HomeMy WebLinkAbout16-17595 �
CITY OF ZEPHYRHILLS
` � 5335-8th Street
(813)780-0020 , 595
ELECTRICAL PERMIT ,
PERMIT INFORMATION LOCATION INFORMATION
Permit#:17595 Issued: 7/21/2016 Address: 39350 9TH AVE LS#11
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: Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: Date Paid: Parcel Number:
CONTRACTOR INFORMATION OWNER INFORMATION
Name: OWNER Name: CITY OF ZEPHYRHILLS
Addr: Address: 5335 8TH ST
ZEPHYRHILLS FL 33542
Phone: ' Lic: Phone:
Work Desc: INSTALL METER CAN & CONTROL PANEL METER#61146004-FEE WAIVED
APPL'ICATION FEES
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL
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� 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 ,'J�� o�Zt��y�l�%l�
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CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�3aao-oozo City of Zephyrhills Permit Application Fax-813-780-0021
. Building Department
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Date Received Phone Contact for Permitting —
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Owner's Name �.'�` ' a� ��� f�! Owner Phone Number
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �� 3�� l`r�''r��- �/ �i'! ( LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR B ADD/ALT 0 SIGN 0 Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK �r S'�'h(� n�G.) MC;� �Nn I�n��. S�f�C� °��, C�i1�o� C�N^t I q[ I� ��(il
BUILDING SIZE SQ FOOTAGE� HEIGHT I�e�l`«�(q I I�►DOO�
OBUILDING $ VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
OGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO '
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN f °1� �{��'Y���I(S COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, I
Sanitary Facilities&1_dumpster,Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet coJr►pliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
**"'PROPERTY SURVEY required for all NEW construc6on.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
'" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Seroice Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
which may be mare restrictive than County reguEations. The undersigned assumes responsibility for comptiance with any
applicable deed restrictians.
11NLlCENSED CONTRACTORS AND CONTRAGTOR RESPQNSIBtLiTlES: if the owner has hired a contractor or
contractors to undertake work, they may be required to be (icensed in accordance with state and (ocai regulatians. if the
contractor is not licensed as required by law, bath the owner and contractor may be cited for a misdemeanor violation
uncier state law. If the owner or intended contractor are unceetain as to what licensing requirements may appEy far the
intend.ed wark, they are advised to contact the Pasco Caunty Building Inspection Divisian—Licensing Seckion at 727-847-
8409. Furthermore, if the owner has hired a contractar or con#ractors, he is advised to have the contractor�s) sign
portions of the "cantractor Block" of this applicatian for which they will be responsible. If yau, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Paseo
County.
TRANSPORTATIQN IMPACT/UTILITIES IMPACT AND RE50URCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
9Q-07, as amended. The undersigned afso understands, that such fees, as may be due, will be identEfied at the time of
permitting. It is fur#her understaod that Transportation (mpac# Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not invofve a certi�cate of occupancy or
final power release, tha fees must be paid prior to permit issuartce. Furthermore, i# Pasco Caunty WaterlSewer Impact
fees are due, they must be paid prior to permit issuance in accordance wi#h applicable Pasco County ordinances.
GQNSTRUCTION �IEN I�AW(Chapter 7't3, Florida S�atutes,as amended}: !f valuation of work is$2,500.00 or more, 1
certify that t, the applicant, have been provided with a capy of the "Florida Constructian Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Af�airs. If the applicant is someone
other than the"owne�','I certify that 1 have obtained a copy of the above described documen#and promise in gaad faith to
deliver it to the"owner" prior to commencement.
CONTRAGTOR'S14WNER'S AFF[DAVIT: 1 certify that all the infarmation in this application is accurate and that all work
will be done in compliance with all applicable laws regulating cons#ruction, zoning and land developmen#. Applicatian is
hereby matle to obtain a permit to do work and installation as indicated. I eertify that no work or installation has
commenced prior to issuance af a permit and that all work wil( be performed to mee# standards of all laws regulating
construction, County and City codes, zoning regulatians, and land develapment regulations in the jurisdiction. I also
certify that 1 understand that the regulations flf other government agencies may apply ta the intended work, and that it is
my responsibility ta identify what actians f must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetfand Areas and Environrrtentally Sensitive
Lands,WaterJWastewater Treatmen#.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercaurses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative ServiceslEnvironmentat Health Unit 1Nells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Aufhority-Runways.
I understand that the following restrictions apply ta the use of fill:
- Use af fill is not allawed in Flood Zane"V" unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating valtame" will be submitted at time of permitting which is prepared by a prafessionai engineer
licensed by the State of Florida.
- If the �I! material is to be used in Flood Zone "A" in cannectian with a permitted buifding using stem wall
construction, 1 certify that fll will be used only to fill the area within fhe stem wali.
- If fill material is ta be used in any area, I certify that use of such fill will not adversely affect adjacent
praperties. tf use of f911 is found to adversely affect adjacent praperties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE QWNER, I promise in goad faith to infarm the owner of the permitting conditions set forth in
this affidavit prior to commencing constructian. I understand that a separate permit may be required for electrica! work,
plumbing, signs, wei[s, paals, air conditioning, gas, or ather installations no# specificai(y included in the application. A
permit issued shall be construed to be a license to proceed with the work and nat as authority to violate, cancel, alter, or
set aside any provisions af the tecE�nical codes, nor shall issuance of a permft prevent the Building Official frorn thereafter
requiring a correctian of errors in plans, constructian or violatians of any cades. Every permit issued shall become invalid
unless the wark authorized by such permit is commenced within six months of permit issuance, ar if work authorized by
the permit is suspended or abandoned for a periad of six(6}months after the time the work is commenced. An extension
may be requested, in writing, from the Building Ofificial for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for#he ex#ensian. If work ceases for ninety{90)consecutive days,the job is considered abandaned.
WARNlNG TQ OWNER: YOUR FAILURE T� RECORD A NOTICE 4F COMMENCEMENT MAY RESULT IN YCtUR
PAYING TWICE F'K3R iMPROVEMENTS TCI YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
��VNITH"YOUi�-LEN[3Eiz OI�AN�ATTQRNEY BEfFC)RE FtECORQINC YOUFt-N0�4GE OF-COdU1D!!!�.'�C�MEMT. -
FlOR1DR JURAT(F.S.117.03}
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to{ar affirmed}before me this Subscribed and sworn to{ar affirmed}before me this
by by
Who is/are personally known to me or has/have produced Who is/are personalty known to me or haslhave produced
as identification. as iden6fcatian.
Notary Publia Notary Public
Cammsssian hlo. Commission tVo.
Name of IVatary typed,printed a�stamped Name of Natary typed,printed ar stamped