HomeMy WebLinkAbout16-17127 � CITY OF ZEPHYRHILLS
- � " 5335-8th Street
(813)780-0020 � 27
ELECTRICAL PERMIT
� PERMIT INFORMATION LOCATION INFORMATION -
Permit#:17127 Issued: 3/03/2016 Address: 38706 DAUGHTERY RD
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: MOBILE HOME PARK Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 800.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 3/03/2016 Parcel Number: 35-25-21-0010-12600-0000
CONTRACTOR INFORMATION OWNER INFORMATION. °
Name: ROGERS ELECTRIC Name: MRVZ PARK INVESTORS LLC
Addr: 33184 PORTAGE PATH Address: PO BOX 1462
DADE CITY, FL 33533 INVERNESS FL 34451-1462
Phone: (352)583-5611 Lic: ER-05521 Phone:
Work Desc: 100 AMP SVC UPGRADE
� - ' APPLICATION FEES . - �
ELECTRICAL FEE 40.00
� � INSPECTIONS.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
f rst 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 properly 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.
CONTRACTOR PER OFFI ��
' PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-?80-0020 City af Zephyrhills Permit Application Fax-813-780-0021
- ' ' Butiding Department
Date Recefved '
Phone-Contact for Permtttin —
� Qwner's Name � �� �PU PC�-�Z�-r' Owner Fhoste Number �t- 3 rz-,�G y���'� �
� . � �
Owner's Address �� � Owner Phone Number
Fee 5lmple Titleholder Nama 5���l � � Owner Phone Number �
Fee Slmple Tltleholder Address � � Q
JOB AClDRESS �����' �� �2r ��J
� LOT# l
�Llv n.Tv� a �lt�"' - i
SUBDIVISiON ��� � PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTlCE)
WBRK PROPOSED �NEW CONSTR ADD/ALT [� SIGN Q Q DEMOLISH
e INSTALL � REPAIR
PR4POSED USE . � SFR Q COMt+II �„� OTHER
TYPE QF CONSTRUC170N , Q BLOCK � [� FFtAME [� STEEI. Q
e
DESCRIPTION OF WORK ��'���� SV�'j b ��K/1')dDL-C �' ��C/2'fi�.
BUILDING SIZE �� � SQ FOOTAGE��. HEIGHT ���
QBUIL.OthIG �� `"_�'�`.:.__� :r_._.
VALUATION QF TOTAL CONSTRUC710N
QE�ECTRICAL $ �J,�T-� AMP SERVICE Q PROGRESS E(VERGY Q W.R.E.C.
QPEt1MBING $
�,,,� � r � ��
OMECHANICA� $ VA�UATtON OF MECHAIdICA�tNSTALLATit}N � � �
, QGAS Q E200FiNC, Q SPECIALTY [� OTHER �'j ��
t
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Addresa Cfcense# � � �
ELECTFttC1AN � ,�--� ., COMPAI�IY (�, � ,C�i
SIGNATURE REGIS7ERED Y/ N . FEE CUFtRE� Y/N
Address � Llcense# �� �
PLttMBE12 • COMRANY
SIGNATURE REGISTERED - Y/ N FEE CURRE� Y/N
Address Ucense# � '
MECHAid11CAL COMPANY
SIGNA7URE REGISTERED Y�,/ N FEE CURRE� ' Y/•N�
Address License# � I
OTFCER COMPANY �
SIGNATURE REGISTERED Y/ N. FEe CURRen . : Y/N
Address . I:icense# � �
RES{DENTIAL Attaah{2}Plot P1ans;(2)sets af Building.Rlaos;(1}set of Eiiergy�Form's;R-O-W PeRnit.for`new,construc�on,
Minimum ten,(:10),working'days after.subrr'iittal date. Required onsite,Constructlon•Plans;�Stormwater'Plans w/Sllt Fence installed,
Sanftary Facitities.&;1_.dumpster�Site Work>P.ermit for subilivi'slons/large proJects. ��� �
- Co1VlMERC�Al. Attach{3)oomplete sets cif Building Ptaris ptus a Life Safaty Page;(i}set af Energy Forms.R-O-W Permit for new construc�on.
Minimum ten(10)working days after submittal date. Required onsite,ConstrucUan Plans,Stormwater Plans w/Silt Fence installed,
8anttary Fac11i8es&1 dumpster„Site Work Pemfit tvr aN riew proJects.Aii cammerclai_ret}ulrements must mest compNance
StGN PERMIT Attach{2)`sets of Engineered_Fians.,,_ .*° -
'"""PROPERTY SURVEY requireci for all NEW construcdon.
Dl�ecttons:
FII)out appiicadon completely.
C}wner&Contraatar sign back of applicaUon,notarized
If over E250d,a Notice af Commencement is requlred. (A!C upgrades over aT500)
" Agent(for the contractor)ar'Power of Attomey(for the owner).wauid be sameone with notarized letter fmm owner authodzing same
dVER TNE COUNTER PERMITTtNG - (�ront of Appiicatlon`Oniy},,. �
Reroofs if shingles Sewers Service Upgrailes•WC� Fences(PIoUSurvey/Footage)
brlvswaya-Not over Counter if on pubiic roadways..needs ROW,."`.:'� �
�
� t , _
NOTICE OF DEED RESTRICTIONS: The undersigned under.gtands�:.th�t this,p�rmit,.may.be.sub)ect.to,"deed"restcictions"
which may be:�more°.rest�ictive-thaFl Gounty:ariegulafCons.=The�undersigned'assumes`responsitiiltty for'�compliance�with'�any
applicable deed rest�ictions. - � .
UNLICENSED: CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has-�hired��a contractor or
contractors to undertake work, they may,be;cequired�,tobe,llcensed In accordance.with state.and_loca,l regulations: If the�
contractor_is�not.l(censed as cequlred"tiy law, both the owner and=�contiactor=may be-cited-for a�misdemeanor violation
under state law. If the owner or (ntended�:contractor.are:uncertain as to what Iicensing.requirements`may�-apply>:for,-the
, intended work, they are advised to contacf the Pasco Coun'ty Building'Inspection DIvlslon--L(censing Section at 727-847-
8009. Furthermore; If the ovmer has-hired�a conhactor o� contractors, he is advlsed to have the contractor(s). sign .
portions of the "contractor Block" of_this application for,which they will.be r.esponsible.. .if you,-as.the owner'stgn�as'the � ;
contractor, that may-be an indicatfon that�he is not.properly licensed and�'is not�entitled�to permittfng priv(leges in Pasco
County. - • ' i
TRANSPORTATION=IMPACTIUTILITIES-IMPACI��ANb�RESOURC@ RECOVERY�FEE3; The underslgned understands ,
that Transportation Impact Fees and.Recourse Recove.ry.Fees may.��apply�to�the constn�ction of new build(ngs,:change of ` � ;
' use in existing buildings;��or-•:expansion•of-�ezisting`6ulidings, as specifled.in Pasco County Ordinance number 89-07 and �
90-07, as amended., The�undersigned also=understands, that:�such fees,�,as�rnay_�be��due;,will��be identified at the�time of� �
permitting. It Is further understood that Transportatlon Impact Fees and'�Resource Recovery�Fees.mu'st be paid prior to i
' receiving a °certificate-of�occupancy" or flnal-powec-release. :If�the proJect does.not,involve a:certificate of occupancy.or
final power release;•the�.fees must be paid prior to permit issuance. F��th�rmore;'if Pasco�,County�Water/Sewer•�Impact
fees are due,.they must.be�pald.prior to permit-Issuance-In accordance with applicable.Pasca�-County ordinances.
CONSTRUCTION L"IEN"LAW(Ciiapter 713� Florlda Statutes, as amended): If valuation of work is$2,500.00=or more, I
certify that I, the_applicant,. Mave-been provided with a copy� of the "Florida Constructlon Lien Lav�Homeowne�'s
i Protection Guide" prepared by the Florida Departmenf 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..described docurnent-and.ptomise in,good falth,to
deliver it to the.`owner"�.prior to>commencement: � ' � •
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the.information,in�thi� application is accurate and that all work
will�be done in compliance with all applicable laws regulating consiruction� zoning and land development. Application is
hereby made to obtain .a permit Co do. work...and Installation as indicated:-;, 'I certifjl�that no work:or installation has
commenced prior to Issuance of a permit'and that.all work will be pertormed to meet standards of all laws regulating- �
construction, County and City codes, zoning regulations, and land development tegulatlons�in the jurisdtctlon. I al'so �
certify that i u�derstand that the regulations of other government agencies may�apply�to the intended work, and that it is '
' my responsibility to identify�what,actions I must take:to berin:.corr�pliance. S,uch agencles include but are.not Iimited to: `
- Department of Ehvironmental Protectibn-Cypress.Baylieads; VNetland Areas and Environmentally Sensitive `
Lands,WateNWastewater Treatment.
- Southwest Fiorida Water Management: ..District Wells, Cypress. Bay.heads; Wetland Areas, Altering �
Watercourses. ;.
- Army Corps of Englneers-Seawalls, Docks, IVavlgable Waterways. �;
- Department of Health & Rehabilitativ.e.Services/Envi�onmental .Heatth Unit Wells� Wastewater Treatment,
Septtc Tanks. �
- US Environmental Protection Agency-Asbestos abatement. .
- Federal Av(atlon Authority=Runways. ,
I understand that the following:restrictlons apply to•the use of flll:•
- Use of fill is not allowed in Flood Zone"V"unless expressly pertnitted.
- 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 submitted at time of permitting wh(ch ts prepared by a professiona)_engineer
Iicensed by�he-State�of�Florida.
- If ihe fill material.is,.to.be used In Flood �one °A" in�connection�with.a�permitted building using stem wall
construction, I certify that fill�:will=b.e used only.to fill the area within the�stem•wail.
- If flll materlal is to tie used in any area, I certify that .use of;suaFi`flli 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 application, for:lots less than one (1) �
acre which are elevated�by flll,a�engineered drainage pian is required.
If I am the AGENT FOR THE OVIlNER,'I;:promise In good faith to inform the owner of•the:permttting conditions set forth In ��
this affidavit prior to commer�cing constructlon. "I understand that a-separate permit may be requtred for electrical work, I;
plumbing, signs, wells, pools, air conditioning, .gas, o�"otMer installations noE,specfftcally included-in.the applicatlon. .A ,;
permit Issued shall be constcued to be a�license.to proceed with the work and not as-authority to violate,cancel; alter, or -:' i
set aside any provisions of the technical.codes; nor shall issuance of a.permit.prevent the 8ulldirig Official from thereafter �' '
�,
requirin_g a correction nf errors in�.plans, con§ttuctlon or vlolaQons of any codes. Every permlt Issued shalF become invalid f '
unless the work authorized.by such permlt�ls�commenced•within sfx:months of permit issuance, or If work authorized by
the permit is suspended or.abandoned for a:period.,of six(8)montFis after the time_the�work�ds commenced._An extenslon �� '
may be requested, in writing, from the Building,Officfal-for a period�not to.exceed ninety�(90) days a�d will•demonstrate ;�
�usti�able cause for.the extension: If work ceases:for ninety(90)cons.ecutive day.s�..the Job�is.considered abandoned.� ��
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WARNING TO OWNER: YOUR.FAILURE TO.,REC:ORD. .A..NOTIGE OF•COMMENCEMENT NtAY=RESULT IN YOUR �
PAYING TWICE.FOR IMPROVEMENTS TO YOUI�.;PR�OPER'TY.�;IF°.YO.U�INTEND'� °OBTAIN��FINANCING,�C.ONSULT
WIT UR DE O AN ATTO NEY�B FORE��RECOR� G:=YOU '- O� � 'O ` �' � E E � NT�
. _ . . �
- FLORI�R;IURAT(F:S:9.97.03) ---- -_- - -=- - - - .._ ---- — -- ---- -- - - - -
DWNER OR AOENT CONTRACTOR__� '
5ubscAbed and swom ta(or aflirmed)before me thls Subscribed and's m=to(ot afflrtned)�before`me Itii�
by .b . '
Nho is/are personally known to.me or has/have produced Who.ls/are o a �wn to me or haslhave•produced �
as Identlflcatlon. as Identlflcaflon.
�. •
P
Notery Public i -`1 Notary Publlc
3ommisston No. •• � �r�ilsslon. „„
,;Q:....y,��, JACQU
;.: :*_ �o ,ELINE BOGES
Vame of Notary typed,printed or stamped Name of Notary p",p no� ` Bo�p1�9gig mber 12, 22 ,
hru Troy Feln Insurance gp0.jo18
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