HomeMy WebLinkAbout16-17140 CITY OF ZEPHYRHILLS �.-� I
• • 5335-8th Street '
(813)780-0020 �7140 '
ELECTRICAL PERP�IIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:17140 Issued: 3/09/2016 Address: 6130 18TH ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 150.00 Total Fees: 40.00 Subdivision: ZEPHYR BREEZE •
Amount Paid: 40.00 Date Paid: 3/09/2016 Parcel Number: 02-26-21-0190-00000-0420
CONTRACTOR INFORMATION OWNER INFORMATION
Name: DOUBLE M ELECTRIC Name: LSF9 MASTER PARTICIPATION TRST U
Addr: 40410 RIVER RD Address: 13801 WIRELESS WAY
DADE CITY FL 33525 OKLAHOMA CITY OK 73134-2500
Phone: (813)713-3150 Lic: Phone: I
Work Desc: REPLACE OUTLET W/ GFI WHERE NEEDED
APPLICATION FEES
ELECTRICAL FEE 40.00
�1
1 �
� INSPECTIONS REQU RED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
ELECTRICAL 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
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.
I
� CONTRAC OR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
\
CtTY OF / / ' / / BUILDINa
ZEPHYRHILLS DEPARTMENT
OF ADDITION OR CORRECTION
� • • - •
ADDRE55 �( DATE PERMIT�, A `��
�� � ��"�C� � � � ��� l�
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
-�'►TC...rt'��1 � (I�ot�t,5 �N� ��¢��i�L--�f'l�-�SL' ��(-�,�t
_�'i�^�n ('.�C�- `��n��
It is unlawFul for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of tha work with flooring,lath,earth 780-0020 FOR RE-INSPECTION
or other material,until the proper inspector has had ample time to approve
the installation. I��,���)/� f �
OFFICE HOURS 7:30 AM-5 PM MON.-FRI.
INSPECTOR ����
�
813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
Building Department
• � k .
Date Received Phone Contac#'for PermitNn
Owner's Name Qwnez Phoae Number
Owner's Address OwnerPhone Number � �
Fee Simqle Tltleholder Name �_ � Owner Phone Number �- ��
Fee Sfmple Titleholder Address '
JOB ADDRESS � G �� G s �-,t�-iJ� I I !�� (��"' LQT# �
SUBDIVISION � � PARCELID# �� �-��z�Y' dl�2'Q��d��� ` '2'�
�087AINED FROM PROPERTYTAX Nb710E)
WORK PROPOSED • NEW CONSTR ADp/ALT C� S1GN Q Q DEMOLISH ' -
� e INSTALL 8 REPAIR
PROPO$ED�USE Q SFR Q COMM C� O'C"HER
TYPE OF CON3'TRUC710M Q BLOCK ` Q FRAME � STEEL Q
DESCRIPTION OF WORK I��L-PC-�JG-lh lj U 1�f�-t 2,�.�/?'i`f G-�=.,�' dc�%Lr T— cG,��F k!t� /`�rLQGJIl1'�-7
BUILDING SIZE � � SQ FOOTAGE�„� HEIGHT ���
QBUILpiNG �� VALUATIQN`OF TOTA4 CONSTRUCTION
�ELECTR1CAl. (�$ i E� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
� c�.CJd
QFLUMB�NG �-� �l �G ��
QMECHAtV1CR{. $ VALUATI4N QF MECHANICA�tNSTA{.I.ATION
QGAS Q ROOFING Q SPEG4ALTY Q OTHER
FINISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA [JYES NQ
BUILDER COMPANY
SIGNATURE REGISTERED Y! N FEE CURRE� Y/N �
Address License# � �
ELECTRICIAM �./�/' COMPANY U��J�L lti �. .� ��j{I�
$IGNATURE � � REGISTERED Y/ N FEE CURRE� Y/N
Address v �t vC�� I�� J,� 17t�� �L... - License# �G 13�0..�,J��' �
PLUMBER COMPANY
SIGNA'TURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � �
MECHANiCAG COMRANY
SIGNATURE REGISTERED Y:/ N FEE CURREA Y/N� -
Address� License# i �
fJTHER COMPJWY
SIGNA7URE REGIS7ERED Y/ N.. -FEe cuttt�n Y•/:N.
/Address License# �� �
, _y � .::. ,•,
RESID�Nl'1AL Attach(2};plot Plans;..(2}sets-of:Building Rlans;{1}setof Energy�Farm§;F2-0=W P`erisiit hir'_new constniction,_.
Minimum.ten,(�1.0)working days.after`,'submlttal date. Required onsite;Constiuotion Pla�s;��Stormwater Plans w/Silt Fence installed,
Sanftary Facitities&1;dumpster 59te•Work�P,ermlt tot subdivis{onsAarge`pm}ects- - :`+" �
COMMERCIAL Attach(3)compiafe sefs of B�1lding Flans_plus_a�ife Safety Page;(1}set of Energy Farms.R-O-W Permit for new canstruc�tion. ,
--� �""� " - �` Minimum ten(10)working days�after submittal date. Required onsite,Constructlan Plans,Stormwater Plans wl Silt Fence installed,
..._
SaniEary FactliUes&1 dumpster.Site Wark Perm{t for a{I new�proJect's:At)commeroial requtreriients must meet compilance
SIGN PERM�T Attacfi(2)sets of Engineered•;Flans.;,;� �� � - � 1
.«.«pROPERTY SURVEY required forali NEW aansWcdon.
Dtreetion�: �
Fill out appflcaUon completely.
Owner&Contractcis slgn back-of appticatton,notarized
If over�2500,a Notice of Commencement is required. (A!G upgrades over 3750Q)
" Agent{for the contractor}ar'Power of Attamey(fbr ttie owner)would be someone with�otarized letter fram owner authorizing same
DVER THE COUNT6R P,ERMITTINt3 (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not qver Caunter if on public roadways..needs ROW
i � ` _� '. \
NOTICE OF DEED RESTRICTIONS: The undersigned understands�;that this.p�rmlt:maybe.sub)ect to,"deed"restrictions" ,
which may.be.�more�.-re§t�ictlVe=th�n'Countyr'��egulatlons�. �The"undersigned`"assumes�responsitiilitjr_fo�compltance�witFi''any '•,
appllcable deed restrictions. . , . "
UNLICENSED;C�ONTRACTORS AND CONTRACTOR RESPONSIBILITIES:-�� if the owner has��hired a contractor or
contractors to undertake work, they may.be r�qulred;:to�:be.Iicensed In accordance.with_state.and•local regulations: If the
contractor.ts�not llcensed as requlred�=by law, both�the owner and conf'ractvr�may be=cited-fora misdemeanor violation
under state law. If the owner or Intended=contractor:are_:unce�tain as to what Iicensing:requirements;may�apply_�for•:the_ � -
intended work, they are advised to_contact�ihe Pasco County Bullding"'Inspection Dlvislon-Licensing Section at 727-847-
8009. Furthermore, If the owner has htred a conhaafor`o��contractors, he (s advised to have the contractor(s). sign
portions of the "contractor Block° of this appllcation for_which they wiit.be .responsible. .If you,,as..the owner'stgn`as the
cont�actor, that may be�an indication that�he�is not.properly�licensed and�is not entitied to perniftting privileges in Pasco
� County. _
TRANSPORTATION::IMPACTIUTILITIES�IMPAC7 ANb-RESOURCE RECOVERY�FEES:��The undersigned understands
thatTransportatfon Impact Fees.and.Reco.urse Recove.ry.Fees may:apply-�to�the construc8on of new bulldings,;change of
use in exisNng buildi�gs, o��.expans(on�of ezistin�g�buildings� as speclfled.in Pascv�County Ordinance number 89-07 and
' 90-07, as amended.,.,The undersigned also understands, that:�such fees�-,as,inay�be�..due;:.wlll,.be identlfied at the��time�of�- �
permitting. It is fuHiier understood that Transportation Impact Fees and Resource Recoaery=Fees must be pald prior to
receiving a "certificate of=occupancy" or flnal-power release. :If�the project�,does:not Involve a.certificafe of occupancy o�
final power release;�the fees-mu�t�be paid prior to permit Issuance. Furthermore;�if Pasco,Counly WaterlSewer:Impact
fees are due,.they_�must,be:pald-pNor to permit-Issuance-In accordance with appllcabie Pasca�County ordinances.
CONSTRUCTION LIEId'LAW(Cliapter 713� Florlda Statutes�as amended): If valuation of work is$2,500.00�or more; I ,
certify that I, #he_,applicant,_ have-been provi.ded with. a copy- of the "Florida Constructfon Llen,Law=Homeowne�'s
Protection Guide" prepared by the Florida Departmenf of Agriculture and ConsumerAffairs. If the applicant is someone
other than the"owner", I certfijr that I have�.obhained a�copy of.the above:.described docur�ent-and.promise In,good faith to ,
deliver ft to the°owne�"�prior.to:•commencement: " "
CONTRACTOR'S/OWNER'S AFFIDAVIT: I cer�tify:that all the�information i�:thi.s applfcation is accurate and that all work
will�be done in compliance with all appl(cable laws regulating constructlon, zoning and-land devetopment. Application is
hereby made to obtain .a permit Co do work.:;and instaliation as Indlcafed:- °I certify that no work�or Instaliatlon has �
commenced p�ior to Issuance of a permit"and that.all work will be pertormed to meet standards of all laws �egula�ing�
construction, County and City codes, zoning regulatians, and land development tegulattons-in the jurisdlction. I also
certify that I understand 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 be,ln:.compliance: $uch agenoles Include but-are:not Ilmited to:
- Department of Et�vironmental=�Protection-Cypress.Bayheads, V1letland Areas and Envlronmentally Sensitive
Lands,WaterMlastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress.s�Bay.heads�, Wetland Areas, Altering
Watercourses.
- Army Corps of Engtneers-Seawalls, Docks, Navigable Waterways.
' - Department of Health 8 ReMabilitative Servlces/Environmenfal Health Unit Weiis, Wastev�tater�Treatment,
Septic Tanks. _
- US Environmental Protection Agency-Asbestos abatement.
- Federal Avlatton Authority-Runways.
I understand that the following;restrlctions apply to the use of flll:�
- Use of flll is not allowed in Flood Zone"V"unless expressly permitted.
- If the -flll material is to be used�in.�Flood Zone. "A°, tt. is understood that-a drainage plan addressing a
"compensating volume" will be submitted at time of permittfng which is prepared by a professional engineer
I(censed by�he-State�of Florida:
- If the fiil materlal.is-to be used in Flood Zone "A" in�connection�with.a pecmitted�building using stem wall
� construction, I ce�tify that fill:wall:b.e used only.to�.fill the area w(thin the�stem wali.
- if flll material Is to be used in any area, I certify tfiat use. of such"fill wil( not adversely affect adjacent
properties. If use of flll is found to adversely..�ffect adJacent prope�ties,.the owner may be cited for violating
the conditions of the building;permlt issued�under the.attached�permit application, for-lots less than one (1)
acre which arE elevated�by�flll, an engineered dralnage plan is requtred. •
If I am the AGENT FOR THE OWNER; I�promise In good faith to inform the•owner of�the perPnitting conditfons set forth in
this affidavit`prior to commencing constructlon: I understand that a�.separate permlt may be requtred for electrical work,
plumbing, signs, wells, pools; air conditiontng,.gas,��or other installations not,spec�flcally fncluded-in.the application. .A ._
I permit issued shall be construed to be�a`Itcense to�proceed with the work and not as:authority to,violate..cancel, alter, or
set aside any provis(ons of the technical.codes; nor shall issuance�of a.permit.pcevent the Bulldirig O#�icial from thereafter
requirfng a correction af errors in plans, constiuction or violatlons of any codes. Every permft Issued shali�become invalid
unless the work authorized.by such permit��s=commenced�within stx months of permft issuance, or if work authorized by
the permit is suspended or.abandoned for a:period of six(8)montfis.after the time the�work�ts commenced. An extension
may be requested, in writing, from the Buflding,Official for a perlod-not to exceed ninety�(90) days and will demonstrate
justifiable cause for.the extension. If work ceases�for ninety(90)cons.ecutive_days�..the)ob is considered aba�doned.
� VUARNING TO OWNER: YOUR FAILURE.TQ.,RECORD.A MOTIGE OF-COMMENCEMEMT.MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS�TO YOUt�:.PROPERTY.�IF°YO.U�IN�END"T�OBTAIN•-FII�tApC1NG,�CONSULT �
WITH YOUR LENDER:OR AN A�TORNEY�BEFORE�RECORDING:YOUR'NOTICE°OF GOMNlENCElV1ENT: .
_�J.�OBIDgJi1RA�_(F.S.117.03) - - - - - - ___ _. - .— --.�— ----- - -----=-----_. - . -- - - —
OWNER OR AOENT CO�ITRACTOR
Subscrlbed and swom to(or afflrtned)before me this Subscrlbed and'swom to(ot aflirmedpbefore me tl�i�
bY � •b9
Who Is/are personally knovm to.me or haslhave produced Who is/are p.ersonally known M me orhaslhave�produced
as IdenUBcatlon. � as idendflcation.
Notary Publlc Notary Publlc
Commisslon No: Commission No.
Name ot Notary lyped,printed or stamped Name ot Notary typed,printed or stamped ,