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HomeMy WebLinkAbout16-17516 CITY OF ZEPHYRHILLS • � ; '` �' S335-8th Street (813)780-0020 17,516 ELECTRICAL PERMIT f r PERMIT INFORMATION LOCATION INFORMATION � Permit#:17516 Issued: 6/27/2016 Address: 4721 LAFORCE ST 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: 300.00 Total Fees: 40.00 Subdivision: EDGEWOOD Amount Paid: 40.00 Date Paid: 6/27/2016 Parcel Number: 14-26-21-0260-0000-0010 CONTRACTOR INFORMATION OWNER INFORMATION Name: HOMEOWNER Name: HUTSON, ROY& HELEN Addr: Address: 4721 LAFORCE ST ZEPHYRHILLS, FL. 33542 Phone: Lic: Phone: (813)783-1212 Work Desc: REPLACE POLE AND METER BOX APPLICATION FEES ELECTRICAL FEE 40.00 INSPECTI RED ROUGH ELECTRIC CONSTRUCTION POLE PRE-MET R FINAL --7/�� 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 properly. 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. � / _ - - - -� CONT CTOR - PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER a�aaeo-ao�o Ci#y of Zephyrhilis Permlt Application Fax 813-78Q.00z� _`" " 8u{Idi»g Dapartment Date Recelvsd .., � Rhone Goritact°sfor'Ferinittiii � .' - . � ' �n-Owne�tYame , � � - ' Oxraar PFsone Numtaer f� �� � � t3wner's Address ' . C4w�er-Phone Number �` � � ` ,., � � .. Fee Simpl�TlNeholder'::Name�� � - � � Owner Phon�Nuri�b�r � _ � . , ;,.f�'1'�"� _. , ,.. , .. . , � . . . �� �-� fFee Simpl�Titleholiler'/�ddre� - e' '�._ , - � � - .�JOB ADDRESS � J'� �" /t ,fy�7'# �� ,,. � . SUBOIVISION � : � PARCEk iD#' ` - � . , , ' ' ' _ , ,'; •(O$TAINED'FRQM-PROPERiY TAX`NdTtCE) . W06t0(PROPOSED : NEW CCINSTR � = ' ADD/ALT �� SIGW [� - `�� DEMOUSH .�'�-e �� 'Y INSTALt --e: �. :REPAIR = . . , . �., ..: PROPOSER�USE . [�� ' SFR' " Q COMM,, Q OTHER, .. � - . . . . .. . . :., _ TYPE OF CONSTRUCTION; �Q "'BLOCK��• 'Q , FFdAME � ,ST�EL _Q.: � , � �DESCRIPIYON`OF WORK � _ _ BUILDING�$IZE� ,�. . _ �. . 3 SQ FOOTAG�, _ _ , ,�FiEIGHT t� �� �� �` QBUILDIiVG ($' „�a;�.�:-�. _..�=.:mH�:.; ' �. . Y ;.. , , . I r�^ VAl';UATION"OF'T'tOTAL'GONSTRUCTION _ , L f. ., QEI.ECTRICAL ; ($ ^ � AMP SERVIGE �Q PROGRESS ENERGY �[� W.R.E.C.: - �_. [�PLUMBlt+lG :$ . . .. ����� _� . � , -� �1b QMECHANtGAL '$ � `, ttAl.Ui!1TION:OF.MECHAN!!�4L,tPVSTALtATtOiV �� � QGAS .Q ROQFiNG:� Q SPECiALTY � OTNER `- ' FINISHED FLOOR ELEVATIONS [�� � FLOOD ZONE AREA �]YE$. NO ! ..;�._;: r�l, �UII.DER � ,o+� �� GOMPAP+iY .. `���-�— I SI(3PIATURE / �� REGISTERED Y/ N; FEECURREA' � , .Y./_N,:.: . . Addre�s ' `, ' Llcense# � - � ;i , v . ... t! � ! � . . . ELEC7RICtAN�:�_ � � . �� , � � - . � � � . �`� .. „ COiVIPAPiY SIGFl�►YURE �' REGISTEREp Y/ N FEE GURRE� `.Y:/N� � ` Addre�s , � , �°.License,#�;1 � ' ��� PLUtYIBER .. ,GONIPANY,:1 " , . „ SIGNATURE ' - ' , :REGis.7EREDa� ,, :y/-,N.� , ,F.EE CURitEF'' .. '.Y/'N:`: ` ' " - Address .� i � p. .L:jcenseY#���.•, ' - � MECt�Ua1Ni�� � ` - , ,, . _ t� �C,GiiYi�ANY�� z _ . _ . �- ` $IGiNATUR.E ' - • ,f�EGISTERED_' � , Y;/�-N; .',FEE'.CURREP, . Y/�I:r." . �lddres$'.�:.. - , . , .. :.�, . , ..� . . .. � .. -� { " ` Ucensa.# �,: . . - �; . , .. , . ... , OTNER : ; . .. . .. ��' ., � . ' ,.GO�YIPANY� , _. . �.i.:,�;_;- �v.�: ;.� ... $IQNATURE. `�! ." - , ` ` _ � _ ,REGISYERED, . . ,Y/.N.a FE�CURf2E��' :Y../. . . . . N�;=- °- - ..,54 .,. ., � ^ .. �k.Y•+ a, ' ,. K ,� �.. ��P688 ''f.z, ;�c§" :�ix;l�;..{,u .. . . . ' � � � �CCIt$9# ��, - " - ' _�1" _'�.}� yk".t'�T.x��X� " ��'�.�.. . . .._. ,- s r . < . <.Y: - _-_ �'tj ;42-s-a.. '�r"4• _ ..1�' .� ;�t' �i't :-�•. `�t' ' ' " R SItiEN AL,: �.A; i�i`2.P10 Plans.2�sets tif;Builtllit'�''Fians•`��1�.seti�lfEn"'eLL '�Fotms��R=�=NU=Permlt:for ev�:coiistruc8bii•;�.� . � Ti...� �-��i. .#ta .,(..},,.3,�. �. .� . ... .. ...:... 9. , �.t..�,_,,..,,.,• r9Y..> c ..4�,; , t.. t:, • ., .. �.W: �-:,,,�t.�.,;...-:; >..r. ,�4.��_r, : .� ..,� . _ .,, ,.;��S;IiAiniinum�ten�(�1Q:�vicorking�,day's�,aftetcsutimlttal�datet%Requlceif;onsite';;C:onsfr,'uicdon�P„Ians;tSfamiwater,.:Pl�answ%`SIIkFence,installed,. - . �`. �Saiiltary Fa��itlets&s�3�d��m�st�r;Sitey,YVoc�c»Perr�it':�;,sutidiv.l'siotts�latge;proje��, a f�.�,' �;;.:�:u`�-'" --._.w _.:,� •, � � .. � � CONI�ftERCiAL At�ch(3)eompiete'sets of SGliding Plans plus a lffa Safeiy Page;(1)set of�nergy Fortns.R-0=W Permit for new cbnstructlon. _ . Minimum ten(10)working days'aRer submittal date. Required onslte,,Constructlon Plans,Starmwater Plans w/Silt Fence Installed;- SanJ#ary Fac�t�t��8,1,dumpster.,Site-Work•,Pstmtt�c,sr aii�new'piojects:Att_'commerciai�cequirements-must•meet compitance . � SIGN:PERMIT AttacFi(2j sets of`Eiigt�i'eer`,�di.Ple��ls:S�a�'�;~s''�_,,:.. _ , ' - . . - . "`••PROPERTYySURVEY r�yyulred;;fg�;.all•NEW�,00nstruCtion:.~ - - - , -� � -. . �r: pirectlon�: __�;-x:�. .. . _ _... _�. _ .__._�_ _....__. � FIII out applicatlon ccmpletely. Ownat:8 Cantraator.sign back;of appltcattan,natar�ed If over 52500�,a;Notic�of Commencement ts requlred. AlC upgrad�a aver,37S00 ,,. �. .... ` r.t;w:;,z..,-�r�-r- ::;; _v...,.. �_., � .., > _._.�,..,- -. ___ �_ _ � . f1r ' .,..75v ).C3 .;_ .. .,. ..� .. ,.... ,. . . . .. -.. Agent(for.ttye coottacto�)`q�:Rower-ofAttoinFiy(for the owner)would be someone:with notarized letter frnm awnec authorizing same °OV/ER'THE COUNTER:PERMIT�'INGr-:�=� -(Fioiit�iaf�i4pplication`Orily)�`�. �- �� ; Reroofs tf shingles Sewers Service Upgrades A/C _ Fence�.(Plot/Suryey/Footage) . -�... -•-- � _.,_..,. �,,..�._...._._ ,. _ , ._... .,. •._<�.. .,�. �. r .,,:.- � . .,�. � .,... , .a� :: ... . . _.1.. . , s _.,,.,:.:;_w. _. ., . ,:.. �?:� ..�:-° , , DHveways-Not over Counter If on public roadtivays.:rieeds ROW . , - , , , , . - - - : . . r:.�,� -� �T10E OF DEED.RE�7'RICTIONS: The:undersigned�under:gtan,ds�;th�t�ti�i�;��, rmi�;may,be;sub)e.ct�.to�deed",restCictions"_:,. " " " �.:..;. ich may,tie;more's"r,esttictive�thef�r-GounEy.'reg�iistfons.�`�The'�il`nders1gried��a`s's'umeg°reap`�n�ibility�for'compitance witFi�any' ' ' �flcable deed�restcictlons. � .:. :.: ;,;.=.- �' � _ � � • �,���°';. - � - ,; � . � , .... .c.�. `: r 4.�..,�:��:(('k-0c2.�.. ` : ' Y,� ' , ,,. . . .,. .. .. � < : . ,�:�.. . __ .. ,;�„ti.,..�.:-'_' ILICENSED�-"CONTRAC'FORS'=AND �CONTRACTOR�RESP0�151�ILITI��:�=��lf�tfie�ovimer;�=Fias`�htred"���-'C�)titractvr�or ,.,� .. � :, -�, �tractors to unde'take work, they.may._:be?rei.q,�ir�d�to��be,licensetl=ln�.accocdance,with:state��and;local,regul,allo_ns:`�:If�the��°���_=" .:-. � ,.,.r:�<:.,�-,...�.4-...;t,x,...... a .,. .. ,,.,.:.. . . , . . .__: -�� . �tractor�;ts��not::itcensed�`as�:requlred;,tiy iaw;:tiotii�tfie'owne��and=conVactcr�may�be`�cltedAfor•�a�YmisdeiYieanor vidlation ,.. ier state law. If the owner or Intended��,contradtor;e�e�uncertaln as:to wfiat�Ilcensing;.requi�emenfs�;may�"a�ipl�'sfor'��tFie�-����;��?`==�n��' ` . . ,.._ , r , �nded work,�they�are adVised�to°;contact'the�Pas'co,:.County„Butlding;Inepection�Dlvlsion-;-Llcenstng:Section:at 727=847- .�... �.. _ .._. .,�a...,��......�.;-,""....-�::.�:i.c'�':i .. . � —_•..:. )e. Furthemiore,-tt�tti`e°-owne�•has'�Fil`r�d�a cont�acto��or contrectors,'he�ls' advised�to have;_the .conUactor(s);;.stgn�,, ;,, ,,,,,,,,, r ' N•.Yra•bil',2:t ...�rt .�r . .� ... ....... _.. _.:..... __ ._.,_.,�PP . . . . . .:_'_- .: Y ,_._ .. .,:,.�:�,,..�;... ,._.-...y, w,...: .the:owrier,slAn:�a`s tlie.":;-:. ..�-.. ,; , tlons of'the, contrector Block",of.this.a _,Ilcatlon�for,whlch.the .wlll.be�e.sponsihle.-�d�- .ou;�::as. itractor; that may.be�an indPcation��thaf��he�ls'not'.properly'Hcensetl"�and is�not enqtled to�permitfing�privlleges�in Pasco,_ , "+ � unty. - - -. _ _- �_.. --, .� . _ '�`� ANSPORTATlON1MPACTIUTIL�'FIES-I�IR!lC7=ANb>I�ESO�laCE RECOVERY�FEE$:`�The�undersigned'understands ;'� ~ t Trensportation Impact Fees:and.Reco.uree RecoVery.�ees,mayaapply:,ta�tf�e constcuction„of new,bulldtngs;:ichange�of°".`'�`�=�'� ;; .;' � in existing buildtngs,;.ar�exparist�n�:of'�eXis���briilrNiigs; a§speclfled:in Pasco�County.Ordinance number 89-07 and ; 07, as amended..:,:Th� undersigned alsa��urtderstac�ds, th�lt=such fees;:�a��tnay^:be:°due;;:�vill>�De ideriiffied at the=ttme��of�'�-�"���`'-�`° , mitting. It Is furthe��understood that Tra�i�portatlon Impact'Fees andwResou��:Recovery�-Fees musf be pald prior to � eEving,a ":.certiftcate.-ofi,occupancy"-or�flnat�.powec�release.�:If`the.proJ�ct;:does:na�t�lnvoh►e.�a-certiflcafe of occupancy:o�<<`' �-��="����° : '" , • -> ,,. ..-. _ d power.release�;#he;,fees;-:mu�t;`be paid`•.prlo�to�pe�mit Is��ance. :F,��tk�ermo�e;,�ff:Pascm,��County;Water/Sewer��lmpac�°�=F=;°--�::�: s are due,,they,must be�pald prfor to;perr�it�;iss4ance�in eccordance,:wit�t:applicabfe Pasco',County�ordinances. . �NSTRUCTION't1EN LAVII'(Chapte�715;FloNda Statutes,a�am�nded): (f valuatlon of work Is$z,600:00�or�mote,.I; �� - .. . � .. . tify that I�.,the_applicant,.�k�ave-;b.een:,providetl.with�:a-copy.�of:��,the;,°Florida•�Constructlon;�Llen:�Laiiu--Homeowner's �. � �tectlon Guide" prep�red.by'4he'Florida DeP�rtment�of Agricult�re and Consumsr:Aifairs. If the applicant is someone:..n. , ,�,�: � er than the"owner"� I certifjr�th�t�l�have.obtalned�a``copy;of.the,abQve:descrlbe�tl�dbcuii�ent:and,promi.se'�in;gp'od>faith:to., . -. , Iver it to=the;�'ownec`-prio��to�ccmi'nencemerit:< �. _ . �'�: _ � . . . ��- .. ,. .': `:� ` •_� �.._. , . �NTRACTOR'SIOWNER'S�#FFIDAVIT: t.ce�t�{�►::tkiat.all��thg-:Informatton:,in,thl�:appltcation is accurat�.and that ali work ?��S.,.....r;.a. � . 'be done in compliance.with all.applicable'laws reguladng construction� zoning and:_land,°development. Appl(callon is eby made to obtain::,a-.permit,to;,do;,wofk;,;and`'ihstallatlon as indicefed:E�.,<:I: cer�ify ttiat no viiork'�o� Instailatton`lias ' nmenced'p�lor to Issuance of'a perintf�and th�f.alFwork will be perFormed�to meet:standgrds_.of.-:all laws regulating- _ istruction, County and City codes� zoning ngulatlans, and land development tegulatlong'In�th�e�:Ju�isdiction.���°I:�also� � tify that I u�de�stand that the regulatlons of other�government agencies may�apply�:to._the,intended:work, and that it is � responsibility to Identify�what.acttons I.must<take;to be,In:.conlpllancs�,;S,u�h.agencles�.ir�clude but�are._not Ilmited:to: - . _ ti., .,,. ,,.� .�.�.. .;:. .,;. ,, . ,. r�,:..,,. . - Depa�tment of Er�vironmental�P�otectibn=Cypress:'Bayfiead�, VI'IeUand%Areas and Environmentally Sensttive ; Lands,WateNVllastewater Treatment. '- :' �� ' 5+ � - Southwest Florida Water RAanagemen�»..I�istNct Wells, �Cypress. =BayFi�aiis; �•Wetland Areas, Altering � VVatercourses. . - , - � � . - Army Corps of Englneei�s-Seawalls;Docks, Navlgatile Waterways. - Department;of,:Health;.&,Refiatillltative.r$ervlceslErnrltonmen#al�.Health..,Unit-Well.s; Waste.water�Treatment, : Septic Tanks: `. ` � : ' .. . ' ' � . - - US Environmentel Protectlon Agency-Asbestos abatement. ., � - Federal Avlatton;AWMority,iRunways: - - � ' iderstand that the:follow�ng;re.st�icdons;apply to tFie�se of flik• - Use of fiii is not�allowed"iri Flood,Zone"V"unless expressly_.permitted. _ , - If�the flIF inaterlal.:`is�to`:be::usetl:=ln�:f.lood�...Zone. °A", `tE ig "understoo�d�that a'deainage�-plan addresstng a "compeFlsattng volume"wlll be submltted at ttme of permitting which is prepared by a professional engineer� � Iicen�ed<by:,tlie,�':State�of:FloNda� : � - - If ih�..,flll. mate�lal2is-to;be us.ed In �lood Zone 'A" itr connecttor�•with�����ermitted bullding using stem wall ' , construction., Lcertify,.thaCfill.�rali.beused only.to.flll the..area:,within:the�stem�walL _ - if flIF"mate�al�'is-�to�tie-=used�'in any �area;�`I���certify t#�at .use. of sucli"flll"�will not adversely affect adJacent p�operties. If use�qf flll,is found to adyersely_.�ffect�`ad)aEent��prdperties,.the owner may be'cited for viofating• . the condWons:of;tF�ie"bdilaing:;perrnit is'sued�:under the`�at�acfied.,permit:;appltcatlo�, for��lots less�than.one (1) ,. acre which are�elevateil�tiy�illl;�r:t engineered dralnage plan ls��equlred. . ,.. ,, �m the A6ENT.FOR.THE-O.WNER,"I,.prromise in„good.faith to�laform theRowner:of-�the;p.ermitting condftlons�set forth in _; affidavlt�prlor to�commenoing constructton:'"1'�understand tFiat a�aeparate permit may be requtred for electrical work.; -. �'�; '�i nbing, signs� wells,.�po_ols,:,alt.condltioning,._gas�..o'r�.othec ins#a�l�tion's�not�spec�fically Included-in.the�application. .A : ,�� �� • �...,,.,... ~; nft Issued shall"tie�conshued to 6e�a��license:to��pi�oceed with"ttie'vi►orkand not•as:_authority.to.violater cencei;alte�, or � �"f , aslde any provistons-of�ttie"tecliniaal:codes;�nor shall issuance�of a.permtt.pcevenf the Bulldirig O#�icial from thereafter. � ' '' . ' , �iring a conectlon-of_errors�ln_pian�,'consfituction.or vlolatlons�of�any codes:=��very;.p�errnit:issued�shall.become�invalid � �ss the wo�kauiho�zedby'such"pe�mit:��s-cocnmenced��within sfxumonths_of;�permit issuance� or if work authortzed by . - �;; i; �: . .., _ . pennit i's suspended,or,abar�doned=for�:a�:p�riod,of,six:•f 8)�montfis;afteR the.time the'work�ts commenced. An.extension ► be requested, in writing;:-from.�the`Bullding`-OiflElaf.fora perlod`-not�to:�exceed�`ninety{90)�:.days�a�d wilf�demonstrate ��� ' i. �., fiable cause°for.the ex[ension: If work.ceases:for nineqr(90)cons.ecutive:day.�...the job�is�considered aba�doned. : � - � .. .:�.. - • • _ _ � ;_ .,.. ;; RNING TO�OWNER: YOUR.FAILWRE Tt�,;R�EC:ORQ;A:�NOTlGE:OF:,�COMMEMCEMEMT,.INFAY.RESULT�:IN�YOUR ,�� �:;� 'IIVGTWICE:FOR.IMPR.OVEMEN��;;TO:YO:U.R.s:PROPEF�TY.�;'�IF�:YO.tlxl�'��ID"T4�BTAIN�=FINiANE1NG;�CON9ULT : �., H YOUR tENDER��OR/e1N�A'�TORKIEY� FaR�s�ORDING*YOUf�'MOT1C `t�F�`C•.�.�,ENC�EAIMENT� - ' tIDA JURA'�•(F.S:1.17.03} . . - _ , , . :,t , , . . : .. � . , - - - ------- - - --- � - - -- - �� --- ----,--� =- - -- ---- —-- - - IER OR AOENT CONTRAC7'OR�- _ .---J- - —�— - --— - -� . albed and swom to(or aflirtned)betore me thl� - Subecribed'ar�d'swom•to(ot aflirtnedpbefore me�BilA , bv ,by.: _ ..�., .._ ... . � , .. I Is/are personelly known b.me or•haslhave produced Who•fslare p.ersonallyknown:to me_oc has/have-ptoduced • ae:IdenBflca�on:_ - � � � ' „as'Id'entlflcadon. ,; _ .. , . Notary Public . � Notary Publlc nlsslon No:' Comr�Isalon.No._ �oI Nolary typed,printed ar atemped Neme of Motery typed,printed or atamped