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16-17476
CITY OF ZEPHYRHILLS 5335-8th Street � -- �e (813)780-0020 17 6 ELECTRICAL PERMIT . PERMIT INFORMATION - LOCATION INFORMATION Permit#:17476� Issued: 6/16/2016 Address: 5554 16TH ST Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 500.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 40.00 Date Paid: 6/16/2016 Parcel Number: 11-26-21-0010-11400-0160 CONTRACTOR INFORMATION - OWNER.INFORMATION, � Name: FIRST CLASS ELECTRIC INC Name: LAPLANTE, MICHAEL Addr: 7141 BERRY RD. Address: 5554 16TH ST ZEPHYRHILLS, FL 33540 ZEPHYRHILLS, FL. 33542 Phone: (813)782-7861 Lic: Phone: (813)783-9111 Work Desc: UPGRADE ELECTRIC SVC 200 AMP APPLICATION FEES ELECTRICAL FEE 40.00 INSPE O S 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. "War.ning 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. a � �' CON CTOR PER OFFI � PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-78Q-oo2o City of Z�phyri�ills Permit Application Fa�t 813-780-0021 ,�. ,� Building Department Qate Received .. � _ ' - ° ' '�`Phcaer.Con#ac��for:��ee�tnittin ;:',' - r Owner'sName � ! 1�Q ��h P�Qt�t UwnerPhoneNumber � . Owrner's Address :7 � � lD� �TI PC' ' CDwnerPhone-Numbsr � � Fee Slmple�Titleholder�Name �� � '� Ownee Phone Mumbe'r l . � .. : . .. , .�T� ., . . .. . , .. � Fee Simple Tltlehplder.Addresa Y �' ''�' � • - JOB ADDRESS ' , P .- . , LOT#_ C�. . SUBDIVISION � 3`'� PARCEL�ID#' , • , . � � , . ` � - '(OflTAINED�fRQM'PROPERTYTAXNOTICE� � WORK PROP08ED ' NEW CONSTR °f` ADD/ALT •[�] S1GN `[� Q`; DEN101:iSli � . � . � � t,f INSTALt 8'�'', 'REPAIR � ` - � .� � .__ PROPOSECf�iI3E ; Q'�_ SFR ` � 'GOMNI'.. C� O�F1EFt ; .. � . ,. .. - -�. :. . ; : ... .. . . .. TYPE OF CONSTRUCTIONl; �]' `BLOCK�'_ `�] ' .`FRAME � STEEL Q. , � - DESCRIPTIONOFVYORK La ~ �Q�'5�rvi�, .� a�� �rn ' - BU{L�16VG°BiZE�:� ��SQ;�'OOTAGE��, _ :=HEIGHT<.�..,. �� -- � ��w. ,.. .,, .. .. . . 081111DING $ -zz�:�:�,Y�,_ _�ar;-, �::__.-. . = • � , . VALUATION"OF�'TC'ITAL`GQNS'I'Rl/CTION �',. , �E1.ECTR{CAi. $ .. �Q h� �y� - " :AMP SER17iGE Q PROCsR�SS ENERGY [�. W.R.E.C, V - Ll�'f'�Cd2. S=eY'✓)`C�'- • QPi:UMB1i�G �$� � � �-f� ��f}U �x-vr� - I i QMECHANlG,RI $' ' ' VAl.Ui4T14N;QE.MEGFfANIGA�[NSTALERTION C 1��`` i A� �/ . '�l Qc►�,s � ROQFtNG,,.0 SPECIALTII � o-r���� -� . FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES. NO , ���. ,,,�� � ,. . : . . . . , , , Btltt�DER COM�AFIY _ � ' � S1�3PIATUI2E RECiISTERED Y/ fV Fee Cu��'`,,_ ":Y/.N,._- _ _, : ,- . � Addre�s - ., • ., l:lcense# � � � �� _ � �t�c��cu��:�, �r.,,, , . � ..,"coi�P�nr °��` .� - .� . ' � . ��=;�����G�tS� SIGNATURE �'�����GC���� �-'" REGISTERED Y/ N + �CUR�� � Y./N� , Addres� � � . , , � , � _ - '.License:#��F[�Od b'a"�,�'�D ry �.� P�UMB�R COMPANY� :; - -� SIGNATURE " � '� �RE131S.TEREq �':Y�/;�.N'' . "� FEE,CURRFJ��� �`-Y/N:-'- `� Addre�s ,.- . V - , � . -_ ,, Llcense#f� ' . ' � ����- �I MECHANICAt:� _ - .^. . , _ , , ,Y , �� :CqMRIyNY.. _ ,. = , :" , .,�,��''•: , ,,: : - SIQNATURE ' ' �� � " � REGIS7ERED� „ .Y;/.N- .;��FEE CURRE�` ' Y/:N`,., � ' ` �lddress� .- , . `. ,.z.,. . , � ..{. . - , . . , , ' ' ` _Licsnse.#=� 5 - F���," + OTHER - , . �,, 41ti . ,. :. - � , . ` �,:.GO�I(PANY. '�.,,� .. __, .. • .� - . ., : � ' .. � SICaNATURE.~ .. ;,_ , : , :'F `, . . " �.REGISTEREp.r , Y,l N�_..� °��GURt3E�=., ,YJ�N�,., . , . - , .- ,. i, . . r'_�,.�. _ - j � _. . _ , ]''�. '� . ; - � � ,. l�ddrass, :�'` x1:lc�nse#�(� � , >.�., .�,. ,_ . . ..�. . . � . - = - .. _ , x ,.. ....: .:. ..: . �:- ,:;:.:,.•,d �;,;ri _ ��,.;<< - - ':i� •�-.. - - .:�>_.�;�. � .,.� , , . ..: :;. ., � R�SIdENTiAl:,`s���Attac.ri;`2�:P.,lof:Plans�,2 :sets.of�Buit�in"Plans;.�1�setaf�Ene��"y�Fariiis:`R nevir';co n;: .4.�... � ,t. }�� ._ ,,{.), .: . .... �9... {.,)�„ t'9 "=o=vit°£ : - ` c�fo - �_ . � ._.,... .- .- . ..,�. , ..: . . . r_,,,,.,a..: .�.rmlt far ,ns„tru;:�..- �Mini um;.ten�(:1q,sw,,orking yi,s = = eq � F°„ ,>, ..� �.. .t. •..,1;y ,,,,T; ,�,.)w ;da ,�after,',"sutiLiiittal'ilate::.R``�uired onslte-Const'rucdon,plans;�Stoimwater.Plans wl Sllf Fenc,e installed, ; � '�. Sanitary:Fac��ttt�s;8�;'��;�{ui�ipste'r,':SIte�Vllork�Per.rr�it:�or�sutidf+ii'sliinsllargerpiojecws�,;:>`�.�.�3,: .. :. . , � - . - `- - ' �,�,a•;....,tra�..-`7 s.... - aC=t.:,...„o�.:�-�-..,..<: ".-:,..$.;` "' .�.. ::' � -:. � � � CO�II�tERCtAt Attach(3j�eoinplete'`sefs of Bultding Plans ptus a L1fe Safeiy P,age;(1)set af Energy Forms.R O-W Perm4t far nev�i coristructton. Mlnimum ten(10)wo�lcing days'after submlttal date. Required onsite,,,�;onstrua8on Plans,Stormwater Plans w/Sllt Fence installed, Senttary Facltitles��:1.dum�ster..S1fe.Work.Permlt�tcr aitTMnew"prisjects;Afi commercial:requirerr►ents-mustmeeYcamp!lance , , SiGN:�ERMiT Attacti(2)sets of`�ngineered�.Pl�i(�s::�a;�*�,�_��-_, . •- , , ' � •'""PROPER'TYSURVEY:required:forajl-NEW�construcGon:. -_ - - - � , - � - Diiecti`ona: .,"=�-r._�F.� _. ,.. __ _ _ �-_ -_ _ ...__ �`FIII out appUcadan completely. Owner&Conttactor stgn back;of appilcatEot�,notarized tf'over�2500,;a;Notice af.Commencement is requlred�,(AIC upgrades over 57500j__ _ r , . - .. ,.,:�:'x�;°°:�'�i:��,���`.�, .. ,_ __.,...... A�ent(for ttie contrackor�ot'P'o�e'r`of Attoiney(fo�'ttie:ovmer)wou4d be someone with nota�ized letter from owner authorizing same 'OVER=THE COUN'I'ER:P..ERMIT7ING=`:-.::�(Frcnt-.of=Appilcation 0iily)��.�F. „� +�� -�;, 5 * Reroofs if shingles Sewers Service Upgrades A/C � Fences;(Plot/Survey,/Footage) -Y- - �.n-� --r_ ..�: �-:..�...r° -.... _ , ..�� '-r�;V..i�;`:�.^-_�;���:' _ - , � „ ,_. : _ . , - Driveways-Not over Caunter if an pubtic roadwey's"::neiads ROW � � � e= .- . - . �_ . ._: Y 11 "•.•q*�r:r;'=t; iT10E OF DEED=REST.RICTIOMS: The.undersigned,�undecstantds�4th�t,this�.p�rrnit;;may;be,:sub ect�-to_,:deed;,;..resalctions:,.�; ' � ich may=tie�;more�irestFict�iie.�tFi��t.GounEj%t�g�latfc�ns �Then.�lnder�igned.a��umes=`respoiiglbillty��for complianc�with�any � � ''�' " . . _ , .:- . ,._.. . . �flcable,deed�re�Mctlon's: ;= �.;.-:_: -::�;:,:;�;<;y=n��,-.;- - - � � . �. _. - j ti .. �"t,:�l-:3' '�.t ; ILICENSED�:;G:ONTRAC�ORS�`AND�`.CONTRAGTOR RE�POw�1�1�11'I�$:=����;If°�he=+oVirne��li�es�fii�ed�.��°"i;dntfactora.or . . , • ..: . �- ;.. .. : . .., � , . � - � � � ..,�,:.. �tractors to undertake°wock�the .=�me �be;��g; u'ir�d�to��t�e�llcensetl�ln+�ccordance,:with�:state:and_loEal} uF,ations:�-��lfhti�e����:.`�;Y�-_:.. . _. .. Y..,:.,Ya:., , .,9�_ .,r .,�,,;.,:�;,�:;vN.�.:.<«,_�x,�rH::_. . _ �..�9�.... :� _ ; . ., .�:,.......r....:..........,....� .� , �:. <� �. �tractoc:�ls not�;licens'ed`;:a��:-regulred.:by.law;:tiotM�_the=owner`and:-contrector may�be°�citei�for�atmigd:eMeano�vlolatlon , ier state law. If tfie ovvner or Intendeai>�c�ntr;a�ftor,;a�e;yuncertaln:as:to what�IlcenslnS.,cequlremenCs:imay.A�appiy�fo��:tli�s�;�=t�3-�=M:� �, ,� �.�.�_F.. �z,.,_�.s mded work;-they,are:advised��to:contact�the Pasco County Buliding'Insp'ectioriyDlvlslon�--Licensing Section.at.727=847- )9. Furthenno�e,-31f-tFie�:ovi►Fie�Lhas��tii��tl�-a�conhacto��o� cvntractors;�he�;i� advised�fo Fisve,.tFte ,contractoKs):.:sign, � ' tions of the.."contracbr Block°..of°.this�epplication::for.whtch.they„wlll�be_fe.sponsihle,,.If.:.y.ou,,-.as':the oinine��:slgn:"asYtFie-�r`�`'`� �' � � it�acto�;:tliet�may:be-an`Indlcatlon��(h�f;�he Is=not='properly��Ncensetl�antl�is�not entitled�to=�p�rinitFing�prtitlieges,.in Pascoy . _. �'i ,; unty. . , • _ .,`f,�. ..-� -'.... rs ANSPORTA'�ION:iMPACTIUTIL�TI�S�li1MRA�'1'-ANb�1�ES0�l�tCE R�CO�ERY•FEE�;=�Tft��und'ersigr�ed"understands ,, . . . . - :,. : t Transportatlon Impact Fees:and.Recourse Recove.ry.Fees may:kapply�:#a;t�e:constructlon.,of„new�buil.dings;�change��of`'�==w`'�`�s'` � -- '�� � In exist�ng buildings;�b�t}expa�i'st��;,of=�existi"��b�iiliNngs, as�specffied.in Pascq County Ordinance number 89�7 and � 07, as amended.,,,,.�he undetsigned �Isa:�urtderstands, thail�suoh fees;-�as,ma�'�e:��d�e;;�will.=�e identffied at the�Nme��of•��'����_-`�k�' mltting. It Is turt�ier`understood that Tra��portatlon.ltnpact`Fees and�aResour.ce�:Recovery�Fees.,musti be pald prlor to ; � e�vtng a"cerflflcate=of;:occupancy°=or flnal�pow�c;�elease.�-:If�the proJ�ct:does;noYlnvolue:a�certtfl4caf,e.'of occupancy�o�=��`'=����`����� d powee_celease4.tt.ie��fees°-.mu�.t:�ti��pald.=.prb�ta permlt Is$�ance. :Fu�tk�ermore;��If:Pssc�;County"Vll�ter/Se.we,r;�,:lmpact���? ;:�-�-��,� , s are due,,they must be pald prlor to,:permlt 1"s'syance,ln;accord;a.nce,wlt�:appllc�tife��Pasco'�County�orcllnances. �NSTRUCTION`L'IEN�L:'Ie11N(Citapte�713�FloNda Statut����amenil�d): (f valuatlon of work Is$z,500 OO�ormore;:I. � ���._•.:-;�, , tify that .I, 3he,�appllcant, .have-:been:�::prrovlded:•wlth:-a-copy.of��the,�"Flocida��Constivctton°�Llen_Law—Homeowner'� . �tectlon Gulde°prep�red:by.;the"Florlda'Dep�rtment;of Agrlcultur�and Cons�m�sr;Aifalrs: If the eppllcant is.sotneone�.: ,,;--:::.s.. � er than the"owner", I certifji'th�t�l�have�.ob�[n�d�a�copy.of the�abQva:descrlaetl'�fticurt�ent,and.,pror�l�e�Tln;g�`o:d�faith;to ,, .��_. Iver it to,thea"owner�.:pdoctito�commencemeriY '- � , . . � . -_ . - . . - .'"'"`. . = •... -,. _- � . �NTRACTOR'S/OWNEI�°S`/1FFIDAlIIT: I.ceitify:#b�k°��Ik�the�-;Informatlon:l��thla>appllcatlon is accurate:�nd that all work 'be done in compllance.wlth all:appllcable`laws �egulatlng constructlon� zoning and�land�:development. Appllcatlon ts . eby made,to,, obtatn-:a�.p�rmit,.to�,dq�wotk;,and�litistallatlon as IndlcaEed��,:��:l�,certliy'�tfiat no work-�:or Installatfon``'tias`� nmenced�p�lor`to`Issuance of a pemitC'and thaf:all�work vvllll be pertormed�to meet;:standards�of�all laws regulating- � istructlon, County �nd Cily codes� zoning regulatlans� and Oand development tegulatlong�`In tfie`�jurlsdlctlon.� ( al'so tify that I u�derstend that ihe regulattons of other government agencles may�apply:.to the,,lnt�nded;work� and that it ls responsiblHty to fdentliy:what;acttons l.must__take:to be,In:.conlpllance.�.,S.uch;agencles��lnclude��but=are:not Ilmited�.to: _• � . t'i k'� M tF�n. .?.:.. - Dep�nrrien! of"Eo�vlronmental"Protec�bn'=Gypress'.'Bayh'ead�;'I��Vetland i�►reas and E�vtronmentally Sensltive Lands�WatedWastewater Treatment. �' ` � - � ` � . � .., - �-, �� . - Southwest FloNda Wate� Managemen�:�::blstrlct Wells, �=Cypress. .Bayh�ads; �'Wetland- Are�s� Altering ' VUatercourses. , � � • - Army Corps of Engtneers=Se�walls�'Docks,Navlgatile INaterways. � '. ..- �_ _ . Department,of;;Health�8,.ReF;aabllltafive;;Ser:vlces/Errvltonmental�Health;.Unit:Well.s,:Waste.water�Treatment, ` "Septic Tanks ; �:. .: . . ,.-. . - _ � - US Envlmnroiental Protectfon Agency-Asbestos abatement. - - ..Federal Avletton:AulMo�liy=fiumvays: �- �, _ � � � � �derstand that:the:follow#rig,:resti�lctlons"apply'to'the�se of flIL• - - Use of fill Is not allowed ln'Flood,`Zone"V"unless expressly,permltted. - If the: flll;=materlal�ts;<fo,be:'::used:�ln.,�flood-Zone. °A", Iti`Is understood-that-a dralnage plan addresstng a "compe�sating volume".wlll be submltted at�ime of permitting vublch is prep�red by a professional englneer ' � Ilcensed=by��he.k�tatie�qf;FloNda:= - � . �� - , - . If tfi�..flll-.materl�l":Is�=;to>.be�,us�d In �lood Zon� 'A" in5 connection�wlth:�a'-�permitted building using stem wall , constrvcBon, I certify_that fill:wlll:b.e�used only.to..flll the..area.wlthln�:the�atem�wall:- , , �...,._. . . - If flll�inate�laf=�ls�=to=`be��used�ln� any erea;�`i`�certlfjr tfiat .use. of such`�flll w111.not�adversely afiect adJacent p�opertles. If,use of fill,is.found_�to advecse4y.,,�lfecf"iad)acent��prc�perties,.the owner may be'cited for violaling ' the cond�lo�is'�wof,tFie ti�i118ing�spermit lssued:�under the:°at�aaFied_.permit:��pplicatlon, for�:lots less.than.one (1) _ .._._ _... . acre whlch-are�elevafetl'dy.;flll;a�t englrteered dralnage plan ls�equlred. ' .• ,. �m the AGENT.,FOR;<THE:OWNER,°I,.:�romise�ln.good falth to�lnform the•owner:of.the:permltting conditlons.set forth In "� �_ affldavit pr(or to commencing�construcNon:"1`undersfand�tFiat a�separate perrnit may be requlred for electrlcal work,; - . `j; ;i nbing, signs, wells� p.00ls;,.alr.condltlonlny,,:gas,,or�,other_Inst��tlo.ns.not.spec(flcal�y Inclu�led�in the appllcatlon;. .A` ., s �,} 4�, nit Issued shall tie>.ca'nstcued to be a�Ilcense=to proceed wltFi'��ttte:vvo�k and-not•as:�authoNty.to�vlolate;�cancel, alte�, or ��, �; .:. �� aslde any provlstons of th'e"teclirilcal`c+ndeg;�nor shall Issuence�of`a.permtf.pre'vent�the Bulldlrig Oiflclal from thereafter� ,. : �Iring a�correctlon�.�errors-in;plans�;;consf`tuctlon,or vlolatlons�of�any-codes.�:Every,p`ermtt�.Issued�shalF:become�lnval(d ess the anrork°au(horized�by sucli pe�mlt>�ls-coinmence�`•�wlttitn;stx,.months��of;permft lasuance, or tf work authorized by , `��� �.� �,,_�- , e;,, ,{ pemnit is suspanded:or,abar�doned_for,a,:p�rlod,�ofislx��(6).�mont►is;;after"tfie:tlrir�e:the�work��ts commenced. An,extension � -; ;r � be re uested, In inirltln � from ihe Bulldln :-OfrtElal:fon a erlod not_,to'ex�eed;anine.':°�90 �.tla � � °< 4. 9 9 p ty{ ) ys�aRid�wllf demonstrate ;r, fiable cause fo��tlie�exten"sion: If work ceas.es,for nlnety(90)cons.ecuttve:day.s...the)ob�ts�constdered aba�doned. � '�s =. - - - _ :��. . ., _ �. . .. . _ .� ._ :� . . � . :,. .. , z, :.. ...; • ;.. ._, .� RN11NG TO�dWNER:�`YOUR.FAILIJRE:TO;;,R�C:Q�t��AP;NOTIGE.:OF;COMIIAEM�ENIENT:MAY;:RESULT IN�YOUR �,; I 'ING TWICE;FOR iMPRO�/EMEN�$,TO YOCIR P�OPER�:Y:�.-JF=YO.Ux1iV�E�ID"TO::�B7'�AM�}FIN�AMEING;��ONSULT U '':..:.D:..». ;O �I4N- TTO N R s. �CO �� G':;. .:p = G - -- ---- --- ... .� l "t10A�JURA��(F.S:t77.03} ' , -^ ,• � ° � - - . � IIER OR AOENT' CONTRACTO . � � � . albed and swom to'�(or afflnned)tieiore'me'tNls ' Subs' b��'' �r�d'ay�btrrlv(ot'afltrmedpb b�;me.tlil� . . - g1 b bY - - �—(S— � ��b. • Is/are personally known to.me or•haslheve produced Who ls/are pers . alry � wrt�to me oc has/have�rodi�cced_ � 4 aa:ldentlwcatlon. - �..� - - �. _ °`.' :','as ld;entlficadon. " Notary Publlc . �� Nofary Publlc . nlsslon No:' Gbmnfltas on.No. - ' � r ;ti�:'•.�^rm,; ,IACQUELINE BOGES '• .�- � - �ol Notary lyped,printed ar atamped Name ot Notary �cf ' 50422 "+ F�oQ,� xpires ecember 12,2018 '��fj,, . 8ondad ilw Troy Fein Insiuenro 800385_7019 J