HomeMy WebLinkAbout16-16975 I
CIT'Y OF ZEPliYRHILLS
5335-8th Street �
: � (813)780-0020 16975
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:16975 Issued: 1/26/2016 Address: 38615 LANSING AVE LOT 54
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 800.00 Total Fees: 40.00 Subdivision: SLEEPY HOLLOW MHSUB DIV
Amount Paid: 40.00 Date Paid: 1/26/2016 Parcel Number: 02-26-21-0260-00000-1200
CONTRACTOR INFORMATION OWNER INFORMATION
Name: PATTIE ELEC. & REFRIGERATION Name: SLEEPY HOLLOW MOBILE
Addr: 39111 PATTI RD Address: 38615 LANSING AVE
ZEPHYRHILLS,FL. 33540 ZEPHYRHILLS FL 33542-6312
Phone: (813)782-3319 Lic: Phone:
Work Desc: UPGRADE PEDISTAL PANEL
APPLICATION FEES
ELECTRICAL FEE 40.00
INSPE �ONS R Q IRED
ROUGH ELECTRIC
CONSTRUCTION POLE n
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.
"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
813-780-0020 City of Zephyrhitls Permit Application Fax-813-780-0021
Building Department _ -
.
�
Date Recelved Phone Contact for Permittin -
Owner's Name Q �' � ' � v��ner Phone Number
Owner's Address Owner Phone Number
Fee Simpl�Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS I 5 � (/� � ��` LOT# U
SUBDIVISION PARCELID# ���(o ��'C�T��J�ODO-��-Ud
(OBTAINED FROM PROPERTYTAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH
� B INSTALL B REPAIR
PROPOSED�USE ,5. Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION . Q BLOCK , Q FRAME Q STEEL Q
:
DESCRIPTION OF WORK Q ..0 `�� ��/ v � /�m ���'��`Q
BUILDING SIZE SQ FOOTAGE� HEIGHT
-r�.��;.��. .,_�
QBUILDING $ VALUATION OF TOTAL' CONSTRUCTION
ELECTRICAL $ (/� AMP SERVICE �'� Q P GRESS ENERGY� � .R.E.C.
' �����
QPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �
BUILDER COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address , License# _
. � � �
ELECTRICIAN �✓V"`� '� COMPANY �-C��
SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/
Address I I License# �i� ��d /�� �
PLUMBER COMP.ANY �
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 Rlans;_(2)sets�of,Building Plans;(1)sef of Energy°Forms;R-O-W Permit fo"r new construction,
Minfmum ten(10);working:days,after.subrtiittal date. Requtred ansite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
�� Sanitary Facflities.&�1..dumpster,�Site�Work•Permit for subdivisionsAarge projects � ' - - � -
COMMERCb4l. Attach(3)complete seCs of�Buildirig'Plens plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days'after submitNal date. Required onsite,Construcdon Plans,Stortnwater Plans wl Silt Fence installed,
Santtary Facilitles 8 1 dumpster.Site Work Permit for all new projects.All commercial requlrements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered•P-_lans. . � -
••••PROPERTY SURVEY required for all NEW.construction.
Directions:
FIII out applicaBon completely.
Owner 8 Contractor sign back of appiicatlon,_notarized- =
If over 52500,a Notice of Commencement is required. ,(A!C upgrades over 57500)
" Agent(far the contractor)or Powec of Attomey�(fo�tFie owne�)'would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING' "; �(Front of Application Only)
Reroofs lf shingles Sewers _, �Service Upgrades A/C � Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways.:needs ROW