HomeMy WebLinkAbout16-17090 /r
CITY OF ZEPHYRHILLS
=; 5335-8th Street
` (81s��so-oozo � 90
ELECTRICAL PERMIT
� PERMIT INFORMATION LOCATION INFORMATION
Permit#:17090 Issued: 2/25/2016 Address: 38441 CR 54
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: 750.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 2/25/2016 Parcel Number: 02-26-21-0010-06000-0020
CONTRACTOR INFORMATION OWNER INFORMATION
Name: JUST ELECTRIC LLC Name: PLAZA 54 LLC
Addr: 16316 SHAGBARK PLACE Address: PO BOX 89395
TAMPA FL 33618 TAMPA FL 33689-0406
Phone: (813)770-1979 Lic: Phone:
Work Desc: REPLACE MAIN PANEL 100 AMP SERVICE
� APPLICATION FEES
ELECTRICAL FEE 40.00
- INSP NS R QUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE ��
PRE-METER
FINAL I
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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 tfie 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 I
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.
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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�3-�ao-ooaa City of Zephyrhilis Permit Application Fax-813-780-0021
[ � Building Deparkment .
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Date Recetved pttqne-Contact far Permittin –
Owner's Naine Owner Phone Nusnbar
Qwner's Address Owner Phone Nember � �
Fee Slmple Titleholder Name � � Owner Phone Number �— �
Fee Simple Titleholder Address - 9 '
JOB ADQRESS � g `� '�'I�� � �`"1 LOT# tr,�
SUBDIVISION �� � PARCEL ID# "
(OBTAlNED FROM PROAERTY TNC NQTICE)
WORK PRdPOSED �NEW CONSTR ADD/ALT � SiGN Q Q D�MOLISH
e INSTALL 8 REPAIR
PROPOSED.USE __ Q SFR Q COMM � OTHER
TYPE OF CONSTRUC'T'ION .. Q BI.00K � Q FRAME Q STEEL Q
t
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DESCRIPTION OF WQRK l� O 1A�Y� ���-�,. 2�"v�e-� �c.v � � �/�
BUILDING SIZE SQ F007AGE C.�� MEIGHT
QBUILt31NG �� VALUATION sQF^TOTAI.CONSTRUCTION
� [�EIECTRICAI $ �5,.,��,y,� AMP SERVECE Q PRQGRESS ENERGY Q W.R.E.C.
�• b�f�
�� [�P�unnB�NG � .J
QMECtiANICAL ($ �, VA�UATtON QP MECHANICA�thtSTA�LATlON
�
QGAS Q ROOFING. Q SPECIAI.TY � OTHER
FINISHED FLOOR ELEVATIONS �� FI.00D 20NE AREA [�YES NO
BUiLDER COMPANY
SIGNATURE REGI$TERED Y/ N FEE CURREA Y/N ;
A�ddress Lfcense# �` � �
ELECYRICiAN � ,��, / COMPANY i�t..�� 1 +C.--
SIGNATURE � � v �"'" REGISTERED Y/ N FEE CURRE� Y/N
' Address F � � t �O �� �`�-�n.r- 1��.- � Clcense# �C. � .� C� O � � �i 1
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PLUMBER - COMFANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address ,License# � .
MECHANiCA1. COMPANY
SIGNATURE REGI$TERED - , Y/ N FEE CURRE� ' Y/N
Addrs�s License# r� �
OTHER COMPANY -
SIGNATURE - REGISTERED Y/ N„. FEE CURRE� Y/N
Address Ucense# �— �
RESIDENTIAL Attach{2)Ptdt Plans;{2}sets of�BuElding"Plans;`{1}set of Etier+gy�Parms;,R-0=W Perir%it hir new construati,on,
Minimum�,teny(�1.0);woricing`days after�subrinittal date. Required onslte,Constnictlan Plans;�StormwaterPlans w/SIIt Fence installed,
Sa�itery Faciltties:&�1.,dumpster Site Work;Permit for subillvisfonsliarge projects � � -
COMMERCIAL Attach{3}comptete sets of Building Plans plcis a Ltfe Safety Page;(1)se#af.Energy Forms.R-O-W Permit for new construcUon.
Minimum ten(10)working days'after submittal date. Requlred onsite,ConsUucBan Plans,Stormwater Ptans w/Silt Fence fnstalled,
, Sanitary Facliides&1 dumpster.Site Work Permtt tor aii new profects.Ait commer�ai.requirements must meet compllance
SlGN pERMIT Attach{2)�sets of Eiigi,'rieer.ed Plans.,., ,�,
••«•PROPERTY SURVEY royuired fgr ail NEW construcUon. ,
� Directlans: , '
� FIII qut application completely.
', Owner 8 Conhactor slgn back of appifcat{on,na#aciz�!
tf aver E25d0,a Notice af Commencement ls requlred. (A!C upgrades over 57500)
,.,
`" Agent(far the contractor)orPower of Attomey(far the owner)would be someone with notarized letter from owner autho�fztng same
OVER THE C4UNTER PERMITi1NG (�ront of AppllcaBon Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIaUSurvey/Footage)
Driveways-Not over Counter if on public rosdways..needs ROW
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NOTICE OF DEED RESTRICTIONS:. The undersigned unders�tands:th�t;this;p�rmit.may:be.subJectto,"deed".restrictions"
which may:be;more°rest�ictive�than County:-regulations:'TFie uridersigried�assurries'responsibility forRcompiiance witti any �
applicable,deed rest�icttons. � �
UNLICENSED�CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: �If ttie owner has� hired �a �contractor or
contractors to undertake work, they may,be:ce,qulred;to=;be;llcensed in accordance.wlth_state.and•local regulattons: If�the
contractor is,not:licensed as requlred'by law� botFi the owner arid contracto�-'rnay be��cited�for�a�misdemeanor violatton
under state law. If the owner or intended�contractor�are;uncertain as to what Iicensing.requirements;may-apply::for�,the �
intended work, they are advised to contact the Pasco�County Bullding"InSpection DIvlslon-L(censing Section at 727-847-
8009. Furthermore, tf the owner has"hlFed�a cvnt�acto� o�contractor�s, he is advlsed�to have the contractor(s),sign '
portions of the "contractor Block" of this application for which they will.be responsible. If you,.as..the owner"sign as tfie � ?
contractor, tfiat rnay�be an indication that�he is not.properly licensed and�is not entitled to permitting priv(leges In Pasco ;
County. ' • � F
TRANSPORTA710N:IMPACT/UTIL-ITIES 1MPACY-APIb-RESOURCE RECOVERY�FEES: The undersigned understands ;
that Transportation Impact Fees and.Recourse Recove.ry.Fees may��apply�to�the construction of new,bulldings,�change�of - - '
use in existing buildings;-or:;expansion,of�eztstiri�g-ebuildings, as speclfled.in Pasco County Ordinance number 89-07 and
90-07, as amended.,. The undersigned also=understands, that-such fees;•;as�rnay_be:due,r:will.,be (dentified at the��time of i
permitting. It is further understood that Transportation Irripacf Fees and�Resou�ce Recov.e"ry�•Fees.must be pafd prior to ;
receiving a "certificate..of occupancy" or flnal power.-release. :If:the project�,.does.not Involve�a;certiBcate of occupancy�o�- = '
final power�release;.the.fees-must�be paid prior to permit issuance. Fti�thermor.e��If:Pasco.County�Water/Sewer-lmpact . '
fees are due, they must.be-pald..prior to permiE-issuance-in accordance with applicable Pasco�.County o�dinances.
CONSTRUCTION LIEN'LAW(Chapte�713� Florlda Statutes,.as amended): If valuation of work is$2,500.00 or more; I . ,
certify that I, the applicant,. have-been provided with a copy� of the "Florida� Constructton Llen�Lav�Homeowner's �
Protection Guide" prepared by:the Florida Department of Agric.ulture and ConsumerAtfairs.- If the applicant is someone �
other than the°owner", I certify that l h�ve,obtained�a-copy.of the:above.described docui�ent�and.promise�in,good faith•to
deliver it to.the."owner."�prior toycommencement: '� ,
CONTRACTOR'S/OWNER'S AFFIDAVIT: I cectify.that all the Information in�this application is accurate and that all work '
will'be done in compliance with ail.applicable laws regulating consiruction, zoning and:land development. Application is
hereby made to obtain .a permit to do. work and installatlon as indicafed:,..:I certify that no work or Installatton has
commenced p�(or to Issuance of a permit and that.all work will be pertormed to meet standards of ali laws regulating�
construction, County and City codes, zoning regulations, and land development cegalatlons�in the jurisdtctlon.. I also ;
certify that I understand that the regulatlons of other government agenc(es may�apply�to the intended work, and that it is
my responsibility to identify�what.acttons I must take:to be�in:.conlpliar�ce. Such agencles include but-are.not Iimited to:
- Department of Env(ronmental Protection-Cypress:Bayheads; Wetland Areas and Env(ronmentally Sensittve `'
Lands, WatedWastewater Treatment. �
- Southwest Florida Water Management .District-Wells, Cypress. Bayheads�, Wetiand Areas, AlteNng
Watercourses. _ �
- Army Corps vf Engtneers-Seawalls, Docks, IVavigable Waterways.
- Department of Health'& Rehabilitativ.e Services/Environmental Health Unit Wells�-Wastev�tater�Treatment, ' ;.
Septic Tanks. , ;
� - US Environmental Protectfon Agency-Asbestos abatement.
- Federal Avlatlon.Authority-Runways. '.
I understand that the following:restrlctions apply to the use of flll:` ,
- Use of fill is not allowed in Flood Zone°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 volume" will be submltted at time of permftting which Is prepared by a professional engineer
Iicensed by the State-of Florida. -
- If ihe fill material:ls-<to 6e used (n Flood Zone °A" (n�connection�with.a�permitted building using stem wall
� construction, i certify that fili�:wall.be used only.to.fill the area w(thin;the stem�wall.
- If fill materlal is to"•be�used in any area, I �certify that .use of;such`"fill wfll not adversely affect adJacent ,
properties. If use of flll is found to adversely..�ffect adJaEent properties,.the owner may be cited for viofating '
the conditions of the"building:permit issued�under the at�ached permit application, for:lots less_than.one (1)
acre which are elevated by flll.an englneered drafnage plan is required. . i�
If I am the AGENT FOR THE OWNER;I;:promise In good fatth to inform•the owner of-the permitting condftfons set forth In '-
this a�davtt�prior to commencing construction: I understand thata�separate permit may be required for elecMcal work, a;
plumbing, signs, �nrells, pools; air conditioning,.g�s, o�'other installatioris nol.spec.ffically included�in.the application. .A �;
permit issued shall be construed to be a'�Iicense.to p�oceed with tFie work and not as�authority to.violate;-cancel; alter, or �
set asfde any provisions of the technical codes; nor shall issuance�of a.permlt.prevent the Bulldirig Official from thereafter '!
requiring a correction.af enors in.plans�, construction or violaUons of any codes: Every permit Issued shall become invalid ;;
unless the work authorized.by such permit:�ls-commenced�wtthfn stx months of permit Issuance, or If work authorized by F�
the permit is suspended or.abandoned#or a:period.of�six(8)montF�s�.after the time the�work(s commenced..,An extension �
may be requested, in writfng, from the Building,Official for a period��not to.exceed ninety(90)�days a�d wilF demonstrate 1�
�ustifiabie cause for.the extension. If work ceases:for ninety(90)consecutive:days..th\Job�is considered abandoned.�+ +�
WARNING TO OWNER: YOUR.FAILURE�TO.,R��:O�tD.A..NOTIGE.OF•COMMENCEMEI�T NFAY=RESULT IN YOUR {
PAYING TWICE FOR IMPROVEMEN.TS�TO.YOUR:;P1tOPERTY:�;;IF°YOU�IMTEWD'T��OBTAIN��FIN�ANCING;�CONSULT "
�!!!TH!V-�!���EM�E�F��3=4l1�-e��'Q►R��V-B�FAlZ�:It�GAt3��1�1G YOUR��COTI�E`Q���O{�INl�NC��ENT� - -- '---
FLORIDA JURA'F(F.S.117.03) �
DWNER OR A�3ENT CONTRACTOR "
5ubscribed and swom to(or aflirmed)before me this Subscribed and'swom-to(ot aflirmedpbefore me tfii� .
by •by
IYho Isfare personaliy knovm to.me or haslhave produced Who Is/are personelly known•to me or haslhave�produced •
as Identlflcatlon. as tdenBficaUon.
Notery Public Notary Public
:ommisslon No. - � Commisslon No.
Vame ot Notary typed,printed ar stamped Name of Notary typed,pdnted or stamped