HomeMy WebLinkAbout16-17132 /
CITY OF ZEPHYRHILLS
5335-8th Street
4 ' (813)780-0020 �% 132
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:17132 Issued: 3/07/2016 Address: 39744 MEADOWOOD LP STORM
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE/NEW Township: Range:
Proposed Use: NOT APPLICABLE �,,�' �Ci� , Lot(s): Block: Section:
Sq. Feet: Est. Value: �-��' � / Book: Page:
Cost: 2,183.00 Total Fees: ��00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 3/07/2016 Parcel Number: 13-26-21-0140-00000-OOAO
CONTRACTOR INFORMATION OWNER INFORMATION
Name: CARLYLE ELECTRIC Name: CITY OF ZEPHYRHILLS
Addr: P.O. BOX 251 Address: 5335 8TH ST ,
CRYSTAL SPRINGS, FL 33524-0251 ZEPHYRHILLS FL 33542 '
Phone: Lic: Phone:
Work Desc: INSTALL NEW 100 AMP SVC/ EXISTING SVC TO STORM WATER ( RELOCATE ) WAIVEI
APPLICATION FEES
ELECTRICAL FEE 40.00
- INSPECTIO EQ RED '
ROUGH ELECTRIC �
CONSTRUCTION POLE � �
PRE-METER f
FINAL .7J
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REINSPECTION FEES:(c)With respect to Reinsp ction 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.
:� l'
�� CO CTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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' a��-7so-oozo City of Zephyrhills Permit Application Fax 813-780-0021
Building Department
� , � . ,. .. - .. .-_ .
Date Received ,: " � , . .. - • ' '" "
Phone Contact�for.'•Permittin :°,��''- ' '. . —
, . _�' . . . .. ` _ ... . . , � '' ; .,��� . � r/� //
Owner's Name • - ' Owne�Ptione=Number,_,.
Owner's Address J / • �'"OVir'rier-Phone Number
Fee Simple Tltleholder Name � Owner Phone Number
Fee Simple Titleholder Addres� °°
JOB ADDRESS �� �� , �G'L � LOT# �
SUBDIVISION P PARCEL ID# " -
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED '^ NEW CONSTR ADD/ACT Q SIGN Q . Q DEMOLISH' -
INSTAtL 8' REPAIR
PROPOSED USE .Q SFR Q COMM Q OTHER
TYPE OF CON3TRUCTION' Q BLOCK `' Q FRAME � STEEL Q `
'Y
DESCRIPTION OF WORK ,'_ 1�� s _ �� �,{f��� �• �
BUILDING SIZE SQ FOOTAGE C�. .HEIGHT
� QBUILDIiVG $ •,.��M-:�� �,� _..._..
, . ,VALUATION"�F TOTAL CONSI'RUCTION
�ELECTRICAL $ G� �� , AMP SERVICE •/'(�'� � PROGRESS ENERGY Q W.R.E.C.
O Y
OPLUMBING $ � ' �//�//?-�
�
QMECHANICAL $ � , VALUATION OF MECHANICAL INSTALLATION
Q�S [� ROOFING Q SPECIALTY.�, OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES. NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N �E CUR�n Y./N
Address Cicense#
ELECTRICIAN � COMPANY / �(�
SIGNATURE � i/' REGISTERED N l FEE CURRE� Y/N
Address �Ox � � � _ � ,.3 �, : -.ucense# � 1G
PLUMBER Cpy�pqNy: , ,
SIGNATURE ReGiS�rtEo - Y/..N FEE Cu�� Y/N:
Address ,l:icense# - -�
MECHANICAL , COMPANY ,
SIGNATURE
REGISTERED Y./ N , FEE CURRE� Y/.N�
Address- � ' ' `
License# .
OTHER ' � COfVIPANY '
SIGNATURE, - � ° REGIS7ERED - Y/ N . " , ;FEe CUttRE� .. X:/•N..
, , €rP. - .. , _
Addreu _ -
License'#
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RESIDENTIAL` 5 �Athach,(2):PIot�Pl`ans;::(2)sets:of;Building,Rlans;.(1)sefof�Energy�Forms;;R-0=W°Perrnitfor'new;construcUon,
�.Mfnimums.ten.�(1,U};yvorktng;days�after?"sutimiftal dafe.�.Requlr'ed onsite;�C'onstnicBori�Plans;-Stormwate�`Plans w/Silt Fence Installed,
' '�Sanitary-FaGltyes,,&ri1;;dumpster,;Slte;Work;Permitfor:subtlivislons/large'proJects�-•°• `��{t�. ��,` �'a = ��
COMMERCIAL Attach(3)'oomplete sets�of Bullding Plans`plus�a Ufe Safely Page;�(1)set of Energy Forms.R-O-W Permit for new consUucUon.
Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stortnwater Plans w/Silt Fence installed,
Santtary FaciifUas 8 1 dumpster.Site Work Permit for.all`newiprojects.All commercial requirements must meet compllance
SIGN PERMIT Attacfi(2)'sets of'Eng,i`nee�ed��Plans.z•2,..-,��:`• ---._ . ,._ . � . �. '
"'"PROPERTY SUR1%EY reguired foraIllVEW consttucUon:.:.
Directlons: . .,� ,- _ �
� Ffll out applicallon completely.
, Ownar&Contractor sign back.of appllcatlon,notarized
If over 52500,a Notice of Commencement is requlred. (AIC upgrades over 57500)
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Agent(for the�contractor)�or:Power�of Atfomey(fo�tF�e owner)would be someone with notarized letter from owner authorizing same
DVER THE COUNTER PERMITIING --�:-{Front-of-Application Only)� •• ' �' " ' �
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
,_ y-` ,I",- w,}_. _, - � - -�,- ,
Drlveways-Not over Counter iF on public roadways.:needs ROW
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NOTICE OF DEED RESTR�CTIONS: The unders(gned understands th�t,this:permlt,may be,sub)ect_to_"deed"restrfctions" .
which may:be�more��rest�ictive=than County�regulatlon§. �The undersigned_assumes=responsibiltty for�compliance`with"any '
applicable deed res#ricttons. _ � _ _ -
UNLICENSED.CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: ��if the owner-has hired��a contractor or
contracto�s to undertake work, they may be�req�ired::to be:licensed In.accordance.with state.and�local regulations. .:If the �
conhactor,is.�not.licensed as requlred:'by law, both�the owner and.cont�actor�may be-cited�for-a-misdemeanor violatton
under state law. If the owner or Intended contracto�.are.uncertain as to what Itcensing,requirements.may�appiy.-for�the - - -
intended work, they are advised to contact tFie Pasco County Bullding�Inspectlon Divislon—Llcensing�Section at 727-847-
8009. Furthermore, if the owner has hired a cont�actor o� contractors, he is advised to have the contractor(s). sign
portions of the "contractor Block" of this application for which they will be.r.esponsfble. If you,.as_.the owner'sign�as�the
contractor, that may be an indication that�he fs not.properly Iicensed and is not entitied to perinitting p�ivileges in Pasco
County.
TRANSPORTATION.IMPACT/UTILITIES 1MPAC7•ANd RESOURCE ItECOVERY�FEES:� The undersigned�understands
__tha�TransPortation Impact Fees and Recourse Recove.ry_.Fees may;apply�to�the constructlon of new buildings,,:change-of
use in existing buildi�gs;�or expansion,.of��ezistin,g�buildings, as speclfled in P�sco County`Ordtnance numbe��9=U7 and"� - � � - � --
90-07, as amended.,,_The undersigned also;understands, that such fees�.as}may be�...due;:will::be identified at the�time-of� '
permitting. It is furtlier understood that Transportatlon Impact Fees and�Resoucce Reco�ery"Fees.must be paid prfor to
receiving a "cerfificate.of occupancy"�or final power=release. :If-the proJbct:does not involve�a:.certificafe of occupancy o� � �
final power release;;the_fees must, be paid prior to permft issuance. F�tthermore;•�if Pasco County-Water/Sewer�lmpact
fees are due, they�.must.be_pald prior to permit-Issuance-In accordance with applicable Pasco�.County ordinances.
CONSTRUCTION'LIEN�LAW(Chapter 713� Florlda Statutes,as amended): If valuatfon of work is$2,500.U0�or more, I
certify that I, the,applicant,. have-been provided with a copy of the "Florida� Construction� Lfen Law—Homeowner's
Protection Guide° prepared by the Florida Department of Agric.ulture and Consumer Affairs. If the applicant is someone .
other than the"owne�", I certify that I have_.obtained�a copy.of.the above..riescribed�document�and:promise in.good faith to
deliver it to.the,°owne�prior:to-commencement: ' •
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the Information In thi�appllcation is accurate and that all work
will�be done in compliance with ali.appi(cable laws regulating constructlon� zontng and�land development. Applicatton is
hereby made to obtatn .a permit to do, work.and installation as indtcated._ 'I certify that no work=or installation has
commenced prfor 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 regulatlons�in the jurisdiction. ( also
certify that I understand that the regulations of other government agencies may�apply�to the intended work, and that it is
my responstbility to Identliy�what.actions I must take:to be�in..conlpllance: S.uch agencies-include but are.not Ifrr�ited to:
- Department of Environmental�Protection-Cypress. Bayhead�; Wetland Areas and Envlronmentally Sensitive
Lands,WaterMlastewrater Treatment.
- Southwest Florida Water Management .District-Wells, CypPess.s�Bay.heads;- Vlletland Areas� Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Servlces/Environmenfal Health Unit Welis, Wastewater�Treatment,
Septic Tanks. _
- US Environmental Protectfon Agency-Asbestos abatement.
- Federal Avlation.Authority-Runways.
I understand that the following,restrictions'apply to the use of flll:•
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill materfal (s to be used�in �Flood Zone "A°, it. (s understood that-a dralnage plan addressing a
°compensating volume" will be submitted at time of permitting which is prepared by a professional eng(neer
Ilcensed by#he�State of Florida:
- If the fill material.is to be used in Flood Zone °A" (n�connec�ion�with a pecmitted building using stem wall
construction, I certify that fill�:wlll:be used oniy.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:affect ad)acent propertfes,.the owner may be cited for violating
the conditions of the buflding:permtt issued under the at�ached permit appiicatian, for:Iots less-than one (1)
acre which are elevated�by�flll,a��ngtneered drainage plan is required. .
If I am the AGENT FOR THE OWNER, I;.promtse in good faith to inform the owner of the permitting conditions set forth in
this affidavit prtor to commencing constr'uctlon. I ucaderstand that,�a=separate permit may be requtred for electrical work,
plumbing� signs, wells, pools, air condttioning, .gas, or other installatlons noE.spec�ically included-in.the application. .A
permit issued shall be construed to be a Iicense to p�oceed wlth the work and not as:authorlty to..violate,cancel, alter, or
set aside any provisions of the technical.codes;�nor shall issuance�of a.permit prevent the Bulldirig Offlcial from thereafter
requiring a correction.af errors In-plans, consfruction or vlolaUons of any codes. Every permit issued shall become invalid
uniess the work authorized by such permit�is-commenced�with(n sfx months of permit issuance, or if work authorized by
the permit is suspended or.abandoned for a:period.of six f8)months.after the time the�work�ts commenced. An extension
may be requested, in wrtting, from the Building,Official for a period not to exceed ninety�(90) days and will demonstrate
justifiable cause for.the extension: If work ceas�s�for ninety(90)cons�cutive day.5�..the Job�is considered aba�doned.
WARNING TO OWNER; YOUR.FAILURE�TQ.REC.ORD,A NOTIGE:OF-�COMMENCEMEMTaMAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS-TO YOUI��,.PR�OPERTY. .IF°YO.U>IN�'FEND�'�T�`OBTAIN��FIN�ANCING;'CONSULT
!lVITH YOUR LENDER�OR AN�,'RORNEY�BEFORE�RECORDIWG YOUR�NOTICF`OF'COMAIIENC�IVIENT'
FLORIDA JURAT(F.S. 117.03) ` ' �
OWNER OR AOENT��/J��� /��J� C�DNTRACT� /�.�' . /J
Subscribed and swom M(or rmed)befor e this Subscribed and'swom r aff(rmedpb e' i�
by .by..
YVho is/are personally known to.me or has/have produced Who Is/are p.ersonally�cnown•to me or hasR�ave•produced •
as IdentlBcatlon. - as IdendflcaUon.
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