . • 1� ' ' Phane o';+s `<f0 'P ='`ittiii" � _. aer's Name � Gwner Pt►one Number ' Y. `.., , Owner's Address - � ' � �GinrnerPhone Num6er � � " �:` Fee Slmple TltlehblderName•�:�� � " ' .�, qwner Phone Nurriber" :�� �� .� , ., - :�:71 .. _ , :k;,: _ � . . Fee 8impl�Titleholder Address _ ' ry� °� - � ~ � ' � JO�ADDRESS � � ,_ � �� LOT#� C.�� SUBpIVISIQN PARCEL%ID�R " , < � • �- • ' - �� � - �� `(OBTI4NEDFIiOM'PROPERTYTAX'NOTICE) � � WORK PRQP4SEt�' ,. , � NE�M1I GONSTR � ADD/R�T ��` SiGN� ,[� - Q� ,DEMCILISN' . ' .. - e � INSTALL . .8�,�'"., .REPAIR.". � � - � � . PRQPOSER�USE � Q:. , SFR � � -M1CQMM'; Q _Ofi#iER'` "=: � , .. .. . -.. ,. „ ,., � .. . TYRE OF CONSTFtUCTION ` '��] ';'BLO ` ' [�`�"` ,FRAME STEE r - ��: DESCRIPTION OF WORK �TM � ,' � �/ j � r j � BUIL�ING:SIZE'�.�� �_°$4'FOOTAGE , , ;HEIGHT` ', Y �! . • . . d � � _ �-,l . _ ����«�N�`' VALUATION`�O�F TOl'AC'CONSTRU ON " � ~ ` ' � ' + . , �, � .._ , � ,;A . � �. .���. QEl,ECTRICAI $ = •"i4t41P SERVlCE SS ENERGY W.E2.E.C,, � �Q��w�� : . ; �, �o . - ->>3. O��:un�s�i�� $� -� � � _ -_. ., ;._ . � . ,a. �,,,��� U � ., _ _ ,., , -. , .. . Y^ . �}� QMECHPiNIG;4t �' $ °ilA�UP►TiON,OF MEGliANICAL;tNSTALLA.T.ION .- �� M1.; Y - [�.. -��; ; � .x. ,�,� -/z� QGAS ,[� ,ROOFING-�:,�Q _�SP,_ECIALTY-•�` OTtiER=` �` �� �� �7 � � FINISHED FLOOR ELEVATIONS FLOOp ZONE AREA ��YES. ,NO , , BUI6DER CCINIPANY '. . , ' . � SIC3NATUR� REGISTEREp , Y/ N. 'FEE CURRE�'',, ":Y.I.N,.. ,,.,: ..'. Addresa , `�^- . '_ . � �4,Icense'#� . � . . . ii •:, . , .. , . .;. .. �.. � , � � � �� . -�{- � ELECTii1C1AN�:.-.,=.�'x, ,. }�� � ��, -�. .,.,F_..,_ - , `- :r ,; :" - ` GOMPANIf' :•, ` � . SIGN�ITURE �� � REGISTERED / N FEE CURREk �' ''.Y,./N J' Address . _ r.[:ficense. Ft r � � . r � �.. - '� ' �,,� , _ . W .. . .� � .. , ... - � .;r . , .- , -- .... -. . - PLUMBBR t t� u _ GdMP,ANY,. _. : ,. , .= _ ;;' _ s- . ,, :.N SIGNATUFtE � , . - ' �R�Gis.�tEo�- , :�:.Y.�/�N_,= �.•;F�;Cu�te�„':, Y/'N:-` AddPes� .,, i , .. �, - ,. . .LIC8118e.#=.� - , ' �� .,. - ..r., . ,.: ,... , MECMAPIIGAL`;?` a. .r :. ,,. _ . _ . ,CC}MPANY° _ ",, - . ..- ; rzi . � , , : . 2 .. _ ,�r t . SIGNATURE -. - - . .k. . ��� .. .. . , , . . ,: :� ,,. :;:°Fa::.� : ,,.-- ' . , - ;`.. t3EGISTEREDrt,4 . . .>Y;/�N:- ',' ,.S+FeE.CU�n' Y./�t'.:� i Addres�� • .. , . . , - �.i�,a . � , _ �Ltcense#:� ,I , ..• < ` ,.���� - `•;". . _ , � - � . . . ... .. . . .. .. f, . _. 07HER - . .. � r,..=.. ,. . ,. ' �- - ` ' .C,QMPANX, � _ �. - _ . • - . _ SIGWATURE. .....t't .. . � . .. .=f.,.,.-;j ,.. "'r r. .,, .. . _. ;REGISTERED Y/.N� -;FE' °'�� :_:. �.�.,' � .. � .�'Cuw�n; °;YJ4N�_ �,, .,Rrc , ... . . � . .. - " .. . ...i{ •�; _ � .� , , .. � • - _ Addf6�8t8 .:a��`,..,a.:.:t- �� �,"' , a .. ... „ . � - ' ��:IC@�Se#� � ' - - - c�;> :r,;�' �r :s.._,.;..,,.�,_:..;�s�.��k�_�::t^�-.^�..: ,�{...:.. . . ......... " - . . 'RESlDEPtTl�At::a:�-.Attacti�`2-��Plot'tP..isiis���2;sefs�ofBultiiin`�Ptans:=��1'set.'ofEne" 'Foini's;R-O-1N=Pernilt.fornew„cansttuct�on,•,� z,:• - � _.. �' _ t..),1 �{.,) 8._ {.)�,.. r9Y , . _ .n_.� .. ..... . .: .. . .. . ,.... . .,.. �,,... w::,-F'2�.�.- ..,..- ,_..,,, ..�...-�,.. ., '-; -� • ;' . - _ . ,., _,y:. _..1,.,,.:�.:...-.: - - �„v�,x,Mlnimum.tenL(�1kQ�incoilffng,days,faiter„;`autimittal4tlafe:}�Required;onsite;�,Co"ns't,rucdon<Pians;StoRriwater`Plansviil:Silk F�ence tn's.talled,. � _..• �SanitaryF�aciti�es&�1�c#u��stVe,.�{te=�WarkfPai�nit�r:"subdivisCons1iarg�`proJectsr;.y,,�°��aY'?��=G`..°�;=�', = =�LL _._-,.:<_,. ,: .. � , . , - COIiA1wERC1AL Attach(33`eon►pt`ete"sets"of`BGlicli`ng Pians ptus a Ltfe Safeiy Page,(1}set of Energy Forms.R-0-W Permif for nsw constructlon. Minimum ten(10)worlcMg days'eftet submtttal date. Requ(red onslte,tConsttucUon Plans,Stormwater Plans w/Sllt Fence Installed, . Sanitary Fa�dlfNes 8�1..dum�ster.�Sit�.Woric_Pe[mlt-fo�t a#l.neinr�:ptojects:A41 commerctai.requtremen��rnu�t,meet campflance o . SIGN PERMIT Attacli"(Zj"set"s o"f'Engt��er,ediF!(ans;;�<�:r{� .. . _ - ` - � rv ; - _ "`••PRO.PERT.Y:.SURVEY�rsyWred�forell.:NEW�cqns,,trucyon., _ � � ' `�`- - � , - � . .. � • .. .._.�,..,.._..,-•.�.._..;,,....- .�.r �-- = - .,;•,�. ;.:�::r:�k .. ..�. ,.. , , � . ,,.,_ .,..: ...-.:,: , , , t?Ire.ctlonat . ,.�.�;�.7.:. .. . -> __._ .,. ... _. _ __. _ - , ,_ Fill out applicaUon completely. Ownar&Contrac�or stgn bacit oE appllcat{an,no#a�zed If over 52500,a�Notic�,�of,Connmencement Is requtre�i. l4lC upgrades:over STS00),�,_ �.'r � _ -.� ..,,,i�°S=+,fi�^:d:i4;,?x�.;�, ........v,.,.�.._...__,. .,_,_ .�..,.,... �. �._,. ..v.:.. __ . •. ,. , . _ . .. , _. Agent.(fur the conti~actor}`4�:Power of Attcrtiey(fo�ttie owner)wcu4d'Lie someone wikh notadxed letter trom owner authodzing same �, rs t _--.- ,� .� _ "OVER'THE COUNTER�P..ERAAITTINCi=-.-:-:r'�(Fronf�of;Applioatlon:Oniy)W:- �- Reroofs if shingles Sewars Service Up'grades'A!C"'"'"Fences;.(P,IoUSunrey/Footage) - • _ " .,._.w.,--__.;:_-r-.....,.Y..:...>.•. _,.� .-�: ;` .:�':�,::;;.:�a'.v#,.:�n•,:.. " �i::_ - _ _ , ... . , , ,. - ,.t...,.�.:,1,:'�.` . '-t = • Driveways-Nat over Caunter if on public roadweys..needs RC)W ',. ._. r . . > �.�.„...,. ...�. ,-, . _ ., ,_ .. . - . ,; ' !._ _.__.,._. . .._..:'.�:""' - " .. �r..y, '.pn..r":.' �, OF DEED_RE8TRICTIONS:. The_u�derslgned�under:�tands�;th�t;lhls���rrntti�,may;be;tisubJe.ct..to,"deed";�resafctions"�}�.,.3z. � hCmay.�be�nior'e:r.est�ictive:•t���i`°�o�inty,�i�g�ilatfnr�s4 The i�nders1giied a�sil�t�ne`s resp�nsiblliiyY;fo��compilance:wi'th any �,~ Iicable',deed;re�Mctbns. ! -- ' �' � � -_ - -- _` ..f`.,. ,`�, . ��:;;;���_�::�;,.. ., r _.„ _ ... ` ;..,., ., .. ..�:;..:r...:.,._�� �., :ICENSED-�:CONTRAC�ORS`��AND�CONTRACTOR�'RESPON��f�IL�T1�S':�='=�If���he���ownar�'tigs��hired�'��°'coiTitractor or , . ., ,.,. _ undertake wock;ttte"_me :`�besr�. u�i�sd:;��o�,�i�;llcensetl.:ln�scco�dance.with,state�;and`�local�ce ulatio.ns.A��lf:�the--t�;°::.����' .. , tractors to � . Y . .,.Y..�� ..A,>:�h�t .- - nd�conVecto.��.-Y`�� ��'V`I�ed �� . ,..r{. - . .;�:. , „ . � -. . tractor''Is�:not�°.Itcensed�as��requlred';tiy..;law;�bo �� he-owner�a,,,, ,=� � ' r^mey��tie��c ��yfor�� �misiferrreanor violatlon er state law. If the-cwner or intendetl��co,n.tra�tor,��awe;:uncettalh as,to what�lfcansln :_requlrements�;mayl;'applyj:3foi�'Ytii'e��:��:��yy~sT-�'; .�.. ,t..,, ,f.-�:a,. , : . �,Q., . ,.. .:, •� nded=work the are advised�to:'cbritact,tfie:;Pasco;:�ounty:Bufiding;�lnspec'tion�Divislon,�-`Llcensfng Section at 727=847- � Y �,,,,... ' 9. Furtherriiore; If`tFie�:o�+ine���haffi��lilred``a�aontrectbr'o��'contrectors;'�he ls �dVlsed��to�have;�the�,aonµha,cbr(s)y.signD},,�,.;,,;,,,;,3,, , :; . I lons of the,."contractor Block'.,of;thle:appltcation,�for�which_they_,willtibe.:re9pcnslhle.-_.ff.-.you;.:as'.:#he owner,:sign as the � , _ �- --:._,.._.x,,:�.. Iracto�,�tFiat��rriay'be�an Iridication (hat°�he Is�notY.propeHy�Ncens�°d�and�'Is`'not"entitled to'permitting�prlvileges:in Pasco,, =j ,nty, � :, ' '� � ' '..`_ ..__._:�:.:._.�..: .-';:....; =.`�.`;';`:'�r_�r=°_�.; �' 1NSPORTATION;IMP.,14CTlUTl41'KI�S�I�NRA�'�`ANb�I�ESO�ttCEYRECOVERY�FEES:`The�°under�igned�unde�stands ks Transportation Impact Fees:and.Reco.utse Recov;ery.�ees,ma�►�apply=;#a tf�e construc8on.of;new..buildings;�change�of'�''T�'��rv;`;:' ;� � in exist�ng buildings;�c��-,expansi��tr:.o,f��iilsti�ia�br�ll�i�gs;as-specffled.In P�sco Coun'ty�Ordinance number 89-07 and )7, as amende.d.,,,,Th�.undersigned alsc�:urtderstands� thgE�suoh fee�;;as,tnay:be:Fdue,;,w111�:De identified at the<tim��sof�'��"�����"�"" ' I nitNng. It Is furtlier understood that Traii�portatlon.lmpect"Fees artd4Reaource'.Recoiie`Fj���Fees�musti be pald prior to : s�vtng.a.'certiflcate:=of..:occupancy"�or flnal�power.releese:�:if�the proJ�cf;;does:ni3t�:involve'.a:�.certtfl,caCe of occupancy�'o��:1��-����',�"' , :.:: • ...... _ I power;release��.the�;fe�es-mu�t��tie�paldrpclor.to..permit issuance. .F��thermora;;�if:°.Pascd�;.County�`WateriS,ewer�lmpact:h:����--°.•� � � ' .,Y.,..x .�.5 �are due,.:they;must be,,paltl:pri`or to.pe.r.rnit Issuance:In,acirordance,�wit�i.appllaabte�Pasco'_County�ocdinances. VSTRUCTION`CI�N`LA1fV�'(Chapter 713�Flortds'Statutes�ae eme�led);. if valuation of work is S2;b00:00�.or�moce;�:I�•��-.,� _�_.:. (fy that J,,.,ihe_,applicen[,._�ay.e:=;beenMyprovideil-�with�a��copy,:�,of.:,the�"°Florida•�Construction';U�n'�L�w--Homeowner's rection Guide" prepared.by'the Florida'Departmer�t�,of Ag�ic.ulture and Consum�r;Affa(rs. If the applicant is.sotneone , , , , �r than th�`owne�", I certify th�t�t:have,.:tlbf�tned�a'�copy.of:the°above.rfes�crlped�itOci��ent:and;p.roml`s,"e;tn;good�;fatth�to _ . .F ;�. -, , � �. . �.,:.�.r;.,._ .. . ver It to:the:?owner`.p�iort,to,�commencemerit:`�,'j. -� _ ; : ` :° �.. ' : •. ....:,-::' . �.. __., , NTRACTOR'SIOWNER'S AFFID'AVIT:� I.ce'r:tf[yv;t�iat:all:�the�,lr�focmation�:in�thla appltcatlon is accurat�:�nd that all�work r�:,.,, .. .. be done in compliance with all•applicable�laws regulatlng construction� zoning,and;.land�:development. �►ppitcation is , ' �by made to obtatn :a...permtt�Co>�do.-,,wo�ic.�and"'liti�tallation a's lad[cafed�z.r�`IT.certify`that�no vi►o�k'<or lnstatlatton�has �� ' 5.. .V..- i' '� imenced°��lor'to'Issuance of'a pemiiC"and thaf.all work will be pertormed�to meet��tanderds.:of:all laws reguladng- . struction, County and City codes� zoning.regulatlans, and land development regulattons�'in'�the:Ju�isdiction:�.°I��al'so`� ify that I uade�stand.thaf:.the regulations.of other�government agencles may�apply�;to_the._intended�.w,ork, and that it (s responsibiNiy to IdeMify��what.acitons l:must.take;to be.dn:.compilance,�„Such agencles incl�de•but�are,:not Iimited.to,:�,-:•- � � - Departrrient of-E►lvironmental�Prote`cdbn'=Cypress:`Bayh�ad�;tWetland;A�eas and Ernlronmentally Sens(tNe . Lands,WeterllNastewater�Treatment. - ; "� ` � ` - � - Southwest FloNda Water Managemerit;::l�istrict Wells� °�Cypress.k�.Bayki�ads�; Wetla�d -Areas, Altering � ' Watercourses. � • . _ _ , . . ��; - Army Corps of Eng(neers-3eawalls; Docks� Nsviga6le Waterways. , - Department,;of,,Health<,&r.Relaabilitafive:,SenitceslEmrtronmen;Cal:.Health,Untt-.Wells;-Wastewater�-Treatment; ' ~ 'Septi�c�Tanks: .." ' ..� ." . ._ �; : . . , _ , _._ . - US Environrr�ental Protection�Agency-Asbestos atiatement..,;: ..Federal Avlatlon.Autiio�liy;=t�umivays: ,-� � ,-,- � _ � derstand that;the;folloini�ng;restNctlor�s apply to'the ttse of flIL•• - - Use of flll is.not allowed in Flood_Zone"V"unless expressly permitted. - -If••-the;_flll'.mate�ial:�is';to�;�be�.:usetl::In:�:flood..Zone: �A",�It Is undersfood=that•a �lrainage plan addresstng a "compe�sating volume"wfll_be subm(tted at time,'of:.permfttil:�g wlitch is prepared by�a professtonal englneer ' , Ilcensed�by�ltae;;�tate�of�Fiotlda;' . - :� � ;�- ' ' � ' , - If.tfi�:.flll;:mate'lal�:ts=to:�be�used�in �lood`�one 'A" in!connecttor��wlth:a"�permitted�building using stem�wall � constnic8on, I certify::that,fill:will:tie used�.only.to.fill the..area.withln�:the�,.stem:wall. .. -- - =1f�flll material�:rs�to��tie��used °In any �area;�I`��certlfy that .use. of'such'flll �wilf not adversely affect adjacent � prop.erties. If.use�of f111:is found.to adverseEy.,�ffect"a�1JaEer�t���praiperties,.the owner may be c(ted for vioCating• the condWoiis�:of�t�e"bi�iidi�ig��p�rniit i§sued�under tlia��aftaclied_.�etmlt�:�ppllc:�tio�t� for��lots less�than:one (1) ,. acre which°are"elevated�6y�flll,��r engtrteersd dralnage plan ls required. • •� � ' �m the AGENT:.FOR.TH@:,O.WMER,;�I�romise`In;good falth to�inforrta�the�owner:of:the:p.ermitting;conditlons=set forth in � ,; ;.; aifidavit'priorto-commeiicing��constivcfl�un: �"1`understand;that a;ae,arate ,ermtt ma be. �`,` � � .. �, ,p,.1 p y requlred for electrical work� , ;,; ; i �bing, signs, wells,.:pools,gair._c.o,nditloning,..gsts;:or�othe_r._insta��I'qns.not•spec�icalty included�in.the��pplicallon: .A _. ;_;; �; nit Issued'shail��be;.conshued to 6e a�llcense:to�.proceed with'tlie_wor.'�and not:as_authorily.to..violate��,cancel� alte�� or , aside any provisions�of�'the:feclinical=codeg;�nor shall Issuence�of-a.pertnif.pce'vent�the Bulldirig Official from thereafter _. ;� i� dring a coRectlon�.af,erro�s,in;plana;;cohshuction.orirlolations�of��any°codes:-,�ve.ry;permlt�issueds�liall=become�invalid ' .,,, _ :, ; �ss the wo�k�au{ho�ied�:by suc.��pe�mlt:is.commenced�inriEHin six„months of:penrift issuance� or If work authorized by "". '� , ,: ,� ., .,.P _ .,>, . ..,.; . ,.�., -,� . �the'work�ts commence�i. M�.Qxtension permit is sus ended�or,.abarado�ed.�for,:,:a:#�eNod�qf...six�(H)�montiis,..affe�the tiri�e �,; _,,; � be requested� in writing,�.;from'tFie�Buliding;OfflElal.-for�a pe�lod not'to'exceed ninety�{9Q):�.�ays�a�d wilf=demonstrate ,..�, � , Fiable cause for.�`the extension� ifwock ceas.es,for ninety(90)cons.ecutive:day.s...the job�is�considered abandoned. � � . . -�-� , : . .. _.��... :._ , .3: . . � RNING T0 OWNEI�: � OtUR:FAIUJRE�.Ttai;R�EC:ORQ;A•.I±I,OTICE>.OF:;COMM6�� EMEI�T,�MAY�RES[1LTitN-YOUR �- � �I 'ING TWI.CE:FOR IM . ;�OVEMEI�I'��;;Tfl�.YrO.Uit.:P.1�OPERTY.�:I�°:YO.U�1�. ��A>�B�'�AIN�3FIN�fifi1 G;.CONSULT �"�� , '•AN.''��`T F� �:.EC' 0 G':� ,p. , �;, _, . ,-...: ..... tIDA JURAi��(F S. 17 Y,}y_ - � •- _ . .. : .,'.. : . , �:,�. - �, �=� ------ - - - --- � - -�- - 3 � :,,«�,,.... IER OR AdENT ���� � CbNTRAGTO,�� � � ` � aibad and�vam (or afflrtned)before me thls " " Su�`ecriti 'a =to(or afflrtned)�before.me.t�IB : • li by z3 �: Islare personal known to.me or•heslhave produced Who�is/a' _ erso.'al , owrr•to m,e..or.fiaalhave:pmdix;ed • ` a�:IdenBflcaBon: � � ' `'''°''�as'Id'e"ntlBcaflon. ' � _ •� .� ._. � . ' ` , . - . I Notery PubOc . Nolary Public nlsslon No:� � ' ComnAlaslo . . „��, ,, � e ot Nolary typed,printed or atamped Name of Notary :�,;' ,�.� �FF 150422 � ;� �or: E�cplr�s December 12,2018 I - • • "c;;;pF n;0.A� �ondad TMu Trey FaM Inawsnsa 800�3857019 .�