HomeMy WebLinkAbout16-17021 . CITY OF ZEPHYRHILLS /
� � 5335-8th Street
(813)780-0020 17'21
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:17021 Issued: 2/08/2016 Address: 5731 BROADMORE 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: ELECTRICAL PANEL REPLACED- DOUBLE PERMIT
APPLICATION FEES
ELECTRICAL FEE 40.00 AFTER THE FACT 40.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE � ��
PRE-METER
F�A4AL Z- �
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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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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 Zephyrhills Permit Application Fax 813-780-0021
,� ; 8uilding Department
s_ .
Date Received �- �"� Phone.Contact for Permittin ��� 6 � � - �� ?�
Owner's Name J�4'�4`'� G`�' S � Owner Phone Number
Owner's Address Owner Phone Number
Fee Simple Tltleholder.Name � Owner Phone Number
Fee Simple Titleholder Address r
JOB ADDRESS �7� � ����'`d �'`°�'e -S � LOT# r_�
SUBDIVISION � �e'�- �'�--�� PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONSTR ADDlALT Q SIGN Q Q DEMOLISH .
� e INSTALL e REPAIR ,
PROPOSED:USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK " Q FRAME Q STEEL Q
DESCRIPTION OF WORK �'� �- �� �v`�'�L� �C�� �
BUILDING SIZE SQ FOOTAGE� HEIGHT
QBUILDING $ VALUATION'�OF'TOTAL CONSTRGCTION
[�ECECTRICAL $ � � � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ ' - � /���
OMECHANICAL $ VALUATIOId OF MECHANICAL INSTALLATION
� V U
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 �� ���� COMPANY ��'�""�S �1����'��'��"`'� l�` e
SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
Address 1�3 0� ���Lc,��c� �.��- r i�-^� � L 3 E!�� ° ucense# � � �3 a 6�j"�(��
PLUMBER COMP.ANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address .License#
MECHI4NICAL COMPANY -
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N .
Address � License# �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N . Fee cuR�n . Y/N.
Address ' Ucense#
RESIDENTIAL �Attach(2).Rlot�Plans;:(2)sets of 8uilding''Plans;(1)set of Energy Form§;R-O-W Perrnit for new construction,
Minimum,ten:(:10)�working days after,�submiftal date.�Requlred onsite,Consfnicdon Plans;Stormwater Plans w/Sllt Fence installed,
Sanitary FacillUes,&;,1,;dumpster Site Work;P.e[mit for subdiv,istonsAarge projects �
COMMERCIAL Attach(3)'coin�plete sefs of Building Plans plus a Ufe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
-Mlnfmum ten-{10)working days after submittal date. Required onsite,ConsUuction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary FaciltUes&1 dumpster.Site Work Pertnit for all new project's:All commercial requirements must meet oompliance -- -
SIGN PERMIT Attacfi(2)sets of Engineered:Plans.; �� - -.
"'"PROPERTY SURVEY required for all NEW constructlon.
Dlrectlons:
Fill out applicaUon completely. �
Owner&Contractor sign back of applicaUon,nota�ized
If over 52500,a Nottce of Commencement is required. (AIC upgrades over 57500)
'" Agent(for ttie contraotor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
DVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if an public roadways..needs ROW
�OTY �F / / , / / BUILDIN�
, ZEPHYRHILLS DEPARTMENT
OF ADDITION OR CORRECTION
.
� • • •
ADDRESS D TE PERMIT f
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THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
n C �' �' C. l��
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�t is unlawFul tor any Carpenter,Contractor,Bui�der,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any paR 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 installation.
OFFICE HOURS 7:30 AM-5 PM MON.-FRI.
INSPECTOR ``�����