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HomeMy WebLinkAbout16-17435 CITY OF ZEPHYRHILLS ;' `` ' ° 5335-8th Street ,� (813)780-0020 � "*`'`' ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit#:17435 Issued: 6/10/2016 Address: 38741 CR 54 E LT 98 99 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: 9,853.92 Total Fees: 85.00 Subdivision: SLEEPY HOLLOW MHSUB DIV Amount Paid: 85.00 Date Paid: 6/10/2016 Parcel Number: 02-26-21-0010-05000-0030 CONTRACTOR INFORMATION OWNER INFORMATION Name: EAST PASCO ELECTRIC, INC Name: SLEEPY HOLLOW MOBILE HOME EST Addr: 10411 CONNERLY RD Address: 38615 LANSING AVE DADE CITY, FL 33525 ZEPHYRHILLS FL 33542 Phone: (813)782-8622 Lic: Phone: Work Desc: REPLACE- RELOCATE ELECTRIC POLE LOT 98-99 ( 1 OF 9) APPLICATION FEES ELECTRICAL FEE 85.00 ��%� �� � � INSPECTIONS REQUIR � ROUGH ELECTRIC c " 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 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. / C NTRACTOR PER OFFI PERMIT EXPIRES IN 6 NIONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - � HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813aeo-oo7o City o�Zephyrhills Permit Application Fax 813-7$0-0021 +. � ' 8uitdiog Departrnent Date Recsived . , ::'�Phan�"-CoTi#ac#-fot'Pacri�{ttFn Owne�'s Name � , � � Q -(. thnrner hone Namber � :�11 — ��� � �,/� carr-�c,-�-: � n Owner's Address ' 1,,,,�� � S�' - pwner•Phone-Number !1J� ���� � Fee 8lmple Titleholder:Name � �� Owner Phone Number ` � ', . . . . ��- � - .::�1 ' � ��� � s . Fee Stmple Tltleholder,Address ' °" ` JOB AdDR6SS !.J a G � � t,�LV � � LOT# ""1 D�_I�: � suao�ws�ow - �����3f`'i�{ C-�' . Paac��:��io#� C� - :CD-- �—' 1 ��'�C.�OC�`" 3O ' - - — �(OBTAINED FROM'PROpER1Y TAX NOTICEj - WORK PRt}AOSED ,. N€W CONSTR °�`� ADD/A1:T �� SiGN' �] ' �Q','� DEMOL{SH � , � ` ` INSTHl:4. 8._-. :REPAIR ' PROPOSED:UBE. [,�`- 'SFft [� COMM OTFtE12 ' " , TYPE OF C4N3TRUCTION;, � Q `BLOCK�',;Q . FI�AME ST,EEI.. Q: ., ..� ,.. .. _ DESCRIPTiON OF WORK :`` �i�4/L.l,.,.�.�Q,, � C.Q� � \JZ,, .. , BUiLDING SiZE !�� � Sq FGOTAGE.��. HEI6HT`.���, � ' �. ,_ �BUICDiNG $ _-.�:-i,,.:.. __.T�k.,._.. . . - . , . ��'. VALUATION`'OF`TOTAL'CONSTRUCT'ION ��J �El.ECTRICAL $ J� �� AMP'SERVlGE �� � PRt)GRESS ENERGYI [� W.R.E.C._ . � v ��f� QPl:tJMBIN{3 $ QMECHANlGt1l $ VAk,i1i4T10N;0E MECMANICAL,1(�lSTA�LATtON - ' �� � . QGAS [� ROOFtNG.. [� SPEGIAI.TY [� � OTNEFt : . FINISHED Fl.00R EL.EVATIONS ��� FLOOD ZONE AREA �YES. NO � ,�,�• ,. BUtl.DER COMPANY� �` ' SIGNATURE REGISTERED Y/ N Fee Cuttt�n" Y/.N .:, , ., Address , ,: , , �Llcanse# �. � , . I �� ` ��ECi'RICIAN„_.� � ., � CAMPAWY �.J��l � � Q � c�{t,.1 l G ' SIGNATURE � U�-�- . ��� GISTERED Y/ N FEE CURRE� " Y/N .` . Address YJ G• � - � _. . � �License`#���,,���a��GJ"II , P�UMBER ` . COMPANlf� ,' , . � SIGNATURE ' - .. �Rec3�8.7EREp. , .: ..Y/>N.. � . �. .FEe cu�n -. Y/N: .: . I �0.ddress .. � 4 .� L(cense# � ' � MEClfANICAt: ' . - " ' , . -.CCIMPANY . � , .:: . _ � SIGNATURE . . ` . , ` REt31�4TERED• ~..Y;/•N- - �FEE CURREk ' Y/N�_ Address: • _ . �i - ; _" ' . � Ucense.#��.�. ..�•. �I� ..,. . , . . ..., .. . , ,. . - .. . , - . , -� , , .. . OTHER - .._ - � - • . �. '_" ._G01yItPANY� .. . r� �.� .....,. -. - i . SIGNA'TUttE. ''. . - " , � , � - , ..REGISTEREp ,. Y/�,N. �I,FEE'CURRE�-r � c Y:/;N=.' _ , ,. ._ ; -,. . , ,.:.. ° , . .�.. ... . '. . . ,_ . ; _. , � . . , ,:. . Addeess ���:�.�:::;:..r,•,s.:.r:;::r��� ;,. .. y . ,, ,. . ., . `l:icense#'�� ..., . . : ; . „ , � , � . .� .. ..r._ � _ :..:. -: -�� z:... .,, .•:. ... . �,�.��,-.... . , • a:_3 ��§�_ RESIDEN'FiAt�:,,_ TA#tacti.;(2)„Pto��P..lan§;:{2):sets�of>Buitiling�'F!lans;`.,(1.j,'set;uf�Enetyy��oiinst'R=O=W�Petm1#`for neu�+.constnictlon, . 5:.. . �— .... . .:. . �f'.+,^,�, ,-,Mlnlmuin�.tem(�10.)1worlctn.g�;days;aiter�sut�;mitteGdafe:Y Required onslte;�f�onstru'cH�on�F?Iens;:SformwaterPlansw/�SIIt F�n�e tnstalled, . , ,�.,,�,�--� . - 'SanlfaryFa�lltlesa8���t;c#_umpsker�ulte�:Woik�PeirnlCfor:'sutidivl'sti�nstlargerprojecls'`.."_•;;::;:�::?�`:`;:<"a�� _ . : , . . COMiI+lERCi�l. r0ttach{3j`cbiiiplefe�sets'of`Bu'ltiiing P[ans pius a�Cife�Safsty Page;(1}set of Energy Farrns.R-d-W Parmitfar new coriatnic�tion. Minimum ten(10)working days'after submittal date. Required onsite,ConsUucBon Plans,Stormwater Plans w/Silt Fence installed; Sartitary_FaclUties d�1.dutnpster..Sfte-Wark-Permit�tgr att'nev+r�ptrol8cts:Rii cammerctal.requtremenis must meet c�mpltance _ . 31GN.p�RMi7 Attacii(2)'s`ets ofE'itgineeired;Pl"atis;�•:;*:=r`.=;;��.,:,_� �., - • , . . . ••'*PROPER71!SURVEY require4l;fqr.all„NEW.c:apstructloo.,,.,...•..� - - �� DGectlons: � . -,� __. . W - � Fill out applicatlon complately. , Uwner&Gontractor slgr►bactc-ot.appilcatlan.notarized ' if.'over�2800,.a Notice af�Commencement ts require�i. (AIC upgrades over 57500)_. _. �. - - �. .,;;`,w`;`�;,:rT:t:te;;v`: .: ...�,,s.,,. .: .... . -. . ,.. _..._,.. .. ,- a , . , . Agent(for th'e aontracti�r);o��Power of Attoirisy(for ttie�owner)would be someane.wnth natarized letter from owner autho�iztng same � ,DVER'THE:COUNTER.PERtYl�TTING;r:�.;,.(Fiont`of�ApPl�aation Orityi) ,. - ,_ � . Reroofs if shingles, ,,•,.Sewer�g;.. �;Service Upgrades AJC _ Fences.(RIoUSunrey/Footage) �, -- �- _ _, ._ __ . ,,,, , , . . .r:�°�',. ,., �, Drivewaya-Notaver,Counter,�if.on��publicm�dwiajis�..needsROW, .� � , . . , ..7 '��,= ' ,' °'..,'� ;`�w -, � . .; ..;:r: , , . . ._" ,.,-,�, •� ,T. . �-:�.,�� . � ` � ` x, ..� . .�� � ... ; �: .. .-. .. . a.•,.t.'•�r';fi'.'4� ... F ` .s�= :1. ...�n . :.i:. . �.,: . , . _ �'ti ,r _ .. . u � .. ., . ,•:`t. .f.J•^. • '•c .. . l , , � . . - , ' v - , � • - ti Y 11 . . _,.., p;ty...'v''"•_ .. ►T10E OF DEED..RESTRICTIO�S: The..undersigned��under�tan..ds�,th�t:i_his;p�rrnl�;;r�nay:be�sub)ect;to:;deed>,;cest`Ictlons.,.. . .-,.,. . ' .-.ri..��.. .....�� �.�:i^�. ._ ...,.m. r} �e:6• , y .. „j. +..w4 '�..." k 1_ij" � '_ � 3 _. . Ja,-r.'.,.;;,..... ich may;tie-y�ore."r,esttictive.�th��Gounty`ireg�lat�oi�s�..��Tfie'�,i'lnd'e'rs1gned'�a`s�umesiresp�in�tbOlty�for.compliance'inrith-�any�� , �Iicabie deed�restrictions. ,;�.:;s.�n`,..,.�;,,R..,. � ---'- � - _ _ _ ,.",�°�,`:,`„" `, ILICEN,SED`�"CONTRAC�:ORS'�AND CONTRAGT013 RESP;0�51�i��itl�5:���:�ff��he �ovime���hasw'htced��a"`i�ritrector�or �tractors to undertake.work, they may:,be.�r�qu'ired;zto,;b,e:itcens�d:ln�.eccordance_with state_and�local::�p�ul�HonS:=��If;tFie:.��:�. � .= � , _ _ .,;.tr.F,.e .i+"i.t:.-.i�:�s,:;.�,..,.rir-.._<�s.<.i.:..- ;.,. . .,, ...,.._. ,�!n`..'il�.,.�.,-.;:. �tractor`ta•:not�.iti�nsed�':as�'�requlred'by'lew;:tiotti�°the owner and=�contractor:mey�tie�-clted}for��a�misdeMeenor wlolatlon ier state law. If the o�rner or Intended;y_c�,ntre5�to�r:;e�e,,:unoerfa.in::as to wFiat�Iicensing:,require�nents:_;mayA�a�piyr:5fo�w�tlie���:�;�'���-��.=�. . r - ......; _:.. mded`wark,`the �'are_edvised:to;contac�,the Pasco�ounty Building;InspecNon:*Dh►lsion--Llcensing:Section.at 727=847- �� y � , )9. �urthe�more, ff'the 5owner has'hiretl e co'tihacto��or'contractors, he is'�dvfsed�to"lia4e;xhe .contractor(s);.,sign.,.,,, ,;_,,,,,: tions of the "contrector Bl.ock°..of`thle,.appllcatio�a:for;wh[ch:the.y.:wi,ll:;be::�e.sponsihle...;�if;you�;�;;as`.the'oiivne�stgn:'as`'the=" � ' , . ,. . . .:, . . .. ._ ,1.. ...,.....,..�.o�._. � _ .-.,�__..,_ r,....:4._ ;; itracto.r;'�tfiat`fnay be-an Indication�tfi�t�he�Is�notY'.properly�licensed"and�-is°'nof�entltled�fo�permitting�privileges in Pasco, _ ;} unty. r � � ..:_. . _ ' � .,. :.�,--_ . .�_ ,�;_ -.:�;.�ratE�,.�r:�y:>s<:::�,� � � _ t't ANSPO�'�T1�'iON�IMPACTNT141�1ES:-I�ARAC�';AI�b=1�ES0�litCE�RECOVERY�FEE�:�The��und'ersigned'�unde�stands � . , . . �; ; t Transpo�tation Impact Fees:and.Reco.ure�Recove.ry.Fees may.�epply_•�,ta�;t�e construction,.of_new_b.uildings;.ichenge��of"��"¢-V'�-° � �� .: � in existing-bulidings;�q�'�expa�'si�:�::of��xtsti��riiltltngs; as'specifled:in Pasco County Ordinance number 89-07 and ' ,' , 07, as amend.e,,d.,;'Th� undersigned-also;understa�ds, thgt'such fees,;,as,�ma�:`�e::due;,�w(Il;��e ident[fted at the'time`ofr��°'°���"��'`��� 1.....,.N. . . , , ,..__. ;: mitting. It is turlfier unders'tood that Treiisportatlon.Impact`Fees and��Resource'Recoi►sryr•Fees,mu�t be pald prlor to ° ' eEvtng a "certiiftcate:�of-�occupancy"�cr•flnal��.pcwer;release: :If'�theT�pro)�t;does:not-lnvolvetia-certiflcafe of occupancy o"r"'-'�°`��f�'�"-� . , . , � ._._ il power�,release�.the:fees:;mu�,t'�be�paid`�pclor.to:peni�it Is$i��nce. �F��thermore;{;ff•Pascmg�County.°Water/Se.wer:lmpact��:��� �-°-��•-�� � s are due���tFiey_must-be;pald,p�(or to:perrr�it-lss4ance:�n.:accordance,wit�:applicabte:Pasco�County�ordinances. �NSTRUCTION`LIENIAVIY"(Chapter 713'� Florlda Statutes��as am�nd�dj; if'valuation of work is$Z,SOO:OO:or mor.e;1-� �,- - �+_ tity that._I� the,.applicant,�:�iave�been;�.provided::�with--a-•copy,-.�of:,•ihe��'Flor(da��ConsUuctio"n;�Lten���Law--Homeowner's � �tectlon Guide" prepared by tfi�e'Flo�ida DePartment�;of Agric.ulture and Cons�m�c:A#fairs: If the appllcant is sotneone� ._,.,-;---.Y,,, � � er than the"owner", I certifjr,�th�t_I;h�v.e,obfQinedfa`�copy.of.the:abov�:.descrlbetl�t��cu�ent°-and;�ro�il.s�;in;gQod:faith:to.; _. . iver it to the;'owne�:pcior:.;to�commenceme�it�s` � � . ,"` ., . � . : , _ _. _ --- ; :.��•=�' :. - - :__ . �NTRACTOR'�IOWNER'S AFFIDAVIT: I.;cectl[y;t�iat,all::the:lnformation°In-thi�applicatlon is accurate.and that al(work 'be done in compliance•with all.appllcable'laws�regulatlng const'uction� zoning and�s_land°development. Appiicatlon (s � � eby made to obtain;a,permik:Co:..�do,;wotk;and;'liistallation as endtcefed:�z::�1.:certffy_tR� nb�i�,6ock"oc Installatfon`has �� nmenced p�lo�to'Issuance of'a penriit"and thaf:all�work will be perFormed�to meet�-sta�lderds�of'�II laws regulating- � istruction, County and City codes, zoning regul�ttans� and land d�velopment tegulatlons�`in'�tFie;jurisdlction.�:-i�also tify that I u�derstand that.the regulations of other�government agencies may�apply.�to,the.�intended work, and that it is - responsibiHty to identiiy�what.actlons I•,must�take:b be,in;compllar�ce..,S.uch-agencies include•btat�are:not Iimited.to: - - Department of E�lvironmental:�Prote'c�dii'-`��Cj�press:'BeyNead�;'W�ll°and iAreas and Environmentally Sensitive Lands,WaterMlastewater Treatment. � � - Southwest Florida Water Managemeri�-�:..l�tstrict-Welis� Cypress.��.Beyli�ads;���Wetland Areas, Altering ' VVaterccurses. ; �� _ . . _ � .� - Army Corps of Englneer`s-Seawails�Docks� Mavigatile Waterways. , , - Department,;of .Health�',&,.ReF�atiiflta(ive�ServtceslErnrironmental:.Health=Unit:Wells;:;Waste.water��Treatment; ' Septio Tanks: ' ` .. . ` - • � - � . - US Environmental Protectlon Agency-Asbestos abatement.n � - Federal Aviation:AulMo�ity,=Rumirays: - � iderstand that.the:follow�ng;:resttictio�s apply to�the t�se offlil:• - Use of flll ls not allowed.in-Flood;ZQne"V"unless expressly permitted. - If�the-flll=•material�:;is���o.�be ;used::�in._��'loqd Zone: °A", It. ls�understood�that a'drainage-plan addresstng a "comp�n.�ating volume"will.tie s�b,li�Ittedr at:�Ume of-permltting vvF�ich is prepared by a professional engineer" Iicensed�b the�:�tate��of.:Flotida: � - - . � .- � y'. .. .... .� . - , Iftifi�.fill-�iat�'rla�.tsrto,b.e_.u,sed�in �tood Zone 'A"a�;�aoQrtecttpn�rith�:a:���ertjnitted,b�i[�ing�using�.ste�'iniall constructio�l;l-certi�that:flll:�ulll.be;used only.to..flll tf�e..aie�.wittitn'th�•steinvvall.: -���' = - If=flll materlal�`Is=to��be'�used in�•any~area,� I"�certify that .use. of such"flil w1U�not-adversely affect ad)acent , properties. If use�of fill,is found_to advereely�,�ect"adJa�erat��praiperties,.the owner mey be clted far viofating the cond�lons-�of-:tkie b�iil8ing�.permlt tssr�ed:,under ths°attabfied_,�ermit���ppAcation; for�lots less�than.one (1) : acre whtch ere elev'afetl�b"y,�iJlt;�rr�ngineered dralnage plan�ls requtred. . � , •� � , �m the AQEN.T..FOR:THE�0IMNER;�I;�iromtse�In good faith to�l�orm�theYownerof:the_permitting conditlons�set forth in � � atfidavft'prior to commenaing aonstiuctlon: "1'"understaRd that e;aep�arate permit may be requlred for electrlcal work,: - � �- --� .. nbtng, signs� wells,_;pools;j,air.conditioning�.,gas�..or:.otMec..ins#"��,1�i�lons nok spec)ficalty Included�in.the�application. .A , _. - • �; nit issued sliall'tie`consfnied to-be•a°Iicense:to;�proceed with'�the�:wo�k and not:as:�.authoNty to:;violate��cancel� alter, or . aside any provistons°of tFie:technical::codes;�nor shall issuance�of-a.permif.prevent tFie 8uildirig Official from thereaRer , ;> i� . ... .. • , � �Iring a correction_�errors�in_plans;.:constrt�ction.or vlola0ons�of�an =codes:-=Eve ''" y ry�permlt.issue.d:shall become fnvalid =- ;. iss the,uvork autho�lied"by such perrtift'>�Is-commenced•�inrithfn sfxymonths;of�permit issuance, or (f work authorized by �~ i' permit i's.suspended.or..abar�doned#or a:p�riod,of-ysix:�(6)�montfi's;:aRer the:tir�e the�work��is commenced. An.extension . r�; '' � be requested��in writtng;:;from'the'�Bullding;Officia) for a pe�lod:not to.exceetl-ninety{90)�:days�a�d�wilf demonstrate " � fiable cause'tor.�the e�fenstori�. If work ceaaes:tor ninety(90)cons�cutive:days...the)ob�ts�considered abandoned. • ��. � - _ � .. - ;: , :�, ,.: RNING TO�dWNEa: YOUR.FAILt�RE=Tta�:R�EC:ORR��A::N.OTICE.OF:CCMMEMCEMEI�tTaMAY�RES[1!T IN YOUR 'lIV(3 TINICE;FOR:IMPRO,.V`,EMEI�I�'S�Tfl;YDUFt��PROPEl�TY:�•I�:VO.U?IIiF�E�ID"TQ-'�B�'�AIN�=FINiAf�IEiNG;:'C.ON3ULT -�� � U _ - ;O._ A� �TO N s � E;;� .p C { E �.,,. �. . , . . . � , tIOAJURA'�(F. . �.03> _ _ ..... -- - - -- - ;- w. --�-. . -. . -. - - - =- - - - - IER OR AOENT C�NTRAGTa ��� �"- b}���d swo r eddbetore th s C�ilia 6atJ' t1d'swom` (ot' rtn )�b` me� Iti., , -����� f! t b ��'I�JL�Y n � b., . . , . . Isl fre�ersonally known to.me or•haslh ve prod. Who�l's/ere.p.ersonellyknown•to me�ochaslhave- duced. • -- as�ldentlflcatlon: - - - — „`as'IdentlflcaUon. � ` • _ otery Publlc . Notary Publlc nlsston No:' Com�isalon•No. ta Publie StaM W Florkla i al No � , Name oi Nolary lyped,pdnted or stamped � � IC�ay D S�xratt �a.r F�a�c smfe a�orwa � •My Commission FF 06E632 . . K •:q D Surfatt . . �a Exoini ot126�2ot8 � jf M}..wnmission FF OE66�2 a�p'` •.a��irei 01/26/2018 �