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Home My WebLink About16-17112 l CITY OF ZEPHYRHILLS • -' S335-8th Street (813)780-0020 1711 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit#:17112 Issued: 3/01/2016 Address: 5532 4TH ST Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRIC SERVICE/NEW Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 600.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 40.00 Date Paid: 3/01/2016 Parcel Number: 11-26-21-0010-06000-0140 CONTRACTOR INFORMATION. OWNER INFORMATION Name: HOMEOWNER Name: SALVADOR MARTINEZ &ANA Addr: Address: 5532 4TH ST ZEPHYRHILLS, FL. 33542 Phone: Lic: Phone: Work Desc: INSTALLATION METER FOR GARAGE SHOP APPLICATION FEES ELECTRICAL FEE 40.00 � INSPECTIO REQUIRED ROUGH ELECTRIC CONSTRUCTION POLE 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 frst 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 pertormed in accordance with City Codes and Ordinances. � � - CONTRACT R PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTIAN - 8 HOUR NOTICE REQUIRED ' PROTECT CARD FROM WEATHER 813-780-0020 City af Zephyrhills Permit Application Fax-813-780-Op21 , ; Suilding Departrnent Date Eteceived _ (j3,,t�� , Z'c� }�,, • P!hcne Contact'for Permittin _ — � Owner's Namg ��,��"T)02 Gt.1r t'i�e�--•. C�nrner Phone Number 3 S�2—� �--��' 2.�� 4wner'�Address �7��JZ— , ��" .S �`�c�T QwnerPhone-Num6er �� z•��tS- �Q� 1 � Fee Slmple Tltleholder Name r— ` � Owner Phone Number �� . �-- Fee Simple Tltleholder Address ''` JOB ADDRESS S �Z �'� �rr k=-"�'� ' Z"'� � �"k'` � �� LOT# � SUBpWISION - � � PARCEL ID# _ . � - (087AINED FROM PROPERTY TAX NOTICE), - WORK PROPdSED NEW CONSTR ADD/AL.T � SIGN -[�' ''� DEMQt,ISH ' - � , INSTALL e. . REPAIR � PRf)POSED USE [� SFR Q COMM � OTHER � TYPE OF CQNSTRUCTION' Q BLOCK "' Q' FRAME' Q STEEL Q DESCRIP710N OF WORK f I" 1� �Y'"1, �� BUILDING SIZE �� ' $Q"FOQTAGE�. HEIGHT �„ � _ QBUILDING � � `'^�'��-- VALUATION�?,yF TOTAL CQNSTRUCTION QEI.ECTRICAI �i � � cs�,, AMP SERVICE Q PROGRESS ENERGY C] W.R.E.C. �� OPl.UMBING � � • QMECHANlCPiI � � VALUATlON OF MECFiANICA�tNSTALLATIQiV - QGAS Q ROOFING.„Q SFECIA�TY [� 4THER �. FINISHED FLOOR ELEVATIONS _ � FLOOD ZONE AREA �]YES. NO - - �: �tJILDER COMPANY � SIGNATURE REGISTEREp Y/ N FEE CURRE� Y/.N Addres� ' � License# � � t.; EtECTRiCIMt �� , J ' COMPANY - SIGPIATURE d'��""`�"'� . •�� REGISTERED Y/ N Fee cuR�n Y/N Addre�s � � Ltcense# � I PLUMBER' COMPANY° '� " � SIGNATURE � REOIS7eREp Y/-N � FEE Cuwte� Y!N: Address Llcense# � � MECHANIGAt � . - GOMPAt�tY � - ' SIQiNATURE ' �� , REGISTERED. ; Y:/ N , . FEE CURRE� Y/�N . [- Addre�s•' f � � , License# I. _ � OTNER � " � � � COMP1,lNX� � � SIC3NATURE. ' ��` ' ' � REGISTERED Y/ N � � � ;FEE CURRE� , Y:/N�.. - Addreas , . „5 ...s. _-" ��s;,, �- .. ,, � ,. , , .' ` � "License#' , , ,:.��,�, .,, ,�-.. .... . RESIQENTIAt: _��,'�Attach.(2j'Flot�:P„lans;�::(2j'setsrof+Buildi'rig`Plans;`(1}set of-EnargyrForrns;:R-O=tNrPeririit for oev.u;;consbu��on,. _a�Minimum�ten;(1Q);worfcing,clays�„afte�:�sutiinittal tlate.t.Requlred onsite;�C'onstructlon-Rlans;-Storrriwafer�Plans w/Stlt Fence instal�ed, � , :.. .,,._; . .. ,. � . ' Sa�ifary.Faclllti,es;8?1,:dumpster�_Slte%WorkyPeitnit_tor;."sutidivislonsAarye;proJects�;:�.'u.;'��;. ,�'; "'.; ' _ COMMERCtAt Attach(3j ccinptete'sets'of Huitiling Pians ptus a Ltfe�Safely Page;(1}`set of Energy Farms.R O-W Permit for new constcuctton. Minimum ten(10)working days after submittal date. Requlred onsita,ConsUuction Plans,Starmwater Plans w/Sflt Fence i�stalled, Santtary Facltities&1 dumpster.Site Work Perm4t for ait;newSprdJeo#s':Afl commercial.requi�ements must meet comQllance SIGN PERMIT Attaatfi(2)=sets of'Engi,j;%eer,ed�P)ans:,�;��e`., ... -. � :.} � . . ° � , . ,. . ;� ""'PROPERTY SURVEY reyuired for;all NEW construCtion.. . � Directlonst �. . � � -- ... _. f ` FfO.out application completely,. _. ,. {iwner&Contractor slgn back.af app4lcaUan,notarized � If over�2500,a Notice of Commencement is requlred. (A/C upgrades over�7S00j , �..:":��s's"="k<'�` .. -_ ��- ... ... . . .. ..... ..._ ..... .. - '" Agent(forthe contractor)or:Power of Atfoiney(fo�ttie ownerj would be someone with notarized letter from awner authorizing same 'DYER THE COUNTER,.PERMi1'fING-�-•- �{Front:af-Appttration Oniy) - � � � � Rert�ofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) :.:,��.1.,.� . • ^ ; - � _ � - Drivewrays-Nat over Counter if on public roadways.:needs ROW ' NOTICE OF DEED R@STRICTIONS: The undersigned understands;th�t.this:p�r:mif:may be.subJect to,"deed"_restrictlons" �: whtch may-be�more'�r.est�ictive-�than County�:regulatfons. �The undersigned�assumes:responsibility�for°compliance with.any appAcable.deed.resUictions. . _, . , UNLICENSED. CONTRACTORS _AND CONTRACTOR RESPONSIBILITIES: If the owner has -hireii a cor�tractor or contractors to undertake work, they may be,required�to_be..licensed in.accordance.wlth state.and•local,regulatlons. :if the �� contractoc.is:not�Ncensed as�requlred_tiy law, both the owner and contiactor inay be-cited for�a-misdemeenoe violatton under state law. If the owner or intended�contractor<are,uncertaln as to what 1(censing.requirements;may�.apply:�for��the intended work, they are advised to contact the Pasco County Bullding�lnspection Divislon—Llcensing Section at 727-847- 8009. Furthermore, If the owner has hired a contr"actor or contractors, he (s advised to have the contractor(s), s(gn, . _ portions of the "contractor Block" of this application for which they will be responsible. If.-you, as:the oviine�`'sfgn as the cont�actor, tFiat may be an indication 4hat he�is�not.properly licensed and is not entitled to perrnitting privileges In Pasco County. ` TRANSPORTATION IMPACT/UTIUTIES 1MPAC7'ANb-RESOU�tCE RECOVERY FEES: The undersigned�understands - -tha��'r�nn�po�atdon-Impact-F�sss�nd:�@eco.urs�-R�c�v�.ry.Feas-�a�-appfy>��i��h�r:on�iruc�ion-qf-n�w,buiiding5;,cnange=or- - use in existing buildings, o� expansion�of•�exfstin�'�buildings, as speclfled in Pasco County Ordinance number 89-07 and 90-07, as amended.,; The undersigned also understands, that such fees„as�may be�.due„�wlll:,.be tdentified at the�time�of�' permitting. It is furtfie�understood that Tra�sportation Impact Fees and�Resource RecoveryF'Fees must be pald prior to ; � receiving a "certificate.-of occupancy" or flnaF powec-release. :I�the project�.-does not involve:a:certificafe of occupancy or I final power release;_the�fees must be paid prior to permit issuan'ce. Fu�thermore;�if:Pasco.County Water/Sewer•=lmpact fees are due, they_.must be.�pald prior to permit issuance-in accordance with appllcable.Pasca'Couniy o�dinances. CONSTRUCTION'LIEN L�rW�(Chapte�713� Florlda Statutes�as amended): If valuation of work is$2,500.00=or more, I ' certify that I, �he._applicant, have.been provided with a copy ofthe "Florida�-Construction��Lien Law=-Homeowner's Protection Guide" prepared by the Florida Departmenf of Agrfculture and Consumer Affairs. If the appl(cant Is someone � � . other than the owner", I certify that I have.obtained`a�copy,of.the above..descrlbed�docurnent:and.promise tn,good faith to deliver it to the"owne�'-p�ior.tovcommencement: ' , CONTRACTOR'SlOWNER'S AFFIDAVIT: I.cerfHy that all the Information In this appl(cation is accurate and that all work � will�be done in compliance with all-applicable�laws regulating construction, zoning and land development. Application is hereby made to obta(n .a permit.to do, work.and installation as indic�ted:. 'I certi � that no work�or Installatton has � commenced p�ior to issuance of a permit and that all work will be pe�formed�to�meet standards of all laws regulating construction, County and City codes, zoning regulatio.ns, and land development regulations•in the jurisdiction. ( aiso certffy that I understand that the regulations of other government agencies may�apply�to the intended work, and that it is my responsibility to identify�whatactions I must take.to bedn.conlpliance: Such agencies include but are.not Iimited to: I - Department of E�vironmental�Protection=Cypress.Bayhead�; Wetland Areas and Envlronmentally Sensitive Lands�WatedWastewater Treatment. u - Southwest Florida Water Management• .Distr(ct-Wells, Cypress. Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Englneers-Seawalls, Docks, iVavigable Waterways. � - Department of Heaith & RehablNtative Services/Environmental Health Unit-Wells� Wastewater�Treatment, Septfc Tanks. , - US Environmental Protection Agency-Asbestos abatement. - Federal Avlation.Authority-Runways. I understand that the following:resUlctions apply to the use of flll:� - Use of fill Is not allowed in Flood Zone"V"unless expressly permitted. - If the fill materfal is to be used. in �Flood Zone "A", tt. Is understbod that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer flcensed by the�tate-of Flor(da. - If the flll material.is-�to be used in Flood �one 'A" in�connec�ion�with��permitted building using stem wall � construction, i ce�tify that fill�:wlll�:b.e used only.to fill the area within the�stem•wall. - If fill materlal is to be used in any area, I certify that use. of such "flll will not adversely affect adjacent properties. If use of flll is found to adversely:�ffect adJacent��properties,.the owner may be cited for viofating the conditions of the building:permit Issued•under the attached permit applicatlon; for.lots less-than one (1) acre which are elevated�by flil, aR engineered dralnage plan is required. . If I am the AGENT FOR THE OWNER, I;:promise In good fatth to inform the owner of the permitting conditlons set forth in this affidavit�prlor to commencing construction. I understand that a=separate permit may be requtred for electrical work, plumbing, signs, wells, pools;'alr conditioning,.gas,or otMec installatlons not spec�flcally included-in.the application. .A permft issued shall be construed to be a ltcense to p�oceed with tt�e work and not as authority to.violate. cancel, alter, or set aside any provisions of the tech�ical.codes; nor shall Issuance�of a.permit prevent the Bulldirig O#flcial from thereafter requiring a correction af errors In plans, consfruction or vlolaUons of any codes. Every permit issued shall become invalid unless the work authorized.by such permlt°(s-commenced�within six m.onths of permit Issuance, or if work authorized by the pe�mit is suspended or.abandoned for a period of§ix(8)montFis:aRer the time_the�wowk•is coenmenced. An extension may be requested� in wciting, from the Building.Officlal for a per(od not to exceed ninety�(90) days a�d will'demonstrate justifiable cause for.the extension�. If work ceases�for ninety(90)cons.ecutive.days...the job�is considered abandoned. WARNING TO OWNER: YOUR.FAILURE T0,REC.ORD, .A:MOTIGE;OF�COMMENCEMEMTaMAY�RESULT IN YOUR PAYING TWICE:FOR IMPROVEMENTS TO YOUR:PR'OPERTY. IF YO.U�IIV�'END�'�TO`OBTAIN��FIN�ANCING;'CONSULT WITH Y UR L NDE �O� AN ATfO EY�BfFORE:R CO � I G:`� OUR' O �C t0 � � � E CE(IMENT� FLORIDA JURA�•(F.S..1.17. 3)� - " ' � � - i - l,-- OWNER OR AOENT CONTRACTO Subscrlbed and swom ( r a e betore m Is � Subscribed and's m to r a rmed) efo �ne�' � by �-�v4 �-r- M . t�t ,by vad�,r �.,�c�..�r-I�e 2_ WFio islare personally known to.me or has/haye produced Who is/are personally known to me•or has/have�produced • � as Identlflcatlon. � as Identlflqlion. - Notery Public � Notary Publlc Commisslon No: Commission.No. Name ot Notary typed,printed or stamped Name of Notary typed,printed or stamped ' - .. ` � . DISCLOSIIRE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS BIIILDING DEPARTNlBN'P I, ��,-�v/k�� M�� ,^�he'L have read and fully understand and agree to the provisions of this iastrumeat. The undersigaed states and affirms that he or she is desirous of coastrueting, reaovatiag, addiag to or reroofiag his or her owa domicile, that he or she actually occupies, or will occupy by said domicile, aad same is not for , rent, lease or sale. That he or she shall comply with the following coaditions: 1. That the owaer and he or she aloae shall act as the builder for all phases of � construction. � 2. That the owner will comply with all provisions of the City of Zephyrhills ordinaaces and codes pertinent to the building. 3. That ia the event various phases of construction are subcoatracted, he will engage only properly liceased subcontractors aad will personally supervise such work. 4. That in the eveat the Building Iaspector shall require corrections to be made, the owaer will assume full responsibility to iasure they are made, aad upon completioa will call for a reinspectioa before proceeding with the building. 5. That the owner shall assume full responsibility for the coastruction aad will not expect supervision of his work from the City of Zephyrhills Building Department. 6. That prior to fiaal iaspectioa aay additional fees, iacludiag reinspection ' fees, must be paid ia full. A written requeat from this office shall constitute an official aotice to pay additional fees. , 7. That the owner shall comply with all City, State and Federal laws ia regard to social security, workman's compensation, lien laws, etc. , where applicable. ' 8. That the owner shall comply with all the safety codes issued by the Florida � Industrial Commissioa. 9. State law requires construction to be done by licensed coatractors. You have applied for a permit under aa exemptioa to that law. The exemptioa allows you, as the owaer of your property, to act as your owa coatractor with certaia ' restrictions even though you do aot have a licease. You must provide direct onsite supervision of the constructioa yourself. You may build or improve a one-family or two-family resideace or a farm outbuildiag. You may also build I ' or improve a commercial buildiag, provided your costs do not exceed $75,000. 'i The buildiag or residence muat be for your own use or occupancy. It may aot i , be built or substantially improved for sale or lease. If you sell or lease a � buildiag you have built or subatantially improved yourself within 1 year after the construction is complete, the law will presume that you built or substantially improved if for sale or lease, which is a violation of this �' exemptioa. You may aot hire an unlicensed persoa to act as your coatractor or to supervise people working oa your buildiag. It is your responsibility to make sure that people employed by you have liceases required by state law and by county or muaicipal liceasing ordinances. You may aot delegate the responsibility for supervisiag work to a liceased coatractor who is aot licensed to perform the work being done. Any person working on your buildiag who is aot liceased must work under your direct supervisioa aad must be employed by you, which meaas that you must deduct F.I.C.A. aad withholding tax i and provide workers' compensation for that employee, all as prescribed by law. Your constructioa must comply with all a licable laws, ordinances, building � codes, and zoaing regulatioas. �.OWNER'S SIGNATURE, yDATE � -fl l. 1 Cp ry� ADDRESS �b 32 y� ST1r�T � 5 (�L �iONE �S L.2a(P .2(0 �� WITNESS PERMIT #