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HomeMy WebLinkAbout16-17500 . y CITY OF ZEPHYRHILLS " n 5335-8th Street (813)780-0020 00 ELECTRICAL PERMIT -PERMIT INFORMATION . LOCATION INFORMATION � Permit#:17500 Issued: 6/21/2016 Address: 4755 LAKESIDE DR 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: Total Fees: 40.00 Subdivision: WINTERS Amount Paid: 40.00 Date Paid: 6/21/2016 Parcel Number: 14-26-21-0000-00200-000 CONTRACTOR INFORMATION OWNER INFORMATION - Name: HOMEOWNER Name: WINTERS MOBILE HOME (OLSON ELLE Addr: Address: 4755 LAKESIDE DR ZEPHYRHILLS FL 33542 Phone: Lic: Phone: 813-779-0256 Work Desc: REPLACE LUGS & JAW METER BOX APPLICATION FEES ELECTRICAL FEE 40.00 INSPECTIONS REQUIRED 'ROUGH ELECTRIC CONSTRUCTION POLE PRE-METEf�• FINAL (�p- D \ 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 frst 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. CONTRACTOR PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER s��aeo-ao2o City of Zephyrhills Perm6t Application Fax 813-78p-0021 � d ' ' Buitding Dapertment Date Receiv�d t = . � . '� �t.- � -'' �J � Y �: �Phone�Conta�#<forPermittin `;: " o�G Own�r'�Fiame � I�� �s�} t} . Owner Phone Plumber l-�.` t ��tJ�,S��c . Owner's Atidres� ��s� L:' �1�°L- D t {J t9wnsrPhone Numtier ' � � �. Fee Simple Tltleholder;Nama• •� � ' �� Owner Phcni Number r-,, _ � ., _ , ;��£ , ; . . . . . . }„ , . Fee Simple T(tleholilerAd'dress � - �n' � - � JOB�►DDItESS . , ' ' L07#_ �� SUBDIVISION �� - � , PARCEL'ID�"' I ('Z Y�."'-'�i('"'�v�0^(/a ZC�G�'`.."-G70�(,� ' . ' ` � {48TAINE��FIt01NPROt+ERTYTAXNOTiCEj" - - WORK PROPOSED . NEW GONSTR `� �` ADD/ALT Q SIGN Q � ,;'� `�';' �.ti rDEM4GSH • `�H lNS7'AI;L� ,e �� •REPAIR � . z PROPOSEQ�USE. ' Q'� SFR [� COMM'`; � OTHER; '.'. . _ � _ . �, .. . . . : TYPE OF CONSTRUCTIOIN.^ ., Q 'BLOCK','Q', � FRAME, � j.STEEL Q. .-, D�SCRIP710N�'OP WORK A' ' / • r ' BUILDIN(3;SIZE'�� '' $Q,FQOTAGE�� ,; :-,�� �HEIGHT:��, � ` QBUILDING � .�_::�,,,.�:.:.. . ..�_.. , , , VAL>UATION"a�TOTAL�CONSTRUCTIQN' �� ' ` . .;k � '' . . r . .. QEi,ECTRICAL $+f,,;,,.,� �AMp SERViCE Q PROGRE$S ENERGY [��� �W.R.E.C. _ QPL•UMBiPfG $` - � ` � � , � , ( `5� QMECHANIGRC � $ ' ; . VAi.UATlON:OF..MECNAI�IGAL;INS'i'ALLATtON -�t � QGAS [�.. ROOFING.,;,� SPECiALTY•� �TMER- ' FIMSHED FLOOR ELEVATIONS �� FLOOC1tZONE AREA QYE$. _ NO , r _. . BU14DE� GONOPAIdY " � • SIGM�►TU�tE R�GiSrE�D , Y/ N ' ��Cuw�En' ,., YJ.N.:- , Addre�s , "�, . :4lcense#'i . � � ELECTRICiAPI- ; • ,,;,j.�/�/,����-��*✓ " ' .'+CCIMPANY - . SIGN�►TURE C x � � �' REGISTERED Y/ N FFE GURRE� 'Y/N " � , � - ' , Addre$s . � � . � , <� ,�icense#��'' - � PWMBER � . , � C,OMPANY- , ., - .. . SICaNATUR� '� ' ' �� - . :REG�S7EItE0 ,.- �?�.�-:��rY•/��N �• F,EE:CURRe�'' . _ 'Y/�N. _ ._.. . Addre�s „. , . . , .IJcense#�I� ._,. � _ - - �w� RAECHA►NiGAi:" ' .. ., ,_ � _ . ' ' , ,CQMPAFfY:: + - k � - _ - ` __ . . SIQ�WIATUI�'� . . , ` � ' 6EOISTERED"' :.Yr/''N:�- �:FEE`CURREQ , ��Y�-:r. -N:�. Addres$- � - - -, ,:;� ,. ,�� ..� . , .. d .. - - ,r ,.�:Licens,e# �._,_.�� OTMER , _.s. ..- , _ ._ �,� - - " ',.COIIAI?ANYk ; � . . :: ,. . . . ,_. ._.. , _ . SIGPIAYURE, `s= . - ;`;'; • . . . • � �REGISTERED. .� Y/..N,::� F.E�CURREA; _iY:1cN�:� . , - Addre�^, .h.�a ��, - `:� � :it_,�^ • - s.,�;: `r,. - .. >„ .. . - '~ : � .�,� . �. A. Llc.�nse# .. - -- _ YS" >.f:�.i _" - _" - :`�'_ _ j«.�::{A,�:.�,'-_��}�S� �;fi'��:r .�, � ... . � viit ` .n.'.5��. F y " . LX::''''-",=.4t<.- ... R6SID'EiVT1�1L:>,} .A,tkacFi;,2;�?tot;•Plans.2:sefs�ofxBulldtn'�'�filans•`�1=�setiof�Ene~ *Forrn's�'R=t�N►,Rerrri'ttfortnewconstnicUon•�. ,., - , �..),. _ •�t.�. 9 �.,t,,).;,. �9Y �a,. - .,R:�;�E.,..,<.. � , .� ;,.,,, �. .,. .. , , ... . ,. . .._. . , ,_ ,� ..�.. . � , . ,. . , .; �'�t,Miriimum{:tens�tq, oritin d"a. s-a r` � '. k Q c�installed, .: v,.,,,_...,� �,.�.���k;.. ;9:,. Y..�,�'$ubinittal�clate:==Requlred'onsite'rT�'ohstiticdon�.Plan"s;,�Stortnwateh�Plans;w%'§II F' n e. .�:.� �:. ..•. . . , , : , .. Santtary�adtt�es�:8�n1;.cli�mpster,S�te YKcrli:Permi�#Q^r Esu�a�v�s�or��iar�e�rojecas�: h�..,'..:= �. '..:.�.� ` ', -' �j= '.�` ,'. . = . " -�-- COMMERCIAL Attach(3j compiete'"sets"of Buli�itng Ptans pius a�L`�fe Safety Page;(1)set of Energy Fonms.R-0 W Permit for new canstni�tton: Minimum ten(1p)workfng daye after submlttal date. Required on,site,.ronsVuodon Plans,Stormwater Plans w/Silt Fence Installed;t, Sanitary Fad11t1es:�.l�dum�tster:.,Site Work-Permlt.for ail new'projecfs':All ccmmerclaG cequirements musfi mee#�campilance �SIGN:PEItM11Y AttacFi'2 sets`of�En1"'ee�ed.F+lai;is;;�;;.:r,:�::':.,'r.•, . . , .,r ,., .,.. . � )� 9<l�,. i;. ,' '.:, "•"PRQ(?ERT:Y..SURYEY reguired;for,all�NEW�ccnsWCtlon., � - , � .. Dl�eetlon�: .:,:�, .. ,_ _ - _.- -• - . Flll.out eppNcaUcn completely. Owr�er&Con#ractor s�gn back�afiappSicatlon,natarizad If over�62500,��.Notice of Cammenaement Is requlred. (WC upgrad�s over$7500).,,_ :: �� . -, - N ''�ry:w'ei"-li`��:"i7*i�F:'-.. •' '.. .aM. , ,_ Agent'(far tf�ie coatsactpr)`o�:Power of Attoiney{for!ha'ownerj wauli!'be someone-with notarized tetter from awner autho�ztngsame-4 .= .. . OiLER�THE COUNTkR.PERNiITTING--==��.:�(FiooQofllApPUoaBon Only)� .� ,. , ._, � Reroofs lf shingles Sewers Service Upgrades A/C Fences(Plot/Suryey/Faota9e) - : - - ,. � , - ... -,., .... •~ -._.....�. ...�, "'"" _ . _ "_f" _ ' .. Y _ ^5%^`` ,- � - -' ,'1' �. ,",F���i .. � _ . • �rivaways-Nat over Counter if on public roadways.:needs ROW " ` '� -- •--- .� _ „y' a r �� - I , . ',.. , � � . I , , . ;, �, � . _ _ _ - . .. .. , .. _. ?T1�E C1F�E��:R�STRICTIQNS: The:undarstgned�:under�#a.n,ds�tth�t,#�tls.`p�c�rtit;�'nsy�,6e:,subject to"de�d";=rest��tlons":;;,'.,_': '. dch mayabermore;resti;icfive.�tha�`G�unty'{regWlatrori� TF'ie°i�nders1gned`��a�`siirri.es respo�itillity�.for compltance�with'��any'N�`�� ��° � �pltcable.deed':ro�trtctloris,. - �.z ,=:;3>;.4�a�_r.�_�3 __ ' . ' _ - - - __ ' :,° > , � - ., dLiCEN�iED�'CONTRAC�O�i��=AND CONTRAC'Tt�R RESPOW�tdiL�lTi�S`r�_��t��.�lie=-owr�ie�``h�s"hired:r�Tco�traotor or �ntractors�to undertake°woik„tFrey mey,°;be;r�Qulred;:to��b.e�llcens.�d'=1n�eccoidance.with-state�;and`.local;regul,allons:,;°:If��the�:r��.���• . �� � .; -�,..w�.,;�_.. -• � � �ntractor�;'ts:not�lfcerised``as�.i�equireii¢by law;_-bot�i=�the�awner a%id:�eonfra�tai�rinayitie��clt�d forAaam1§demeanor vlotatlon ; �der state law. If the owner or Interide+���contra�to,r,�>ere�;unce�talh,�s ta whet�(iceneing.,requirements�;rnay.,Wappijr�far�=tlie�;ly:�;:°;-,-_~�' ended�vtrork;•they:are advls+sii"to.c�ritact the P�isca�Gounty Bul�"d{ng:.:Inspeckla�i;�Dlvlslon-�i.ic�nsing:Sec#lan�.at 727�8�47- ;; .��.. �... ..,�t .:� �08. Furthemiiare,-�tf tFie vwne���Fias-�hf��d-a �contrac#o�'or�coritre'ctors;; he is"advised ta'fisve;_the ,con,trecbr(sj.;,sign., ry;..;s__,,,-- ,..,.,r,,;.. _ ; , �rtla�s of`the"contracto� Bl.ock°.of:`thle_applicatlon.;fbc:.v_iihlch-they.:wlll.be,r:esp.onsihle.;,If=you;>as:..#he�oinri�r��tgn�a`s'�tfYe~'" " � , ' ntractar� that`�riay he�an indica#1ori-fh�t�`he ts not�:prape�lyritcenseiid''and:�ls='iiiit"er�itied�tc pettnl�tng pr�ullege�s�ln Pasco . �unty. � � - . ., �.: ,. ->._;<.rk=�,,,.:�,�,<y y, ; , ;,; ,. - � : _ . . _._ ,_ , .._ � ._._ .. l�tN�PQRTA'f1t�N�IMPJ4CTlU�IL!'�1�5�1�VlRAG�:AI�f�=�ES!?UItC��13�Gt)1tEEtY�FEES;�Ttie'u�iderslgne�`�tii�tderstands ,:F ; , K . ....,- F t . �t7rensportatlan Impacl Feas and.Recaurse Recovery.Fees may��appty�4.#att�e.constructtan:,of;new.buildtng�,,+change^of'"'~�•�-'�`'� �� ' ;-_-..�..W -, � � ,., ., e 1n exist(ng=buildings,�:�c'�exparist�ii��o�+eXi'sti�:��bi�ili�t�igs;as'speclfied'.In Pasco County Ordtnance number 89-OT and '- ` �-07, as amended..,�Th�undersigned aiso-:urtdecstands, fti�i�:`suoh iees;�,as�aryF�s:�due;,,wiiF::be fiden�ified'at the�time'of�:'�•�=���. .�''�_ �3 �rmitting. It Is turttier understood tNat Tra�isportation.Imp�cf'Fees and<�teaoutce Rei�i`r`.ery4'Fees:rmu"sY be pald prior to , retving,a:°certl�cate.oi=o�upancy"-�r flna�tipower-�elease:` :1��the:proj�r�t�;.does,rio�Involve,fa�certi#{cate of ac.�t�paniiy_vr����"����=3 < . , �: _... . . � al power,,;r�teaee�:the�feess:rr�u�,t•tie�paid"�.prto.r;,#o_per,mft isst�ance. -F.:w�khermor,e;��if.Pasc�s.County;Water/Sewerx:lmpact; �..�.;�-��.' �s are due�,they�must.be-pald:p�ior to�permit'>4ssuance:�n,accrordancs�with:�pP!lcatile:,Pa�co'County�o'dlnances. � aN:STRUCTiON`i:1EN"I:�►W'(Ciiepte�715,Fiortda�tatnt+�s���m�nd��j: tf vatuatlon a1`work ls$2�500:OO�or mote;:i: = _. _ �- ,.. rkifiy that I, �he.,.applicant,, �axe.;b.een�.provi.detl wlth.=a�copy:�,o1''tlie:�,"Florida���Consfrt�ction_:`Llen�::Law--Homeowne�'s � oteattan Guic#e" prep�red by°t�a'�lor�a l?ep��tinent'of Agrlc.ult�re and Gonsu�er;Aifatrs. Ef the appl#t�nt Es,sotrieone , �-:-�_�.. 7er than the"owner", I certiFye:th�t.;l:have�obfalned�atcopy.of.the.above:desc'Ipe���ocui�ent�and;promt.�.e�in;gpod;faith toi _ _.., k��. . � � . ,f .. i .: . n 's .. :. � ., . �liver it ta�.ths:'owrter'`:pr�oi��hi�comtr�er�cemerit:�r:�: :�. ,: ; . _ _,.. _ :.,., .: - �NTRACTOR'S/OWM�R'S APFI�/�ViT: 1.ceittfy;.t�i�t atl°-thg;Ufocmation-.tn�this�appiicatton is accurat�:end thaE all vvork II'be done ir� compliance wlth all.�ppDcable'laws�re`guladng conslructlon, zoning and�.land„development. Appltcatlon !s �reby macie ta abtaln ;a.parmit::ta:�do.:�+lr+r,��§and��ih�tallation �s indlcafe�l:����_�I�.c�rttfy-:tfiat 'no�work-�or Instatlation�'it`as '. �mmencetl'p�lor to`Issuanc� of'a pemi(t and that�:all'work wlll be perFnrmed�to meek-standards_of:a�ll I�ws regulaking- �ns#Nctian, County and Gity codes, zoning_regula#lansf and land development•r.egtala�ons�lri°tlie:�Jurlsdlction:�<°I��at'so . ' ;rtlfy that I uaderstand that the regulattans.of other�government a�encles may�apply;to the,lntended wbrk� and that it 1s �responslbiitlyr to tdentlfy�wt�at.aattons I.must�take;to beFln:.corrlP�lar�ce; Such,agenctes=lnclude bwt�are:not Ilmlted.to:. , - De � ��i� � '.`'h� ,"TM ` -� � :., `Vk�edand�Aireas and E�vironmental SenSitive partrtien# of E�virorimentalf'Profocfibn=Cypress°Bayfieati�, �y Landsf W�tedWastewat�rTreatment. ��' � �� � " � - - Soutt►west Flortda Vtitater Management ::l�ts#rtct Wells, =Cypress.'��BeyEie�ads;� 'Wetla�d Areas, Altering ' 1Matercourses: - __. .. , . _ , _ . - Army Corps of Englneers=Seawalls;Docks,Navlgatite Waterways, � , - Department,,of Health;.�&;.Retiabilltative,ServiceslErnironmen#"a1�.�Heait��Unit:Well.s�:.Waste.water�Treatment, � �. „ �. ,, �.,. . ,._ . Septic Tanks:: �� _ :_ � . ,. _ - US Environmentai Protectlon AgencyAsbes#os abateme�►t.,,. � .Federal Avl�tlon;Authorl�y!=Runways: � - . u inderstand that.the.foNoi�ng:r�strlctioris�s�ppty to ttie t�s��affilt: - Use of flll is not allawed in.F,,Inad;ZQne"V"unless expressty.,permltted. - If the fll!-mater(al�ts=`fo:b�e.-usetl:�ln:-fload-.Zone. "A"�'Ik. !"s understood°that-a �dralnage'�plan addtessing a "compensating.votume"will be subrnl#ted at#Ime'af permiftMg.wfylch is prepared by a professianal engtnee�� Ilcenaed by�-.�he�3t�fe�cf FIoNd+�: -•r � ,. - If Eh�,�11 .rriater�al`:�-:ta:.be�used�in �lood �one "A" Ins�connec�lort�wl#h:�����te�mitted bt�lt�ing using stem�wall ' conatructton,_I certify..th.at:flll:�Jll=b.e��sed only.to flll the,.area.�wlthln�the,�stem.+wall. , - 1( fltl matei�al=�Is�°to'��be��used In�any area,��l=�certlty that .use. of such._tlf! vii111 r�ot adverssly affect adJacent ' proper#les.„If.use of.flli is founct to advers�lyr,..�'ecf'�aa���ent��prajperties,.the awner may be cifed for uiola#Ing• the condllioti�s of;the"'ti�lillding:;permtt Issueid�under tFie���Hached,permtt�epplicatlon;#or:lots._less�than.�one (1) ._.___,.. �ccre whtcit ar�"etevafe��bY;fllt,��r e�gineered dralnage pia�ts requlred. � . •� I am the AGENT..FOR,.THE:OYYNER;'I�rotitlse`�In.gaod,falth to lnform#he�ownec,of�the permltting.;condlt�ons,set forth In ; � s af�davi#=prlor to aommencing:cirnst�ctltin:�.I.ynderstaiid"that a�sepa�.rate petm4t may be requtred for eleoMcal work,, ::'' imbtng, $lgns, weNs,,:po.otsi..atr condttianing�..ge�s;:or�.oti�er ins#�afF�i�lons not.spec�icatty inEturled�in.the�applicatio�. .A , . ��� . _ _ .. -,.. . .;.. . . . • , :rmit Issued'�shall b'e�cons�ttcuedto�bie�a'llcense°:to�pcaceed wlth'�tfie,;work,end nok.�as-authority_.to,-vlolate;.cancel;=alter, ar :_, t aside any provlsions of the tech�itcal:aades;-nor shalt Issuance�o�'`a.permit:pr.event the 8ulldlrig C?#ftclal irom thereafter � qulrin.g a aonecticn_at errors in�,plens;;�canshuctlon,or vlolatlons of=any�cades:.��very:,p'ermlk-I.ssued-�sh�ll�become invalid � ��:, �t�ss the wock auftiortzed�.6iy sucFi'perinit:�"s-co�mericed�wttl�In s3�c,months=of�permlt tssuance, or#f wark authorized by �permif Is suspended;or.abando�ed�for.�.e:�eriad�zof�six_f6)•montfis�,;�fteKthe#Irir�e the�work�ts commenced. An extension `�� ay be requested� In wilting;::from�ilie=Biill`ding:l3fflcl�l.for-a perlud.:not to.-exceetl=='nlnety{9n) �ays a�d�wllf:detnons#rate ' �tlfiable causeAfor:the eiifensian� If'woric.ceas�as,for nlnety(90�consecutirre:day.s*_#�ie�ab�ts cansidered aba�tdcned. . ' I . - -•� . , :���,,.... . , . ,_ . ,,., . . ARNINC TQ�dWNEf�s YQUR.FAiLl1RE�t�.,RtE.C:Ot'tl�:A�,OT�i�;:OF;GOMMEM�G�f1EN'TyMAY=REStI�T MN-YQUR. � �x� , . .. . ._.,.. 1YING 7WiCE:FOR.�IMPRQVEMEN�;7fl'YO.UI�<.PROPERTY.�.:.1�°:YO.tI�•I���"TQ���iB�'�AIN��FINA`t1�1�1(3;tC.ON3ULT `�; ir. __ ,�:. .o .,O-'AId-�'�TC� N .�s.�co o �:,�.a ,�� <�:� _ .�� �R1QA JUCtA�•{f.S:t.1.7.03} ' , . ,. . :�,- - _,_—...T-.—— =_ ____� �INER OR AGENT�r�D��..r CONYRAGTOIt� ,.,,-- � j -�ssctEbad nd swo #o ot alflmted b tore me th� Subscrlbed'etuf'swom�to(at'afltnttadpb�fcrei.me�.tht�• by �� //e n ��L'L, rby , a Islare perso Ily IcnovKn to.me or haslhave prodt�r.ed Y�Iho:l�/ere,p.er8ongltyknowri�a►me_or,ties/hav�-produced • c �L �tZ�. _ �-�;L�c�,fi..seas;tden��i�Upn. - . : . - ' . �`s'td`,enN�catton. � _ • , �(���L --Net�ry Publlc . Notary Publtc n . Cutnr�lsalon.No, ' . '�=o��,`:•pf;d4� ' • . ;,; ;.: Cammission#FF 150422 Tte �. �P ao�a re„ r�n�ddl��7o�s �Name of Notary typed,pdnted or statttped ,;pF�;,�