HomeMy WebLinkAbout16-17134 \
,�� � � CITY OF ZEPHYRHILLS
� 5335-8th Street
(813)780-0020 1713
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:17134 Issued: 3/07/2016 Address: 5745 13TH ST
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: 1,300.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 45.00 Date Paid: 3/07/2016 Parcel Number: 11-26-21-0010-07100-0030
CONTRACTOR IfVFORMATION OWNER INFORMATION
Name: MARTIN ELECTRIC Name: MISLEH, LYNN
Addr: P.O. BOX 437 Address: 5745 13TH ST
DADE CITY, FL 33525 ZEPHYRHILLS, FL. 33542
Phone: (352)521-3319 Lic: Phone: (813)782-3513
Work Desc: UPGRADE SERVICE
. APPLICATION FEES
ELECTRICAL FEE 45.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL '� ' �
�
� j �V
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.
CO CTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�s-7eaoo2o C�ty of Zephyrhills Permit Appl�cation Faat 813-780-0421
,�. ., :� BuUding Qapartment
Date Received ' phone•Gantai:t"far Permlttin -
Owner's Name A'1 C�'` Owner Phone Number
Qwner's Address � � '�� Qwner•Phone Number � ��
Fee Slmple Tlttehoitler Name �� � Qwner Pfione Number � �
_ �---
Fee Sfmple Tltiehoider Address "
JOB ADDRESS �� � � �� � lOT# �"�
5U801VISIQN � � PARCEL ID# �
� (08TAINED FRQM PROPERTY TAX NO'T�CEj
WOitfC NROPOSED � NEW CONSTR ADDJAI.T C� SIGN [� Q DEMOLISH -
, e INS'FfU.L 8 REPAfR
PROPOSED USE [� SFF2 Q COMM � ClTHER
TXPE OF GONSTRUGTION Q BLOClt ' Q FRANiE Q STEEI Q
� `
DESCRIRTION OF WORK ��! " I'�ra
BUII.QING Si2E �� � SQ FOOTAGE C-__� HEIGHT �,_�
�8�������' L . � VALUATION`OF�TOTAL CONSTRUCTION
[�]E�ECTRICAL $ ,-- �� AMP SEi2ViCE Q PROGRESS ENERGY Q W.Ft.E.C.
L.���=,.� �
OP�UMBlNG ($ �
i` �� � �t � �
QMECHANICAL $ VALUATlON QF MECHANICAL INSTAl.LATlO�!j�c 1 �
I
� OGAS [� ROOFlNG Q SPECIALTY Q 03HER
F!NlSHEQ FLOOR ELEVATtONS �� FLOQD ZONE AREA QYES. NO
� �._„
BUi1.DER COMPANY
SIGNATURE REGlSTERED Y 1 N FEE CURRER Y I E2
Addres$ Ltcense.# � �
�� —� • �!�
ELECTRiClAN ,�,—,.,—..� —��.�- COMPANY '�7i''��'l L=! Y/G.
SlGNF.TURE '�� � REGISTERED Y i N F6E CURitER Y I N
' Addres� � �v ..37 '�-+"t' � Licen'se# � �G/3d�%��'ft""J I
PLUNIBER �COMPANY
SIGNATURE REGlSTEREQ Y t. N FEE CURREh Y t N
Address License# � I
,
MECHANiGAl. COMPANY
SIGNATURE REGISTERED Y/ N PEE GURRE[+ Y 9-N� "
Address License# �- �
OTHER COMPANY
SIGNATURE REGISTERED .Y/ N . FEECURREA Y%N
Address i - � ' Llcense# r �
�.�
RESlRENTIAL Attach{2).Rlot Pians;{2)sets of:BuNdlhg'Plans;(1}sef of Energy�Foims;R-0=W Perm,it far'new canstruc�on,
Minimum�ten:(1.Q)working:days after,.submittal date.�Ri�quired onsite,�Construction Plans;�Stormwater Plans w!Silt Fence installed,
Sanl#ary FaciliUes&1,dumpste,r,,Si#e_Woric>Permit for subdivi`sibnsflarge pro]ects`�. `' - '
C0�9MERGlI�t Attach(3)'camplefe sets of Buliding Ptans pius a tEfe Safety Page;(1}set of Energy Fartns.R-O W Permit for new construc�on.
Minimum ten{10)warking days after submittal date. Required onsite,ConstrucUon Plans,Stormwaler P.lans w!Silt Fence instafled,
Sanitary Facifides&1 dumpster.:Site Work:Permit for ail neinr proJect's:All commercial requlrements must meet compllance
31GN PERMIT Attacli(2)'sets of Englneer.ed=Plans:� ,
"""PROPERTY SUR\!EY requlred f�or.al!NEW construction. .
Dire�tlons: - - -
FAI ouk applicatlan comp{etely.
Owner&Contractor sign back-af applfcatlon,notarized
if ovar 52500,a Notice of Commeacement is requlred. (AIC upgradas over$7500)
"' Agent(Ear the contraotor)or Pornrer of.Attomey(for ttie owner)woutd be sameone wifh notarized letter from owner authorizing same
t�VER THE COUNTER..PERM11?iNG -__,_�(Ftont.of:Applica6on Onljr},`' ,.
Reraofs If shingtes Sewers ' �Seivice�Upgrades RtG � Fences{PtaUSurveylFoofage}
Driveways-Not over Counter if on pubtic roadways..needs ROW�
�
..- .. �;.
NOTICE OF DEED RESTRICTION�: The undersigned unde�tands�that this:p�cmif.may;be,sub)ect to,"deed"restrictlons" �
which may be;more'.r.est�ictive.thaln County'fegulatfons. �The undersigned'assumes�responsibilttjc for�compliance with'any
applicable.deed restrictions. .. _ ' � = . �
UNLICEIdSED CONTRACTOR� -AND CONTRACTOR ItESPONSI8ILITIES:-�--If the owner has �hired=a contractor or
contractors to undertake work, they may be;cequired�to.,be Ilcensed In accordance.with.state.and•local;regulations: If�.the -
contractor is not:licensed-as required'by law; both�the owner and-conVaotor°may be�clted�for a mtsde�meanor violation
under state law. If the owner or intended contractor are_uncertain as to what.Iicensing.requirements amay�apply��for.the - '
intended work; they are advised to contact�tfie�Pasco.County Building�Inspectlon Dlvlslort—Llcensing�Section at 727-847-
' 8009. Furthermore, If the owner has hlred a contracfo� v� coritractors, he Is advised to have the contractor(s), sign
� portions of the "contractor Block" of this application for,-which they will be respo�slble. .If.you,.as..the oirt"rner sfgn as the
contractor, that�may b'e�an Indication that he fs:not.properly Acensed and'"is noY entitled`to per�ii(tting�privileges tn Pasco
County. � `
TRANSPORTATION.IMPACTIUTILITIES=IMPACTANb�RESOURCE RECOVERY FEES:�The undersigned�understands
that Transportation Impact Fees and.Reco.urse Recove.ry.Fees may�apply_�_to�the constniction of new buiidings,:;change�of' � °
use in existing buildings,-or:expansion of-��ezistin;g�bulldings, as speclfied 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 identified at the�time of- ��
permitting. It is furtfier understood that Transportation Impacf Fees and Resource Recovery'Fees.musf be paid prior to
receiving a "certificate of occupancy"�or flnal powec=release. :If�the proj�ct does:not involve.a-.certfficate of occupancy o�
final power release;the:fees mu�hbe paid prior to permit issuance. Ft��thermore;�if:Pasco,County Water/Sewer-lmpact
fees are due, they�must.be-pald pNor to permiE•Issuance=ln accordance with�applicabie Pasco�County ordinances.
CONSTRUCTION'LIEN"LAW(Ciiapter 713� FloNda 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 Construction� Lien .Law_.—Homeowner's
Protection Gutde" prepared by the Flo"rida Departmenf of Agr(c.ulture and Consumer Affairs. If the appl(cant is someone '
other than the"owner", I certify that.l have-.obtained�a copy.of.the.above.described�focument°.and.promise in,good faith to �
deliver ft to the°ownee"prior:to�commencement. - "'-�
CONTRACTOR'S/OWNER'S AFFIDAVIT: I.ce'rtify:thatall thec,Informallon�inrthis appl(cation is accurate and that all work
will�be done in compliance with all appiicable'laws regulating construction, zon(ng and�land development. Application is
hereby made to obtatn .a permit to do work:,and installation as indicated.�- I cenify-that no work°or installation has
I commenced p�ior 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 regulatians, and land development cegulations-in the jurisdtction. ( .also
' certify that I uaderstand that the regulations of other government agencies may�apply�to the intended�rork, and that it is
, my responsibility to identify.�vhat.actions I must take:to be,in:.corr�pliance; Such agencies include but�are.not Ilmited to:
- Department of E�vironmental•Protection-Cypress.�Bajrhead�, Wetland Areas and Env(ronmentally Sensitive
, Lands,WatedWastewater Treatment.
- Southwest Florida Wate� Management .District-Wells, Cypress.F�Bay.heads�, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, fVavtgable Waterways.
- Department of Health� & ReMabifltative Services/Environmenfal Health Unit-Well.s� Waste.�xater�Treatment,
Septtc Tanks. � _
- US Environmentai Protection Agency-Asbestos abatement.
- Federal Avlatton 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 permittgd.
- If the flll material is to be used.'In �Flood Zone. "A", It. Is understood that a drainage plan addressing a
°compensating volume" v�ill be submitted at time of permitting whlch is prepared by a professional engineer
Iicensed by the:State-of Florida: � �
- If the flll material .is-to ,be'used In Flood Zone "A" in�connectlon�wlth:a�pecmitted building using stem wall
� construction; I ce�tify that flll•w111=b.e used only.to fill the area within the stem wall. -
- if flll 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 adJacent�p�operties,.the owner may be'cited.for viofating
the condifions of tlae"building=:permit issued under the attacfied permit applicatlon, for Iots less ihan.one (1)
acre which are elevated�by flll, an engtneered dralnage plan is required. ,
If I am the AGENT FOR THE OIfVNER, I;promise In good falth to inform the owner of�the permitting condftions set forth In
this affidavit prior to commencing construction. I"understand that a:separate permlt may be requtred for elecMcal work,
plumbing, signs, wells, pools; air conditioning,.gas,�or othec installations not.specifically included�in.the application. .A .
permit Issued shall be construed to be a'I(cense:to p�oceed'with the work and not as:authority to.violate, cancel, alte�, or
set asfde any provisions of the techn(cal.codes; nor shail issuance�of a.permlt.prevent the Bulldirig Offic(al from thereafter
requiring a correction nf errors in__plans, consfruction or violations of any codes. Every permit issued shall become invalid
unless the work authorized.by such permit.�s-commenced•withfn sGc months of permit issuance, or If work authorized by
the pe�mtt is suspended or abandoned for a:perfod of six(8)montiis:after the tirne the�work fs commenced. An extension
may be requested, in writing, ftom the Building.Offlcial for a period.not to exceed ninety (90) days and�will'demonstrate
justifiable cause for-the extension. If work ceases�for ninety(90)cons.ecutive:day.s,..the Job is considered abandoned.
WARNING TO OIaVNER: YOUR.FAILURE�TO,REC.ORD.A.NOTIGE OF•COMMENCEMEMT�.MAY RESULT IN YOUR
' PAYING TWICE�FOR:IMPROVEMENTS TO YO.UR:PR�OPERTY.�IF°YQU�INTEND�'T�OBTAIN��FINANCING;'CONSULT
—"�'ii ii-Y�UR��LE�iD�RiOR�dFi A�40Rt�FY���EOR��RE�OgDI1dG�Y�IUR'��d�JTlC��:�'I�����INlENC�I�fE1�T: -- _ - - -_
FLORI�A JURA�•(F.S.1.17.03) _ ' �
OWNER OR AOENT CONTRACTO
Subscrlbed and swam ta(or aflirmed)before me this Subecribed and r to(or aflirmedpbefore me tht�
by
Who Is/are pe►sonaliy knovm to.me or has/have produced Who Is/are personally known M me or has/have•produced •
as IdenBflcatlon. as Identlflqdon.
Notery Public . i �c Notary Public
Commission No: Com on�No.
,���,.,
, _,zqi�9�°Ya.,�,, JACQUELINE BOGES
Name oi Notary typed,printed or stamped Name of Notary � pgil ' �. 22
:;,• ,.�• � s ecember 12,?018
%�P;;;��` Bonded Thru Tro
y ran�ncurance 800.305.7p�g