HomeMy WebLinkAbout16-17179 , , CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-Q020 'i 7179
ELECTRICAI. PERMIT
� � PERMIT INFORMATION . . . �- ' � - � � LO.CATION MNFORMATION � �
Permit#:17179 Issued: 31'I7120'16 Address: 4623 �AFORCE ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Ciass of Wark: ELECTRIG SERVIGE REPLACEME T Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est.Value: Book: Page:
Cost: 1,455.00 Totat Fees: 45.00 Subdivision: EDGEWC}OD
Amount Paid: 45.00 Date Paid: 3/1?/2016 Parcel Number: 14-26-21-0260-00000-0090
- CGINTRACTORrINF{�RMATION: - � 4WNER.IN�ORMATEt�N
Name: ELEGTRIC QUEST LLC Name: COMSTOCK BILLIE
Addr: 7817 RUTI�L10 GT Address: 4623 LA FURCE ST
NEW PORT RICHEY FL 34653 ZEPHYRHILLS FL 33542-5611
Phone: (727)859-05Q0 Lic: Phone: 919-593-6699
Work Desc: ELECTRICAL PANEL CHANGE UUT 100AMP
' � � � 'APPLICATION FEES � - �
ELECTRICAt FEE 45.00
- �. INSPEGT NS. UIRED - �
RQUGH ELECTRIC � ,�
CONSTRUCTION POLE �
PRE-METER
FINAL �
REINSPECTTON FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local governmertt shalE impose a fee of four times the amount of the fee impased for the initiai inspectian 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 caunty, and there may 6e additianal permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a natice of commenc�ment may result in your paying twice for
improvements to your property. If you intend to abtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application. All work shal) be pertormed in accordance with City
Codes and Ordinances.
C CTOR PER OFFI
PERMIT EXPIRES IN fi MGINTHS 1NITH{}UT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM 1NEATHER
� s�s-�saoozo City of Zephyrhills Permit Application Fax-813-780-0021
Building�epartmenl
Date Received • IS ` Phone Contact for Permitting (�a� U�� -� �D
--i-�-�-i--�-r-t ,_ . ... - - ---- -rr-r Q
Owner's Namu � �`�Q- '� VI� Owner Phone Number � ��v/ /
Owners Address � p `-t C-e� Owner Phone Number �
Fee Simple Titleholder Name Owner Phone Number -
Fee Simple Titleholder Address �
JOB ADORESS r � LOT# �
SUBDIVISION W PARCEL ID# � ��v w L �
(OBTAINED PROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR 0 SIGN Q 0 DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER �
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPl10N OF WORK L T
BUILDING SIZE SQ FOOTAGE� HEIGHT �
re�- r-v-e-r�e-re-rrrr�rrrr�e-o-rrr
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ AMP SERVOIC� � '�R .��E�QFRGY Q W.R.E.C.
�PLUMBING $ � `' ��. �
I•,�i ��
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �'/y
(/' /
�GAS Q ROOFING Q SPECInLTY � OTHER 3✓
FINISHED FLOOR ELEVATIOtVS FLOOD ZONE AREA QYES NO � �
.�-.-.-.-...�-.-.-.-�:-6-r..�-�.�.�i-'.-'.-r.- .-�:...-.�..-.-.-��Fe-w-•w-•--.-.�-....-r.-V-.-.-.��.-�.-.-.-i-G-:�-.-.-
BUILDER COMPANY
SIGNATURE REGiSTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN " COMPANY _ � �� O �
SIGNATURE REGISTERED Y N FEECURRE� Y N n
Address � O �� License# �� /
PLUMBER COMPANY
SIGNATURE REGISTERED Y I N FEE CURRE� Y/N
Addross License#
MECHANICAL COMPANY
SIGNATURE REGIS7ERED Y I N FcE CURRE� Y!N
' Address License#
I OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
1111111111111LIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
RESIDENTIAL Attach(2)Plot Plans;(2)sels oF Building Plans;(1)set of Energy Fortns;R-p-W Permit for new construaion,
Minimum ten(10)working days after submittal date. Required onsite,Constniction Plans,Stormwater Plans w/Silt Fence instailed.
Sanitaty Facilities&1 dumpster;Site Work Permit for subdivisionsilarge projecis
COMMERCIAL Rttach(2)complete sets of Building Plans plus a Life Safety Page;(t)set of Energy Forms.R-O-W Permit tor new construction.
Minimum ten(10)working days after submittal date. Required onsite,ConsUuction Plans,Stormwater Plans w1 Silt Fence instalied,
Sanitary Facililies&t dumpster.Sile Work Pennit for all new projects.AII commerciai requirements must meei compfiance
SIGN PERMIT Attach(2)sets of Engineered Plans.
•"'PROPERTY SURVEY required for all NEW conslniction.
F.1-1.-0-i-{.i-:..--.-r.��.i-P-.�.--r1.-1-9-4-F4-1-I-:..�..�-r1�-:.�.-�F-6-f-F.-r.-.-
Directions:
Fili out appiicaGon completely
Owner&Contractor sign back of application,notarized i
If over$2500,a Notice of Commencement is required. (AIC upprades over$7500)
" Agenl(for the contractor)or Power of Attomey(for ihe owner)would be someone with nofarized letter from owner authorizing same
OVER TNE COUNTER PERMITTING (copy of conlract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage)
Driveways-Not over Counter if on public roadways..needs ROW
RIOTICE OF DEED RESTRICTIOMS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be ficensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Buiiding Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be resQonsible. If you, as the owner sign as the
contractor,that may be an indication that he is not properiy licensed and is not entitled to permitting privileges in Pasco
County.
TRfiNSPORTATION IMPACTIUTILITIES IMPACT AtdD RESOURCE RECOVERY FEES: The undersigned understands
that Transportation irnpact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buiidings, or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands,that such fees, as may be due,wiil be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. If the project does not involve a cartificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County WateNSewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, ha�e been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner" I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work
will be done in compfiance with ail applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work wili be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of oL`�er government agencies may appiy to the intended work,and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterlWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- 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 is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wali
construction,I certify that fill will be used only to fiil the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. if use of fill is found to adversely affect adjacent praperties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit appiication, for lots less than one(1)
acre which are elevated by fill,an engineered drainage plan is required.
If i am the AGENT FOR THE OWPlER, I promise in good faith to inforrn the owner of the permitting conditions set forth in
this a�davit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to vioiate,cancei,alter,or •
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shali become invalid
unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing,from the Building O�ciai for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TUVICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEIdD TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMEIVCEMENT.
�� FLORIDA JURAT(F.S.717.03) �
OWNER OR AGENT CONTRACTOR
3S ' d an bswpy��to��rmed)b fore m_qthis ��6ubs bed and swort�tp raffi ed)b i�`
Y{� O IL -y�by �1 �
Who islare persona�„��� tc�„g��nasJhave produced �� are nPraonally known to me haslhave produced
as identification. as identification.
.
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Commission No. Commission No.
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Name o c�taryt� *pr1Qt��t��FF�QQQ�} Name of Notary typed,p t¢d dn� ped �,}/M.R�R
�IN * �, MY COMMISSION�FF pq2q34
* EXPIRES:August4,2017
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7817 RUl'ILLIO COURT
iVElfl! PORT itICFIEY, FL 34653
F9ERRIANDO: 352-683-2977 PASCO: 727-859-0500
HILLSBOROUGH:813-962-2649 PIfVELLAS:727-934-3879
License holder�: John G. Philfe - EC13006249 Exp. S/31/201�
Licensed, Bonded and Insured
TO WHOM IT MAY CONCERN: 3/15/2��.6
I,JOFlN G PFIILIE,AUTHOR9ZE THESE tNDIVIDUALS TO BE A117'HORIZED REPRESENTATIVES TO
PERFORM ANY IVECESSARY ACTIONS FOR TF6E ABOVE LICEIVSE INCLIDDING REINSTATEMENTS:
ROBERT CAPAZ FL. DjL C120-773-67-330-0
NICHOLAS OCASIO FL. D/L 0220-633-79-066-0
KIMBERLY RITTER FL. D/L R360-513-74-631-0
THOfVIAS RAPOIVE FL. D/L R150-820-88-426-0
fVi/ARK GOODE9.L FL. D/L G340-541-72-391-0
KAZIMIERZ GORCZYNSKI FL. D/L G625-510-85-025-0
RORY BRANDVOLD FL. D/L 6653-724-93-132-0
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THANK YOU, .�(��DO
Sta�of
CountY of� �r..knrnvle qed 6 ore e,0
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this day�;f J/l _ _- �
JOHN G E EC13006249 � ��+t�,��,:-,�"��•'�1`ca�`��� �
PetsonalN known�=
LICENSE HOLDER Type{dentlflcation P�"•-���'`-'�`
Notary Public
SpRY P�B �MBERLY M.RITtER
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* � � * MY COMMISSION fi FF 042434 �
s� •. . �. EXPIRES:August 4,2017
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