HomeMy WebLinkAbout16-17020 CITY OF ZEPHYRHILLS "
. � 5335-8th Street
(813)780-0020 17020
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:17020 Issued: 2/08/2016 Address: 5730 DAYTON 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: 550.00 Total Fees: 80.00 Subdivision: TREE LANE VILLAGE
Amount Paid: 80.00 Date Paid: 2/08/2016 Parcel Number: 10-26-21-0000-00100-0000
CONTRACTOR INFORMATION OWNER INFORMATION
Name: JIM'S ELECTRICAL SERVICES INC Name: TREE LANE LTD C/O TEMPLE TERRACE
Addr: 18302 EASTWYCK DR Address: 10912 N 56TH ST
TAMPA FL 33647 TEMPLE TERRACE FL 33617-3004
Phone: (813)810-4079 Lic: Phone:
Work Desc: REPLACE PANEL- DOUBLE PERMIT
APPLICATION FEES
ELECTRICAL FEE 40.00 AFTER THE FACT 40.00
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INSPECTIONS REQUIRED
ROUGH ELECTRIC
PRE METERTION POLE L �
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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.
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C� TRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-Op20 City af Zephyrhills Permit Application Fax-813-780-Q021
. + 8uilding Department
Date Received � -. '—l phane.Ca�stact far Permlttin ��-� o f� — ��'��
Owner's Name �'dvv,� �S� Owner Phone Number
Owner's Address Owner Phone-Number �— �
Fee Slmple Tlkleholder.Nama r� � Owner Phane Number �� �
.�
Fee Slmple Titleholder Address ��
JOB ADDRESS � /�l� �`�'�"'��ti'"` S � �_�
LOT#
SUBDIVtSiON n'e� �""''� � PARCEL ID#
(OBTAINED FROM PROPERTYTAX NOTICE)
WORiC PROPOSED � NEW CON5TR ADD/A�T Q StGN [� [� DEMOt,iSH
� INSTALL 8 REPAIR
PROPOSEd•USE Q SFR Q COMM Q QTHER
TYPE OF CONSTRUCTION Q BLOCK ' [� FRAME � STEEL Q
DESGRIPTION OF WORK �e ��"�- ���� ��,..LS�'1,c ��`"•- � 1
BUILDING SIZE �� � SQ FOOTAGE C� HEIGHT � �
0����"����'' �'" � VALUATION(JF TOTAL CONS7'Rt1CTION
�_ .J
�ECTRlGAL $ ��-� AMP SEFtVECE Q PROGRESS ENERGY [� W.R.E.C.
QPLUMBING $ ,
� � �p 2�
QMEGFiANfCAL $ VALUATt4N OF MECHANIGAL E1�fSTALLATION � �
QGAS Q RQOFlNG Q SPECIAI.'FY � OTHER
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO
BW�DER COMPANIt
SIGNATURE REGI5TERED Y/ N FEE CURRE� Y/N
Address Clcense# � i�
E�EG'iRtC1AN ��,��G_e� COMPANY ��'''S G I-�c.�-vL�-- _SQ.-c�-���'
S I G N A T U R E �' R E G I 9 T E R E D Y/ N F E E C U R R E� Y/N
Address �+�p�- L���=�v ct� t{�S"-" License# Z=C �3 a o 5'y�9't'��
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License# �� �
MECHAF11GAl. CCIMPANY
SIGNATURE REC�ISTERED Y/ N FEE CURRE� Y/N
Address ' License# �� �
OTHEEt CQMPANY
SIGNATURE REGISTERED Y/ N . FEE CURRE� Y-/N
Address � i.icense# � �
RESIDEN'i'IAL - Attach(2),Plo#�!?lans;..{2�sets-af Buililing'Plaos;{1)set of Eriergy�Farin`s;R-O-W Perinit fdr new canstru�ti,on,
Minimum;ten°(.10)�working�days;after,subrriittal date. Requtred ansite,Construchon Plans;Stormwater Plans w/Silt Fence installed,
Sanitery Facilitles.&:1;dum,pster Stte'Work P.errnit fo�suhdivislonsAarge proJects '
GOMMERCtAL Af#ach{3}c�mplete se#s of Builcling'Plans pl�s a Life Safety!'age;(1}set of Energy Forms.R O-W Permit for new construction.
Minlmum ten(10)working days after submittal date. Requfred onsite,Canstruction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaciliUes 8�7 dumpster.Site Work Permit for all new proJect's:All commercial requlreme�ts must meet compllance
SIGN PERMIT Attach{2}sets of Englnesred•Plans. _ .�
"'"'PROPERTY SURVEY requlnad for all NEW consUuctlon.
Dlrec#fions:
Fill out applicadan completely.
Owner 8�Contraatar sign back of appltcatlon,notartzed
If over$2500,a IVatice of Commancament is reguired. {NC upgrades over 573d0) �
" Agent(for the c6ntractbr)or Power of Attoiney(fnr the owner)would be someane with notarized letter from owner authorizing same
OVER THE COl1NTER.PERMiTTING (Front af Apptication Oniy}
Reroofs if shingles Sewers Service Upgrades AIC Fe�ces(PIoUSurvey/Foakage)
Drlveways-Rtot over Caunter if on public roadways..oeads ROW
CITY !DF / / / / BUILDIND
ZEP�iYRHILLS DEPARTMENT
OF ADDITION OR CORRECTION
� • • - •
ADDRESS DAT PERMIT�,
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THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
wil) be accepted.
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It is unlawtul for any carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any paA of the worlc with Flooring,lath,earth 780-0020 FOR RE-INSPECTION �
or other material,until the proper inspector has had ample time to approve
the installatian. ;� '
OFFICE HOURS 7:30 AM-5 PM MON.-FRI. INSPECTOR �'�''�v��