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HomeMy WebLinkAbout16-17412 CITY OF ZEPHYRHILLS . 5335-8th Street � (813)780-0020 ,,17412 ` � ELECTRICA� PERMIT f� : PERMIT INFORMATION LOCATION INFORMATION Perrrrit#:174'f2 Issued: 61Q312416 Address: 6129 �INNETTST Permit Type: ELECTRiCAL M15C ZEPHYRHILLS, FL. Class�of Work: ELECTR(C SERVICE REPLACEME T Township: Range: Praposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 650.00 Total Fees: 40.00 Subdivision: OAKSiDE MHP Amount Paid: 4Q.00 Date Paid: 6/03/2016 Parcel Number: 02-26-21-0020-00300-0010 CUNTRACTOR INFC}RMATION 4VYNER tNFORMATIC}N Name: FIRST CLASS ELECTRIC INC Name: SNOKE JEAN& DIETERICH PATRICIA Addr: ?141 BERRY RD. Address: 2168 WATERSIDE �R ZEPHYRHILLS, FL 33540 CLEARWATER FL 33764 Phane: (813 782-7861 Lic: Phone: (2Q7)46Q-9148 Work Desc: REPLACE 'i 00 AMP METER BASE AT POLE -APPLICATION FEES ELECTRICAI�FEE 40.00 INSPEGTItJNS REQUIRED ROUGH ELECTRIG CQNSTRUCTION POLE PRE-METEFt �---- t� FINAL '���� P' REINSPECTTON FEES:(c)With respect to Reinspection fees will comply with Flarida Statute 553.80 (2)(c)the loeai government shali impose a fee af four times the amaunt of the fee impased for the initial inspection or first reinspection,whichever is greater,for each such subsequent reinspeckion. NC?TICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public recards af this county, and there may be additionai permits required from other governmental entities such as water management, state agencies or federal agencies. � "Warning to owner: Your failure ta record a notice of commencement may result in yaur paying twice far improvements to your property. If you intend to abtain financing,consult with your lender or an attorney before recording your notice of corr�mencemertt," Comp(ete Plans, Specifications and Fee Must Accompany Application. All work shall be pertormed in accordance with City Codes and Ordinances. i � CONT TOR • PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPRUVED INSPECTIO CALL FOR TNSPECTION - 8 HOUR NOTICE REQUIRED PRCITECT CARD FROM WEATHER a�aaso-oo2o City of Zephyrhills Permit Application �ax-813asaoo2� . � Building Departrnent Date Received:, , � , �Phana�Goritac#;far:Permittin °��' � Owaer's Name �, S t,t��, '!'1 Gl(r'1 ^ . Owner Phone Numb,er . Owner's Address • « -, -' ' Owrnec•Phone Number � "� � Fee Simple TldehclderNam� � '� Clwne�phone Number � _�,� . - '�7� , . - , b . .. Fee Simple Titlehalder Address •'�� ' JOB ADDRESS ���n r1 e I LOT# C� SUBDiVISMON I �-'"Y' '��,rll�/� ��rJ)� P�I�IRCEL ID# ' - - . � • (OBTAINEDFItOh4'PROPERTYTAXNOTICE}- _> WORK PRCIP.OSEi3 y NEW CO�vS7R � ADD/ALT � ''SIGN � � Q�, DEMOLISH � - e ' INSTAl:L •8`-� :REPAIR , PROPOSEDtISE. Q � ' �SFR ' � ; COMM-' � OTHER� ., TYPE OF CONSTRUCTION; �Q �BLOCK�' 'a___ f� FRAME � ;ST,EEL Q� ��'�� . S���� DEBCRIPTION OR WORK � 1 u- ��� ��'� 0�Y'Y� . . �L(„r YL�OJ - ; . . . _ , : , . . : BUILDING SIZE, SQ FQOTAGE� -�� - , ,.:HEIGHT::.�., . �: 08U]LDING $ --fi:.�;��:;:.. ,.�__���_ . . '' ,� . - � , VAl.UATION"aF TOTAL"GONSTRI'JCYION , �; . ., . . • [�ElECTFtiCA! $� I C� p� . AMP"SfRVtCE Q PROGRESSENERGY' 'Q, 1N.R.E.C. CO 4.7 � �Pi:UMB1NG ��� . �� - _ s' . - /(,� - QMECH11NtG�L' ' $ " �VALUATION.OF MECNAttilIGA�II+fS7'AI.L.AT10N K .,. , . . ��� � C�Gas , � ,. �ooF��v�:,.�ti0 SPEC1Ak7Y�•Q� 03NER° �` ' ��'„��}l FINISHED FLOOR ELEVA710NS FLOpa ZON�AREA �YES. NO• � �"�� BUIi.DER GOMPANY`: -` � SIGNATUP2� REGISTERED , YY N. �� `FEE CURREP`'�;. �Y/.N .:r, : -. : , . Addre�s - L:I�ense#� , � , . _ . . . . n. � � :t� �r ,�.�,�,� . ElECTRtC1AN:�:,`.• ; (� �, ` GOMFANY A�� �I I' , �tr� ��`C 7 f'• �� SIGNATURE 7 � � REGISTERED Y/ N FEE CURRE� .Y%N ' . , ;,. � Addre�s .. ., . � �. � � �; � . - .',License�#����� -` � PLUMBER � GOMPANY- : . -• _ ' _ SICaNATURE's , . �. , �FtEGIS.T,EREP; . --C,Y.'/•xN � :Fee:cuw�n ,� .� Y/'N: ' , Aaidre�s .�. � � ", , , ..License#•�� � � : . . - .. .,, . � ,:. . , � MECl�t�i411CA1'.: � F. - � :GQMPANY "`� � �-- - : . ,�;� SIGNATURE . "'�• . '., ' � RERIS7EF2�D.: , :`.Y:/'N. , ,�E.Cutt�n� Y./-N�t.., AddresGs.;�.` ` . . : ,_ .. . ,. . - . ` , r .:Ucense# ��.t�.. ... �' _ � OTHEit :x -, . .. _.'<.:r_ ,. ._ • `GOMPANY: .. : ,e,_-�,::: _.4..n . �, � ; . ... �.` . SIONIAYURB. . ��.. , ,,` . : , � RE ISTERED - Y/: N,�; ,� , G E CUR�n _ �.Y.J•N:.. , .: . _ .. ��, .', �-.-, ' Addres� ,;� , ,. :,����:: .sh��,;._-.,,.. p.-� _ . > . _ ._ ._�.L''Icense#�I`- ' �: ' " ' _t�x�j •�h _ - -•k �xi��,.., <<.Y _ :�"c�+.� e.. �,�.�`��. -,i.�.�^-44� '"'"�t. ,�::.t'!;� , . .,.... _' RESIDER�lTiAt:•., Attarlt-,21;._P.;1o`�p..1an`s;.[�2�:sets�of,Bultalnp P,tans;.,9jset of�Eiie��y�yjj�Forins:`R=Ci W�Perniif:fcrneu}r;,coiistnictl,on,. � .,t �. / - \ .� , i7. � . . �iT7... r�.,. ... �. - r.Minlr�ium�ten:(�1Q)worlti,.n.g;:days�atte�„;su6ri'iiftai�date:��Required:onslte;-.ConsinioBon�Plans:-Stb"Rnwater'Plans'Vir%-SIIkFencetnstalled, . r � , .... :,SanftaiyfFac�itti4s&s1#s�ampster,.Slte;lNoik�Per.m�t.(cr:siitidiv!'sior'istjarge proJects ` :y�.P; °:;,,;,. .- ; ..= � „:'�. .. .. . COMMERCiAt Attach(3j complete sets cf'Bu�itding Plans ptus a life S�afety Page;(1}set of Energy Forms.R-O W Permit for naw Gonstnictlon. Minimum ten(1p)waricing days'after submlttal date. Requ(red onsRe,,Cons#ruction Plans,Staanwaker Plans w/Silt Fence Installed, Sanitary.Fac�Ktles&1:_dumpster...Site.,Work.Permit.for ati^new;praJ"e`ct's:Aii,00mmerc�al.requi�ements-must:meet:campilance . _ � � � -• �_ - , SiGN PERMiT Aitar.�(2}°§et§of'Eng"i�i�eiedl?lat�s:�;:;�:ir:�,u:-:�. : =. ,� ; . ,� . � ""••PRQPERIY.SURVEY.requlred.fnr aI.I:NEW,cons.tcucyon., - , � _ - � - •:., Dire:ctions: _�=_:, . ., . ,r, - �. _ . ..... ._. _. � . . , FIII out epplicatlan ccmpletely. Oinrner&Contractor stgn back of appltca#lon,notarized If over.�2500,a,.Notice of.,Cammencement la requtred. (�11C upgrades aver=7500)�, s: . ._ �"':;":?''7i'tiri`�Sjj{'.'i'�' " Agent(for tfie contractor.)�oi=PoV�er of•Attoiiiay(for tlie�owner)woutd'be someone_with,notarized letter from owner authodzfng same ..,. . , .,...� � .,. "OVER'THE"COUNTQR:PERMITTfPti3::':=..=�(Frcnt�of�i4pP11caBon Oniy)= Reroofs If shingles Sewers Service Upgredas /�/C Fences(PIoUSurvey/Footage) _ _ . _.... ... .... . . - , � - - _ `'._ -�., -� _ .. F. _ : . "" t ' '" . �. .. .-, .,_ .. ' _ DNvew�ys-Not over Gounter If qn`pubtic roadweys::n'eeds ROW ` x: .. . , - .- ,. , ., _ � � _ _ _ ,._ __ � � - -. :.,._ �_.. _ ._ ;�- . �.,,:. ,x,-v a;��:.�;:��; 'OT10E OF DEED RE�TRICTIONS::,The:u�dersigned�,c�nder�t�n,ds�;tt;t�it,ihis:,:p�r:mi�,may,,.:b.e..�sub ects.to;:"dee�"_rest�ti:tt��ns"Y.,_ � -r , . _ t . , ��. r,�. 4 > 'i,=,s....r�e� t3 timi�,i'r�s�st.xt:5.v',,y.ts•�k,�.,i...s� . �c 4 �.�''",`,>6 �,* x,r^5 ;�rt�';v`.,��=,`�° �hich,rriay,tie?r�ore�rest�ic�ive:�tha��Ci�unty.ii�g�ilat�'or�s. Thie�r�nd�ir"sl'gned�e��umesyresp�inslbility for3c�nipilance��ir,ltFi�any�x � � PPiiceble�:d�ed�re�trlctfons. �:r: :�,,k.,�;;��;y.�•...,�$ ' .� . � _. r.,4�r„x:,;,;�; ��:;., . ;�, ,... _-� ..: �._ NLICEN$ED-.�Gt'�NTRAC'�!Qt�S=`At�D��GCtNTRACTOR'.RESP{!�l���11:l�t1�5:=�-'t#-=��ery�owtte�=`ti�s�=ti€�etl.,°�i«'�ritFaotot or. ��..<. �ntractars to unde�take��wo�k the `_ma ::be�r� �l�ad;;to;be4!lcerisetl;'In�a�r�lance:with�state;:ar�d"�[o�al�.re�'c�latlor�s:,�'If�tt�i�r��-_�`_:��; .�� Y3 ¢,X, ;�_ �q���•�r �.:,�..v ..�.,��, :.�,:_�. _ �,.:. ,;,, .,,�.�8. �ntr�ctdr�;�ts.�:not.-.11censed<<es=;ce�ulred. ' n�laiiv,.botl��tMe:ouime�,.a�dfcontracto���a�r:'li�yclt�rl�;for�-�i��rritsdernesinor vlolatian 9�lnteri d�c�n,.tra�fo ' p °�.��.�,:,'�":,.` nder state lavv. if the�awner or. , � ��ere;,Lncertaln;as:to what�:ii'censing.'requl�e�nents;;mayf,a Ptjr'=f����tF�e A:, , _ � ;�x,._ �,�r,,.. . .,:. . - _ .�....._ , .�,_.,..��,_, �.,...,,..� . tended'wark,-ttiey ace.aiivlseil"to�ctiiriEact;�he`Pasi�.`�buttty;Buiidtng:,tnspection�Dwision,:=Licen�in�:Section at.72T�47- ?09. Furtfiermoce��`If�tt�e��.ovmet�'tia`s``tiired`ja`,coriNector or cortU�ctors,,he`,is�i�dvtsed'to"h�ve;the ,aont�actc►tjs},:sl9n s`°; 'i*nik::=i•'ul=G:2 i..t,�+�„ ,�.,y,. . �m,s�::��'f.'r1,,:;. .; �rtlons of'the_"cvntrectgr Blocl�_'_of_:tfile ap}�1lcatton�tocawihtc�<they wlll._be:tesponslWs:.�=i�:you,�es�.tF�e`�owneehsign-as`'t#�e.-,� . .- � 7; mtracto�; ttiat'�rnay-�tie`an intlicatioii�Eh�t h��is`�no#r�prcpeiljr=licensed•anti�is'noY�e�iqNed`to�perriiifting prlvileges'In Pas,co � : , . :;��,�.,�:wf : � ,.,.;,�.. �t'. oUtlty. " r �.. .. .. ... _.. =,._ _._._ �, , . . a:i . . . . . ,� RANSPI�RTA?TiON_;tMPAGT1�TiLCtIES�tMPAC��A1���t�ESQUaCE�RECC11i�RY�FEES:�Th�9°under�'�gned'�ur�derstands . +�� atTrara`s,port�tto�Impact Fee�s:and.Reca.utse Recavery.Fees.maYi�Pp�Y';#o:the:cpnstruction.;ofrnew:,h�uildings;+change�af�`�'�":''';°w4`�, °:� > . —:.�.....r i:1�• :. _ ;..�., ' . .. . . ........ ........ .: .':. �_ �. � ' � �e In exist�ng.bu!!idings;r�rsrexpari�l��;c�=��ls�.�lit�il+dt�igs;as"speclfled.in P�sc+a_CouMyMC.}r`tiln�nce number 89-U7=and � )-�7, as amended..£.;'TI�� underslgnetl e#so�understands�� th��:�suc�hh fees,��s�fna�'be:rduep,;wqF;7be lden�lfled at the=ti�e�of".';��r'�„`.: �rmitting, tt Is fiirtfier ur�dersta�od that Tra�sportatlon Imp�icf`Fees end:Resoucae`Rec+ci�%e�y�Fees«;mu�ti be.paid prlor to „ 'A c�tving,a��ceFfMcate,.of occupancy"��or flnat•=.pawer=,r:e�lease;.:if�•the:proj�c�,do�s.:no��'Invalvei'a�.certHicate'of occupaney�o�`�-u'�`��5��:" : �at power;°pretease;;-tFie�;fees��:ma�t�li�%:Pa �P , p„ �✓� _ id. r.`ior to: emiit issi�i�n'ce. .F��tkiermore,��ff°�Pasc�;,Co,tinty�Vltater/Sewer�lmpact:.,=° . �._� ,. ._ , .. . . , . . , . �. .. , , _,a.,. es are due;,tF�ey.must.fibe;:,pald,pi(or to;,pernilE�>issuance:tn:a+�ance.rwtt�;`appttcatite�Pasco'<County�ordtnances. , D{VSTRUCTICIN`ClEN-L�►1�IT.(Chapter 7'13.FloN+da'Staita�t�s,�atn�nded): if valua�on ofrwark ts$2,500�OO�ar�:mor.e;:1•�. :.� .,�;�_ -; �rtify th�t I�..�he._:aPPlicant�.�;�iave>�b��n;-:provld'etl:�,with�;e:copy.:,oft-:the�"Florida°.Construi:tlott,:>:lli�n�.:law ..Hacne�wrier's �o#ectlon Gutde" prepared by.;the`�Flo�ida'Depa;rtr��e�t;of Agricultt�re and Consum�r..;Af,fairs. If the eppltcant ts.sotiieone: _ .:�_: -���«_ her ihan the"owner" 1 ce :th�t;F�have;.o tatn��t'�x'co y.o � � A. .,. , rtify.: � p f.the:abave.;desc'l�e�d tlbcu�ent:and:piu�1,"se�;In;gooitl�.faltli;�to, ri.,:r �;�. .,.� <t��..� , . _ .:s�:��-x _ .,. _.. , . �liver it to:the:"oume�.prtor�;to#commencemerit::- ",�,; <::: � ,�� ._` _. �:� � _'>.�.__-= � � ,,�. -�.�� :: . _ _ : , O�NTRACT�R'StOWNER'B:A�Fl1?AVIT:. #.c�iEtfyYth�kt::atl�th�:;ir�fui;t�aatlt�ta�.i��thla�pplicatian is accurat�;�nd that�li�work il!'be done in compltance vvltFi all.appllca�ble'laws=`regula�ng constructlon, zonUg and�1�nd�-devetopment. Appltcation Is �reby made, to, obtaln��a;:.pacmtt::�to;:do;{wa�tk�;�nd..`th�tallatlon as Indlcated�•:..:Is ce�#fy �t�iat no work�;or ins�i!latton`has '� �mmence�"°p�lar'ta'(ssuanc�`�of"a�;pemilC'and'�thaf:all'�viiork wlll be perfornned�to meet.standards.=of.��ll laws ragula�ing- msfructian, County and Cit� codes, z.ontng reguiattans� and iand deveiapment regulattons`�`Irt�the s Ju�Isdlctlon:�: (��al'so� tr�fy tha# 1 under�t�nd that the regulafbns of other�gavermment agencles may�apply;_to.,the in�tended:work, and that it is � y�esp�nstbllity io identify.�w#�et,actlons l,.muat�take:to be;�n:.r,or�pflancs:s,�uch�:agencies<include�but�are:not iimlted.to:. F ^� - Departmerit af Er�v�r+onmerital�Prote`ct1�i3'r�=Gypress'-Bsyli��d�,y tilf+�laiid�1#reas snd Environmentatly Sensittve ;� L»ands}Water/VUastewaten Treatment. � - �outhwrest Florida Water Managemen�:`..:�ltstrlct V�dells� �Cypress.�'..Bay��aa�,-� weti�ina Areas� A#tering � Watercaurses. - .. °. _ .. � , ' - ATtiiy CprpS O#EttB$188T8=S8�1N�IIS�:DOIE;IcS��18Viget118 WetBNVayB. ;i - De�ra�tm_ent.arf,fHeafth;�.;&°.;;ael�abilitat�re:_.Servlces'/.Ernrfronmen#al,,Hsait�i�-Unit-Weits;-�Wastevetater�Treatment, T Septic Ta�iks:.: , , - ' __ , . - . .. : - - , US Environmental_Protectlan.Agency-Asbestos aba#�m,e.�t, ._ Federal Avlatlon-AutMo�lty=Runways: �-rv.;- .� . -� , . nderstand that.the.:.foilcWii�ng�restrf�tlons:aPpiy'#o'ifie use af fltl: - - + - Use af 1111=is not altowed in=Flood;;Zone"V"unless expressiy..permltt�d. - �lf��th.e flll��inatet�aln��Is�=:tci::�s::.used�fn.,:flood..Zone. °A", It:�ls u�derstoa��thafi a��drainage��pian addressing a "compensating'valume"w11! be submttted at#Ime'of perml�l�ag whlch 1s prepared by a professionat engineer � Hcensed by�,th�e;k�tate�of;:FloHda:. ,: ' � ; � ,- - tf th�..fli1.,.mafetiai`'is;:to;:be�.used�tn �lood""�one 'A° lns conneu�ion�wlth�a��p�ermltted building using stem wa!! � tf:fill mateiial��"`Is�t�a be�:use���tn�any-area;`�I��+cer#ify,that use. in�the�s#em�wail. - constr+ic�on�.i.,�e . , .tha#,flll:�ialt°t�e�sed.on to..fflt the,ace.a.with _ : . .<<_.. _. -. - � af�suct�:"�flll will`i�ot adversety affect adjacent prvpertles. If,use:o#f�ll..Is.,found�.to adversel�r..�tfect�`a�l��erat��prctpertfes�.the awner may be cifecf for vio��ting the condllio�is of the bdll�ing3p�cmlt Issued'°under tlie���ict�e��aarmlt��ppllcatlo�,�for�:lots less�:than.one {1} . ar.�e�whlch a��eleevatetl�tty��ilU,,arr engln�ered tlralnage plan ls'requlrecl. . •� ,.. am the AQENT..�OR-THE�OIMNER;',i,�i�omise'In good falth to'intorm-the�owner af�the,pecmltting condl�ons set forth In � s �iftdavit°prior to��cbinme��ing.consbvc�an: "1`ur�deir�stand�that a;separafe perinit may be requfred for electrlcal work,, , ;;�; ? �mbing� sign�,,wellsr,.:pvals,�;alr.,c,a,nd(ttor�lt�g�,9�ts.,.ar�,ott�er.Ins#al��ttans"riot•sp�c�ically inclu�led-irt.the�apptication`. .A , �:°;� ; ., , _ . .,� �•.>,... _r . :.�:.. ,s.., .�>._,:�:� � n �,., .; rmlt Issued"�hall'�be�con�hued�to•bie��`�11'c'ense:to;:Proceed wlth'ttle'in►cirk and not,as_autho�l ;,t.o.ilvlolate,�cancef: altei�� cr ,:. �aslde any�provlsions�of�`tiie°:tecliiilcal.°code�;�nor shall Is�uance�of'a�pertntf.pcevenf�tk�e Bulldlrig(?#ficlalfrom thereafEer , ""' �.� _. :.,,,. . . .� �uiring a cor�e�tion;Qf,errors 1n.,ptans�:coi7ist`r"uc�lon or vlolatlon�-of3arry-~codes:. �very�p�rri�lt�lssued��hall�become•invalid � � �':� � less the work ai�utfiorized:tiy�sucFi",pe�mit`:�Is.commericed��Viritfiin.si�c�months°�of;permit Issu�nce� or If work authorized by �:° ; �perm(t is suspended�or.abar�da�ed:-for a�.:#��r:l�d�of<s1aE,{8}.montfi`s;;`�f#er°fi�ie:Nrfte the�work�is commence�I. An extension �;,; � :.__..., . „ , . . .:... „ , �y be requested� In wr,ltln�,�rom the�8i�1lding�(3�lclal.�for�a perl�idwnot to'µex�f•aninety{9D)o-�lays.�a�d uvilf�demon"st�rafe ;-, , tlflable cause far.the extension� If wock,cea��es,for nlnety(90)aon��cutive:day.�,..th��ob�Is_c�nstdered aba�danecl. - ;_� ; _ . , ._�. �.. �....�..�.-: ..� , .. � .�� .� , ,... - � �,;.<. �._:: . . � iRNINt; TOM'OWN�R;�?YOUR:�A�1t�;IRE'��tGl.;REC��tQr[A.:1�0'i��E;.OF;;CCIMMEM�CEMEI�47'-:�MAY:REStl1:T�IN�Y01UR. ` � 1�Yf,�ti;:i�V�€E�D:TQ i�B3'J�CIN�fINiI��E1NC�;?CON3ULT '�� YING TWICE;EOR:IMP,.,ROVEMEN�S*tT�;;YaU.Rk�:P1���RTY�>i } ° � � F.<< ; r U "D ��0�� A �O F� R +. t�? �':, _ � __ _ --_ __ —.- _ ._`-y.�. —iRIDA JORAT'(F.S:1.1.T.03} , . � ._ • � _ - � :; .: - " , . � � ��cr�i �'-��j��v d NEtt OR Ak#ENT . ' . . CE'y1+lTRJl�TO ,� . �r � ,r . �arlbed and sawm to(or aNirmed).b'efore me fhla ` . " S'bsctlb�ed'stid'swom�to(aw atflrmed)�b`,, ma. �- _; av b�_3,.� ��y . , ►Is/are p�rscn+ally knovm to.me or has/haue produced Wh,o,..�fsts�,personally�cimwn•t0 fn�a:oi:##aslhave.pno�di�ced. . � a�:id�ntlBcaUPn.` � � . _ �"L� �Utc.�l�'„��,(1�ec-S'�:.�_as ldentl8ca8on. ' I�atsry Pubttc . 1 Notary Pubttc imisslon hta: ` Comr� st .No. , � � • ie a1 idotary typed,printed or atamped Name o1 Notery t�rped,printed o�atsmped , ���, .�....�.r.r Q��pY•pPBLy' JACQUELINE BOGES � � ��� fiK Cammission#FF 150422 :R� •• � :;�;: Er,pires Qecembet 12,2018 j • '�;pF�F�,.� Bonded Ttiru Troy Fsin Insurance 8003B5-7019