HomeMy WebLinkAbout16-17126 . • CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 17126
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:17126 Issued: 3/03/2016 Address: 6567 SLEEPY HOLLOW BLVD �
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: 650.00 Total Fees: 40.00 Subdivision: SLEEPY HOLLOW MHSUB DIV
Amount Paid: 40.00 Date Paid: 3/03/2016 Parcel Number: 02-26-21-0260-00000-0900
CONTRACTOR INFORMATION OWNER INFORMATION
Name: TRI AREA ELECTRICAL CONSTRUCTION Name: SLEEPY HOLLOW MOBILE ESTATE INC
Addr: 1110 NE PINE ISLAND RD UNIT#38 Address: 38615 LANSING AVE
CAPE CORAL FL 33990 ZEPHYRHILLS FL 33542-6312
Phone: (239)573-7235 Lic: Phone:
Work Desc: 60 AMP SERVICE FOR BRIGHTHOUSE POWER SUPPLY
� APPLICATION FEES
ELECTRICAL FEE 40.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE—METER �
FINAL , � � a /,�
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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
Mar 031610,:55a p.5
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T.RI-AREA E,�EC'TIr1'CAL C011�STRUCTI�N INC.
909 SE 47'"Temace Saite 203-1 Cape Coral,Florida 339(k�*239-573-7235 FAX 239-573-3274
POWE�OF AUTHORITY
, AUTHORIZATInN LETTER
I hereby name and appoint: Richard Leone/Driver's License L500-740-51-161-0
Of Tri-Area Electrical Construction Tncorporated
I William T.Leane hereby authorize the following individuals to act in a1i areas of the
All Permitfiing and Licensing procedures for the City Of Zephyrhills,Ftarida.
Wtlliam T,I,eone—Qualifier-License nuinber. EC13U0358S
�
Richard Leone illiam T. Leone
Date: March 3,2016 Tri-Area Eleccrical Constructian_Inc
909 S6 4'7`t`Te�race Suite?A3-1
Cape Coral,FL 33904
StateOf� i�.(�.
Connty Of
�forcgoin instrument was aclrnowled ed by me this�day of�20�
' By: �o lis/ar ecsonally lmo by me or wha has I have p u d:
� As i end icat�on an, w ,o�i�T'd t
••,'�"`�"�e''•, JODf ANN BRANT
, ,
! ���' �, :°= Notary Public-State of Floiida �
�:,,;' :�;My Comm.Expires Jun 14,x018 •� tary ub[ic
:;f�,,,,:;,,•• Commission+r Ff 115806 �
I u,.• -
� - ame
My commission expires: �(� �� �..C��[� Seal;�� ` 1 J ���-F�
, a�3 xeo-oozo City af Zephyrhills Permit Application FaX a�3-�saoa2�
8ullding Department
II Date Recaived Phane-Contact for Parmittin
�I
', Owner'a Name ����'J���e /7€�11Y7� Owner Phone Numbet _
Owner's Address ���s f��S 1� �J �- Ow�er Phone Kumber �- �
' Fee S(mple Titleholder Name Owner Phone Number r- �
Fee Simple Titleholder Address. �
JOB ACIDRES� (o �! ��'� p /f?GrJ ��t.�� I.OT# C�
SUBDIVISION PARCEL ID# (�OZ o2 ro oz �p�.. c�a O D O C�D O d t7 C�
' (OBTAlNEO PROM PRQPERTY TAX NQ7lGE}
WORK PRdPOSED �NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH
INSTAtL e REPAIR
� PROPOSEO USE � Q SFR Q COMM � OTHER
TYPE OF CON3TRUC710N . Q g BLOCK � Q FRAME C� 87EEL Q /
DESCRIPTION OF WORK (� � !'L� ,S�veC!('C�' �t'��'"fJ CC h,T" (iv.1� / �Cv C-'�'' <Sc� �/'` ! V
� BUILDING SIZE � � SQ FOOTAGE C�� HEIGHT ��,i.�
. QBUILpIRlG ($ � ��:�.;x._... _=_.
I VALUATION OF TOTAI.CONS7RUCTION
L�_
ELECTRICAL $ p _ AtNP SERViCE � PROGRESS ENERGY [� W.R.E.C.
QP�UMBING � �
QMEGHANICAC $ VALUATION OF MEGHANICAI.INSTAI.LAi'iC?N ��J���
�� � ],,��
QGAS Q R{30FING Q SPECIA�TY � QTHER j� j f`�'
FINISHED FLOOR ELEVATIONS �� � FLQOD ZONE AREA QYES NQ
g���-a�� COMPANY
'�IGNATURE REGISTERED Y/ N FEE CURREn ,Y./N .
Addres� Lfcense# r� � �
Ei.£CTRtC1AN ,� ., COMPANY � /���"'�c�I�c T 2 i'Ca'�C�"c�uJ�'1;
SIGNATURE �.'���— REGISTERED Y N FEE CURRE� Y/N
Address D SG� ��f�/'�"' �' ��'o�`� •License# � G- 1.3b�D .5,�8t"�I
I PLUMBER - � COMPANY
SIGNATURE REGISTERED Y/ N �EE cu�tEn Y/N
�� Address License# � � �
I
MECH,ANIGAL COMP,At�tY
SIGNATURE REGIS7ERED Y�./ N FEE CURRE� Y/N• .
Address License# r �
qTHER COMPANY - -
SIGNATURE REGISTERED Y/ N . Fee cuRrtEn Y-/N
Address License# �— �
�RESIDENTIAL Attach�2}Rlot P.lans;�j2)sats af:8u1lding:F'larts;`{1}set af Energy�Farins;�R-O-W Perrr�it for new ccnstruction,
Minimum.ten°(�1.0):woricing;days;aftec,submittal-date. Required onsife,Construction�Plans;Stormwate�`Pians w/Silt Fence installed,
Sanitary Facilitles.&�1:,,dumpste_r,Ske Wark;Rermit far sutidivistonsllarge proJeGts - � ° �
- C�i�l�EiZ�if;i. Attach{3}camplete sets'of Builc�irig Plans plus a Ufe Safety Page;(1}se#of Energy Forms.R-O-W Permit for new cansUvc:tion.
Minimum ten(10)warking days after submlttal date. Requ(red onsite,ConsUuctlon Plans,Stormwater Plans w/Silt Fence fnstalled,
Sanitary FacElitles&1 dumpster.Site Work PermEt for ait new pro�ects.Aii ccmrnerciat.requirements must meet comptlance
SlGN PERMIT Attactt{2)'se#s of Engineered Plans.; :�. .
••••PROPERTY SURVEY required fnr all NEW construcUan.
` Directlons: . '
Fiil out applfcatlon completely.
Owner d�Contsactar sign baak of applicatton,notarized
If aver E2500,a Natice of Commencement is required. (A!C upgrades over ffi7500) .
`" Agent(far tlia contractor)or"Pbwer af Attomey(for the owner)would be someone with notarized letter ftorri owner autho�izing same "
OVER THE COUNTER_PERMITTING (Front of Appiicatian Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on pubilc roadways..needs ROW
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NOTICE OF DEED RESTRICTIONS: The undersigned under�tands:th�t:this;�p�rmit�.may.be.s"ub)ect to,"deed"restrictions"
which may�be-more�restNctive��than County:�r+egulatlons: �The underslgned'assumes�responsftitlitq for compliance�with any
applicable_deed resaictions.
UNLICENSED .CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:� -If the owner-has �hired a contractor or
contractors to undertake work, they may:be.;cequfred,:to.;be;licensed In.accordance.with.state.and•local.regulations: �if�the
contractor_.°is,not:licensed as cequired`by law, both the owner and��cont�actor-may be-cited for a�misdemeanor violatton
under state law. If the owner or (ntended�contractor<.are_,uncertain as to what Iicensing.requirement� may,apply�or:,the
intended work, they are advised to contact the�Pasco County Bullding Inspectiori Dfviston—Licensing Sectton at 727-847- �
8009. Furthermore, If the owner has hi�ed a contracfor o� contractors, he is advised to have the contractor(s) sign '
portions of the "contractor Block" of this appltcatlon for which they wlll be responsible. If you,-as-.fhe owner"slgn�as the =
contractor, tfiat may�be an indication fhat�he is not properly flcensed and is�n�oCentitled to permitting privfleges in Pasco ;
County. � . _, �
TRANSPORTATION-IMPACTIUTILITIES IMPAC7 ANb�RESOUItCE RECOVERY�FEES;�The underslgned understands �
thatTransportation Impact Fees and.Recourse Recove.ry.Fees may,:applyto�the construction of new buildings�=change of `
use in existing buildings; or.expansion of;ezistiri�g`buildinAs, as specifled in Pasco County Ordinance number 89-07 and {
90-07, as amended.�,The undersigned also�understands, thait�such fees�;as imay�be�:due;;�wlll��tie Identified at the�time of
permitting. It is furtFier understood that Transportation Impact Fees and°Resource Recovery�Fees:.must be paid prior to
rece�ving a ".cerfificate.of occupancy° or flnal power=release. :If the project does:not Involve�:a:.certiflcate of occupancy or '
final power release;,the-.fees-must be paid prior to permft issuance. Fu�thecmore;if Pasco;County�lNater/Sewec-Impact
fees are due,_they.must.be�pald,pcior to permit-Issuance�in accordance with appllcable Pasco�County o�dinances.
CONSTRUCTION"LIEN LAW�(Chapter 713� Florlda Statutes, as amended): If valuallon of work is$2,500.00 or.more;.I . �
certify that I, #he appiicant, have-b.een provided with a copy of 4he °Florida-Construction� Lien. Law=Homeowner's '
Protection Gutde" prepared by the Florida Departme�f of Agric.ulture and Consumer Affairs. if the applicant is someone
other than the"owner", I certify that I have_.obtained�a copy.of the above.�escribed document and.p.r.omise in.good faith.to
deliver It to.the:?owner"�.prlor to>commencement: , �` �
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certiFy that all.the Inf.ormation.in:this application is accurate�nd that all work
will be done in comptiance with all applicable laws regulating construction, zoning and:land development. Application is
hereby made to obtatn .a permit. to :do_.work,.and installation as ind(cated:�:� 'I certify-that no work��or installation has
commenced prtor to Issuance of�a perm(t and that all work will be pertormed to meet_standards of all laws regulating�
construct(on, County and City codes, zoning regulations, and land development tegulattons�in the jurisd(ctton. I al'so -
certify that I u�derstand that the regulatlons of other government agencies may�apply�to the intended work, and that it is
my responsibility to identify�what:acttons I must take to be�in:.corrlpliance. S.uch agencles�include but-are-.not Itmtted to: !.
- Department of Er1v(ronmental Protection=Cypress.Bayheads; Wetland Areas and Environmentally Sensitive � ;
Lands,WatedWastewater Treatment.
- Southwest •,Florida Water Management .:District-Wells, Cypress. Bay.heads; Wetiand Areas, Altering �
Watercourses. ,.
- Army Corps of Engineers-Seawalls,Docks, Navigable Waterways. �
- Department of Health'& RehabiAtativ.e ServiceslEnvi�onmental Health Unit-Well.s, Wastevirater Treatment, '
Septic Tanks. �
- US Environmental Protection Agency-Asbestos abatement.
- Federal AvlatlonAuthorlty=Runways.
I understand that the following.�restrlctlons apply to the use of flIL•�
- 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. (s understood that�a drainage plan addresstng a
°compensattng volume" will be subm(tted at time of permitting which ts prepared by a professional engineer
Iicensed:by�the�State-of Florida.
- If ihe flll material:.is,to be used in Flood Zone 'A° ins connec�ion�with.a���erm(tted building using stem wall
construction, I certify that ftll�:wall=b.e used only.to fill the area w(thin�the stem�wall.
- If fill materiaf is to-be used In any area, I certffy that use. of;such-flil will not adversely affect adjacent
properties. If use of flll is found to adversely.�ffect adjaeent�properties, the owner may be cited for violating ,'
the condlfions of the building:permit issued•under the�attached permit application, for:lots less than one (1)
acre which are elevated by f111, an engineered dralnage plan Is required. . �
If 1 am the AGENT FOR THE OWNER, I;promise in good faith to fnform the owner of-the:permitting-condittons set forth (n ;;
this affidavit prior to commencing construction: I'understand that a,separate permit may be required for electrical work, �
plumbing, signs, wells, pools; afr conditioning,.gas, o�``other installations not.spec�ically included-in.the application. .A '`
permit Issued shall be constcued to-be a'Iicense to p�oceed with ttie�work and not as:authority to,violate,cancel, alte�, or �'
set aside any provisfons of the technical.codes; nor shall issuance�of a permlt.prevent the Bulldirig Officlal from thereafter �
requirfng a correction af errors In.plans, construction or iriolatlons of any codes:. Every permit Issued shalFbecome invalid �`
unless the work authorized by such permit�Is-commenced�wtthin sCx months of permlt issuance� or If work authorized by t;
the permit is suspended or.abar�doned for a:period of six{8)mont�s.after the time the work��is commenced..An extension ,;
may be requested, In wrlting, from the Building,Officiai for a period�not to exceed ninety(90) days a�d will demonstrate
�ustifiable cause for.the extension: If work ceases.for ninety(90)consecutive day.s�..th\)ob�is considered aba�doned.'� - � � '-
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WARNING TO OWNER: YOUR.FAILURE�TO�REC.OltD:A:.NOT16E OF-COMMENCEMEMT.MAY-RESULT IN YOUR �;
PAYING TWICE:FOR IMPROVEMEN�'S�TO YOUE�=.PR�OPERTY.,:IF YO.U�IM�END'�T�=OBTAIN��FINANEIiVG,�CONSULT
WITH YOUR LENDER OR AN A7TORNEY�BfFORE�RECOR�DING�YCIUR�NOTICE`OF''COMNIENCElIP1ENT� �
FLORIDA JURA�(F.S.117.03) ._ _ . _ _, __ . -`-_ - - -- - --- _ . _-- -- - - ---
DWNER OR AOENT CONTRACTOR " '
5ubscribed and swom to(or affirtned)before me this Subscribed'and'swom=to(ot aflirmedj�before me tFitS �
by .by ..
Nho Is/are personally known to.me or has/have produced Whd.ls/are personally known•to me�or hasRiave•produced •
as Identlflcatlon. ° as Idendflcation.
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Notary Publlc . Notary Publlc
3ommisslon No. •- Commlaslon�No.
Vame at Notary typed,p�inted or stampad Name of Notary lyped,printed or stamped